This rule applies specifically to additional environment and
safety requirements for Supervised Living Services for SMI and IDD. Supervised
Living Services for SMI and IDD must follow the applicable parts of this rule
in addition to all other applicable Health, Environment, and
Safety rules included in this chapter. When a rule in this section may overlap
with another rule in Chapter 13, the provider must adhere to the more stringent
rule.
A. Supervised Living Services
for Serious Mental Illness and Intellectual/Developmental Disabilities:
1. Supervised Living Services locations must,
to the maximum extent possible, duplicate a "home-like" environment.
2. All locations must have furnishings that
are safe, up-to-date, comfortable, appropriate, and adequate. Furnishings, to
the greatest extent possible, are chosen by the people currently living in the
home.
3. All agency providers must
provide access to a washer and dryer in the home, apartment, or apartment
complex and must ensure the laundry room or area has an exterior ventilation
system for the clothes dryer free from excessive lint and dust
accumulation.
4. Bedrooms must meet
the following dimension requirements:
(a)
Single room occupancy - at least 100 square feet; and
(b) Multiple occupancy - at least 80 square
feet for each person.
5.
Bedrooms must be appropriately furnished with a minimum of a single bed, chest
of drawers, appropriate lighting, and adequate storage/closet space for each
person.
6. Bedrooms must be located
to minimize the entrance of unpleasant odors, excessive noise, or other
nuisances.
7. Beds must be provided
with a good grade of mattress which is at least four (4) inches thick on a
raised bed frame. Cots or roll-away beds may not be used.
8. Each bed must be equipped with a minimum
of one (1) pillow and case, two (2) sheets, spread, and blanket(s). An adequate
supply of linens must be available to change linens at least once a week, or
sooner if the linens become soiled.
9. People have the freedom to furnish and
decorate their own rooms in compliance with any lease restrictions that may be
in place regarding wall color, wall hangings, etc.
10. All service locations must have a
bathroom with at least one (1) operable toilet, one (1) operable lavatory/sink,
and one (1) operable shower or tub for every six (6) people.
11. All service locations must ensure
bathtubs and showers are equipped with:
(a)
Soap dishes.
(b) Towel
racks.
(c) Shower curtains or
doors.
(d) Grab bars (as needed by
people).
12. Each person
must be provided at least two (2) sets of bath linens, including bath towels,
hand towels, and wash cloths.
13.
Auditory smoke/fire alarms with a noise level loud enough to awaken people must
be located in each bedroom, hallways and/or corridors, and common
areas.
14. Residential facilities
using fuel burning equipment and/or appliances (i.e., gas heater, gas water
heater, etc.) must have carbon monoxide alarms/detectors placed in a central
location outside of sleeping areas.
15. Each bedroom must have designated, safe
means of egress (Refer to Rule
13.3.B for additional
information).
16. The exit door(s)
nearest people's bedrooms must not be locked in a manner that prohibits ease of
egress.
17. People must not have to
travel through any room not under their control (i.e., subject to locking) to
reach designated exit, visiting area, dining room, kitchen, or
bathroom.
18. All agency providers
must ensure visiting areas are provided for people and visitors, and each
visiting area must have designated, safe means of egress. (Refer to Rule
13.3.B for additional
information).
19. All service
locations must have separate storage areas for:
(a) Sanitary linen;
(b) Food (Food supplies cannot be stored on
the floor.); and
(c) Cleaning
supplies.
20. The setting
is integrated in and supports full access to the community to the same extent
as people not receiving Supervised Living Service.
B. Supervised Living Services for
Intellectual/Developmental Disabilities:
1.
Agency providers must provide furnishings used in common areas (den, dining,
and bathrooms) if:
(a) The person does not
have these items; or
(b) These
items are not provided through Transition Assistance through the ID/DD
Waiver.
2. People must
have keys to their living unit (e.g. house or apartment) if they so choose.
Documentation must be maintained in each person's record upon admission and at
least annually thereafter.
3.
Bedrooms must have lockable entrances with each person having a key to their
bedroom, if they choose, with only appropriate personnel having keys.
Documentation must be maintained in each person's record upon admission and at
least annually thereafter.
4.
People may share bedrooms based on their choices. Individual rooms are
preferred, but no more than two (2) people may share a bedroom. Each person
sharing a bedroom must be provided means to secure their belongings, for
example lockable closet or lockable footlocker, depending on the needs/desires
of the person.
5. DMH does not
certify Supervised Living settings for people with IDD in manufactured
housing.
Miss. Code
Ann. §
41-4-7