HomeMy WebLinkAbout04 PC REPORT CUP 2022-0009
ATTACHMENT A
LOCATION (RADIUS) MAP
1,000'
500'
300'
300
FeetÜSource: ESRI, City of Tustin
City Hall &
Library
Service
Station
Retail
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RV Park
1,000'1,000'
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00'500500'0000'
300'300'
Proposed
drive-thru
restaurant
Restaurants
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Medical &
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Medical
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Large
Retail
Center
Bank
Multiple-Family
Residential
Post
Office
Car Wash
& Service
Multiple-Family
Residential
Single-Family
Residential
Single-Family
Residential
Middle
SchoolColumbus
Tustin Park
Professional
Office
Buildings
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Large
Retail
Center
Restaurants
and Retail
Commercial Center
(Proposed Residential
Development)
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MAIN ST.
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IRVINE BLVD.
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Professional Office Buildings
B
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A
N
1,000'
500'
300'
535 E. First Street
Bank
E FIRST ST.
AS
H
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IO
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LN
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LN
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Columbus
Tustin
Recreation
Center
Columbus Tustin
Middle School
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ATTACHMENT B
LAND USE FACT SHEET AND PARKING SUMMARY
LAND USE APPLICATION FACT SHEET – 535 E. FIRST STREET
1. LAND USE APPLICATION NUMBER(S): CONDITIONAL USE PERMIT (CUP) 2022-0009 OUT-
PATIENT TREATMENT AND COUNSELING CENTER FOR OPIOID USE DISORDER UTILIZING
MEDICATED-ASSISTED TREATMENT (MAT) IN COMBINATION WITH COUNSELING AND
BEHAVIORAL THERAPIES AT 535 E. FIRST STREET, SECOND FLOOR
2. LOCATION: A SECOND FLOOR TENANT SPACE ON E. FIRST STREET WITHIN
DEVELOPMENT AREA 3 (DA-3) DOWNTOWN MIXED-USE AREA OF THE DOWNTOWN
COMMERCIAL CORE SPECIFIC PLAN (DCCSP)
3. ADDRESS: 535 E. FIRST STREET, SECOND FLOOR
4. APNs: 401-151-08, 401-151-13, 401-163-10
5. PREVIOUS OR CONCURRENT APPLICATIONS RELATING TO THIS PROPERTY:
USE DETERMINATION (UD) ON APRIL 12, 2022
6. SURROUNDING LAND USES:
NORTH: COMMERCIAL/ EAST: COMMERCIAL
MULTIFAMILY RESIDENTIAL
SOUTH: COMMERCIAL WEST: MULTIFAMILY RESIDENTIAL
7. SURROUNDING ZONING DESIGNATION:
NORTH: PD – PLANNED DEVELOPMENT/ EAST: DCCSP (SP-12)/
C1 - RETAIL COMMERCIAL CG – COMMERCIAL GENERAL
SOUTH: DCCSP (SP-12) WEST: PD – PLANNED DEVELOPMENT
8. SURROUNDING GENERAL PLAN DESIGNATION:
NORTH : PD/PCCB - PLANNED COMMUNITY EAST: DCCSP/PO
COMMERCIAL/BUSINESS
SOUTH: DCCSP WEST: PCCB
9. SITE LAND USE
EXISTING PROPOSED
A. LAND USE: COMMERCIAL NO CHANGE
B. GENERAL PLAN: DCCSP NO CHANGE
C. ZONING: DCCSP (SP-12) NO CHANGE
DEVELOPMENT FACTS:
10. LOT AREA: TOTAL OF ALL THREE PARCELS: 2.18 ACRES (94,767
SQUARE FEET)
11. TENANT SPACE: 10,600 SF
EXISTING PROPOSED
12. PARKING: 137 NO CHANGE
(See next page for summary)
13. BUILDING HEIGHT: 2 STORY NO CHANGE
LAND USE APPLICATION FACT SHEET – 535 E. FIRST STREET
Parking Summary
The project site consists of three tax parcels owned by Atomic Investments, Inc. Per the application
submittal documents, the only allowed users of the parking spaces are for the tenants of the project site.
There is reciprocal access by an easement for ingress and egress only between the project site and the
adjacent office complex, Wellington Plaza and there is no reciprocal parking agreement with the adjacent
Wellington Plaza. This reciprocal access is along the east property line of the Wellington Plaza property
and the west property line of the project site.
The project site has 137 surface parking spaces that serves the multi-tenant building. Per TCC
9263, the proposed 10,610 square foot medical clinic use on the second floor would require 64 parking
spaces. The existing tenant (RAI Dialysis) is required to provide 52 spaces. A total of 116 spaces are
required for both tenants. Therefore, the parking required per TCC for the proposed use and the existing
tenant are satisfied with existing on-site parking.
Parking Tabulation
535 E. First Street, Tustin, CA
Tenant TCC Parking Ratio Tenant SF Required
Parking
Dialysis Center
1st floor
One (1) parking space for each 250 square feet for-first
4,000 SF
Six (6) spaces for each 1,000 in excess of 4,000 SF
10,000 52 spaces
Proposed CTC
2nd floor Six (6) spaces for each 1,000 in excess of 4,000 SF 10,610 64 spaces
Total Parking Required 116
Total Parking Provided (On-site) 137
ATTACHMENT C
USE DETERMINATION LETTER
DATED APRIL 12, 2022
ATTACHMENT D
LIST OF ACADIA CTCs IN CALIFORNIA
Clinic Name Address City Zip Code
Lease
Start*Sq Ft. Weekday Hours Saturday Hrs. Sunday Hrs.
No. of
Employees
No. of
Patients
CAPALINA COMPREHENSIVE TREATMENT CENTER 1560 Capalina Road San Marcos 92069 12/01/13 4,695 5:30am-2:00pm 7:00am-10:00am 7:00am-9:00am 11 159
COASTAL COMPREHENSIVE TREATMENT CENTER 117 E. Harry Bridges Blvd. Wilmington 90744 01/01/97 5,266 5:30am-2:00pm 7:00am-10:00am Closed 8 143
COLTON COMPREHENSIVE TREATMENT CENTER 2275 E. Cooley Dr. Colton 92324 01/01/11 5,400 5:30am-2:00pm 7:00am-10:00am Closed 15 240
DESERT COMPREHENSIVE TREATMENT CENTER 1330 N. Indian Canyon Dr., Ste. A Palm Springs 92262 05/01/15 4,979 5:30am-2:00pm 7:00am-10:00am Closed 14 269
EL CAJON COMPREHENSIVE TREATMENT CENTER 234 N. Magnolia Ave. El Cajon 92020 07/01/12 5,000 5:30am-2:00pm 7:00am-10:00am Closed 13 238
ESCONDIDO COMPREHENSIVE TREATMENT CENTER 161 N Date Street Escondido 92025 02/15/19 4,200 5:30am-2:00pm 7:00am-10:00am Closed 6 116
FASHION VALLEY COMPREHENSIVE TREATMENT CENTER 7545 Metropolitan Drive San Diego 92108 10/24/16 10,614 5:30am-2:00pm 7:00am-10:00am 7:00am-9:00am 22 339
OCEANSIDE COMPREHENSIVE TREATMENT CENTER 1905 Apple Street Oceanside 92054 09/01/17 3,900 5:30am-2:00pm 7:00am-10:00am Closed 663
RIVERSIDE COMPREHENSIVE TREATMENT CENTER 1020 W. La Cadena Riverside 92501 01/01/15 5,400 5:30am-2:00pm 7:00am-10:00am Closed 18 301
SACRAMENTO COMPREHENSIVE TREATMENT CENTER 7225 East Southgate Dr., Ste. D Sacramento 95823 03/01/13 6,003 5:30am-2:00pm 7:00am-10:00am Closed 16 245
SAN DIEGO COMPREHENSIVE TREATMENT CENTER 8898 Clairemont Mesa Boulevard - Suite H San Diego 92123 01/01/14 3,726 5:30am-2:00pm 7:00am-10:00am Closed 879
SANTA ANA COMPREHENSIVE TREATMENT CENTER** 2101 East 1st Street Santa Ana 92705 08/01/03 3,940 5:30am-2:00pm 7:00am-10:00am Closed 18 396
TEMECULA VALLEY COMPREHENSIVE TREATMENT CENTER 40700 California Oaks Rd., Ste 202 Murrieta 92562 02/02/06 3,521 5:30am-2:00pm 7:00am-10:00am Closed 14 258
THIRD AVENUE COMPREHENSIVE TREATMENT CENTER 1155 Third Ave. Chula Vista 91911 11/01/16 5,400 5:30am-2:00pm 7:00am-10:00am Closed 16 215
NOTES:
* Lease Start: Many of the facilities shown have been open for decades under different entitles. The dates shown in the Lease Start column represent when the lease term started at the shown current location.
** The Santa Ana location is set to be decommissioned concurrently with the opening of the center at 535 East First Street, Tustin.
ATTACHMENT C
Acadia Healthcare : CTC Group Opioid Use Disorder Program
Treatment Centers in California
Prepared: May 19, 2022
ATTACHMENT E
CONSTRUCTION (CTC FACILITIES)
SPECIFICATION MANUAL
(TYPICAL DOSING BOOTH)
ACADIA HEALTHCARE
Comprehensive Treatment Centers (CTC)
Revised 3/5/2021
Construction Specification
Manual
Version
21.3
ACADIA HEALTHCARE
1
Introduction
cadia Healthcare is a provider of behavioral healthcare services and as of 2021 operates a network of 227
facilities in 40 states, and Puerto Rico. Acadia Healthcare provides behavioral health and/or addiction
services to its patients in a variety of settings, including inpatient psychiatric hospitals, residential treatment
centers, outpatient clinics and therapeutic school-based programs, which are divided up into several
divisions based on service delivery. This construction project lies within Acadia’s Comprehensive Treatment Center
(CTC) Division, which is comprised of 145 facilities and growing, serving a least 66,000 patients a day in an out-
patient setting, providing substance abuse treatments using a medicated assisted treatment (MAT) modality.
Adults who have been struggling with opioid use disorders involving such substances as heroin, morphine, and
other prescription painkillers may benefit from medication assisted treatment. This form of care involves the use of
medications such as Methadone, Suboxone, Subutex, and Vivitrol that eliminate the drug cravings and painful
withdrawal symptoms that typically occur when an opioid-dependent individual stops using his or her substance of
abuse. Medication assisted treatment also includes a therapeutic component to help the individual achieve long-term
recovery, including both individual and group therapies.
In addition to compliance with local and international building, fire, and ADA codes and laws, each project is also
subject to special inspections and oversight from the DEA, State Opioid Treatment Authority (SOTA), Board of
Pharmacy (BOP), Substance Abuse Mental Health Services Administration (SAMHSA), as well as accreditation by
CARF and others.
A
Representative Layout
ACADIA HEALTHCARE
2
Gallery
Patient Check-in at the Reception Office.
AKA “pay windows.”
Corridor with typical approved Finishes
5’ corridor width, minimum.
Office & Group Room doors
with 6”x36”
side vision panel glass inserts.
Group Room
Ensure adequate cooling load.
If a very large group room, equip with a dedicated
thermostat.
Fixed Pane ¼” Laminated glass
with 4” gap at bottom and open
voice hole cut at 54” AFF.
Extend PLAM through to
patient side to form a ledge.
ACADIA HEALTHCARE
3
Patient Waiting Area – Note the patient privacy room
doors on the left.
Patient Privacy Room as viewed from the patient
waiting area and looking through the dispensing window
into the pharmacy.
LED occupancy light. Wired to a
three-position Red-Off-Green
switch mounted under each nurse
station counter in the pharmacy.
18” Diameter Convex Mirror
installed in the upper corner of each
Patient Privacy Room near the door.
Position mirror so the dispensing
nurse can see behind the patient.
On door latch side of room.
Extend PLAM through to
patient side to form a ledge.
ACADIA HEALTHCARE
4
Standard construction,
glazing, millwork,
electrical, and plumbing
specifications for the
Pharmacy’s Dispensing
Stations
ACADIA HEALTHCARE
5
Pharmacy
Three-position Red-Off-Green
switch mounted under each nurse
counter, in a surface-mount box,
12” right of station center and ~1”
from counter edge.
Fixed Pane ¼” Laminated
glass with 4” diameter open
voice holes cut at 54” AFF &
4” open space between
bottom of glass and counter.
AC/Battery
Emergency lighting
Power and data box at 84”
AFF for JCI security monitor
which will display lobby
cameras.
For reference only,
owner-supplied and
installed stainless steel
medication boxes.
Dimensions 15 ¼ x 15
¼
Peninsula
through-shelving.
Medication Safe
Install T&S B1230
pressure reduced
Water Filler stations.
x Hard-lid 5/8” sheetrock ceiling within
the perimeter of the pharmacy.
x Pharmacy perimeter wall framing to
extend up to within 6” of the roof deck
above.
For refer
E
ottom of glass and co
x
x
thr
(not shown) Consider ½-
height uppers above where
desktop printer will be
located.
ot shown
ACADIA HEALTHCARE
6
Pharmacy, continued…
Radius t-mold edge around
outside corners of peninsula
counters.
Install locks on one double door
back wall cabinet set (same for lab)
NO backsplash on dispensing
nurses counter only – it would
interfere with IT and other
equipment installation.
(do install backsplashes on other
counters)
Ensure that the
pharmacy floor is
capable of supporting
3,200lb medication
safe(s). Dimensions:
30 ½”W x 31 ½”D x
61 ½”H. Allow at
least 36”x36” footprint
for each safe.
Install plywood blocking behind
the sheetrock on nurse side of
dispensing wall, to allow for IT
and other equipment installation.
Below-counter
data/power outlets 8”
below counter height to
prevent foot
interference.
** No more than 2
duplex receptacles per
20A circuit along the
dispensing wall. **
Drill and install 2” cable
grommets during IT
equipment deployment
phase. Coordinate
timing and exact
locations with Acadia IT
Field Engineer at the
end of the project.
Radius t-mold edge around
id fil
N
n
in
e
(
ACADIA HEALTHCARE
7
Restrooms
Install XLERATOR XL-SB Hand driers in Patient Restrooms only.
Rugged, Pressure-
assisted tank toilet.
Restroom accessories
shown, typical.
All staff and patient
restrooms, unless otherwise
specified, are to be single
occupant.
UA Specimen Pass-Thru
between Lab and UA Patient
Restroom(s). This model
will accommodate varying
wall thicknesses.
Tank-style toilets equipped with a
pressure assist system in the tank –
e.g. FlushMate and Ecoflush
ACADIA HEALTHCARE
8
IT Requirements
IT Room Ventilation
x Install an exhaust fan, rated for continuous duty, in the
ceiling above the designated IT rack location. Duct to discharge
in an interior open area or very large room 20’ away or further.
x Spec the exhaust fan for a room air exchange every 5
minutes, minimum.
x Wire the exhaust fan to a standard on/off toggle wall switch
installed at 72” AFF, located opposite the door to prevent
accidental shutoff. Mark “leave on.”Not a thermostatic switch.
x Install a fixed louver grill 18” x 18” minimum in the lower half
of the door.
x It is critical that this setup is adhered to as described. Do not
install an HVAC supply or return in this room, as it would
interfere with the negative pressure created by the exhaust fan,
and do not substitute with a mini-split system.
Low voltage cabling will be subbed through
Acadia’s IT PM, with the GC providing site
coordination. The GC’s electrician will install
the LV outlet boxes and a string path
(conduit/rings and strings, smurf tubes, etc) for
the low voltage sub to come behind and pull
cable through, often after sheetrock installation.
During the CD set drawing phase, Acadia’s IT
PM will provide the architect with a preferred
drop location drawing, and the architect will
then use this information to overlay low voltage
box locations on the Electrical Sheet.
Security and CCTV systems will also be
subbed through Acadia. JCI (formerly Tyco)
will perform those services, again with GC site
coordination.
Install plywood backboards
over two walls in the IT room,
on top of the sheetrock.
Plywood must be 3/4” un-
painted, fire-rated.
Electrician to provide a single dedicated 20-
amp 120v circuit on a whip with 20a T-
Outlet that will be mounted onto the 4-post
equipment rack. This duplex receptacle (not a
quad as shown) will power a user-supplied
rack-mount UPS that will provide
uninterrupted power to all the IT equipment
mounted in the rack.
Supply a ground wire to a
new buss on the
backboard, near the rack
location. The rack ground, as
well as future vendor
equipment grounds, will tie to
this buss/ground.
Spec a minimum of 4
convenience
receptacles in the IT
room, standard AFF
Owner-supplied and installed 4-post
equipment rack.
not
uld
fan,
w
T room,
eetrock.
4” un-nn
4 post
e (not a
upplied
provide
ipment
ACADIA HEALTHCARE
9
Additional Notes
Locksets & Keying:
x Exterior Doors – match to other exterior doors only, mastered.
x General offices: Counselors, Clinical Supervisor (CS), Nursing Supervisor (NS), Medical Director (MD), Lab, Exam,
Group Rooms, Patient Privacy Rooms, Break Room, Chart Room, IT Room, Reception Office – matching, classroom-
function lockset, mastered.
x Clinic Director (CD) Office – not matching, classroom-function lockset, mastered.
x Pharmacy Entry Door – not matching, storeroom-function lockset + deadbolt, not mastered. Grade I. Key the storeroom lever and
deadbolt sets separately.
x Restrooms – privacy sets.
x Pharmacy & Lab Wall Cabinets –lockset for one double door wall cabinet set.
x No fobs.
Plywood Blocking behind sheetrock:
x Pharmacy: Wall-to-wall-to ceiling at nurses’ dispensing workstations (pharmacy side). At a minimum, start from the
counter and extend up, although many GC’s find it simpler to block full sheets starting at the floor to avoid having to
step the sheetrock at the counter junction.
x Reception office workstation wall – same as pharmacy noted above.
x At the Ergotron Kiosk location in reception area, from floor to ceiling, 48” wide.
x Patient waiting & Group Room TV locations 32”x32” blocked area at 6’ centered AFF typical.
x Clinic Director’s office CCTV monitor/NVR location. 32”x32” blocked area at 6’ centered AFF typical.
High-mount electrical receptacles – locations will be noted on CD set – same areas where blocking to be installed:
x Clinic Director office, 72” AFF, for CCTV monitor & NVR.
x Patient waiting & Group Room, 72” AFF, for TV. Data at normal AFF height (no COAX)
x Inside Reception office, 72” AFF, for CCTV monitor.
x Patient waiting, 84” AFF, for Kiosk. Include data beside power at 84”
x Pharmacy, in general, between middle-most patient dispensing windows, 84”, for CCTV monitor.
General
x Commercial Hollow Metal frames for all interior doors and interior glazing.
x Door closures: pharmacy, patient privacy rooms, IT room, any corridor entries, and restrooms.
x Doors: Assa Abloy Plain Sliced White Maple Standard Stain #850 Midnight Premier GPD PC5 Series doors, or
equivalent.
o Chrome finish Grade 2 Lever sets. Exception: Grade 1 Lever and Deadbolt on Pharmacy door.
o 6” x 36” Side vision panel inserts in the following Doors: Counselor offices, Clinical Supervisor’s office,
Clinic Director’s office, and Group Rooms.
x Install a peephole at 54” AFF in the Pharmacy’s nurse entry door, viewed from the inside of the pharmacy.
x Install a locking cash drawer under the Reception Office workstation counter.
x Water filler stations at nurses’ counter window: cold water only T&S B1230 pressure reduced filler station.
x Kick plates: on doors with closures.
x Corner Guards placed in all high traffic common areas. Korogard GS20 16g #4 high with 2” wings.
x Chair rails at 33”OC AFF. Install in patient waiting areas, and group room(s).
o 1x4 finger-jointed pine typical
o Terminate ~8” from obstacles, door/window trim, and outside corners.
o Inside corners – run all the way in.
ACADIA HEALTHCARE
10
x Soundproofing:
o New Construction: Install Acoustical Batt (e.g. Rock Wool batt) insulation in any new interior walls
o Existing Walls: Cut sheetrock and push or blow in Cellulose insulation in all existing walls where privacy
is a concern (counselor, clinical supervisor, clinic director, exam room, MD, lab, etc.)
o Above Grid: install 1 flat acoustical batt on top of the ceiling grid along all wall perimeters.
x Thermostats either passcode programmable and/or equipped with locking covers.
x Horizontal aluminum mini-blinds, neutral white color, at all perimeter office exterior windows, and any interior
observation window(s). Not installed on patient dispensing windows.
x Substitute window film in lieu of mini-blinds on large exterior windows where waiting patients would be clearly visible
from the outside (e.g. patient waiting area, storefront doors leading to reception window).
x LED light fixtures throughout.
x Dedicated Circuit Notes:
o Pharmacy – nurses’ window’s/workstations: No more than two receptacles per circuit.
o 20A dedicated circuit/receptacle for a multi-function copier, typically located in the Copy room.
o IT room: dedicated circuit to feed a single receptacle via a whip, 20a T-outlet mounted on the equipment
rack.
x Ceiling Tiles: Armstrong Fine Fissured 2nd Look II #1761. (2x4 tiles that give the look of 2x2 at a fraction of the
cost).
x Toilets: Tank-style toilets equipped with a pressure assist system in the tank – e.g. FlushMate and Ecoflush.
x Interior Signage: Operations will order signs from Staples at least 30 days prior to final building inspection – GC to
install. Restrooms, Mechanical, Janitor, and patient privacy rooms (numbered).
x Restroom Fixtures: Operations will order from Medline at least 60 days prior to final building inspection – GC to
install
o Paper Towel Dispenser: EVSDSRAUTO2
o Soap Dispenser: AUTODISPB
o TP Dispenser: EVSDSTPVSTD standard vertical, or EVSDSTP91 9” Diameter Large
ACADIA HEALTHCARE
11
Approved Finishes
ATTACHMENT F
LETTER OF OPERATION
DATED
APRIL 15, 2022
ATTACHMENT G
SUBMITTED PLANS
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ACADIA HEALTHCARE
Comprehensive Treatment Centers (CTC)
Revised 3/5/2021
Construction Specification
Manual
Version
21.3
ACADIA HEALTHCARE
1
Introduction
cadia Healthcare is a provider of behavioral healthcare services and as of 2021 operates a network of 227
facilities in 40 states, and Puerto Rico. Acadia Healthcare provides behavioral health and/or addiction
services to its patients in a variety of settings, including inpatient psychiatric hospitals, residential treatment
centers, outpatient clinics and therapeutic school-based programs, which are divided up into several
divisions based on service delivery. This construction project lies within Acadia’s Comprehensive Treatment Center
(CTC) Division, which is comprised of 145 facilities and growing, serving a least 66,000 patients a day in an out-
patient setting, providing substance abuse treatments using a medicated assisted treatment (MAT) modality.
Adults who have been struggling with opioid use disorders involving such substances as heroin, morphine, and
other prescription painkillers may benefit from medication assisted treatment. This form of care involves the use of
medications such as Methadone, Suboxone, Subutex, and Vivitrol that eliminate the drug cravings and painful
withdrawal symptoms that typically occur when an opioid-dependent individual stops using his or her substance of
abuse. Medication assisted treatment also includes a therapeutic component to help the individual achieve long-term
recovery, including both individual and group therapies.
In addition to compliance with local and international building, fire, and ADA codes and laws, each project is also
subject to special inspections and oversight from the DEA, State Opioid Treatment Authority (SOTA), Board of
Pharmacy (BOP), Substance Abuse Mental Health Services Administration (SAMHSA), as well as accreditation by
CARF and others.
A
Representative Layout
ACADIA HEALTHCARE
2
Gallery
Patient Check-in at the Reception Office.
AKA “pay windows.”
Corridor with typical approved Finishes
5’ corridor width, minimum.
Office & Group Room doors
with 6”x36”
side vision panel glass inserts.
Group Room
Ensure adequate cooling load.
If a very large group room, equip with a dedicated
thermostat.
Fixed Pane ¼” Laminated glass
with 4” gap at bottom and open
voice hole cut at 54” AFF.
Extend PLAM through to
patient side to form a ledge.
ACADIA HEALTHCARE
3
Patient Waiting Area – Note the patient privacy room
doors on the left.
Patient Privacy Room as viewed from the patient
waiting area and looking through the dispensing window
into the pharmacy.
LED occupancy light. Wired to a
three-position Red-Off-Green
switch mounted under each nurse
station counter in the pharmacy.
18” Diameter Convex Mirror
installed in the upper corner of each
Patient Privacy Room near the door.
Position mirror so the dispensing
nurse can see behind the patient.
On door latch side of room.
Extend PLAM through to
patient side to form a ledge.
ACADIA HEALTHCARE
4
Standard construction,
glazing, millwork,
electrical, and plumbing
specifications for the
Pharmacy’s Dispensing
Stations
ACADIA HEALTHCARE
5
Pharmacy
Three-position Red-Off-Green
switch mounted under each nurse
counter, in a surface-mount box,
12” right of station center and ~1”
from counter edge.
Fixed Pane ¼” Laminated
glass with 4” diameter open
voice holes cut at 54” AFF &
4” open space between
bottom of glass and counter.
AC/Battery
Emergency lighting
Power and data box at 84”
AFF for JCI security monitor
which will display lobby
cameras.
For reference only,
owner-supplied and
installed stainless steel
medication boxes.
Dimensions 15 ¼ x 15
¼
Peninsula
through-shelving.
Medication Safe
Install T&S B1230
pressure reduced
Water Filler stations.
x Hard-lid 5/8” sheetrock ceiling within
the perimeter of the pharmacy.
x Pharmacy perimeter wall framing to
extend up to within 6” of the roof deck
above.
For refer
E
ottom of glass and co
x
x
thr
(not shown) Consider ½-
height uppers above where
desktop printer will be
located.
ot shown
ACADIA HEALTHCARE
6
Pharmacy, continued…
Radius t-mold edge around
outside corners of peninsula
counters.
Install locks on one double door
back wall cabinet set (same for lab)
NO backsplash on dispensing
nurses counter only – it would
interfere with IT and other
equipment installation.
(do install backsplashes on other
counters)
Ensure that the
pharmacy floor is
capable of supporting
3,200lb medication
safe(s). Dimensions:
30 ½”W x 31 ½”D x
61 ½”H. Allow at
least 36”x36” footprint
for each safe.
Install plywood blocking behind
the sheetrock on nurse side of
dispensing wall, to allow for IT
and other equipment installation.
Below-counter
data/power outlets 8”
below counter height to
prevent foot
interference.
** No more than 2
duplex receptacles per
20A circuit along the
dispensing wall. **
Drill and install 2” cable
grommets during IT
equipment deployment
phase. Coordinate
timing and exact
locations with Acadia IT
Field Engineer at the
end of the project.
Radius t-mold edge around
id fil
N
n
in
e
(
ACADIA HEALTHCARE
7
Restrooms
Install XLERATOR XL-SB Hand driers in Patient Restrooms only.
Rugged, Pressure-
assisted tank toilet.
Restroom accessories
shown, typical.
All staff and patient
restrooms, unless otherwise
specified, are to be single
occupant.
UA Specimen Pass-Thru
between Lab and UA Patient
Restroom(s). This model
will accommodate varying
wall thicknesses.
Tank-style toilets equipped with a
pressure assist system in the tank –
e.g. FlushMate and Ecoflush
ACADIA HEALTHCARE
8
IT Requirements
IT Room Ventilation
x Install an exhaust fan, rated for continuous duty, in the
ceiling above the designated IT rack location. Duct to discharge
in an interior open area or very large room 20’ away or further.
x Spec the exhaust fan for a room air exchange every 5
minutes, minimum.
x Wire the exhaust fan to a standard on/off toggle wall switch
installed at 72” AFF, located opposite the door to prevent
accidental shutoff. Mark “leave on.”Not a thermostatic switch.
x Install a fixed louver grill 18” x 18” minimum in the lower half
of the door.
x It is critical that this setup is adhered to as described. Do not
install an HVAC supply or return in this room, as it would
interfere with the negative pressure created by the exhaust fan,
and do not substitute with a mini-split system.
Low voltage cabling will be subbed through
Acadia’s IT PM, with the GC providing site
coordination. The GC’s electrician will install
the LV outlet boxes and a string path
(conduit/rings and strings, smurf tubes, etc) for
the low voltage sub to come behind and pull
cable through, often after sheetrock installation.
During the CD set drawing phase, Acadia’s IT
PM will provide the architect with a preferred
drop location drawing, and the architect will
then use this information to overlay low voltage
box locations on the Electrical Sheet.
Security and CCTV systems will also be
subbed through Acadia. JCI (formerly Tyco)
will perform those services, again with GC site
coordination.
Install plywood backboards
over two walls in the IT room,
on top of the sheetrock.
Plywood must be 3/4” un-
painted, fire-rated.
Electrician to provide a single dedicated 20-
amp 120v circuit on a whip with 20a T-
Outlet that will be mounted onto the 4-post
equipment rack. This duplex receptacle (not a
quad as shown) will power a user-supplied
rack-mount UPS that will provide
uninterrupted power to all the IT equipment
mounted in the rack.
Supply a ground wire to a
new buss on the
backboard, near the rack
location. The rack ground, as
well as future vendor
equipment grounds, will tie to
this buss/ground.
Spec a minimum of 4
convenience
receptacles in the IT
room, standard AFF
Owner-supplied and installed 4-post
equipment rack.
not
uld
fan,
w
T room,
eetrock.
4” un-nn
4 post
e (not a
upplied
provide
ipment
ACADIA HEALTHCARE
9
Additional Notes
Locksets & Keying:
x Exterior Doors – match to other exterior doors only, mastered.
x General offices: Counselors, Clinical Supervisor (CS), Nursing Supervisor (NS), Medical Director (MD), Lab, Exam,
Group Rooms, Patient Privacy Rooms, Break Room, Chart Room, IT Room, Reception Office – matching, classroom-
function lockset, mastered.
x Clinic Director (CD) Office – not matching, classroom-function lockset, mastered.
x Pharmacy Entry Door – not matching, storeroom-function lockset + deadbolt, not mastered. Grade I. Key the storeroom lever and
deadbolt sets separately.
x Restrooms – privacy sets.
x Pharmacy & Lab Wall Cabinets –lockset for one double door wall cabinet set.
x No fobs.
Plywood Blocking behind sheetrock:
x Pharmacy: Wall-to-wall-to ceiling at nurses’ dispensing workstations (pharmacy side). At a minimum, start from the
counter and extend up, although many GC’s find it simpler to block full sheets starting at the floor to avoid having to
step the sheetrock at the counter junction.
x Reception office workstation wall – same as pharmacy noted above.
x At the Ergotron Kiosk location in reception area, from floor to ceiling, 48” wide.
x Patient waiting & Group Room TV locations 32”x32” blocked area at 6’ centered AFF typical.
x Clinic Director’s office CCTV monitor/NVR location. 32”x32” blocked area at 6’ centered AFF typical.
