Sanitary rules for organizations for orphans and children left without parental care. With amendments and additions from the Sanitary Rules for Social Institutions

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On approval of SanPiN 2.4.3259-15 "Sanitary and epidemiological requirements for the arrangement, maintenance and organization of the working hours of organizations for orphans and children left without parental care"

CHIEF STATE SANITARY PHYSICIAN OF THE RUSSIAN FEDERATION

RESOLUTION

On approval of SanPiN 2.4.3259-15 "Sanitary and epidemiological requirements for the arrangement, maintenance and organization of the working hours of organizations for orphans and children left without parental care"

In accordance with the Federal Law of March 30, 1999 N 52-FZ "On the sanitary and epidemiological well-being of the population" (Collected Legislation of the Russian Federation, 1999, N 14, art. 1650; 2002, N 1 (part 1), art. 2; 2003, N 2, item 167; N 27 (part 1), item 2700; 2004, N 35, item 3607; 2005, N 19, item 1752; 2006, N 1, item 10; N 52 (Part 1) Article 5498; 2007 N 1 (Part 1) Article 21; Article 29; N 27, Article 3213; N 46, Article 5554; N 49, Article 6070; 2008, N 24 , art.2801; N 29 (part 1), art.3418; N 30 (part 2), art.3616; N 44, art.4984; N 52 (part 1), art.6223; 2009, No. 1, article 17; 2010, No. 40, article 4969; 2011, No. 1, article 6; No. 30 (part 1), article 4563, article 4590, article 4591, article 4596; N 50, article 7359; 2012, N 24, article 3069; N 26, article 3446; 2013, N 27, article 3477; N 30 (part 1), article 4079; N 48, article 6165; 2014, N 26 (part 1), art. 3366, art. 3377; 2015, N 1 (part I), art. 11), Federal Law of 06.24.99 N 120-FZ "On the basics of the system for the prevention of neglect and delinquency minors" (Collected Legislation of the Russian Federation, 1999, N 26, Art. 3177; 2001, N 3, Art. 216; 2003, N 2 8, art. 2880; 2004, N 27, article 2711; N 35, art. 3607; N 49, art. 4849; 2005, N 1 (part 1), art.25; N 17, art. 1485; 2006, N 2, article 174; 2007, N 27, article 3215; N 30, art. 3808; N 31, art. 4011; N 49, art. 6070; 2008, N 30 (part 2), art. 3616; 2009, N 42, art. 4861; 2011, N 1, article 39; N 7, art. 901; N 49 (part 5), art. 7056; 2012, N 53 (part 1), art. 7622; N 53 (part 1), art. 7644; 2013, N 19, article 2331; N 23, art. 2878, N 27, art. 3477; N 48, art. 6165; N 52 (part I), art. 7000; 2014, N 14, article 1554; N 23, art. 2930; N 42, art. 5609; 2015, N 1 (Part I), Art. 42), Decree of the Government of the Russian Federation dated May 24, 2014 "On the activities of organizations for orphans and children left without parental care, and on the placement of children left without parental care in them" (Collection of Legislation of the Russian Federation, 2014, N 22, Art. 2887) and Decree of the Government of the Russian Federation of July 24, 2000 N 554 "On Approval of the Regulations on the State Sanitary and Epidemiological Service of the Russian Federation and the Regulations on State Sanitary and Epidemiological Rationing" (Collection of Legislation Russian Federation, 2000, N 31, Art. 3295; 2004, N 8, Art. 663; 2004, N 47, Art. 4666; 2005, N 39, Art. 3953)

I decide:

1. Approve the sanitary and epidemiological rules and regulations SanPiN 2.4.3259-15 "Sanitary and epidemiological requirements for the arrangement, maintenance and organization of the working hours of organizations for orphans and children left without parental care" (Appendix).

2. Enact the sanitary and epidemiological rules and regulations SanPiN 2.4.3259-15 "Sanitary and epidemiological requirements for the device, maintenance and organization of the working hours of organizations for orphans and children left without parental care" from September 1, 2015.

3. Consider invalid sanitary and epidemiological rules and regulations:

- SanPiN 2.4.1201-03 "Hygienic requirements for the arrangement, maintenance, equipment and mode of operation of specialized institutions for minors in need of social rehabilitation" approved by the Decree of the Chief State Sanitary Doctor of the Russian Federation dated 11.03.2003, N 13 and registered by the Ministry of Justice of Russia on 21.03. 2003, registration N 4304;

- SanPiN 2.4.2200-07 "Change N 1 to SanPiN 2.4.1201-03 hygienic requirements for the arrangement, maintenance, equipment and mode of operation of specialized institutions for minors in need of social rehabilitation", approved by the decision of the Chief State Sanitary Doctor of the Russian Federation of April 28 .2007 N 23 and registered by the Ministry of Justice of Russia on 06/07/2007, registration N 9616;

- SanPiN 2.4.2840-11 "Changes N 2 to SanPiN 2.4.1201-03 "Hygienic requirements for the arrangement, maintenance, equipment and mode of operation of specialized institutions for minors in need of social rehabilitation", approved by the decision of the Chief State Sanitary Doctor of the Russian Federation dated 03/04/2011 N 16 and registered by the Ministry of Justice of Russia on 03/29/2011, registration N 20328.

A.Yu.Popova

Registered
at the Ministry of Justice
Russian Federation
March 26, 2015
registration N 36571

Sanitary and epidemiological rules and regulations SanPiN 2.4.3259-15. Sanitary and epidemiological requirements for the device, content and organization of the working hours of organizations for orphans and children left without parental care

APPROVED
resolution
Chief State
sanitary doctor
Russian Federation
dated February 9, 2015 N 8

Sanitary and epidemiological rules and regulations SanPiN 2.4.3259-15

I. General provisions and scope

1.1. These sanitary and epidemiological rules and regulations (hereinafter referred to as the sanitary rules) are aimed at protecting the health of children in the implementation of activities for the upbringing, education, physical development, health improvement, habilitation and rehabilitation, as well as care and supervision in organizations for orphans and children left behind. without parental care, as well as in organizations that provide temporary residence and social rehabilitation of minors who find themselves in a difficult life situation and need social assistance states (hereinafter respectively - the organization for orphans; children).

1.2. These sanitary rules establish sanitary and epidemiological requirements for:

- conditions for placement of organizations for orphans;

- conditions of stay and residence of children in the organization for orphans;

- equipment and maintenance of the territory of the organization for orphans;

- the building and equipment of the premises of the organization for orphans;

- air-thermal regime;

- natural and artificial lighting;

- water supply and sewerage;

- daily routine and organization of the educational process, the process of social adaptation;

- catering;

- medical support;

- physical education;

- sanitary condition and maintenance of the premises and territory of the organization for orphans;

- observance of personal hygiene by the staff of the organization for orphans.

1.3. These sanitary rules are binding on all citizens, legal entities and individual entrepreneurs whose activities are related to the design, construction, reconstruction, overhaul and operation of facilities of organizations for orphans: educational organizations, medical organizations and organizations providing social services in which orphans and children left without parental care are placed under supervision.

1.4. Previously built buildings of organizations for orphans are operated in accordance with the project according to which they were built.

1.5. These sanitary rules do not apply to families raising children in various forms family arrangements (guardianship, guardianship, family orphanages, foster families).

1.6. Children from birth to the age of 3 are placed under supervision in organizations providing social services or educational organizations that create conditions designed for the upbringing and living of children of this age group.

1.7. Children from birth to 3 years of age are placed under supervision in medical organizations in the event that the state of health of the child requires the provision of primary specialized health care (medical rehabilitation) in the conditions of this organization. The period of stay of a child can be extended until the child reaches the age of 4 years inclusive only by decision of the head of the medical organization with the consent of the guardianship and guardianship authority.

1.8. Children from the age of 3 years and until reaching the age of majority or recognizing children in accordance with the legislation of the Russian Federation as fully capable are placed under supervision in organizations providing social services. Children under supervision in organizations providing social services receive preschool, primary general, basic general, secondary general education in the nearest preschool educational organizations and educational organizations.

1.9. Children from the age of 3 years and until reaching the age of majority or recognizing children in accordance with the legislation of the Russian Federation as fully capable are placed under supervision in educational organizations, provided that it is impossible for children to receive preschool education, primary general, basic general, secondary general education in nearby preschool educational organizations and educational organizations.

1.10. Children with disabilities, in accordance with the recommendations of the psychological, medical and pedagogical commission, are trained according to adapted general education programs.

1.11. It is allowed to live together and stay in an organization for orphans of children of different ages and health conditions who have family ties: full and half brothers and sisters, children - members of the same family or children who are related, and / or who were previously brought up together in one family.

1.12. Organizations for orphans provide conditions for the stay of children in them that meet the requirements of these sanitary rules.

1.13. Control over the implementation of these sanitary rules is carried out in accordance with the legislation of the Russian Federation by bodies authorized to carry out federal state sanitary and epidemiological surveillance.

II. Requirements for the placement of organizations for orphans

2.1. Organizations for orphans are located on the intra-quarter territories of residential microdistricts, outside the sanitary protection zones of enterprises, structures and other objects and at distances that provide standard levels of noise and pollution atmospheric air for residential area.

To ensure the normative levels of insolation and natural lighting of premises and playgrounds when placing buildings of organizations for orphans, sanitary gaps from residential and public buildings must be observed, in accordance with the requirements established by the sanitary rules SanPiN 2.2.1 / 2.1.1.1076-01 "Hygienic requirements for insolation and sun protection of premises of residential and public buildings and territories "(approved by the Decree of the Chief State Sanitary Doctor of the Russian Federation of October 25, 2001 N 29, registered by the Ministry of Justice of Russia on November 12, 2001, registration N 3026) (hereinafter - SanPiN 2.2.1 / 2.1. 1.1076-01).

2.2. The main engineering communications of water supply, sewerage, heat supply, and power supply should not pass through the territory of organizations for orphans.

2.3. Placement of organizations for orphans is allowed in separate buildings, built-in, built-in-attached premises in residential buildings, attached to the ends of residential buildings, in residential premises of the housing stock.

2.4. Organizations for orphans that do not carry out educational activities are recommended to be located near educational organizations, taking into account the radius of walking distance in accordance with the requirements established by the sanitary rules SanPiN 2.4.2.2821-10 "Sanitary and epidemiological requirements for the conditions and organization of education in educational institutions" ( approved by the Decree of the Chief State Sanitary Doctor of the Russian Federation dated December 29, 2010 N 189, registered by the Ministry of Justice of Russia on March 3, 2011, registration N 19993), as amended by the decisions of the Chief State Sanitary Doctor of the Russian Federation: Resolution dated June 29, 2011 N 85, registered by the Ministry of Justice of Russia December 15, 2011, registration N 22637; Decree of December 25, 2013 N 72, registered by the Ministry of Justice of Russia on March 27, 2014, registration N 31751) (hereinafter - SanPiN 2.4.2.2821-10).

If the radius of walking distance is exceeded, transport services for children to the educational organization and back should be organized.

III. Requirements for the territory and its maintenance

3.1. The territory should be landscaped and landscaped. When landscaping, the use of poisonous and thorny plants is not allowed. Green spaces (trees, shrubs) should not reduce the natural light in the premises for the stay of children.

The territory of a separate building of an organization for orphans must have external electric lighting. The level of artificial illumination during the stay of children on the territory should be at least 10 lux at ground level at night, for visually impaired children - at least 40 lux.

3.2. If there is a dedicated territory of the organization for orphans, a recreation area, a play area, a physical culture and sports area, and an economic zone should be allocated.

The duration of insolation of the organization's playgrounds and sports grounds for orphans is determined in accordance with the hygienic requirements for insolation and sun protection of residential and public buildings and territories (SanPiN 2.2.1/2.1.1.1076-01).

3.3. To protect children from the sun and precipitation, a shady canopy is installed on the territory of the playgrounds.

It is allowed to install collapsible canopies, gazebos on the walking platform for their use in the summer.

3.4. Shade canopies are equipped with wooden floors at a distance of at least 15 cm from the ground or are made of other building materials that are harmless to human health.

Shady canopies for preschool children in I, II, III climatic regions are fenced on three sides, the height of the fence must be at least 1.5 m.

Canopies or walking verandas for young children (up to 2 years old) can be attached to the building of the organization for orphans and used as verandas for organizing walks or sleeping.

Shade canopies (walking verandas) attached to buildings should not obscure the premises for children and reduce natural light.

3.5. The territory of the organization for orphans is equipped with play and sports equipment in accordance with the growth and age characteristics of children. Playgrounds for preschool children are equipped with sandboxes.

3.6. When designing and building an organization for orphans, a recreation area is provided on the territory for outdoor games and recreation for school-age children, as well as for the implementation of educational programs that provide for outdoor activities.

The recreation area should be landscaped and located away from noise sources (sports fields, garages, workshops).

The composition, planning organization and equipment of playgrounds in the recreation area for school-age children must meet their age-related needs in various types of games and recreation.

3.7. Playground and sports ground surfaces should be well-draining and dust-free. It is allowed to cover the sites with building materials that are harmless to the health of children.

3.8. It is allowed to use sports facilities, the territory of squares, parks and other territories located near the organization for orphans and adapted for children to walk and exercise.

3.9. For the storage of strollers, sledges, bicycles, skis, toys and other equipment used on the territory, a special room or place is equipped.

3.10. For children with disabilities and children with disabilities on the territory of organizations under construction and reconstruction for orphans, measures are provided to create an accessible (barrier-free) environment.

3.11. On the territory of the organization for orphans with disorders of the musculoskeletal system, at the turns of the paths and sidewalks, recreation areas are equipped every 6 meters.

Objects (trees, bushes, poles and other obstacles) located on the territory of the organization for orphans should not be an obstacle for children to walk, walk and play on playgrounds and footpaths.

3.12. On the territory of separate buildings of organizations for orphans, two entrances (main and utility) are provided.

3.13. The economic zone is located on the border land plot away from playgrounds and sports grounds.

On the territory of the economic zone can be located: a garage, a vegetable store, storage facilities, places for drying clothes, airing and knocking out carpet products. In the absence of heating and centralized water supply, a boiler house and water supply facilities may be located on the territory of the economic zone.

3.14. In the economic zone, a platform with a hard surface for collecting garbage is equipped at a distance of at least 20 m from the building. Containers with lids are installed on site. The dimensions of the site must exceed the area of ​​the base of the containers. It is allowed to use other special closed structures for collecting garbage and food waste, including their placement on container sites of residential development adjacent to the territory of the organization for orphans.

The site is equipped with a fence on three sides, exceeding the height of the containers used.

3.15. Entrances and entrances to the territory of the organization, driveways, paths to outbuildings, to the garbage collection site are covered with asphalt, concrete or other hard surface.

3.16. Noise levels on the territory of the organization for orphans should not exceed the permissible levels established by sanitary standards SN 2.2.4 / 2.1.8.562-96 "Noise at workplaces, in residential, public buildings and in residential areas" (approved by the resolution of the State Committee for Sanitary and Epidemiological Supervision Russian Federation 31.10.96, N 36).

3.17. To prevent flooding and pollution of the territory, flood and storm water is diverted.

3.18. Cleaning is carried out daily on the territory of the organization for orphans.

In winter, the territory is cleared of snow as necessary, the territory can be sprinkled with sand. The use of chemical reagents is not allowed.

Waste bins are cleaned when they are 2/3 full. Waste bins are cleaned by specialized organizations.

3.20. The location on the territory of buildings and structures that are not functionally related to the organization for orphans is not allowed.

IV. Building and equipment requirements

4.1. During the construction of new buildings and the reconstruction of existing organizations for orphans, conditions for living, upbringing, education, medical support and social services, including living conditions created by the apartment type, to implement the principles family education in educational groups.

The buildings provide the following functional areas and premises:

a) for the residence of children and caregivers;

b) for recreation, games, activities;

c) for the storage of food products and food raw materials, cooking and eating;

d) for storage of means of individual movement, technical means of rehabilitation, sports equipment;

e) for medical care;

f) for carrying out rehabilitation measures;

g) administrative and economic purposes;

h) sanitary facilities.

4.2. It is not allowed to use basement floors and basements to accommodate rooms intended for children to stay in them.

4.3. Entrances to the building of the organization for orphans are equipped with vestibules or air and air-thermal curtains.

4.4. In order to create conditions for the stay of children with disabilities and disabled children in organizations for orphans during construction and reconstruction, measures are envisaged to create an accessible (barrier-free) environment that ensures the free movement of children in buildings and premises.

4.5. The number of children in an educational group under the age of 4 years should not exceed 6 people, at the age of 4 and older - 8 people.

If there are children under the age of 4 years and older in the educational group, the occupancy of the group should not exceed 6 people.

4.6. The set of premises for educational groups includes: living rooms (bedrooms); room for recreation and games (living room); room for classes (preparation of lessons); a room for receiving and (or) preparing food; sanitary facilities (sanitary facilities, shower or bathroom); teacher's room; dressing room (entrance).

Sanitary facilities and showers (bathrooms) are located in separate and/or combined rooms.

The minimum floor space is shown in Table 1.

Table 1. The composition and area of ​​the premises of the educational group

Table 1

4.7. For school-age children, living rooms (bedrooms) are provided separate for girls and boys. It is not recommended to stay in one living room (bedroom) for more than 4 children.

The number of sanitary facilities and showers (baths) must be at least two per educational group.

4.8. To store cleaning equipment on each floor of the building of the organization for orphans, special rooms are equipped with a drain and a place for drying rags.

4.9. Living rooms (bedrooms) are equipped with stationary beds in accordance with the growth and age characteristics of children, cabinets for storing children's personal belongings, bedside tables. Tables and chairs are allowed. Cabinets for storing personal belongings can be installed in other rooms of the educational group.

It is not allowed to use folding (cots) and transformable (pull-out, roll-out) beds.

In the presence of infants and young children up to a year, changing tables are installed.

4.10. The room for recreation and games (living room) is equipped with cabinets, cabinets, racks for storing games and toys, developing, educational equipment and inventory, publishing products, tables and chairs, upholstered furniture (sofas, armchairs) and other equipment.

Upholstered furniture (sofas, armchairs) should have a surface that is resistant to wet processing or covered with special removable covers that allow them to be washed.

In the presence of infants and young children up to a year old, playpens are installed.

4.11. Organizations for orphans use furniture and toys that are harmless to children's health and have documents confirming safety.

4.12. The room for classes (preparation of lessons) is equipped with office cabinets, tables and chairs in accordance with the growth and age characteristics of children.

4.13. When conducting classes for children using computer technology, the organization and mode of classes must comply with the requirements established by the sanitary rules SanPiN 2.2.2 / 2.4.1340-03 "Hygienic requirements for personal electronic computers and organization of work" (approved by a resolution of the Chief State Sanitary Doctor of the Russian Federation of 06/03/2003 N 118, registered by the Ministry of Justice of Russia on 06/10/2003, registration N 4673, as amended by the decisions of the Chief State Sanitary Doctor of the Russian Federation: Resolution of 04/25/2007 N 22, registered by the Ministry of Justice of Russia on 06/07/2007, registration N 9615; Decree N 48 of April 30, 2010, registered by the Ministry of Justice of Russia on June 7, 2010, registration N 17481; Decree of September 3, 2010 N 116, registered by the Ministry of Justice of Russia on October 18, 2010, registration N 18748).

4.14. Sanitary units are equipped with toilet bowls and wash basins. A disposable towel is placed next to the washbasin. It is allowed to use individual towels or electric towels. Soap, toilet paper and towels should be available at all times.

Shower rooms (bathrooms) are equipped with shower trays (bathtubs) with a shower screen on a flexible hose. Each child must be provided with an individual washcloth.

In sanitary facilities it is allowed to install a household washing machine.

4.15. The dressing room (entrance hall) is equipped with cabinets for separate storage of clothes and shoes.

In each educational group, conditions must be provided for drying outerwear and shoes for children. For these purposes, a specially allocated room (place) is equipped.

It is not allowed to dry linen, clothes and shoes in the room for recreation and games, living rooms (bedrooms), rooms for receiving and (or) cooking.

4.16. During the construction and reconstruction of buildings of the organization for orphans, the necessary set of medical facilities is determined by the volume of medical services provided.

Premises for medical purposes are equipped in accordance with the requirements established by the sanitary rules SanPiN 2.1.3.2630-10 "Sanitary and epidemiological requirements for organizations engaged in medical activities" (approved by the Decree of the Chief State Sanitary Doctor of the Russian Federation of May 18, 2010 N 58, registered by the Ministry of Justice of Russia on 09.08 .2010, registration N 18094).

4.17. The organization for orphans provides for a reception and quarantine department designed to accommodate newly admitted children in it for the period of establishing their presence or absence infectious diseases.

4.17.1. The admission and quarantine department is equipped with a separate entrance and consists of a reception and examination room, at least two isolation rooms, a canteen, a doctor's office, a medical office, sanitary facilities (a sanitary unit, a shower (bath) room).

4.17.2. The isolation wards are separated from the rest of the medical premises by a gateway with a washbasin.

The area of ​​the isolation wards is taken at the rate of 6.0 sq.m per 1 bed.

4.17.3. The medical office is located next to the isolation wards and has a separate entrance from the corridor.

4.17.4. The pantry of the receiving and quarantine department is equipped with washing baths and a tank for disinfecting dishes, a cabinet for storing dishes and inventory, a table.

4.18. The premises of the organization for orphans used for educational activities in the main general education programs must comply with the sanitary and epidemiological requirements for general education organizations (SanPiN 2.4.2.2821-10).

The premises of the organization for orphans used to carry out educational activities for additional general education programs must comply with the requirements established by the sanitary rules SanPiN 2.4.4.3172-14 "Sanitary and epidemiological requirements for the device, content and organization of the working hours of educational organizations for additional education of children" ( approved by the Decree of the Chief State Sanitary Doctor of the Russian Federation of July 4, 2014 N 41, registered by the Ministry of Justice of Russia on August 20, 2014, registration N 33660).

4.19. The organization for orphans is equipped with laundry rooms for washing bed linen, towels and personal belongings.

If there is no laundry for orphans in the organization, washing of linen and clothes using household washing machines or organizing centralized washing in other laundries is allowed.

It is not allowed to install a household washing machine in the cooking and / or eating room (kitchen).

4.20. In the presence and use of a pool for orphans in an organization, the requirements established by the sanitary rules SanPiN 2.1.2.1188-03 "Swimming pools. Hygienic requirements for the device, operation and quality of water. Quality control" (approved by a resolution of the Chief State Sanitary Doctor of the Russian Federation) must be observed dated January 30, 2003 N 4, registered by the Ministry of Justice of Russia on February 14, 2003, registration N 4219).

4.21. Children's furniture, developing, educational, gaming, sports equipment and inventory, publishing products, technical and audiovisual means must comply with sanitary and epidemiological requirements, be harmless to children's health and take into account the specifics of the organization of the pedagogical process and medical and rehabilitation activities, as well as correspond to growth and the age of the children.

V. Requirements for the equipment of premises for orphans with disabilities

5.1. Orphans with disabilities may be in organizations for orphans in educational groups of a compensatory, combined and health-improving orientation, in which conditions are provided for the organization of correctional work, including:

compensatory orientation - for the implementation of a qualified correction of deficiencies in the physical and mental development of children with disabilities (with severe speech disorders, with phonemic and phonemic disorders, deaf and hard of hearing, blind and visually impaired, with amblyopia, strabismus, with disorders of the musculoskeletal system, with mental retardation, with mental retardation, with autism, with a complex defect (a combination of two or more deficiencies in physical and (or) mental development, with other disabilities);

- health-improving orientation - for children with tuberculosis intoxication, frequently ill children and other categories of children who need a set of special health-improving measures;

- combined orientation - for the organization of joint upbringing and education of healthy children and children with disabilities.

The device, content and organization of work of organizations for orphans (educational groups) of a compensatory and combined orientation must comply with the requirements of these sanitary rules.

5.2. The placement of premises for orphans with disabilities (defects in physical development that impede movement, impaired coordination of movements, weakening or lack of vision, and others) should ensure the possibility of convenient movement of orphans inside the building.

5.3. The doors of entrances to buildings and premises, when opened, should not create obstacles for the passage of children. In rooms, external corners should be avoided, and existing corners should be rounded off.

