This Oregon regulation establishes minimum standards and certification procedures for Behavioral Health Crisis Receiving and Stabilization Centers, which provide short-term (less than 24 consecutive hours) crisis screening, assessment, intervention, observation, and stabilization services for individuals experiencing mental health or substance use crises who do not require inpatient treatment. Operators must meet requirements around staffing qualifications (QMHPs, QMHAs, Licensed Medical Practitioners), service record documentation, critical incident reporting, culturally responsive care, and individual rights including grievance procedures. Facilities must maintain a homelike, community-based environment and ensure care coordination and follow-up referrals upon discharge. These rules do not govern traditional inpatient or residential levels of care.
View official sourceOregon Health Authority Health Systems Division: Behavioral Health Services - Chapter 309 Division 73 BEHAVIORAL HEALTH CRISIS RECEIVING AND STABILIZATION CENTERS 309-073-0000 Temporary rule language in effect until 09/15/2026. Purpose and Scope (1) The purposes of 309-073-000 through 309-073-0195 are to build upon and improve the statewide coordinated crisis system and to: (a) Remove barriers to accessing quality behavioral health crisis services. (b) Improve equity in behavioral health treatment and ensure culturally, linguistically, and developmentally appropriate responses to individuals experiencing behavioral health crises, in recognition that, historically, crisis response services place marginalized communities at disproportionate risk of poor outcomes and criminal justice involvement. (c) Ensure anyone in the state of Oregon receives a consistent and effective level of behavioral health crisis services no matter where they live, work, or travel in the state; and (d) Provide increased access to quality community behavioral health services to prevent interactions with the criminal justice system and prevent hospitalizations. (2) These rules prescribe minimum standards and procedures for Crisis Stabilization Centers applying for certification and certified by the Division to provide crisis stabilization services to individuals for less than 24 consecutive hours. Statutory/Other Authority: ORS 183.310 - 183.750, 179.040, 413.042, 413.032 - 413.033, 428.624, 430.626 - 430.640, 430.870, HB 2417 (2021) & 743A.168 Statutes/Other Implemented: 183.310 - 183.750, 426.500, 428.205-428.270, 430.010, 430.021, 430.205 - 430.210, 430.254, 430.335, 430.620, 430.626 - 430.630, 430.637 & 414.665 History: BHS 2-2026, temporary adopt filed 03/20/2026, effective 03/20/2026 through 09/15/2026 309-073-0010 Temporary rule language in effect until 09/15/2026. Definitions (1) "Abuse of an Adult" means the circumstances defined in ORS 430.735, OAR Chapter 943, Division 45 and OAR Chapter 407, Division 45 for abuse of an adult with mental illness or who is receiving residential substance use disorder treatment or withdrawal management services. (2) “Abuse of a Child” means the circumstances defined in ORS 419B.005 and ORS 418.257. (3) "Adult" means an individual 18 years of age or older or an emancipated minor. An individual with Medicaid eligibility who needs services specific to children, adolescents, or young adults in transition shall be considered a child until age 21 for the purposes of these rules. Adults who are between the ages of 18 and 21 who are considered children for purposes of these rules shall have all rights afforded to adults as specified in these rules. (4) “Authority” means the Oregon Health Authority. (5) “Behavioral Health Treatment” means treatment for mental health, substance use disorders, and problem gambling. (6) “Care Coordination” means a process-oriented activity to facilitate ongoing communication and collaboration to meet multiple needs. Care coordination includes facilitating communication between the person or family served, the family, natural supports, community resources, and involved providers and agencies; organizing, facilitating, and participating in team meetings; and providing for continuity of care by creating linkages to and managing transitions between levels of care and transitions for young adults in transition to adult services. (7) “Cot” means temporary, collapsible, flat, fabric surface on which an individual can rest or recline. (8) "Community Mental Health Program (CMHP)" an entity that is responsible for planning and delivery of safety net services for persons with mental or emotional disturbances, drug abuse problems, and alcoholism and alcohol abuse in a specific geographic area of the state under a contract with the Division or a local mental health authority and pursuant to OAR Chapter 309, Division 014. (9) “Complaints” means p rogram staff must not retaliate in any way against any individual, witness or staff member after a complaint or grievance has been filed. (10) "Crisis" means either an actual or perceived urgent or emergent situation that occurs when an individual’s stability or functioning is disrupted, and there is an immediate need to stabilize the situation to prevent a serious deterioration in the individual’s mental or physical health or to prevent referral to a significantly higher level of care or death. (11) "Crisis Intervention" means short-term services to address an immediate crisis need. (12) “Crisis Stabilization Centers” means a program that is: (a) Designed to prevent or ameliorate a behavioral health crisis or reduce acute symptoms of mental illness or substance use disorder; and (b) Certified by the Division to provide screening, assessment, crisis intervention, and less than 24 consecutive hours of observation and crisis stabilization services for individuals who do not require inpatient treatment. (13) “Crisis and safety plan” means an individualized document created in collaboration with an individual and their family, if applicable, to help anticipate and prevent future crisis episodes. The plan, at minimum, includes strategies for self-regulation; activators; contact information for supportive resources; and documents, referrals, and recommendations for follow up services and supports." (14) “Crisis stabilization services” includes diagnosis, stabilization, observation and follow-up referral services provided to individuals in a community-based, developmentally appropriate homelike environment to the extent practicable as defined by ORS 430.626. (15) “Critical Incident” means any incident that caused harm or created a potential risk of harm to a resident including: (a) Abuse, neglect, or exploitation; (b) Misuse or unauthorized use of restraints or seclusion; (c) Medication error resulting in consultation with a poison control center or medical professional, an emergency department or urgent care visit, hospitalization or death; and (d) Suspected overdose. (e) Serious injury. (f) Contact with law enforcement or emergency services. (g) Death. (16) “Critical Incident Report” means a written description of any critical incident. (17) “Culturally Responsive” means services that are respectful of and relevant to the beliefs, practices, culture and linguistic needs of diverse consumer/client populations and communities whose members identify as having particular cultural or linguistic affiliations. Cultural responsiveness describes the capacity to respond to the issues of diverse communities and requires knowledge and capacity at different levels of intervention: systemic, organizational, professional, and individual. (18) "Declaration for Mental Health Treatment" means a written statement of an individual’s preferences concerning their mental health treatment. The declaration is made when the individual is able to understand and legally make decisions related to such treatment. It is honored, as clinically appropriate, in the event the individual becomes unable to make such decisions. (19) “Department” means the Oregon Department of Human Services. (20) "Diagnosis" means the principal mental health, substance use, or problem gambling diagnosis listed in the Diagnostic and Statistical Manual of Mental Disorders, Fifth edition (DSM-5-TR). The diagnosis is determined through the assessment and any examinations, tests, or consultations suggested by the assessment and are medically necessary reason for services. (21) “Division” means the Behavioral Health Division of the Oregon Health Authority, or its designee. (22) “Diagnostic and Statistical Manual of Mental Disorders, means the current edition of the textbook used to diagnose and classify mental disorders that is published by the American Psychiatric Association. (23) "Family" means the biological or legal parents, siblings, other relatives, foster parents, legal guardians, spouse, domestic partner, caregivers, and other primary relations to the individual whether by blood, adoption, or legal or social relationships. Family also means any natural, formal, or informal support persons identified as important by the individual. (24) “First Responder” means a person with specialized training who is among the first to arrive and provide assistance or incident resolution at the scene of an emergency. First responders include, but are not limited to, law enforcement officers, emergency medical services members, and fire service members. (25) “Gender Identity” means an individual's self-identification of gender without regard to legal or biological identification including but not limited to individuals identifying themselves as male, female, transgender, gender transitioning and transitioned, non-binary, intersex, and gender diverse. (26) “Gender Expression” means the external characteristics and behaviors that are socially defined as masculine, feminine, or androgynous such as dress, mannerisms, speech patterns, and social interactions. (27) "Grievance" means a formal complaint submitted to a provider verbally or in writing by an individual or the individual’s representative. (28) "Guardian" means an individual appointed by a court of law to act as guardian of a minor or a legally incapacitated individual. (29) “Homelike” means an environment that promotes the dignity, security, and comfort of an individual through the provision of personalized care and services and encourages independence, choice, and decision-making by the individual. (30) “Individual” means any person being considered for or receiving services and supports regulated by these rules. (31) "Level of Care" means the type, frequency, and duration of medically necessary services provided from the most integrated setting to the most restrictive and intensive inpatient setting (32) "Licensed Medical Practitioner (LMP)” means a person who meets the following minimum qualifications as documented by the Local Mental Health Authority (LMHA) or designee: (a) Physician licensed to practice in the State of Oregon. (b) Nurse practitioner licensed to practice in the State of Oregon; or (c) Physician's assistant licensed to practice in the State of Oregon. (d) Whose training, experience, and competence demonstrate the ability to conduct a medical exam, a mental health assessment and provide medication management; and (33) “Local Mental Health Authority (LMHA)” means one of the following entities: (a) The board of county commissioners of one or more counties that establishes or operates a CMHP. (b) The tribal council in the case of a Federally Recognized Tribe of Native Americans that elects to enter into an agreement to provide mental health services; or (c) A regional local mental health authority composed of two or more boards of county commissioners. (34) "Medicaid" means the federal grant-in-aid program to state governments to provide medical assistance to eligible individuals under Title XIX of the Social Security Act. (35) "Medical Director" means a physician licensed to practice medicine in the State of Oregon and is designated by a Crisis Stabilization Center to be responsible for the program's medical services, either as an employee or through a contract. (36) “Medication Assisted Treatment (MAT)” means the use of medication in combination with counseling and behavioral therapies for the treatment