reglab/statecodes huggingface dataset:
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XIX - Hospitals, Ambulatory Surgical Centers, Renal Dialysis Centers › Chapter 3 - Operations and Maintenance › Section XIX-307 - Patient Areas [formerly paragraph 19:019]

Current through Register Vol. 50, No. 6, June 20, 2024
A. All new facilities and those undergoing
				extensive renovation shall have no more than four beds per room in patient
				areas, excluding nurseries or intensive care units, and shall have at least one
				isolation room maintained under negative air pressure for every 30 adult
				beds.
B. [Formerly paragraph
				19:020] Bathing Facilities. A tub or shower shall be provided at the ratio of 1
				per 10 patients on each floor and conveniently located. Bathroom air shall be
				mechanically exhausted to the outside or filtered and be clean, disinfected and
				free of odors. Handgrips and non-slip mats shall be provided for tub and/or
				showers. Bathrooms fixtures shall meet the standards of Part XIV of this Code.
				Bathtub and/or shower shall be provided with hot and cold water delivered
				through a mixing valve.
C.
				[Formerly paragraph 19:021] All supplies and equipment used in patient care
				shall be properly cleaned and appropriately stored. They shall be disinfected
				between uses for different patients. Impervious material which can be readily
				cleaned and disinfected shall be used to cover beds and pillows. After
				discharge of a patient, the bed, bedside furniture and equipment shall be
				properly cleaned and terminally disinfected. Mattresses, blankets and pillows
				assigned to patients shall be in a sanitary condition. The blankets, towels,
				sheets and pillow cases used for a patient in isolation shall be collected at
				the bedside in a double lined bag and taken immediately for laundering after
				each use.
D. [Formerly paragraph
				19:022] Nursing stations shall be clean, have proper storage of medication,
				provide hand-washing facilities with hot and cold water, soap, towels and waste
				receptacles. Narcotics shall be stored under a double lock
				arrangement.
E. [Formerly paragraph
				19:023] The handling and storage of ice for patient use shall conform with Part
				VI of this Code.
AUTHORITY NOTE:
				  Promulgated in accordance with the provisions of
				  R.S.
				  40:4(A)(10) and
				  R.S.
				  40:5(3).
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XIX - Hospitals, Ambulatory Surgical Centers, Renal Dialysis Centers › Chapter 3 - Operations and Maintenance › Section XIX-309 - Laboratory [formerly paragraph 19:024]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Microbiological cultures shall be disposed
				of in an incinerator approved by the Air Permits Division of the DEQ or
				sterilized prior to disposal. Smoking and eating are not allowed in laboratory
				areas. Laboratories, especially horizontal work surfaces, shall be cleaned and
				disinfected at the end of each work day.
B. [formerly paragraph 19:025] Sterilizers of
				the proper type and necessary capacity for adequate sterilization shall be
				provided and maintained in a satisfactory condition. The hospital shall adopt a
				recognized method of verifying sterilizer performance and records shall be kept
				of the sterilizer operations for at least a year. Quality control of
				sterilization procedures shall include placement of indicators insuring that
				heat/time requirements have been met in package interiors and at least weekly
				live spore testing in steam sterilizers. Live spore testing shall be conducted
				for each load which is gas sterilized. A mechanism shall be employed for
				re-sterilizing outdated packs and recalling sterilized supplies in the event of
				a spore test failure. Clean and sterilized supplies shall be dated and kept
				separate from soiled and contaminated supplies and equipment.
C. [formerly paragraph 19:026] Blood bank
				refrigerators shall be kept clean and maintained at a temperature of 1°C to 6°C
				(33.8°F to 42.8°F), provided with an alarm and used for flood storage only.
				Time and temperature charts shall be maintained continuously and monitored and
				recorded daily. These records shall be maintained for at least a year. Alarm
				devices for refrigerators shall be provided.
AUTHORITY NOTE:
				  Promulgated in accordance with the provisions or
				  R.S.
				  40:4(A)(10) and
				  R.S.
				  40:5(2)(3)(5)(15)(17)(20).
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XIX - Hospitals, Ambulatory Surgical Centers, Renal Dialysis Centers › Chapter 3 - Operations and Maintenance › Section XIX-311 - Radiation Controls [formerly paragraph 19:027]