High-mount electrical receptacles – locations will be noted on CD set – same areas where blocking to be installed:
x Clinic Director office, 72” AFF, for CCTV monitor & NVR.
x Patient waiting & Group Room, 72” AFF, for TV. Data at normal AFF height (no COAX)
x Inside Reception office, 72” AFF, for CCTV monitor.
x Patient waiting, 84” AFF, for Kiosk. Include data beside power at 84”
x Pharmacy, in general, between middle-most patient dispensing windows, 84”, for CCTV monitor.
General
x Commercial Hollow Metal frames for all interior doors and interior glazing.
x Door closures: pharmacy, patient privacy rooms, IT room, any corridor entries, and restrooms.
x Doors: Assa Abloy Plain Sliced White Maple Standard Stain #850 Midnight Premier GPD PC5 Series doors, or
equivalent.
o Chrome finish Grade 2 Lever sets. Exception: Grade 1 Lever and Deadbolt on Pharmacy door.
o 6” x 36” Side vision panel inserts in the following Doors: Counselor offices, Clinical Supervisor’s office,
Clinic Director’s office, and Group Rooms.
x Install a peephole at 54” AFF in the Pharmacy’s nurse entry door, viewed from the inside of the pharmacy.
x Install a locking cash drawer under the Reception Office workstation counter.
x Water filler stations at nurses’ counter window: cold water only T&S B1230 pressure reduced filler station.
x Kick plates: on doors with closures.
x Corner Guards placed in all high traffic common areas. Korogard GS20 16g #4 high with 2” wings.
x Chair rails at 33”OC AFF. Install in patient waiting areas, and group room(s).
o 1x4 finger-jointed pine typical
o Terminate ~8” from obstacles, door/window trim, and outside corners.
o Inside corners – run all the way in.
ACADIA HEALTHCARE
10
x Soundproofing:
o New Construction: Install Acoustical Batt (e.g. Rock Wool batt) insulation in any new interior walls
o Existing Walls: Cut sheetrock and push or blow in Cellulose insulation in all existing walls where privacy
is a concern (counselor, clinical supervisor, clinic director, exam room, MD, lab, etc.)
o Above Grid: install 1 flat acoustical batt on top of the ceiling grid along all wall perimeters.
x Thermostats either passcode programmable and/or equipped with locking covers.
x Horizontal aluminum mini-blinds, neutral white color, at all perimeter office exterior windows, and any interior
observation window(s). Not installed on patient dispensing windows.
x Substitute window film in lieu of mini-blinds on large exterior windows where waiting patients would be clearly visible
from the outside (e.g. patient waiting area, storefront doors leading to reception window).
x LED light fixtures throughout.
x Dedicated Circuit Notes:
o Pharmacy – nurses’ window’s/workstations: No more than two receptacles per circuit.
o 20A dedicated circuit/receptacle for a multi-function copier, typically located in the Copy room.
o IT room: dedicated circuit to feed a single receptacle via a whip, 20a T-outlet mounted on the equipment
rack.
x Ceiling Tiles: Armstrong Fine Fissured 2nd Look II #1761. (2x4 tiles that give the look of 2x2 at a fraction of the
cost).
x Toilets: Tank-style toilets equipped with a pressure assist system in the tank – e.g. FlushMate and Ecoflush.
x Interior Signage: Operations will order signs from Staples at least 30 days prior to final building inspection – GC to
install. Restrooms, Mechanical, Janitor, and patient privacy rooms (numbered).
x Restroom Fixtures: Operations will order from Medline at least 60 days prior to final building inspection – GC to
install
o Paper Towel Dispenser: EVSDSRAUTO2
o Soap Dispenser: AUTODISPB
o TP Dispenser: EVSDSTPVSTD standard vertical, or EVSDSTP91 9” Diameter Large
ACADIA HEALTHCARE
11
Approved Finishes
ATTACHMENT H
APPLICANT’S OPERATIONAL MANUAL
AND
POLICIES
(“DISPENSING POLICIES”)
6 DISPENSING POLICIES
ATTACHMENT E
Effective Date: January 2016
Revised: February 2018, October 2016, March
2016
Reviewed: September 2019
6.1 DISPENSING OF MEDICATION (CA)
Policy:
It is the policy of the CTC Division to provide a safe and healthy procedure for the dispensing of medication
to patients who attend the treatment program. This policy is to ensure the accuracy of dispensing
procedures.
Procedure:
1.The CTC physician/physician extender will determine and document in writing the initial medication
level and schedule to be followed. This information shall be communicated to nursing staff. The
initial medication level will not exceed the thirty (30) milligrams with an additional ten (10) mgs not
exceeding forty milligrams the first day of intake unless a physician documents that the patient
needs a higher medication level.
2.All intake and screening or transfer paperwork must be completed before the medication will be
dispensed to a patient.
3.If, in the judgment of the dispensing nurse, medicating a patient is potentially harmful, the patient
will be referred to the CTC physician or designated medical staff, and a Dose Evaluation Form must
be completed.
x The decision and reason for the action taken to reduce or withhold the medication will be
documented on the Dose Evaluation Form.
x The physician will countersign the documentation, indicating that the decision and reasons
have been reviewed, and then the documentation will be placed in the medical section of
the patient’s record.
x If the physician is not on site, the nurse will obtain verbal orders regarding the medication.
4.Medication shall only be dispensed to the patient for whom it is ordered at the dispensing window,
in a manner that assures privacy.
5.Only an appropriate licensed medical professional, authorized by law, shall dispense medication.
A dose shall not be administered until a patient is identified and assessed to be medically and
clinically appropriate.
6.The dispensing nurse will verify the identity of the patient either through matching the computerized
photo identification information (or physical identification card in a non-computerized clinic) with the
patient, or by asking the patient to identify themselves and their dose. This should be done in a
manner to protect the confidentiality of the patient. If the patient chooses, they can give their Patient
ID Number and current dose level to maintain confidentiality.
7.Dosage shall be verified by the patient to the nurse and confirmed with the current dose order
before preparing. The patient will ingest the medication in front of the dispensing nurse and will
speak with the dispensing nurse prior to leaving the dispensing areas to minimize the possibility of
medication diversion.
8.Medication shall only be dispensed in single doses.
9.A patient’s medication may be withheld when the Dispensing Nurse/physician/physician extender,
determines that administration of the dose would not be medically or clinically appropriate at that
time. Such a determination shall be documented in the patient’s record. A Dose Evaluation - Rule
Out Under the Influence Form will be used in such cases as when the patient is suspected of being
under the influence of an unknown substance.
10.Medication levels should be decreased or increased only when ordered by the physician (or
physician extender when allowed by local regulations).
11.The counselor or appropriate CTC staff member may request that a dose be temporarily delayed
until the patient makes contact with him/her.
12.The dispensing nurses shall maintain detailed and accurate ordering and dispensing records:
a.Each dose of medication dispensed shall be recorded on the individual patient dispensing
record either in the EMR or manually on the Individual Patient Medication Administration
Record (CA) form and the Ancillary Medication Patient Dispensing Log per Bottle (CA) form.
b.Each day the bottles and amounts of medication dispensed and recorded on the individual
dispensing record will be reconciled with amount being returned to the safe. All discrepancies
must be researched and appropriate reports completed.
c.Prior to dispensing medication, the dispensing nurse will assess that the patient is not sedated
or impaired for every face-to-face observed dose ingestion.
13.In event of emergency, power loss, see the Emergency Preparedness Plan.
14.When it is necessary to open a new bottle:
x Open bottles in a sequential bottle order to ensure that the oldest bottle is opened first
x Follow dispensing software prompts for bottle changes
15.When the bottle is empty, the dispensing nurse will rinse out the bottle with water.
x Follow dispensing software prompts for bottle changes
Refer to the Forms Manual for the “Dose Evaluation – Rule Out Under the Influence” form.
Effective Date: January 2016
Revised: September 2019, October 2018, May
2018, October 2017, September 2017, July 2016
Reviewed: September 2019
DISPENSING – DIVERSION CONTROL
Policy:
Recognizing that there is potential for diversion of medications utilized in treatment, CTC Division centers
will utilize a diversion control plan.
Procedure:
1.All employees will be oriented regarding the use of medication including applicable federal and
state laws relating to its use.
2.Employee Screening:
a.Any employee with access to medication will be screened by the DEA or appropriate regulatory
agency prior to obtaining access to medication. This category includes nurses, pharmacists or
other practitioners approved to dispense medications.
b.ALL employees with access to medication will pass a pre-employment criminal background
check with local and/or state police.
c.Employees with any history questionable to the investigative agency will not be hired or
retained.
3.Employee Dispensing Room Restrictions:
a.No employee personal belongings (e.g. purses, lunch bags, totes, coats/jackets, cell phones),
food or liquid items shall be brought into the dispensing room at any time.
b.Employees will be provided a designated locked area to keep personal belongings during their
work shift.
c.Personal cell phones should only be used during employee break and designated meal times.
d.Personal cell phones shall not be used for company business (e.g. sending or receiving
physician orders via personal cell phone or text message).
4.CTC Security:
a.The CTC utilizes an electronic security system with “layers” of security. All medication is stored
in a DEA approved safe. Only nurses and other authorized staff have codes, keys and
combinations to the medication area and safe.
b.During non-dispensing hours, all medication is returned to the secured storage area.
c.During non-operating hours, the CTC’s security system is armed and monitored for phone line
interruption, power interruption and invasion.
d.The CTC’s security system has “panic” buttons strategically located for staff access in the event
of security threat.
e.Windows and doors have warnings that the premises are security protected.
f.Staff monitors CTC grounds/parking lot areas to ensure security, reduce or eliminate loitering,
and to monitor for illicit activity.
g.All CTCs utilizing a computerized dispensing system will ensure that all employees with access
to the dispensing system are trained in the security of dispensing system passwords.
h.CTC security passwords will be changed on a regular basis to ensure system security.
Passwords of terminated/retired employees will be deleted immediately upon employee exit.
5.Purchasing:
a.Only the Program Sponsor or his/her designee is authorized to order schedule II and III
medication utilizing the appropriate forms.
b.Only licensed medical staff may sign for shipments of medication.
6.Inventory Accountability:
a.CTCs utilizing a computerized dispensing system have coded access to physician orders and
dispensing functions. Only appropriately credentialed staff have access to the system.
b.The computerized system provides for daily inventory control.
c.The CTC Division requires monthly inventory reconciliation. Variance in excess of 2% is
investigated as a potential diversion.
7.Observed Dosing:
a.Only one patient is permitted at the dosing window at one time.
b.Children, other family and friends may not accompany a patient to the dispensing area.
c.Patients may not bring drinks/containers of any kind to the window.
d.Patients will present at the dispensing window without hats or sunglasses.
e.The nurse asks the patient to verbally verify patient ID and medication level to confirm the
information in the EMR. (Note: if patient is blind dosing, use last four digits of patient’s social
security number or birth date in place of the patient’s medication level).
f.The dispensing nurse will assess that the patient is not sedated or impaired and document any
observed impairment in the patient record.
g.The dispensing nurse pours the medication, and observes the patient ingesting the medication.
h.If the patient is dispensed water after taking the dose of medication, the patient must drink the
water while observed.
i.Before leaving the dosing window, the patient is required to speak to the nurse assuring that
medication has not been diverted.
8.Take-Home Medication:
a.Only patients meeting state and/or federal criteria will be issued take-home medication.
b.All take-home medication will be placed in a plastic take-home bottle. Medication will be
pumped or dispensed into the take-home bottle in concentrated form. Take-home medication
will NOT be diluted with water, or any other substance, unless specified by state regulations.
c.All take-home bottles are labeled with the date, patient’s name, physician’s name, CTC name,
address & phone number, medication name, CTC name, dose and warning about the
medication.
d.All take-home bottles caps are childproof.
e.All take-home bottles are secured within a childproof, locking container in which the bottles can
remain upright. Containers should not be decorated or shared. All take-home bottles must fit
in one container. Locking container must have patient ID and emergency instructions affixed
of the container.
f.Patients must return all take-home bottles before receiving further take-home medication.
g.Patients with take-home privileges are monitored for ongoing compliance. .
h.All patients receiving take-home medication will be required to sign the Take-Home Medication
Safety/Anti-Diversion Contract. The Take-Home Medication Safety/Anti-Diversion Contract
must be signed by the patient and the counselor any time there is a change in take-home
status.
9.Loitering:
Patient loitering is strictly prohibited. Patients are required to leave CTC grounds immediately after
treatment.
10.Illicit Behavior:
Patients who sell illicit substances are subject to disciplinary action.
Effective Date: July 2016
Revised: September 2019, November 2016
Reviewed: September 2019
6.1.1.1 Diversion Control Plan
It is the intent of the CTC to minimize any attempts to divert medication. Responsibility to our patients and
to the communities in which we reside is taken seriously. Our buildings are secured and alarmed as
mandated by state and federal authorities. Each CTC has security personnel who monitor the sites during
medication hours. Alarm systems are checked periodically to assure that they are in working order. (See
Health and Safety Plan)
Procedures: Clinical and Administrative Continuous Monitoring
x Any employee who has knowledge of drug diversion from his employer by a fellow employee must
report such information to the Clinic Director or Nurse Manager. Concerns about suspicious orders,
theft or loss will be treated in strict confidence by the manager who will investigate allegations
thoroughly and objectively.
x At pre-admission, patients are required to sign a release for dual enrollment and a drug screen
analysis sample is provided by patient. If the drug screen result is positive for methadone, a dual
enrollment ROI is sent out to community providers to determine if patients may be enrolled in other
treatment facilities. (See policy Detection of Multiple Registrations.)
x During the admission physical and annually thereafter, staff will utilize the state Prescription Drug
Monitoring Program to review patient’s prescription history. (See policy General Medical –
Prescription Monitoring.)
x Patients are to provide drug screening analysis samples based on state regulations, at a minimum.
The results of these drug tests are monitored by the primary counselor and are one tool utilized to
determine eligibility for take-home medication. Upon approval of take-home medication, and at
every change in schedule, patients are required to review and sign the Take-Home Medication
Safety/Anti-Diversion Contract. (See policy Take-Home Medication.)
x In addition, any indication of illicit substance use, abuse of prescription medications, abuse of
alcohol, participation in illegal activities or a change in circumstances that may affect the safe
storage of the medication will result in termination of take-home status. Patients with take-home
privileges agree to provide locked containers for pick up and storage of take homes. They also
agree to return all empty bottles and participate in the Take-Home Medication Call Backs policy.
x Dosing procedures mandate that prior to receiving medication, each patient must identify
themselves to the dosing nurse (see policy Identification of Patients).
x For patients receiving liquid methadone, the patient’s medication is handed to them and they may
add water as directed. All dosing cups are placed in a trash bin located at the window. Patients
cannot leave the dosing area with a cup in their hand. Prior to leaving the dosing station, patients
must swallow their medication and speak to the nurse in order to verify that they have done so. In
addition, patients are not allowed to bring drinking cups into the dispensing area.
Effective Date: January 2016
Reviewed: September 2019
DISPENSING – SECURITY MEASURES
Policy:
It is the policy of the CTC Division to maintain maximum security in order to discourage robberies and to
conform to specific regulations in regard to security measures.
Precautions for Dispensing of Medication:
1.CTCs should conform to certain medication hours, with hours posted.
2.The safe must remain locked at all times.
3.Only the nursing staff and Clinic Director will have keys to the dispensing room which is kept locked
at all times.
4.Only one patient at a time must be allowed at the medication window.
5.Visitors must remain in the waiting area.
6.The electronic door between the reception area and medication area must always be locked. If the
CTC does not have an electronic door, the door between the reception area and medication area
must be double locked at all times.
7.Only licensed nurses and appropriate administrative staff may be in the dispensing area when
medication units are operating. Exceptions include DEA, state licensing or accreditation surveyors.
8.Medication is stored in a DEA approved safe in the dispensing room. All medication supplies will
be received ONLY in the dispensing area, unless the physician has approved and ordered curb-
side dosing. (The State of IA does not approve curb-side dosing).
9.All medications are stored in a locked cabinet in the dispensing room.
10.Only liquid medication attached to a dispensing pump, that is being used, is allowed out of the safe.
All pumps are located in such fashion as to be inaccessible to patients who might reach through
the dispensing window.
11.All medication must be stored and labeled in their original containers.
Safety Checks:
1.A monthly routine alarm check (including doors and panic buttons) should be completed and
documented.
2.A comprehensive check of the alarm system (including all doors, all zones, panic buttons) should
be completed and documented on a quarterly basis.
Registration of Staff:
1.Names of all staff authorized to handle medication must be submitted to the Drug Enforcement
Agency/local law enforcement authorities as a normal security precaution.
2.Names of dispensing staff will be submitted to the security service.
Effective Date: January 2016
Reviewed: September 2019
DISPENSING – REPORTING OF MEDICATION THEFT
1.The Clinic Director or designated must conduct a complete inventory audit to determine the exact
amount of medication missing and to identify the bottle/lot numbers involved in the theft.
2.The Clinic Director or designee must notify:
x Regional Vice President
x Regional Director
x Local Law Enforcement Authorities
x Corporate Office
x Regional Drug Enforcement Administration
x State Department of Alcohol and Drug Programs
3.Within 24 hours of theft, the Clinic Director or designee must file a report with the Drug Enforcement
Administration (DEA form 106) and the State Opioid Treatment Authority (SOTA). Follow state
guidelines for reporting.
4.An Incident Report must be completed by the Clinic Director or designee pursuant to the risk
management procedures.
5.All staff will be instructed to fully cooperate with investigating authorities.
Paper Incident Reports are available at each CTC and may be ordered from the Risk Management
department.
Effective Date: January 2016
Revised: January 2020, February 2016
Reviewed: September 2019
DISPENSING – ORDERING SCHEDULE II MEDICATION (PAPER) (CA)
Policy:
It is the policy of the CTC to maintain a minimum 10-day supply of medication at all times. In the event that
a CTC does not have the ability to order via electronic ordering with a digital POA signing certificate from
CSOS, a paper 222 form will be used to order schedule II medications.
Procedure:
ORDERING MEDICATION
1.Only staff members who have been given the Power of Attorney (POA) from the CTC sponsors can
order medication. A copy of the POA must be on file at the supplier, the Drug Enforcement
Administration (DEA) and in the CTC’s Resource Binder.
2.Medication must be ordered from the appropriate pharmaceutical supplier.
3.When ordering medication, U.S. Official Order Forms (Schedules I & II DEA Form 222), supplied
by the DEA, must be used. These forms are numbered and preprinted with the company’s DEA
Registration number and must be used in numerical order. Reorder forms are provided by DEA
and are ordered online.
a.Instructions on the back of the DEA 222 Order form will be followed.
b.The DEA 222 Order forms are in book form and are in numerical order.
Note: When you receive new DEA 222 Order forms, open all envelopes to locate the
starting number and ensure that the DEA 222 Order forms will be used in numerical order.
c.The DEA 222 Order forms will be used in numerical order.
d.Do not make any erasures or alterations.
e.If an error is made, the DEA 222 Order form will be marked VOID and kept on file.
f.No White Out will be used.
g.The forms must be filled out completely.
4.A staff member authorized to order must complete the form.
Note: The Regional Director, Clinic Director and Nursing Supervisor or designee should be
authorized to order medication.
5.A photocopy is to be made of the completed DEA 222 Order form and placed in the Schedule II
DEA Binder and uploaded to the CTC Resources SharePoint. Select ‘DEA Documentation’ and
then select the appropriate clinic name’s folder and copy or upload to the subfolder named ‘222
FORMS’. Use the standardized document name ‘Clinic name mm dd yy’. For example, ‘Lowell 222
01 29 20’.
6.The original DEA 222 Order form is sent to the pharmaceutical company to place an order.
7.When the medication order is received the “Date Received” and “Amount Received” is to be filled
out. A copy of the competed form is to be mailed or emailed to the DEA.
a.The DEA address is on the back of the DEA 222 Order form.
b.Upload a copy of the email to the DEA to the same SharePoint location listed in step 5
above OR evidence that the document was mailed (FedEx shipment documentation).
8.A photocopy or digital copy of the original DEA 222 Order form must be kept on site in the clinic’s
DEA Schedule II Binder accessible for a period of 3 years.
CA Specific: Schedule III and Ancillary medication (if applicable)
1.Medication must be ordered from a supplier approved by the Regional Director.
2.The person authorized to order must complete the order form. Both the Clinic Director and
designated nursing staff should be authorized to order medication. The original copy of the order
form must remain in the CTC in an Ancillary Medication binder.
Effective Date: March 2016
Reviewed: September 2019
6.1.4.1 Restocking Methadone Electronically
Policy:
It is the policy of the CTC to maintain a minimum 10-day supply of methadone at all times.
Procedure:
1.When an additional supply of methadone is needed, authorized personnel will log on to the Express
222 website (http://express222.com/) to create an electronic Purchase Order.
2.Authorized personnel will identify Purchase Orders sequentially using the following format:
a.CTC DEA Number/Date in two digit month, day, and four digit year format
b. Example: RA12345/01012015
3.Authorized personnel will complete the form according to the directions required by Express 222.
4.Authorized personnel (nurse/Clinic Director) will print a copy of the Express 222 PO which will be kept
in the Schedule II Binder in the dispensary until the order has arrived.
Effective Date: January 2016
Revised: July 2017 (CA), May 2016
Reviewed: September 2019
DISPENSING – MONTHLY INVENTORY ACCOUNTABILITY AND RECORDKEEPING (CA)
Policy:
Each CTC will complete an accountability audit on the last day of each month, after medication
dispensing is completed. The monthly inventory forms, Spill/Variance Reports, software reports, and any
additional accountability forms requested by the internal DEA Specialist. All required accountability and
recordkeeping documentation will be sent to the Regional DEA Specialist by the 5th working day of the
month.
Procedure:
1.At close of business on the last day of the month, the Clinic Director and Nursing Supervisor/Lead
Nurse Leadership will conduct a physical count of all medications and recorded on the monthly
medication inventory forms (closing count). Use the appropriate form for each medication (see list
below).
2.Review and count all 222 forms for inventory received during the month for accurate
documentation. Document these milligrams on the appropriate monthly medication inventory
form.
3.Using computerized software, the following reports should be printed for each medication type
dispensed at the CTC:
a.Inventory on hand on close of business on the last day of the month
b.Report showing all inventory received during the month
c.All inventory milligrams distributed to patients during the month
d.All inventory milligrams distributed through spill, destruction, or loss during the month
4.[CA Specific:For non-EMR inventory, for each medication, review:
a.Ancillary Medication Inventory Shipment Receipt Log (CA)
b.Individual Patient Medication Administration Record (CA)
c.Ancillary Medication Patient Dispensing Log per Bottle (CA)
5.Document the milligrams distributed (taken from the software report or Ancillary Medication
Patient Dispensing Log per Bottle (CA) form) on the monthly medication inventory form for each
medication type. End CA Specfic]
6.Document the milligrams distributed (taken from the software report) on the monthly medication
inventory form for each medication type.
7.Use the appropriate medication spill/variance logs (either computerized and/or manual logs) to
record the total amount spilled and the total amount of non-dispensable medication on the
appropriate medication inventory form.
8.A review of all spills/loss, by nurse, will be completed by the Clinic Director.
9.Maintain all monthly inventory reports and logs and any additional related accountability and
recordkeeping documentation in the Monthly Reports/Spill and Variance Binder in the Dispensing
Room.
Refer to the Forms Manual for the following forms:
Monthly Buprenorphine/Naloxone Film Inventory
Monthly Buprenorphine/Naloxone Tab Inventory
Monthly Buprenorphine Tab Inventory
Monthly Methadone Liquid Inventory
Monthly Methadone Tab Inventory
Medication Spill/Variance Log – Methadone
Medication Spill/Variance Log - Buprenorphine
Medication Spill/Variance Monthly Report (customize for each medication form & dose type)
Also, the Monthly Medication Inventory 16 1.xlsx spreadsheet is available on the Intranet in the
Dispensing Forms folder
Effective Date: January 2016
Revised: July 2017 (CA)
Reviewed: September 2019
DISPENSING – RECEIVING MEDICATION (CA)
Procedure:
RECEIVING MEDICATION (Schedule II)
1.Each carton must be inspected before opening to assure that the seal has not been tampered with.
Each bottle must be inspected for intact bottle seal, cracks or breakage.
2.In the event of bottle breakage, or evidence of tampering, the appropriate supplier and the DEA
must be notified for instructions.
3.Upon completion of inspection of cartons and bottles, authorized staff must date and file the delivery
papers in a binder. The bottle numbers and date received must be documented on the blue copy
of DEA form 222.
4.Each shipment must be stored immediately in the safe placing the highest numbered bottle in the
back and the lowest numbered bottle in the front of the safe.
5.Persons receiving shipment must record bottle number and amount received in the appropriate
logs. Refer to policy Dispensing – Forms Needed to Reconcile and Inventory Medication).
RECEIVING MEDICATION (Schedule III)
1.Each carton must be inspected before opening to assure that the seal has not been tampered with.
Each bottle must be inspected for intact bottle seal, cracks or breakage.
2.In the event of bottle breakage, or evidence of tampering, the appropriate supplier and the DEA
must be notified for instructions.
3.Upon completion of inspection of cartons and bottles, authorized staff must date and file the delivery
papers in a binder. The bottle numbers and date received must be documented on the blue copy
of the schedule III Order form.
4.Each shipment must be stored immediately in the designated storage area of the dispensing room
placing the highest numbered bottle in the back and the lowest numbered bottle in the front of the
safe.
5.Persons receiving shipment must record lot number and amount received in the Ancillary
Medication Inventory Shipment Receipt Log (CA)for that medication. Refer to policy Dispensing –
Monthly Inventory Accountability Forms and Reconciliation.
Effective Date: January 2016
Reviewed: September 2019
DISPENSING – BIENNIAL INVENTORY – MEDICATION
Policy:
A biennial inventory must be completed two times yearly from the date of the initial inventory. This inventory
must be documented on the Biennial Medication Inventory form.
Procedure:
Enter the following on the Biennial Medication Inventory form:
1.Enter date of inventory.
2.Enter time of inventory (identify either as open or close of business).
3.Enter total number of unopened bottles on hand for all medications.
4.Enter total number of opened bottles on hand for all medication(s).
5.Enter total number of milligrams from open bottle(s) on hand.
6.Enter total number of milligrams of contaminant on hand.
7.Nurse documenting the count and measurement must sign log and obtain the signature of a nurse
and the Clinic Director witnessing the count and measurement.
Refer to the Forms Manual for the “Biennial Medication Inventory”form.
Effective Date: January 2016
Reviewed: September 2019
DISPENSING – PURCHASING MEDICATION FROM ANOTHER CTC
In case of an extreme emergency, medication may be purchased from another clinic:
1.The Clinic Director must notify the designated Regional Vice President and Regional Director prior
to transfer of any medication.
2.DEA must be notified in advance of the intention of any transfer of medication.
3.Local police department must be notified of intent to transport medication.
4.This purchase is handled by staff who are authorized to purchase Schedule II and III medications.
Schedule II medications must be recorded on the DEA form 222. Schedule III medications should
be ordered on the approved CTC order form.
5.The medication must be transported by two staff in a properly packaged and locked container from
one CTC to another.
6.Inventory records must be adjusted by the sending CTC to remove medication from current
inventory. The receiving CTC must record inventory received as designated in the Dispensing -
Receiving Medication policy.
Effective Date: January 2016
Reviewed: September 2019
DISPENSING – MEDICATION ORDERS
Policy:
It is the policy of the CTC Division that all dosing orders are strictly followed and comply with all applicable
statutes and regulations regarding the administering or dispensing of medication.
Procedure for Medication Errors and Drug Reactions:
1.All medication events such as medication errors or suspected intoxication will be documented on
an Incident Report.
2.All medication errors such as incorrect dosage or discrepancies in the daily medication count will
be documented on an Incident Report.
3.In addition, any medication error (incorrect dosage, medication or frequency) must also be noted
in the patient’s medical record by the medical staff, to include all appropriate follow up
documentation.
4.All drug reactions will be documented on an Incident Report and in the individual patient’s progress
notes.
5.The physician/medical staff member who documents the findings in the patient’s medical record
will evaluate any patient who reports vomiting prior to leaving the CTC, appears intoxicated or has
a drug reaction.
6.If the physician/physician extender is unavailable, the patient will be assessed by a nurse. If the
patient displays symptoms of severe allergic reaction, 911 emergency medical services must be
called immediately.
7.The Clinic Director will notify the pharmaceutical manufacturer of any drug reactions. Patient
confidentiality will be maintained.
Missed Medication:
If a patient returns to the CTC and has missed 3 or more consecutive days of dosing,
physician/physician extender must be called for new orders.
1.The nurse should do the following:
a.Perform an onsite Drug Screen Analysis, results of onsite tests will be confirmed by a
state certified Lab.
b.Ask the patient if he/she has used any drugs during the missed days.
c.Assess the patient for active withdrawal symptoms or signs of intoxication using a
COWS assessment.
d.Look up the date and amount of last dose received at the CTC.
e.Call the physician/physician extender on call for new orders for daily dose and take-
home privilege status.
2.If patient returns to the CTC after hospitalization for any length of time, contact medical staff to
relay relevant information.
a.Physician/physician extender must review hospital Medication Administration Record
(MAR), or some form of written clarification of the medication dispensed to the patient
while hospitalized. New orders will be written to continue to give the patient the
methadone dose dispensed in the hospital. If the patient continued to ingest their take-
home medication, then continue on that dose of methadone.
b.Make an appointment for the patient to see medical staff within 7 days to review hospital
records and assess the need for change in methadone dose or treatment plan.
c.Nursing staff must document in the record the discussion with physician/physician
extender and make the follow-up appointment before the patient leaves the CTC.
d.If the patient returns with previously dispensed take-home medication, it must be
destroyed or disposed of according to policy and the doses re-dispensed according to
physician/physician orders.
3.DOCUMENT ALL INFORMATION IN THE PATIENT RECORD.
4.Patients with an excused absence without dosing (e.g. incarceration) will not be discharged
(unless otherwise specified by state regulations) but must have new physician orders before
being medicated.
Effective Date: January 2016
Revised: September 2016, May 2016, February
2016
Reviewed: September 2019
DISPENSING – M EDICATION VARIANCES/SPILLAGE/NON-DISPENSABLE/BROKEN
BOTTLES
Policy:
It is the policy of the CTC Division that all variances, spills, non-dispensable medications or broken bottles
be noted and signed off by the Nursing Supervisor and witnessed by another dispensing nurse, Clinic
Director, Clinical Supervisor, or other staff member (in that order of priority). All such occurrences must be
documented accurately and inclusively.
