130 CMR, § 419.432 - Physical Site
(A)
Physical Site. The MassHealth agency or its designee
approves each DH site and census. A DH provider must provide DH at a site that
meets all of the requirements in
130
CMR 419.432(B)(1) through
(17).
(B) In the event of a site change,
renovation, new construction, or change in census, the DH provider must forward
a copy of all plans to the MassHealth agency or its designee for approval.
(1) The site must be designed with adequate
space for the provision of all DH, with a minimum of 50 square feet of
programming space per participant. This minimum does not include offices
(except nurses' offices if used for member treatment), hallways, storage areas,
reception areas, and other areas not used for the provision of DH. For sites
with kitchens used for activities other than meal preparation, 100% of the
kitchen floor area is counted as part of the participant space
requirement.
(2) When located in a
building or facility housing other services, the DH provider may utilize all
available space but must have separate and distinct staff for each
service.
(3) As of September 7,
2018, a newly enrolled DH provider site must be in a location that complies
with the Americans with Disabilities Act (ADA) and ADA Standards for Accessible
Design that include but are not limited to
(a)
the site is on-ground level with at least two means of egress;
(b) the site is free of architectural
barriers;
(c) the site is designed
to meet the needs of people with disabilities; and
(d) the site is in compliance with local
health, fire, and safety codes.
(4) For sites approved on or before September
7, 2018, that occupy multi-level space, the site must have at a minimum one
elevator for egress, and evacuation plans must include specific procedures for
evacuation of those in wheelchairs and comply with local and state evacuation
requirements.
(5) The site must
include adequate outdoor space for members to safely arrive at and depart from
the DH provider site.
(6) DH
providers must provide a protected and secure environment for members,
including members who wander or require increased supervision and
security.
(7) The site must include
sufficient parking capacity to satisfy the needs of members, staff, and the
public.
(8) The site must include a
clean and sanitary food preparation area equipped with a refrigerator, a sink,
adequate counter space, and adequate storage space.
(9) Adequate artificial lighting must be
available in all rooms, stairways, hallways, corridors, bathrooms, and
offices.
(10) A DH provider site
serving five or more unrelated participants must comply with the Massachusetts
State Building Code, 780 CMR 3.00: Use and Occupancy
Classification.
(11) The
MassHealth agency must approve each DH site. In the event of a site change,
renovation, or new construction, the provider must forward a copy of all plans
to the MassHealth agency for approval. Upon completion of renovations, moves,
or new construction, the MassHealth agency or its designee must view the site
to determine compliance with the requirements.
(12) The kitchen and bathrooms must be
designed and equipped for teaching ADL skills to all participants.
(13) In at least one participant area, the
site must have a fire extinguisher and a first aid kit, easily accessible to
staff.
(14) The site must meet the
requirements of all state and local building, sanitary, health, fire, and
zoning codes, and all other requirements pertaining to health, safety, and
sanitation.
(15) The participants
must have access to hand sanitizer dispensers and to at least one handwashing
station. Hand sanitizer dispensers and hand washing stations must be
conveniently placed and accessible to staff. Hand sanitizer dispensers and
handwashing stations must be placed with consideration for participant safety
and accessibility.
(16)
Participants must have access to natural light and outside views.
(17) Participants must have adequate
lighting, heating, and ventilation so that participants are comfortable in all
seasons of the year.
Notes
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