<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".44" citation="COMAR 10.07.02.44" title_num="10" subtitle_num="07" chapter_num="02" heading="Physical Plant — Heating and Cooling.">
  <paragraph num="A.">
    <text>Unless otherwise indicated, all general requirements apply to both new construction and an existing nursing home.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Temperatures. A nursing home shall maintain a minimum design temperature of 75°F or 24°C for all occupied areas.</text>
  </paragraph>
  <paragraph num="C.">
    <text>Heating System. A nursing home shall be equipped with a properly maintained and operational central heating system. The heating system shall be:</text>
    <paragraph num="(1)">
      <text>Capable of maintaining 75°F or 24°C throughout the residents’ section of the building with the outside temperature as prescribed in the Guidelines for Design and Construction of Residential Health, Care, and Support Facilities; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>In compliance with NFPA 101 Life Safety Code, NFPA 99 Health Care Facilities Code, and other applicable codes, and all federal, State, and local codes.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Humidity. The humidity shall be controlled according to the guidelines prescribed in the Guidelines for Design and Construction of Residential Health, Care, and Support Facilities.</text>
  </paragraph>
  <paragraph num="E.">
    <text>Auxiliary Heat. Appropriate provisions shall be made for emergency auxiliary heat by means of alternative sources of electric power, alternative fuels, or standby equipment.</text>
  </paragraph>
  <paragraph num="F.">
    <text>Space Heaters. Space heaters and portable heaters may not be used.</text>
  </paragraph>
  <paragraph num="G.">
    <text>Boiler rooms. Boiler rooms shall be provided with sufficient outdoor air to maintain combustion rates of equipment and to limit temperatures in working stations to 97°F or 36°C.</text>
  </paragraph>
  <paragraph num="H.">
    <text>Air Conditioning.</text>
    <paragraph num="(1)">
      <text>A nursing home shall be equipped with a properly maintained air conditioning system.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The air conditioning system shall be in compliance with NFPA 101 Life Safety Code, NFPA 99 Health Care Facilities Code, and all federal, State, and local codes.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>In an existing structure, the nursing home shall comply with the regulations and building codes effective at the date of construction.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>In new construction or renovation, the nursing home shall comply with the regulations and building codes effective at the date of construction or renovation.</text>
    </paragraph>
  </paragraph>
</regulation>