Collection Facility Application
(One application per physical site)

Accreditation involves two key elements of a collection facility's operations; 1) the equipment and business practices of the collection facility and 2) the collection personnel. Detailed requirements have been developed by the drug and alcohol testing industry to meet the goal of promoting the highest quality operating standards, and employing only fully trained collection personnel.

To complete this application:

1) Read the Accreditation Program Conditions and Rules;

2) Read through the Accreditation Requirements and initial each requirement that your collection facility meets;

3) Include with application a copy of your facility's Certified Professional Collector Trainer's certificate,

4) Include with application the Verification of Training and Request for Certified Professional Collector Exam administration form for each employee, and

5) Include payment for certification of all collection personnel (See Verification of Training and Request for Certified Professional Collector Exam for rates).
* If all collectors are currently certified, please omit steps 4 & 5 and include copies of their CPC certificates.

**All materials should be MAILED to: DATIA, 1600 Duke Street, Suite 220, Alexandria, VA 22314.**

Materials including an accreditation plaque, an accreditation logo sheet, collector certificates, press release and a window decal will be provided upon successful completion of this process. If you have any questions regarding the application, please contact DATIA headquarters at 800-355-1257.

Eligibility for Accreditation: To be eligible for accreditation, applicants must be an active drug and/or alcohol testing collection facility. For organizations that have multiple facilities, each facility must apply for accreditation on separate applications. Membership in the Drug & Alcohol Testing Industry Association is not required for participation in this program.

Collector Professional Training: A key requirement of accreditation is that all employees who perform drug and alcohol testing specimen collections be trained in proper collection procedures. Collectors must receive this training at their collection facility from a Certified Professional Collector Trainer (CPCT) who has completed the DATIA "Certified Professional Collector Trainer" Training Course. Each facility must have a Certified Professional Collector Trainer (CPCT) on staff in addition to its Certified Professional Collectors (CPC). For companies with multiple facilities, a Certified Professional Collector Trainer (CPCT) may train collectors at up to three company owned sites within a 100 mile radius.

Training Course Availability: Training seminars will be held a minimum of four times a year in cities across the country. See separate Training Course Registration information for a training schedule and enrollment form, or get the training registration on DATIA's web site www.datia.org, or call DATIA at 800-355-1257.

Certification Transferability: If an employment separation occurs with a facility's Certified Professional Collector Trainer, the facility will have up to six months to have another employee attend the DATIA "Certified Professional Collector Trainer" Training Course and receive the Certified Professional Collector Trainer (CPCT) designation. Facilities are required to notify DATIA in writing of any employment separation of a Certified Professional Collector Trainer. Each employee's training is transferrable to any other collection facility, provided the employee provides DATIA written notification of the transfer within 30 days of separation.

Collection Checklist: For internal quality control purposes, it is recommended that a collector's checklist be completed for every collection, and signed by the collector. Signature by the donor is optional, but preferred. The use of a collector's checklist is especially valuable in training new collectors.

Facility's Standard Operating Procedure: DATIA has provided all applicants a guideline of what elements should be contained in a standard operating procedure under the Accreditation Requirements section.

Inspection Follow-up: If, upon inspection, a facility is found out of compliance with the program's requirements, a follow-up inspection of the facility will be scheduled within two weeks of the initial inspection.

De-Accreditation Process: If a facility fails to meet all of the Accreditation Requirements at the second inspection, or fails in any other way to maintain the requirements for accreditation, the DATIA President will prepare a report for the DATIA Accreditation Committee. The Committee will review the report and any other relevant facts, and will make a recommendation, approved by a vote of the majority of the Committee, on the issue of whether the facility should lose its accredited status. The facility will be notified 30 days prior to the date the Committee considers the case, in order to provide sufficient time for the member to submit any relevant written information. If the Committee votes to de-accredit the facility, the facility will lose its accredited status for a period of one year, at which time it may reapply for accreditation.

Exemptions: Applicants seeking an exemption from the program requirements must submit the request in writing to DATIA. The request will be provided to the Accreditation Committee for a decision by a majority vote.

