Section 146.210 Structural Requirements

Section 146

Section 146.210  Structural

Requirements

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

tures.

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

h 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

t 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

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

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

o 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

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

ce 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.