of substance use disorders. (37) "Opioid" means natural, synthetic, or semi-synthetic chemicals normally prescribed to treat pain. This class of drugs includes, but is not limited to, illegal drugs such as heroin, natural drugs such as morphine and codeine, synthetic drugs such as fentanyl and tramadol, and semi-synthetic drugs such as oxycodone, hydrocodone, and hydromorphone. (38) "Opioid Overdose" means a medical condition that causes depressed consciousness and mental functioning, decreased movement, depressed respiratory function and the impairment of the vital functions as a result of taking opiates in an amount larger than can be physically tolerated. (39) "Opioid Overdose Kit" means an ultraviolet light-protected hard case containing a minimum of two doses of an FDA-approved short-acting, non-injectable, opioid antagonist medication, one pair non-latex gloves, one face mask, one disposable face shield for rescue breathing, and a short-acting, non-injectable, opioid antagonist medication administration instruction card. (40) “Peer Support Specialist (PSS)” means a program staff providing peer-delivered services to an individual or family member with similar life experience under the supervision of a qualified clinical supervisor and a qualified peer-delivered services supervisor as resources are made available. (41) “Plan of Correction” (POC) means a written plan and attached supporting documentation created by the provider when required by the Division to address findings of noncompliance with these rules or applicable service delivery rules. (42) "Program" means an organized system of services and supports delivered by a provider designed to address the treatment needs of individuals and families. (43) "Program Director" means program staff with appropriate professional qualifications and experience who is designated to manage the operation of a program. (44) "Program Staff" means personnel who renders a clinical service or support. Program staff could include, but is not limited to, an employee, contractor, intern, or volunteer who is rendering or assisting with rendering clinical services or supports. (45) “Provider” means an organizational entity or qualified person that is certified or licensed by the Division for the direct delivery of substance use, problem gambling, or mental health services and supports. (46) "Qualified Mental Health Associate (QMHA)” means mental health program staff delivering services under the direct supervision of a QMHP who meets the minimum qualifications as authorized by the LMHA or designee and specified in OAR 309-019-0125. (47) "Qualified Mental Health Professional (QMHP)" means mental health program staff LMP or any other program staff meeting the minimum qualifications as authorized by the LMHA or designee and specified in OAR 309-019-0125. (48) “Qualified Program Staff” means a QMHP or QMHA who meets the minimum qualifications as authorized by the LMHA or designee and specified in OAR 309-019-0125. (49) “Recliner” means an adjustable type of seating designed to provide comfort and support for individuals in crisis. (50) "Legal Representative" means someone who acts on behalf of an individual at the individual’s request with respect to a grievance including but not limited to a relative, friend, Division employee, attorney, or legal guardian. (51) “Service Record” means the written or electronic documentation regarding an individual presenting for services at a Crisis Stabilization Center. (52) “Signature” means any written or electronic means of entering the name, date of authentication, and credentials of the program staff providing a specific service or the individual authorizing services and supports. Signature also means any written or electronic means of entering the name and date of authentication of the individual, guardian, or any legal representative of the individual receiving services. (53) “Stabilization Services” includes diagnosis, stabilization, observation and follow-up referral services provided to individuals in a community-based, developmentally appropriate homelike environment to the extent practicable. (54) "Substance Use Disorder (SUD)" as defined in the current edition of the Diagnostic and Statistical Manual of Mental Disorders textbook, means disorders related to the taking of a drug of abuse including alcohol, the side effects of a medication, or a toxin exposure. The disorders include substance use disorders and substance-induced disorders, which include substance intoxication and withdrawal, and substance-related disorders such as delirium, neuro-cognitive disorders, and substance-induced psychotic disorder. (55) “Substance use screening” means the process to determine the presence of substance use and whether someone needs further substance use assessment, services, resources, or referrals. (56) “Suicide Risk Assessment” means a comprehensive evaluation, usually performed by a clinician, to evaluate suspected suicide risk in an individual, estimate the immediate danger, and decide on a course of treatment. (57) “Suicide screening” means a procedure in which a standardized suicide screening tool or protocol is used to identify individuals who may be at risk for suicide. (58) “Supports” means activities, referrals, and supportive relationships designed to enhance the services delivered to individuals and families for the purpose of facilitating progress toward intended outcomes. (59) "Variance" means an exception from a provision of these rules granted in writing by the Division pursuant to the process regulated by these rules upon written application from the provider. (60) “Violence Risk Assessment” means a comprehensive evaluation, usually performed by a clinician, to evaluate suspected risk of harm to others in an individual, estimate the immediate danger, and decide on a course of treatment. (61) “Violence Screening” means a procedure in which a validated tool, or protocol is used to identify individuals who may be at risk for harm to others. (62) "Volunteer" means a person who performs a service willingly and without pay. (63) “Youth” means the universal term used to describe all individuals, children, adolescents, and teenagers from birth through the age of 17. (64) “Young adults” is the accepted term to describe individuals between the ages of 18 and 20 years of age enrolled in IIBHT services. Statutory/Other Authority: ORS 183.310 -183.750, 179.040, 413.042, 413.032 - 413.033, 428.205 - 428.270, 430.624, 430.626 - 430.630, 430.640, 430.870, HB 2417 (2021) & 743A.168 Statutes/Other Implemented: ORS 183.310 - 183.750, 426.500, 428.205 - 428.270, 430.010, 430.021, 430.205 - 430.210, 430.254, 430.335, 430.620, 430.626 - 430.630, 430.637 & 414.665 History: BHS 15-2026, temporary adopt filed 06/04/2026, effective 06/05/2026 through 09/15/2026 BHS 2-2026, temporary adopt filed 03/20/2026, effective 03/20/2026 through 09/15/2026 309-073-0020 Temporary rule language in effect until 09/15/2026. Standards for Crisis Stabilization Centers (1) Crisis Stabilization Services must be offered to any individual experiencing a behavioral health crisis. Crisis Stabilization Services must be available to the community, 24 hours a day, seven days per week, every day of the year and provided in a homelike environment. (2) Formal interpretation services must be available to individuals and families who request services in languages not spoken by staff members. (3) Providers must ensure equitable access to services, particularly for individuals and families who may have faced historical and contemporary discrimination and inequities in health care based on race or ethnicity, physical or cognitive ability, IQ, gender, gender identity or presentation, sexual orientation, socioeconomic status, insurance status, citizenship status, or religion. (4) Qualified program staff must screen for physical health concerns and have protocols in place to transfer an individual for further assessment as necessary when Crisis Stabilization Center staff cannot manage health concerns for the duration of the individual’s admission to the program. (5) Qualified program staff must attempt to complete a developmentally appropriate suicide screening with individuals seeking service: (a) When unable to complete the suicide screening the reason must be clearly documented; (b) If the suicide screening tool indicates risk, then the following must occur and be documented: (A) A full suicide risk assessment must be completed by a Qualified Mental Health Professional (QMHP) or a licensed provider; (B) A crisis and safety plan which includes lethal means counseling when clinically indicated. (6) Qualified program staff must provide the following services and supports, as clinically indicated: (a) Crisis intervention and de-escalation; (b) Violence screening and violence risk assessment (c) Substance use screening; (d) Crisis and safety planning; and (e) Care coordination. (f) Diagnosis (7) Program Staff must identify and refer all individuals to appropriate services and supports to meet their needs. (8) When serving youth and young adults ages 20 and under, Program Staff must offer a referral to Stabilization Services. (9) If the individual has established medical or behavioral health services, program staff must attempt to coordinate care with the individual’s established provider. When unable to coordinate care with the established provider, program staff must document the reason. (10) If the Qualified Mental Health Professional (QMHP) or a QMHP or one other trained behavioral health provider as defined in OAR 309-019-0125(12) determines that the individual requires a psychiatric evaluation and a director’s custody hold is required, program staff must initiate the appropriate steps to transport the individual to the evaluation per OAR 309-033-0230 (2)(b). (11) The provider must work collaboratively with individuals to ensure connection to follow-up services and supports. When serving youth, the provider must work collaboratively with youth and their families to ensure connection to follow-up services and supports. (12) The provider must attempt follow-up with individuals within 72 hours after discharge from a Crisis Stabilization Center. Statutory/Other Authority: ORS 183.310 -183.750, 179.040, 413.042, 413.032 - 413.033, 428.205 - 428.270, 430.624, 430.626 - 430.630, 430.640, 430.870, HB 2417 (2021) & 743A.168 Statutes/Other Implemented: ORS 183.310 - 183.750, 426.500, 428.205 - 428.270, 430.637 & 414.665 History: BHS 15-2026, temporary adopt filed 06/04/2026, effective 06/05/2026 through 09/15/2026 BHS 2-2026, temporary adopt filed 03/20/2026, effective 03/20/2026 through 09/15/2026 309-073-0025 Temporary rule language in effect until 09/15/2026. Certification for Crisis Stabilization Centers (1) The Division shall certify a program that meets the definition of a Crisis Stabilization Center and demonstrates compliance with these and all applicable laws and rules. No person or governmental unit acting individually or jointly with any other person or governmental unit shall establish, maintain, manage, or operate a Crisis Stabilization Center without a certification issued by the Division. (2) When a Crisis Stabilization Center serves or seeks to serve another category of individuals in addition to youth and adults experiencing a behavioral health crisis, the directors of the Authority and the Department shall determine the department responsible for certification. (3) An application for certification must be submitted to the Division using the forms or format required by the Division. The following information must be included in the application: (a) Full and complete information as to the identity and financial interest of each individual, including stockholders, having a direct or indirect ownership interest of five percent or more in the Crisis Stabilization Center and all officers and directors in the case of a Crisis Stabilization Center operated or owned by a corporation; (b) Name and resume of the program director; (c) Physical and mailing addresses for the Crisis Stabilization Center; (d) Proposed annual budget identifying sources of revenue and expenses; (e) Written background information