2600, Facilities

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Revision 24-2; Effective Sept. 20, 2024

2610 Facilities and Equipment

Revision 25-3; Effective Sept. 1, 2025

Grantees must:

  • Maintain a safe environment and have appropriate exterior signage to identify funded entity as a health care facility.
  • Provide clean and well-maintained facilities where services can be delivered with space for exam rooms, client intake, waiting areas and space for clinical and administrative staff.
  • Have written policies and procedures that address the handling of hazardous materials, fire safety and medical equipment.

Hazardous Materials

Grantees must have written policies and procedures that address:

  • the handling, storage and disposal of:
    • hazardous materials and waste per applicable laws and regulations;
    • chemical and infectious waste, including sharps; and
  • an orientation and education program for personnel who manage or have contact with hazardous materials and waste.

Fire Safety

Grantees must have a written fire safety policy that includes a schedule for testing and maintenance of fire safety equipment. Evacuation plans for the premises must be clearly posted and visible to all staff and clients.

Medical Equipment

Grantees must have a written policy and maintain documentation of the maintenance, testing and inspection of medical equipment, which includes an automated external defibrillator (AED). Documentation must include:

  • assessments of the clinical and physical risks of equipment through inspection, testing and maintenance;
  • reports of any equipment management problems, failures and user errors;
  • an orientation and education program for personnel who use medical equipment; and
  • manufacturer recommendations for the care and use of medical equipment.

Radiology Equipment and Standards

All facilities that provide radiology services must:

Refer to the Texas Department of State Health Services, Radiation Control Program for information on X-ray machine registration.

Smoking and Vaping Ban

Grantees must have a written policy that prohibits smoking and vaping in any portion of their indoor facilities. If a grantee subcontracts with another entity to provide health services, the subgrantee must comply with this policy.

Disaster Response Plan

Grantees must have written and verbal plans that address how staff are to respond to emergency situations such as fires, flooding, power outages and bomb threats. The disaster plan must identify the procedures and processes to be initiated during a disaster and the staff position responsible for each activity. A disaster response plan must be in writing, formally communicated to staff and kept in the workplace available to employees for review. An employer with 10 or fewer employees may communicate the plan to them verbally.

Refer to the Help for Employers | OSHA.gov | Occupational Safety and Health Administration for more resources on facilities and equipment.

Clinical Emergencies

Grantees must adequately prepare to handle clinical emergency situations. Each site must:

  • have a written plan for the management of on-site medical emergencies, emergencies that require ambulance services and hospital admission.
  • have staff trained in basic cardiopulmonary resuscitation (CPR) and emergency medical action. Staff trained in CPR must be present at all hours of clinic operations.
  • maintain emergency resuscitative drugs, supplies and equipment appropriate to the services provided at that site and appropriately trained staff when clients are present.
  • maintain documents in personnel files that confirm staff are trained in the written plans or protocols.

Suicide Prevention

Grantees must display signage related to suicide prevention, including the 988 Suicide and Crisis Lifeline. This signage must be displayed in areas where clients and the public can easily refer to them, such as lobbies, waiting rooms, front reception desks and locations where people apply for and receive services.

Examples of a suitable flyers are on the Substance Abuse and Mental Health Services Administration (SAMHSA) website at:

Additional mental health and suicide prevention resources are available at: