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<regulation prefix="Regulation" num=".07" citation="COMAR 14.31.06.07" title_num="14" subtitle_num="31" chapter_num="06" heading="Physical Plant.">
  <paragraph num="A.">
    <text>General Requirements. The licensee shall:</text>
    <paragraph num="(1)">
      <text>Comply with federal, State, and local building, fire, and health codes and laws, and all applicable local zoning laws;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Use a physical plant that is constructed and equipped in a manner consistent with the needs of the children, staff, and visitors and that is constructed and maintained reasonably to protect and to ensure the safety of all staff and residents;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Ensure compliance by submitting annually to the licensing agency:</text>
      <paragraph num="(a)">
        <text>Reports of all annual fire and health inspections conducted by the local jurisdiction; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>If the local jurisdiction does not conduct annual fire or health inspections annually, written documentation shall be obtained annually from the appropriate public agencies that inspections are not required;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Maintain evidence and provide documentation upon request that the physical plant had been tested for and found to be free of hazards from lead paint, asbestos, and radon;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Ensure that all facilities maintain at least one working fire extinguisher;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>If there is evidence of insect or rodent infestation provide documentation of:</text>
      <paragraph num="(a)">
        <text>An inspection; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Insect or rodent treatment, if necessary; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(7)">
      <text>Install telephone service and equipment that is:</text>
      <paragraph num="(a)">
        <text>Not solely provided through the use of cellular phone service;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Accessible and usable by staff and residents;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>In all buildings used by the children.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>License. The licensee shall prominently display the authentic current residential child care program license on site:</text>
    <paragraph num="(1)">
      <text>In the building bearing the address listed on the license;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>In an area of the building open and easily accessible to visitors; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>In accordance with the requirements of the licensing agency.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Building, Grounds, and Equipment. The licensee shall:</text>
    <paragraph num="(1)">
      <text>Maintain all structures and grounds free from health and safety hazards;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Ensure that all outside and kitchen trash containers are covered;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Remove all trash at least once a week or more frequently as needed;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Ensure that all infectious waste is stored in biohazard waste containers and removed on a regular basis; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Locate, install, and safely maintain appropriate playground or other recreational equipment.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Counseling and Administrative Space. The licensee shall maintain a designated space separate from the children’s living area:</text>
    <paragraph num="(1)">
      <text>For private discussions and counseling; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>For administrative purposes.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Living Areas. The licensee shall ensure that each building that houses children:</text>
    <paragraph num="(1)">
      <text>Has adequate space for informal and recreational use by the children;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Is not used as a primary residence for any individual other than children placed in the program;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Is a smoke and pollutant free environment;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Has walls that are:</text>
      <paragraph num="(a)">
        <text>Regularly cleaned and painted; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Kept free of perforations, cracks, or punctures; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>Is maintained in a clean and orderly manner.</text>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>Sleeping Accommodations.</text>
    <paragraph num="(1)">
      <text>The licensee shall ensure that bedrooms occupied by ambulatory children measure at least:</text>
      <paragraph num="(a)">
        <text>80 square feet of usable floor space in single occupancy bedrooms; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>60 square feet of usable floor space per child in multiple occupancy bedrooms.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>The licensee shall ensure that bedrooms occupied by non-ambulatory children measure at least:</text>
      <paragraph num="(a)">
        <text>120 square feet of usable floor space in single occupancy bedrooms; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>100 square feet of usable floor space per child with at least 3 feet between beds in multiple occupancy bedrooms.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>A licensee shall:</text>
      <paragraph num="(a)">
        <text>Supply individual beds that are:</text>
        <paragraph num="(i)">
          <text>Adequate in size to accommodate the height and weight of the child; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Solidly constructed and consisting of a clean, comfortable, nontoxic, and fire-retardant mattress capable of being disinfected;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Maintain separate sleeping rooms for boys and girls who are 2 years old or older;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Allow no more than four children to sleep in a bedroom;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Ensure that the mattress of any bed in use is far enough away from the ceiling to allow the occupant to sit up in bed;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Change all bed linens at least once a week and whenever soiled;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Provide waterproof mattress protection for children who are enuretic;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Disinfect mattresses after use by another child;</text>
      </paragraph>
      <paragraph num="(h)">
        <text>Provide the children with a personal bureau or locker for clothing and personal belongings and a designated space for hanging clothing;</text>
      </paragraph>
      <paragraph num="(i)">
        <text>Allow the children to have some discretion in the decoration of sleeping areas;</text>
      </paragraph>
      <paragraph num="(j)">
        <text>Assure that all living areas are kept orderly and clean; and</text>
      </paragraph>
      <paragraph num="(k)">
        <text>Provide a source of natural lighting.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>For children who sleep in beds, the licensee shall:</text>
      <paragraph num="(a)">
        <text>Provide a pillow, two sheets, and sufficient covering for comfort;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Prohibit the use of cots, bunk beds, loft beds, or sleep sofas as beds; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Ensure that only the child assigned to a bed sleeps in it.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>For infants and other children who require a crib, the licensee shall:</text>
