Section 164.103 - Physical Plant(A)Building Design. Each program shall provide adequate space to accommodate the number of patients served, including sufficient and separate space for the following, which may not be used as bedrooms for patients or staff:(1) Individual and group counseling sessions;(2) A living room or common area;(4) A kitchen area and a dining area; and(5) Recreation and/or exercise area.(B)Compliance with Building Standards. The Licensed or Approved Provider shall comply with the standards specified in 780 CMR: State Board of Building Regulations and Standards, and those standards in 105 CMR 410.000: Minimum Standards of Fitness for Human Habitation (State Sanitary Code: Chapter II) regarding heating, electricity, lighting, plumbing and sanitary facilities.(C)Bathrooms and Personal Hygiene. The Licensed or Approved Provider shall ensure that: (1) Female and male patients have separate toilet and bathroom facilities;(2) Rooms containing a toilet or shower shall be separate and allow for privacy;(3) All showers and tubs are equipped with a nonslip surface or mat; and(4) All toilets have seats.(D)Sleeping Rooms. The Licensed or Approved Provider shall ensure that: (1) All sleeping rooms are conveniently located near toilet and bathing facilities;(2) Female and male residents have separate sleeping quarters;(3) Sleeping rooms are designed to promote comfort and provide adequate space and privacy, and meet the following requirements:(a) accommodate no more than six persons per sleeping area;(b) a separate bed for each patient; and(c) may not be an unfinished attic, stairway, hall or room commonly used for other purposes.(4) The sleeping area has the following basic equipment and supplies:(a) a twin-size bed with a fire-retardant twin-size mattress in good condition and waterproof mattress cover. Each mattress shall be cleaned or replaced when soiled or when not in good condition. Each mattress pad shall be cleaned when soiled and at least every three months, and replaced when not in good condition. Cots may not be used;(b) adequate drawer and closet space;(c) an adequate supply of bed linens, blankets, pillows, washcloths and towels, which are in good condition. Linens, blankets, washcloths and towels shall be laundered before each new admission, or once a week, whichever occurs sooner; and(d) a toothbrush, toothpaste and basic hygiene supplies.Amended by Mass Register Issue 1482, eff. 11/11/2022.