pertaining to any current or previous licensure or certification by a state agency, including those licenses or certificates granted to a business or person affiliated with the business, including: (A) Copies of all current licenses or certificates; (B) Documentation showing the final disposition of any suspension, denial, revocation, or other disciplinary actions initiated on any current or previous license or certificate, including settlement agreements, where applicable; and (C) Documentation of any substantiated allegations of abuse or neglect pertaining to the applicant, or anyone employed by or contracted with the applicant. (i) A complete set of policies and procedures; (ii) Building plans and specifications; and (iii) Other information the Division may reasonably require. (D) Providers and owners (with a minimum 20% interest) providing CSC services must certify in writing under penalty of perjury they are not in violation of tax laws under ORS 305.380, to include Providers (with a minimum 20% interest) must submit an Oregon Tax Compliance Certificate from the Oregon Department of Revenue that they are not in violation of tax laws under ORS 305.380. (4) A complete set of plans and specifications must be submitted to the Division at the time of initial application, whenever a new structure or addition to an existing structure is proposed, or when significant alterations to an existing facility are proposed. Plans must meet the following criteria: (a) Plans must be to scale and sufficiently complete to allow full review for compliance with these rules; and (b) Plans must bear the stamp of an Oregon licensed architect or engineer when required by the Building Code. (5) Prior to approval of a certification for a new or renovated building, the applicant shall submit the following to the Division: (a) One copy of written approval to occupy the building issued by the city or county building codes authority having jurisdiction; (b) One copy of the fire inspection report from the State Fire Marshal or local jurisdiction indicating that the building complies with the Fire Code; (c) When the building is not served by an approved municipal water system, one copy of the documentation indicating that the state or county health agency having jurisdiction has tested and certified safe the water supply in accordance with OAR chapter 333, Public Health Division rules to public water systems; (d) When the setting is not connected to an approved municipal sewer system, one copy of the sewer or septic system approval from the Department of Environmental Quality or local jurisdiction. (6) A certification is renewable upon submission of a renewal application in the form or format required by the Division: (a) Filing of an application for renewal 60 days before the date of expiration extends the effective date of the current certification until the Division acts upon the renewal application; (b) Crisis Stabilization Centers shall not be certified if they do not meet the qualifications in 309-008-1200. (7) Upon receipt of a complete application, the Division must begin its review of the materials within 30 days. The review must: (a) Include a complete review of application materials; (b) Include a site inspection; and (c) Conclude with a report stating findings and a decision on certification of the Crisis Stabilization Center. (8) Denial of an application. (a) The Division may elect to deny an initial application on the basis of any of the following: (b) The applicant has previously had any action taken on a certificate or license; or (c) Action taken on a certificate or license includes denial, suspension, conditions, intent to revoke, or revocation by the Division, the Authority, the Oregon Department of Human Services, or any other state agency. (d) The applicant may appeal the denial of the application by submitting a request for reconsideration in writing to the Division within 14 calendar days from receipt of the denial notice. The Division must make a decision on the appeal within 30 days of receipt of the appeal. The decision of the Division is final. (9) The provider shall submit and complete a plan of correction for each finding of noncompliance: (a) If the findings of noncompliance substantially impact the welfare, health, and safety of individuals, the provider shall submit a plan of correction that shall be approved by the Division prior to issuance of a certification. In the case of a currently operating program, the findings may result in suspension or revocation of a certification. (b) If it is determined that the findings of noncompliance do not threaten the welfare, health, or safety of individuals and the program meets other requirements of certification, the Division may issue or renew a certification with the plan of correction submitted and completed as a condition of certification. (c) The Division must within 30 days specify required documentation and set the timelines for the submission and completion of plans of correction in accordance with the severity of the findings. (d) The Division must review and evaluate each plan of correction. If the plan of correction does not adequately remedy the findings of noncompliance, the Division must require a revised plan of correction. (e) The provider may appeal the finding of noncompliance or the disapproval of a plan of correction by submitting a request for reconsideration in writing to the Division. The Division must make a decision on the appeal within 30 days of receipt of the appeal. The decision of the Division is final. (10) The Division, in its discretion, may grant a variance to these rules as allowed in OAR 309-073-0160 based upon a demonstration by the applicant or provider that an alternative method or different approach provides equal or greater program effectiveness and does not adversely impact the welfare, health, or safety of individuals. (11) Upon finding that the applicant is in substantial compliance with these rules, the Division must issue a certification: (a) The certification issued must state the name of the Crisis Stabilization Centers, the name of the program director, the address of the building to which the certification applies, the type of program, and such other information as the Division deems necessary. (b) The certification shall be effective for two years from the date issued unless sooner revoked or suspended; and (c) The certification is not transferable or applicable to any building, location, or management other than that indicated on the application and certification. (12) The certification is valid only under the following conditions: (a) The provider shall maintain the license posted in the setting and available for inspection at all times; and (b) A license becomes void immediately upon suspension or revocation of the certification by the Division or if the operation is discontinued by voluntary action of the provider or if there is a change of ownership. (13) Division staff shall visit and inspect every Crisis Stabilization Center at least once every two years to determine whether it is maintained and operated in accordance with these rules. The provider or applicant shall allow Division staff entry and access to the building and individuals for the purpose of conducting the inspections: (a) Division staff will review methods of individual care and treatment, records, the condition of the building and equipment, and other areas of operation. (b) All records, unless specifically excluded by law, must be available to the Division for review; and (c) The State Fire Marshal or authorized representatives must, upon request, be permitted access to the setting, fire safety equipment within the setting, safety policies and procedures, and maintenance records of fire protection equipment and systems. (14) Incidents of alleged abuse covered by ORS 430.735 through 430.765 and reported complaints shall be investigated in accordance with OAR 943-045-0250 through 0370. The Division may delegate the investigation to a CMHP or other appropriate entity. (15) The Division may deny, suspend, revoke, or refuse to renew a certification when it finds there has been substantial failure to comply with these rules or when the State Fire Marshal or authorized representative certifies that there is failure to comply with the Fire Code: (a) In cases where there exists an imminent danger to the health or safety of an individual or the public, a certification may be suspended immediately; and (b) The revocation, suspension, nonrenewal, or denial shall include the opportunity for a hearing in accordance with ORS 183.482. (c) Demonstrates substantial failure to comply with these administrative rules or with applicable state or federal law. (d) There is a threat to the health or safety of individuals. (e) Fails to maintain any State of Oregon license that is a prerequisite for providing services that were approved. (f) Has a direct contract with the Division, and the Division terminates its agreement or contract with the provider. (g) Fails to comply with the requirements of one or more conditions on the certificate. (h) Fails to submit and or implement a POC sufficient to come into substantial compliance with these and other applicable rules or regulations. (i) Submits falsified or incorrect information to the Division. (j) Refuses to allow access to information for the purpose of verifying compliance with applicable statutes, administrative rules, or other applicable regulations within a specified date or fails to submit such information following the date specified for such a submission in the written notification. (k) Fails to maintain sufficient staffing or fails to comply with staff qualification requirements. (l) The provider fails to demonstrate the ability to meet and sustain compliance with all applicable statutes, rules, and regulations. (16) Any significant changes to information supplied in the application or subsequent correspondence must be reported to the Division within 14 calendar days of the change. A new application will be required. Changes include but are not limited to changes in: (a) The location or physical nature of the building. (b) Program name. (c) Licensee and Owner. (d) Program director. (e) Telephone number. (f) Mailing address; or (g) Policies and procedures or staffing pattern when the changes are significant or impact the individual's health, safety, or well-being. Statutory/Other Authority: ORS 183.310 -183.750, 179.040, 413.042, 413.032 - 413.033, 428.205 - 428.270, 430.624, 430.626 - 430.630, 430.640, 430.870, HB 2417 (2021) & 743A.168 Statutes/Other Implemented: ORS 183.310 - 183.750, 462.500, 428.205 - 428.270, 430.010, 430.021, 430.205 - 430.210, 430.254, 430.335, 430.620, 430.626 - 430.630, 430.637 & 414.665 History: BHS 15-2026, temporary adopt filed 06/04/2026, effective 06/05/2026 through 09/15/2026 BHS 2-2026, temporary adopt filed 03/20/2026, effective 03/20/2026 through 09/15/2026 309-073-0030 Temporary rule language in effect until 09/15/2026. Building Requirements for Crisis Stabilization Centers (1) Crisis Stabilization Centers must: (a) Comply with all applicable state and local building, electrical, plumbing, fire, safety, and zoning codes; (b) Maintain up-to-date documentation verifying that they meet applicable local business certification, zoning, and building codes and federal, state, and local fire and safety regulations. It is the responsibility of the program to check with local government to make sure all applicable local codes have been met; (c) Provide space for services including but not limited to intake, assessment, counseling, and telephone conversations that assure the privacy and confidentiality of individuals and is furnished in an adequate and comfortable fashion including plumbing, sanitation, heating, and cooling; (d) Provide rest rooms for individuals, visitors, and staff that are accessible to individuals with disabilities pursuant to Title II of the Americans with Disabilities Act if the program receives any public funds or Title III of the Act if no public funds are received; (e) Adopt and implement emergency policies and procedures, including an evacuation plan and emergency plan in case