Current through Register Vol. 50, No. 9, September 20, 2024
A. The arrangement, appearance and furnishing
of all of the interior areas of the facility shall be similar to those of a
normal family home within the community.
B. The provider shall ensure that there is
evidence of routine maintenance and cleaning programs in all of the areas of
the facility.
C. Each living unit
of a facility shall contain a space for the free and informal use of the
residents. This space shall be constructed and equipped in a manner in keeping
with the programmatic goals of the facility.
D. A facility shall have a minimum of 60
square feet of floor area per resident in living areas accessible to the
residents and excluding halls, closets, bathrooms, bedrooms, staff or staff's
family quarters, laundry areas, storage areas and office areas.
E. Resident Bedrooms
1. Single rooms shall contain at least 80
square feet and multi-bed rooms shall contain at least 60 square feet per bed,
exclusive of fixed cabinets, fixtures, and equipment.
2. All PRTFs shall have bedroom space that
does not permit more than two residents per designated bedroom.
a. Exception. If the facility maintains a
valid child residential license from DCFS, has more than two residents per
bedroom and is converting to a PRTF, the PRTF may have bedroom space that
allows no more than four residents per designated bedroom.
3. Rooms shall have at least a 7 1/2 foot
ceiling height over the required area. 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. There shall be at least 3 feet between
beds.
5. There shall be sufficient
and satisfactory separate storage space for clothing, toilet articles and other
personal belongings of residents.
6. There shall be at least one toilet bowl
with accessories, lavatory basin and bathing facility reserved for resident use
on each resident floor and additional toilets, lavatories, and bathing
facilities to adequately meet the needs of employees, professional personnel
and residents on each unit.
7.
Doors to individual bedrooms shall not be equipped with locks or any other
device that would prohibit the door from being opened from either
side.
8. The provider shall not use
any room that does not have a window as a bedroom space.
9. The provider shall ensure that sheets,
pillow, bedspread and blankets are provided for each resident. Enuretic
residents shall have mattresses with moisture resistant covers. Sheets and
pillowcases shall be changed at least weekly, but shall be changed more
frequently if necessary.
10. Each
resident shall have his/her own dresser or other adequate storage space for
private use and designated space for hanging clothing in proximity to the
bedroom occupied by the resident.
11. No resident over the age of five years
shall occupy a bedroom with a member of the opposite sex.
12. The provider shall ensure that the ages
of residents sharing bedroom space are not greater than four years in
difference unless contraindicated based on diagnosis, the treatment plan, or
the behavioral health assessment of the resident.
13. Each resident shall have his/her own bed.
A residents bed shall be longer than the resident is tall, no less than 30
inches wide, of solid construction and shall have a clean, comfortable,
nontoxic fire retardant mattress.
14. Mobile homes shall not be used for
resident sleeping areas.
15. The
use of bunk beds is prohibited in resident bedrooms.
16. If the PRTF has a sexually-based
treatment program, the residents of that program shall reside in its own unit
or wing of the PRTF that is separate from the unit or wing housing the other
residents. Residents of the sexually-based treatment program shall reside in
single rooms with only one bed per bedroom.
F. Dining Areas
1. The facility shall have dining areas that
permit residents, staff and guests to eat together in small groups.
2. A facility shall have dining areas that
are clean, well lit, ventilated, and attractively furnished.
G. Bathrooms
1. A facility shall have wash basins with hot
and cold water, flush toilets, and bath or shower facilities with hot and cold
water according to resident care needs.
a.
Bathrooms shall be so placed as to allow access without disturbing other
resident during sleeping hours.
b.
Each bathroom shall be properly equipped with toilet paper, towels, soap and
other items required for personal hygiene unless residents are individually
given such items. Residents shall be provided individual items such as hair
brushes and toothbrushes.
c. Tubs
and showers shall have slip proof surfaces.
d. The PRTF shall have at a minimum the
following:
i. one lavatory per eight male
residents and one lavatory per eight female residents;
ii. one toilet per eight male residents and
one toilet per eight female residents; and
iii. one shower or tub per eight male
residents and one shower or tub per eight female residents.
2. A facility shall
have toilets and baths or showers that allow for individual privacy unless the
residents in care require assistance.
3. Toilets, wash basins and other plumbing or
sanitary facilities in a facility shall, at all times, be maintained in good
operating condition and shall be kept free of any materials that might clog or
otherwise impair their operation.
