N.Y. Comp. Codes R. & Regs. tit. 14 § 814.4

Current through Register Vol. 46, No. 50, December 11, 2024

Section 814.4 - Requirements for all facilities

(a) Repair and maintenance requirements. All facilities shall be maintained at all times in a state of repair which protects the health and safety of all occupants. The provision of maintenance shall be the responsibility of the governing authority of the provider of services. All facilities shall develop, maintain and follow a plan for maintenance that conforms to all applicable laws and ordinances which mandate safety, fire, health and sanitation requirements. All facilities shall be maintained in a clean and sanitary manner.

(b) Safety and fire precaution requirements.

(1) Fire drills shall be conducted at least quarterly for each shift. All such drills shall be held at times when the building is occupied.

(i) A written record shall be maintained indicating the time and date of each fire drill, the number of participants at each drill and the length of time for each evacuation. Such written record shall be provided to the Office upon request;

(ii) Fire regulations and evacuation routes shall be posted in bold print on contrasting backgrounds and in conspicuous locations. Each diagram shall display primary and secondary means of egress from the posted location.

(iii) Programs certified by OASAS and co-located in a general hospital, as defined by Article 28 of the Public Health Law, may follow a fire drill schedule established and conducted by the hospital.

(2) There must be at least one communication device on each floor of each building identified for emergency use.

(3) Documentation evidencing the annual training of all employees in the classification and proper use of fire extinguishers and the means of rapid evacuation of the building must be maintained on site for review upon request.

(4) Annual inspections and testing of the required fire alarm system, including battery operated smoke detectors, fire extinguishers, emergency lighting systems, illuminated exit signs, environmental controls, and heating and cooling systems shall be conducted. The maintenance and testing of hard wired (permanently installed) fire alarm systems, fire extinguishers, and heating systems must be conducted by a certified vendor. Documentation of all such inspections and testing must be maintained on site for review upon request.

(c) General building requirements. All facilities are required to comply with the following; supportive living facilities and residential reintegration services in a scatter-site setting are exempt from the provisions of paragraphs (1) through (6) below:

(1) Spaces where counseling occurs must afford privacy for both staff and patients.

(2) Bedroom and bathroom facilities must be made available to afford privacy for males and females.

(3) A designated area must be made available for the locked storage and maintenance of patient records. Location, design and equipment must be appropriate to secure records from traffic, theft and unauthorized access as well as environmental damage. Patient records must be retained for six years after the date of discharge or last contact, or three years after the patient reaches the age of eighteen, whichever time period is longer.

(4) A designated support area must be made available in conjunction with living units for housekeeping and janitorial staff, supplies and equipment.

(5) Offices or work areas must be made available to facilitate effective supervision and monitoring of patients.

(6) An area for the proper storage, preparation and use or dispensing of medications medical supplies and first aid equipment must be made available. Storage of all medications must be provided for in accordance with the requirements set forth in Title 21 of the Code of' Federal Regulations, Part 1301 regarding security requirements for controlled substances and Title 10 NYCRR, Part 80 regarding institutional dispensers of controlled substances. Syringes and needles must be properly and securely stored.

(7) All beds must be furnished with a clean and functional mattress;

(8) Sleeping areas that contain more than one bed must provide a minimum of 60 square feet per occupant. Rooms that have two or more beds in use on or before June 3, 2002, will be permitted to continue with not less than 40 square feet per occupant until a major relocation or major renovation of OASAS certified treatment space occurs, or there is a change in the type or capacity of service certified at the present location;

(9) Ancillary space of 60 square feet per occupant must be provided. Services commencing before June 3, 2002 will be permitted to continue with not less than 40 square feet per occupant until a major relocation or major renovation to OASAS certified treatment space occurs, or there is a change in the type or capacity of service certified at the present location.

(d) Facilities where clients are not served by an OASAS certified provider or constitute an administrative site only will not be subject to routine facilities inspections.

N.Y. Comp. Codes R. & Regs. Tit. 14 § 814.4

Amended New York State Register July 27, 2016/Volume XXXVIII, Issue 30, eff.7/27/2016