Health, Family Health and Preparedness, Licensing

Rule R432-6

Assisted Living Facility General Construction

Notice of Proposed Rule

(Amendment)

DAR File No.: 35461
Filed: 11/18/2011 04:16:13 PM

RULE ANALYSIS

Purpose of the rule or reason for the change:

In Section R432-6-5, updates referenced codes and standards adopted by others. In Section R432-6-16, updates references standards and increase safety of persons using accessible parking spaces. In Section R432-6-20, coordinates with federal requirements. In Section R432-6-22, clarifies HVAC requirements. In Section R432-6-23, clarifies kitchen requirements. In Section R432-6-24, clarifies electrical requirements. In Section R432-6-104, coordinates with federal requirements and change requested by an interested party. In Section R432-6-201, coordinates with new State Construction Code adopted under Section 58-56-4. In Section R432-6-204, coordinates with federal requirements and eliminate duplicate requirements. In Section R432-6-208, updates a reference that is two editions out of date and out of print. In Section R432-6-209, coordinates with federal requirements and improves usability of handrails. These changes have been vetted in two meetings with providers and interested parties and have been approved by the Health Facilities Committee.

Summary of the rule or change:

In Section R432-6-5, the revision in this section removes the responsibility for obtaining documentation of compliance with accessibility standards. It also coordinates with federal requirements by changing reference from the Americans with Disabilities Act Accessibility Guidelines (ADAAG) to the new federal standard titled Americans with Disabilities Act and Architectural Barriers Act Accessibility Guidelines (ADA/ABA-AG). In Section R432-6-16, prohibits accessible routes between handicapped parking spaces and the building from crossing vehicle traffic lanes. Coordinates with federal accessibility requirements which eliminate the need for sheltered transfer between a vehicle and the facility. In Section R432-6-20, coordinates with federal requirements by changing reference from the Americans with Disabilities Act Accessibility Guidelines (ADAAG) to the new federal standard titled Americans with Disabilities Act and Architectural Barriers Act Accessibility Guidelines (ADA/ABA-AG). In Section R432-6-22, requires outside ventilation air to be tempered. Corrects an error in references for filter requirements. In Section R432-6-23, eliminates the requirement for disposers to be NSF certified and allows residential NSF certification of other appliances. In Section R432-6-24, clarifies lighting values. In Section R432-6-104, makes soap dishes optional rather than mandatory. Coordinates with federal requirements by changing reference from the Americans with Disabilities Act Accessibility Guidelines (ADAAG) to the new federal standard titled Americans with Disabilities Act and Architectural Barriers Act Accessibility Guidelines (ADA/ABA-AG). In Section R432-6-201, eliminates a statement referring to the International Building Code that is now a statewide amendment to the IBC in the State Construction Code, Section 201(23). In Section R432-6-204, eliminates a duplicate requirement for lavatories and coordinates with federal requirements by changing reference from the Americans with Disabilities Act Accessibility Guidelines (ADAAG) to the new federal standard titled Americans with Disabilities Act and Architectural Barriers Act Accessibility Guidelines (ADA/ABA-AG). In Section R432-6-208, updates the adopted reference from the 2001 Guidelines for Design and Construction of Hospital and HealthCare Facilities to the 2010 edition of the Guidelines for Design and Construction of Health Care Facilities. In Section R432-6-209, requires handrails to have a graspable profile and a color that contrasts the wall. Coordinates with federal requirements by changing reference from the Americans with Disabilities Act Accessibility Guidelines (ADAAG) to the new federal standard titled Americans with Disabilities Act and Architectural Barriers Act Accessibility Guidelines (ADA/ABA-AG).

State statutory or constitutional authorization for this rule:

• Title 26, Chapter 21

This rule or change incorporates by reference the following material:

• Updates Guidelines for Design and Construction of Health Care Facilities, published by ASHE (American Society of Healthcare Engineering), 2010 edition

Anticipated cost or savings to:

the state budget:

The cost of purchasing the new referenced standards and the cost of printing and distribution of the revised rule is covered in Rule R432-4, General Construction, which is being amended concurrent with this rule. No others costs are expected. (DAR NOTE: The proposed amendment to Rule R432-4 is under DAR No. 35459 in this issue, December 15, 2011, of the Bulletin.)

local governments:

The rule change has no impact on local government because these standards are enforced at the state level.

small businesses:

Small business Assisted Living providers that build new buildings with special dementia units and the architects and engineers that design the buildings will have the cost of purchasing the new standards. The cost of the new standards is $168. Facilities may now omit a canopy or port-cohere. A minimal canopy costs approximately $5,000. Assuming 5 small businesses purchase copies of the updated dementia standards and omit the canopy the aggregate cost to small business is a savings of $24,160.

persons other than small businesses, businesses, or local governmental entities:

Assisted Living providers that build new buildings with special dementia units will have the cost of purchasing the new referenced standards. The cost of the new referenced standards is $168. Assuming 5 providers purchase copies of the updated dementia standards and omit the canopy the aggregate cost is a savings of $24,160.

Compliance costs for affected persons:

The cost to Assisting Living providers constructing or remodeling buildings with special dementia units for the purchase of the new referenced standards is $168. The rule change will not increase any compliance costs.

Comments by the department head on the fiscal impact the rule may have on businesses:

This rule has been extensively discussed with the regulated businesses and they appear to concur that updating the rule to adopt updated federal accessibility standards and the 2010 edition of the Guidelines for Design and Construction of Health Care Facilities is appropriate. Public comment received will be carefully evaluated for any unforeseen fiscal impact.

David Patton, PhD, Executive Director

The full text of this rule may be inspected, during regular business hours, at the Division of Administrative Rules, or at:

Health
Family Health and Preparedness, Licensing
CANNON HEALTH BLDG
288 N 1460 W
SALT LAKE CITY, UT 84116-3231

Direct questions regarding this rule to:

• Joel Hoffman at the above address, by phone at 801-538-6279, by FAX at 801-538-6024, or by Internet E-mail at jhoffman@utah.gov
• Andrew Baxter at the above address, by phone at 801-538-6140, by FAX at 801-538-6325, or by Internet E-mail at andrewbaxter@utah.gov

Interested persons may present their views on this rule by submitting written comments to the address above no later than 5:00 p.m. on:

01/17/2012

This rule may become effective on:

01/24/2012

Authorized by:

David Patton, Executive Director

R432. Health, Family Health and Preparedness, Licensing.

R432-6. Assisted Living Facility General Construction.

R432-6-5. Codes and Code Compliance.

(1) The following codes and standards enforced by other agencies or jurisdictions apply to assisted living facilities. The licensee shall obtain documentation of compliance for the following codes and standards from the authority having jurisdiction and submit the documentation to the Department:

(a) Local zoning ordinances;

(b) International Building Code[, 2000 edition];

(c) International Plumbing Code[, 2000 edition];

(d) International Fire Code ;[, 2000 edition; and]

(e) [Americans with Disabilities Act Accessibility Guidelines, (ADAAG) 28 CFR 36, Appendix A (July 1993).]International Mechanical Code; and

(f) National Electrical Code, NFPA 70.

(2) The licensee shall obtain a certificate of occupancy from the local building official having jurisdiction.

(3) The licensee shall obtain a certificate of fire clearance from the Fire Marshal having jurisdiction.

(4) The licensee shall submit a copy of the certificates to the Department prior to resident utilization of newly constructed facilities, additions or remodels of existing facilities.

(5) Where portions of the building are required to be accessible to persons with disabilities, they shall comply with the Americans with Disabilities Act and Architectural Barriers Act Accessibility Guidelines (ADA/ABA-AG).

 

R432-6-16. Parking.

(1) Parking requirements must comply with local zoning ordinances.

(2) Parking spaces for persons with disabilities shall be as level as practical and conform to requirements for disabled parking access as required by [ADAAG]ADA/ABA-AG.

(a) The extra width required for disabled parking may be used as part of a common walkway.

(b) Parking spaces for the disabled shall be directly accessible to the facility without requiring the disabled to go behind parked cars or cross vehicle traffic lanes.

 

R432-6-20. General Standards for Finishes.

(1) Curtains and draperies shall be affixed to permanently mounted tracks or rods.

(2) Floors and walls shall be designed and constructed as follows:

(a) Floor materials shall be easily cleanable;

(b) Floors in areas used for food preparation or food assembly shall be water-resistant. Floor surfaces, including tile joints, shall be resistant to food acids.

(c) In areas subject to frequent wet-cleaning, floor materials shall not be physically affected by germicidal cleaning solutions.

(d) Floors in shower and bath areas, kitchens, and similar work areas subject to traffic while wet shall have non slip surfaces.

