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TITLE 26HEALTH AND HUMAN SERVICES
PART 1HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 553LICENSING STANDARDS FOR ASSISTED LIVING FACILITIES
SUBCHAPTER DFACILITY CONSTRUCTION
DIVISION 10NEW LARGE TYPE A ASSISTED LIVING FACILITIES
RULE §553.232Space Planning and Utilization Requirements for a New Large Type A Assisted Living Facility

    (B) A new 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. A new 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) A new 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) A new large Type A assisted living facility must ensure a kitchen meets the requirements of the local fire, building, and health codes.

  (3) A new 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 the following:

    (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; and

    (F) refuse storage and removal;

    (G) floor drains in the kitchen and dishwashing areas, unless the facility was created through conversion and the facility can keep the floor clean; and

    (H) a grease trap, if required by local authorities.

  (4) A new 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) A new 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) A new 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) A new large Type A assisted living facility must maintain a separation between soiled and clean dish areas.

  (8) A new large Type A assisted living facility must maintain a separation of air flow between soiled and clean dish areas.

(j) Kitchen restrooms.

  (1) A new 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) A new large Type A assisted living facility created through conversion may provide a staff restroom that may be located outside the kitchen area.

(k) Kitchen janitorial facility.

  (1) A new 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) A new large Type A assisted living facility created through conversion 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) A new 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.

(l) Finishes.

  (1) A new large Type A assisted living facility must provide non-absorbent, smooth finishes or surfaces on all kitchen floors, walls and ceilings.

  (2) A new large Type A assisted living facility must provide non-absorbent, smooth, cleanable finishes on counter surfaces and all cabinet surfaces.

  (3) A new 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. A new 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.

(n) Auxiliary serving kitchens.

  (1) A new large Type A assisted living facility must ensure an auxiliary serving kitchen is equipped to maintain required food temperatures.

  (2) A new 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) A new 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) A new large Type A assisted living facility must protect cooking facilities according to the requirements in §553.236 of this division (relating to Hazardous Area Requirements for a New 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 §553.236 of this division:

    (A) microwave ovens;

    (B) hot plates; or

    (C) toasters.

(p) Food storage areas.

  (1) A new 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) A new large Type A assisted living facility must provide dollies, racks, pallets, wheeled containers, or shelving, so that food is not stored on the floor, and must ensure shelves are adjustable wire type shelving.

  (3) A new large Type A assisted living facility must provide non-absorbent finishes or surfaces on all floors and walls in food storage areas.

  (4) A new large Type A assisted living facility must provide effective ventilation in dry food storage areas to ensure positive air circulation.

  (5) A new large Type A assisted living facility must ensure the maximum room temperature in a food storage area does not exceed 85 degrees Fahrenheit at any time, when measured at the highest food storage level, but not less than five feet above the floor.

(q) Laundry and linen services.

  (1) A new large Type A assisted living facility that co-mingles and processes laundry on-site in a central location, regardless of the type of laundry equipment used, must ensure a laundry area:

    (A) is separated from the assisted living building by a fire barrier having a one-hour fire resistance rating. This separation must extend from the floor to the floor or roof above;

    (B) is protected throughout by a fire sprinkler system; and

Cont'd...

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