| (1) An assisted living facility must provide metal
waste baskets of substantial gauge or any UL- or FM-approved container
in each area where smoking is permitted, if applicable, in accordance
with the facility's smoking policies required in subsection (f) of
(2) An assisted living facility must provide one or
more garbage, waste, or trash containers with close-fitting covers,
made of metal or of any UL- or FM-approved material, for use in kitchens,
janitor closets, laundry rooms, mechanical or boiler rooms, general
storage rooms, and similar places. A facility may use disposable plastic
liners in the containers for sanitation.
(3) An assisted living facility must ensure waste,
including waste classified as Special Waste from Health Care-Related
Facilities, trash, and garbage are disposed of from the premises at
regular intervals according to state and local requirements. The facility
may not permit or allow an accumulation of waste on the facility premises,
either inside or outside of facility buildings.
(l) Pest control.
(1) An assisted living facility must have an ongoing
and effective pest control program executed by facility staff or by
contract with a licensed pest control company.
(2) An assisted living facility must ensure the chemicals
used to control pests are the least toxic and least flammable chemicals
that are effective.
(3) An assisted living facility must ensure each operable
window is provided with an insect screen.
(m) Flammable or combustible liquids. An assisted living
facility must not store flammable or combustible liquids, such as
gasoline, oil-based paint, charcoal lighter fluid, or similar products
in a building that houses residents.
(n) Storage of oxygen. An assisted living facility
must ensure sanitary use and storage of oxygen for the safety of all
(1) An assisted living facility must ensure oxygen
cylinders in the possession and under the control of the facility
(A) identified by attached labels or stencils naming
(B) not stored with flammable or combustible materials;
(C) protected from abnormal mechanical shock, which
is liable to damage the cylinder, valve, or safety device;
(D) protected from tamper by unauthorized individuals;
(E) if not supported in a proper cart or stand, properly
chained or supported;
(F) stored so the cylinders can be used in the order
received from the supplier;
(G) if empty and full cylinders are stored in the same
enclosure or room, stored so that empty cylinders are separated from
full cylinders; and
(H) if empty, marked to avoid confusion and delay if
a full cylinder is needed in a rapid manner.
(2) An assisted living facility must adopt, implement,
and enforce procedures for resident use, storage, and handling of
oxygen cylinders and liquid oxygen containers in the possession and
under the control of residents, to ensure the safety of all residents.
(o) Gas pressure test.
(1) An assisted living facility must obtain an initial
pressure test of facility gas lines from the gas meter or propane
storage tank to all gas-fired appliances and equipment.
(2) An assisted living facility must obtain an additional
gas pressure test when the facility performs major renovations or
additions to the gas piping or gas-fired equipment that interrupt
gas service or replace gas-fired equipment.
(p) Annual gas heating check.
(1) An assisted living facility must ensure all gas
heating systems are checked at least once per year, prior to the heating
season for proper operation and safety by persons who are licensed
or approved by the State of Texas to inspect the equipment.
(2) An assisted living facility must maintain records
of the testing of the gas heating system.
(3) An assisted living facility must correct unsatisfactory
(q) Emergency generator. A large assisted living facility
that uses an emergency generator to provide power to emergency lighting
systems must ensure the generator is tested and maintained according
to Chapter 8, Routine Maintenance and Operational Testing, in NFPA
110. Routine maintenance and operational testing required by NFPA
110 includes the following procedures:
(1) a readily available record of inspections, test,
exercising, operation, and repairs;
(2) monthly testing of cranking batteries;
(3) weekly inspection of the generator set and other
components that make up the emergency power system;
(4) monthly exercise of the generator under load;
(5) monthly test of transfer switches; and
(6) a continuous operational test for at least 1-1/2
hours every three years.