      <paragraph num="(a)">
        <text>Shall provide an age appropriate sized crib for each infant or child in care;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>May not allow an infant to sleep in a playpen or on a mat at any time; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Shall ensure that:</text>
        <paragraph num="(i)">
          <text>Only the infant assigned to a crib sleeps in it;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>All cribs and playpens meet industry standards;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Mattresses used in cribs and playpens fit snugly;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Each infant has sheets, blankets, and other coverings for the infant's exclusive use;</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Wet, soiled or damaged sheets, mattresses, blankets, or other coverings are immediately replaced;</text>
        </paragraph>
        <paragraph num="(vi)">
          <text>All sheets and blankets are laundered at least once a week, or, if soiled, are laundered before next use; and</text>
        </paragraph>
        <paragraph num="(vii)">
          <text>Cribs and playpens are free of hazards.</text>
        </paragraph>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="G.">
    <text>Bathrooms. The licensee shall:</text>
    <paragraph num="(1)">
      <text>Keep bathrooms in good operating order and maintain sanitary conditions;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>For every five children, provide at least:</text>
      <paragraph num="(a)">
        <text>One sink with hot and cold water;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>One bath or shower with hot and cold water; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>One flush toilet;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Unless the children require assistance, provide toilets and baths or showers that allow for individual privacy;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Equip tubs and showers with slip-proof surfaces;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Secure mirrors to the walls at heights appropriate for use by the children; and</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Unless otherwise specified in the child’s individual plan of care, make available 24 hours a day, without children needing to request them, personal hygiene supplies, including but not limited to, toilet paper, soap, shampoo, toothbrushes, towels and washcloths; and</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Equip bathrooms with adaptive equipment based on the needs of the children served.</text>
    </paragraph>
  </paragraph>
  <paragraph num="H.">
    <text>Kitchens and Dining Areas. The licensee shall:</text>
    <paragraph num="(1)">
      <text>Have equipment and space for meal preparation, storage, serving, eating, and clean-up of meals;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Maintain all equipment in clean, safe working order, and ensure that equipment meets all applicable health and safety standards;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Unless the licensee documents that disposable dinnerware is necessary to protect the health or safety of the children, refrain from using disposable dinnerware on a daily basis;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Ensure that all dishes, cups, and glasses used by the children are:</text>
      <paragraph num="(a)">
        <text>Free from chips, cracks, or other defects; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Properly cleaned between each meal; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>Unless otherwise specified in the child’s individual plan of care, ensure that children have access to unlocked food storage areas containing approved between-meal snacks.</text>
    </paragraph>
  </paragraph>
  <paragraph num="I.">
    <text>Furnishings. The licensee shall supply clean, comfortable furniture in good repair.</text>
  </paragraph>
  <paragraph num="J.">
    <text>Doorways, Windows, and Window Coverings. The licensee shall supply:</text>
    <paragraph num="(1)">
      <text>Doors that can be opened from the inside and the outside for all bedrooms and bathrooms;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Screens that are in good repair and removable in emergencies on all exterior windows that can be opened and exterior doors that may be left open;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Window coverings that will ensure privacy;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>All window coverings, which shall have no draw cord capable of forming a loop greater than 7.25 inches;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>All new and replacement window coverings, which shall be cordless window coverings; and</text>
    </paragraph>
    <paragraph num="(6)">
      <text>For each door or window in high-risk areas, such as recreation rooms and stairwells, shatter-resistant material or safety glass.</text>
    </paragraph>
  </paragraph>
  <paragraph num="K.">
    <text>Electrical Systems. The licensee shall ensure that the physical plant has:</text>
    <paragraph num="(1)">
      <text>Electrical equipment, wiring, switches, sockets, and outlets which are maintained in compliance with local and State building codes;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Sufficient illumination in rooms, corridors, and stairwells to permit safe usage; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Lighting of exterior areas during the night.</text>
    </paragraph>
  </paragraph>
  <paragraph num="L.">
    <text>Climate Control. The licensee shall:</text>
    <paragraph num="(1)">
      <text>Provide heating and cooling systems which meet all applicable codes;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Ensure heating systems that exceed 120°F that are accessible to residents are equipped with protective materials to prevent residents from coming in contact with the heat source;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Maintain an air temperature of at least 68°F in the living areas and sleeping quarters of the physical plant; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Prohibit the use of kerosene or open coil heaters.</text>
    </paragraph>
  </paragraph>
  <paragraph num="M.">
    <text>Ventilation. In accordance with all local building codes, the licensee shall supply ventilation for each room used by the children through:</text>
    <paragraph num="(1)">
      <text>A window that can be opened;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>An exhaust fan; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>An air conditioning system.</text>
    </paragraph>
  </paragraph>
  <paragraph num="N.">
    <text>Water. The licensee shall:</text>
    <paragraph num="(1)">
      <text>Provide a continuous supply of potable hot and cold running water;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Equip the physical plant with a sanitary potable water distribution system;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Ensure that hot water accessible to the children is regulated to a temperature of 110°F or lower; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>If water from any source other than a public water supply is used:</text>
      <paragraph num="(a)">
        <text>Annually obtain a water test conducted by the appropriate State or local authority in accordance with State or local law; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Keep on file the most recent test report.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>