| (B) An existing large Type A assisted living facility
must not utilize both this paragraph and subsection (a)(3) of this
section to reduce both the minimum square footage otherwise required
for its common social-diversional or dining areas and the minimum
square footage of usable floor space otherwise required in bedrooms
housing multiple residents within a living unit.
(h) Storage areas. An existing large Type A assisted
living facility must provide sufficient separate storage spaces or
areas for at least:
(1) administrative records, office supplies, and other
storage needs related to administration;
(2) medications and medical supplies;
(3) equipment supplied by the facility for resident
needs, including wheelchairs, walkers, beds, and mattresses;
(4) cleaning supplies, including for janitorial needs;
(5) food;
(6) clean linens and towels, if the facility furnishes
linen;
(7) soiled linen, if the facility furnishes linen;
and
(8) lawn and maintenance equipment.
(i) General kitchen.
(1) An existing large Type A assisted living facility
that prepares food off-site or in a separate building must ensure
food is served at the proper temperature and transported in a sanitary
manner.
(2) An existing large Type A assisted living facility
must ensure a kitchen meets the requirements of the local fire, building,
and health codes.
(3) An existing large Type A assisted living facility
that prepares food on-site must provide a kitchen or dietary area
to meet the general food service needs of the residents and must include
space for:
(A) storage, refrigeration, preparation, and serving
food;
(B) dish and utensil cleaning, which includes:
(i) a three-compartment sink large enough to immerse
pots and pans; and
(ii) a mechanical dishwasher for washing and sanitizing
dishes;
(C) a food preparation sink;
(D) a handwashing station in every food preparation
area with a supply of hot and cold water, soap, a towel dispenser
and a waste receptacle;
(E) a handwashing lavatory that is readily accessible
to every dish room area;
(F) refuse storage and removal;
(G) floor drains in the kitchen and dishwashing areas,
unless the facility was licensed before January 6, 2014, and the facility
can keep the floor clean; and
(H) a grease trap, if required by local authorities.
(4) An existing large Type A assisted living facility
must ensure a kitchen is designed so that room temperature, at peak
load or in the summer, does not exceed 85 degrees Fahrenheit measured
throughout the room at five feet above the floor.
(5) An existing large Type A assisted living facility
must ensure the volume of supply air provided takes into account the
large quantities of air that may be exhausted at the range hood and
dishwashing area.
(6) An existing large Type A assisted living facility
must provide a supply of hot and cold water.
(A) Hot water for sanitizing purposes must be 180 degrees
Fahrenheit.
(B) When chemical sanitizers are used, hot water must
meet the manufacturer's suggested temperature.
(7) An existing large Type A assisted living facility
must maintain a separation between soiled and clean dish areas.
(8) An existing large Type A assisted living facility
must maintain a separation of air flow between soiled and clean dish
areas.
(j) Kitchen restrooms.
(1) An existing large Type A assisted living facility
must provide a restroom facility for kitchen staff, including a lavatory,
except as described in paragraph (2) of this subsection.
(A) The restroom facility must be directly accessible
to kitchen staff without traversing resident-use areas.
(B) The restroom must open into a service corridor
or vestibule and not open directly into the kitchen.
(2) An existing large Type A assisted living facility
licensed before January 6, 2014, may provide a staff restroom that
may be located outside the kitchen area.
(k) Kitchen janitorial facility.
(1) An existing large Type A assisted living facility
must provide janitorial facilities exclusively for the kitchen and
located in the kitchen area, except as described in paragraph (2)
of this subsection.
(2) An existing large Type A assisted living facility
licensed before January 6, 2014, must provide a janitorial facility
for the kitchen. The janitorial facility may be located outside the
kitchen if sanitary procedures are used to reduce the possibility
of cross-contamination.
(3) An existing large Type A assisted living facility
must provide a garbage can or cart washing area with a floor drain
and a supply of hot water. The garbage can or cart washing area may
be in the interior or on the exterior of the facility.
(4) An existing large Type A assisted living facility
must provide floor drains in the kitchen and dishwashing areas unless
the facility was licensed before January 6, 2014, and the facility
can keep the floors clean.
(5) If required by local authorities, an existing large
Type A assisted living facility must provide a grease trap.
(l) Finishes.
(1) An existing large Type A assisted living facility
must provide non-absorbent, smooth finishes or surfaces on all kitchen
floors, walls and ceilings.
(2) An existing large Type A assisted living facility
must provide non-absorbent, smooth, cleanable finishes on counter
surfaces and all cabinet surfaces.
(3) An existing large Type A assisted living facility
must ensure surfaces are capable of being routinely cleaned and sanitized
to maintain a healthful environment.
(m) Vision panels in communicating doors.
(1) An existing large Type A assisted living facility
must ensure a door between a kitchen and a dining area, serving area,
or resident-use area, is provided with a vision panel with fixed safety
glass. Where the door is a required fire door or is located in a fire
barrier or other fire resistance-rated enclosure, the vision panel,
including the glazing and the frame, must meet the requirements of
NFPA 101.
(2) Existing doors between kitchens and adjacent spaces
that are not provided with vision panels may be continued in service,
subject to approval by HHSC.
(n) Auxiliary serving kitchens.
(1) An existing large Type A assisted living facility
must ensure an auxiliary serving kitchen is equipped to maintain required
food temperatures.
(2) An existing large Type A assisted living facility
must ensure an auxiliary serving kitchen is equipped with a handwashing
lavatory meeting the requirements of this section.
(3) An existing large Type A assisted living facility
must ensure all surfaces in an auxiliary serving kitchen meet the
requirements for finishes in this section.
(o) Protection of cooking operations.
(1) An existing large Type A assisted living facility
must protect cooking facilities using commercial or residential cooking
equipment for meal preparation as commercial cooking operations, according
to the requirements for commercial cooking equipment in §553.136
of this division (relating to Hazardous Area Requirements for an Existing
Large Type A Assisted Living Facility).
(2) The following commercial or residential cooking
equipment used only for reheating, and not for meal preparation, is
not required to comply with the requirements of §553.136 of this
division:
(A) microwave ovens;
(B) hot plates; or
(C) toasters.
(p) Food storage areas.
(1) An existing large Type A assisted living facility
must provide a food storage area large enough to consistently maintain
a four-day minimum supply of non-perishable food. A food storage area
may be located away from the food preparation area as long as there
is space adjacent to the kitchen for necessary daily usage.
(2) An existing large Type A assisted living facility
must provide dollies, racks, pallets, wheeled containers, or shelving,
so that food is not stored on the floor.
(A) An existing large Type A assisted living facility
must ensure shelves are adjustable wire type shelving.
Cont'd... |