of fire, explosion, accident, death, or another emergency. The policies and procedures and emergency plans must be current and posted in a conspicuous area; (f) Promote a sense of safety, calm, and de-escalation for individuals and program staff; (g) Provide a dedicated first responder drop-off and intake area, separate from that used by the public and walk-ins; (h) Have adequate space to ensure privacy and confidentiality for individuals served including a partitioned space no less than 5 feet by 7 feet for each individual receiving observation and crisis stabilization services; (i) Have furnishings and fixtures that are capable of being sanitized, constructed of durable materials not capable of breaking into pieces that could be used as a weapon, ligature risk, or for self-harm including recliners or cots for adults receiving observation and crisis stabilization services; (j) Have interior finishes, lighting, and furnishings that suggest a non-institutional setting that conforms to applicable fire and safety codes; (k) If an outdoor space is provided, provide an accessible outdoor area available to all individuals, a portion of which must be covered and have an all-weather surface such as a patio or deck. If a Crisis Stabilization Center serves both youth and adults, the outdoor space provided must have separation between youth and adults; (l) Provide bathroom facilities that: (A) Are conveniently located for individual use; (B) Provide all appropriate sanitary products, including menstrual hygiene supplies; (C) Provide permanently wired light fixtures that illuminate all parts of the room; (D) Provide individual privacy for individuals; (E) Provide a securely affixed unbreakable mirror at eye level; (F) Are adequately ventilated; (G) Include sufficient facilities specially equipped for use by individuals with disabilities. ( m) A complete floor plan with all specifications for an existing structure without additions or alterations including the location, size and type of rooms, all exits, all secondary emergency egress, smoke and carbon monoxide alarms, fire extinguishers, planned evacuation routes, point of safety, any designated smoking areas outside the facility; (n) Maintain all appropriate licensing or certification with ODHS, to the extent that it serves individuals under the age of 18. (2) If a Crisis Stabilization Center serves both youth and adults: (a) There must be a separate designated area for observation and crisis stabilization services provided for individuals under the age of 18 that has floor to ceiling walls that separate it from other areas of the Crisis Stabilization Center; and (b) Individuals over the age of 18 must not share any space, participate in any activity or treatment, or have verbal or visual interaction with an individual receiving services at the point of intake at the Crisis Stabilization Center who is under the age of 18. (c) The designated area for individuals under the age of 18 must have its own bathrooms, showers, outdoor areas and supervision, separate from the designated area for individuals over the age of 18. (3) A Crisis Stabilization Center providing laundry facilities for use by individuals receiving services at the Crisis Stabilization Center, must ensure those laundry facilities are separate from food preparation and other individual use areas. When residential laundry equipment is installed, the laundry facilities may be located to allow for both individual and program staff use. The following must be included in the laundry facilities: (a) Countertops or spaces for folding tables sufficient to handle laundry needs for the facility; (b) Locked storage for chemicals and equipment; (c) Outlets, venting, and water hook-ups according to state building code requirements. Washers must have a minimum rinse temperature of 155 degrees Fahrenheit (160 degrees Fahrenheit recommended) unless a chemical disinfectant is used; and (d) Sufficient storage and handling space to ensure that clean laundry is not contaminated by soiled laundry. (4) If provided by a Crisis Stabilization Center for use by individuals receiving services at the Crisis Stabilization Center, kitchen facilities and equipment may be of residential type except as required by the state building code and fire code or local agencies having jurisdiction. The kitchen must have the following: (a) Dry storage space not subject to freezing in cabinets or a separate pantry for a minimum of one week's supply of staple foods; (b) Sufficient refrigeration space for a minimum of two days’ supply of perishable foods. The space must be maintained at 45 degrees Fahrenheit or less and freezer space maintained at 0 degrees Fahrenheit or less; (c) An approved residential type of dishwasher with a minimum final rinse temperature of 155 degrees Fahrenheit (160 degrees recommended) unless chemical disinfectant is used; (d) Smooth, nonabsorbent, and cleanable counters for food preparation and serving; (e) Appropriate storage for dishes and cooking utensils designed to be free from potential contamination; (f) Microwave or cooktop for food preparation; and (g) Storage for a mop and other cleaning tools and supplies used for food preparation for dining and adjacent areas. Cleaning tools must be maintained separately from those used to clean other parts of the setting. Statutory/Other Authority: ORS 183.310 -183.750, 179.040, 413.042, 413.032 - 413.033, 428.205 - 428.270, 430.624, 430.626 - 430.630, 430.640, 430.870, HB 2417 (2021) & 743A.168 Statutes/Other Implemented: ORS 183.310 - 183.750, 426.500, 428.205 - 428.270, 430.010, 430.021, 320.205 - 430.210, 430.254, 430.335, 430.620, 430.626 - 430.630, 430.637 & 414.665 History: BHS 2-2026, temporary adopt filed 03/20/2026, effective 03/20/2026 through 09/15/2026 309-073-0035 Temporary rule language in effect until 09/15/2026. Provider Policies (1) In addition to developing and implementing the policies required in OAR 309-019-0110(1), all Crisis Stabilization Centers must develop and implement the following written policies and procedures: (a) Intake screening, service, and clinical assessment protocols for walk-ins and first responder drop-offs; (b) Delivery of Crisis Stabilization Center services identified in OAR 309-019-0110 is to address crisis issues which may include referrals for withdrawal management services or medication assisted treatment when appropriate. (c) Pathways and timelines for referring youth and young adults ages 20 and under, served at the Crisis Stabilization Center for ongoing stabilization services as described in OAR 309-072-0160. (d) Use of a Declaration for Mental Health Treatment, when available, to guide services; (e) Screening for and accessing services for emergency medical conditions, including transport by emergency medical services consistent with the requirements set forth in OAR 309-073-0130 Medical Protocols; and (f) Ensuring that individuals are considered for Crisis Stabilization Services without unlawful discrimination on the basis of race, ethnicity, gender, gender identity, gender presentation, sexual orientation, religion, creed, national origin, age, intellectual and/or developmental disability, IQ score, or physical disability. (g) Adopt and implement emergency procedures and disaster plans. (h) The plan shall cover such emergencies and disasters as fires, explosions, missing persons, accidents, earthquakes, and floods. The program must post the plan by the phone and be immediately available to the program staff. The plan must include diagrams of evacuation routes, and these must be posted. A list of emergency telephone numbers and emergency contact information must be kept by the phone and must include: (A) The name and emergency contact number for the program director or designee; (B) Emergency dispatch (911) and non-urgent police and fire contact numbers; (C) Poison control; (D) The local hospital; (E) The Office of Training, Investigations, and Safety; (F) Oregon SAFELINE [1-855-503-SAFE (7233)] and (G) Non-emergency numbers for contacting caseworkers, the CMHP, the Division, Disability Rights Oregon, the local public health office and emotional support lines available in the area. (2) All written service delivery policies and specific procedures must prohibit the following: (a) Refusing to screen for Crisis Stabilization Services for any individual who presents at the center seeking services. (b) Refusing to screen for Crisis Stabilization Services any individual brought in or referred by first responders. (c) Psychological and physical abuse of an individual. (d) Seclusion, personal restraint, mechanical restraint, and chemical restraint. The policy must include how to respond to an individual that requires such interventions, to include transport to an appropriate setting. (e) Withholding shelter, food, medication, personal belongings, or supports for physical functioning. (f) Discipline of one individual receiving services by another individual receiving services; and (g) Requiring discontinuation of medications prescribed for the treatment of opioid dependence as a condition of receiving crisis stabilization services. (3) The Crisis Stabilization Center Program Director or their designee must collaborate with applicable first responder agencies to develop a memorandum of understanding (MOU) for drop-off services. A copy of the MOU(s) must be included with the application for certification or certification renewal required in OAR 309-073-0105 and must include, at a minimum: (a) Drop-off policies and procedures. (b) The exact service areas and populations to be served; and (c) Information sharing that complies with applicable laws. (4) If a Crisis Stabilization Center’s service area includes a Mobile Crisis Intervention Team as defined in OAR 309-072-0110 that is operated by a different Provider, the Crisis Stabilization Center Program Director or their designee must collaborate with the appropriate Providers to develop a MOU for drop-off services. A copy of the MOU(s) must be included with the application for certification or certification renewal required by OAR 309-008-0400 and must include, at a minimum: (a) Drop-off policies and procedures. (b) The service areas and populations to be served; and (c) Information sharing that complies with applicable laws. (5) The Crisis Stabilization Center Director or their Designee must attempt to collaborate with and maintain and implement written policies and protocols, and Letter of Agreement or MOU with local 988 call center and county crisis line, if operated by a different provider. (6) If a Crisis Stabilization Center’s service area includes one or more of the Nine Federally Recognized Tribes of Oregon, the Crisis Stabilization Center Program Director or their designee must collaborate with the tribe(s) to provide Crisis Stabilization Services for tribal members through a MOU if the tribe wishes to enter into such an agreement. A copy of the MOU(s) must be included with the application for certification or certification renewal required by OAR 309-008-0400 and must include, at a minimum: (a) Mutually agreed upon collaboration and delivery of services between the tribe(s) and the Crisis Stabilization Center (b) The service areas and populations to be served; (c) Information sharing that complies with applicable laws ; and (d) Collection, sharing, and ownership of data related to tribal members . (7) Providers must produce an attestation or copies of correspondence confirming that all affected tribes were contacted and offered the opportunity to enter into a Memorandum of Understanding (MOU) but declined. Statutory/Other Authority: ORS 183.310 -183.750, 179.040, 413.042, 413.032 - 413.033, 428.205 - 428.270, 430.626 - 430.630, 430.640, 430.870, HB 2417 (2021) & 743A.168 Statutes/Other Implemented: ORS 183.310 - 183.750, 426.500, 428.205, 430.010, 430.021, 430.205 - 430.210, 430.335, 430.620, 430.626 - 430.630, 430.637 & 414.665 History: BHS 2-2026, temporary adopt filed 03/20/2026, effective 03/20/2026 through 09/15/2026 309-073-0040 Temporary rule language in effect until 09/15/2026. Individual Rights (1) The Crisis Stabilization Center operates in a manner that provides every individual receiving