44:79:10:01.  Application of chapter. The provisions of this chapter apply to any new facility and to any renovation, addition, or change in space use of currently approved existing facility. Accessible and usable accommodations shall be available to the public, staff, and patients with disabilities.

 

          Each facility shall comply with NFPA 101 Life Safety Code, 2012 edition.

 

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-1-17(4), (5), and 34-12-13(3).

          Law Implemented: SDCL 34-12-13(3).

 

          Reference: NFPA 101 Life Safety Code, 2012 edition, National Fire Protection Association. Copies may be obtained from the National Fire Protection Association, P.O. Box 9101, Quincy, MA 02269-9101. Phone: 1-800-344-3555. Cost: $93.00.

 

          44:79:10:02.  Administrative space. The administrative area shall consist of an office, lobby, and public and staff toilet rooms.

 

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL  34-12-13(3).

          Law Implemented: SDCL 34-12-13(3).

 

          44:79:10:03.  Medical records storage. The medical records shall include active and closed record storage and a work area.

 

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(3).

          Law Implemented: SDCL 34-12-13(3).

 

          44:79:10:04.  Storage rooms. There shall be at least 10 square feet (0.929 square meters) of central storage provided for each bed. General storage shall be concentrated in one area in the facility, but up to 50 percent of the general storage space may be provided on the premises.

 

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(3).

          Law Implemented: SDCL 34-12-13(3).

 

          44:79:10:05.  Patient dining and lounge area. The total areas set aside for patient dining, lounge, and other central use areas may not be less than 40 square feet (4.18 square meters) for each bed.

 

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(3).

          Law Implemented: SDCL 34-12-13(3).

 

          44:79:10:06.  Patient rooms. A patient room shall meet the following requirements:

 

          (1)  A maximum room capacity is one patient;

 

          (2)  A minimum area, exclusive of toilet rooms, closets, lockers, wardrobes, or vestibules, of 150 square feet (13.98 square meters) in each bedroom. Any sleeping room designed as part of a suite of rooms shall have a minimum area of 120 square feet (11.15 square meters). The minimum dimension in sleeping rooms may not be less than nine feet six inches (2.90 meters);

 

          (3)  A window sill not higher than three feet (0.91 meters) above the floor. The floor shall be above grade;

 

          (4)  A toilet room shall be attached to the patient room. The toilet room shall include a water closet with bedpan washer, handsink, mirror, soap dispenser, towel dispenser, and private individual storage. All new construction of toilet rooms shall be wheelchair accessible;

 

          (5)  A handsink shall be provided in the room equipped with a soap dispenser and paper towel dispenser; and

 

          (6)  A separate closet space or wardrobe of five square feet (.46 meters).

 

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(3).

          Law Implemented: SDCL 34-12-13(3).

 

          44:79:10:07.  Family room. An attached living space for the patient's family shall be 150 square feet (13.94 meters) and shall be equipped with comfortable seating and sleeping accommodations.  Provisions shall be made for patient privacy at the adjoining family room.

 

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(3).

          Law Implemented: SDCL 34-12-13(3).

 

          44:79:10:08.  Service area in care units. Each care unit shall contain following:

 

          (1)  Staff station work area with handwashing fixture, charting space, communication and security equipment, supply storage, and locked medication storage, including refrigerated storage and dispensing area;

 

          (2)  Staff toilet room convenient to work area. The toilet room shall be accessible and shall contain a handwashing fixture with mirror, soap and towel dispenser, and toilet with at least a side grab bar and toilet paper dispenser;

 

          (3)  Clean linen storage or linen cart storage room;

 

          (4)  Housekeeping room for supply and equipment storage. A floor receptor or service sink shall be provided and the adjacent wall surfaces shall be impervious to protect from water damage. The space could be arranged as part of a soiled utility room;

 

          (5)  Bathing room for each thirty patients with whirlpool bath fixture equipped with a patient lift for patient and staff safety;

 

          (6)  Clean workroom for the storage and assembly of supplies for nursing procedures which contains a work counter and sink;

 

          (7)  Soiled workroom with a work counter and handwashing facility, a waste receptacle, soiled linen receptacles, a clinical sink with an exposed water trap seal, siphon jet or blowout action, and a bedpan flushing device;

 

          (8)  Nourishment station containing food storage space, refrigerated storage, microwave, self-dispensing ice machine, and a sink;

 

          (9)  Equipment storage room for patient care equipment; and

 

          (10)  Multipurpose rooms for staff, patients, and patients' families for conferences, reports, education, training sessions, and consultation.

