| (iii) documentation of materials used in the building which
are required to have a specific limited fire or flame spread rating, including
special wall finishes or floor coverings, flame retardant curtains (including
cubicle curtains), rated ceilings, etc., and, in the case of carpeting, a
signed letter from the installer verifying that the carpeting installed is
named in the laboratory test document;
(iv) approval of the completed sprinkler system installation
by the Texas Department of Insurance or designing engineer. A copy of the
material list and test certification must be available;
(v) service contracts for maintenance and testing of alarm
systems, sprinkler systems, etc.;
(vi) a copy of gas test results of the facility's gas lines
from the meter;
(vii) a written statement from an architect/engineer stating,
to the best of his/her knowledge, the building was constructed in substantial
compliance with the construction documents, the Life Safety Code, DHS licensure
standards, and local codes; and
(viii) any other such documentation as needed.
(5) Nonapproval of new construction.
(A) If, during the initial on-site survey of completed construction,
the surveyor finds certain basic requirements not met, DHS may recommend that
the facility not be licensed and approved for occupancy. Such items may include
the following:
(i) substantial changes made during construction which were
not submitted to DHS for review and which may require revised "as-built" drawings
to cover the changes. This may include architectural, structural, mechanical,
and electrical items as specified in paragraph (3)(B) of this section);
(ii) construction which does not meet minimum code or licensure
standards, such as corridors being less than required width, ceilings installed
at less than the minimum seven-foot six-inch height, resident bedroom dimensions
less than required, and other such features which would disrupt or otherwise
adversely affect the residents and staff if corrected after occupancy;
(iii) no written approval by local authorities;
(iv) fire protection systems, including, but not limited to,
fire alarm systems, emergency power and lighting, and sprinkler systems, not
completely installed or not functioning properly;
(v) required exits not all usable according to NFPA 101 requirements;
(vi) telephone not installed or not properly working;
(vii) sufficient basic furnishings, essential appliances, and
equipment not installed or not functioning; and
(viii) any other basic operational or safety feature which
would preclude safe and normal occupancy by residents on that day.
(B) If the surveyor encounters only minor deficiencies, licensure
may be recommended based on an approved written plan of correction from the
facility's administrator.
(C) Copies of reduced size floor plans on an 8 1/2 inch by
11 inch sheet must be submitted in duplicate to DHS for record/file use and
for the facility's use for evacuation plan, fire alarm zone identification,
etc. The plan must contain basic legible information such as scale, room usage
names, actual bedroom numbers, doors, windows, and any other pertinent information.
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