| (e) Resident living areas. The following requirements
are applicable to resident living areas:
(1) Social-diversional spaces such as living rooms,
dayrooms, lounges, and sunrooms, must be provided on a sliding scale
as follows:
Attached Graphic
(2) If a required way of exit, or a service way, is
through a living or dining area, a pathway equal to the corridor width
must be deducted for calculation purposes and discounted from that
area. These exit pathways must be kept clear of obstructions.
(3) Each resident living room and dining room must
have at least one outside window. The window area must be equal to
at least 8.0% of the total room floor area. Sky-lighting may be used
to fulfill one-half of the 8.0% minimum area.
(4) Open or enclosed seating space must be provided
within view of the main nurses’ station that will allow furniture
or wheelchair parking that does not obstruct the corridor way of egress.
(f) Dining space. Dining space must be adequate for
the number of residents served, but no less than ten square feet per
resident bed.
(g) Dietary facilities. The following requirements
are applicable to dietary facilities:
(1) A main or dietary kitchen must be as follows:
(A) A kitchen will be evaluated on the basis of its
performance in the sanitary and efficient preparation and serving
of meals to residents. Consideration will be given to planning for
the type of meals served, the overall building design, the food service
equipment, the arrangement, and the work flow involved in the preparation
and delivery of food. Plans must include a large-scale detailed kitchen
layout designed by a registered or licensed dietitian or architect
having knowledge in the design of food service operations.
(B) Kitchens must be designed so that room temperature
at summertime peak load will not exceed a temperature of 85 degrees
Fahrenheit measured at the five-foot level. The amount of supply air
must take into account the large quantities of air that may be exhausted
at the range hood and dishwashing area.
(C) Operational equipment must be provided as planned
and scheduled by the facility consultants for preparing and serving
meals and for refrigerating and freezing of perishable foods, as well
as equipment in, or adjacent to, the kitchen or dining area for producing
ice.
(D) Facilities for washing and sanitizing dishes and
cooking utensils must be provided. These facilities must be designed
based on the number of meals served and the method of serving, that
is, use of permanent or disposable dishes. The kitchen must contain
a multi-compartment sink large enough to immerse pots and pans. A
mechanical dishwasher is required for washing and sanitizing dishes.
Separation of soiled and clean dish areas must be maintained, including
air flow.
(E) A vegetable preparation sink must be provided,
and it must be separate from the pot sinks.
(F) A supply of hot and cold water must be provided.
Hot water for sanitizing purposes must be 180 degrees Fahrenheit or
the manufacturer's suggested temperature for chemical sanitizers.
For mechanical dishwashers, the temperature measurement is at the
manifold.
(G) A kitchen must be provided with a hand-washing
lavatory in the food preparation area with hot and cold water, soap,
paper towel dispenser, and waste receptacle. The dish room area must
have ready access to a hand-washing lavatory.
(H) Staff rest room facilities with lavatory must be
directly accessible to kitchen staff without traversing resident use
areas. A facility must provide a vestibule so the rest room door does
not open directly into the kitchen.
(I) Janitorial facilities must be provided exclusively
for the kitchen and must be located in the kitchen area.
(J) Nonabsorbent smooth finishes or surfaces must
be used on kitchen floors, walls, and ceilings. These surfaces must
be capable of being routinely cleaned and sanitized to maintain a
healthful environment. Counter and cabinet surfaces, inside and outside,
must also have smooth, cleanable, relatively nonporous finishes.
(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.
Cont'd... |
