Participant Comfort, Safety, Accommodations, and Equipment

(A) Participant Comfort and Accommodations. (1) A Program shall provide for the comfort, safety, and mental and physical well-being of participants. (2) Program personnel shall be familiar with each participant's plan of care and need for assistance with ADL and supervision. (3) Program personnel shall treat participants' personal effects with respect and care. (4) A Program shall reasonably accommodate participant needs and preferences, except when the health or safety of the participant or other participants would be endangered. (5) All participant areas shall be arranged and decorated to provide for a cheerful and homelike milieu which is pleasant, clean, well-kept, in good repair, and free from unpleasant odors, sights, and sounds. (B) Participant Safety and Protection. (1) At all times a professional or qualified staff member shall be on duty and immediately accessible to participants for the following purposes: (a) Responding to reports of injuries, symptoms of illness, emergencies, and any other discomfort or complaint of a participant; and (b) Ensuring that prompt, appropriate action is taken in response to reports of injuries, symptoms of illness, emergencies, and any other discomfort or complaint of a participant. (2) Restraints. (a) Chemical or physical restraints may only be imposed to ensure the immediate physical safety of the participant, personnel, or others and must be discontinued at the earliest possible time. (b) Chemical or physical restraints shall be used only in accordance with a primary care provider's order, and the type of restraint shall be specified by the primary care provider. (3) A Program may not apply any aversive intervention to any participant. (4) A Program shall maintain a check-in and check-out system that records participant names, dates, times of arrival and departure, and destination. (C) Equipment and Supplies. (1) A Program shall provide all equipment and supplies necessary for the comfort and care of participants. (2) A Program shall maintain equipment and supplies in good working condition and in a clean and sanitary manner. (3) A Program shall establish and enforce a preventive maintenance program to ensure all equipment is in safe working order. (4) A Program shall perform regular maintenance checks, in accordance with manufacturer's instructions, on all mechanical and electronic medical equipment to ensure that it is properly functioning, grounded, and calibrated. (5) A Program shall follow manufacturer's instructions to sterilize, disinfect, or dispose of equipment and supplies. (6) All equipment used for personal care shall be thoroughly cleaned and sanitized after each use. (7) Disposable single use items shall not be reused. (8) A Program shall maintain the following basic equipment and supplies: (a) One bed, cot, or recliner for every 20 participants; (b) A supply of clean dry linens as needed to service participants; (c) A sufficient number of tables and chairs including easy chairs or comfortable padded or upholstered straight back chairs with arms, suited to individual participant needs; (d) Readily accessible storage space for participants' personal belongings; (e) Washable portable screens, if needed, to ensure participant privacy during treat- ments; and (f) Medical equipment and supplies, including but not limited to: 1. A stethoscope; 2. A scale; 3. A blood-pressure apparatus; 4. Foot basins; 5. Thermometers; and 6. An emergency first-aid kit that is visible and accessible to personnel.