Wyoming Administrative Code
Agency 048 - Health, Department of
Sub-Agency 0003 - Aging Division
Chapter 7 - PROGRAM ADMINISTRATION FOR ADULT DAY CARE FACILITIES
Section 7-11 - Physical Environment
Universal Citation: WY Code of Rules 7-11
Current through September 21, 2024
A facility must provide an environment which protects the participants from physical harm but is not so restrictive as to inhibit physical, intellectual, emotional, or social stimulation.
(a) Safety, Health, and Comfort.
(i) No adult day care facility shall be
located where conditions exist that would be hazardous to the physical health
and safety of participants.
(ii)
Building Construction and Maintenance.
(A) If
space used or planned for use by the facility is renovated or altered, the
plans shall be in strict compliance with the Americans with Disabilities Act
Accessibility Guidelines (ADAAG) and shall be submitted for review to the State
of Wyoming Department of Administration and Information, Central Services
Division for review prior to the expected change.
(B) Prior to becoming a provider and prior to
use of newly constructed, renovated, remodeled, or altered buildings or
sections of buildings, a facility shall provide written documentation of the
following:
(I) Inspection and approval of the
building(s) from the local building official, if applicable, or approval of a
plan of correction; OR
(II)
Inspection and approval of the building(s) from the Department of Fire
Prevention and Electrical Safety, if applicable, or approval of a plan of
correction; AND
(III) Inspection
and approval from the Division, or approval of a plan of correction related to:
(1.) Sanitation and health;
(2.) Water supply;
(3.) Sewerage system; and
(4.) Food service.
(IV) Inspection and approval from the local
fire department that the facility is free from fire hazards, or approval of a
plan of correction.
(C)
The buildings shall be free from safety hazards.
(iii) Special Requirements for Nonambulatory
or Physically Challenged Participants.
(A) If
the facility is providing for nonambulatory participants, at least one (1)
entrance shall be readily accessible and useable by nonambulatory participants
so that participants can evacuate safely and independently in the event of fire
or emergency.
(B) Before any
participant who uses a wheelchair or a walker is accepted for care, doorways
and passageways shall be wide enough to accommodate wheelchairs and
walkers.
(C) At least one (1)
primary grade-level entrance to the building shall be freely accessible for
wheelchairs.
(iv)
Grounds.
(A) The grounds shall be well
maintained and free from safety hazards.
(B) An area shall be available, accessible,
and useable for outdoor activities for all participants.
(C) A safe area for discharge and pickup
shall be available to accommodate daily arrival and departure of
participants.
(v)
Sanitation.
(A) Hot and cold water shall meet
the requirements of the Uniform Building Code.
(B) Private water systems shall be tested and
found safe and potable.
(C) The
facility and all of its furnishings and equipment shall be clean and properly
maintained.
(D) The facility shall
be free from insects, rodents, and other pests.
(E) Adequate kitchen facilities and equipment
shall be provided for preparation and serving of meals.
(F) Sufficient working refrigeration shall be
available to store perishable food and medicine. All refrigerators and freezers
shall have a working thermometer. Freezers will be maintained at zero degrees
(0°) Fahrenheit or less. Refrigerator temperature will be maintained at
forty degrees (40°) Fahrenheit or less. Freezers and refrigerators shall be
maintained, clean, and sanitized.
(G) Food shall be properly stored, prepared,
and served to prevent food-borne illness.
(H) Drinking water shall be available to
participants at all times.
(I)
Drinking fountains, if used, shall be of a type approved by the County Health
Department.
(J) Individual cups
shall be provided for drinking water when fountains are not used.
(K) If disposable dishes, cups, and/or
utensils are used, they shall be sturdy enough to prevent them from being a
safety hazard. They shall be used once and then discarded.
(L) The kitchen and dining area shall be kept
clean, sanitary, and provided with suitable furniture and adequate space to
comfortably seat all residents.
(M)
(I) Only dishes and utensils with the
original smooth finishes shall be used. Cracked, chipped, scratched,
permanently stained dishes, cups or glasses, damaged, corroded utensils, or
cookware shall not be used.
(II)
The cleaning and sanitizing of all items used in preparation and service of
food shall comply with the State of Wyoming, Wyoming Food Service
Regulations. Inspection of all items used for storage, preparation
and service of foods may occur.