Current through Register Vol. 50, No. 6, June 20, 2024
A. All equipment and handled materials
				providing a source of radiation and disposal of radioactive waste shall be
				shielded as required by the Nuclear Division of DNR office of Environmental
				Affairs. All radiation equipment operators shall be provided with the proper
				clothing and equipped with an approved radiation monitoring device.
				Certificates of registration shall be obtained from DNR's Nuclear Control Board
				and available for review.
B.
				[Formerly paragraph 19:028] Dressing rooms and toilet facilities shall be
				conveniently located for patients.
AUTHORITY NOTE:
				  Promulgated in accordance with the provisions of
				  R.S.
				  40:4(A)(10) and
				  R.S.
				  40:5(3).
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XIX - Hospitals, Ambulatory Surgical Centers, Renal Dialysis Centers › Chapter 3 - Operations and Maintenance › Section XIX-313 - Operating Rooms, Delivery Rooms, Intensive Care Units, Recovery, Nursery and Emergency Rooms [formerly paragraph 19:029]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Only authorized and properly attired
				personnel shall be allowed into operating rooms, delivery rooms, recovery
				rooms, intensive care units and nurseries. Scrub suits for operation room and
				delivery rooms used should not be worn outside designated areas.
B. [Formerly paragraph 19:030] Operating room
				and delivery room shall be cleaned and disinfected between uses.
C. [Formerly paragraph 19:031] Adequate
				hand-washing facilities providing hot and cold running water equipped with
				mixing faucet, knee, foot, or elbow faucet control shall be provided in or
				adjacent to these areas. Hand-washing facilities shall not be located in, but
				rather adjacent to the operating room. Adequate supplies of antiseptic scrub
				material or detergent shall be maintained for these facilities at all
				times.
D. [Formerly paragraph
				19:032] There shall be adequate provisions for washing instruments and
				equipment used in these areas. Sterilization procedures shall comply with the
				stipulation specified in the laboratory §309-311 A of this Chapter.
E. [Formerly paragraph 19:033] The operating
				room shall be provided with safety electrical circuits, properly grounded,
				non-conductive floor surfaces, positive ventilation, and humidity control in
				accordance with federal construction and life safety standards.
F. [Formerly paragraph 19:034] Handling of
				equipment and surgical clothing shall be done so as to prevent
				cross-contamination with other areas.
G. [Formerly paragraph 19:035] Staff
				Facilities: A separate facility shall be provided for the staff of the
				operating room, delivery room and nursery. This facility shall include dressing
				rooms with toilet and lavatory facilities including hot and cold running water,
				detergent or antiseptic scrub, individual towels and waste
				receptacles.
AUTHORITY NOTE:
				  Promulgated in accordance with the provisions of
				  R.S.
				  40:4(A)(10) and
				  R.S.
				  40:5(3).
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XIX - Hospitals, Ambulatory Surgical Centers, Renal Dialysis Centers › Chapter 3 - Operations and Maintenance › Section XIX-315 - Nursery [formerly paragraph 19:036]

Current through Register Vol. 50, No. 6, June 20, 2024
A. A maximum of 24 infants stations shall be
				allowed in each full-term nursery room. The nursery shall be maintained at a
				temperature of approximately 75°F (24°C) and 30-60 percent relative humidity.
				The nursery shall have a reliable thermometer with records of daily
				temperatures maintained. Separate nursery rooms shall be provided for well and
				sick babies. There shall be a suitable designated area for staff hygiene and
				gowning.
B. [Formerly paragraph
				19:037] There shall be a suitable, designated area for the preparation of milk
				mixtures. This area shall be equipped with a sink, hand-washing facilities and
				storage space. This sink and lavatory shall be equipped with foot, knee or
				elbow faucet control with hot and cold water dispensed through a mixing
				valve.
C. [Formerly paragraph
				19:038] Infant formula and other fluids requiring heat sterilization shall be
				prepared by terminal heat method in a separate room. This is a process by which
				the completely assembled formula units (bottles filled with formula, with
				nipples applied and covered with nipple protectors) are exposed to a minimum of
				230°F (110°C) for 10 minutes in order to achieve pasteurization.
D. [Formerly paragraph 19:039] The
				individually bottled formula shall be stored in a refrigerator, specifically
				designated for that purpose, equipped with a thermometer. The temperature shall
				be maintained at 40° to 45°F (4° to 7°C).
AUTHORITY NOTE:
				  Promulgated in accordance with the provisions of
				  R.S.
				  40:4(A)(10) and
				  R.S.
				  40:5(3).
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XIX - Hospitals, Ambulatory Surgical Centers, Renal Dialysis Centers › Chapter 3 - Operations and Maintenance › Section XIX-317 - Respiratory/Physical Therapy Rooms [formerly paragraph 19:040]

Current through Register Vol. 50, No. 6, June 20, 2024
A. These areas shall be clean at all times
				and free of materials or equipment not needed to carry out the function
				required by the respective units. Accommodation shall be made to handle
				patients under isolation requiring such therapy. Respiratory and hydrotherapy
				equipment shall be cleaned and disinfected as needed after each use.
AUTHORITY NOTE:
				  Promulgated in accordance with the provisions of
				  R.S.
				  40:4(A)(10) and
				  R.S.
				  40:5(3).
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XIX - Hospitals, Ambulatory Surgical Centers, Renal Dialysis Centers › Chapter 3 - Operations and Maintenance › Section XIX-319 - Morgue [formerly paragraph 19:041]

