Code of Massachusetts Regulations
105 CMR - DEPARTMENT OF PUBLIC HEALTH
Title 105 CMR 158.000 - Licensure of Adult Day Health Programs
Section 158.042 - Participant Comfort, Safety, Accommodations, and Equipment
Universal Citation: 105 MA Code of Regs 105.158
Current through Register 1531, September 27, 2024
(A) Participant Comfort and Accommodations.
(1) A Program
shall provide for the comfort, safety, and mental and physical well-being of
participants.
(2) Program personnel
shall be familiar with each participant's plan of care and need for assistance
with ADL and supervision.
(3)
Program personnel shall treat participants' personal effects with respect and
care.
(4) A Program shall
reasonably accommodate participant needs and preferences, except when the
health or safety of the participant or other participants would be
endangered.
(5) All participant
areas shall be arranged and decorated to provide for a cheerful and homelike
milieu which is pleasant, clean, well-kept, in good repair, and free from
unpleasant odors, sights, and sounds.
(B) Participant Safety and Protection.
(1) At all times a
professional or qualified staff member shall be on duty and immediately
accessible to participants for the following purposes:
(a) Responding to reports of injuries,
symptoms of illness, emergencies, and any other discomfort or complaint of a
participant; and
(b) Ensuring that
prompt, appropriate action is taken in response to reports of injuries,
symptoms of illness, emergencies, and any other discomfort or complaint of a
participant.
(2)
Restraints.
(a)
Chemical or physical restraints may only be imposed to ensure the immediate
physical safety of the participant, personnel, or others and must be
discontinued at the earliest possible time.
(b) Chemical or physical restraints shall be
used only in accordance with a primary care provider's order, and the type of
restraint shall be specified by the primary care provider.
(3) A Program may not apply any aversive
intervention to any participant.
(4) A Program shall maintain a check-in and
check-out system that records participant names, dates, times of arrival and
departure, and destination.
(C) Equipment and Supplies.
(1) A Program shall
provide all equipment and supplies necessary for the comfort and care of
participants.
(2) A Program shall
maintain equipment and supplies in good working condition and in a clean and
sanitary manner.
(3) A Program
shall establish and enforce a preventive maintenance program to ensure all
equipment is in safe working order.
(4) A Program shall perform regular
maintenance checks, in accordance with manufacturer's instructions, on all
mechanical and electronic medical equipment to ensure that it is properly
functioning, grounded, and calibrated.
(5) A Program shall follow manufacturer's
instructions to sterilize, disinfect, or dispose of equipment and
supplies.
(6) All equipment used
for personal care shall be thoroughly cleaned and sanitized after each
use.
(7) Disposable single use
items shall not be reused.
(8) A
Program shall maintain the following basic equipment and supplies:
(a) One bed, cot, or recliner for every 20
participants;
(b) A supply of clean
dry linens as needed to service participants;
(c) A sufficient number of tables and chairs
including easy chairs or comfortable padded or upholstered straight back chairs
with arms, suited to individual participant needs;
(d) Readily accessible storage space for
participants' personal belongings;
(e) Washable portable screens, if needed, to
ensure participant privacy during treat-ments; and
(f) Medical equipment and supplies, including
but not limited to:
1. A
stethoscope;
2. A scale;
3. A blood-pressure apparatus;
4. Foot basins;
5. Thermometers; and
6. An emergency first-aid kit that is visible
and accessible to personnel.
Disclaimer: These regulations may not be the most recent version. Massachusetts 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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