| (6) Facilities shall keep the floors, walls, ceilings,
shelves, furniture, furnishings, and fixtures clean and in good repair.
Any cracks, holes, or other similar disrepair not readily accessible
for cleaning shall be repaired or filled in to create a smooth, washable
surface.
(7) Plumbing fixtures, including toilets and wash basins,
shall be kept clean. Any disrepair not readily accessible for cleaning
shall be repaired or filled in to create a smooth, washable surface.
(8) Facilities shall have suitable plumbing that provides
an adequate and readily available supply of hot and cold running water
at all times and that is connected for drainage of sewage and for
potable water supply.
(9) Facilities shall not be utilized for living or
sleeping purposes except as applicable to patients, and may not be
used for any other purpose that would tend to make the premises unsanitary,
unsafe, or endanger the health and safety of the public.
(j) Patient waiting area.
(1) Patient waiting areas must be separate from other
areas.
(2) Chairs with armrests must be provided in waiting
rooms. Chairs without armrests or with or without wheels must be provided
upon patient request.
(k) Examination/treatment rooms.
(1) Rooms in which patients are seen must maintain
privacy and have permanent, floor-to-ceiling walls or dividers and
rigid doors that can be closed. Windows must be covered in a way that
assures privacy.
(2) At least one set of parallel bars and a mirror
that is affixed to the wall or a mirror with a free standing base
for patient ambulation trials must be provided in each facility.
(3) At least one chair with armrests shall be available
for use in each examination/treatment room. Chairs without armrests
or with or without wheels must be provided upon patient request.
(l) Safety.
(1) Safety equipment, including safety glasses or goggles
and dust masks, shall be available to persons working in an accredited
facility.
(2) Proper machine use training shall be provided to
staff. The facility shall maintain records documenting training, listing
the name of the staff person and the date of training for each machine.
(3) Safety guards on machines shall be in place in
accordance with the manufacturers' specifications.
(4) Laboratory/Fabrication areas must be separated
from other areas by walls or rigid doors and have adequate lighting.
(5) If smoking is permitted, policies and procedures
to control smoking materials shall be clearly posted.
(6) Facilities shall provide access to at least one
accessible restroom with handwashing facilities located on or adjacent
to the premises of the facility. Chemical supplies shall not be stored
in restrooms or other areas accessible to the public or to patients.
(m) Business office area.
(1) Patient records shall include accurate and current
progress notes.
(2) Patient records must be kept private.
(3) Patient records shall not be made available to
anyone outside the facility without the patient's signed consent or
as required by law.
(4) All patient and facility records that are required
to be retained or made available shall be kept for a minimum of five
years.
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| Source Note: The provisions of this §114.29 adopted to be effective October 1, 2016, 41 TexReg 4467; amended to be effective September 1, 2018, 43 TexReg 5362; amended to be effective May 1, 2022, 47 TexReg 2524; amended to be effective January 15, 2023, 48 TexReg 42 |
