Ariz. Admin. Code § 9-10-1116

Current through Register Vol. 30, No. 44, November 1, 2024

Section R9-10-1116 - Environmental Standards

A. An administrator shall ensure that:

1. The adult day health care facility's premises are:

a. Cleaned and disinfected according to policies and procedures to prevent, minimize, and control illness and infection; and

b. Free from a condition or situation that may cause a participant or an individual to suffer physical injury;

2. A pest control program that complies with A.A.C. R3-8-201(C)(4) is implemented and documented;

3. Windows and doors opening to the outside are screened if they are kept open at any time for ventilation or other purposes;

4. Biohazardous medical waste is identified, stored, and disposed of according to 18 A.A.C. 13, Article 14 and policies and procedures;

5. Equipment used at the adult day health care facility is:

a. Maintained in working order;

b. Tested and calibrated according to the manufacturer's recommendations or, if there are no manufacturer's recommendations, as specified in policies and procedures; and

c. Used according to the manufacturer's recommendations;

6. Documentation of equipment testing, calibration, and repair is maintained for at least 12 months after the date of the testing, calibration, or repair;

7. Garbage and refuse are:

a. Stored in covered containers lined with plastic bags, and

b. Removed from the premises at least once a week;

8. Heating and cooling systems maintain the adult day health care facility at a temperature between 70° F and 84° F;

9. The supply of hot and cold water is sufficient to meet the personal hygiene needs of participants and the cleaning and sanitation requirements in this Article;

10. Soiled linen and soiled clothing stored by the adult day health care facility are maintained separate from clean linen and clothing and stored in closed containers away from food storage, kitchen, and dining areas;

11. Oxygen containers are secured in an upright position;

12. Poisonous or toxic materials stored by the adult day health care facility are maintained in labeled containers in a locked area separate from food preparation and storage, dining areas, and medications and are inaccessible to participants;

13. Combustible or flammable liquids and hazardous materials stored by the adult day health care facility are stored in the original labeled containers or safety containers in a locked area inaccessible to participants; and

14. Pets or animals are:

a. Controlled to prevent endangering the participants and to maintain sanitation;

b. Not allowed in treatment, food storage, food preparation, or dining areas;

c. Licensed consistent with local ordinances; and

d. For a dog or cat, vaccinated against rabies.

B. If a swimming pool is located on the premises, an administrator shall ensure that:

1. On a day that a participant uses the swimming pool, an employee:

a. Tests the swimming pool's water quality at least once for compliance with one of the following chemical disinfection standards:

i. A free chlorine residual between 1.0 and 3.0 ppm as measured by the N, N-Diethyl-p-phenylenediamine test;

ii. A free bromine residual between 2.0 and 4.0 ppm as measured by the N, N-Diethyl-p-phenylenediamine test; or

iii. An oxidation-reduction potential equal to or greater than 650 millivolts; and

b. Records the results of the water quality tests in a log that includes the date tested and test result;

2. Documentation of the water quality test is maintained for at least 12 months after the date of the test;

3. A swimming pool is not used by a participant if a water quality test shows that the swimming pool water does not comply with subsection (B)(1)(a);

4. At least one personnel member with cardiopulmonary resuscitation training, required in R9-10-1106(D), is present in the pool area when a participant is in the pool area; and

5. At least two personnel members are present in the pool area if two or more participants are in the pool area.

Ariz. Admin. Code § R9-10-1116

Adopted effective September 2, 1977 (Supp. 77-5). Repealed effective July 22, 1994 (Supp. 94-3). New Section made by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). Amended by exempt rulemaking at 20 A.A.R. 1409, effective 7/1/2014. Amended by final expedited rulemaking at 25 A.A.R. 259, effective 1/8/2019.