Current through Register Vol. 50, No. 6, June 20, 2024
A. The mortuary table shall be cleaned and
				disinfected after each use and kept in good repair. A check valve shall be
				provided in the water supply line upstream from the control valve. A vacuum
				breaker or siphon breaker of an approved type shall be installed in the water
				supply line at least 6 inches (15 cm) higher than the aspirator and downstream
				from the control valve. The aspirator shall be installed at least 6 inches (15
				cm) above the highest level at which suction may be taken. An air gap equal to
				at least one pipe diameter shall be provided between the outlet of the
				discharge pipe and the overflow rim of the receiving fixture.
B. [Formerly paragraph 19:042] The cold
				storage vaults shall be clean and in good repair, maintained at less than 45°F
				(7°C) and used for no other purpose.
AUTHORITY NOTE:
				  Promulgated in accordance with the provisions of
				  R.S.
				  40:4(A)(10) and
				  R.S.
				  40:5(3).
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XIX - Hospitals, Ambulatory Surgical Centers, Renal Dialysis Centers › Chapter 5 - General Standards › Section XIX-501 - Space and Bed Standards [formerly paragraph 19:043]

Current through Register Vol. 50, No. 6, June 20, 2024
A. The following space and bed guidelines
				shall be provided for specific patient care areas.
1. Adult Patient Room
a. 4 beds per room maximum:
b. 100 sq. ft. (9.29 sq. m.) for single
				room;
c. 80 sq. ft. (7.43 sq. m.)
				per bed for multi-bed rooms;
d.
				3'8" (1.12 m.) minimum clearance at foot of bed in multi-bed rooms.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XX - Nursing Homes › Chapter 1 - General Sanitary Provisions for Nursing Homes › Section XX-101 - Definitions [formerly paragraph 20:001]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Unless otherwise specifically provided
				herein, the following words and terms used in this Part of the sanitary code
				and all other Parts which are adopted or may be adopted are defined for the
				purposes thereof as follows.
Nursing Home
-a private home, institution,
				  building, residence or other place, serving three or more persons who are not
				  related by blood or marriage to the operator, whether operated for profit or
				  not, and including those places operated by a political subdivision of the
				  state of Louisiana which undertakes, through its ownership or management, to
				  provide maintenance, personal care, or nursing for persons who, by reason of
				  illness or physical infirmity or age, are unable to properly care for
				  themselves. The term does not include the following:
a. a hospital, sanitarium or other institution whose
				  principal activity or business is the care and treatment of persons suffering
				  form tuberculosis or from mental disease;
b. a hospital, sanitarium or other medical institution whose
				  principal activity or business is the diagnosis, care and treatment of human
				  illness through the maintenance and operation of organized facilities
				  therefor.
AUTHORITY NOTE: The
				  first source of authority for promulgation of the sanitary code is in
				  R.S.
				  36:258(B), with more
				  particular provisions throughout Chapters 1 and 4 of Title 40 of the Louisiana
				  Revised Statutes. This Part is promulgated in accordance with the provisions of
				  R.S.
				  40:4(A)(10) and
				  R.S.
				  40:5.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XX - Nursing Homes › Chapter 1 - General Sanitary Provisions for Nursing Homes › Section XX-103 - Advance Approval of New Construction or Major Alteration of Existing Nursing Homes is Mandatory [formerly paragraph 20:002]

Current through Register Vol. 50, No. 6, June 20, 2024
A. No new nursing home shall hereafter be
				constructed nor shall major alterations be made to existing nursing homes
				without the prior approval or, and unless in accordance with plans and
				specifications approved in advance by, the state health officer.
AUTHORITY NOTE:
				  Promulgated in accordance with the provisions of
				  R.S.
				  40:4(A)(10) and
				  R.S.
				  40:5.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XX - Nursing Homes › Chapter 1 - General Sanitary Provisions for Nursing Homes › Section XX-105 - Heating, Cooling, and Ventilating Systems [formerly paragraph 20:003]

Current through Register Vol. 50, No. 6, June 20, 2024
A. [Formerly
				paragraph 20:003] All homes shall be provided with heating equipment adequate
				to maintain, in every room used by patients, a temperature of not less than 76
				degrees Fahrenheit in the coldest weather. Each room having a bathtub, or
				shower, or toilet shall have a heater, or a duct to it from a heating system.
				The combustion chambers of all heating systems, and other fired equipment shall
				be vented to the atmosphere. Other parts of the heating, cooling, and
				ventilating system shall be so designed, built, and maintained as to ensure
				that the pressure in the space from which combustion air is drawn does not
				become negative with respect to the atmosphere.
B.
1.
				[Formerly paragraph 20:003-1] Persons with tuberculosis in a communicable state
				or suspected of having tuberculosis in a communicable state shall be cared for
				in isolation rooms with negative air pressure and either:
a. at least six changes of room air per hour
				accomplished by exhaust ventilation; or
b. equivalent circulation and treatment by
				ultraviolet light treatment, "air scrubber", or equivalent.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XX - Nursing Homes › Chapter 1 - General Sanitary Provisions for Nursing Homes › Section XX-107 - Building Conditions [formerly paragraph 20:004]