services in a Crisis Stabilization Center has the individual rights established in OAR 309-019-0115. (2) The provider must give to the individual and, if appropriate, the individual’s guardian a document that describes the applicable individual’s rights as required in OAR 309-019-0115(2). Statutory/Other Authority: ORS 183.310 -183.750, 179.040, 413.042, 413.032 - 413.033, 428.205 - 428.270, 430.626 - 430.630, 430.640, 430.870, HB 2417 (2021) & 743A.168 Statutes/Other Implemented: ORS 183.310 - 183.750, 426.500, 428.205 - 428.270 & 430.010 History: BHS 2-2026, temporary adopt filed 03/20/2026, effective 03/20/2026 through 09/15/2026 309-073-0045 Temporary rule language in effect until 09/15/2026. Staffing (1) A Crisis Stabilization Center must be staffed 24 hours per day, seven days per week, every day of the year by a multidisciplinary team capable of meeting the needs of individuals in the community experiencing all levels of behavioral health crisis, that may include, but is not limited to: (a) Psychiatrists or psychiatric nurse practitioners; (b) Nurses; (c) Licensed or credentialed clinicians in the region where the Crisis Stabilization Center is located who can complete assessments; and (d) Peers with lived experience similar to the experiences of the individuals served. (2) All program staff must meet applicable qualifications, credentialing, or certification standards and competencies as set forth in OAR 309-019-0125. All personnel documentation, training, and supervision is conducted as set forth in OAR 309-019-0130. (3) An adequate number of program staff must be available in the adult area and, if there is one, the youth area to receive services, to provide continuous supervision and meet the stabilization, health, and safety needs of the individuals served. (4) A minimum of two program staff must be on-site at all times for Crisis Stabilization Centers with the capacity to provide observation and crisis stabilization services for up to five individuals at a time. (5) Crisis Stabilization Centers with the capacity to provide observation and crisis stabilization services for more than five individuals at a time, shall have one additional program staff on-site at all times for increased capacity of 5 individuals or portion thereof. (6) Crisis Stabilization Centers must, at a minimum, have a QMHP on-call 24 hours per day, 7 days per week, each day of the year. (7) In addition, all program staff, must receive training every two years in: (a) Evidence-based and best practice trauma-informed interventions to prevent and address disruptive behaviors and behavioral health crises; (b) Current Basic First Aid. (c) Current Cardiopulmonary Resuscitation (CPR) (d) Opioid overdose kits and administration of an FDA-approved short-acting, non-injectable, opioid antagonist medication (e) Linguistically, developmentally, and culturally responsive practice; and (f) Suicide and violence risk screening, assessment, and safety planning (8) It is the provider's responsibility to ensure that security staff at the Crisis Stabilization Center do not carry firearms , whether employed under contract, or on-site. It is the provider’s responsibility to require Department of Public Safety Standards and Training de-escalation training for security staff. Statutory/Other Authority: ORS 183.310 -183.750, 179.040, 413.042, 413.032 - 413.033, 428.205 - 428.270, 430.624, 430.626 - 430.630, 430.640, 430.870, HB 2417 (2021) & 743A.168 Statutes/Other Implemented: ORS 183.310 - 183.750, 426.500, 428.205 - 428.270, 430.010, 430.021, 430.205 - 430.210, 430.254, 430.335, 430.620, 430.626 - 430.630, 430.637 & 414.665 History: BHS 2-2026, temporary adopt filed 03/20/2026, effective 03/20/2026 through 09/15/2026 309-073-0050 Temporary rule language in effect until 09/15/2026. Facility Records (1) The Crisis Stabilization Center must maintain a personnel record for each employee which must include at a minimum the following: (a) Documentation of pre-employment screening including, but not limited to, application, interview, and reference checks; (b) A ll program staff having contact with an individual must have a documented current approved background check in accordance with OAR 943-007-0001 through 943-007-0501 prior to working alone with residents. All program staff must have a preliminary background check prior to working with residents under supervision of qualified staff. The provider must maintain documentation of current approved or preliminary background checks for each applicable staff person. (c) Documentation that all employees satisfy position qualifications, including required licensure as applicable; (d) If the employee has a health-care related license or certificate from Oregon or any other state, evidence that the license is current and the individual has not been the subject of any action that would prevent the individual from providing services in the Crisis Stabilization Center; (e) Current position description signed by the employee; and (f) Evidence of orientation, training, competency evaluations, and ongoing education. (g) Signed current approved background check authorizations for the Applicant, each owner with five percent or more incident of ownership, and the Program Director. (2) Personnel records must be safely and securely stored and readily available. (3) Personnel records must be maintained for a minimum of seven years from end of employment. (4) The provider or owner of a Crisis Stabilization Center (CSC) must develop and implement a written safety policy or plan designed for the physical safety of individuals working within a CSC. Every staff member must be trained in safety procedures prior to beginning their first regular shift. (a) The safety plan must cover such emergencies as natural disasters, fires, explosions, active shooters, accidents, earthquakes, infectious disease outbreaks, loss of utilities, hazardous air quality, floods, and extreme weather events, etc. The plan must be immediately available at all times to the CSC staff, updated annually, and should include: (A) Emergency instructions for employees (Staff members); (B) The telephone numbers of the local fire department, police department, the poison control center, and other people to be contacted in an emergencies; and (C) Instructions for the evacuation of staff and clients in the event of an emergency. (b) The provider or owner must place diagrams of the CSC evacuation egress routes, along the evacuation egress routes. Statutory/Other Authority: ORS 183.310 -183.750, 179.040, 413.042, 413.032 - 413.033, 428.205 - 428.270, 430.624, 430.626 - 430.630, 430.640, 430.870, HB 2417 (2021) & 743A.168 Statutes/Other Implemented: ORS 183.310 - 183.750, 426.500, 428.205 - 428.270, 430.010, 430.021, 430.205 - 430.210, 430.254, 430.335, 430.620, 430.626 - 430.630, 430.637 & 414.665 History: BHS 15-2026, temporary adopt filed 06/04/2026, effective 06/05/2026 through 09/15/2026 BHS 2-2026, temporary adopt filed 03/20/2026, effective 03/20/2026 through 09/15/2026 309-073-0055 Temporary rule language in effect until 09/15/2026. Service Record (1) The Crisis Stabilization Center must include the following documentation in the individual's service record: (a) Presenting problem and referral source, if applicable. (b) Rationale for denial of services and referral of the individual to other appropriate services, if necessary. (c) Status as a current or former member of the U.S. Armed Forces. (d) Current mental health and substance use symptoms. (e) Current medications. (f) Screening for suicide risk and completion of a comprehensive, standardized suicide risk assessment and planning, when clinically indicated. (g) Screening for risk of violence and completion of a comprehensive, standardized violence risk assessment and planning, when clinically indicated. (h) Screening for substance use disorder and referral for substance use disorder services when appropriate. (i) Current trauma-related symptoms or concerns for personal safety. (j) Screening for food and housing insecurity. (k) Crisis Stabilization Plan; and (l) Discharge information including: (A) Outcome of the services provided. (B) Services provided. (C) Care coordination efforts. (D) Referrals; and (E) Follow-up efforts including attempts to contact within 72 hours from discharge. (2) If an individual’s ability to cooperate and communicate with program staff due to their crisis situation prevents the completion of any of the items in subsection (1), it must be clearly documented in the individual’s service record. Statutory/Other Authority: ORS 183.310 -183.750, 179.040, 413.042, 413.032 - 413.033, 428.205 - 428.270, 430.624, 430.626 - 430.630, 430.640, 430.870, HB 2417 (2021) & 743A.168 Statutes/Other Implemented: 183.310 - 183.750, 426.500, 428.205 - 428.270, 430.010, 430.021, 430.205 - 430.210, 430.254, 430.225, 430.620, 430.626 - 430.630, 430.637 & 414.665 History: BHS 2-2026, temporary adopt filed 03/20/2026, effective 03/20/2026 through 09/15/2026 309-073-0060 Temporary rule language in effect until 09/15/2026. Medical Protocols (1) Medical clearance is not required prior to provision of services; however, the Crisis Stabilization Center must ensure that each individual is assessed for physical health issues per the medical protocols in subsection (2). (2) Medical protocols must be approved by the Medical Director. The protocols must: (a) Specify the components of the screening for physical health issues required in subsection (1). (b) Designate those physical health issues that, when found, require transfer to a setting capable of providing the level of care required. (c) Specify the steps for follow up and coordination with physical health care providers in the event the individual is found to have an infectious disease or other major medical problem. (3) At least one unexpired opioid overdose kit for emergency response to suspected overdose must be available in the Crisis Stabilization Center at all times. Opioid overdose kits do not require a prescription and are not specific to an individual (see ORS 689.684). (a) All opioid overdose kits must include an ultraviolet light-protected hard case and must contain, but not be limited to: (A) Two doses of an FDA-approved short-acting, non-injectable, opioid antagonist medication. (B) One pair non-latex gloves. (C) One face mask. (D) One disposable face shield for rescue breathing; and (E) One short-acting, non-injectable, opioid antagonist medication administration instruction card. (b) Opioid overdose kits must be: (A) Installed in an easily accessible, highly visible, and unlocked location. (B) At a height of no more than 48 inches from the floor. (C) In a location without direct sunlight. (D) In an area where temperatures are maintained between 59 F and 77 F; and (E) Have a sign clearly indicating the location and content of the kit. (F) Checked daily to ensure the required components have not been removed or damaged. (G) Checked monthly to ensure the short-acting, non-injectable, opioid antagonist medication has not expired; and (H) Restocked immediately after use. (c) Upon recognizing a person is likely experiencing an overdose, program staff must immediately respond based on the medical emergency procedures of the facility. (d) A person who has reasonable cause to believe an individual is experiencing an overdose, and in good faith administers short-acting, non-injectable, opioid antagonist medication, is protected against civil liability or criminal prosecution unless the person, while rendering care, acts with gross negligence, willful misconduct, or intentional wrongdoing as described in Oregon Revised Statute (ORS) 689.681. (e) Administration of short-acting, non-injectable, opioid antagonist medication must be documented by the program staff who administered the medication. Documentation must be submitted to the Division within 48 hours of the incident and must include: (A) Name of the individual. (B) Description of the incident including date, time, and location. (C) Time 9-1-1 contacted. (D) Time of administration(s) of short-acting, non-injectable, opioid antagonist medication. (E) Individual's response. (F) Transfer of care to EMS; and (G) Obtain the