a)
Building Construction
1) An SLF's
architectural plans shall conform to the current State building codes for the
respective building type, local Fire and Life Safety Standards for health care
occupancy or the 2000 National Fire Protection Association Life Safety Code
(NFPA) 101, Chapter 32, Residential Board and Care Occupancies, National Fire
Protection Association, 1 Batterymarch Park, Quincy MA 02269 (March 11, 2003,
no later amendments or editions included) or local building codes if more
stringent.
2) An SLF shall meet
accessibility standards of the Americans With Disabilities Act of 1990 (
42 USC
12101
et seq.). If the facility is subject to the requirements of the Illinois
Accessibility Code (71 Ill. Adm. Code
400), it shall be deemed residential or
multi-story housing for determining the requirements under that Code.
3) An SLF shall not have any apartments below
grade level.
4) A freestanding
facility consisting of two or more stories with 75 or fewer units shall have a
minimum of one elevator available for resident use. A freestanding facility
consisting of two or more stories with 76 or more units shall have a minimum of
two elevators available for resident use.
b) Heating and Air Conditioning
1) All residential apartments shall have
individually controlled systems to maintain comfortable temperatures.
2) Buildings shall provide a heating and air
conditioning system in public areas to maintain comfortable
temperatures.
c)
Illumination
Illumination systems shall be installed and maintained to
ensure sufficient lighting for general lighting, reading, night lighting for
corridors, stairwells and emergency situations. There shall be adequate
illumination for outdoor areas.
d) Resident Apartments General Requirements -
Freestanding Facility
1) Each single
occupancy SLF apartment shall have no less than 300 square feet of living
space, including closets and the bathroom.
2) Each double occupancy SLF apartment shall
have no less than 450 square feet of living space, including closets and the
bathroom.
3) Each apartment shall
be equipped at a minimum with:
A) A door that
locks from the inside;
B) A full
bathroom as defined in this Section;
C) An emergency call system as provided in
Section
146.230(m);
D) Heating and cooling controls;
E) Wiring for private telephone
lines;
F) Access to cable
television, satellite dish or master antenna that receives at least ten
channels;
G) A sink, microwave oven
or stove, and refrigerator with a separate freezer compartment; and
H) A separate bedroom for each unrelated
occupant for SLFs approved for participation on or after October 18, 2004.
Unrelated occupants may share an apartment with a single bedroom if requested,
and agreed upon by the occupants. An apartment shared by two occupants shall
meet the minimum square footage required for double occupancy.
4) An SLF shall have individual
locked mailboxes located inside the building for each apartment.
5) Each freestanding SLF shall consist of one
building housing at least ten but no more than 150 apartments.
e) Resident Apartments General
Requirements - Rehabilitated Nursing Facilities
1) Any nursing facility rehabilitating a
portion of the facility to conform with SLF requirements shall convert a
distinct part of existing facility space.
2) Each single occupancy SLF apartment shall
have no less than 160 square feet of living space, including closets and the
bathroom.
3) Each double occupancy
SLF apartment shall have no less than 320 square feet of living space,
including closets and the bathroom.
4) Each apartment shall be equipped at a
minimum with:
A) A door that locks from the
inside;
B) A full bathroom as
defined in this Section that may be between and shared by the adjoining
apartment;
C) An emergency call
system as provided in Section
146.230(m);
D) Heating and cooling controls;
E) Wiring for private telephone
lines;
F) Access to cable
television, satellite dish or master antenna that receives at least ten
channels; and
G) A sink, microwave
oven or stove, and refrigerator with a separate freezer compartment.
5) An SLF shall have individual
locked mailboxes located inside the building for each apartment.
6) Each rehabilitated nursing facility shall
consist of a distinct part of an existing facility housing at least ten
apartments but no more than 150 apartments.
f) Apartment Bathrooms
1) Each bathroom shall be equipped with:
A) A toilet with grab bars sufficient to meet
the needs of the resident;
B) A
sink;
C) A bathtub and/or shower
stall with grab bars sufficient to meet the needs of the resident;
D) Hot and cold running water with faucets
that meet all marking standards under residential building codes; and
E) An emergency call system pursuant to
Section
146.230(m).
2) Each bathroom shall be a
separate room and shall be designed to provide privacy.
g) Closet Space
1) Each apartment shall have minimum closet
space of 90 cubic feet, or minimum floor dimensions of no less than 72 inches
wide and 24 inches deep for each resident of the apartment.
2) Each closet shall be equipped with a
door.
h) Doors
1) All doors in residential apartments,
including entrance doors, shall be wheelchair accessible.
2) Entrance doors to apartments shall have
locking devices that are accessible to the outside.
3) Entrance doors to residential apartments
shall open onto a public corridor.
4) Entrance doors to each apartment shall be
equipped with an "eye-view".
5) All
shared apartment bedrooms shall have doors.
i) Windows
All apartment windows shall be of transparent glass (except
bathrooms) and large enough to permit viewing to the outside of the building.
Apartments shall have at least one window with a sill height that permits
viewing from a seated position.
j) Common Areas
1) An SLF shall have a minimum of two common
areas that provide residents with space for socialization. The dining room may
be used as one of the common areas.
2) All common areas shall be accessible for
wheelchair use and shall be designed and furnished to meet resident
needs.
3) Common areas shall be
available for resident use at any time, provided such use does not disturb the
health, safety, and well-being of other residents. Access to private or public
outdoor recreation areas shall be available to all residents.