Current through Register Vol. 50, No. 6, June 20, 2024
A. All homes shall be structurally sound, and
				shall be maintained in good condition.
B. [Formerly paragraph 20:005] Stairs shall
				be provided where needed which may be easily used by the patients. Stair treads
				shall have non-slip surfaces.
C.
				[Formerly paragraph 20:006] Every occupied room shall have a smooth floor,
				walls, and ceilings in good repair and so finished as to enable satisfactory
				cleaning.
D. [Formerly paragraph
				20:007] All rooms shall be provided with adequate illumination to provide:
(a) a minimum of 10 foot-candles over the
				entire stairway, halls, and occupied rooms at an elevation of 30 inches above
				the floor; and
(b) a minimum of 30
				foot-candles over areas used for reading or close work.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XX - Nursing Homes › Chapter 1 - General Sanitary Provisions for Nursing Homes › Section XX-109 - Bedding Requirements [formerly paragraph 20:009]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Each patient shall be provided with an
				individual bed which shall be equipped with clean bed linens. Moisture-proof
				covers and rubber sheets shall be provided as necessary to keep mattress and
				pillows dry. Provisions shall be made when necessary for laundering household
				linens and personal clothing of patients.
B. [Formerly paragraph 20:008] Each patient's
				bedroom shall have windows opening to the outside atmosphere.
AUTHORITY NOTE:
				  Promulgated in accordance with the provisions of
				  R.S.
				  40:4(A)(10) and R. S.
				  40:5.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XX - Nursing Homes › Chapter 1 - General Sanitary Provisions for Nursing Homes › Section XX-111 - Bathroom Requirements [formerly paragraph 20:010-1]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Every nursing home shall have toilets,
				lavatories and bathtubs or showers on each floor occupied by patients. There
				shall be one lavatory in each room, or immediately adjacent thereto, one toilet
				for each eight patients and one tub or shower for each 10 patients. In nursing
				homes built and operating as such prior to May 21, 1974, there shall be at
				least one toilet and lavatory for each 10 patients and one bathtub or shower
				for each 15 patients.
B. [Formerly
				paragraph 20:010-2] There shall be bedpans and urinals in sufficient number for
				patients needing them and facilities for sanitization thereof are required.
				There shall be a clinic service sink with flush rim or a water closet with
				bedpan lugs, and a bedpan washing attachment with a foot operated valve for
				washing and a deep sink suitable for immersing the bedpans in a sanitizing
				solution. The equipment shall be in the soiled utility area or a separate room
				with a safe storage place for chemicals and a rack for draining and storing the
				bedpans.
C. [Formerly paragraph
				20:010-3] Bathrooms shall be easily accessible, conveniently located, well
				lighted and ventilated to the outside atmosphere. The fixtures shall be of
				substantial construction, in good repair, and of such design to enable
				satisfactory cleaning.
D. [Formerly
				paragraph 20:010-4] Tub and shower bath bottoms shall be of non-slip material.
				Grab bars shall be provided to prevent falling and to assist in getting in and
				out of the tub or shower.
E.
				[Formerly paragraph 20:010-5] Lights shall be controlled by wall switches,
				which shall be so placed that they cannot be reached from the bathtub or
				shower.
F. [Formerly paragraph
				20:010-6] Institutional type grab bars shall be provided at all patient water
				closets.
AUTHORITY NOTE:
				  Promulgated in accordance with the provisions of
				  R.S.
				  40:4(A)(10) and R. S.
				  40:5.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XX - Nursing Homes › Chapter 1 - General Sanitary Provisions for Nursing Homes › Section XX-113 - Nurses' Station [formerly paragraph 20:011]

Current through Register Vol. 50, No. 6, June 20, 2024
A. A nurses' station shall be provided and
				shall include a sink, adequate work space, and storage for medicine.
AUTHORITY NOTE:
				  Promulgated in accordance with the provisions of
				  R.S.
				  40:4(A)(10) and R. S.
				  40:5.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XX - Nursing Homes › Chapter 1 - General Sanitary Provisions for Nursing Homes › Section XX-115 - Sanitary Provisions for Food [formerly paragraph 20:012]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Food
				preparation, storage and service shall meet the requirements of Part XXIII of
				this Code.
AUTHORITY NOTE:
				  Promulgated in accordance with the provisions of
				  R.S.
				  40:4(A)(10) and R. S.
				  40:5.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XX - Nursing Homes › Chapter 1 - General Sanitary Provisions for Nursing Homes › Section XX-117 - Water Supply [formerly paragraph 20:013]

