Section R9-10-1030. Physical Plant, Environmental Services, and Equipment Standards

A.      An administrator shall ensure that:

1.        An outpatient treatment center’s premises are:

a.         Sufficient to provide the outpatient treatment cen- ter’s scope of services;

b.        Cleaned and disinfected according to the outpatient treatment center’s policies and procedures to pre- vent, minimize, and control illness and infection; and

c.         Free from a condition or situation that may cause an individual to suffer physical injury;

2.        Except as provided in subsection (B), if an outpatient treatment center collects urine or stool specimens from a patient, the outpatient treatment center has at least one bathroom on the premises that:

a.         Contains:

i.         A working sink with running water,

ii.        A working toilet that flushes and has a seat,

iii.      Toilet tissue,

iv.       Soap for hand washing,

v.        Paper towels or a mechanical air hand dryer,

vi.       Lighting, and

vii.     A means of ventilation; and

b.        Is for the exclusive use of the outpatient treatment center;

3.        A pest control program is implemented and documented;

4.        A tobacco smoke-free environment is maintained on the premises;

5.        A refrigerator used to store a medication is:

a.         Maintained in working order, and

b.        Only used to store medications;

6.        Equipment at the outpatient treatment center is:

a.         Sufficient to provide the outpatient treatment cen- ter’s scope of services;

b.        Maintained in working condition;

c.         Used according to the manufacturer’s recommenda- tions; and

d.        If applicable, tested and calibrated according to the manufacturer’s recommendations or, if there are no

manufacturer’s  recommendations,  as  specified  in policies and procedures; and

7.        Documentation of equipment testing, calibration, and repair is maintained for at least 12 months after the date of testing, calibration, or repair.

B.       An outpatient treatment center may have a bathroom used for the collection of a patient’s urine or stool that is not for the exclusive use of the outpatient treatment center if:

1.        The bathroom is located in the same contiguous building as the outpatient treatment center’s premises,

2.        The bathroom is of a sufficient size to support the outpa- tient treatment center’s scope of services, and

3.        There is a documented agreement between the licensee and the owner of the building stating that the bathroom complies with the requirements in this Section and allow- ing the Department access to the bathroom to verify com- pliance.

C.      If an outpatient treatment center has a bathroom that is not for the exclusive use of the outpatient treatment center as allowed in subsection (B), an administrator shall ensure that:

1.        Policies and procedures are established, documented, and implemented to:

a.         Protect the health and safety of an individual using the bathroom; and

b.        Ensure that the bathroom is cleaned and sanitized to prevent, minimize, and control illness and infection;

2.        Documented instructions are provided to a patient that cover:

a.         Infection control measures when a patient uses the bathroom, and

b.        The safe return of a urine or stool specimen to the outpatient treatment center;

3.        The bathroom complies with the requirements in subsec- tion (A)(2)(a); and

4.        The bathroom is free from a condition or situation that may cause an individual using the bathroom to suffer a physical injury.

Historical Note

Adopted effective February 15, 1984 (Supp. 84-1). Repealed by summary action, interim effective date July 21, 1995 (Supp. 95-3). The proposed summary action repealing R9-10-1030 was remanded by the Governor’s Regulatory Review Council which revoked the interim effectiveness of the summary rule. The Section in effect before the proposed summary action has been restored (Supp. 97-1). Section repealed by final rulemaking at 5

A.A.R. 1222, effective April 5, 1999 (Supp. 99-2). New Section made by exempt rulemaking at 19 A.A.R. 2015,

effective October 1, 2013 (Supp. 13-2). Amended by exempt rulemaking at 20 A.A.R. 1409, pursuant to Laws 2013, Ch. 10, § 13; effective July 1, 2014 (Supp. 14-2).