309-018-0200 Facility Standards for Substance Use Disorders and Problem Gambling Residential Treatment and Recovery Programs (1) Residential programs shall meet the following standards: (a) Maintain up-to-date documentation verifying that they meet and comply with all applicable local business license, zoning and building codes, and federal, state, and local fire and safety regulations. It is the responsibility of the provider to check with local government to make sure all applicable local codes have been met; (b) Prior to construction of a new building or major alteration of or addition to an existing building: (A) One set of plans and specifications shall be submitted to the State Fire Marshal for approval; (B) Plans shall be in accordance with the State of Oregon Structural Specialty Code and Fire and Life Safety Regulations; (C) Plans for construction containing 4,000 square feet or more shall be prepared and bear the stamp of an Oregon licensed architect or engineer; and (D) The water supply, sewage, and garbage disposal system shall be approved by the agency having jurisdiction. (2) All rooms used by individuals shall have floors, walls, and ceilings that meet the interior finish requirements of the State of Oregon Structural Specialty Code and Fire and Life Safety Regulations: (a) A separate dining room or area shall be provided for exclusive use of individuals, program staff, and invited guests and shall: (A) Seat at least one-half of the individuals at a time with a minimum of 15 square feet per occupant; and (B) Be provided with adequate ventilation. (b) A separate living room or lounge area shall be provided for the exclusive use of individuals, program staff, and invited guests and shall: (A) Provide a minimum of 15 square feet per occupant; and (B) Be provided with adequate ventilation. (c) Bedrooms shall be provided for all individuals and shall: (A) Be separate from the dining, living, multi-purpose, laundry, kitchen, and storage areas; (B) Be an outside room with a window that can be opened and is at least the minimum required by the State Fire Marshal; (C) Have a ceiling height of at least seven feet, six inches; (D) Provide a minimum of 60 square feet per individual with at least three feet between beds; (E) Provide permanently wired light fixtures located and maintained to give light to all parts of the room; and (F) Provide a curtain or window shade at each window to assure privacy. (d) Bathrooms shall be provided and conveniently located in each building containing a bedroom and shall: (A) Provide a minimum of one toilet and one hand-washing sink for each eight individuals and one bathtub or shower for each ten individuals; (B) Provide one hand-washing sink convenient to every room containing a toilet; (C) Provide permanently wired light fixtures located and maintained to give adequate light to all parts of the room; (D) Provide personal privacy for individuals; (E) Provide a privacy screen at each window; (F) Provide a mirror; and (G) Be provided with adequate ventilation and reasonable measures to prevent mold. . (e) A supply of hot and cold water installed and maintained in compliance with rules of the Authority, the Division, and Public Health Division shall be distributed to taps conveniently located throughout the residential program; (f) All plumbing shall comply with applicable codes; (g) Laundry facilities, when provided, shall be separate from: (A) Resident living areas, including bedrooms; (B) Kitchen and dining areas; and (C) Areas used for the storage of unrefrigerated perishable foods. (h) Storage areas shall be provided appropriate to the size of the residential program. Separate storage areas shall be provided for: (A) Food, kitchen supplies, and utensils; (B) Clean linens; (C) Soiled linens and clothing; (D) Cleaning compounds and equipment; and (E) Poisons, chemicals, insecticides, and other toxic materials that shall be properly labeled, stored in the original container, and kept in a locked storage area. (i) Furniture shall be provided for each individual and shall include: (A) A bed with a frame and a clean mattress and pillow; (B) A private dresser or similar storage area for personal belongings that is readily accessible to the individual; and (C) Access to a closet or similar storage area for clothing. (j) Linens shall be provided for each individual and shall include: (A) Sheets and pillowcases; (B) Blankets, appropriate in number and type for the season and the individual's comfort; and (C) Towel and washcloth. (3) The residential program shall meet the requirements of the State of Oregon Sanitary Code