<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".05" citation="COMAR 10.47.01.05" title_num="10" subtitle_num="47" chapter_num="01" heading="Environmental Requirements.">
  <paragraph num="A.">
    <text>Life Safety Requirements. A program shall:</text>
    <paragraph num="(1)">
      <text>Have a facility free from fire hazards and have:</text>
      <paragraph num="(a)">
        <text>Adequate smoke detectors;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Working and updated fire extinguishers;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A written fire evacuation plan; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>A current fire inspection certification;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Comply with applicable federal, State, and local sanitation, building, fire codes, and zoning requirements;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Maintain documentation of legally required periodic evacuation drills, if applicable; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Within the first 30 days of employment, provide staff training in emergency evacuation procedures.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Special Accommodations. A program shall have protocols, which may include referral agreements with other programs, that provide for admission and treatment of individuals with:</text>
    <paragraph num="(1)">
      <text>Limited English proficiency or hearing and speaking disabilities; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Physical and mental disabilities.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Residential Treatment Programs. A program shall have:</text>
    <paragraph num="(1)">
      <text>Nurses' stations, if appropriate;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A dining room;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Bathrooms;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Telephones;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>A living room;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Space for privacy for visits;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Space for leisure time activities;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Offices for both administrative and counseling personnel; and</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Sleeping quarters that:</text>
      <paragraph num="(a)">
        <text>Do not allow for more than six patients to share the sleeping quarters, except for therapeutic communities that use dormitory style sleeping areas;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Provide adolescents and adults with separate sleeping quarters;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Provide privacy for patients;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Provide beds that:</text>
        <paragraph num="(i)">
          <text>Are at least 3 feet apart;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Are located more than 18 inches away from radiators and registers;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Are at least 36 inches wide, and not rollaway-type beds, cots, or folding beds;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Have mattresses that are clean, in good repair, and the same size as the bed frame; and</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Have at least two sets of sheets;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(e)">
        <text>Have at least two dresser drawers and an enclosed space for hanging clothes; and</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Have a mirror and window coverings in good repair;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(10)">
      <text>A method for safely storing a patient's valuables; and</text>
    </paragraph>
    <paragraph num="(11)">
      <text>A written plan for providing temporary shelter for patients if a facility becomes uninhabitable.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Dietary Services. If meals are provided, a program shall:</text>
    <paragraph num="(1)">
      <text>Comply with applicable local, State, and federal laws;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Have a written plan describing the organization and delivery of dietary services; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Require a dietitian licensed under the Health Occupations Article, §5-101, Annotated Code of Maryland, to develop and implement the dietary service plan.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Infection Control — Universal Precautions. A program shall observe universal precautions as required under COMAR 10.07.02.21-1.</text>
  </paragraph>
</regulation>