Current through Rules and Regulations filed through September 23, 2024
(1)
General. The adult day center shall be constructed, arranged, and maintained so as to provide adequately for the health, safety, access, and well-being of the participants.
(a) Each center shall have a standard telephone, not a pay telephone or cellular telephone, on the premises which is immediately accessible during the center's hours of operation. A list of emergency telephone numbers for fire, ambulance, police, poison control and 911 shall be posted at each telephone.
(b) Each center shall provide adequate, safe and sanitary facilities appropriate for the services provided by the center and for the needs of the participants. All centers shall be accessible to and usable by physically disabled individuals and shall meet all applicable regulations for access for the handicapped.
(c) The adult day center shall be in compliance with all building codes and other applicable codes.
(d) Each center shall provide adequate lighting for participant activities and safety.
(e) Each center shall be adequately ventilated at all times by either mechanical or natural means to provide fresh air and the control of unpleasant odors.
(f) There shall be adequate floor space in the center to safely and comfortably accommodate the number of participants for all activities and services provided by the center. Centers shall provide at least 35 feet of usable floor space for each participant, exclusive of passageways, bathrooms, lockers, storage rooms, staff rooms, and other areas not used for participant activities.
(2)
Facilities. Center facilities shall consist of, but not be limited to, the following:
(a) Bathrooms;
(b) Dining areas;
(c) Kitchen areas;
(d) Rest area(s) as needed by the participants;
(e) Activity areas for recreation and leisure time;
(f) A private area for the provision of first aid, assistance with activities of daily living, and counseling services when provided, or as necessary for other services required by participants; and
(g) An adult day center may be co-located at a licensed long-term care facility provided that both the center and the long-term care facility are meeting the needs of the adult day participants and the long-term care facility residents, maintaining their required staffing ratios, and respecting the rights of the residents of the long-term care facility to privacy and the quiet enjoyment of their residence.
(3)
Furnishings. Each center shall provide sufficient furniture for use by participants, which provide comfort and safety, and are appropriate for an adult population with physical limitations, visual and mobility limitations and cognitive impairments. Furnishings shall be maintained in good condition, intact, and functional.
(a) Each center shall provide clean, comfortable seating with support meeting the needs for each participant.
(b) Each center shall provide table space sufficient to seat all participants for dining at one time.
(c) Dining areas and furnishings shall be arranged to accommodate participants using wheelchairs.
(d) Rest areas shall be furnished with a bed and mattress, recliner, sofa, or chair with back and arm support.
(e) Furnishings and décor shall reflect non-institutional settings.
(f) Adult day centers co-located within a licensed long-term care facility may not use residents' rooms or furnishings for adult day care participants.
(4)
Bathrooms. There shall be adequate bathroom facilities to meet the needs of participants.
(a) At a minimum, there shall be not less than one toilet for every 12 participants or fraction thereof;
(b) Bathrooms and fixtures shall be accessible to participants with disabilities, function properly, and be maintained in a sanitary and odor free condition;
(c) Multiple toilets in the same room shall have individual stalls with doors which can be closed;
(d) Each bathroom shall be equipped with waste receptacles which are emptied and cleaned regularly; and
(e) Doors to all bathrooms must be equipped with closure devices which can be opened from the outside, in case a participant experiences difficulty and needs staff assistance.
(5)
Bathing Facilities. A minimum of one bathing unit shall be provided in each adult day health center and in adult day care centers that provide assistance with bathing.
(a) The bathing unit, when in use, shall not interfere with the accessibility to bathroom facilities by other participants;
(b) Each tub or shower shall be in an individual room or enclosure that provides space for the private use of the bathing fixture, for bathing, drying and dressing, for the participant and staff; and
(c) Tubs and/or showers for participant use must have non-slip bottoms or floor surfaces, either installed or applied to the surface.
(6)
Environment/Sanitation. The building shall be clean and in good repair, free from litter, extraneous materials, unsightly or injurious accumulations of items and free from pests and vermin.
(a) Waste, trash and garbage shall be removed from the premises at regular intervals. Excessive accumulations are not permitted.
(b) Floors, walls and ceilings must be structurally sound, maintained, cleaned, repaired and/or painted when needed.
(c) All outside refuse containers shall have tight fitting lids left in closed position. Containers shall be maintained in a clean and serviceable condition.
(7)
Temperature Conditions. Each center shall provide an adequate central heating and cooling system or its equivalent at ranges that are consistent with the individual health needs and comfort of participants. The temperature range shall be maintained between 70 degrees Fahrenheit and 85 degrees Fahrenheit in all rooms used by the participants.
(8)
Outdoor Areas. Adult day centers that provide outdoor activities shall have a safe, secure, and suitable outdoor recreation or relaxation area that includes a shaded area for participants that is designed to meet the needs of participants.
(a) The outdoor area shall be connected to, a part of, controlled by, and directly accessible from the center; and
(b) The outdoor area shall be suitably furnished with seating appropriate to the needs of the participants.
O.C.G.A. §
49-6-81.
