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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

  (3) Building design and construction requirements. Every building and every portion thereof shall be designed and constructed to sustain all dead and live loads in accordance with accepted engineering practices and standards and local governing building codes. Where there is no local governing building code, the International Building Code (IBC), 2000 edition, or the International Residential Code (IRC) shall govern: The IBC and IRC are published by the International Code Council, 5203 Leesburg Pike, Suite 600, Falls Church, VA 22041, telephone (703) 931-4533.

    (A) General architectural requirements. All new construction, including conversion of an existing building to a SCF or establishing a separately licensed SCF within another existing building, shall comply with NFPA 101, Chapter 32, New Residential Board and Care Occupancies, or Chapter 18, New Health Care Occupancies, and this subchapter.

      (i) Construction types for multiple building occupancy.

        (I) Mixed occupancies. When a SCF is part of another occupancy, the SCF shall be separated from the other occupancy with a minimum of 2-hour fire rated construction, in accordance with NFPA 101, §18.1.2.3, and §32.1.2.

        (II) Small facility. When a SCF is classified as a small facility for residential board and care occupancy, the SCF shall comply with NFPA 101, §32.2.1.3, Minimum Construction Requirements.

        (III) Large facility. When a SCF is classified as a large facility for residential board and care occupancy, the SCF shall comply with NFPA 101, §32.3.1.3, Minimum Construction Requirements.

        (IV) Multistory buildings. When a SCF is located in a multistory building of two or more stories, the entire building shall meet the construction requirements of NFPA 101, §32.3.1.3, or §18.1.6.2. A SCF shall not be located in a multistory building that does not comply with the minimum construction requirements of NFPA 101, §18.1.6.2. or §32.3.1.3.

        (V) Single story buildings. When a SCF is part of a one-story building that does not comply with the construction requirements of NFPA 101, §§18.1.6.1, 32.2.1.3, or 32.3.1.3. The SCF must be separated from the remainder of the building with a 2-hour fire rated construction. The designated SCF portion shall have the construction type upgraded to comply with NFPA 101, §§18.1.6.1, 32.2.1.3, or 32.3.3.1.3, as applicable.

      (ii) Special design provisions. Special provisions shall be made in the design of a facility if located in a region where local experience shows loss of life or extensive damage to buildings resulting from hurricanes, tornadoes, or floods.

      (iii) Foundations. Foundations shall rest on natural solid bearing if satisfactory bearing is available. Proper soil-bearing values shall be established in accordance with nationally recognized requirements. If solid bearing is not encountered at practical depths, the structure shall be supported on driven piles or drilled piers designed to support the intended load without detrimental settlement, except that one-story buildings may rest on a fill designed by a soils engineer. When engineered fill is used, site preparation and placement of fill shall be done under the direct full-time supervision of the soils engineer. The soils engineer shall issue a final report on the compacted fill operation and certification of compliance with the job specifications.

      (iv) Physical environment. A physical environment that protects the health and safety of resident, personnel, and the public shall be provided in each facility. The physical premises of the facility and those areas of the facility's physical structure that are used by the residents (including all stairwells, corridors, and passageways) shall meet the local building and fire safety codes and the requirements of this chapter.

      (v) Handicapped requirements. Special considerations that benefit handicapped residents, staff, and visitors shall be provided. Each SCF shall comply with the Americans with Disabilities Act (ADA) of 1990, Public Law 101-336, 42 United States Code, Chapter 126, and Title 36, Code of Federal Regulations, Chapter XI, Part 1191, Appendix A, Accessibility Guidelines for Buildings and Facilities.

      (vi) Other regulations. Certain projects may be subject to other regulations, including those of federal, state, and local authorities. The more stringent standard or requirement shall apply when a difference in requirements exists.

      (vii) Exceeding minimum requirements. Nothing in these sections shall be construed to prohibit a better type of building construction or otherwise safer conditions than the minimum requirements specified in these sections.

      (viii) Equivalency. Nothing in these sections is intended to prevent the use of systems, methods, or devices of equivalent or superior quality, strength, fire resistance, effectiveness, durability, performance and safety to those prescribed by these sections, provided technical documentation which demonstrates equivalency is submitted to the department for approval.

      (ix) Separate freestanding buildings (not for resident use). Separate freestanding buildings for non-patient use which are located at least 20 feet from the SCF building such as the heating plant, boiler plant, repair workshops, or general storage may be designed and constructed in accordance with other applicable occupancy classification requirements listed in NFPA 101.

    (B) General detail requirements.

      (i) Corridors. The minimum clear and unobstructed width of a public corridor shall be at least four feet in a RBCF. In a LCF, the minimum clear and unobstructed width of public corridor shall be at least eight feet.

      (ii) Doors and windows.

        (I) Door types. Doors at all openings between corridors and rooms or spaces subject to occupancy shall be swing type. Elevator doors are excluded from this requirement.

        (II) Door swing. Doors, except doors to spaces such as small closets that are not subject to occupancy, shall not swing into corridors in a manner that might obstruct traffic flow or reduce the required corridor width. Large walk-in type closets are considered as occupied spaces.

        (III) Labeled doors. Labeled fire doors shall be listed by an independent testing laboratory and shall meet the construction requirement for fire doors in NFPA 80, Standard for Fire Doors and Fire Windows, 1999 edition. Reference to a labeled door shall be construed to include labeled frame and hardware.

        (IV) Glazing. Glass doors, sidelights, borrowed lights, and windows located within 12 inches of a door jamb or with a bottom-frame height of less than 18 inches above the finished floor shall be glazed with safety glass or plastic glazing material that will resist breaking and will not create dangerous cutting edges when broken. Similar materials shall be used for wall openings unless otherwise required for fire safety. Safety glass, tempered glass, or plastic glazing materials shall be used for shower doors, bath enclosures, interior windows, and doors (which have glazing).

        (V) Operable windows. All operable windows shall be insect screened.

      (iii) Ceiling heights. The minimum ceiling height shall be eight feet with the following exceptions. Ceilings in storage rooms, toilet rooms, and other minor rooms not meant for resident of public use shall be not less than seven feet six inches.

      (iv) Toilet room accessories. Grab bars shall be provided at resident showers and tubs. The bars shall be one and one-half inches in diameter, shall have one and one-half inches clearance to walls, and shall have sufficient strength and anchorage to sustain a concentrated vertical or horizontal load of 250 pounds. Grab bars intended for use by the disabled shall also comply with ADA requirements.

      (v) Hand drying. Provisions for hand drying shall be included at all hand washing facilities. Hot air dryers or individual paper units shall be provided and must be enclosed in such a way as to provide protection against dust or soil.

      (vi) Rooms with heat producing equipment. Rooms containing heat producing equipment such as mechanical and electrical equipment and laundry rooms shall be insulated and ventilated to prevent floors of any occupied room located above it from exceeding a temperature differential of 10 degrees Fahrenheit above the ambient room temperature.

    (C) General finish requirements.

      (i) Floor finishes.

        (I) General. Floor materials shall be easily cleanable, wear resistant, and appropriate for the location involved. In areas subject to frequent wet cleaning methods, floor materials shall not be physically affected by germicidal and cleaning solutions. Floors that are subject to traffic while wet, such as shower areas, shall have non-slip surfaces.

Cont'd...

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