COMMUNITY RESIDENTIAL CARE FACILITY WALK-THRU CHECKLIST

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COMMUNITY RESIDENTIAL CARE FACILITY WALK-THRU CHECKLIST Reg 61-84, Standards For Licensing Community Residential Care Facilities Facility Date SECTION CLASS DESCRIPTION 103.B II Copy of 61-84 103.E I Bed capacity Census 103.H II License posted in a conspicuous place 503.A-C I Appropriate staffing 704.A III Record accommodations appropriate and secure 903.D III Adequate recreational supplies 903.E III Monthly recreational schedule posted 905.A-D I No restraints used unless in emergency/documented 1001.B II Bill Of Rights/Omnibus Adult Protection Act posted 1206.A-G I Meds properly stored 1300 Meal service (use form) 1402 III Emergency numbers posted 1503.B I Evacuation plan posted 1601.A II Maintenance 1703.A I Interior housekeeping to include safe storage of harmful agents 1703.B II Exterior housekeeping 1704 I Proper disposal of infectious waste 1705.A-D II Proper pet handling 1706.A-B II Proper handling of clean/soiled linens 2201.A-D I Proper installation, location, & maintenance of fire extinguishers 2205 I Proper storage & handling of flammable liquids 2206.A-B I Proper storage & handling of flammable gases (including no smoking sign) 2207.A I Facility free of fire hazards or impediments to fire prevention 2207.B I No portable heaters 2207.C I Screens/Partitions in front of fireplaces/stoves 2301.C-D I Requirements for locked doors met 2301.E I Requirements for fire alarm pull station met 2301.F I Halls free of obstructions 2301.G I Residents requiring physical/verbal assistance to exit not located above/below exit floor 2403.A I Water temp 100-120° 2403.D I Laundry water temp 160° or <110° if bleach and hot air dry Used 2503.A-E I-III Adequate lighting 2506.A-C I Proper exit signs 2507.A-D I Proper emergency electric services

COMMUNITY RESIDENTIAL CARE FACILITY WALK-THRU CHECKLIST (CONT'D) Reg 61-84, Standards For Licensing Community Residential Care Facilities Facility Date SECTION CLASS DESCRIPTION 2601.C II Facility temperature 72-78° in resident areas 2601.F II Air filters clean 2601.H II Bath/Restroom windows operable or mechanical ventilation 2702.A II Resident room furnishings 2702.C I No beds in locations other than resident rooms 2702.D II For new facilities, no more than 3 beds per resident room (see section 103.C for existing) 2702.G II Portable commodes used only at night or temporary illness, and suitably stored at all other times 2702.H I Side rails utilized when ordered by a physician or other authorized healthcare provider 2702.I III Privacy arrangements for semi-private room 2702.J III One full-length mirror in each resident room 2703.D II 3 feet between beds 2704.D II Liquid soap in public restroom and bathrooms used by more than one resident, and individual sanitary method of drying hands available at each lavatory 2704.F II All tubs, showers, and toilets equipped with grab bars 2704.K II Mirror above each lavatory in bathroom 2704.L II Adequate supply of toilet paper in each bathroom 2704.M II Waste receptacle in restroom (women's covered) 2704.N II Bar soap and linens furnished to each resident 2708.A-F II Appropriate ramps installed 2711 II Screens for windows/doors intended for ventilation 2714.A III Adequate storage areas provided 2714.C I 18" clearance in storage areas between top of stored items and sprinkler heads 2714.E III Storage buildings secured and accessible 2714.F I In mechanical rooms used for storage, items located away from mechanical equipment and not type to create fire hazard 2714.G III Supplies/Equipment not stored directly on floor; supplies and equipment susceptible to water damage not stored under sinks 2715.A-B III Telephone service accessible to residents and staff 2717.A I Unsafe outdoor areas protected from residents 2717.E III Sufficient number of outside tables and chairs for Residents Division of Health Licensing, SCDHEC

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