Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0003 - Aging Division › Chapter 7 - PROGRAM ADMINISTRATION FOR ADULT DAY CARE FACILITIES › Section 7-11 - Physical Environment

Current through July 13, 2024
A facility must provide an environment which protects the
				  participants from physical harm but is not so restrictive as to inhibit
				  physical, intellectual, emotional, or social stimulation.
(a) Safety, Health, and Comfort.
(i) No adult day care facility shall be
				located where conditions exist that would be hazardous to the physical health
				and safety of participants.
(ii)
				Building Construction and Maintenance.
(A) If
				space used or planned for use by the facility is renovated or altered, the
				plans shall be in strict compliance with the Americans with Disabilities Act
				Accessibility Guidelines (ADAAG) and shall be submitted for review to the State
				of Wyoming Department of Administration and Information, Central Services
				Division for review prior to the expected change.
(B) Prior to becoming a provider and prior to
				use of newly constructed, renovated, remodeled, or altered buildings or
				sections of buildings, a facility shall provide written documentation of the
				following:
(I) Inspection and approval of the
				building(s) from the local building official, if applicable, or approval of a
				plan of correction; OR
(II)
				Inspection and approval of the building(s) from the Department of Fire
				Prevention and Electrical Safety, if applicable, or approval of a plan of
				correction; AND
(III) Inspection
				and approval from the Division, or approval of a plan of correction related to:
(1.) Sanitation and health;
(2.) Water supply;
(3.) Sewerage system; and
(4.) Food service.
(IV) Inspection and approval from the local
				fire department that the facility is free from fire hazards, or approval of a
				plan of correction.
(C)
				The buildings shall be free from safety hazards.
(iii) Special Requirements for Nonambulatory
				or Physically Challenged Participants.
(A) If
				the facility is providing for nonambulatory participants, at least one (1)
				entrance shall be readily accessible and useable by nonambulatory participants
				so that participants can evacuate safely and independently in the event of fire
				or emergency.
(B) Before any
				participant who uses a wheelchair or a walker is accepted for care, doorways
				and passageways shall be wide enough to accommodate wheelchairs and
				walkers.
(C) At least one (1)
				primary grade-level entrance to the building shall be freely accessible for
				wheelchairs.
(iv)
				Grounds.
(A) The grounds shall be well
				maintained and free from safety hazards.
(B) An area shall be available, accessible,
				and useable for outdoor activities for all participants.
(C) A safe area for discharge and pickup
				shall be available to accommodate daily arrival and departure of
				participants.
(v)
				Sanitation.
(A) Hot and cold water shall meet
				the requirements of the Uniform Building Code.
(B) Private water systems shall be tested and
				found safe and potable.
(C) The
				facility and all of its furnishings and equipment shall be clean and properly
				maintained.
(D) The facility shall
				be free from insects, rodents, and other pests.
(E) Adequate kitchen facilities and equipment
				shall be provided for preparation and serving of meals.
(F) Sufficient working refrigeration shall be
				available to store perishable food and medicine. All refrigerators and freezers
				shall have a working thermometer. Freezers will be maintained at zero degrees
				(0°) Fahrenheit or less. Refrigerator temperature will be maintained at
				forty degrees (40°) Fahrenheit or less. Freezers and refrigerators shall be
				maintained, clean, and sanitized.
(G) Food shall be properly stored, prepared,
				and served to prevent food-borne illness.
(H) Drinking water shall be available to
				participants at all times.
(I)
				Drinking fountains, if used, shall be of a type approved by the County Health
				Department.
(J) Individual cups
				shall be provided for drinking water when fountains are not used.
(K) If disposable dishes, cups, and/or
				utensils are used, they shall be sturdy enough to prevent them from being a
				safety hazard. They shall be used once and then discarded.
(L) The kitchen and dining area shall be kept
				clean, sanitary, and provided with suitable furniture and adequate space to
				comfortably seat all residents.
(M)
(I) Only dishes and utensils with the
				original smooth finishes shall be used. Cracked, chipped, scratched,
				permanently stained dishes, cups or glasses, damaged, corroded utensils, or
				cookware shall not be used.
(II)
				The cleaning and sanitizing of all items used in preparation and service of
				food shall comply with the State of Wyoming,
Wyoming Food Service
				Regulations
. Inspection of all items used for storage, preparation
				and service of foods may occur.
