105 CMR 158.043
Environmental Health and Housekeeping
(A) Water Supply.
(1) Water used for the care or treatment of participants, drinking, domestic, or culinary
purpose shall be pure, fit for such use, and consistent with established standards of sanitation.
(2) Ice that comes in contact with food or drink shall be made from potable water and shall
be stored, handled, and dispensed in a sanitary manner.
(3) Domestic hot water heating equipment shall have adequate capacity to maintain safe and
sanitizing temperatures to supply participant and food preparation areas.
(4) Drinking water shall be readily available and easily accessible to all participants.
(B) Waste Disposal and Garbage Disposal.
(1) Suitable sanitary procedures and equipment shall be provided for the collection, storage,
and disposal of all wastes and garbage.
(2) Wastes and garbage shall be disposed of at proper intervals and in a sanitary manner.
(3) A Program shall comply with the requirements governing the disposal of infectious
waste specified in 105 CMR 480.000: State Sanitary Code, Chapter VIII.
(C) Housekeeping and Maintenance.
(1) A Program shall provide sufficient housekeeping and maintenance services to maintain
the interior of the Program in good repair and in a safe, clean, orderly, attractive, and sanitary
manner. A Program site shall be free from accumulation of dirt, rubbish, and objectionable
odors.
(2) Licensed nurses and personnel who provide direct participant care may not be assigned
housekeeping duties during Program hours.
(3) Deodorizers may not be used to cover up odors caused by unsanitary conditions or poor
housekeeping.
(4) A pest control program shall be provided as needed.
(5) Windows and doors shall be properly screened during the insect season, and harborages
and entrances for insects shall be eliminated.