Attachment R_Existing Day Care Occupancy Checklist.pdf

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Attached to
R499--State Veterans Home (SVH) Nursing Homes
Solicitation number
36C10G24R0016
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About this file

This is a Life Safety Code compliance checklist for existing day care occupancies operated by the State Veterans Home Adult Day Health Care Program, based on NFPA 101-2012 standards and current as of January 10, 2021.

The checklist establishes requirements for adult day health care facilities serving more than twelve ambulatory or semi-ambulatory participants who are not bedridden and do not exhibit harmful behavior. Compliance is organized into nine major categories: General Requirements, Means of Egress (covering components, number, arrangement, travel distance, discharge, lighting, and marking), Special Means of Egress Features, Protection (hazardous areas, corridors, extinguishment, and fire alarm systems), Inspection/Testing/Maintenance Requirements, Building Services, Operating Features (fire drills and inspections). Key requirements include: at least two separate exits on every story accessible from all areas; dead-end corridors not exceeding 20 feet (50 feet with sprinkler protection); travel distances between room doors and exits of 100 feet maximum (150 feet within rooms); interior wall and ceiling finishes meeting Class B standards minimum; fire alarm systems with manual initiation and smoke detection; monthly emergency egress and relocation drills; monthly fire inspections by trained staff; and annual inspection and testing of door assemblies including panic hardware and fire door assemblies. Hazardous areas require one-hour fire resistance ratings or sprinkler protection, with certain areas requiring both. The checklist includes a construction type limitations table referencing building classifications and sprinkler requirements based on building height and story count.

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Existing Day Care Occupancies

For the State Veterans Home Adult Day Health Care Program

(All Code References are NFPA 101-2012 unless otherwise noted.)

This checklist is a summation of the requirements found in Chapter 17, Existing Day Care Occupancies, of the

Life Safety Code. The user is cautioned to consult the code prior to answering the following questions. (Current as of 1-10-2021).

Note: Adult Day Health Care occupancies covered by this checklist include any building or portion thereof used for less than 24 hours per day to house more than twelve adults requiring care, maintenance and supervision by other than relatives. Participants are to be ambulatory or semi-ambulatory and are not permitted to be bedridden. Participants are not permitted to exhibit behavior that is harmful to themselves or others.

Note: The code uses the work “clients’ but the SVH program will use the word “participants.”

Facility Name: _______________________________________________________________________________

Facility Address: _____________________________________________________________________________

Number of Participants: ______________________________________

Name of Life Safety Reviewer: __________________________________________________________________

Item Standard Reference Yes No N/A

General Requirements

1-1 Are the participants in the adult day health care occupancy ambulatory or semiambulatory and not bedridden?

17.1.2.2.2

1-2 Do all participants in the adult day health care occupancies not exhibit behavior that is harmful to themselves or to others?

17.1.2.2.3

1-3 Where the adult day health care occupancy is in an apartment building, and where the two exit accesses from the day-care occupancy enter the same corridor as an apartment occupancy, are the exit accesses separated in the corridor by a smoke partition (doors must be self- or auto-closing) that complies with both of the following:

(1) It has not less than a 1-hour fire resistance rating, and

(2) It is located so that it has an exit on each side?

17.1.3.2

1-4 Where an adult day health care occupancy is located six or more stories above the level of exit discharge, does the building have one of the following:

(1) Horizontal exits to provide areas of refuge for the day-care occupancy, or

(2) Smokeproof enclosures in the building, or

(2) An approved, supervised automatic sprinkler system throughout?

17.2.2.5.2

7.2.3

1-5 Is the adult day health care occupancies construction type in accordance with Table 17.1.6.1. (See Table 17.1.6.1 at bottom.)

17.1.6

Means of Egress - Components

2-1 Where a door (1) is equipped with a latch or lock, and (2) the door serves an area with an occupant load of 100 or more person, does the door have panic hardware or fire exit hardware?

17.2.2.2.2

2-2 Where doors are locked in the direction of egress, are they locked using delayed-egress locking systems, access-controlled egress door assemblies, or elevator lobby exit access door assemblies?

17.2.2.2.3.1

17.2.2.2.3.2

17.2.2.2.3.3

2-3 Do doors have door latches that can be opened from inside the space or area when the doors serve closets, storage areas, kitchens, and other similar spaces or areas?

17.2.2.2.4

2-4 Are bathroom door locks designed to allow opening of the locked door from the outside by an opening device that is readily accessible to the staff?

17.2.2.2.5

Means of Egress – Number

2-5 Are at least two separate exits provided on every story and are two separate exits accessible from every part of every story?

17.2.4.2

2-6 Where the adult day health care occupancy is located below 17.2.4.3.1 the level of exit discharge, are the following conditions met?

(1) Is one means of egress is either an outside stair; or an interior stair where that interior stair serves only the story below the level of exit discharge.

Note: The interior stair is permitted to communicate with the level of exit discharge, but the exit route from the level of exit discharge is not permitted to pass through the stair enclosure.

