HAR §11-100.1-23. for safe evacuation and exit from the facility meeting the standards and requirements as set forth by the Uniform Building Code (UBC) and NFPA 101 (with utilization of the FSES rating)

(7) At least one toilet, lavatory and bathtub or shower shall be conveniently located and provided for each floor occupied by residents for sleeping; (8) Toilets, bathtubs and showers shall have provisions for individual privacy; (9) Bathrooms shall have non-slip surfaces in tubs and showers; (10) For Type I ARCHs with wheelchair residents, walk-in showers flush with the floor shall be provided. Showers shall have a minimum floor area of sixteen square feet arranged and located to accommodate both the resident and the care giver providing personal care. The shower entrance shall be at least thirty two inches wide. Adjacent floor areas shall be protected from the water which could constitute an unsafe area; (11) Handrails and grab bars shall be at a height of thirty two to thirty four inches from the floor for residents' use in the hallways and bathrooms. (12) Floors shall be nonabrasive, slip resistant, flush at doorways and be of material which do not retain odors. (j) Waste disposal: (1) Every Type I ARCH shall provide a sufficient number of watertight receptacles, acceptable to the department for rubbish, garbage, refuse, and other matter. These receptacles shall be kept closed by tight fitting covers; and (2) Disposal of infectious waste shall be in compliance with Hawaii Administrative Rules chapter 104, Management and Disposal of Infectious Waste. (k) Storage space for resident's luggage and other bulky items and equipment shall be provided and located in a safe and convenient place. (l) An enclosed dining area within the Type I ARCH shall be provided for residents which shall be apart from sleeping quarters but may be in continuity to the living room area. The following shall prevail: 100.1-47 2 §11-100.1-23 (1) At least one table with twenty nine inches clearance between floor and lower edge shall be provided to allow for those residents using wheelchairs; (2) Dining space allotment shall not be less than twenty square feet per resident capacity; (3) Residents shall be served meals in dining rooms unless they are temporarily confined to their bedrooms; and (4) Safe supportive chairs shall be provided in accord with each resident's need; (m) Family or living room: (1) Provisions shall be made for at least one conveniently located enclosed area for recreational, social and activity needs of the residents within or contiguous to the facility; (2) The family room shall be equipped with reading lamps, tables, chairs and other appropriate furnishings for the use and comfort of the residents but shall not include beds; and (3) The living room space allotment shall not be less than thirty square feet per resident. (n) Outdoor areas accessible to the residents shall be made safe for use by the resident. (o) Bedrooms: (1) General conditions: (A) Bedrooms shall be at or above grade level; (B) There shall be an adequate number of rooms provided for immediate family members as well as residents; (C) Family members shall not sleep in residents' bedrooms; (D) Bedrooms shall not be used for recreation, cooking, dining, storage, bathrooms, laundries, foyers, corridors, lanais, and libraries; (E) Access from each bedroom to a bathroom, toilet, corridor, central utility, or other area shall be arranged to avoid passing through another bedroom; (F) Bedrooms shall be conveniently located near adequate toilet and bathing facilities appropriate in number, size, and design to meet the needs of the residents; 100.1-48 2 §11-100.1-23 (G) All occupants of any bedroom shall be of the same sex except for designated semi-private rooms which may be occupied by a mixed sex couple if the primary care giver and both residents agree to the living arrangements; and (H) Type I ARCH licensed for a person in a wheelchair shall provide an accessible route to and into all sleeping rooms, bathrooms, common areas and exits. (2) Floor space: (A) Minimum usable floor space allowable shall be seventy square feet per bed in a multiple resident bedroom and eighty square feet per bed in a single resident bedroom, excluding toilet, closets, lockers, alcoves, and vestibules. The number of residents shall be limited to a maximum of two; (B) Beds shall be placed at least three feet apart in multiple occupant bedrooms; (C) In all Type I ARCHs and those undergoing construction or renovation, closet space for residents shall be provided within the bedroom, allowing a minimum of thirty inches in width, twenty inches in depth, and five feet in height per person exclusive of bedroom space; and (D) Hanging clothes rods and shelves shall be adjusted as necessary. (3) Bedroom furnishings: (A) Each resident shall be provided for their individual use, a clean bed including spring with mattress, at least thirty six inches wide, of sufficient length and proper height for the resident and to permit an individual in a wheelchair to get in and out of bed unassisted; (B) Each bed shall be supplied with a comfortable mattress cover, a pillow, pliable plastic pillow protector, pillow case, and an upper and lower sheet. A sheet blanket may be substituted for the top sheet when requested by the resident; and (C) A suitable bedspread shall be used on each resident's bed. 100.1-49 2715 §11-100.1-23 (p) Miscellaneous: (1) Conveniently located space for personal care items and for equipment, such as crutches and wheelchairs, shall be provided; (2) Walkers, wheelchairs, canes, crutches and bedside rails shall be provided by the resident; (3) Equipment for bedside care shall be stored in resident's bedside stand or other adjacent enclosed space; (4) There shall be adequate provision for privacy when caring for resident or when requested by the resident and an individual bath sheet blanket shall be used when bed baths are given; and (5) Signaling devices approved by the department shall be provided for resident's use at the bedside, in bathrooms, toilet rooms, and other areas where residents may be left alone. In Type I ARCHs where the primary care giver and residents do not reside on the same level or when other signaling mechanisms are deemed inadequate, there shall be an electronic signaling system. (q) All construction, additions, alterations: (1) Drawings and specifications for all new construction or additions, alterations or repairs to existing buildings shall be submitted to the department for review prior to construction; (2) While final authority to approve the construction and fire safety features of such building rests with county agencies and fire marshals, if construction drawings and specifications are submitted to the department, the department shall promptly review such submittals and make every effort to advise the applicant of features which appear nonconforming; and (3) Minor alterations which do not affect structural integrity, fire, safety, or which do not change functional operation, or increase beds or services over that for which the ARCH is licensed may be submitted by freehand drawings or sketches. 100.1-50 27