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
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.
Portable heating devices shall be used only in emergency situations as defined in agency
procedures approved by the governing board.
or gas cylinders shall not be positioned near flame or heat sources, nor stored with combustible materials.
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.
A fire safety inspection shall be obtained before occupying any new physical facility
The building shall be free of hazards such as cracks in the floors, walls
or ceiling; warped or loose boards, tile, linoleum, handrails
or railings; and broken window panes or missing window screens.
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.
Indoor and outdoor recreational areas shall be provided with safeguards designed for the needs of the residents
Outdoor recreational areas shall be well drained.
Appropriate health and sanitation inspection certificates shall be obtained before occupying any new physical facility
, and at least yearly or as required by statute, thereafter. A report of the most recent inspection must be on file and accessible to authorized individuals.
Hot and cold running water under pressure shall be readily available in all washing, bathing and food preparation areas.
The kitchen and food preparation area shall be well-lighted, ventilated and located apart from areas which could cause food contamination. All doors and windows in the kitchen and food preparation areas that open to the outside shall be screened.
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).
Dining tables shall seat small groups of residents
unless other arrangements are justified on the basis of resident
The dining area shall be suitably lighted, ventilated and furnished.
shall not be identified by an exterior sign or vehicle sign that labels
or special functions of the facility
. Vehicle traffic and parking relating to the facility
shall be similar to that of surrounding structures or residences.
shall be accessible to persons with disabilities or the facility
shall have written policies and procedures that describe how disabled individuals can gain access to the facility
for necessary services.
Areas that accommodate the following shall be available:
- A full range of social activities;
- Private conversations;
- Group activities; and
- Resident privacy, when appropriate.
All areas of the facility
occupied by residents
shall be climatically controlled in a manner conducive to the comfort and privacy of the residents
and shall include the following:
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
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
lighting shall promote clear perceptions of people and functions. When and where appropriate, lighting shall be controlled by residents
Whenever feasible, the environment shall provide views of the outdoors.
Bedrooms shall be designed to meet the following criteria:
bedrooms shall be ventilated, well-lighted and located convenient to a bathroom.
bedrooms designated for single occupancy
shall provide a minimum inside measurement of 80 square feet (7 m2
) of usable floor space.
bedrooms designated for multiple occupancy
shall provide a minimum inside measurement of 60 square feet (6 m2
) of usable floor space per bed and be limited to four occupants.
bedroom where furnishings are supplied by the facility
shall be furnished with personal storage space and adequate space for hanging clothes.
Bedroom doors shall not have vision panels
Bathrooms shall be designed to meet the following criteria:
A toilet and lavatory facility
shall be provided for every six residents
, and toilets shall be equipped with seats.
A minimum of one tub or shower facility
, equipped with nonslip devices, shall be provided for every eight residents
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 room, separate from sleeping areas, shall be provided where residents
may read or engage in socialization or other leisure time activities.
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.