Ariz. Admin. Code § 9-10-2117

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

Section R9-10-2117 - Environmental Standards

A. An administrator shall ensure the recovery care center's infection control policies and procedures include:

1. Development and implementation of a written plan for preventing, detecting, reporting, and controlling communicable diseases and infection;

2. Handling and disposal of biohazardous medical waste; and

3. Sterilization, disinfection, and storage of medical equipment and supplies.

B. An administrator shall ensure that:

1. A recovery care center's premises and equipment are:

a. Cleaned and disinfected according to policies and procedures or manufacturer's instructions to prevent, minimize, and control illness or infection; and

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

2. A pest control program is implemented and documented;

3. Equipment used to provide recovery care services 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;

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

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

6. Soiled linen and clothing are:

a. Collected in a manner to minimize or prevent contamination;

b. Bagged at the site of use; and

c. Maintained separate from clean linen and clothing and away from food storage, kitchen, or dining areas;

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 recovery care center at a temperature between 70° F and 84° F;

9. Common areas:

a. Are lighted to assure the safety of patients, and

b. Have lighting sufficient to allow personnel members to monitor patient activity;

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

11. Oxygen containers are secured in an upright position;

12. Poisonous or toxic materials stored by the recovery care center are maintained in labeled containers in a locked area separate from food preparation and storage, dining areas, and medications and are inaccessible to patients;

13. Combustible or flammable liquids and hazardous materials stored by the recovery care center are stored in the original labeled containers or safety containers in a locked area inaccessible to patients;

14. If pets or animals are allowed in the recovery care center, pets or animals are:

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

b. Licensed consistent with local ordinances;

15. If a water source that is not regulated under 18 A.A.C. 4 by the Arizona Department of Environmental Quality is used:

a. The water source is tested at least once every 12 months for total coliform bacteria and fecal coliform or E. coli bacteria;

b. If necessary, corrective action is taken to ensure the water is safe to drink; and

c. Documentation of testing is retained for at least 12 months after the date of the test; and

16. If a non-municipal sewage system is used, the sewage system is in working order and is maintained according to applicable state laws and rules.

C. An administrator shall ensure that:

1. Smoking tobacco products is not permitted within a recovery care center; and

2. Smoking tobacco products may be permitted outside a recovery care center if:

a. Signs designating smoking areas are conspicuously posted, and

b. Smoking is prohibited in areas where combustible materials are stored or in use.

Ariz. Admin. Code § R9-10-2117

Renumbered from R9-10-517 by final rulemaking at 25 A.A.R. 1222, effective 4/25/2019