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TITLE 26HEALTH AND HUMAN SERVICES
PART 1HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 506SPECIAL CARE FACILITIES
SUBCHAPTER HPHYSICAL PLANT AND CONSTRUCTION REQUIREMENTS
RULE §506.91Construction Requirements

        (II) Threshold and expansion joint covers. Thresholds at doorways may not exceed 3/4 inch in height for exterior sliding doors or 1/2 inch for other type doors. Raised thresholds and floor level changes at accessible doorways shall be beveled with a slope no greater than 1:2. Expansion joint covers may not exceed 1/2 inch in height and shall have beveled edges with a slope no greater than 1:2.

      (ii) Wall finishes. Wall finishes shall be smooth, washable, moisture resistant, and cleanable by standard housekeeping practices. Wall finishes shall be in compliance with the requirements of NFPA 101, §18.3.3, and §32.3.3.3, relating to flame spread.

        (I) Finishes at plumbing fixtures. Wall finishes shall be water resistant in the immediate area of plumbing fixtures.

        (II) Wet cleaning methods. Wall finishes in areas subject to frequent wet cleaning methods shall be impervious to water, tightly sealed; and without voids.

      (iii) Ceiling finishes.

        (I) General. All occupied rooms and spaces shall be provided with finished ceilings, unless otherwise noted. Ceilings that are a part of a rated roof and ceiling assembly or a floor-ceiling assembly shall be constructed of listed components (by a nationally recognized testing laboratory) and installed in accordance with the listing.

        (II) Special requirements. Finished ceilings may be omitted in mechanical and equipment spaces, shops, and similar spaces unless required for fire-resistive purposes.

      (iv) Floor, wall, and ceiling penetrations. Floor, wall, and ceiling penetrations by pipes, ducts, and conduits shall be tightly sealed to minimize entry of dirt particles, rodents, and insects. Joints of structural elements shall be similarly sealed.

      (v) Cubicle curtains, draperies, and other hanging fabrics. Cubicle curtains, draperies, and other hanging fabrics shall be noncombustible or flame retardant and shall pass both the small scale and large scale test of NFPA 701, Standard Methods of Fire Tests for Flame-Resistant Textiles and Films, 1996 edition. Copies of laboratory test reports for installed materials shall be submitted to the department at the time of the final construction inspection.

    (D) General mechanical requirements. This subparagraph contains requirements for mechanical systems; air-conditioning, heating and ventilating systems; steam and hot and cold water systems; plumbing fixtures; piping systems; and thermal and acoustical insulation.

      (i) Cost. All mechanical systems shall be designed for overall efficiency and life cycle costing, including operational costs. Recognized engineering practices shall be followed to achieve the most economical and effective results except that in no case shall patient care or safety be sacrificed for conservation.

      (ii) Equipment location. Mechanical equipment may be located indoors or outdoors (when in a weatherproof enclosure), or in a separate building(s).

      (iii) Vibration isolation. Mechanical equipment shall be mounted on vibration isolators as required to prevent unacceptable structure-borne vibration. Ducts, pipes, etc., connected to mechanical equipment which is a source of vibration shall be isolated from the equipment with vibration isolators.

      (iv) Performance and acceptance. Prior to completion and acceptance of the facility, all mechanical systems shall be tested, balanced, and operated to demonstrate to the design engineer or his representative that the installation and performance of these systems conform to the requirements of the plans and specifications.

        (I) Material lists. Upon completion of the contract, the owner shall obtain from the construction contractor parts lists and procurement information with numbers and description for each piece of equipment.

        (II) Instructions. Upon completion of the contract, the owner shall obtain from the construction contractor instructions in the operational use and maintenance of systems and equipment as required.

      (v) Heating, ventilating, and air conditioning (HVAC) systems.

        (I) Code requirements. All central HVAC systems shall comply with and shall be installed in accordance with the requirements of NFPA 90A, Standard for the Installation of Air Conditioning and Ventilating Systems, 1999 edition, or NFPA 90B, Standard for the Installation of Warm Air Heating and Air-Conditioning Systems, 1999 edition, as applicable and the requirements contained in this clause. Air handling units serving two or more rooms are considered to be central units.