 

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(3).

          Law Implemented: SDCL 34-12-13(3).

 

          44:79:10:09.  Food preparation services and equipment. The dietary area shall be completely cleanable by conventional methods. The location and design of the dietary area shall enable convenient handling of incoming supplies, preparation of meals, including tray service, and disposal of rubbish and garbage. Equipment and space provided shall include the following:

 

          (1)  A dishwasher with a sanitizing cycle. In dietary areas serving 17 beds or more, a dishwashing area including a commercial dishwasher supplied with 180 degree Fahrenheit (82 degrees centigrade) rinse water or a chemical sanitizing cycle, work space, a garbage disposal, a garbage can, a clean dish table, and handwashing facilities;

 

          (2)  A dry food storage area with adequate shelving and a functional aisle;

 

          (3)  Refrigerated and freezer storage space with sufficient refrigerated storage space located within the food production area for convenient food preparation;

 

          (4)  Aisles not less than three feet (0.91 meters) width;

 

          (5)  Pot and pan washing facilities, including a three-compartment sink with 18 inch drainboards on both sides and drying and storage facilities for pots and pans;

 

          (6)  A vegetable preparation area with a two-compartment sink with a garbage disposal;

 

          (7)  Dietary manager work space with desk and chair;

 

          (8)  Janitor's closet with storage for housekeeping supplies and floor receptor or service sink with moisture resistant protection for the adjacent wall surfaces;

 

          (9)  Food production equipment designed to prepare a complete meal for the total bed complement and for personnel, guests, or other catering services;

 

          (10)  Food holding and transportation equipment capable of protecting food from contamination and of maintaining cold or hot food temperatures during the total serving period;

 

          (11)  Ventilation equipment sized and designed to effectively remove steam, heat, cooking vapors, and grease from food production areas, dishwashing  areas, and serving areas;

 

          (12)  Handwashing facilities that are convenient to each work area, consisting of hot and cold running water, towel dispenser with single-service towels or hand drying device and wall mounted hand cleanser; and

 

          (13)  An ice maker with bin or self-dispensing ice maker. A built-in dispensing ice maker in a refrigerator may be used in any facility or patient neighborhood with a capacity of less than 17 beds. Any ice maker accessible to patients or visitors shall be self-dispensing.

 

          The facility may request in writing modifications to § 44:79:10:09. There shall be appliances that allow for the storing, refrigeration, preparation, cooking, and disposal of food products based on the facilities food service plan.

 

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(1), (2), and (14).

          Law Implemented: SDCL 34-12-13(1), (2), and (14).

 

          44:79:10:10.  Laundry. Equipment for processing an individual patient's personal clothing shall be provided. All common use linens and combined patients' personal clothing must be processed for disinfecting. The laundry shall contain an area for soiled linen holding with adequate storage capacity to be used for storage, sorting, and weighing of soiled linen, cart storage, janitor's closet with storage for housekeeping supplies and equipment and a floor receptor or service sink convenient to the laundry, storage for laundry supplies, and a lavatory conveniently accessible to soiled, clean, and processing rooms;

 

          The space and equipment layout shall be sized and designed to produce quality linen with a work flow that minimizes potential for cross-contamination of clean linen by soiled linen, contaminated equipment, contaminated air, or splash. The facility may request in writing modifications to § 44:79:10.10.

 

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(3).

          Law Implemented: SDCL 34-12-13(3).

 

          44:79:10:11.  Engineering service and equipment areas. The requirements for engineering service and equipment areas for each facility shall include an area for maintenance supplies and a yard equipment storage room or exterior building.

 

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(1) and (3).

          Law Implemented: SDCL 34-12-13(1) and (3).

 

          44:79:10:12.  Corridor restrictions. Drinking fountains, fire extinguisher cabinets, and vending machines shall be located so they do not project into the required width of exit corridors. Handrails shall be installed with top 34 to 38 inches above the floor on both sides of the corridor and return to the wall at the ends. Handrails shall be installed with one and one half inch spacing between the wall and the handrail.

 

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(1) and (3).

          Law Implemented: SDCL 34-12-13(1) and (3).

 

          44:79:10:13.  Doors. Any door to a patient room toilet or bathroom shall be equipped with hardware which will permit access in any emergency. A pocket or sliding door may not be installed except on a clothes closet or restroom in a patient room. Any hardware on a restroom pocket or sliding door shall provide for ease of operation for a patient with limited mobility. Any door opening onto a corridor, except an elevator door, shall be hinged on the side. An alcove or similar space which generally does not require doors are excluded from this requirement. No door may swing into the corridor except a closet door. Any cross-corridor door shall be provided with vision panels.