Current through Register Vol. 50, No. 6, June 20, 2024
A. The water supply shall meet the
				requirements of Part XII of this Code.
AUTHORITY NOTE:
				  Promulgated in accordance with the provisions of
				  R.S.
				  40:4(A)(10) and R. S.
				  40:5.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XX - Nursing Homes › Chapter 1 - General Sanitary Provisions for Nursing Homes › Section XX-119 - Sewage and Waste Disposal [formerly paragraph 20:014]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Sewage and waste disposal shall meet the
				requirements of Part XIII of this Code.
AUTHORITY NOTE:
				  Promulgated in accordance with the provisions of
				  R.S.
				  40:4(A)(10) and R. S.
				  40:5.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XX - Nursing Homes › Chapter 1 - General Sanitary Provisions for Nursing Homes › Section XX-121 - Plumbing [formerly paragraph 20:015]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Plumbing shall meet the requirements of
				Part XIV of this Code.
AUTHORITY NOTE:
				  Promulgated in accordance with the provisions of
				  R.S.
				  40:4(A)(10) and R. S.
				  40:5.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XX - Nursing Homes › Chapter 1 - General Sanitary Provisions for Nursing Homes › Section XX-123 - Employee and Patient Health Provisions [formerly paragraph 20:016]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Employee and
				patient health shall meet the requirements of Part 1,
				§117 and Part II, §501-505 of this
				Code.
AUTHORITY NOTE:
				  Promulgated in accordance with the provisions of
				  R.S.
				  40:4(A)(10) and R. S.
				  40:5.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XXI - Day Care Centers and Residential Facilities › Chapter 1 - General Requirements › Section XXI-103 - Plans and Specifications [formerly paragraph 21:002]

Current through Register Vol. 50, No. 6, June 20, 2024
A. No new facilities for institutions covered
				by this Part, shall hereafter be constructed nor shall major alterations be
				made to such existing facilities without the prior written approval of, and
				unless in accordance with plans and specifications approved in advance by, the
				state health officer.
AUTHORITY NOTE:
				  Promulgated in accordance with the provisions of
				  R.S.
				  40:4(A)(10) and
				  R.S.
				  40:5.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XXI - Day Care Centers and Residential Facilities › Chapter 1 - General Requirements › Section XXI-105 - General [formerly paragraph 21:002-1]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Facilities applying for license after the
				effective date of this Part shall meet all of the requirements contained
				herein. Facilities licensed or with pending applications prior to the effective
				date shall be allowed 36 months from the effective date to comply with the
				following Sections: 105.C.5.a, 105.C.5.c, as regards temperature control;
				105.C.5.d, 105.E.1, 105.F, 501.A, and 501.C as regards opening-sizes, heights
				and gates; 501.D. Facilities licensed or with pending applications prior to the
				effective date shall be allowed 12 months from the effective date to comply
				with the following Sections: 103.H.2 and 301.A.9. Such facilities shall comply
				with all other requirements of this Part on the effective date.
B. [Formerly paragraph 21:002-2] This Part
				shall become effective on April 1, 1993.
C. [Formerly paragraph 21:003] All of the
				above facilities shall comply with appropriate Parts of this Code as stated
				below.
1. [Formerly paragraph 21:003-1]
				Employee, patient, and client health shall meet the requirements of Part I,
				§117 and Part II, §§113, 503, and 505 of this Code.
2. [Formerly paragraph 21:003-2] Child day
				care centers and residential facilities for children and the mentally retarded
				shall meet the requirements of Part IV of this Code.
3. [Formerly paragraph 21:003-3] Water
				supplies shall meet the requirements of Part XII of this Code.
4. [Formerly paragraph 21:003-4] Sewage
				disposal shall meet the requirements of Part XIII of this Code.
5. [Formerly paragraph 21:003-5] Plumbing
				shall meet the requirements of Part XIV of this Code with the following
				additional provisions.
a. In child day care
				facilities, toilets (water closets) and lavatories shall be provided in
				accordance with Table 411 of Part XIV. Fixtures shall be of size appropriate
				for the age of children being cared for (toilets 11 inches maximum height and
				lavatories 22 inches maximum height), or if standard size fixtures are used,
				safe, cleanable step aids shall be provided.
b. Handwashing and bathing facilities shall
				be provided with hot and cold running water. Where such water will be in direct
				contact with children, the temperature shall not exceed 120°F utilizing an
				approved temperature control device(s) as required under LAC
				51:XIV.623.
c. Residential
				facilities housing six residents or less may provide plumbing fixtures as a
				single family residence. All others must provide plumbing as required for
				dormitories in accordance with Table 411 of Part XIV.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XXI - Day Care Centers and Residential Facilities › Chapter 3 - Child Day Care Centers › Section XXI-303 - Diaper Changing Areas [formerly paragraph 21:019]

Current through Register Vol. 50, No. 6, June 20, 2024
A. A diaper changing table shall be provided
				in those centers that accept children in that age group. Children shall be
				diapered or have soiled underwear changed in the diaper changing area. The
				changing area shall never be located in food preparation areas and shall never
				be used for temporary placement of food.
B. [Formerly paragraph 21:019-1] Changing
				tables shall have an impervious surface and be kept in good repair. Tables
				shall be sturdy, adult-height, and shall be equipped with railings.
C. [Formerly paragraph 21:019-2] Changing
				tables shall be disinfected after each use by washing to remove visible soil
				followed by wiping with an approved disinfecting solution (e.g., 1/4 cup of
				liquid chlorine bleach per 1 gallon of water made fresh every 24 hours).
				Disposable, non-absorbent paper sheets approved by the health department for
				this purpose may be used and shall be discarded immediately after each
				diapering.
D. [Formerly paragraph
				21:019-3] Conveniently located, washable, plastic-lined, covered receptacles
				operated by a foot pedal shall be provided for soiled diapers; separate from a
				similar covered receptacle for burping cloths and linen and shall be placed out
				of children's reach.
E. [Formerly
				paragraph 21:019-4] A handwashing sink shall be in or adjacent to each
				diapering area.
AUTHORITY NOTE:
				  Promulgated in accordance with the provisions of
				  R.S.
				  40:4(A)(10) and
				  R.S.
				  40:5.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XXI - Day Care Centers and Residential Facilities › Chapter 5 - Outdoor Play Areas › Section XXI-501 - General Standards [formerly paragraph 21:020]

