Section 11-800-49 - Physical environment(a) The home shall include:(1) Bathrooms with non-slip surfaces in the tubs and or showers, and toilets adjacent or easily accessible to sleeping rooms;(2) Grab bars in bath and toilet rooms used by the client, as appropriate;(3) A common living area, which is adequate for socialization and the recreational needs of the client;(4) Wheelchair accessibility to sleeping rooms, bathrooms, common areas and exits, as appropriate;(5) An operating Underwriters Laboratory approved smoke detector and fire extinguisher in appropriate locations; and(6) A means of unobstructed travel from the client's bedroom to the outside of the dwelling at street or ground level,(b) Client bedrooms shall:(1) Have a bedside curtain or screen to ensure privacy when a room is shared by the client and another person;(2) Be limited to two clients, both of whom shall consent to the arrangement; and(3) Be in close proximity to the primary or substitute caregiver for timely intervention for nighttime needs or emergencies, or be equipped with a call bell, intercom, or monitoring device approved by the case management agency.(c) Housekeeping requirements shall include the following:(1) The primary or substitute caregiver shall follow appropriate preventative maintenance procedures for equipment and devices used in the care of clients;(2) The primary or substitute caregiver shall follow infection control procedures and proper procedures for disinfecting equipment and devices used in the care of clients; and(3) The home shall be maintained in a clean, well ventilated, adequately lighted, and safe manner.(d) When there are intended changes to the home, the department shall be notified prior to the changes occurring. (1) The certificate holder shall ensure that the minimum physical environment requirements as specified in this section are met; and(2) A new home assessment is required when changes occur to the structure or address of the home.(e) The home shall have policies regarding smoking on the property that: (1) Prohibit smoking in enclosed living and recreational areas used by clients; and (2) Identify designated areas that may be used for purposes of smoking.[Eff 11/13/2018] (Auth: HRS §§ 321-481, 321-483, 321-485, 346-14) (Imp: HRS §§ 321-481, 321-483, 321-485, 346-14)