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<regulation prefix="Regulation" num=".08" citation="COMAR 10.07.04.08" title_num="10" subtitle_num="07" chapter_num="04" heading="Physical Plant.">
  <paragraph num="A.">
    <text>Construction. A new building designated as a residential treatment center and any existing building proposed for conversion for this use shall meet the following:</text>
    <paragraph num="(1)">
      <text>The construction of the building shall prevent the entrance and harborage of rats and other rodents;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The center shall comply with all other applicable governing laws or ordinances; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The center shall be constructed to comply with the requirements of the Americans with Disabilities Act.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Heating. A center shall be equipped with a central heating system capable of maintaining a minimum temperature of 68°F throughout the residential section of the building when the temperature falls to 0°F or below. Alternate modern types of heating systems may be accepted if approved by the fire authorities. Space heaters and portable heaters are not acceptable.</text>
  </paragraph>
  <paragraph num="C.">
    <text>Lighting.</text>
    <paragraph num="(1)">
      <text>Lighting shall be adequate for the activities conducted in the various areas.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Bedrooms and dormitories shall be lighted by outside windows and shall also have artificial light adequate for reading and other uses.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>All entrances, hallways, stairways, inclines, ramps, cellars, attics, storerooms, kitchens, laundries, and service units shall have sufficient artificial lighting to prevent accidents and promote efficiency of service.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Bathrooms. A center shall provide the following minimum bathroom facilities:</text>
    <paragraph num="(1)">
      <text>One hand sink and one toilet for each six residents of the same sex on each floor;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>One bathtub or shower for each 12 beds on each floor;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The number of beds for which the center is licensed shall be used in determining the number of bathroom fixtures required even if some of the beds are not occupied;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>There shall be one complete bathroom on each floor used by the residents, regardless of the number of beds;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>All bath and toilet rooms shall be easily accessible, conveniently located and well lighted with a night light burning all night and have mechanical exhaust ventilation;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>A lavatory or toilet facility may not:</text>
      <paragraph num="(a)">
        <text>Open directly into a kitchen, pantry or food preparation room; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Be located so that a resident is required to pass through another resident's room to enter it; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(7)">
      <text>Bathrooms shall be constructed using anti-ligature fixtures and designed for the safety of the residents.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Plumbing.</text>
    <paragraph num="(1)">
      <text>All plumbing within the building shall be installed in conformance with existing building and sanitary regulations.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>All sewage disposal shall be in accordance with existing regulations.</text>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>Water Supply.</text>
    <paragraph num="(1)">
      <text>Centers shall be served by water from a safe public water supply, if available, as determined by the Department. If a safe public water supply is not available, a private water supply approved by the Department may be used.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Adequacy. The supply shall be adequate in quantity and delivered under sufficient pressure to satisfactorily serve fixtures in the center.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Temperature. The hot water heating equipment shall be of sufficient capacity to supply an adequate amount of water not in excess of 125°F for bathing and showering. The center shall install mixing valves or other anti-scalding devices.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Hot water for kitchen and laundry use shall be at least 160°F.</text>
    </paragraph>
  </paragraph>
  <paragraph num="G.">
    <text>Seclusion and Restraint.</text>
    <paragraph num="(1)">
      <text>Seclusion and restraint rooms shall be constructed and maintained free of hazards to ensure the safety of the residents.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The rooms shall allow for the unobstructed view of the resident.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The rooms shall be equipped with adequate lighting for the staff to view the resident.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Locking mechanisms on doors shall allow for prompt access in the event of an emergency.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>The rooms shall be adequate in size for staff to safely restrain residents or provide emergency care and treatment.</text>
    </paragraph>
  </paragraph>
</regulation>