Section 410 IAC 15-2.5-7 - Physical plant, equipment maintenance, and environmental servicesAuthority: IC 16-21-1-7
Affected: IC 16-21-1
Sec. 7.
(a) The center shall be constructed, arranged, and maintained to ensure the safety of the patient and to provide facilities for services authorized under the center license as follows:(1) The plant operations and maintenance service, equipment maintenance, and environmental services must be as follows:(A) Staffed to meet the scope of the services provided.(B) Under the direction of a person or persons qualified by education, training, or experience according to center policy approved by the governing body.(2) The center shall provide a physical plant and equipment that meets the statutory requirements and regulatory provisions of the state department of fire and building services, 675 IAC 22, Indiana fire prevention codes, and 675 IAC 13, Indiana building codes.(3) There must be emergency power and lighting in accordance with National Fire Protection Association (NFPA) 99.(4) In new construction, renovations, and additions, the center site and facilities, or nonlicensed facilities acquired for the purpose of providing center services, shall meet the following:(A) The 2001 edition of the national "Guidelines for Design and Construction of Hospital and Health Care Facilities" (Guidelines).(B) All building, fire safety, and handicapped accessibility codes, and rules adopted and administered by the state building commission shall apply to all facilities covered by this rule and take precedence over any building, fire safety, or handicapped accessibility requirements of the Guidelines.(C) When renovation or replacement work is done within an existing facility, all new work or additions, or both, shall comply, insofar as practical, with applicable sections of the Guidelines and for certification with appropriate parts of NFPA 101 (2000 Edition).(D) Water supply and sewage disposal services shall be obtained from municipal or community services.(E) As early in the construction, addition, or renovation project as possible, the functional and operational description shall be submitted to the division. This submission shall consist of, but not be limited to, the following:(i) Functional program narrative as established in the Guidelines.(ii) Schematics, based upon the functional program, consisting of drawings (as single-line plans), outline specifications, and other documents illustrating the scale and relationship of project components.(F) Prior to the start of construction, addition, or renovation projects, detailed architectural and operational plans for construction shall be submitted to the plan review division of the department of fire and building services and to the division of sanitary engineering of the department as follows: (i) Working drawings, project manuals, and specifications shall be included.(ii) Prior to submission of final plans and specifications, recognized standards and codes, including infection control standards, shall be reviewed as required in section 1(e)(2) of this rule.(iii) All required approvals shall be obtained from fire and building services and final approval from the division of sanitary engineering of the department prior to issuance of the occupancy letter by the division. (G) Upon receipt of a plan release from the fire and building commissioner and documentation of a completed plan review by the division of sanitary engineering of the department, a licensure application shall be submitted to the division on the form approved and provided by the department.(H) Documentation from the state building commissioner that the center is in compliance with the fire safety rules of the fire prevention and building safety commission shall be furnished to the division with the licensure application.(b) The condition of the physical plant and the overall center environment must be developed and maintained in such a manner that the safety and well-being of patients are assured as follows: (1) No condition in the center or on the grounds may be maintained that may be conducive to the harboring or breeding of insects, rodents, or other vermin.(2) No condition may be created or maintained that may result in a hazard to patients, public, or employees.(3) Provision must be made for the periodic inspection, preventive maintenance, and repair of the physical plant and equipment by qualified personnel as follows: (A) Operation, maintenance, and spare parts manuals must be available, along with training or instruction, or both, of the appropriate center personnel, in the maintenance and operation of fixed and movable equipment.(B) All mechanical equipment (pneumatic, electric, sterilizing, or other) must be on a documented maintenance schedule of appropriate frequency in accordance with acceptable standards of practice or the manufacturer's recommended maintenance schedule.(C) Operational and maintenance control records must be established and analyzed at least triennially. These records must be readily available on the premises.(D) Maintenance and repairs must be carried out in accordance with applicable codes, rules, standards, and requirements of local jurisdictions, administrative building council, the state fire marshal, and the department.(4) The patient care equipment requirements are as follows: (A) There must be sufficient patient care equipment and space to assure the safe, effective, and timely provision of the available services to patients.(B) All patient care equipment must be in good working order and regularly serviced and maintained as follows:(i) All patient care equipment must be on a documented maintenance schedule of appropriate frequency in accordance with acceptable standards of practice or the manufacturer's recommended maintenance schedule.(ii) There must be evidence of preventive maintenance on all patient care equipment.(iii) Appropriate records must be kept pertaining to equipment maintenance, repairs, and electrical current leakage checks and analyzed at least triennially.(iv) Defibrillators must be discharged at least in accordance with manufacturers' recommendations, and a discharge log with initialed entries must be maintained.(5) The building or buildings, including fixtures, walls, floors, ceiling, and furnishings throughout, must be kept clean and orderly in accordance with current standards of practice, including the following:(A) Environmental services must be provided in such a way as to guard against transmission of disease to patients, health care workers, the public, and visitors by using the current principles of the following:(ii) Cross-contamination prevention.(B) Refuse, biohazards, infectious waste, and garbage must be collected, transported, sorted, and disposed of by methods that will minimize nuisances or hazards according to federal, state, and local laws and rules.(c) A safety management program must include, but not be limited to, the following: (1) A review of safety functions by a committee appointed by the chief executive officer that includes representatives from administration and patient care services.(2) An ongoing center-wide process to evaluate and collect information about hazards and safety practices to be reviewed by the committee.(3) The safety program includes, but is not limited to, the following: (B) Health care worker safety.(C) Public and visitor safety.(4) A written fire control plan that contains provisions for the following: (A) Prompt reporting of fires.(B) Extinguishing of fires.(C) Protection of patients, personnel, and guests.(E) Cooperation with firefighting authorities.(5) Maintenance of written evidence of regular inspection and approval by state or local fire control agencies in accordance with center policy and state and local regulations.(6) Emergency and disaster preparedness coordinated with appropriate community, state, and federal agencies.Indiana State Department of Health; 410 IAC 15-2.5-7; filed Dec 1, 1999, 3:44 p.m.: 23 IR 793; errata filed Feb 15, 2000, 8:05 a.m.: 23 IR 1657; filed Dec 2, 2001, 12:35 p.m.: 25 IR 1133; filed Apr 16, 2004, 10:30 a.m.: 27 IR 2721; readopted filed Jul 15, 2005, 8:00 a.m.: 28 IR 3661; readopted filed Jul 14, 2011, 11:42 a.m.: 20110810-IR-410110253RFAReadopted filed 9/13/2017, 4:08 p.m.: 20171011-IR-410170339RFAReadopted filed 11/28/2023, 12:13 p.m.: 20231227-IR-410230639RFA