Procedure:
Medication Variance: Accountable Variances due to Spillage/Non-Dispensable/Broken Bottle
Incidents
1.Medication Liquid Spillage:
a.All spills, regardless of amount, are to be noted in the Medication Spill/Variance Binder via
the computerized Spill/Variance Log or the paper Medication Spill/Variance Log. The
binder will be kept in the Medication/Dispensing Room for immediate availability in the
event of a spill or variance.
b.With a witness present, the dispensing nurse will absorb the spill into a paper towel and
appropriately discard.
c.Spills should be noted on the log immediately following cleanup of the spill.
d.The nurse will record the spillage in the computerized system.
e.The nurse will record the spill on the manual Medication Spill/Variance Log if the
computerized systems does not allow for documentation of the following items: the date,
lot and bottle number, description of the spill, patient ID number, nurse initials, witness
initials, amount of spilled (in milligrams), and total remaining (in milligrams).
f.If the spillage is over 150 milligrams, an Incident Report must be completed.
2.Medication Solid Spillage
a.Any solid medication that is no-longer in its original form (i.e. crushed/wet/moist/dissolved)
that is spilled will be documented as spillage and cleaned according to state/local
guidelines.
b.The nurse will record the spillage in the computerized system.
c.The nurse will record the spill on the manual Medication Spill/Variance Log if the
computerized systems does not allow for documentation of the following items: the date,
lot and bottle number, description of the spill, patient ID number, nurse initials, witness
initials, amount of spilled (in milligrams), and total remaining (in milligrams).
d.ALL solid medication spills will require an Incident Report to be completed
3.Medication Pending Destruction/Non-Dispensable (Liquids and Solid):
a.Any medication that is in its original form but deemed non-dispensable due to expiration
date or contamination will be sent for destruction via DEA approved and licensed Reverse
Distributor.
b.The medication that is pending destruction will be stored in an appropriately labeled CTC
bottle or other receptacle, as allowed by state authorities/local DEA office.
Note:Separate waste bottles should be maintained for liquid medications and dry
medications or tablets.
Note:If using an empty medication bottle, rinse bottle and remove original manufacturer’s
label prior to filling with medication pending destruction.
c.The nurse must complete the Non-Dispensable Medication (Pending Destruction) Log
including the date, lot and bottle number, description of the waste, patient ID number, nurse
initials, amount of waste in milligrams, and total milligrams remaining.
d.When preparing the non-dispensable bottle for destruction via Reverse Distributor, the non-
dispensable cumulative total on the bottle log will match both the computerized summary
and physical count.
e.Attach completed Non-Dispensable Medication (Pending Destruction) forms provided by
the authorized/licensed collector for Reverse Distribution and destruction
Note:Begin a new Non-Dispensable Medication Log for each container that has been
marked for reverse destruction.
f.Nurse will follow procedures provided by an agency licensed for pharmaceutical
destruction via reverse distributor
g.Nurse will remove the non-dispensable medication from current computerized inventory
and will document the date medication was removed from the CTC on the Non-
Dispensable Medication Log.
h.Nurse will complete an Incident Report providing detailed information on all medication
sent to the Reverse Distributor for destruction.
In addition to the above procedures, all local and state reporting procedures must be followed.
Furthermore, CTCs should follow the instructions provided by their state/local DEA office.
4.Medication Bottle Damage upon opening (new bottle from manufacturer):
a.The Clinic Director and Nursing Leadership will be notified, immediately.
b.The bottle will be quarantined and not used.
c.The nurse will contact the manufacturer and obtain instruction for return of the damaged
bottle.
d.The nurse will return the bottle within three (3) business days to the manufacturer for credit
and retain all documentation of return.
e.The nurse will fill out an Incident Report stating details of the above steps.
5.Medication Bottle Damage after opening:
a.The Clinic Director and Nursing Leadership will be notified as immediately.
b.The nurse will fill out an Incident Report stating how the bottle was damaged.
c.Fragments of the bottle label must be saved.
d.Follow the procedures for Medication Pending Destruction/Non-Dispensable (Liquids and
Solid) (#3 above).
Monthly Reporting:
1.Each month the CTC Nurse Supervisor will review the Medication Spill/Variance Log pages
completed for the month for accuracy and completeness. The Nurse Supervisor will sign the logs
and submit them to the Clinic Director for review.
2.The Clinic Director will review the logs received and complete the Medication Spill/Variance
Monthly Report.
a.Tally the total milligrams of medication spilled during the month and note it on the monthly
report.
b.Tally the total number of spills and milligrams lost for each dose nurse and indicate this on
the report next to the nurse’s name.
c.Tally the total number of spills and milligrams lost for all patients and indicate this on the
report.
d.Tally the total milligrams of variance for the month and note this on the monthly report.
e.Indicate any action plan that is needed, or has been implemented to address medication
spills and variances.
3.The monthly report is to be signed by the Nurse Supervisor and Clinic Director. Upon the CTC
physician’s next visit to the CTC, present the completed report and logs to him/her for signature.
4.Keep completed monthly reports, and their associated logs, in the Medication Spill/Variance
Monthly Reports binder.
In addition to the above procedures, all local and state reporting procedures must be followed. Furthermore,
CTCs should follow the instructions provided by their state/local DEA office.
Refer to the Forms Manual for the “Medication Spill/Variance Log”, “Non-Dispensable Medication Log” and
“Medication Spill/Variance Monthly Report”.
Effective Date: January 2016
Reviewed: September 2019
DISPENSING – CURB-SIDE DOSING
Policy:
The CTC will make accommodations to provide medication to patients “curb-side” (at a patient’s
automobile) in accordance with all federal and state regulations in the event a patient is unable to enter the
CTC.
Procedure:
Curb-side Dosing
1.Patients who are unable to enter the CTC can be dosed outside of the CTC in the parking lot
while in their vehicle, on a short-term basis, with the approval of the physician/physician extender.
The CTC physician/physician extender shall review the reason(s)/cause(s) which are prohibiting
the patient from physically entering the CTC for dosing. Verification of the reason, particularly for
a contagious illness, must be obtained from an outside source; e.g. primary care physician, health
department, etc. Following this review, patient must be approved for curb-side dosing by the CTC
physician/physician extender.
2.The nurse must contact physician/physician extender to obtain an order for dosing to occur
outside of the normal protocol.
3.If the patient is granted curb-side dosing, s/he will be made aware of the circumstances in which
the curb-side dosing would no longer be available or required (e.g., when patient’s medical
condition has improved and patient is able to physically enter the CTC).
4.Dosing a patient away from the window should take place immediately after normal dosing hours
when no other patients are waiting to be dosed whenever possible.
5.A nurse, along with another staff member, will take medication to patient for curb-dosing. The nurse
will follow normal dosing protocol with the patient, in terms of observing patient ingesting dose, etc.
6.The nurse pumps the dose into a take-home bottle. No take-home doses are to be brought to the
car unless the next day the CTC is closed (Sunday or holiday etc.). Exceptions may be granted
by the medical director or designee only).
7.The nurse must be accompanied by another staff member who carries the portable panic button
with them.
8.The nurse verifies the patient’s identity.
9.Nurse follows all dosing protocols as written in the Patient Dosing Process Policy, i.e. verify dose
with patient by asking them to tell you the dose they are on etc.
10.The nurse watches the patient swallow the methadone and returns the empty bottle back into the
CTC for disposal.
11.The nurse and staff member return to the CTC and the nurse enters a case note in the EMR.
Effective Date: January 2016
Revised: May 2018
Reviewed: September 2019
DISPENSING – HANDLING SURRENDERED DRUGS
Policy:
CTC staff cannot accept for surrender illicit or licit drugs or controlled substances of any type whether
prescribed, administered or dispensed by the CTC physician or any other physician/extender. Medication
dispensed by the CTC may not be accepted back into the dispensary or placed in the safe once it has been
dispensed or administered and physically given to the patient. It is a violation of federal law for staff to take
possession of, or otherwise accept for surrender, controlled substances from a patient.
Procedure:
The CTC cannot accept any controlled substances brought into the CTC by a member of the community or
a patient.
In the event a patient returns for a call back and, for safety reasons, staff does not want the patient to leave
the building with the take-home doses of medication, the patient will be instructed to destroy the medication
by pouring it out in the sink or commode witnessed by medical staff. The destruction of medication typically
occurs when there is evidence of tampering, incorrect amounts of medication provided to the patient, or the
patient appears to be under the influence.
In addition to the above procedures, state regulations should be followed. Furthermore, CTCs should follow
the written instructions provided by their state/regional DEA Field Office.
Effective Date: January 2016
Revised: November 2019, January 2018,
September 2016
Reviewed: September 2019
DISPENSING – COURTESY DOSING
Policy:
It is the policy of the CTC to assist patients who do not qualify for take-home privileges to continue to receive
their medication when they are away from their home CTC.
Procedure:
Sending a CTC patient to another MAT for Courtesy Dosing:
1.The request should be given two weeks prior to dispensing date. In the event of an emergency
notification the CTC will make every effort to notify the receiving clinic of the courtesy dose request.
2.The counselor will submit a completed Courtesy Dose form to CTC medical staff for review and
signature of the CTC physician prior to submitting to the guest dose facility. The CTC physician can
approve or deny courtesy dosing privileges (for safety reasons) and for any denial the specific
reason(s) must be documented in the CTC medical record.
3.A release of information shall be obtained allowing the CTC to provide information and to request
the courtesy dose.
4.The dispensing unit will be notified of the patient that will be away from the clinic so that it can be
noted in the medical portion of the record.
5.The patient will be required to return with proof that he/she did obtain their medication during the
time request on their courtesy dose form.
Receiving a request to Courtesy Dose:
1.When a CTC receives a request for a courtesy dose it must include patient’s current dose, current
level, date of last dose provided by the home clinic, dates CTC will dose the patient, the home
clinic’s physician’s signature, a local telephone number and address for the patient. The physician
will need to approve the medication dose amount and sign the completed Courtesy Dose form.
NOTE: ACCEPTABLE SIGNATURES: an original hand-written signature of the home clinic’s
physician or an electronic signature on a Methasoft or SMART software document.
UNACCEPTABLE SIGNATURES: illegible hand signatures unless accompanied by a legible
printed name, electronic signatures that can be copied/pasted, rubber stamp signatures, or
signatures of staff not authorized to prescribe.
2.All patients requesting courtesy dosing will be self-pay except patients with Medicaid. If the patient
has Medicaid, the CTC staff will contact the Central Billing Office (CBO) to determine whether
services provided by the CTC will be covered under their Medicaid plan. Out of state Medicaid is
not accepted.
3.The patient will be assigned a courtesy dosing CTC ID number.
4.CTC file containing the courtesy request form from the sending facility, the CTC physician order
accepting temporary responsibility of patient care, the MAR, a copy of the patient’s photo ID, and
any progress notes regarding the patient’s attendance and behavior while courtesy dosing at the
CTC, and a signed consent to contact the patient’s sending facility, a local telephone number and
address where the patient can be reached while courtesy dosing at the CTC, will be maintained
per current medical record storage procedures.
5.The physician must approve the patient’s dose and give an order for the medication to be dispensed
to the patient by the CTC nursing staff. This order will be filed in the patient’s medical record. Under
no circumstance is the courtesy-dosing patient to receive medication from the CTC without
an order given by the physician. Patients must be on a stable dose of methadone— there is to
be no titrating of the dose up or down while guest dosing.
6.Guest dosing will be terminated if the patient misses dosing for more than 2 days consecutively.
The patient will be referred back to their home clinic.
7.Extended take-home dosing will be allowed as long as state regulations do not prohibit.
8.Courtesy dosing patients must present a photo ID each day before they will be dosed. Acceptable
photo ID is an ID issued by a governmental agency such as: their home state driver’s license, state
ID card or a USA passport.
9.While courtesy dosing, the patient’s behavior will be observed. Any aberrant behavior will be
documented in the patient’s courtesy dosing record by nursing staff and the case manager. This
aberrant behavior must be reported to the Clinic Supervisor.
10.If the determination is made that the patient will no longer be allowed to courtesy dose the CTC
clinic, the patient and the home clinic will be notified. This information will be documented in the
patient’s record and a copy sent to the patient’s home clinic.
11.The sending facility can request drug screens if it is deemed necessary fees may apply to DSA
requests.
12.The home clinic may extend the time frame for the courtesy dose by submitting a new courtesy
dose form for any extensions. The number of guest dosing days allowed will be based on patient
need and coordination of treatment with sending/receiving clinic.
13.Each incoming patient will receive proof to take to the home clinic that he/she received medication,
if requested.
14.At the conclusion of the patient’s courtesy dosing episode, confirmation of dosing and attendance
will be completed by designated CTC staff. Confirmation will be sent via fax to the patient’s home
clinic immediately following the patient’s last courtesy dose.
Refer to the Forms Manual for the “Courtesy Dose” form.
EffectiveDate: November 2016
Revised: May 2018
Reviewed: September 2019
ADMINISTERING MEDICATION DURING A POWER LOSS
Policy:
Dispensing/Nursing staff will be able to accurately and safely dispense methadone, in the event of power
loss, using a manual dosing pump. All CTCs will maintain enough supplies for 3 days of emergency, manual
dispensing. These supplies will be kept in the dispensing area and readily available.
Procedure:
1.To ensure that proper accounting of medication can take place during a power loss, print off all
relevant tabs from the Manual Dispense – Medication Inventory on Hand spreadsheet and place in
the Emergency Kit.
2.Patient and Staff Safety:To facilitate patient flow, CTC leadership ensure that patient entry to the
building is limited to 5-10 patients at a time and assign staff to crowd control, both inside the building
and around the perimeter/parking lot of the building
3.Gather Supplies: The nurse will collect the following supplies:
x New, unopened bottle of methadone
x Manual dosing pump
x Clean disposable dosing cups
x Pharmaceutical Calibration Flask
x Preprinted Take Home Labels (if applicable)
x Water
x Emergency Dosing Report/Log, printed from previous day
x Absentee Report from previous day
x Manual/Emergency Dosing Logs
x Ink Pens
4.Preparation:The nurse will take the following steps:
a.Nurse will complete a physical count of all medication and document on the Manual Dispense
– Medication Inventory on Hand spreadsheet prior to commencement of manual dispensing.
b.Assemble the manual pump; following manufacturer directions.
c.Ensure the pump is working correctly by pumping water through the pump several times,
watching to ensure no air bubbles are noted in the tubing. If air bubbles occur make sure all
parts are attached tight and correctly. Ensure all water is out of pump by raising and lowering
pump chamber several times.
d.Check calibration of the manual pump by attaching the manual pump to a new methadone
bottle. Dispense the methadone dose into the prescribed calibration flask to ensure that the
pump is adjusted correctly and place this measurement back in the bottle, once accuracy is
confirmed. If overages or shortages are noted, follow the manufacturer instructions for
equipment calibration.
e.The nurse will complete the date, nurse name, station number, medication bottle and lot
number on the manual dispensing forms for each bottle of medication assigned to the station.
f.The nurse will gather the Emergency Dosing Report from the previous day and the absentee
report from the previous day (if this information is not included on the emergency dosing
report).
5.Dosing:
a.The nurse will ask the patient for ID and dose amount. The patient will present a valid picture
ID and verbally provide his/her patient ID number. Doses will not be given to a patient
without proper photo identification. If the patient is unable to provide picture ID then the nurse
will pull the paper chart to verify patient’s identity against the one found in the chart or if
applicable with the individual clinic ID card stored on site.
b.The nurse will verify that the patient has not been absent for previous days dosing and does
not need an order for a decrease due to absence.
c.The nurse will locate the patient name on the dosing report and ask the patient to verify
his/her current dose amount. The nurse will confirm that the dose on the emergency dosing
report matches the verbal report. If a discrepancy occurs, the nurse will pull the paper chart
order and/or call the physician to confirm the accurate dose to be given.
d.The nurse will write the patient ID number, last name and first initial, time dose was
dispensed, and the dose amount to be given on the manual dosing log.
e.Dispensing:
Liquid medication:
i.Nurse will prompt the manual pump to dispense the correct dose for the patient.
ii.Nurse will hand the dispensed dose to the patient, providing water for the
patient to drink following ingestion of medication.
iii.Patient will sign the manual signature log to indicate that he/she received their
dose, prior to leaving the dispensing window
Tablet or film medication:
i.Nurse will dispense correct tablet count into dispense cup.
ii.Give the dispensed dose to the patient for ingestion.
iii.Patient will sign the manual signature log to indicate he/she received the dose
prior to leaving the dispensing window
f.The patient must speak to nurse before leaving the dosing window.
6.Take-home doses will NOT be distributed during a power outage; unless a state of emergency is
declared, and exemption requests from state/federal officials are approved and then will only be
provided for the approved time frame.
Labels for take-home doses given in the situation described above must be preprinted with the following
information in order to be distributed to a patient:
x CTC name, address, and phone number
x physician/physician extender’s name who ordered the medication
x patient name and ID
x medication name, form, and dose amount
x dose instructions
x dispensed date and take-home date
x warning against illegal sale or transfer
7.Closing/Recovery
a.Nurse will complete a physical count of all medication and document on the Manual Dispense –
Medication Inventory on Hand spreadsheet on completion of manual dispense episode.
b.The nurse will empty the manual dispensing pump at the close of dosing and clean according to
manufacturer instructions. After emptying all methadone and rinsing all parts, the pump should
be dried and returned to storage immediately.
c.When power has been restored and software operation has resumed, all doses dispensed must
be entered into the computer before leaving for the day.
d.The nurse will enter the dosing transactions according to the manual medication logs that have
been kept throughout the dosing period.
e.The computerized dosing log will then be printed and manual dosing logs will be attached to the
computerized log and maintained as all other daily dispensing reports.
f.Proceed with daily closing processes such as, physical counts, bottle reconciliations, reporting,
spill documentation.
The Manual Dispense – Medication Inventory on Hand spreadsheet in located on the intranet with the
Chapter 6 Dispensing Policies forms.
Effective Date: June 2018
Revised: September 2019
Reviewed: September 2019
PATIENT ACCESS TO MEDICATION WHEN CLINIC HOURS ARE DISRUPTED
It is the policy of the CTC to seek alternative methods for patient to receive their medication when clinic
hours are disrupted.
Procedure:
Severe Weather Forecast – Take-Home Exceptions:
1.The Clinic Director, in consultation with the Regional Director, may seek permission to provide
take-home medication to patients to reduce need to travel to the CTC when severe weather
conditions are forecast. Each patient will be evaluated individually to determine if they are
eligible to receive an exception to their current take-home status by considering the therapeutic
benefit of providing take-home medication vs. the potential risks to the patients and others.
2.A CTC may not independently decide to close the CTC, as that decision may only be made by
the SOTA.
3.The Clinic Director will contact the SOTA via email that the CTC wishes to implement provide
additional take-home doses due to the forecast of severe weather.
4.Once the request has been approved by the SOTA, the CTC staff will notify patients of the
availability of a severe weather take-home dose.
5.The number of additional take-home doses to be provided to patients who are already receiving
take-home doses will be set by the SOTA.
6.CTC clinical and medical staff will determine which patients who are currently not receiving
take-home doses are eligible to receive a take-home medication dose. Only patients who meet
the following criteria will be eligible for a take-home dose when severe weather is forecast:
a.Have no positive screens for illicit substances or alcohol in the past 30 days
b.No more than 2 missed doses in past 30 days.
c.Be able to store methadone safely
d.Has been a patient for at least 60 days
e.Have no dose denials or impairment assessments in the past 30 days
7.The Clinic Director will process exceptions as directed by the SOTA, if the SOTA deems
necessary. (In some instances, the SOTA grants a blanket exception for all patients in an area
of the state dependent upon the circumstance, whereas in other instances the SOTA may
require exceptions to be handled on an individual basis through regular exception processes
dependent upon the circumstance).
8.All patients receiving an exception (#6 above) will sign the Take-Home Medication Safety/Anti-
Diversion Contract.
9.Patients not currently receiving take-home doses who receive any doses in accordance with
this policy are not required to provide a locked container. Patients will be required to safely
secure and store the take-home doses as outlined in the Take-Home Medication Safety/Anti-
Diversion Contract .
10.All patients who receive take-home doses must return those bottles to the CTC the next dosing
day. The Take-Home Medication policy and Diversion Control Plan will be followed for any
patients failing to return empty take-home bottles.
For CTC Closure or Change in Hours:
x In the event of any circumstance that requires the CTC to close or change its hours, the patient
may receive their medication at an emergency alternative treatment site. If possible, post
information about the alternative site information in a place that is visible from outside the
facility.
x Emergency alternative treatment sites will be announced through local media outlets and via
other methods that patients have access to (e.g. clinic social media pages), and disseminated
via the emergency after-hours line.
Note: Any patients on a Medically Supervised Withdrawal will not have their medication dose tapered
when there is a disruption of clinic hours.
Effective Date: January 2016
Revised: September 2019, August 2019, May
2019, April 2019, May 2018, October 2016
Reviewed: September 2019
6.2 TAKE-HOME MEDICATION (CA)
Criteria for Take-Home Medication Privileges:
Patient self-administered medication dosages (take-home medications) will be provided if the CTC
physician has determined that the patient is responsible in handling medications. This rationale will be
documented in the patient’s record.
There must be:
x An absence of unapproved drugs and no abuse of other substances, including alcohol,
x Regularity of CTC attendance,
x An absence of serious behavioral problems,
x An absence of criminal activity,
x Stability of home environment and social relationships,
x Security of medication,
x Required length of time in treatment,
x Participation in gainful vocational, educational or responsible homemaking (e.g. primary care giver,
retiree with household responsibilities, or volunteer helper) activities
x A detailed review of who lives in and/or visits the patient’s home, and whether these individuals
may be placed in harm’s way with regard to take-homes. Special consideration is given to
household where young children, such as toddlers, are present, and also to adolescents, who may
divert medication.
Take-Home Policy/Reduced Attendance Privileges:
The philosophy of the CTC Division embraces the spirit of reduced CTC attendance as outlined in the Code
of Federal Regulations, 42, Part 8; specifically outlined in § 8.12 Federal Opioid Treatment Standards.
Therefore, when permitted by state rules and regulations, patients are eligible to earn privileges up to and
including a maximum one-month supply of take-home medication. Individual CTCs will engage in a multi-
disciplinary review of a patient’s eligibility for take-homes with a recommendation made to the CTC
physician whose decision is final. Patients whose eligibility for take-home medication changes (due to lack
of security regarding take-homes within the home, return to illicit drug use, financial non-compliance or
other psychosocial factors) will be reviewed in the next meeting of the treatment team for determination of
reduction or loss of privileges.
Federally Approved Take-Home Levels (Maximum):
# of Days in Treatment # of Take-Homes Allowed
1-90 days: One take-home dose if a CTC is open seven days/week; if a CTC is closed for
business routinely or for state/federal holidays, the patient will be given a take-
home for the closed day/holiday, in addition to one take-home.
91-180 days: 2 take-home doses in addition to any “closed” days
181-270 days:3 take-home doses in addition to any “closed” days
271-365 days maximum of 6-day supply
1-2 years 2-week supply of take-home doses
2+ years Maximum one-month supply of take-home doses
In the instance where a CTC is routinely closed for a day during the week (e.g. closed on
Sundays/Holidays), the CTC physician is responsible to assess and determine if a patient will receive a
take-home medication dose for the closed CTC day. CTCs will not automatically give all patients a take-
home dose due to regular CTC closure, but will look at each case individually and determine the safest,
most reasonable course of action. For each patient receiving a Sunday/Holiday take-home dose the
patient’s primary counselor will complete a Take-Home Exception form indicating the patient’s eligibility to
receive a scheduled CTC closure take-home dose. The exception form will indicate the time period during
which the patient will receive the exception dose and the date at which the patient will be re-evaluated for
continued exception status. The CTC physician must approve the Take-Home Exception form prior to the
patient receiving the Sunday/holiday take-home.
In an instance where the CTC physician assesses a patient as not meeting criteria to receive and manage
a take-home dose during a regular CTC closure day, the patient will be referred to another CTC or
appropriate medical CTC for dosing, only during the day the CTC is closed.
Should a CTC be located in an area where there is not another approved/licensed CTC located within a
reasonable distance or there is no other open CTC appropriate for dosing CTC patients, the CTC will open
for an appropriate period of time in order to dose patients who did not meet criteria to receive “closed” day
take-homes. All such arrangements will be made prior to the “closed” CTC day and CTC protocol for such
situations explained to patients that will need to receive take-homes for that day.
Patients wishing to be considered for take-home medication other than “closed” days may submit a request
to their primary counselor. When appropriate, the treatment team may also initiate a request for increased
take-home status for the patient. When the patient initiates a take-home level change, the patient must
complete the Take-Home Justification form and return it to primary counselor. The primary counselor will
then complete Counselor portion of the Take-Home Justification form and Take-Home Medication
Safety/Anti-Diversion Contract.
Requests for Take-Home Privileges/Changes:
1.It is the responsibility of the primary counselor to review the patient’s record, including DSA reports
and financial compliance status, to determine whether or not the patient meets minimum
requirements. These minimum requirements are as follows:
a)Absence of recent opioid use
b)Absence of abuse of alcohol, illicit or licit drugs
c)Regularity of CTC attendance
d)Length of time in treatment (see suggested guidelines below)
e)Absence of known recent criminal activity
f)Absence of unacceptable behavioral problems in and on the CTC premises
g)Stability of the patient’s home environment and social relationships
h)Assurance that take-home medication can be safely stored within the patient’s home
i)Documentation that indicates that patient has been oriented to the risks of accidental
medication poisoning of children and family members. Special scrutiny is given if
newborns, toddlers, or adolescents live in the home or visit, due to safety concerns (e.g.,
newborns may inappropriately be given take-homes to quiet them, toddlers may explore
purses and be inclined to ingest pretty red liquid, and adolescents may divert take-homes).
j)Documentation that indicates that the patient has made a commitment to store take-home
medication safely
k)The rehabilitative benefit to the patient outweighs the risk of medication misuse
l)Patient’s daily life schedule including work hours, work days, travel distance from CTC,
disabilities that impair activities of daily living, and, if patient is a student, days and hours
attending classes
2.In the event the patient meets the minimum requirements, the primary counselor may bring the
case to the CTC multidisciplinary treatment team meeting for review. Any patient meeting minimal
requirements for privileges may request in increase in take-home levels by the treatment team. The
patient’s counselor will make a recommendation in the process of this review.
3.The CTC physician/extender will review the recommendation of the treatment team and make a
final determination for take-home medication.
4.All patients enrolled in the Take-Home Program will be reviewed for continuing eligibility by Take-
Home Committee/multidisciplinary treatment team. Patients must request through their individual
counselor any changes or advances in the Take-Home Phase.
5.CTCs provide the following guidelines, in addition to the federal guidelines, in determining take-
home eligibility and number of take-home doses. In addition, if the individual state has more
restrictive regulations on take-home [CA Specific: The following are suggested guidelines and
may be modified at the discretion of the CTC staff:
x 1-90 days: This level may be available for a patient meeting minimum requirements, and
90 days in treatment. If CTC is closed for business routinely or for State/Federal holidays,
the patient will be given a take-home for the closed day/holiday.
x 91-180 days: Five day attendance may be approved for a patient meeting minimum
requirements, a minimum of 90 days in treatment and documented evidence of 30 days of
abstinence.
x 181-270 days: Four day attendance may be approved for a patient meeting minimum
requirements, 6 months in treatment.
x 271-365 days: One day attendance per week may be approved for a patient meeting
minimum requirements, 9 months in treatment.
x 1-2 years: Attendance once every other week (two times monthly) may be approved for a
patient meeting minimum requirements, with a minimum of 12 months. Patients in this
privilege level may be asked to provide a drug analysis sample at each pick-up.
x 2+ years: The granting of monthly pick-ups may be approved for a patient meeting
minimum requirements, with a minimum of 2 years in treatment, and at least 12 negative
DSA. Patients in this privilege level may be asked to provide a drug analysis sample at
each pick-up.
x NOTE: Any DSA showing the presence of illicit or unapproved drug use will be considered a
“positive”. DSA See policy 5.12.3 Response To Patient Drug Screen Analysis Results. END
CA Specific]
6.Patients are required to read and sign the Take-Home Medication Safety/Anti-Diversion Contract
the first time they receive take-home medication, and each time thereafter that the take-home
status changes.
7.Patients granted any take-home doses are subject to “call back”. Call back requires that the patient
return to the CTC with all doses not consumed. “Call-backs” will be documented on the Take-Home
Call-Back Schedule form.
8.Take home medication must be paid for in advance. Take-home Patients are required to read and
sign the Take-Home Medication Safety/Anti-Diversion Contract the first time they receive take-
home medication, and each time thereafter that the take-home status changes.
9.Patients granted any take-home doses are subject to “call back”. Call back requires that the patient
return to the CTC with all doses not consumed. “Call-backs” will be documented on the Take-Home
Call-Back Schedule form.
10.Take home medication must be paid for in advance. Take-home medication may be denied if a
patient is not in compliance with this policy. Elimination of take-home doses may be immediate;
however, the privilege will be restored once the patient is fully in compliance with the Business
Office.
11.Patients who do not provide a drug analysis sample as requested may immediately lose all take-
home privileges. A refusal will be recorded as a positive for illicit substances and the patient will no
longer meet criteria for take-home privileges.
12.Patients who test positive for illicit substances or who abuse alcohol will have take-home privileges
reduced or eliminated based on the recommendation of the treatment team and the determination
by the physician. CTCs have the ability to test for alcohol consumption on-site if deemed
appropriate.
13.Patients who fail to return all take-home bottles with intact labels will be referred to their counselor.
14.Patients not having a locking container at the time of dosing will be referred to their counselor to
address non-compliance with policy.
15.The CTC physician will review the status of every patient provided take-home medication every 90
days (or more frequently as clinically indicated) for as long as the patient is granted this privilege.
16.All bottles will be sealed using childproof caps. Bottles will be labeled with the patient’s name,
medication level, source CTC, prescribing physician, and the date medication is to be consumed.
Locked container – Unsupervised Dosing:
1.Patients having earned take-home privileges must bring an appropriate childproof/tamper-proof
locked container, with key, to the CTC.
2.Patients may not share containers with any other patient regardless of relationship.
3.Patients must place and keep a copy of the Medication Safety – Lock Box Card in their lock
container at all times, to use in the event of a medication emergency.
4.Patients with take-home orders will first consume their observed dose according to policy.
Thereafter the Dispensing Nurses will prepare take-home doses and supervise their placement into
the lock container and supervise the locking of the container.
5.Should take-home medication be “stolen”; the patient will bring a police report to the CTC to be
placed into patient file. Take-homes will not be replaced. Patients who do not report to the police
will not be eligible to resume take-homes for a minimum of six months.
6.Should doses become damaged and unusable in any way, the patient is expected to return all such
doses to the CTC before any consideration is made for replacement.
7.The CTC physician will determine and approve any consideration for replacement.
Take-Home Doses – Bottle Return:
Patients taking medication doses home for unsupervised dosing are expected to return the take-home
bottle, label intact, the next scheduled day for onsite CTC dosing.