5.4. For children with lesions of the musculoskeletal system, stairs are equipped with double-sided handrails, which are installed at two levels - at a height of 0.9 m and an additional lower handrail at a height of 0.5 m.

5.5. In rooms for children with visual impairments, the color of doors and door frames, protruding parts of buildings, the boundaries of steps, furniture and equipment should contrast with the color of the walls.

5.6. When using sound-amplifying equipment, soundproofing of ceilings and walls is provided (floors and walls must have high soundproofing properties).

5.7. Premises for recreation and games, living rooms (bedrooms), a room for classes (preparation of lessons) for blind, visually impaired children should have a southern and eastern orientation on the sides of the horizon.

5.8. The level of artificial illumination for blind and visually impaired children in rooms for recreation and games, rooms for classes (preparation of lessons) must be at least 600 lux; for children suffering from photophobia - no more than 300 lux.

5.9. Rooms for rest and games, a room for classes (preparation of lessons) for blind and visually impaired children must be equipped with a combined system artificial lighting.

To create light conditions for children with photophobia above their study tables, it is mandatory to separately switch on separate groups of general lighting lamps.

5.10. In speech therapy rooms, wall lamps of local lighting on brackets are installed near the mirror, allowing you to change the angle of inclination and the height of the light source.

5.11. In rooms for visually impaired children and children with mental retardation, single universal tables with adjustable parameters are recommended.

5.12. In rooms for children with impaired functions of the musculoskeletal system, special furniture is provided.

5.13. In the premises of the medical block for children with disabilities (having disabilities in physical and (or) psychological development), conditions must be created for organizing health-improving and preventive measures and for the implementation of medical and corrective and rehabilitation work.

5.14. In organizations for orphans (educational groups) for children with disorders of the musculoskeletal system, the swimming pool must have a device for lowering and raising children.

VI. Requirements for catering for orphans

6.1. When catering for children in the canteen, the requirements established by the sanitary rules SanPiN 2.4.5.2409-08 "Sanitary and epidemiological requirements for catering for students in general education institutions, institutions of primary and secondary vocational education" (approved by a resolution of the Chief State Sanitary Doctor of the Russian Federation dated July 23) must be observed .2008 N 45, registered by the Ministry of Justice of Russia on 08/07/2008, registration N 12085) (hereinafter - SanPiN 2.4.5.2409-08).

In organizations for orphans, where accommodation is organized according to the apartment type (according to the principles of family education), it is allowed to organize meals in the premises for receiving and (or) preparing food, while the arrangement, equipment and maintenance of premises for receiving and (or) preparing food , nutrition of children must comply with the requirements of paragraphs 6.2-6.14 of this chapter.

6.2. The room for receiving and (or) cooking is equipped with a refrigerator and technological equipment; stove with oven; two-section sink; utensils (dining room, kitchen), cutting equipment (boards, knives); work tables for cutting food and cooking (at least two); shelves and / or cabinets, cabinets for separate storage of dining room, kitchen utensils, cutting equipment and food products.

A dishwasher is allowed. In the presence of a dishwasher, a single-section sink is equipped.

6.3. Tables intended for food processing, utensils used for cooking and storing food must be made of materials approved for contact with food.

The surface of the tables should provide for wet cleaning with the use of detergents and disinfectants.

6.4. For cutting raw and finished products, you should have separate cutting tables, knives and boards, meat grinders, vegetable cutters. It is allowed to use a food processor with attachments for separate processing of raw and finished products.

6.5. For cutting raw and finished products, boards made of materials approved for contact with food, subjected to washing and disinfection, should be used. Boards should not have defects (slots, gaps, chips).

6.6. Cutting equipment (chopping boards, knives) is marked: "GP" - for finished products (for cutting boiled meat, boiled fish, boiled vegetables, herbs and other ready-to-eat food products), "SP" - for raw products (for cutting raw meat, raw fish, raw vegetables), "SK" - for raw chickens, "Gastronomy" - for cheese, butter, sausages; "Bread" - for bread, "Herring" - for herring.

6.7. Refrigeration equipment should provide conditions for the separate storage of raw and ready-to-eat foods that do not require heat treatment, as well as the storage of daily samples.

When using one refrigerator, storage of gastronomic products is carried out on the upper shelves, chilled meat, poultry, fish, semi-finished meat products, poultry, fish, vegetables - on the lower shelves.

6.8. The number of simultaneously used tableware and cutlery must not be less than the number of children in the group.

Meals for children are organized in a room for receiving and (or) cooking or in a room for children to relax and play. The number of seats should ensure that all children eat at the same time.

6.9. Children's nutrition should be organized in accordance with an approximate menu, designed for at least 2 weeks, taking into account the physiological needs for energy and nutrients for children of all age groups.

The nutrition of children under 3 years of age and children of older preschool age must comply with the requirements established by the sanitary rules SanPiN 2.4.1.3049-13 "Sanitary and epidemiological requirements for the arrangement, maintenance and organization of the working hours of preschool educational organizations" (approved by a resolution of the Chief State Sanitary Doctor of the Russian Federation dated 05/15/2013, N 26, registered by the Ministry of Justice of Russia on 05/29/2013, registration N 28564, as amended by the Decision Supreme Court Russian Federation dated 04.04.2014, N AKPI14-281) (hereinafter - SanPiN 2.4.1.3049-13).

The nutrition of school-age children must comply with the sanitary and epidemiological requirements for the organization of nutrition for students in educational institutions, organizations vocational education(SanPiN 2.4.5.2409-08).

For children with chronic diseases, nutrition should be organized in accordance with the principles of therapeutic and preventive nutrition for children with relevant pathologies based on appropriate nutritional standards.

To compile a sample menu, a collection of recipes for baby food is used. The repetition of the same dishes or culinary products on the same day and the next two days is not allowed.

6.10. Food products for cooking purchased in stores and markets must have marking labels (labels) and documents confirming the fact of purchase of food products ( cash receipt or a copy of the receipt and / or waybill and / or invoice), which are kept until the expiration date of food and dishes.

It is allowed to deliver ready meals and culinary products, semi-finished products from food processing plants or organizations Catering.

6.11. Delivery of ready meals should be carried out in isothermal containers. Ready first and second courses can be kept in isothermal containers (thermoses) that maintain the temperature of hot dishes +60°C ... +65°C before they are served, but not more than 2 hours.

6.12. In case of a centralized supply of food products and food raw materials (from a plant or a public catering organization), in order to confirm the quality and safety of products and food raw materials, it is allowed to indicate in the consignment note information about the number of the certificate of conformity, its validity period, the authority that issued the certificate, or registration number declaration of conformity, its validity period, the name of the manufacturer or manufacturer (supplier) that accepted the declaration, and the body that registered it.

6.13. When storing products, the storage conditions and expiration dates of the products specified by the manufacturer must be observed. It is not allowed to purchase and use food products with expired shelf life and signs of spoilage.

6.14. Cleaning of dining rooms, processing of technological and refrigeration equipment, kitchen and tableware, tables, cutting equipment must comply with the sanitary and epidemiological requirements for catering for students in general educational organizations and vocational education organizations (SanPiN 2.4.5.2409-08).

VII. Organization of the drinking regime

7.1. The drinking regime is organized using drinking water at room temperature, packaged in a container, or bottled, or boiled drinking water. In terms of quality and safety, drinking water must meet the requirements for drinking water. Boiled water is stored no more than 3 hours.

When using installations with metered bottling of drinking water packaged in containers, it is envisaged to replace the container as necessary, but no less than it is provided for by the shelf life of the opened water container established by the manufacturer.

In an organization for orphans, children should be provided with free access to drinking water.

Processing of dosing devices is carried out in accordance with the operational documentation (instruction) of the manufacturer.

7.2. When organizing a drinking regime using bottled water, a sufficient number of clean dishes (glass, earthenware or disposable cups) should be provided, as well as separate marked trays for clean and used glass or earthenware; containers - for collecting used disposable tableware. It is allowed for a child to use bottled drinking water directly from the consumer package if the volume of the package does not exceed 0.33 liters.

7.3. An organization for orphans must keep documents for bottled drinking water confirming its origin, quality and safety.

VIII. Requirements for interior decoration

8.1. All building and finishing materials must be harmless to the health of children. All building and finishing materials in the organization must have documents confirming their origin and safety.

8.2. Ceilings, walls and panels of all rooms must be smooth, without cracks, cracks, deformations, signs of fungus damage and traces of smudges.

Walls and panels should be made of materials that allow daily wet cleaning and disinfection.

Walls in rooms with a wet regime (showers, bathrooms, sanitary facilities), a catering unit (in a kitchen) are lined with glazed tiles or other moisture-resistant materials to a height of at least 1.8 m.

In rooms with high humidity (showers, bathrooms, sanitary facilities, a catering unit (kitchen), water-repellent (moisture-resistant) paints are used to finish the ceilings, in other rooms whitewash is used to finish the ceilings.

8.3. The floors in the premises should be smooth, tightly fitted, without cracks and defects. Skirting boards should fit snugly against the walls and floor.

To finish the floors of all rooms, finishing materials are used that allow wet cleaning with the use of detergents and disinfectants. In the case of using a tile coating, the surface of the tile must be rough and non-slip. The floors of shower rooms, bathrooms, sanitary units, catering unit (kitchen) are lined with ceramic tiles or other similar materials.

8.4. The walls of the main premises of the organization (educational group) and equipment are painted with light-colored matte paints. It is possible to use wallpaper for interior decoration that allows wet cleaning.

8.5. All types of repair work in the presence of children.

IX. Requirements for water supply and sewerage

9.1. Buildings of organizations for orphans are equipped with cold and hot water supply systems, sewerage.

9.2. In the absence of centralized water supply in the settlement (cold and hot), a storage tank is equipped in the organization for orphans and water is supplied through the internal water supply system to the catering unit (kitchen), medical premises, laundry (laundry room), sanitary facilities.

9.3. Water must meet the sanitary and epidemiological requirements for drinking water.

9.4. Hot and cold water supply is provided for the premises of the catering unit (kitchen), medical premises, laundry (laundry), sanitary facilities.

Washbasins, washing bathtubs, shower installations (bathtubs) are provided with faucets.

9.5. Do not use hot water from the heating system.

9.6. In areas where there is no centralized sewerage, the buildings of organizations for orphans are equipped with internal sewerage with cesspools or local treatment facilities.

X. Requirements for air-thermal conditions

10.1. When designing organizations for orphans, the height of the premises and the ventilation system must provide hygienically reasonable air exchange indicators.

10.2. Buildings of organizations for orphans are equipped with heating and ventilation systems. Heating, ventilation and/or air conditioning systems must provide normalized parameters of the microclimate and indoor air.

Cleaning and control over the efficiency of ventilation systems is carried out at least once a year.

Use of portable heaters and heaters with infrared radiation is not allowed.

10.3. The air temperature in locker rooms, rooms for classes (preparation of lessons), living rooms (bedrooms), a room for eating, in rooms for rest and games (living rooms), sanitary facilities should be at least 20 ° C.

When airing, a short-term decrease in air temperature by no more than 2 ° C is allowed.

In medical premises, the microclimate parameters are adopted in accordance with the sanitary and epidemiological requirements for organizations engaged in medical activities.

10.4. To control the temperature regime, living quarters (bedrooms), recreation and games rooms, classrooms (preparation of lessons), medical facilities must be equipped with household thermometers, which are attached to the wall at a height of 1.2 m from the floor.

10.5. The relative humidity of indoor air in all periods of the year should be 40-60%, the speed of air movement - no more than 0.1 m / s. In the production premises of the catering unit (kitchen) and the laundry room, the humidity should be no more than 70%.

10.6. All rooms must be ventilated daily. Through and corner ventilation of the premises is carried out. It is not allowed to ventilate the premises through the toilet rooms.

Airing is carried out through transoms and vents in the absence of children and ends in 30 minutes. until they return from a walk or class. In living quarters (bedrooms), airing is carried out before the children go to bed. Transoms and vents should function at any time of the year.

In the warm season, wide one-sided aeration of all rooms is allowed in the presence of children.

10.7. The concentration of harmful substances in indoor air should not exceed the maximum permissible concentrations (MPC) established by the hygienic standards GN 2.1.6.1338-03 "Maximum Permissible Concentrations (MPC) of pollutants in the atmospheric air of populated areas" (approved by the decision of the Chief State Sanitary Doctor of the Russian Federation dated 05/30/2003 N 114, registered by the Ministry of Justice of Russia on 06/11/2003, registration N 4679, as amended by resolutions of the Chief State Sanitary Doctor of the Russian Federation: resolution of 10/17/2003 N 150 (registered by the Ministry of Justice of Russia on 10/21/2003, registration N 5187); dated 03.11.2005 N 24 (registered by the Ministry of Justice of Russia on 02.12.2005, registration N 7225); by resolution of 03.11.2005 N 26 (registered by the Ministry of Justice of Russia on 02.12.2005, registration N 7224); by resolution of 19.07.2006 N 15 (registered by the Ministry of Justice of Russia July 27, 2006, registration N 8117); February 4, 2008 N 6 (registered by the Ministry of Justice of Russia on February 29, 2008, registration N 11260); Decree No. 49 of August 18, 2008 (registered by the Ministry of Justice of Russia on September 4, 2008, registration No. 12223); Decree No. 6 of January 27, 2009 (registered by the Ministry of Justice of Russia on February 16, 2009, registration No. 13357); Decree No. 22 of April 9, 2009 (registered by the Ministry of Justice of Russia on May 18, 2009, registration No. 13934); Resolution No. 26 of April 19, 2010 (registered by the Ministry of Justice of Russia on May 19, 2010, registration No. 17280); Decree No. 98 of July 12, 2011 (registered by the Ministry of Justice of Russia on August 30, 2011, registration No. 21709); Decree No. 27 of April 7, 2014 (registered by the Ministry of Justice of Russia on April 11, 2014, registration No. 31909); Decree No. 37 of June 17, 2014 (registered by the Ministry of Justice of Russia on July 4, 2014, registration No. 32967); Decree No. 76 of November 27, 2014 (registered by the Ministry of Justice of Russia on December 26, 2014, registration No. 35425); Decree No. 3 of January 12, 2015 (registered by the Ministry of Justice of Russia on February 9, 2015, registration No. 35937).

XI. Requirements for natural and artificial lighting and insolation

11.1. The premises must have natural and artificial lighting in accordance with the hygienic requirements for natural, artificial, combined lighting of residential and public buildings.

The absence of natural lighting in sanitary facilities, showers (bathrooms), storerooms and storage rooms is allowed.

11.2. Light openings in living quarters (bedrooms), recreation and games rooms, classrooms (preparation of lessons), depending on the climatic zone, are equipped with adjustable sun protection devices. Light-colored curtains (or blinds) with light-scattering and light-transmitting properties can be used as sun protection devices.

Shading of windows in residential premises (bedrooms) is allowed only during the sleep of children, the rest of the time the curtains are moved apart, providing insolation of the room.

In the non-working state, the curtains are placed in the piers between the windows.

11.3. Glazing of windows must be made of solid fiberglass. When replacing window blocks, the glazing area must be maintained or increased. Broken glass must be replaced immediately.

11.4. The levels of artificial lighting in the premises must comply with the requirements established by the sanitary rules SanPiN 2.2.1 / 2.1.1.1278-03 "Hygienic requirements for natural, artificial and combined lighting of residential and public buildings" (approved by the decision of the Chief State Sanitary Doctor of the Russian Federation of 04/08/2003 N 34, registered by the Ministry of Justice of Russia on April 23, 2003, registration N 4443, as amended by the Decree of the Chief State Sanitary Doctor of the Russian Federation of March 15, 2010 N 20, registered by the Ministry of Justice of Russia on April 8, 2010, registration N 16824).

11.5. Faulty, burnt-out fluorescent lamps are collected in a container in a specially designated room, inaccessible to children, and sent for disposal in accordance with the Rules for the treatment of production and consumption waste in terms of lighting devices, electric lamps, improper collection, accumulation, use, disposal, transportation and placement of which may cause harm to life, health of citizens, harm to animals, plants and environment(approved by Decree of the Government of the Russian Federation of 03.09.2010 N 681 (Collected Legislation of the Russian Federation, 2010, N 37, Art. 4695; 2013, N 40 (Part III), Art. 5086).

11.6. To maintain the required levels of artificial illumination, the fittings of the luminaires are cleaned as they become dirty, but at least twice a year, burned-out lamps must be replaced in a timely manner.

11.7. In residential premises (bedrooms), devices for emergency (night) lighting should be provided.

11.8. Lighting fixtures in rooms for pupils must have protective light-scattering fittings to ensure uniform illumination.

XII. Requirements for the regime of the day and the organization of the educational process

12.1. The regime of the day and the organization of the educational process in organizations for orphans is built taking into account the characteristics of health in a differentiated way for children of preschool and school age.

12.2. The daily routine for preschool children and the organization of the educational process, including physical education, is ensured in accordance with the sanitary and epidemiological requirements for the arrangement, content and organization of the working hours of preschool educational organizations (SanPiN 2.4.1.3049-13).

12.3. In the daily routine, physical activity should be up to 50% of the daytime for preschoolers and younger students, and up to 30% for older students.

In the afternoon, self-training of school-age children is organized, as well as various types of active activities and recreation: walks with outdoor games, excursions, socially useful work.

Finishing individual stages work should be given the opportunity for individual breaks.

After the completion of self-training, classes are held in circles, rehearsals, games, total duration no more than 1.5 hours.

Visiting and participation in cultural, entertainment and health-improving events are held in the middle of the week (Wednesday or Thursday), as well as on Saturday or Sunday.

12.4. Sports and physical culture events are held taking into account the state of health, physical fitness and health groups of children.

Work on physical education should be carried out under the supervision of the medical staff of the organization.

Orphans with disabilities are engaged in individual programs compiled by a doctor and a physical education teacher, taking into account the recommendations of medical specialists.

12.5. Hardening measures are carried out in accordance with the recommendations for hardening. It is not allowed to carry out hardening procedures immediately after eating and exercise with a heavy load.

12.6. Therapeutic and preventive procedures should be carried out taking into account the individual characteristics and health status of children.

12.7. Labor training and education is organized in accordance with the content of labor training programs and the interests of children.

12.8. When organizing socially useful labor, it is not allowed to involve children in work with harmful or dangerous working conditions, during which it is prohibited to use the labor of persons under 18 years of age, as well as in cleaning sanitary facilities and places common use, washing windows and lamps, removing snow from roofs, construction and repair types of work.

For agricultural work (practice) in regions of the II climatic zone, the first half of the day should be allocated, and in the regions of the III climatic zone - the second half of the day (from 16-17 hours) and the hours with the least insolation. Agricultural equipment used for work must be appropriate for the height and age of children. The allowable duration of work for children aged 12-13 is 2 hours; for pupils 14 years and older - 3 hours. Every 45 minutes of work, it is necessary to arrange regulated 15-minute breaks for rest.

12.9. When organizing sleep, the age norms of the daily need of children in sleep are taken into account: for children 6-7 years old - 11 hours, 8-9 years old - 11-10 hours 30 minutes, 10 years old - 10 hours 30 minutes. - 10 hours, 11-12 years old - 10-9 hours, 13-14 years old - 9 hours 30 minutes. - 9 hours, 15 years and older - 9 hours - 8 hours 30 minutes. The rise of children after a night's sleep is recommended not earlier than 7 o'clock in the morning.

It is recommended that children of primary school age go to bed no later than 21.00, children of middle and senior school age at 22.00-22.30.

For children of preschool and primary school age with deviations in the state of health, recovering from infectious diseases, quickly tiring, it is necessary to organize daytime sleep lasting 1.5-2 hours.

12.10. After a night's sleep in the day mode, morning exercises lasting at least 15 minutes should be provided.

12.11. Children's personal hygiene should include morning and evening toileting (including brushing teeth), washing hands before meals and as needed. Morning toilet in the daily routine is provided for at least 20 minutes, which is recommended to be combined with hardening procedures.

At least once every 7 days, children are bathed with hygiene procedures under the supervision of a teacher.

12.12. In the daily routine, meals are organized at least 5 times a day (breakfast, second breakfast, lunch, afternoon tea, dinner) with intervals between meals no more than 3.5 hours for preschool children and no more than 4 hours for school children. During the educational process, it is recommended to organize a second breakfast after the second or third lesson.

12.13. In the daily routine for children of school age, walks in the first and second half of the day should be provided with a total duration of at least 3.5 hours for children of primary school age and at least 2.5 hours for children of middle and senior school age.

An evening walk is recommended before dinner, after doing homework.

On weekends and vacation time, additional stay of children in the open air should be provided for conducting hobby classes, sporting events, excursions, hiking, and socially useful work.

12.14. When organizing the educational process in organizations for orphans, sanitary and epidemiological requirements for the conditions and organization of education in general educational institutions must be observed.

12.15. The daily routine provides time for the preparation of lessons (self-study) during the educational process. The time spent on preparing lessons (self-study) for students should not exceed (in astronomical hours): in grades 2-3 - 1.5 hours, in grades 4-5 - 2 hours, in grades 6-8 - 2.5 hours, in grades 9-11 - up to 3.5 hours.

The order in which homework is done is chosen by the children themselves at their own discretion.

Between training sessions and the start of preparing homework, a break of 2-2.5 hours should be provided for rest, walks.

12.16. The duration of watching TV shows for preschool children is recommended no more than 40 minutes a day, for elementary school children - 1 hour, for middle and senior school children - 1.5 hours.

12.17. The daily routine should include free time for younger students - 1-1.5 hours, for older students - 1.5-2 hours (for self-service, hobby classes).

XIII. Requirements for the sanitary maintenance of the territory, premises of the organization for orphans and the implementation of disinfection measures

13.1. Cleaning of the premises is carried out in the absence of children in the room every day at least once a day, and also, as necessary, with open transoms or windows using detergents, in accordance with the instructions for use.

Dirty surfaces (door handles, cabinets, window sills, switches, furniture, including tables) and places where dust accumulates (floors near baseboards and under furniture, radiators, lighting fittings, ventilation grilles) are washed daily. The surface of the window sills should be smooth, without chips, cracks and defects.

In residential premises (bedrooms), wet cleaning is carried out after a night's sleep; in the dining room, in the dining room - after each meal.

13.2. Each child is provided with a set of towels (for face and hands, for feet and bath), individual personal hygiene items (toothbrush, soap, washcloth, comb).

A newly placed child under supervision in an organization for orphans is given a clean set of bedding.

13.3. Three sets of bed linen are required per child, including towels and two sets of mattress toppers.

Bed linen and towels are marked individually for each child. Bed linen, except for pillowcases, is marked at the foot edge.

Bed linen and towels are changed as they get dirty, but at least once a week on the day of washing (bathing) children.

With centralized washing, clean linen from the laundry is delivered in a packaged form and stored in cabinets (racks).

13.4. The number of removable covers for upholstered furniture (sofas, armchairs) must be at least two sets.

Carpets should be vacuumed daily and brushed with a damp brush. It is allowed to use a vacuum cleaner with a wet mode of operation (washing vacuum cleaner). Replaceable covers for upholstered furniture are washed.

In sports halls used sports mats, carpet, and other inventory and equipment must be covered with materials that can be easily cleaned from dust, wet cleaning and disinfection.

The sports carpet is cleaned daily using a vacuum cleaner. Wet cleaning is carried out using a washing vacuum cleaner. 3-4 times a month. Used sports mats are wiped daily with a soap and soda solution. Sports equipment is wiped 1-2 times a day with a moistened rag, metal parts - with a dry rag. After each group session, the gym is ventilated for 15 minutes.

13.5. In warm weather, mosquito nets are installed on windows and hinged doors in the dining room, bedrooms, playrooms, and medical facilities, or other measures are taken to prevent insects from entering the premises.

13.6. Sanitary equipment is subject to daily washing and disinfection. Toilet seats, cistern handles and door handles should be washed with warm water and detergent, then treated with a disinfectant. Bathtubs, wash basins and toilet bowls are cleaned with brushes using cleaners and disinfectants.

In showers and bathrooms, daily cleaning and disinfection of surfaces, equipment, furnishings - benches, cabinets, rubber mats and others. In the showers, children must use individual: shoes, a towel, a toothbrush, a comb, soap and a washcloth.

