| (K) Operable windows must have insect screens provided.
(L) Doors between kitchen and dining or serving areas
must have a safety glass view panel.
(M) A garbage can or cart washing area with drain and
hot water must be provided.
(N) Floor drains must be provided in the kitchen and
dishwashing areas.
(O) Vapor removal from cooking equipment must be designed
and installed in accordance with NFPA 101.
(P) Grease traps must be provided in compliance with
local plumbing code or other nationally recognized plumbing code.
(2) Food storage areas must be as follows:
(A) Food storage areas must provide for storage of
a seven-day minimum supply of nonperishable foods at all times.
(B) Shelves must be adjustable wire type. Walls and
floors must have a nonabsorbent finish to provide a cleanable surface.
No foods may be stored on the floor; dollies, racks, or pallets may
be used to elevate foods not stored on shelving.
(C) Dry food storage must have an effective venting
system to provide for positive air circulation.
(D) The maximum room temperature for food storage must
not exceed 85 degrees Fahrenheit at any time. The measurement must
be taken at the highest food storage level but not less than five
feet from the floor.
(E) Food storage areas may be located apart from the
food preparation area as long as there is space adjacent to the kitchen
for necessary daily usage.
(3) An auxiliary serving kitchen not contiguous to
a food preparation or serving area must be as follows:
(A) If a service area other than the kitchen is used
to dispense food, it must be designated as a food service area and
must have equipment for maintaining required food temperatures while
serving.
(B) Separate food service areas must have hand-washing
facilities as a part of the food service area.
(C) Finishes of all surfaces, except ceilings, must
be the same as those required for dietary kitchens or comparable areas.
See paragraph (1)(J) of this subsection.
(h) Administrative and public areas.
(1) The following elements must be provided in the
public area:
(A) The entrance must be at grade level, sheltered
from the weather, and able to accommodate wheelchairs. A drive-under
canopy must be provided for the protection of residents or visitors
entering or leaving a vehicle. The drive-under canopy may be a secondary
entrance.
(B) The lobby, which may also be designed to satisfy
a portion of the minimum area required for resident living room space,
must include:
(i) storage space for wheelchairs if more than one
is kept available;
(ii) a reception or information area, which may be
adjacent to the lobby if the location is obvious;
(iii) waiting space;
(iv) public toilet facilities for individuals with
disabilities, which may be adjacent to the lobby;
(v) at least one public access telephone, installed
to meet standards under the Americans with Disabilities Act; and
(vi) a drinking fountain, which may be provided in
a common public area and at least one of which must be installed to
meet standards under the Americans with Disabilities Act.
(2) The following must be provided in the administrative
area:
(A) General or individual offices must be provided
for business transactions, medical and financial records, administrative
and professional staff, and for private interviews relating to social
service, credit, and admissions.
(B) A multipurpose room must be provided for conferences,
meetings, and health education purposes including facilities for showing
visual aids.
(C) Storage and work area for office equipment and
supplies must be provided and accessible to the staff using such items.
(3) Toilet facilities for the disabled must be available
in the building.
(i) Physical therapy facilities.
(1) Physical therapy facilities must be provided if
required by the treatment program. The facilities stated in subparagraph
(B) of this paragraph and paragraph (2)(C) - (E) of this subsection
may be planned and arranged for shared use by occupational therapy
residents and staff if the treatment program reflects this sharing
concept. Physical therapy facilities must include the following:
(A) Provision for privacy at each individual treatment
area; hand-washing facilities, one lavatory or sink may serve more
than one cubicle; and facilities for the collection of soiled linen
and other material that may be used in the therapy.
(B) Residents' dressing areas with accessible benches,
showers, lockers, and toilet rooms if the therapy is such that these
would be needed at the area.
(2) Physical therapy facilities may also include the
following:
(A) treatment areas with space and equipment for the
therapies provided;
(B) an exercise area;
(C) storage for clean linen, supplies, and equipment
used in therapy;
(D) service sink located near therapy area; and
(E) wheelchair and stretcher storage.
(j) Occupational therapy facilities. Occupational therapy
facilities must be provided if required by the treatment program.
(1) An activities area with a sink or lavatory and
facilities for collection of waste products prior to disposal must
be provided.
(2) Storage for supplies and equipment used in the
therapy must be provided.
(k) Personal grooming area, such as a barber or beauty
shop. A separate room with appropriate equipment must be provided
for hair care and grooming needs of residents in facilities with over
60 beds.
(l) Laundry and linen services.
(1) On-site processing must be as follows:
(A) Because of the high incidence of fires in laundries,
it is highly recommended that the laundry be in a separate building
20 feet or more from the main building. If the laundry is located
within the main building it must be separated by minimum one-hour
fire resistance-rated construction to structure above, and sprinklered,
and must be located in a remote area away from resident sleeping areas.
Access doors must be from the exterior or interior nonresident use
area, such as a service corridor, that is separated from the resident
area.
(B) If linen is to be processed on the site, the following
must be provided:
(i) A soiled linen receiving, holding, and sorting
room with a rinse sink. This area must have a floor drain and forced
exhaust to the exterior which must operate at all times there is soiled
linen being held in the area.
(ii) A laundry processing room with equipment which
can process seven days' worth of laundry within a regularly scheduled
work week. Hand-washing facilities must be provided. The washer area
must have:
(I) a floor drain;
(II) storage for laundry supplies;
(III) a clean linen inspection and mending room or
area and a folding area;
(IV) a clean linen storage, issuing, or holding room
or area;
(V) a janitors' closet containing a floor receptor
or service sink and storage space for housekeeping equipment and supplies;
and
(VI) sanitizing and washing facilities and a storage
area for carts.
(C) Soiled and clean operations must be planned to
maintain sanitary flow of functions as well as air flow. If carts
containing soiled linens from resident rooms are not taken directly
to the laundry area, intermediate holding rooms must be provided and
located convenient to resident bedroom areas.
(D) Laundry areas must have adequate air supply and
ventilation for staff comfort without having to rely on opening a
door that is part of the fire wall separation.
(E) Provisions must be made to exhaust heat from dryers
and to separate dryer make-up air from the habitable work areas of
the laundry.
(2) For off-site linen processing, the following must
be provided on the premises:
(A) a soiled linen holding room with adequate forced
exhaust ducted to the exterior;
(B) clean linen receiving, holding, inspection, sorting
or folding, and storage rooms; and
(C) sanitizing facilities and storage area for carts.
(3) Resident-use laundry, if provided, must be limited
to not more than one residential type washer and dryer per laundry
room. This room must be classified as a hazardous area according to
NFPA 101.
(m) General storage. The following requirements are
applicable to general storage facilities:
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