for Eating and Drinking Establishments relating to the preparation, storage, and serving of food. At minimum: (a) Menus shall be prepared in advance to provide a sufficient variety of foods served in adequate amounts for each resident at each meal; (b) Records of menus as served shall be filed and maintained in the residential program records for at least 30 days; (c) All modified or special diets shall be ordered by a physician; (d) At least three meals shall be provided daily; (e) Supplies of staple foods for a minimum of one week and of perishable foods for a minimum of a two-day period shall be maintained on the premises; (f) Food shall be stored and served at proper temperature; (g) All utensils, including dishes, glassware, and silverware used in the serving or preparation of drink or food for individuals shall be effectively washed, rinsed, sanitized, and stored after each individual use to prevent contamination in accordance with Division standards; and (h) Raw milk and home-canned vegetables, meats, and fish may not be served or stored in a residential program. (4) The residential program shall meet the following safety requirements: (a) At no time shall the number of individuals served exceed the approved capacity; (b) A written emergency plan shall be developed and posted next to the telephone used by program staff and shall include: (A) Instructions for the program staff or designated resident in the event of fire, explosion, accident, death, or other emergency and the telephone numbers of the local fire department, law enforcement agencies, hospital emergency rooms, and the residential program's designated physician and on-call back-up program staff; (B) The telephone number of the administrator or clinical supervisor and other persons to be contacted in case of emergency; and (C) Instructions for the evacuation of individuals and program staff in the event of fire, explosion, or other emergency. (c) The residential program shall provide fire safety equipment appropriate to the number of individuals served and meeting the requirements of the State of Oregon Structural Specialty Code and Fire and Life Safety regulations: (A) Fire detection and protection equipment shall be inspected as required by the State Fire Marshal; (B) All flammable and combustible materials shall be properly labeled and stored in the original container in accordance with the rules of the State Fire Marshal; and (C) The residential program shall conduct unannounced fire evacuation drills at least monthly. At least once every three months the monthly drill shall occur between 10 p.m. and 6 a.m. Written documentation of the dates and times of the drills, time elapsed to evacuate, and program staff conducting the drills shall be maintained. (d) At least one program staff who is trained in First Aid and CPR shall be onsite at all times. (5) The residential program shall meet the following sanitation requirements: (a) All floors, walls, ceilings, window, furniture, and equipment shall be kept in good repair, clean, neat, orderly, and free from odors; (b) Each bathtub, shower, hand-washing sink, and toilet shall be kept clean and free from odors; (c) The water supply in the residential program shall meet the requirements of the rules of the Public Health Division governing domestic water supplies; (d) Soiled linens and clothing shall be stored in an area separate from kitchens, dining areas, clean linens and clothing, and unrefrigerated food; (e) All measures necessary to prevent the entry into the program of mosquitoes and other insects shall be taken; (f) All measures necessary to control rodents shall be taken; (g) The grounds of the program shall be kept orderly and free of litter, unused articles, and refuse; (h) Garbage and refuse receptacles shall be clean, durable, water-tight, insect- and rodent proof and kept covered with a tight-fitting lid; (i) All garbage solid waste shall be disposed of at least weekly and in compliance with the rules of the Department of Environmental Quality; and (j) Sewage and liquid waste shall be collected, treated, and disposed of in compliance with the rules of the Department of Environmental Quality. Statutory/Other Authority: ORS 413.042, 428.205 - 428.270, 430.640 & 443.450 Statutes/Other Implemented: ORS 430.010, 430.205 - 430.210, 430.254 - 430.640, 430.850 - 430.955, 443.400 - 443.460, 443.991, 461.549 & 743A.168 History: MHS 4-2018, amend filed 02/27/2018, effective 03/01/2018 MHS 10-2017(Temp), f. 9-15-17, cert. ef. 9-15-17 thru 3-13-18 MHS 3-2014, f. & cert. ef. 2-3-14 MHS 10-2013(Temp), f. 8-8-13, cert. ef. 8-9-13 thru 2-5-14