| (a) Wastewater and water supply.
(1) Wastewater. An existing large Type A assisted living
facility must ensure wastewater and sewage are discharged into a sewerage
system or an onsite sewerage facility approved by the Water Quality
Division of the Texas Commission on Environmental Quality (TCEQ),
or to a system regulated by an entity responsible for water quality
in that jurisdiction as approved by the Water Quality Division of
TCEQ.
(2) Water supply. An existing large Type A assisted
living facility must ensure the water supply is of safe, sanitary
quality, suitable for use, adequate in quantity and pressure, and
obtained from a public or private water supply system or a private
well.
(b) Resident-use plumbing fixtures.
(1) Water closets and lavatories.
(A) An existing large Type A assisted living facility
must provide at least one water closet and one lavatory for every
six residents and for each additional resident fewer than six. Multiple
toilets in a single space must comply with paragraph (2)(B) of this
subsection.
(B) An existing large Type A assisted living facility
must ensure a lavatory is readily accessible to each water closet.
(C) An existing large Type A assisted living facility
must provide at least one water closet, lavatory, and bathing unit,
that are accessible to residents, on each floor containing resident
sleeping rooms.
(2) Bathing units.
(A) An existing large Type A assisted living facility
must provide one tub or shower for every 10 residents, and for any
fraction thereof.
(B) Where multiple water closets or bathing units are
provided in a single space, an existing large Type A assisted living
facility must provide partitions or curtains to separate plumbing
fixtures for resident privacy.
(C) An existing large Type A assisted living facility
must ensure tubs and showers have non-slip bottoms or floor surfaces,
either built-in or applied to the surfaces.
(3) Hot water supply. An existing large Type A assisted
living facility must provide a supply of hot water for resident-use.
Hot water for lavatories and bathing units accessible to residents
must be maintained between 100 and 120 degrees Fahrenheit.
(4) Supplies. An existing large Type A assisted living
facility must supply towels, soap, and toilet tissue for individual
resident use.
(c) Public and staff-use plumbing fixtures. In addition
to the staff toilets required for the dietary staff according to §553.132(j)
of this division (relating to Space Planning and Utilization Requirements
for an Existing Large Type A Assisted Living Facility), an existing
large Type A assisted living facility must provide toilets, including
water closets and lavatories, for use by the public and by facility
staff as follows:
(1) if licensed for 60 or fewer residents, a toilet
for use by the public and by facility staff; or
(2) if licensed for more than 60 residents, a toilet
for use by the public and a separate toilet for use by facility staff.
(d) Gas. An existing large Type A assisted living facility
must ensure equipment using natural gas or propane and related gas
piping meets the requirements of 9.1.1, Gas, in NFPA 101, Chapter
9, Building Service and Fire Protection Equipment.
(e) Heating, ventilation, and air-conditioning (HVAC)
and exhaust systems.
(1) General requirements. An existing large Type A
assisted living facility must ensure HVAC equipment meets the requirements
of 33.3.6.2, Heating, Ventilating, and Air-Conditioning, in NFPA 101,
Chapter 33, Existing Residential Board and Care Occupancies.
(2) Heating and cooling. An existing large Type A assisted
living facility must provide heating and cooling for resident comfort.
(A) An existing large Type A assisted living facility
must ensure air conditioning systems can maintain and do maintain
the comfort range of 68 to 82 degrees Fahrenheit in resident-use areas.
(B) An existing large Type A assisted living facility
constructed or licensed after August 1, 2004, must have a central
air-conditioning system, or a substantially similar air conditioning
system, that can maintain and does maintain a temperature range required
under subparagraph (A) of this paragraph within areas used by residents.
(C) An existing large Type A assisted living facility
may not use an open flame heating device in the facility, except as
permitted by subparagraphs (D) - (E) of this section.
(D) An existing large Type A assisted living facility
must ensure a fuel-fired heating device, other than a working fireplace,
meets the following requirements.
(i) A fuel-fired heating device must be connected to
a chimney or vent.
(ii) A fuel-fired heating device must take air for
combustion directly from outside.
(iii) A fuel-fired heating device must be designed
and installed to provide for complete separation of the combustion
system from the atmosphere of the occupied area.
(iv) A fuel-fired heating device must have safety features
to immediately stop the flow of fuel and shut down the equipment in
case of either excessive temperatures or ignition failure.
(v) A fuel-fired heating device not meeting the requirements
of clauses (i) - (iv) of this subparagraph may be continued in service,
subject to approval by HHSC.
(E) An existing large Type A assisted living facility
must ensure a working fireplace meets the following requirements.
(i) A building containing a working fireplace must
be protected by an approved, supervised automatic sprinkler system
with listed quick response or listed residential sprinklers.
(ii) A new working fireplace must be installed, maintained
and used according to NFPA 54 and NFPA 211.
(iii) A working fireplace may not be located in a resident
sleeping room.
(iv) The room where a working fireplace is located
must be provided with electrically supervised carbon monoxide detection
connected to the fire alarm system according to NFPA 720.
(v) A direct-vent gas fireplace, as defined in NFPA
54, must meet the following requirements.
(I) A direct-vent gas fireplace must include a sealed
glass front with a wire mesh panel or screen.
(II) The controls for a direct-vent gas fireplace must
be locked or located in a restricted location.
(vi) A solid-fuel burning fireplace must be equipped
with:
(I) a raised hearth at least four inches above the
surrounding finished floor; and,
(II) a fireplace enclosure that is guaranteed against
breakage up to a temperature of 650 degrees Fahrenheit and constructed
of heat-tempered glass or other approved material;
(vii) An existing working fireplace not meeting the
requirements of clauses (i) - (vi) of this subparagraph may be continued
in service, subject to approval by HHSC.
(3) Ventilation.
(A) An existing large Type A assisted living facility
must be ventilated using windows, mechanical ventilation, or a combination
of both.
(B) An existing large Type A assisted living facility
with interior areas designated for smoking within the building must
provide mechanical ventilation directed to the exterior to remove
smoke at the rate of 10 air changes per hour.
(4) Exhaust. An existing large Type A assisted living
facility must ensure bathrooms, toilet rooms, janitorial facilities,
and other odor-producing rooms or areas for soiled or unsanitary operations
are exhausted with operable windows or powered exhaust vented to the
exterior for odor control.
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