4) No less than one common area shall have
ice for resident use at no charge.
5) The SLF may have one common bathing room.
The common bathing room shall contain a toilet with grab bars sufficient to
meet the needs of the residents, bathtub and a roll-in shower that is
wheelchair accessible to allow a five foot turning radius or utilize the
American National Standards Institute T-shape or Y-shape, both of which have a
non-skid surface, transfer seat and grab bars. Each bathing room shall have
door locks to ensure privacy.
k) Public Restrooms
1) There shall be at least one public
restroom that is handicapped accessible.
2) All public restrooms shall be
clean.
3) All public restrooms
shall contain toilet tissue, waste receptacles and hand drying means that
cannot be reused. Soap shall be provided in a manner that minimizes
contamination.
l) Public
Telephone
The SLF shall make available a handicapped accessible
telephone that allows residents and others to conduct private
conversations.
m) Social
and Recreational Areas
1) Handicapped
accessible public areas shall be provided for residents' social and
recreational use.
2) Social and
recreational areas in rehabilitated nursing facilities shall be separate from
those of the nursing facility. Rehabilitated nursing facilities may use the SLF
dining room as a social and recreational area.
n) Kitchens
1) SLF kitchens in rehabilitated nursing
facilities may be shared with the nursing facility.
2) Food shall be prepared on-site in a full
service kitchen. The food shall be freshly prepared each day and served in a
central dining area.
3) In addition
to requirements found in any local health or food preparation ordinances, the
SLF shall have a kitchen that provides:
A)
Storage for non-perishable foods and perishable foods;
B) Food preparation areas with cleanable
surfaces;
C) Capacity for resident
food distribution at the appropriate temperature;
D) Kitchenware washing space as necessary to
meet food service needs;
E) Hand
washing areas separate from food washing areas; and
F) An area to store and clean garbage cans
and carts.
o)
Dining Areas
1) The SLF shall have
handicapped accessible dining space to accommodate residents.
2) The dining area in rehabilitated nursing
facilities shall be separate from the dining area of the nursing
facility.
p) Laundry
Rooms
1) Laundry rooms for residents' use:
A) In addition to laundry services provided
under Section 146.230, at least one accessible washer and dryer shall be
provided for resident use at no cost. The SLF shall be responsible for
providing detergent and fabric softener at no cost to the residents.
B) There shall be a sink for hand washing in
the laundry area.
C) Each laundry
room shall contain an emergency call system as provided in Section
146.230(m).
2) Laundry rooms for SLFs:
A) For laundry done on-site by SLF staff, the
laundry equipment shall be located in a separate room from that of the laundry
room used by the residents.
B) The
SLF shall have space for laundry soiled with body secretions to be processed
separately from other soiled linens and laundry.
C) There shall be two sinks, one for hand
washing that is separate from a sink that is to be used for laundry rinsing in
the laundry area.
q) Housekeeping and Maintenance Areas
There shall be at least one lockable janitor closet in the
building. All janitor closets shall have a source of hot and cold running
water. Rehabilitated nursing facilities may use the same janitor closet as the
nursing facility.
r) Water
Services
1) The building water supply shall
be taken from a water system that is constructed, protected, operated and
maintained in conformance with State and local regulations.
2) Water temperatures in the central kitchen
and laundry used for sanitizing shall meet the standards of the local and State
health departments.
3) Hot and cold
running water with adequate water pressure shall be maintained.
4) Drinking water shall be accessible to
residents at all times in no fewer than one common area and all residential
apartments.
5) The SLF shall
maintain hot water temperatures between 95° and 120°F in resident rooms
and any other areas of the SLF that are accessible to residents. The SLF shall
maintain a log or checklist to show that water temperatures are being checked
at least monthly. The SLF shall document steps taken to correct hot water
temperatures found not to be within the required range. The log or checklist
should include, but not be limited to, the following:
A) Areas of the SLF where water temperatures
were checked. This shall include a random sample of resident rooms;
B) Date the checks were done; and
C) Temperature of the water in the areas of
the SLF that were checked.
s) Waste Removal
1) Liquid wastes shall be collected, stored,
and disposed of in accordance with State building and health regulations. Those
liquid wastes resulting from compacting shall be disposed of as
sewage.
2) Sewage disposal shall be
operated in compliance with State and local building and health department
regulations.
3) Solid waste
containers for use inside and outside shall be insect-proof, rodent-proof,
fire-proof, non-absorbent and water-tight containers with tight fitting
lids.
4) Indoor garbage containers
shall be cleaned frequently enough to minimize the transmission of infection
and attraction of insects and rodents.
5) Garbage from the public areas of the
building shall be collected daily, and garbage from the residential apartments
shall be collected as needed. All garbage shall be held in receptacles outside
the building for removal on a regular schedule. Garbage and trash shall be
disposed of in accordance with local ordinances.
6) The disposal of sharps shall be handled as
follows:
A) SLF staff shall not dispose of
sharps in wastebaskets found in resident rooms.
B) Sharps shall be disposed of in containers
that are rigid and leak-resistant. These include proper red biohazard
containers, plastic laundry detergent containers, and metal coffee cans. The
SLF shall provide a container for residents that are independent with
medications.
C) If using a
container other than the proper red biohazard container, the container shall be
capped and taped prior to it being thrown in a garbage receptacle outside the
SLF.