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464.4 Additional Physical Plant Requirements for Assisted Living Facilities
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In addition to the codes and standards referenced in Section 464.3 of the code, the following minimum essential facilities shall apply to all new assisted living facilities.
Indoor radon testing as mandated by Section 404.056(5), Florida Statutes, shall be completed by all facilities.
Mechanical systems shall be designed to maintain dry-bulb temperatures between 70°F (18°C) and 81°F (27°C) in resident-occupied areas and in areas intended for resident occupancy. Residents who have individually controlled thermostats in their bedrooms or apartments shall be permitted to control temperatures in those areas, including maintaining temperatures outside the range stated previously.
A new facility shall be equipped with either a permanent on-site alternate power source to operate at least the equipment necessary to maintain safe indoor air temperatures, life safety systems and equipment for resident care needs, or there shall be a permanently installed predesigned electrical service entry for the electrical system that will allow a quick connection to a temporary alternate power source to operate at least the equipment necessary to maintain safe indoor air temperatures, life safety systems and equipment for resident care needs. This quick connection shall be installed inside of a permanent metal enclosure rated for this purpose and may be located on the exterior of the building. See Chapter 59A-36.025, Florida Administrative Code, "Emergency Environmental Control for Assisted Living Facilities" for additional requirements.
If the alternate power source is a generator, it shall comply with the requirements of NFPA 70 for either an optional standby system or a legally required system.
If the alternate power source is a generator, gasoline shall not be permitted as a fuel source.
A minimum of 35 square feet (3 m2) of living and dining space per resident, live-in staff and livein family member shall be provided except in facilities comprised of apartments. This space shall include living, dining, recreational or other space designated accessible to all residents, and shall not include bathrooms, corridors, storage space or screened porches which cannot be adapted for year round use. Facilities with apartments may count the apartment's living space square footage as part of the 35 square footage (3 m2) living and dining space requirement.
Those facilities also serving as adult day care centers must provide an additional 35 square feet (3 m2) of living and dining space per adult day care client. Excess floor space in residents' bedrooms or apartments cannot be counted toward meeting the requirement of 35 square feet (3 m2) of living and dining space requirements for adult day care participants. Day care participants may not use residents' bedrooms for resting unless the room is currently vacant.
The dining area shall be furnished to accommodate communal dining.
Resident bedrooms designated for multiple occupancy in facilities newly licensed or renovated 6 months after October 17, 1999, shall have a maximum occupancy of two persons.
All resident bedrooms shall open directly into a corridor, common use area or to the outside. A resident must be able to exit his bedroom without having to pass through another bedroom unless the two rooms have been licensed as one bedroom.
There shall be at least one bathroom with one toilet and sink per six persons, and one bathtub or shower per eight persons. All residents, all live-in staff and family members, and respite care participants must be included when calculating the required number of toilets, sinks, bathtubs and showers. All adult day care participants shall be included when calculating the required number of toilets and sinks.
There shall be nonslip safety devices such as bath mats or peel off stickers in the showers and bathtubs of all facilities. Showers and bathtubs with a nonskid surface require a separate nonskid device only if the surface is worn. Grab bars shall be required in showers and bathtubs. Grab bars, whether portable or permanent, must be securely affixed to the floor or adjoining walls. Facilities newly licensed or renovated six months after October 17, 1999 must have grab bars next to the commode.
External boundaries of a facility or a distinct part of a facility, including outside areas, may be secured using egress control or perimeter control devices if the following conditions are met.
The use of the device complies with all lifesafety requirements.
Staff who provide direct care or who have regular contact with residents residing in secured areas complete Level 1 Alzheimer's training as described in Rule 58A-5.0191.
Pursuant to Section 400.441, Florida Statutes, facilities with 16 or fewer residents shall not be required to maintain an accessible telephone in each building where residents reside, maintain written staff job descriptions, have awake night staff or maintain standardized recipes as provided in Rules 58A- 5.0182(6)(g), 58A-5.019(2)(e), 58A-5.019(4)(a) and 58A-5.020(2)(b), respectively.
Related Code Sections
464.4 Special Detailed Requirements Based on Occupancy and Use, Additional Physical Plant Requirements for Assisted Living Facilities
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2020 FBC - Building, 7th edition > 4 Special Detailed Requirements Based on Occupancy and Use > 464 Assisted Living Facilities > 464.4 Additional Physical Plant Requirements for Assisted Living Facilities
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2014 FBC - Building, 5th edition > 4 Special Detailed Requirements Based on Use and Occupancy > 464 Assisted Living Facilities > 464.4 Additional Physical Plant Requirements for Assisted Living Facilities
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2017 FBC - Building, 6th edition > 4 Special Detailed Requirements Based on Use and Occupancy > 464 Assisted Living Facilities > 464.4 Additional Physical Plant Requirements for Assisted Living Facilities
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2020 FBC - Building, 7th edition > 4 Special Detailed Requirements Based on Occupancy and Use > 464 Assisted Living Facilities > 464.4 Additional Physical Plant Requirements for Assisted Living Facilities > 464.4.5 Bathrooms
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2014 FBC - Building, 5th edition > 4 Special Detailed Requirements Based on Use and Occupancy > 464 Assisted Living Facilities > 464.4 Additional Physical Plant Requirements for Assisted Living Facilities > 464.4.1