# COMAR Title 10 — Maryland Department of Health

## Subtitle 47 — Alcohol and Drug Abuse Administration

### Chapter 01 — Requirements

#### Regulation .05 Environmental Requirements.

*COMAR 10.47.01.05*

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.