Chapter DCF 52

DCF 52.53(2) (2) Bathroom facilities accessible only through a resident bedroom shall be counted only for the residents of the bedroom.

DCF 52.53(3) (3) Every room with a toilet shall have a handwashing sink with hot and cold running water.

DCF 52.53(4) (4) If a resident needs assistance in toileting and bathing, a center shall direct a staff member to provide that assistance.

DCF 52.53(5) (5) All sinks, tubs and showers shall have an adequate supply of hot and cold water. Hot water shall be regulated by a plumbing industry approved temperature control device such as a mixing valve. The temperature of water delivered at the tap may not exceed 110° F. (43° C.).

DCF 52.53(6) (6) All bath and toilet areas shall have good lighting and ventilation and be maintained in a sanitary condition. Safety strips shall be applied to the floors of tubs and showers to prevent slipping.

DCF 52.53(7) (7) Toilets, bathtubs and showers used by residents shall be equipped for privacy unless specifically contraindicated for a particular resident by that resident’s treatment or care needs, and even then privacy in relation to other residents shall be provided.

DCF 52.53(8) (8) The center shall provide each resident with items, conditions and access necessary for personal hygiene and self-grooming including, but not limited to, all of the following:

DCF 52.53(8)(a) (a) An individual toothbrush and tube of toothpaste.

DCF 52.53(8)(b) (b) Access to a shower or bathtub daily, unless medically contraindicated.

DCF 52.53(8)(c) (c) An individual hair brush and comb and regular services of a barber or beautician.

DCF 52.53(8)(d) (d) Equipment and facilities for shaving and washing.

DCF 52.53(8)(e) (e) Mirrors.

DCF 52.53(8)(f) (f) Clean individual towels, washcloths and individually dispensed soap.

DCF 52.53 History History: Cr. Register, February, 2000, No. 530, eff. 9-1-00.

DCF 52.54 DCF 52.54 Bedrooms.

DCF 52.54(1) (1) Minimum space.

DCF 52.54(1)(a) (a) Single occupancy. Each center bedroom for one resident shall have a minimum of 80 square feet of floor space except that if the resident is not able to walk or is able to walk only with crutches or other means of support the bedroom shall have a minimum of 100 square feet of floor space.

DCF 52.54(1)(b) (b) Shared occupancy. Each center bedroom for more than one resident shall have a minimum of 60 square feet of floor space for each resident except that if a resident is not able to walk or is able to walk only with crutches or other means of support, the bedroom shall have a minimum of 80 square feet of floor space for each resident.

DCF 52.54(2) (2) Maximum number of residents. No bedroom may accommodate more than the following:

DCF 52.54(2)(a) (a) Four residents in a facility initially licensed before September 1, 2000.

DCF 52.54(2)(b) (b) Two residents in a facility initially licensed on or after September 1, 2000.

DCF 52.54(3) (3) Walls or partitions and doors.

DCF 52.54(3)(a) (a) Each bedroom shall be enclosed on 4 sides by walls or partitions. The walls or partitions shall be:

DCF 52.54(3)(a)1. 1. At least 6 feet in height in facilities initially licensed prior to September 1, 2000.

DCF 52.54(3)(a)2. 2. Floor-to-ceiling fixed partitions or walls in facilities initially licensed on or after September 1, 2000.

DCF 52.54(3)(b) (b) Each bedroom shall have an outside wall with a window that is openable to the exterior.

DCF 52.54(3)(c) (c) Each bedroom shall have a door.

DCF 52.54(4) (4) Prohibited locations. A center may not locate a resident bedroom in an unfinished basement or attic or in any other area not normally used as a bedroom.

DCF 52.54(5) (5) Prohibited use.

DCF 52.54(5)(a) (a) No bedroom may be used by anyone who is not an occupant of the bedroom to gain access to any other part of the center or any required exit.

DCF 52.54(5)(b) (b) No resident bedroom may be used for purposes other than as sleeping and living space for bedroom occupants.

DCF 52.54(6) (6) Beds and bedding.

