PURPOSE: This rule prescribes physical plant requirements for semi-independent living arrangements as required by section 630.710, RSMo.

Editor’s Note: The secretary of state has determined that the publication of this rule in its entirety would be unduly cumbersome or expensive. The entire text of the material referenced has been filed with the secretary of state. This material may be found at the Office of the Secretary of State or at the headquarters of the agency and is available to any interested person at a cost established by state law.

1. (1) The physical plant shall—

   1. (A) Be structurally sound and attractive inside and out;
   2. (B) Have walls and ceilings which are of sound construction, covered with plaster or approved equivalent; and
   3. (C) Have floors which are solid, as nonslick as possible, free from tripping hazards and, unless carpeted, have a smooth finish.

2. (2) The physical plant shall not be a mobile home nor a modular unit as defined in section 700.010(7), RSMo, unless the head of the facility can demonstrate that it has the following characteristics:

   1. (A) Two inch by eight inch (2" × 8") or larger floor joists—sixteen inches (16O) on center;
   2. (B) Two inch by four inch (2" × 4") wall studs—sixteen inches (16") on center;
   3. (C) Two inch by six inch (2" × 6") ceiling joists and roof rafters—sixteen inches (16") on center or truss construction of equivalent strength;

   4. (D) Wall construction consisting of the following:

      1. 1. Exterior walls of brick, stone, con-

crete block or exterior siding of wood, stucco, aluminum or masonry;

1. 2. Sheathing studs; and
2. 3. An interior finish of drywall or plas-

ter;

1. (E) Floors consisting of floor joists, subfloor, usually two (2) layers, finish floor or rough finish for carpet;
2. (F) Concrete foundation or footings; and
3. (G) Conventional roof slope.

1. (3) Each facility shall have furnishings, supplies and equipment of sufficient quantity and appropriate to meet the needs of residents’. Furnishings shall include, but not be limited to, tables, chairs, sofas, bookshelves and mats appropriate to residents’ ages, physical condition and level of functioning.

2. (4) The facility shall provide each bedroom with—

   1. (A) At least sixty (60) square feet of floor space per resident in multiple sleeping rooms and at least eighty (80) square feet per resident in single sleeping rooms. Bedrooms which were approved for resident use in existing facilities shall have fifty-seven (57) square feet of floor space in multiple sleeping rooms and seventy-six (76) square feet in single sleeping rooms. The term existing facility shall be understood in accordance with 9 CSR 40-5.015;
   2. (B) A pillow, comfortable mattress and separate bed or crib for each resident, except for married residents. Cots, convertibles and bunk beds shall not be used. Each resident’s mattress shall be at least as long as his/her height except for a resident in the developmental period whose mattress shall be at least four inches (4") longer than his/her height;
   3. (C) Furnishings for each resident to include a chair, except for residents utilizing wheelchairs or when a resident prefers not to have a chair, closet space, storage of personal items and space for a hanging picture or wall decoration suitable to the resident’s age and level of functioning;
   4. (D) At least two (2) blankets and a bedspread for each resident. Additional blankets and bedspreads may be required in consideration of residents’ special needs and laundering and transporting of soiled bedding; and
   5. (E) An interior door for safety and privacy.
3. (5) Each bathroom and each kitchen shall have at least one (1) window or other adequate ventilation systems.
4. (6) Each living room and bedroom shall have at least one (1) window.
5. (7) Windows which are accessible from the outside shall be lockable. No windows shall be nailed or sealed shut.
6. (8) If the facility’s water supply is not that of the city or county, the facility shall have its water supply approved annually by the Division of Environmental Quality of the Department of Natural Resources or the Department of Health. 9 CSR 40-7
7. (9) The facility shall comply with Department of Housing and Urban Development (HUD) Lead Based Paint Regulations, 24 CFR part 35.
8. (10) Each facility shall have a telephone. Emergency numbers (including that of the local fire department, police department, ambulance, hospital and regional center) shall be posted by the telephone.
9. (11) The premises shall be dry, heated and well-ventilated. The temperature of the rooms shall be no less than sixty-eight degrees Fahrenheit (68°F) and no greater than eightyfive degrees Fahrenheit (85°F).
10. (12) Areas designated as living space shall not be used as sleeping space.
11. (13) The head of the facility shall have control over the entire building or fire section in which the semi-independent living arrangement is located.

AUTHORITY: sections 630.050 and 630.705, RSMo (1994).* Original rule filed Oct. 13, 1983, effective Jan. 15, 1984. Amended: Filed March 14, 1984, effective Aug. 15, 1984. Amended: Filed July 15, 1985, effective Feb. 1, 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.