signature of the person submitting the report to the authority. (f) Program staff must fully cooperate with emergency medical service (EMS) personnel. Program staff must not interfere with or impede the administration of emergency medical services. (4) Opioid overdose medication and kits which are the personal property of an individual receiving services at the Crisis Stabilization Center, do not need to be kept in a locked location. Statutory/Other Authority: ORS 183.310 -183.750, 179.040, 413.042, 413.032 - 413.033, 428.205 - 428.270, 430.624, 430.626 - 430.630, 430.640, 430.870, HB 2417 (2021) & 743A.168 Statutes/Other Implemented: ORS 183.310 - 183.750, 426.500, 428.205 - 428.270, 430.010, 430.021, 430.205 - 430.210, 430.254, 430.335, 430.620, 430.626 - 430.630, 430.637 & 414.665 History: BHS 2-2026, temporary adopt filed 03/20/2026, effective 03/20/2026 through 09/15/2026 309-073-0065 Temporary rule language in effect until 09/15/2026. Critical Incident Reporting (1) Facility staff in Crisis Stabilization Centers must report all Critical Incidents to the Division. Critical incidents include: (a) Death, including by suicide or overdose. (b) Severe injury, including injury leading to hospitalization, injury resulting in medical attention needed or no medical attention needed, overdose resulting in hospitalization or needing medical attention, and emergency services needed. (c) Ongoing risk to health (for example: environmental risks such as black mold). (d) 911 calls made by program staff. (e) Extensive damage to the facility; (f) Where abuse or neglect is suspected, including unethical client and program staff relationships; (g) Relationships between individuals that result in harm to at least one individual. (h) Suspected exploitation, including financial exploitation, of an individual; and (i) Medication errors resulting in a telephone call to or a consultation with a poison control center or hospital, a visit to an emergency department or urgent care, hospitalization or death. (2) A copy of the original, unredacted critical incident report must be submitted within 24 hours of the event using forms and procedures required by the Division. (3) All critical incident reports must be maintained in the corresponding service record and in a common file for quality improvement purposes and review by the Division; and (4) Critical incident reports filed in service records may not contain protected health information belonging to any other individual. (5) Critical incident reports must contain, at a minimum, the following information: (a) The time and date of the event. (b) The time and date of when the critical incident report form was completed. (c) Name and title of program staff who filled out the report. (d) Identification of all program staff involved in the incident and the response to the incident, and their titles. (e) Identification of each individual involved. (f) Description of event. (g) Description of program response. (h) Description of which policies and procedures were followed and when applicable, any that were not followed. (i) Identification of program staff who were notified, and their titles. (j) Identification of which authorities the event was reported to, if applicable; and (k) Description of administrative response and follow-up. (6) If a Crisis Stabilization Center program staff becomes aware of any death by suicide or suicide attempt occurring within 72 hours after an individual’s discharge, a critical incident report must be submitted to the Division using forms and procedures required by the Division. Statutory/Other Authority: ORS 183.310 -183.750, 179.040, 413.042, 413.032 - 413.033, 428.205 - 428.270, 430.624, 430.626 - 430.630, 430.640, 430.870, HB 2417 (2021) & 743A.168 Statutes/Other Implemented: ORS 183.310 - 183.750, 426.500, 428.205 - 428.270, 430.010, 430.021, 430.205 - 430.210, 430.254, 430.335, 430.620, 430.626 - 430.630, 430.637 & 414.665 History: BHS 2-2026, temporary adopt filed 03/20/2026, effective 03/20/2026 through 09/15/2026 309-073-0070 Temporary rule language in effect until 09/15/2026. Quality Assessment and Performance Improvement (1) Providers must develop and implement a structured and ongoing process to assess, monitor, and improve the quality and effectiveness of services provided to individuals and their families. (2) Providers must collect and submit quarterly service utilization data including, but not limited to: (a) Number of walk-ins and first responder drop-offs requesting crisis services; (b) Number of walk-ins and first responder drop-offs denied crisis services and the rationale for that denial; (c) Number of walk-ins and first responder drop-offs that were referred to a higher level of care and the rational for that referral; (d) Race, ethnicity, language, and disability (REALD) information; (e) Sexual orientation and gender identity (SOGI) information; (f) Length of stay for individuals receiving observation and crisis stabilization services; (g) Presenting problem; (h) Outcome; and (i) Number of individuals receiving follow-up contact and the outcome of that contact. (3) Providers must submit quarterly service utilization data reports electronically to the Division, using forms and procedures required by the Division, as follows: (a) For services provided January 1 through March 31, reports are due no later than May 15. (b) For services provided April 1 through June 30, reports are due no later than August 15. (c) For services provided July 1 through September 30, reports are due no later than November 15. (d) For services provided October 1 through December 31, reports are due no later than February 15. Statutory/Other Authority: ORS 183.310 -183.750, 179.040, 413.042, 413.032 - 413.033, 428.205 - 428.270, 430.624, 430.626 - 430.630, 430.640, 430.870, HB 2417 (2021) & 743A.168 Statutes/Other Implemented: ORS 183.310 - 183.750, 426.500, 428.205 - 428.270, 430.010, 430.021, 430.205 - 430.210, 430.335, 430.254, 430.620, 430.626 - 430.630, 430.637 & 414.665 History: BHS 2-2026, temporary adopt filed 03/20/2026, effective 03/20/2026 through 09/15/2026 309-073-0075 Temporary rule language in effect until 09/15/2026. Grievances and Appeals (1) Any individual or parent or guardian receiving services may file a grievance with the provider, the individual’s coordinated care plan, or the Division. (2) The provider’s grievance process shall: (a) Notify each individual or legal representative of the grievance procedures by reviewing a written copy of the policy upon entry; (b) Offer to assist individuals or legal representatives with completing the grievance process; (c) Notify individuals or legal representatives of the results and basis for the decision; (d) Encourage and facilitate resolution of the grievance at the lowest possible level; (e) Complete an investigation of any grievance within 30 calendar days; (f) Implement a procedure for accepting, processing, and responding to grievances including specific timelines for each; (g) Designate a program staff individual to receive and process the grievance; (h) Document any action taken on a substantiated grievance within a timely manner; and (i) Document receipt, investigation, and action taken in response to the grievance. (3) The provider shall post a Grievance Process Notice in a common area stating the telephone numbers of: (a) The Division; (b) Disability Rights Oregon; (c) Any applicable coordinated care organization(s); and (d) The Governor’s Advocacy Office. (4) In circumstances where the matter of the grievance is likely to cause harm to the individual before the grievance procedures are completed, the individual or guardian of the individual may request an expedited review. The program director or designee shall review and respond in writing to the grievance within 48 hours of receipt of the grievance. The written response shall include information about the appeal process. (5) A grievant, witness, or staff member of a provider may not be subject to retaliation by a provider for making a report or being interviewed about a grievance or being a witness. Retaliation may include but is not limited to dismissal or harassment, reduction in services, wages, or benefits, or basing service or a performance review on the action. (6) Individuals or their legal representatives may appeal entry, transfer, and grievance decisions as follows: (a) If the individual or guardian is not satisfied with the decision, the individual or guardian may file an appeal in writing within ten working days of the date of the Program Director's response to the grievance or notification of denial for services. The appeal shall be submitted to the Division; (b) If requested, program staff shall be available to assist the individual; (c) The Division shall provide a written response within ten working days of the receipt of the appeal; and (d) If the individual or guardian is not satisfied with the appeal decision, they may file a second appeal in writing within ten working days of the date of the written response to the Division Director. Statutory/Other Authority: ORS 183.310 -183.750, 179.040, 413.042, 413.032 - 413.033, 428.205 - 428.270, 430.624, 430.626 - 430.630, 430.640, 430.870, HB 2417 (2021) & 743A.168 Statutes/Other Implemented: ORS 183.310 - 183.750, 426.500, 428.205 - 428.270, 430.010, 430.021, 430.205, 430.205 - 430.210, 430.254, 430.335, 430.620, 430.626 - 430.630, 430.637 & 414.665 History: BHS 2-2026, temporary adopt filed 03/20/2026, effective 03/20/2026 through 09/15/2026 309-073-0080 Temporary rule language in effect until 09/15/2026. Variances (1) A Crisis Stabilization Center may request a variance to these rules. The Crisis Stabilization Center must submit the variance request directly to the Division using the Division approved form. (2) The variance request must include: (a) A description and applicable details of the variance requested, including the specific rule for which the variance is sought; (b) The rationale and necessity for the requested variance; (c) The alternative practice proposed, where relevant; and (d) The proposed duration of the variance, including a plan and timetable for compliance with the rule exempted or adjusted by the variance. (3) The Division shall approve or deny the variance request and include an expiration date for the variance not to exceed the length of the provider’s current certificate. (4) A variance granted by the Division becomes part of the certificate. (5) Failure by the Crisis Stabilization Center to implement approved alternative practices or otherwise demonstrate noncompliance with an approved variance may result in the Division withdrawing approval for a variance. (6) Failure by the Crisis Stabilization Center to implement approved alternative practices or otherwise demonstrate noncompliance with an approved variance such that the health or safety of an individual is jeopardized to the degree that cessation of services by the Crisis Stabilization Center is considered necessary to prevent harm to an individual may result in the Division taking action on the certificate. Statutory/Other Authority: ORS 183.310 -183.750, 179.040, 413.042, 413.032 - 413.033, 428.205 - 428.270, 430.624, 430.626 - 430.630, 430.640, 430.870, HB 2417 (2021) & 743A.168 Statutes/Other Implemented: ORS 183.310 - 183.750, 426.500, 428.205 - 428.270, 430.010, 430.021, 430.205 - 430.210, 430.254, 430.335, 430.620, 430.626 - 430.630, 430.637 & 414.665 History: BHS 2-2026, temporary adopt filed 03/20/2026, effective 03/20/2026 through 09/15/2026 309-073-0085 Temporary rule language in effect until 09/15/2026. Inspections (1) The Division must conduct an inspection of Crisis Stabilization Center application and issue a certification to successful applicants prior to services being rendered. (2) The Division must conduct an onsite inspection of each Crisis Stabilization Center every two-years to verify the Crisis Stabilization Center is maintained and operated in substantial compliance with these rules. (3) The Division may conduct inspections: (a) To determine if cited violations have been corrected. (b) For the purpose of routine monitoring of individual’s care. (c) The Division has reason to believe the Crisis