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TITLE 26HEALTH AND HUMAN SERVICES
PART 1HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 554NURSING FACILITY REQUIREMENTS FOR LICENSURE AND MEDICAID CERTIFICATION
SUBCHAPTER DFACILITY CONSTRUCTION
DIVISION 2FACILITIES LICENSED BEFORE SEPTEMBER 11, 2003
RULE §554.318Other Rooms and Areas

  (7) Nonabsorbent smooth finishes or surfaces must be used on kitchen floors, walls, and ceilings. These surfaces must be capable of being routinely sanitized to maintain a healthful environment.

  (8) A janitor's closet with service sink must be easily and readily accessible to the kitchen.

  (9) The kitchen exhaust hood at cooking equipment and its attached automatic chemical extinguisher must comply with NFPA 96. HHSC may waive certain details of NFPA 96 for existing kitchen exhausts at cooking equipment provided that basic function and safety are not compromised.

(k) Food storage areas.

  (1) Food storage areas must provide for storage of a seven-day minimum supply of nonperishable staple foods and a two-day supply of perishable foods at all times.

  (2) Shelves and pallets must be moveable wire, metal, or sealed lumber, and walls must be finished with a nonabsorbent finish to provide a cleanable surface.

  (3) Dry food storage must have a venting system to provide for reliable positive air circulation.

  (4) The maximum room temperature for food storage must not exceed 85 degrees Fahrenheit. The measurement must be taken at the five-foot level.

  (5) Foods must not be stored on the floor. Dunnage carts or pallets may be used to elevate foods not stored on shelving.

  (6) Sealed containers must be provided for storing dry foods after the package seal has been broken.

  (7) 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.

(l) Auxiliary serving kitchens not contiguous to food preparation and serving areas.

  (1) When service areas other than the kitchen are used to dispense foods, the facility must designate these service areas as food service areas and must have equipment for maintaining required food temperatures while serving.

  (2) Separate food service areas must have hand-washing facilities as a part of the food service area.

  (3) Finishes of all surfaces except ceilings must be the same as those required for dietary kitchens.

(m) Administrative and public areas. Facilities must have administrative areas for normal business transactions and maintenance of records.

(n) Laundry.

  (1) Laundry facilities must be located in areas separate from resident rooms. The laundry must be designed, constructed, and equipped and appropriate procedures must be utilized to ensure that laundry is handled, cleaned, and stored in a sanitary manner.

  (2) Laundry for general linen and clothing must be arranged so as to separate soiled and clean operations as they relate to traffic, handling, and air currents. Suitable exhaust and ventilation must be provided to prevent air flow from soiled to clean areas.

  (3) Floors, walls, and ceilings must be nonabsorbing and easily cleanable.

  (4) Soiled linen must be stored and transported in closed or covered containers. Soiled linen storage or holding rooms must have a negative air pressure in relation to adjacent areas with air exhausted through ducts to the exterior.

  (5) Laundry areas must have air supply and ventilation to minimize mildew and odors. Doors must not remain open, for sanitation and safety reasons.

  (6) Room size, and number and type of appliances must provide efficient, sanitary, and timely laundry processing to meet the needs of the facility.

  (7) The laundry, if located in the facility, must meet NFPA 101 requirements for separation and construction for hazardous areas.

(o) Resident-use laundry. This service, 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.

(p) Personal grooming area. Space and equipment must be provided for the hair care and grooming needs of the residents. Hair care and grooming service will be provided in resident bedrooms or in designated areas which are not in a way of egress.

(q) Storage rooms. General and specific storage areas must be provided as needed and required for safe and efficient operation of the facility. Items must not be stored in inappropriate places such as corridors or rooms which are not equipped for special hazard protection.

(r) Janitor closets. In addition to the janitors' closet called for in certain departments, other janitors' closets must be provided throughout the facility to maintain a clean and sanitary environment. All janitor closets must have a negative air pressure in relation to adjacent areas with air exhausted through ducts to the exterior.

(s) Disposal facilities. A policy and procedure for the safe and sanitary disposal of special waste must be provided. Space and facilities must be provided for the sanitary storage and disposal of waste, not classified as special, by incineration, mechanical destruction, compaction, containerization, removal, or contract with outside resources, or by a combination of these techniques

(t) Maintenance, engineering service, and equipment areas.

  (1) The facility must provide storage for building equipment, supplies, tools, parts, and yard maintenance equipment.

  (2) Volatile liquids and supplies must not be kept within the main building housing residents.

  (3) All equipment requiring periodic maintenance, testing, and servicing must be reasonably accessible. Necessary equipment to conduct these services, such as ladders, specific tools, and keys, must be readily available on site.

(u) Oxygen.

  (1) The facility must implement procedures that ensure the safe and sanitary use and storage of oxygen. Such procedures must be in compliance with all applicable NFPA standards, including NFPA 99.

  (2) Oxygen cylinders and containers must be in compliance with NFPA 99. Liquid oxygen containers must be certified by UL or another approved testing laboratory for compliance with NFPA 55 requirements. The storage, handling, assembly, and testing must be in compliance with all applicable NFPA standards, including NFPA 99 and NFPA 55 requirements. The facility is responsible for defining all potential hazards both graphically and verbally to all persons involved in the use of liquid oxygen and ensuring that the liquid-oxygen provider does also.


Source Note: The provisions of this §554.318 adopted to be effective July 1, 1996, 21 TexReg 4408; 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

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