(a) An entity shall ensure that
(1) the premises and surrounding grounds are
kept clean, sanitary, safe, and in good repair;
(2) the entity is free of hazards, including
splintered surfaces, sharp edges, protruding corners, broken or hazardous toys,
steep stairways, ice on walkways, and unsafe play areas;
(3) insects, rodents, and other pests are
controlled and that the entity is kept free of conditions that are likely to
attract or harbor pests; any pesticide use is subject to the notice and other
applicable requirements of
7
AAC 10.1093; if the department determines that the
entity is not adequately controlling pests, the department may require the
administrator to hire a commercial pest control applicator certified under 18
AAC 90, or to take other appropriate action if a commercial pest control
applicator is not available in the community;
(4) outdoor areas are well drained and free
from deep depressions that may collect standing water; if necessary to ensure
the safety of adults or children in care, the department will require that an
outdoor recreation area be enclosed with landscaping, a fence, or another
effective barrier that prevents or deters access to a busy roadway or other
potential hazard;
(5) ventilation
by natural or mechanical means is provided to keep air fresh and to prevent the
accumulation of heat, steam, condensation, vapors, smoke, or fumes; openings to
the outside must prevent the entrance of rodents, insects, and other
pests;
(6) walls and ceilings have
smooth, durable, nonabsorbent, easily cleanable surfaces, except that
rough-textured and acoustical tile ceilings are permitted in bedrooms and
living rooms;
(7) lead-based paint
is not used, and any painted surface is free from flaking;
(8) stairways and steps have handrails and
nonslip treads or covering;
(9) at
any fixture that is accessible to adults or children, hot water temperature is
no less than 100 degrees Fahrenheit, and no more than 120 degrees
Fahrenheit;
(10) self-dispensing or
metering faucets, if used, provide a flow of water for at least 10
seconds;
(11) an artificial light
source is provided in each area of the entity; the light must be sufficient and
appropriate for the activities performed in each area by employees, or by
adults or children in care;
(12)
cleaners, medicines, and other harmful substances are stored in a place that is
inaccessible to children and to adults with impaired judgment; for an entity
licensed to provide care for six or more adults or children, the entity must
provide a closet, storeroom, or other area separate from the area where adults
or children in care are present for the storage of janitorial equipment and
cleaning supplies;
(13) furniture
and equipment is durable, safe, easily cleanable, and is kept clean and in good
repair; and
(14) at least two feet
of floor space are provided between each crib, mat, or bed;
(b) An entity licensed to provide
care for adults with dementia or a cognitive impairment, including adults with
a history of wandering or attempting to run away, shall ensure that a method is
in place to alert staff when someone exits the entity. To meet the requirements
of this subsection, the entity shall install a 15-second delayed exit door with
an alarm at each exit, use a wander alarm system, or use another method
approved by the department. If the entity wishes to use a delayed exit door,
the entity must obtain approval from the municipal fire marshal.