Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 75 - Licensing of Rural Health Clinics › Subchapter A - General Provisions › Section I-7535 - Physical Environment

Current through Register Vol. 50, No. 6, June 20, 2024
A.
					 Occupancy. The facility shall have written approval from the appropriate agency
					 to verify compliance with Office of the State Fire Marshal.
B. Safety. The following are fundamental to
					 the effective management of a facility:
1.
					 preventing, reporting and correcting threatening situations, equipment
					 failures, and actual incidents that involve injury or damage to
					 property;
2. proper safety
					 management;
3. emergency
					 preparedness;
4. proper storage and
					 disposal of trash and medical waste;
5. proper temperature control, light and
					 ventilation;
6. proper storage of
					 drugs and cleaning material; and
7.
					 clean and free of hazards;
a. bathrooms shall
					 be vented to outside and have adequate soap, hand towels and hot water to
					 promote infection control;
b.
					 general appearance of facility shall be neat and clean;
8. exits shall not be obstructed and facility
					 shall have:
a. a minimum of two exits spaced
					 as widely apart as possible;
b.
					 exit doors that are at least 34 inches wide but less than 48 inches;
c. exit corridors that are at least 44 inches
					 wide and do not pass through a storage room, mechanical room, or
					 kitchen;
d. clearly marked exits
					 and exit pathways with exit signs and arrows;
e. adequate light at all times. If the
					 facility is occupied at night, all exit signs must be internally lighted and
					 corridors must have emergency light units;
f. doors which can be opened from inside the
					 room or area without a key or special knowledge; and
g. exit signs over each exit door and also at
					 every corridor junction. At least one exit sign must be visible from any
					 location in the building;
9. locks:
a. no door equipped with a self closure
					 device (except entry/exit doors) may ever be blocked open;
b. every lock must be operable from inside
					 the room or area;
10.
					 miscellaneous:
a. the facility shall have one
					 fire extinguisher (minimum size 2A) for each 1500 square feet. It must be
					 inspected and tagged annually; and, the gauge must show in the white, green, or
					 "overcharged" areas. It may be Type A or Type ABC;
b. Any storage room over 50 square feet must
					 have an automatic door closure device. No flammable liquids (such as gasoline,
					 diesel, etc.) may be stored inside the facility. However, alcohol and cleaning
					 supplies are allowed in reasonable quantities;
c. any compressed gas cylinder, regardless of
					 type and/or amount of contents, must be on a rack or chained to avoid
					 tipping;
d. at a minimum a fire
					 wall rated for one hour must separate the facility from any other occupied
					 area. Criteria for the wall include:
i. one
					 layer of 5/8 inch fire code sheetrock or other limited or non-combustible
					 material on each side;
ii.
					 separation wall must extend completely to the roof deck with no unsealed
					 penetrations or holes;
iii. one and
					 3/4 inch doors (if doors are present) must be solid core with automatic
					 self-closure device.