Cleaning equipment used for cleaning toilets must have a special (distinctive) marking.

13.7. General cleaning of the premises with the use of detergents and disinfectants is carried out once a month.

Windows outside and inside are washed as they get dirty, but at least twice a year (in spring and autumn).

Bedding (pillows, blankets, mattresses), carpets are ventilated and knocked out on the street.

13.8. Dirty linen is collected in a double bag made of cloth, oilcloth or plastic and sent to the place of washing. Cloth bags must be washed after use, oilcloth and plastic bags should be wiped with hot soapy or soda solution.

13.9. Sanitary and hygienic measures and preventive disinfection are carried out in the organization for orphans.

The preparation and use of cleaning and disinfecting solutions should be carried out in accordance with the instructions for their use.

Disinfection activities are carried out in accordance with the requirements established by the sanitary rules SP 3.5.1378-03 "Sanitary and epidemiological requirements for the organization and implementation of disinfection activities" (approved by the Decree of the Chief State Sanitary Doctor of the Russian Federation dated 09.06.2003 N 131, registered by the Ministry of Justice of Russia 06/19/2003, registration N 4757).

Disinsection measures are carried out in accordance with the requirements established by the sanitary rules SanPiN 3.5.2.1376-03 "Sanitary and epidemiological requirements for the organization and conduct of disinsection measures against synanthropic arthropods" (approved by the Decree of the Chief State Sanitary Doctor of the Russian Federation dated 09.06.2003 N 126, registered by the Ministry of Justice of Russia on June 19, 2003, registration N 4756) (hereinafter - SanPiN 3.5.2.1376-03).

Measures for carrying out deratization are carried out in accordance with the requirements established by the sanitary rules SP 3.5.3.3223-14 "Sanitary and epidemiological requirements for the organization and conduct of deratization measures" (approved by the Decree of the Chief State Sanitary Doctor of the Russian Federation dated September 22, 2014 N 58, registered by the Ministry of Justice of Russia February 26, 2015, registration N 36212) (hereinafter - SP 3.5.3.3223-14).

13.11. If cases of illness in children are detected during the day (fever, rash, pain, vomiting, diarrhea and other health abnormalities), it is necessary to immediately report to the territorial organizations healthcare. Sick children are isolated from healthy children until they are hospitalized in a medical and preventive organization.

For the period of stay of a sick child in an organization for orphans before his hospitalization, current disinfection is carried out in the environment of the patient. After hospitalization of a sick child, the final disinfection and ventilation of the premises is carried out. When quarantine is established, preventive disinfection is carried out.

13.12. Disinfection measures are carried out in accordance with the current regulatory and methodological documents using products approved in the prescribed manner for use in children's institutions. All types of disinfection treatments are carried out in the absence of children.

Disinfectants must be stored in well-ventilated areas in the original packaging of the manufacturer, out of the reach of children.

13.13. In the medical office, the isolation ward, surfaces, equipment, furnishings, devices are treated with approved disinfectant solutions. Hands of medical personnel are treated with a skin antiseptic approved for hygienic treatment of hands.

The generated medical waste belonging to class B is subject to disinfection in accordance with the requirements established by the sanitary rules SanPiN 2.1.7.2790-10 "Sanitary and epidemiological requirements for the treatment of medical waste" (approved by the Decree of the Chief State Sanitary Doctor of the Russian Federation dated 09.12.2010 N 163, registered by the Ministry of Justice of Russia on February 17, 2011, registration N 19871).

13.14. If rodents and/or insects are found on the territory and / or premises, deratization and disinfestation measures are carried out by the organization, if there are appropriate conditions and trained personnel, or by specialized organizations in accordance with the sanitary and epidemiological requirements for the organization and conduct of disinfestation and deratization measures (SanPiN 3.5.2.1376-03 and SP 3.5.3.3223-14).

XIV. The main activities carried out by medical personnel

14.1. Medical professionals do:

- medical examinations of children upon admission to the organization in order to identify patients;

- systematic monitoring of the health of children, especially children with health problems;

- organization work preventive examinations children;

- distribution of children into medical groups for physical education;

- informing the heads of organizations, educators, a worker in physical education and labor training about the state of health of children, the recommended regimen for children with health problems;

- daily outpatient appointments in order to identify sick children, their timely isolation, provision of primary medical care, transportation to a medical organization;

- reporting to territorial medical organizations about cases of infectious diseases among children;

- implementation (control) of the implementation of individual programs for the rehabilitation of disabled children;

- systematic monitoring of the sanitary condition and maintenance of all premises and territory, compliance with the rules of personal hygiene by children and staff;

- organization and implementation of sanitary and anti-epidemic measures;

- medical control over the organization of physical education and labor training, over the condition and content of places for physical education, monitoring the correct conduct of physical education activities depending on the sex, age and health of children; carrying out work on the formation of a healthy lifestyle;

- control over the catering.

XV. Requirements for the passage of preventive medical examinations, professional hygiene training, personal hygiene of personnel

15.1. Employees of an organization for orphans must undergo preliminary, upon admission to work, and periodic medical examinations in the prescribed manner (Order of the Ministry of Health and Social Development of Russia dated April 12, 2011 N 302n "On approval of lists of harmful and (or) dangerous production factors and work, during the performance of which mandatory preliminary and periodic medical examinations (examinations) are carried out, and the Procedure for conducting mandatory preliminary and periodic medical examinations (examinations) of workers engaged in hard work and work with harmful and (or) dangerous working conditions "(registered Ministry of Justice of Russia on October 21, 2011, registration N 22111) as amended by the order of the Ministry of Health of Russia dated May 15, 2013 N 296n (registered by the Ministry of Justice of Russia on July 3, 2013, registration N 28970).

Employees of the organization for orphans undergo professional hygienic training and certification when they are hired and then at least once every two years, food unit workers - once a year.

Employees of the organization for orphans must be vaccinated in accordance with the national calendar of preventive vaccinations (Order of the Ministry of Health of Russia dated March 21, 2014 N 125n "On approval of the national calendar of preventive vaccinations and the calendar of preventive vaccinations for epidemic indications" (registered by the Ministry of Justice of Russia on April 25, 2014, registration N 32115).

15.2. Each employee must have a personal medical book, which should contain the results of medical examinations and laboratory tests, information about vaccinations, infectious diseases, information about professional hygiene training and certification, and work permit.

15.3. Employees of the organization with signs of illness (with tonsillitis, catarrhal phenomena of the upper respiratory tract, pustular diseases of the hands, sick or suspected of infectious diseases) are not allowed to work with children (educational groups) and distribute food.

It is not allowed for an employee to simultaneously carry out food preparation and childcare activities.

15.4. The staff of organizations for orphans (nursing groups) must observe the rules of personal hygiene: come to work in clean clothes and shoes (and use changeable shoes indoors); leave outerwear, headgear and personal belongings in the locker room or individual wardrobe, cut nails short.

15.5. The catering staff are provided with overalls.

Personnel for distributing food and washing dishes should have: an apron, cap or scarf; for cleaning the premises - bathrobe.

Before visiting the toilet, the staff should take off their apron (robe) and wash their hands thoroughly with soap and water after visiting the toilet.

XVI. Requirements for compliance with sanitary rules

16.1. The head of the organization for orphans is responsible person for compliance with these sanitary rules and ensures:

- the presence of the text of these sanitary rules in the organization for orphans;

- compliance with the requirements of sanitary rules by all employees of the organization for orphans;

- the necessary conditions to comply with sanitary rules;

- employment of persons with a permit for health reasons, who have undergone professional hygienic training and certification;

- availability of personal medical books for each employee;

- timely passage by employees of periodic medical examinations and examinations, professional hygienic training and certification;

- organization of measures for disinfection, disinfestation and deratization;

- proper operation of technological, refrigeration and other equipment.

16.2. The responsible person or medical personnel must exercise daily control over compliance with the requirements of sanitary rules.

16.3. For violation of sanitary legislation, the head, as well as officials who violated the requirements of these sanitary rules, are liable in the manner established by law Russian Federation.

Electronic text of the document
prepared by CJSC "Kodeks" and checked against:
Official Internet portal
legal information
www.pravo.gov.ru, 03/30/2015,
N 0001201503300028

SanPiN 2.4.3259-15 Sanitary and epidemiological requirements for the arrangement, maintenance and organization of the working hours of organizations for orphans and children left without parental care

State sanitary and epidemiological regulation
Russian Federation

State sanitary and epidemiological rules and regulations

Federal Service for Supervision of Consumer Rights Protection
and human well-being

SERVICES, EDUCATIONAL INSTITUTIONS, CULTURE,
RECREATION, SPORTS

to the location, arrangement, equipment,
content, sanitary and hygienic and
social service organizations

SP 2.1.2.3358-16

1. Developed by the Federal Service for Supervision of Consumer Rights Protection and Human Welfare (I.G. Shevkun, A.L. Zhabtsova, V.N. Bragina, S.V. Sennikov), FBUN Research Institute of Disinfectology of Rospotrebnadzor (N.P. Golovkov), Federal State Budgetary Institution Research Institute of Occupational Medicine (E.S. Pochtareva), FBUZ Federal Center for Hygiene and Epidemiology of Rospotrebnadzor (T.D. Kuzkina), Rospotrebnadzor Office for the City of Moscow (E.P. Igonina).

2. Approved by the Decree of the Chief State Sanitary Doctor of the Russian Federation A.Yu. Popova dated May 27, 2016 No. 69.

3. Registered with the Ministry of Justice of the Russian Federation on August 23, 2016, registration number 43348.

4. Entered into force on September 4, 2016 (officially published in the Bulletin of Normative Acts of Federal Bodies executive power". No. 38, 09/19/2016).

5. Since the entry into force of SP 2.1.2.3358-16 in accordance with the Decree of the Chief State Sanitary Doctor of the Russian Federation A.Yu. Popova dated May 27, 2016 No. 69 become invalid:

SanPiN 2.1.2.2564-09

Decree of the Chief State Sanitary Doctor of the Russian Federation dated February 17, 2014 No. 7 “On Amendments No. 1 to SanPiN 2.1.2.2564-09 “Hygienic Requirements for Placement, Devices), Equipment, Maintenance. sanitary-hygienic and anti-epidemic regime of healthcare and social service organizations intended for permanent residence of the elderly and disabled, sanitary-hygienic and anti-epidemic regime of their work” (registered in the Ministry of Justice of Russia on April 16, 2014, registration number 31996).

CHIEF STATE SANITARY PHYSICIAN
RUSSIAN FEDERATION

RESOLUTION

On approval of SP 2.1.2.3358-16
"Sanitary and epidemiological
requirements for placement, device,
equipment, content,
sanitary and hygienic and
anti-epidemic mode of operation
social service organizations"

In accordance with federal law dated March 30, 1999 No. 52-FZ “On the sanitary and epidemiological well-being of the population” (Collected Legislation of the Russian Federation, 1999, No. 14, Art. 1650; 2002, No. 1 (part I), Art. 2; 2003, No. 2 , Article 167; No. 27 (Part I), Article 2700; 2004, No. 35, Article 3607; 2005, No. 19, Article 1752; 2006, No. 1, Article 10; No. 52 (Part I ), Article 5498; 2007, No. 1 (Part I), Article 21, Article 29; No. 27, Article 3213; No. 46, Article 5554; No. 49, Article 6070; 2008, No. 24, 2801; No. 29 (part I), art. 3418; No. 30 (part II), art. 3616; No. 44, art. 4984; No. 52 (part I), art. 6223; 2009, No. 1, article 17; 2010, No. 40, article 4969; 2011, No. 1, article 6; No. 30 (part I), article 4563, article 4590, article 4591, article 4596; No. 50 , Article 7359; 2012, No. 24, Article 3069; No. 26, Article 3446; 2013, No. 27, Article 3477; No. 30 (Part I), Article 4079; No. 48, Article 6165; 2014 , No. 26 (Part I), Article 3366, Article 3377; 2015, No. 1 (Part I), Article 11; No. 27, Article 3951; No. 29 (Part I), Article 4339 and 4359); No. 48 (part I), art. 6724) and Decree of the Government of the Russian Federation dated July 24, 2000 No. “On Approval of the Regulations on the State Sanitary and Epidemiological Service of the Russian Federation and the Regulations on State Sanitary and Epidemiological Rationing” (Collected Legislation of the Russian Federation, 2000, No. 31, Art. 3295; 2004, No. 8, item 663; 2004, No. 47, item 4666; 2005, No. 39, item 3953)

RESOLVE:

1. Approve the sanitary and epidemiological rules SP 2.1.2.3358-16 "Sanitary and epidemiological requirements for the location, arrangement, equipment, maintenance, sanitary and hygienic and anti-epidemic regime of work of social service organizations" (Appendix).

Decree of the Chief State Sanitary Doctor of the Russian Federation of November 23, 2009 No. 71 “On approval of SanPiN 2.1.2.2564-09 “Hygienic requirements for the placement, arrangement, equipment, maintenance, sanitary and hygienic and anti-epidemic regime of healthcare and social service organizations intended for the residence of persons the elderly and the disabled, the sanitary-hygienic and anti-epidemic regime of their work” (registered with the Ministry of Justice of Russia on December 29, 2009, registration number 15884);

Decree of the Chief State Sanitary Doctor of the Russian Federation dated February 17, 2014 No. 7 “On Amendments 1 to SanPiN 2.1.2.2564-09 “Hygienic requirements for the placement, arrangement, equipment, maintenance, sanitary-hygienic and anti-epidemic regime of healthcare and social service organizations intended for the permanent residence of the elderly and disabled, the sanitary-hygienic and anti-epidemic regime of their work” (registered in the Ministry of Justice of Russia on April 16, 2014, registration number 31996).

A.Yu. Popova

2.1.2. HYGIENE. COMMUNAL HYGIENE.
DESIGN, CONSTRUCTION AND OPERATION
RESIDENTIAL BUILDINGS, UTILITIES AND HOUSEHOLD ENTERPRISES
SERVICES, EDUCATIONAL INSTITUTIONS,
CULTURE, RECREATION, SPORT

Sanitary and epidemiological requirements
to the location, arrangement, equipment, maintenance,
sanitary-hygienic and anti-epidemic
working hours of social service organizations

Sanitary and epidemiological rules
SP 2.1.2.3358-16

I. Scope

1.1. These sanitary and epidemiological rules (hereinafter referred to as the sanitary rules) establish sanitary and epidemiological requirements for the location, arrangement, equipment, maintenance, sanitary and hygienic and anti-epidemic regime of work of social service organizations in stationary and semi-stationary forms 1 intended to provide social services to the elderly , people with disabilities and people with disabilities.

1 Federal Law No. 442-FZ of December 28, 2013 “On the Fundamentals of Social Services for Citizens in the Russian Federation” (Sobraniye Zakonodatelstva Rossiyskoy Federatsii, 2013, No. 52 (Part I), Art. 7007; 2014, No. 30 (Part I), Art. 4257).

1.2. Sanitary rules do not apply to healthcare organizations in which medical service elderly people, persons with disabilities and the disabled, as well as organizations providing temporary residence and social rehabilitation of minors, including those with disabilities.

The sanitary rules do not apply to the facilities of social service organizations that are at the stage of design, construction, reconstruction and commissioning at the time of entry into force of these sanitary rules.

Previously built buildings of social service organizations in terms of architectural and planning solutions are operated in accordance with the project according to which they were built.

1.3. These sanitary rules are binding on all citizens, legal entities and individual entrepreneurs whose activities are related to the design, construction, reconstruction and operation of objects of social service organizations.

1.4. Control over the implementation of these sanitary rules is carried out in accordance with the legislation of the Russian Federation by bodies authorized to exercise federal state sanitary and epidemiological supervision.

II. Sanitary and epidemiological requirements
to the placement of a social service organization
and to its territory

2.1. Social service organizations are located on the territory of residential development outside the sanitary protection zones of organizations, structures and other objects and at distances that provide standard levels of physical factors and air pollution for the territory of residential development.

To ensure the normative levels of insolation and natural lighting of premises when placing buildings of social service organizations, sanitary gaps from residential and public buildings must be observed in accordance with the requirements established by sanitary rules 2.

The levels of noise, vibration, ultrasound and infrasound, electromagnetic fields and radiation on the territory and in the building of the social service organization should not exceed the hygienic standards for the premises of residential, public buildings and residential areas.

2 SanPiN 2.2.1/2.1.1.1076-01 "Hygienic requirements for insolation and sun protection of premises of residential and public buildings and territories" (approved by the Decree of the Chief State Sanitary Doctor of the Russian Federation of October 25, 2001 No. 29, registered by the Ministry of Justice of Russia on November 12, 2001, registration number 3026).

2.2. On the territory of a social service organization, zones for recreation and household activities, sports and recreation activities are allocated and landscaped.

Resting places are equipped with garden furniture, sheds, gazebos, fixed or temporary toilets, trash cans.

2.3. On the territory of the social service organization, a platform with a hard surface and a fence for the installation of garbage bins is being equipped.

2.4. The distance from garbage bins to buildings intended for living, places of recreation and physical education should be at least 20 meters.

2.5. The territory of a separate building of a social service organization must have outdoor electric lighting.

III. Sanitary and epidemiological requirements for buildings
social service organizations

3.1. When placing social service organizations in several buildings, heated transitions are provided between them.

Buildings of semi-stationary social service organizations can be attached to residential buildings, administrative and public buildings, as well as built into residential buildings and built-in and attached to residential buildings, administrative public buildings (except for administrative buildings of industrial enterprises).

The placement of semi-stationary social service organizations in premises built into residential buildings, in built-in and attached premises (or attached) is allowed if there is an entrance isolated from residents and compliance with sanitary and epidemiological requirements for public premises located in residential buildings 3 .

3 SanPiN 2.1.2.2645-10 "Sanitary and epidemiological requirements for living conditions in residential buildings and premises" (approved by the Decree of the Chief State Sanitary Doctor of the Russian Federation dated 10.06.2010 No. 64, registered by the Ministry of Justice of Russia on 15.07.2010, registration number 17833), as amended, introduced by the Decree of the Chief State Sanitary Doctor of the Russian Federation of December 27, 2010 No. 175, registered by the Ministry of Justice of Russia on February 28, 2011, registration number 19948.

3.2. In organizations of stationary and semi-stationary social services, the main groups of premises are provided for:

For the reception of the elderly, persons with disabilities and the disabled;

For the residence of the elderly, persons with disabilities and the disabled;

For catering, medical, administrative and consumer services, cultural and sports and health purposes, vocational training and social adaptation of the elderly, persons with disabilities and the disabled;

Utility rooms;

Sanitary facilities for service personnel of a social service organization.

The room for the reception of newly arriving elderly people, persons with disabilities and the disabled in the organization of stationary social services is equipped with a separate entrance.

3.3. An accessible (barrier-free) environment should be created in the buildings of social service organizations under construction and reconstruction for various categories of persons with disabilities and disabled people.

Buildings of social service organizations with a height of two or more floors are equipped with elevators and / or other devices for transporting the elderly, people with disabilities and the disabled.

3.4. Residential premises of stationary social service organizations are equipped according to apartment or corridor types.

Apartment-type living quarters are designed for a group of 5 - 6 people with a common living room, kitchen, dining room, hallway, sanitary unit.

With a corridor type of design, bedrooms and common areas of a living cell (kitchen, shower room, bathrooms) must be connected through a corridor or a system of corridors.

In buildings whose living quarters are equipped according to the corridor type, sanitary facilities are provided for the corridor, separately for men and women, and recreational areas (living rooms).

For persons suffering from mental disorders, accommodation is provided only by the corridor type.

3.5. Bedrooms are provided for 1 - 3 people.

Sleeping rooms for persons suffering from mental disorders are calculated for 4 - 6 people.

The layout and equipment of all premises, including bedrooms, should provide for the possibility of using them by persons with disabilities, including wheelchair users.

(Changed edition. Rev. No. 1)

3.6. Educational premises, training and production (medical and labor) workshops, provided for as part of social service organizations in accordance with their profile, are equipped in accordance with the requirements of sanitary rules for the working conditions of disabled people 4 .

At training and production premises, rooms are provided for the storage of materials and finished products.

It is not allowed to place training and production workshops in the same block with accommodation for the elderly, people with disabilities and the disabled.

4 SP 2.2.9.2510-09 "Hygienic requirements for the working conditions of disabled people" (approved by the Decree of the Chief State Sanitary Doctor of the Russian Federation of May 18, 2009 No. 30, registered by the Ministry of Justice of Russia on June 9, 2009, registration number 14036).

3.7. Electric switches, handles, bells and other similar elements of the necessary domestic environment are placed taking into account the reach zones in the vertical and horizontal planes, accessible to the elderly, people with disabilities and the disabled in a standing, sitting and lying position.

3.8. Separate premises are provided for the storage of technical means of rehabilitation in social service organizations.

3.9. As part of the premises for medical purposes in the organization of social services, a reception and quarantine department with an isolator is provided. The isolation ward is equipped with at least four beds per 100 residents. For a stay of 100 or less people, an isolation room for two beds is provided. The number of chambers is at least two (male and female).

IV. Sanitary and epidemiological requirements
to water supply, sewerage, heating,
ventilation and lighting

4.1. During the design and construction of the building of social service organizations, water supply, sewerage, heating, ventilation, and power supply systems are equipped in accordance with the legislation of the Russian Federation 5 .

Heating, ventilation and air conditioning systems must provide optimal conditions of residence or be within the limits of the permissible parameters of the microclimate and the air environment of the premises according to the indicators of the microclimate of the premises established in the application.

5 Federal Law No. 384-FZ dated December 30, 2009 “Technical Regulations on the Safety of Buildings and Structures” (Sobraniye Zakonodatelstva Rossiyskoy Federatsii, 2010, No. 1, Art. 5; 2013, No. 27, Art. 3477).

4.2. Water used for drinking and household purposes must meet the sanitary and epidemiological requirements for drinking water 6

6 SanPiN 2.1.4.1074-01 “Drinking water. Hygienic requirements for water quality of centralized drinking water supply systems. Quality control” (approved by the Decree of the Chief State Sanitary Doctor of the Russian Federation dated September 26, 2001 No. 24, registered by the Ministry of Justice of Russia on October 31, 2001, registration number 3011) as amended by the Decree of the Chief State Sanitary Doctor of the Russian Federation dated April 7, 2009 No. 20 (registered by the Ministry of Justice of Russia 05/05/2009, registration number 13891), dated 02/25/2010 No. 10 (registered by the Ministry of Justice of Russia on 03/22/2010, registration number 16679), dated 06/28/2010 No. 74 (registered by the Ministry of Justice of Russia on 07/30/2010, registration number 18009).

4.3. The concentration of harmful substances in indoor air should not exceed the hygienic standards for atmospheric air in populated areas 7

7 GN 2.1.6.1338-03 "Maximum Permissible Concentrations (MACs) of Pollutants in the Atmospheric Air of Populated Areas" (approved by Resolution No. 114 of the Chief State Sanitary Doctor of the Russian Federation dated May 30, 2003, registered by the Ministry of Justice of Russia on June 11, 2003, registration number 4679), as amended , introduced by the Decrees of the Chief State Sanitary Doctor of the Russian Federation of October 17, 2003 No. 150 (registered by the Ministry of Justice of Russia on October 21, 2003, registration number 5187), dated November 3, 2005 No. 24 (registered by the Ministry of Justice of Russia on December 2, 2005, registration number 7225), dated 03.11. 2005 No. 26 (registered by the Ministry of Justice of Russia on 02.12.2005, registration number 7224), dated 19.07.2006 No. 15 (registered by the Ministry of Justice of Russia on 27.07.2006, registration number 8117), dated 04.02.2008 No. 6 (registered by the Ministry of Justice of Russia on 29.02.2008, registration number 11260), dated 18.08.2008 No. 49 (registered by the Ministry of Justice of Russia on 04.09.2008, registration number 12223), dated 27.01.2009 No. 6 (for registered by the Ministry of Justice of Russia on February 16, 2009, registration number 13357), dated April 9, 2009 No. 22 (registered by the Ministry of Justice of Russia on May 18, 2009, registration number 13934), dated April 19, 2010 No. 26 (registered by the Ministry of Justice of Russia on May 19, 2010, registration number 17280), dated 12.07.2011 No. 98 (registered by the Ministry of Justice of Russia on 30.08.2011, registration number 21709), dated 17.06.2014 No. 37 (registered by the Ministry of Justice of Russia on 04.07.2014, registration number 32967), dated 27.11.2014 No. 76 (registered by the Ministry of Justice of Russia on 26.12. 2014, registration number 35425), dated 12.01.2015 No. 3 (registered by the Ministry of Justice of Russia on 09.02.2015, registration number 35937).

