| (D) The maximum room temperature for food storage must
not exceed 85 degrees F 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) Auxiliary serving kitchens not contiguous to food
preparation or serving area must be as follows:
(A) Where service areas other than the kitchen are
used to dispense foods, these must be designated as food service areas
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 latter may be a secondary entrance.
(B) The lobby 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 location is obvious;
(iii) waiting space;
(iv) public toilet facilities for individuals with
disabilities, which may be adjacent to lobby;
(v) at least one public access telephone, installed
to meet standards under the Americans with Disabilities Act; and
(vi) drinking fountains. These may be provided in a
common public area and at least one must be installed to meet standards
under the Americans with Disabilities Act; and
(C) A lobby may also be use-designed to satisfy a portion
of the minimum area required for resident living room space.
(2) The following must be provided in the administrative
area:
(A) General or individual offices 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 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.
(B) Hand-washing facilities and one lavatory or sink
may serve more than one cubicle.
(C) Facilities for the collection of soiled linen and
other material that may be used in the therapy.
(D) Residents' dressing areas, 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. 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 construction to structure above, and sprinklered, and must be
located in a remote area away from resident sleeping areas. Access
doors must be from an interior nonresident use area, such as a service
corridor, that is separated from the resident area, or from the exterior.
(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 needs 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 provided 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:
(1) A general storage room must be provided as needed
to accommodate the facility's needs. It is recommended that a general
storage area provide at least two square feet per resident bed. This
area would be for items such as extra beds, mattresses, appliances,
and other furnishing and supplies.
(2) Storage space with provisions for locking and security
control should be provided for residents' personal effects which are
not kept in their rooms.
(n) Janitors' closet. In addition to the janitors'
closet called for in certain departments, a sufficient number of
janitors' closets must be provided throughout the facility to maintain
a clean and sanitary environment. These must contain a floor receptor
or service sink and storage space for housekeeping equipment and supplies.
(o) Maintenance, engineering service, and equipment
areas. Space and facilities for adequate preventive maintenance and
repair service must be provided. The following spaces are needed and
it is suggested that these be part of a separate laundry building
or area:
(1) A storage area for building and equipment maintenance
supplies, tools, and parts must be provided.
(2) A space for storage of yard maintenance equipment
and supplies, including flammable liquids bulk storage, must be provided
separate from the resident-occupied facility.
(3) A maintenance and repair workshop of at least 120
square feet and equipment to support usual functions is recommended.
(4) A suitable office or desk space for the maintenance
staff is recommended, possibly located within the repair shop area,
with space for catalogs, files, and records.
(p) Oxygen. The storage and use of oxygen and equipment
must meet applicable NFPA standards for oxygen, including NFPA 99.
|
| Source Note: The provisions of this §554.334 adopted to be effective July 1, 1996, 21 TexReg 4408; amended to be effective May 1, 2004, 29 TexReg 3235; amended to be effective March 22, 2018, 43 TexReg 1646; transferred effective January 15, 2021, as published in the Texas Register December 11, 2020, 45 TexReg 8871 |