(1.) For
				manual washing, rinsing and sanitizing of utensils and equipment, three
				compartments or containers shall be used. Each compartment shall be large
				enough to accommodate the utensils or equipment. The first compartment shall
				contain a hot detergent that is kept clean. The second compartment shall
				contain hot, clear rinse water. The third compartment shall contain an approved
				sanitizing solution. All utensils and equipment shall remain in the final
				sanitizing rinse for at least one minute. Dishes and equipment shall then be
				air dried. When chemicals are used for sanitizing, a test kit or other device
				that accurately measures the parts per million concentration of the sanitizer
				shall be provided and used.
(2.)
				Cleaning and sanitizing of dishes and equipment may also be done by automatic
				dishwashers.
(N) Persons handling soiled tableware and/or
				kitchenware shall wash their hands before handling clean ware.
(O) No fly strips shall be allowed in the
				kitchen or dining area.
(P)
				Filters, exhaust hoods, ranges, deep fat fryers, ovens and other similar items
				shall be operable and maintained clean.
(Q) A fire extinguisher rated 2A-10B:C shall
				be available in the kitchen area.
(vi) Lighting.
(A) All areas of the facility shall be well
				lighted for the safety and comfort of the participants during all hours of
				operation according to the nature of activities. NOTE: Special lighting
				requirements relating to medications are under Section
				12(h)(ii)(B) of these
				rules and regulations.
(B)
				Artificial lighting shall be by electricity or battery.
(C) Additional lighting, as necessary to
				provide and ensure presence of contrast, shall be available for immediate use
				in areas that may present safety hazards, such as but not limited to stairways,
				doorways, passageways, changes in floor level, kitchens, bathrooms, and
				basements.
(D) Hallways,
				stairwells, foyers, doorways, and exits utilized by participants shall be kept
				well lighted at all times participants are present in the building(s). Whenever
				natural light is not sufficient, artificial lighting shall be used.
(E) Glare shall be kept at a minimum in rooms
				used by participants.
(I) When necessary to
				reduce glare, windows shall be equipped with shades, curtains or other
				coverings.
(II) All lights,
				including fluorescent lights, shall be covered with shades or protective
				fixtures or specially equipped to reduce glare and ensure protection.
(F) If used, fluorescent lights
				shall be replaced if they flicker or make noise.
(G) All sources of light including windows,
				light fixtures, bulbs, etc., shall be kept clean.
(vii) Temperature and Ventilation.
(A) Areas used by participants shall be well
				ventilated to the outside and dry.
(B) The temperature of the rooms used by
				participants shall be maintained at a level safe and suitable for elderly,
				disabled, and impaired adults:
(I) The
				minimum inside temperature shall be sixty-eight degrees (68°)
				Fahrenheit.
(II) Fans and/or air
				conditioners shall be available for use when the inside temperature exceeds
				eight-four degrees (84°) Fahrenheit.
(III) Each adult day care facility shall have
				at least one (1) portable thermometer to assure correct temperature.
(IV) Fans and air conditioners shall be
				placed to avoid direct drafts on participants and to avoid safety
				hazards.
(viii) Equipment and Materials.
(A) All furniture and equipment inside and
				outside the facility shall be maintained in good repair and in safe
				condition.
(B) Cleaning products,
				pesticides, and all poisonous or harmful materials shall be stored separately
				from food and shall be kept in a locked place when not in use.
(C) If elevators are used, the following
				requirements shall be met:
(I) Elevators
				shall be kept in safe running condition;
(II) Elevators shall have sturdy handrails
				installed;
(III) Elevators shall be
				inspected at least annually by the insurance company, the local housing
				authority, or the elevator company;
(IV) A copy of the elevator inspection report
				shall be retained by the facility; and
(V) An alternative exit shall be accessible
				for use in case of a fire and/or other emergencies.
(D) Sturdy handrails shall be installed at
				all stairs, ramps, and changes in floor levels.
(E) All interior and exterior stairways and
				ramps shall have nonslip surfaces or carpet.
(F) All interior and exterior stairways,
				changes of floor level, and ramps shall be indicated by a warning strip or
				contrast in color to aid the participants who have impaired vision.
(G) Floors shall not be slippery. If rugs or
				floor coverings are used, they shall be secured to the floor.
(H) Fireplaces shall be securely screened and
				glassed in. All fireplaces shall meet the Uniform Mechanical Code.