The administrator is responsible for ensuring that policies and procedures consistent with recognized standards that
control and prevent infections for both staff and residents are developed and implemented throughout the facility, to
include:

01. Staff with an Infectious Disease. Staff with an infectious disease must not work until the
infectious stage no longer exists or must be reassigned to a work area where contact with others is not expected and
likelihood of transmission of infection is absent.

02. Standard Precautions. Standard precautions must be used in the care of residents to prevent
transmission of infectious disease according to the Centers for Disease Control and Prevention (CDC) guidelines.

03. Reporting of Individual with an Infectious Disease. The name of any resident or facility
personnel with a reportable disease listed in IDAPA 16.02.10, “Idaho Reportable Diseases,” must be reported
immediately to the local health district authority with appropriate infection control procedures immediately
implemented as directed by that local health authority.

400. REQUIREMENTS FOR FIRE AND LIFE SAFETY STANDARDS.
A facility’s buildings must meet all requirements of the local and state codes that are applicable to residential assisted
living facilities for fire and life safety standards. Facilities’ evacuation capability is considered “impractical” as
defined by NFPA, Standard 101.

401. FIRE AND LIFE SAFETY STANDARDS FOR NEW BUILDINGS HOUSING THREE THROUGH
SIXTEEN RESIDENTS.
A newly constructed facility, change of ownership, or a building converted to a residential assisted living facility on
or after January 1, 2021, housing three (3) to sixteen (16) residents on the first story only must comply with NFPA,
Standard 101, Chapter 32, Small Facilities.

402. FIRE AND LIFE SAFETY STANDARDS FOR NEW BUILDINGS HOUSING SEVENTEEN OR
MORE RESIDENTS AND MULTI-STORY BUILDINGS.
A newly constructed facility, change of ownership, or a building converted to a residential assisted living facility on
or after January 1, 2021, housing seventeen (17) residents or more, or any building housing residents on stories other
than the first story must comply with requirements of NFPA, Standard 101, Chapter 32, Large Facilities.

403. FIRE AND LIFE SAFETY STANDARDS FOR EXISTING BUILDINGS LICENSED FOR THREE
THROUGH SIXTEEN RESIDENTS.
Existing facilities licensed prior to January 1, 2021, housing three (3) to sixteen (16) residents on the first story only,
must comply with the requirements of the NFPA, Standard 101, Chapter 33, Small Facilities. Existing buildings that
are not sprinklered may continue to operate, except when Section 401 of these rules apply.

404. FIRE AND LIFE SAFETY STANDARDS FOR EXISTING BUILDINGS LICENSED FOR
SEVENTEEN OR MORE RESIDENTS AND MULTI-STORY BUILDINGS.
Existing facilities licensed prior to January 1, 2021 housing seventeen (17) or more residents and multi-story
buildings or any building housing residents on stories other than the first story must comply with NFPA, Standard
101, Chapter 33, Large Facilities.

01. Electrical Installations and Equipment. Electrical installations and equipment must comply with
applicable local or state electrical requirements in NFPA, Standard 101, Mandatory References.
a. Extension cords and multi-plug adapters are prohibited;
b. Relocatable Power Taps (RPTs) must be Underwriter Laboratories (U/L) approved with the
following requirements:
i. RPTs must be directly connected to a wall outlet; and
ii. Have a built-in surge protector.
02. Prohibited Applications. The following are prohibited uses of an RPT:
a. Medical equipment;
b. Daisy chain or plugging one (1) plug strip into a second plug strip;
c. Appliances;
d. As a convenience, in lieu of permanent installed receptacles; and
e. Extend through walls, ceilings, floors, under doors or floor coverings, or be subject to
environmental or physical damage.
03. Medical Gases. Handling, use, and storage of medical gas must be according to NFPA, Standard
99, Chapter 11, Performance, Maintenance, and Testing as referenced in Section 004 of these rules.
04. Fuel-Fired Heating. Fuel-fired heating devices and systems must be inspected, serviced, and
cleaned at least annually by a person professionally engaged in the business of servicing these devices or systems.
05. Natural or Man-Made Hazards. When natural or man-made hazards are present on the facility
property or border the facility property, suitable fences, guards, railing, or a combination must be installed to provide
protection for the residents.
06. Telephone. The facility must have a telephone on the premises available for staff use in the event
of an emergency. Emergency telephone numbers must be posted near the telephone.

