Current through Register Vol. 51, No. 3, September 1, 2024
RELATES TO: KRS 216B.010-216B.130,
216B.990(1),
(2)
NECESSITY, FUNCTION, AND CONFORMITY:
KRS
216B.042 and
216B.105
mandate that the Kentucky Cabinet for Human Resources regulate health
facilities and health services. This administrative regulation provides for the
licensure requirements for the facility specifications for the construction,
alteration and maintenance of personal care homes.
Section 1. Definitions.
(1) "Board" means the Commission for Health
Economics Control in Kentucky.
(2)
"License" means an authorization issued by the board for the purpose of
operating a personal care home and offering personal care service.
(3) "Licensure agency" means the Division for
Licensing and Regulation in the Office of the Inspector General, Human
Resources Cabinet.
Section
2. Preparation and Approval of Plans and Specifications. After
receiving certificate of need from the board, the following procedures shall be
followed:
(1) Before construction is begun for
the erection of new buildings or alterations to existing buildings or any
changes in facilities, for a personal care facility, the licensee or applicant
shall submit plans in the detail specified in Section 3 of this administrative
regulation to the licensure agency for approval.
(2) All architectural, mechanical and
electrical drawings shall bear either the seal of an architect registered in
the Commonwealth of Kentucky or the seal of a professional engineer registered
in the Commonwealth of Kentucky, or both.
(3) Drawings shall not exceed thirty-six (36)
inches by forty-six (46) inches when trimmed.
(4) All such plans and specifications must be
approved by the licensure agency prior to commencement of construction of new
buildings or alterations of existing buildings.
(5) Plans and specifications in specific
detail as required by the Kentucky Building Code shall be submitted together
with architectural and/or engineering stamps as required by KRS Chapters 322
and 323, to the Department of Housing, Buildings and Construction for
determining compliance with the Kentucky Building Code. All such plans and
specifications must be approved by the Department of Housing, Buildings and
Construction, and appropriate local building permits shall be obtained prior to
commencement of construction.
Section
3. Submission of Plans and Specifications.
(1) First stage; schematic plans (required
only if facility exceeds 100 beds).
(a) Single
line drawings of each floor shall show the relationship of the various
departments or services to each other and the room arrangement in each
department. The name of each room shall be noted. Drawings shall include
typical resident room layouts (scaled one-fourth (1/4) inch = one (1) foot)
with dimensions noted. The proposed roads and walks, service and entrance
courts, parking and orientation shall be shown in a plot plan.
(b) If the project is an addition, or is
otherwise related to existing buildings on the site, the plans shall show the
facilities and general arrangements of those buildings.
(2) Second stage; preliminary plans.
Preliminary sketch plans shall include the following:
(a) Architectural: plans of basement and
floors.
(b) Outline specifications.
1. General description of the construction,
including interior finishes, types and locations of acoustical material, and
special floor covering;
2.
Description of the air-conditioning, heating, and ventilation systems and their
controls, duct and piping systems; and dietary, laundry, and other special
equipment;
3. General description
of electrical service including voltage, number of feeders, and whether feeders
are overhead or underground.
(3) Third stage; contract documents.
(a) Working drawings. Working drawings shall
be complete and adequate for bid, contract, and construction purposes. Drawings
shall be prepared for each of the following branches of the work:
architectural, structural, mechanical, and electrical. They shall include the
following:
1. Architectural drawings.
a. Approach plan showing all new topography,
newly established levels and grades, existing structures on the site (if any),
new building structures, roadways, walks, and parking areas;
b. Plan of each basement, floor and
roof;
c. Elevations of each
facade;
d. Sections through
building;
e. Required scale and
full-size details;
f. Schedule of
doors, windows, and room finishes;
g. Equipment. Location of all fixed
equipment. Layout of typical and special rooms indicating all fixed equipment
and major items of movable equipment. Equipment not included in contract shall
be so indicated;
h. Conveying
systems. Details of construction, machine and control spaces necessary, size
and type of equipment, and utility requirements for the following: dumbwaiters:
electric, hand, hydraulic; elevators: freight, passenger, patient; loading dock
devices; pneumatic tube systems.
