D.C. Mun. Regs. tit. 22, r. 22-A8014

Current through Register Vol. 71, No. 52, December 27, 2024

Rule 22-A8014 - FACILITIES MANAGEMENT

8014.1

A provider shall establish and maintain a safe environment for its operation, including adhering to the following provisions:

(a) Each provider's service site(s) shall be located and designed to provide adequate and appropriate facilities for private, confidential individual and group counseling/therapy sessions;

(b) Each provider's service site(s) shall have appropriate space for group activities and educational programs;

(c) Each provider shall comply with applicable provisions of the Americans with Disabilities Act ( 42 USC § 12101) in all business locations;

(d) Each service site shall be located within reasonable walking distance of public transportation;

(e) Providers shall maintain fire safety equipment and establish practices to protect all occupants. This shall include clearly visible fire extinguishers with a charge that are inspected annually by a qualified service company or trained staff member; and

(f) Each provider shall annually obtain a written certificate of compliance from the District of Columbia Department of Fire and Emergency Medical Services indicating that all applicable fire and safety code requirements have been satisfied for each facility.

8014.2

Each window that opens shall have a screen.

8014.3

Each rug or carpet in a facility shall be securely fastened to the floor or shall have a non-skid pad.

8014.4

Each hallway, porch, stairway, stairwell, and basement shall be kept free from any obstruction at all times.

8014.5

Each ramp or stairway used by individuals in the program shall be equipped with a firmly secured handrail or banister.

8014.6

Each provider shall maintain a clean environment free of infestation and in good physical condition.

8014.7

Each facility shall be appropriately equipped and furnished for the services delivered.

8014.8

Each provider shall properly maintain the outside and yard areas of the premises in a clean and safe condition.

8014.9

Each exterior stairway, landing, and sidewalk shall be kept free of snow and ice.

8014.10

Each facility shall be located in an area reasonably free from noxious odors, hazardous smoke and fumes, and where interior sounds may be maintained at reasonably comfortable levels.

8014.11

A provider shall take necessary measures to ensure pest control, including:

(a) Refuse shall be stored in covered containers that do not create a nuisance or health hazard; and

(b) Recycling, composting, and garbage disposal shall not create a nuisance, permit transmission of disease, or create a breeding place for insects or rodents.

8014.12

A provider shall ensure that medical waste is stored, collected, transported, and disposed of in accordance with applicable Federal and District laws and guidelines from the Centers for Disease Control and Prevention ("CDC").

8014.13

Each provider shall ensure that its facilities have comfortable lighting, proper ventilation, and moisture and temperature control. Rooms, including bedrooms and activity rooms below ground level, shall be dry and the temperature shall be maintained within a normal comfort range.

8014.14

Each facility shall have potable water available for each individual.

8014.15

The physical design of the provider's structure shall be sufficient to accommodate staff, individuals receiving services and the program(s). Each location shall make available the following:

(a) A reception area;

(b) Private areas for individual treatment services;

(c) An area(s) for dining, if applicable; and

(d) Separate bathrooms and/or toilet facilities in accordance with District law where the:

(i) Required path of travel to the bathroom shall not be through another bedroom;

(ii) Windows and doors provide privacy; and

(iii) Showers and toilets not intended for individual use provide privacy.

8014.16

If activity space is used for purposes not related to the program's mission, the provider shall ensure that:

(a) The quality of services is not reduced;

(b) Activity space in use by other programs shall not be counted as part of the required activity space; and

(c) Individual confidentiality is protected, as required by HIPAA, the D.C. Mental Health Information Act, 42 CFR Part 2, and all other applicable Federal and District laws and regulations.

8014.17

The use of appliances such as cell phones, computers, televisions, radios, CD players, recorders, and other electronic devices shall not interfere with the therapeutic program.

8014.18

Each facility shall maintain an adequately supplied first-aid kit which:

(a) Shall be maintained in a place known and readily accessible to individuals in the program and employees; and

(b) Shall be adequate for the number of persons in the facility, including individuals, staff, consultants and volunteers.

8014.19

Each provider shall post emergency numbers near its telephones for fire, police, and poison control, along with contact information and directions to the nearest hospital.

8014.20

Each provider shall have on site at each facility a fully functioning automatic external defibrillator ("AED") and shall ensure that all staff are trained in how to use the AED.

8014.21

Each provider shall have on-site at each facility at least two (2) unexpired doses of naloxone at all times and shall ensure that all staff are trained in how to administer the naloxone.

8014.22

A provider shall have an interim plan addressing safety and continued service delivery during construction.

8014.23

As part of each certification and re-certification application, the provider shall present the Department permits (including DCRA building permit(s)) and post-work inspection(s) for all plumbing and electrical work completed at the program facility during the last twelve (12) months.

D.C. Mun. Regs. tit. 22, r. 22-A8014

Final Rulemaking published at 68 DCR 1623 (2/5/2021)