<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".12" citation="COMAR 10.07.16.12" title_num="10" subtitle_num="07" chapter_num="16" heading="Physical Environment Requirements.">
  <paragraph num="A.">
    <text>A limited private inpatient facility shall have a building that:</text>
    <paragraph num="(1)">
      <text>Meets all relevant federal, State, or local ordinances, laws, regulations, and building codes; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Provides sufficient space for group and individual therapies, dining equipped with tables and chairs for resident meal service, and administrative services.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The areas of the facility shall:</text>
    <paragraph num="(1)">
      <text>Be well-lit and adequately ventilated;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Be easily accessible;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Be maintained in good repair, safe, clean, and free of insects and rodents and hazards;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Provide a central heating system that can maintain the facility at a comfortable temperature;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Be furnished with sufficient, appropriate, and functional furnishings, equipment, supplies, and utensils for use by the residents;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Be equipped with working smoke detectors and fire extinguishers and meets all requirements of the Maryland State Fire Code;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Provide a secure storage area for medications if a resident has been determined capable of self-administration of medication and for residents’ funds and valuables;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Have a telephone in the residence where residents can make calls and speak privately;</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Provide a space where residents may visit privately with friends and family; and</text>
    </paragraph>
    <paragraph num="(10)">
      <text>Provide adequate general use space for therapy, activities, and recreation.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Bedroom Area. The facility shall ensure that a bedroom has:</text>
    <paragraph num="(1)">
      <text>A minimum of:</text>
      <paragraph num="(a)">
        <text>80 usable square feet for a single bedroom; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>180 usable square feet for a double-occupancy bedroom;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>A door;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Closet space and two drawers in a chest or dresser per resident;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Window coverings for privacy;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>A bed with a clean mattress and pillow;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>A locked drawer or other secured storage for resident’s personal belongings; and</text>
    </paragraph>
    <paragraph num="(7)">
      <text>No more than two residents per bedroom.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Toilet and Bathing Facilities. The facility shall ensure that the facility provides easily accessible and conveniently located toilet and bathing areas that allow for individual privacy and that:</text>
    <paragraph num="(1)">
      <text>Are supplied with hand soap, toilet tissue, and hand towels or an electric hand dryer;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Provide hot and cold running water with hot water being a minimum of 100°F and a maximum of 120°F;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Are equipped with operable mechanical exhaust ventilation; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Provide at least:</text>
      <paragraph num="(a)">
        <text>One hand sink and one toilet for every 8 residents; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>One tub or shower for every 12 residents.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>The facility shall ensure that a resident is provided per week, or more frequently if necessary or if requested by the resident, with at least:</text>
    <paragraph num="(1)">
      <text>Two sets of linens;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Two towels; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Two washcloths.</text>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>The facility shall provide for personal privacy in all bathrooms and in multiple occupancy bedrooms unless otherwise determined in the resident’s individual treatment plan.</text>
  </paragraph>
</regulation>