2. Structural drawings.
a. Plans for foundations, floors, roofs, and
all intermediate levels with sizes, sections, and the relative location of the
various structural members;
b.
Dimensions of special openings;
c.
Details of all special connections, assemblies, and expansion joints.
3. Mechanical drawings.
a. Heating, steam piping, and
air-conditioning systems: radiators and steam heated equipment, such as warmers
and steam tables; heating and steam mains and branches with pipe sizes; diagram
of heating and steam risers with pipe sizes; sizes, types, and capacities of
boilers, furnaces, hot water heaters with stokers, oil burners, or gas burners;
pumps, tanks, boiler breeching, and piping, and boiler room accessories;
air-conditioning systems with required equipment, water and refrigerant piping
and ducts; supply and exhaust ventilation systems with heating/cooling
connections and piping; air quantities for all room supply and exhaust
ventilating duct openings.
b.
Plumbing, drainage, and standpipe systems. Size and elevation of: street sewer,
house sewer, house drains, street water main, and water service into the
building. Location and size of soil, waste, and water service with connections
to house drains, clean-outs, fixtures, and equipment. Size and location of hot,
cold, and circulating branches, and risers from the service entrance, and
tanks; riser diagram of all plumbing stacks with vents, water risers, and
fixture connections. Standpipe and sprinkler systems where required; all
fixtures and equipment that require water and drain connections.
4. Electrical drawings.
a. Electric service entrance with switches
and feeders to the public service feeders, characteristics of the light and
power current, transformers and their connections if located in the
building;
b. Location of main
switchboard, power panels, light panels, and equipment. Diagram of feeders and
conduits with schedule of feeder breakers or switches;
c. Light outlets, receptacles, switches,
power outlets, and circuits;
d.
Telephone layout showing service entrance, telephone switchboard, strip boxes,
telephone outlets, and branch conduits;
e. Nurses' call systems with outlets for
residents' beds and rest rooms; duty station, door signal light and wiring
diagrams (this is optional but required in all higher levels of
care);
f. Emergency electrical
system with outlets, transfer switch, sources of supply, feeders, and
circuits;
g. All other electrically
operated systems and equipment.
(b) Specifications. Specifications shall
supplement the drawings to fully describe types, sizes, capacities,
workmanship, finishes and other characteristics of all materials and equipment
and shall include:
1. Cover or title
sheet;
2. Index;
3. Sections describing materials and
workmanship in detail for each class of work;
4. General conditions, which must contain the
following requirements: Access to the work. Representatives of the appropriate
state agencies will have access at all reasonable times to the work wherever it
is in preparation or progress, and the contractor shall provide proper
facilities for such access and inspection.
Section 4. Compliance with
Building Codes, Ordinances and Administrative Regulations.
(1) This section may be administered
independently from other sections of this administrative regulation.
(2) General. Nothing stated herein shall
relieve the sponsor from compliance with building codes, ordinances, and
administrative regulations which are enforced by city, county, or state
jurisdictions.
(3) The following
requirements shall apply where applicable and as adopted by the respective
agency authority:
(a) Requirements for safety
pursuant to 815 KAR 10:020, as amended.
(b) Requirements for plumbing pursuant to
815 KAR
20:010 -190, as amended.
(c) Requirements for air contaminants for
incinerators pursuant to
401 KAR 59:020
and
401 KAR
61:010.
(d) Requirements for elevators pursuant to
815 KAR
4:010.
(e)
Requirements for making buildings and facilities accessible to and usable by
the physically handicapped, pursuant to
KRS
198B.260 and administrative regulations
promulgated thereunder.
(4) Prior to occupancy, the facility shall
have final approval from appropriate agencies.
(5) All facilities shall be currently
approved by the Fire Marshal's Office in accordance with the Life Safety Code
before relicensure is granted by the licensure agency.
