The College of Naturopaths of Ontario has been authorized since March 2, 2017 by Part IV of the General Regulation to conduct inspections in premises where Intravenous Infusion Therapy (IVIT) procedures are performed.

The College’s Inspection Program ensures continuous quality of care for all premises where IVIT procedures are performed through the development and maintenance of standards. This helps enhance the safety and quality of care for the Ontarians who choose to access these services.

IVIT procedures include:

• the compounding of drugs to make a customized therapeutic product for the purpose of administering by intravenous injection to a patient, and;
• the administration of a therapeutic product by IVIT.

The Inspection Program Requirements that need to be fulfilled by each premises include the following areas:

• physical environment,
• emergency preparedness,
• infection control,
• sterile compounding,
• administering IVIT,
• record keeping and charting,
• reporting Type 1 and Type 2 occurrences,
• delegation, and
• quality management.

Each inspection outcome is posted on the IVIT Premises Register. The outcome can be a “pass”, a “pass with conditions” or a “fail”.

Every premises that is registered and performing IVIT procedures will undergo a scheduled inspection once every five years.

Registering an IVIT Premises

A new premises where IVIT procedures are intended to be performed must first be registered with the College and, undergo Part I of an inspection. The premises must receive a “pass” or a “pass with conditions” before IVIT procedures are allowed to be performed at that premises. Part II of the new premise’s inspection will occur approximately six months later.

Learn more about registering an IVIT premises.

You can access more information about the fees involved here.

Inspection Outcomes Decisions Pathway

More information on how the College reaches a decision after an inspection can be found here.

Reporting Type 1 Occurrences

Type 1 occurrences are incidents that may or did result in serious harm to a patient in relation to Intravenous Infusion Therapy (IVIT).

Learn more about how to report a Type 1 Occurrence.

Reporting Type 2 Occurrences

Type 2 occurrences are incidents that may or did result in less serious harm to a patient in relation to the performance of compounding for or administering by IVIT. Registrants are required to document all Type 2 occurrences in the patient file as they happen.

Learn more about how to report a Type 2 Occurrence.

Inspection Program Fact Sheet

The College has created a helpful resource on the Inspection Program, including fees, definitions and processes in an easy-to-read fact sheet. Please note that this is not intended to be legal or practice advice.

Access the Fact Sheet about the College’s Inspection Program here.

Tools & Forms

You can find all relevant tools and forms used for IVIT and Inspections here.

Latest changes in the inspection program

Changes in fees

During the December 10, 2025 Council meeting, Council approved the following Inspection Program fees effective April 1, 2026:

• The regularly scheduled 5-year inspection fee: $3,000.
• The fee for an inspection ordered by the Inspection Committee: $3,000.
• The inspection fee for a new premises: $3,000
• The new premises registration fee: $250
• Adding a new procedure fee: $50
• Submitting a change in personnel at an IVIT premises fee: $50
• Submitting a cease to perform notification for an IVIT premises: $50
• Request for an inspection deferral: $100

Revisions were made to the inspection program requirements in 2021. The following are the current requirements:

Existing Premises/5-Year Scheduled Inspection
Existing Premises/5-Year Scheduled Inspection – Table of changes
New Premises – Part I
New Premises – Part I – Table of changes
New Premises – Part II
New Premises – Part II – Table of changes