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I.At least one primary entrance shall be accessible to people with disabilities or impairments.

AUTHORITY NOTE:Promulgated in accordance with R.S. 36:254 and 40:2120.41-46.

HISTORICAL NOTE:Promulgated by the Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing, LR 34:2191 (October 2008).

Subchapter J.Physical Environment

§4289.General Appearance and Conditions

A.The center shall present an attractive outside and inside appearance and be designed and furnished with consideration for the special needs and interests of the population to be served as well as the activities and services to be provided.

1.Illumination levels in all areas shall be adequate and careful attention shall be given to avoiding glare.
2.The design shall facilitate the participant’s movement throughout the center and involvement in activities and services.
3.Heating, cooling and ventilation system(s) shall permit comfortable conditions.
4.Sufficient furniture shall be available to facilitate usage by the entire participant population in attendance.
5.Furniture and equipment that will be used by participants shall be selected for comfort and safety as well as be appropriate for use by persons with visual and mobility limitations, and other physical disabilities.
6.Floors and steps shall have a non-slippery surface and be dry when in use by the participants. Doorways and passageways shall be kept clear to allow free and unhindered passage.

AUTHORITY NOTE:Promulgated in accordance with R.S. 36:254 and 40:2120.41-46.

HISTORICAL NOTE:Promulgated by the Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing, LR 34:2192 (October 2008).

§4291.Space Requirements

A.The center shall have sufficient space and equipment to accommodate the full range of program activities and services.

B.The center shall provide at least 40 square feet of indoor space for each participant. The square footage excludes hallways, offices, restrooms, storage rooms, kitchens, etc.

C.The center shall be flexible and adaptable for large and small groups and individual activities and services.

D.There shall be sufficient office space to permit staff to work effectively and without interruption.

E.There shall be adequate storage space for program and operating supplies.

F.There shall be sufficient parking area available for the safe daily delivery and pick-up of participants.

AUTHORITY NOTE:Promulgated in accordance with R.S. 36:254 and 40:2120.41-46.

HISTORICAL NOTE:Promulgated by the Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing, LR 34:2192 (October 2008).

§4293.ADHC Furnishings

A.The center must be furnished so as to meet the needs of the participants. All furnishings and equipment shall be kept clean and in good repair.

B.Lounge and Recreational Areas. Adequate furniture shall be available and shall be appropriate for use by the participants in terms of comfort and safety.

C.Dining Area. Furnishings must include tables and comfortable chairs sufficient in number to serve all participants. Meals may be served either cafeteria style or directly at the table depending upon the method of food preparation or physical condition of the participants.

D.Kitchen. If the center has a kitchen area, it must meet all health and sanitation requirements and must be of sufficient size to accommodate meal preparation for the proposed number of participants.

E.Toilet Facilities. There shall be sufficient toilet and hand-washing facilities to meet the needs of both males and females. The number of toilets and hand- washing facilities shall be not less than one for each 12 participants.

1.There shall be at least two toilet facilities when males and females are served.
2.Toilets and hand-washing facilities shall be equipped so as to be accessible for people with disabilities.

F.Isolation/Treatment Room. There shall be a separate room or partitioned area for temporarily isolating a participant in case of illness. This room may be furnished with a bed or a recliner for the participant's use.

AUTHORITY NOTE:Promulgated in accordance with R.S. 36:254 and 40:2120.41-46.

HISTORICAL NOTE:Promulgated by the Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing, LR 34:2192 (October 2008).

§4295.Location of Center

A.An adult day health care center that is located within any center or program that is also licensed by the department must have its own identifiable staff, space, and storage. These centers must meet specific requirements if they are located within the same physical location as another program that is also licensed by the department.

1.The program or center within which the ADHC center is located must meet the requirements of its own license.

B.New centers may not be located within 1,500 feet of another adult day health care center unless both centers are owned and managed by the same organization.

C.The location or site of an ADHC center shall be chosen so as to be conducive to the program and the participants served.

D.ADHC Centers within Nursing Centers. An adult day care center can only be located within a nursing center when the following conditions are met.

1.Space required for licensure of the nursing center cannot be utilized as space for the licensure of the adult day care center.
2.If space to be used for the ADHC center is nursing center bedroom space, the number of beds associated with the space occupied by the ADHC program must be reduced from the licensed capacity of the nursing center.
3.There must be separate staff for both programs.

AUTHORITY NOTE:Promulgated in accordance with R.S. 36:254 and 40:2120.41-46.

HISTORICAL NOTE:Promulgated by the Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing, LR 34:2192 (October 2008).

Alan Levine

Secretary

0810#098

RULE

Louisiana Register   Vol. 34, No. 10   October 20, 2008

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