Current through Register Vol. 50, No. 6, June 20, 2024
A. The outdoor play area shall be enclosed
				with a fence or natural barriers. The barrier shall be at least 4 feet in
				height and the bottom edge shall be no more than 3 1/2 inches off the ground.
				There shall be at least two exits from such areas with at least one remote from
				buildings. Gates shall be equipped with self-closing and positive self-latching
				closure mechanisms. The latch or securing device shall be high enough or of a
				type that cannot be opened by small children.
1. The openings in the fence shall be no
				greater than 3 1/2 inches to prevent entrapment. The fence shall be constructed
				to discourage climbing, at least equivalent to a chain link fence.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XXI - Day Care Centers and Residential Facilities › Chapter 7 - Swimming Pools › Section XXI-701 - General Standards [formerly paragraph 21:021]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Outdoor swimming pools associated with
				children's activities shall be rendered safe and free of hazards.
B. [Formerly paragraph 21:021-1] Water in
				swimming and wading pools used by children shall be maintained between pH 7.2
				and pH 8.2. The water shall be disinfected by available free chlorine greater
				than 0.4 parts per million or an equivalent disinfectant as approved by the
				state health officer. Swimming pools shall be maintained in a clean condition
				and the chlorine level and pH level shall be tested in accordance with Part
				XXIV of this Code. Wading pools shall be tested every two hours during use
				periods and cleaned daily. The results of these tests will be posted in a log
				for review by the state health officer.
C. [Formerly paragraph 21:021-2] Water
				temperature shall be maintained at no less than 82°F and no more than 93°F
				while in use.
AUTHORITY NOTE:
				  Promulgated in accordance with the provisions of
				  R.S.
				  40:4(A)(10) and
				  R.S.
				  40:5.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XXIII - Retail Food Establishments › Chapter 3 - General Requirements › Section XXIII-301 - Effective Date of Part

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
				provisions of this Part shall have effect from the date of publication hereof
				as a Rule in the
Louisiana Register
. Upgrading of such
				buildings and facilities shall be required when:
1. the construction of buildings and
				facilities was not previously approved by the state health officer pursuant to
				sanitary code requirements then in effect;
2. substantial renovation of, or additions
				to, such buildings or facilities is undertaken;
3. the real property ownership, or the
				occupancy classification of the business located therein changes subsequent to
				the effective date hereof;
a. Exception
i. When only a real property ownership change
				occurs, restroom plumbing fixture upgrades to meet the minimum plumbing fixture
				requirements contained in LAC 51:XIV.411 and LAC 51:XIV.Table 411 are not to be
				blindly enforced if the state health officer/Office of Public Health has
				assurances that the prior or existing business held a food permit
				(e.g
.
, grocery store, restaurant, etc.) under this Part (LAC
				51:XXIII) and the prospective new business owner agrees, in writing to the
				state health officer/Office of Public Health, to operate the business in
				exactly the same manner as the prior or existing business owner (e.g., parents
				sell a business to their children who will operate the business in exactly the
				same manner) and there have been no documented complaints, within the past 5
				years, about:
(a). a lack of toilet room
				fixtures;
(b). urination in
				non-restroom fixtures or floor areas within the building; or,
(c). urination on the outside of the building
				or the premises or adjoining lots or areas, etc.
b. The exception (see §301.
				A.3.a to the normal enforcement procedures (see §301. A.3 shall not be
				applicable when a serious health threat to the public exists.
4. the business ownership
				(occupant) changes subsequent to the effective date, except that the upgrading
				of restroom plumbing fixtures shall not be required where only the business
				ownership (occupant) changes if the construction of restroom plumbing fixtures
				was approved by the state health officer pursuant to sanitary code requirements
				then in effect; or
5. a serious
				health threat to the public health exists, unless otherwise specifically
				provided hereinafter.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XXIII - Retail Food Establishments › Chapter 3 - General Requirements › Section XXIII-303 - Interpretation [formerly paragraph 23:002]

Current through Register Vol. 50, No. 6, June 20, 2024
A. This Part shall be interpreted and applied
				to promote its underlying purpose of protecting the public health.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  40:4.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XXIII - Retail Food Establishments › Chapter 3 - General Requirements › Section XXIII-305 - Food Safety Certification [formerly paragraph 23:002-2]