Section 5. Facility Requirements and Special
Conditions.
(1) Facilities shall be available
to the public, staff, and residents who may be physically handicapped with
special attention given to ramps, drinking fountain height, mirrors,
etc.
(2) At least sixty-six (66)
percent of the beds in the facility shall be located in rooms designed for one
(1) or two (2) beds.
(3) Access to
the facility shall be by means of a paved or gravel roadway which shall be
available for use by traffic prior to a license being issued to a facility for
occupancy.
Section 6.
Resident Unit. The following shall be included:
(1) Resident rooms. Each room shall meet the
following requirements:
(a) Maximum room
capacity: four (4) residents.
(b)
Resident rooms shall be designed to permit not less than a three (3) foot space
between beds, and at least a three (3) foot space between the side of the bed
and the nearest wall, fixed cabinet, or heating/cooling unit. Beds shall be at
least thirty-six (36) inches wide. A minimum of three (3) feet is required
between the foot of the bed and opposite wall or foot of opposite bed in
multibed rooms.
(c) Windows. All
resident rooms shall have windows opening to the outside. The sill shall not be
higher than three (3) feet above the floor and shall be above grade. Window
area shall be at least eight (8) percent of resident room floor area.
(d) Lavatory. In single and two (2) bed rooms
with a private toilet room, the lavatory may be located in the toilet room.
Where two (2) residents' rooms share a common toilet, a lavatory shall be
provided in each resident room.
(e)
Wardrobe or closet for each resident. Minimum clear dimensions: one (1) foot
and ten (10) inches deep by one (1) foot and eight (8) inches wide with full
length hanging space; provide clothes rod and shelf.
(f) In multibed rooms a method of assuring
visual privacy for each resident shall be provided.
(2) Resident toilet and bathing areas for
existing facilities.
(a) Where a centralized
bathing area is used, the facility shall provide for each sex on every floor
the following: one (1) shower stall or one (1) bathtub for each twelve (12)
residents or major fraction thereof is required. One (1) shower stall shall be
designed for wheelchair use.
(b)
Where a centralized toilet area is used, the facility shall provide for each
sex on every floor the following: one (1) toilet for each eight (8) residents
or fraction thereof and one (1) lavatory for each sixteen (16) residents or
fraction thereof is required. Toilets must be separated by a permanent
partition and at least one (1) toilet for each sex must be designed for
wheelchair use.
(c) The centralized
bathing and centralized toilet area may be combined into one (1) location
provided provision is made for the privacy of sexes.
(d) Grab bars or patient lift with a safety
device shall be provided at all tubs. Grab bars shall be provided at all shower
stalls and toilets.
(3)
Service areas for each floor. The size and location of each service area will
depend on the maximum number of residents the floor was designed for and shall
include:
(a) Duty station. An adequate
centralized area must be provided for charting and other required
administrative functions.
(b) Staff
lounge area. The area shall have personal storage space and a toilet room for
staff.
(c) Visitors toilet room.
The home shall provide a toilet room for visitors. The staff toilet room may
serve as the visitors toilet room if marked and accessible.
(d) Medication area, with sink, refrigerator,
locked storage and facilities for preparation of medication. Controlled
substances locker must be under double lock.
(e) Clean linen storage. Enclosed storage
area.
(f) Janitor's closet. Storage
of housekeeping supplies and equipment. Floor receptor or service
sink.
(4) Residents'
dining, TV viewing, and recreation areas.
(a)
The total areas set aside for these purposes shall be not less than thirty (30)
square feet per bed for the first fifty (50) beds and twenty (20) square feet
per bed for all beds in excess of fifty (50).
(b) Storage shall be provided for
recreational equipment and supplies (such as wall cabinets or
closets).
Section
7. Dietary Department. If a commercial service will be used or
meals will be provided by an adjacent hospital, dietary areas and equipment
shall be designed to accommodate the requirements for sanitary, efficient and
safe storage, processing, and handling, otherwise the following shall be
provided:
(1) Food preparation center. Provide
a lavatory but do not provide a mirror.
