10.47.01.05

.05 Environmental Requirements.

A. Life Safety Requirements. A program shall:

(1) Have a facility free from fire hazards and have:

(a) Adequate smoke detectors;

(b) Working and updated fire extinguishers;

(c) A written fire evacuation plan; and

(d) A current fire inspection certification;

(2) Comply with applicable federal, State, and local sanitation, building, fire codes, and zoning requirements;

(3) Maintain documentation of legally required periodic evacuation drills, if applicable; and

(4) Within the first 30 days of employment, provide staff training in emergency evacuation procedures.

B. Special Accommodations. A program shall have protocols, which may include referral agreements with other programs, that provide for admission and treatment of individuals with:

(1) Limited English proficiency or hearing and speaking disabilities; and

(2) Physical and mental disabilities.

C. Residential Treatment Programs. A program shall have:

(1) Nurses' stations, if appropriate;

(2) A dining room;

(3) Bathrooms;

(4) Telephones;

(5) A living room;

(6) Space for privacy for visits;

(7) Space for leisure time activities;

(8) Offices for both administrative and counseling personnel; and

(9) Sleeping quarters that:

(a) Do not allow for more than six patients to share the sleeping quarters, except for therapeutic communities that use dormitory style sleeping areas;

(b) Provide adolescents and adults with separate sleeping quarters;

(c) Provide privacy for patients;

(d) Provide beds that:

(i) Are at least 3 feet apart;

(ii) Are located more than 18 inches away from radiators and registers;

(iii) Are at least 36 inches wide, and not rollaway-type beds, cots, or folding beds;

(iv) Have mattresses that are clean, in good repair, and the same size as the bed frame; and

(v) Have at least two sets of sheets;

(e) Have at least two dresser drawers and an enclosed space for hanging clothes; and

(f) Have a mirror and window coverings in good repair;

(10) A method for safely storing a patient's valuables; and

(11) A written plan for providing temporary shelter for patients if a facility becomes uninhabitable.

D. Dietary Services. If meals are provided, a program shall:

(1) Comply with applicable local, State, and federal laws;

(2) Have a written plan describing the organization and delivery of dietary services; and

(3) Require a dietitian licensed under the Health Occupations Article, §5-101, Annotated Code of Maryland, to develop and implement the dietary service plan.

E. Infection Control — Universal Precautions. A program shall observe universal precautions as required under COMAR 10.07.02.21-1.