Current through Register Vol. 50, No. 6, June 20, 2024
A. The owner or a designated employee of each
				food establishment shall hold a "food safety certificate" from the department
				exclusively on behalf of that food establishment. The certificate shall be
				required to be renewed every five years.
1.
				For the purposes of this Section and §1901. D only, the term
food
				establishment
as defined in
				§101 of this Part shall additionally
				not include the following:
a. private clubs
				where food is prepared and served exclusively for member consumption;
b. religious or charitable food
				sales;
c. any establishment that
				heats or prepares boudin or sausage for personal consumption;
d. a bar or lounge that serves beverages
				only;
e. temporary and seasonal
				establishments;
f. nursing
				facilities;
g. public, private, or
				parochial schools;
h. elderly
				nutrition meal sites which do not prepare meals; and
i. child care facilities.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XXIII - Retail Food Establishments › Chapter 3 - General Requirements › Section XXIII-307 - Submission of Plans [formerly paragraph 23:003]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Whenever a food establishment or retail
				food store/market is constructed, substantially renovated, or a change of real
				property or business ownership occurs, or the occupancy classification changes,
				plans and specifications shall be submitted to the state health officer for
				review and approval. The plans and specifications must be approved before
				construction and renovation begins and shall indicate the proposed type of
				operation, anticipated volume and types of food products to be stored,
				prepared, packaged and/or served along with the proposed layout of the
				facility, mechanical plans, construction materials and the types and location
				and specifications of all fixed and mobile equipment to be used in the
				establishment.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  40:4.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XXIII - Retail Food Establishments › Chapter 3 - General Requirements › Section XXIII-309 - Preoperational Inspection [formerly paragraph 23:004]

Current through Register Vol. 50, No. 6, June 20, 2024
A. The state health officer may conduct one
				or more preoperational inspections to verify that the food establishment or
				retail food store/market is constructed and equipped in accordance with the
				approved plans and is in compliance with all provisions of this
				Title.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  40:4.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XXIII - Retail Food Establishments › Chapter 3 - General Requirements › Section XXIII-311 - Hazard Analysis Critical Control Point (HACCP) [formerly paragraph 22:02-4]

Current through Register Vol. 50, No. 6, June 20, 2024
A. A
				food establishment or retail food store/market that packages food using a
				reduced oxygen packaging method shall have a Hazard Analysis Critical Control
				Point (HACCP) plan and provide the information required in
				§4121 of this Part.
B. A HACCP plan shall contain:
1. a catagorization of the types of
				Potentially Hazardous Foods that are specified in the menu such as soups and
				sauces, salads, and bulk, solid foods such as meat roasts, or of other foods
				that are specified by the department;
2. a flow diagram by specific food or
				category type identifying Critical Control Points and providing information on
				the following:
a. ingredients, materials, and
				equipment used in the preparation of that food; and
b. formulations or recipes that delineate
				methods and procedural control measures that address the food safety concerns
				involved;
3. a
				supervisory training plan that addresses the food safety issues of
				concern;
4. a statement of standard
				operating procedures for the plan under consideration including clearly
				identifying:
a. each critical control
				point;
b. the critical limits for
				each critical control point;
c. the
				method and frequency for monitoring and controlling each critical control point
				by the employee designated by the person in charge;
d. the method and frequency for the person in
				charge to routinely verify that the employee is following standard operating
				procedures and monitoring critical control points;
e. action to be taken by the person in charge
				if the critical limits for each critical control point are not met;
f. records to be maintained by the person in
				charge to demonstrate that the HAACP plan is properly operated and managed;
				and
5. additional
				scientific data or other information, as required by the department supporting
				the determination that food safety is not compromised by the
				proposal.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XXIII - Retail Food Establishments › Chapter 5 - Permits › Section XXIII-501 - General [formerly paragraph 23:125]

Current through Register Vol. 50, No. 6, June 20, 2024
A. No person shall operate a food
				establishment or retail food store/market of any type without first having
				received a valid permit to operate from the state health officer. Permits are
				not transferable. A valid permit shall be posted in a location of the
				establishment conspicuous to the public.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  40:4.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XXIII - Retail Food Establishments › Chapter 5 - Permits › Section XXIII-503 - To Obtain a Permit from the State Health Officer [formerly paragraph 23:126-1, 23:126-2, 23:126-3]

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
				owner, president of the corporation, or other such officer duly delegated by
				the corporation or partnership shall make written application for a permit to
				operate and submit plans as described in
				§307 to the state health
				officer.
B. After plans and
				specifications have been reviewed and approved, the owner, president of the
				corporation, or other such officer shall request a preoperational inspection be
				made as described in
				§309 to determine compliance with all
				provisions of this Title.
C. A
				permit to operate shall be issued by the state health officer to the applicant
				if an inspection reveals that the proposed food establishment or retail food
				store/market and applicant has complied with all the provisions of this
				Title.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  40:4.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XXIII - Retail Food Establishments › Chapter 7 - Employee Health › Section XXIII-701 - General [formerly paragraph 23:031]