(2) Food serving facilities to accommodate
residents and staff.
(3)
Dishwashing and pot-washing facilities. Dish and utensil washing equipment will
be used that will result in sanitized serviceware and will prevent
recontamination.
(4) Refrigerated
storage shall accommodate a three (3) day supply minimum.
(5) Dry storage shall accommodate a three (3)
day supply minimum.
(6) Food carts.
If the home uses food carts, space shall be provided in the kitchen or in a
separate storage area for the cleaning and storage of food carts.
(7) Janitor's closet. Storage for
housekeeping supplies and equipment; floor receptor or service sink.
(8) A toilet room conveniently accessible to
the dietary department. If a toilet room is built in this department, it must
have two (2) door separation from food preparation area or dining
areas.
Section 8.
Administration Department. Sufficient space shall be allotted for
administrative operations. The areas may include: an administrator's office,
business office, information center, admitting and medical records.
Section 9. Laundry. The following shall be
included:
(1) Soiled linen room.
(2) Clean linen room.
(3) Lavatory. Accessible from soiled, clean,
and processing rooms.
(4) Laundry
processing room and storage for laundry supplies (need not be provided if
laundry is processed outside the facility).
Section 10. Storage and Service Areas. The
following shall be included:
(1) Sufficient
storage space shall be provided.
(2) Engineering service and equipment areas.
The following shall be provided where applicable:
(a) Boiler room;
(b) Mechanical and electrical equipment
room(s) (can be combined with boiler room);
(c) Storage room for housekeeping equipment
(need not be provided if space is available in janitor's closets or
elsewhere);
(d) Refuse area, for
holding trash prior to disposal, shall be located convenient to service
entrance.
Section
11. Details and Finishes. A high degree of safety for the
occupants in minimizing the incidence of accidents shall be provided. Hazards
such as sharp corners shall be avoided. All details and finishes shall meet the
following requirements:
(1) Details.
(a) Handrails shall be provided on both sides
of corridors used by residents in personal care with a clear distance of one
and one-half (1 1/2) inches between handrail and wall.
(b) All doors opening onto corridors shall be
swing-type except elevator doors. Alcoves and similar spaces which generally do
not require doors are excluded from this requirement.
(c) All doors to resident room toilet rooms
shall swing outward or shall be equipped with hardware which will permit access
in any emergency.
(d) Thresholds
and expansion joint covers, if used, shall be flush with the floor.
(e) Grab bars and accessories in toilet,
shower, and bathrooms shall have sufficient strength and anchorage to sustain a
load of 250 pounds for five (5) minutes.
(f) Lavatories intended for use by residents
shall be installed to permit wheelchairs to slide under.
(g) Mirrors shall be arranged for convenient
use by residents in wheelchairs as well as by residents in standing
position.
(h) Towel rack or
dispensers shall be provided at all lavatories and sinks used for
hand-washing.
(i) Ceiling heights.
1. Boiler room. Not less than two (2) feet
and six (6) inches above the main boiler header and connecting piping with
adequate headroom under piping for maintenance and access;
2. Corridors, storage rooms, residents'
toilet room, and other minor rooms. Not less than seven (7) feet and six (6)
inches;
3. All other rooms. Not
less than eight (8) feet.
(j) Boiler room, food preparation centers,
and laundries shall be insulated and ventilated to prevent any floor surface
above from exceeding a temperature of eighty-five (85) degrees
Fahrenheit.
(k) Noise reduction
criteria. The ceilings of the following areas shall be designed to reduce noise
transmission:
1. Corridors in resident
areas;
2. Work areas such as
utility rooms;
3. Lobbies and
recreation areas.
(l)
Special attention shall be given to sound transmission from boiler rooms,
mechanical rooms, and kitchen, to resident bedroom areas.
(2) Finishes.
