Kansas Administrative Regulations
Agency 28 - DEPARTMENT OF HEALTH AND ENVIRONMENT
Article 4 - MATERNAL AND CHILD HEALTH
Section 28-4-343 - Environmental standards
Universal Citation: KS Admin Regs 28-4-343
Current through Register Vol. 43, No. 12, March 20, 2024
(a) General building requirements.
(1) Each secure
residential treatment facility shall use public water and sewage systems, or
shall have private water and sewage systems approved pursuant to
K.S.A.
65-163 and
K.S.A.
65-165, and amendments thereto.
(2) A licensed architect shall be responsible
for the plans for any newly constructed building or for any major addition or
alteration to an existing building.
(A) In
the case of a new building, preliminary plans and outline specifications,
including plot plans, shall be submitted to the department for review before
commencing the final working drawings and specifications. The licensee shall
submit the final working drawings, construction specifications, and plot plans
to the department for review and written approval before the letting of
contracts.
(B) In the case of an
addition or alteration to an existing building, the licensee shall submit a
written statement defining the proposed use of the construction and detailing
the plans and specifications to the department for review and written approval
before commencing construction.
(3) If construction is not commenced within
one year of submitting a proposal for a new building or an addition or
alteration to an existing building, the licensee shall resubmit the plans and
proposal to the department before proposed construction begins.
(b) Location and grounds requirements.
(1) Community resources,
including health services, police protection, and fire protection from an
organized fire department, shall be available.
(2) There shall be at least 100 square feet
of outside activity space available per youth allowed to utilize each area at
any one time.
(3) The outside
activity area shall be free of physical hazards.
(4) Sufficient space for visitor and staff
parking at each secure residential treatment facility shall be provided.
(c) The water supply to each secure residential treatment facility shall be from a source approved and certified by the department. Any privately owned water supply shall be approved by the county health officer or the department.
(d) Structural requirements.
(1) Facility construction shall provide for
the removal of architectural barriers to disabled persons. All parts of each
secure residential treatment facility shall be accessible to and usable by
disabled persons.
(2) Each secure
residential treatment facility's structural design shall facilitate personal
contact and interaction between staff members and youth.
(3) Floors shall be smooth and free from
cracks, easily cleanable, and not slippery. Floor covering for living quarters
shall be required. All floor covering shall be kept clean and be maintained in
good repair.
(4) Walls shall be
smooth, easily cleanable, and sound. Lead-free paint shall be used on all
painted surfaces.
(5) No youth's
room shall be in a basement. The minimum square footage of floor space shall be
80 square feet in single rooms, and an average of no fewer than 60 square feet
of floor space per person in rooms accommodating more than one person. At least
one dimension of the usable floor space unencumbered by furnishings or fixtures
shall be no fewer than seven feet. The minimum ceiling height shall be seven
feet, eight inches over 90% of the room area. An even temperature of between
68° Fahrenheit and 78° Fahrenheit shall be maintained, with an air exchange of
at least four times per hour.
(6)
Bedrooms occupied by youth shall have a window source of natural light. Access
to a drinking water source and toilet facilities shall be available 24 hours a
day.
(7) Separate beds with level,
flat mattresses in good condition shall be provided for each youth. Beds shall
be above the floor level.
(8)
Adequate, clean bedding shall be provided for each youth.
(9) All quarters utilized by youth shall have
minimum lighting of 20 foot-candles in all parts of the room. There shall be
minimum lighting of 35 foot-candles in areas used for reading, study, or other
close work.
(10) There shall be
adequate space for study and recreation.
(11) Each living unit shall contain the
following:
(A) Furnishings that provide
sufficient seating for the maximum number of youth expected to use the area at
any one time;
(B) writing surfaces
that provide sufficient space for the maximum number of youth expected to use
the area at any one time;
(C)
furnishings that are consistent with the security needs of the assigned youth;
and
(D) adequate central storage
for household supplies, bedding, linen, and recreational equipment.
(12) If the secure residential
treatment facility is on the same premises as another child care facility, the
living unit of the secure residential treatment facility shall be maintained in
a separate, self-contained unit. Youth of the secure residential treatment
facility shall not use space shared with other child care facilities at the
same time.
