Arizona Administrative Code
Title 9 - HEALTH SERVICES
Chapter 10 - DEPARTMENT OF HEALTH SERVICES - HEALTH CARE INSTITUTIONS: LICENSING
Article 5 - INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES
Section R9-10-525 - Physical Plant Standards

Universal Citation: AZ Admin Code R 9-10-525

Current through Register Vol. 30, No. 38, September 20, 2024

A. An administrator shall ensure that, if an ICF/IID has:

1. More than 16 residents, the ICF/IID complies with:
a. The applicable physical plant health and safety codes and standards, incorporated by reference in R9-10-104.01, that were in effect on the earlier of:
i. The date the ICF/IID was originally certified as an ICF/IID by the federal Centers for Medicare and Medicaid Services, or

ii. The date the ICF/IID submitted architectural plans and specifications to the Department for approval according to R9-10-104; and

b. The requirements for Existing Health Care Occupancies in National Fire Protection Association 101, Life Safety Code, incorporated by reference in R9-10-104.01; and

2. Sixteen or fewer residents, the ICF/IID complies with the requirements for Existing Health Care Occupancies in National Fire Protection Association 101, Life Safety Code, incorporated by reference in R9-10-104.01.

B. An administrator shall ensure that:

1. The premises and equipment are sufficient to accommodate:
a. The services stated in the ICF/IID's scope of services, and

b. An individual accepted as a resident by the ICF/IID;

2. A common area for use by residents is provided that has sufficient space and furniture to accommodate the recreational and socialization needs of residents;

3. A dining area has sufficient space and tables and chairs to accommodate the needs of the residents;

4. At least one bathroom is accessible from a common area and:
a. May be used by residents and visitors;

b. Does not open into an area in which food is prepared;

c. Provides privacy when in use; and

d. Contains the following:
i. At least one working sink with running water,

ii. At least one working toilet that flushes and has a seat,

iii. Toilet tissue for each toilet,

iv. Soap in a dispenser accessible from each sink,

v. Paper towels in a dispenser or a mechanical air hand dryer,

vi. Lighting, and

vii. A window that opens or another means of ventilation;

5. An outside activity space is provided and available that:
a. Is on the premises,

b. Has a hard-surfaced section for wheelchairs, and

c. Has an available shaded area;

6. Exterior doors are equipped with ramps or other devices to allow use by a resident using a wheelchair or other assistive device; and

7. The key to the door of a lockable bathroom or bedroom is available to a personnel member.

C. An administrator shall ensure that:

1. For every eight residents there is at least one working toilet that flushes and has a seat and one sink with running water;

2. For every eight residents there is at least one working bathtub or shower;

3. A resident bathroom provides privacy when in use and contains:
a. A mirror;

b. Toilet tissue for each toilet;

c. Soap accessible from each sink;

d. Paper towels in a dispenser or a mechanical air hand dryer for a bathroom that is used by more than one resident;

e. A window that opens or another means of ventilation;

f. Grab bars for the toilet and, if applicable, the bathtub or shower and other assistive devices, if required to provide for resident safety; and

g. Nonporous surfaces for shower enclosures and slip-resistant surfaces in tubs and showers;

4. An ICF/IID is ventilated by windows or mechanical ventilation, or a combination of both;

5. If required for the residents of the ICF/IID, the corridors are equipped with handrails on each side that are firmly attached to the walls and are not in need of repair;

6. No more than two individuals reside in a resident bedroom; and

7. A resident's bedroom;
a. Is accessible without passing through a storage area, an equipment room, or another resident's bedroom;

b. Is constructed and furnished to provide unimpeded access to the door;

c. Has floor-to-ceiling walls with at least one door;

d. Does not open into any area where food is prepared, served, or stored;

e. If a private bedroom, has at least 80 square feet of floor space, not including a closet or bathroom;

f. If a shared bedroom, has at least 60 square feet of floor space for each individual occupying the shared bedroom, not including a closet or bathroom;

g. Has a separate bed, at least 36 inches in width and 72 inches in length, for each resident, consisting of at least a frame and mattress that is clean and in good repair;

h. Has clean linen, including a mattress pad, sheets large enough to tuck under the mattress, pillows, pillow cases, a bedspread, waterproof mattress covers as needed, and blankets to ensure warmth and comfort for the resident;

i. Has furniture to meet the resident's needs and sufficient light for reading;

j. Has an openable window to the outside with window coverings for controlling light and visual privacy, and the location of the window permits a resident to see outside from a sitting position;

k. Has individual storage space for a resident's possessions and assistive devices; and

l. Has a closet with clothing racks and shelves accessible to the resident.

D. If a swimming pool is located on the premises, an administrator shall ensure that:

1. The swimming pool is enclosed by a wall or fence that:
a. Is at least five feet in height as measured on the exterior of the wall or fence;

b. Has no vertical openings greater that four inches across;

c. Has no horizontal openings, except as described in subsection (D)(1)(e);

d. Is not chain-link;

e. Does not have a space between the ground and the bottom fence rail that exceeds four inches in height; and

f. Has a self-closing, self-latching gate that:
i. Opens away from the swimming pool,

ii. Has a latch located at least 54 inches from the ground, and

iii. Is locked when the swimming pool is not in use; and

2. A life preserver or shepherd's crook is available and accessible in the pool area.

E. An administrator shall ensure that a spa that is not enclosed by a wall or fence as described in subsection (D)(1) is covered and locked when not in use.

Disclaimer: These regulations may not be the most recent version. Arizona may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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