Arizona Administrative Code (Last Updated: November 17, 2016) |
Title 9. HEALTH SERVICES |
Chapter 10. DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING |
Article 14. SUBSTANCE ABUSE TRANSITIONAL FACILITIES |
Section R9-10-1415. Environmental Standards
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A. An administrator shall ensure that:
1. The premises and equipment are sufficient to accommo- date the activities, treatment, and ancillary services stated in the substance abuse transitional facility’s scope of ser- vices;
2. The premises and equipment are:
a. Maintained in a condition that allows the premises and equipment to be used for the original purpose of the premises and equipment,
b. Clean, and
c. Free from a condition or situation that may cause a participant or other individual to suffer physical injury or illness;
3. A pest control program is implemented and documented;
4. Biohazardous waste and hazardous waste are identified, stored, used, and disposed of according to 18 A.A.C. 13, Article 14 and policies and procedures;
5. Equipment used at the substance abuse transitional facil- ity 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 plastic bags in covered containers, and
b. Removed from the premises at least once a week;
8. Heating and cooling systems maintain the facility at a temperature between 70° F and 84° F at all times;
9. A space heater is not used;
10. Common areas:
a. Are lighted to assure the safety of participants, and
b. Have lighting sufficient to allow personnel members to monitor participant activity;
11. Hot water temperatures are maintained between 95° F and 120° F in the areas of the substance abuse transitional facility used by participants;
12. 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;
13. Soiled linen and soiled clothing stored by the substance abuse transitional facility are maintained separate from clean linen and clothing and stored in closed containers away from food storage, kitchen, and dining areas;
14. Oxygen containers are secured in an upright position;
15. Poisonous or toxic materials stored by the substance abuse transitional facility are maintained in labeled con- tainers in a locked area separate from food preparation and storage, dining areas, and medications and are inac- cessible to participants;
16. Combustible or flammable liquids and hazardous materi- als stored by the substance abuse transitional facility are stored in the original labeled containers or safety contain- ers in a locked area inaccessible to participants;
17. If a water source that is not regulated under 18 A.A.C. 4 by the Arizona Department of Environmental Quality is used:
a. The water source is tested at least once every 12 months for total coliform bacteria and fecal coliform or E. coli bacteria;
b. If necessary, corrective action is taken to ensure the water is safe to drink; and
c. Documentation of testing is retained for at least 12 months after the date of the test; and
18. If a non-municipal sewage system is used, the sewage system is in working order and is maintained according to all applicable state laws and rules.
B. An administrator shall ensure that:
1. Smoking tobacco products is not permitted within a sub- stance abuse transitional facility; and
2. Smoking tobacco products may be permitted on the premises outside a substance abuse transitional facility if:
a. Signs designating smoking areas are conspicuously posted, and
b. Smoking is prohibited in areas where combustible materials are stored or in use.
Historical Note
Section made by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). Section R9-10- 1415 renumbered to R9-10-1414; new Section R9-10- 1415 renumbered from R9-10-1416 and amended by exempt rulemaking at 20 A.A.R. 1409, pursuant to Laws
f. Nonporous surfaces for shower enclosures, clean usable shower curtains, and slip-resistant surfaces in tubs and showers;
4. Each participant is provided a bedroom for sleeping; and
5. A participant bedroom complies with the following:
a. Is not used as a common area;
b. Except as provided in subsection (D):
i. Contains a door that opens into a hallway, com- mon area, or outdoors; and
ii. In addition to the door in subsection (C)(5)(b)(i), contains another means of egress;
c. Is constructed and furnished to provide unimpeded access to the door;
d. Has window or door covers that provide participant privacy;
e. Except as provided in subsection (D), is not used as a passageway to another bedroom or bathroom unless the bathroom is for the exclusive use of an individual occupying the bedroom;
f. Has floor to ceiling walls:
g.
2013, Ch. 10,
§ 13; effective July 1,
2014 (Supp. 14-2). R9-10-1416. Physical Plant Standards i. Private bedroom that contains at least 60 square feet of floor space, not including the closet; or A. An administrator shall ensure that a
substance abuse transi- ii. Shared bedroom that, except as provided in tional facility has: subsection (D): 1. A fire alarm system installed according to the National (1) Is shared by no more than eight partici- Fire Protection Association 72: National Fire Alarm and pants; Signaling Code, incorporated by reference in A.A.C. R9- (2) Contains at least 60 square feet of floor 1-412, that is in
working order; and a sprinkler system space, not including a closet, for each indi- installed
according to the National Fire Protection Asso- vidual
occupying the bedroom; and ciation 13 Standard for the
Installation of Sprinkler Sys- (3) Provides at least three feet of floor space tems, incorporated by reference
in A.A.C. R9-1-412, that between
beds or bunk beds; is in
working order; or h. Except as provided in
subsection (D), contains for 2. An alternative method to ensure participant safety that is each participant occupying the bedroom: documented and approved by
the local jurisdiction. i. A bed that is
at least 36 inches wide and at least B. An administrator shall ensure that: 72 inches long, and consists of at least a frame 1. If a participant has a mobility, sensory, or other physical and mattress and linens; and impairment, modifications are made to the premises to ii. Individual storage
space for personnel effects ensure that the premises are accessible to
and usable by and clothing such as a dresser or chest; and the participant; and i. Has sufficient lighting for participant occupying the 2. A substance abuse transitional facility has: bedroom
to
read. a. A room that provides privacy for a
participant to D. An administrator of
a substance abuse transitional facility that receive
treatment or visitors; and uses a
building that was licensed as
a rural substance abuse b. A common area and
a dining area that: transitional center before October 1,
2013 shall ensure that: i. Are not converted, partitioned,
or otherwise 1. A bedroom has a door that allows egress from the bed- used as a sleeping area; and room, ii. Contain furniture
and
materials to accommo- 2. A shared bedroom contains enough space to allow each date the recreational and socialization needs of participant occupying the bedroom to freely move about the
participants and other individuals in the the bedroom, facility. 3. A bed is of a
sufficient size to accommodate a
participant C. An administrator shall ensure that: using the bed and provide space for all parts of
the partic- 1. For
every six
participants, there is at
least one working ipant’s
body on the bed’s mattress, and toilet that flushes and one sink with running water; 4. A participant is
provided storage space on a
substance 2. For
every eight participants, there is at
least one working abuse transitional facility’s premises that is accessible to bathtub or
shower; the participant.
Is a:
3. A participant bathroom provides privacy when in use and contains:
a. A shatter-proof mirror;
b. Toilet tissue for each toilet;
c. Soap accessible from each sink;
d. Paper towels in a dispenser or a mechanical air hand dryer for a bathroom that is used by more than one participant;
e. A window that opens or another means of ventila- tion; and
Historical Note
Section made by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). Section R9-10- 1416 renumbered to R9-10-1415; new Section R9-10- 1416 renumbered from R9-10-1417 and amended by exempt rulemaking at 20 A.A.R. 1409, pursuant to Laws 2013, Ch. 10, § 13; effective July 1, 2014 (Supp. 14-2).