DCF 52.54(6)(a) (a) A center shall provide each resident with a single bed appropriate to the resident’s needs. The bed may not be less than 36 inches wide or shorter than the height of the resident. A bed shall have all of the following:

DCF 52.54(6)(a)1. 1. A mattress that is firm, clean, comfortable and in good condition.

DCF 52.54(6)(a)2. 2. A mattress pad, 2 sheets, 2 blankets, a pillow case, a clean, comfortable pillow and a bedspread.

DCF 52.54(6)(a)3. 3. A mattress cover that is waterproof if the resident is incontinent.

DCF 52.54(6)(b) (b)

DCF 52.54(6)(b)1. 1. A center shall provide a change of sheets and pillow case at least once a week for each resident.

DCF 52.54(6)(b)2. 2. A center shall provide a change in bedding immediately when a resident wets or soils the bed.

DCF 52.54(6)(b)3. 3. A center shall provide a complete change of bedding upon a change in bed occupancy.

DCF 52.54(6)(c) (c) A bed may not be located closer than 18 inches to a hot contact type of heat source such as a hot water radiator.

DCF 52.54(6)(d) (d) Beds shall be at least 3 feet apart at the head, foot and sides, except that a bunkbed shall be at least 5 feet apart at the sides from another bed. Bunk beds shall provide at least 36 inches of headroom between the bedroom ceiling and the top mattress. A triple decker bed may not be used.

DCF 52.54(7) (7) Storage space. A center shall provide each resident with sufficient private space in or near the resident’s bedroom for personal clothing and possessions. Each resident shall have a closet or wardrobe located in or next to the bedroom.

DCF 52.54(8) (8) Assigned bedrooms.

DCF 52.54(8)(a) (a) In assigning a resident to a bedroom, a center shall consider the resident’s age and developmental needs and be guided by any clinical recommendations.

DCF 52.54(8)(b) (b) Male and female residents may not share the same bedroom.

DCF 52.54(9) (9) Sleeping schedule. Residents shall have set routines for waking and sleeping. Each resident in the daily routine shall have available at least 8 hours of sleep.

DCF 52.54(10) (10) Disabled residents. Bedrooms for residents who are not able to walk or who can walk only with a means of support such as crutches shall be located on a floor level that has an exit discharging at grade level.

DCF 52.54(11) (11) Resident possessions. A center shall permit a resident to have personal furnishings and possessions in the resident’s bedroom, unless contraindicated by the resident’s treatment plan.

DCF 52.54 History History: Cr. Register, February, 2000, No. 530, eff. 9-1-00.

DCF 52.55 DCF 52.55 Fire safety.

DCF 52.55(1) (1) Evacuation plan. A center in consultation with the local fire department shall develop a detailed flow chart type evacuation plan for each building with arrows pointing to exits. The center shall do all of the following:

DCF 52.55(1)(a) (a) Post the evacuation plan for a building in a conspicuous place in the building.

DCF 52.55(1)(b) (b) Be able to provide through plan procedures for both of the following:

DCF 52.55(1)(b)1. 1. Safe conveyance of all residents promptly from the center by staff in one trip.

DCF 52.55(1)(b)2. 2. Designated places away from the center to which all residents are evacuated or at which all are to meet so that it can be determined if all residents are out of danger.

DCF 52.55(1)(c) (c) Make the evacuation plan familiar to all staff and residents upon their initial arrival at the center.

DCF 52.55(2) (2) Evacuation drills.

DCF 52.55(2)(a) (a) Each center shall conduct evacuation drills as follows:

DCF 52.55(2)(a)1. 1. An announced drill at least once every 2 months.

DCF 52.55(2)(a)2. 2. An unannounced drill at least every 6 months.

DCF 52.55(2)(b) (b) A center shall maintain a log of all evacuation drills that records the date and time of each drill, the time required to evacuate the building and any problems associated with the evacuation.

DCF 52.55(3) (3) Fire department inspection. A center shall arrange for the local fire department to conduct a fire inspection of the center each year. The center shall maintain on file a copy of inspection report.

DCF 52.55(4) (4) Smoke detection system.

