Presenters Victor Hunt Sally Kimbrough-McAuley Tony Dunklin - PDF document

2012 Life Safety Code Update June 20, 2016 REVISED CMS REGULATIONS AND THE 2012 NFPA CODES FIRE SAFETY REQUIREMENTS FOR NURSING HOMES Alabama Department of Public Health T echnical Services Unit Presenters Victor Hunt Sally Kimbrough-McAuley Tony Dunklin Alabama Department of Public Health 1

2012 Life Safety Code Update June 20, 2016 Change from 2000 Codes to 2012 Codes • The Centers for Medicare and Medicaid Services (CMS) published announcement on May 4, 2016 • Adoption of National Fire Protection Association (NFPA) codes and referenced standards 2000 Codes to 2012 Codes • Adoption of 2012 Life Safety Code includes T entative Interim Amendments (TIA) 12-1 through 12-4. • Adoption of 2012 NFPA 99 Health Care Facilities Code , excluding chapters 7, 8, 12, and 13. Includes TIAs 12-2 through 12-6. www .nfpa.org, “Codes and Standards,” “List of Codes and Standards,” select code, “Editions,” 2012 2000 Codes to 2012 Codes • Compliance required on July 5, 2016 • Chapter 18, New Healthcare Occupancies – Plan approval by ADPH on or after July 5 • Chapter 19, Existing Healthcare Occupancies – All facilities constructed prior to July 5 – Plan approval by ADPH prior to July 5 Alabama Department of Public Health 2

2012 Life Safety Code Update June 20, 2016 Building Rehabilitation • 2000 LSC – Alterations, renovations, additions, and new equipment meet requirements for NEW (paragraph 4.6.7) • 2012 LSC – Comply with Chapter 43, Building Rehabilitation Building Rehabilitation Chapter 43 Work Categories • Repair • Renovation • Modification • Reconstruction • Change of use or occupancy classification • Addition Means of Egress Comply with Chapter 7 Applies to New and Existing Buildings, per 7.1.1 Construction Projects LSC 19.7.9.2 Not new Means of egress in construction areas shall be inspected daily for availability for full instant use in case of an emergency. Alabama Department of Public Health 3

2012 Life Safety Code Update June 20, 2016 Emergency Hardware • Fire Exit Hardware only on fire-rated doors – Latch holding device never permitted (dogging, or dogged down) • Panic Hardware only on doors not fire- rated – Dogging, or dogged down, is permitted Per LSC 7.2.1.7 Electric Hardware on Egress Doors New , per LSC 7.2.1.5.6 Electric hardware permitted in means of egress: 1. Hardware mounted on door leaf 2. Obvious operation in direction of egress (panic) 3. Operable with one hand in direction of egress 4. Hardware operation interrupts power to electric lock 5. Loss of power to hardware unlocks door 6. Hardware listed per ANSI/UL 294 Key, key pad, or card reader not allowed on egress side of door. Stairway Identification LSC 7.2.2.5.4 • Requirements for special stair signage apply to - – Existing enclosed stairs serving 5 or more stories – New enclosed stairs serving 3 or more stories “Story” includes basement level. Alabama Department of Public Health 4

2012 Life Safety Code Update June 20, 2016 Stairway Identification See LSC 7.2.2.5.4. •13 Requirements •Additional contents •Lettering minimum heights •Illumination by emergency lighting •T actile designation (Braille) for floor level number Means of Egress Lighting LSC 7.8.1.2 and 7.8.1.2.2 • Illumination must be continuous during periods when needed. • Can be controlled by automatic motion sensor-type switches. • 5 conditions are listed (3 conditions in 2000 Life Safety Code ) Delayed-Egress Locks LSC 19.2.2.2.4 • 2000 LSC – “not more than one . . . in any egress path” Deleted in 2012 LSC. Comply with Section 7.2.1.6.1 • Emergency lighting on egress side of the door (new requirement) • Accurately reflect delay time on the sign (not new) Alabama Department of Public Health 5

2012 Life Safety Code Update June 20, 2016 Door Locking for Security LSC 19.2.2.2.5.1 • Patients require specialized security or pose a security threat . • LSC Handbook: “addresses the locking of sleeping room doors” • Doors released manually by staff – Remote control (kill switch), or – Keying locks to keys carried by staff • No change from 2000 Life Safety Code Staff and Locked Doors LSC 19.7.3.2 Requires “adequate staff qualified to release locks and direct occupants from the immediate danger area” Door Locking for Safety LSC 19.2.2.2.5.2 • Patients require specialized protective measures for their safety . • New provision, not in 2000 Life Safety Code • Corresponds to ADPH “Exit Door Locking Arrangements” article Alabama Department of Public Health 6

