Ariz. Admin. Code § R9-10-617 - Environmental Standards for a Hospice Inpatient Facility

A. An administrator of a hospice inpatient facility shall ensure that:

1. Policies and procedures are established, documented, and implemented to protect the health and safety of a patient that cover:

a. Cleaning and storing of soiled linens and clothing,

b. Housekeeping procedures that ensure a clean environment, and

c. Isolation of a patient who may spread an infection;

2. The premises and equipment are:

a. Cleaned and disinfected according to policies and procedures or manufacturer's instructions to prevent, minimize, and control illness or infection; and

b. Free from a condition or situation that may cause a patient or other individual to suffer physical injury or illness;

3. A pest control program that complies with A.A.C. R3-8-201(C)(4) is implemented and documented;

4. Equipment used at the hospice inpatient facility is:

a. Maintained in working order;

b. Tested and calibrated according to the manufacturer's recommendations or, if there are no manufacturer's recommendations, as specified in the hospice inpatient facility's policies and procedures; and

c. Used according to the manufacturer's recommendations;

4. 5. Documentation of equipment testing, calibration, and repair is maintained for at least 12 months after the date of the testing, calibration, or repair;

5. 6. Garbage and refuse are:

a. Stored in covered containers lined with plastic bags, and

b. Removed from the premises at least once a week;

6. 7. Soiled linen and clothing are:

a. Collected in a manner to minimize or prevent contamination;

b. Bagged at the site of use; and

c. Maintained separate from clean linen and clothing and away from food storage, kitchen, or dining areas;

7. 8. Heating and cooling systems maintain the hospice inpatient facility at a temperature between 70° F and 84° F at all times;

8. 9. Common areas:

a. Are lighted to assure the safety of patients, and

b. Have lighting sufficient to allow personnel members to monitor patient activity;

9. 10. The supply of hot and cold water is sufficient to meet the personal hygiene needs of patients and the cleaning and sanitation requirements in this Article;

10. 11. Oxygen containers are secured in an upright position;

11. 12. Poisonous or toxic materials stored by the hospice inpatient facility are maintained in labeled containers in a locked area separate from food preparation and storage, dining areas, and medications and are inaccessible to patients;

12. 13. Except for medical supplies needed by a patient, combustible or flammable liquids and hazardous materials are stored by the hospice inpatient facility in the original labeled containers or safety containers in a locked area inaccessible to patients;

13. 14. If pets or animals are allowed in the hospice inpatient facility, pets or animals are:

a. Controlled to prevent endangering the patients and to maintain sanitation, and

b. Licensed consistent with local ordinances;

14. 15. If a water source that is not regulated under 18 A.A.C. 4 by the Arizona Department of Environmental Quality is used:

a. The water source is tested at least once every 12 months for total coliform bacteria and fecal coliform or E. coli bacteria;

b. If necessary, corrective action is taken to ensure the water is safe to drink, and

c. Documentation of testing is retained for at least 12 months after the date of the test; and

15. 16. If a non-municipal sewage system is used, the sewage system is in working order and is maintained according to all applicable state laws and rules.

B. An administrator of a hospice inpatient facility shall ensure that a patient is allowed to use and display personal belongings.

Notes

Ariz. Admin. Code § R9-10-617

Adopted effective November 6, 1978 (Supp. 78-6). Section R9-10-617 repealed effective November 1, 1998, under an exemption from the provisions of the Administrative Procedure Act pursuant to Laws 1998, Ch. 178, § 17; filed with the Office of the Secretary of State October 2, 1998 (Supp. 98-4). New Section made by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). . Amended by exempt rulemaking at 20 A.A.R. 1409, effective 7/1/2014. Amended by final expedited rulemaking at 25 A.A.R. 259, effective 1/8/2019.

The following Section was repealed under an exemption from the provisions of the Administrative Procedure Act which means these rules were not reviewed by the Governor's Regulatory Review Council; the Department did not submit notice of proposed rulemaking to the Secretary of State for publication in the Arizona Administrative Register; and the Department was not required to hold public hearings on the repealing of these rules.