H. Kitchens
1. Kitchens used for meal preparations shall
have the equipment necessary for the preparation, serving, storage, and clean
up of all meals regularly served to all of the residents and staff. All
equipment shall be maintained in proper working order.
2. The provider shall ensure that all dishes,
cups and glasses used by residents are free from chips, cracks or other defects
and are in sufficient number to accommodate all residents.
I. Administrative and Counseling Area
1. The provider shall provide a space that is
distinct from resident's living areas to serve as an administrative office for
records, secretarial work and bookkeeping.
2. The provider shall have a designated space
to allow private discussions and counseling sessions between individual
residents and staff, excluding, bedrooms and common living areas.
J. Furnishings
1. The provider shall have comfortable
customary furniture as appropriate for all living areas. Furniture for the use
of residents shall be appropriately designed to suit the size and capabilities
of the residents.
2. The provider
shall promptly replace or repair broken, run-down, or defective furnishings and
equipment.
K. Doors and
Windows
1. The provider shall provide insect
screens for all windows that can be opened. The screens shall be in good repair
and readily removable in emergencies.
2. The provider shall ensure that all
closets, bedrooms and bathrooms are equipped with doors that can be readily
opened from both sides.
3. Windows
or vents shall be arranged and located so that they can be opened from the
inside to permit venting of combustion products and to permit occupants direct
access to fresh air in emergencies. The operation of windows shall be
restricted to inhibit possible escape or suicide. If the PRTF has an approved
engineered smoke control system, the windows may be fixed. Where glass
fragments pose a hazard to certain residents, safety glazing and/or other
appropriate security features shall be used. There shall be no curtain or
venetian blind chords.
L. Storage
1. The provider shall ensure that there are
sufficient and appropriate storage facilities.
2. The provider shall have securely locked
storage space for all potentially harmful materials. Keys to such storage
spaces shall only be available to authorized staff members.
M. Electrical Systems
1. The provider shall ensure that all
electrical equipment, wiring, switches, sockets and outlets are maintained in
good order and in safe condition.
2. The provider shall ensure that any room,
corridor or stairway within a facility shall be well lit.
N. Heating, Ventilation and Air Conditioning
1. The provider shall take all reasonable
precautions to ensure that heating elements, including exposed hot water pipes,
are insulated and installed in a manner that ensures the safety of all
residents.
2. The provider shall
not use open flame heating equipment or portable electrical heaters.
3. All gas heating units and water heaters
shall be vented adequately to carry the products of combustion to the outside
atmosphere. Vents shall be constructed and maintained to provide a continuous
draft to the outside atmosphere in accordance with the recommended procedures
of the American Gas Association Testing Laboratories, Inc.
4. All heating units shall be provided with a
sufficient supply of outside air so as to support combustion without depletion
of the air in the occupied room.
O. Smoking shall be prohibited in all areas
of the PRTF.
P. The layout, design
of details, equipment and furnishings shall be such that patients shall be
under close observation and shall not be afforded opportunities for hiding,
escape or injury to themselves or others. The environment of the unit shall be
characterized by a feeling of openness with emphasis on natural light and
exterior views. Interior finishes, lighting and furnishings shall suggest a
residential rather than an institutional setting while conforming with
applicable fire safety codes. Security and safety devices shall not be
presented in a manner to attract or challenge tampering by patients.
Q. Seclusion Room
1. A PRTF shall have a seclusion room. This
room shall be free of potentially hazardous conditions such as unprotected
light fixtures and electrical outlets.
2. The room(s) shall be either located for
direct nursing staff supervision or observed through the use of electronic
monitoring equipment. If electronic monitoring equipment is used, it shall be
connected to the facility's emergency electrical source.
3. Each room shall be for single occupancy
and contain at least 60 square feet. It shall be constructed to prevent
resident hiding, escape, injury or suicide.
R. Where grab bars are provided, they shall
be institutional type, shall not rotate within their fittings, be securely
fastened with tamper-proof screw heads, and shall be free of any sharp or
abrasive elements. If grab bars are mounted adjacent to a wall, the space
between the wall and the grab bar shall be 1 1/2 inches.
S. Where towel racks, closet and shower
curtain rods are provided, they shall be the breakaway type.
T. Plastic bags and/or trash can liners shall
not be used in patient care areas.
U. The provider shall have a laundry space
complete with a minimum of one clothes washer and dryer for each 50
persons.
AUTHORITY NOTE:
Promulgated in accordance with
R.S.
36:254 and
R.S.
40:2009.