First Failure to Return Take-Home Bottles:
Nursing staff will notify and refer the patient to the primary counselor without dispensing a medication
dose. The primary counselor will review the requirements for returning bottles (Part of the Diversion
Control Plan required by Federal and State Law) with the patient and instruct the patient that they will
have to return to the CTC the next day to return all bottles and receive their medication dose. The
primary counselor may then notify nursing that the patient may receive a medication dose without bottle
return for this day only.
Second Failure:
If second failure by the patient to return all bottles is the next consecutive day, nursing staff will refer
patient to the primary counselor without dispensing a medication dose. The primary counselor in
consultation with the Clinical Supervisor will then instruct the patient that this failure will be referred to
the CTC treatment team and CTC physician for final determination of continued take-home status. In
the interim, the Clinic Director may authorize continued dosing on a daily basis until a final determination
is made with regards to the patient’s take-home status.
Continued Failures:
If there is a continued pattern of failure by the patient to return all bottles, nursing staff will refer the
patient to the primary counselor without dispensing a medication dose. The primary counselor in
consultation with the Clinical Supervisor will then instruct the patient that this failure will be referred to
the Treatment team and CTC physician for final determination of continued take-home status. In the
interim, the Clinic Director may authorize continued dosing on a daily basis until a final determination
is made with regards to the patient’s take-home status.
Refer to the Forms Manual for the “Take-Home Exception” form, “Take-Home Call-Back Schedule”,“Take-
Home Exception” form and “Take-Home Medication Safety/Anti-Diversion Contract”.
Effective Date: January 2016
Revised: September 2019, October 2018, June
2018
Reviewed: September 2019
TAKE-HOME MEDICATION – RULES AND REGULATIONS
Take-home medication privileges will only be provided when the patient is adhering to the requirements of
the CTC and where daily attendance would interfere with employment, school attendance, homemaking
activities, job search, volunteer services or medical conditions.
Security of Methadone Take-Home Medication:
x All patients are responsible for the methadone take-home medication when received. No
methadone will be replaced under any circumstances.
x All take-home medication must be stored in a locked box that allows the methadone bottles to stand
upright. Locked boxes cannot be shared, even for persons residing in the same home.
x A copy of the Medication Safety Instructions must be kept in the patient’s locked container at all
times, to use in the event of a medication emergency.
x Must be secured and kept out of reach of children.
x Misplaced, lost or stolen take-home medication must be reported to the CTC immediately. This
may result in the loss of take-home medication privilege.
x Stolen take-home medication must also be reported to the local police department. A copy of the
police report must be returned to the CTC on next scheduled visit.
x Holiday take-home medication bottle must be returned on the next CTC visit.
x All take-home medication bottles with cap and label intact, must be returned to CTC on next
scheduled medication visit.
Take-Home Medication Schedule Changes:
x Changes in take-home medication schedules must be approved, in advance by the CTC physician
and primary counselor and, in the case of exceptions, the State and Federal regulators.
x First time take-homes, and prior to any take-home status changes, the patient will be required to
read and sign the Take-Home Medication Safety/Anti-Diversion Contract.
x Take-home medication will not be ingested in the CTC.
x Patients on an Administrative Detoxification will not receive take-home medication until fees are
current and medication level is stable.
Cause to Restrict Take-Home Medication Privileges:
x Patients who submit a DSA specimen that has tested positive for illicit drugs or drugs unapproved
by the CTC medical director and/or negative for the opioid medication administered or dispensed
by the CTC.
x Unexcused absences from or missed scheduled appointments or sessions with the CTC.
x Sharing, giving away, selling or trading the medication administered by the CTC.
x Incarceration
x Attempts to register or concurrent registration in another opioid treatment CTC
x Attempts to alter a DSA test or analysis.
x Unacceptable CTC behavior may result in the loss of take-home medication privileges and/or
treatment termination.
x The following will be documented in the patient record: take-home level the patient was prior to the
decision to restrict/revoke, the new take-home level, and the reason for restricting /revoking take-
home medication. (Note: This may be documented either using the “Restricting/Revoking Take-
Homes” form or directly in the EMR).
Restoring Restricted Take-Home Medication Privileges:
x Restoring take-homes will be based on state and federal standards.
Drug Screening Test or Analysis and Restriction of Take-Home Privileges
x Patient must submit a DSA specimen for drug testing or analysis upon request. (Refer to policy
Collection of Sample for Drug Screen Analysis).
x DSA specimen for testing or analysis will be required before receiving medication.
x Patient on extended step level 6 failing to provide a specimen for DSA testing or analysis will lose
take-home medication privileges as a “refused” DSA will be considered a “positive” test for
unapproved drug use.
Refer to the Forms Manual for the “Medication Safety Instructions”, “Take-Home Medication Safety/Anti-
Diversion Contract” and the “Restricting/Revoking Take-Homes” forms.
Effective Date: January 2016
Revised: October 2016
Reviewed: September 2019
TAKE-HOMES – EXCEPTIONS
The CTC physician may grant an exception to take-home medication criteria and dosage schedules for the
following reasons:
1.The patient has a physical disability or chronic, acute or terminal illness that makes daily attendance
a hardship. The CTC will must verify the patient’s physical disability or illness, and include the
appropriate documentation in the patient record.
2.The patient has an exceptional circumstance, such as a personal or family crisis or travel hardship.
The CTC will also attempt to arrange for the patient to receive medication at a CTC nearer the
patient’s domicile in the event of an extended hardship. The CTC will document the arrangements
made in the patient record.
3.The patient would benefit from split dosing as determined by the CTC physician.
4.By reviewing and signing Form SMA-168, the CTC physician agrees that the patient is responsible
in unsupervised handling of narcotic medication.
NOTE: The “State Exception” form or SMA-168 FORM will be completed with all pertinent information,
submitted to the state and SAMHSA officials and filed in the patient record when approved by the
state and SAMHSA.
Refer to the Forms Manual for the “Take-Home Exception” form.
Effective Date: January 2016
Revised: April 2018
Reviewed: September 2019
TAKE-HOMES – HOLIDAY EXCEPTIONS
In the event a CTC is not closed for a holiday, the CTC physician may approve a holiday take-home if the
patient has met applicable federal, state and CTC criteria. All patients are responsible for their methadone
take-home bottle when received. Methadone will not be replaced under any circumstances. Documentation
for Holiday Exception will be as followed:
1.Patient’s last DSA result must be reviewed by the CTC Medical Director.
2.CTC physician will approve and write the individual patient take-home exception order.
3.This written approval will be entered into the individual patient record.
4.Patients will receive their take-home bottle of methadone the day prior to the program closing for
the holiday and return it the day following the holiday.
5.Any patient who reports their methadone take-home bottle as lost or stolen is responsible to
report it to the police station nearest to where the loss or robbery occurred. The police report
should be submitted to the program for documentation in the patient’s chart. Patients who do not
report a loss to the police will not be eligible for take-homes for six months and if diversion is
suspected immediate and abrupt termination from the treatment program should be considered.
6.Patients who lose a holiday take-home bottle or report abuse may be denied take-home bottle on
a subsequent holiday. Patients will be dosed at the program on subsequent holidays.
Effective Date: July 2016
Revised: May 2018 (CA), October 2016
Reviewed: September 2019
TAKE-HOME MEDICATION CALL-BACKS (CA)
Policy:
The CTC will diligently attempt to assure that take-home medications are safely stored and used
appropriately.
Procedure:
1.It is the responsibility of every take-home patient to provide the program with up-to-date contact
information and to keep the program informed of any changes.
2.Patients will be randomly contacted a minimum of twice per year (or more frequently as mandated by
state regulations) and asked to return to the program and bring with them all of their take-home
bottles, including the take-home dose scheduled for the call back day.[CA Specific: Patients with
advanced take-home status (6, 13 or 27) will be contacted four times per year for a “call-back”.]
3.Patients will consume the take-home dose scheduled for day of call back, at the dispensing window,
with nurse. The program nursing staff will check all bottles and document that they match what was
given to the patient.
4.If there are any bottles missing or evidence of tampering, take-home privileges will be suspended. If
the patient has used illicit drugs please refer to the Take-Home Medication policy. Patients will be
asked to waste the unused take-home medication, and will be witnessed by nursing staff. The waste
will be documented and the patient will be medicated under “Full-Replacement” for the remaining
doses.
5.Patients who do not respond to call back requests will have their take-homes temporarily suspended
and/or restricted. Before a plan for re-instatement is developed, the patient must meet with the Multi-
Disciplinary Treatment Conference or designee. The Multi-Disciplinary Treatment Conference, in
collaboration with program physician, will determine the response plan. This may include
reinstatement of take-homes, suspension or reduction.
Effective Date: January 2016
Revised: August 2019, May 2018
Reviewed: September 2019
6.3 BUPRENORPHINE, BUPRENORPHINE/NALOXONE
SCREENING PROCEDURES
Policy:
The purpose of this policy is to establish procedures related to the screening and admission for patients
prior to receiving opioid treatment using buprenorphine, buprenorphine/naloxone.
Procedure:
The following procedures should be followed to screen patients entering buprenorphine,
buprenorphine/naloxone treatment.
Note: In all buprenorphine, buprenorphine/naloxone policies, where the CTC physician is referenced: a
physician extender or similar licensed medical staff member may perform the duties of the CTC physician,
if designated by the CTC physician and allowed by the individual state regulatory authorities where the CTC
is located.
An initial screening of a patient choosing to enter or transition to buprenorphine, buprenorphine/naloxone
treatment should be completed. The following requirements should be met:
1.Patient must establish a minimum of 12 months history of opioid dependence, unless otherwise
deemed medically appropriate by the CTC physician/Designee. If less than 12 months, the CTC
physician/Designee will document the basis of the determination.
2.Patient must have NOT used short-term opioids (e.g. hydromorphone, Oxycodone, heroin) for a
minimum of 6 hours prior to the administration of Buprenorphine, Buprenorphine/Naloxone, or not
have used a long-term opioid drug (e.g., Methadone sustained release morphine, sustained
release Oxycodone) for a period of 24 hours prior to at the administration of Buprenorphine,
Buprenorphine/Naloxone. The patient must sign the Informed Consent for Buprenorphine and
Consent for Treatment prior to admission, stating and attesting that they have not used long or
short-term opioids within these stipulated time frames.
3.The CTC physician/Designee must complete a Clinical Opiate Withdrawal Scale (COWS) prior to
admission, in order to document an objective evaluation of the patient’s current level of
withdrawal symptoms. The patient must have signs of opioid withdrawal at the time of first
ingestion of buprenorphine or buprenorphine/naloxone. Note: A small subset of patients may
have undergone a complete opiate detoxification and therefore may be started on buprenorphine
or buprenorphine/naloxone without experiencing withdrawal symptoms.
4.All patients will submit a DSA, (with confirmed positive results before receiving medication). All
DSA will include a test for the following substances:
Morphine/Opioid
Methadone (unless history has been established prior to admission)
Benzodiazepine
Amphetamine
Cocaine
In areas where the use of Oxycontin is prevalent or potential use is otherwise expected, a
specialized test should be added to the drug testing panel as this drug is not detected on the opioid
screening panel most frequently utilized.
5.For patients testing positive for benzodiazepines while receiving buprenorphine,
buprenorphine/naloxone treatment see policy General Medical Concurrent BZD/CNS Depressant
Use and MAT.
6.All female patients of childbearing age will undergo a pregnancy test, with confirmed results,
before receiving medication. All female patients will be informed about possible side effects of
taking buprenorphine, buprenorphine/naloxone during pregnancy, and will be required to sign a
release of liability if the female patient experiences any adverse side effects due to becoming
pregnant while on buprenorphine, buprenorphine/naloxone treatment
7.A patient will be screened prior to admittance, to evaluate that the patient is physically healthy,
motivated and responsible enough to begin the treatment process. Patients will be denied
admittance to buprenorphine, buprenorphine/naloxone treatment if there are any signs of
untreated and/or primary psychiatric co-morbidities and/or suicidal ideation that could interfere
with treatment. The patient may be requested to sign a release of information for the CTC
physician/designee enabling contact with the patient’s primary care physician regarding any
medical concerns before being admitted to buprenorphine, buprenorphine/naloxone treatment.
8.All patients will be educated on the possibility of withdrawal effects that could occur if opioids are
in their system prior to the administration of buprenorphine, buprenorphine/naloxone. They will
also be educated on basic pharmacological information about buprenorphine,
buprenorphine/naloxone, possible side effects and adverse reactions and potential interactions
with other drugs.
9.The CTC physician/designee will periodically and regularly screen all patients for substance use
and substance-related problems.
Effective Date: January 2016
Revised: May 2018, July 2017, February 2016
Reviewed: September 2019
BUPRENORPHINE, BUPRENORPHINE/NALOXONE TREATMENT – I NDUCTION AND
MAINTENANCE DOSING STRATEGIES
Policy:
The purpose of this policy is to provide guidelines regarding buprenorphine, buprenorphine/naloxone dosing
procedures during the induction and maintenance stages of treatment. All suggestions within this policy are
“guidelines” and in all cases individual treatment should be based on the discretion of the CTC
physician/designee in order to meet individual needs.
Buprenorphine/Naloxone:This is a combination medication containing both buprenorphine and naloxone.
Buprenorphine is a partial mu-opioid agonist with a maximum effect less than that of a full mu-opioid agonist
(e.g., methadone, heroin). Buprenorphine works similarly to methadone blocking the effects of opioid.
Naloxone, the second medication in buprenorphine/naloxone, is present to deter the abuse of
buprenorphine by injection.
Buprenorphine This medication is a buprenorphine mono-therapy; this means that the medication contains
only buprenorphine, without the addition of naloxone.
Procedure:
This policy has been established for patients who have short acting opioid dependence or patients who
have been stabilized on not more than 30 mgs. of methadone for a minimum of 7 days. The patient must
be stable on the methadone dose and not exhibit any signs and symptoms of opioid withdrawal.
Notes:
1.Patients on long acting opioids or 30 mg. + of methadone are not appropriate for immediate
transfer to buprenorphine, buprenorphine/naloxone treatment. Such patients should be stabilized
on not more than 30 mgs. of methadone for a minimum of 7 days prior to buprenorphine,
buprenorphine/naloxone treatment induction.
2.Patients must be stable on a dose of 30 mgs. or less of methadone and have no signs and/or
symptoms of withdrawal.
3.To minimize the chances of precipitated withdrawal, patients who are transferring from long-
acting opioids (e.g., methadone sustained release morphine, sustained release Oxycodone) to
buprenorphine, may be inducted using buprenorphine mono-therapy, but switched to
buprenorphine/naloxone soon thereafter. Patients should not start buprenorphine,
buprenorphine/naloxone until they are experiencing active, mild opioid withdrawal symptoms Ex:
Methadone last ingestion should be at least 36-72 hours with objective opioid withdrawal
symptoms present prior to first buprenorphine, buprenorphine/naloxone dose. This is
recommended to avoid buprenorphine induced withdrawal symptoms. Detoxification using
buprenorphine, buprenorphine/naloxone can be accomplished in as little as three days or over
more extended periods of time. Very short detoxification schedules are not generally advised as it
has been demonstrated that relapse to prior opioid use is high when such strategies are
employed. Therefore, detoxification schedules of at least two weeks or longer are recommended.
4.Patients dependent on short-acting opioids (e.g. hydromorphone, oxycodone, heroin) who will be
receiving medically supervised withdrawal should be inducted directly onto buprenorphine,
buprenorphine/naloxone/naloxone tablets.
5.The use of buprenorphine, buprenorphine/naloxone to taper off long-acting opioids should be
considered only for those patients who have evidence of sustained medical and psychosocial
stability and in conjunction with medication assisted treatment programs.
6.When detoxifying patients having taken long-acting opioids, such as methadone, utilizing
buprenorphine, buprenorphine/naloxone, a waiting period of at least 24 hours post last dose and
current observation of withdrawal symptoms, is recommended to avoid buprenorphine,
buprenorphine/naloxone induced withdrawal symptoms.
7.Patients having been maintained on methadone should have had their dose reduced to 30 mg. or
less. Reducing the methadone dose as low as possible is optimal.
8.The CTC physician/designee must complete a clinical Opiate Withdrawal Scale (COWS) prior to
admission, in order to document an objective evaluation of the patient’s current level of
withdrawal symptoms.
Buprenorphine, Buprenorphine/Naloxone treatment consists of three phases: (1) induction, (2) stabilization
and (3) maintenance.
Phase 1: Induction
Induction involves helping patients begin the process of switching from the opioid of abuse to
buprenorphine, buprenorphine/naloxone.
The goal of the induction phase is to find the minimum dose of buprenorphine, buprenorphine/naloxone at
which the patient discontinues or markedly diminishes use of other opioids and experiences no
withdrawal symptoms, minimal or no side effects and no craving for the drug of abuse.
Day 1:
Buprenorphine, buprenorphine/naloxone induction first dose should be administered 12-24 hours after last
use of other opioids. The patient should exhibit signs and symptoms of opioid withdrawal. The first dose
should be 4/1 mg. Withdrawal symptoms should be alleviated within 20-40 minutes of medication induction.
If withdrawal symptoms are still present after 2-4 hours of observation, the patient’s dose may be repeated.
The 24-hour maximum dose should not exceed 8/2 mgs on day one.
Day 2
Following Day 1, if the patient does not experience withdrawal symptoms, the maintenance dose may be
established at initial dose level, and the patient kept on maintenance until ready for detoxification.
If on Day 2 withdrawal symptoms are still present, the following should occur: Increase the dose an
additional 4/1 mg. from the previous day’s total dose (maximum of 12/3 mg. if the prior day’s dose was 8/2
mg.). Observe the patient for approximately two (2) hours. If withdrawal symptoms are not relieved after
approximately two (2) hours, the dose may be increased an additional 4/1 mg. totaling 16/4 mg. maximum
for second day dose.
Day 3+
On subsequent induction days, if withdrawal symptoms are relieved, the maintenance dose may be
established, and patient kept on maintenance dose level until ready for detoxification.
If on Day 3 and beyond withdrawal symptoms are still present, the following should occur: Increase the
dose by 2/0.5 mg. or 4/1 mg. no more frequently than every 3 to 7 days (in order to achieve steady-state
blood levels) up to a maximum dose of 24/6 mg. per day. A target dose for the first week may be 12/3 –
16/4 mg.
If the maximum dose level of 24/6 mg. per day is reached and patient continues to have withdrawal
symptoms and/or continues to use illicit opioid, an increase of non-pharmacological interventions and/or a
referral to another medication should be considered.
Stabilization
x Nearly all patients stabilize on daily doses of 16/4 – 24/6 mg. per day
x The stabilization phase has begun when a patient is experiencing no withdrawal symptoms, is
experiencing minimal or no side effects and no longer has uncontrollable cravings for opioid
agonists.
x Buprenorphine, buprenorphine/naloxone dosage adjustments may be necessary during early
stabilization, and frequent contact with the patient increases the likelihood of compliance.
Maintenance
The maintenance period may be indefinite. Attention during this phase must be focused on the
psychosocial and family issues that have been identified during the course of treatment as contributing to
a patient’s addiction.
Split Dosing
If in the physician/physician extender’s clinical judgment the patient would benefit from a split dose, a
medical order is written, and the patient is instructed on the proper ingestion of split dosing (taking doses
12 hours apart).
x Split dosing will be discontinued by the physician/physician extender in those patients who
regularly miss doses.
x Split dose amounts should be kept the same, as clinically appropriate, to simplify dispensing and
obviate patient confusion.
Missed Buprenorphine, Buprenorphine/Naloxone Medication Doses
1.After missing three (3) consecutive days of medication during the induction phase, the patient will
be discharged.
2.Any patient missing a day during the induction phase must have their buprenorphine,
buprenorphine/naloxone re-evaluated and re-ordered by the CTC physician/Designee before
dosing.
3.If a patient is absent from the CTC due to hospitalization or other excused absence and has been
stabilized on an opioid, upon return to the CTC a nursing staff member will verify the last dose
and date of opioid the patient received at the hospital. In such instances a new buprenorphine,
buprenorphine/naloxone order is not necessary.
4.Patients with an excused absence without dosing will not be discharged but must have new CTC
physician/designee orders before being medicated.
5.Patients missing 5 or more days of medication during the stabilization phase of Detoxification will
be discharged from the CTC.
Effective Date: January 2016
Reviewed: September 2019
BUPRENORPHINE,BUPRENORPHINE/NALOXONE TREATMENT –PREGNANT PATIENT
6.3.3.1 Buprenorphine, Buprenorphine/Naloxone Treatment –Admission of Pregnant
Patient
Policy:
It is the policy of the CTC Division to prioritize the admission of pregnant women. Admission will be
denied only in potentially high risk/critical situations requiring a more intensive level of care.
Procedure:
1.When intake staff identifies a potentially high risk/critical situation, the Medical and Clinic
Directors are contacted to evaluate the findings and determine disposition.
2.Patients exhibiting acute physical or psychiatric illness or those with a prior history of violence in
the program will be referred to appropriate services.
3.The staff member and the Clinic Director will document the process including factors leading to
denial of admission, referral contacts and final disposition.
Effective Date: January 2016
Reviewed: September 2019
6.3.3.2 Buprenorphine, Buprenorphine/Naloxone Treatment – Pregnant Patient
Policy:
The purpose of this policy is to provide effective, safe care to the patient who becomes pregnant during
buprenorphine, buprenorphine/naloxone Treatment. Currently buprenorphine, buprenorphine/naloxone
and are thought to be as safe as methadone during pregnancy.
Procedure:
1.All female patients of childbearing age must be given a pregnancy test, with confirmation, prior to
admission to buprenorphine, buprenorphine/naloxone treatment.
2.All female patients of childbearing age admitted to buprenorphine, buprenorphine/naloxone
treatment will be required to sign an acknowledgement of possible side effects that could occur
during pregnancy while taking buprenorphine, buprenorphine/naloxone, and a statement
releasing the CTC from liability for any adverse side effects that she or the child could incur
during the treatment process, due to becoming pregnant.
Effective Date: January 2016
Reviewed: September 2019
BUPRENORPHINE, BUPRENORPHINE/NALOXONE TREATMENT – V OLUNTARY
DETOXIFICATION
Policy:
The purpose of this policy is to provide effective safe care to the patient that is undergoing a voluntarily and
medically supervised detoxification from buprenorphine, buprenorphine/naloxone Treatment.
Procedure:
1.Patients requesting a voluntary detoxification from buprenorphine, buprenorphine/naloxone will
meet with the treatment team to develop a detoxification plan and continuing care plan, prior to
lowering their medication dose.
2.Patients who are on voluntary detoxification will be decreased at a rate of 2/.05 - 4/1 or 1/0.25 mg
as frequently as every day or, preferably, less frequently as determined by the severity of the
patient’s withdrawal symptoms.
3.The CTC physician/designee will document signs and symptoms of withdrawal in the medical
progress notes within the patient’s chart.
4.The rate of buprenorphine, buprenorphine/naloxone decrease may be maintained, stopped or
reversed temporarily or permanently if the patient begins to feel symptoms of opiate withdrawal or
begins to use unapproved opioids.
5.Patients should continue to meet with their primary counselor at least one time per week, at a
minimum, to briefly discuss buprenorphine, buprenorphine/naloxone detoxification status and
needs.
Effective Date: January 2016
Reviewed: September 2019
BUPRENORPHINE, BUPRENORPHINE/NALOXONE TREATMENT – A DMINISTRATIVE
DETOXIFICATION
Policy:
The purpose of this policy is to provide effective safe care to the patient that is being administratively
discharged from buprenorphine, buprenorphine/naloxone Treatment.
Procedure:
1.Patients who are being administratively discharged will be informed of such by their primary
counselor and be advised of their medication detoxification rate and schedule.
2.Patients who are being administratively discharged will be decreased on their dose at a rate of
4/1 mg. per day.
3.The CTC physician/designee can make an exception to the rate of decrease. The rate of
buprenorphine, buprenorphine/naloxone decrease may be greater depending on the dose of an
individual patient and/or behavioral issues of the patient.
4.When Administrative Detoxification is unavoidable, the CTC will make every effort to coordinate
follow-up referrals for the patient with appropriate agencies/CTCs in order to ensure continued
treatment. Referrals will be documented by the primary counselor in the patient record.
Effective Date: January 2016
Revised: April 2019
Reviewed: September 2019
MEDICATION ASSISTED TREATMENT – SPECIAL POPULATIONS
Policy:
The purpose of this policy is to recognize patients who have certain life circumstances, co-morbid medical
or behavioral conditions that warrant special consideration during the assessment and treatment of opioid
addiction using methadone, buprenorphine, buprenorphine/naloxone and naloxone.
Procedure:
A.Patients with Medical Co-Occurring Medical Conditions
Patients with opioid addiction often have other co-occurring medical problems as a consequence of both
high-risk behaviors and of direct toxic effects of the active and inert ingredients in illicit drugs. With patients
being treated with medication-assisted treatment, it is important to screen for and manage common co-
occurring medical conditions and to anticipate known and potential drug interactions.
B.Geriatric Patients
Literature on the use of buprenorphine, buprenorphine/naloxone in geriatric patients is extremely limited.
Due to potential differences in rates of metabolism and absorption compared to younger individuals, care
should be exercised in the use of buprenorphine, buprenorphine/naloxone in geriatric patients.
C.Patients with Significant Psychiatric Co-Occurring Conditions
The presence and severity of co-occurring psychiatric conditions must be assessed prior to initiating
medication-assisted treatment, and a determination made whether referral to specialized behavioral health
services are necessary. The psychiatric disorders most commonly encountered in patients addicted to
opioids are other substance abuse disorders, depressive disorders, post-traumatic stress disorder,
substance-induced psychiatric disorders and personality disorders such as antisocial and borderline
personality disorder.
As with medical co-occurring conditions, it is important to screen for and manage psychiatric conditions and
to explore the potential for complications with medications used to treat the psychiatric conditions.
Assessing for drug interactions is a critical part of the process.
D.Other Substance Use
Use of methadone, buprenorphine, buprenorphine/naloxone will not necessarily have a beneficial effect on
an individual’s use of other drugs. Care in the prescribing of buprenorphine, buprenorphine/naloxone for
patients who abuse alcohol and for those who abuse sedative/hypnotic drugs (especially benzodiazepines)
must be exercised because of the documented potential for fatal interaction.
E.Patients with Pain
Physicians may encounter particular complexities with regard to abuse and addiction in the use of opioids
to treat patients with pain. Some patients move from needing prescription opioids for the treatment of pain
to abusing them. Methadone, buprenorphine, buprenorphine/naloxone can be used to manage the physical
dependence of the patient who no longer has pain that requires an opioid, but who continues to take the
opioid for its mood-altering effects, as long as the patient meets DSM-5 criteria for Opioid Use Disorder,
Moderate or Severe.
Patients who need treatment for pain but not for substance use disorder should be treated within the context
of a medical or surgical setting. They should not be transferred to a medication assisted treatment program
simply because they have become physically dependent on prescribed opioids in the course of medical
treatment, although they can be for detoxification or maintenance therapy if the patient meets current DSM-
5 criteria for opioid use disorder, moderate or severe intensity.
Patients who are being treated for addiction also may experience pain due to illness or injury unrelated to
drug use. Pain in patients receiving methadone, buprenorphine, or buprenorphine/naloxone treatment for
opioid addiction should be treated initially with non-opioid analgesics when appropriate.
Patients maintained on methadone, buprenorphine, buprenorphine/naloxone whose acute pain is not
relieved by non-opioid medications should receive the usual aggressive pain management, which may
include the use of short-acting opioid pain relievers. While patients are taking opioid pain medications, the
administration of buprenorphine, buprenorphine/naloxone generally should be discontinued. When
restarting buprenorphine, buprenorphine/naloxone, to prevent acutely precipitating withdrawal,
administration generally should not begin until sufficient time has elapsed for the opioid pain medication to
have cleared from the patient’s system, as demonstrated by the onset of early withdrawal symptoms (CTC
physician/designee should be consulted regarding this specific situation, if deemed appropriate). Patients
who are receiving long-acting opioids for chronic severe pain are not good candidates for buprenorphine,
buprenorphine/naloxone treatment. However, such patients can be treated by the outside physician treating
their pain with long-acting opioids while taking methadone from the CTC (for treatment of their OUD). Note
that additional methadone in such a case should not be used by the physician treating the patient’s pain. It
is poor clinical practice for a patient to have two different sources of methadone and it may be unacceptable
to regulators as well.
F. Patients Recently Discharged from Controlled Environments
A number of issues should be considered in determining the most appropriate treatment modalities for
patients with addiction who are recently released from controlled environments (e.g., prison). Intensive
monitoring activities are required and treating physicians may be called upon to verify and explain treatment
regimens (e.g., to parole and probation officers), to document patient compliance, and to interact with the
legal system, employers, and others.
G.Healthcare Professionals who are Addicted to Opioids
There is a substantial problem of addiction to prescription opioids among physicians and other health care
professions, especially within certain specialties. Prescription opioid addiction in health professionals
should be viewed as an occupational hazard of the practice of medicine. Health professionals with
substance abuse disorders often require specialized, extended care.
Effective Date: May 2017
Reviewed: September 2019
BUPRENORPHINE,BUPRENORPHINE/NALOXONE TREATMENT –DISPENSING
Procedure:
Buprenorphine and buprenorphine/naloxone tablets may be crushed by the nursing staff prior to dispensing.
Effective Date: March 2016
Reviewed: September 2019
6.4 DISPENSING EQUIPMENT MAINTENANCE
DISPENSING PUMP CALIBRATION
Policy:
Staff dispensing and/or administering medication using a liquid medication pump will follow manufacturer
recommendations related to the care and maintenance of the machines. This includes a test to verify the
accuracy of calibration on the dispensing systems.
Procedure:
1.After priming tubing with distilled water, then issue the pump an order to dispense 100mg (10ml) of
liquid into the measuring device recommended by the manufacturer.
2.When properly calibrated, the curved bottom point of the liquid will rest on the 10ml line (meniscus).
3.A failed calibration check will be repeated 2 additional times, with a clean, dry measuring device.
Following three consecutive failed calibration checks, dispensing equipment will be taken off-line,
immediately and returned to the manufacturer for repair and calibration.
4.The results of this calibration test will be recorded in the software system
5.The Clinic Director and Regional DEA Specialist will be notified of any failed calibration checks and
an IT support ticket will be entered.
6.Documentation of Dispensing Pump Repairs/Certificates of Repair/Inspection will be kept on file in
the medication room in a Dispensing System/Calibration Binder.
Effective Date: March 2016
Reviewed: September 2019
MAINTAINING AND REPLACING DISPENSING PUMP TUBING
Policy:
Staff dispensing and/or administering medication using a liquid medication pump will follow
manufacturer recommendations related to the care and maintenance of the machines. This
includes tubing changes, inspection, and maintenance.
Procedure:
1.Dispensing pump tubing should be inspected for leaks, loops, bubbles, and kinks that
could cause excessive medication variances, daily.
