Current through Register Vol. 6, March 22, 2024
(1) The AFCH must be located close to
community resources.
(a) The AFCH must be
accessible to transportation (e.g., bus, train, or car).
(b) The AFCH must be in reasonable proximity
to shopping areas, churches, senior centers, medical and dental clinics, and
hospitals.
(2) The AFCH
must have an adequate and safe water supply. A public water supply must be
used, if available.
(a) If a nonmunicipal
water source is used, coliform sampling must be done before licensing and, at
least, two separate times per year. The sampling schedule must include
collection in the two time periods that the water source is most likely to be
contaminated, such as in April through June and September through October or as
directed by the local health authority.
(b) The water samples must be tested for
coliform bacteria and action taken to ensure potability.
(c) Water test records must be retained for
three years.
(d) Nonpotable water
sources must be marked "not for human consumption."
(e) Bottled and packaged potable water must
be obtained from a licensed and approved source and must be handled and stored
in a way that protects it from contamination.
(3) The AFCH must be connected to a public
sewer system, if available. If septic tanks or other nonmunicipal sewage
systems are used, they must be in good working order.
(a) The AFCH must repair or replace the
sewage system whenever:
(i) it fails to
accept sewage at the rate of application;
(ii) seepage of effluent from or ponding of
effluent on or around the system occurs;
(iii) contamination of a potable water supply
or state waters is traced to the system; or
(iv) a mechanical failure occurs.
(4) Mop water or soiled
cleaning water must be disposed of immediately after use in a utility sink or a
toilet.
(5) The AFCH must be
equipped with a telephone landline. Telephone numbers of the hospital, police
department, fire department, ambulance, and poison control center must be
posted by each telephone. The provider must notify the department, the
residents' case managers, and the residents' legal representative within 24
hours any time the AFCH phone number is changed.
(6) The provider must keep the home clean and
in good repair and the premises must be kept free from objects, materials, and
conditions which constitute a danger to the residents.
(7) All operable windows that may be left
open must be fitted with insect screens.
(8) A minimum of ten foot-candles of light
must be available in all rooms and hallways, with the following exceptions:
(a) all reading lamps must have a capacity to
provide a minimum of 30 foot-candles of light;
(b) all toilet and bathing areas must be
provided with a minimum of 30 foot-candles of light;
(c) general lighting in food preparation
areas must be a minimum of 50 foot-candles of light; and
(d) hallways must be illuminated at all times
by at least a minimum of five foot-candles of light at the floor.
(9) The AFCH must make adequate
provisions for laundering of residents' personal laundry.
(a) A mechanical washer and a hot air dryer
must be available.
(b) Soiled
linens and clothing must be stored in closed containers prior to laundering in
an area that is separate from food, storage, kitchen, and dining
areas.
(c) Sheets and pillowcases
must be laundered at least weekly, and more often, if soiled.
(d) All bed linens, towels, and washcloths
must be dried in the dryer.
(e)
Clean laundry must be protected from contamination from soiled
laundry.
(f) Anyone who handles
soiled laundry must wash their hands before handling clean laundry.
(10) The facility must be equipped
to provide an adequate amount of hot water for a resident's use between the
temperature range of 110° through 120° F at the fixture.
(11) There must be no more than three
residents in any bedroom and each room must include:
(a) floor to ceiling walls;
(b) one door which can be closed to allow
privacy for residents;
(c)
exclusive of toilet rooms, closets, lockers, wardrobes, alcoves, or vestibules,
each resident's bedroom must have 80 square feet per each bed placed in that
bedroom;
(d) at least one window
which can be opened from the inside without the use of tools;
(e) a mirror appropriate for
grooming;
(f) an adequate closet or
wardrobe, lighting sufficient for reading and other resident activities, bureau
or dresser or equivalent, and at least one chair with arms in each bedroom for
every two residents;
(g) an
individual bed for each resident at least 36 inches wide and 72 inches long
with comfortable springs in good condition, a clean protected mattress not less
than 5 inches thick or 4 inches if of a synthetic construction and a
pillow;
(h) a provider must provide
washable bedding for each bed, which includes two sheets, a pillow case,
minimum of one blanket, and a bedspread; and
(i) a provider must have a linen supply for
twice the number of beds in the home.
(12) An AFCH must provide distinct living and
sleeping areas. All areas must be well lighted, heated, and ventilated.
(a) The home must have a living or day room
area for use by a resident and his visitors.
(b) The living and sleeping areas for a
resident must not be in separate wings, units, or buildings.
(c) A living room, dining room, or other room
not ordinarily used for sleeping must not be used for sleeping by residents,
providers, or other persons living in the home.
(13) One toilet, sink, and bath or shower
must be provided for each six individuals in the AFCH. At least one toilet and
sink must be available on each floor where residents' bedrooms are located.
(a) Light switches must be located by the
door in all bathrooms.
(b)
Bathrooms must be vented to outside or have an outside window.
(c) Every bathroom door must be designed to
permit the opening of the locked door from the outside in an
emergency.
(d) Bathtubs and showers
must be equipped with a nonskid surface and sturdy grips.
(e) The use of a commode/movable toilet must
only be temporary, less than 30 days, and be accompanied by the resident's
practitioner's order. Commodes/movable toilets must be emptied frequently and
cleaned and sanitized daily, or more often if necessary.
(14) The kitchen must be equipped properly to
prepare and serve adequate meals.
(a) Waste
must be kept in leakproof, nonabsorbent containers with close fitting covers
for garbage, refuse, and other solid waste.
(b) Waste must be removed from the kitchen
daily and from the premises at least weekly.
(c) Poisonous compounds, caustics, and other
dangerous material must not be kept in the food preparation area.
(d) The kitchen must be maintained in a clean
and sanitary condition.
(15) The AFCH must be heated by centralized
heating or its equivalent. Temperature of all rooms must be between 68° F
through 76° F in the daytime and 60° F through 76° F during
sleeping hours.
(a) If the heating mechanism
is located in the basement of the home, the separation must include at least a
1 3/4 inch solid wood core door or equivalent to create a floor separation
between the basement and the first floor.
(b) Flame producing water heaters must be
installed with the same protection as the heating mechanism.
(c) The use of space heaters in an AFCH is
prohibited.
(d) Factory mutual and
underwriter's laboratories approved permanent, fixed type electrical heating,
such as recognized panel or baseboard fixed type may be utilized in any
location.
(e) In existing homes
where an American Gas Association (AGA) approved sealed combustion wall heater
has been installed in accordance with both the AGA and the manufacturer's
recommendations, approval will be given if the unit is located on an outside
wall, obtains combustion air directly from the outside, and vents products of
combustion directly to the outside.
(f) The use of wood burning stoves or
fireplaces is prohibited unless documentation is available showing that proper
installation and inspection have taken place by a qualified inspector.
(i) Documentation will be required upon
initial licensure or initial installation and annually, thereafter.
(ii) Documentation must be kept for three
years and be available for inspection.
(g) Storage of combustible materials is
prohibited in areas containing the heating mechanism, water heater, or
incinerator.
(h) The heating
mechanism must be inspected by the provider at least yearly and necessary
maintenance and repairs made.
(i)
At least one carbon monoxide detector is required on each level of the
AFCH.
50-5-103,
50-5-215,
MCA; IMP,
50-5-103,
50-5-204,
50-5-215,
MCA;