California Code of Regulations › Title 17 - Public Health › Division 1 - State Department of Health Services › Chapter 4 - Preventive Medical Service › Subchapter 15 - Syringe Exchange Program (SEP) Certification › Article 2 - SEP Certification Process › Section 7002 - Application Requirements for SEP Certification

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
An applicant desiring state authorization to operate an SEP
						shall, pursuant to Health and Safety Code Section
						121349,
						file an application for certification with the California Department of Public
						Health, Office of AIDS, through its website or by mail.
(a) Each application shall contain the following
					 information:
(1) The name of the applicant
					 organization, the name under which it will be providing syringe exchange services,
					 if different, and the date the application is submitted.
(2) The full name, title, email address and
					 telephone number of the individual designated by the applicant as the administrator
					 of the SEP.
(3) A description of the
					 applicant organization's mission and core services, including a list of services the
					 applicant currently provides to injection drug users. Services offered shall include
					 all services listed in Health and Safety Code Section
					 121349(d)(1)
					 and may be offered directly or by referral. These are:
(A) Drug abuse treatment services,
(B) HIV or hepatitis screening,
(C) Hepatitis A and hepatitis B
					 vaccination,
(D) Screening for sexually
					 transmitted infections,
(E) Housing
					 services for the homeless, for victims of domestic violence, or other similar
					 housing services, and
(F) Services
					 related to provision of education and materials for the reduction of sexual risk
					 behaviors, including, but not limited to, the distribution of
					 condoms.
(4) A needs statement
					 as defined in Section
					 7000(a)(17) and that
					 includes information about the presence or absence of other syringe exchange
					 services in the proposed location.
(5) A
					 description of the proposed syringe exchange services, the anticipated number of
					 participants to be served each year and the estimated number of syringes to be
					 dispensed and collected each year. SEP services include all those listed in Health
					 and Safety Code Section
					 121349(d)(3)
					 which requires certified SEPs to:
(A) Provide
					 needles and syringe exchange services for all of its participants;
(B) Provide HIV and viral hepatitis prevention
					 education services for all of its participants; and
(C) Provide for the safe recovery and disposal of
					 used syringes and sharps waste from all of its participants.
(6) A description of the service delivery mode(s)
					 to be employed, whether fixed or mobile site, and:
(A) The number of locations at which syringe
					 exchange services will be provided.
(B)
					 A description of the location(s) where syringe exchange services will be provided
					 that includes the full address (street number, street name, city and zip code) and
					 county of the fixed or mobile site location(s).
(7) A description of additional services that will
					 accompany syringe exchange, such as overdose prevention supplies and
					 education.
(8) The SEP hours of
					 operation in the location(s) and staffing. The description of hours of operation
					 shall include the specific days the SEP is open, opening and closing times, and
					 frequency of syringe exchange services. The description of staffing shall include
					 number of staff, titles of positions and descriptions of duties.
(9) A paragraph, not to exceed 150 words and which
					 will be posted on the department website, which summarizes the proposed program and
					 includes the name of the applicant organization, the name of the SEP, location(s),
					 hours of service, and types of services to be delivered.
(10) A copy of the following plans that guide the
					 SEP's operations:
(A) Syringe Dispensing Plan as
					 described in Section
					 7012(a);
(B) Syringe Collection and Disposal Plan as
					 described in Section
					 7012(b);
(C) Service Delivery Plan as described in Section
					 7012(c);
(D) Data Collection and Program Evaluation Plan as
					 described in Section
					 7012(d);
(E) Community Relations Plan as described in
					 Section 7012(e).
(11) A budget for the program which includes at
					 minimum projected income and costs for personnel, outside services, and operating
					 expenses, including but not limited to rent, utilities, equipment, materials
					 including syringes and disposal containers, transportation, insurance, training,
					 meetings, syringe disposal services, and indirect costs.
(12) Contact name, phone number and email for the
					 neighborhood association of the location, if one exists.
(13) A signed statement attesting to:
(A) The applicant's compliance with state laws and
					 regulations;
(B) The capacity of the
					 applicant to begin syringe exchange services within 90 days of
					 certification;
(C) The involvement of
					 program participant input into SEP design, implementation and
					 evaluation.