Current through Register Vol. 46, No. 52, December 24, 2024
(a)
By December 1, 2016, all covered facilities shall adopt and implement a
Legionella culture sampling and management plan for their potable water
systems. New covered facilities shall adopt such a plan prior to providing
services. The sampling and management plan must include at a minimum:
(1) Legionella culture sampling sites as
determined by the environmental assessment;
(2) provisions requiring Legionella culture
sampling and analysis at intervals not to exceed 90 days for the first year
following adoption of the sampling and management plan. Thereafter, the plan
shall include provisions for annual Legionella culture sampling and analysis;
provided that the plan shall further require that those portions of any potable
water system that serve hematopoietic stem cell transplant or solid organ
transplant patients shall continue to be sampled and analyzed at intervals not
to exceed 90 days;
(3) provisions
requiring actions in response to Legionella culture analysis results, including
all responsive actions required by Appendix 4-B of this Title, and specific
time frames for such actions.
(b) In addition to the sampling required by
the facility's sampling and management plan, a covered facility shall conduct
Legionella culture sampling and analysis of the potable water system in a
timeframe to be determined by the department upon:
(1) a determination by the department that
one or more cases of legionellosis are, or may be, associated with the
facility; or
(2) any other
conditions specified by the department.
(c) A covered facility shall review its
sampling and management plan annually and under the following conditions:
(1) in the event that one or more cases of
legionellosis are, or may be, associated with the facility;
(2) upon completion of any construction,
modification, or repair activities that may affect the potable water
system;
(3) upon expansion or
relocation of a facility's hematopoietic stem cell transplant and solid organ
transplant units; or
(4) any other
conditions specified by the department.
(d) A copy of the sampling and management
plan and sampling results shall be retained in accordance with section
4-2.6 of this Subpart.
