What must be approved by the local health department in a facility?

The approval of the local health department is crucial for various systems within a facility, as these components are essential to ensuring the health and safety of residents. The correct answer encompasses the water supply, sewage disposal, garbage, and trash disposal systems, all of which are fundamental in maintaining sanitary conditions within nursing homes.

The water supply must be safe for consumption and consistently supplied to meet the needs of the facility’s residents and staff. Sewage disposal systems are crucial for preventing contamination and ensuring that waste is processed and disposed of correctly, which is vital for public health.

Garbage and trash disposal systems also require oversight to prevent unsanitary conditions that could lead to health issues. By having all these systems approved by the local health department, facilities ensure compliance with health regulations and standards designed to protect residents and staff from potential hazards associated with improper waste management and water supply issues.

Therefore, it is clear that the comprehensive inclusion of these systems in the approval process is necessary for maintaining the overall hygiene and operational integrity of the nursing facility.