Rehabilitation centers and annexes in CDMX: What permits do they require to operate?

The tragedy that occurred on February 24, 2025 at a rehabilitation center in Tlalpan , where a fire claimed the lives of five young inmates, has raised questions about the regulation of these establishments. Initial investigations suggest that the center was operating without the necessary permits, so here we tell you: what requirements must an addiction center meet to operate legally in Mexico City ?

Essential requirements for a rehabilitation center in CDMX

In order to offer treatment to people with addiction problems, rehabilitation centers must comply with a series of permits and regulations established by health and safety authorities. Among the main ones are:

• Notice of Operation to Cofepris

The Federal Commission for the Protection against Sanitary Risks (Cofepris) requires that any establishment that provides health services register a Notice of Operation. This procedure certifies that the center complies with health regulations and allows for its supervision to ensure adequate conditions.

• Registration with the Institute for the Care and Prevention of Addictions (IAPA)

The Institute for the Care and Prevention of Addictions in Mexico City (IAPA) is the agency responsible for verifying that rehabilitation centers comply with appropriate treatment programs. To register, centers must present:

Technical-administrative manuals and work programs.

Internal regulations that establish clear rules for inmates and staff.

Documents proving the infrastructure and operating conditions.

This registration is valid for one year and must be renewed annually.

Internal Civil Protection Program

Since these establishments serve people in vulnerable conditions, it is essential to have a security program approved by the corresponding mayor's office. This must include:

• Emergency plans for fires, earthquakes or other contingencies.
• Clear and signposted evacuation routes.
• Staff training in first aid and emergency protocols.
• Qualified and certified personnel

The team at a rehabilitation center must be made up of professionals trained in the treatment of addictions. Depending on the care model, the person in charge of the center must have:

• At least two years of experience in rehabilitation.
• One year as manager of a similar center.

If it is a professional model, the director must present a degree and professional license in the health area.

Adequate infrastructure and conditions

Facilities must ensure hygiene, safety and well-being for inmates. Specific requirements include:

• Ventilated, illuminated and well-maintained areas.
• Adequate spaces according to the age and gender of the patients.
• A structured schedule of activities.
• A menu endorsed by a health professional.

What happens when a center operates without regulation?

The case of the fire in Tlalpan is an example of the risks of operating without supervision or permits. According to witnesses, the fire started when some inmates locked themselves in a room and set fire to a chair in an attempt to riot. Without an adequate safety protocol, the fire spread quickly because the building's roof was made of asbestos sheets, a highly flammable material.

In addition, local residents say that this was not the first time that inmates tried to escape from the center, which shows shortcomings in supervision and in the conditions of confinement.

How to verify if a center operates legally?

To prevent more people from becoming victims of irregular establishments, it is essential to verify that the center has the appropriate permits. This can be done through the IAPA, where anyone can consult the registry of rehabilitation centers registered in Mexico City.

In addition, if a facility is suspected of operating without permits or under inadequate conditions, a complaint can be filed with:

COFEPRIS ( www.gob.mx/cofepris )

IAPA ( www.iapa.cdmx.gob.mx )

Attorney General's Office of Mexico City ( www.fgjcdmx.gob.mx )

Regulation and oversight of rehabilitation centres is key to ensuring the safety and dignity of those seeking help to overcome addiction.

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