20 CAR § 417-704 – Standard resident rooms, bath, and toilet facilities

(a) There shall be no more than four (4) residents per bedroom and a resident must only share a bedroom with other residents of the same gender.
(b) Each resident shall have a separate bed with a mattress, sheets, pillow, pillowcase, and adequate cover, all in good condition.
(c) Single standard resident rooms shall measure at least fifty square feet (50 ft²).
(d) Resident beds shall be located in rooms and placed at least three feet (3’) apart in all directions.
(e) Bedrooms shall not be locked in a way that would prevent a resident from exiting their room.
(f) Each resident room shall have direct access to a corridor.
(g) Psychiatric residential treatment facilities shall have wash basins with hot and cold water, flushing toilets, and bath or shower.
(h)
1. (1) Each bathroom shall be properly equipped with toilet paper, towels, soap, and other items required for personal hygiene unless residents are individually given such items.
2. (2) Residents shall be provided with individual items such as hairbrushes and toothbrushes.
(i) Tubs and showers shall have slip-proof surfaces.
(j) A psychiatric residential treatment facility shall have toilets and baths or showers that allow for individual privacy.
(k) Toilets, wash basins, and other plumbing or sanitary locations in a psychiatric residential treatment facility shall, at all times, be maintained in good operating condition and shall be kept free of any materials that might clog or otherwise impair their operation.
(l)
1. (1) There shall be a separate toilet, bathtub or shower, and sink for every six (6) residents.
2. (2) There shall be separate bathrooms and toilets in each psychiatric residential treatment facility for males and females.
(m) Beds shall be positioned to ensure that all residents can easily exit the room in case of emergency.
(n) Rooms extending below ground level shall not be used for residents unless they are dry, well-ventilated by required window space, and are otherwise suitable for occupancy.
(o)
1. (1) Each resident bedroom shall have a window not less than one-sixteenth (1/16) of the floor space.
2. (2) Each window shall provide privacy.
(p) Each resident shall be provided with storage space, closet, or other enclosed space within his or her room for clothing and other possessions.
(q) Enuretic residents shall have mattresses with moisture-resistant covers.
(r) Sheets and pillowcases shall be changed at least weekly but shall be changed more frequently if necessary.
(s) Each resident shall have his or her own dresser or other adequate storage space for private use and designated space for hanging clothing in proximity to the bedroom occupied by the resident.
(t) The provider shall ensure that the ages of residents sharing bedroom space are not greater than three (3) years in difference unless contraindicated based on diagnosis, the treatment plan, or the behavioral health assessment of the resident.
(u)
1. (1) Each resident shall have his or her own bed.
2. (2) A resident’s bed shall be longer than the resident is tall, no less than thirty inches (30”) wide, and of solid construction, and shall have a clean, comfortable, nontoxic, fire-retardant mattress.
3. (3) Bunk beds must be secured to the wall and floor and included in the psychiatric residential treatment facility’s accrediting body’s proactive risk assessment with a mitigation plan in place.
(v)
1. (1) If the psychiatric residential treatment facility has a sexualized rehabilitation program, the residents of that program shall reside in their own unit or wing of the psychiatric residential treatment facility that is separate from the unit or wing housing the other residents.
2. (2) Residents of the sexualized rehabilitation program shall only reside in single rooms or shared rooms with three (3) residents.
(w) Furniture and play equipment used in the care of residents shall be painted with lead-free paint.