British Columbia Order in Council — Order under Community Care Facility Effective August 1, 2000: B (O.C. 1221/2000)

O.C. 1221/2000

British Columbia — Orders in Council

1221. , Approved and Ordered JUL 2 7 2000 Order in Council No. 111111.111.■ -s> residing v ounce • PROVINCE OF BRITISH COLUMBIA ORDER THE LIEUTENANT GOVERNOR IN COUNCIL Lieutenant Governor Executive Council Chambers, Victoria On the recommendation of the undersigned, the Lieutenant Governor, by and with the advice and consent of the Executive Council, orders that, effective August 1, 2000, B.C. Reg. 536/80, the Adult Care Regulations, is amended as set out in the

Schedule attached to this order. Minister of Health and Minister Responsible for Seniors (This

part iv for administrative purposes only and is not part of the Order.) Authority under which Order is made: Act and section:- Community Care Facility Act, ss. 14 & 20 Other (specity):- 953c1 csD July 13, 2000 1218 /2000/13/

SCHEDULE I

Section 1 of B.C. Reg. 536/80, the Adult Care Regulations, is amended by repealing the

definitions of "intermediate care", "National Building Code", "personal care", and "specialized adult residential care" and substituting the following: "British Columbia Building Code" means the National Building Code as adopted, with modifications, by B.C. Reg. 295/98, the British Columbia Building Code Regulation; . 2

Section 2 is repealed. 3

Section 3 (4) is repealed and the following substituted:

(4) Prior to commencing the construction or renovations of a facility, a licensee or an applicant for a licence must (

a) submit all plans for the construction or renovation to the medical health officer, and (

b) receive approval of the plans from the medical health officer. 4 Sections 5 and 5.1 are repealed and the following substituted: Physical requirements 5

(1) A licensee must ensure that (

a) each bedroom used to accommodate residents is designed, constructed and maintained as a single occupancy bedroom or a double occupancy bedroom, (

b) no more than one resident is accommodated in a single occupancy bedroom, (

c) no more than 2 residents are accommodated in a double occupancy bedroom, and (

d) the number of double occupancy bedrooms does not exceed 5 percent of the maximum number of residents that the facility is licensed to accommodate, as specified in the licence.

(2) Alternative arrangements to those specified in subsection (1) apply if the medical health officer approves the alternative arrangements (

a) if only for temporary residency programs, as suitable for the temporary residency programs, or (

b) as providing protection for the health, safety and wellbeing of residents that is equivalent to the protection provided by subsection (1). I of 8

Bedroom space requirements 5.1

(1) A single occupancy bedroom used to accommodate a resident who does not require a walker, wheelchair or other mobility aid must have a useable floor area of not less than 8.00 m 2 exclusive of the entranceway or swing of the entrance door, clothes closets, armoires, built in cabinets or en suite washroom.

(2) A single occupancy bedroom used to accommodate a resident who requires a walker, wheelchair or other mobility aid must have a useable floor area of not less than 11.00 m2 exclusive of the entranceway or swing of the entrance door, clothes closets, armoires, built in cabinets or en suite washroom.

(3) A double occupancy bedroom used to accommodate residents who do not require a walker, wheelchair or other mobility aid mast have a useable floor area of not less than 14.00 m 2 exclusive of the entranceway or swing of the entrance door, clothes closets, armoires, built in cabinets or en suite washroom.

(4) A double occupancy bedroom used to accommodate residents who require a walker, wheelchair or other mobility aid must have a useable floor area of not less than 18.00 m2 exclusive of the entranceway or swing of the entrance door, clothes closets, armoires, built in cabinets or en suite washroom.

(5) Each resident must be provided a separate clothes closet or armoire having not less than 0.50 m 2 of floor area in the resident's bedroom. Bedroom furnishings 5.2

(1) A licensee, within the limits necessary to maintain the health, safety and wellbeing of all residents of the facility, must permit each resident to bring into the facility, and keep in the resident's room, furniture, ornaments or other personal possessions.