(a) Floors generally shall be easily
cleanable and shall have the wear resistance appropriate for the location
involved. Floors in kitchen and related spaces shall be waterproof and
grease-proof. In all areas where floors are subject to wetting, they shall have
a nonslip finish.
(b) Adjacent
dissimilar floor materials shall be flush with each other to provide an
unbroken surface.
(c) Walls
generally shall be washable and in the immediate area of plumbing fixtures, the
finish shall be moisture-proof. Wall bases in dietary areas shall be free of
spaces that can harbor insects.
(d)
Ceilings generally shall be washable or easily cleanable. This requirement does
not apply to boiler rooms, mechanical and building equipment rooms, shops and
similar spaces.
Section
12. Elevators. Elevators shall conform with
815 KAR
4:010. Elevators, where required. All facilities where
either resident beds or residential facilities such as recreation, resident
dining or therapy rooms are located on other than the first floor, shall have
electric or electrohydraulic elevators as follows:
(1) Number of elevators. All homes with
resident beds or residential facilities located on any floor other than the
first floor shall have at least one (1) hospital-type elevator and such
additional elevators as determined by the licensure agency from a study of the
facility plan and the estimated vertical transportation requirements.
(2) Cars and platforms. Cars of hospital-type
elevators shall have inside dimensions that will accommodate a resident's bed
and attendants and shall be at least five (5) feet wide by seven (7) feet and
six (6) inches deep; car doors shall have a clear opening of not less than
three (3) feet and eight (8) inches. Cars of all other required elevators shall
have a clear opening of not less than three (3) feet.
(3) Leveling. Elevators shall have automatic
leveling of the two (2) way automatic maintaining type with accuracy within
plus or minus one-half (1/2) inch.
Section 13. Construction. Foundations shall
rest on natural solid ground if a satisfactory soil is available at reasonable
depths. Proper soil bearing values shall be established in accordance with
recognized standards. If solid ground is not encountered at practical depths,
the structure shall be supported on driven piles or drilled piers designed to
support the intended load without detrimental settlement.
Section 14. Mechanical Requirements.
(1) Steam and hot water systems.
(a) Boilers. If boilers are used, a minimum
of two (2) must be provided; the combined capacity of the boilers, based upon
the published Steel Boiler Institute or Institute of Boiler and Radiator
Manufacturer's net rating, must be able to supply 150 percent of the normal
requirements of all systems and equipment.
(b) The design and installation of boilers in
personal care homes shall comply with
815 KAR
15:010 through 060.
(2) Temperature and ventilating systems.
(a) Temperature. A minimum temperature of
seventy-two (72) degrees Fahrenheit shall be provided for in occupied areas in
winter conditions. A maximum temperature of eighty-five (85) degrees Fahrenheit
shall be provided for in occupied areas in summer conditions.
(b) Ventilation systems details. All
air-supply and air-exhaust systems shall be mechanically operated. All fans
serving exhaust systems shall be located at or near the point of discharge from
the building. The ventilation rates shown in Table 1, Section 16 of this
administrative regulation, shall not be considered as precluding the use of
higher ventilation rates if they are required to meet design conditions.
1. Outdoor ventilation air-intakes, other
than for individual room units, shall be located as far away as practicable but
not less than twenty-five (25) feet from the exhausts from any ventilating
system or combustion equipment. The bottom of outdoor intakes serving central
air systems shall be located as high as possible but not less than eight (8)
feet above the ground level or, if installed through the roof, three (3) feet
above roof level.
2. The
ventilation systems shall be designed and balanced to provide the general
pressure relationship to adjacent areas shown in Table 1, Section 16 of this
administrative regulation.
3. Room
supply air inlets, recirculation, and exhaust air outlets shall be located not
less than three (3) inches above the floor.
4. Corridors shall not be used to supply air
to or exhaust air from any room, except that exhaust air from corridors may be
used to ventilate rooms such as bathrooms, toilet rooms, or janitor's closets
which open directly on corridors.
