Part 714 - Standards of construction for adult day health care program facilities

Effective Date: 
Wednesday, December 29, 2010
Doc Status: 
Complete
Statutory Authority: 
Public Health Law, Section 2803

Section 714.1 - Applicability

714.1 Applicability.

This Part sets forth minimum construction and physical environment standards applicable to facilities for adult day health care programs approved by the department or commissioner. All adult day health care program facilities shall comply with all pertinent requirements, technical standards and codes set forth or incorporated by reference into Part 711 of this Title.

Effective Date: 
Wednesday, December 29, 2010
Doc Status: 
Complete

Section 714.2 - Adult day health care program facilities prior to March 17, 2004

714.2 Adult day health care program facilities prior to March 17, 2004.

This section applies to all adult day health care program facilities that were approved to operate by the commissioner or department prior to March 17, 2004.

(a) Each adult day health care program facility site shall provide sufficient space to accommodate a full range of program activities and services required by this Title. The space shall be designed to be flexible and adaptable in order to accommodate both individual and group activities and services. When an adult day health care program shares space and services with the residential health care facility's resident population, the operator shall ensure the availability of adequate space, equipment, staff and services to accommodate both groups of individuals and that the proper provision of services to one group does not interfere with the proper provision of services to the other.

(b) Each adult day health care program facility site shall include the following public, administrative and service areas:

(1) An entrance that shall be located at grade level, sheltered from the weather and accessible by wheelchairs.

(2) A lobby that shall include:

(i) a reception and information counter or desk;

(ii) a waiting area;

(iii) public toilet facilities;

(iv) one or more public telephones;

(v) a drinking fountain; and,

(vi) a registrants' and public outer garment closet.

(3) Interview/counseling spaces for private consultations.

(4) A multipurpose room for staff conferences, meetings and health education.

(5) General storage facilities for office supplies, equipment, educational materials and records.

(6) General or individual offices for program staff.

(7) A medical care and examination room for registrant health care. The medical care and examination room shall provide an examination table, lockable medication storage for registrants' daily medicine, a small refrigerator for registrants' daily medicine, a lavatory or sink equipped for handwashing and a counter or shelf space for writing. The arrangement shall permit at least two feet six inches of clearance on at least one side and at the ends of the examination table.

(8) Physical rehabilitation therapy areas that shall be designed to provide sufficient functional net area to accommodate a full range of approved activities. It shall be flexible and adaptable for both individual and group treatment.

(9) Social activities therapy areas that shall include sufficient functional net area to accommodate a full range of approved program activities.

(10) Storage space shall be provided for therapy supplies and equipment.

(11) Toilets for registrants' use shall be provided within or accessible to the program area with sufficient water closets and lavatories available for registrants participating during a scheduled session.

(12) Dietary/dining areas that are adequate to meet the needs of the registrants. The dining area may be combined with the social activities area.
(13) Employees' facilities that include a sufficient number of employees' lockers and toilet facilities to accommodate the needs of all personnel and volunteers shall be provided.

(14) Soiled holding room or an enclosed space shall be provided for the holding and disposal of soiled linens.

(15) One or more janitor's closets.

(c) Adult day health care facilities that were approved to operate by the commissioner or department between February 28, 1989 and March 17, 2004 shall comply with the following additional requirements:

(1) Heating, ventilation, electrical and plumbing services shall be provided for the comfort of the registrants.

(2) Facilities with registrant services located on other than the first floor shall have electric or electrohydraulic elevators.

(3) Physical rehabilitation therapy areas shall be designed to provide sufficient functional net area of at least fifty square feet for each registrant participating in rehabilitation during a scheduled period.

(4) Social activities therapy areas shall include a functional net area of at least 30 square feet for each registrant participating during a scheduled period.

(5) Each facility's dining area shall include a functional net area of at least 30 square feet for each registrant participating in a scheduled period.

(d) Adult day health care facilities that are not located at a residential health care facility shall comply with Chapter 17, "Existing Day-Care Occupancies" of NFPA 101, Life Safety Code, 2000 edition, as described in more detail in section 711.2(a) of this Title.

Effective Date: 
Wednesday, December 29, 2010
Doc Status: 
Complete

Section 714.3 - Adult day health care program facilities between March 17, 2004 and December 31, 2010

714.3 Adult day health care program facilities between March 17, 2004 and December 31, 2010.
This section applies to adult day health care facilities approved to operate by the commissioner or department between March 17, 2004 and December 31, 2010.
(a) Each adult day health care program facility site shall provide sufficient space to accommodate the full range of program activities and services required by this Title. The space shall be designed to be flexible and adaptable in order to accommodate both individual and group activities and services. When an adult day health care program shares space and services with the residential health care facility's resident population, the licensed operator shall ensure the availability of adequate space, equipment, staff and services to accommodate both groups of individuals and ensure that the proper provision of services to one group does not interfere with the proper provision of services to the other.

(b) Each adult day health care program facility site shall include the following public, administrative and service areas:

(1) An entrance that shall be located at grade level, sheltered from the weather and accessible by wheelchairs.