2.At the open and close of each day, tubing is to be flushed with tepid, distilled water
3.Tubing will be replaced annually or sooner if it is leaking, staining, creating bubbles on
dispense, leaking air.
a.The Clinic Director can obtain “tubing kits” directly from the pump manufacturer
while following the manufacturer’s replacement recommendations
b.Documentation of tubing changes will be recorded on the Dispensing Pump Tubing
Change Log
form kept in the “Pump Maintenance Binder” in the medication room.
c.The Clinic Director will be responsible to ensure nursing staff have been
trained and sign the training acknowledgement form prior to changing any
dispensing pump tubing.
Tubing Replacement Kits and Volumetric Flask Information:
Tubing kits consist of intake and output tubing, tubing nipples for the pump motor, a hard tube
to reach the bottom of the bottle and a bottle cap with vacuum relief.
Part Information:
Tubing kits and scribed flasks can be ordered directly from IVEK at 802-886-2238.
Tubing kit with input, output tubing, bottle cap, hard input tube and nipples is IVEK
part 142247 Volumetric flask is IVEK part 142251
Tubing 36” 1/4OD x 1/8ID Tygon IVEK
part 142138 Tubing 36” 1/4OD x
3/16ID IVEK part 142249 Bottle
Caps IVEK part 142248
Input Tube 11/4 .04 9.5” IVEK part 142250
Refer to the Forms Manual for the “Dispensing Pump Tubing Change Log”.
ATTACHMENT I
SANTA ANA POLICE CALLS FOR SERVICE LOGS
(REDACTED)
AND
SUMMARY & DETAILS
2101 E. FIRST STREET, SANTA ANA
27
25
17 17
10
8
7
6
4
333
2222222
11111111111111111111
0
5
10
15
20
25
30
2101 E. 1st Street
All Incidents from 1-1-2020 through 6-1-2022
Total Incidents: 164
SAPDCADIncidents2101E.1stStreet(CoprehensiveTreatmentCenter)ͲFullCallDetailsIncludingFieldActivityReports1/1/20Ͳ6/1/22
Date Time DayIncident#CallDescription FieldActivityReport
1 1/7/2020 23:17 Tuesday 200104090 PatrolCheck NoFieldActvityReportTaken
2 1/9/2020 4:57 Thursday 200104842 IndecentExposureInProgress
MaleandFemalecampedoutinfrontofbuilding.Bothhave
theirpantsdown.Maleandfemalearenow415verbalwithCP's
coworker.CPobservedbeercansandmethpipenearthe
female.Subject'sleft,not314.
3 1/18/2020 9:38 Saturday 200110885 NarcoticActivity CPadvisingalotofpeopleintheparkinglotusingdrugsandthe
clinicisclosedsonooneshouldbethere.
4 1/21/2020 19:02 Tuesday 200112958 PedestrianCheck NoFieldActvityReportTaken
5 1/28/2020 22:01 Tuesday 200117693 PatrolCheck 1maleand1femalestarting20.2,97ending22.9
6 1/31/2020 7:45 Friday 200119320 WelfareCheck
CPconcernedfortransientslivingnearcoveredarea,subjects
coveredwithatarpe,CPadvised2subjectspassedawayrecently
inthesamearea.Subjectadvisedshewasfine.
7 2/14/2020 14:51 Friday 200208624 TrespassingͲTransient
Approximately8Ͳ9transientscongregatingneartheentranceof
theSunlandMotel.CPhasaskedthemtomovealongbutthey
haven'tcomplied.
8 2/15/2020 9:17 Saturday 200209074 DisturbanceͲTransient
Severaltransientsoutfrontoflocation,refusetoleave,CPhas
askedthemseveraltimes,theyhavesetupcamp.Advised
severaltransientstoleave,contactwithsecuritywasmade.
9 2/16/2020 21:04 Sunday 200210051 TrespassingͲTransient
CPisarmedsecurityandhas2subjectsdetainedfor602.2
males,cooperative.Subjectswerenotaskedtoleavepriorto
arrival.Subjectscompliedtotherequest.
10 2/26/2020 10:43 Wednesday 200216339 OfficerFlaggedDown Callbacktaskrequest:Medics,25yearoldmale,extremelyU/I.
11 3/1/2020 7:31 Sunday 200300123 AssistFireDepartment U/Ifemaleunconciousinfrontofmethadoneclinicingray
sedan,fireenroute.
12 3/4/2020 14:47 Wednesday 200302372 NarcoticActivity
2subjectsusingnarcoticsinfrontofbuildinginjectingheroine,
MBbrownpantsandFWpinksweater,saidhetookphotosand
videosofsubjectsandwillbeaskingthemtoleave.
13 3/7/2020 17:04 Saturday 200304528 AssistFireDepartment PossibleOD,fireisenroute.GB'd,254clearingtorespond,
medicalaid.
SAPDCADIncidents2101E.1stStreet(CoprehensiveTreatmentCenter)ͲFullCallDetailsIncludingFieldActivityReports1/1/20Ͳ6/1/22
Date Time DayIncident#CallDescription FieldActivityReport
14 3/9/2020 11:43 Monday 200305652 NarcoticActivity
15transientsinthealleyinfrontofbusinessdoingnarcotics,
negativeweapons,CPCBadvisedthatsecurityhastriedto
removetransientsandrefused.Transientsinthemiddleof
drivewayblockingtraffic.CPadvisedsubjectshaveneedlesin
theirnecksstillshootingup.CBCPadvisedofdelay,subjectsleft
T22perCP.
15 3/9/2020 21:30 Monday 200305982 PatrolCheck Medicsformalewithfootinjuries.MobileCADassistfromUnit
332.
16 3/9/2020 22:52 Monday 200306028 TrespassinginProgress
4malesandfemalesinfrontofthemethodoneclinicandnear
sidedoor.CPgavevoicecommandsovercameraandsubjects
stillrefusedtoleave.
17 3/10/2020 4:35 Tuesday 200303096 UnknownTrouble
SecurityaskedCPtocallPD.Unknownwhatisgoingon.UCIPD
transferredasubjectrequestingmedicsforanelderlymalethat
fellatthislocation.Callerdisconnected.OCFAenroute.
18 3/11/2020 4:28 Wednesday 200306677 TrespassingͲTransient 10subjectsblockingentrancetobuilding,onesubjectisshooting
upheroin.
19 3/12/2020 0:34 Thursday 200307375 TrespassinginProgress
CPhas3subjectsdetainedandwantsthemT15'Dfor602.CPis
armedsecurity.CPinsideblackvehicletothefrontofthe
property.Subjectsarecooperative.
20 3/14/2020 9:09 Saturday 200308765 DisturbanceͲSubject
Approximately7patientsrefusingtoleaveproperty.Patients
havealreadybeentreatedanddirectorhasrequestedthemto
leave.Subjectsare415withsecurity.Negativeweapons.PerCP
subjectsleft.
21 3/17/2020 13:50 Tuesday 200310745 PedestrianCheck NoFieldActvityReportTaken
22 3/17/2020 22:32 Tuesday 200311017 PedestrianCheck NoFieldActvityReportTaken
23 3/19/2020 10:20 Thursday 200311805 DisturbanceͲTransient
4transientsoutsideofbusiness'frontdoorrefusingtoleave,
negativeweapons.Spoketoclinicalmanager,transientsleft
withoutincident.Businessasusual.
SAPDCADIncidents2101E.1stStreet(CoprehensiveTreatmentCenter)ͲFullCallDetailsIncludingFieldActivityReports1/1/20Ͳ6/1/22
Date Time DayIncident#CallDescription FieldActivityReport
24 3/30/2020 13:16 Monday 200318133 TrespassinginProgress
Malesubjectdetainedfor602P.Heisincuffs.MaleMiddle
Eastern,wearinggrayshirtwithstripes,grayshorts,vans.CPand
subjectaretowardthefrontofthecomplex.Subjectbeing
cooperative.ContactedCP,c4,subjectdetainedandcalmed
down.TheywillreleasehimpostPPI,ongoingissuewithmale.
25 4/9/2020 18:17 Thursday 200404961 PatrolCheck NoFieldActvityReportTaken
26 4/10/2020 15:34 Friday 200405410 TrespassinginProgress
MaleMiddleEastern,greencamoBBcap,blacksweaterwith
stripes,bluejeans,brownshoes.T21isforCPssecurity,com
dispatch,theycantransfertoCP.ContactedCPviat21who
statedGOAbutongoingissue.
27 4/13/2020 13:46 Monday 200407017 TrespassinginProgress
2malesi/cfor602,1handcuffed,1nothandcuffed,bothon
informalprobation.Subject#1mwyoung,whiteshirtblue
sweaterbluejeans,#2mwblacktshirtblackpants,CPadvising
heis417securityguardwillt23withbothsubjectsinfrontof
motel.CPCBwasadvisedofdelay.T22perCP.
28 4/21/2020 10:39 Tuesday 200412183 TrespassinginProgress
Maledetainedfor602andsellingnarcotics,maleishandcuffed
andiscooperative.CPisarmedsecurityinawhitecrown
victoria.CPCBtocheckstatus,maleisstillT97,advisedofdelay.
CPCBsubjectisyelling,wasadvisedofdelay.T22perCP.
29 6/8/2020 9:26 Monday 200604409 SilentRobberyAlarm Employeefromlocationcalledandadvisedaccidental,hewas
advisedtocontacthisalarmcompany.
30 6/13/2020 4:24 Sunday 200607264 AudibleBurgarlyAlarm
Coversinfaredconferenceroom,noreset,noRPenroute.Alarm
COCBrequiringupdateadviseofficerswereT97checkingthe
business.342:buildingwasC4Ͳeverythinglockedandnothing
outoftheordinary.T39toalarmcompany.
31 6/19/2020 20:26 Friday 200611771 PedestrianCheck NoFieldActvityReportTaken
32 6/19/2020 20:26 Friday 200611771 PedestrianCheck NoFieldActvityReportTaken(duplicatefromcallabove)
33 6/29/2020 9:33 Monday 200618171 NarcoticActivity NoFieldActivityReportTaken
SAPDCADIncidents2101E.1stStreet(CoprehensiveTreatmentCenter)ͲFullCallDetailsIncludingFieldActivityReports1/1/20Ͳ6/1/22
Date Time DayIncident#CallDescription FieldActivityReport
34 7/27/2020 7:59 Monday 200717096 TrafficAccident,UnknownInj.
2vehicletc,tryingtogetmoreinfo,grayorgreenToyotasedan
withmalewhoappearsU/Ior390,grayFordexplorer,CPpulled
intoSunlandmotel,driverofToyotagotoutofvehicleandleft
vehiclebehind.
35 8/4/2020 10:13 Tuesday 200802067 StolenVehiclePhoneReport
OCCRD5daysagoat2111E1ststreet,PerCPHwastakento
thehospitalandwhenhereturnedvehiclewasgone,logs
checked.CPadvisedhecheckedcameraswithhotelandOBS
subjectsthatwerestayinginahotelroomleavingwithvehicle
withoutpermission.
36 8/31/2020 13:05 Monday 200820281 PatrolCheck NoFieldActivityReportTaken
37 8/31/2020 13:32 Monday 200820297 DrunkDriver
2subjectsinjectingthemselveswithpossibleheroininagray
FordpickupL/SW/Bon1stStreetͲsubjectswere1maleand1
female.Was97atthetimethiscallcameout,didnotseevehicle
inquestion.
38 9/9/2020 17:20 Wednesday 200905575 NarcoticActivity
Severalsubjectsdoingnarcoticstotherearofchurch,perCP
continualproblem,NFDCPDISC.Subjectscleanedupafter
themselvesandleftpremises.
39 9/23/2020 13:42 Wednesday 200914191 TrafficAccident,NonͲInjury
BlueF250intobusinesswindow,CPadvisedwindowthatbroke
istoareathatholdscontrolledsubstancesandwillneedto
reportDEAandtheywillreqreport.
40 9/27/2020 16:46 Sunday 200916779 TrespassingͲTransient
HomelesssubjectisT97torearofBuilding,CPaskedhimto
leave,hejustnoddedhishead,MBafro,5'6"thinbuild,dirty
clothing.
41 10/6/2020 12:14 Tuesday 201003255 TrespassingJustOccurred
2subjectsonroofofthebuilding,NFD,CPwillingtosignfor602
ifneeded.T22subjectsoffnow,CPwillCBifheseesthemup
thereagain.
42 10/12/2020 21:25 Monday 201007271 TrespassingJustOccurred 10subjectstorearloiteringanddoingnarcotics,CPisconcerned
duetoconstant459and488,subjectsleftthelocation.
43 11/1/2020 19:37 Sunday 201100530 OutsideAgency503Recovery PPI'Dfrom2101E1st
SAPDCADIncidents2101E.1stStreet(CoprehensiveTreatmentCenter)ͲFullCallDetailsIncludingFieldActivityReports1/1/20Ͳ6/1/22
Date Time DayIncident#CallDescription FieldActivityReport
44 11/3/2020 7:56 Tuesday 201101241 WelfareCheck
Female37yearsold,wearingblackjacketandwhiteshirt,black
tights,blacksandals,femalewenttotheRRkeepsyelling.
Possiblyhasmentalproblems.Livesnextdoor,seemsconfused.
45 12/3/2020 4:33 Thursday 201201324 DisturbanceͲSubject
M/H,20s,browncheckeredjacket,greyshorts,nexttovehicle,
refusedtoleave,CPin2018grayToyotaCorolla.CPrequested
T22.OtherstaffmembersT97.
46 12/18/2020 17:05 Friday 201210158 StolenVehicleReport
CPwillbewaitingoutsideforresponse,211champHondaCRV.
Occurred2hrsago.Keysinvehicle,CPsaidthevehiclewasidling
andparkednearthesaddlebackon1st.CPwillT23onthe
sidewalkatblue/grayflannel&blackpants,CPstilldoesn'thave
aphone,sheborrowedanotherphone,CPwillbeatthe
methadoneclinicat2101E1st.
47 12/18/2020 19:15 Friday 201210236 OutsideAgency503Recovery
VehiclePPI'D2101E1stStreetͲwhite2door2012Merz
Sprinter:adviseROwherevehicleisat,seeifWestminsterwants
tosendCSI.STA47willnotbesendingoutCSI,oktoreleaseR/O.
R/OwillbeenrouteinwhiteToyotaTacoma,ETA20mins.
48 1/11/2021 6:42 Monday 210105504 NarcoticActivity
Malerefusedtoleaveandisusingnarcoticsontheproperty
(marijuanaandsmokingoutofapieceoffoil)atthemain
entrance.M/H20sgray/beigejacketblackjeansblackshoeswith
alighterandpipeinhand.Calledbacktocheckstatus,CPsaid
subjectisstillT97andrefusingtoleave.CPwasadvisedofdelay.
49 1/16/2021 0:30 Saturday 210108599 AudibleBurgarlyAlarm
Rearmotion,INST21714Ͳ542Ͳ3581,noansweronT21,
unknownreset,noRPenroute.Smasheddoorinthefront,need
2unitsonetothefrontandonewithK9.,T39alarmcompanyref
RP,theywillCB.AlarmcompanyCB,UTLanRP,noanswer.
AdditionalalarmactivationsisOFCRS.INSisclear,requested
boardup3ftby6ft.TYCOCBOPMichael,additionalactivationat
receptiondeskwithinfaredmotion.Alarmreset,advisedofficers
onscene.
SAPDCADIncidents2101E.1stStreet(CoprehensiveTreatmentCenter)ͲFullCallDetailsIncludingFieldActivityReports1/1/20Ͳ6/1/22
Date Time DayIncident#CallDescription FieldActivityReport
50 1/17/2021 15:19 Sunday 210109524 DisturbingthePeace
CPforafemaleinagrayNissanArcadiaparkedneartheclinic
whoapproachedCPaskingforassistanceingettinghermoney
backfromtheclerkatthehotel.CPwillnotbeattheloation,he
ismovingtoanotherlocationhepatrols.Noonematching
descriptionwas97,noflagdowns,GOA.CPwasT45andnow
returned,CPkeepssayingsheisatSunlandMotel,butthatisat
2111E1st,howevergivesthisaddress.UTL,noflagdown.
51 3/1/2021 12:36 Monday 210300282 SuspiciousSubject
1Ͳmale,blueshirt/bluejeans2ͲMWorHISP,30sinablack
Expedition.BothhavebeenT97for30mins,shouldn'tbeT97.
Subjectsareintheparkinglot.Somepeopleareknowntocome
bytogetnarcoticsthenleave.CPnolongerT97Ͳcannotconfirm
ifsubjectsleft.
52 3/6/2021 6:36 Saturday 210303382 DisturbanceͲTransient
MalewhiteToyotaSienna4CBZ743,M/W25yearsold,burgandy
hoodie,blackpants,sandals,standingoutsidethevehicle,
screaminganddisturbingthepeace.CPCBadvisedsubjectis
attemptingtopushthewhiteToyotaSiennaintothestreet,but
vehicleisnotworking.CPCBandadvisedofdelay,CPadvised
subjectisstillT97,subjectisgettingagitated.CPadvisedcitizen
istryingtohelpsubjectjumpstarthisvehicle,CPadvisedsubject
isblockingtheentranceandhe'sharassingemployees.CPCB
advisedofdelay.CPadvisedsubjectispushingwhiteToyota
Siennaandisalmostoutofthedrivewayarea.PerCP,vehicle
willcausea909Tifitgoesmuchfurtheroutofthedriveway.CP
wasadvisedofficersareenroute.
53 3/8/2021 6:25 Monday 210304569 DisturbanceͲSubject
MaleUIofMeth,throwingaTVintotrafficlanes,MWgray
sweater,bluejeans,noshoes.UTLdoesCPstillwantcontact.CP
makingcontact
54 3/11/2021 10:57 Thursday 210306528 TrafficStop NoFieldActivityReportTaken
SAPDCADIncidents2101E.1stStreet(CoprehensiveTreatmentCenter)ͲFullCallDetailsIncludingFieldActivityReports1/1/20Ͳ6/1/22
Date Time DayIncident#CallDescription FieldActivityReport
55 3/13/2021 5:58 Saturday 210307630 DisturbanceͲTransient
Maletofrontofbusiness415withemployeeandhasallhistrash
out.MW60years,blacksweatshirt,blackpants,negative
weapons,appears5150.Contactedmalesubject,advisedhim
nottoloiteratbusiness,subjectmovedtopublicsidewalk,
subjectstatedtrashwasnothis,advisedCPtrashwasnot
subjectsandtheycoulddisposeofit.
56 4/15/2021 1:54 Thursday 210408893 AudibleBurgarlyAlarm CoversGRP1ExamOFCMotion,unkreset,RPpending.
57 4/27/2021 13:46 Tuesday 210416444 AssistFireDepartment
Femalerefusingtoleave,FHgraysweatshirt,blackpants.CP
advisingbusinessisclosedandfemaleisnotleavingthe
property.Firecallingadvisingtheyareenrouteforfemalewith
mentalissuesandhavingwithdrawls.GB'D
58 5/7/2021 11:20 Friday 210504024 BatteryJustOccurred
Clientbeingaggressivewithstaff,M/Hblackhat,black
windbreaker.415andisundertheinfluence.Heisbeingaskedto
leaveandheisrefusing,arguingforhisdose.Advisedsubjectis
still415withstaff.Advisedmaleisext390.CPadvisedsecurity
peppersprayedaclient.ClientͲRalphM/H40yearsold,blue
baseballcap,noshirt,perCPnegativemedics.CPCBandadvised
theyarerequestingmedicsCPisspeakingtoOCFA.Supervisor
forsecuritycompanyadvisedheisnolongerT97butofficercan
contacthim.
59 5/8/2021 9:48 Saturday 210504596 FollowͲup NoFieldActivityReportTaken
60 5/12/2021 10:14 Wednesday 210506947 AssistFireDepartment
FirerespondingtoanODintheparkinglot,nofurtherdetails.
TheyarerequestingPDalsorespond.SofarUTLinanyparking
lot.Advisingtheycleared,patientleftTEareaT22.
61 5/13/2021 7:23 Thursday 210507555 FollowͲup NoFieldActivtyReportTaken
62 5/13/2021 13:41 Thursday 210507753 PedestrianCheck InparkinglotofSunlandMotel
63 5/14/2021 13:49 Friday 210508377 PatrolCheck NoFieldActivityReportTaken
SAPDCADIncidents2101E.1stStreet(CoprehensiveTreatmentCenter)ͲFullCallDetailsIncludingFieldActivityReports1/1/20Ͳ6/1/22
Date Time DayIncident#CallDescription FieldActivityReport
64 5/22/2021 8:50 Saturday 210513119 SAMCͲTransient
15subjects,blockingentrance.Continualproblem.CPsaysthe
drivewayistheentrancetoSunlandMotelandComprehensive
Center.Subjectsmakeitdifficulttogetinandout.CPwasthere
drivinghersontothecomprehensive,samethinghappened
yesterdayandshealmostTC'dintoanothervehicle.Subjects
advisednottoblockdriveway.
65 5/23/2021 8:32 Sunday 210513722 VehicleOBS Unitclearedfromincident
66 6/1/2021 20:03 Tuesday 210600611 AssistFireDepartment FireenrouteformaleOD'GFentanyl,conscious/breathingout
frontofT20.FireETA2minsout.Narcanadministered.
67 6/3/2021 13:43 Thursday 210601681 PersonDown
Subject"rolling"onthesidewalkandatonepointhewasonthe
streetͲM/Wbrownhair,grayshirt,andbluejeans.Subject
possiblyUI.T39toOCFA.Anothercaller,subjecthadbeenseen
walkinginthelanesandnowdownthesidewalkinfrontofsome
rosebushes,appearsUI.Lookslikethereisacrowdaroundhim.
Unconciousbutbreathing.Subjectawake,extremelyUI.
68 6/14/2021 12:39 Monday 210608338 NarcoticActivity
BrightblueortealSaturn2Dparkedintheparkinglot,6Ͳ7
subjectshavebeenseenapproachingthevehicleandmakean
exchange.
69 7/9/2021 8:14 Friday 210705882 RobberyReport
OCCRD2hrsagoͲ#1FH30swhiteshirt,bluejeans,was417with
knife,#2FH40swearingblacksweater,blackpants#3male,NFD
ͲCPborrowedphonetocallͲownerofphoneisleaving,CPwill
T23infrontofclinic,wearingblackshirt,blackjeans.LossͲcell
phoneandwallet.UTLCP,noreportsmadetohim.
70 7/16/2021 10:26 Friday 210710614 NarcoticActivity
2femalesoutfrontoflocaitonusingnarcotics,CPwasdrivingby
NFD.CPconcernedforchildrenpassingby.AreacheckedGOA.
NoBWCorcontact.
71 7/16/2021 22:27 Friday 210711079 AssistFireDepartment
OCFAgave34theinfobutit'sours,they'reS2foranOD,2
narcanshavealreadybeenadministered.CheckedwithOCFA,
they'reonscenenow.MaleC4beingtransferred.
72 7/17/2021 8:31 Saturday 210711294 VehicleOBS NoFieldActivityReportTaken
73 8/8/2021 9:27 Sunday 210804358 PedestrianCheck MobileCADassistfromunit135
SAPDCADIncidents2101E.1stStreet(CoprehensiveTreatmentCenter)ͲFullCallDetailsIncludingFieldActivityReports1/1/20Ͳ6/1/22
Date Time DayIncident#CallDescription FieldActivityReport
74 8/26/2021 13:07 Thursday 210815442 DisturbanceͲSubject
Femalewhite34yearsold,pinktanktop,lightbluepants,female
415overnotreceivinghermeds,negativeweapons.Nowhave
anopenline.Femaleaudible415verbal.Stillhaveanopenline,
female415overtimedelay.CPheardhersaying"theyareon
theirway."415overmeds.Disclineatt'ingCB.Femaleisnot
currentlyphysical.CPadvisedcallpending.AdditionalCP
reportingthesame,advisedofcall.FemalewasGOA,advised
securitytocallPDifshereturns.NoBWC.
75 9/1/2021 12:55 Wednesday 210900324 PedestrianCheck 2101E1st,atscene
76 9/21/2021 13:30 Tuesday 210912833 Incomplete911CallReceived
CPreceived911callreferencea415malethatwasrefusingto
leave.Callerdidtrycallingback,goestoVM.GB'D.UTLͲBuilding
islockedandsecure,nooneflaggingdown.
77 10/2/2021 5:39 Saturday 211000763 DisturbanceͲTransientMaletransientsrefusingtoleavetheproperty,campedout.
SubjectsGOAandnoBWC.
78 10/7/2021 9:58 Thursday 211004126 NarcoticActivity
7subjectsdoingnarcoticsonthen/ssidewalkof1stnearthe
SunlandMotel.Noweaponsseen.CONTDsubjectsinformedof
SAMCblockingsidewalk,subjectsleftwithoutincident.
79 10/8/2021 12:54 Friday 211004968 NarcoticActivity
2femalesand2malessmokingnarcoticsfromfoilinfrontof
businessfacing1st.Maleblacksweater,malewhiteshirt,female
graytanktop,femalewhitesportsbra.
80 10/12/2021 12:52 Tuesday 211007520 NarcoticActivity
3malesand3femalesonthesidewalkdoingnarcotics,2MB's
and1MHand1FHallwearingblackclothing.Thereisamale
standinginthestreet.Subjectnowbackonthesidewalk.
81 10/12/2021 16:42 Tuesday 211007659 NarcoticActivity MBand4MH'susingnarcoticsnearSunlandMotelandCPS
building.Subjectsleavinguponarrival.
82 10/13/2021 11:45 Wednesday 211008140 NarcoticActivity
4malesand1female#1MW,blackangelscap,#2MWgray
sweater,brownpants,#3femaleblackjacketwithstripes,#4
femalepurpleshirt/hasbike.Subjectsdoingmethusing
aluminumfoilLSneartheCP'swindowon1stStreet.
SAPDCADIncidents2101E.1stStreet(CoprehensiveTreatmentCenter)ͲFullCallDetailsIncludingFieldActivityReports1/1/20Ͳ6/1/22
Date Time DayIncident#CallDescription FieldActivityReport
83 10/22/2021 11:28 Friday 211013720 DisturbanceͲSubject
STA10Transfer,CPadvisingexpatientwasT97andrefusingto
leaveperCPsubjecthadbeenescortedoffpropertyandhasnow
returnedinparkinglot.CPwasaskedifsubjecthadanyweapons
CPsaidshedidnotknowhecouldbutnonewereseen.WhenCP
wasaskedtocalladminline,CPbecameextremely415.CP
extremely415uncooperativeandDISC.Patientverbally415with
staffandindicating"theyaregoingtogettheirs"M/HJoel30s
wearingblacktopandgraypants,hesuffersfrom
schitzophrenia,negativeonweapons.SpokewithCP/Recovery
Solutions,statedsubjecthasbeenongoingproblemandwould
likeofficerstotellsubjectheisnolongerwelcomeonproperty.
CP/Businesswillingtosign602infutureifsubjectisnotwilling
toleave.Subjectwasnotonsceneuponmyarrival.
84 10/26/2021 8:33 Tuesday 211016086 AssistFireDepartment
FireisenroutetoparkinglotͲpossibleOD.Maleinparkinglotis
breathing,narcangiven.Heroineuser.ThereisaLVNnurseT97
withmaleinparkinglot.
85 11/3/2021 10:18 Wednesday 211101482 AssistFireDepartment
Useuniversalprecaution.PerWCsend2units.1/2gramof
fetanylfoundbyemployeeatT20.Officerstodisposeoffetanyl.
Perfirechief,theydonotdisposeoffetanyl.
86 11/3/2021 11:19 Wednesday 211101252 OfficerFlaggedDown NoFieldActivityReportTaken
87 11/5/2021 9:48 Friday 211102815 SilentRobberyAlarm
Holdupalarmcoversfrontoffice.FYIfireisenroutetoT20will
calltoconfirmifrelatedGB'D.Callinginsidenow.Correctionfire
enrouteto2201not2101.Unabletogetthroughtoliveperson.
Onholdwithphonetree.Gotthroughtolivepersonwhoisnot
onsite.UnabletoconfirmC4.EmployeeonT21,advisingno
emergency.Correctionnowadvisingthereissomeoneonthe
roof.CPwasjustinformed.Previouspatientontheroofnow.
Persecurityguard,maleontheroofpossiblyusingnarcotics,no
accessonthebuilding,willneedOCFAforaladder.Subject
possiblyclimbingdown.
88 11/7/2021 8:19 Sunday 211103960PedestrianCheck Outwith2,ok,unitclearedfromincident.
SAPDCADIncidents2101E.1stStreet(CoprehensiveTreatmentCenter)ͲFullCallDetailsIncludingFieldActivityReports1/1/20Ͳ6/1/22
Date Time DayIncident#CallDescription FieldActivityReport
89 11/9/2021 8:42 Tuesday 211105097 PatrolCheck 2101E.1stStreet.MobileCADassistfromUnit135.MobileCAD
assistfromunit133
90 11/10/2021 12:10 Wednesday 211105942 Disturbance,FamilyFight
Secondhandfromstation10,malereporting415between
motherandson,callerdiscduringtransfer,noansweronCB.
GBD.BothsubjectswereGOA.Advisedanemployeetocallback
ifsubjectsreturned.
91 11/10/2021 12:23 Wednesday 211105951 PatrolCheck NoFieldActivityReportTaken
92 11/12/2021 14:02 Friday 211106984 NarcoticActivity Groupof6transientscampedoutinfrontofentranceand
smokingmethͲCPunabletoenter.Subjectsleftlocation.
93 11/13/2021 7:50 Saturday 211107741 PatrolCheck NoFieldActivityReportTaken
94 11/15/2021 7:10 Monday 211108913 PatrolCheck NoFieldActivtyReportTaken
95 11/16/2021 7:34 Tuesday 211109539 PatrolCheck Complaintsoftransients602onproperty
96 11/16/2021 9:39 Tuesday 211109600 NarcoticActivity
Groupofabout9subjectsinfrontofT20,onthegrass,smoking
narcotics.8malesand1female.2subjectslookliketheyare
abouttopassout.CPCBadvisedofdelay,now15subjectsT97.
Allsubjectsleft.
97 11/16/2021 20:03 Tuesday 211109924 AudibleBurgarlyAlarm CoversZone14,medication,noreset.Buildingsecure.
98 11/17/2021 9:02 Wednesday 211110174 CommercialBurglaryReport Occurredlastnight.CPhasvideoofsuspectNFI.
99 11/25/2021 23:26 Thursday 211115850 SuspiciousSubject
ViacamerasͲ10subjectsyankingonthedoortothebusiness.3
subjectsbydoor,otherscrowdingthem,black4doorsedannear
them.PrivatesecurityforSoCalpublicsafetyenrouteinan
unknownmakeblackvehicle.Subjectsdisbursed.
100 11/26/2021 10:59 Friday 211116061 AssistFireDepartment
GreenFordwithsometypeofchemicalinsidethevehicle,RP
beinguncooperativewithOCfireaboutwhat'sinside.Theyarein
frontofthisT20.***acidorchemical.GB.AssistedSta91no
crime.
