The letter details the possible monetary fines if the allegations are true against Naphcare at the Montgomery County Jail, which holds a Terminal Distributor of Dangerous Drugs (TDDD) license.
The allegations include not having a system in place to check for expired medication blister cards, not providing records of methodone administered to an inmate and giving methadone to an inmate from a designated destruction container.
Other allegations include administering expired medication during dental treatments to two inmates, not logging the temperature on 36 percent of the days in 2015 and not signing and dating end of day reports for positive identification.
The most serious allegations included fines of up to $2,000. The letter said Naphcare had 30 days in which to request an administrative hearing. Efforts to determine if a hearing was scheduled are ongoing.