 

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(1) and (3).

          Law Implemented: SDCL 34-12-13(1) and (3).

 

          44:79:10:14.  Floor surface finish. Floors shall be easily cleanable and shall have the wear resistance appropriate for the location involved. Floors in kitchens and related spaces shall be water-resistant. All areas where floors are subject to wetting shall have a nonslip finish. A walking surface that is not flush with an adjacent surface shall be provided with a transition. A change in level up to one eighth inch may be vertical and without edge treatment. Changes in level between 1one eighth inch and one half inch are to be beveled with a slope no greater than 1:2. A change in level may not exceed one half inch. Gaps in the walking surface may not exceed one half inch wide in the direction of travel.

 

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(1) and (3).

          Law Implemented: SDCL 34-12-13(1) and (3).

 

          44:79:10:15.  Wall and ceiling finish. Walls shall be washable, and in the immediate area of plumbing fixtures the finish shall be protected from water damage. Wall bases in dietary areas shall be free of spaces that can harbor insects. All dietary ceilings shall be washable or easily cleanable.

 

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(1) and (3).

          Law Implemented: SDCL 34-12-13(1) and (3).

 

          44:79:10:16.  Ventilating systems. The ventilating systems shall maintain temperatures total air changes as follows:

 

          (1)  For all other occupied areas, the facility shall be able to maintain a minimum temperature of 75 degrees Fahrenheit (23.9 degrees centigrade) at winter design conditions with a minimum of at least two total air changes an hour. All air supply and air exhaust systems shall be mechanically operated. All fans serving exhaust systems shall be located at the discharge end of the system. Each mechanical ventilation systems shall be designed and balanced to provide make-up air and safe pressure relationships between adjacent areas to preclude the spread of infections and assure the health of the occupants. A corridor may not be used to supply air to or exhaust air from any room, except that exhaust air from corridors may be used to ventilate bathrooms, toilet rooms, or janitor's closets opening directly on corridors. Continuous mechanical exhaust ventilation shall be provided in all soiled areas, wet areas, and storage rooms. In unoccupied service areas, ventilation may be reduced or discontinued when the health and comfort of the occupants are not compromised.

 

          (2)  Each cooking appliances, other than microwave ovens, shall be provided with exhaust ventilation to the exterior of the building to remove cooking odors, heat, and moisture.

 

          (3)  Each vehicle parking garage shall be provided with carbon monoxide detection to activate exhaust ventilation of six air changes each hour or to open the garage door if the area of the garage is under 1000 square feet. A sign shall be posted at the front of each parking space advising the driver to shut off the engine.

 

          (4)  Each crawl space shall be provided with mechanical ventilation at least 0.5 air changes each day or be provided with open perimeter venting as required by the International Building Code.

 

          A ventilation system using a recirculated central air system shall be equipped with a minimum of two filter beds. Filter bed number one shall be located upstream of the conditioning equipment and shall have a minimum efficiency of 30 percent. Each supply air unit shall have a minimum of 30 percent effective filters. These filter efficiencies shall be warranted by the manufacturer and shall be based on the ASHRAE 52.2, 2007 edition, American Society of Heating, Refrigeration, and Air Conditioning Engineers dust spot test method with atmospheric dust. Each filter frame shall be durable and carefully dimensioned and shall provide an airtight fit with the enclosing duct work. Each joint between filter segments and the enclosing duct work shall contain a gasket or sealed to provide a positive seal against air leakage.

 

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(1), (3), and (4).

          Law Implemented: SDCL 34-12-13(1), (3), and (4).

 

          Reference: ASHRAE 52.(2), 2007 edition, American Society of Heating, Refrigeration, and Air Conditioning Engineers. Copies may be obtained from 1791 Tullie Circle, N.E., Atlanta, GA 30329. Phone: 1-800-527-4723. Cost: $39.

 

          44:79:10:17.  Plumbing fixtures. The material used for plumbing fixtures shall be of nonabsorptive acid-resistant material. Each lavatory and sink required in patient care areas shall have the water supply spout mounted so that the discharge is a minimum of five inches (0.13 meters) above the rim of the fixture. Handwashing facilities shall be equipped with hands-free controls. A single lever device may be used. Each clinical sink shall have an integral trap in which the upper portion of a visible trap seal provides a water surface. If blade handles are used, proper clearance shall be maintained for operation. An aerator is not approved for use on faucet spouts. A paper towel dispenser or hand-drying device shall be provided at each lavatory or sink. A mirror or paper towel dispenser with reflective surface may not be provided at a handwashing facility in the clean utility or dietary where grooming could potentially cause contamination.

