The unit shall meet the following standards:

1. (1) Patient rooms. Each patient room shall meet the following standards:

   1. (A) Maximum room capacity shall be four (4) patients;

   2. (B)

      1. (i) The space requirements for pediatric patient beds shall be the same as for adult beds due to the:

         1. (a) (a) Size variation; and
         2. (b) (b) Need to change from cribs to beds and vice-versa.
      2. (ii) See 20 CAR § 41-147, physical facilities — patient accommodations — adult medical, surgical — communicable or pulmonary disease, for requirements.
      3. (iii) Additional provisions for hygiene, toilets, sleeping, and personal belongings shall be included where the program indicates that parents will be allowed to remain with young children.

      4. (iv) See 20 CAR § 41-148, physical facilities — critical care unit, and 20 CAR § 41-149, physical facilities — nursery units for:

         1. (a) (a) Pediatric critical care units; and
         2. (b) (b) Newborn nurseries; and
   3. (C) Each patient room shall have a window in accordance with 20 CAR § 41-147, physical facilities — patient accommodations — adult medical, surgical — communicable or pulmonary disease); and

2. (2) Examination/treatment rooms.

   1. (A) This room shall be provided for pediatric and adolescent patients.
   2. (B) A separate area for infant examination and treatment may be provided within the pediatric nursery workroom.
   3. (C) Examination/treatment rooms shall have a minimum floor area of one hundred twenty square feet (120 sq. ft.).

   4. (D) The room shall contain:

      1. (i) A handwashing fixture;
      2. (ii) Storage facilities; and
      3. (iii) A desk, counter, or shelf space for writing.
   5. (E) This room is not required if all rooms are private.

   6. (F)

      1. (i) Multipurpose or individual room or rooms shall be provided within or adjacent to areas serving pediatric and adolescent patients for dining, education, and developmentally appropriate play and recreation, with access and equipment for patients with physical restrictions.

      2. (ii) If the functional program requires, an individual room shall be provided to allow for confidential parent/family:

         1. (a) (a) Comfort;
         2. (b) (b) Consultation; and
      3. (c) (c) Teaching.
      4. (iii) Insulation, isolation, and structural provisions shall minimize the transmission of impact noise through the floor, walls, or ceiling of these multipurpose room or rooms.

   7. (G)

      1. (i) Space for preparation and storage of infant formula shall be provided within:

         1. (a) (a) The unit; or
         2. (b) (b) Other convenient location.
      2. (ii) Provisions shall be made for continuation of special formula that may have been prescribed for the infant prior to admission or readmission.

   8. (H) Patient toilet room or rooms with handwashing station or stations in each room, in addition to those serving bed areas, shall be conveniently located to:

      1. (i) Multipurpose room or rooms; and
      2. (ii) Each central bathing facility.
   9. (I) Storage closets or cabinets for toys and educational and recreational equipment shall be provided.

   10. (J)

       1. (i) Storage space shall be provided to permit exchange of cribs and adult beds.
       2. (ii) Provisions shall also be made for storage of equipment and supplies, including cots or recliners, extra linen, etc., for parents who stay with the patient overnight.

   11. (K)

       1. (i) A least one (1) airborne infection isolation room shall be provided in each pediatric unit.
       2. (ii) The total number of infection isolation rooms shall be determined by an infection prevention and control risk assessment.
       3. (iii) Airborne infection isolation room or rooms shall comply with the requirements of 20 CAR § 41-147(d), physical facilities — patient accommodations — adult medical, surgical — communicable or pulmonary disease.
   12. (L) Separate clean and soiled workrooms or holding rooms shall be provided as described in 20 CAR § 41-147(c)(3)(H) and (c)(3)(I), physical facilities — patient accommodations — adult medical, surgical — communicable or pulmonary disease.