2012 Life Safety Code Update June 20, 2016 Door Locking for Safety LSC 19.2.2.2.5.2 1. Staff can readily unlock doors at all times. 2. Emergency release switch (kill switch). ADPH requires sign at each switch, and restricted resetting of switch. 3. Complete sprinkler system required 4. Fail-safe electrical locks. ADPH allows 10-second unlocking delay for power failure to fire alarm. Door Locking for Safety LSC 19.2.2.2.5.2 5. Locks release automatically upon: 1. Smoke detection system activation, or 2. Sprinkler system water flow, or 3. Disablement of fire alarm system (ADPH) 6. Release switch at each locked door (ADPH) 7. Written justification (ADPH) Sliding Doors LSC 19.2.2.2.10.2 • New section containing 5 requirements • Emergency break-away swing feature not required when the door serves fewer than 10 occupants. (New) Alabama Department of Public Health 7

2012 Life Safety Code Update June 20, 2016 Projections Into Corridors LSC 19.2.3.4(2) Corridors 6 feet or more wide • New LSC provision for 6 inch projections from wall above handrail height • ADA Accessibility Guidelines (ADAAG) allows 4 inch projections into circulation path. • ADAAG allows 4-1/2 inch handrail projections. • CMS – T echnical assistance regarding how to avoid noncompliance with ADA requirement. Projections Into Corridors 2012 LSC 19.2.3.4(2) •Allowed in corridors at least 6 feet wide 2010 ADA •Paragraph 307.2 •Handrails 4-1/2 inches Wheeled Equipment in Corridors LSC 19.2.3.4(4) •Clear width at wheeled items is at least 60 inches •Fire Safety Plan and Training Program for Emergency relocation •Limited to: •Equipment and carts in use •Medical emergency equipment not in use (new) •Patient lift and transport equipment (new) Alabama Department of Public Health 8

2012 Life Safety Code Update June 20, 2016 Permissible Wheeled Equipment Food Service Carts (In Use) Housekeeping Carts (In Use) Medication Carts (In Use) Isolation Carts Crash Carts Wheeled Emergency Medical Equipment (not stored) Portable Lift Equipment Transport Equipment Fixed Furniture in Corridors LSC 19.2.3.4(5) Summary of requirements: •Securely attached to floor or wall •On one side of the corridor •Each grouping limited to 50 square feet •Groupings at least 10 feet apart •No obstruction of access to building and fire equip. •Corridors have smoke detection, or furniture in view from nurse station •Sprinkler system in compartment Hazardous Areas LSC 19.3.2.1.5 • Soiled linen rooms with a volume exceeding 64 gallons • “Trash collection rooms” changed to “Rooms with collected trash.” Hazardous if volume exceeds 64 gallons. Alabama Department of Public Health 9

2012 Life Safety Code Update June 20, 2016 Residential Cooking Equipment LSC 19.3.2.5.2 • Food warming or limited cooking • No fire extinguishing system required (new expanded wording) • Room not required to be protected as a hazardous area (modified wording) “Culture Change” Kitchen LSC 19.3.2.5.3 to prepare meals for up to 30 residents (per Appendix) “Cooking facility” open to corridor • • No separation required from other spaces within the smoke compartment • 13 Conditions listed • Requires plan review through Technical Services “Culture Change” Kitchen LSC 19.3.2.5.4 to prepare meals for up to 30 residents “Cooking facility” not open to corridor • • Separation required from corridor • Not a sleeping room • 11 Conditions apply • Requires plan review through T echnical Services Alabama Department of Public Health 10

2012 Life Safety Code Update June 20, 2016 “Traditional” Kitchens LSC 19.3.2.5.5 • Cooking equipment protected by kitchen fire extinguishing system • Not considered hazardous area • Not open to the corridor Alcohol-Based Hand Rub Dispensers LSC 19.3.2.6 “ABHR” K-211 • Comply with this paragraph in lieu of NFPA 30 • Quantity within a smoke compartment clarified, generally up to 10 gallons totaled is acceptable – One dispenser within a bedroom not included in this limitation • More than 5 gallons stored in a compartment to comply with NFPA 30 • Aerosol dispensers added Alcohol-Based Hand Rub Dispensers Locations LSC 19.3.2.6(8) • In corridors at least 6 feet wide. • At least 48 inches apart • Mounted over carpet only in sprinklered smoke compartments • Mounting near an ignition source, including: – Light switch – Electrical receptacle Alabama Department of Public Health 11