(3) Plumbing and other piping systems.
Lavatories in resident rooms shall have the water supply spout mounted so that
its discharge point is a minimum distance of five (5) inches above the rim of
the fixture. Fixtures used in the dietary area, soiled workroom and clean
workroom shall be trimmed with valves which can be operated without the use of
hands. Where blade handles are used for this purpose, they shall be at a
distance from the centerline of the sink to be operational.
(4) Water supply systems.
(a) System shall be designed to supply water
to the fixtures and equipment on the upper floors at a minimum pressure of
fifteen (15) pounds per square inch during maximum demand periods.
(b) Each water service main, branch main,
riser and branch to a group of fixtures shall be valved. Stop valves shall be
provided at each fixture.
(c) Hot,
cold and chilled water piping and waste piping on which condensation may occur
shall be insulated. Insulation of cold and chilled water lines shall include an
exterior barrier.
(d) Backflow
preventers (vacuum breakers) shall be installed on hose bibbs and on all
fixtures to which hoses or tubing can be attached such as janitor's sinks and
bedpan flushing attachments.
(e)
Hot water distribution systems shall be arranged to provide hot water at each
fixture at all times.
(f) Piping
over food preparation centers, food serving facilities, food storage areas, and
other critical areas shall be kept to a minimum and shall not be exposed.
Special precautions shall be taken to protect these areas from possible leakage
of, or condensation from necessary overhead piping systems.
(5) Hot water heaters and tanks.
(a) The hot water heating equipment shall
have sufficient capacity to supply the water at the temperature and amounts
indicated below:
|
Use
|
Resident
|
Dishwasher
|
Laundry
|
Gal/hr/be d
|
6 1/2
|
4
|
4 1/2
|
Temp. F.
|
100-110
|
180*
|
140-180**
|
*Temperature may be reduced to 140 if chloritizer is used. **If
the temperature used is below 180 the home shall utilize detergents and other
additives to insure that the linens be adequately cleaned.
(b) Storage tank(s) shall be provided and
shall be fabricated of corrosion-resistant metal, or have noncorrosive
lining.
(6) Plumbing
approval. Prior to final approval of the plans and specifications by the
licensure agency, the plumbing plans and specifications must be approved by the
Division of Plumbing, Department of Housing, Buildings and
Construction.
Section 15.
Electrical Requirements.
(1) General.
Electrical requirements of the Kentucky Building Code shall apply where
applicable.
(2) The wiring in each
home shall be inspected by a certified electrical inspector and a certificate
of approval shall be issued, to the facility, prior to occupancy; however, the
wiring in existing buildings shall be approved by a certified electrical
inspector only when the building has not been previously so approved for health
care occupancy or where the State Fire Marshal finds that a hazardous condition
exists.
(3) Switchboard and power
panels. All breakers and switches shall be indexed.
(4) Lighting.
(a) All spaces occupied by people, machinery,
and equipment within buildings, and the approaches thereto, and parking lots
shall have electric lighting.
(b)
Residents' bedrooms shall have general lighting. A reading light shall be
provided for each resident when appropriate. Residents' reading lights and
other fixed lights not switched at the door shall have switch controls
convenient for use at the luminaire. Night lights shall be provided in each
resident's room.
(c) Lighting
levels for the facility shall comply with the requirements in Table 2, Section
16 of this administrative regulation.
(5) Receptacles (convenience outlets).
(a) Bedroom. Each resident bedroom shall have
duplex receptacles as follows: one (1) each side of the head of each bed (for
parallel adjacent beds, only one (1) receptacle is required between beds);
receptacles for luminairies, television and motorized beds, if used, and one
(1) receptacle on another wall.
(b)
Corridors. Duplex receptacles for general use shall be installed approximately
fifty (50) feet apart in all corridors and within twenty-five (25) feet of ends
of corridors.
(6)
Emergency electric service.
(a) General.