(13) If a secure
residential treatment facility has day rooms, the day rooms shall provide space
for varied youth activities. Day rooms shall be situated immediately adjacent
to the youth sleeping rooms, but separated from them by a floor-to-ceiling
wall. Each day room shall provide at least 35 square feet per person, exclusive
of lavatories, showers, and toilets, for the maximum number of youth expected
to use the day room area at any one time.
(14) There shall be a working telephone
readily accessible to staff members in all areas of the building. Emergency
numbers, including fire, police, hospital, physician, poison control facility,
and ambulance, shall be posted by each phone.
(15) The inside program and activity areas,
excluding the sleeping rooms, day room, and classrooms, shall provide floor
space equivalent to a minimum of 100 square feet per youth.
(16) Sufficient space shall be provided for
contact visiting. There shall be adequately designed space to permit the
screening and search of both youth and visitors. Storage space shall be
provided for the secure storage of visitors' coats, handbags, and other
personal items not allowed into the visiting area.
(17) Each room used for involuntary seclusion
shall meet the following requirements for an individual bedroom:
(A) The walls of each room used for
involuntary seclusion shall be completely free of objects.
(B) The door of each room used for
involuntary seclusion shall be equipped with a window mounted in a manner that
allows inspection of the entire room. The glass in this window shall be
impact-resistant and shatterproof.
(C) The locking system for a room used for
involuntary seclusion shall be approved by the state fire marshal or the fire
marshal's designee.
(18) A service sink and storage area for
cleaning supplies shall be provided in a well-ventilated room separate from
kitchen and living areas.
(e) Food services.
(1) Food storage, preparation, and service
shall comply with the departmental regulations governing food and lodging
services.
(2) All foods not
requiring refrigeration shall be stored at least six inches above the floor in
clean, dry, well-ventilated storerooms or other approved areas with no overhead
drain or sewer lines.
(3) Dry bulk
food that is not in an original, unopened container shall be stored in metal,
glass, or food-grade plastic containers with tightly fitting covers and shall
be labeled.
(4) Poisonous or toxic
materials shall not be stored with or over food. If medication requiring
refrigeration is stored with refrigerated food, the medication shall be stored
in a locked medicine box under all food items in the refrigerator.
(5) All perishables and potentially hazardous
foods shall be continuously maintained at 45° Fahrenheit or lower in the
refrigerator, or 10° Fahrenheit or lower in the freezer.
(A) Each cold storage facility shall be
provided with a clearly visible, accurate thermometer.
(B) All foods stored in the refrigerator
shall be covered.
(C) Food not
stored in the original container shall be labeled with the contents and date.
(D) Raw meat shall be stored under
all other food items in the refrigerator before cooking.
(E) Adequate facilities to maintain food
temperatures required in this regulation shall be available.
(6) All dense, hot foods shall be
stored in containers four or fewer inches deep.
(7) Food preparation and service.
(A) Each food preparation area shall be
adequately equipped for the sanitary preparation and storage of food and
washing of dishes and utensils. Food shall be prepared and served in a sanitary
manner.
(B) Cooking equipment
shall be kept clean and in good condition.
(C) Dishes shall have hard-glazed surfaces
and shall be free of cracks and chips.
(D) Dishes, kitchen utensils, and serving
equipment shall be maintained in a sanitary condition using one of the
following methods:
(i) A three-compartment
sink supplied with hot and cold running water to each compartment and a drain
board for washing, rinsing, sanitizing, and air drying, with an appropriate
chemical test kit for testing the sanitizing solution;
(ii) a domestic-type dishwasher for groups of
24 or fewer persons;
(iii) a
commercial-type dishwasher providing a 12-second rinse with 180° Fahrenheit
water, for groups of 25 persons or more;
(iv) other methods of sanitizing by manual or
mechanical cleaning in accordance with K.A.R. 28-36-24(a) (3) and (4); or
(v) the use of disposable plates,
cups, and plastic utensils of food-grade medium weight. Disposable table
service shall be used only one time and then destroyed.
(E) Tables shall be in good condition and
shall be washed before and after each meal. Floors shall be swept after meals.
(F) Meat shall be thawed using one
of the following methods:
(i) Removing the
meat from the freezer in advance and putting it in the refrigerator to thaw;
(ii) placing the meat under
running, tepid water 72° Fahrenheit until thawed; or
(iii) thawing in the microwave as part of the
cooking process.
