Or. Admin. Code § 411-050-0715

Current through Register Vol. 63, No. 12, December 1, 2024

Section 411-050-0715 - Facility Standards

(1) In order to qualify for or maintain a license, an AFH must comply with these rules.

(2) ACCESSIBILITY.

(a) Interior and exterior areas of the home, including doorways, that may be used by residents must be wide enough, and accessible according to each resident's individual needs, including any mobility equipment used such as a wheelchair or walker.

(b) All interior and exterior stairways must be unobstructed, equipped with handrails on both sides, and appropriate to the condition of the residents. (See also OAR 411-050-0725(4)(c)).

(3) GENERAL CONDITIONS. The building, including the interior and exterior premises, furnishings, patios, decks, and walkways, as applicable, must be clean, in good repair and well maintained.

(a) There must be no accumulation of garbage, debris, rubbish, or offensive odors.

(b) Walls, ceilings, and floors must be of such character to permit washing, cleaning, or painting, as appropriate.

(c) All doors and windows that are used for ventilation must have screens in good condition.

(4) ADDRESS. The address numbers of the AFH must be placed on the home in a position that is legible and clearly visible from the street or road fronting the property. If the home is so situated that the address number is not legible and clearly visible from the road fronting the property, such as when the home is accessed via a lengthy driveway or private access road, then the address numbers must also be posted where the driveway or private access road joins the fronting road. The address numbers must be at least four inches in height, made of reflective material, and contrast with the background.

(5) LIGHTING. Adequate lighting, based on the needs of the occupants, must be provided in each room, stairway, and exit way. Incandescent light bulbs and fluorescent tubes must be protected with appropriate covers.

(6) TEMPERATURE. The heating system must be in working order. Areas of the home used by the residents must be maintained at a comfortable temperature. Minimum temperatures during the day must be not less than 68 degrees, no greater than 85 degrees, and not less than 60 degrees during sleeping hours. Variations from the requirements of this rule must be based on resident care needs or preferences and must be addressed in each resident's care plan.

(a) During times of extreme summer heat, the licensee or administrator must make reasonable effort to keep the residents comfortable using ventilation, fans, or air conditioning. Precautions must be taken to prevent resident exposure to stale, non-circulating air.

(b) If the facility is air-conditioned, the system must be functional, and the filters must be cleaned or changed as needed to ensure proper maintenance.

(c) If the licensee or administrator is unable to maintain a comfortable temperature for the residents during times of extreme summer heat, air conditioning or another cooling system may be required.

(7) COMMON USE AREAS. Common use areas for the residents must be accessible to all residents. There must be at least 150 square feet of common living space and sufficient furniture in the home to accommodate the recreational and socialization needs of all the occupants at one time. Common space may not be in an unfinished basement or garage unless such space was constructed for that purpose or has otherwise been legalized under permit. There may be additional space required if wheelchairs are to be accommodated. An additional 40 square feet of common living space is required for each adult day services individual, room and board tenant, or relative receiving care for remuneration that exceeds the limit of five.

(8) BATHROOMS. Bathrooms must:

(a) Provide individual privacy and have a finished interior with a door that opens to a hall or common-use room. If a resident's bedroom includes a private bathroom, the door for the private bathroom must open to the bedroom. A resident must have direct access to a bathroom without having to walk through another person's bedroom.

(b) Have a mirror, a window that opens or other means of ventilation, and a window covering for privacy.

(c) Be clean and free of objectionable odors.

(d) Have bathtubs, showers, toilets, and sinks in good repair. A sink must be located near each toilet and a toilet and sink must be available for the resident's use on each floor with resident rooms. There must be at least one toilet, one sink, and one bathtub or shower for each six household occupants.

(e) Have hot and cold water at each bathtub, shower, and sink in sufficient supply to meet the needs of the residents.

(f) Have nonporous surfaces for shower enclosures. Glass shower doors, if applicable, must be tempered safety glass, otherwise, shower curtains must be clean and in good condition.

(g) Have non-slip floor surfaces in bathtubs and showers.

(h) Have grab bars for each toilet, bathtub, and shower to be used by the residents for safety.

(i) Have barrier-free access to toilet and bathing facilities.

(j) Have adequate supplies of toilet paper and soap supplied by the licensee. Residents must be provided with individual towels and washcloths that are laundered in hot water at least weekly or more often if necessary. Residents must have appropriate racks or hooks for drying bath linens. If individual hand towels are not provided, roller-dispensed hand towels or paper towels in a dispenser must be provided for the residents' use.

