Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 100.1 - ADULT RESIDENTIAL CARE HOMES › Subchapter 2 - TYPE I ARCH › Section 11-100.1-23 - Physical environment

Current through June, 2024
(a) For all ARCHs,
				  suitability of site, quietness, sanitary features of the immediate environment,
				  accessibility,. and proximity to the community to be served shall be considered
				  in licensing a facility.
(b) The
				  Type I ARCH shall be free of excessive noise, dust, or odors and shall have
				  good drainage;
(c) The Type I ARCH
				  shall be provided with adequate means of sewage, garbage, and other refuse
				  disposal, approved potable water supply, and electricity;
(d) The Type I ARCH shall be accessible by
				  emergency medical services and be near a means of public
				  transportation;
(e) Resident living
				  areas shall be designed and equipped for the safety, comfort, and privacy of
				  the resident; and
(f) Any person
				  regularly utilizing the portions of the home designated for residents including
				  but not limited to day care residents, relatives, and visitors shall be
				  considered as residents for purposes of calculating the space requirements of
				  section 11-100.1-23(1)(2) and section 11-100.1-23(m)(3).
(g) Fire prevention protection.
(1) All Type I ARCHs licensed under this
				  chapter shall initially comply, and shall be inspected at least annually by
				  appropriate fire authorities for compliance, with state and county codes,
				  ordinances, and laws;
(2) Fees for
				  fire inspections shall be the responsibility of the licensee;
(3) Type I ARCHs shall be in compliance with,
				  but not limited to, the following provisions:
(A) Fire escapes, stairways and other exit
				  equipment shall be maintained operational and in good repair and free of
				  obstruction;
(B) There shall be a
				  clear and unobstructed access to a safe area of refuge;
(C) Each Type I ARCH shall have a written
				  plan for the safe care and evacuation of residents to areas of refuge in case
				  of emergency. This plan shall be reviewed, and updated as necessary, whenever
				  there is a significant change in the physical or mental condition of a resident
				  or whenever a new resident enters the facility. All personnel shall be
				  instructed in their respective duties in carrying out this plan. The written
				  plan with directional diagrams shall be posted in a conspicuous location within
				  the facility;
(D) A drill shall be
				  held to provide training for residents and personnel at various times of the
				  day or night at least four times a year and at least three months from the
				  previous drill, and the record shall contain the date, hour, personnel
				  participating and description of drill, and the time taken to safely evacuate
				  residents from the building. A copy of the fire drill procedure and results
				  shall be submitted to the fire inspector or department upon request;
(E) There shall be an adequate system of
				  communication to summon help in case of fire or other emergency. This shall
				  include telephone service. Inside stairways shall be provided for communication
				  between floors within the Type I ARCH. All rooms utilized by the Type I ARCH,
				  under the same roof, shall be connected by interior doors. The communication
				  system shall assure prompt contact with care givers;
(F) Smoking shall be permitted only in
				  approved areas where proper equipment and supervision is provided;
(G) Smoke detectors shall be provided in
				  accordance with the most current edition of the National Fire Protection
				  Association (NFPA) Standard 101 Life Safety Code, One and Two Family Dwellings.
				  Existing Type I ARCHs may-continue to use battery operated individual smoke
				  detector units, however, upon transfer of ownership or primary care giver, such
				  units shall be replaced with an automatic hard wiring UL approved smoke
				  detector system;
(H) Fire
				  extinguishers shall be installed in accordance with NFPA 101 Life Safety Code
				  and have a minimum fire extinguisher classification rating as required by the
				  county fire code;
(I) Each resident
				  of a Type I home must be certified by a physician that the resident is
				  ambulatory and capable of following directions and taking appropriate action
				  for self-preservation under emergency conditions, except that a maximum of two
				  residents, not so certified, may reside in the Type I home provided that
				  either:
(i) For each such non-certified
				  resident there must be a responsible adult on the premises of the home at all
				  times that the non-certified resident is present in the home, and there must
				  never be a stairway which must be negotiated for emergency exit by such
				  non-certified resident; or
(ii)
				  Type I homes having residents not so certified shall have a sprinkler system
				  installed throughout in accordance with the National Fire Protection
				  Association (NFPA) Standard 13-D, Sprinkler Systems, One and Two Family
				  Dwellings.