101 11/29/2021 10:20 Monday 211117548 NarcoticActivity
5maletransientsusingnarcoticsoutsidebusinesswindow.
Subjectsdispersed,didnotseeanyuseofnarcotics.IncidentreͲ
opened,CPCBadvisedsubjectsareT97andusingnarcotics
again.Subjectsdisbursed.
102 12/1/2021 7:17 Wednesday 211200101 PatrolCheck 2101E.1stStreet.2Backedup132and136
SAPDCADIncidents2101E.1stStreet(CoprehensiveTreatmentCenter)ͲFullCallDetailsIncludingFieldActivityReports1/1/20Ͳ6/1/22
Date Time DayIncident#CallDescription FieldActivityReport
103 12/4/2021 12:23 Saturday 211202183 AssistOutsideAgency 1Sta34outwithSta34fortransportedtransient,property
storage.
104 12/7/2021 6:58 Tuesday 211203848 PatrolCheck 1132Startfire,male,unresponsive,butbreathing.
105 12/8/2021 7:28 Wednesday 211204465 PatrolCheck 1PC602complaint.
106 12/17/2021 10:19 Friday 211209928 NarcoticActivity
Transientsinfrontofbusiness,doingdrugs,3MHand3MW.2
onthe1ststreetside.Sta34isintheparkinglotconductinga
961.4nonarcoticsobserved,subjectcontactedinthearealeft.
107 12/23/2021 6:41 Thursday 211213305 NarcoticActivity
3malesand2femalesdoingnarcotics.2hispanicmales,1FW1
FH.CPadvisedtheyareongrassrightoutsideherwindow.5
subjectsleftwithoutincident.
108 1/3/2022 11:32 Monday 220101091 Hit&RunofParkedVehicle
6CPinawhite'19VolkswagenJetta,suspectvehicleisawhite
miniSUVpossiblyaHyundai,driverwasfemale.Occurred45
minutesago.CPwillT23intheplotwheretheTCoccurred.CP
advisedsuspectdriverprovidedafalseinsurancecard.
109 1/10/2022 16:18 Monday 220105203 PedestrianCheck NoFieldActivtyReportTaken.
110 1/15/2022 15:10 Saturday 220108333 PatrolCheck Enroute,atscene,unitcleared.
111 1/15/2022 15:11 Saturday 220108334 PatrolCheck Enroute,atscene,2101E1st,unitcleared.
112 1/21/2022 19:19 Friday 220112165 PedestrianCheck MobileCADassistfromunit244,backedup242with244.
SAPDCADIncidents2101E.1stStreet(CoprehensiveTreatmentCenter)ͲFullCallDetailsIncludingFieldActivityReports1/1/20Ͳ6/1/22
Date Time DayIncident#CallDescription FieldActivityReport
113 1/22/2022 23:12 Saturday 220112891 AssistFireDepartment
FirestagingͲmalewithhandlaceration,possiblechestinjury,
andwereunabletogatherfurtherfrommultipleCPS,justheard
mentionofstabbing.OneCPadviseditwasanaccidentandall
otherCPSwerenotansweringquestions.3CPadvisedthatshe
hadNFD.1MRbrownreportssomeonewasjuststabbedandis
929.AlsostateditwasattheSunlandbutthatis2111E1stSt.
Noanswerforthemalewhocalleditin.CallreceivedviaSta10
whotransferredhimtofireandthencalleduswiththeinfo.
SecondarylocationSunlandMotel2111E.1stStreet.Noanswer
forCPMRbrowntogatherfurtheron929victim.Alotofblood.
OCFAstillstaging,advisedtheygotnothingfurtherforsuspects,
onlythevictiminfoearlierprovided.Victimstateditwas
accidental.RelatedtoRecoverySolutions,accidentalinjury.
OCFAtoT22.Pervictim,cuthimselfwhileworkingonbicycle.All
partiesstatedthecutwasaccidental.
114 2/1/2022 9:20 Tuesday 220200192 NarcoticActivity 2femalesand6malesusingnarcotics.Allhomelesssubjects.
TransientsPAWC'Dandclearedthearea.
115 2/11/2022 7:15 Friday 220206832 DisturbanceͲTransient8transientsloiteringbytheentrancetobusiness.Negativeon
weapons
116 2/15/2022 7:54 Tuesday 220209212 TrespassingͲTransient
Approximately10transientsinthealleyportionoftheparking
lotblockingtheexitto1stStreet.PerCPtheyhavealarge
encampment.
117 2/16/2022 6:16 Wednesday 220209838 DisturbanceͲTransient12transientsblockingalleyandyelling,CPadvisedsubjectsare
verydisruptive.Noweaponsseen.
118 2/17/2022 12:08 Thursday 220210753 SAMCͲTransient Multipletransientssettingupanencampmentinthealley,seen
dailyperCP.MultipleCFSatT20referencesame.T39Citynet.
119 2/18/2022 18:06 Friday 220211600 PatrolCheck Enroute,atscene,2101E1st,unitcleared.
120 2/18/2022 21:47 Friday 220211773 PedestrianCheck NoFieldActivityReportTaken
121 2/19/2022 9:06 Saturday 220211985 TrespassingͲJustOccurred
CPdrovethroughareaobservednumeroussubjectsloiteringon
thesidewalkandparkingareaoflocation,appearedtobe
homelessordrugaddicts.4subjectsagreedtoleavearea.
SAPDCADIncidents2101E.1stStreet(CoprehensiveTreatmentCenter)ͲFullCallDetailsIncludingFieldActivityReports1/1/20Ͳ6/1/22
Date Time DayIncident#CallDescription FieldActivityReport
122 2/22/2022 11:56 Tuesday 220213803 DisturbanceͲSubject 10transientsintheparkinglot415witheachotherallday.One
subjectisalsointhedumpsterarea.
123 2/23/2022 6:02 Wednesday 220214227 TrespassingͲTransient
Transientsloiteringinthealleybeing"rowdy,"approximately7
transientsareT97,somehavepocketknivesonthem,buthave
notusedthemasweapons.Theyareshootingupandrefusingto
leave.Subjectspickedupbelongingsandleftthearea.
124 2/24/2022 7:59 Thursday 220214965 SAMCͲTransient
Transientsonthepropertyinthealleywayandneardumpster
area.CPhascalledCityNetseveraltimesandnegativeresults.
Subjectsaresettingupcampandcausingmajor415between
eachother
125 2/24/2022 8:30 Thursday 220214994 DisturbanceͲTransientSubjectslivinginthedumpstersrefusingtoleave.8Ͳ9subjects.
CPadvisingtrashtruckisunabletopickupthetrash.
126 3/1/2022 11:04 Tuesday 220300277 NarcoticActivity
SubjectsinparkinglotdealingnarcoticsfromawhiteFord
TransitVan.CPrequestcontinuedREFsubjectsintheparkinglot,
allofthemhigh.Vehiclejustleft.CPdidn'tseewhichdirection
fromthemethadoneclinic.
127 3/5/2022 8:13 Saturday 220302759 NarcoticActivity
2malesinwhiteSprintervanunkownplatesellingnarcotics
since0400hrs.CPcanseesubjectscomingandgoingfromthe
van.CPhadNFI.
128 3/5/2022 8:51 Saturday 220302766 KeepThePeace
CPsounds925,advisedthathermethadoneislacedwithfetanyl
andwantstochangeitforanewone.Securityisnotlettingher
inside.CPwillT23inparkinglot,wearingagoldcoat.CPwantsa
919togetinsideandexchangeherunopenedmeds.CPCB
advisedofdelay.CPCBupsetoverwaittime,saidsomething
aboutsuicideandDISC.Atscene,haveCPsteppit.IsB/OCP.
SubjectGOAnoflagdown.
129 3/5/2022 10:33 Saturday 220302803 NarcoticActivity
Subjectissellingnarcoticsfromawhitevan,vehicleispossibly
occupiedby2subjects,CPadvisedothersubjectsusingnarcotics
inaLKFordͲNegativeonweapons.CPadvisedofdelay.CPisno
longeratthebusiness,unknownifvehicleisstillT97.
SAPDCADIncidents2101E.1stStreet(CoprehensiveTreatmentCenter)ͲFullCallDetailsIncludingFieldActivityReports1/1/20Ͳ6/1/22
Date Time DayIncident#CallDescription FieldActivityReport
130 3/9/2022 6:37 Wednesday 220304857 TrespassingͲTransient 11transientsloiteringinparkinglotofbusiness,noweapons
seen.CityNetwillhandle.
131 3/12/2022 7:50 Sunday 220306831 DisturbanceͲSubject
1MWhittinghisheadonconcretefloor,soundsU/I.Malevery
audibleonT21sayingsomeoneisouttogethim,soundsvery
5150.Malelayingonthegroundthrowinghisheadback,has
bloodonhisface.T39fireperCP.
132 3/17/2022 12:48 Thursday 220310087 PedestrianCheck 813Aatscene,813Aoutwith2.4CUO/OBS
133 3/26/2022 9:33a.m. Saturday 220316110 PettyTheftFromVehicleReport
Occurredapprox30minutesago,walletwasstolenfromvehicle,
nosuspectinfo.CPT23wearingbeigeflannel,grayshorts,blue
tennisshoes,CPCBadvisedofdelay.CPadvisedsubjectswerein
aFordMustangwhotookhiswallet,noforcewasused.HaveCP
indrivewayparkinglot.CPforgothisT21,heisenroute1block
away.CP'sT21wasansweredbyhisGF.
134 3/29/2022 11:51 Tuesday 220318014 DisturbanceͲTransient
CPaskedMHblackshirt,blackpantsorcutoffshortstoleave
thepropertyandhebecame415,toldCPhewasgettinghisgun
ifhedidn'tleavehimalone.Noweaponseen,subjectisstill
standingoutthere,NFD.Transientsinthearea,nonematching
thedescriptiongivenbytheCP,triedcontactingCPbuthedid
notanswer.VMleftwithdispo,C4.
135 3/30/2022 7:41 Wednesday 220318528 DomesticViolence
Femaleheardyellingatboyfriendjust242'Dherandthemale
wasseenpushingthefemaleintoavehicle.BlueToyotaCorolla.
CPnolongerT97.UTLsubjectsnolongeratscene,willconduct
areacheck.
136 3/31/2022 7:57 Thursday 220319319 NarcoticActivity
SubjectsusingnarcoticsinfrontofT20,2MH,#1lightblueshirt,
#2unknowndescription,#3MWglasses,tall,blackhooded
jacket,CPwantsCONT.HaveCPstepout.CPadvisingsheisback
enroute,5minETA.Transientsleftthearea.RefusedCityNet
assistance.
137 4/11/2022 10:27 Monday 220406598 PatrolCheck Enroute,atscene,cleared.
138 4/14/2022 8:23 Thursday 220408439 DisturbanceͲTransient
12transientsblockingthealleywayandtheyappeartobeusing
narcotics,negativeonweapons,CPaskedsubjectstoleaveand
theyrefused.SubjectsGOA,alleyclear.
SAPDCADIncidents2101E.1stStreet(CoprehensiveTreatmentCenter)ͲFullCallDetailsIncludingFieldActivityReports1/1/20Ͳ6/1/22
Date Time DayIncident#CallDescription FieldActivityReport
139 4/14/2022 13:50 Thursday 200408651 PatrolCheck Atscene2101E1stStreet.Enroute.Unitcleared.
140 4/16/2022 12:25 Saturday 220409954 PatrolCheck 2101E1stStreet,enroute,atscene,unitcleared.
141 4/18/2022 15:29 Monday 220411347 PatrolCheck Enroute,atscene,2101E1st,advisedof602,unitcleared.
142 4/21/2022 19:14 Thursday 220413489 PedestrianCheck 2101E1stStreet,enroute,atscene,closed.
143 4/25/2022 8:42 Monday 220415743 PatrolCheck Enroute,atscene,unitcleared.
144 4/25/2022 12:05 Monday 220415859 InjuredAnimal Injuredmallardduckontheproperty,injuredanimalimpound,
duck.
145 4/25/2022 12:33 Monday 220415874 PatrolCheck 2101E1stStreet,requestedcasenumbers,enroute,mobileCAD
assistfor812A,atscene,cleared.
146 4/29/2022 9:41 Friday 220418532 PatrolCheck 2101E1stStreet,enroute,atscene,unitcleared.
147 5/2/2022 11:40 Monday 220500878 PedestrianCheck 2101E1stStreet,enroute,atscene,requestedcasenumbers,
unitcleared.
148 5/3/2022 7:05 Tuesday 220501392 DisturbanceͲTransient
Severaltransientsrefusetoleave,subjectsareblockingthe
entrancenotmovingforincomingvehiclesandpedestrian
traffic.SubjectswereGOA.QOLTadvisedsubjectsleftprior,
standingbyforcleanupcrew.
149 5/4/2022 2:53 Wednesday 220501392 NarcoticActivity
MaleOD'Gnotbreathing,CPonT21withFire,GBD.Subjectnot
breathing/blueandwasadministerednarcantwice,male50s.CP
advisingfire5subjectsdoingCPR.FiretellingCPtowalkoverto
subjectsdoingCPRtomakesureCPRisbeingdonecorrectly.CP
advisingsubjectsnowbreathing.STA34alsoreceivedacall.CP
discasfirewasaskingquestions,CPstatedsubjectwassittingup
thenseveralsubjectsheardinbackgroundCPsaidOHthendisc.
FireCB,theywillbestaging.Calleradvisedsubjectwokeupand
triedtopunchsomeone.Firecanenter.Subject
concious/breathing.Firetoenter.
150 5/6/2022 20:43 Friday 220503987 PatrolCheck 2101E1stSt.,enroute,atscene,unitcleared.
SAPDCADIncidents2101E.1stStreet(CoprehensiveTreatmentCenter)ͲFullCallDetailsIncludingFieldActivityReports1/1/20Ͳ6/1/22
Date Time DayIncident#CallDescription FieldActivityReport
151 5/11/2022 4:41 Wednesday 220506685 DisturbanceͲTransient
Maletransientsstartedabonfireinparkinglotofbusiness,per
CPmedicsnotneeded,verysmallfire.Subjectsnowsettingup
anotherbonfire.Nofireobservedwhenonscene.Spoketothe
CPwhostatedthetransientswereusinghandsanitizertostarta
smallfire.Alltransientspawc'dandlefttheparkinglot.
152 5/11/2022 12:38 Wednesday 220507003 PersonwithaDeadlyWeapon
Maleis417'Daknifeatsecurity.MaleisICandhandcuffed.Male
415inthebackground.KnifeisonthehoodofCP'svehicle.Male
inthebackgroundwasyellingthathedidn'tdoanythingandnot
tocallPD.CPCBͲadvisedmalegettingmore415andpeopleare
outwatchingthem,clinicsupervisortellingCPtojustlethimgo,
advisedofficerenrouteͲmalesame415inbackground.Subject
wasPAWC'Dfortrespassingandadvisednottoreturn.
153 5/16/2022 12:22 Monday 220510174 PatrolCheck 2101E1stStreet,enroute,atscene,incidentclosed.
154 5/17/2022 9:33 Tuesday 220510794 DisturbanceͲTransientTransientsloiteringbythedrivewayintotheparkinglot,no
weaponsseen,refusingtoleave.CPtookcareofit.
155 5/18/2022 7:38 Wednesday 220511413 DisturbanceͲTransient
4Ͳ5transientsinfrontofthebusinessandapproximately10in
thealley.2subjectsusingfentanyl.CPadvisedtheyarenot
patients.CPspatientsarenotabletogetintothebuilding.
156 5/19/222 7:56 Thursday 220512130 DisturbanceͲTransientTransientsloiteringinfrontofbusinessandinthealley,subjects
areusingnarcotics.Subjectsareattendingtherehabcenter.
157 5/22/2022 12:31 Sunday 220514123 PedestrianCheck Atscene,dmvrecordforlawenforcementuseonly,atscene,
unitcleared.
158 5/22/2022 17:49 Sunday 220514273 VehicleOBS Query244A,returnregvalid,incidentclosed.
159 5/23/2022 9:09 Monday 220514615 NarcoticActivity 7malesand2femalesinalleysmokingnarcotics,ATTCBtoCP,
noanswer,enroute,GOAtrashsubmittedtoSantaAnaAPP.
160 5/24/2022 4:49 Tuesday 220515157 TrespassingͲTransient
6transientsintheparkinglotloiteringaroundafire.PerCP,itis
acontainedwarmingfire,noweaponsseen.Subjectsgathered
theirbelongingsandleftthearea,nofireobserved
SAPDCADIncidents2101E.1stStreet(CoprehensiveTreatmentCenter)ͲFullCallDetailsIncludingFieldActivityReports1/1/20Ͳ6/1/22
Date Time DayIncident#CallDescription FieldActivityReport
161 5/26/2022 8:24 Thursday 220516600 DisturbanceͲTransient
Approximately12subjectsshootingupdoingnarcotics,refusing
toleave,noweaponsseen,allsubjectsintheparkinglot.
Subjectsleft.
162 5/28/2022 12:44 Saturday 220518081 PatrolCheck Enroute,atscene,unitcleared.
163 5/30/2022 11:04 Monday 220519236 PedestrianCheck Atscene,unitclearedfromincident,incidentclosed.
164 6/1/2022 4:44 Wednesday 220600065 DisturbanceͲTransient
Transientona"badtrip"pertheCP,he'sbanginghisheadonthe
groundandyelling.M/H,5Ͳ02,20swearingbluebuttonupshirt,
bluepants.CPadvisedhedoesn'tappeartobeinjured.
ATTACHMENT J
SANTA ANA POLICE CALLS FOR SERVICE
SUMMARY & DETAILS
2111 E. FIRST STREET
&
2031 E. FIRST STREET, SANTA ANA
46
25
13 12 11
887 6
444333332222222111111111111111
0
5
10
15
20
25
30
35
40
45
50
2111 E. 1st Street͢®ƷŪşñŪėsŵƯğşͣ
All Incidents from 1-1-20 through 1-1-22
Total Incidents: 192
SAPD CAD Incidents 2111 E. 1st Street (Sunland Motel) - Full Call Details Including Field Activity Reports 1/1/20 - 1/1/22
Date Time Day Incident # Call Description Field Activity Report
1 1/3/2020 14:30 Friday 200101379 Pedestrian Check Enroute, at scene, available, incident closed.
2 1/3/2020 21:52 Friday 200101653 Assist Outside Agency
Check for a blue Honda Civic 2015, If T97, T21 CP. No contact is
necessary. Suspect left Irvine around 2000hrs. Check if suspect
vehicle is T97. Suspect is, MH Bro/Grn 5'6", 165lb, unknown
clothing. No weapons, unknown if under influence. Incident
closed. Vehicle not in parking lot.
3 1/5/2020 15:13 Sunday 200102617 Pedestrian Check No Field Activity Report Taken
4 1/5/2020 22:55 Sunday 200102825 Traffic Stop No Field Activity Report Taken
5 1/10/2020 20:45 Friday 200106096 Narcotic Activity
5 gangmember types loitering in the back near the stairs. They
are doing narcotics and tagging. No weapons seen. CP would not
answer further and H/U. Subjects 97 not involved.
6 1/11/2020 2:15 Saturday 200106257 Patrol Check No Field Activity Report Taken
7 1/16/2020 10:11 Thursday 200109515 Pedestrian Check Enroute, at scene, incident closed.
8 1/17/2020 10:32 Friday 200110233 Welfare Check
CPS 24 year old son, MH blue hoodie, black pants, has a plastic
cast on his foot, threatening to kill girlfriends family after she
committed suicide on Tuesday. He is staying in the parking lot of
the hotel. Also hearing voices telling him to commit suicide,
subject admits to being on cocaine. CP will be in a silver 4-door
Honda Accord and will be standing by at 1st/Golden Cir where
the old Flame Broiler is, son will be in a green 98 chevy suburban.
CP now advising son may be with another male, also saying they
may be armed with a gun as he was concerned for his safety and
told CP he was going to get a gun. Callback task request UTL at
flame broiler, please call CP back. CP just keeps telling me to "say
again" and hung up. Male who answered phone is employee at
Sunland. Knows nothing about this call. Son is GOA, advised
family to locate and take him to the hospital reference his
mental health.
9 1/18/2020 13:02 Saturday 200110977 Disturbance - Subject
Occupants in room 120 are refusing to leave. 4-5 subjects are
inside. They were supposed to check out at 11. CP is in the front
lobby. CP saw needles in the room on the table.
SAPD CAD Incidents 2111 E. 1st Street (Sunland Motel) - Full Call Details Including Field Activity Reports 1/1/20 - 1/1/22
Date Time Day Incident # Call Description Field Activity Report
10 1/20/2020 9:45 Monday 200112056 Petty Theft Report
CP advised he met male last night and allowed him to stay night
in room and subject stole his cell phone and cash. Said subjects
still T97 in area but keeps saying "I don't know" for every
question. CP said he did not want the subject arrested and just
wanted phone back. Not desirous of prosecution. CP 925 about
how he knows the subject. CP was advised an area check would
be conducted. CP was S2 to metro PCS to deactivate phone. Area
check was UTL.
11 1/22/2020 11:36 Wednesday 200113345 Disturbance - Music
Samonas subjects playing loud music from vehicle, CP refused to
answer further and hung up.
12 1/22/2020 19:01 Wednesday 200113683 Vehicle OBS No Field Activity Report Taken
13 1/22/2020 23:38 Wednesday 200113813 Vehicle OBS No Field Activity Report Taken
14 1/22/2020 23:38 Wednesday 200113813 Vehicle OBS No Field Activity Report Taken (duplicate from above)
15 1/24/2020 21:27 Friday 200115221 Vehicle OBS Pending record insurance status not checked. Incident closed
16 1/25/2020 3:07 Saturday 200115371 Vehicle OBS Registration valid, incident closed.
17 1/25/2020 17:18 Saturday 200115717 Disturbance - Music Subjects drinking and have loud music from unknown vehicle.
18 1/30/2020 12:55 Thursday 200118770 Pedestrian Check Enroute, at scene, incident closed.
19 1/30/2020 23:02 Thursday 200119177 Patrol Check No Field Activity Report Taken
20 1/30/2020 23:03 Thursday 200119178 Patrol Check No Field Activity Report Taken
21 1/31/2020 7:35 Friday 200119311 Pedestrian Check Enroute, at scene, call handled.
22 1/31/2020 13:05 Friday 200119481 Patrol Check No Field Activity Report Taken
23 2/1/2020 21:23 Saturday 200200573 Pedestrian Check No Field Activity Report Taken
24 2/2/2020 8:03 Sunday 200200789 Indecent Exposure Just Occurred
Female nude with curtain open in room 121. CP tried to talk to
her but she is refusing to close the curtain. FH 40s may have
mental issues. CP calling back advising the female is in the
parking lot topless. Female inside room. Talking nonsense. CP
will call back after checkout if needed.
25 2/2/2020 11:17 Sunday 200200857 Disturbance - Subject
Tenant refusing to leave at check out time. FH 40s unknown
clothing. Negative 390/ narcotics, female was nude and dancing
in the parking lot at 945hrs and went to the door of unit 118.
26 2/6/2020 21:57 Thursday 200203809 Pedestrian Check No Field Activity Report Taken
27 2/7/2020 20:24 Friday 200204441 Traffic Stop Ran vehicle, incident closed.
SAPD CAD Incidents 2111 E. 1st Street (Sunland Motel) - Full Call Details Including Field Activity Reports 1/1/20 - 1/1/22
Date Time Day Incident # Call Description Field Activity Report
28 2/9/2020 10:25 Sunday 200205213 Patrol Check No Field Activity Report Taken
29 2/11/2020 13:50 Tuesday 200206707 Vehicle OBS No Field Activity Report Taken
30 2/14/2020 8:11 Friday 200208411 Patrol Check No Field Activity Report Taken
31 2/14/2020 10:39 Friday 200208483 Trespassing - Transient
12 homeless camped out in the alley towards the back. Per CP
subjects in the property
32 2/15/2020 18:49 Saturday 200209372 Vehicle OBS Return possible file codes, incident closed.
33 2/17/2020 10:14 Monday 200210320 Pedestrian Check No Field Activity Report Taken
34 2/18/2020 20:53 Tuesday 200211282 Illegal Scavenging
Subjects with bikes going through the trash, NFI, CP wouldn't
provide any further. Subjects were advised to leave. QOLT was
notified. PAWC, QOLT advised to check later to clean up any
remaining property.
35 2/21/2020 20:03 Friday 200213482 Pedestrian Check 2 detained
36 2/23/2020 21:35 Sunday 200214371 Disturbance - Subject
Male went into room without providing CP with his ID, subject
refusing to leave. Negative weapons, 390, narcotics.
37 2/26/2020 8:02 Wednesday 200216226 Welfare Check
Laying on sidewalk in front of hotel, FW rocking back and forth,
wearing dark clothing, NFI.
38 2/28/2020 11:00 Friday 200217751 Patrol Check No Field Activity Report Taken
39 3/15/2020 1:02 Sunday 200309355 Battery Just Occurred
CP CB very 415 stating he needs PD. I advised him to wait inside
of norms so he can feel safe. Advised he will only wait 30 more
minutes. CP CB adv T22, very 415 over delay, stated he was
going to take care of things on his own. CP called back. He is
extremely agitated and sounds UI. Now saying he will T23 at the
Sunland. Kept rambling about SAPD having a 2 day ETA and was
not making sense. CP left, cant be back for an hour, will CB when
he returns.
40 3/18/2020 15:20 Wednesday 200311401 Assist Fire Department T97 with possible 927D, male 50YO found unconscious.
41 3/20/2020 8:18 Friday 200312254 Patrol Check No Field Activity Report Taken
42 3/23/2020 12:07 Monday 200314011 Welfare Check
Please check on CP's sister, she suffers from mental problems.
Couple days ago her boyfriend passed away and she hasn't been
herself. CP call her and goes to voicemail (full). CP did not have
number at the time she called PD. She stated she was okay. Her
phone is broken and that's why she hasn't been answering calls.
She now lives in 209.
SAPD CAD Incidents 2111 E. 1st Street (Sunland Motel) - Full Call Details Including Field Activity Reports 1/1/20 - 1/1/22
Date Time Day Incident # Call Description Field Activity Report
43 3/24/2020 10:33 Tuesday 200314510 Patrol Check No Field Activity Report Taken
44 3/26/2020 16:57 Thursday 200316080 Stolen Vehicle Recovery
Unknown if occupied. Vehicle is GOA, parking lot and
surrounding area checked.
45 3/27/2020 11:37 Friday 200316457 Suspicious Vehicle
Hotel is closed and there is an occur 925V in the parking lot
refusing to leave.
46 3/30/2020 1:54 Monday 200317944 Trespassing in Progress
The motel is closed but CP believes there is someone in room
112, per CP all the curtains are left open when unoccupied but
this room his curtains closed. CP will T23 in the front office.
47 3/30/2020 6:42 Monday 200317994 Malicious Mischief Report
MH 30s wearing black coat, black pants was refusing to leave
then knocked CPS office door and is now damage, subject in the
security office. CP requesting officer cont. Occurred 5 ago, CP
advised subject was not a guest. Employee was holding on to
male's backpack and locked it inside the office. Male kicked the
door breaking the glass. Male grabbed his property and left on
foot. CP requesting an area check and non desirous. If male
returns. CP would like the male arrested for 602.
48 4/1/2020 8:15 Wednesday 200400122 Trespassing - Transient
CP advising T20 is closed until 04/04 and 3 subjects are in front
of room 113 refusing to leave. Incident re-opened, CP advised
subjects returned 10 minutes after officers left
49 4/1/2020 13:57 Wednesday 200400294 Pedestrian Check No Field Activity Report Taken
50 4/2/2020 14:31 Thursday 200400908 Disturbance - Transient Guest of room 222, no narcotic activity seen.
51 4/3/2020 13:30 Friday 200401452 Welfare Check
CP hasn’t been able to get ahold of his sister, CP has been trying
for several days on her cell phone and room number. But advised
this is unusual as she is not known to ever leave her room. CP
also advised her roommate was 927D last week. Her medical
issues are seizures, and depression. She is known to drink alcohol
as well. Contacted CP and advised him his sister is C4. Her cell
phone is being serviced and would contact him soon.
52 4/4/2020 7:33 Saturday 200401872 Trespassing - Transient
Unknown couple inside room without paying, cp obs through
video camera. CP advising business is closed.
SAPD CAD Incidents 2111 E. 1st Street (Sunland Motel) - Full Call Details Including Field Activity Reports 1/1/20 - 1/1/22
Date Time Day Incident # Call Description Field Activity Report
53 4/5/2020 23:47 Sunday 200402844 Suspicious Circumstances
Female outside of the office telling CP she needs PD says she is
scared and there is someone outside, CP doesn't see anyone
else. Female doesn't appear to be injured.
54 4/6/2020 2:19 Monday 200402896 Trespassing - Transient
Female refusing to leave, spoke to the CP who stated he was
okay with the female staying until the sun comes up. She did not
want to leave while it was dark outside and refused any medical
treatment.
55 4/10/2020 10:24 Friday 200405244 Patrol Check No Field Activity Report Taken
56 4/10/2020 17:51 Friday 200405492 Trespassing in Progress
Small group of people inside room 222. CP is not sure who they
are and they're just staying in the room. CP will wait in office to
open room for officers. CP opened door, no occupants.
57 4/10/2020 23:43 Friday 200405661 Trespassing in Progress Duplicate incident created for above
58 4/16/2020 14:29 Thursday 200409076 Patrol Check No Field Activity Report Taken
59 4/25/2020 2:51 Saturday 200414764 Welfare Check
2nd hand to CP from friend who texted her and said someone
was trying to get inside his room. CP called him directly but he
kept hanging up on her and she stated he sounded scared. Friend
has meth probably and unknown if UI right now. Will ATT calling
male directly. Goes straight to voicemail, no message left. Male
also called directly but sounded confused and didn't know T20,
kept saying "sunshine on 1st" possible sunshine village motel
60 4/26/2020 15:13 Sunday 200415728 See the Man
Employee telling CP that unknown employee put bleach water in
her dish, unknown if it was an empty dish or in her food, CP was
unable to explain and states employee doesn't speak English.
61 4/27/2020 12:22 Monday 200416296 Trespassing in Progress Male trying to get into apt.
SAPD CAD Incidents 2111 E. 1st Street (Sunland Motel) - Full Call Details Including Field Activity Reports 1/1/20 - 1/1/22
Date Time Day Incident # Call Description Field Activity Report
62 5/9/2020 15:19 Saturday 200505628 Welfare Check
CP requested welfare check on mother who is staying with
boyfriend. CP advising he does not get along with boyfriend and
is afraid to go to location and check on mother. No answer when
CP calls. CP has not spoken to her in four weeks. Negative on
narcotics. Calling mother cell phone, goes straight to voicemail.
