20 CAR § 417-701 – General

(a) Every psychiatric residential treatment facility must be maintained, managed, and equipped to provide adequate care, safety, and treatment of each resident.
(b) The buildings shall reflect good housekeeping and sanitary conditions and shall, by means of an effective pest control program, be free of insects and rodents.
(c) No psychiatric residential treatment facility shall be located in:
1. (1) A shopping center;
2. (2) A strip mall; or
3. (3) Other buildings that are used for commercial activity.
(d)
1. (1) If a psychiatric residential treatment facility provider also provides a home and community-based Medicaid service, the physical structures cannot be attached or connected in any way.
2. (2) Nor shall residents of the psychiatric residential treatment facility be placed with children receiving a home and community-based service at any time.
(e) Unused or vacant portions of a psychiatric residential treatment facility shall not be rented, leased, loaned, or otherwise occupied by any commercial or other business entity or private individuals not associated with the psychiatric residential treatment facility or its management.
(f) All buildings used by residents or staff shall be inspected and approved annually for fire safety by fire department officials.
(g) All buildings used by residents or staff shall be inspected and approved annually for health and sanitation as required by the Department of Health.
(h) All buildings shall comply with local zoning ordinances and land use requirements where those exist.
(i) The Office of Long-Term Care shall be notified of any changes to buildings that:
1. (1) Affect usage, size, or capacity; or
2. (2) Are structural changes.
(j) Building usage shall be approved by licensing prior to resident occupancy, and all required inspections, permits, and authorizations shall be provided.