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REHS > Institutions and Housing - Saraniecki > Flashcards

Institutions and Housing - Saraniecki Flashcards

1
Q

What is the APHA Appraisal Method and what is the scale?

A

method of numerical rating by penalty scoring of the quality of housing in a define area
evaluations based on physical facilities, quality of maintenance, and density of occupancy
Zero is the unattainable perfect score
Theoretical max is 600
Practical max is 300
Median score is 75

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2
Q

What are the quality scores for APHA? (5)

A

A - Good
B - Acceptable
C - Borderline
D- Substandard
E - unfit for habitation

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3
Q

What is the NEEDS appraisal method?

A

Neighborhood Environmental Evaluation Decision System by US Public Health
Uses fewer variables than APHA to provide faster analysis

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4
Q

What are the general ventilation requirements?
Temporarily assembled public area?
Prison?
Bathrooms?

A

Public areas of temporary assembly - 33% outside fresh air, 15-20 cuft/person
correctional facilities - 33% fresh air
toilets/bathrooms - mechanical exhaust should supply 5 exchanges/hr, fans NOT activated by light switch
min 2 ft chimney clearance from roof peak

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5
Q

How do you calculate air exchange?

A

intake/room volume = air changes
air change volume/people = air change/person

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6
Q

What is a nosocomial infection?

A

infections patients acquire while admitted to a health-care facility and generally develop 48 hours or later after admission

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7
Q

What is a sanitation risk found in nursing homes?

A

~5% of hospital patients incur nosocomial infections
large teaching hopitals have the highest rate
most common infection - urinary tract

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8
Q

How is nosocomial infection prevented in nursing homes?

A

handwashing
air handling and HVAC
equipment sterilization
food and water sanitation
laundering and linen handling
housekeeping
infection control committee

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9
Q

What other requirements are there for nursing homes?

A

beds 4 ft apart and one foot from wall
ventilation:
positive air pressure in non-infectious people’s rooms
negative air pressure in infectious people’s rooms
HEPA filtered positive air pressure in immunocompromised partient’s rooms
Exhausts with HEPA filter air from dirty laundry areas and isolation rooms

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10
Q

What are the institutional laundry procedures?

A

correct chlorine dilution in wash water
drying temp of 170F
wash water temps of 160-167F for 25 mins
clean linen room - positive air pressure
dirty linen room - negative air pressure
single combined room - positive pressure from clean to dirty
separate bathrooms for clean and dirty rooms

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11
Q

What are the general standards for outdoor play areas of a daycare?

A

Directly adjoining or 1/8th a mile
75 sqft/child >2yo using the playground at one time
33 sqft/infant
50 sqft/child 18-24 months
based on 33% licensed occupancy
fencing 4 ft high, bottom fence gap no bigger than 3.5 in
Rooftop fence >6ft with direct rooftop fire escape
exit min 36 in

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12
Q

What is playground soil analyzed for and why?

A

lead (Pb)
initially and every 2 years if Pb paint on exterior
not to exceed 500 ppm
toddler blood action level is 5 micrograms/dL

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13
Q

What are electrical standards for playgrounds?

A

safety covers on outlets
GFCI on outlets within reach of water source, tested every 3 months

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14
Q

What are approved playground surfaces? (7)

A

any material tested to ASTM F1292:
unitary surfaces
engineered wood fiber
pea gravel
sand
shredded/recycled rubber mulch
wood mulch not chromated copper arsenate treated
wood chips

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15
Q

What are unapproved playground materials? (4)

A

asphalt
carpet not tested to ASTM F1292
dirt
grass

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16
Q

When should water testing occur at day cares?

A

every 3 years regardless of source
bacterial and chemical

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17
Q

What are acceptable temperature ranges for day cares ?

A

winter - 65-75F, 30-70% humidity
summer - 68-82F, 30-70% humidity

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18
Q

What kind of sleeping arrangements are permitted at daycares?

A

infant walkers PROHIBITED, kids were getting hurt
pads and sleeping bags on floor ok as long as 65F or warmer
cribs, cots, sleeping bags, mats, pads at least 3’ apart unless there is a screen, but staff must be able to see kids
no bunk beds for kinds under 6 years old

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19
Q

What amount of space is required per child in the classroom?

A

2-12 40sqft
under 2 35 sqft

20
Q

What type of plumbing requirements are there in daycares?

A

centers with more than 30 children needs a mop sink
minimum of one hand washing sink for every 2 changing tables within arm’s reach
homes and large centers need hand washing sink within 10ft of changing table

21
Q

How should Meningococcal disease be handled in a daycare?

A

Rx antibiotics to be administered by staff to children with parental permission

22
Q

How should Streptococcus A infections be handled in a daycare?

A

24 hr exclusion of child
post Rx antibiotic administration

23
Q

What should you do with a child with a non febrile cold in a daycare?

A

Shall not be sent home or separated

24
Q

How is oral herpes infection handled in a daycare?

