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Desk Reference Manual

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Construction Review Services
Nursing Home Physical Environment
Desk Reference Manual


Table of Contents

Department Of Health (DOH)

• Nursing Home Regulations:

• Chapter 388-97 WAC ( 1,013 kb)

• Chapter 388-97 WAC  ( 737 kb)

• Construction Review Services:

• Chapter 246-314 WAC  added 11/10

• ICRA Form ( 48 kb)

• Fire Safety Evaluation System Application

• Guideline for Creating a Functional Program ( 45 kb)

• Nursing Home Interior Finishes Checklist/Guideline ( 18 kb)

• Guidelines for Preventing the Transmission of Mycobacterium Tuberculosis in Health-Care Facilities ( 1377 kb)

• Guideline for Hand Hygiene in Health-Care Settings

• Board of Pharmacy/Pharmacy Standards

• Food Safety - Washington rules for safely serving or selling food

• Chapter 246-215 WAC

• Resources for Drinking Water and Cross Connection Controls

• Certificate of Need (CoN) 

• Application

• Nursing home bed requirements

• Frequently Asked Questions (coming soon)

DSHS Aging and Disability Services

• Illumination (lighting) in New Buildings and Additions - IES Recommendations for Health Care Facilities (Resource for complying with WAC 388-97-3140)

• Ventilation and Acceptable indoor Air Quality in Low-Rise Residential Building - ASHRAE Standard, 62.2.2007 (Resource for complying with WAC 388-97-4040)

• Nursing Home Locator

Labor and Industries (L&I)

• Electrical Standards, Permits and Inspections

• Asbestos Abatement/Permits

• Elevator Permits and Inspections

Office of the State Fire Marshal

• Chapter 212-12 WAC

Center for Medicare/Medicaid Services (CMS)

• Guideline for Environmental Infection Control in Health-Care Facilities, 2003

• Adoption of the 2000 edition, Life Safety Code ( 93 kb)

• Fire/ Smoke Zone Evaluation Worksheet for Health Care Facilities ( 403 kb)

• Fire Safety Survey Report 2000 Code, Medicare-Medicaid ( 488 kb)

• S&C-04-15 Major vs Minor Alteration and application of the Life Safety Code Existing / New Chapters

• S&C-07-01 Use of ABHR ( 177 kb)

• S&C-07-05 Exit Discharge Requirements & Fire Safety Evaluation System (FSES)

• S&C-07-10 Medical Gas Storage and Usage Considerations

• S&C-07-18 Permitted Gaps in Corridor and Smoke Barrier Doors

• S&C-07-29 Canopy and Overhang Sprinkler Requirements

• S&C-08-04 Infection Control Interpretive Guidelines ( 124 kb)

• S&C-08-09 Food Prepared Off Site

• S&C-10-18 Revision of S&C-04-41 dated Aug. 12, 2004.  Corridor Width 7 Corridor Mounted Computer Touch Screens in Health Care Facilities. - Clarification Effective Immediately  added 06/10

• Conditions of Participation: Survey and Enforcement Process for Nursing Facilities and Skilled Nursing Facilities

National Fire Protection Association (NFPA)

• List of NFPA Healthcare Codes and Standards (This link has been temporarily removed. Please check back in Sept. 2010 for updates!)

• NFPA 101 Formal Interpretations, 2000 edition ( 277 kb)

• Healthcare Interpretations Task Force

• HITF Interpretations, June 2009
      Exit Discharge
      Utility Penetrations in Corridor Walls and Smoke Barriers
      Exterior Exit Discharge Lighting Requirements
      On-Site Fuel Supplies for Emergency Generators
      Patient Lift Equipment Sprinkler Obstruction
      Fire Alarm System Out of Service Requirements

• HITF Interpretations, June 2008
      Inspection of Portable Fire Extinguishers
      Existing Fire Alarm Systems
      Storage Rooms 50 s.f. or Less
      Operation of Doors

• HITF Interpretations, December 2007
      Portable Devices/Equipment in Corridors
      Cooking Equipment

• HITF Interpretations, June 2007
      Items in corridors
      Corridor Width in Suites

• HITF Interpretations, December 2006 
      Door Gaps
      Smoking Restrictions in Nursing Homes
      Nursing Home Staff and Fire Drills

• HITF Interpretations, June 2006 
      Top of wall blocking to protect the cavity in corridor walls
      Linen and Waste chute Termination Rooms
      Frequency of Fire Drills at SNF

• HITF Interpretations June 2005 
      Suspended-Grid Ceiling Tile clipped or specific weight
      Delayed Egress Locks

• HITF Interpretations November 2004
      2-hour floor assemblies to separate healthcare/ambulatory occupancies

• HITF Interpretations, May 2004

• HITF Interpretations January 2004
      Door Locking

• HITF Interpretations, November 2003

• HITF Interpretations May 2003 
      Personal furnishings and smoke detection

• HITF Interpretations, November 2002
      Audible/Visual Alarms
      Convenience Openings in Corridors
      Direct Supervision of Waiting Room

• HITF Interpretations, May 2002
      Access to Fire Dampers
  HITF Interpretations, November 2001
      Door Locking
      Exit Sign Illumination
      Penetrations in Fire & Smoke Barriers

• HITF Interpretations, May 2001

• HITF Interpretations, November 2000 
      Coded Announcements

• HITF Interpretations, May 2000
      Sprinklers in Wardrobes
      Inspection of Fire Dampers

• HITF Interpretations, November 1999 
      Evacuation Route Posting
      Fire Watch During Construction
      Fire Extinguishers Signage
      Linen Chute Extensions

• HITF Interpretations, May 1999
      Classification of Hospice Care Facilities
      Requirements for Staff to Carry Keys

• HITF Interpretations, April 1999 
      Definition of Interpretation
      HITF Procedures
      Illumination of Exit Signs
      Exit Sign Placement

• HITF Interpretations, November 1998 
      Unannounced Fire Drills
      Charting Areas Open to Corridor
      Corridors Doors to Hazardous Areas
      Exit Sign Placement

• HITF Interpretations, September 1998 
      Locking of Doors in Means of Egress
      Non-Rated Corridor Doors
      Fire Watch

Washington State Building Code Council

• 2009 Statewide Amendments to the International Building Code

• List of International Codes Adopted by the State Building Code Council

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Washington State Department of Health
Construction Review Services
P.O. Box 47852
Olympia, WA 98504-7852
Phone: (360) 236-2944
Fax: (360) 236-2901
email: fslcrs@doh.wa.gov

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Last Update : 04/25/2011 01:49 PM
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