Section R9-10-425. Environmental Standards

A.      An administrator shall ensure that:

1.        A nursing care institution's premises and equipment are:

a.         Cleaned and disinfected according to policies and procedures or manufacturer's instructions to prevent, minimize, and control illness and infection; and

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

2.        A pest control program is implemented and documented;

3.        Equipment used to provide direct care 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;

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

5.        Garbage and refuse are:

a.         In areas used for food storage, food preparation, or food service, stored in a covered container lined with a plastic bag;

b.        In areas not used for food storage, food preparation, or food service, stored:

i.         According to the requirements  in  subsection (5)(a), or

ii.        In a paper-lined or plastic-lined container that is cleaned and sanitized as often as necessary to ensure that the container is clean; and

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

6.        Heating and cooling systems maintain the nursing care institution at a temperature between 70° F and 84° F;

7.        Common areas:

a.         Are lighted to assure the safety of residents, and

b.        Have lighting sufficient to allow personnel members to monitor resident activity;

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

9.        Linens are clean before use, without holes and stains, and not in need of repair;

10.     Oxygen containers are secured in an upright position;

11.     Poisonous or toxic materials stored by the nursing care institution are maintained in labeled containers in a locked area separate from food preparation and storage, dining areas, and medications and are inaccessible to res- idents;

12.     Combustible or flammable liquids stored by the nursing care institution are stored in the original labeled contain- ers or safety containers in a locked area inaccessible to residents;

13.     If pets or animals are allowed in the nursing care institu- tion, pets or animals are:

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

b.        Licensed consistent with local ordinances; and

c.         For a dog or cat, vaccinated against rabies;

14.     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

15.     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 nurs- ing care institution, and

2.        Smoking tobacco products may be permitted outside a nursing care institution if:

a.         Signs designating smoking areas are conspicuously posted, and

b.        Smoking is prohibited in areas where combustible materials are stored or in use.

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

1.        At least one personnel member with cardiopulmonary resuscitation training that meets the requirements in R9- 10-403(C)(1)(e) is present in the pool area when a resi- dent is in the pool area, and

2.        At least two personnel members are present in the pool area when two or more residents are in the pool area.

Historical Note

Adopted effective January 28, 1980 (Supp. 80-1). Section repealed by final rulemaking at 8 A.A.R. 2785, effective October 1, 2002 (Supp. 02-2). New Section R9-10-425 made by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). Amended by exempt

rulemaking at 19 A.A.R. 3334, effective October 1, 2013 (Supp. 13-4). Amended by exempt rulemaking at 20

A.A.R. 1409, pursuant to Laws 2013, Ch. 10, § 13; effec- tive July 1, 2014 (Supp. 14-2).