175 Neb. Admin. Code, ch. 5, § 007

Current through September 17, 2024

Section 175-5-007 - PHYSICAL PLANT

When an adult day service is located in a licensed health care facility or shares space with another entity, the licensee must ensure the adult day service has a unique physical address to ensure mail is secured against unauthorized access and must ensure a separate entrance to the adult day service space to ensure verbal communications are protected against unauthorized access. A licensee must maintain the facility it operates in a manner that is safe, clean and functional and meets the requirements in this chapter.

007.01LINENS. The licensee must provide a supply of clean linens and maintain all linens in good repair. The licensee must implement procedures for the storage and handling of soiled and clean linens.

007.02DIETARY. If food preparation is provided on site, there must be dedicated space and equipment for the preparation and serving of meals. Such food preparation, serving, physical environment, and equipment must comply with the Food Code.

007.03DESIGNED AND EQUIPPED. A site must be designed to meet the needs of consumers served. The licensee service must consider factors such as appropriate and sufficient space, accessibility, equipment, furnishings, lighting, noise control, room temperatures, and ventilation. The licensee must implement a written process for routine and preventative maintenance of equipment, fixtures and furnishings to assure each are safe for use by staff and consumers and function in accordance with manufacturer's recommendations.

007.04LAUNDRY. If laundry services are provided, these services may be provided by contract or on-site by the adult day service.

007.04(A)CONTRACT. If contractual laundry services are used, areas for soiled linen awaiting pickup and separate areas for storage and distribution of clean linen must be provided and used.

007.04(B)ON-SITE. If on-site laundry services are provided, areas dedicated to laundry that include a washer and dryer must be provided and used.

007.05CONSUMER LIVING AREAS. Living areas must have chairs, sofas, tables, and storage items that are comfortable and reflective of individual needs. A garage, barn, shed, or similar structure cannot be used as a consumer living area.

007.06DINING AREAS. Space for dining, socialization, and leisure activities must be provided. Dining areas must:

(A) Have tables and chairs that meet the consumers' needs;

(B) Not be used for sleeping, offices, or as a corridor; and

(C) Be arranged so that all consumers are able to eat meals at an appropriate time by having:

(i) All consumers eat at the same time;

(ii) Consumers eat in different shifts; or

(iii) Open times for consumer meals.

007.07ACTIVITY AREAS. The activity areas must:

(A) Have furnishings to accommodate group and individual activities;

(B) Not be used for sleeping, offices, or as a corridor; and

(C) Be available to all consumers.

007.08TOILET ROOMS. 1 toilet fixture for every 10 consumers must be provided. Hand washing sinks must be located near the toilet fixtures.

007.09SLEEPING AREAS. The licensee must provide adult day services for a period of less than 24 consecutive hours. If consumers are served overnight, the adult day service must provide a sleeping area which affords privacy, provides access to furniture, and accommodates the care, treatment and services provided to the consumers. Sleeping rooms must:

(A) Not be located in an garage, storage area, shed, or similar detached buildings; and

(B) Not be accessed through a bathroom, food preparation area, laundry, or bedroom.

007.10CONSUMER STORAGE. Storage for consumers' belongings must be provided.

007.11DOORS. Doors must be wide enough to allow passage and be equipped for privacy, safety, and with assistive devices to minimize consumer injury, including the following:

(A) Toilet and bathing room doors must provide privacy yet not create seclusion or prohibit staff access for routine or emergency care; and

(B) The door of a toilet or bathing room with less than 50 square feet of clear floor area and dedicated to consumer use must not swing inward.

007.12BATHING ROOMS. If the licensee provides bathing services, the bathing room must have a tub or shower. Tubs and showers used by consumers must be equipped with handgrips or other assistive devices as needed by the consumer. The bathing room must not open directly into a dining or kitchen area.

007.13ADDITIONAL SERVICES. If the licensee provides additional medical or therapy services, there must be space provided to assure privacy and appropriate care.

007.14OUTDOOR AREAS. When the licensee provides and outdoor area for consumer use, it must be equipped and situated to allow for consumer safety and abilities.

175 Neb. Admin. Code, ch. 5, § 007

Amended effective 3/20/2024