4.4. All rooms for the elderly, people with disabilities and the disabled are ventilated daily.

For ventilation, transoms, vents or other devices are provided.

4.5. The levels of natural and artificial lighting in the premises of a social service organization must comply with hygiene requirements to natural, artificial and combined lighting of residential and public buildings 8 .

8 SanPiN 2.2.1 / 2.1.1.1278-03 "Hygienic requirements for natural, artificial and combined lighting of residential and public buildings" (approved by the Decree of the Chief State Sanitary Doctor of the Russian Federation of 04/08/2003 No. 34, registered by the Ministry of Justice of Russia on 04/23/2003, registration No. 4443) as amended by the Decree of the Chief State Sanitary Doctor of the Russian Federation dated March 15, 2010 No. 20, registered by the Ministry of Justice of Russia on April 8, 2010, registration number 16824.

4.6. As sources of artificial lighting in living quarters, corridors, living rooms, study rooms, the dining hall of the dining room and other rooms, fluorescent lamps or lamps with similar lighting characteristics with light-diffusing fittings are used; in the industrial premises of the dining room, laundry and shower rooms - lamps with moisture-proof fittings; in medical premises - lamps with closed lamps. Not used in the same room at the same time as a source of general lighting lamps of different types.

4.7. If there are swimming pools in social service organizations, sanitary and epidemiological requirements for swimming pools 9 must be observed.

9 SanPiN 2.1.2.1188-03 “Swimming pools. Hygienic requirements for the device. operation and water quality. Quality control” (approved by the Decree of the Chief State Sanitary Doctor of the Russian Federation dated January 30, 2003 No. 4, registered by the Ministry of Justice of Russia on February 14, 2003, registration number 4219).

V. Sanitary and epidemiological requirements
to the premises, interior decoration

5.1. Ceilings, walls and floors of all rooms must be smooth, free from damage, free of signs of fungal attack, and finished to allow wet cleaning with detergents and disinfectants. The building and finishing materials used should not have a harmful effect on human health.

5.2. In the production and storage rooms of the catering department, pantry, corridors and halls, rooms with a wet regime (showers, washrooms, toilets), laundry rooms, pantries for storing clean and dirty linen, the walls must be lined to a height of at least 1.8 m with glazed tiles or other approved materials that are resistant to wet processing using detergents and disinfectants.

5.3. For finishing ceilings it is necessary to use water-repellent (moisture resistant) paints.

5.4. The floors in the premises of the dishwasher department of the catering unit, showers and laundry rooms are equipped with sewer ladders with floor slopes to the holes of the ladders.

5.5. Premises for medical purposes are equipped and operated in accordance with the requirements of sanitary rules for organizations engaged in medical activities 10 .

10 SanPiN 2.1.3.2630-10

5.6. Enclosing devices of heating appliances must be made of materials that are safe for human health.

VI. Inventory and equipment requirements

6.1. Living rooms are equipped with beds, tables, chairs, bedside tables, cabinets for storing home clothes, linen, shoes.

Each resident is provided with bed linen, bed linen and towels (for face, feet, bath).

The number of compartments in the wardrobes should correspond to the number of beds in the room.

The number of beds, bedside tables and chairs must correspond to the number of residents. Bunk beds and rollaway beds are not allowed.

6.2. In social service organizations, equipment and furniture are used, the coating of which allows for wet processing with the use of detergents and disinfectants. When using upholstered furniture, removable covers are provided (at least 2 sets) with their obligatory washing as they get dirty, but at least once a month.

6.3. In the toilet facilities, a wash area and a zone of sanitary cabins are provided.

The wash area is equipped with washbasins and towel racks. Washrooms are equipped with heated towel rails. The area of ​​sanitary cabins is equipped with toilet bowls.

Separate rooms (cabinets) are provided for storage of cleaning equipment.

6.4. Shower cabins are equipped with shower units at the rate of one unit for 5 people and rubber mats with a ribbed surface.

6.5. The women's personal hygiene room is equipped with a bidet or a tray with a flexible hose, a washbasin and a toilet bowl.

6.6. In social service organizations, laundry rooms are equipped for washing bed linen, towels and personal belongings. In the absence of conditions for washing bed linen and personal belongings in social service organizations, centralized washing in other laundries is allowed.

6.7. An ironing room equipped with ironing boards and irons is equipped in a separate room.

6.8. Social service organizations provide conditions for the provision of hairdressing services to the elderly, persons with disabilities and the disabled in compliance with sanitary and epidemiological requirements for public utility organizations providing hairdressing and cosmetic services 11 .

11 SanPiN 2.1.2.2631-10 “Sanitary and epidemiological requirements for placement, arrangement. equipment, maintenance and mode of operation of public utility organizations providing hairdressing and cosmetic services "(approved by the Decree of the Chief State Sanitary Doctor of the Russian Federation of May 18, 2010 No. 59, registered by the Ministry of Justice of Russia on July 6, 2010, registration number 17694) as amended by the Decree Chief State Sanitary Doctor of the Russian Federation dated January 27, 2014 No. 4, registered by the Ministry of Justice of Russia on March 4, 2014, registration number 31499.

6.9. Storerooms are equipped with racks or cabinets for separate storage of dirty and clean linen, detergents and disinfectants, personal belongings of elderly residents, people with disabilities and the disabled.

6.10. When placing persons deprived of the opportunity for independent movement (“lying down”), specialized equipment is provided (special beds, anti-decubitus systems, fences).

VII. Catering Requirements

7.1. In stationary social service organizations, meals for elderly residents, people with disabilities and the disabled are organized at least 3 times a day, including dietary (medical) meals for medical reasons.

The device, maintenance and organization of the work of the dining room in terms of space-planning and design solutions, sanitary and technical support, requirements for equipment, inventory, utensils and containers, sanitary condition and maintenance of premises, washing dishes, conditions and technology for preparing dishes, observing the rules of personal hygiene and the passage of medical examinations by the personnel of the canteen, the storage and transportation of food products, the daily maintenance of mandatory documentation (marriage logs, a health log, and others) must comply with the sanitary and epidemiological requirements for public catering organizations 12 and these sanitary rules.

12 SP 2.3.6.1079-01 "Sanitary and epidemiological requirements for public catering organizations, the manufacture and turnover of food products and food raw materials in them" (approved by the Decree of the Chief State Sanitary Doctor of the Russian Federation of November 8, 2001 No. 31, registered by the Ministry of Justice of Russia on December 7, 2001, registration number 3077) as amended by Resolutions of the Chief State Sanitary Doctor of the Russian Federation No. 28 dated April 3, 2003 (registered by the Ministry of Justice of Russia on April 23, 2003, registration number 4447), dated May 3, 2007 No. 25 (registered by the Ministry of Justice of Russia on June 7, 2007, registration number 9614), dated December 29, 2010 No. 187 (registered by the Ministry of Justice of Russia on March 17, 2011, registration number 20156), dated March 31, 2011 No. 29 (registered by the Ministry of Justice of Russia on May 6, 2011, registration number 20690).

7.2. In stationary social service organizations, delivery of ready-made meals from public catering organizations is allowed.

7.2.1. In the case of using ready-made meals from public catering organizations (catering services), a room is allocated in the stationary social service organization for receiving finished products and taking daily samples. Daily samples are taken by the manufacturer of dishes with sterile or boiled spoons into sterile or boiled dishes (jars, containers) with tight-fitting lids. Each sample of the dish is placed in a separate dish and stored for at least 48 hours at a temperature of 2 - 6 °C. Dishes with food samples are marked with the name of the meal and the date of selection, sealed and stored for the specified period in a social service organization.

7.2.2. When delivering prepared food, containers and thermal containers are used that are approved for use in contact with food products. Ready first and second courses can be kept in thermal containers (thermoses) for a period of time ensuring that the temperature is not lower than the serving temperature. The delivery time of ready-made meals in thermal containers from the moment of their preparation to sale should not exceed 2 hours.

7.2.3. Delivery of ready-made meals and culinary products is carried out by vehicles specially designated for the transportation of food products. Vehicles for the transport of prepared food must be kept clean.

7.2.4. Returnable packaging after use is cleaned, washed with water using approved detergents, scalded with boiling water, dried and stored in designated places. Thermoses must be processed in accordance with the instructions for their use. In the absence of a specially allocated premises in the canteen of a social service organization, the washing of returnable containers is carried out by the supplier of ready meals and culinary products.

7.2.5. The sale of ready-made meals, culinary, flour confectionery and bakery products is carried out in buffets-handouts.

Buffets-handouts provide a set of premises and equipment that allow the sale of dishes, culinary products, washing tableware, as well as the preparation of hot drinks.

7.3. Refrigeration equipment is provided for the storage of perishable products in buffets-handouts and blocks of residential premises.

VIII. Sanitary and epidemiological requirements
to the sanitary maintenance of the territory, premises and
sanitary-hygienic and anti-epidemic regime
the work of a social service organization

8.1. The territory of the social service organization must be kept clean. Cleaning of the territory is carried out daily. Solid household waste and other rubbish are collected in garbage bins. Waste disposal and cleaning of garbage bins is carried out by specialized organizations. After emptying the garbage bins, they are disinfected and disinfested.

It is not allowed to burn garbage on the territory of the social service organization and in its immediate vicinity.

8.2. All premises of the social service organization are cleaned daily with a wet method using detergents.

In common areas (canteens, canteens, lobby, corridors, living rooms, sanitary facilities, showers, bathrooms), wet cleaning is carried out daily with the use of detergents and disinfectants.

In the dining room and toilets, disinfectants are applied in accordance with the regimen recommended for bacterial infections; in showers and bathrooms - recommended for fungal infections. Disinfectants are used in accordance with guidelines/instructions for their use.

In the premises for physical education, carpets are cleaned daily using a vacuum cleaner, sports equipment is wiped daily with a damp cloth. When using sports mats, the fabric covers of sports mats are washed at least once a week and as they get dirty.

8.3. Windows outside and inside are washed as they get dirty, but at least twice a year (in spring and autumn).

Cleaning of general lighting fixtures is carried out as they get dirty, but at least twice a year. Replacement of burned-out lamps and faulty light sources is carried out in a timely manner.

Exhaust ventilation grilles are cleaned of dust at least once a month.

8.4. Sanitary equipment is daily treated with disinfectant solutions. Toilet seats, cistern handles and door handles are treated with detergents and disinfectants. Bathtubs, sinks, toilet bowls are cleaned with kvachas or brushes using cleaners and disinfectants.

8.5. General cleaning of all premises and equipment is carried out at least once a month with the use of detergents and disinfectants. During general cleaning, carpets are wet treated or ventilated and knocked out on the street. Use of the washing vacuum cleaner is possible.

Bedding is processed in a disinfection chamber as it gets dirty, as well as after the discharge (death) of residents from a social service organization. Mattress and pillow covers made from materials resistant to disinfectants can be used.

8.6. Change of bed linen and clothes is carried out as they get dirty, but at least once a week.

8.7. For cleaning the premises, approved disinfectants and detergents are used. Disinfectants and detergents are stored in the manufacturer's packaging. Storage of working solutions of detergents and disinfectants is carried out in labeled containers with lids.

8.8. Cleaning of adjacent territories and premises of a social service organization, as well as preventive and current disinfection can be carried out by a professional cleaning company (cleaning company) or by the organization's own personnel in compliance with the requirements of these sanitary rules.

If cleaning companies are involved, separate rooms are provided for the personnel of the cleaning company and for the storage and processing of cleaning equipment.

8.9. Cleaning equipment (trolleys, mops, containers, cleaning material, mops) is marked taking into account the functional purpose of the premises and types of cleaning work and is stored in a dedicated room (closet). Color coding can be used for marking. The color coding scheme is placed in the inventory storage area. Washing machines for washing mops and other cleaning material are installed in the places where cleaning carts are assembled. It is possible to use one mop holder for all types of premises, with the exception of bathrooms. A separate set of cleaning equipment is provided for cleaning the bathrooms.

At the end of cleaning, all cleaning equipment is washed using detergent solutions, rinsed with running water and dried.

8.10. The presence of insects and rodents is not allowed in the premises of a social service organization. Upon detection of insects and rodents and traces of their stay during the day, disinsection and deratization measures are organized and carried out in accordance with the requirements for disinfestation and deratization measures. Engineering and technical measures are provided to exclude the possibility of rodents accessing the premises of a social service organization.

8.11. Cleaning of medical premises and processing of medical products are carried out in accordance with sanitary and epidemiological requirements for organizations engaged in medical activities 13 .

13 SanPiN 2.1.3.2630-10 "Sanitary and epidemiological requirements for organizations engaged in medical activities" (approved by the Decree of the Chief State Sanitary Doctor of the Russian Federation of May 18, 2010 No. 58, registered by the Ministry of Justice of Russia on August 9, 2010, registration number 18094), as amended by the Decree Chief State Sanitary Doctor of the Russian Federation dated March 4, 2016 No. 27, registered by the Ministry of Justice of Russia on March 15, 2016, registration number 41424.

The generated medical waste belonging to classes B and C is subject to disinfection in accordance with sanitary and epidemiological requirements 14 .

14 SanPiN 2.1.7.2790-10 "Sanitary and epidemiological requirements for the handling of medical waste" (approved by the Decree of the Chief State Sanitary Doctor of the Russian Federation dated December 09, 2010 No. 163, registered by the Ministry of Justice of Russia on February 17, 2011, registration number 19871).

8.12. In the premises of the dining room, living rooms, bedrooms, medical facilities, mosquito nets are installed on the windows in order to prevent insects from entering the premises.

8.14. Each person entering an inpatient social service organization must have a medical card with information about the results of examination for tuberculosis, the results of laboratory tests for a group of pathogens of intestinal infections, helminth eggs, diphtheria, sexually transmitted infections, preventive vaccinations and a certificate of no contact with infectious patients according to place of residence within 21 days prior to admission to a stationary type social service organization. The results of a bacteriological study for a group of pathogens of intestinal infections are valid for two weeks from the date of sampling of the material for research.

8.15. Newly arriving elderly people, persons with disabilities and the disabled are examined by the organization's doctor and, after a set of hygiene measures, are placed in the wards (male or female) of the admission and quarantine department for 7 days for medical observation in order to detect infectious diseases.

Residents who are absent from the organization for 5 or more days are placed in the wards of the admission and quarantine department for a period of at least 7 days.

8.16. All elderly, disabled and disabled persons entering the social service organization are examined for the presence of pediculosis and scabies. In case of detection of persons affected by pediculosis or scabies, a set of measures is carried out in accordance with sanitary and epidemiological requirements 15 .

8.17. Patients with signs of an infectious disease are placed in an isolation room for temporary stay until they are admitted to a medical organization.

8.18. Residents registered with a dispensary due to tuberculosis should be accommodated in single rooms in accordance with the requirements of the sanitary legislation of the Russian Federation.

8.19. Bedding (mattresses, pillows, blankets) is processed in a disinfection chamber as it gets dirty, according to epidemic indications, and also after discharge (death) of residents. Social service organizations are provided with an exchange fund of bedding. Mattresses and pillows are covered with covers made of materials resistant to disinfectants.

8.20. Measures for disinfection, disinfestation and deratization are carried out in accordance with sanitary and epidemiological requirements 16, 17, 18.

When carrying out disinfection, disinfestation, deratization, pre-sterilization cleaning and sterilization, the rules for protecting the pile and using personal protective equipment must be observed, taking into account the instructions (guidelines) for the use of specific disinfectants, disinsection, deratization.

Phenolic and aldehyde-containing agents are not used for preventive disinfection.

16 SP 3.5.1378-03 "Sanitary and epidemiological requirements for the organization and implementation of disinfection activities" (approved by the Decree of the Chief State Sanitary Doctor of the Russian Federation dated June 9, 2003 No. 131, registered by the Ministry of Justice of Russia on June 19, 2003, registration number 4757).

17 SanPiN 3.5.2.1376-03 "Sanitary and epidemiological requirements for the organization and conduct of pest control measures against synanthropic arthropods" (approved by the Decree of the Chief State Sanitary Doctor of the Russian Federation dated 09.06.2003 No. 126, registered by the Ministry of Justice of Russia on 19.06.2003, registration number 4756).

18 SP 3.5.3.3223-14 "Sanitary and epidemiological requirements for the organization and conduct of deratization measures" (approved by the Decree of the Chief State Sanitary Doctor of the Russian Federation of September 22, 2014 No. 58, registered by the Ministry of Justice of Russia on February 26, 2015, registration number 36212).

8.21. Hygienic treatment of residents, including examination for pediculosis and scabies, should be carried out at least once every 7 days. Haircuts and shavings must be arranged for residents.

8.22. Employees of the social service organization are provided with special clothing (suits, gowns, aprons, hats), masks or other respiratory protection equipment, as well as gloves when working with dirty linen and disinfectant solutions.

8.23. Laundry of bed linen, towels, sanitary and special clothing for employees of a social service organization is carried out in the laundry. Washing of bed linen and towels, personal belongings of residents is carried out separately from the washing of special and sanitary clothes. It is not allowed to wash special and sanitary clothes at home.

Storage of sanitary and special clothing is carried out separately from personal clothing of staff in individual two-section lockers in the dressing room for staff.

8.24. Employees of social service organizations undergo preliminary, upon admission to work, and periodic medical examinations in accordance with the established procedure 19 and must be vaccinated in accordance with the national immunization calendar, as well as the immunization schedule for epidemic indications 20 .

Each employee of social service organizations must have a personal medical book, which must contain the results of medical examinations and laboratory tests, information about vaccinations, infectious diseases, and work permits.

19 Order of the Ministry of Health and Social Development of Russia dated April 12, 2011 No. 302n “On approval of the lists of harmful and (or) hazardous production factors and work, during the performance of which mandatory preliminary and periodic medical examinations (examinations) are carried out, and the Procedure for conducting mandatory preliminary and periodic medical examinations (examinations) workers engaged in hard work and work with harmful and (or) dangerous working conditions” (registered by the Ministry of Justice of Russia on 21.10.2011, registration number 22111) as amended by Orders of the Ministry of Health of Russia dated 15.05.2013 No. 296n (registered by the Ministry of Justice of Russia on 03.07. 2013, registration number 28970) and dated 05.12.2014 No. 801n (registered by the Ministry of Justice of Russia on 03.02.2015, registration number 35848).

20 Order of the Ministry of Health of Russia dated March 21, 2014 No. 125n “On approval of the national calendar of preventive vaccinations and the calendar of preventive vaccinations for epidemic indications” (registered by the Ministry of Justice of Russia on April 25, 2014, registration number 32115).

8.25. It is not allowed to involve persons receiving social services in cooking and distributing food, cutting bread, collecting and sorting dirty linen.

IX. Requirements for compliance with sanitary rules

9.1. The head of the social service organization is responsible for the organization and completeness of the implementation of these sanitary rules and ensures:

Availability in the social service organization of these sanitary rules and bringing their content to the employees of the social service organization;

Compliance with the requirements of sanitary rules by all employees of the social service organization;

Necessary conditions for compliance with sanitary rules;

Employment of persons with a permit for health reasons;

Availability of medical books for each employee of the social service organization and timely passage of periodic medical examinations and preventive immunization;

Organization of measures for disinfection, disinfestation and deratization;

Holding production control for compliance with sanitary rules and the implementation of preventive and anti-epidemic measures.

Decree of the Chief State Sanitary Doctor of the Russian Federation of November 23, 2009 N 71 (as amended on February 17, 2014) "On approval of SanPiN 2.1.2.2564-09" (together with "SanPiN 2.1.2.2564-09. Hygienic requirements for placement, arrangement, equipment, maintenance, sanitary-hygienic and anti-epidemic regime of healthcare and social service organizations intended for the elderly and disabled, sanitary-hygienic and anti-epidemic regime of their work. Sanitary and epidemiological rules and regulations "(Registered in the Ministry of Justice of Russia on December 29, 2009 N 15884 )

Humidity in the premises should be no more than 60%. The content of harmful pollutants in indoor air should not exceed the maximum allowable average daily concentrations for atmospheric air in populated areas.

6.9. Buildings of organizations must be equipped with ventilation systems in accordance with the requirements for public buildings and structures.

6.10. The area of ​​the transoms (vents) must be at least 1/50 of the floor area. Transoms and vents are not allowed to be clogged and sealed.

VII. Requirements for inventory and technological equipment

7.1. Medical equipment used in organizations should have registration certificate Federal Service for Health Supervision and social development drawn up in the prescribed manner.

7.2. Equipment and furniture must have a hygienic coating that provides the possibility of wet cleaning and disinfection.

7.3. All inventory must be marked and stored either in closed cabinets or in a specially designated room.

7.4. Each living room is furnished and provided with bedding.

7.5. Living rooms should have wardrobes for storing home clothes, linen, shoes. The number of compartments in the wardrobes should be equal to the number of beds in the room.

The number of bedside tables and chairs should correspond to the number of residents.

7.6. Living rooms are equipped with upholstered furniture. When using upholstered furniture, it is necessary to have removable covers (at least 2 shifts) with a mandatory change once a month and as they get dirty. Televisions are installed on special cabinets at a height of 1 - 1.3 m from the floor.

7.7. In the pantry, 2-section sinks are installed (with a mandatory air break device when connected to the sewer network), tables, hanging dryers and lockable shelves (or cabinets) for storing clean dishes.

7.8. Toilet facilities are divided into a wash area and a sanitary cabin area. Washrooms are equipped with towel racks and washbasins. In washrooms, toilets, in combined sanitary facilities, heated towel rails should be provided.

The area of ​​sanitary cabins is equipped with toilet bowls. Toilet rooms are equipped with cabinets for storing cleaning equipment.

7.9. Shower cabins are equipped with horns at the rate of at least one per 5 people, rubber mats with a ribbed surface.

7.10. The women's personal hygiene room is equipped with a bidet or a tray with a flexible hose, a washbasin and a toilet bowl.

7.11. The laundry room is equipped with household washing machines, clothes dryers and ironing boards.

7.12. Organizations should provide for the provision of hairdressing services.

The number of jobs is determined based on the number of residents. The room for the provision of hairdressing services is equipped with chairs, dressing tables and sinks for washing hair, cabinets for clean linen.

7.13. Pantries for storing personal belongings, cleaning equipment, detergents and disinfectants are equipped with racks or cabinets.

7.14. Linen for clean linen is equipped with cabinets. Pallets or racks are installed in the linen room for used linen, as well as a sink with water supply. Clean linen workers are provided with dressing gowns, which are changed as they get dirty. Employees of dirty linen, except for dressing gowns, are provided with personal protective equipment (hat or scarf, gloves, apron).

7.15. Medical premises are provided with the necessary inventory and equipment in accordance with their purpose. It is not allowed to use upholstered furniture (sofas, armchairs, upholstered chairs) as chairs and couches. treatment room must have the necessary equipment and facilities to provide medical care.

VIII. Catering Requirements

8.1. Arrangement and maintenance of catering facilities, equipment, inventory, utensils, conditions for transportation and storage of food products must comply with hygienic requirements for the placement, arrangement, equipment and operation of hospitals, maternity hospitals and other medical hospitals and sanitary and epidemiological requirements for public catering organizations, manufacturing and turnover capacity in them of food products and food raw materials.

The paragraph is excluded. - Changes N 1, approved. Decree of the Chief State Sanitary Doctor of the Russian Federation dated February 17, 2014 N 7.

8.2. When using an individually-portioned patient nutrition system (hereinafter referred to as the tablet-nutrition system), in which an individual tray equipped with a lid is completed for each patient on the dispensing line of the catering unit, with a set of portioned dishes, food is delivered to the departments in special thermal containers-trolleys. Used dishes are placed in separate compartments of the same carts and delivered to the catering unit.

At the same time, it is allowed not to provide canteens in the branches of the organization. The pantry consists of one room, which is equipped with a sink for washing hands, a washing bath for disinfecting dishes (in case of anti-epidemic measures), a domestic refrigerator, a microwave oven, and electric kettles.

