PURPOSE: This rule prescribes physical plant requirements in day programs serving people who are mentally ill or 'mentally disordered as required by section 630.710, RSMo.

Editor’s Note: The following material is incorporated into this rule by reference: 1) National Fire Protection, National Electrical Code 1993 (Batterymarch Park, Quincy, MA: National Fire Protection Association, 1992). In accordance with section 536.031(4), RSMo, the full text of material incorporated by reference will be made available to any interested person at the Office of the Secretary of State and the headquarters of the adopting state agency.

1. (1) The head of the day program shall provide a premises which is safe and suitable for the operation of a day program.

   1. (A) All windows, doors and vents used for ventilation or temperature control shall be properly maintained to repel rodents and insects by screens or controlled air currents.
   2. (B) Clear glass doors and large windows shall be marked plainly at varying heights to avoid impact.
   3. (C) Heating appliances such as wood stoves, fireplaces, space heaters, radiators and wall furnaces in spaces occupied by clients shall be protected by means approved by the department to safeguard clients from burns.
   4. (D) Walls, ceilings and floors shall be finished so as to be easily cleaned. They shall be free from splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces. The physical plant shall be structurally sound and attractive inside and outside.
   5. (E) The program premises shall be clean and free from dirt and evidence of vermin (for example, bugs, insects or rodents).
   6. (F) Each program shall have a telephone in working order. Emergency numbers (including that of the local fire department, police department and emergency medical care) shall be posted by each telephone. The phone shall be available to staff.
   7. (G) The program premises shall be dry, heated and well ventilated.

2. (2) The head of the program shall assure that indoor space meets the following requirements:

   1. (A) The program premises shall have at least forty (40) square feet of usable floor space for each client in the licensed capacity;
   2. (B) Floor space shall be measured wall-towall from the inside walls of areas used for clients’ activities;
   3. (C) Floor space shall not include kitchens, hallways, bathrooms, closets, staff lounge, office space or floor space occupied by furniture or shelving unless this area is used by clients as part of the program;
   4. (D) The program premises shall have storage space for materials used by clients; and
   5. (E) The day program shall have a ceiling height of at least seven feet six inches (7'6") in all rooms used by clients. This subsection does not apply to any day program which was deemed licensed by the department on April 1, 1986, unless the program changes ownership or increases its licensed capacity.

3. (3) The head of the day program shall assure that restroom facilities meet the following requirements:

   1. (A) Toilet and handwashing facilities shall be in working order and convenient for the clients’ use;
   2. (B) Single-service towels or electrical hand-drying devices, soap, hot and cold water and toilet paper shall be provided and easily accessible for the clients;
   3. (C) Restrooms shall be clean, well-lighted and heated;
   4. (D) There shall be one (1) flush toilet and one (1) handwashing facility for each twenty

4. (20) clients. In day programs with more than twenty (20) clients, there shall be one (1) flush toilet and one (1) handwashing facility for each sex;

   1. (E) Each toilet shall have doors, curtains or partitions to provide privacy;
   2. (F) Day programs serving people who are physically disabled shall equip toilets and bathroom fixtures for their use; and
   3. (G) Restrooms shall be odor-free and ventilated by means of operable windows or appropriate motorized exhaust systems.

5. (4) Day programs with clients who are physically disabled shall—

   1. (A) Be barrier-free;
   2. (B) Have grab bars, ramps and railings which are designed in compliance with the 1980 Standards of the American National Standards Institute, Inc. (ANSI) and which are maintained to function properly; and 9 CSR 40-10
   3. (C) Have means of egress which are large enough to accommodate wheelchairs and other mobility devices used in exiting, if persons in these devices are clients; the means of egress shall be a minimum of two feet eight inches (2'8") wide.
6. (5) If the day program’s water supply is not a community public water supply, the day program shall have its water supply meet drinking water standards promulgated by the Department of Natural Resources or Department of Health.

7. (6) The day program’s electrical system shall comply with the requirements of the National Electrical Code. The head of the day program shall—

   1. (A) Provide sufficient and satisfactory artificial lighting and power to meet the demands of the program and needs of clients; and
   2. (B) Submit to the licensing office at the time of initial application and after that, whenever modifications are made, a written statement from a professional electrician that the electrical system at the facility is in compliance with these rules.
8. (7) The plumbing within the day program shall comply with all state and local laws and with the requirements of a bona fide National Plumbing Code. The head of the program, at the time of initial application and after that, whenever modifications are made, shall submit to the licensing office a written statement from a professional plumber that the plumbing system at the facility is in compliance with these rules.

9. (8) Persons making initial application or intending to construct new day programs or remodel existing programs shall submit plans as follows:

   1. (A) Persons intending to construct new day programs or to remodel or make additions to existing licensed programs shall submit two

10. (2) copies of the plans and specifications prepared to scale. One (1) copy shall be submitted to the licensing office, the second copy to the state fire marshal. The plans shall include a narrative indicating the utilization of each area of the program. The architect or contractor shall certify in writing that the plans are in compliance with these licensing rules. The head of the program shall not begin construction until the plans have been reviewed by the state fire marshal; and

    1. (B) Persons making initial application for licensing of an existing building shall submit to the licensing office a drawing of the interior floor plan, in approximate scale, and include a narrative indicating the utilization of each area of the facility. AUTHORITY: sections 630.050 and 630.705, RSMo (1994).* Emergency rule filed June 17, 1986, effective July 1, 1986, expired Oct. 29, 1986. Original rule filed June 17, 1986, effective Nov. 13, 1986. Amended: Filed Jan. 2, 1990, effective June 11, 1990. Amended: Filed July 17, 1995, effective March 30, 1996. *Original authority: 630.050, RSMo (1980), amended 1993, 1995 and 630.705, RSMo (1980), amended 1982, 1984, 1985, 1990.