Regulation .05 Environmental Requirements.
Regulation .05 Environmental Requirements.LinkCopy Citation
A.
Life Safety Requirements. A program shall:
(1)
Have a facility free from fire hazards and have:
(a)
Adequate smoke detectors;
(b)
Working and updated fire extinguishers;
(c)
A written fire evacuation plan; and
(d)
A current fire inspection certification;
(2)
Comply with applicable federal, State, and local sanitation, building, fire codes, and zoning requirements;
(3)
Maintain documentation of legally required periodic evacuation drills, if applicable; and
(4)
Within the first 30 days of employment, provide staff training in emergency evacuation procedures.
B.
Special Accommodations. A program shall have protocols, which may include referral agreements with other programs, that provide for admission and treatment of individuals with:
(1)
Limited English proficiency or hearing and speaking disabilities; and
(2)
Physical and mental disabilities.
C.
Residential Treatment Programs. A program shall have:
(1)
Nurses' stations, if appropriate;
(2)
A dining room;
(3)
Bathrooms;
(4)
Telephones;
(5)
A living room;
(6)
Space for privacy for visits;
(7)
Space for leisure time activities;
(8)
Offices for both administrative and counseling personnel; and
(9)
Sleeping quarters that:
(a)
Do not allow for more than six patients to share the sleeping quarters, except for therapeutic communities that use dormitory style sleeping areas;
(b)
Provide adolescents and adults with separate sleeping quarters;
(c)
Provide privacy for patients;
(d)
Provide beds that:
(i)
Are at least 3 feet apart;
(ii)
Are located more than 18 inches away from radiators and registers;
(iii)
Are at least 36 inches wide, and not rollaway-type beds, cots, or folding beds;
(iv)
Have mattresses that are clean, in good repair, and the same size as the bed frame; and
(v)
Have at least two sets of sheets;
(e)
Have at least two dresser drawers and an enclosed space for hanging clothes; and
(f)
Have a mirror and window coverings in good repair;
(10)
A method for safely storing a patient's valuables; and
(11)
A written plan for providing temporary shelter for patients if a facility becomes uninhabitable.
D.
Dietary Services. If meals are provided, a program shall:
(1)
Comply with applicable local, State, and federal laws;
(2)
Have a written plan describing the organization and delivery of dietary services; and
(3)
Require a dietitian licensed under the Health Occupations Article, §5-101, Annotated Code of Maryland, to develop and implement the dietary service plan.
E.
Infection Control — Universal Precautions. A program shall observe universal precautions as required under COMAR 10.07.02.21-1.