A

excluded from child care unless secretions are controlled

25
Q

How is Chicken pox handled at a daycare?

A

notify all staff and parents
exclude children until sores have dried and crusted

26
Q

What should be done if a child has diarrhea at daycare?

A

exclude children with diapers

27
Q

What should be done if a child has scabies at daycare?

A

exclude the child

28
Q

What should be done when a child has head lice at day care?

A

exclude but do not send home early
notify parents and exclude until properly treated

29
Q

What should be done if a child has ringworm at daycare?

A

if child is receiving treatment, no exclusion

30
Q

What are the bacteria commonly found in daycares? (5)

A

Cryptosporidium spp.
Giardia lamblia
Salmonella
Shigella sonnei
E. coli of all kinds

31
Q

What are general requirements for temporary residences such as camps?

A

sleeping quarters 40 sq ft floor/bed
head to foot sleeping
3 ft min spacing between beds
10 sqft for a footlocker and clothes closet
ceiling 7 ft + for 80% occupancy
Rec and assembly rooms 20-25 sqft/person

32
Q

What are water and sewage setbacks for temporary residences?

A

Water outlet available within 100ft any structure or recreational area
common drinking cup prohibited
privy 100ft from well, lake, stream
privy 50ft from sleeping area
sewage disposal 100ft from lakes and water supply

33
Q

What are general requirements for travel trailer parks?

A

roads min 18 ft wide
max 25 trailer spaces per acre
10 ft apart from other trailer or structure
rec area 8% or 2500 sq ft min

34
Q

What are the water requirements for travel trailer parks?

A

100gal water/connected trailer space daily
50gal per space without connections
water supply 4in above ground
connection 3/4inch valve with 20lbs pressure

35
Q

What are the sewer requirements for a travel trailer park?

A

4 in sewer connection 4 in above ground at site
sewage treatment 100gal/space/day
refuse - 30gal/space, max of 150ft away

36
Q

What is the water/sewer line separation rule?

A

water and sewer lines must be laid below the frost line, usually 5’
the two lines must be kept apart at minimum 10’ horizontally, 18” vertically

37
Q

What are the general requirements for mass gatherings?

A

planning is key
space: 50 sqft/person in assembly area
250 sq ft for person in campground areas

38
Q

What are the water assumptions made for mass gatherings?

A

potable water: 1 pint/person/hour
toilets - based on 4 hours but add 40% if alcohol served
- separate bathrooms for each sex
-one toilet fixture/100 people, 40% urinals for men
-one hand washing sink/100 people
One drinking fountain/500 people

39
Q

How are vectors controlled at mass gatherings?

A

max of 15 mosquito/biting flies per trap per night 48 hrs before event

40
Q

What are the requirements for unencumbered space per inmate in correctional facilities?

A

35 sqft not occupied by furnishings or fixtures
at least one wall dimension is 7’ or more
bed at least 12” off ground, plumbing fixtures, desk, locker required
at least 15 cuft outside air or recirculated filtered air per occupant

41
Q

What are noise and cleanliness requirements at correctional facilities?

A

noise 70 dBA day, 45 dBA night
clean clothes - three complete sets/week by self serve washers, central clothing exchange, NOT washbasin in cells
bedding and linen - cleaned weekly, 2 sheets, pillow, pillowcase, 1 mattress, blankets
bathing - shower at least 3x/week temps 100-120F, soap, toothbrush, toothpaste, comb, toilet paper
haircuts - comply with applicable health requirements

42
Q

What are the main risks at body art parlors?
Who regulates employee exposure?
Customer?

A

HIV, HBV, HCV via skin abrasions, eye, mouth, sharps
employee exposure regulated by OSHA
Customer exposure locally regulated

43
Q

What are some general requirements of body art parlors in regards to sanitation?

A

single use disposable razors and needles
biohazard disposal of sharps
hand washing sink immediately adjacent
single use inks and/or ink wells
clean and sterilized reusable tools and equipment
frequent cleaning
training requirements

44
Q

How does an autoclave typically work?

A

Steam heat
15 lbs pressure 250F for 25 mins
Achieve sterility assurance level (SAL) of 10^-6

45
Q

How do you validate sterilization in an auto clave?

A

autoclave tape - color change sticky tape
high strength bag - color changing imprint
Bacillus stearothermophilis

46
Q

What is the ADA slope ratio for the following?
accessible parking and cross slopes:
sidewalks:
ramps, curb cuts:
curb cut flared sides:
beveling level changes at thresholds?

A

accessible parking and cross slopes: 1:50
sidewalks: 1:20
ramps, curb cuts: 1:12
curb cut flared sides: 1:20
beveling level changes at thresholds?: 1:2

47
Q

What are general building requirements of restaurants?

A

5% but no less than one of fixed tables to be accessible
counters and bars to have accessible area 60” long
36” wide clear access aisle to be provided to accessible seating
food service line 36” min, tray slides mounted max 34”
tableware and condiment areas to be within reach ranges
vending machines to have operable parts within reach

REHS (47 decks)

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