1. (a) A facility shall comply with Subchapter Z of this chapter (relating to Physical Plant and Construction Requirements).

2. (b) Facility staff shall clean blood spills immediately, as required by the Occupational Safety and Health Administration (OSHA) Bloodborne Pathogens Standards.

   1. (1) The facility must follow all appropriate requirements in the OSHA Bloodborne Pathogens Standards.
   2. (2) Facility staff shall ensure the surface is subjected to intermediate-level disinfection in accordance with the manufacturer's directions for use if a facility uses commercial liquid chemical disinfectant.
   3. (3) If using a solution of chlorine bleach (sodium hypochlorite), facility staff shall ensure the solution is at least 1:100 sodium hypochlorite and water. Facility staff shall mix the solution in accordance with the manufacturer's directions for use. Facility staff shall ensure the surface being treated is compatible with this type of chemical treatment. Facility staff shall label the solution with the date and time the staff mixed the solution. Facility staff shall only use the solution for 24 hours after being mixed.

3. (c) The facility shall adhere to the following procedures for equipment and dialysis machines.

   1. (1) The facility shall routinely disinfect active and backup dialysis machines according to facility defined protocol, accomplishing at least intermediate-level disinfection, per Centers for Disease Control and Prevention (CDC) guidelines. The facility staff responsible for disinfecting the dialysis machines shall document the date and the time they disinfected the dialysis machines, verified facility staff rinsed the dialysis machines, and verified facility staff removed the disinfectant.
   2. (2) Between patient shifts, facility staff shall clean machine exteriors, treatment chairs, tourniquets, blood pressure cuffs, facility individual television sets at each treatment station, and hemostats. Facility staff shall remove blood pressure cuffs that become contaminated with blood from service, disinfect the cuffs, and allow the cuffs to dry before using the cuffs, per CDC recommendations.
4. (d) The facility shall comply with the requirements set forth by the Texas Health and Human Services Commission in Texas Administrative Code, Title 25 (25 TAC) Chapter 1, Subchapter K (relating to Definition, Treatment, and Disposition of Special Waste from Health Care-Related Facilities); the Texas Commission on Environmental Quality (TCEQ) requirements in 30 TAC Chapter 326 (relating to Medical Waste Management); and Subchapter Z of this chapter (relating to Physical Plant and Construction Requirements).
5. (e) The facility shall dispose all sewage and liquid wastes in a municipal sewerage system or a septic tank system permitted by the TCEQ in accordance with 30 TAC Chapter 285 (relating to On-Site Sewage Facilities).
6. (f) Waste containers shall comply with Subchapter Z of this chapter.

Source Note:The provisions of this §507.37 adopted to be effective December 23, 2025, 50 TexReg 8289.