Section R9-10-1116. Environmental Standards

A.      An administrator shall ensure that:

1.        The adult day health care facility’s premises are:

a.         Cleaned and disinfected according to policies and procedures to prevent, minimize, and control illness and infection; and

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

2.        A pest control program is implemented and documented;

3.        Windows and doors opening to the outside are screened if they are kept open at any time for ventilation or other pur- poses;

4.        Biohazardous medical waste is identified, stored, and dis- posed of according to 18 A.A.C. 13, Article 14 and poli- cies and procedures;

5.        Equipment used at the adult day health care facility is:

a.         Maintained in working order;

b.        Tested and calibrated according to the manufac- turer’s recommendations or, if there are no manufac- turer’s recommendations, as specified in  policies and procedures; and

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

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

7.        Garbage and refuse are:

a.         Stored in covered containers lined with plastic bags, and

b.        Removed from the premises at least once a week;

8.        Heating and cooling systems maintain the adult day health care facility at a temperature between 70° F and 84° F;

9.        The supply of hot and cold water is sufficient to meet the personal hygiene needs of participants and the cleaning and sanitation requirements in this Article;

10.     Soiled linen and soiled clothing stored by the adult day health care facility are maintained separate from clean linen and clothing and stored in closed containers away from food storage, kitchen, and dining areas;

11.     Oxygen containers are secured in an upright position;

12.     Poisonous or toxic materials stored by the adult day health care facility are maintained in labeled containers in a locked area separate from food preparation and storage, dining areas, and medications and are inaccessible to par- ticipants;

13.     Combustible or flammable liquids and hazardous materi- als stored by the adult day health care facility are stored in the original labeled containers or safety containers in a locked area inaccessible to participants; and

14.     Pets or animals are:

a.         Controlled to prevent endangering the participants and to maintain sanitation;

b.        Not allowed in treatment, food storage, food prepa- ration, or dining areas;

c.         Licensed consistent with local ordinances; and

d.        For a dog or cat, vaccinated against rabies.

B.       If a swimming pool is located on the premises, an administra- tor shall ensure that:

1.        On a day that a participant uses the swimming pool, an employee:

a.         Tests the swimming pool’s water quality at least once for compliance with one of the following chemical disinfection standards:

i.         A free chlorine residual between 1.0 and 3.0 ppm as measured by the N, N-Diethyl-p- phenylenediamine test;

ii.        A free bromine residual between 2.0 and 4.0 ppm as measured by the N, N-Diethyl-p- phenylenediamine test; or

iii.      An oxidation-reduction  potential equal to  or greater than 650 millivolts; and

b.        Records the results of the water quality tests in a log that includes the date tested and test result;

2.        Documentation of the water quality test is maintained for at least 12 months after the date of the test;

3.        A swimming pool is not used by a participant if a water quality test shows that the swimming pool water does not comply with subsection (B)(1)(a);

4.        At least one personnel member with cardiopulmonary resuscitation training, required in R9-10-1106(D), is pres- ent in the pool area when a participant is in the pool area; and

5.        At least two personnel members are present in the pool area if two or more participants are in the pool area.

Historical Note

Adopted effective September 2, 1977 (Supp. 77-5).

Repealed effective July 22, 1994 (Supp. 94-3). New Sec- tion made by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). Section R9-10- 1116 renumbered to Section R9-10-1117; new Section R9-10-1116 renumbered from Section R9-10-1115 and amended by exempt rulemaking at 20 A.A.R. 1409, pur- suant to Laws 2013, Ch. 10, § 13; effective July 1, 2014

(Supp. 14-2).