Section R9-10-517. Environmental Standards

A.      An administrator shall ensure the recovery care center’s infec- tion control policies and procedures include:

1.        Development and implementation of a written plan for preventing, detecting, reporting, and controlling commu- nicable diseases and infection;

2.        Handling and disposal of biohazardous medical waste; and

3.        Sterilization, disinfection, and storage of medical equip- ment and supplies.

B.       An administrator shall ensure that:

1.        A recovery care center’s premises and equipment are:

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

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

2.        A pest control program is implemented and documented;

3.        Equipment used to provide recovery care services 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.        Biohazardous medical waste is identified, stored, and dis- posed of according to 18 A.A.C. 13, Article 14 and poli- cies and procedures;

6.        Soiled linen and clothing are:

a.         Collected in a manner to minimize or prevent con- tamination;

b.        Bagged at the site of use; and

c.         Maintained separate from clean linen and clothing and away from food storage, kitchen, or dining areas;

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 recovery care center at a temperature between 70° F and 84° F;

9.        Common areas:

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

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

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

11.     Oxygen containers are secured in an upright position;

12.     Poisonous or toxic materials stored by the recovery care center are maintained in labeled containers in a locked area separate from food preparation and storage, dining areas, and medications and are inaccessible to patients;

13.     Combustible or flammable liquids and hazardous materi- als stored by the recovery care center are stored in the original labeled containers or safety containers in a locked area inaccessible to patients;

14.     If pets or animals are allowed in the recovery care center, pets or animals are:

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

b.        Licensed consistent with local ordinances;

15.     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

16.     If a non-municipal sewage system is used, the sewage system is in working order and is maintained according to applicable state laws and rules.

C.      An administrator shall ensure that:

1.        Smoking tobacco products is not permitted within a recovery care center; and

2.        Smoking tobacco products may be permitted outside a recovery care center 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

Adopted as an emergency effective October 26, 1988, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 88-4). Emergency expired. Readopted without

change as an emergency effective January 27, 1989, pur- suant to A.R.S. § 41-1026, valid for only 90 days (Supp. 89-1). Emergency expired. Readopted without change as an emergency effective April 27, 1989, pursuant to

A.R.S. § 41-1026, valid for only 90 days (Supp. 89-2).

Emergency expired. Readopted without change as an emergency effective July 31, 1989, pursuant to A.R.S. § 41-1026, valid for only 90 days (Supp. 89-3). Permanent

rules adopted effective October 30, 1989 (Supp. 89-4).

Section repealed effective April 4, 1994 (Supp. 94-2). 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).