DCF 52.55(4)(a) (a) Smoke detectors shall be installed and in accordance with ch. SPS 316 and chs. SPS 361 to 366, the Wisconsin Commercial Building Code, applicable local ordinances, and this section. Individual smoke detectors shall be tested according to the manufacturer’s instructions but not less than once a month. Interconnected smoke detectors shall be inspected and maintained in accordance with the manufacturer’s or installer’s instructions and shall be tested not less than every 3 months. The center shall keep a log of the tests with dates and times.

DCF 52.55(4)(b) (b) A center built or initially licensed before 1982 shall have, at minimum, a battery operated smoke detection system meeting the requirements under pars. (a) and (c) 3. and 5.

DCF 52.55(4)(c) (c) A center built in 1982 or later or a licensee moving a center to a different building after September 1, 2000 shall have an interconnected smoke detection system meeting all of the following requirements:

DCF 52.55(4)(c)1. 1. Except as provided under subd. 2., a building housing residents shall have, at a minimum, a smoke detection system to protect the entire building. That system shall either trigger alarms throughout the building or trigger an alarm located centrally. The alarm shall be audible throughout the building when the detector activates.

DCF 52.55(4)(c)2. 2. A building that has no more than 8 beds may have a radio-transmitting smoke detection system located in a central area of the building. That system shall trigger an audible alarm heard throughout the building.

DCF 52.55(4)(c)3. 3. A smoke detection system shall be installed in accordance with the manufacturer’s instructions.

DCF 52.55(4)(c)4. 4. An interconnected smoke detection system installed on or after September 1, 2000 shall have a secondary power source.

DCF 52.55(4)(c)5. 5. A center shall have a smoke detector located in at least the following locations in each building housing residents:

DCF 52.55(4)(c)5.a. a. In the basement.

DCF 52.55(4)(c)5.b. b. At the head of every open stairway.

DCF 52.55(4)(c)5.c. c. At the door on each floor level leading to every enclosed stairway.

DCF 52.55(4)(c)5.d. d. In every corridor, spaced in accordance with the manufacturer’s separation specifications.

DCF 52.55(4)(c)5.e. e. In each common use room, including every living room, dining room, family room, lounge and recreation area.

DCF 52.55(4)(c)5.f. f. In each sleeping area of each living unit or within 6 feet from the doorway of each sleeping area.

DCF 52.55(4)(c)6. 6. Smoke detectors shall not be installed in a kitchen.

DCF 52.55(5) (5) Stairway smoke containment. A center shall provide floor-to-floor smoke cut-off through a one hour labeled fire-resistant self-closing door for open interior stairways and for all enclosed interior stairways at each floor level to provide floor to floor smoke separation.

DCF 52.55(6) (6) Heat sensing devices. A center shall have heat-sensing devices in the kitchen and attic.

DCF 52.55 Note Note: It is recommended that a rate-of-rise heat detector be used in an attic rather than a fixed temperature heat detector. Rate-of-rise heat detectors respond to a fire sooner, particularly when it is cold outside. It is recommended that a fixed temperature heat detector be used in the kitchen.

DCF 52.55(7) (7) Sprinkler system inspection. Where a sprinkler system has been installed under s. DCF 52.51 (2), the system shall be inspected and tested in accordance with NFPA Code 25. The center shall keep a copy of the certification of inspection on file.

DCF 52.55(8) (8) Fire safety training. All center staff shall take a technical college course or receive training from someone who has taken a technical college “train the trainer” course on fire safety and evacuation developed for community-based residential facilities regulated under ch. DHS 83. New center staff shall take the training within 6 months after beginning work at the center. All center staff shall be familiar with all of the following:

DCF 52.55(8)(a) (a) Facility fire emergency plans and evacuation procedures.

DCF 52.55(8)(b) (b) Fire extinguisher use.

DCF 52.55(8)(c) (c) Fire prevention techniques.

DCF 52.55(9) (9) Flammables.

DCF 52.55(9)(a) (a) A center shall keep all flammable liquid fuels in separate buildings not attached to buildings housing residents. Flammable liquid fuels shall be inaccessible to residents. Storage and labeling of flammable liquid fuel containers shall meet requirements for portable tank storage in ch. SPS 314. A center shall limit total storage to 10 gallons in each of the separate buildings, except for the contents of the gasoline tanks of motor vehicles.