Ariz. Admin. Code § 9-10-525

Current through Register Vol. 30, No. 50, December 13, 2024

Section R9-10-525 - Physical Plant Standards

A. An administrator shall ensure that, if an ICF/IID has:

1. More than 16 residents, the ICF/IID complies with:

a. The applicable physical plant health and safety codes and standards, incorporated by reference in R9-10-104.01, that were in effect on the earlier of:

i. The date the ICF/IID was originally certified as an ICF/IID by the federal Centers for Medicare and Medicaid Services, or

ii. The date the ICF/IID submitted architectural plans and specifications to the Department for approval according to R9-10-104; and

b. The requirements for Existing Health Care Occupancies in National Fire Protection Association 101, Life Safety Code, incorporated by reference in R9-10-104.01; and

2. Sixteen or fewer residents, the ICF/IID complies with the requirements for Existing Health Care Occupancies in National Fire Protection Association 101, Life Safety Code, incorporated by reference in R9-10-104.01.

B. An administrator shall ensure that:

1. The premises and equipment are sufficient to accommodate:

a. The services stated in the ICF/IID's scope of services, and

b. An individual accepted as a resident by the ICF/IID;

2. A common area for use by residents is provided that has sufficient space and furniture to accommodate the recreational and socialization needs of residents;

3. A dining area has sufficient space and tables and chairs to accommodate the needs of the residents;

4. At least one bathroom is accessible from a common area and:

a. May be used by residents and visitors;

b. Does not open into an area in which food is prepared;

c. Provides privacy when in use; and

d. Contains the following:

i. At least one working sink with running water,

ii. At least one working toilet that flushes and has a seat,

iii. Toilet tissue for each toilet,

iv. Soap in a dispenser accessible from each sink,

v. Paper towels in a dispenser or a mechanical air hand dryer,

vi. Lighting, and

vii. A window that opens or another means of ventilation;

5. An outside activity space is provided and available that:

a. Is on the premises,

b. Has a hard-surfaced section for wheelchairs, and

c. Has an available shaded area;

6. Exterior doors are equipped with ramps or other devices to allow use by a resident using a wheelchair or other assistive device; and

7. The key to the door of a lockable bathroom or bedroom is available to a personnel member.

C. An administrator shall ensure that:

1. For every eight residents there is at least one working toilet that flushes and has a seat and one sink with running water;

2. For every eight residents there is at least one working bathtub or shower;

3. A resident bathroom provides privacy when in use and contains:

a. A mirror;

b. Toilet tissue for each toilet;

c. Soap accessible from each sink;

d. Paper towels in a dispenser or a mechanical air hand dryer for a bathroom that is used by more than one resident;

e. A window that opens or another means of ventilation;

f. Grab bars for the toilet and, if applicable, the bathtub or shower and other assistive devices, if required to provide for resident safety; and

g. Nonporous surfaces for shower enclosures and slip-resistant surfaces in tubs and showers;

4. An ICF/IID is ventilated by windows or mechanical ventilation, or a combination of both;

5. If required for the residents of the ICF/IID, the corridors are equipped with handrails on each side that are firmly attached to the walls and are not in need of repair;

6. No more than two individuals reside in a resident bedroom; and

7. A resident's bedroom;

a. Is accessible without passing through a storage area, an equipment room, or another resident's bedroom;

b. Is constructed and furnished to provide unimpeded access to the door;

c. Has floor-to-ceiling walls with at least one door;

d. Does not open into any area where food is prepared, served, or stored;

e. If a private bedroom, has at least 80 square feet of floor space, not including a closet or bathroom;

f. If a shared bedroom, has at least 60 square feet of floor space for each individual occupying the shared bedroom, not including a closet or bathroom;

g. Has a separate bed, at least 36 inches in width and 72 inches in length, for each resident, consisting of at least a frame and mattress that is clean and in good repair;

h. Has clean linen, including a mattress pad, sheets large enough to tuck under the mattress, pillows, pillow cases, a bedspread, waterproof mattress covers as needed, and blankets to ensure warmth and comfort for the resident;

i. Has furniture to meet the resident's needs and sufficient light for reading;

j. Has an openable window to the outside with window coverings for controlling light and visual privacy, and the location of the window permits a resident to see outside from a sitting position;

k. Has individual storage space for a resident's possessions and assistive devices; and

l. Has a closet with clothing racks and shelves accessible to the resident.

D. If a swimming pool is located on the premises, an administrator shall ensure that:

1. The swimming pool is enclosed by a wall or fence that:

a. Is at least five feet in height as measured on the exterior of the wall or fence;

b. Has no vertical openings greater that four inches across;

c. Has no horizontal openings, except as described in subsection (D)(1)(e);

d. Is not chain-link;

e. Does not have a space between the ground and the bottom fence rail that exceeds four inches in height; and

f. Has a self-closing, self-latching gate that:

i. Opens away from the swimming pool,

ii. Has a latch located at least 54 inches from the ground, and

iii. Is locked when the swimming pool is not in use; and

2. A life preserver or shepherd's crook is available and accessible in the pool area.

E. An administrator shall ensure that a spa that is not enclosed by a wall or fence as described in subsection (D)(1) is covered and locked when not in use.

Ariz. Admin. Code § R9-10-525

Adopted by final rulemaking at 25 A.A.R. 1222, effective 4/25/2019. Amended by exempt rulemaking at 26 A.A.R. 72, effective 1/1/2020.