(e) Floors and wall bases of kitchens, toilet rooms, bath rooms, janitors' closets, and other areas subject to frequent wet cleaning shall be homogeneous with coved bases and tightly sealed seams.

(f) Wall finishes shall be washable and, in the immediate vicinity of plumbing fixtures, smooth and moisture-resistant.

(g) Finish, trim, floor, and wall construction in dietary and food preparation areas shall be free of insect and rodent harboring spaces.

(h) Floor and wall openings for pipes, ducts, conduits, and joints of structural elements shall be tightly sealed to resist passage of fire and smoke and minimize entry of pests.

(i) Carpet and padding shall be stretched taut and be free of loose edges.

(j) Carpet pile shall be sufficiently dense so as not to interfere with the operation of wheel chairs, walkers, wheeled carts, and other wheeled equipment.

(k) Carpet and other floor coverings shall comply with provisions of [ADAAG]ADA/ABA-AG.

(3) Ceiling finishes shall be designed and constructed as follows:

(a) Finishes of all exposed ceilings and ceiling structures in resident rooms and staff work areas shall be readily cleanable with routine housekeeping equipment.

(b) In large facilities, acoustical treatment for sound control shall be provided in areas where sound control is needed, including corridors in resident areas, dayrooms, recreation rooms, dining areas, and waiting areas.

(c) Finished ceilings may be omitted in mechanical and equipment spaces, shops, general storage areas, and similar spaces unless required for fire resistive purposes.

(4) The following signs shall be provided:

(a) general and circulation direction signs in corridors of large assisted living facilities;

(b) emergency evacuation directional signs for all facilities; and

(c) room identification signs on the corridor side of all corridor doors.

 

R432-6-22. Mechanical, Heating, Cooling and Ventilation Systems.

(1) The HVAC system design shall prevent large temperature differentials, high velocity supply, excessive noise, and air stagnation.

(2) Air supply and exhaust in rooms for which no minimum total air change rate is mandated by Table 2 may vary to zero in response to room load.

(3) Mechanical ventilation shall be provided [for interior spaces] independent of thermostat-controlled demands.

(a) Minimum total air change, room temperature, and temperature control shall comply with standards in Table 2.

(b) To maintain asepsis and odor control, airflow supply and exhaust shall be controlled to ensure movement of air from clean to less clean areas.

(c) Rooms containing heat-producing equipment shall be insulated and ventilated to prevent the floor surface above or the walls of adjacent occupied areas from exceeding a temperature of ten degrees Fahrenheit above ambient room temperature.

(d) All rooms and occupiable areas in the facility shall have provisions for ventilation. Natural window ventilation may be used for ventilation of nonsensitive areas and resident rooms when weather conditions permit, but mechanical ventilation shall be provided during periods of temperature extremes. Outside ventilation air shall be tempered to between room temperature and the supply air temperature for the appropriate heating or cooling mode.

(e) The heating system shall be capable of maintaining temperatures of 80 degrees F. in areas occupied by residents.

(f) The cooling system shall be capable of maintaining temperatures of 72 degrees F. in areas occupied by residents.

(g) Equipment must be available to provide essential heating during a loss of normal heating capability. All emergency heating devices shall be approved by the local fire jurisdiction.

(h) Fans serving exhaust systems shall be located at the discharge end and shall be readily serviceable. Exhaust fans may be on the inlet side if individually ducted directly to the outside.

(i) Fresh air intakes shall be located at least 10 feet from exhaust outlets of ventilating systems, combustion equipment stacks, plumbing vents, or areas subject to vehicular exhaust or other noxious fumes.

(j) All ventilation, air conditioning systems and air delivery equipment, including through wall units, shall be equipped with filters [in accordance with Table 2.]as follows:

(i) All areas for resident care, and those areas providing direct service or clean supplies shall provide at least one filter bed with a minimum of 30% efficiency.

(ii) All administrative, bulk storage, soiled holding, food preparation and laundries shall provide at least one filter bed with a minimum of 25% efficiency.

(k) Gravity exhaust may be used where conditions permit for boiler rooms, central storage, and other nonresident areas.

(l) The ventilation system shall be air tested and balanced prior to the final Department construction inspection. The initial test results and air balancing report shall be maintained for Department review.

