R9-10-425. Environmental Standards

A. An administrator shall ensure that: 1. A nursing care institution’s premises and equipment are: a. Cleaned and disinfected according to policies and procedures or manufacturer’s instructions to prevent, minimize, and control illness and infection; and b. Free from a condition or situation that may cause a resident or an individual to suffer physical injury; 2. A pest control program that complies with A.A.C. R3-8- 201(C)(4) is implemented and documented; 3. Equipment used to provide direct care is: a. Maintained in working order; b. Tested and calibrated according to the manufacturer’s recommendations or, if there are no manufacturer’s recommendations, as specified in policies and procedures; and c. Used according to the manufacturer’s recommendations; 4. Documentation of equipment testing, calibration, and repair is maintained for at least 12 months after the date of the testing, calibration, or repair; 5. Garbage and refuse are: a. In areas used for food storage, food preparation, or food service, stored in a covered container lined with a plastic bag; b. In areas not used for food storage, food preparation, or food service, stored: i. According to the requirements in subsection (A)(5)(a), or ii. In a paper-lined or plastic-lined container that is cleaned and sanitized as often as necessary to ensure that the container is clean; and c. Removed from the premises at least once a week; 6. Heating and cooling systems maintain the nursing care institution at a temperature between 70° F and 84° F; 7. Common areas: a. Are lighted to assure the safety of residents, and b. Have lighting sufficient to allow personnel members to monitor resident activity; 8. The supply of hot and cold water is sufficient to meet the personal hygiene needs of residents and the cleaning and sanitation requirements in this Article; 9. Linens are clean before use, without holes and stains, and not in need of repair; 10. Oxygen containers are secured in an upright position; 11. Poisonous or toxic materials stored by the nursing care institution are maintained in labeled containers in a locked area separate from food preparation and storage, dining areas, and medications and are inaccessible to residents; 12. Combustible or flammable liquids stored by the nursing care institution are stored in the original labeled containers or safety containers in a locked area inaccessible to residents; 13. If pets or animals are allowed in the nursing care institution, pets or animals are: a. Controlled to prevent endangering the residents and to maintain sanitation; b. Licensed consistent with local ordinances; and c. For a dog or cat, vaccinated against rabies; 14. If a water source that is not regulated under 18 A.A.C. 4 by the Arizona Department of Environmental Quality is used: a. The water source is tested at least once every 12 months for total coliform bacteria and fecal coliform or E. coli bacteria; b. If necessary, corrective action is taken to ensure the water is safe to drink; and c. Documentation of testing is retained for at least 12 months after the date of the test; and 15. If a non-municipal sewage system is used, the sewage system is in working order and is maintained according to all applicable state laws and rules. B. An administrator shall ensure that: 1. Smoking tobacco products is not permitted within a nursing care institution, and 2. Smoking tobacco products may be permitted outside a nursing care institution if: a. Signs designating smoking areas are conspicuously posted, and b. Smoking is prohibited in areas where combustible materials are stored or in use. C. If a swimming pool is located on the premises, an administrator shall ensure that: 1. At least one personnel member with cardiopulmonary resuscitation training that meets the requirements in R9- 10-403(C)(1)(e) is present in the pool area when a resident is in the pool area, and 2. At least two personnel members are present in the pool area when two or more residents are in the pool area.