1. To provide electricity during an
interruption of the normal electric supply that could affect the care or safety
of the occupants, an emergency generating set shall be provided and connected
to certain circuits for lighting and power for a continuous period up to four
(4) hours.
2. When the home is
supplied by at least two (2) dedicated and separate utility service feeders, an
emergency generating set is not required.
(b) Emergency electrical connections.
Emergency electric service shall be provided to circuits as follows:
1. Lighting.
a. Exitways and all necessary ways of
approach thereto, including exit signs and exit direction signs, exterior of
exits, exit doorways, stairways, and corridors;
b. Medication preparation areas;
c. Switch-gear location and boiler
room;
d. Elevator (if required for
emergency).
2. Equipment,
essential to life safety and for protection of important or vital materials:
sewage or sump lift pump, if installed.
(c) Details. The emergency system shall be so
controlled that after interruption of the normal electric power supply, the
electric source is brought to full voltage and frequency and connected to all
emergency lighting, all alarms, and equipment.
Section 16. Appendix: Table 1 - Pressure
Relationships and Ventilation of Certain Personal Care Areas. Table 2 -
Lighting Levels for Personal Care.
TABLE 1. PRESSURE RELATIONSHIPS AND
VENTILATION OF CERTAIN PERSONAL CARE AREAS |
Area Designation
|
Pressure Relationship to Adjacent Areas
|
All Supply Air From Outdoors
|
Minimum Air Changes of Outdoor Air per Hour
|
Minimum Total Air Changes Per Hour
|
All Air Exhausted to Outdoors
|
Resident room
|
O
|
--
|
1
|
4
|
--
|
Resident area corridor
|
O
|
--
|
1
|
4
|
--
|
Treatment room
|
O
|
Yes
|
1
|
4
|
Yes
|
Physical therapy and hydrotherapy, if
applicable
|
N
|
--
|
1
|
6
|
--
|
Dining and recreation areas
|
O
|
--
|
1
|
4
|
--
|
Soiled workroom
|
N
|
--
|
1
|
4
|
Yes
|
Clean workroom
|
P
|
Yes
|
1
|
4
|
--
|
Toilet room
|
N
|
--
|
--
|
10
|
Yes
|
Bedpan room if applicable
|
N
|
--
|
--
|
10
|
Yes
|
Bathroom
|
N
|
--
|
--
|
10
|
Yes
|
Janitor's closet
|
N
|
--
|
--
|
10
|
Yes
|
Linen and trash chute room
|
N
|
--
|
--
|
10
|
Yes
|
Food preparation center
|
O
|
--
|
2
|
10
|
Yes
|
Dishwashing area
|
N
|
--
|
--
|
10
|
Yes
|
Dietary dry storage
|
O
|
--
|
--
|
2
|
--
|
Laundry, general
|
O
|
--
|
2
|
10
|
Yes
|
Soiled linen sorting and storage
|
N
|
--
|
2
|
10
|
Yes
|
Clean linen storage
|
P
|
--
|
2
|
2
|
--
|
P = Positive
N = Negative
O = Equal
-- = Optional
|
TABLE 2. LIGHTING LEVELS FOR PERSONAL
CARE |
Area
|
Footcandles*
|
Administrative and lobby areas, day
|
50
|
Administrative and lobby areas, night
|
20
|
Corridors and interior ramps
|
20
|
Corridor night lighting
|
3
|
Dining area and kitchen
|
30
|
Doorways
|
10
|
Exit stairways and landings
|
5
|
Janitor's closet
|
15
|
Staff lounge, general, day
|
50
|
Staff lounge, general, night
|
20
|
Medicine cabinet
|
100
|
Resident care unit (or room), general
|
10
|
Resident care room, reading
|
30
|
Recreation area (floor level)
|
50
|
Stairways other than exits
|
30
|
Toilet and bathing facilities
|
30
|
Utility room, general
|
20
|
*Minimum on task at anytime
|
STATUTORY AUTHORITY:
KRS
216B.042,
216B.105