 

TABLE 2
Ventilation Requirements

AREA          AIR         MINIMUM    MINIMUM      ALL AIR

DESIGNATION   MOVEMENT    AIR        TOTAL AIR    EXHAUSTED

              IN          CHANGES    CHANGES      OUTSIDE

              RELATION    OF         PER HOUR

              TO          OUTDOOR

              ADJACENT    AIR PER

              AREAS       HOUR TO

                          ROOM



Bath and      N           Optional    10           YES

Shower

Rooms



Clean         P           Optional     2           Optional

Linen

Storage



Dietary       V           Optional      2          Optional

Day

Storage



Food          E           2            10          YES

Preparation

Center



Janitors'     N           Optional     10          YES

Closets



Laundry       V           2            10          YES



Corridor      E           Optional      2          Optional



Grooming      N           2             2          YES

Area



Resident      E           Greater       2          Optional

Room                                               of one air

                                                   change or

                                                   minimum 20 CFM/

                                                   person



Soiled        N           Optional     10          YES

Linen

holding



Toilet        N           Optional      10         YES

Rooms

Ware          N           Optional      10         YES

Washing



Common        E           2              2         Optional



Areas



E = Equal; N = Negative; P = Positive; V = Variable

 

(m) The requirements of Table 2 do not apply to limited capacity facilities. Limited capacity facilities shall provide exhaust for kitchens and bathrooms.

(n) If an existing building bathroom or toilet room is not exhausted to the outside, the licensee may submit a Request for Agency Action Variance to the Table 2 requirements at the time of initial licensing.

[ (4) All areas for resident care, and those areas providing direct service or clean supplies shall provide at least one filter bed with a minimum of 30% efficiency.

(5) All administrative, bulk storage, soiled holding, food preparation and laundries shall provide at least one filter bed with a minimum of 25% efficiency.

]

R432-6-23. Plumbing.

(1) Showers and tubs shall have non-slip or slip-resistant surfaces.

(2) Potable water supply systems shall comply with the following requirements:

(a) Water supply systems shall be designed with sufficient pressure to operate all fixtures and equipment during maximum demand.

(b) Each water service main, branch main, riser, and branch to a group of fixtures shall have a stop valve. A stop valve shall be provided for each fixture. Panels shall be provided for access to valves.

(c) All fixtures used by residents shall be trimmed with valves with cross, tee or single lever handles.

(3) Hot water systems shall meet the following requirements:

(a) As a minimum, water-heating systems shall provide supply capacity at temperatures and amounts indicated in Table 3. Water temperature shall be measured at the point of use or inlet to equipment.

 

TABLE 3
Hot Water Use

                             Resident

                             Care

                             Areas       Dietary     Laundry



Gallons per Hour per Bed       3           2            2

Temperature Centigrade        43          49           71

Temperature Fahrenheit       110         120          160

 

(b) Distribution systems that exceed 50 linear feet and that service resident care areas shall be under constant recirculation to provide continuous hot water to each outlet. The temperature of hot water for lavatories, showers and bathing shall not exceed 120 degrees Fahrenheit. Thermostatically controlled automatic mixing valves may be used to maintain hot water at these temperatures.

(c) 180 degrees Fahrenheit rinse water must be provided at the dishwasher if an approved low temperature chemical rinse is not utilized.

(d) 160 degrees Fahrenheit hot water must be available at the laundry equipment as needed.

(4) Quantities indicated for design demand of hot water are for general reference minimums and shall not substitute for accepted engineering design procedures using actual number and types of fixtures to be installed.

(5) Drainage system shall comply with the following requirements:

(a) Building sewers shall discharge into community sewerage. Where such a system is not available, the facility shall treat its sewage in accordance with local requirements and State Department of Environmental Quality requirements.

(b) Where overhead drain piping is exposed, special provisions shall be made to protect the space below from contamination from leakage, condensation, and dust particles. Approval of special provisions in food preparation, food service areas, and food storage areas shall be obtained from the local health department.

(c) Kitchen grease trap locations shall comply with local health department rules.

(6) Dishwashers[, in sink garbage disposers,] and other kitchen food storage or cooking appliances shall be National Sanitation Foundation, NSF, approved and have the NSF seal affixed. Residential NSF certified appliances shall be acceptable.

 

R432-6-24. Electrical.

(1) In large assisted living facilities, panel boards serving normal lighting and appliance circuits shall be located on the same floor or on the same wing as the circuits served. Panels for emergency circuits, if provided, may serve the floors above and below for general resident areas and administration.

