R501-19A-11. Physical Facility

(1)(a) The provider shall maintain the facility in a clean and safe manner free from any hazard that could pose a risk to a client's health or safety. (b) The provider shall keep each furnishing and finish clean and in good repair. (c) The provider shall conduct a fire drill at least quarterly and document the response time and process for each fire drill. (d) The provider shall ensure each appliance and electrical, HVAC, and plumbing system is maintained in operating order. (2) The provider shall provide indoor space for informal client activities. (3) The provider shall ensure that when a client is present, there is a phone available in each facility that can be used to call 911. (4) The provider shall maintain a first aid kit at each facility. (5) The provider shall have a separate space for any client who is showing symptoms of an infectious disease. (6) The provider shall ensure there is designated space available for: (i) records; (ii) administrative work; and (ii) confidential client phone calls. (7) For each client bedroom, the provider shall ensure: (a) there is at least 60 square feet per client; (b) there is a source of natural light; (c) the room is ventilated by mechanical means or equipped with a window that opens; (d) any bedroom assignment is made in accordance with OL policy and individualized assessment, described in Section 26B-2-109; (e) no client is locked in the client's bedroom; (f) each client has a similar solid type of bed or sleeping equipment to any other client in the program; (g) each client is allowed to decorate and personalize the client's bedroom, while maintaining respect for each other resident and the property; and (h) each bedroom is comparable to other similarly used bedrooms with similar access, finishes, furnishings, location, and space. (8) A provider serving any client receiving DSPD services may not house more than two clients in each bedroom. (9) The provider shall ensure any bedding or towel provided to a client is laundered: (a) weekly; (b) any time the bedding or towel is soiled; and (c) after the discharge of the client. (10) The provider shall supply each client with any hygiene item necessary to meet the client's needs. (11) The provider shall ensure each client bathroom: (a) allows for individual privacy; (b) affords reasonable accommodation based on the client's gender identity; (c) is placed to allow each client access without disturbing any other client during sleeping hours; (d) is properly equipped with toilet paper, soap, and a non-shared means to dry hands; (e) is ventilated by mechanical means or equipped with a window that opens; and (f) includes a mirror, or safety mirror, secured to the bathroom wall at a convenient height. (12) The provider shall ensure any live-in staff has a dedicated bedroom and bathroom separate from any client bedroom or bathroom. (13) If the program permits a client to do laundry, the provider shall ensure: (a) any equipment and supplies for washing and drying laundry are available; and (b) separate containers for soiled and clean laundry are provided, if the program provides common laundry for bedding, clothing, or towels. (14) The provider shall maintain any on-site medication or potentially hazardous item lawfully, responsibly, and with consideration of the safety and risk level of the population served, including locked storage for each medication and hazardous chemical that is not in active use. (15) The provider shall ensure the licensed medical professional responsible for administration and supervision of prescription medication reviews information and each dosage for each client at least weekly. (16) For any on-site medication, the provider shall ensure the medication: (a) is stored in the manufacturer's original packaging, including any directions and warning information; and (b) is discarded when no longer required for a client. (17) The provider may store any on-site medication, or medication for an off-site visit, outside of the manufacturer's original packaging if, at least weekly, the provider ensures: (a) a licensed medical professional oversees the filling and administration of each medication package; (b) each client's pill organizer includes: (i) the client's name; (ii) the medication's name; (iii) any directions for medication administration; (iv) dosage information; and (v) the date filled; and (c) any medication is discarded when no longer required for a client. (18) For each seclusion room, the provider shall ensure: (a) the seclusion room is not located in any bathroom, closet, unfurnished area, or other area outside the residential living space; (b) a bedroom is not used as a seclusion room and a seclusion room is not be used as a bedroom; (c) the seclusion room is at least 75 square feet and has a ceiling height of at least seven feet with no equipment, furnishing, or hardware that obstructs the staff's view of the client or presents a risk of harm; (d) there is a break-resistant two-way mirror or camera for observation of the entire room; (e) there is mechanical ventilation or a break-resistant window in the seclusion room; and (f) the seclusion room does not have a locking capability. (19) The provider shall accommodate a client with a physical disability as needed or refer the client to comparable services.