Header:
CODE OF MARYLAND REGULATIONS
TITLE 10. DEPARTMENT OF HEALTH AND MENTAL HYGIENE
SUBTITLE 47. ALCOHOL AND DRUG ABUSE ADMINISTRATION
CHAPTER 01. REQUIREMENTS
Date:
08/31/2009
Document:
.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, ยง 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.
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