(2) Corridors shall be illuminated at night in accordance with Table 4. Corridor lighting shall be adjustable so that light levels may be reduced at night and still provide a maximum brightness ratio of 1:10.

(3) Light intensity shall be at or above the minimum foot-candle in accordance with Table 4. Values in table 4 are minimum maintained average illuminance measured at the task plane. Areas not shown in Table 4, including parking lots and approaches to the building, shall have fixtures to provide light levels as recommended in IES Recommended Practice RP-20-1998, Lighting for Parking Facilities by the Illuminating Engineering Society of North America, which is adopted and incorporated by reference.

 

TABLE 4
Assisted Living Facilities Lighting Standards

Physical Plant Area                  Minimum Foot-candle



Corridors

  Day                                     15

  Night                                    7.5

Exits                                     15

Stairways                                 15

Res. Room

  General                                  7.5

  Reading/Mattress Level                  30

  Toilet area                             30

Lounge

  General                                  7.5

  Reading                                 30

Recreation                                30

Dining                                    20

Dining and Recreation                     30

Laundry                                   30

 

(4) Each resident room shall have a duplex grounded receptacle on every wall. If a TV jack is included, there must be an extra [outlet]duplex receptacle on the wall with the TV jack.

(5) Duplex grounded receptacles for general use shall be installed no more than 50 feet apart in corridors, on either side, and within 25 feet of corridor ends.

(6) A night light shall be provided in each resident bedroom and bathroom.

 

R432-6-104. Toilet and Bathing Facilities.

(1) Residents shall have privacy in toilet and bathrooms. Toilet and bathrooms shall be conveniently located.

(2) Resident toilet, bathtub, shower rooms, and facilities designed for use by [the disabled]persons with disabilities shall comply with [ADAAG]ADA/ABA-AG.

(3) Grab bars configured to meet ADA/ABA-AG shall be provided in all resident bathtubs and showers .[ as required by ADAAG. At least one grab bar, which complies with ADAAG,] Grab bars configured to meet ADA/ABA-AG shall be provided at the side of each resident toilet facility.

(4) Bars, including those which are an integral part of soap dishes, towel bars, and other fixtures shall be anchored to sustain a concentrated load of 250 pounds.

(5) There shall be one toilet and lavatory on each floor for each six occupants not otherwise served by toilet and lavatory in the resident rooms. A large type I assisted living facility shall have separate and additional toilet and bathing facilities for live-in family and staff.

(6) There shall be at least one bathtub or shower for each 10 residents not otherwise served by bathing facilities in resident rooms. Separate and additional facilities shall be provided for live-in family and staff. In a multistory building, there shall be at least one bathtub or shower which opens from the corridor on each floor that contains resident bedrooms not otherwise served.

(7) Each central bathroom shall have a toilet and lavatory.

(8) Toilet and bathing facilities shall not open directly into food preparation areas.

(9) All toilet, shower, and tub facilities shall have impermeable walls and surfaces that can be easily cleaned and sanitized.

(10) If s[S]howers [and]or bath[rooms]tubs [shall] contain [recessed] soap dishes or shelves, they shall be recessed.

(11) Each lavatory fixture shall have a mirror, except in food preparation areas.

 

R432-6-201. Occupancy Type.

(1) Large assisted living facilities shall comply with I-2 International Building Code requirements and shall have, at a minimum, 6 foot wide corridors.[ Area, height and story increases as permitted in the body of IBC paragraph 504.2 shall be permitted.]

(2) Small assisted living facilities shall comply with I-1, International Building Code, requirements and shall have, at a minimum, six-foot wide corridors.

(3) Limited capacity assisted living facilities that house Type II assisted living residents shall comply with R-4, International Building Code requirements and shall either have an approved sprinkler system, or provide a staff to resident ratio of one to one on a 24-hour basis. Residents shall be housed on floors at grade level.

 

R432-6-204. Toilet and Bathing Facilities.

(1) If toilet and bathrooms are shared by more than one resident, the facility shall provide individual privacy.

(2) A minimum of fifty percent of all toilet rooms, bathrooms and shower rooms shall be designed in compliance with [ADAAG]ADA/ABA-AG.

(3) Public toilet rooms shall be accessible from a corridor, and shall comply with [ADAAG]ADA/ABA-AG.

(4) If the living unit includes a private bathroom, the bathroom shall contain a toilet and a lavatory.

