Iowa Administrative Code
Agency 481 - Inspections and Appeals Department
Inspections Division
Chapter 60 - Minimum Physical Standards for Residential Care Facilities
Rule 481-60.10 - Service Area
Universal Citation: IA Admin Code 481-60.10
Current through Register Vol. 47, No. 6, September 18, 2024
(1) Definition of a service area. The size of a service area shall depend upon the number and types of beds within the supervised unit. A service area shall contain the following rooms or areas: (III)
a. Dietetic service area,
b. Janitor's closet,
c. Laundry area,
d. General storage area,
e. Mechanical room,
f. Maintenance shop,
g. Yard equipment storage
area.
(2) Dietetic service area.
a.
Detailed layout plans and specifications of equipment shall be submitted to the
department for review and approval before the new construction, alterations, or
additions to existing kitchens begin. (III)
b. The dietetic service area shall provide
food serving facilities for residents and staff outside the food preparation
area. (III)
c. The dishwashing area
shall be provided with mechanical dishwashing equipment. Either conventional or
chemical dishwashing equipment may be used. (III)
(1) Where conventional dishwashing equipment
is used, the hot water system shall be designed to supply hot water at 110°
Fahrenheit to 120° Fahrenheit. (III)
(2) A three-compartment pot and pan sink
shall be provided for ware washing that provides and maintains hot water at
110° Fahrenheit to 115° Fahrenheit for washing and 170° Fahrenheit
to 180° Fahrenheit for sanitizing, or a two-compartment sink shall be
provided for soaking and washing utensils, with easy access to a dish machine
that must be large enough for sanitizing all sizes of utensils used.
(III)
(3) Machines (single-tank
stationary rack, door-type machines and spray-type glass washers) using
chemicals for sanitation may be used, provided that:
1. The temperature of the wash water shall
not be less than 120° Fahrenheit. (III)
2. Chemicals added for sanitation purposes
shall be automatically dispensed. (III)
3. The wash water shall be kept clean.
(III)
4. Utensils and equipment
shall be exposed to the final chemical sanitizing rinse in accordance with
manufacturers' specifications for time and concentration. (III)
5. The chemical sanitizing rinse water
temperature shall be not less than 75° Fahrenheit nor less than the
temperature specified by the machine's manufacturer. (III)
6. Chemical sanitizers used shall meet the
requirements of 21 CFR
178.1010. (III)
7. A test kit or other device that accurately
measures the parts per million concentration of the solution shall be available
and used. (III)
d. The dietetic service area shall be
designed to provide a separation of the clean and dirty areas and to eliminate
intermingling of the two types of activities. Food preparation and service
areas are regarded as clean areas. (III)
e. A hand-washing sink shall be provided in
the dietetic service area. In facilities licensed for eight beds or fewer, the
sink shall be adjacent or convenient to the dietetic service area.
(III)
f. There shall be
refrigerated storage for at least a three-day supply of perishable food.
(III)
g. There shall be available
storage for at least a seven-day supply of staple food. (III)
h. Provisions for maintaining sanitary waste
disposal and storage shall be provided on the premises. (III)
i. Where meals are provided by a health care
facility or by a commercial food service, the preparation, storing and serving
of the food and the utensil sanitizing procedures shall meet the requirements
of these rules. (III)
j. Mechanical
ventilation shall be provided in food storerooms to maintain temperatures and
humidity at a level appropriate for the type of food being stored.
(III)
(3) Janitor's closet.
a. A
janitor's closet shall be provided for storage of housekeeping supplies and
equipment, including a floor receptor or service sink. (III)
b. The door to the janitor's closet shall be
equipped with a lock. (III)
c.
Locked storage shall be provided for chemicals. (III)
(4) Laundry area.
a. In the laundry area, a work flow pattern
shall be established in which soiled linen is not transported through the clean
area to the soiled area. Two distinct areas physically separated, not
necessarily by a wall, are required. (III)
b. A hand-washing sink shall be located in
the laundry area. In facilities licensed for 15 beds or fewer, a hand-washing
sink located adjacent to the laundry area may meet this requirement.
(III)
c. Where linen is processed
onsite, the following shall be provided (III):
(1) A clean, dry, well-lighted laundry
processing room with equipment sufficient to process seven days' needs within
the workweek.
(2) A soiled linen
holding area.
(3) A clean linen
area.
(4) Linen cart
storage.
(5) Lockable storage for
laundry supplies.
(6) One janitor's
closet or alcove in the immediate vicinity of the laundry.
d. The laundry room in any facility not using
off-site processing but serving more than 20 residents shall contain no less
than 125 square feet of available floor space. (III)
e. Where linen is processed off the site, the
following shall be provided (III):
(1) Soiled
linen holding room.
(2) Clean linen
receiving, holding, inspection, and storage area.
(5) General storage areas.
a. General storage
areas totaling not less than 10 square feet per bed shall be provided. Storage
areas are not required to be located in the same area. (III)
b. The equipment storage room space may be
included in this general area, but is not required to be located in the same
area. (III)
c. Storage areas for
linens, janitor's supplies, sterile nursing supplies, activity supplies,
library books, office supplies, kitchen supplies, and mechanical plant
accessories shall not be included as part of the general storage area and are
not required to be located in the same area. (III)
d. Thirty percent of the general storage area
may be provided in a building outside the facility, readily and easily
accessible by the personnel. (III)
(6) Mechanical, electrical, and maintenance areas. The following areas shall be provided (III):
a. Boiler room or mechanical room and
electrical equipment room. (III)
(1) These
rooms may be used for noncombustible material storage.
(2) Any noncombustible material shall not be
stored close to or hinder access to any fuel-fired equipment or electrical
panels.
(3) These areas shall not
be included in calculating the 10 square feet per bed for general storage
areas, as required under paragraph
60.10(5)"a."
b. Yard equipment storage may be provided in
a separate room or building for yard maintenance equipment and supplies. This
shall not be included in the general storage area.
c. No portable fuel-operated equipment shall
be housed inside a facility unless it is separated by at least a two-hour fire
separation approved by the state fire marshal's office.
d. Rooms containing heating or cooling
equipment shall be locked.
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