63 5/12/2020 23:05 Tuesday 200507717 Domestic Violence
OOC'D 224 Ex punched her, had gun in his waistband, CP will T23
in a 2006 burgundy Chevy. Request medics for eye injury. CP is
now advising it might have been the brother that punched her.
Ex showed the CP the gun as she was leaving, starting fire.
Attempted to locate S1 but CP believes he left the residence due
to her calling the police UTL at residence on Lyon St
64 5/18/2020 19:43 Monday 200511725 Welfare Check
CP calling about her sister whom she spoke about ten minutes
ago and was expressing suicidal thoughts saying she wanted to
die, unknown means, on seizure meds, not a street drug user,
possibly 390 though. Boyfriend recently was ill, being evicted
from the motel. CP requested a call back, CP unable to check on
her herself as she has no car.
65 5/22/2020 2:50 Friday 200513947 Welfare Check
CP advising her girlfriend is at the Sunland Motel and someone
from girl's phone keeps calling the CP and hanging up. CP thinks
girlfriend is no ok. CP requesting welfare check because girlfriend
can possibly be having seizures or someone else has her phone.
Went straight to voicemail. CP CB stating she is very worried and
has tried calling multiple times and gets an open line.
66 5/24/2020 6:19 Sunday 200515317 Patrol Check No Field Activity Report Taken
67 5/24/2020 16:57 Sunday 200515587 See the Woman
Vehicle LS yesterday. CP advising she was selling a black BMW to
an unknown male and he has not returned with the vehicle. CP
states she was staying with a male that recently passed away and
he left the vehicle to her. CP says she has copies of paperwork.
SAPD CAD Incidents 2111 E. 1st Street (Sunland Motel) - Full Call Details Including Field Activity Reports 1/1/20 - 1/1/22
Date Time Day Incident # Call Description Field Activity Report
68 5/31/2020 12:02 Sunday 200520260 Disturbance - Subject
Subject refused to leave at checkout time of 11 am, subject
checked in yesterday in the afternoon. Subjects left prior to
arrival.
69 6/10/2020 6:09 Wednesday 200605527 Area Check No Field Activity Report Taken
70 6/12/2020 10:58 Friday 200606784 Petty Theft Report
OCCD within the last few hours, unknown subjects took CPS bike
that was left in front of his room window. CP advised there are
cameras, requested officer in person. CPS bicycle was stolen
from front door of his Motel. Per manager, nothing shown on
surveillance.
71 7/7/2020 10:34 Tuesday 200704620 Officer Flagged Down No Field Activity Report Taken
72 7/11/2020 16:17 Saturday 200707249 Disturbance - Subject
MH 30-35 YO light blue t-shirt, jeans, outside the office, smoking
refusing to leave, not a guest possibly 5150. Subject left.
73 7/19/2020 12:25 Sunday 200712043 Trespassing in Progress
Rm 106 check out was at 1100, subjects not opening the door
and refusing to leave. Rm 106 already vacant upon arrival. CP
advised regarding 602 PC and Citizen's arrest forms. Police are
not rent collection services.
74 7/23/2020 9:25 Thursday 200714616 SAMC - Transient
Male asleep in his vehicle refusing to leave parking lot close to
pool. Green Honda Accord NFD.
75 8/16/2020 13:40 Sunday 200810221 Welfare Check
CP requested welfare check on her alcoholic son who is diabetic
and on parole. CP thinks male needs to go to hospital. CP last
saw her son yesterday in Irvine. Staying in room #107, CP elderly
and req welfare check. Callback task request fire for 50YO male
weak confused. Medics enroute
76 8/17/2020 19:59 Monday 200811155 Traffic Stop Medics for 40YO male, extremely UI
77 8/19/2020 11:16 Wednesday 200812169 Pedestrian Check No Field Activity Report Taken
78 8/21/2020 15:32 Friday 200813767 Pedestrian Check No Field Activity Report Taken
79 9/3/2020 11:12 Thursday 200901491 Person Down
2nd hand information from housekeeper- found man in bathtub
in room 105 not moving and employee left the room. CP and
employee refusing to enter the room to check if person is
breathing or alive. CP became 415 when asked to check on him
and said send police. Subject alive and well, just taking a bath
and fell asleep.
SAPD CAD Incidents 2111 E. 1st Street (Sunland Motel) - Full Call Details Including Field Activity Reports 1/1/20 - 1/1/22
Date Time Day Incident # Call Description Field Activity Report
80 9/4/2020 19:47 Friday 200902494 Suspicious Circumstances
Occurred an hour ago, CP thinks a man inside a vehicle hit a
pedestrian on purpose and they were still inside the vehicle. CP
made contact with parties involved and they didn’t want to call
police however CP feels it is 925.
81 9/8/2020 15:32 Tuesday 200904806 Pedestrian Check No Field Activity Report Taken
82 9/9/2020 10:37 Wednesday 200905272 Incomplete 911 Call Received
Incoming 911 received by CHP open line rambling. Upon CB,
male screaming. Male unwilling to provide further and line
disconnected.
83 9/13/2020 16:40 Sunday 200908211 Assist Fire Department
Downstairs structure fire, glass on floor, loud explosion and black
smoke. Original CP told fire they were unsure which unit it was
coming in and that there are possible narcotics being
manufactured in the room. OCFA advised potentially 1 person
and 2 dogs still inside room.
84 9/18/2020 16:14 Friday 200911243 Pedestrian Check No Field Activity Report Taken
85 9/23/2020 8:26 Wednesday 200913961 Domestic Violence
Since last night approximately 0100hrs, CP heard a male 415
with a female possibly 242'd her. CP now hearing them 415
verbal again and female heard crying. It's from a 2nd floor room.
UTP, GOA manager contacted advised no issues.
86 9/24/2020 2:28 Thursday 200914504 Disturbance-Subject
Male & female 415 with CP wanting him to open the door to
room #134, claiming they know the subject that is staying there.
CP refused and now they are outside of the locked office
knocking on the door and refusing to leave. #1 MH black t-shirt,
#2 FH black shirt.
87 9/28/2020 17:26 Monday 200917383 Pedestrian Check No Field Activity Report Taken
88 9/30/2020 12:15 Wednesday 200918444 Vehicle OBS Enroute, at scene, incident closed.
89 10/1/2020 18:01 Thursday 201000461 Traffic Stop Enroute, at scene, unit cleared, incident closed.
90 10/2/2020 12:47 Friday 201000883 Patrol Check No Field Activity Report Taken
91 10/5/2020 21:51 Monday 201002969 Narcotic Activity
CP advising to the rear upstairs several subjects using narcotics,
NFD.
SAPD CAD Incidents 2111 E. 1st Street (Sunland Motel) - Full Call Details Including Field Activity Reports 1/1/20 - 1/1/22
Date Time Day Incident # Call Description Field Activity Report
92 10/19/2020 4:54 Monday 201011086 Welfare Check
Female has been calling 911 from disconnected cell phone since
yesterday stating someone has speakers that are connecting her
home to another home and today stating someone is drowning
her daughter. CP currently has her on 911 requesting welfare
check gave T20. Prior calls at location show RO. Said she is
screaming hysterically on T21. Now stating she is at Sunland
Motel standing outside in camo dress. Ping showing at location.
Disconnected and ST44 ot able to call her back. UTL. Contacted
subjects in area and stated no one heard in the area yelling or
925.
93 10/25/2020 20:52 Sunday 201015123 Disturbance - Subject
Male 415 with resident in area, in parking lot, MW 35YO curly
brown hair, brown beard, brown tank, black pants, white shoe
and black shoe. CP CB to advise subject is inside property behind
pool leaning against the fence. CP Leon #214 now calling about
subject threatening his girlfriend. CP will make contact with
officers, wearing black jacket, blue shirt, blue jeans.
94 11/13/2020 21:32 Friday 201107307 Battery Just Occurred
2 transients tried to 242 CP's mom. CP disc. And said subjects
were leaving. CB for further. Medics referred. Subjects were all
outside of motel. No answer on CB. On playback, CP advised
transients 242 him. Will try another CB. RTC:CB advised T22
subjects left and they don't want contact.
95 11/19/2020 16:54 Thursday 201110612 Person with Deadly Weapon
10 min ago, MW 40s, blue t-shirt, blue jeans, 422'd CP with knife
and punched CP in the face. Suspect no longer T97, LS in a white
truck heading WB 1st. CP also advising subject initially walked up
to the lobby window asking for money and said he had a knife.
CP refused then subject walked into the parking lot CP asked him
to leave, subject then 422'd with knife and punched him.
96 11/19/2020 16:54 Thursday 20110612 Person with Deadly Weapon Duplicate incident created for above
97 11/20/2020 13:17 Friday 201111063 Vehicle OBS Enroute, at scene, unit cleared, incident closed.
SAPD CAD Incidents 2111 E. 1st Street (Sunland Motel) - Full Call Details Including Field Activity Reports 1/1/20 - 1/1/22
Date Time Day Incident # Call Description Field Activity Report
98 12/14/2020 23:47 Monday 201208072 Disturbance - Fight
8 subjects in a 415 in the parking lot. CP thinks they are 415 with
an employee. CP's girlfriend thinks she saw a gun. CP
uncooperative with further and hung up. Attempting a CB on the
T21 that showed up on caller ID, went to voicemail.
99 12/18/2020 10:54 Friday 201209973 Traffic Stop Enroute, at scene, incident closed.
100 12/20/2020 0:01 Sunday 201210868 Assist Fire Department
OCFA requested us for female reporting male who is violent
claiming he has chest pain, went towards the female and she
disc. They are in a parking lot near black Dodge Durango. OCFA
staging, no RM#. Calling female to try and get further. On the line
with female who is advised she is in front of the parking lot. Male
is gasping for air in the background, breathing and walking
around. Female advised that the male is her ex and was violent
toward her this morning. Female advised what initially made him
upset was her trying to break up with him but that now he's in
real physical pain. She is unsure if he is having a heart attack but
he's grabbing his chest and grunting. CP flagging officer down. CP
making contact. Fire clear to enter.
101 12/20/2020 21:09 Sunday 201211315 Trespassing in Progress
In parking lot refusing to leave. Male unknown race, gray hoodie
jacket, black pants. Subject does not have room at T20. CP CB to
T22 subject is gone.
102 12/28/2020 12:15 Monday 201215138 Patrol Check No Field Activity Report Taken
103 12/28/2020 14:28 Monday 201215202 Pedestrian Check No Field Activity Report Taken
104 12/29/2020 10:12 Tuesday 201215604 Patrol Check No Field Activity Report Taken
105 12/29/2020 10:46 Tuesday 201215626 Patrol Check No Field Activity Report Taken
106 12/30/2020 9:23 Wednesday 201216168 Patrol Check No Field Activity Report Taken
107 1/5/2021 12:21 Tuesday 210102300 Trespassing in Progress
2 guests from room #121 are refusing to check out. The checkout
time is 1100hrs. CP requesting PD assistance.
108 1/19/2021 9:34 Tuesday 210110527 Patrol Check No Field Activity Report Taken
109 2/5/2021 18:45 Friday 210202994 Vehicle OBS Query's run. Incident closed.
110 2/11/2021 15:30 Thursday 210266444 Patrol Check No Field Activity Report Taken
111 2/18/2021 0:28 Thursday 210210160 Trespassing in Progress
MW & FW 50s broke into room and refuse to leave. Subjects
claim to not have ID. Subjects still in the room.
SAPD CAD Incidents 2111 E. 1st Street (Sunland Motel) - Full Call Details Including Field Activity Reports 1/1/20 - 1/1/22
Date Time Day Incident # Call Description Field Activity Report
112 2/18/2021 5:34 Thursday 210210223 Domestic Violence
Male & female in a 415 verbal, per CP ongoing for several hours.
Male is standing outside attempting to gather his property. Per
CP female is inside yelling/screaming rape and that she will kill
the male. CP states subjects are crazy. CP then mentioned can
hear window breaking when asked who CP said probably the
female since she's inside. CP unable to provide further, only said
he wanted to go to sleep and has not been able to for the last
four hours that subjects have been in a 415 verbal. Additional CP
2nd hand advised female possibly kicked out a window. My CP
did not see the female, unknown description. Negative DC,
"friend of a friend" wanted backpack back. Female allowed us to
look inside room, no backpack was found.
113 3/1/2021 9:40 Monday 210300171 Patrol Check No Field Activity Report Taken
114 3/1/2021 11:13 Monday 210300228 Patrol Check No Field Activity Report Taken
115 3/7/2021 2:51 Sunday 210303981 Disturbance - Transient
MH 50s dark shirt, dark pants harassing customers, no weapons.
CB CP for update subject near room 114-115 near dumpster.
116 3/8/2021 9:09 Monday 210304635 Patrol Check No Field Activity Report Taken
117 3/15/2021 1:54 Monday 210308734 Disturbance - Subject
Male out front, ringing bell at night window, refusing to leave,
MH 50s, brown BB cap, brown jacket, dark jeans. CP CB advised
subject left T22 per CP.
118 3/22/2021 3:20 Monday 210313174 Pedestrian Check No Field Activity Report Taken
119 3/30/2021 12:00 Tuesday 210318510 Vehicle OBS
Detained, stolen vehicle, no answer for RO, left VM with tow
info.
120 3/31/2021 14:37 Wednesday 210319291 Disturbance - Subject
Female in room 117 is refusing to check out - room is registered
to Diana Gonzalez David. Negative COVID. Employee Anthony CB,
female is in the restroom of the room refusing to leave.
121 4/13/2021 8:18 Tuesday 210407782 SAPD - Stolen Vehicle At scene, vehicle unoccupied in Sunland Motel parking lot.
122 4/17/2021 21:00 Saturday 210410581 Patrol Check
At scene, have Tustin check status of vehicle, white Chevy 1500
pick up.
123 4/21/2021 23:39 Wednesday 210413013 Traffic Stop No Field Activity Report Taken
SAPD CAD Incidents 2111 E. 1st Street (Sunland Motel) - Full Call Details Including Field Activity Reports 1/1/20 - 1/1/22
Date Time Day Incident # Call Description Field Activity Report
124 5/3/2021 16:09 Monday 210501543 Possible Dead Body
Per CP located 927D on the stairway near main office. Per CP
male is not breathing, eyes are open, chest is not rising and male
is not responding. Unknown how long male has been there. CP
now advising possibly only 10 minutes. T39 fire. Language
barrier, CP advised guest /roommate in room #210 pointed out
male to CP. 927D male Hispanic 50s. CP will T23 near the office
and direct officers. Subject is breathing just not coherent.
Medical aid.
125 5/4/2021 22:25 Tuesday 210501543 Domestic Violence
Open 911 - male and female 415 in background. GB'd. CP
possibly at Sunland Motel 2111 E 1st. Male said he was in room
#101. CP now advised he's at the Sunland Rm101. Female in
background stating CP 242'd her.
126 5/7/2021 23:16 Friday 210504400 Vehicle OBS No Field Activity Report Taken
127 5/7/2021 23:58 Friday 210504418 Traffic Stop No Field Activity Report Taken
128 5/8/2021 14:35 Saturday 210504723 Malicious Mischief in Progress
Subject to rear, damaging property. MH 40s no shirt, blue jeans.
Throwing rocks at windows. Also damaged trees on property. At
scene, no one matching, no victim.
129 5/10/2021 6:17 Monday 210505647 Petty Theft Report
Occurred on 05/07, unknown suspect took CPs Methadone
bottles. CP now saying someone also took cell phone on a
different day. CP will be T23 at 2101 E 1st outside the clinic next
door to T20, CP wearing brown hoodie sweatshirt, gray pants, in
a wheel chair. CP was calling from clinic's T21. CP does not have
T21, T21 provided is for clinic. CP called back to T22 call.
130 5/10/2021 10:28 Monday 210505752 Patrol Check No Field Activity Report Taken
131 5/10/2021 15:26 Monday 210505933 Probation Violation Report Enroute, at scene, incident closed.
132 5/12/2021 3:29 Wednesday 210506758 Patrol Check No Field Activity Report Taken
133 5/14/2021 9:20 Friday 210505933 Welfare Check
CP requesting a welfare check of her mother FW 69 years old. CP
has not heard from her in two weeks and is unable to get a hold
of her. Room 107 is vacant. Contacted CP and advised her.
134 5/16/2021 21:49 Sunday 210509831 Patrol Check Mobile CAD assist from Unit 332A. Incident closed
135 5/18/2021 9:00 Tuesday 210510657 Pedestrian Check Enroute, at scene, unit cleared, incident closed.
SAPD CAD Incidents 2111 E. 1st Street (Sunland Motel) - Full Call Details Including Field Activity Reports 1/1/20 - 1/1/22
Date Time Day Incident # Call Description Field Activity Report
136 5/21/2021 10:52 Friday 210512520 Patrol Check Sunland Motel, enroute, at scene, incident closed.
137 5/21/2021 11:36 Friday 210512540 Probation Violation Report SAJ, at scene, unit cleared, incident closed.
138 5/24/2021 2:52 Monday 210514200 Patrol Check No Field Activity Report Taken
139 5/26/2021 0:22 Wednesday 210515455 Pedestrian Check No Field Activity Report Taken
140 5/30/2021 12:56 Sunday 210518393 Disturbing the Peace
FB black t-shirt is T97 causing problems. Correction, it’s a MB,
currently T97 in front of location, also wearing jeans. No
weapons.
141 6/3/2021 12:26 Thursday 210601619 See the Man
CP requested to speak to an officer regarding the manager
breaking into his room last night. Per CP he has video of it. CP
will T87 in parking lot in dark blue Nissan Morano. CP's story was
unfounded, talked with manager advised it was over
unauthorized late check out, no crime, advised CP to leave area,
PAWC, NFA.
142 6/9/2021 12:29 Wednesday 210605263 Narcotic Activity No Field Activity Report Taken
143 6/14/2021 12:30 Monday 210608333 Narcotic Activity
Sitting under tree, #1 MB white cut off muscle shirt, #2 FW white
tank top, possibly pregnant, also MH's no description. Group of
subjects sitting in a circle under the tree in front of the motel
selling and doing drugs.
144 6/19/2021 2:59 Saturday 210611391 Battery Just Occurred
Guest reporting that they broke into his room and 242'd him.
Asked CP to T21 PD. CP very difficult to understand. Req'g
contact at lobby, possibly 211. CP unable to provide time of
when occurred. Requesting medics for MH with abrasions to
face.
145 6/19/2021 13:22 Saturday 210611611 Battery Just Occurred
Guest in 105 was supposed to check out at 1100hrs and now
refuses to leave. MW 30yo. CP now advising subject 242'd
employee after he tried to help him move out. Verbal dispute
over tenant leaving the motel. CP asked us to advise the tenant
that he was no longer welcome on the property. Tenant agreed
to leave motel and took all of his belongings with him.
146 6/22/2021 9:41 Tuesday 210613432 Follow-up No Field Activity Report Taken
147 6/24/2021 15:14 Thursday 210615039 Pedestrian Check No Field Activity Report Taken
SAPD CAD Incidents 2111 E. 1st Street (Sunland Motel) - Full Call Details Including Field Activity Reports 1/1/20 - 1/1/22
Date Time Day Incident # Call Description Field Activity Report
148 7/2/2021 19:39 Friday 210707201 Assist Fire Department
Fire:97 for med aid and engine capt advised there is also a DV at
the location, unknown if related. GB'd.
149 7/5/2021 20:10 Monday 210703658 Disturbance - Subject
Unregistered guest became 415 with CP when he was not
provided a key to the room and attempted to 242 CP. MH 25yo
white jacket, shorts. Subjects in front of lobby. CP CB advised T22
subject left.
150 7/20/2021 16:29 Tuesday 210713404 Pedestrian Check No Field Activity Report Taken
151 7/28/2021 12:10 Wednesday 210718179 Patrol Check No Field Activity Report Taken
152 7/28/2021 18:10 Wednesday 210718400 Traffic Stop No Field Activity Report Taken
153 8/3/2021 15:26 Tuesday 210801557 Disturbance - Subject
Male in the lobby of the hotel, CP no longer renting him a room
and he is 415 demanding a room, subject MH white shirt and FH
pink shirt with three kids. Subjects were very disruptive and
caused a lot of problems this last week. CP CB and advised of
delay. Subjects left prior to arrival. Civil issue between business.
No crime.
154 8/6/2021 7:18 Friday 210803141 Pedestrian Check No Field Activity Report Taken
155 8/6/2021 23:32 Friday 210803610 Domestic Violence CPs boyfriend will not give keys back. GB'd.
156 8/16/2021 1:40 Monday 210808912 Patrol Check No Field Activity Report Taken
157 8/16/2021 21:31 Monday 210808912 Patrol Check No Field Activity Report Taken
158 8/20/2021 11:45 Friday 210811654 Traffic Stop City of Tustin, Sunland Room 105.
159 8/27/2021 8:03 Friday 210815859 Pedestrian Check No Field Activity Report Taken
160 8/31/2021 17:32 Tuesday 210818529 Person with Deadly Weapon
Male in parking lot with a crowbar yelling. Male is swinging the
crowbar around yelling. MW 45-50YO black shirt and shirts, Red
truck subject is smashing his truck, subject is inside the truck
now and turned it on. Subject UI of narcotics, yelling. Male now
in front of the front office hitting the truck with the crow bar
again. CP CB subject left the parking lot possibly WB on 1st.
Made contact with CP, subject was LS driving a red Ford pickup
WB 1st.
SAPD CAD Incidents 2111 E. 1st Street (Sunland Motel) - Full Call Details Including Field Activity Reports 1/1/20 - 1/1/22
Date Time Day Incident # Call Description Field Activity Report
161 8/31/2021 18:14 Tuesday 210818557 Mentally Disturbed Subject
MW, 40s black cutoff sleeve, black shorts, arrived in red truck, he
is carrying a 4ft metal bar. Appears mentally unstable. Subject
now running towards the office. Currently in parking lot with
pipe. We responded reference the same subject. Subject GOA,
CP HBD and advised to T21 PD if subject returns and not to
enrage subject.
162 9/2/2021 11:47 Thursday 210900925 Patrol Check No Field Activity Report Taken
163 9/4/2021 14:43 Saturday 210902206 Disturbance - Party
Loud music/subjects, possibly some type of event going on to the
rear of the Sunland Motel. CP has received several complaints.
Could be coming from a location on 4th Street but CP wasn't
sure. Additional CP called advised approximately 1000 people at
this event, has been going on since 1100hrs. Permitted event at
the consulate, will be over at approximately 2000 hours.
164 9/5/2021 15:28 Sunday 210902863 Assist Fire Department
Fire enroute male not breathing - possible OD. Per OCFA please
use caution, possible fentanyl OD. Medical aid, male transported
to OC Global.
165 9/10/2021 11:49 Friday 210905805 Patrol Check No Field Activity Report Taken
166 9/11/2021 16:21 Saturday 210906692 Assist Fire Department Fire is enroute to fentanyl OD. GB. Will be clearing.
167 9/15/2021 14:55 Wednesday 210909221 Patrol Check No Field Activity Report Taken
168 9/17/2021 10:56 Friday 210910337 Patrol Check No Field Activity Report Taken
169 9/21/2021 13:08 Tuesday 210912820 Patrol Check No Field Activity Report Taken
170 9/21/2021 15:12 Tuesday 210912896 Patrol Check Enroute, at scene, incident closed.
171 9/22/2021 10:00 Wednesday 210913375 Patrol Check No Field Activity Report Taken
172 9/22/2021 12:03 Wednesday 210913456 Vehicle OBS Sunland Motel, at scene, enroute, unit cleared.
173 9/24/2021 10:48 Friday 210914684 Probation Violation Report No Field Activity Report Taken
SAPD CAD Incidents 2111 E. 1st Street (Sunland Motel) - Full Call Details Including Field Activity Reports 1/1/20 - 1/1/22
Date Time Day Incident # Call Description Field Activity Report
174 10/1/2021 21:05 Friday 211000599 See the Man
CP receiving messages from an unknown person with disturbing
messages ref 261 of kids, no pictures, it’s a group text, CPs unit
located to the rear. Please T21 CP, have her be the only one to
step out front. CP outside. Male half stepped out with CP. Male
was upset with PD from beginning of contact. Male was
recording during contact. He was advised this contact was being
recorded by BWCs as well and it was okay for him to record too.
CP showed messages to officers. Message did not show any
criminal activity. Random numbers messaging one another
talking "trash" to each other.
175 10/3/2021 3:34 Sunday 211001420 Domestic Violence
CP and boyfriend were 415 verbal inside hotel room. CP left
room but now wants to go back and get belongings. CP will T23
in front lobby for officers. Wearing gray coat with shorts. No DV,
female was upset she couldn't find her hair straightener in her
pile of junk.
176 10/11/2021 15:23 Monday 211006948 Disturbance - Transient
Several transients in parking lot refusing to leave. Subject left
premises.
177 10/12/2021 10:32 Tuesday 211007451 Patrol Check No Field Activity Report Taken
178 10/12/2021 15:29 Tuesday 211007621 Patrol Check No Field Activity Report Taken
179 10/16/2021 20:00 Saturday 211010241 Unknown Trouble
CHP: lost call upon transfer, female saying "stop stop" with male
in background. Female provide name of motel and room
number. Att'g T21 female. Female Pueki now calling stating she
is the victim and was in a 415 with her boyfriend. Boyfriend left
about 5 ago with CPs phone and vehicle. Have female step out.
180 10/20/2021 9:57 Wednesday 211012355 Patrol Check No Field Activity Report Taken
181 10/22/2021 9:54 Friday 211013660 Patrol Check No Field Activity Report Taken
182 10/26/2021 10:28 Tuesday 211016164 Patrol Check No Field Activity Report Taken
183 11/1/2021 11:52 Monday 211100253 Vehicle OBS
At scene, enroute, security 415 because he felt he was stereo
typed. Called his mom, facetimed his girlfriend, and called
several staff members from inside methadone clinic to come
outside.
SAPD CAD Incidents 2111 E. 1st Street (Sunland Motel) - Full Call Details Including Field Activity Reports 1/1/20 - 1/1/22
Date Time Day Incident # Call Description Field Activity Report
184 11/4/2021 11:54 Thursday 211102237 Pedestrian Check No Field Activity Report Taken
185 11/16/2021 19:01 Tuesday 211109894 Drunk Driver
CP concerned for 390 friend who was driving and told CP he hit a
vehicle. CP now sure where TC occurred. States he followed
friend to T20 and saw him go into a room. CP didn't have a room
number but claims it’s a room on the right side about half way
down. CP believes friend will get back into vehicle and drive off.
GOA no gold Camry in lot.
186 11/19/2021 10:53 Friday 211111482 Drunk Driver
Silver Toyota Camry driver is MW 70s 6' thin build wearing a gray
shirt and jeans. Driver exited the vehicle and is stumbling - CP
advised driver is intoxicated and not having a medical
emergency. CP advised vehicle is in the Sunland and is parked
improperly somewhat blocking drive thru. CP advised driver
exited the vehicle, left his door open and entered room #122.
187 12/2/2021 11:31 Thursday 211200923 Pedestrian Check No Field Activity Report Taken
188 12/3/2021 10:23 Friday 211201496 Follow-up No Field Activity Report Taken
189 12/5/2021 13:59 Sunday 211202843 Disturbance - Subject
1 male and female being 415 with the owner of the T20. Female
wearing gray dress and male is wearing black shirt. CP fears they
will beat him up. Anson-manager called to report person in 212
is refusing to move out. Subjects left per CP, T22.
190 12/12/2021 12:14 Sunday 211207039 Domestic Violence
Male and female 415 into room. Appended, CP reporting they
can hear a female screaming, crying, and possibly being hit at the
apt next door to his T20. Female heard crying and yelling very
loud. My CP was calling from 2112 E 4th, and says it is coming
from the hotel next door, my CP at food bank on 4th and he can
be contacted. Unknown weapons.
191 12/17/2021 10:07 Friday 211209918 Patrol Check No Field Activity Report Taken
192 12/18/2021 15:59 Saturday 211210744 Assist Outside Agency
Fire enroute to subject OD'ing and possibly not breathing inside
the room. Fire is ATT to get further but request units C3
193 12/21/2021 9:49 Tuesday 211212244 Patrol Check Enroute, at scene, incident closed.
194 12/21/2021 13:20 Tuesday 211212340 Patrol Check No Field Activity Report Taken.
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2031 E. 1st Street͢¦ğƯñňş͟'ňŪňŪ害ŵƘƘňŪĺ ğŪƯğƛͣ
All Incidents from 1-1-20 through 1-1-22
Total Incidents: 161
SAPD CAD Incidents 2031 E. 1st Street (Retail/Dining Shopping Center) - Full Call Details Including Field Activity Reports 1/1/20 - 1/1/22
Date Time Day Incident # Call Description Field Activity Report
1 1/1/2020 12:08 Wednesday 200100264 Disturbance-transient
10 transients loitering in rear parking lot, near dumpster. CP
asked subjects to leave (no weapons). Incident closed.
2 1/1/2020 19:06 Wednesday 200100409 Trespassing-transient Several transients loitering in the plot. Incident closed.
3 1/1/2020 6:03 Thursday 200100547 Disturbance-transient
Transients set up camp at front door of CPS business. Incident
closed.
4 1/2/2020 22:02 Thursday 200101032 Trespassing-transient
Approx. 10 homeless camped out in the plot next to the
dumpster. CP advised subjects not causing 909T. Incident
closed.
5 1/3/2020 6:00 Friday 200101133 Disturbance-transient Approx. 10 subjects asleep at the front door. Incident closed.
6 1/3/2020 7:44 Friday 200101172 Trespassing-transient
10+ transients sleeping on the property. Subjects left per CP.
Incident closed.
7 1/3/2020 19:29 Friday 200101566 Trespassing in progress
Approx. 10 transients loitering next to Flame Broiler dumpster
located in the back. Incident closed.
8 1/3/2020 22:56 Friday 200101677 Trespassing-transient 2nd hand info. to CP - 10 transients camped out. Incident closed.
9 1/4/2020 5:55 Saturday 200101794 Disturbance-transient
Transients set up camp at front door of CPS business. Incident
closed.
10 1/4/2020 17:32 Saturday 200102144 Trespassing-transient
Approx. 5 transients camping on the property. CP has asked
them to leave, but they won't. Incident closed.
11 1/4/2020 22:49 Saturday 200102284 Trespassing-transient
Approx. 10 homeless camped out to the rear of the business.
Incident closed.
12 1/5/2020 6:00 Sunday 200102396 SAMC-transient
10 transients have set up camp in front of the business. Subjects
leaving. Incident closed.
13 1/5/2020 17:32 Sunday 200102686 Disturbance-subject Subjects drinking out front refusing to leave. Incident closed.
14 1/5/2020 22:01 Sunday 200102801 Trespassing-transient
10+ transients loitering on the property. All subjects left area.
Incident closed.
15 1/6/2020 6:01 Monday 200102917 Trespassing-transient
Several transients camped out at the front door, NFI. Subjects
leaving and cleaning up. Incident closed.