8.3. Washing of dishes is carried out centrally at the catering unit, while separate washing facilities are allocated for processing kitchen utensils, tableware of patients, and a room is also organized for processing trolleys of the tablet-nutrition system.

8.4. Washing of dishes is carried out in accordance with the sanitary and epidemiological requirements for public catering organizations, the production and turnover of food products and food raw materials in them.

IX. Requirements for organizing a waste management system

production and consumption

9.1. Collection, storage and disposal of solid household and medical waste is organized in accordance with the requirements of the sanitary legislation of the Russian Federation.

9.2. For the installation of garbage collectors, a special site with a concrete or asphalt coating, fenced with a curb and green spaces should be equipped. The site is being cleaned daily. Waste bins are cleaned when they are 2/3 full. After emptying the garbage bins, they are disinfected and disinfested.

9.3. Garbage removal is carried out by specialized organizations.

diseases and organization of disinfection measures

The administration of the organization is obliged to ensure the conduct of preliminary and periodic medical examinations, immunization of the organization's personnel, as well as the provision of medical personnel with sets of sanitary clothing (at least 3 sets for each employee) and personal protective equipment.

10.2. Each person entering the organization must have a medical card with an extract from the medical history, information on the results of examination for tuberculosis, the results of laboratory tests for a group of pathogens of intestinal infections, helminth eggs, diphtheria, sexually transmitted infections, preventive vaccinations and a certificate of no contact with infectious sick at the place of residence. The results of a bacteriological study for a group of pathogens of intestinal infections are valid for 2 weeks from the date of sampling of material for research.

10.3. Reception of applicants to the organization is carried out in the reception department, which has a separate entrance.

The entrance to the admissions department should be equipped with access devices for people with limited mobility and a ramp for cars.

The set of premises of the admission department includes: a hall (waiting room) with a vestibule, a room for medical examination (doctor's office, a nurse's office), a room for sanitization and changing clothes (bathroom), a bathroom with a washbasin for staff, two wards (male and female), treatment room, pantry, sanitary room (for storing cleaning equipment, dirty linen), the room of the hostess, as well as the premises of the isolation ward (for persons with signs of infectious diseases).

The chambers (men's and women's) of the reception department are single, double chambers with a sanitary unit (toilet bowl and washbasin in the gateway). The wards must be connected to the premises of the isolation ward through a transitional tambour-gateway.

The paragraph is excluded. - Changes N 1, approved. Decree of the Chief State Sanitary Doctor of the Russian Federation dated February 17, 2014 N 7.

When an organization provides only social services, the absence of medical facilities is allowed.

10.4. Upon admission, patients are examined by a doctor of the organization, if necessary, they undergo sanitization and are placed in the wards (male or female) of the admission and quarantine department for a period of one week for medical observation in order to prevent the introduction of infection.

Residents who are absent from the organization for 5 or more days are also placed in the wards of the admission and quarantine department for a period of at least one week.

10.5. If signs of an infectious disease appear during the period of medical observation, patients are transferred to an isolation room (for a temporary stay) until they are admitted to an infectious diseases hospital.

The isolation ward is also intended for temporary placement (isolation) of persons with signs of infectious diseases from among the contingents living in the organization before their hospitalization in a hospital.

The isolation ward is equipped with at least 4 beds per 100 residents, but at least 2 beds. The number of chambers is at least 2 (male and female). The operating mode of the isolation ward must correspond to the operating mode of the infectious diseases hospital.

10.6. For medical care of elderly and disabled residents, the set and area of ​​​​premises are determined depending on the profile of the organization.

10.7. Residents registered with a dispensary due to tuberculosis should be accommodated in single rooms in accordance with the requirements of the sanitary legislation of the Russian Federation.

10.8. It is forbidden to involve residents with mental health disorders in work at the catering unit, distributing food, collecting, transporting clean and dirty linen.

10.9. In the premises of the organization and on its territory, the presence of rodents and arthropods of sanitary-hygienic and epidemiological significance is not allowed. In order to prevent flies from entering the premises, window vents and doors are screened with a mesh with a mesh size of not more than 2 mm. Preventive measures for disinfection, disinfestation and deratization are carried out in accordance with the requirements of the legislation of the Russian Federation.

10.10. For disinfection, disinfestation, deratization, means are used that have a certificate of state registration and instructions ( guidelines) for its application.

10.11. All patients entering the organization are examined for the presence of pediculosis and scabies. If these diseases are detected, the patient, his clothes, bed linen, the room where he was, are subject to processing in accordance with the requirements of the sanitary legislation of the Russian Federation.

10.12. Compulsory daily processing with the use of disinfectants is subject to common areas: toilets and bathrooms, showers, a canteen, a canteen, a sanitary checkpoint, premises for a quarantine department, a medical office, and an isolation ward. Bathtubs, sinks, toilet bowls should be cleaned with kwachas or brushes using cleaning and disinfecting agents.

10.13. Preventive and current disinfection is carried out by employees of the organization under the supervision of medical personnel.

10.14. When carrying out medical manipulations, it is preferable to use single-use medical devices, which, after use, are collected, disinfected and destroyed (disposed of) in the prescribed manner in accordance with the requirements of the legislation of the Russian Federation.

Reusable medical devices that, during operation, can cause damage to the skin, mucous membrane, come into contact with the wound surface, come into contact with blood or injectable preparations, are subject to disinfection, pre-sterilization cleaning and sterilization. Disinfection, pre-sterilization cleaning, sterilization are carried out in accordance with the requirements of the sanitary legislation of the Russian Federation.

Pre-sterilization cleaning and sterilization of medical devices is carried out in the central sterilization department of an organization or other medical institution.

10.15. General cleaning of premises with the use of detergents and disinfectants should be carried out at least 2 times a month. During general cleaning bedding is ventilated, carpets are vacuumed or beaten outside. Every year, and also as it gets dirty, bedding is dry-cleaned or laundered.

10.16. Bed linen and clothes are changed at least once a week or when soiled. Hygienic treatment of residents, including examination for pediculosis and scabies, should be carried out at least once every 7 days.

10.17. Laundry rooms with a self-service room, ironing, and a dryer should be provided for washing clothes. Washing of linen and clothes of residents should be carried out separately from the sanitary clothes of the staff. Do not wash sanitary clothes at home. Storage of sanitary clothing is carried out separately from personal clothing, in individual two-section lockers, outside the working premises.

In the presence of a laundry, different technological flows are provided for residents and staff.

10.18. In the event of cases of infectious and parasitic diseases in the organization, the personnel takes measures in accordance with the requirements for the prevention of infectious and parasitic diseases. The organization is taking measures aimed at preventing the further spread of the infection, including disinfection of premises, hard and soft equipment, equipment, utensils and other objects. The mode of current and final disinfection is established by the medical worker of the organization in accordance with the current normative documents. After hospitalization of an infectious patient, final disinfection is carried out.

As long as our society exists, so many children find themselves in difficult life situations, lose their parents, remain without adult care. Therefore, orphanhood, unfortunately, must be perceived only as an integral element of civilization. Caring for orphans is the most important direction social policy state, which provides for the organization of activities for their upbringing and education, health improvement and physical development, habilitation and rehabilitation. At the same time, it should be carried out in conditions that are safe for the health of children, which is guaranteed by compliance with sanitary and epidemiological rules and regulations.

Decree of the Chief State Sanitary Doctor of the Russian Federation dated 09.02.2015 No. 8 (hereinafter referred to as the Decree) approved SanPiN 2.4.3259-15 “Sanitary and epidemiological requirements for the device, maintenance and organization of the working hours of organizations for orphans and children left without parental care” . They are aimed at protecting the health of children during their stay in organizations for orphans and children left without parental care, as well as in organizations that provide temporary residence and social rehabilitation of minors who find themselves in a difficult life situation and need social assistance from the state. SanPiN 2.4.3259-15 entered into force on September 1, 2015. Previously, sanitary and epidemiological requirements for the functioning of such institutions were established by various regulatory legal acts, namely:

SP 2.4.990-00 "Hygienic requirements for the arrangement, maintenance and organization of the working regime in orphanages and boarding schools for orphans and children left without parental care";

SanPiN 2.4.1201-03 "Hygienic requirements for the arrangement, maintenance, equipment and mode of operation of specialized institutions for minors in need of social rehabilitation".

Our reference. According to paragraph 3 of the Decree, from September 1, 2015, SanPiN 2.4.1201-03 and regulatory legal acts, which made changes to these sanitary and epidemiological rules and regulations, ceased to be valid. SP 2.4.990-00 is not mentioned in the Decree, however, from the date of entry into force of SanPiN 2.4.3259-15, they have also become invalid, since their application has become redundant.

SanPiN 2.4.3259-15 are mandatory for all citizens, legal entities and individual entrepreneurs whose activities are related to the design, construction, reconstruction, overhaul and operation of facilities of organizations for orphans and children left without parental care, as well as organizations, providing temporary residence and social rehabilitation of minors who find themselves in a difficult life situation and need social assistance from the state (hereinafter referred to as organizations for orphans). These include institutions of educational and medical profiles, as well as organizations providing social services in which orphans live. SanPiN 2.4.3259-15 does not apply to families raising children in various forms of family arrangements (guardianship, guardianship, family orphanages, foster families).

The document consists of traditional sections, which contain sanitary and epidemiological requirements:

To the placement of organizations for orphans;

Territory and its content;

Building and equipment of premises;

Organization of nutrition and drinking regime of orphans;

Interior decoration of premises;

Water supply and sewerage;

Air-thermal regime;

Natural and artificial lighting and insolation;

Water supply and sewerage;

The regime of the day and the organization of the educational process;

Sanitary maintenance of the territory, premises of the organization for orphans and disinfection measures.

In addition, SanPiN 2.4.3259-15 covers the issues of medical support for children, preventive medical examinations, professional hygiene training, and personal hygiene of personnel. Many of the sanitary and epidemiological requirements established in SanPiN 2.4.3259-15 are similar to those specified in the relevant regulatory legal acts for the functioning of educational organizations for children of preschool and school age. Therefore, we will dwell in more detail on those moments that reflect the specifics of the work of organizations for orphans.

Accommodation and territory

According to paragraph 2.3 of SanPiN 2.4.3259-15, organizations for orphans can be located in separate buildings, built-in, built-in and attached to residential buildings, attached to the ends of residential buildings, in residential premises of the housing stock. At the same time, if the institution does not carry out educational activities, it is recommended to place it near educational organizations, taking into account the radius of walking distance in accordance with the requirements established by SanPiN 2.4.2.2821-10 "Sanitary and epidemiological requirements for the conditions and organization of education in educational institutions". Where implementation of this recommendation is not possible, transport services should be provided for children to and from school.

If an organization for orphans is located in a separate area, it must be zoned. In accordance with clause 3.2 of SanPiN 2.4.3259-15, a recreation area, a play area, a sports area, and a utility area are distinguished. The equipment of the zones depends on the age of the children (preschoolers, schoolchildren), as well as their state of health.

On playgrounds, as follows from clause 3.4 of SanPiN 2.4.3259-15, shade awnings or walking verandas are installed to protect children of early and preschool age from the sun and precipitation. Playgrounds for preschoolers are also equipped with sandboxes. Please note that the new document does not directly indicate compliance with the principle of group isolation, which is mandatory for kindergartens.

For the rest of school-age children and the implementation of educational programs that provide for outdoor activities, a special zone is allocated, the composition, planning organization and equipment of sites in which must meet the age needs of pupils in various types of games and recreation.

In cases where zoning of the territory is impossible for some reason, clause 3.8 of SanPiN 2.4.3259-15 allows the use of sports facilities, squares, parks and other territories located near organizations for orphans and adapted for children walking and activities physical education.

Building and premises

If we are talking about the construction of new and reconstruction of existing buildings of organizations for orphans, then according to clause 4.1 of SanPiN 2.4.3259-15, they provide conditions for living, upbringing, education, medical support and the provision of social services, providing for the implementation of the principles of family education in educational groups. New Approach to the upbringing of children in such institutions is also reflected in the Regulations on the activities of organizations for orphans and children left without parental care, and on the placement of children left without parental care in them (hereinafter referred to as the Regulations), effective from September 1, 2015. in accordance with paragraph 33 of the Regulations, the residence of children is organized according to the principles of family education in educational groups located in residential premises created according to the apartment type.

Planning decisions of buildings should provide for the following functional areas and premises:

For the residence of children and caregivers;

For recreation, games, activities;

For storage of food products and food raw materials, cooking and eating;

For storage of means of individual movement, technical means of rehabilitation, sports equipment;

For medical care;

For rehabilitation activities;

Premises for administrative and economic purposes;

Sanitary facilities.

The requirements for water supply and sewerage, air-thermal conditions, natural and artificial lighting, insolation set forth in SanPiN 2.4.3259-15 are traditional for organizations in which children and adolescents stay. The only feature concerns the air temperature in the locker rooms, rooms for classes (preparation of lessons), living rooms (bedrooms), rooms for eating, for rest and games (living rooms), sanitary facilities. According to paragraph 10.3 of SanPiN 2.4.3259-15, it must be at least 20 ° C.

The minimum required set of premises for educational groups includes:

Living rooms (bedrooms) - at least 4.5 m 2 per child;

Room for recreation and games (living room) - at least 2.0 m 2 per child;

Premises for classes (preparation of lessons) - at least 2.0 m 2 per child;

A room for receiving and (or) preparing food - at least 1.5 m 2 per child;

Sanitary unit, shower room (bathroom) - at least 1.5 m 2 per child;

Teacher's room - at least 6.0 m 2 for one adult;

Dressing room (hallway) - at least 1.2 m 2 per child.

Sanitary units and showers (bathrooms) can be placed in separate and (or) combined rooms.

It is important! According to clause 4.5 of SanPiN 2.4.3259-15, the number of children in an educational group under the age of 4 years should not exceed 6 people, at the age of 4 years and older - 8 people. If there are children under the age of 4 years and older in the educational group, the occupancy of the group should not exceed 6 people.

Living rooms (bedrooms) for school-age children of different sexes should be separate. It is not recommended to accommodate more than 4 children in one room. Bedrooms are equipped with stationary beds in accordance with the growth and age characteristics of children, cabinets for storing personal belongings of pupils, bedside tables. But on folding and transformable (pull-out, roll-out) beds in organizations for orphans, clause 4.9 of SanPiN 2.4.3259-15, a ban has been imposed. Please note that in preschool educational institutions, under certain conditions, it is possible to use transformable or folding beds with a hard bed for sleeping children.

Special requirements are also provided for medical premises, the set of which is determined by the volume of medical services provided (clause 4.16-4.17 of SanPiN 2.4.3259-15). Among the obligatory in the organization for orphans is the admission-quarantine department, designed to accommodate newly admitted children in it for the period of establishing the presence or absence of infectious diseases in them. It is equipped with a separate entrance, consists of a reception and examination room, at least 2 isolation rooms, a canteen, a doctor's office, a medical office, sanitary facilities (sanitary facilities, shower (bath) room). The isolation wards are separated from the rest of the medical premises by a gateway with a washbasin. The area of ​​the isolation chambers is taken at the rate of at least 6.0 m 2 per 1 bed. The medical office is located next to the isolation wards and has a separate entrance from the corridor. Washing baths, a tank for disinfecting dishes, a cabinet for storing dishes and equipment, and a table are installed in the pantry of the quarantine department.

If an organization for orphans implements educational activities according to general educational programs, then for these purposes premises are provided that comply with SanPiN 2.4.2.2821-10.

Pupils with disabilities in an organization for orphans

Violations in the physical or mental health of pupils of organizations for orphans further complicate the process of their socialization. For the full life of such children, special conditions are required.

During the construction and reconstruction of buildings of organizations for orphans for pupils with disabilities and disabled children, an accessible (barrier-free) environment is created on the territory and in the premises, taking into account the characteristics of their health, ensuring the free movement of children.

Section V of SanPiN 2.4.3259-15 is devoted to the requirements for equipping premises for orphans with disabilities.

According to clause 5.1 of SanPiN 2.4.3259-15, the upbringing of orphans with disabilities is organized in groups of compensatory, combined and health-improving orientations. Compensatory orientation groups are designed to carry out qualified correction of deficiencies in the physical and mental development of children with disabilities. As a rule, these are deaf and hard of hearing, blind and visually impaired children, pupils with severe speech disorders, phonetic and phonemic disorders, disorders of the musculoskeletal system, mental retardation, mental retardation, autism, a complex defect (a combination of two or more shortcomings in physical and (or) mental development), etc. Combined orientation groups involve the joint upbringing and education of healthy children and children with disabilities. Health-improving groups bring up children with tuberculosis intoxication, who are often ill, and other children who need a set of special health-improving measures.

It is important! SanPiN 2.4.3259-15 establishes requirements for the device, content and organization of work only for educational groups of compensatory and combined orientation.

For orphans with disabilities, in particular with defects in physical development that impede movement, impaired coordination of movements, with weakening or lack of vision, etc., the possibility of convenient movement inside the building is provided. So, doorways should be of sufficient width, stairs - with double-sided handrails, which are installed at two levels (the first level is at a height of 0.9 m, the second - 0.5 m). In rooms for children with visual impairments, the color of doors and door frames, protruding parts of buildings, the boundaries of steps, furniture and equipment should contrast with the color of the walls. Rooms for recreation and games, living rooms (bedrooms), rooms for classes (preparation of lessons) for blind, visually impaired children require southern and eastern orientation on the sides of the horizon. The level of artificial illumination in rooms for recreation and games, classes (preparation of lessons) should be at least 600 lux for blind and visually impaired children, not more than 300 lux for children suffering from photophobia. The swimming pool is equipped with a device for lowering and raising children with a violation of the musculoskeletal system.

Daily regime

The regime of the day and the organization of the educational process in institutions for orphans are built taking into account the characteristics of their health in a differentiated way for pupils of preschool and school age.

In paragraph 12.9 of SanPiN 2.4.3259-15, the age norms for the daily need of children in sleep are given. So, for children 6-7 years old, the need for sleep is 11 hours a day, 8-9 years old - 11-10.5 hours, 10 years old - 10.5-10 hours, 11-12 years old - 10-9 hours, 13 -14 years old - 9.5-9 hours, 15 years and older - 9-8.5 hours. Going to bed for children of primary school age is recommended to organize no later than 21.00, children of middle and senior school age - no later than 22.00-22.30. The rise of children after a night's sleep should be carried out no earlier than 7.00. Children of preschool and primary school age with health problems, recovering from infectious diseases, who get tired quickly, need a daytime sleep of 1.5-2 hours.

According to clause 12.12 of SanPiN 2.4.3259-15, children should eat at least 5 times a day (breakfast, second breakfast, lunch, afternoon snack, dinner). The intervals between meals for preschool children do not exceed 3.5 hours, for school children - 4 hours. During the educational process, it is recommended to organize a second breakfast after the second or third lesson.

In accordance with paragraph 12.3 of SanPiN 2.4.3259-15, in the daily routine of preschoolers and younger students, physical activity should take up to 50% of the daytime, in the daily routine of older students - up to 30%. Sports and physical culture events are carried out taking into account the state of health, physical fitness and health groups of children. Work on physical education should be carried out under the supervision of the medical staff of the organization for orphans. Children with disabilities are engaged in individual programs compiled by a doctor and a physical education teacher, taking into account the recommendations of medical specialists. On weekends and holidays, it is necessary to allocate time for additional stay of children in the fresh air for conducting hobby classes, sports events, excursions, hiking, socially useful work.

We warn mistakes

As follows from clause 12.8 of SanPiN 2.4.3259-15, it is not allowed to involve children in work with harmful or dangerous working conditions, during which it is prohibited to use the labor of persons under 18 years of age, as well as in cleaning sanitary facilities and common areas, washing windows and lamps, snow removal from roofs, construction and repair work.

Nutrition and drinking regimen

On the key points of catering in institutions for orphans, SanPiN 2.4.3259-15 is referred to SanPiN 2.4.1.3049-13, which must comply with the nutrition of children under 3 years old and children of older preschool age, as well as to SanPiN 2.4.5.2409-08 " Sanitary and epidemiological requirements for catering for students in general education institutions, primary and secondary education institutions, which must be observed when providing meals to school-age children. Paragraph 6.9 of SanPiN 2.4.3259-15 establishes that for children with chronic diseases nutrition is organized in accordance with the principles of therapeutic and preventive nutrition of children, taking into account the characteristics of the existing pathology, based on appropriate nutritional standards.

As follows from clauses 6.1, 6.8 SanPiN 2.4.3259-15, children can be fed in the dining room, a room for receiving and (or) cooking, or for children to relax and play. The number of seats should ensure that all children eat at the same time. Feeding children in the premises for receiving and (or) preparing food is allowed if the residence of orphans is organized according to the apartment type (according to the principles of family education). In this case, the arrangement, equipment and maintenance of such premises, as well as the nutrition of children, must comply with clauses 6.2-6.14 of SanPiN 2.4.3259-15.

Paragraph 6.10 of SanPiN 2.4.3259-15 allows the delivery of ready-made meals and culinary products, semi-finished products from food processing plants or public catering organizations. It must be carried out in an isothermal container. If the container maintains the temperature of hot dishes at +60 ° С ... +65 ° С, ready-made first and second courses can be in it for no more than 2 hours before serving to children.

Requirements for the organization of the drinking regime are similar to those for children's educational or recreational institutions. According to paragraph 7.1 of SanPiN 2.4.3259-15, the drinking regime is organized using water at room temperature, packaged in a container, or bottled or boiled drinking water. Its quality and safety must meet the requirements for drinking water. Boiled water is stored no more than 3 hours. Paragraph 7.2 of SanPiN 2.4.3259-15 allows the child to consume bottled drinking water directly from the consumer packaging, provided that its volume does not exceed 0.33 liters.

A few words about the important

The requirements for the sanitary maintenance of the territory, the premises of the organization for orphans and the implementation of disinfection measures, as well as the requirements for preventive medical examinations, professional hygiene training, and personal hygiene of personnel are quite standard and practically similar to those presented in other documents addressed to institutions for children and adolescents. Let us indicate only some of them. So, according to clause 13.1 of SanPiN 2.4.3259-15, wet cleaning in living quarters (bedrooms) is carried out after a night's sleep, in the dining room, in the dining room - after each meal. General cleaning of premises with the use of detergents and disinfectants in accordance with clause 13.7 of SanPiN 2.4.3259-15 is carried out once a month.

Based on clause 13.2 of SanPiN 2.4.3259-15, each child is provided with a set of towels (for face and hands, for legs and bath), individual personal hygiene items (toothbrush, soap, washcloth, comb). Bed linen, towels are changed as they get dirty, but at least once a week - on the day of washing (bathing) children.

As follows from clause 13.11 of SanPiN 2.4.3259-15, when cases of illness in children are detected during the day (fever, rash, pain, vomiting, diarrhea and other health abnormalities), it is necessary to immediately report this to the territorial health authorities. Before hospitalization, sick children are placed in an isolation room. During the stay of a sick child in an organization for orphans, current disinfection is carried out in the environment of the patient. After hospitalization, the final disinfection and ventilation of the premises are carried out. When quarantine is established, preventive disinfection is organized.

In conclusion, we dare to assume that SanPiN 2.4.3259-15 brought to life not only the desire of the control and supervisory authority to summarize and update the existing regulations, which established requirements for institutions in which orphans, children left without parental care who need social rehabilitation stay. There is a need to change the very approach to raising orphans in specialized agencies. Yes, SanPiN 2.4.3259-15 and laterDecree of the Government of Russia dated May 24, 2014 No. 481 enshrined a provision declaring the priority of the principle of family education, and with it the requirement to organize the residence of orphans in premises created according to the apartment type. The entry into force of these documents marked the beginning of activities aimed at bringing organizations for orphans closer to the family type.