(2) A licensee must provide for the exclusive use of each resident, and maintain in a sanitary condition and in good repair, furnishings which, in the opinion of the medical health officer, are appropriate to meet the needs of the residents. Bedroom privacy 5.3

(1) Each bedroom must be directly accessible from a corridor or hallway without passing through any other room.

(2) Alternative arrangements to those specified in subsection (1) apply if the medical health officer approves the alternative arrangements (

a) if only for temporary residency programs, as suitable for the temporary residency programs, or (

b) as providing protection for the health, safety and wellbeing of residents that is equivalent to the protection provided by subsection (1).

(3) Unless the health, safety or wellbeing of the residents make it unsuitable, a licensee must provide for a resident who requests it a bedroom door that can be locked from inside the bedroom. page 2 of 8

Bedroom windows 5.4

(1) Each bedroom must have a window area not less than 10 percent of the floor area of the bedroom required under this regulation.

(2) Each bedroom must have a window that can be readily opened for ventilation, unless (

a) the health, safety or wellbeing of the residents make this unsuitable, or (

b) the facility is equipped with an air conditioning system or mechanical ventilating system.

(3) If a bedroom is used to accommodate a resident who is non-ambulatory, the bedroom must have at least one window that provides visibility from a sitting position to the outside.

(4) Each bedroom must have window coverings in good repair which maintain the resident's privacy and block out light. Bedroom illumination 5.5 Each bedroom must, in the opinion of the medical health officer, have sufficient natural or artificial illumination to provide task or reading, bathroom and general illumination sufficient to meet the needs and preferences of each resident accommo- dated in the bedroom. Room temperature 5.6 A licensee must maintain (

a) a safe and comfortable temperature in the common areas of the facility provided for use by the residents, and (

b) a temperature in each bedroom that meets the needs and preferences of the resident. Bathrooms and bathing facilities 5.7 Resident bathrooms and bathing rooms must be equipped with (

a) a door, (

b) a door lock that can be opened from the outside in the case of an emergency, (

c) slip resistant material on the bottom of each bathtub and shower, and (

d) conveniently located and securely attached grab bai s of an appropriate type beside each toilet, bathtub and shower, as required to meet the needs and preferences of the residents. Bathrooms and bathing facilities in residential care facilities 5.8

(1) The licensee of a residential care facility must provide (

a) for a range of residents on a floor and in the same wing indicated in column 1 of the following table, the number of bathing facilities indicated in column 2 to the right of that range: page 3 of 8

TABLE COLUMN 1 COLUMN 2 Residents on floor and in wing Bathing facilities on floor and in wing 7-25 2 26 - 40 3 41 - 60 4 61 - 75 5 (

b) washbasin and toilet facilities (

i) adjacent to the dining, lounge, and recreational areas, and (ii) appropriate to the needs of the residents, (

c) a separate washbasin and toilet for the exclusive use of each 2 residents, and (

d) despite paragraph (c), for each bedroom used to accommodate a resident over the age of 65 years, a separate washbasin and toilet reserved for the exclusive use of the residents of the bedroom.

(2) The bathing facilities referred to in subsection (1) must, in the opinion of the medical health officer, be of a type that is sufficiently and appropriately equipped to meet the needs of the residents.

(3) The licensee of a residential care facility must ensure that, if a resident requires a walker or wheelchair, the bathroom for the resident is wheelchair accessible.

(4) Alternative arrangements to those specified in subsection (1) apply if the medical health officer approves the alternative arrangements (

a) if only for temporary residency programs, as suitable for the temporary residency programs, or (

b) as providing protection for the health, safety and wellbeing of residents that is equivalent to the protection provided by subsection (1). Bathrooms and bathing facilities in residential care homes 5.9

(1) The licensee of a residential care home must provide (

a) one washbasin and one toilet for each 3 residents, and (

b) one bathtub or shower for each 4 residents.

