450.3.8 Facility Support Areas
Each facility support area shall meet the following standards.
A facility dietary area shall be provided for dietary service to residents and others as may be appropriate. No part of the kitchen area may be used as a pass through to the linen/laundry area. The facility dietary area shall contain the following facilities, in the size and number appropriate for the type of food service selected:
Storage space, including cold storage, for at least a seven-day supply of food shall be provided.
Food preparation facilities for cook to serve, cook to chill or a proprietary system of food preparation and adequate space and equipment for production shall be provided.
Employee dining and serving lines shall not be permitted in the dietary facilities area.
Hand-washing facilities shall be conveniently located in the food preparation area.
Facilities for assembly and distribution of resident meals shall be provided.
Ware washing space shall be located in a room or an alcove separate from the food preparation and serving area. Commercial-type ware washing equipment shall be provided. Space shall also be provided for receiving, scraping, sorting, and stacking soiled tableware and for transferring clean tableware to the use areas. Convenient handwashing facilities shall be available on the soiled dish side of the ware washing area.
Pot washing facilities shall be provided.
Storage areas and cleaning facilities for cans, carts, and mobile-tray conveyors shall be provided.
An office for the food service manager shall be provided.
A toilet, handwashing facility and lockers for dietary staff shall be located within the dietary facilities area. A vestibule shall be provided between the toilet and the kitchen.
A housekeeping room located within the dietary facilities area shall be provided and shall include a service sink and storage space for housekeeping equipment and supplies.
An icemaker unit shall be provided and may be located in the food preparation area or in a separate room.
If the household design for the personcentered care model is utilized and if required by the functional program, a resident dietary area including cooking equipment, counter tops, kitchen sink, and storage areas shall be provided within the resident household for the use by staff, residents, and family. The cooking equipment shall be designed or secured in such a way to insure resident safety and shall meet all applicable fire safety codes. This dietary area may substitute for the nourishment requirement of Section 450.3.4.2.5.
A facility laundry area shall be provided that shall have provisions for the storing and processing of clean and soiled linen for appropriate resident care. Processing may be done within the facility, in a separate building on or off site, or in a commercial or shared laundry. Where soiled linen is processed as part of a facility laundry area, at a minimum, the following elements shall be included:
A separate room for receiving and holding soiled linen until ready for pickup or processing shall be provided. Discharge from soiled linen chutes may be received within this room or in a separate room. A handwashing facility and a utility sink shall be provided.
A central, clean linen storage and issuing room(s), in addition to the linen storage required at the nursing units shall be provided.
Parking of clean and soiled linen carts in separate areas from each other and out of traffic shall be provided.
Hand-washing facilities in each area where untagged, soiled linen is handled shall be provided.
When linen is processed off site, a service entrance protected from inclement weather for loading and unloading of linen shall be provided.
Storage for laundry supplies.
Arrangement of the laundry processes shall generally provide for an orderly workflow from dirty to clean to minimize cross traffic that might mix clean and soiled operations.
If the household design model for person-centered care is utilized and if required by the functional program, resident laundry facilities including washing and drying equipment shall be provided for staff, family or individual resident use for the laundering only of a resident's personal items. If these laundry facilities are provided, they shall be readily accessible from each resident household without requiring the user to enter another resident unit, or floor and may be shared between two resident households. These resident laundry facilities shall not have to meet the requirements of the facility laundry described in Section 450.3.8.2 and may utilize residential laundry equipment. Each resident laundry room or area shall contain a handwash facility and if required by the functional program a single deep bowl utility sink.