R501-13-15. Physical Environment

A. There shall be a minimum of fifty square feet of indoor floor space per consumer designated specifically for adult day care during program operational hours. Hallways, office, storage, kitchens, and bathrooms shall not be included in computation.

B. Outdoor recreational space on or off site and compatible recreational equipment shall be available to facilitate activity plans.

C. All indoor and outdoor areas shall be maintained in a clean, secure and safe condition.

D. Areas determined to be unsafe, including steep grades, cliffs, open pits, swimming pools, high voltage boosters, or high speed roads, shall be fenced off.

E. Space shall be used exclusively for adult day care during designated hours of operation.

F. Bathrooms

1. There shall be at least one bathroom exclusively for consumers use during business hours. For facilities serving more than ten consumers there shall be separate male and female bathrooms exclusively for consumer use.

2. Adult day care programs shall provide the following:

TABLE 1

                Toilets Sinks

                Male 1:15 Female 1:15

                Female 1:15 Male 1:15

3. Bathrooms shall accommodate physically disabled consumers.

4. Each bathroom shall be properly supplied with toilet paper, individual disposable hand towels or air dryers, soap dispensers, and other items required for personal hygiene. Consumers' personal items shall be labeled and stored separately for each consumer.

5. Toilet rooms shall be ventilated by mechanical means or equipped with a screened window that opens. Toilet rooms shall be maintained in good operating order and in a clean and safe condition.

6. Each toilet shall be individually stalled with closing doors for privacy.

G. Safety

1. All furniture and equipment shall be maintained in a clean and safe condition. Equipment shall be operated and maintained as specified by manufacturer instructions.

2. Grade level entrance, approved ramps, handrails and other safety features shall be provided as determined by local, state and federal regulations and fire authorities in order to facilitate safe movement.

3. Provisions of the Utah Clean Air Act shall be followed if smoking is allowed in the building.

4. Use of restrictive barriers shall be approved by fire authorities.

5. Use of throw rugs is prohibited.

6. Hot water accessible to consumers shall be maintained at a temperature that does not exceed 110 Fahrenheit.

7. A secured storage area, inaccessible to consumers, shall be used for volatile and toxic substances.

8. Heating, ventilation, and lighting shall be adequate to protect the health of the consumers. Indoor temperature shall be maintained at a minimum of 70 Fahrenheit.

H. Food Service

1. Meals provided by program:

a. Kitchens used for meal preparation shall be provided with the necessary equipment for the preparation, storage, serving and clean up of all meals. All equipment shall be maintained in working order. Food preparation areas shall be maintained in a clean and safe condition.

b. One person shall be responsible for food service.

c. The person responsible for food service shall maintain a current list of consumers with special nutritional needs or allergies. Records of consumer special nutritional needs shall be kept in the consumer's service records. Food shall be prepared and served in accordance with special nutritional needs.

2. Food activities in which consumers participate shall be directly supervised by staff with a food handlers permit.

3. Catered foods and beverages provided from outside sources shall have adequate on-site storage and refrigeration as well as a method to maintain adequate temperature control.

4. Dining space shall be designated and maintained in a clean and safe condition.

5. Menus shall be approved by a registered dietitian unless the program is participating in the Federal Adult and Child Nutrition program administrated through the State Office of Education.

6. Consumers shall receive meals or snacks according to the following:

TABLE 2

Hours in Care Meals/Snacks That Shall Be Served

8 or more hours 1 meal and 2 snacks or

                         2 meals and 1 snack

4 hours but less

  than 8 hours 1 meal and 2 snacks

4 hours or less 1 snack

7. Sufficient food shall be available for second servings.

8. There shall be no more than three hours between snack or meal service.

9. Powdered milk shall be used for cooking only.

I. Medication

1. All prescribed and over the counter medication shall be provided by the consumer, the responsible person or by special arrangement with a licensed pharmacy.

2. All medications shall be clearly labeled. Medication shall be stored in a locked storage area. Refrigeration shall be provided as needed with medication stored in a separate container.

3. There shall be written policy and procedure to include self administered medication, medication administered by persons with legal authority to do so and the storage, control, release, and disposal of medication in accordance with federal and state law.

4. Any assisted administration of medication shall be documented daily by the Director or designee.