20 CAR § 413-606 – Housekeeping — Maintenance

(a)
1. (1) Housekeeping services for the fifteen-bed or less ICF/IID shall be provided daily including weekend daytime coverage, and for cleanup after the evening meal.
2. (2) Additional staff will be required if deficiencies are found that relate to personnel shortage.
(b) Sufficient housekeeping and maintenance equipment shall be available to enable the facility to maintain a safe, clean, and orderly interior.
(c) If a facility has a contract with an outside resource for housekeeping services, the facility and/or outside resources shall meet the requirements of this part.
(d)
1. (1) All rooms and every part of the building, exterior and interior, shall be kept clean, orderly, and free of offensive odors.
2. (2) Bath and toilet facilities and food areas shall be clean and sanitary at all times.
(e) Rooms shall be cleansed and put in order daily.
(f) If a client keeps his or her own room, he or she shall be closely supervised to ensure a clean, orderly room.
(g)
1. (1) After discharge of a client, the room and its contents shall be thoroughly cleaned, aired, and disinfected if necessary.
2. (2) Clean linens shall be provided.
3. (3) All clients’ utensils shall be washed and sanitized.
(h)
1. (1) Polish or wax used on floors shall be of a type which provides a nonslip finish.
2. (2) Floors shall be maintained in a clean and safe condition.
(i)
1. (1) Deodorants shall not be used to cover up odors.
2. (2) Odor control shall be achieved by prompt cleaning of bedpans, urinals, and commodes, by the prompt and proper care of clients and soiled linens, and by approved ventilation.
(j) Attics, cellars, beneath stairs, and similar areas shall be kept clean of accumulation of refuse, old newspapers, and discarded furniture and shall not be used for storage unless they have sprinkler systems.
(k) Storage areas shall be kept in a safe and orderly manner.
(l) Combustibles such as rags, cleaning compounds, and fluids shall be kept in closed metal containers and should be labeled as to contents.
(m) Buildings and grounds shall be kept free from refuse and litter.
(n) Storage facilities with proper ventilation shall be provided if extra mattresses are stored on the premises.
(o) All useless items and materials shall be removed from the facility area and premises.
(p) Matches and other flammable or dangerous items shall be stored in metal containers with tight-fitting lids and be labeled as to contents.
(q) Mechanical rooms, boiler rooms, and similar areas shall not be used for storage purposes.
(r)
1. (1) All inside openings to attics and false ceilings shall be kept closed at all times.
2. (2) The attic area shall be clean at all times.
(s) Mop heads shall be of the removable type and shall be laundered or replaced at frequent intervals to ensure a standard of cleanliness.
(t) Straw brooms shall not be used for cleaning facility floors.
(u)
1. (1) Garbage must be kept in approved containers with tight-fitting covers.
2. (2) The containers must be thoroughly cleaned before reuse.
3. (3) Garbage or rubbish and trash shall be disposed of by:
  1. (A) Incineration;
  2. (B) Burial;
  3. (C) Sanitary fill; or
  4. (D) Other approved methods.
4. (4) Garbage areas shall be kept clean and in a state of good repair.
(v)
1. (1) All poisons, bleaches, detergents, and disinfectants shall be kept in a safe place accessible only to employees and those clients whose habilitative training allows use of cleaning materials.
2. (2) They shall not be kept in storage areas or containers previously containing food or medicine.
3. (3) Containers must have a label that states:
  1. (A) Name;
  2. (B) Ingredients; and
  3. (C) Antidote.
(w)
1. (1) Unnecessary accumulation of possessions, including equipment and supplies of staff or the home's owner, shall not be kept in the home.
2. (2) Clients' possessions may be kept in the residence unless they create a health or fire hazard.