A facility is allowed to have another business or activity in
a health care facility or in the same physical structure of the facility, if
the other business or activity is under the control of and is directly related
to and incidental to the operation of the health care facility, or the business
or activity is approved by the department and the state fire marshal.
To obtain the approval of the department and the state fire
marshal, the facility must submit to the department a written request for
approval which identifies the service(s) to be offered by the business and
addresses the factors outlined in paragraphs "a" through
"j" of this rule. (I, II, III)
(1) The following factors will be considered by the
department in determining whether a business or activity will interfere with
the use of the facility by residents, interfere with services provided to
residents, or be disturbing to residents:
a.
Health and safety risks for residents;
b. Compatibility of the proposed business or activity
with the facility program;
c. Noise
created by the proposed business or activity;
d. Odors created by the proposed business or
activity;
e. Use of entrances and
exits for the business or activity in regard to safety and disturbance of
residents and interference with delivery of services;
f. Use of the facility's corridors or rooms as
thoroughfares to the business or activity in regard to safety and disturbance
of residents and interference with delivery of services;
g. Proposed staffing for the business or
activity;
h. Sharing of services and
staff between the proposed business or activity and the facility;
i. Facility layout and design; and
j. Parking area utilized by the business or
activity.
(2) Approval
of the state fire marshal shall be obtained before approval of the department
will be considered.
(3) A business
or activity conducted in a health care facility or in the same physical
structure as a health care facility shall not reduce space, services or staff
available to residents below minimums required in these rules and 481-Chapter
60. (I, II, III)