(9) BEDROOMS.

(a) Bedrooms for all household occupants must have:

(A) Been constructed as a bedroom when the home was built or remodeled under permit.

(B) A finished interior with walls or partitions of standard construction that extend from floor to ceiling.

(C) A door that opens directly to a hallway or common use room without passage through another bedroom or common bathroom.

(D) Adequate ventilation, heating, and lighting with at least one window that opens and meets the requirements in OAR 411-050-0720(5).

(E) At least 70 square feet of usable floor space for one resident or 120 square feet for two residents excluding any area where a sloped ceiling does not allow a person to stand upright.

(F) No more than two occupants per room. (See also OAR 411-049-0105 pertaining to a child's bedroom). This rule is not intended to prohibit a child five years of age or younger from occupying their parent's bedroom.

(b) The licensee, any other caregivers, and family members may not sleep in areas designated as living areas or share a bedroom with a resident. This rule is not intended to prohibit a caregiver or other person of the resident's choosing from temporarily staying in the resident's room when required by the resident's condition.

(c) There must be a bed at least 36 inches wide for each resident consisting of a mattress and springs, or equivalent, in good condition. Cots, rollaways, bunks, trundles, daybeds with restricted access, couches, and folding beds may not be used for residents. Each bed must have clean bedding in good condition consisting of a bedspread, mattress pad, two sheets, a pillow, a pillowcase, and blankets adequate for the weather. Waterproof mattress covers must be used for incontinent residents.

(d) Each resident's bedroom must have a separate, private dresser and closet space sufficient for the resident's clothing and personal effects, including hygiene and grooming supplies. A resident must be provided a private, secure storage space to keep and use reasonable amounts of personal belongings. A licensee may not use a resident's bedroom for storage of items, supplies, devices, or appliances that do not belong to the resident.

(e) RESIDENT BEDROOM DOORS.

(A) All resident bedroom doors must have a locking device on the inside of the door, released by a single action.

(B) Each resident shall be provided a key that locks and unlocks only his or her bedroom door.

(C) A master key to all the residents' bedroom door locks must be immediately available to the licensee and all other caregivers in the home.

(f) Drapes or shades for bedroom windows must be in good condition and allow privacy for the residents.

(g) Resident bedrooms must be in close enough proximity to the licensee or caregiver in charge to alert the licensee or caregiver in charge to resident nighttime needs or emergencies, or the bedrooms must be equipped with a functional call bell or intercom within the residents' abilities to operate. Intercoms may not violate the resident's right to privacy and must have the capability of being turned off by the resident or at the resident's request.

(h) Bedrooms used by the licensee, administrator, resident manager, shift caregiver, and substitute caregiver, as applicable, must be in the AFH and must have direct access to the residents through an interior hallway or common use room.

(10) SANITATION.

(a) NON-MUNICIPAL WATER SOURCE. A public water supply must be utilized if available. If a non-municipal water source is used, the licensor, a sanitarian, or a technician from a laboratory accredited for well water testing must collect and test a sample for coliform bacteria annually or as required by the Department. Water testing and any necessary corrective action to ensure water is suitable for drinking must be completed at the licensee's expense. Water testing records must be retained for three years.

(b) Septic tanks or other non-municipal sewage disposal systems must be in good working order.

(c) COMMODES AND INCONTINENCE GARMENTS. Commodes used by residents must be emptied frequently and cleaned daily, or more frequently if necessary. Incontinence garments must be disposed of in closed containers.

(d) LAUNDRY. Before laundering, soiled linens and clothing must be stored in closed containers in an area that is separate from food storage, kitchen, and dining areas. Pre-wash attention must be given to soiled and wet bed linens. Sheets and pillowcases must be laundered at least weekly and more often if soiled.

(e) GARBAGE. Garbage and refuse must be suitably stored in readily cleanable, rodent-proof, covered containers, pending weekly removal.

(f) PESTS. Reasonable precautions must be taken to prevent pests (e.g., ants, cockroaches, other insects, and rodents).

Or. Admin. Code § 411-050-0715

APD 19-2019, adopt filed 06/20/2019, effective 7/1/2019; APD 62-2021, amend filed 12/27/2021, effective 1/1/2022

Statutory/Other Authority: ORS 409.050, 410.070, 413.085, 443.001, 443.004, 443.725, 443.735, 443.760 & 443.880

Statutes/Other Implemented: ORS 197.660 - 197.670, 409.050, 410.070, 413.085, 441.373, 443.001 - 443.004, 443.705 - 443.825, 443.875 & 443.991