(1.) For
manual washing, rinsing and sanitizing of utensils and equipment, three
compartments or containers shall be used. Each compartment shall be large
enough to accommodate the utensils or equipment. The first compartment shall
contain a hot detergent that is kept clean. The second compartment shall
contain hot, clear rinse water. The third compartment shall contain an approved
sanitizing solution. All utensils and equipment shall remain in the final
sanitizing rinse for at least one minute. Dishes and equipment shall then be
air dried. When chemicals are used for sanitizing, a test kit or other device
that accurately measures the parts per million concentration of the sanitizer
shall be provided and used.
(2.)
Cleaning and sanitizing of dishes and equipment may also be done by automatic
dishwashers.
(N) Persons handling soiled tableware and/or
kitchenware shall wash their hands before handling clean ware.
(O) No fly strips shall be allowed in the
kitchen or dining area.
(P)
Filters, exhaust hoods, ranges, deep fat fryers, ovens and other similar items
shall be operable and maintained clean.
(Q) A fire extinguisher rated 2A-10B:C shall
be available in the kitchen area.
(vi) Lighting.
(A) All areas of the facility shall be well
lighted for the safety and comfort of the participants during all hours of
operation according to the nature of activities. NOTE: Special lighting
requirements relating to medications are under Section 12(h)(ii)(B) of these
rules and regulations.
(B)
Artificial lighting shall be by electricity or battery.
(C) Additional lighting, as necessary to
provide and ensure presence of contrast, shall be available for immediate use
in areas that may present safety hazards, such as but not limited to stairways,
doorways, passageways, changes in floor level, kitchens, bathrooms, and
basements.
(D) Hallways,
stairwells, foyers, doorways, and exits utilized by participants shall be kept
well lighted at all times participants are present in the building(s). Whenever
natural light is not sufficient, artificial lighting shall be used.
(E) Glare shall be kept at a minimum in rooms
used by participants.
(I) When necessary to
reduce glare, windows shall be equipped with shades, curtains or other
coverings.
(II) All lights,
including fluorescent lights, shall be covered with shades or protective
fixtures or specially equipped to reduce glare and ensure protection.
(F) If used, fluorescent lights
shall be replaced if they flicker or make noise.
(G) All sources of light including windows,
light fixtures, bulbs, etc., shall be kept clean.
(vii) Temperature and Ventilation.
(A) Areas used by participants shall be well
ventilated to the outside and dry.
(B) The temperature of the rooms used by
participants shall be maintained at a level safe and suitable for elderly,
disabled, and impaired adults:
(I) The
minimum inside temperature shall be sixty-eight degrees (68°)
Fahrenheit.
(II) Fans and/or air
conditioners shall be available for use when the inside temperature exceeds
eight-four degrees (84°) Fahrenheit.
(III) Each adult day care facility shall have
at least one (1) portable thermometer to assure correct temperature.
(IV) Fans and air conditioners shall be
placed to avoid direct drafts on participants and to avoid safety
hazards.
(viii) Equipment and Materials.
(A) All furniture and equipment inside and
outside the facility shall be maintained in good repair and in safe
condition.
(B) Cleaning products,
pesticides, and all poisonous or harmful materials shall be stored separately
from food and shall be kept in a locked place when not in use.
(C) If elevators are used, the following
requirements shall be met:
(I) Elevators
shall be kept in safe running condition;
(II) Elevators shall have sturdy handrails
installed;
(III) Elevators shall be
inspected at least annually by the insurance company, the local housing
authority, or the elevator company;
(IV) A copy of the elevator inspection report
shall be retained by the facility; and
(V) An alternative exit shall be accessible
for use in case of a fire and/or other emergencies.
(D) Sturdy handrails shall be installed at
all stairs, ramps, and changes in floor levels.
(E) All interior and exterior stairways and
ramps shall have nonslip surfaces or carpet.
(F) All interior and exterior stairways,
changes of floor level, and ramps shall be indicated by a warning strip or
contrast in color to aid the participants who have impaired vision.
(G) Floors shall not be slippery. If rugs or
floor coverings are used, they shall be secured to the floor.
(H) Fireplaces shall be securely screened and
glassed in. All fireplaces shall meet the Uniform Mechanical Code.