 

          Each water closet shall be an elongated bowl type and be equipped with an open front seat.

 

          Any shower stall that is not required to be wheelchair transfer or standard roll-in type shall have curb heights not more than six inches above the finished floor. The shower floor elevation and bathroom finished floor elevation shall be level where possible but the difference in elevation cannot exceed three inches.

 

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(1) and (3).

          Law Implemented: SDCL 34-12-13(1) and (3).

 

          44:79:10:18.  Water supply systems. Each water supply systems shall supply water to the fixtures and equipment on the upper floors at a minimum pressure of 15 pounds a square inch (1055.9 kilograms a square meter) during maximum demand periods. Each water service main, branch main, riser, and branch to a group of fixtures shall be valved. Stop valves shall be provided at each fixture. Hot, cold, and chilled water piping and waste piping on which condensation may occur shall be insulated. Insulation of cold and chilled water lines shall include an exterior vapor barrier.

 

          Water supply systems in a health care facility must maintain one part per million free residual chlorine at remote point-of-use fixtures in the facility or may use another bacteriological control method (increasing water temperature range from 122 degrees to 125 degrees Fahrenheit [50-52 degrees centigrade] is acceptable) that has been demonstrated to be equivalent in control of Legionella. The facility must document water temperatures to verify the hot water temperature is being maintained within the acceptable range The chlorine testing must be done daily using photocell and light source DPD (N, N, Diethyl-p-phenylenediamine) test kits and the test results logged. When testing demonstrates that consistent chlorine levels are maintained, the frequency of testing may be reduced to a level necessary to demonstrate compliance.

 

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(1), (4), and (14).

          Law Implemented: SDCL 34-12-13(1), (4), and (14).

 

          44:79:10:19.  Vacuum breakers. An antisiphon device or backflow preventer shall be installed on any hose bib and on any fixture to which hoses or tubing can be attached such as  janitor sink, bedpan flushing attachment, and handheld shower. An antisiphon device or backflow preventer shall be installed on all plumbing and equipment where any possibility exists for contamination of the potable water supply.

 

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(1), (4), and (14).

          Law Implemented: SDCL 34-12-13(1), (4), and (14).

 

          44:79:10:20.  Hot water systems. The facility shall install a recirculating system to provide hot water to all fixtures. The hot water heating equipment shall have sufficient capacity to supply water at the temperature and amounts to meet the needs of the facility.

 

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(1), (4), and (14).

          Law Implemented: SDCL 34-12-13(1), (4), and (14).

 

          44:79:10:21.  Drainage systems. Any piping over a food preparation center, food serving facility, food storage area, and any other critical area shall be kept to a minimum and may not be exposed. Special precautions shall be taken to protect these areas from possible leakage of necessary overhead piping systems. The building sewer shall discharge into a community sewerage system. If such a system is not available, a facility providing sewage treatment which conforms to applicable local and state regulations is required.

 

          Water from roof systems shall be collected and discharged away from the building foundation. Rain gutters with downspouts and splash blocks shall be provided for pitched roof systems. Provisions shall be made to avoid having water accumulated on sidewalks and parking areas around the building.

 

          The building sewer system shall have a cleanout located outside the perimeter of the building foundation.

 

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(1), (4), and (14).

          Law Implemented: SDCL 34-12-13(1), (4), and (14).

 

          Cross-Reference: Individual and small on-site wastewater systems, ch 74:53:01.

 

          44:79:10:22.  Pipe requirements. Before placing potable water systems in service, the piping system shall be disinfected in accordance with the South Dakota Plumbing Commission standards in article 20:54 and certification shall be available from the installer showing the method used, date, test procedure used to verify chlorine concentrations, and date the system was flushed and placed in service.

 

          Pipe covering, vapor barriers, and adhesives used for applying them shall have a flame spread of not more than 25 and a smoke emission factor of not more than 50 when tested in accordance with the NFPA 101 Life Safety Code, 2012 edition.

 

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(1) and (3).

          Law Implemented: SDCL 34-12-13(1) and (3).

