Section 11-89-12 - Structural requirements for licensure(a) Prior to licensure, the applicant shall provide the department with evidence that the facility meets all requirements of state and county zoning, building, fire, sanitation, housing, and other codes, ordinances and laws for the type of occupancy to be licensed.(b) Once licensed, the administrator shall be responsible for ensuring that the facility is maintained in compliance with all state and county zoning, building, fire, sanitation, housing and other codes, ordinances, and laws.(c) The facility shall be accessible to public transportation or provide means of transportation.(d) An enclosed family dining area shall be provided within the facility and shall be accessible to all residents. It shall be apart from sleeping quarters but may be in continuity to the living room area.(e) Dining space allotment shall not be less than twenty square feet per adult residing in the facility.(f) The family living room shall be accessible to all residents for the provision of recreational, social and activity needs of the residents.(g) Living room space shall not be less than thirty square feet per adult residing in the facility.(h) Bedrooms: (1) Bedroom shall be at or above grade level and be accessible to all persons who use wheelchairs;(2) There shall be an adequate number of bedrooms, as defined in county residential codes and building ordinances, provided for the caregiver and family members;(3) Residents shall be provided with a minimum usable floor space of ninety square feet per bed in a single bedroom and seventy square feet per bed in a multiple bedroom, excluding toilet, closets, lockers, alcoves and vestibules;(4) The number of occupants in bedrooms shall be limited to two residents. Beds shall be placed at least three feet apart in multiple occupant bedrooms;(5) Closet space for each resident shall be provided within the bedroom. Closets shall be a minimum of thirty inches in width, twenty inches in depth, and five feet in height per person. Each closet must contain a height-adjustable clothes rod for the persons with handicapping conditions; and(6) Each occupied room shall have access to exits as required by law.(i) If required by a resident's individual plan, there shall be a means of signaling caregivers at bedside, in bathrooms, toilets, and in other areas where residents may be left unattended.(j) Access from each bedroom to a bathroom, toilet, corridor or central utility area shall be arranged to avoid passing through another bedroom, or cooking, dining or recreational areas.(k) Bathrooms: (1) At least one toilet, lavatory and bathtub or shower shall be conveniently located and provided for each floor occupied by residents for sleeping;(2) There shall be: (A) One toilet for each eight occupants;(B) One shower for each fourteen occupants;(C) One lavatory for each ten occupants, in accordance with county codes and ordinances;(3) Toilets, bathtubs and showers shall have provisions for individual privacy;(4) For facilities accommodating wheelchair residents, showers which are flush with the floor shall be provided. Showers shall have a minimum floor area of twelve and a half square feet arranged and located to accommodate residents and the caregiver providing personal care. The shower entrance shall be at least thirty-six inches wide. Adjacent areas shall be protected from the water; and(5) Every bathroom door shall be designed to permit the opening of the locked door from the outside in the case of an emergency. (l) Doors: (1) Two exit doors which are remote from each other shall be provided for each floor;(2) All door openings through which wheelchairs or walkers must pass shall be at least thirty-six inches in clear width measured from the face of the door to the door stop when opened at ninety degrees; and(3) All rooms inside the facility under the same roof shall be connected by interior doors.(m) Corridors shall be at least thirty-six inches wide, except in facilities which have wheelchair residents where the corridors shall be at least forty-two inches wide.(n) In multi-level homes, there shall be an inside enclosed stairway.(o) Conveniently located space for personal care items and for equipment, such as crutches and wheelchairs, shall be provided.(p) Ramps shall not exceed a slope of more than one inch per foot and shall be covered with non-slip material. Those ramps which exceed seventy-two inches in length or have a rise greater than six inches shall have handrails on both sides.(q) Drawings and specifications for all new construction or additions, alterations or repairs to existing buildings shall be submitted to the department for preliminary review prior to construction and shall comply with current applicable state and county building, fire, sanitation and environmental codes, ordinances, and laws.(r) The department shall be provided with evidence that the premises for which the licensure is sought complies with the state and county sanitation, building, zoning and fire codes, ordinances, and laws. Compliance shall be determined by the counties in which the facility is to be located.[Eff FEB 03 1992] (Auth: HRS §§ 321-9, 321-11, 321-15.9) (Imp: HRS § 321-15.9)