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457.2 Community Mental Health Regulation
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Adult residential treatment facilities (RTFs) shall be limited to adults and comply with the regulations in Sections 457.2.1 through 457.2.4.
Note: Other administrative and programmatic provisions may apply. See Department of Children and Family Services (DCFS) Rule 65E-4.016, Florida Administrative Code, and Chapter 394, Florida Statutes.
The construction and renovation of a facility shall comply with the provisions of the Florida Building Code.
Facilities and additions shall be constructed to allow full compliance with the provisions of this section.
Residential treatment facilities shall comply with all applicable federal, state and local fire safety standards as follows:
- Level IA licensed facilities shall comply with the fire codes contained in Chapter 69A-3, Fire Prevention—General Provisions, Florida Administrative Code, as described in NFPA 101, Chapters 18 and 19, Special Definitions as adopted by the Florida Fire Prevention Code, as applicable to limited health care facilities.
- For facility Level IB, which may have no more than three residents incapable of self-preservation, and for facility Levels II, III, IV and V, which may have no residents incapable of self-preservation, each resident record shall have a signed statement by a physician or licensed psychologist regarding the resident's capability of self-preservation.
- Facility Levels IB, II, III, IV and V shall have a prompt evacuation capability.
Level IV and V facilities shall have a written policy on the safe use of extension cords and adapters. The use of extension cords and adaptors is prohibited in Level I, II and III facilities.
Electrical cords and appliances shall be maintained in a safe condition.
Flammable liquids or gas cylinders shall not be positioned near flame or heat sources, nor stored with combustible materials.
The facility shall provide egress lighting that will operate in the event of a power failure.
The program shall have a written policy governing smoking in the facilities. Smoking shall be prohibited in any area of the facility where combustible supplies, materials, liquids or gases will be used or stored.
Protection shall be provided from sharp or jagged projections, "invisible" glass, moving parts, heated surfaces, heavy objects that could fall, or any other potentially hazardous condition.
Grab bars shall be nonremovable.
The temperature of the hot water supply shall be regulated and shall be between 105°F (41°C) and 115°F (46°C) at the outlet.
Any electrical fans, except ceiling paddle fans, shall be screened. All electrical fans, including paddle fans, shall be placed in a safe location.
Outdoor recreational areas shall be well drained.
Hot and cold running water under pressure shall be readily available in all washing, bathing and food preparation areas.
For food service areas with a capacity of 13 or more residents, all matters pertaining to food service shall comply with the provisions of Chapter 64E-11, Florida Administrative Code.
Each refrigerator or freezer used for storage of perishable foods shall be provided with an accurate indicating thermometer located in the warmest part toward the front side of the refrigerator or freezer so that the temperature can be easily and readily observed.
Freezers should be kept at or below 0°F (-18°C).
The dining area shall be suitably lighted, ventilated and furnished.
Residential facilities shall not be identified by an exterior sign or vehicle sign that labels the residents or special functions of the facility. Vehicle traffic and parking relating to the facility shall be similar to that of surrounding structures or residences.
A design temperature of at least 72°F (22°C) and not to exceed 85°F (29°C) shall be used for waking hours in all areas used by residents. During sleeping hours, a temperature of at least 68°F (20°C) shall be used. These temperature requirements apply unless otherwise mandated by federal or state authorities.
When cooling devices are used, they shall be placed or adjusted in a manner which minimizes drafts.
Drinking water shall be readily available and easily accessible to residents.
Mirrors reasonably free of distortion shall be placed in appropriate places to aid in grooming and to enhance self-awareness.
Clocks shall be provided to promote awareness of time and day.
The use of door locks or closed sections of the building shall comply with all applicable safety standards.
Clean, well-lighted and ventilated laundering facilities for resident use shall be available on the premises or in the immediate neighborhood.
A telephone which allows private conversations shall be available and easily accessible within the facility.
Whenever feasible, the environment shall provide views of the outdoors.
Bedrooms shall be designed to meet the following criteria:
All resident bedrooms shall be ventilated, well-lighted and located convenient to a bathroom.
All resident bedrooms shall open directly into a corridor, a common use area or the outside, except in those facilities comprised of apartments.
Bedroom doors shall not have vision panels.
Bathrooms shall be designed to meet the following criteria:
Bathrooms shall be ventilated, adequately lighted and have clearly labeled hot and cold running water.
Each bathroom shall have a door in working order to assure privacy.
When there is more than one toilet or bathing facility in a bathroom, provisions are required for privacy.
Bathrooms used by residents with disabilities shall be equipped to ensure safety and independent mobility.
Sole access to toilet or bathing facilities shall not be through another resident's sleeping room, except in facilities comprised of apartments.
Common living areas shall be designed to meet the following criteria:
A minimum of 35 square feet (3 m2) of living and dining space per resident shall be provided by all facilities except those comprised of apartments. This space shall include living, recreational and other space designated accessible to residents, but shall not include bathrooms, corridors, storage space, or screened porches which cannot be adapted for year round use. Facilities with bedrooms which include living space may count the square footage that is in excess of the bedroom square footage requirements as part of the 35 square footage (3 m2) living and dining space requirements.
Related Code Sections
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2017 FBC - Building, 6th edition > 4 Special Detailed Requirements Based on Use and Occupancy > 457 Mental Health Programs > 457.2 Community Mental Health Regulation > 457.2.2 Health and Safety > 457.2.2.1 Fire Safety