1. A. An administrator of a hospice inpatient facility shall ensure that:

   1. 1. Policies and procedures are established, documented, and implemented to protect the health and safety of a patient that cover:

      1. a. Cleaning and storing of soiled linens and clothing,
      2. b. Housekeeping procedures that ensure a clean environment, and
      3. c. Isolation of a patient who may spread an infection;

   2. 2. The premises and equipment are:

      1. a. Cleaned and disinfected according to policies and procedures or manufacturer’s instructions to prevent, minimize, and control illness or infection; and
      2. b. Free from a condition or situation that may cause a patient or other individual to suffer physical injury or illness;
   3. 3. A pest control program that complies with A.A.C. R3-8-201(C)(4) is implemented and documented;

   4. 4. Equipment used at the hospice inpatient facility is:

      1. a. Maintained in working order;
      2. b. Tested and calibrated according to the manufacturer’s recommendations or, if there are no manufacturer’s recommendations, as specified in the hospice inpatient facility’s policies and procedures; and
      3. c. Used according to the manufacturer’s recommendations;
   5. 5. Documentation of equipment testing, calibration, and repair is maintained for at least 12 months after the date of the testing, calibration, or repair;

   6. 6. Garbage and refuse are:

      1. a. Stored in covered containers lined with plastic bags, and
      2. b. Removed from the premises at least once a week;

   7. 7. Soiled linen and clothing are:

      1. a. Collected in a manner to minimize or prevent contamination;
      2. b. Bagged at the site of use; and
      3. c. Maintained separate from clean linen and clothing and away from food storage, kitchen, or dining areas;
   8. 8. Heating and cooling systems maintain the hospice inpatient facility at a temperature between 70° F and 84° F at all times;

   9. 9. Common areas:

      1. a. Are lighted to assure the safety of patients, and
      2. b. Have lighting sufficient to allow personnel members to monitor patient activity;
   10. 10. The supply of hot and cold water is sufficient to meet the personal hygiene needs of patients and the cleaning and sanitation requirements in this Article;
   11. 11. Oxygen containers are secured in an upright position;
   12. 12. Poisonous or toxic materials stored by the hospice inpatient facility are maintained in labeled containers in a locked area separate from food preparation and storage, dining areas, and medications and are inaccessible to patients;
   13. 13. Except for medical supplies needed by a patient, combustible or flammable liquids and hazardous materials are stored by the hospice inpatient facility in the original labeled containers or safety containers in a locked area inaccessible to patients;

   14. 14. If pets or animals are allowed in the hospice inpatient facility, pets or animals are:

       1. a. Controlled to prevent endangering the patients and to maintain sanitation, and
       2. b. Licensed consistent with local ordinances;

   15. 15. If a water source that is not regulated under 18 A.A.C. 4 by the Arizona Department of Environmental Quality is used:

       1. a. The water source is tested at least once every 12 months for total coliform bacteria and fecal coliform or E. coli bacteria;
       2. b. If necessary, corrective action is taken to ensure the water is safe to drink, and
       3. c. Documentation of testing is retained for at least 12 months after the date of the test; and
   16. 16. If a non-municipal sewage system is used, the sewage system is in working order and is maintained according to all applicable state laws and rules.
2. B. An administrator of a hospice inpatient facility shall ensure that a patient is allowed to use and display personal belongings.

Historical Note

Adopted effective November 6, 1978 (Supp. 78-6). Section R9-10-617 repealed effective November 1, 1998, under an exemption from the provisions of the Administrative Procedure Act pursuant to Laws 1998, Ch. 178, § 17; filed with the Office of the Secretary of State October 2, 1998 (Supp. 98-4). New Section made by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). Amended by exempt rulemaking at 20 A.A.R. 1409, pursuant to Laws 2013, Ch. 10, § 13; effective July 1, 2014 (Supp. 14-2). Amended by final expedited rulemaking at 25 A.A.R. 259, effective January 8, 2019 (Supp. 19-1).