410. REQUIREMENTS FOR EMERGENCY ACTIONS AND FIRE DRILLS.
Fire drills must be conducted not less than six (6) times a year on a bimonthly basis, with not less than two (2)
conducted during the night when residents are sleeping. Records must be maintained on file at the facility and contain
a description, date, and time of the drill, response of the personnel and residents, problems encountered, and
recommendations for improvement.
01. Report of Fire. A separate report on each fire incident occurring within the facility must be
submitted to the Licensing Agency within thirty (30) days of the occurrence. The reporting form, “Facility Fire
Incident Report,” issued by the Licensing Agency is used to secure specific data concerning date, origin, extent of
damage, method of extinguishment, and injuries, if any. A fire incident is considered any activation of the building’s
fire alarm system other than a false alarm, during testing of the fire alarm system, or during a fire drill. (7-1-20)T
02. Fire Watch. Where a required fire alarm system or fire sprinkler system is out of service for more
than four (4) hours in a twenty-four (24) hour period, the authority having jurisdiction must be notified, and the
building evacuated, or an approved fire watch provided for all parties left unprotected by the shutdown until the fire
alarm system has been returned to service.

430. REQUIREMENTS FOR FURNISHINGS, EQUIPMENT, SUPPLIES, AND BASIC SERVICES.
Each facility must provide to the resident:

01. Common Shared Furnishings. Appropriately designed and constructed furnishings to meet the
needs of each resident, including reading lamps, tables, comfortable chairs, or sofas. All items must be in good repair,
clean, safe, and provided at no additional cost to the resident.

02. Resident Sleeping Room Furnishings. Comfortable furnishings and individual storage, such as a
dresser, for personal items for each resident in each sleeping room. All items must be in good repair, clean, and safe.

03. Resident Bed. Each resident must be provided their own bed, which will be at least thirty-six (36)
inches wide, substantially constructed, clean, and in good repair. Roll-away beds, cots, futons, folding beds, or double
bunks are prohibited. Bed springs must be in good repair, clean, and comfortable. Bed mattresses must be standard
for the bed, clean, and odor-free. A pillow must be provided.

04. Resident Telephone Privacy. The facility must have at least one (1) telephone that is accessible to
all residents, and provide local calls at no additional cost. The telephone must be placed in such a manner as to
provide the resident privacy while using the telephone.

05. Basic Services. The following are basic services to be provided to the resident by the facility
within the basic services rate:
a. Rent;
b. Utilities;
c. Food;
d. Activities of daily living services;
e. Supervision;
f. First aid;
g. Assistance with and monitoring of medications;
h. Laundering of linens owned by the facility;
i. Emergency interventions and coordination of outside services;
j. Routine housekeeping and maintenance of common areas; and
k. Access to basic television in common areas.

06. Basic Supplies. The following are to be supplied by the facility at no additional cost to the resident:
linens, towels, wash cloths, liquid hand soap, non-sterile exam gloves, toilet paper, and first aid supplies, unless the
resident chooses to provide their own.

07. Personal Supplies. Soap, shampoo, hair brush, comb, electric razor or other means of shaving,
toothbrush, toothpaste, sanitary napkins, and incontinence supplies must be provided by the facility unless the
resident chooses to provide their own. The facility may charge the resident for personal supplies the facility provides
and must itemize each item being charged to the resident.

08. Resident Supplies and Furnishings. If a resident chooses to provide their own supplies or
furnishings, the facility must ensure that the resident’s supplies or furnishings meet the minimum standards as
identified in this rule.

450. REQUIREMENTS FOR FOOD AND NUTRITIONAL CARE SERVICES.
The facility food services must meet the standards in IDAPA 16.02.19, “Idaho Food Code,” as incorporated in
Section 004 of these rules. The facility must also implement operational policies for providing proper nutritional care
for each resident, which includes procedures to follow if the resident refuses food or to follow a prescribed diet

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