411-348-0140 Physical Environment (1) All floors, walls, ceilings, windows, furniture, and fixtures must be kept in good repair, clean, and free from odors. Walls, ceilings, and floors must be of such character to permit frequent washing, cleaning, or painting. (2) The interior and exterior must be well and safely maintained and accessible according to children’s needs. (3) The water supply and sewage disposal must meet the requirements of the current rules of the Oregon Health Authority governing domestic water supply. (4) A public water supply must be utilized if available. If a non-municipal water source is used, a sample must be collected yearly by a provider, sanitarian, or technician from a certified water-testing laboratory. The water sample must be tested for coliform bacteria and action taken to ensure potability. Test records must be retained for three years. (5) Septic tanks or other non-municipal sewage disposal systems must be in good working order. (6) Incontinence garments must be disposed of in closed containers. (7) A program provider must establish and implement a policy for the appropriate disposal of biohazards and medical waste. (8) All heating and cooling devices and systems must be installed in accordance with current building codes and must be in working order. Areas of a Host Home used by children must be maintained at a temperature within a comfort range reasonable for the children residing in the Host Home. Minimum temperatures when children are in the Host Home may not be less than 60 degrees Fahrenheit. (a) During times of extreme summer heat, a program provider, in-residence caregiver, and staff must make every reasonable effort to make the children comfortable and safe using ventilation, fans, or air conditioners. The temperature in a home may not exceed 85 degrees Fahrenheit. (b) If a child’s needs require a strictly maintained temperature or temperatures outside of a reasonable comfort range, a program provider, in-residence caregiver, or staff must maintain the environment according to the child’s needs as directed by a health care provider and as identified in the child's ISP. (9) Screening for workable fireplaces and heaters with exposed heating elements must be provided. (10) Handrails must be provided on all stairways. (11) Yard and exterior steps must be accessible and appropriate to the needs of the children. (12) Swimming pools, hot tubs, saunas, spas, ponds, and trampolines must be equipped with safety barriers or devices designed to prevent accidental injury and unsupervised access. (13) Sanitation for household pets and other domestic animals must be adequate to prevent health hazards. Proof of current rabies vaccinations and any other vaccinations that are required for the pet by a licensed veterinarian must be maintained on the premises. Pets not confined in enclosures must be under control and may not present a danger or health risk to children or guests. (14) All measures necessary must be taken to prevent the entry of rodents, flies, mosquitoes, and other insects or pests. (15) The interior and exterior of a Host Home must be kept free of litter, garbage, and refuse. (16) Any work undertaken at a Host home including, but not limited to, demolition, construction, remodeling, maintenance, repair, or replacement must comply with all applicable state and local building, electrical, plumbing, and zoning codes. (17) A program provider must comply with all applicable legal zoning ordinances pertaining to the number of children receiving services at the Host Home. (18) TELEPHONE. (a) There must be a phone in the Host Home at all times and a child must have reasonable access to the telephone. (b) The following emergency telephone numbers must be located in an accessible place within a Host Home: (A) Local CDDP; (B) Police, fire, and medical, if not served by 911; (C) Program provider on-call or designee; (D) Emergency physician; and (E) Additional people to be contacted in the case of an emergency. (c) Telephone numbers for making complaints or a report of alleged abuse to the Department, the local CDDP, the Residential Facilities Ombudsman, and Disability Rights Oregon must also be posted. (d) A program provider must notify the Department, children, and as applicable the children's families, guardians, and service coordinators, of any change in the Host Home's telephone number within 24 hours of the change. (19) A poster for the Residential Facilities Ombudsman Program must be posted in a location described by the Ombudsman in accordance with ORS 443.392. Statutory/Other Authority: ORS 409.050, 427.104, 441.715, 443.450 & 443.455 Statutes/Other Implemented: ORS 427.104, 441.705-441.720, 441.740, 441.745, 443.384, 443.392, 443.400-443.445, 443.450, 443.455, 443.880, 443.881 & 443.991 History: APD 36-2019, adopt filed 10/29/2019, effective 11/01/2019