Stabilization Center has violated a regulation or provision of these rules; or (d) The Division has reason to believe the Crisis Stabilization Center is operating without a certification. (4) An inspection may include, but is not limited to: (a) Review of the application and all supporting documentation and information submitted by the applicant. (b) Interviews with individuals, individual’s legal representatives, individual’s family members, and Crisis Stabilization Center staff. (c) Review of facility, personnel, and individual records. (d) On-site observations of individuals and staff; and (e) Verification of substantial compliance with Federal, State, and local government agencies with jurisdiction. (5) The Division may consult with and advise the Crisis Stabilization Center concerning methods of care, records, equipment, and other areas of operation. (6) A Crisis Stabilization Center must make all requested documents and records available for review and copying. (7) Following an inspection, Division staff will prepare and provide the Crisis Stabilization Center specific written notice of the findings. (8) If the findings result in a referral to another regulatory agency, Division staff must submit the applicable information to that agency for its review and determination of appropriate action. (9) A Crisis Stabilization Center not in compliance with these rules must submit a plan of correction that satisfies the Division within 30 days of receipt of the inspection report, unless a shorter time is determined by the Division to be necessary due to health or life safety risks. (10) Violations not corrected by the date specified in the inspection report may result in one or more administrative sanctions by the Division. (11) A copy of the most current inspection report and any conditions placed upon the certificate must be posted with the Crisis Stabilization Center’s certificate in public view near the main entrance to the Crisis Stabilization Center . (12) Division staff may consult with and advise Authority and Department staff in inspections, complaints, investigations, certification, and actions taken on a license. (13) The Crisis Stabilization Center must authorize all staff to permit access to the Crisis Stabilization Center and facility, personnel, and individual records to Authority, Department, and CMS staff, for the purpose of inspection, investigation, and other duties within the scope of the agency’s authority. Statutory/Other Authority: ORS 183.310 - 183.750, 179.040, 413.042, 413.032 - 413.033, 428.205 - 428.270, 430.624, 430.626 - 430.630, 430.640, 430.870, HB 2417 (2021) & 743A.168 Statutes/Other Implemented: ORS 183.310 - 183.750, 426.500, 428.205 - 428.270, 430.010, 430.021, 430.205 - 430.210, 430.254, 430.335, 430.620, 430.626 - 430.630, 430.637 & 414.665 History: BHS 2-2026, temporary adopt filed 03/20/2026, effective 03/20/2026 through 09/15/2026 309-073-0090 Temporary rule language in effect until 09/15/2026. Conditions (1) Conditions may be attached to a certificate and take effect immediately upon notification by the Division or the delivery date of the notice, whichever is sooner. The type of condition attached to a certificate must directly relate to a risk of harm or potential risk of harm to individuals. Conditions may be attached upon a finding that: (a) Information on the application or initial inspection requires a condition to protect the health, safety, or welfare of the individuals. (b) A threat to the health, safety, or welfare of an individual exists. (c) There is reliable evidence of abuse, neglect, or exploitation. (d) The Crisis Stabilization Center is not being operated in compliance with these rules. (2) Examples of conditions that may be imposed on a Crisis Stabilization Center license include, but are not limited to: (a) Restricting the total number of individuals served based upon the ability of the Crisis Stabilization Center to meet the health and safety needs of the individuals. (b) Requiring additional staff to meet an individual's care needs. (c) Requiring additional qualifications or training of staff. (d) Restricting a Crisis Stabilization Center from allowing persons on the premises who may be a threat to an individual's health, safety, or welfare. (3) The Crisis Stabilization Center will be notified in writing of any conditions imposed, the reason for the conditions, and be given an opportunity to request a hearing under ORS 183.411 to 183.502. (4) Conditions take effect immediately and are a final order of the Division unless later rescinded through the hearings process. (5) A Crisis Stabilization Center may appeal conditions imposed by requesting a hearing in writing within 21 calendar days after the date the notice was personally served or mailed. (6) In addition to, or in-lieu of, a contested case hearing, a Crisis Stabilization Center may request an informal conference with the Division to discuss conditions imposed. The informal conference does not diminish the Crisis Stabilization Center 's right to a hearing. (7) Conditions imposed remain in effect until the Division has sufficient cause to believe the situation that warranted the condition has been remedied. If the Crisis Stabilization Center believes the situation that warranted the condition has been remedied, the Crisis Stabilization Center may request in writing that the condition be removed. (8) Conditions must be posted with the certificate in a prominent place in the Crisis Stabilization Center and be available for inspection at all times. Statutory/Other Authority: ORS 183.310 -183.750, 179.040, 413.042, 413.032 - 413.033, 428.205 - 428.270, 430.626 - 430.630, 430.640, 430.870, HB 2417 (2021) & 743A.168 Statutes/Other Implemented: ORS 183.310 - 183.750, 426.500, 428.205 - 428.270, 430.010, 430.021, 430.205 - 430.210, 430.254, 430.335, 430.620, 430.626 - 430.630, 430.637 & 414.665 History: BHS 2-2026, temporary adopt filed 03/20/2026, effective 03/20/2026 through 09/15/2026 309-073-0095 Temporary rule language in effect until 09/15/2026. Investigations (1) Abuse, neglect, exploitation, seclusion, and coercion are prohibited. Crisis Stabilization Center employees and the licensee must not permit, aid, or engage in abuse, neglect, exploitation, seclusion, or coercion of individuals. (2) Known or suspected abuse, neglect, exploitation, seclusion, or coercion of individuals must be reported in accordance with ORS 430.735 or ORS 124.005. (a) The licensee and employees are mandatory reporters and must immediately report known or suspected abuse, neglect, exploitation, seclusion, or coercion of individuals, including events overheard or witnessed by observation to the investigative authority. (b) The local law enforcement agency must be called first when the suspected abuse is believed to be a crime (e.g., rape, murder, assault, burglary, kidnapping, theft of controlled substances). (3) The Crisis Stabilization Center must not interfere with a good faith disclosure of information by an employee or volunteer concerning abuse, neglect, exploitation, seclusion, or coercion of individuals or other action affecting an individual’s safety or welfare. (4) Anyone who, in good faith, reports abuse or suspected abuse has immunity, as approved by law, from any civil liability that might otherwise be incurred or imposed with respect to the making or content of an abuse complaint. (5) Immunity under this rule does not protect self-reporting licensees from liability for the underlying conduct that is alleged in the complaint. (6) The identity of a person making a report of abuse and any personally identifiable information, as defined in ORS 430.753 and ORS 430.763 or ORS 124.075, 123.085 and 124.090, is confidential and not subject to disclosure under ORS 192.311 to 192.478. (7) The Department investigates reports of abuse in accordance with the adult abuse investigations in mental health services rules in OAR chapter 943, division 045. (8) An unannounced abuse investigation will be carried out as soon as practicable and may include, but is not limited to: (a) Interviews of the abuse reporter, direct service workers, individuals, an individual’s legal representative, an individual’s family members, witnesses, Crisis Stabilization Center management and staff. (b) On-site observations of the individual(s), staff performance, and the related individual’s environment; and (c) Review of facility, personnel, and individual records. (9) Immediate protection must be provided for the individual by the agency, in coordination with the investigative authority or OHA, as necessary, regardless of whether the report of alleged abuse is opened for investigation. The Crisis Stabilization Center must immediately cease any practice that places an individual at risk of serious harm. (10) The Crisis Stabilization Center must cooperate with abuse and protective services investigations. The Crisis Stabilization Center must permit access to the Authority, Department, and law enforcement and must ensure: (a) Records are made available upon request including access to all facility, personnel, and individual records; (b) Allowance for the Authority, Department, and law enforcement to conduct private interviews with Crisis Stabilization Center personnel and individuals; and (11) Oregon Health Authority and appropriate Local Public Health Authority are permitted access to the Crisis Stabilization Center and facility, personnel, and individual records pertinent to investigation of illness or outbreak, as authorized by law. (12) Upon receipt of a notice of substantiated abuse for victims covered by ORS 430.735, the Crisis Stabilization Center must provide written notice of the findings to the person found to have committed abuse, the individual or the individual’s legal representative. (13) Information obtained by the Authority or Department during an investigation of a complaint or reported violation is confidential and not subject to public disclosure under ORS 192.410 through 192.505. Upon the conclusion of the investigation, the Division or Department may publicly release a report of its findings but may not include information in the report prohibited from disclosure under state or federal laws. The Division may use any information obtained during an investigation in an administrative or judicial proceeding concerning the certification of a Crisis Stabilization Center and may report information obtained during an investigation to a health professional regulatory board as defined in ORS 676.160 if that information pertains to a licensee of that board. Statutory/Other Authority: ORS 183.310 -183.750, 179.040, 413.042, 413.032 - 413.033, 428.205 - 428.270, 430.624, 430.626 - 430.630, 430.640, 430.870, HB 2417 (2021) & 743A.168 Statutes/Other Implemented: ORS 183.310 - 183.750, 426.500, 428.205 - 428.270, 430.010, 430.021, 430.205 - 430.210, 430.254, 430.335, 430.620, 430.626 - 430.630, 430.637 & 414.665 History: BHS 2-2026, temporary adopt filed 03/20/2026, effective 03/20/2026 through 09/15/2026 309-073-0100 Temporary rule language in effect until 09/15/2026. Enforcement (1) If during an inspection or investigation, Division staff document violations of Crisis Stabilization Center certification rules or laws, the Division must issue a statement of deficiencies that cites the law or rule alleged to have been violated and the facts supporting the allegation. (2) Upon receipt of a statement of deficiencies, a Crisis Stabilization Center must be provided an opportunity to dispute the Division's findings but must still comply with sections (3) and (4) of this rule. (a) If a Crisis Stabilization Center desires an informal conference to dispute the Division's findings, the Crisis Stabilization Center must advise the Division in writing within 10 business days after receipt of the statement of deficiencies. The written request must include a detailed explanation of why the Crisis Stabilization Center believes the statement of deficiencies is incorrect. (b) A Crisis Stabilization Center may not seek a delay of any enforcement action against it on the grounds the informal dispute resolution has not been completed. (c) If a Crisis Stabilization Center is successful