Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 9 - ENVIRONMENT OF CARE FOR HEALTH FACILITIES › Subpart A - PHYSICAL PLANT › Section R. 325.45303 - Water supply system

Current through Vol. 24-12, July 15, 2024
Rule 303.
(1) A
					 health facility located in an area served by a public water system shall
					 connect to and use that system.
(2)
					 When a public water system is not available, the location and construction of a
					 well and the operation of a private water system must comply with the safe
					 drinking water act, 1976 PA 399, MCL 325.1001 to 325.1023.
(3) The location and construction of a well
					 and the operation of the system must comply with standards approved for public
					 water supplies by a health facilitys or agencys local health department and the
					 Michigan department of environment, great lakes and energy.
(4) Minimum water pressure available to each
					 plumbing fixture must exceed 20 pounds per square inch.
(5) The plumbing system must supply an
					 adequate amount of hot water at all times to meet the needs of each patient and
					 the functional needs of the various service areas. Hot water temperatures at
					 fixture outlets must be regulated to provide tempered water in the range of 105
					 to 120 degrees Fahrenheit.
(6)
					 There must be no cross-connections between water systems that are safe for
					 human consumption and those that are or may become unsafe for human
					 consumption. The entire plumbing system and all plumbing fixtures must be so
					 designed and maintained that the possibility of back-flow or back-siphonage is
					 eliminated.
(7) A health facility
					 must implement a water management program that follows the "American Society of
					 Heating, Refrigerating, and Air Conditioning Engineers (ASHRAE) Standard
					 188-2018 Legionellosis: Risk Management for Building Water Systems." This
					 standard is available for inspection at the Lansing office of the Department of
					 Licensing and Regulatory Affairs, Bureau of Community and Health Systems. It
					 can be purchased for $88.00 from the ASHRAE Store,
https://www.ashrae.org/technical-resources/bookstore/ansi-ashrae-standard-188-2018-legionellosis-risk-management-for-building-water-systems
.
(8) A health facility must utilize the
					 Centers for Disease Control and Prevention (CDC) best practice guidance on
					 water management, including the "CDC Toolkit: Developing a Water Management
					 Program to Reduce Legionella Growth and Spread in Buildings." This toolkit is
					 adopted by reference. It is available for inspection at the Lansing office of
					 the Department of Licensing and Regulatory Affairs, Bureau of Community and
					 Health Systems. It is available without charge at
https://www.cdc.gov/legionella/wmp/toolkit/
.
(9) The water management program must include
					 a facility risk assessment, control measures, and ongoing verification of the
					 program.
(10) If secondary
					 treatment of the public water system is incorporated as part of the water
					 management program, the health facility must comply with the Michigan safe
					 drinking water act, 1976 PA 399, MCL 325.1001 to 325.1023, and the
					 administrative rules,
					 R
					 325.10101 to 325.12820.