M. I. Stepanova,
dr med. sciences, professor of the Federal State Budgetary Scientific Institution " Science Center children's health"

Registration N 19993

In accordance with the Federal Law of March 30, 1999 N 52-FZ "On the sanitary and epidemiological well-being of the population" (Collected Legislation of the Russian Federation, 1999, N 14, article 1650; 2002, N 1 (part 1), article 2; 2003, N 2, item 167; 2003, N 27 (part 1), item 2700; 2004, N 35, item 3607; 2005, N 19, item 1752; 2006, N 1, item 10; 2006, No. 52 (part 1), article 5498; 2007, No. 1 (part 1), article 21; 2007, No. 1 (part 1), article 29; 2007, No. 27, article 3213 ; 2007, N 46, item 5554; 2007, N 49, item 6070; 2008, N 24, item 2801; 2008, N 29 (part 1), item 3418; 2008, N 30 (part 2) ), art. 3616; 2008, N 44, art. 4984; 2008, N 52 (part 1), art. 6223; 2009, N 1, art. 17; 2010, N 40, art. 4969) and by a government decree of the Russian Federation of July 24, 2000 N 554 "On Approval of the Regulations on the State Sanitary and Epidemiological Service of the Russian Federation and the Regulations on State Sanitary and Epidemiological Rationing" (Sobraniye Zakonodatelstva Rossiyskoy Federatsii, 2000, N 31, Art. 3295; 2004, N 8, Art. 663, 2004, N 47, item 4666; 2005, N 39, Art. 3953) I decide:

1. Approve the sanitary and epidemiological rules and regulations SanPiN 2.4.2.2821-10 "Sanitary and epidemiological requirements for the conditions and organization of education in educational institutions" (Appendix).

2. Enact these sanitary and epidemiological rules and regulations from September 1, 2011.

3. From the moment of the introduction of SanPiN 2.4.2.2821-10, consider the sanitary and epidemiological rules and regulations SanPiN 2.4.2.1178-02 "Hygienic requirements for the conditions of education in educational institutions" approved by the decision of the Chief State Sanitary Doctor of the Russian Federation, First Deputy Minister of Health of the Russian Federation dated November 28, 2002 N 44 (registered in the Ministry of Justice of Russia on December 5, 2002, registration number 3997), SanPiN 2.4.2.2434-08 "Change N 1 to SanPiN 2.4.2.1178-02", approved by the decision of the Chief State Sanitary Doctor of the Russian Federation dated December 26, 2008 N 72 (registered with the Ministry of Justice of Russia on January 28, 2009, registration number 13189).

G. Onishchenko

Appendix

Sanitary and epidemiological requirements for the conditions and organization of education in educational institutions

Sanitary and epidemiological rules and regulations SanPiN 2.4.2.2821-10

I. General provisions and scope

1.1. These sanitary and epidemiological rules and regulations (hereinafter referred to as the sanitary rules) are aimed at protecting the health of students in the implementation of activities for their education and upbringing in educational institutions.

1.2. These sanitary rules establish sanitary and epidemiological requirements for:

Placement of a general educational institution;

Territories of a general educational institution;

The building of a general educational institution;

Equipping the premises of a general educational institution;

Air-thermal regime of a general educational institution;

natural and artificial lighting;

Water supply and sewerage;

Premises and equipment of educational institutions located in adapted buildings;

The mode of the educational process;

Organizations of medical care for students;

Sanitary condition and maintenance of the educational institution;

Compliance with sanitary rules.

1.3. Sanitary rules apply to designed, operating, under construction and reconstructed educational institutions, regardless of their type, organizational and legal forms and forms of ownership.

These sanitary rules apply to all educational institutions that implement programs of primary general, basic general and secondary (complete) general education and carry out the educational process in accordance with the levels of general education programs of three levels of general education:

the first stage is primary general education (hereinafter referred to as the I stage of education);

the second stage is the basic general education (hereinafter referred to as the II stage of education);

the third step is secondary (complete) general education (hereinafter referred to as the third step of education).

1.4. These sanitary rules are binding on all citizens, legal entities and individual entrepreneurs whose activities are related to the design, construction, reconstruction, operation of educational institutions, education and training of students.

1.5. Educational activities are subject to licensing in accordance with the legislation of the Russian Federation. The condition for making a decision on issuing a license is the submission by the license applicant of a sanitary and epidemiological conclusion on the compliance with the sanitary rules of buildings, territories, premises, equipment and other property, the mode of the educational process, which the license applicant intends to use for educational activities*.

1.6. If there are preschool groups in the institution that implement the main general educational program of preschool education, their activities are regulated by sanitary and epidemiological requirements for the arrangement, content and organization of the working hours of preschool organizations.

1.7. The use of premises of educational institutions for other purposes is not allowed.

1.8. Control over the implementation of these sanitary rules is carried out in accordance with the legislation of the Russian Federation by the authorized federal agency the executive branch exercising the functions of control and supervision in the field of ensuring the sanitary and epidemiological welfare of the population, protecting the rights of consumers and the consumer market and its territorial bodies.

II. Requirements for the placement of educational institutions

2.1. The provision of land plots for the construction of objects of educational institutions is allowed if there is a sanitary and epidemiological conclusion on the compliance of the land plot with sanitary rules.

2.2. Buildings of educational institutions should be located in a residential area, outside the sanitary protection zones of enterprises, structures and other facilities, sanitary breaks, garages, parking lots, highways, railway transport facilities, subways, takeoff and landing routes for air transport.

To ensure the normative levels of insolation and natural lighting of premises and playgrounds, when placing buildings of educational institutions, sanitary gaps from residential and public buildings must be observed.

The main engineering communications of urban (rural) purposes - water supply, sewerage, heat supply, energy supply - should not pass through the territory of educational institutions.

2.3. Newly constructed buildings of educational institutions are located on the intra-quarter territories of residential microdistricts, remote from city streets, inter-quarter passages at a distance that ensures noise levels and air pollution to the requirements of sanitary rules and regulations.

2.4. When designing and building urban educational institutions, it is recommended to provide for pedestrian accessibility of institutions located:

In II and III building-climatic zones - no more than 0.5 km;

In the I climatic region (I subzone) for students of the I and II stages of education - no more than 0.3 km, for students of the III stage of education - no more than 0.4 km;

In the I climatic region (II subzone) for students of the I and II stages of education - no more than 0.4 km, for students of the III stage of education - no more than 0.5 km.

2.5. In rural areas, pedestrian accessibility for students of educational institutions:

In the II and III climatic zones for students of the I stage of education is no more than 2.0 km;

For students of the II and III stages of education - no more than 4.0 km, in the I climatic zone - 1.5 and 3 km, respectively.

At distances exceeding those indicated for students of educational institutions located in rural areas, it is necessary to organize transport services to the educational institution and back. Travel time should not exceed 30 minutes one way.

The transportation of students is carried out by a specially allocated transport intended for the transportation of children.

The optimal pedestrian approach of students to the gathering place at the stop should be no more than 500 m. For rural areas, it is allowed to increase the radius of walking distance to the stop up to 1 km.

2.6. It is recommended for students living at a distance exceeding the maximum allowable transport service, as well as in case of transport inaccessibility during adverse weather conditions, to provide a boarding school with educational institution.

III. Requirements for the territory of educational institutions

3.1. The territory of the educational institution should be fenced and landscaped. Landscaping of the territory is provided at the rate of at least 50% of the area of ​​its territory. When placing the territory of a general educational institution on the border with forests and gardens, it is allowed to reduce the landscaping area by 10%.

Trees are planted at a distance of at least 15.0 m, and shrubs at least 5.0 m from the building of the institution. When landscaping the territory, trees and shrubs with poisonous fruits are not used in order to prevent the occurrence of poisoning among students.

It is allowed to reduce the landscaping with trees and shrubs of the territories of educational institutions in the districts Far North, taking into account the special climatic conditions in these areas.

3.2. On the territory of a general educational institution, the following zones are distinguished: a recreation area, a sports and economic area. It is allowed to allocate a training and experimental zone.

When organizing a training and experimental zone, it is not allowed to reduce the physical culture and sports zone and the recreation area.

3.3. It is recommended to place the physical culture and sports zone on the side of the gym. When placing a physical culture and sports area from the windows of classrooms, noise levels in classrooms should not exceed hygienic standards for residential, public buildings and residential areas.

When constructing treadmills and sports grounds (volleyball, basketball, handball), drainage must be provided to prevent flooding with rainwater.

The equipment of the physical culture and sports zone should ensure the implementation of the programs of the subject "Physical Education", as well as the holding of sectional sports classes and recreational activities.

Sports and playgrounds must have a hard surface, a football field - a grass cover. Synthetic and polymer coatings must be frost-resistant, equipped with drains and must be made of materials that are harmless to children's health.

Classes on damp areas with bumps and potholes are not carried out.

Physical culture and sports equipment should correspond to the height and age of students.

3.4. For the implementation of the programs of the subject "Physical culture" it is allowed to use sports facilities (grounds, stadiums) located near the institution and equipped in accordance with sanitary and epidemiological requirements for the arrangement and maintenance of places for physical culture and sports.

3.5. When designing and building educational institutions on the territory, it is necessary to provide a recreation area for organizing outdoor games and recreation for students attending after-school groups, as well as for implementing educational programs that provide for outdoor activities.

3.6. The utility zone is located on the side of the entrance to the production premises of the canteen and has an independent entrance from the street. In the absence of heating and centralized water supply, a boiler room and a pump room with a water tank are placed on the territory of the economic zone.

3.7. To collect waste on the territory of the economic zone, a platform is equipped on which garbage collectors (containers) are installed. The site is located at a distance of at least 25.0 m from the entrance to the catering unit and the windows of classrooms and classrooms and is equipped with a waterproof hard surface, the dimensions of which exceed the base area of ​​the containers by 1.0 m in all directions. Garbage bins must have tight-fitting lids.

3.8. Entrances and entrances to the territory, driveways, paths to outbuildings, to areas for garbage collectors are covered with asphalt, concrete and other hard surfaces.

3.9. The territory of the institution must have outdoor artificial lighting. The level of artificial illumination on the ground must be at least 10 lux.

3.10. The location on the territory of buildings and structures that are not functionally related to a general educational institution is not allowed.

3.11. If there are preschool groups in a general educational institution that implement the main general educational program of preschool education, a play area is allocated on the territory, equipped in accordance with the requirements for the device, content and organization of the working hours of preschool organizations.

3.12. Noise levels on the territory of a general education institution should not exceed the hygienic standards for premises of residential, public buildings and residential areas.

IV. building requirements

4.1. Architectural and planning solutions of the building should provide:

Selection in separate block primary school classrooms with access to the site;

Location of recreational facilities in close proximity to educational facilities;

Accommodation on the upper floors (above the third floor) of classrooms and classrooms attended by students in grades 8-11, administrative and utility rooms;

Exclusion of the harmful effects of environmental factors in a general education institution on the life and health of students;

Placement of training workshops, assembly and sports halls of educational institutions, their total area, as well as a set of premises for circle work, depending on local conditions and the capabilities of the educational institution, in compliance with the requirements building codes and rules and these sanitary rules.

Previously constructed buildings of educational institutions are operated in accordance with the project.

4.2. It is not allowed to use the basement floors and basements for classrooms, offices, laboratories, educational workshops, medical facilities, sports, dance and assembly halls.

4.3. The capacity of newly built or reconstructed educational institutions should be calculated for training in only one shift.

4.4. Entrances to the building can be equipped with vestibules or air and air-thermal curtains, depending on the climatic zone and the calculated outdoor temperature, in accordance with the requirements of building codes and regulations.

4.5. When designing, constructing and reconstructing a building of a general educational institution, wardrobes must be placed on the 1st floor with the obligatory equipment of places for each class. Wardrobes are equipped with hangers for clothes and cells for shoes.

In existing buildings for primary school students, it is possible to place a wardrobe in recreation areas, provided that they are equipped with individual lockers.

In institutions located in rural areas, with the number of students in one class of no more than 10 people, it is allowed to arrange wardrobes (hangers or lockers) in classrooms, subject to the norm of the area of ​​the classroom for 1 student.

4.6. Students of elementary general education schools must study in the classrooms assigned to each class.

4.7. In newly constructed buildings of educational institutions, it is recommended to allocate classrooms for primary classes in a separate block (building), group them into study sections.

In the training sections (blocks) for students in grades 1-4, there are: classrooms with recreation, playrooms for extended day groups (at least 2.5 m 2 per student), toilets.

For 1st grade students attending extended day groups, sleeping quarters with an area of ​​at least 4.0 m 2 per child should be provided.

4.8. For students of the II - III stage of education, the organization of the educational process according to the class-room system is allowed.

If it is impossible to ensure that classrooms and laboratories match the educational furniture with the height and age characteristics of students, it is not recommended to use the classroom system of education.

In general educational institutions located in rural areas, with a small number of classes, it is allowed to use classrooms in two or more disciplines.

4.9. The area of ​​classrooms is taken without taking into account the area required for arranging additional furniture (wardrobes, cabinets, etc.) for storing teaching aids and equipment used in the educational process, based on:

Not less than 2.5 m 2 per 1 student with frontal forms of classes;

Not less than 3.5 m 2 per 1 student when organizing group forms of work and individual lessons.

In newly constructed and reconstructed buildings of educational institutions, the height of educational premises must be at least 3.6 m 2.

The estimated number of students in classes is determined based on the calculation of the area per student and the arrangement of furniture in accordance with Section V of these sanitary rules.

4.10. In the classrooms of chemistry, physics, biology, laboratory assistants should be equipped.

4.11. The area of ​​computer science classrooms and other classrooms where personal computers are used must comply with hygienic requirements for personal electronic computers and the organization of work.

4.12. The set and area of ​​premises for extracurricular activities, circle classes and sections must comply with sanitary and epidemiological requirements for institutions additional education children.

When placing a sports hall on the 2nd floor and above, sound and vibration isolation measures must be taken.

The number and types of sports halls are provided depending on the type of educational institution and its capacity.

4.14. At sports halls in existing educational institutions, equipment must be provided; dressing rooms for boys and girls. It is recommended to equip gyms with separate showers and toilets for boys and girls.

4.15. In the newly constructed buildings of educational institutions at sports halls, the following should be provided: projectile; rooms for storing cleaning equipment and preparing disinfectant and washing solutions with an area of ​​at least 4.0 m 2; separate dressing rooms for boys and girls with an area of ​​at least 14.0 m 2 each; separate showers for boys and girls with an area of ​​at least 12 m 2 each; separate toilets for boys and girls with an area of ​​at least 8.0 m 2 each. Toilets or locker rooms are equipped with sinks for washing hands.

4.16. When constructing swimming pools in educational institutions, planning decisions and its operation must meet hygienic requirements for the device, operation of swimming pools and water quality.

4.17. In general educational institutions, it is necessary to provide a set of premises for organizing meals for students in accordance with the sanitary and epidemiological requirements for organizing meals for students in general educational institutions, institutions of primary and secondary vocational education.

4.18. During the construction and reconstruction of buildings of educational institutions, it is recommended to provide an assembly hall, the dimensions of which are determined by the number of seats at the rate of 0.65 m 2 per seat.

4.19. The type of library depends on the type of educational institution and its capacity. In institutions with in-depth study of individual subjects, gymnasiums and lyceums, the library should be used as a reference and information center of a general education institution.

The area of ​​the library (information center) must be taken at the rate of at least 0.6 m 2 per student.

When equipping information centers with computer technology, hygienic requirements for personal electronic computers and organization of work must be observed.

4.20. Recreational facilities of educational institutions should be provided at the rate of at least 0.6 m 2 per 1 student.

The width of recreations with a one-sided arrangement of classes should be at least 4.0 m, with a two-sided arrangement of classes - at least 6.0 m.

When designing a recreation area in the form of halls, the area is set at the rate of 2 m 2 per student.

4.21. In existing buildings of educational institutions for medical care of students, medical facilities should be provided on the first floor of the building, located in a single block: a doctor's office with an area of ​​at least 14.0 m 2 and a length of at least 7.0 m (to determine the acuity of hearing and vision of students ) and a procedural (vaccination) room with an area of ​​at least 14.0 m 2.

In general educational institutions located in rural areas, it is allowed to organize medical care at feldsher-obstetric stations and outpatient clinics.

4.22. For newly constructed and reconstructed buildings of educational institutions, the following premises for medical care should be equipped: a doctor's office with a length of at least 7.0 m (to determine the acuity of hearing and vision of students) with an area of ​​​​at least 21.0 m 2; treatment and vaccination rooms with an area of ​​at least 14.0 m 2 each; a room for the preparation of disinfectant solutions and storage of cleaning equipment intended for medical premises, with an area of ​​at least 4.0 m 2; toilet.

When equipping a dental office, its area must be at least 12.0 m 2.

All medical facilities should be grouped in one block and located on the 1st floor of the building.

4.23. The doctor's office, procedural, vaccination and dental rooms are equipped in accordance with the sanitary and epidemiological requirements for organizations engaged in medical activities. The vaccination room is equipped in accordance with the requirements for the organization of immunoprophylaxis of infectious diseases.

4.24. For children in need of psychological and pedagogical assistance, in general educational institutions there are separate rooms for a teacher-psychologist and a teacher-speech therapist with an area of ​​at least 10 m 2 each.

4.25. On each floor there should be toilets for boys and girls, equipped with cubicles with doors. The number of sanitary appliances is determined on the basis of: 1 toilet bowl for 20 girls, 1 wash basin for 30 girls: 1 toilet bowl, 1 urinal and 1 wash basin for 30 boys. The area of ​​sanitary facilities for boys and girls should be taken at the rate of at least 0.1 m 2 per student.

A separate bathroom is allocated for staff at the rate of 1 toilet for 20 people.

In previously constructed buildings of educational institutions, the number of sanitary facilities and sanitary appliances is allowed in accordance with the design decision.

In sanitary facilities, pedal buckets and toilet paper holders are installed; an electric towel or a paper towel holder is placed next to the washbasins. Sanitary equipment must be in good working order, free of chips, cracks and other defects. Entrances to the bathrooms are not allowed to be located opposite the entrance to the classrooms.

Toilets are equipped with seats made of materials that allow them to be treated with detergents and disinfectants.

For students of II and III levels of education in newly built and reconstructed buildings of educational institutions, personal hygiene rooms are provided at the rate of 1 cabin for 70 people with an area of ​​at least 3.0 m 2. They are equipped with a bidet or a tray with a flexible hose, a toilet bowl and a washbasin with cold and hot water supply.

For previously built buildings of educational institutions, it is recommended to equip personal hygiene cabins in the toilet rooms.

4.26. In the newly constructed buildings of educational institutions, on each floor, a room is provided for storing and processing cleaning equipment, preparing disinfectant solutions, equipped with a tray and cold and hot water supply to it. In previously built buildings of educational institutions, a separate place is allocated for storing all cleaning equipment (except for equipment intended for cleaning catering and medical facilities), which is equipped with a cabinet.

4.27. Washbasins are installed in primary school rooms, laboratory rooms, classrooms (chemistry, physics, drawing, biology), workshops, home economics rooms, and in all medical rooms.

The installation of sinks in classrooms should be provided for, taking into account the growth and age characteristics of students: at a height of 0.5 m from the floor to the side of the sink for students in grades 1-4 and at a height of 0.7-0.8 m from the floor to the side of the sink for students in grades 5 - 11. Pedal buckets and toilet paper holders are installed near the sinks. Electric or paper towels and soap are placed next to the washbasins. Soap, toilet paper and towels should be available at all times.

4.28. Ceilings and walls of all rooms must be smooth, without cracks, cracks, deformations, signs of fungus damage and allowing them to be cleaned with a wet method using disinfectants. It is allowed in classrooms, classrooms, recreations and other premises to equip suspended ceilings made of materials permitted for use in educational institutions, provided that the height of the premises is not less than 2.75 m, and in newly built buildings not less than 3.6 m.

4.29. Floors in classrooms and classrooms and recreation areas must have plank, parquet, tile or linoleum flooring. In the case of using a tile coating, the surface of the tile must be matte and rough, not allowing slipping. The floors of toilets and washrooms are recommended to be lined with ceramic tiles.

Floors in all rooms must be free of cracks, defects and mechanical damage.

4.30. In medical premises, the surfaces of the ceiling, walls and floor must be smooth, allowing them to be cleaned with a wet method and resistant to the action of detergents and disinfectants approved for use in medical premises.

4.31. All building and finishing materials must be harmless to the health of children.

4.32. In a general education institution and a school boarding school, it is not allowed to carry out all types of repair work in the presence of students.

4.33. As part of a general education institution structural subdivision may include a boarding school at a general education institution, if the general education institution is located in excess of the maximum allowable transport service.

The building of a boarding school at a general educational institution may be separate, and also be part of the main building of a general educational institution with its allocation to an independent block with a separate entrance.

As part of the premises of a boarding school at a general education institution, the following should be provided:

Sleeping quarters separately for boys and girls with an area of ​​at least 4.0 m 2 per person;

Premises for self-training with an area of ​​at least 2.5 m 2 per person;

Rest rooms and psychological relief;

Washrooms (1 sink for 10 people), toilets (1 toilet for 10 girls, 1 toilet and 1 urinal for 20 boys, each toilet has 1 sink for washing hands), showers (1 shower net for 20 people), hygiene room. Pedal buckets, toilet paper holders are installed in toilets; electric or paper towels and soap are placed next to washbasins. Soap, toilet paper and towels should be available at all times;

Rooms for drying clothes and shoes;

Rooms for washing and ironing personal belongings;

Storage room for personal belongings;

Medical room: doctor's office and

Insulator;

Administrative and economic premises.

Equipment, decoration of premises and their maintenance must comply with hygienic requirements for the device, maintenance, organization of the working hours in orphanages and boarding schools for orphans and children left without parental care.

For a newly built boarding school at a general education institution, the main building of the general education institution and the building of the boarding school are connected by a warm transition.

4.34. Noise levels in the premises of a general educational institution should not exceed the hygienic standards for premises of residential, public buildings and residential areas

V. Requirements for premises and equipment

educational institutions

5.1. The number of jobs for students should not exceed the capacity of the educational institution provided for by the project according to which the building was built (reconstructed).

Each student is provided with a workplace (at a desk or table, game modules and others) in accordance with his height.

5.2. Depending on the purpose of the classrooms, various types of student furniture can be used: school desks, student tables (single and double), classroom, drawing or laboratory tables complete with chairs, desks and others. Stools or benches are not used instead of chairs.

Student furniture must be made of materials that are harmless to the health of children, and must comply with the growth and age characteristics of children and ergonomic requirements.

5.3. The main type of student furniture for students of the 1st stage of education should be a school desk, provided with a tilt regulator for the surface of the working plane. During the teaching of writing and reading, the slope of the working surface of the plane of the school desk should be 7-15. The front edge of the seat surface should go beyond the front edge of the working plane of the desk by 4 cm at the desks of the 1st number, by 5 - 6 cm - at the 2nd and 3rd numbers and by 7 - 8 cm at the desks of the 4th number.

The dimensions of the educational furniture, depending on the height of the students, must correspond to the values ​​\u200b\u200bgiven in Table 1.

A combined use of different types of student furniture (desks, desks) is allowed.

Depending on the height group, the height above the floor of the front edge of the desk top facing the student should have the following values: with a body length of 1150 - 1300 mm - 750 mm, 1300 - 1450 mm - 850 mm and 1450 - 1600 mm - 950 mm. The angle of inclination of the table top is 15 - 17 .

The duration of continuous work at the desk for students of the 1st stage of education should not exceed 7-10 minutes, and for students of the 2nd-3rd stage of education - 15 minutes.

5.4. For the selection of educational furniture according to the growth of students, its color marking is made, which is applied to the visible side outer surface of the table and chair in the form of a circle or stripes.

5.5. Desks (tables) are placed in classrooms by numbers: smaller ones are closer to the blackboard, larger ones are farther away. For children with hearing impairments, desks should be placed in the front row.

Children who often suffer from acute respiratory infections, tonsillitis, colds should be seated further from the outer wall.

At least twice during the academic year, students sitting on the outer rows, rows 1 and 3 (with a three-row arrangement of desks), change places without violating the correspondence of the furniture to their height.

In order to prevent violations of posture, it is necessary to cultivate the correct working posture for students from the first days of attending classes in accordance with the recommendations of Annex 1 of these sanitary rules.