(b) Space, Furnishings, and Supplies.
(i) Activity Areas.
(A) In addition to hallways, office space,
bathrooms, storage space, or other rooms or areas that are not normally used
for program activities, the facility shall provide at least forty (40) square
feet of indoor floor space for each participant.
(B) There shall be sufficient and suitable
space that may be interchangeable or adaptable for a variety of planned program
activities.
(I) There shall be enough space
for the participants to gather together for group activities.
(II) There shall be rooms or areas
appropriate for small group activities and individual activities.
(C) Furnishings.
(I) Furniture shall be sturdy, safe, and
appropriate for elderly and impaired adults.
(II) All facilities shall have:
(1.) Table and chair space adequate for all
participants, excluding people who remain in wheelchairs throughout the day, to
take part in activities at the same time; and
(2.) Recliners, lounge chairs, rockers, or
other seating to allow participants to relax and rest.
(ii) Private Space.
(A) Space shall be available to allow total
privacy for participants during interviews, visits, telephone conversations,
counseling, therapy, and other similar activities.
(iii) Toilet Rooms.
(A) There shall be a minimum of one (1)
toilet available for every eight (8) participants in attendance.
(B) If eight (8) or fewer participants are in
attendance, there shall be at least one toilet or toilet stall large enough to
accommodate a participant who needs personal assistance or who uses a walker or
wheelchair.
(C) If more than eight
(8) participants are in attendance:
(I) There
shall be separate bathrooms for men and women to allow for privacy;
and
(II) If the facility is
providing for nonambulatory participants and the separate bathrooms are not
accessible to nonambulatory participants, there shall be one (1) unisex
bathroom that provides privacy and shall be on an accessible route and shall
meet the lavatory facility requirements of 4.22 of the ADAAG.
(D) In bathrooms equipped with
more than one (1) toilet, each toilet shall be enclosed for privacy.
(E) Sturdy grab bars or safety frames shall
be installed adjacent to all toilets used by participants.
(F) There shall be a minimum of one (1) sink
for every two (2) toilets located close enough together to ensure washing of
hands after each toileting procedure.
(G) There shall be an adequate supply of
toilet tissue, soap, and disposable hand towels in each bathroom at all
times.
(H) Housekeeping practices
and procedures shall be employed to keep the facility free from offensive
odors, accumulations of dirt, and dust.
(I) Floors shall be maintained
clean.
(iv) Dining Area.
(A) The dining area shall be large enough to
provide sufficient table space and chair access to accommodate the
participants.
(B) If the facility
is providing for nonambulatory participants, the dining area shall be large
enough to provide sufficient table space and floor space to accommodate
participants in wheelchairs.
(v) Storage.
(A) Sufficient space shall be provided for
coats, sweaters, umbrellas, toilet articles, and similar personal possessions
of participants and staff.
(B)
Sufficient space shall be available for equipment, materials, and supplies used
in the program.
(vi)
Telephones.
(A) At least one (1) private,
nonpaying, wheelchair-accessible telephone shall be provided in each
building.
(B) If the facility is
providing for nonambulatory participants, the telephone shall be easily
accessible and shall meet the telephone accessibility requirements of 4.31 of
the ADAAG.
(C) If the facility is
providing for hearing impaired participants, at least one hearing aid
compatible and volume control telephone shall be provided. Telephones shall
comply with telephone-accessibility requirements 4.31 of the ADAAG.
(vii) Rest Area.
(A) A rest area shall be available for
participants who become ill, need to rest, or need to have privacy.
(I) The rest area shall be equipped with at
least one (1) bed or comfortable cot for every eight (8) participants.
EXCEPTION: In facilities that are open for evening care, beds shall be
available for participants as necessary.
(II) Additional beds or comfortable cots
shall be available to accommodate all participants who are scheduled for rest
periods.
(III) A minimum of one (1)
pillow covered with a pillow case, two (2) sheets, and one (1) blanket, spread,
or covering per bed or cot shall be provided.
(IV) Additional covering or blankets and
pillows shall be added as required.
(V) All sheets and pillow cases shall be
laundered before being used by another person.
(VI) All blankets, spreads, and coverings
shall be laundered or dry cleaned, as needed.
Disclaimer: These regulations may not be the most recent version. Wyoming 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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