(8) Sanitary conditions.
(A) Only authorized persons shall be in the
kitchen.
(B) Each kitchen shall be
equipped with separate hand-washing facilities. Personnel shall wash their
hands before handling food and after working with raw meat.
(C) Hair shall be restrained.
(D) No staff member with any open wounds or
infections shall be involved in food preparation or service.
(E) Clean and soiled linen shall be properly
stored in the kitchen area.
(F)
All trash cans in the restroom used by the kitchen staff shall be covered.
(9) Food safety.
(A) All dairy products shall be pasteurized.
Dry milk shall be used for cooking only.
(B) Home-canned foods, other than jams and
jellies, and home-frozen foods shall not be served.
(C) Commercially canned food from dented,
rusted, bulging, or leaking cans, and food from cans without labels shall not
be used.
(10)
Nutrition.
(A) Meals and snacks shall meet
the nutritional needs of the youth in accordance with recommended dietary
allowances. A sufficient quantity of food shall be prepared for each meal to
allow each youth second portions of vegetables, fruit, bread, and milk.
(B) Special diets shall be
provided for youth, if medically indicated, or to accommodate religious
practice, as indicated by a religious consultant.
(C) Menus shall be planned one week in
advance. Copies of the menus for the preceding month shall be kept on file and
available for inspection.
(11) If meals are catered, the following
requirements shall be met:
(A) The meals
shall be obtained from sources licensed by the department.
(B) Food shall be transported in covered and
temperature-controlled containers. Hot foods shall be maintained at not less
than 140° Fahrenheit, and cold foods shall be maintained at 45° Fahrenheit or
less.
(f) Toilets and lavatories.
(1) For each eight or
fewer youth of each sex, there shall be at least one toilet, one lavatory, and
either a bathtub or a shower. All toilets shall be above floor level.
(2) Each bathroom shall be
ventilated. Each inside bathroom shall have a mechanical ventilating system to
the outside, with a minimum of 10 air changes per hour.
(3) Toilet and bathing facilities and
drinking water shall be convenient to sleeping quarters and living and
recreation rooms.
(4) Cold and hot
water, not exceeding 120° Fahrenheit, shall be supplied to lavatories,
bathtubs, and showers.
(5) Toilet
facilities and drinking water shall be convenient to the reception and
admission areas.
(6) Locked
sleeping rooms shall be equipped with a drinking fountain, lavatory, and
toilet, unless a communication system or procedure is in effect to give the
resident immediate access to a lavatory, toilet, and drinking water.
(g) Laundry.
(1) If laundry is done at the secure
residential treatment facility, laundry fixtures shall be located in an area
separate from food preparation areas and shall be installed and used in a
manner that safeguards the health and safety of the youth.
(2) Soiled linen shall be stored separately
from clean linen.
(3) Blankets
shall be laundered or sanitized before reissue.
(4) Blankets, when used with sheets, shall be
laundered at least once each month.
(5) Mattresses shall be water-repellent and
washed down and sprayed with disinfectant before reissue. Mattress materials
and treatments shall meet state fire marshal regulations.
(6) Adequate space shall be allocated for the
storage of clean and dirty linen and clothing. If an in-house laundry service
is provided, adequate space shall be allocated for the laundry room and the
storage of laundry supplies, including locked storage for chemical agents used
in the laundry area.
(h) Building maintenance standards.
(1) Each building shall be clean at all times
and free from accumulated dirt, vermin, and rodent infestation.
(2) Floors and walking surfaces shall be kept
free of hazardous substances at all times.
(3) A schedule for cleaning each building
shall be established and maintained.
(4) Floors shall be swept and mopped daily.
(5) Washing aids, including
brushes, dish mops, and other hand aids used in dishwashing activities, shall
be clean and used for no other purpose.
(6) Mops and other cleaning tools shall be
cleaned and dried after each use and stored in a well-ventilated place on
adequate racks.
(7) Insecticides,
rodent killers, and other poisons shall be used under careful supervision.
These and other poisons shall be stored in a locked area.
(8) Toilets, lavatories, sinks, and other
such facilities in the living quarters shall be cleaned thoroughly each day.
Disclaimer: These regulations may not be the most recent version. Kansas 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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