Current through Register Vol. 50, No. 6, June 20, 2024
A. All employees shall meet the requirements
				of Part I, §117. A, B of this title, Employee Health and Chapter 2, The Control
				of Diseases, of the State Sanitary Code. The employee shall report information
				to the person in charge about their health and activities as they relate to
				infectious diseases that are transmissible through food. The person in charge
				shall be responsible for complying with Part I, §117 of this title, and
				excluding the employee from the food establishment to prevent the likelihood of
				foodborne disease transmission.
B.
				All employees shall report to the person in charge any symptom caused by
				illness, infection, or other source that is:
1. associated with an acute gastrointestinal
				illness such as diarrhea, fever, vomiting, jaundice or sore throat with fever;
				or
2. a lesion containing pus such
				as a boil or infected wound that is open or draining and is:
a. on the hands or wrist, unless an
				impermeable cover such as a finger cot, or stall protects the lesion and a
				single-use glove is worn over the impermeable cover;
b. on exposed portions of the arms, unless
				the lesion is protected by an impermeable cover; or
c. on other parts of the body, unless the
				lesion is covered by a dry, durable, tight-fitting bandage.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XXIII - Retail Food Establishments › Chapter 9 - Personal Cleanliness and Hygienic Practices › Section XXIII-901 - Handwashing [formerly paragraph 23:032]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Employees shall thoroughly wash their
				hands and exposed portions of their arms with soap and warm water before
				starting work, before applying gloves, during work as often as necessary to
				keep them clean, and after smoking, using tobacco, eating, drinking, coughing,
				sneezing, handling raw food, using the toilet.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  40:4.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XXIII - Retail Food Establishments › Chapter 9 - Personal Cleanliness and Hygienic Practices › Section XXIII-903 - Fingernails [formerly paragraph 22:06-2]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Employees shall keep their fingernails
				clean and trimmed not to exceed the end of the fingertip. An employee shall not
				wear nail polish, long, or artificial fingernails when working with exposed
				food unless wearing intact gloves in good repair.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  40:4.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XXIII - Retail Food Establishments › Chapter 9 - Personal Cleanliness and Hygienic Practices › Section XXIII-905 - Jewelry [formerly paragraph 22:06-3]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Employees may not wear jewelry on their
				arms and hands while preparing food. This does not apply to a plain ring such
				as a wedding band.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  40:4.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XXIII - Retail Food Establishments › Chapter 9 - Personal Cleanliness and Hygienic Practices › Section XXIII-907 - Outer Clothing [formerly paragraph 22:06-4]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Employees shall wear clean outer
				clothing.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  40:4.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XXIII - Retail Food Establishments › Chapter 9 - Personal Cleanliness and Hygienic Practices › Section XXIII-909 - Hand Sanitizers

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				Employees may apply hand sanitizers only to hands that are cleaned as specified
				in
				§901 of this Chapter. Hand sanitizers
				shall comply with all state and federal regulations and be used in accordance
				with label directions.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  40:4.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XXIII - Retail Food Establishments › Chapter 9 - Personal Cleanliness and Hygienic Practices › Section XXIII-911 - Tasting, Eating and Drinking [formerly paragraph 23:034-1]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Employees shall
				eat and drink only in designated areas where the contamination of exposed food,
				equipment, utensils or other items needing protection cannot result, except an
				employee may drink from a closed beverage container if the container is handled
				properly to prevent contamination. An employee may not use a utensil more than
				once to taste food that is to be sold or served.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  40:4.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XXIII - Retail Food Establishments › Chapter 9 - Personal Cleanliness and Hygienic Practices › Section XXIII-913 - Using Tobacco [formerly paragraph 23:034-2]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Employees shall not use tobacco in any
				form while preparing or serving food. Employees shall use tobacco only in
				designated areas such as described in §4105. C of this Part.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  40:4.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XXIII - Retail Food Establishments › Chapter 9 - Personal Cleanliness and Hygienic Practices › Section XXIII-915 - Hair Restraints [formerly paragraph 23:033-2]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Employees shall wear hair restraints such
				as hats, hair coverings or nets, beard restraints, and clothing that covers
				body hair, that are designed and worn to effectively keep their hair from
				contacting exposed food, equipment, utensils and other items needing
				protection. This does not apply to employees such as counter staff who only
				serve beverages and wrapped or packaged food items if they present a minimal
				risk of contaminating exposed food, clean equipment, utensils, and linens, and
				unwrapped single service and single use articles.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  40:4.
Louisiana Administrative Code › Title 51 - PUBLIC HEALTH-SANITARY CODE › Part XXIII - Retail Food Establishments › Chapter 9 - Personal Cleanliness and Hygienic Practices › Section XXIII-917 - Food Contamination [formerly paragraph 22:07-4]

Current through Register Vol. 50, No. 6, June 20, 2024
A. Employees experiencing persistent
				sneezing, coughing or a runny nose may not work with exposed food, equipment,
				utensils or other items needing protection.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  40:4.