16 1/6/2020 19:35 Monday 200103367 Trespassing-transient
10 transients camping out in the drive-thru area. Single subject
cleared from Johnny's Burgers. Subject cleaned up and left. UTL
and unable to contact CP. Incident closed.
SAPD CAD Incidents 2031 E. 1st Street (Retail/Dining Shopping Center) - Full Call Details Including Field Activity Reports 1/1/20 - 1/1/22
Date Time Day Incident # Call Description Field Activity Report
17 1/7/2020 6:03 Tuesday 200103541 Trespassing-transient
5 male/5 female transients loitering, trespass order on file.
Currently in front of business doors. Subjects left. Incident
closed.
18 1/8/2020 6:00 Wednesday 200104181 Trespassing-transient
Approx. 10 subjects camped out on property, 602 on file.
Incident closed.
19 1/8/2020 17:07 Wednesday 200104564 Trespassing-transient
Approx. 10-15 homeless in the parking lot. More are gathering
by the minute. CP called back, advised of delay. Subjects asked
to leave and complied. Incident closed.
20 1/8/2020 17:42 Wednesday 200104580 Pedestrian check Incident closed.
21 1/8/2020 19:23 Wednesday 200104628 Trespassing-transient
10 transients camping on property. 5 male/5 female. Advised
subjects smell like 390, 5 at La Torta Loca, 5 at drive-thru area of
Johnny's Burgers. No weapons seen. Incident closed.
22 1/9/2020 4:57 Thursday 200104841 Trespassing-transient
At the front door and parking lot. Several transients camped out.
CP will T23. Subjects left. Incident closed.
23 1/9/2020 19:42 Thursday 200105377 Trespassing-transient
10 transients loitering, some in the drive-thru of Johnny's
Burgers and the others to the rear of the Flame Broiler. Incident
closed.
24 1/10/2020 5:01 Friday 200105605 Disturbance-transient
Group of approx. 10 subjects camped out at front door and near
dumpster. Incident closed.
25 1/10/2020 19:37 Friday 200106051 Narcotic activity
M/H and F/H, both in their 30's: #1 female-dk hair, gray
sweatshirt, blk pants, #2 male wearing blue shirt. Both subjects
are smoking crack on the side of the business. Business closed.
Incident closed.
26 1/11/2020 5:44 Saturday 200106287 Disturbance-transient Group of 6 subjects near front door. Incident closed.
27 1/11/2020 9:52 Saturday 200106382 Tagging/graffiti in progres
M/B, 40 year old, blk, blk pants, tagging w/ spray paint on CP's
business wall. Black shirt. Spoke w/ CP who advised not desirous
of prosecution and just wanted subject removed from property.
Advised subject ref 602, he complied and left. Incident closed.
SAPD CAD Incidents 2031 E. 1st Street (Retail/Dining Shopping Center) - Full Call Details Including Field Activity Reports 1/1/20 - 1/1/22
Date Time Day Incident # Call Description Field Activity Report
28 1/11/2020 18:46 Saturday 200106622 Trespassing in progress
10 transients camping out by the dumpster to the rear of T20. CP
called back. Male still T97 and now directly in front of the doors
of the massage parlor on the property. Incident closed.
29 1/12/2020 5:00 Sunday 200106876 Trespassing-transient
5 transients on the CP's property. They are near the front door
and in the dumpster area. Subjects packing and leaving. Incident
closed.
30 1/12/2020 17:40 Sunday 200107136 Trespassing-transient
10 transients camping out. Negative weapons. OBS subject
drinking alcohol and subject smells of marijuana. CP has 602 on
file 2018-16668. Req subject be arrested. Ongoing issue. Incident
closed.
31 1/13/2020 5:02 Monday 200107342 Trespassing-transient
10 transients camping out in front of business. Packing and
leaving. Incident closed.
32 1/14/2020 6:59 Tuesday 200108020 Trespassing-transient
Approx. 8 subjects camped out by front door and to rear by
dumpster. Subjects leaving. Incident closed.
33 1/14/2020 8:37 Tuesday 200108068 Trespassing-transient
10+ transients loitering on property. Have belongings set up
along businesses. Refusing to leave. Incident closed.
34 1/14/2020 17:59 Tuesday 200108434 Disturbance-transient
10 transients camping out on property, behind Flame Broiler in
dumpster area. Refusing to leave. Negative weapons. Incident
closed.
35 1/15/2020 5:26 Wednesday 200108659 Disturbance-transient
5 male/5 female transients on property. Subjects moved along.
Incident closed.
36 1/15/2020 18:21 Wednesday 200109128 Disturbance-transient
Several transients (possibly 10) in front of CP's door. Refusing to
leave. CP stepping out. Incident closed.
37 1/16/2020 5:43 Thursday 200109382 Trespassing-transient
10+ homeless subjects camped out by front door and parking lot.
Has 602 on file and wants them removed. Only 2 subjects
outside on property and both state they are customers of La
Torta Loca restaurant. Incident closed.
38 1/16/2020 19:39 Thursday 200109864 SAMC-transient
Transients have set up camp in the parking lot next to the
dumpster. Incident closed.
39 1/16/2020 20:59 Thursday 200110087 Trespassing-transient
Several transients sleeping outside business front door and in the
parking lot. Incident closed.
SAPD CAD Incidents 2031 E. 1st Street (Retail/Dining Shopping Center) - Full Call Details Including Field Activity Reports 1/1/20 - 1/1/22
Date Time Day Incident # Call Description Field Activity Report
40 1/18/2020 5:13 Saturday 200110782 Trespassing-transient
10 subjects camped out in front of CPS front door and parking
lot. CP asked to leave. Subjects refused to leave. Incident closed.
41 1/18/2020 8:50 Saturday 200110851 Follow-up
Attempt to locate Derek Trippy. DV/ 261 suspect. Area check of
hotels on East 1st St. UTL suspects 2007 grey VW Jetta in any
motel plot on 1st from Grand to Elk. Also checked Sunland plot
and 2031 E. 1st. Incident closed.
42 1/19/2020 5:11 Sunday 200111464 Trespassing-transient
10 subjects camped out in front of CPS T20. Contact was made.
Subjects refused. Ongoing problem. Incident closed.
43 1/20/2020 5:00 Monday 200111942 Trespassing-transient
10 transients camping out in front of business and in parking lot.
Subjects moved along. Incident closed.
44 1/21/2020 5:00 Tuesday 200112545 Trespassing-transient 8 subjects camping out. Subjects leaving. Incident closed.
45 1/21/2020 20:41 Tuesday 200112997 Disturbance-transient
10 transients camping out in parking lot. Negative weapons.
Incident closed.
46 1/21/2020 21:25 Tuesday 200113014 Disturbance-transient
2 transient keeps going inside business. Refuses to leave. #1 MB:
30's blk jacket, blk pants. #2 MW: 60's red jacket, blue pants.
Negative weapons possible UI/390. Subjects GOA, C4 speaking
w/ transients in area. Incident closed.
47 1/22/2020 4:53 Wednesday 200113107 Trespassing-transient
10 transients camping out. Subjects at front door and parking lot.
Transients UTL. Incident closed.
48 1/22/2020 9:30 Wednesday 200113261 Indecent exposure in prog
A cellular re-bid has occurred. Check the ANI/ALI viewer for
details. Male transient exposing his penis. M/B mid-30's. Blk
sweater. Blk pants. CP does not want contact. Incident closed.
49 1/22/2020 19:40 Wednesday 200113700 Disturbance-subject
Approx. 15 transients camping out near the Flame Broiler. They
are playing loud music from a stereo and are bothering
customers. No weapons seen. Incident closed.
50 1/23/2020 4:44 Thursday 200113889 Trespassing-transient
8 transients in the parking lot and also near the front door
camping out. CP has a 602 on file, 2018-16668. Incident closed.
51 1/23/2020 19:13 Thursday 200114411 Trespassing-transient
Approx. 10 transients camping on CP's property. CP wants help
to get them off. Subjects right in front of the store. Incident
closed.
SAPD CAD Incidents 2031 E. 1st Street (Retail/Dining Shopping Center) - Full Call Details Including Field Activity Reports 1/1/20 - 1/1/22
Date Time Day Incident # Call Description Field Activity Report
52 1/24/2020 5:03 Friday 200114639 Trespassing-transient
7 subjects camped out in front of CPS front door and plot.
Contact was made. Subjects refusing to leave. Ongoing problem.
Incident closed.
53 1/25/2020 4:47 Saturday 200115391 Trespassing-transient
8 transients camped out in front of door to business and in the
plot. 602 form on file. Incident closed.
54 1/26/2020 7:00 Sunday 200116083 Disturbance-transient
10 subjects in front of Torta Loca and plot. Camped out. No
weapons seen. Subjects GOA. Incident closed.
55 1/27/2020 5:25 Monday 200116556 Trespassing-transient
CP arrived at this property to find 10+ homeless/transient
subjects T97 and refusing to leave. Asking they be removed off
the property. Incident closed.
56 1/29/2020 19:37 Wednesday 200118334 Trespassing-transient
10 transients setting up camp "all over the place" but especially
in the parking lot next to the dumpster to the rear of the
business. One male in plot and leaving. Incident closed.
57 1/30/2020 22:10 Thursday 200119147 Trespassing-transient
Approx. 8 transients T97. CP OBS via cameras. 602 CI #18-16668.
Incident closed.
58 1/31/2020 5:03 Friday 200119267 SAMC-transient Subjects camped out in front of the business. Incident closed.
59 2/1/2020 5:25 Saturday 200200110 Trespassing-transient
7 transients camped out. CP OBS via camera. Transients GOA.
Incident closed.
60 2/2/2020 5:21 Sunday 200200747 Trespassing-transient
6 homeless subjects set up camp near CPS front door. One
subject 97. Left property. Incident closed.
61 2/2/2020 13:04 Sunday 200200901 Trespassing-transient
10-15 transients loitering on prop. & keep jumping the fence into
the Sunland Motel plot. GOA. Incident closed.
62 2/3/2020 5:01 Monday 200201250 Trespassing-transient
Several homeless subjects camped out at the front door of the
business. Subjects leaving. Incident closed.
63 2/4/2020 6:32 Tuesday 200201912 Trespassing-transient
10+ transients loitering on the property. CP is not T97. He is
calling without knowing if transients are here or not. I advised
him I cleared the property at 0600 hours and it is not necessary
for him to call unless he is 97 and finds transients here at that
time. Incident closed.
64 2/4/2020 19:26 Tuesday 200202351 Trespassing-transient
5 transients loitering in the parking lot near the dumpsters with
all their belongings. Subjects left without incident. Incident
closed.
SAPD CAD Incidents 2031 E. 1st Street (Retail/Dining Shopping Center) - Full Call Details Including Field Activity Reports 1/1/20 - 1/1/22
Date Time Day Incident # Call Description Field Activity Report
65 2/10/2020 15:31 Monday 200206011 Patrol Check Incident closed.
66 2/12/2020 17:02 Wednesday 200207421 See the man
CP found his friend's stolen vehicle. Vehicle not listed as stolen.
CP's friend, the R/O, is T97 now. No 503 reports found in RMS.
CP was asked to call back on non-emergency line. The vehicle is
now at 900 E. 2nd, but business is closing. CP will T87 where the
vehicle was originally stolen 4 months ago. CP will be waiting in a
white Mazda V8. Johnny's Burgers parking lot. Incident closed.
67 2/13/2020 19:37 Thursday 200208174 Traffic hazard
Broken water pipe, causing flooding, water coming from the
ground, broken main pipe spewing out of the gutter where it
meets the street. Incident closed.
68 2/13/2020 21:53 Thursday 200208238 Disturbance-transient
Transient male coming in and out of the store bothering CP's
customers. M/W white jacket, blue jeans. Negative weapons. CP
said that sometimes there are more that gather outside also.
Incident closed.
69 2/14/2020 19:19 Friday 200208772 Trespassing-transient
5 homeless subjects camped out blocking the drive-thru.
Business is about to close. Incident closed.
70 2/15/2020 17:06 Saturday 200209312 Trespassing-transient
5 transient camped out by the drive-thru area refusing to leave.
Will advise. Incident closed.
71 2/16/2020 11:14 Sunday 200209784 Trespassing-transient
10 homeless loitering in the plot next to the dumpster. Subjects
left. Incident closed.
72 2/17/2020 7:47 Monday 200210250 Disturbance-transient
3 males and 2 females loitering on the property. 1 male is UI and
passed out not responding to the CP. Subjects leaving. Advised of
602. Incident closed.
73 2/17/2020 9:40 Monday 200210305 Trespassing-transient
Approx. 10 homeless subjects set up camp in the plot located
next to the dumpster. Only 1 transient at business. Left without
incident. Incident closed.
74 2/18/2020 6:49 Tuesday 200210829 Disturbance-transient
5 transients, 3 males and 2 females sleeping in front of business.
Subjects on their way. Incident closed.
75 2/19/2020 5:00 Wednesday 200211410 Trespassing-transient
Approx. 7 subjects camped out on property in front of La Torta
Loca and Flame Broiler. Incident closed.
SAPD CAD Incidents 2031 E. 1st Street (Retail/Dining Shopping Center) - Full Call Details Including Field Activity Reports 1/1/20 - 1/1/22
Date Time Day Incident # Call Description Field Activity Report
76 2/19/2020 14:48 Wednesday 200211793 Trespassing-transient
5 subjects camped out to the front of T20 on grass area, CP
made contact. Subjects refused. No weapons seen. Ongoing
problem. 1 subject trans to LINK. Incident closed.
77 2/19/2020 22:50 Wednesday 200212129 Trespassing-transient
In front of doors to business - 3 males and female transients
camped out - all wht. Incident closed.
78 2/20/2020 5:01 Thursday 200212215 Trespassing in progress
via a camera, CP sees 6 subjects loitering on the property. In
front of the business. Incident closed.
79 2/20/2020 22:45 Thursday 200212884 Trespassing-transient
By main entrance, 6 homeless subjects camped out in front of
business. Incident closed.
80 2/21/2020 5:00 Friday 200212974 Trespassing-transient
6 subjects camped out at the main entrance of T20. Contact was
made. Subjects refusing to leave. Incident closed.
81 2/22/2020 0:01 Saturday 200213619 Trespassing-transient
3 males and 3 females T97 on the property. Near the main
entrance. Trespass form on file per CP. CP is viewing remotely.
Will advise. Incident closed.
82 2/23/2020 6:05 Sunday 200214284 Trespassing-transient
5-6 homeless subjects camped out in front of main entrance of
business. Incident closed.
83 2/24/2020 5:46 Monday 200214802 Trespassing-transient
6 transients loitering near the front entrance of the business. No
one there. Incident closed.
84 2/24/2020 19:45 Monday 200215220 Trespassing in progress
6 transients set up camp on the property. 3 transients by the
dumpster of the Flame Broiler and 3 more transients are near
Johnny's Burger drive-thru. Incident closed.
85 2/25/2020 5:00 Tuesday 200215421 Trespassing-transient
Approx. 6 subjects set up camp near business. CP OBS subjects
via security cameras. He is not T97. Subjects left the area.
Incident closed.
86 2/26/2020 5:23 Wednesday 200216169 Trespassing-transient
Via cameras, CP see 5+ males on the property camping out.
Asking that officers move them along. Subjects GOA. Incident
closed.
87 2/26/2020 16:12 Wednesday 200216535 Trespassing-transient
3 transients camping out on subject's property. Subjects sitting in
the parking lot near the drive-thru. Tent is set up in the parking
lot. Incident closed.
88 2/27/2020 5:27 Thursday 200216859 Trespassing-transient
Approx. 5 transients camped out refusing to leave. CP OBS via
cameras. Incident closed.
SAPD CAD Incidents 2031 E. 1st Street (Retail/Dining Shopping Center) - Full Call Details Including Field Activity Reports 1/1/20 - 1/1/22
Date Time Day Incident # Call Description Field Activity Report
89 2/28/2020 5:06 Friday 200217606 Trespassing-transient
Via camera, 5 subjects camped by main entrance of business.
Will advise. Incident closed.
90 2/28/2020 19:16 Friday 200218029 Trespassing-transient
5 homeless camped out in the drive-thru. Business is not open.
Incident closed.
91 3/1/2020 7:50 Sunday 200300133 Trespassing-transient
5 transients camped out on the property. Subjects refusing to
leave. Incident closed.
92 3/2/2020 4:58 Monday 200300604 Trespassing-transient
5 homeless subjects camped out at the main entrance at Torta
Loca. Incident closed.
93 3/3/2020 5:30 Tuesday 200301347 Disturbance-transient
3 males and 3 females. All transients camped out in front of
business near front door. Incident closed.
94 3/3/2020 19:19 Tuesday 200301857 Trespassing-transient
3 males and 2 females on the grass at the entrance of the
business loitering on CPS property.
95 3/4/2020 5:01 Wednesday 200302069 Trespassing-transient
6+ homeless on CPS property at the main entrance with
encampments and loitering on the property. CP has called every
morning for at least the last 2 weeks about these subjects. Will
advise. Incident closed.
96 3/5/2020 5:02 Thursday 200302754 Trespassing-transient
Via camera, CP sees 6+ homeless subjects at the entrance of the
property that have been camping all night and currently
loitering. Subjects left owner of Torta not happy about
transients. Incident closed.
97 3/5/2020 19:32 Thursday 200303264 Trespassing-transient
Flame Broiler & burger place. 7 transients camped out. Some in
drive-thru area and some in rear parking lot near trash cans. CP
not 97. Observed via camera. Incident closed.
98 3/5/2020 23:24 Thursday 200303398 Trespassing-transient 6 transients camped out in front of the business. Incident closed.
99 3/6/2020 5:38 Friday 200303477 Trespassing-transient
6 transients camped out. Ongoing issue. 4th response since
yesterday. Incident closed.
100 3/6/2020 23:22 Friday 200304056 Trespassing-transient
Large group of homeless subjects camped out in front of
business door.
101 3/7/2020 5:07 Saturday 200304160 Trespassing-transient
Group of 5-6 homeless subjects camping out in front of business
by main doors. Incident closed.
102 3/7/2020 23:04 Saturday 200304735 Trespassing-transient
Group of transients camping out in front of La Torta Loca
restaurant. CP wants them to move along.
SAPD CAD Incidents 2031 E. 1st Street (Retail/Dining Shopping Center) - Full Call Details Including Field Activity Reports 1/1/20 - 1/1/22
Date Time Day Incident # Call Description Field Activity Report
103 3/8/2020 5:42 Sunday 200304853 Trespassing-transient
6 transients camped out. CP OBS via camera. Subjects GOA.
Incident closed.
104 3/8/2020 23:07 Sunday 200305367 Trespassing in progress
Approx. 6 transients camping out on the property. Incident
closed.
105 3/9/2020 5:06 Monday 200305439 Trespassing-transient
6 transients on the property near the front entrance. CP viewing
subjects from an off-site surveillance system. This is a daily
problem. Left upon request. No SAMC violation at this time.
Incident closed.
106 3/9/2020 23:04 Monday 200306029 SAMC-transient
Via security video CP can see approx. 6 subjects camped out by
the front door entrance of the business. Subject advised to leave
and complied. Incident closed.
107 3/10/2020 7:14 Tuesday 200306137 Trespassing-transient
Approx. 10 transients loitering on the property. Subjects on their
way. Incident closed.
108 3/10/2020 19:29 Tuesday 200306510 Trespassing-transient
In plot next to dumpster. 10+ transients loitering. No weapons.
Will adv. Subjects moved upon arrival. Incident closed.
109 3/10/2020 23:02 Tuesday 200306599 SAMC-transient
In front of the door of the business. Approx. 7 subjects CP OBSD
this via sec video. Camped out in front of the business. Incident
closed.
110 3/11/2020 4:19 Wednesday 200306672 SAMC-transient
Approx. 5 subjects camping out in front of the door. Officers
were out earlier and subjects left but now 5 more are T97.
PAWC. Subjects left the area upon arrival. Incident closed.
111 3/12/2020 6:36 Thursday 200307469 Trespassing-transient
3 transients camped out at front entrance of business. Incident
closed.
112 3/14/2020 7:36 Saturday 200308719 Trespassing-transient
7 transients camping out at front entrance of business. Incident
closed.
113 3/16/2020 5:04 Monday 200309933 Trespassing-transient
7+ homeless subjects on CPS property. Can see them via
cameras. CP req officers remove them off the property. Subjects
leaving. Incident closed.
114 3/17/2020 5:09 Tuesday 200310521 Trespassing-transient
5 transients in front of business. CP can see from subjects from
his security camera at home. Incident closed.
115 5/10/2020 7:34 Sunday 200506071 Trespassing-transient 5 homeless set up camp in the CP's plot. Incident closed.
SAPD CAD Incidents 2031 E. 1st Street (Retail/Dining Shopping Center) - Full Call Details Including Field Activity Reports 1/1/20 - 1/1/22
Date Time Day Incident # Call Description Field Activity Report
116 5/20/2020 11:12 Wednesday 200512762 Traffic accident non-injuryCP in an unmarked unit-gry Niss Altima. Other vehicle gry Nissan
Frontier. Need motor and supervisor. Incident closed.
117 8/14/2020 18:44 Friday 200809011 Trespassing-transient
10 transients loitering in the plot. Some subjects injecting narcs.
CP concerned for his customers who are eating outside. CP
called back. Subjects now closer to furniture store but still
refusing to leave. Incident closed.
118 8/24/2020 22:20 Monday 200815833 Suspicious vehicle
Blue Ford SUV w/ fem crying screaming ins. CP OBS a m/w driver
exit vehicle several times then re-enter the vehicle. Vehicle is
now exiting. Incident closed.
119 8/26/2020 12:14 Wednesday 200816823 Stolen vehicle report
Freightliner wht box truck - vehicle L/S yest @ 1730 hrs. CP
states civil issue with prior owner who also has keys to vehicle
prior owner wife is RO of vehicle and mentioned possible repo.
CP adv to figure out if vehicle was repo'd if not have RO come to
file 503R. Incident closed.
120 9/30/2020 6:56 Wednesday 200918273 Found/lost property repor
Contact CP ref found cell phone and credit cards. Neg COVID 19.
CP called back and stated the phone has pictures of girl tied up.
CP said he needs to leave. CP has to leave and will leave the cell
phone with a female employee. Diana inside the restaurant.
Incident closed.
121 10/9/2020 11:42 Friday 201005066 Assist Fire Dept.
Male "going crazy". Fire still trying to get further. M/B 50's, blue
sweater, pink pants. In the shopping center. Fire: will be stating.
Male yelling gibberish and claiming that he is a weapon. Says
"he" is the weapon. Not that he has a weapon. Is possible psych
patient. Fire: was adv to T23. Transported to St. Joseph's by Care.
Incident closed.
122 11/11/2020 11:40 Wednesday 201105901 Hit & run of parked veh J/
Hit CP's parked vehicle. CP is parked in front of La Torta Loca
restaurant. Clearing the station to respond. Incident closed.
123 11/19/2020 7:13 Thursday 201110265 Disturbance-transient
To the front in plot. 10 transients camped out. No weapons seen.
Incident closed.
124 11/19/2020 19:10 Thursday 201110680 Trespassing-transient
Group of approx. 10 homeless subjects camped out with their
property on the side of business in the grass area. Incident
closed.
SAPD CAD Incidents 2031 E. 1st Street (Retail/Dining Shopping Center) - Full Call Details Including Field Activity Reports 1/1/20 - 1/1/22
Date Time Day Incident # Call Description Field Activity Report
125 12/8/2020 16:05 Tuesday 201204460 Trespassing-transient
Approx. 6-7 homeless subjects with all their stuff in the plot. All
subjects GOA. Incident closed.
126 12/19/2020 20:21 Saturday 201210771 Unknown trouble
Male on roof of drug rehab bldg. on the w/side of the Sunland.
M/unk race wearing dk clothing. NFD. GBD. Incident closed.
127 1/18/2021 7:56 Monday 210109932 Disturbance-transient
2 transients in parking lot. M/wht, 40 y/o, blk sht, blk pants and
F/wht, blk sht, blk pants sleeping. Subject contacted and asked to
move along, PAWC. Incident closed.
128 1/29/2021 17:23 Friday 210116805 Traffic stop Incident closed.
129 1/30/2021 3:09 Saturday 210117017 Suspicious vehicle
CP adv'd he is emp at Niki's Indian restaurant and sleep in plot in
his vehicle. There is an additional vehicle parked in lot 925 with
subjects exiting in and out. Subjects keep approaching his
vehicle. CP parked in front of Niki's Indian restaurant. 925 vehicle
is white sedan. NFD. All info obtained via translator. Incident
closed.
130 1/30/2021 8:06 Saturday 210117078 Trespassing-transient
10+ homeless subjects loitering on the property. Everyday
occurrence. Subjects cont., gathered their belongings and left,
advd of shelter locations. Incident closed.
131 1/31/2021 8:12 Sunday 210117679 Disturbance-transient 5 transients sleeping in parking lot. Subjects left. Incident closed.
132 2/2/2021 20:30 Tuesday 210201129 Disturbance-transient
CP was threatened by a security guard. Was upset CP was
looking at his license plate. Threatened to pepper spray CP.
M/wht, 60 YO, blk clothing, poss 417 on gun belt and pepper
spray. Subject was in a blk Ford Explorer, blue/red lights on top.
Transient ref to leave, M/Indian 45 YO, wht/gry/blk sweater,
jeans, medics are T97. Incident closed.
133 2/3/2021 7:09 Wednesday 210201344 Trespassing-transient
Approx. 3 homeless subjects sleeping in the plot in front of CP's
business. All subjects are male. Incident closed.
134 2/23/2021 15:05 Tuesday 210213723 Trespassing-transient
Homeless, MW, 70 YO, wrng blk hoodie/pants/is in a wheelchair.
Subject has been asked to leave and refused. Subject slowly
moving to sidewalk of 1st Street. Incident closed.
SAPD CAD Incidents 2031 E. 1st Street (Retail/Dining Shopping Center) - Full Call Details Including Field Activity Reports 1/1/20 - 1/1/22
Date Time Day Incident # Call Description Field Activity Report
135 3/7/2021 8:07 Sunday 210304039 Trespassing-transient
3 homeless subjects sleeping on property in the front. Subjects
contacted and agreed to leave area. Incident closed.
136 3/25/2021 7:16 Thursday 210315190 Trespassing-transient
Homeless person in parking lot next to trash can sleeping. Has
his blankets all over the place. Incident closed.
137 4/11/2021 13:04 Sunday 210406628 Trespassing-transient
M/ Middle Eastern, red jkt, blk sht, tan shorts ref'ing to leave and
was 415 verbal. Incident closed.
138 5/23/2021 20:42 Sunday 210514031 Disturbance-transient
#1 M/ Persian, blk jacket, blk pants. #2 M/ Hispanic, no shirt, gry
pants, bothering customers near entrance of rest, one has a bike
near them. Incident closed.
139 7/3/2021 5:25 Saturday 210701495 Audible burglary system
Covers main entry door. No reset. No rp S2. Building locked and
secured. Incident closed.
140 7/10/2021 18:17 Saturday 210706944 Area check
CP noticed water leaking from fire hydrant loc'd on Golden
Circle. Incident closed.
141 7/14/2021 9:49 Wednesday 210709248 Narcotic activity
3 males doing narcs on the corner, near the Sandwich Society.
Incident closed.
142 7/15/2021 16:38 Thursday 210710197 Disturbance-transient
Unable to understand CP. Now on phone w/ another person
adv'g M/ White 30 YO wrg grn shirt, blue shorts-ref'g to leave. CP
said someone is there. Speaking to female now adv at 2031 E.
1st St. Incident closed.
143 7/24/2021 8:52 Saturday 210715619 Trespassing-transient 20 transients camping out in parking lot. Incident closed.
144 7/28/2021 21:12 Wednesday 210718480 Assist Fire Dept.
24 YO male assaulted by unk male- 10 AGO kicked in head and
choked. Unk where susp is. Org CP did not know male and
doesn't know if susp is known. Checking area. Incident closed.
145 9/11/2021 9:36 Saturday 210906473 Trespassing-transient
10 transients camping out in parking lot. No weapons seen.
Incident closed.
146 10/2/2021 20:38 Saturday 211001195 Suspicious subject
Male outside of the business yelling that he was pepper sprayed.
CP did not wit. M/ H no shirt/brown pants. Incident closed.
147 10/7/2021 19:04 Thursday 211004497 Disturbance-transient
Homeless male T97 refusing to leave. Lang barrier w/ CP so no
clothing description. CP called back 415 and was adv'd call is
pending. Still unable to provide further. Transient wanted to go
to the hospital to seek psych help. Incident closed.
SAPD CAD Incidents 2031 E. 1st Street (Retail/Dining Shopping Center) - Full Call Details Including Field Activity Reports 1/1/20 - 1/1/22
Date Time Day Incident # Call Description Field Activity Report
148 10/12/2021 10:28 Tuesday 211007441 Traffic Stop Incident closed.
149 10/17/2021 20:44 Sunday 211010886 Incomplete 9-1-1 call rec'dxfer from Sta 34 open line. Male heard saying "did they go that
way". Male disc on xfer. Rapid deploy pinging. Incident closed.
150 11/11/2021 19:18 Thursday 211106843 Disturbance-transient
Lang barrier. CP kept saying something about a homeless fem.
Att to xfer to interp but CP h/u. CP called on business line. GOA.
Incident closed.
151 11/11/2021 21:38 Thursday 211106903 Trespassing-transient
Approx. 8 transients loitering on complex. 1 subject seen doing
narcotics- M/H 30 YO, blk jkt, blk pants, no weapons seen,
ongoing issue per CP. CP saying he wanted to remain anon and
he was asked if he was the one that called. He doesn't want
issues with the transients. Incident closed.
152 11/17/2021 21:40 Wednesday 211110569 Trespassing-transient
6 transients loitering in front of the restaurant refusing to leave.
Incident closed.
153 11/18/2021 20:43 Thursday 211111200 Disturbance-transient
Approx. 5-6 homeless in the plot in/out of the business. Subjects
left without incident. Incident closed.
154 11/19/2021 7:35 Friday 211111377 Disturbance-transient Transients on the property refusing to leave. Incident closed.
155 12/13/2021 18:36 Monday 211207848 Trespassing-transient
1 transient female loitering. Unable to get further due to
language barrier. 2 CP CB to adv female leaving. 3 subjects left
area. Incident closed.
156 12/26/2021 8:48 Sunday 211214630 Trespassing-transient
1 transient camped out in the parking lot refusing to leave. CP is
ENR. 2 transients left parking lot. Incident closed.
157 12/26/2021 14:30 Sunday 211214731 Audible burglary alarm
1 cover frnt motion, no reset, no rp. Doors and windows
secured. Incident closed.
158 12/28/2021 16:11 Tuesday 211215704 Trespassing-transient
1 transient ref'ng to leave. No desc. CP HU. 2 male transients
ref'ng. to leave, NFD. 3 CP CB adv'd subj leaving. Incident closed.
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