          (-a-) Temperature and humidity. The indoor design temperature shall be 75 degrees Fahrenheit with relative humidity of not less than 30 percent.

          (-b-) Thermostat gauges. Thermostats shall be provided for all heating and cooling systems with an on and off switch.

          (-c-) Air handling duct requirements. Fully ducted supply, return and exhaust air systems shall be provided for all resident care areas. Combination systems, utilizing both ducts and plenums for movement of air in these areas shall not be permitted.

            (-1-) Protection of ducts penetrating fire and smoke partitions. Combination fire and smoke leakage limiting dampers (Class II) shall be installed in accordance with manufacturer's instructions for all ducts penetrating 1 and 2-hour rated fire and smoke partitions required by NFPA 101, §12-6.3.7, Subdivision of Building Space, (not required in SCFs meeting the provisions of NFPA 101, §12-6.3.7.3, Exception).

            (-2-) Fail-safe installation. Combination smoke and fire dampers shall close on activation of the fire alarm system by smoke detectors installed and located as required by NFPA 72, Chapter 5, National Fire Alarm Code, 1996 edition; NFPA 90A, Chapter 4; and NFPA 101, §12-6.3.7; by activation of the fire sprinkler system; and upon loss of electrical power. Smoke dampers shall not close by fan shut-down alone. This requirement applies to all existing and new installations.

            (-3-) Interconnection of air handling fans and smoke dampers. Air handling fans and smoke damper controls shall be interlocked so that closing of smoke dampers will not damage the ducts.

            (-4-) Frangible devices. The use of frangible (non-resetting) devices for shutting smoke dampers shall not be permitted.

          (-d-) Outside air intake locations. Outside air intakes shall be located at least 10 feet from exhaust outlets of ventilating systems, combustion equipment stacks, plumbing vents, or areas which may collect vehicular exhaust or other noxious fumes. (Prevailing winds and proximity to other structures may require other arrangements).

          (-e-) Pressure relationship. Ventilation systems for a LCF shall be designed and balanced to provide pressure relationships contained in Table 1 of this title. For reductions and shut down of ventilation systems when a room is unoccupied, the provisions in Note 4 of Table 1 of this title shall be followed.

          (-f-) Duct linings. Friable internal linings shall not be used in ducts, air terminal units, or other air system components. This requirement shall not apply to air terminal units and sound attenuators that have approved nonfriable coverings, e.g., foil facing, over such linings.

        (II) Thermal and acoustical insulation for air handling systems. Asbestos containing insulation materials shall not be used.

          (-a-) Thermal duct insulation. Air ducts and casings with outside surface temperature below the ambient dew point or temperature above 80 degrees Fahrenheit shall be provided with thermal insulation.

          (-b-) Insulation in air plenums and ducts. When installed, linings in air ducts and equipment shall meet the Erosion Test Method described in Underwriters' Laboratories, Inc., Standard 181, Factory-Made Duct Materials and Air Duct Connectors. This document may be obtained from the Underwriters' Laboratories, Inc., 333 Pfingsten Road, Northbrook, IL 60062-2096.

          (-c-) Insulation flame spread and smoke developed ratings. Interior and exterior insulation, including finishes and adhesives on the exterior surfaces of ducts and equipment, shall have a flame spread rating of 25 or less and a smoke developed rating of 50 or less as required by NFPA 90A, Chapters 2 and 3 and as determined by an independent testing laboratory in accordance with NFPA 255, A Standard Method of Test of Surface Burning Characteristics of Building Materials, 1999 edition.

          (-d-) Friable insulation. Insulation of soft and spray-on types shall not be used where it is subject to air currents or mechanical erosion or where loose particles may create a maintenance problem or occupant discomfort.

      (vi) Piping systems and plumbing fixture requirements. All piping systems and plumbing fixtures shall be designed and installed in accordance with the requirements of the International Plumbing Code (IPC), 2000 edition. The IPC is published by the International Code Council, 5203 Leesburg Pike, Suite 600, Falls Church, VA 22041, telephone (703) 931-4533.

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