Ariz. Admin. Code § 9-10-323

Current through Register Vol. 30, No. 45, November 8, 2024

Section R9-10-323 - Environmental Standards

A. An administrator shall ensure that:

1. The premises and equipment are:

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

b. Free from a condition or situation that may cause a patient or other 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. Biohazardous medical waste is identified, stored, and disposed of according to 18 A.A.C. 13, Article 14 and policies and procedures;

4. Equipment used at the behavioral health inpatient 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;

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

6. Garbage and refuse are:

a. In areas used for food storage, food preparation, or food service, stored in covered containers lined with plastic bags;

b. In areas not used for food storage, food preparation, or food service, stored:

i. According to the requirements in subsection (6)(a), or

ii. In a paper-lined container that is cleaned and sanitized as often as necessary to ensure that the container is clean; and

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

7. Heating and cooling systems maintain the behavioral health inpatient facility at a temperature between 70° F and 84° F;

8. Common areas:

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

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

9. Hot water temperatures are maintained between 95°; F and 120° F in the areas of a behavioral health inpatient facility used by patients;

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

12. Oxygen containers are secured in an upright position;

13. Poisonous or toxic materials stored by the behavioral health inpatient facility are maintained in labeled containers in a locked area separate from food preparation and storage, dining areas, and medications and are inaccessible to patients;

14. Combustible or flammable liquids and hazardous materials stored by a behavioral health inpatient facility are stored in the original labeled containers or safety containers in a locked area inaccessible to patients;

15. If pets or animals are allowed in the behavioral health inpatient facility, pets or animals are:

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

b. Licensed consistent with local ordinances; and

c. For a dog or cat, vaccinated against rabies;

16. 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 maintained for at least 12 months after the date of the test; and

17. 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.

B. An administrator shall ensure that:

1. Smoking tobacco products is not permitted within a behavioral health inpatient facility; and

2. Except as provided in R9-10-318(A)(11), smoking tobacco products may be permitted on the premises outside a behavioral health inpatient facility if:

a. Signs designating smoking areas are conspicuously posted, and

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

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

1. At least one personnel member with cardiopulmonary resuscitation training that meets the requirements in R9-10-303(C)(1)(e) is present in the pool area when a patient is in the pool area, and

2. At least two personnel members are present in the pool area when two or more patients are in the pool area.

Ariz. Admin. Code § R9-10-323

Section R9-10-323, formerly numbered as R9-10-234, renumbered as an emergency effective February 22, 1979, pursuant to A.R.S. § 41-1003, valid for only 90 days (Supp. 79-1). Adopted effective June 14, 1979 (Supp. 79-3). Former Section R9-10-323 repealed, new Section R9-10-323 adopted effective February 4, 1981 (Supp. 81-1). Section repealed by final rulemaking at 8 A.A.R. 2785, effective October 1, 2002 (Supp. 02-2). New Section R9-10-323 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.