5.6. When equipping classrooms, the following dimensions of aisles and distances in centimeters are observed:

Between the rows of double tables - at least 60;

Between a row of tables and an outer longitudinal wall - at least 50 - 70;

Between a row of tables and an internal longitudinal wall (partition) or cabinets along this wall - at least 50;

From the last tables to the wall (partition) opposite the blackboard - at least 70, from the back wall, which is external - 100;

From the demonstration table to the training board - at least 100;

From the first desk to the training board - at least 240;

The greatest distance of the last place of the student from the educational board - 860;

The height of the lower edge of the training board above the floor is 70 - 90;

The distance from the blackboard to the first row of tables in square or transverse cabinets with a four-row arrangement of furniture is at least 300.

The angle of visibility of the board from the edge of the board 3.0 m long to the middle of the extreme place of the student at the front table must be at least 35 degrees for students of the II-III levels of education and at least 45 degrees for students of the I level of education.

The most distant place of employment from the windows should not be more than 6.0 m.

In educational institutions of the first climatic region, the distance of tables (desks) from the outer wall must be at least 1.0 m.

When installing desks in addition to the main student furniture, they are placed behind the last row of tables or the first row from the wall opposite the light-bearing one, in compliance with the requirements for the size of the passages and the distances between the equipment.

This arrangement of furniture does not apply to classrooms equipped with interactive whiteboards.

In newly constructed and reconstructed buildings of educational institutions, it is necessary to provide for a rectangular configuration of classrooms and classrooms with student tables located along the windows and left-hand natural lighting.

5.7. Chalkboards (using chalk) should be made of materials that adhere well to writing materials, clean well with a damp sponge, be durable, dark green in color and anti-reflective.

Blackboards should have trays for holding chalk dust, storing chalk, rags, and a holder for drawing supplies.

When using a marker board, the color of the marker should be contrasting (black, red, brown, dark tones of blue and green).

It is allowed to equip classrooms and classrooms with interactive whiteboards that meet hygienic requirements. When using an interactive whiteboard and a projection screen, it is necessary to ensure its uniform illumination and the absence of bright spots of light.

5.8. Physics and chemistry classrooms should be equipped with special demonstration tables. To ensure better visibility of educational visual aids, the demonstration table is installed on the podium. Student and demonstration tables must be resistant to aggressive chemical substances cover and protective edges along the outer edge of the table.

The chemistry cabinet and the laboratory assistant are equipped with fume hoods.

5.9. The equipment of informatics classrooms must comply with hygienic requirements for personal electronic computers and the organization of work.

5.10. Workshops for labor training should have an area of ​​6.0 m 2 per 1 workplace. The placement of equipment in the workshops is carried out taking into account the creation of favorable conditions for visual work and maintaining the correct working posture.

Carpentry workshops are equipped with workbenches, arranged either at an angle of 45 to the window, or in 3 rows perpendicular to the light-bearing wall so that the light falls on the left. The distance between the workbenches must be at least 0.8 m in the front-rear direction.

In locksmith workshops, both left-handed and right-handed lighting is allowed with a perpendicular arrangement of workbenches to the light-bearing wall. The distance between the rows of single workbenches should be at least 1.0 m, double - 1.5 m. The vise is attached to the workbenches at a distance of 0.9 m between their axes. Locksmith workbenches must be equipped with a safety net 0.65 - 0.7 m high.

Drilling, grinding and other machines should be installed on a special foundation and equipped with safety nets, glass and local lighting.

Carpentry and locksmith workbenches should be appropriate for the height of students and equipped with footrests.

The dimensions of the tools used for carpentry and metalwork must correspond to the age and height of the students (Appendix 2 of these sanitary rules).

Locksmith and carpentry workshops and service work rooms are equipped with washbasins with cold and hot water supply, electric towels or paper towels.

5.11. In newly constructed and reconstructed buildings of educational institutions in the classrooms of home economics, it is necessary to provide for the presence of at least two rooms: for teaching cooking skills and for cutting and sewing.

5.12. In the home economics classroom used for teaching cooking skills, it is planned to install two-slot sinks with cold and hot water supply with a mixer, at least 2 tables with hygienic coating, a refrigerator, an electric stove and a cupboard for storing dishes. Approved detergents for washing tableware must be provided near sinks.

5.13. The home economics cabinet, used for cutting and sewing, is equipped with tables for drawing patterns and cutting, sewing machines.

Sewing machines are installed along windows to provide left-hand natural light to the work surface of the sewing machine or opposite a window for direct (front) natural light to the work surface.

5.14. In the existing buildings of educational institutions, in the presence of one home economics cabinet, a separate place is provided for placing an electric stove, cutting tables, a sink for dishes and a washbasin.

5.15. Labor training workshops and a home economics office, gyms should be equipped with first aid kits.

5.16. The equipment of classrooms intended for artistic creativity, choreography and music must comply with sanitary and epidemiological requirements for institutions of additional education for children.

5.17. In the playrooms, furniture, play and sports equipment should correspond to the growth data of students. Furniture should be placed around the perimeter of the game room, thereby freeing up the maximum part of the area for outdoor games.

When using upholstered furniture, it is necessary to have removable covers (at least two), with their obligatory replacement at least once a month and as they get dirty. Special cabinets are installed for storing toys and manuals.

Televisions are installed on special cabinets at a height of 1.0 - 1.3 m from the floor. When watching TV programs, the placement of spectator seats should ensure a distance of at least 2 m from the screen to the eyes of students.

5.18. Bedrooms for first-graders attending an extended day group should be separate for boys and girls. They are equipped with teenage (size 1600 x 700 mm) or built-in single-tier beds. The beds in the bedrooms are arranged in compliance with the minimum gaps: from the outer walls - at least 0.6 m, from the heaters - 0.2 m, the width of the passage between the beds - at least 1.1 m, between the headboards of two beds - 0.3 - 0.4 m.

VI. Air-thermal requirements

6.1. Buildings of educational institutions are equipped with centralized heating and ventilation systems, which must comply with the standards for the design and construction of residential and public buildings and provide optimal parameters microclimate and air environment.

Steam heating is not used in institutions. When installing fences for heating appliances, the materials used must be harmless to the health of children.

Fences made of particle boards and other polymeric materials are not allowed.

Do not use portable heaters, as well as heaters with infrared radiation.

6.2. The air temperature, depending on climatic conditions in classrooms and offices, psychologist and speech therapist's offices, laboratories, assembly hall, canteen, recreation, library, lobby, wardrobe should be 18 - 24 C; in the gym and rooms for sectional classes, workshops - 17 - 20 C; bedroom, playrooms, premises of preschool education units and school boarding school - 20 - 24 C; medical offices, locker rooms of the gym - 20 - 22 C, showers - 25 C.

To control the temperature regime, classrooms and classrooms must be equipped with household thermometers.

6.3. During extracurricular time, in the absence of children in the premises of a general educational institution, a temperature of at least 15 C must be maintained.

6.4. In the premises of educational institutions, the relative humidity of the air should be 40 - 60%, the speed of air movement should not exceed 0.1 m / s.

6.5. In the presence of stove heating in existing buildings of educational institutions, a firebox is arranged in the corridor. To avoid indoor air pollution with carbon monoxide, chimneys are closed no earlier than the complete combustion of fuel and no later than two hours before the arrival of students.

Stove heating is not allowed for newly constructed and reconstructed buildings of educational institutions.

6.6. Educational rooms are ventilated during breaks, and recreational rooms are ventilated during lessons. Before the start of classes and after their completion, it is necessary to carry out through ventilation of the classrooms. The duration of through ventilation is determined by weather conditions, wind direction and speed, and the efficiency of the heating system. The recommended duration of cross-ventilation is shown in Table 2.

6.7. Physical education lessons and sports sections should be held in well-aerated sports halls.

It is necessary to open one or two windows on the leeward side during classes in the hall at an outdoor temperature above plus 5 C and a wind speed of no more than 2 m / s. At a lower temperature and a higher speed of air movement, classes in the hall are carried out with one or three transoms open. When the outside air temperature is below minus 10 C and the air speed is more than 7 m/s, through ventilation of the hall is carried out in the absence of students for 1 - 1.5 minutes; during big breaks and between shifts - 5 - 10 minutes.

When the air temperature reaches plus 14 C, airing in the gym should be stopped.

6.8. Windows must be equipped with hinged transoms with lever devices or vents. The area of ​​transoms and vents used for ventilation in classrooms must be at least 1/50 of the floor area. Transoms and vents should function at any time of the year.

6.9. When replacing window blocks, the glazing area must be maintained or increased.

The plane of opening of windows should provide a mode of ventilation.

6.10. Glazing of windows must be made of solid fiberglass. Broken glass must be replaced immediately.

6.11. Separate exhaust ventilation systems should be provided for the following premises: classrooms and classrooms, assembly halls, swimming pools, shooting ranges, a canteen, a medical center, a cinema room, sanitary facilities, rooms for processing and storing cleaning equipment, carpentry and locksmith workshops.

Mechanical exhaust ventilation is equipped in workshops and service rooms where stoves are installed.

6.12. The concentration of harmful substances in the air of the premises of educational institutions should not exceed the hygienic standards for atmospheric air in populated areas.

VII. Requirements for natural and artificial lighting

7.1. Daylight.

7.1.1. All classrooms must have natural lighting in accordance with the hygienic requirements for natural, artificial, combined lighting of residential and public buildings.

7.1.2. Without natural lighting, it is allowed to design: shell, washrooms, showers, toilets at the gym; showers and toilets for staff; storerooms and warehouses, radio nodes; film and photo laboratories; book depositories; boiler, pump water supply and sewerage; ventilation and air conditioning chambers; control units and other premises for installation and control of engineering and technological equipment of buildings; storage facilities for disinfectants.

7.1.3. In classrooms, side natural left-hand lighting should be designed. If the depth of the classrooms is more than 6 m, it is necessary to have a right-hand lighting device, the height of which must be at least 2.2 m from the floor.

The direction of the main light flux in front and behind the students is not allowed.

7.1.4. In workshops for labor training, assembly and sports halls, two-sided lateral natural lighting can be used.

7.1.5. In the premises of educational institutions, normalized values ​​​​of the coefficient of natural illumination (KEO) are provided in accordance with the hygienic requirements for natural, artificial, combined lighting of residential and public buildings.

7.1.6. In classrooms with one-sided lateral natural lighting, KEO on the working surface of the desks at the point of the room furthest from the windows should be at least 1.5%. With two-sided lateral natural lighting, the KEO indicator is calculated on the middle rows and should be 1.5%.

The luminous coefficient (SC - the ratio of the glazed surface area to the floor area) must be at least 1:6.

7.1.7. The windows of the classrooms should be oriented to the south, southeast and east sides of the horizon. The windows of the drafting and drawing rooms, as well as the kitchen room, can be oriented to the northern sides of the horizon. The orientation of the informatics classrooms is to the north, northeast.

7.1.8. The light openings of the classrooms, depending on the climatic zone, are equipped with adjustable sun protection devices (lifting and turning blinds, fabric curtains) with a length not lower than the level of the window sill.

It is recommended to use curtains made of light-colored fabrics that have a sufficient degree of light transmission, good light-scattering properties, which should not reduce the level of natural light. The use of curtains (curtains), including curtains with lambrequins, made of PVC film and other curtains or devices that limit natural light is not allowed.

In the non-working state, the curtains must be placed in the piers between the windows.

7.1.9. For the rational use of daylight and uniform illumination of classrooms, you should:

Do not paint over window panes;

Do not place flowers on window sills, they are placed in portable flower beds 65 - 70 cm high from the floor or hanging planters in the piers between the windows;

Cleaning and washing of glasses should be carried out as they get dirty, but at least 2 times a year (in autumn and spring).

The duration of insolation in classrooms and classrooms should be continuous, in duration not less than:

2.5 hours in the northern zone (north of 58 degrees N);

2.0 hours in the central zone (58 - 48 degrees north latitude);

1.5 hours in the southern zone (south of 48 degrees N).

The absence of insolation is allowed in the classrooms of computer science, physics, chemistry, drawing and drafting, sports and fitness rooms, catering facilities, assembly hall, administrative and utility rooms.

7.2. artificial lighting

7.2.1. In all premises of a general educational institution, levels of artificial illumination are provided in accordance with the hygienic requirements for natural, artificial, combined lighting of residential and public buildings.

7.2.2. In the classrooms, the general lighting system is provided by ceiling lights. Fluorescent lighting is provided using lamps according to the color emission spectrum: white, warm white, natural white.

Luminaires used for artificial lighting of classrooms should provide a favorable distribution of brightness in the field of view, which is limited by the discomfort index (Mt). The indicator of discomfort of the lighting installation of general lighting for any workplace in the class should not exceed 40 units.

7.2.3. Do not use fluorescent lamps and incandescent lamps for general lighting in the same room.

7.2.4. In classrooms, classrooms, laboratories, illumination levels must comply with the following standards: on desktops - 300 - 500 lux, in technical drawing and drawing rooms - 500 lux, in computer science classrooms on tables - 300 - 500 lux, on a blackboard - 300 - 500 lux, in assembly and sports halls (on the floor) - 200 lux, in recreations (on the floor) - 150 lux.

When using computer technology and the need to combine the perception of information from the screen and keeping records in a notebook, the illumination on the tables of students should be at least 300 lux.

7.2.5. In classrooms, a general lighting system should be used. Luminaires with fluorescent lamps are located parallel to the light-bearing wall at a distance of 1.2 m from the outer wall and 1.5 m from the inner one.

7.2.6. A blackboard that does not have its own glow is equipped with local lighting - spotlights designed to illuminate blackboards.

7.2.7. When designing an artificial lighting system for classrooms, it is necessary to provide for separate switching on of lighting lines.

7.2.8. For the rational use of artificial light and uniform illumination of classrooms, it is necessary to use finishing materials and paints that create a matte surface with reflection coefficients: for the ceiling - 0.7 - 0.9; for walls - 0.5 - 0.7; for the floor - 0.4 - 0.5; for furniture and desks - 0.45; for blackboards - 0.1 - 0.2.

It is recommended to use the following paint colors: for ceilings - white, for walls of classrooms - light colors of yellow, beige, pink, green, blue; for furniture (cabinets, desks) - the color of natural wood or light green; for chalkboards - dark green, dark brown; for doors, window frames - white.

7.2.9. It is necessary to clean the lighting fittings of luminaires as they get dirty, but at least 2 times a year and replace burned-out lamps in a timely manner.

7.2.10. Faulty, burnt-out fluorescent lamps are collected in a container in a specially designated room and sent for recycling in accordance with applicable regulations.

VIII. Requirements for water supply and sewerage

8.1. Buildings of educational institutions must be equipped with centralized systems of domestic and drinking water supply, sewerage and drains in accordance with the requirements for public buildings and facilities in terms of domestic and drinking water supply and sanitation.

Cold and hot centralized water supply is provided for the premises of a general educational institution, preschool education and a boarding school at a general educational institution, including: catering facilities, a canteen, pantry, showers, washrooms, personal hygiene cabins, medical facilities, labor training workshops, home economics rooms, primary classrooms, drawing rooms, physics, chemistry and biology rooms, laboratory rooms, rooms for processing cleaning equipment and toilets in newly built and reconstructed educational institutions.

8.2. If there is no centralized water supply in the existing buildings of general educational institutions in the settlement, it is necessary to ensure uninterrupted supply of cold water to the premises of the catering unit, medical facilities, toilets, boarding school premises at the general educational institution and preschool education and the installation of water heating systems.

8.3. Educational institutions provide water that meets the hygienic requirements for the quality and safety of drinking water.

8.4. In buildings of educational institutions, the canteen sewerage system must be separate from the rest and have an independent outlet into the external sewerage system. The risers of the sewerage system from the upper floors should not pass through the production premises of the canteen.

8.5. In non-sewered rural areas, the buildings of general educational institutions are equipped with internal sewerage (such as backlash closets), subject to the installation of local treatment facilities. Outdoor toilets are allowed.

8.6. In general educational institutions, the drinking regime of students is organized in accordance with the sanitary and epidemiological requirements for catering for students in general educational institutions, institutions of primary and secondary vocational education.

IX. Requirements for the premises and equipment of educational institutions located in adapted buildings

9.1. Placement of educational institutions in adapted premises is possible for the period of overhaul (reconstruction) of the existing main buildings of educational institutions.

9.2. When placing a general education institution in an adapted building, it is necessary to have a mandatory set of premises: classrooms, catering facilities, medical facilities, recreation, administrative and utility rooms, bathrooms, cloakrooms.

9.3. The areas of classrooms and classrooms are determined based on the number of students in one class in accordance with the requirements of these sanitary rules.

9.4. If it is not possible to equip your own sports hall, you should use sports facilities located near a general education institution, subject to their compliance with the requirements for the arrangement and maintenance of places for physical culture and sports.

9.5. For small-scale general educational institutions located in rural areas, in the absence of the ability to equip their own medical center, it is allowed to organize medical care at feldsher-obstetric stations and outpatient clinics.

9.6. In the absence of a wardrobe, it is allowed to equip individual lockers located in recreations, corridors.

X. Hygienic requirements for the mode of the educational process

10.1. The optimal age for starting school is not earlier than 7 years. Children of the 8th or 7th year of life are admitted to the 1st grade. Admission of children of the 7th year of life is carried out when they reach the age of at least 6 years 6 months by September 1 of the academic year.

The class capacity, with the exception of compensatory education classes, should not exceed 25 people.

10.2. The education of children under the age of 6 years 6 months by the beginning of the school year should be carried out in a preschool educational institution or in a general educational institution in compliance with all hygienic requirements for the conditions and organization of the educational process for preschool children.

10.3. To prevent overwork of students in the annual calendar curriculum, it is recommended to provide for an even distribution of periods of study time and holidays.

10.4. Classes should start no earlier than 8:00. Zero lessons are not allowed.

In institutions with in-depth study of individual subjects, lyceums and gymnasiums, training is carried out only in the first shift.

In institutions operating in two shifts, education of 1st, 5th, graduating 9th and 11th grades and classes of compensatory education should be organized in the first shift.

Education in 3 shifts in general educational institutions is not allowed.

10.5. The number of hours allotted for students to master the curriculum of a general education institution, consisting of a mandatory part and a part formed by the participants in the educational process, should not in aggregate exceed the value of the weekly educational load.

The value of the weekly educational load (number of training sessions), implemented through classroom and extracurricular activities, is determined in accordance with Table 3.

The organization of specialized education in grades 10-11 should not lead to an increase in the educational load. The choice of a training profile should be preceded by career guidance work.

10.6. The educational weekly load must be evenly distributed during the school week, while the volume of the maximum allowable load during the day should be:

For students of the 1st grade, it should not exceed 4 lessons and 1 day a week - no more than 5 lessons at the expense of a physical education lesson;

For students of grades 2-4 - no more than 5 lessons, and once a week 6 lessons at the expense of a physical education lesson with a 6-day school week;

For students in grades 5 - 6 - no more than 6 lessons;

For students in grades 7 - 11 - no more than 7 lessons.

The schedule of lessons is compiled separately for compulsory and optional classes. Extracurricular activities should be scheduled on the days with the fewest compulsory lessons. Between the start of extracurricular activities and the last lesson, it is recommended to arrange a break of at least 45 minutes.

10.7. The schedule of lessons is compiled taking into account the daily and weekly mental performance of students and the scale of the difficulty of educational subjects (Appendix 3 of these sanitary rules).

10.8. When scheduling lessons, one should alternate subjects of various complexity during the day and week: for students of the 1st stage of education, the main subjects (mathematics, Russian and foreign language, natural history, computer science) alternate with lessons in music, fine arts, labor, physical education; for students of the II and III stages of education, subjects of natural and mathematical profile alternate with humanitarian subjects.

For students of the 1st grade, the most difficult subjects should be taught in the 2nd lesson; 2 - 4 grades - 2 - 3 lessons; for students of 5th - 11th grades at 2nd - 4th lessons.

There are no double lessons in the elementary grades.

During the school day, you should not conduct more than one control work. Examinations are recommended to be carried out at the 2nd - 4th lessons.

10.9. The duration of a lesson (academic hour) in all classes should not exceed 45 minutes, with the exception of the 1st grade, in which the duration is regulated by paragraph 10.10 of these sanitary rules, and the compensating class, the duration of the lesson in which should not exceed 40 minutes.

The density of educational work of students in the lessons in the main subjects should be 60 - 80%.

10.10. Education in the 1st grade is carried out in compliance with the following additional requirements:

Training sessions are held on a 5-day school week and only on the first shift;

The use of a "stepped" learning mode in the first half of the year (in September, October - 3 lessons per day of 35 minutes each, in November - December - 4 lessons of 35 minutes each; January - May - 4 lessons of 45 minutes each) ;

For those attending an extended day group, it is necessary to organize daytime sleep (at least 1 hour), 3 meals a day and walks;

Training is conducted without scoring the knowledge of students and homework;

Additional weekly holidays in the middle of the third quarter in the traditional mode of study.

10.11. To prevent overwork and maintain an optimal level of performance during the week, students should have an easy school day on Thursday or Friday.

10.12. The duration of the breaks between lessons is at least 10 minutes, the big break (after the 2nd or 3rd lessons) is 20 - 30 minutes. Instead of one big break, it is allowed to set two breaks of 20 minutes each after the 2nd and 3rd lessons.

It is recommended to organize changes in the open air. To this end, when conducting a daily dynamic pause, it is recommended to increase the duration of a long break to 45 minutes, of which at least 30 minutes are allotted for the organization of motor-active activities of students on the sports ground of the institution, in the gym or in recreation.

10.13. The break between shifts should be at least 30 minutes for wet cleaning in the premises and their ventilation, in case of an unfavorable epidemiological situation for disinfection treatment, the break is increased to 60 minutes.

10.14. Use in educational process innovative educational programs and technologies, class schedules, training modes is possible in the absence of their adverse impact on the functional state and health of students.

10.15. In small-scale rural educational institutions, depending on the specific conditions, the number of students, their age characteristics, it is allowed to form classes-sets of students at the first stage of education. Optimal in this case is the separate education of students of different ages of the first stage of education.

When combining students of the first stage of education into a class-set, it is optimal to create it from two classes: grades 1 and 3 (1 + 3), grades 2 and 3 (2 + 3), grades 2 and 4 (2 + 4). To prevent fatigue of students, it is necessary to reduce the duration of combined (especially 4th and 5th) lessons by 5-10 minutes. (except for the lesson of physical culture). The occupancy of the classes-sets must comply with Table 4.

10.16. In classes of compensatory education, the number of students should not exceed 20 people. The duration of the lessons should not exceed 40 minutes. Correctional and developmental classes are included in the volume of the maximum allowable weekly load established for a student of each age.

Regardless of the length of the school week, the number of lessons per day should not be more than 5 in primary grades (except first grade) and more than 6 lessons in grades 5-11.

To prevent overwork and maintain an optimal level of performance, a light training day is organized - Thursday or Friday.

To facilitate and shorten the period of adaptation to the educational process of students in compensatory classes, medical and psychological assistance should be provided by educational psychologists, pediatricians, speech therapists, other specially trained teachers, as well as using information and communication technologies, visual aids.

10.17. In order to prevent fatigue, impaired posture and vision of students in the classroom, physical education and gymnastics for the eyes should be carried out (Appendix 4 and Appendix 5 of these sanitary rules).

10.18. It is necessary to alternate during the lesson various types of educational activities (with the exception of control works). Average continuous duration various kinds educational activities of students (reading from paper, writing, listening, questioning, etc.) in grades 1-4 should not exceed 7-10 minutes, in grades 5-11 - 10-15 minutes. The distance from the eyes to the notebook or book should be at least 25-35 cm for students in grades 1-4 and at least 30-45 cm for students in grades 5-11.

The duration of continuous use of technical teaching aids in the educational process is set according to Table 5.

After using technical training aids associated with visual load, it is necessary to conduct a set of exercises to prevent eye fatigue (Appendix 5), and at the end of the lesson - physical exercises to prevent general fatigue (Appendix 4).

10.19. The mode of training and organization of the work of classrooms using computer technology must comply with the hygienic requirements for personal electronic computers and the organization of work on them.

10.20. To meet the biological need for movement, regardless of the age of students, it is recommended to conduct at least 3 physical education lessons per week, provided for in the volume of the maximum allowable weekly load. It is not allowed to replace physical education lessons with other subjects.

10.21. To increase the motor activity of students, it is recommended to include subjects of a motor-active nature in the curricula for students (choreography, rhythm, modern and ballroom dancing, teaching traditional and national sports games).