(2) A lobby that shall include:

(i) a reception and information counter or desk;

(ii) a waiting area;

(iii) public toilet facilities;

(iv) one or more public telephones;

(v) a drinking fountain;

(vi) an outer garment closet for registrants and the public.

(3) General or Individual office(s) for professional and administrative staff.

(4) Interview/counseling space(s) for private consultations.

(5) A multipurpose room for staff conferences, meetings and health education.

(6) General storage facilities for office supplies, equipment, educational materials and records.

(7) General or individual office(s) for program staff.

(8) A medical care and examination room for registrant health services. The medical care and examination room shall provide an examination table, lockable medication storage for registrants' daily medicine, a small refrigerator for registrants' daily medicine, a lavatory or sink equipped for handwashing and a counter or shelf space for writing. The arrangement shall permit at least two feet six inches of clearance on at least one side and at the ends of the examination table.

(9) Physical rehabilitation therapy areas that shall be designed to provide sufficient functional net area of at least fifty square feet for each registrant participating during a scheduled period to accommodate a full range of approved activities. It shall be flexible and adaptable for both individual and group treatment.

(10) Social activities therapy and dietary/dining areas that include sufficient functional net area of at least thirty square feet for each registrant based upon program capacity and accommodate a full range of approved program activities and dining facilities to meet the needs of the registrants. Accommodation for quiet space(s) shall be provided within the program area relevant to the program space.

(11) Storage space shall be provided for therapy supplies and equipment.

(12) Toilets for registrants' use shall be provided within or accessible to the program area. Unisex toilets shall be provided at a ratio of at least one (1) water closet and lavatory per twelve (12) registrants, or major fraction thereof, based on program capacity. Gender dedicated toilets may be provided at a ratio of at least one (1) water closet and lavatory per twelve (12) registrants, or major fraction thereof, based on the gender distribution within the program capacity. At least one-half of the toilets shall be handicapped accessible.

(13) One bathing facility shall be provided within or accessible to the program facility. The dressing area and the shower(s), without curbs, shall be designed to permit use by a wheelchair resident with staff assistance.

(14) Employees' facilities with a sufficient number of employees' lockers and toilet facilities to accommodate the needs of all personnel and volunteers shall be provided.

(15) A soiled holding room or an enclosed space shall be provided for the holding and disposal of soiled linens.

(16) One or more janitor's closets shall be provided.

(17) Facilities with registrant services located on other than the main entrance floor shall have electric or electrohydraulic elevators.
(c) Adult day health care facilities that are not located at a residential health care facility shall comply with Chapter 17, "Existing Day Care Occupancies", of NFPA 101, Life Safety Code, 2000 edition, as described in more detail in section 711.2(a) of this Title.

Effective Date: 
Wednesday, December 29, 2010
Doc Status: 
Complete

Section 714.4 - Adult day health care program facilities after January 1, 2011

714.4 Adult day health care program facilities after January 1, 2011.

This section applies to adult day health care facility construction projects approved by the department of commissioner on or after January 1, 2011 and to other adult day health care construction projects completed on or after January 1, 2011.

(a) All adult day health care program facilities shall comply with Chapter 5.3, "Adult Day Health Care Facilities", of Part 5, "Other Health Care Facilities", of Guidelines for Design and Construction of Health Care Facilities, 2010 edition. This referenced material is further described in section 711.2(b)(7) of this Title.

(b) Adult day health care program facilities that are not located at a residential health care facility shall comply with the requirements of Chapter 16, "New Day-Care Occupancies", of NFPA101, Life Safety Code, 2000 edition. Further details concerning these referenced materials are contained in sections 711.2(a) of this Title.

(c) All adult day health care program facility sites shall include the following public, administrative and program areas:

(1) An entrance that shall be located at grade level, sheltered from the weather and accessible by wheelchairs.

(2) A lobby that shall include:

(i) a reception and information counter or desk;

(ii) a waiting area;

(iii) public toilet facilities;

(iv) one or more public telephones;

(v) a drinking fountain;

(vi) outer garment closet for registrants and the public.

(3) General or Individual office(s) for professional and administrative staff.

(4) Interview/counseling space(s) for private consultations.

(5) A multipurpose room for staff conferences, meetings and health education.

(6) General storage facilities for office supplies, equipment, educational materials and records.

(7) General or individual office(s) for program staff.

(8) A medical care and examination room for registrant health care. The medical care and examination room shall include an examination table with at least two feet six inches of clearance on at least one side and at the ends of the table and a lavatory equipped for handwashing.

(9) Employees' facilities with a sufficient number of employees' lockers and toilet facilities to accommodate the needs of all personnel and volunteers shall be provided.

(10) Soiled holding room or an enclosed space shall be provided for the holding and disposal of soiled linens.

(11) Facilities with registrant services located on other than the main entrance floor shall have electric or electrohydraulic elevators.

Effective Date: 
Wednesday, December 29, 2010
Doc Status: 
Complete