R432-150-26. Maintenance Services

(1) The licensee shall ensure that buildings, equipment, and grounds are maintained in a clean and sanitary condition and in good repair for the safety and well-being of each resident, staff, and visitor. (2) For facility maintenance services the licensee shall ensure: (a) any facility equipment is tested, calibrated, and maintained in accordance with manufacturer specifications; (b) any spaces within buildings that house people, machinery, equipment, approaches to buildings, and parking lots have lighting; (c) back-flow prevention devices are maintained in operating condition and tested according to manufacturer specifications; (d) disposable and single use items are properly disposed of after use; (e) documentation of testing or calibration conducted by an outside agency is available for OL review; (f) emergency lighting and heat are provided to meet the needs of each resident in a facility that provides care for a resident who cannot be relocated in an emergency; (g) entrances, exits, steps, ramps, and outside walkways are maintained in a safe condition with regard to snow, ice, and other hazards; (h) functional flashlights are available for emergency use by staff; (i) heating, air conditioning, and ventilating systems are maintained to provide comfortable temperatures; (j) hot water temperature controls automatically regulate temperatures of hot water delivered to plumbing fixtures used by a resident and hot water is delivered to public and resident care areas at temperatures between 105-115 degrees F; (k) if the licensee contracts for maintenance services, there is a signed and dated agreement that details each service provided and the contracted maintenance service meets each requirement of this section; (j) nursing equipment and supplies are available as determined by facility policy in accordance with the needs of each resident; (l) testing frequency and calibration documentation is available for OL review; (m) the administrator employs a person, qualified by experience and training, to be in charge of facility maintenance; (n) the licensee develops and implements a written maintenance program, that includes preventive maintenance, to ensure the continued operation of the facility and sanitary practices throughout the facility; (o) the premises are free from vermin and rodents; (p) there is at least one first aid kit available at a specified location in the facility accompanied by a current edition of a first aid manual approved by the American Red Cross or the American Medical Association; (q) there is at least one Occupational Safety and Health Administration (OSHA) approved spill or clean-up kit for blood-borne pathogens; and (r) vehicles used to transport a resident is: (i) equipped with a first aid kit and current version of a first aid manual approved by the American Red Cross or the American Medical Association; (ii) equipped with individual, size-appropriate safety restraints including seat belts that are installed and used in accordance with manufacturer specifications; and (iii) licensed with a current vehicle registration and safety inspection.