Md. Code Regs. 10.07.14.49 - Common Use Areas
A. Multipurpose Space.
(1) The assisted living program shall provide at least 35 square feet of usable multipurpose floor space per licensed bed. Multipurpose space includes:
(a) Dining;
(b) Living; and
(c) Indoor recreational space.
(2) Usable floor space in a facility does not include:
(a) Service areas;
(b) Administrative offices;
(c) Entrance ways;
(d) Closets;
(e) Lockers;
(f) Wardrobes;
(g) Spaces where ceiling heights are less than acceptable for habitable space, as defined by the applicable local building code; or
(h) Corridors.
(3) The assisted living program may not restrict residents from any area constituting multipurpose space unless a comparable multipurpose space is available for resident use.
B. Living Room.
(1) The assisted living program shall make at least one living room available for resident use.
(2) The assisted living program shall ensure that the living rooms are:
(a) Well lit and ventilated;
(b) Easily accessible; and
(c) Furnished with a sufficient number of reading lamps, tables, chairs, or sofas based on residents' needs.
C. Outdoor Space. An assisted living program shall:
(1) Provide or arrange for outside activity space;
(2) Adequately light outside activity space during all times residents have access to the space; and
(3) Provide the necessary security and supervision of the outside activity space sufficient to meet the needs of the residents.
D. Public Toilets.
(1) An assisted living program with a licensed capacity of 17 or more beds shall provide public restrooms that are:
(a) Sufficient in number, and appropriately located, to serve both residents and visitors; and
(b) Located close enough to activity areas to allow all residents to participate comfortably in activities and social opportunities.
(2) The public toilet is not calculated in the ratio required by Regulation .50A of this chapter.
E. Dining Room. An assisted living program shall provide a well lit, adequately ventilated, and appropriately furnished dining area.
F. Kitchen.
(1) An assisted living program shall have a kitchen that has adequate:
(a) Storage, refrigerator, and freezer space for perishable and nonperishable foods;
(b) Food preparation area or areas with cleanable surfaces;
(c) Equipment to deliver foods at safe and palatable temperatures;
(d) Space and equipment to wash, sanitize, and store utensils;
(e) Space to store and clean garbage cans either within or outside the kitchen;
(f) Ice-making capabilities;
(g) Equipment for the preparation of food, unless all food service is catered; and
(h) Equipment for serving and distributing food to residents.
(2) An assisted living program with a licensed capacity of 17 or more beds shall comply with the food service facility regulations in COMAR 10.15.03.
(3) An assisted living program with fewer than 17 residents is not required to comply with COMAR 10.15.03 unless required to comply by its local jurisdiction or the Department determines and directs that a program shall comply with particular provisions of COMAR 10.15.03 in order to minimize health risks to its residents.
(4) An assisted living program with fewer than 17 residents:
(a) Shall obtain food from sources that comply with all laws and regulations relating to food, food processing, food handling, and food labeling;
(b) Shall protect food from contamination while being stored, prepared, displayed, served, or transported;
(c) Shall promptly discard the following:
(i) Spoiled food;
(ii) Swelled, rusty, or leaky canned foods; and
(iii) Food exposed to fire, smoke, or water damage;
(d) May not serve to residents home-canned food or food in a hermetically sealed container as defined in COMAR 10.15.03.02B, which was prepared in a place other than a licensed food processing establishment;
(e) Shall maintain potentially hazardous food as defined in COMAR 10.15.03.02B at 45°F or below, or 140°F or above, until served to residents;
(f) Shall maintain food equipment, appliances, and utensils in a clean and sanitary manner and in good repair;
(g) Shall maintain food contact surfaces smooth and free of breaks, open seams, cracks, chips, and pits;
(h) Shall maintain floors, walls, and storage areas in a clean and sanitary manner and in good repair;
(i) Shall provide refrigeration operated at or below 45°F and equipped with an indicating thermometer graduated at 2°F intervals; and
(j) Shall provide freezer space operated at 0°F or less and equipped with an indicating thermometer graduated at 2°F intervals.
Notes
Regulations .49 adopted effective December 29, 2008 (35:26 Md. R. 2249); adopted effective 52:8 Md. R. 357, eff.
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
A. Resident Room.
(1) More than two residents may not share a resident room.
(2) An assisted living program shall provide at least 80 square feet of functional space for single occupancy resident rooms and 120 square feet of functional space for double occupancy resident rooms.
(3) Functional space in a resident room does not include the floor area of:
(a) Toilet rooms and bathing facilities;
(b) Closets, wardrobes, bureaus, or lockers;
(c) Entrance vestibules; or
(d) The arc of any door, excluding closet doors, that opens into the room.
(4) A room may not be used as a resident room if:
(a) The only access to the room is through a bathroom or other resident room; or
(b) In order to move from the room to a living room or dining room a person must first go outdoors.
(5) For a program with a licensed capacity of 17 or more beds, a room may not be used as a resident room if in order to move from the room to a living room or dining room, an individual is required to first pass through a kitchen.
(6) Resident rooms shall be for the private use of the assigned resident or residents. A resident 's room shall have a latching door and may have a lock on the resident room side of the door at the licensee 's option.
(7) If a resident in a double occupancy room requests dividers, curtains, or screens between the beds to ensure privacy, the assisted living program shall furnish them.
(8) A resident shall have access to a mirror either in the resident 's room or in the resident 's private bathroom, unless a physician documents in the resident 's record that access to a mirror would be detrimental to the health of the resident .
(9) A resident 's room shall have window shades or their equivalent.
(10) The assisted living program shall provide adequate closet or wardrobe space, conveniently located to allow each resident to keep personal clothing.
B. Furnishings. Unless a resident brings personal furnishings, or as otherwise specified in the resident agreement , the assisted living program shall provide the following to each resident :
(1) A bed, which may not be a rollaway, cot, or folding bed, but shall:
(a) Be at least 36 inches wide;
(b) Be in good repair; and
(c) Include:
(i) A clean, comfortable mattress sized to fit the bed frame; and
(ii) At least two clean, comfortable pillows;
(2) A bedside stand with a drawer;
(3) A comfortable chair;
(4) At least two dresser drawers in a chest of drawers;
(5) A bedside or over-the-bed lamp; and
(6) A sufficient supply of bath and bed linens.
C. A competent resident may waive the resident 's right to one or all of the furnishings listed in §B of this regulation by signing a wavier and having the waiver placed in the resident 's record.
D. The assisted living program shall inform a resident of all of the furnishings that the program provides. The resident may choose to provide a personal bed or other furnishings if they are not hazardous.
Notes
Regulations .49 adopted effective December 29, 2008 (35:26 Md. R. 2249)