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NEW YORK CODES, RULES AND REGULATIONS
TITLE 14. DEPARTMENT OF MENTAL HYGIENE
CHAPTER XXI. OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES
PART 814. GENERAL FACILITY REQUIREMENTS
Date:
08/31/2009
Document:
ยง 814.3 Requirements for all facilities
(a) All facilities shall be maintained at all times in a state of repair which protects the health and safety of all occupants. The provision of maintenance shall be the responsibility of the governing authority of the facility.
(b) All facilities shall develop, maintain and follow a plan for maintenance which shall conform to all applicable laws and ordinances which mandate safety, fire, health and sanitation requirements. All facilities shall be maintained in a clean and sanitary manner.
(c) Floor plan requirements. Current and accurate facility floor plans, specifying the following information, shall be maintained on file and provided to the Office upon request:
(1) room locations and dimensions;
(2) room functions;
(3) maximum permitted room occupancy;
(4) fire/evacuation routes;
(5) smoke and/or heat detector locations;
(6) fire alarm pull box locations;
(7) telephone locations;
(8) fire extinguisher locations;
(9) emergency light locations;
(10) sprinkler/stand pipe system locations; and
(11) sanitary facilities, including:
(i) the number of sinks, showers/tubs and toilets per room;
(ii) the intended use of the facilities by the patients/residents, staff, men and/or women; and
(iii) placement of handicapped accessible fixtures and accessories.
(d) Safety and fire precaution requirements.
(1) Fire drills shall be conducted at least monthly at varying times. All such drills shall be held at times when the building is occupied.
(2) A written record shall be maintained indicating the time and date of each fire drill, the number of participants at each drill and the length of time for each evacuation. This written record shall be kept on file for review.
(3) Fire regulations and evacuation routes shall be posted in bold print on contrasting backgrounds and in conspicuous locations.
(4) There shall be at least one communication device on each floor of each building accessible to all occupants and identified for emergency use.
(5) There shall be maintained a first aid area equipped with basic first aid supplies on each floor of each building.
(6) All high temperature piping accessible to occupants shall be shielded.
(7) The use of unvented open space heaters shall be prohibited under any and all circumstances.
(8) All flammable materials shall be stored in metal cabinets.
(9) Annual inspections and testing of the existing fire alarm system, including battery operated smoke detectors, fire extinguishers, emergency lighting systems, illuminated exit signs, and environmental controls and heating and cooling systems shall be conducted. Documentation of such inspections and testing shall be maintained on file for review.
(10) Semi-annual inspections of fire suppression systems shall be conducted and documentation of such testing shall be maintained on file for review.
(11) Documentation evidencing training of all employees in the use of fire fighting equipment and the means of rapid evacuation of the building shall be maintained on file for review.
(e) General building requirements. Supportive living services are exempt from (5) & (8) through (11) below.
(1) The water supply must be maintained at all times to ensure provision of clean, safe water at an adequate capacity for provision of the needs of all occupants.
(2) Appropriate means for the proper disposal of wastewater and sewage shall be established and maintained at all times.
(3) Metal or plastic containers with fitted covers shall be used for the storage of all refuse.
(4) Windows used for ventilation purposes shall be equipped with window screens.
(5) Counseling rooms shall be made available which afford privacy for both staff and patients from other persons. Counseling rooms shall, with or without the use of sound generating devices, prevent voice transmission outside of the room.
(6) All bedrooms shall be equipped with functioning smoke detectors. Separate bedroom and bathroom facilities shall be made available which afford privacy for males and females.
(7) A designated area shall be made available for locked storage and maintenance of patient records. Location, design and equipment shall be appropriate to secure records from traffic, theft and unauthorized access as well as from damage by fire or water. Patient records shall be retained for six years after the date of discharge or last contact, or three years after the patient reaches the age of eighteen, whichever time period is longer.
(8) A separate designated support area shall be made available in conjunction with living units for housekeeping and janitorial staff, supplies and equipment.
(9) Offices or work areas shall be made available to facilitate effective supervision and monitoring of patients and/or residents.
(10) Areas for the proper storage, preparation and use or dispensing of medications and emergency medical supplies and equipment shall be made available. Storage of all medications shall be provided for in accordance with the requirements set forth in 21 Code of Federal Regulations Part 1301.72 and Title 10 NYCRR Part 80.50. Syringes and needles shall be properly and securely stored.
(11) As needed, and particularly for all Part 816, 818, and 828 services, an area designed for the conduct of on-site medical examinations shall be made available which at a minimum:
(i) must be made private;
(ii) is equipped with an examining table;
(iii) is equipped with medical instruments suitable for required examinations and foreseeable emergency procedures including a sphygmomanometer, oto-ophthalmoscope and stethoscope;
(iv) is readily accessible to a sink and water supply;
(v) has the capacity to properly dispose of medical waste;
(vi) has desks and chairs appropriate to accommodate staff and patients;
(vii) has an instrument and/or drug cabinet; and
(viii) has resuscitation equipment and medications.
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