in demonstrating the deficiencies should not have been cited, the Division must reissue the statement of deficiencies, removing such deficiencies. The reissued statement of deficiencies must state that it supersedes the previous statement of deficiencies and must clearly identify the date of the superseded statement of deficiencies. (3) A signed plan of correction must be mailed or emailed to the Division within 30 days from the date the statement of deficiencies was received by the Crisis Stabilization Center . A signed plan of correction will not be used by the Division as an admission of the violations alleged in the statement of deficiencies. (4) A Crisis Stabilization Center must correct all deficiencies within 30 days from the date the statement of deficiencies was received by the Crisis Stabilization Center , unless a shorter time is determined by the Division to be necessary due to health or life safety risks, or unless an extension of time is requested from and granted by the Division. A request for such an extension must be submitted in writing and must accompany the plan of correction. (5) The Division must determine if a written plan of correction is acceptable. If the plan of correction is not acceptable to the Division, the Division must notify the Crisis Stabilization Center in writing: (a) Identifying which provisions in the plan the Division finds unacceptable. (b) Citing the reasons the Division finds the provisions unacceptable; and (c) Requesting that the plan of correction be modified and resubmitted no later than 10 business days from the date notification of non-compliance was received by the Crisis Stabilization Center . (6) If the Crisis Stabilization Center does not come into compliance by the date of correction reflected on the plan of correction or 30 days from the date the report was received, whichever is sooner, the Division may propose to deny, suspend, or revoke the Crisis Stabilization Center certificate or impose civil penalties. (7) If during an inspection or investigation Division or Department staff document a substantial failure to comply with Crisis Stabilization Center certification laws or rules, or if a Crisis Stabilization Center fails to pay a civil penalty imposed under ORS 443.325 and these rules, the Division may issue a Notice of Proposed Suspension or Notice of Proposed Revocation in accordance with ORS 183.411 through 183.470. (8) The Division may issue a Notice of Imposition of Civil Penalty for violations of Crisis Stabilization Center certification rules . (9) At any time, the Division may issue a Notice of Immediate Suspension under ORS 183.430(2). (10) If the Division revokes a Crisis Stabilization Center certificate , the order must specify when, if ever, the Crisis Stabilization Center may reapply for certification. (11) The Division may reissue a Crisis Stabilization Center certificate that has been suspended or revoked after the Division determines that compliance with these rules has been achieved. Statutory/Other Authority: ORS 183.310 -183.750, 179.040, 413.042, 413.032 - 413.033, 428.205 - 428.270, 430.626 - 430.630, 430.624, 430.640, 430.870, HB 2417 (2021) & 743A.168 Statutes/Other Implemented: ORS 183.310 - 183.750, 426.500, 428.205 - 428.270, 430.010, 430.021, 430.205 - 430.210, 430.254, 430.335, 430.620, 430.626 - 430.630, 430.637 & 414.665 History: BHS 2-2026, temporary adopt filed 03/20/2026, effective 03/20/2026 through 09/15/2026 309-073-0105 Temporary rule language in effect until 09/15/2026. Civil Penalties (1) A Crisis Stabilization Center that violates Crisis Stabilization Center rules, an administrative order, or settlement agreement, is subject to the imposition of a civil penalty not to exceed $1,000 per violation and may not total more than $2,000. (2) An individual or entity who operates a Crisis Stabilization Center without a certificate is subject to the imposition of a civil penalty not to exceed $500 a day per violation. (3) A Crisis Stabilization Center that fails to comply with the Division is subject to the imposition of a civil penalty. Failure to comply includes, but not limited to: (a) Failure to provide a written disclosure statement to the individual or the individual’s legal representative prior to Crisis Stabilization Center services being rendered. (b) Failure to provide c risis stabilization services. (c) Failure to correct deficiencies identified during an inspection or abuse or complaint investigation; or (d) Refusal to allow access and inspection. (4) In determining the amount of a civil penalty, the Division must consider whether: (a) The Division made repeated attempts to obtain compliance. (b) The licensee has a history of non-compliance with Crisis Stabilization Center rules. (c) The violation poses a serious risk to an individual’s health; and (d) There are mitigating factors, such as the Crisis Stabilization Center’s cooperation with an investigation or actions to come into compliance. (5) Each day a violation continues is an additional violation. (6) A civil penalty imposed under this rule must comply with ORS 183.746. Statutory/Other Authority: ORS 183.310 -183.750, 179.040, 413.042, 413.032 - 413.033, 428.205 - 428.270, 430.626 - 430.630, 430.624, 430.640, 430.870, HB 2417 (2021) & 743A.168 Statutes/Other Implemented: ORS 183.310 - 183.750, 426.500, 428.205 - 428.270, 430.010, 430.021, 430.205 - 430.210, 430.254, 430.335, 430.620, 430.626 - 430.630, 430.637 & 414.665 History: BHS 2-2026, temporary adopt filed 03/20/2026, effective 03/20/2026 through 09/15/2026 309-073-0110 Temporary rule language in effect until 09/15/2026. Conditions (1) Conditions may be attached to a certificate and take effect immediately upon notification by the Division or the delivery date of the notice, whichever is sooner. The type of condition attached to a certificate must directly relate to a risk of harm or potential risk of harm to individuals. Conditions may be attached upon a finding that: (a) Information on the application or initial inspection requires a condition to protect the health, safety, or welfare of the individuals. (b) A threat to the health, safety, or welfare of an individual exists. (c) There is reliable evidence of abuse, neglect, or exploitation. (d) The Crisis Stabilization Center is not being operated in compliance with these rules. (2) Examples of conditions that may be imposed on a Crisis Stabilization Center license include, but are not limited to: (a) Restricting the total number of individuals served based upon the ability of the Crisis Stabilization Center to meet the health and safety needs of the individuals. (b) Requiring additional staff to meet an individual's care needs. (c) Requiring additional qualifications or training of staff. (d) Restricting a Crisis Stabilization Center from allowing persons on the premises who may be a threat to an individual's health, safety, or welfare. (3) The Crisis Stabilization Center will be notified in writing of any conditions imposed, the reason for the conditions, and be given an opportunity to request a hearing under ORS 183.411 to 183.502. (4) Conditions take effect immediately and are a final order of the Division unless later rescinded through the hearings process. (5) A Crisis Stabilization Center may appeal conditions imposed by requesting a hearing in writing within 21 calendar days after the date the notice was personally served or mailed. (6) In addition to, or in-lieu of, a contested case hearing, a Crisis Stabilization Center may request an informal conference with the Division to discuss conditions imposed. The informal conference does not diminish the Crisis Stabilization Center 's right to a hearing. (7) Conditions imposed remain in effect until the Division has sufficient cause to believe the situation that warranted the condition has been remedied. If the Crisis Stabilization Center believes the situation that warranted the condition has been remedied, the Crisis Stabilization Center may request in writing that the condition be removed. (8) Conditions must be posted with the certificate in a prominent place in the Crisis Stabilization Center and be available for inspection at all times. Statutory/Other Authority: ORS 183.310 - 183.750, 179.040, 413.042, 413.032 - 413.033, 428.205 - 428.270, 430.624, 430.626 - 430.630, 430.640, 430.870, HB 2417 (2021) & 743A.168 Statutes/Other Implemented: ORS 183.310 - 183.750, 426.500, 428.205 - 428.270, 430.010, 430.021, 430.205 - 430.210, 430.254, 430.335, 430.620, 430.626 - 430.630, 430.637 & 414.665 History: BHS 2-2026, temporary adopt filed 03/20/2026, effective 03/20/2026 through 09/15/2026 309-073-0115 Temporary rule language in effect until 09/15/2026. Denial, Suspension, or Revocation of License (1) The Division may impose a civil penalty or deny, suspend, or revoke the certification of a Crisis Stabilization Center , in accordance with ORS 183.745, for the Crisis Stabilization Center ’sfailure to comply with these rules. (2) The Division may deny, suspend, or revoke the certificate of a Crisis Stabilization Center for the Crisis Stabilization Center’s : (a) Failure to provide a written disclosure statement to an individual or an individual’s legal representative prior to Crisis Stabilization Center services being rendered; (b) Failure to provide required Crisis Stabilization Center services; (c) Failure to correct deficiencies identified during an inspection or investigation by the Division; (d) Submission of fraudulent or untrue information to the Division; (e) Failure to disclose history of or demonstrating financial insolvency, such as filing for bankruptcy, foreclosure, eviction due to failure to pay rent, or termination of utility services due to failure to pay bills; (f) Having a prior denial, suspension, revocation, or refusal to renew a certificate or license to operate a facility in this or any other state or county; (g) Demonstration of a pattern, over the previous five years, of significant and substantiated violations of employment or wage laws in this state: (A) As an employer of staff in a Crisis Stabilization Center ; or (B) By an applicant for a Crisis Stabilization Center certificate in any business owned or operated by the applicant. (h) Demonstration of a pattern, over the previous five years, of significant and substantiated violations of Crisis Stabilization Center requirements as described in these rules; (i) Threatening the health, safety, or welfare of any individual; (j) Having substantiated finding of abuse of an adult or child; (k) Retaliating or discriminating against an individual, family member, employee, or other person for making a complaint against the program; (l) Refusing to allow access and inspection; (m) Failure to comply with a final order of the Division to correct a violation of the rules for which an administrative sanction has been imposed; (n) Failure to comply with a final order of the Division imposing an administrative sanction; or (o) Failure to report knowledge of the illegal actions of or disclose the known criminal history of any Crisis Stabilization Center staff . (3) This section does not supersede or limit any other authority of the Division with regard to oversight of Crisis Stabilization Center or the imposition of civil pen alties. (4) The Division may impose a civil penalty or deny, suspend, or revoke a Crisis Stabilization Center certificate when a Crisis Stabilization Center fails to comply with these rules, including, but not limited to, Crisis Stabilization Center staff permitting, aiding, or abetting any illegal act affecting the welfare of an individual. (5) If the Division intends to suspend or revoke a Crisis Stabilization Center certificate , it must do so in accordance with ORS 183.411 through 183.470. Statutory/Other Authority: ORS 183.310 - 183.750, 179.040, 413.042, 413.032 - 413.033, 428.205 - 428.270, 430.624, 430.626 - 430.630, 430.640, 430.870, HB 2417 (2021) & 743A.168 Statutes/Other Implemented: ORS 183.310 - 183.750, 426.500, 428.205 - 428.270, 430.010, 430.021, 430.205 - 430.210, 430.254, 430.335, 430.620, 430.626 - 430.630, 430.637 & 414.665 History: BHS 2-2026, temporary adopt filed 03/20/2026, effective 03/20/2026 through 09/15/2026