I'm not sure, but I can tell you they didn't even have a doctor when I was there. I was taken off many meds I was sent there on by a nurse practioner. I don't even know if that's legal or not..? They were very disorganized when it came to meds, and never put kids on new medication. Most of the kids on meds arrived on them I think. When you are there, being on meds is a good thing from the kids perspective. Especially if you're getting something strong like xanax, or something like that. Plus you can trade them for candy and stuff.