W. Va. Code R. § 64-2-13 - Physical Facilities

13.1. Physical Facilities and Equipment.

13.1.a. The licensee of a medical adult day care center built, renovated or altered after the effective date of this rule shall maintain the center in accordance with the requirements of Subsection 5 of this rule.

13.1.b. The licensee shall maintain the building, grounds and equipment in a clean, safe and sanitary condition at all times.

13.1.c. The licensee shall provide storage facilities that prevent contamination of food and supplies intended for human consumption.

13.1.d. The licensee shall store only those articles necessary for the operation and maintenance of the center on the premises.

13.1.e. The licensee shall establish and conduct a program of preventive maintenance for all equipment as recommended by the manufacturer.

13.1.f. The licensee shall keep the center free of insects, rodents and vermin.

13.1.g. Any method of extermination of insects, rodents and vermin used by the licensee in the center shall not create a fire or health hazard.

13.1.h. The center shall have a heating system capable of maintaining a temperature in all rooms used by participants of at least seventy-two degrees Fahrenheit (72°F).

13.1.i. The center shall have cooling devices or a system so that inside temperatures do not exceed eighty degrees Fahrenheit (80°F). Acceptable cooling devices include, but are not limited to, air conditioners, electric fans and heat pumps.

13.1.j. The staff call system shall be maintained operational at all times.

13.1.k. The Secretary may require the licensee to provide alarm systems for participant safety if a participant exhibits potentially harmful behaviors such as wandering from the center.

13.1.l. The center shall have space for the storage of linens, maintenance and housekeeping supplies, and equipment.

13.1.m. The center shall provide a storage area for individualized storage of participant clothing and personal belongings.

13.1.n. The center shall assure that oxygen being stored, handled or delivered for participant use complies with the safety requirements as specified by the National Fire Protection Association (NFPAA) 99.

13.1.o. The licensee shall ensure that every closet door latch can be readily opened from inside in case of emergency.

13.1.p. The licensee shall ensure that windows have curtains, shades, or blinds that may be opened and closed and are kept clean and in good repair.

13.2. Rest Area.

13.2.a. The rest area shall be equipped with at least one (1) bed and one (1) recliner.

13.2.b. At least three (3) feet of space shall separate recliners or beds.

13.2.c. Each bed shall have a mattress with a moisture proof surface, at least thirty-six (36) inches wide that is substantially constructed, in good repair, comfortable, and able to accommodate the participant's needs.

13.2.d. Each bed shall have a clean comfortable pillow, pillow case, two (2) sheets, and a bed spread or other type of covering.

13.2.e. The licensee shall ensure that there is a supply of sheets, pillow cases, bed coverings, and other linens necessary to provide a minimum of two (2) changes per bed. Bed linens must be changed after every use.

13.3. Treatment /Examination Area.

13.3.a. The treatment/examination area must be equipped with a minimum of one (1) bed or examination table and if there is more than one (1) bed or examination table, there must be at least three (3) feet of space between each.

13.3.b. The treatment/examination area handwashing facilities shall be supplied with liquid soap and a sanitary means of drying hands.

13.4. Toilets, Hand Washing and Bathing Facilities.

13.4.a. Toilet and bathing facilities shall contain the following:

13.4.a.1. Doors equipped with locking type hardware that swing outward and can be opened from outside in the event of an emergency;

13.4.a.2. Toilet rooms and handwashing facilities supplied with liquid soap, toilet tissue and a sanitary method for drying hands.

13.4.a.3. Bathing facilities shall be supplied with individual towels and washcloths for use by participants.

13.4.b. Bath tubs, showers and sinks shall not be used for storage of linens and clothing to be laundered or for laundering of soiled linens and clothing.

13.5. Dining Area and Leisure Area.

13.5.a. The leisure area shall have furniture that it sturdy and secure so that it cannot easily tip if used for support by participants while walking or sitting, that is scaled so that it is easily used by persons with limited agility and that is comfortable, clean, odor free and in good repair.

13.5.b. The dining area shall be equipped with sturdy tables and seating to accommodate each participant that is clean and in good repair.

13.6. Laundry.

13.6.a. If the center provides laundry services, the laundry room shall have separation between the soiled and clean laundry, mechanical ventilation in the soiled area, and a clean area large enough for folding linens.

13.6.b. Soiled laundry shall be stored in non-absorbent, easily cleanable covered containers or disposable plastic bags; table and kitchen linens shall be laundered separately from other washable goods; and sanitizing agents shall be used when laundering kitchen, bath, and bed linens.

13.6.c. Soiled and clean laundry shall not be stored together at any time. All laundry shall be dried mechanically in an electric or gas clothes dryer that is vented to the outside or by using a chemical sanitizing agent added to the rinse water and then air-dried.

13.6.d. The center shall have at least one housekeeping closet or room that contains a service sink for a sanitary means of disposal of waste water in an area inaccessible to participants.

13.6.e. The licensee shall use locked storage facilities, separate from food and drugs, for laundry supplies, housekeeping supplies, insecticides, work supplies and any other toxic or hazardous material or equipment.

13.7. Water Supply and Sewage.

13.7.a. The center shall have hot and cold running water in sufficient supply to meet the needs of the participants and employees.

13.7.b. The licensee shall maintain hot water temperatures above one hundred five degrees Fahrenheit (105°F) and no higher than one hundred fifteen degrees Fahrenheit (115°F) at all hot water sources, except for dishwashers and laundry facilities.

13.7.c. Hot water temperatures exceeding one hundred twenty degrees Fahrenheit (120°F) shall be considered an immediate and serious threat.

13.7.d. The licensee shall use a thermostatic mixing valve to control the temperature of hot water tanks exceeding eighty (80) gallon capacity.

13.7.e. The center shall have a sewage system that is adequate to meet the participants' needs, kept in good working order, and properly operated and maintained.

13.8. Pets and Other Animals.

13.8.a. Pets are permitted at medical adult day care centers, provided that all participants are advised prior to admission that pets are kept on the premises. If pets are added after the admission of participants, all participants shall agree to the addition of the pets.

13.8.b. Seeing eye and hearing ear dogs shall be permitted unless medically contraindicated.

13.8.c. Wild, dangerous or obviously ill animals are prohibited.

13.8.d. The licensee shall keep animals and the animal's quarters in a clean condition at all times.

13.8.e. The licensee shall maintain proof that dogs and cats kept in the medical adult day care center or on the grounds are properly vaccinated. For dogs this includes rabies, leptospirosis, distemper and parvo, and for cats this includes rabies.

Notes

W. Va. Code R. § 64-2-13