Current through Register Vol. 46, No. 39, September 25, 2024
(a)
Repair and maintenance requirements. All facilities shall be maintained at all
times in a state of repair which protects the health and safety of all
occupants. The provision of maintenance shall be the responsibility of the
governing authority of the provider of services. All facilities shall develop,
maintain and follow a plan for maintenance that conforms to all applicable laws
and ordinances which mandate safety, fire, health and sanitation requirements.
All facilities shall be maintained in a clean and sanitary manner.
(b) Safety and fire precaution requirements.
(1) Fire drills shall be conducted at least
quarterly for each shift. All such drills shall be held at times when the
building is occupied.
(i) A written record
shall be maintained indicating the time and date of each fire drill, the number
of participants at each drill and the length of time for each evacuation. Such
written record shall be provided to the Office upon request;
(ii) Fire regulations and evacuation routes
shall be posted in bold print on contrasting backgrounds and in conspicuous
locations. Each diagram shall display primary and secondary means of egress
from the posted location.
(iii)
Programs certified by OASAS and co-located in a general hospital, as defined by
Article 28 of the Public Health Law, may follow a fire drill schedule
established and conducted by the hospital.
(2) There must be at least one communication
device on each floor of each building identified for emergency use.
(3) Documentation evidencing the annual
training of all employees in the classification and proper use of fire
extinguishers and the means of rapid evacuation of the building must be
maintained on site for review upon request.
(4) Annual inspections and testing of the
required fire alarm system, including battery operated smoke detectors, fire
extinguishers, emergency lighting systems, illuminated exit signs,
environmental controls, and heating and cooling systems shall be conducted. The
maintenance and testing of hard wired (permanently installed) fire alarm
systems, fire extinguishers, and heating systems must be conducted by a
certified vendor. Documentation of all such inspections and testing must be
maintained on site for review upon request.
(c) General building requirements. All
facilities are required to comply with the following; supportive living
facilities and residential reintegration services in a scatter-site setting are
exempt from the provisions of paragraphs (1) through (6) below:
(1) Spaces where counseling occurs must
afford privacy for both staff and patients.
(2) Bedroom and bathroom facilities must be
made available to afford privacy for males and females.
(3) A designated area must be made available
for the locked storage and maintenance of patient records. Location, design and
equipment must be appropriate to secure records from traffic, theft and
unauthorized access as well as environmental damage. Patient records must be
retained for six years after the date of discharge or last contact, or three
years after the patient reaches the age of eighteen, whichever time period is
longer.
(4) A designated support
area must be made available in conjunction with living units for housekeeping
and janitorial staff, supplies and equipment.
(5) Offices or work areas must be made
available to facilitate effective supervision and monitoring of
patients.
(6) An area for the
proper storage, preparation and use or dispensing of medications medical
supplies and first aid equipment must be made available. Storage of all
medications must be provided for in accordance with the requirements set forth
in Title 21 of the Code of' Federal Regulations, Part 1301 regarding security
requirements for controlled substances and Title 10 NYCRR, Part 80 regarding
institutional dispensers of controlled substances. Syringes and needles must be
properly and securely stored.
(7)
All beds must be furnished with a clean and functional mattress;
(8) Sleeping areas that contain more than one
bed must provide a minimum of 60 square feet per occupant. Rooms that have two
or more beds in use on or before June 3, 2002, will be permitted to continue
with not less than 40 square feet per occupant until a major relocation or
major renovation of OASAS certified treatment space occurs, or there is a
change in the type or capacity of service certified at the present
location;
(9) Ancillary space of 60
square feet per occupant must be provided. Services commencing before June 3,
2002 will be permitted to continue with not less than 40 square feet per
occupant until a major relocation or major renovation to OASAS certified
treatment space occurs, or there is a change in the type or capacity of service
certified at the present location.
(d) Facilities where clients are not served
by an OASAS certified provider or constitute an administrative site only will
not be subject to routine facilities inspections.