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Rules and Regulations of the State of Georgia
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Subject 290-2-21 BUILDINGS, GROUNDS, AND EQUIPMENT

Rule 290-2-21-.01 Location

(1) The Maternity Home shall be located advantageously to medical services, to transportation, to churches, to shopping districts, and to recreation resources.
(2) No Maternity Home shall be located in an area in which industries or rooming houses predominate.

Rule 290-2-21-.02 Construction

(1) Any individual or group which proposes to build a new maternity home or any maternity home planning for extensive remodeling shall comply with local building codes in all such construction. Building plans shall be submitted to the Department of Human Resources, Division of Community Services for approval and for referral to proper authorities. Rooms should he planned to accommodate not more than two (2) unmarried mothers. Some single rooms are desirable. A recreation room for the exclusive use of the unmarried mothers shall be provided. A room insuring privacy where unmarried mothers can visit with their families shall be provided. A recovery room shall be provided on the first floor when unmarried mothers are housed on the second floor.
(2) Separate, private offices shall be provided for the casework staff when the offices are housed in the Maternity Home.
(3) An isolation room and bath for unmarried mothers admitted prior to examination for communicable diseases shall be provided.

Rule 290-2-21-.03 Maintenance

The buildings, grounds, and equipment shall be kept clean and in good repair.

Rule 290-2-21-.04 Health Aspects

(1) General Sanitation. Proper facilities for sanitation shall be provided throughout the building and premises for the purpose of insuring cleanliness and protection against disease.
(2) Water. Drinking water shall be supplied from an approved public supply if available; if not available, the private system shall comply with county and State ordinances and codes.
(3) Sewerage. Sewerage shall be disposed of through municipal systems where such are available. If municipal systems are not available, the private system shall comply with the existing local and State ordinances.
(4) Heat, Light, and Ventilation.
(a) Heating facilities shall conform to recommendations of competent heating and plumbing engineers. All heating systems shall be installed with safety devices, to prevent fire, explosion and other hazards.
(b) Natural light shall be available in every room used by the unmarried mother and staff. Window areas shall not be less than 1/6 of the floor area of each room.
(c) In combination with natural light, electric lighting shall be installed of sufficient quantity and diffusion as to prevent injury to eyesight.
(d) Natural ventilation shall be available in every room used by the unmarried mother and staff. Cross ventilation shall be provided in sleeping rooms. Rooms which are abnormally damp shall not be used as living quarters.
(5) Bath and Toilet Facilities.
(a) There shall be an adequate supply of hot and cold water to serve the Maternity Home. Toilet facilities shall be maintained in a sanitary condition equal to standards prescribed by the local health department or the Department of Human Resources.
(b) There shall be separate toilet and bath facilities for the unmarried mothers and staff.
(c) There shall not be less than one lavatory with hot and cold water, one toilet, and a bathtub or shower for every four unmarried mothers. Both tubs and showers are desirable, one or the other to be used in accordance with the physician's recommendations.
(d) All showers, tubs, and toilets should be in stalls with provision for privacy.
(6) Sleeping Facilities.
(a) The area of a sleeping room shall not be less than 700 cubic feet per unmarried mother in single rooms, and 500 cubic feet per unmarried mother in multiple rooms.
(b) Each unmarried mother shall have a separate bed which has substantial springs, a comfortable mattress, and suitable bed covering.
(c) Beds shall be at least four feet apart at the head, foot, and sides.
(d) Each unmarried mother shall have adequate closet and drawer space for personal possessions in the room assigned to her.
(e) Sleeping quarters shall not be below the ground level.
(7) Nursery.
(a) Size. The nursery shall be large enough to allow a minimum of 30 square feet of floor space and 300 cubic feet of air space per infant.
(b) Location, Ventilation, Lighting and Construction.
1. The nursery should be near the maternity rooms but out of the line of traffic.
2. There should be outside windows for lighting and ventilation. Temperature should be kept constant at about 80°F with a relative humidity of 50%.
3. Walls, ceiling, and floors should be washable.
(c) An isolation nursery should be equipped for use of any infant who is ill or suspected of being ill.

Rule 290-2-21-.05 Safety Aspects

(1) General. Secure railing shall be provided for flights of more than four steps and for all galleries more than four feet from the ground.
(2) Fire Prevention.
(a) Serious consideration shall be given to see that the buildings are so constructed, equipped and located as not to be fire hazards.
(b) If the buildings are of frame construction they shall be over 70 feet apart at the nearest points.
(c) All electrical and heating installations shall be approved by Underwriters Laboratory or other nationally recognized testing laboratory, and shall be installed accordingly.
(d) Inflammable material, such as gasoline, kerosene, fuel oil, etc., shall be stored according to regulations as set forth in the Georgia Safety Fire Law.
(3) Fire Protection.
(a) The staff in the Maternity Home shall be trained in properly reporting a fire, in evacuating the building.
(b) There shall be at least one fire extinguisher for every 2000 square feet of floor area and for each floor. Fire extinguishers shall be provided in accordance with the recommended standards of the National Fire Protection Association for First Aid Fire Fighting Appliances. They shall be inspected regularly and kept charged and filled at all times.
(c) There shall be more than one means of egress leading to the outside of buildings from each floor; such exits should open outward and should not be locked from the inside.
(d) Fire exits (doors, hallways and stairs) shall be kept well-lighted, clean and ready for instant use.
(e) The required exit signs should remain in place and exit lights kept on.
(f) Fire alarm sounding devices shall be installed so as to be audibly heard throughout the building.
(g) A certificate of occupancy shall be obtained from the State Fire Marshal for all buildings.

Rule 290-2-21-.06 Inspection

All Maternity Homes shall request and secure inspections at least annually from local and state health authorities and from local or state fire safety authorities. Reports of such inspections shall be submitted to the Division of Community Services.