Section 164.137 - 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;(5) Recreation and/or exercise area.(B)Compliance with Building Standards: The licensee shall ensure that:(1) The facility complies with standards specified in 105 CMR 410.000: Standards of Fitness for Human Habitation, regarding heating, electricity, lighting, plumbing and sanitary facilities; and(2) The heating system conforms to requirements defined by the Department of Public Safety (520 CMR, 522 CMR, and 527 CMR) under M.G.L. c. 148.(C)Bathrooms and Personal Hygiene: The licensee shall ensure that: (1) Female and male patients have separate toilet and bathroom facilities;(2) All rooms containing toilets, bathtubs and/or showers are equipped with a door, and have ventilation to the outside through a window or extractor vent;(3) No room containing a toilet or shower is so located as to require passing through to go from one area of the premises to another;(4) There is at least one toilet for every eight women (1:8) and one toilet for every ten men (1:10), and one washbasin and one shower or tub for every ten individuals (1:10);(5) Washbasins are located in the same room as or in close proximity to toilets; a kitchen sink may not be substituted for a washbasin;(6) All showers and tubs are equipped with a non-slip surface or mat;(7) All toilets have seats;(8) Sanitary hand washing requirements and procedures are posted in restrooms, and the licensee familiarizes staff and patients with these procedures;(9) Restrooms are maintained in good repair and sanitary manner, cleaned daily, and supplied with sufficient soap, paper towels and toilet paper at all times.(D)Sleeping Rooms: The licensee shall ensure that: (1) All sleeping rooms are conveniently located near toilet and bathing facilities. Accessible facilities shall conform to the Americans with Disabilities Act regulations.(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) no sleeping room shall be less than 70 square feet;(b) rooms accommodating more than one person shall have a minimum of 50 square feet per person;(b) accommodate no more than six persons per sleeping area;(c) have windows or skylights providing natural light and ventilation in compliance with 105 CMR 410.250 and 105 CMR 410.280;(d) a separate bed for each patient;(e) 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 twin-size mattress and waterproof mattress cover. 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;(d) a toothbrush, toothpaste and basic hygiene supplies.