Ariz. Admin. Code § 9-10-1117

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

Section R9-10-1117 - Physical Plant Standards

A. An administrator shall ensure that an adult day health care facility complies with the physical plant health and safety codes and standards incorporated by reference in R9-10-104.01, in effect on the date the adult day health care facility submitted architectural plans and specifications to the Department for approval, according to R9-10-104.

B. An administrator shall ensure that the premises and equipment are sufficient to accommodate:

1. The services stated in the adult day health care facility's scope of services, and

2. An individual accepted as a participant by the adult day health care facility.

C. An administrator shall ensure that an adult day health care facility has at least 40 square feet of indoor activity space for each participant, excluding bathrooms, halls, storage areas, kitchens, wall thicknesses, and rooms designated for use by individuals who are not participants.

D. An administrator shall ensure that an outside activity space is provided and available that:

1. Is on the premises,

2. Has a hard-surfaced section for wheelchairs,

3. Has an available shaded area, and

4. Has a means of egress without entering the adult day health care facility.

E. An administrator shall ensure that:

1. There is at least one working toilet that flushes and has a seat and one sink with running water for each ten participants;

2. A bathroom for use by participants provides privacy when in use and contains in a location accessible to participants:

a. A mirror;

b. Toilet paper for each toilet;

c. Soap accessible from each sink;

d. Paper towels in a dispenser or an air hand dryer; and

e. Grab bars for the toilet and other assistive devices, if required, to provide for participant safety;

3. A bathroom has a window that opens or another means of ventilation;

4. If a bathing facility is provided:

a. The bathing facility provides privacy when in use,

b. Shower enclosures have nonporous surfaces,

c. Showers and tubs have grab bars for participant safety, and

d. Tub and shower floors have slip-resistant surfaces;

5. Dining areas are furnished with dining tables and chairs and large enough to accommodate participants;

6. There is a wall or other means of physical separation between dining facilities and food preparation areas;

7. If the adult day health care facility serves food, areas are designated for food preparation, storage, and handling and are not used as a passageway by participants; and

8. All flooring is slip-resistant.

F. If the adult day health care facility has a swimming pool on the premises, an administrator shall ensure that:

1. The swimming pool is equipped with the following:

a. An operational water circulation system that clarifies and disinfects the swimming pool water continuously and that includes at least:

i. A removable strainer,

ii. Two swimming pool inlets located on opposite sides of the swimming pool, and

iii. A drain located at the swimming pool's lowest point and covered by a grating that cannot be removed without using tools; and

b. An operational vacuum cleaning system;

2. The swimming pool is enclosed by a wall or fence that:

a. Is at least five feet in height as measured on the exterior of the wall or fence;

b. Has no vertical openings greater that four inches across;

c. Has no horizontal openings, except as described in subsection (C)(2)(e);

d. Is not chain-link;

e. Does not have a space between the ground and the bottom fence rail that exceeds four inches in height; and

f. Has a self-closing, self-latching gate that:

i. Opens away from the swimming pool,

ii. Has a latch located at least 54 inches from the ground; and

iii. Is locked when the swimming pool is not in use;

3. A life preserver or shepherd's crook is available and accessible in the pool area; and

4. If the swimming pool is used by participants, pool safety requirements are conspicuously posted in the pool area.

Ariz. Admin. Code § R9-10-1117

Adopted effective September 2, 1977 (Supp. 77-5). Repealed effective July 22, 1994 (Supp. 94-3). Amended by exempt rulemaking at 20 A.A.R. 1409, effective 7/1/2014. Amended by final expedited rulemaking at 25 A.A.R. 3481, effective 11/5/2019.