Section 33-14-04-04 - Maintenance1.Paramedical and adjunct services.a. Mentally retarded persons who wear glasses, braces, or other appliances shall wear them as directed by the person who prescribed them and the center shall record these instructions in the resident's record and see that they are carried out. b. Adequate facilities shall be made available to provide treatment (such as orthopedic and physiotherapy) by qualified personnel for residents who are physically handicapped in addition to being mentally retarded. c. The center shall have an independent training program which makes every effort to help each resident achieve the resident's fullest potential for independence whether this be independence in self-care or for more complex activities leading to the goal of independent living. d. Pharmacy. Where a pharmacy is operated, a registered pharmacist shall be in charge. 2.Medications.a. All medicines, poisons, and other drugs shall be plainly labeled. They shall be stored in a specifically designated and well-illuminated area and made accessible only to responsible persons. b. Medications requiring refrigeration shall be stored in a separate refrigerator or a separate section of a refrigerator. c. The specific name of the drug shall be plainly indicated on the container. d. All medication ordered for residents shall be administered and recorded in accordance with the written order of the attending physician. e. Custody of all medications, drugs, and poisons shall be the responsibility of registered nurses or supervisory personnel. f. Responsibility for administration of one's own medications by any resident can only be given as part of an approved treatment plan and recorded as such in the resident's record. g. There shall be compliance with state and federal regulations and laws governing use of drugs and narcotics. 3.Food service.a. Diet plans shall be developed by a qualified dietitian who shall be responsible for development of special diets when ordered by the resident's physician. At least three meals shall be served daily to all residents either in the residential facility or made available at school or employment. b. Menus shall be planned, written, and posted in the kitchen at least one week in advance. Copies of menus, as served, shall be kept on file for at least four weeks. c. Ambulatory residents shall be provided dining room service. Nonambulatory residents shall be served in such a way as to maximize independence and skills and still maintain an adequate state of nutrition. 4.Sanitation for preparing and serving food.a. The storage, preparation, and serving of food and the cleaning and sanitizing of utensils shall be in accordance with the Ordinance and Code regulating eating and drinking establishments as recommended by the Public Health Service Food Service Sanitation Ordinance and Code (Part V), Food Service Sanitation Manual. Copies of this manual may be obtained from the state department of health. b. The kitchen area shall provide adequate space for food preparation, dishwashing, refrigeration, and storage of bulk foods. c. A janitor's closet and garbage can washing facility shall be provided. 5.Milk supply. The milk supply shall be from an approved source complying with the requirements of the Public Health Service Standard Milk Ordinance. 6.Water supply.a. The water supply shall be from an approved source and must meet recognized standards of quality and quantity. b. Sufficient facilities for producing a ready quantity of hot water for domestic needs shall be provided. 7.Waste disposal. Disposal of sewage and garbage shall be in an approved manner and must meet recognized standards. 8.Laundry.a. Adequate arrangements for laundry service shall be made. b. If the laundry is done within the facility, there shall be proper provision of spacing, sizing, and placing of equipment to assure satisfactory service to meet the demands of the residents. General Authority: NDCC 28-32-02
Law Implemented: NDCC 25-16-03
N.D. Admin Code 33-14-04-04