 

          Reference: NFPA 101 Life Safety Code, 2012 edition, National Fire Protection Association. Copies may be obtained from the National Fire Protection Association, P.O. Box 9101, Quincy, Massachusetts 02269-9101. Phone: 1-800-344-3555. Cost: $93.00.

 

          44:79:10:23.  Electrical distribution system. All material including equipment, conductors, controls, and signaling devices shall be installed to provide a complete electrical system with the necessary characteristics and capacity to supply the electrical facilities shown in the specifications or indicated on the plans. All materials shall be listed as complying with applicable standards of Underwriters' Laboratories, Inc., or other similarly established standards. Each circuit breaker or fusible switch that provides disconnecting means and overcurrent protection for a conductor connected to switchboard and distribution panel board shall be enclosed or guarded to provide a dead front type of assembly. The main switchboard shall be located in a separate enclosure accessible to authorized persons. Each lighting and appliance panel board shall be provided for the circuit on each floor. The provisions of this section do not apply to emergency system circuits.

 

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(1), (3), and (4).

          Law Implemented: SDCL 34-12-13(1), (3), and (4).

 

          44:79:10:24.  Lighting. Each patient bedroom shall have general lighting of at least ten footcandles (0.929 lumens per square meter) and night lighting. If task illumination is required, a light with an intensity of at least 30 footcandles (2.79 lumens per square meter) at the work surface shall be provided. At least one luminaire for night lighting shall be switched at the entrance to each patient room. Illumination of at least 100 footcandles (9.29 lumens per square meter) shall be provided at the medication set-up area. Illumination of at least 30 footcandles (2.79 lumens per square meter) shall be provided in each dining area and at any bathing facility.

 

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(3), (4) and (14).

          Law Implemented: SDCL 34-12-13(3), (4) and (14).

 

          44:79:10:25.  Emergency electrical service. Each facility shall have a Type 2, Essential Electrical System in accordance with the National Fire Protection Association (NFPA 99 Health Care Facilities Code, 2012 Edition). Automatic emergency lighting shall also be provided at staff work station, medication room, room where main electrical panel is located, and boiler room. Emergency electrical service shall be provided from an automatic generator set and automatic transfer switches serving emergency panels.

 

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(3).

          Law Implemented: SDCL 34-12-13(3).

 

          Reference: NFPA 99 Health Care Facilities Code, 2012 edition, National Fire Protection Association. Copies may be obtained from the National Fire Protection Association, P.O. Box 9101, Quincy, MA 02269-9101. Phone: 1-800-344-3555. Cost: $66.50.

 

          44:79:10:26.  Staff call system. A staff call system shall be provided for patient use to summon assistance from staff. The system shall be capable of being easily activated by the patient and shall register both visually and audibly at the staff station. In multicorridor nursing units, additional visible signals shall be installed at corridor intersections. The system shall be utilized and maintained in such a manner as to ensure that it is a consistent and effective means for a patient to alert staff of the need for assistance. The call stations convenient for patient use shall be provided at each bed, patient toilet, bathing or shower facility used by the patient. Staff call systems which provide two-way voice communication shall be equipped with an indicating light at each calling station which lights and remains lighted as long as the voice circuit is operating. The call system shall also meet at least one of the following requirements:

 

               (a)  The call system utilizes fixed call stations that are convenient for patient use and activated by a pull cord or other approved device. The fixed system shall actuate a visual signal at the patient room door, and in the clean workroom, soiled workroom, and nourishment station of the nursing unit. In multicorridor nursing units, additional visible signals shall be installed at corridor intersections;

               (b)  The call system utilizes wireless devices that are convenient for patient use and activated by a pull cord or other approved device. The wireless system shall actuate a visual and audible signal at the staff station and on pocket paging devices carried by all direct care staff. Wireless devices shall be fully supervised, shall be capable of alarm reset at the source, and transmit low battery alert. Wireless devices shall utilize batteries that are readily available; or

               (c)  Another type of call system that has been submitted for review and approved by the department.

 

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(4) and (14).

          Law Implemented: SDCL 34-12-13(4) and (14).

 

          44:79:10:27.  Submittal of plans and specifications. Plans and specifications for new construction shall be submitted to the department for evaluation of function and fire protection. The department's approval shall be obtained before beginning construction. Modification during construction shall be submitted to the department for review and shall be approved prior to the modification. A written narrative describing the intended use of the proposed construction shall accompany the plans and specifications.

 

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(1) and (3).

          Law Implemented: SDCL 34-12-13(1) and (3).