(2) The washbasins, toilets, bathtubs and showers referred to in subsection (1) must, in the opinion of the medical health officer, be of a type that is sufficiently and appropriately equipped to meet the needs of the residents. Water temperature 5.10 A licensee must ensure that the temperature of the hot water supplied to the bathtubs, showers and handbasins used by the residents will not exceed 49° Celsius. page 4 of 8

Signaling devices 5.11 If one or more residents require monitoring to ensure health and safety, the licensee must provide a monitoring system, appropriate to the needs of the residents and staff, that will signal staff if a resident requires help and the location of the resident. Mobility and access 5.12

(1) The bedrooms must be on the ground floor if there is no elevator for residents who require walkers, wheelchairs or other mobility aids.

(2) A licensee must not provide accommodation to a resident who uses a walker, wheelchair or other mobility aid unless the resident has access to at least one conveniently located entrance, exit and bathroom and has access to and may move freely within the dining room, lounge or living room and the resident's bedroom.

(3) Within the limits necessary to maintain the health, safety or wellbeing of all residents, a licensee must ensure that emergency call buttons, panic hardware, telephones, light switches and elevator controls can be accessed readily by all residents. Telephones 5.13

(1) A licensee must provide at least one conveniently located telephone for use by residents only that (

a) has a private line, (

b) has adaptations, as necessary, for residents with disabilities, and (

c) is accessible to the residents at all times.

(2) Alternative arrangements to those specified in subsection (1) apply if the medical health officer approves the alternative arrangements (

a) if only for temporary residency programs, as suitable for the temporary residency programs, or (

b) as providing protection for the health, safety and wellbeing of residents that is equivalent to the protection provided by subsection ( I ). Signage 5.14 A licensee must post and maintain directional signs and provide other means of directional information or assistance that, in the opinion of the medical health officer, are sufficient and appropriate to meet the needs and protect the health, safety and wellbeing of the residents. Dining area 5.15 A licensee must provide one or more dining areas that provide (

a) seating to accommodate all residents, (

b) not less than 2.00 m 2 of floor space for each resident, and (

c) sufficient tables designed to accommodate residents in wheelchairs. Lounges and recreation areas in residential care facilities 5.16 The licensee of a residential care facility must provide page 5 of 8

(

a) one or more readily accessible and comfortably furnished lounges, containing, in total, not less than 1.50 m 2 of floor area for each resident, (

b) one or more readily accessible, suitably equipped and furnished areas where recreational activities may be carried out containing, in total, not less than 1.00 m2 of floor area for each resident, and (

c) a sanitary method of dispensing fresh drinking water to residents in the areas referred to in paragraphs (

a) and (b). Lounges and recreation areas In residential care homes 5.17 The licensee of a residential care home must provide one or more comfortably furnished lounges or living rooms containing, in total, not less than 2.00 m 2 of floor area for each resident. Outside activity area 5.18

(1) A licensee must provide one or more readily accessible outside activity areas (

a) including, in total, not less than 1.50 m 2 in area for each resident, and (

b) including a surfaced patio area and comfortable and safe seating.

(2) A reasonable portion of the areas described in subsection (1) must provide shelter from the sun and inclement weather.

(3) If a resident who uses a walker, wheelchair or other mobility aid is accommo- dated, (

a) the licensee must provide access by a ramp to the outside activity area, and, (

b) a ramp described in paragraph (

a) must comply, except for width, with the requirements for ramps for persons with disabilities as described in the British Columbia Building Code.