(5) If resident living units do not have a private bathroom, the facility shall provide the following:

(a) a toilet and lavatory for every four residents;

(b) a bathtub or shower for every 10 residents designed to accommodate a resident in a wheelchair and space to allow staff to assist a resident in taking a shower; and

(c) a bathroom with bathtub or shower, toilet and lavatory which open from a corridor on each floor of a multiple story facility.

(6) If resident living units have private bathrooms that do not allow staff assistance, then each floor or level shall provide a bathroom equipped with a bathtub or shower, toilet, and lavatory which opens from a corridor that provides wheelchair clearances and allows for staff assistance in bathing.

(7) Grab bars configured to meet ADA/ABA-AG shall be provided in all resident bathtubs and showers .[ as required by ADAAG. At least one grab bar, which complies with ADAAG,] Grab bars configured to meet ADA/ABA-AG shall be provided at the side of each resident toilet facility not designed for accessibility.

(8) Toilet and bathing facilities may not open directly into food preparation areas.

(9) All toilet, shower, and tub facilities shall have impermeable walls and surfaces that may be easily cleaned and sanitized.

(10) Showers and tubs shall contain recessed soap dishes.

(11) Each lavatory fixture shall have a mirror. Mirrors over lavatories located in food preparation areas are prohibited.

[ (12) All lavatories shall have hand drying facilities.

(a) If lavatories are used by more than one individual, enclosed, single use paper towel dispensing units or cloth towel dispensing units or hot air drying units shall be provided.

(b) Lavatories shall be anchored to withstand an applied vertical load of 250 pounds on the front of the fixture.

] [(13)](12) Bars, including those which are parts of soap dishes, towel bars, and other fixtures shall be anchored to a wall and withstand a concentrated load of 250 pounds.

 

R432-6-208. Special Design Features.

(1) A signal system shall be provided to alert staff of a resident's need for help.

(2) The signal system shall be designed to:

(a) operate from each resident's living unit and from each bath room or toilet room;

(b) transmit a visual and auditory signal to a 24-hour staffed location, except a limited capacity facility signal system shall produce an auditory signal to summon staff;

(c) identify the location of the resident summoning help; and

(d) allow it to be turned off only at the source of the call.

(3) Large and small facilities shall provide a thermostat control in each resident living unit. The Department shall grant a variance upon request from the licensee to this requirement for an existing building seeking initial licensure.

(4) Plumbing shutoff valves shall be located on the main water supply line and at each fixture. In addition, large facilities shall provide an accessible shutoff valve on each primary hot and cold branch of the water line and shall provide a minimum of two hot and two cold water zones. The Department shall grant a variance upon request from the licensee to this requirement for an existing building seeking initial licensure.

(5) Building entrances in large and small facilities shall be at grade level, clearly marked, and located to minimize the need for residents to traverse other program areas. A main facility entrance shall be designated and accessible to persons with disabilities.

(6) Special units intended to accommodate residents with Alzheimers or Dementia shall comply with Section [8.8]4.2-2.2.3.2 of the Guidelines for Design and Construction of[ Hospital and] Health Care Facilities, [2001]2010 edition, which is adopted and incorporated by reference.

 

R432-6-209. General Standards for Details.

(1) Each resident living unit entry door shall be constructed as follows:

(a) be 36 inches wide;

(b) open inward into the resident living unit or designed so that an outward swinging door does not restrict the corridor width;

(c) be lockable, but operable from the inside by single-action lever; and

(d) be individually keyed with the key under resident control.

(2) A master key shall be available for staff.

(3) Door handles for all doors used by residents shall be of the lever type and shall meet [ADAAG]ADA/ABA-AG requirements. Building entrances and exit doors may have panic hardware.

(4) Each door to toilet and bathing facilities shall comply with [ADAAG]ADA/ABA-AG and the following:

(a) be equipped with hardware which permits emergency access from the outside; and

(b) open out or be double acting.

(5) Handrails[shall] meet ing the profile and gripability requirements of [ADAAG]ADA/ABA-AG [and]shall be provided on both sides of all resident corridors. Handrail color shall contrast that of the wall it is mounted on.

 

KEY: health care facilities

Date of Enactment or Last Substantive Amendment: [February 4, 2010]2012

Notice of Continuation: December 30, 2008

Authorizing, and Implemented or Interpreted Law: 26-21-5; 26-21-16