Current through Register Vol. 50, No. 9, September 20, 2024
A. The provider shall evaluate each clients
physical, emotional and medical needs and the physical environment of the
facility in order to ensure the safety and well-being of all admitted
clients.
B. Common Area. The
facilitys physical environment shall have a designated space accessible to the
clients:
1. to be used for group meetings,
dining, visitation, leisure and recreational activities;
2. that is at least 25 square feet per client
and no less than 150 square feet, exclusive of bedrooms or sleeping areas,
bathrooms, areas restricted to staff, laundry rooms and office areas;
and
3. that contains a sufficient
number of tables and chairs for eating meals.
C. The facilitys physical environment shall
have a designated room(s) or area(s) to allow for private and group discussions
and counseling sessions that:
1. safely
accommodates the clients being served;
2. has adequate space to meet the clients
needs in the therapeutic process; and
3. is exclusive of bedrooms, bathrooms and
common areas.
D. Client
Bedrooms. The provider shall ensure that each client bedroom in the facility:
1. contains at least 80 square feet for
single bedrooms, exclusive of fixed cabinets, fixtures, furniture and
equipment;
2. contains at least 60
square feet per bed for multi-bedrooms, exclusive of fixed cabinets, fixtures,
and equipment;
3. has at least a 7
1/2 foot ceiling height over the required area except in a room with varying
ceiling height, only portions of the room with a ceiling height of at least 7
1/2 feet are allowed in determining usable space;
4. has at least 2 foot minimum clearance at
the foot of each bed; and
5.
contains no more than four beds;
EXCEPTION: Providers licensed as substance use/addiction
treatment residential facilities at the time this Rule is promulgated that have
more than four clients per bedroom, may maintain the existing bedroom space
that allows more than four clients per bedroom provided that the bedroom space
has been previously approved by a LDH waiver. This exception applies only to
the currently licensed physical location.
6. has at least three feet between
beds;
7. has designated storage
space for the clients:
a. clothes;
b. toiletries; and
c. personal belongings;
8. has a window;
9. has sheets, pillow, bedspread and blankets
for each client that are clean and in good repair and discarded when no longer
usable;
10. has sufficient headroom
to allow the occupant to sit up; and
11. contains a bed(s) that:
a. is longer than the client is
tall;
b. is no less than 30 inches
wide;
c. is of solid
construction;
d. has a clean,
comfortable, nontoxic fire retardant mattress; and
e. is appropriate to the size and age of the
client.
E. The
provider shall:
1. prohibit any client over
the age of five years to occupy a bedroom with a member of the opposite sex who
is not in the clients immediate family;
2. require separate bedrooms and bathrooms
for adults, and children/adolescents, except in the Mothers with Dependent
Children Program, and for males and females;
3. prohibit adults and children/adolescents
from sharing the same space, except in the Mothers with Dependent Children
Program;
4. require sight and sound
barriers between adult area/wing and the adolescent area/wing;
5. for facilities with child/adolescent
clients, ensure that the age of clients sharing bedroom space is not greater
than four years in difference unless contraindicated based on diagnosis, the
treatment plan or the behavioral health assessment of the client;
6. ensure that each client has his/her own
bed;
7. prohibit mobile homes from
being used as client sleeping areas; and
8. prohibit bunk beds in the following
programs:
a. clinically managed residential
withdrawal management (ASAM level 3.2-WM);
b. Clinically Managed High Intensity
Residential treatment services (ASAM level 3.5);
c. medically monitored intensive residential
treatment services(ASAM level 3.7); and
d. medically monitored inpatient withdrawal
(ASAM level 3.7WM).
F. Bathrooms
1. In accordance with the Louisiana state
Sanitary Code, a provider shall have bathrooms equipped with
lavatories, toilets, tubs and/or showers for use by the clients located within
the provider and the following:
a.
shatterproof mirrors secured to the walls at convenient heights; and
b. other furnishings necessary to meet the
clients' basic hygienic needs.
2. The provider shall have the ratio of
lavatories, toilets, tubs and/or showers to clients required by the Louisiana
state Sanitary Code.
3. The provider shall ensure that each client
has personal hygiene items, such as a toothbrush, toothpaste, shampoo, and soap
as needed.
4. In a multi-level
facility, there shall be at least one full bathroom with bathing facility
reserved for client use on each client floor.
5. Each bathroom shall be located so that it
opens into a hallway, common area or directly into the bedroom. If the bathroom
only opens directly into a bedroom, it shall be for the use of the occupants of
that bedroom only.
6. The provider
shall have at least one separate toilet and a lavatory for the staff located
within the facility.
H.
Kitchen
1. If a BHS provider prepares meals
on-site, the BHS provider shall have a full service kitchen that meets the
requirements of the Louisiana state
Sanitary Code and:
a. includes a cooktop, oven, refrigerator,
freezer, hand washing station, storage and space for meal
preparation;
b. is inspected and
approved annually by OPH;
c. has
the equipment necessary for the preparation, serving, storage and clean-up of
all meals regularly served to all of the clients and staff; and
d. contains trash containers covered and made
of metal or United Laboratories-approved plastic;
2. A BHS provider that does not prepare meals
on-site shall have a nourishment station or a kitchenette, that includes:
a. a sink;
b. a work counter;
c. a refrigerator;
d. storage cabinets;
e. equipment for preparing hot and cold
nourishments between scheduled meals; and
f. space for trays and dishes used for
nonscheduled meal service.
I. Laundry. The provider shall have a laundry
space complete with a ratio of 1:20 washers and dryers to meet the needs of the
clients.
J. Staff Quarters. The
provider utilizing live-in staff shall provide adequate, separate living space
with a private bathroom to include a shower for staff usage only.
K. The provider shall ensure that all
closets, bedrooms and bathrooms are equipped with doors that can be readily
opened from both sides.
L. The
provider shall ensure that outside doors and windows prohibit an outsider from
gaining unauthorized ingress.
AUTHORITY
NOTE: Promulgated in accordance with
R.S.
36:254 and
R.S.
40:2151-2161.