I hereby attest that I have read, understand & agree to the Accreditation Program Conditions & Rules.

Signature _____________________________________ Printed Name ____________________________________

Title________________________________________________ Date_______________

A. GUIDELINES AND REGULATIONS

_____ 1. All urine collections shall be performed following Department of Health and Human Services (DHHS), Substance Abuse and Mental Health Services Administration (SAMHSA) "Mandatory Guidelines for Workplace Drug Testing Programs". Facility must maintain a current copy of this DHHS/SAMHSA regulation at all times.
_____ 2. All Department of Transportation related urine collections shall be performed in full compliance with 49 Code of Federal Regulations, Part 40, and the transportation mode (FAA, RSPA, USCG, FHWA, FRA, FTA) in which the facility's client operates. Facility must maintain a current copy of the Department of Transportation 49 CFR part 40 regulations at all times, and a copy of the DOT regulations for the transportation modes they serve.

B. QUALITY SERVICE STANDARDS

_____ 3. Capability of providing observed collection, when required to do so by the DOT regulations.
_____ 4. All 24 hour facilities must have DOT/NHTSA Evidential Breath Test machine with printer for confirmation of
any alcohol result > .02.
_____ 5. Company must maintain liability insurance coverage of $500,000 or greater.

C. QUALITY CONTROL PROGRAM

_____ 6. Maintenance of a Standard Operating Procedure (SOP) for collection of all specimens.
_____ 7. SOP must contain the following elements (please check each one):

_____8.Written internal drug testing policy for collection facility, meeting guidelines in compliance with federal, state and local laws.

D. PERSONNEL TRAINING

_____ 9. Each collector employed by the facility has been trained by a facility employee who has attended a DATIA "Certified Professional Collector Trainer" Training Course and received the Certified Professional Collector Trainer designation, and passed the DATIA Collector Certification Exam. See rules and conditions on pages one and two for full information on this requirement.
_____ 10.All collection personnel must renew either their Certified Professional Collector Trainer or Certified Professional. Collector designations prior to June 2001.

E. PERSONNEL

_____ 11.Pre-employment drug testing performed on all collection personnel hired after Accreditation.
_____ 12.Personnel records, including continuing education documentation, kept on all collection personnel.

F. SPECIMEN HANDLING QUALITY CONTROL

_____ 13.Specimens remain under control of collector until stored in a secured place.
_____ 14.Specimens stored in a secured area prior to shipping.
_____ 15.Blue dye in toilet tank reservoir (or bowl for main line fed toilets) when collecting.

G. COLLECTION PROCEDURE

_____ 16. Positive identification required from all donors.
_____ 17. Quality Control Checklist completed and signed by collector when applicable.
_____ 18. Procedure to promptly forward chain of custody forms to MRO, laboratory and employer.

H. FORMS AND RECORDS

_____ 19. Files containing client drug testing information kept in a secured area.
_____ 20. All records pertaining to collections kept for a minimum of 6 months or as required by regulations. The information in these files should be secure at all times but easily accessible.

I. FACILITY EQUIPMENT AND APPEARANCE

_____ 21. Secure place for storage of donor's purse, bulky clothing and similar items.
_____ 22. Sufficient privacy provided for donor.
_____ 23. Fluids available upon individual request.
_____ 24. Hand washing capability.
_____ 25. Working area large enough to hold both specimen and required documentation.
_____ 26. Unobstructed view for donor to witness specimen handling proceedings.
_____ 27. Specimen storage area separate from collection areas.

J. OPERATIONAL PRACTICES AND BUSINESS ETHICS

_____ 28. Collection facility shall conduct business practices in full compliance with all applicable federal and state laws and regulations, including local business licensing laws, occupational licenses, and other permits as required by state and local authorities.
_____ 29. Collection facility shall not use deceptive or misleading statements, advertising, or representations, relating to services provided or fees.
_____ 30. Collection facility shall endeavor to communicate fees prior to commencing tests.
_____ 31. Collection facility shall conduct all business dealings with members of the public in a fair, consistent, professional, and ethical manner.