Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-3 - HOSPITAL LICENSURE › Section 59A-3.303 - Facilities and Physical Plant Safety

Current through Reg. 50, No. 138; July 16, 2024
(1)
				General Requirements. The facility shall plan and provide an environment that
				is therapeutic to, and supportive of, all the patients in regard to their
				disturbances, their healthy development and their changing needs. The
				therapeutic environment shall take into consideration the architecture of the
				facility, indoor and outdoor activity areas, furnishings, equipment,
				decorations and all other factors that involve the interpersonal and physical
				environment.
(2) Facilities shall:
(a) Be designed to meet the needs of the age
				group of the patients and the objectives of the program;
(b) Provide adequate and appropriate space
				and equipment for all of the programs of the facility and the various functions
				within the facility;
(c) Provide
				sufficient space and equipment to ensure housekeeping and maintenance programs
				capable of keeping the building and equipment clean and in good repair; and,
(d) Provide buildings and grounds
				of the special hospital that shall be maintained, repaired and cleaned so that
				they are not hazardous to the health and safety of the patients and staff.
1. Floors, walls, ceilings, windows, doors
				and all appurtenances of the structures shall be of sound construction,
				properly maintained, easily cleanable and shall be kept clean.
2. All areas of the facility other than
				closets or cabinets shall be well lighted. Dormitories, toilets and dayrooms
				shall have light sources capable of providing adequate illumination to permit
				observation, cleaning, maintenance and reading. Light fixtures shall be kept
				clean and maintained.
3. All
				housing facilities shall be kept free of offensive odors with adequate
				ventilation.
a. If natural ventilation is
				utilized, the opened window area for ventilation purposes shall be equal to
				one-tenth of the floor space in the residential area.
b. When mechanical ventilation or cooling
				systems are employed, the system shall be kept clean and properly maintained.
				Intake air ducts shall be designed and installed so that dust or filters can be
				readily removed. In residence areas and isolation rooms without natural
				ventilation, mechanical ventilation systems shall provide a minimum of 10 cubic
				feet of fresh or filtered recirculated air per minute for each patient
				occupying the area.
c. All toilet
				rooms shall be provided with direct openings to the outside or provided with
				mechanical ventilation to the outside.
d. Facilities which utilize permanent heating
				units shall maintain a minimum temperature of 65 degrees F at a point 20 inches
				above the floor in sleeping areas. Facilities, such as outdoor programs, which
				cannot provide permanent heating units, shall ensure that patients are provided
				with items which will provide adequate warmth during sleep. These shall include
				items such as portable catalytic heaters and sleeping bags, extra blankets and
				clothing designed to ensure comfortable sleep in cold
				weather.
(e)
				Provide both indoor and outdoor areas where patients can gather for appropriate
				activities. The grounds on which the facility is located shall provide adequate
				space to carry out the stated goals of the program; for outdoor activity areas
				that are appropriate for the ages and clinical needs of children; and provide
				an appropriate transitional area between the facility and the surrounding
				neighborhood which is consistent with the goals of the facility, and compatible
				with existing zoning ordinances.
(f) Provide sleeping areas that shall promote
				comfort and dignity and provide space and privacy for residents.
1. There shall be no more than eight patients
				in a sleeping room unless written justification on the basis of the program
				requirements has been submitted to and approved by the licensing
				agency.
2. Beddings, Clothing and
				Personal Items. Beds and beddings shall be kept in good repair and cleaned
				regularly. Used mattress and pillow covers shall be laundered before being
				issued. Sheets and personal clothing shall be washed at least weekly and
				blankets washed or dry cleaned at least quarterly. Sheets and blankets shall be
				stored in a clean, dry place between laundering and issue.
3. Each patient shall have his own bed
				consisting of a level bedstead and a clean mattress in good
				condition.
4. All mattresses shall
				have fire retardant mattress covers or protectors. Water repellent mattress
				covers shall be available if needed.
(g) Provide individual and separate
				accessible storage areas for each resident's clothing and personal
				possessions.
(h) Provide laundry
				and/or dry cleaning facilities. Where laundry facilities are provided, they
				shall be adequate to ensure an ample quantity of clean clothing, bed linens and
				towels. Laundry facilities shall be of sound construction and shall be kept
				clean and in good repair. Laundry rooms shall be well lighted and properly
				ventilated. Clothes dryers and dry cleaning machines shall be vented to the
				exterior. If laundry facilities are not available, sheets and blankets shall be
				sent to commercial laundries.
(i)
				Provide privacy for personal hygiene.
1. All
				toilets shall have secured seats and be kept clean and in good working order,
				and all toilets shall be partitioned for privacy.
2. Bathrooms shall be cleaned thoroughly each
				day.
3. Bathrooms shall be
				conveniently located to the sleeping areas.
(j) Provide for the personal hygiene for all
				patients.
1. A written policy shall be
				maintained on file at the facility.
2. Toothbrushes, toothpaste, soap, and other
				items of personal hygiene shall be provided by the facility if not provided by
				the patients.
3. Shatterproof
				mirrors shall be furnished in each bathroom.
(k) Maintain food service facilities in
				accordance with the regulations described in Chapter 64E-11,
				F.A.C.