<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".49" citation="COMAR 10.07.14.49" title_num="10" subtitle_num="07" chapter_num="14" heading="Common Use Areas.">
  <paragraph num="A.">
    <text>Multipurpose Space.</text>
    <paragraph num="(1)">
      <text>The assisted living program shall provide at least 35 square feet of usable multipurpose floor space per licensed bed. Multipurpose space includes:</text>
      <paragraph num="(a)">
        <text>Dining;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Living; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Indoor recreational space.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Usable floor space in a facility does not include:</text>
      <paragraph num="(a)">
        <text>Service areas;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Administrative offices;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Entrance ways;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Closets;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Lockers;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Wardrobes;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Spaces where ceiling heights are less than acceptable for habitable space, as defined by the applicable local building code; or</text>
      </paragraph>
      <paragraph num="(h)">
        <text>Corridors.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>The assisted living program may not restrict residents from any area constituting multipurpose space unless a comparable multipurpose space is available for resident use.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Living Room.</text>
    <paragraph num="(1)">
      <text>The assisted living program shall make at least one living room available for resident use.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The assisted living program shall ensure that the living rooms are:</text>
      <paragraph num="(a)">
        <text>Well lit and ventilated;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Easily accessible; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Furnished with a sufficient number of reading lamps, tables, chairs, or sofas based on residents’ needs.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Outdoor Space. An assisted living program shall:</text>
    <paragraph num="(1)">
      <text>Provide or arrange for outside activity space;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Adequately light outside activity space during all times residents have access to the space; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Provide the necessary security and supervision of the outside activity space sufficient to meet the needs of the residents.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Public Toilets.</text>
    <paragraph num="(1)">
      <text>An assisted living program with a licensed capacity of 17 or more beds shall provide public restrooms that are:</text>
      <paragraph num="(a)">
        <text>Sufficient in number, and appropriately located, to serve both residents and visitors; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Located close enough to activity areas to allow all residents to participate comfortably in activities and social opportunities.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>The public toilet is not calculated in the ratio required by Regulation .50A of this chapter.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Dining Room. An assisted living program shall provide a well lit, adequately ventilated, and appropriately furnished dining area.</text>
  </paragraph>
  <paragraph num="F.">
    <text>Kitchen.</text>
    <paragraph num="(1)">
      <text>An assisted living program shall have a kitchen that has adequate:</text>
      <paragraph num="(a)">
        <text>Storage, refrigerator, and freezer space for perishable and nonperishable foods;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Food preparation area or areas with cleanable surfaces;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Equipment to deliver foods at safe and palatable temperatures;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Space and equipment to wash, sanitize, and store utensils;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Space to store and clean garbage cans either within or outside the kitchen;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Ice-making capabilities;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Equipment for the preparation of food, unless all food service is catered; and</text>
      </paragraph>
      <paragraph num="(h)">
        <text>Equipment for serving and distributing food to residents.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>An assisted living program with a licensed capacity of 17 or more beds shall comply with the food service facility regulations in COMAR 10.15.03.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>An assisted living program with fewer than 17 residents is not required to comply with COMAR 10.15.03 unless required to comply by its local jurisdiction or the Department determines and directs that a program shall comply with particular provisions of COMAR 10.15.03 in order to minimize health risks to its residents.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>An assisted living program with fewer than 17 residents:</text>
      <paragraph num="(a)">
        <text>Shall obtain food from sources that comply with all laws and regulations relating to food, food processing, food handling, and food labeling;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Shall protect food from contamination while being stored, prepared, displayed, served, or transported;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Shall promptly discard the following:</text>
        <paragraph num="(i)">
          <text>Spoiled food;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Swelled, rusty, or leaky canned foods; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Food exposed to fire, smoke, or water damage;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(d)">
        <text>May not serve to residents home-canned food or food in a hermetically sealed container as defined in COMAR 10.15.03.02B, which was prepared in a place other than a licensed food processing establishment;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Shall maintain potentially hazardous food as defined in COMAR 10.15.03.02B at 45°F or below, or 140°F or above, until served to residents;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Shall maintain food equipment, appliances, and utensils in a clean and sanitary manner and in good repair;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Shall maintain food contact surfaces smooth and free of breaks, open seams, cracks, chips, and pits;</text>
      </paragraph>
      <paragraph num="(h)">
        <text>Shall maintain floors, walls, and storage areas in a clean and sanitary manner and in good repair;</text>
      </paragraph>
      <paragraph num="(i)">
        <text>Shall provide refrigeration operated at or below 45°F and equipped with an indicating thermometer graduated at 2°F intervals; and</text>
      </paragraph>
      <paragraph num="(j)">
        <text>Shall provide freezer space operated at 0°F or less and equipped with an indicating thermometer graduated at 2°F intervals.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>