(4) Alternative arrangements to those specified in subsection (3) apply if the medical health officer approves the alternative arrangements (

c) if only for temporary residency programs, as suitable for the temporary residency programs, or (

b) as providing protection for the health, safety and wellbeing of residents that is equivalent to the protection provided by subsection (3). Accessibility in residential care facilities 5.19 Each corridor in a residential care facility that accommodates residents who use walkers or wheelchairs must have a width of not less than 1.83 m. Accessibility in residential care homes 5.20 (

I) Despite the British Columbia Building Code, the licensee of a residential care home that accommodates a resident with a disability must ensure that all areas of the residential care home ordinarily used by the resident comply with the acces- sibility design criteria specified by the medical health officer for the residential care home. (2) 'The accessibility design criteria specified under subsection (1) must be taken from one or more of the following: (

a) the British Columbia Building Code; page 6 of 8

(

b) the Building Access Handbook; (

c) the Canadian Standards Association B651 - Barrier Free Design standard; (

d) other recognized design standards that are in accordance with good engineering principles and, in the opinion of the medical health officer, include appropriate protection for the health, safety and wellbeing of residents. Designated work areas 5.21

(1) A licensee must provide the following appropriately furnished and equipped areas: (

a) a work area for administrative work and other staff use; (

b) a secure location for medications and resident records; (

c) safe and adequate storage areas for cleaning agents, chemical products and other hazardous materials; (

d) separate utility areas for clean and soiled work.

(2) Alternative arrangements to those specified in subsection (

I) apply if the medical health officer approves the alternative arrangements (

a) if only for temporary residency programs, as suitable for the temporary residency programs, or (

b) as providing protection for the health, safety and wellbeing of residents that is equivalent to the protection provided by subsection (1).

(3) A licensee must ensure that laundry facilities (

a) not for use by residents are secured, and (

b) for use by residents have a slip resistant floor surface. Maintenance 5.22

(1) A licensee must ensure that all rooms and common areas in the facility are well ventilated and maintained in a good state of repair and in a safe and sanitary condition.

(2) A licensee must ensure that emergency exits are not obstructed or secured in a manner that prevents unimpeded exit in an emergency. Fire safety requirements in residential care homes 5.23 The licensee of a residential care home must ensure that the facility has the following, maintained in a good state of repair at all times: (

a) interconnected smoke alarms, installed in each bedroom and in each corridor leading to a bedroom; (

b) sprinklers which comply with the requirements of National Fire Protection Association standard NFPA 1 3 D 1996 ("Installation of Sprinkler Systems in One- and Two- Family Dwellings and Mobile Homes"); (

c) emergency lighting which will automatically illuminate the corridors and stairs for a minimum of 30 minutes in the event of a power failure. 5 The following

section is added: page 7 of 8

Care and supervision 6.10

(1) A licensee must provide to all residents of the facility care and supervision that, in the opinion of the medical health officer, is appropriate to meet the needs of the residents.

(2) For the purposes of subsection (1), "care and supervision" includes (

a) assistance with activities of daily living such as eating, mobility, dressing, grooming, bathing or other personal hygiene, (

b) assistance with taking medication, (

c) central storing or distribution of medications, (

d) arrangement or managing of resident schedules, activities or appointments. (

e) maintenance or management of resident cash resources or property, and (0 monitoring of food intake or special diets. 6

Section 12 is repealed and the following substituted: Limited exemption for facilities licensed on or before August 1, 2000 12 A provision in sections 5 to 5.23 does not apply to a facility if (

a) the facility is licensed on or before August 1, 2000, (

b) the facility is in operation on August 1, 2000, (

c) the medical health officer, after considering any policies of a funding program applicable to the facility, approves arrangements providing protection for the health, safety and wellbeing of residents as being equivalent to the protection provided by the provision in sections 5 to 5.23, and (

d) the licensee for the facility implements and maintains the arrangements. page 8 of 8

Document details

Collection	British Columbia — Orders in Council
Citation	O.C. 1221/2000
Type	order_in_council
Volume / chapter	arc oic 1221 2000
Language	en
Format	pdf
Source	PROVINCIAL
Identifier	f3ce335a479dfe36140f5cd341abf57c19618ae4

Source file is stored in the law ingest library (pdf).