Code of Massachusetts Regulations › 130 CMR - DIVISION OF MEDICAL ASSISTANCE › Title 130 CMR 419.000 - Day Habilitation Center Services › Section 419.432 - Physical Site

Current through Register 1525, July 5, 2024
(A)
Physical Site
.
			 The MassHealth agency or its designee approves each DH site and census. A DH
			 provider must provide DH at a site that meets all of the requirements in
			 130
			 CMR 419.432(B)(1) through
			 (17).
(B) In the event of a site change,
			 renovation, new construction, or change in census, the DH provider must forward
			 a copy of all plans to the MassHealth agency or its designee for approval.
(1) The site must be designed with adequate
			 space for the provision of all DH, with a minimum of 50 square feet of
			 programming space per participant. This minimum does not include offices
			 (except nurses' offices if used for member treatment), hallways, storage areas,
			 reception areas, and other areas not used for the provision of DH. For sites
			 with kitchens used for activities other than meal preparation, 100% of the
			 kitchen floor area is counted as part of the participant space
			 requirement.
(2) When located in a
			 building or facility housing other services, the DH provider may utilize all
			 available space but must have separate and distinct staff for each
			 service.
(3) As of September 7,
			 2018, a newly enrolled DH provider site must be in a location that complies
			 with the Americans with Disabilities Act (ADA) and ADA Standards for Accessible
			 Design that include, but are not limited to:
(a) the site is on-ground level with at least
			 two means of egress;
(b) the site
			 is free of architectural barriers;
(c) the site is designed to meet the needs of
			 people with disabilities; and
(d)
			 the site is in compliance with local health, fire, and safety codes.
(4) For sites approved on or
			 before September 7, 2018, that occupy multi-level space, the site must have at
			 a minimum one elevator for egress, and evacuation plans must include specific
			 procedures for evacuation of those in wheelchairs and comply with local and
			 state evacuation requirements.
(5)
			 The site must include adequate outdoor space for members to safely arrive at
			 and depart from the DH provider site.
(6) DH providers must provide a protected and
			 secure environment for members, including members who wander or require
			 increased supervision and security.
(7) The site must include sufficient parking
			 capacity to satisfy the needs of members, staff, and the public.
(8) The site must include a clean and
			 sanitary food preparation area equipped with a refrigerator, a sink, adequate
			 counter space, and adequate storage space.
(9) Adequate artificial lighting must be
			 available in all rooms, stairways, hallways, corridors, bathrooms, and
			 offices.
(10) A DH provider site
			 serving five or more unrelated participants must comply with the Massachusetts
			 State Building Code, 780 CMR 3.00:
Use and Occupancy
			 Classification
.
(11) The
			 MassHealth agency must approve each DH site. In the event of a site change,
			 renovation, or new construction, the provider must forward a copy of all plans
			 to the MassHealth agency for approval. Upon completion of renovations, moves,
			 or new construction, the MassHealth agency or its designee must view the site
			 to determine compliance with the requirements.
(12) The kitchen and bathrooms must be
			 designed and equipped for teaching ADL skills to all participants.
(13) In at least one participant area, the
			 site must have a fire extinguisher and a first aid kit, easily accessible to
			 staff.
(14) The site must meet the
			 requirements of all state and local building, sanitary, health, fire, and
			 zoning codes, and all other requirements pertaining to health, safety, and
			 sanitation.
(15) The participants
			 must have access to hand sanitizer dispensers and to at least one handwashing
			 station. Hand sanitizer dispensers and hand washing stations must be
			 conveniently placed and accessible to staff. Hand sanitizer dispensers and
			 handwashing stations must be placed with consideration for participant safety
			 and accessibility.
(16)
			 Participants must have access to natural light and outside views.
(17) Participants must have adequate
			 lighting, heating, and ventilation so that participants are comfortable in all
			 seasons of the year.