10.22. Motor activity of students in addition to physical education lessons in the educational process can be provided by:

Organized outdoor games at recess;

Sports hour for children attending an extended day group;

Extra-curricular sports activities and competitions, school-wide sports events, health days;

Independent physical education classes in sections and clubs.

10.23. Sports loads in physical culture classes, competitions, extracurricular sports activities during a dynamic or sports hour should correspond to the age, state of health and physical fitness of students, as well as weather conditions (if they are organized outdoors).

The distribution of students into the main, preparatory and special groups for participation in physical culture and recreation and sports events is carried out by the doctor, taking into account their state of health (or on the basis of certificates of their health). Students of the main physical culture group are allowed to participate in all sports and recreation activities in accordance with their age. With students of preparatory and special groups, physical culture and health work should be carried out taking into account the conclusion of a doctor.

Students assigned to the preparatory and special groups for health reasons are engaged in physical culture with a decrease in physical activity.

It is advisable to conduct physical education lessons outdoors. The possibility of conducting physical education classes in the open air, as well as outdoor games, is determined by the totality of weather conditions (temperature, relative humidity and air velocity) by climatic zones (Appendix 7).

On rainy, windy and frosty days, physical education classes are held in the hall.

10.24. The motor density of physical culture lessons should be at least 70%.

For physical fitness testing, participation in competitions and tourist trips students are allowed with permission medical worker. His presence at sports competitions and at classes in swimming pools is mandatory.

10.25. In the labor classes provided for by the educational program, one should alternate tasks of a different nature. You should not perform one type of activity in the lesson throughout the entire time of independent work.

10.26. All work in workshops and home economics classrooms is performed by students in special clothes (robe, apron, beret, scarf). Protective goggles must be worn when performing work that poses a risk of injury to the eyes.

10.27. When organizing practice and socially useful work of students, provided for by the educational program, associated with heavy physical exertion (carrying and moving heavy loads), it is necessary to be guided by the sanitary and epidemiological requirements for the safety of working conditions for workers under 18 years of age.

It is not allowed to involve students in work with harmful or dangerous working conditions, during which the use of labor is prohibited, persons under 18 years of age, as well as in cleaning sanitary facilities and common areas, washing windows and lamps, removing snow from roofs and other similar works.

For agricultural work (practice) in regions of the II climatic zone, it is necessary to set aside mainly the first half of the day, and in regions of the III climatic zone - the second half of the day (16 - 17 hours) and the hours with the least insolation. Agricultural equipment used for work must be appropriate for the height and age of students. The permissible duration of work for students aged 12 - 13 is 2 hours; for teenagers 14 years and older - 3 hours. Every 45 minutes of work, it is necessary to arrange regulated 15-minute breaks for rest. Work on sites and in premises treated with pesticides and agrochemicals is allowed within the time limits established by the State Catalog of Pesticides and Agrochemicals.

10.28. When organizing extended day groups, it is necessary to follow the recommendations set out in Annex 6 of these sanitary rules.

10.29. Circle work in extended day groups should take into account age features students, to ensure a balance between motor-active and static classes and is organized in accordance with the sanitary and epidemiological requirements for institutions of additional education for children.

10.30. The volume of homework (for all subjects) should be such that the time spent on its completion does not exceed (in astronomical hours): in grades 2-3 - 1.5 hours, in grades 4-5 - 2 hours, in grades 6 - 8 classes - 2.5 hours, in 9 - 11 classes - up to 3.5 hours.

10.31. During the final certification, it is not allowed to conduct more than one exam per day. The break between examinations must be at least 2 days. With the duration of the exam 4 or more hours, it is necessary to organize meals for students.

10.32. The weight of a daily set of textbooks and stationery should not exceed: for students in grades 1-2 - more than 1.5 kg, for students in grades 3-4 - more than 2 kg; 5 - 6 - more than 2.5 kg, 7 - 8 - more than 3.5 kg, 9 - 11 - more than 4.0 kg.

10.33. In order to prevent violations of posture, students are recommended to have two sets of textbooks for primary school: one for use in lessons in a general education institution, the second for homework.

XI. Requirements for the organization of medical care for students and the passage of medical examinations by employees of educational institutions

11.1. Medical care for students should be organized in all educational institutions.

11.2. Medical examinations of students in general educational institutions and pupils of preschool education units should be organized and carried out in the manner established by the federal executive body in the field of healthcare.

11.3. Students are allowed to attend classes in a general education institution after suffering a disease only if they have a certificate from a pediatrician.

11.4. In all types of educational institutions, work is organized to prevent infectious and non-infectious diseases.

11.5. In order to detect pediculosis, at least 4 times a year after each vacation and monthly selectively (four to five classes), medical personnel must conduct examinations of children. Examinations (scalp and clothing) are carried out in a well-lit room, using a magnifying glass and fine combs. After each inspection, the comb is doused with boiling water or wiped with a 70% alcohol solution.

11.6. If scabies and pediculosis are detected, students are suspended from visiting the institution for the duration of the treatment. They can be admitted to a general education institution only after the completion of the entire complex of therapeutic and preventive measures, confirmed by a certificate from a doctor.

The issue of preventive treatment of persons who have been in contact with a patient with scabies is decided by the doctor, taking into account the epidemiological situation. Those who were in close household contact are involved in this treatment, as well as entire groups, classes where several cases of scabies are registered, or where new patients are detected in the process of monitoring the outbreak. In organized groups where preventive treatment of contact persons was not carried out, examination of the skin of students is carried out three times with an interval of 10 days.

If scabies is detected in the institution, current disinfection is carried out in accordance with the requirements territorial authority carrying out state sanitary and epidemiological supervision.

11.7. It is recommended to draw up a health sheet in the class journal, in which information about anthropometric data, health group, physical education group, health status, recommended size of educational furniture, as well as medical recommendations are entered for each student.

11.8. All employees of a general education institution undergo preliminary and periodic medical examinations and must be vaccinated in accordance with the national vaccination schedule. Each employee of a general educational institution must have a personal medical book of the established form.

Employees who evade medical examinations are not allowed to work.

11.9. Pedagogical workers of educational institutions undergo professional hygienic training and certification during employment.

XII. Requirements for the sanitary maintenance of the territory and premises

12.1. The territory of the educational institution must be kept clean. Cleaning of the territory is carried out daily before the exit of students to the site. In hot, dry weather, the surfaces of the playgrounds and the grass cover are recommended to be watered 20 minutes before the start of the walk and sports activities. In winter, grounds and footpaths should be cleared of snow and ice.

Garbage is collected in garbage bins, which must be tightly closed with lids, and when 2/3 of their volume is filled, they are taken out to municipal solid waste landfills in accordance with a contract for the removal of domestic waste. After being released, the containers (garbage bins) must be cleaned and treated with disinfectant (disinfestation) agents permitted in the prescribed manner. It is not allowed to burn garbage on the territory of a general educational institution, including in garbage bins.

12.2. Annually (in spring) they carry out decorative pruning of shrubs, cutting down young shoots, dry and low branches. If there are tall trees directly in front of the windows of the classrooms that cover the light openings and reduce the values ​​\u200b\u200bof the indicators of natural light below the normalized ones, measures are taken to cut down or trim their branches.

12.3. All premises of the educational institution are subject to daily wet cleaning with the use of detergents.

Toilets, canteens, lobbies, recreation areas are subject to wet cleaning after each change.

Cleaning of educational and auxiliary premises is carried out after the end of the lessons, in the absence of students, with open windows or transoms. If a general education institution works in two shifts, cleaning is carried out at the end of each shift: floors are washed, dust accumulation areas (window sills, radiators, etc.) are wiped.

Cleaning of boarding school premises at a general educational institution is carried out at least 1 time per day.

For cleaning and disinfection in a general educational institution and a boarding school at a general educational institution, detergents and disinfectants are used that are approved in accordance with the established procedure for use in children's institutions, following the instructions for their use.

Disinfectant solutions for mopping are prepared before direct use in the toilet rooms in the absence of students.

12.4. Disinfectants and detergents are stored in the manufacturer's packaging, in accordance with the instructions and in places inaccessible to students.

12.5. In order to prevent the spread of infection in an unfavorable epidemiological situation in a general education institution, additional anti-epidemic measures are taken according to the instructions of the bodies authorized to exercise state sanitary and epidemiological supervision.

12.6. At least once a month, general cleaning is carried out in all types of premises of a general educational institution and a boarding school at a general educational institution.

General cleaning by technical staff (without the involvement of students) is carried out using approved detergents and disinfectants.

Exhaust ventilation grilles are cleaned of dust monthly.

12.7. In the sleeping quarters of a general educational institution and a boarding school at a general educational institution, bedding (mattresses, pillows, blankets) should be aired directly in the bedrooms with open windows during each general cleaning. Bed linen and towels are changed as they get dirty, but at least once a week.

Before the start of the school year, bedding is processed in a disinfection chamber.

In the restrooms, soap, toilet paper and towels must be available at all times.

12.8. Daily cleaning of toilets, showers, buffets, medical facilities is carried out using disinfectants, regardless of the epidemiological situation. Sanitary equipment is subject to daily disinfection. Wash cistern handles and door handles with warm soapy water. Sinks, toilet bowls, toilet seats are cleaned with ruffs or brushes, cleaners and disinfectants permitted in the prescribed manner.

12.9. In the medical office, in addition to disinfecting the premises and furnishings, it is necessary to disinfect medical instruments in accordance with the instructions for disinfection, pre-sterilization cleaning and sterilization of medical devices.

Preference should be given to sterile disposable medical devices.

12.10. When medical waste is generated, which, according to the degree of epidemiological danger, are classified as potentially hazardous waste, they are neutralized and disposed of in accordance with the rules for the collection, storage, processing, neutralization and disposal of all types of waste from medical institutions.

12.11. Cleaning equipment for cleaning premises must be marked and assigned to certain premises.

Cleaning equipment for cleaning sanitary facilities (buckets, basins, mops, rags) must have signal markings (red), be used for their intended purpose and be stored separately from other cleaning equipment.

12.12. At the end of cleaning, all cleaning equipment is washed with detergents, rinsed with running water and dried. Store cleaning equipment in the place designated for these purposes.

12.13. Sanitary maintenance of premises and disinfection measures in preschool education units are carried out in accordance with sanitary and epidemiological requirements for the arrangement, maintenance and organization of the working hours of preschool organizations.

12.14. The sanitary condition of the premises of the catering unit should be maintained taking into account the sanitary and epidemic requirements for catering for students in educational institutions. If there is a swimming pool, cleaning and disinfection of premises and equipment is carried out in accordance with the sanitary rules for swimming pools.

12.15. Sports equipment is subject to daily cleaning with detergents.

Sports equipment placed in the hall is wiped with a moistened rag, metal parts - with a dry rag at the end of each training shift. After each class, the gym is aired for at least 10 minutes. The sports carpet is cleaned daily using a vacuum cleaner, at least 3 times a month it is wet cleaned using a washing vacuum cleaner. Sports mats are cleaned daily with a soap and soda solution.

12.16. If there are carpets and carpets (in the premises of an elementary general education school, after-school groups, a boarding school), they are cleaned with a vacuum cleaner on a daily basis, and once a year they are dried and knocked out in the fresh air.

12.17. When synanthropic insects and rodents appear in the institution on the territory of the general educational institution and in all premises, it is necessary to carry out disinfestation and deratization by specialized organizations in accordance with regulatory and methodological documents.

In order to prevent the breeding of flies and destroy them in the development phase, once every 5 to 10 days, outdoor toilets are treated with approved disinfectants in accordance with the regulatory and methodological documents for the fight against flies.

XIII. Requirements for compliance with sanitary rules

13.1. The head of the educational institution is responsible for the organization and completeness of the implementation of these sanitary rules, including ensuring:

The presence in the institution of these sanitary rules and bringing their content to the employees of the institution;

Compliance with the requirements of sanitary rules by all employees of the institution;

Necessary conditions for compliance with sanitary rules;

Employment of persons with a permit for health reasons, who have undergone professional hygienic training and certification;

Availability of medical books for each employee and timely passage of periodic medical examinations;

Organization of measures for disinfection, disinfestation and deratization;

Availability of first aid kits and their timely replenishment.

13.2. medical staff educational institution carries out daily monitoring of compliance with the requirements of sanitary rules.

* Decree of the Government of the Russian Federation of March 31, 2009 N 277 "On Approval of the Regulation on Licensing Educational Activities".

Appendix 1 to SanPiN 2.4.2.2821-10

In order to form the correct posture and maintain health, it is necessary from the first days of training in a general educational institution to educate and form the correct working posture of students at the school desk. For this, it is necessary to dedicate a special lesson in the first grades.

To form the correct posture, it is necessary to provide a workplace for the student with furniture in accordance with his height; teach him to maintain the correct working posture during training sessions, which is the least tiring: sit deep in a chair, keep your body and head straight; the legs should be bent at the hip and knee joints, the feet should rest on the floor, the forearms should lie freely on the table.

When placing the student at the desktop, the chair slides under the table so that when resting on the back, his palm is placed between the chest and the table.

For the rational selection of furniture in order to prevent disorders of the musculoskeletal system, it is recommended to equip all classrooms and classrooms with height rulers.

The teacher explains to the students how to hold the head, shoulders, hands, and emphasizes that one should not lean on the edge of the desk (table) with the chest; the distance from the eyes to the book or notebook should be equal to the length of the forearm from the elbow to the end of the fingers. Hands lie freely, not clinging to the table, the right hand and fingers of the left lie on the notebook. Both legs rest on the floor with the entire foot.

When mastering writing skills, the student leans on the back of the desk (chair) with his lower back, when the teacher explains, he sits more freely, leans on the back of the desk (chair) not only with the sacral-lumbar, but also with the subscapular part of the back. The teacher, after explaining and showing the correct seating at the desk, asks the students of the whole class to sit correctly and, bypassing the class, corrects if necessary.

In the classroom, a table "Sit correctly when writing" should be placed so that students always have it before their eyes. At the same time, students need to show tables showing defects in posture resulting from improper landing. The development of a certain skill is achieved not only by explanation, supported by a demonstration, but also by systematic repetition. To develop the skill of proper landing, the teacher must daily monitor the correct posture of students during classes.

The role of the teacher in educating students in the correct fit is especially great during the first three to four years of study in a general education institution, when they develop this skill, as well as in subsequent years of study.

The teacher, in cooperation with parents, can give recommendations on choosing a satchel for textbooks and school supplies: the weight of the satchel without textbooks for students in grades 1-4 should be no more than 700 g. In this case, the satchel should have wide straps (4-4.5 cm) and sufficient dimensional stability, ensuring its snug fit to the student's back and uniform weight distribution. The material for the manufacture of knapsacks should be light, durable, with a water-repellent coating, easy to clean.

Annex 4 to SanPiN 2.4.2.2821-10

physical culture minutes (FM)

Training sessions that combine mental, static, dynamic loads on individual bodies and systems and on the whole organism as a whole, require physical training minutes (hereinafter referred to as FM) during lessons to relieve local fatigue and FM of the general impact.

FM to improve cerebral circulation:

2. I.p. - sitting, hands on the belt. 1 - head turn to the right, 2 - ip, 3 - head turn to the left, 4 - ip Repeat 6 - 8 times. The pace is slow.

3. I.p. - standing or sitting, hands on the belt. 1 - swoop left hand bring over the right shoulder, turn the head to the left. 2 - ip, 3 - 4 - the same with the right hand. Repeat 4 - 6 times. The pace is slow.

FM to relieve fatigue from the shoulder girdle and arms:

1. I.p. - standing or sitting, hands on the belt. 1 - right hand forward, left up. 2 - change the position of the hands. Repeat 3-4 times, then relax down and shake your hands, tilt your head forward. The pace is average.

2. I.p. - standing or sitting, hands with the back on the belt. 1 - 2 - bring your elbows forward, tilt your head forward, 3 - 4 - elbows back, bend. Repeat 6-8 times, then arms down and shake relaxed. The pace is slow.

3. I.p. - sitting, hands up. 1 - clench the brushes into a fist, 2 - unclench the brushes. Repeat 6-8 times, then relax your arms down and shake your hands. The pace is average.

FM to relieve fatigue from the body:

1. I.p. - stand legs apart, hands behind the head. 1 - sharply turn the pelvis to the right. 2 - sharply turn the pelvis to the left. During turns, the shoulder girdle should remain motionless. Repeat 6 - 8 times. The pace is average.

2. I.p. - stand legs apart, hands behind the head. 1 - 5 - circular movements of the pelvis in one direction, 4 - 6 - the same in the other direction, 7 - 8 - arms down and shake your hands in a relaxed manner. Repeat 4 - 6 times. The pace is average.

3. I.p. - stand legs apart. 1 - 2 - tilt forward, the right hand slides down along the leg, the left, bending, up along the body, 3 - 4 - ip, 5 - 8 - the same in the other direction. Repeat 6 - 8 times. The pace is average.

FM of the general impact are completed from exercises for different groups muscles, taking into account their tension in the process of activity.

A set of FM exercises for students of the 1st stage of education in lessons with elements of writing:

1. Exercises to improve cerebral circulation. I.p. - sitting, hands on the belt. 1 - turn the head to the right, 2 - ip, 3 - turn the head to the left, 4 - ip, 5 - gently tilt the head back, 6 - ip, 7 - tilt the head forward. Repeat 4 - 6 times. The pace is slow.

2. Exercises to relieve fatigue from the small muscles of the hand. I.p. - sitting, hands raised up. 1 - clench the brushes into a fist, 2 - unclench the brushes. Repeat 6-8 times, then relax your arms down and shake your hands. The pace is average.

3. Exercise to relieve fatigue from the muscles of the body. I.p. - stand legs apart, hands behind the head. 1 - sharply turn the pelvis to the right. 2 - sharply turn the pelvis to the left. During turns, the shoulder girdle should remain motionless. Repeat 4 - 6 times. The pace is average.

4. Exercise to mobilize attention. I.p. - standing, arms along the body. 1 - right hand on the belt, 2 - left hand on the belt, 3 - right hand on the shoulder, 4 - left hand on the shoulder, 5 - right hand up, 6 - left hand up, 7 - 8 - clapping hands above the head, 9 - lower the left hand on the shoulder, 10 - the right hand on the shoulder, 11 - the left hand on the belt, 12 - the right hand on the belt, 13 - 14 - clapping hands on the hips. Repeat 4 - 6 times. The pace is 1 time slow, 2 - 3 times - medium, 4 - 5 - fast, 6 - slow.

Appendix 5 to SanPiN 2.4.2.2821-10

1. Blink quickly, close your eyes and sit quietly, slowly counting to 5. Repeat 4-5 times.

3. Stretch your right hand forward. Follow with your eyes, without turning your head, the slow movements of the index finger of the outstretched hand to the left and right, up and down. Repeat 4 - 5 times.

4. Look at the index finger of the outstretched hand at the expense of 1 - 4, then look into the distance at the expense of 1 - 6. Repeat 4 - 5 times.

5. At an average pace, do 3 - 4 circular movements with the eyes to the right side, the same in left side. After relaxing the eye muscles, look into the distance at the expense of 1 - 6. Repeat 1 - 2 times.

Appendix 6 to SanPiN 2.4.2.2821-10

daycare groups

General provisions.

It is recommended to complete extended day groups from students of the same class or parallel classes. The stay of students in an extended day group simultaneously with the educational process can cover the period of time students stay in a general education institution from 8.00 - 8.30 to 18.00 - 19.00.

Premises for extended day groups for students of grades I - VIII should be placed within the relevant educational sections, including recreation.

It is recommended for students of the first grades of the extended day group to allocate sleeping quarters and playrooms. In the absence of special rooms for organizing sleep and games in a general educational institution, universal rooms can be used that combine a bedroom and a playroom, equipped with built-in furniture: wardrobes, single-tier beds.

For students of grades II-VIII, depending on specific opportunities, it is recommended to allocate fixed premises for organizing gaming activities, circle work, classes at the request of students, daytime sleep for the weakened.

Daily regime.

To ensure the maximum possible health-improving effect and maintain the working capacity of students attending extended-day groups, it is necessary to rationally organize the daily routine, starting from the moment they enter the general educational institution, and to conduct extensive sports and recreational activities.

The best combination of activities for students in extended day groups is their physical activity in the air before the start of self-training (walking, outdoor and sports games, socially useful work on the site of a general educational institution, if it is provided for by the educational program), and after self-training - participation in emotional activities. nature (classes in clubs, games, attending entertainment events, preparing and holding amateur concerts, quizzes and other events).

The daily regimen must necessarily include: meals, walking, daytime sleep for students of the 1st grade and weakened students of the 2nd - 3rd grades, self-training, socially useful work, circle work and a wide range of physical culture and recreation activities.

Outdoor recreation.

After the end of training sessions in a general education institution, to restore the working capacity of students, before doing homework, a rest of at least 2 hours is organized. Most of this time is spent outdoors. It is advisable to provide for walks:

Before lunch lasting at least 1 hour, after the end of school hours;

Before self-training for an hour.

Walks are recommended to be accompanied by sports, outdoor games and physical exercises. In winter, it is useful to organize ice skating and skiing 2 times a week. In the warm season, it is recommended to organize athletics, volleyball, basketball, tennis and other outdoor sports games. It is also recommended to use the swimming pool for swimming and water sports.

Students assigned to a special medical group or who have had acute illnesses perform exercises that are not associated with a significant load during sports and outdoor games.

The clothes of students during outdoor activities should protect them from hypothermia and overheating and not restrict movement.

In bad weather, outdoor games can be moved to well-ventilated areas.

A place for outdoor recreation and a sports hour can be a school site or specially equipped playgrounds. In addition, adjacent squares, parks, forests, stadiums can be used for these purposes.

Organization of daytime sleep for first-graders and weakened children.

Sleep relieves fatigue and excitement of children who have been in a large team for a long time, increases their performance. The duration of daytime sleep should be at least 1 hour.

For the organization of daytime sleep, either special sleeping rooms or universal rooms with an area of ​​\u200b\u200b4.0 m2 per student, equipped with teenage (size 1600 x 700 mm) or built-in single bunk beds, must be allocated.

When arranging the beds, it is necessary to observe the distance between: the long sides of the bed - 50 cm; headboards - 30 cm; bed and outer wall - 60 cm, and for the northern regions of the country - 100 cm.

Each student should be assigned a specific bed with a change of bed linen as it gets dirty, but at least once every 10 days.

Preparing homework.

When students do homework (self-study), the following recommendations should be observed:

The preparation of lessons should be carried out in a fixed classroom equipped with furniture corresponding to the growth of students;

Start self-training at 15 - 16 hours, since by this time there is a physiological rise in working capacity;

Limit the duration of homework so that the time spent on doing it does not exceed (in astronomical hours): in grades 2-3 - 1.5 hours, in grades 4-5 - 2 hours, in grades 6-8 - 2.5 hours, in grades 9-11 - up to 3.5 hours;

Provide, at the discretion of the students, the order in which homework is done, while recommending that they start with a subject of medium difficulty for this student;

Provide students with the opportunity to arrange arbitrary breaks at the end of a certain stage of work;

Conduct "physical training minutes" lasting 1-2 minutes;

Provide students who have completed homework before the whole group, the opportunity to start classes of interest (in the game room, library, reading room).

Extracurricular activities.

Extracurricular activities are implemented in the form of excursions, circles, sections, olympiads, competitions, etc.

The duration of classes depends on age and type of activity. The duration of activities such as reading, music lessons, drawing, modeling, needlework, quiet games should be no more than 50 minutes a day for students in grades 1-2, and no more than one and a half hours a day for other classes. In music lessons, it is recommended to use elements of rhythm and choreography more widely. TV shows and movies should not be watched more than twice a week with a viewing time limit of up to 1 hour for students in grades 1-3 and 1.5 for students in grades 4-8.

It is recommended to use general school premises for organizing various types of extracurricular activities: reading, assembly and sports halls, a library, as well as premises of closely located cultural centers, children's leisure centers, sports facilities, stadiums.

Nutrition.

Properly organized and rational nutrition is the most important health factor. When organizing an extended day in a general education institution, three meals a day for students should be provided: breakfast - at the second or third break during training sessions; lunch - during the stay on an extended day at 13-14 hours, afternoon tea - at 16-17 hours.