(2) Where the second means of egress from the story below the level of exit discharge is via an unenclosed stairway, is it separated from the level of exit discharge by fire barriers in accordance with 8.6.5 and does the means of egress on the level of exit discharge consist of fire rated corridors in accordance with 7.1.3.1?

Note: The means of egress on the level of exit discharge does not have to consist of fire rated corridors if the level of exit discharge and the story below the level of exit discharge is provided with either smoke detection or sprinkler protection throughout.

17.2.4.3.2

17.2.4.3.3

Means of Egress – Arrangement

2-7 Are dead-end corridors no greater than 20 feet?

Note: Where the building is protected throughout by an approved supervised automatic sprinkler system, dead ends are permitted to be 50 feet.

17.2.5.2

2-8 Are common paths of travel 75 feet or less?

Note: Where the building is protected throughout by an approved supervised automatic sprinkler system, common paths of travel are permitted up to 100 feet.

17.2.5.3

Means of Egress – Travel Distance

2-9 Is the travel distance:

(1) between any room door intended as an exit access and an exit 100 feet or less, and

(2) between any point in a room and any exit 150 feet or less?

Note: Where the building is protected throughout by an approved supervised automatic sprinkler system, these distances may be increased by 50 feet.

17.2.6.2 (1)

17.2.6.2 (2)

17.2.6.3

2-10 Is the travel distance from any point in a sleeping room to an exit access door in that room less than 50 feet?

17.2.6.2 (3)

Means of Egress – Discharge

2-11 Is the exit discharge arranged in accordance with Section 7.7, unless otherwise provided in 2-6 above?

17.2.7

2-12 Are exit stairs that continue beyond the level of exit discharge provided with an approved means to dissuade occupants from traveling past the level of exit discharge (physical barriers)?

7.7.3.4

Means of Egress – Lighting and Marking

2-13 Is the means of egress illuminated in accordance with 7.8?

17.2.8

2-14 Is emergency lighting provided in the following areas?

1) Interior stairs and corridors.

2) Assembly use spaces.

3) Flexible and open plan buildings.

4) Interior or limited access portions of buildings.

5) Shops and laboratories.

17.2.9

2-15 Are the means of egress provided with exit signs provided in accordance with Section 7.10?

17.2.10

Special Means of Egress Features

2-16 Windows for Rescue:

Does every room or space greater than 250ft2 and normally subject to client occupancy have not less than one outside window for emergency rescue that complies with all of the following:

(1) Such windows shall be openable from the inside without the use of tools and shall provide a clear opening of not less than 20 inches in width, 24 inches in height, and 5.7ft2 in area

(2) The bottom of the opening shall be not more than 44 inches above the floor

(3) The clear opening shall allow a rectangular solid, with a width and height that provides not less than the required 5.7 ft2 opening and a depth of not less than 20 inches to pass fully through the opening?

Note: The above requirement does apply to any of the following:

(1) Buildings protected throughout by an approved, supervised automatic sprinkler system in accordance with Section 9.7

(2*) Where the room or space has a door leading directly to an exit or directly to the outside of the building

(3*) Where the room has a door, in addition to the door that leads to the exit access corridor and such door leads directly to an exit or directly to another corridor located in a compartment separated from the compartment housing the initial corridor by smoke partitions in accordance with Section 8.4

(4) Rooms located four or more stories above the finished ground level

(5) Where awning-type or hopper-type windows that are hinged or subdivided to provide a clear opening of not less than 4 ft2 or any dimension of not less than 22 inches meet the following criteria:

(a) Such windows are permitted to be continued in use.

(b) Screen walls or devices in front of required windows do not interfere with normal rescue requirements.

17.2.11.1

17.2.11.1.2

(6) Where the room or space complies with all of the following:

(a) One door provides direct access to an adjacent room and a second door provides direct access to another adjacent room.

(b) The two rooms to which exit access travel is made in accordance with (6)(a) each provide exit access in accordance with (2*) or (3*) directly above.

(c) The corridor addressed by (3*), if provided, is separated from the rooms by a wall that resists the passage of smoke, and all doors between the rooms and the corridor are self-closing in accordance with 7.2.1.8.

(d) The length of travel to exits along such paths does not exceed

150 ft.

(e) Each communicating door is marked in accordance with

Section 7.10.

(f) No locking devices are on the communicating doors.

Protection - Hazardous Areas

3-1 Are rooms or spaces protected as specified in below?

(1) Not less than one-hour fire resistance rated enclosures or sprinkler protection is provided for the following:

a) Boiler and furnace rooms, unless such rooms enclose only air-handling equipment.

b) Rooms or spaces used for the storage of combustible supplies in quantities deemed hazardous by the AHJ.

c) Rooms or spaces used for the storage of hazardous materials or flammable or combustible liquids in quantities deemed hazardous by recognized standards.

d) Janitor closets.

Note: Janitor closets are permitted to have doors fitted with louvers where the space is protected by automatic sprinklers.

(2) Not less than one-hour fire resistance rated enclosures AND sprinkler protection is provided for the following areas:

a) Laundries (bulk laundries).

b) Maintenance shops, including woodworking and painting areas.

c) Rooms or spaces used for processing or use of combustible supplies deemed hazardous by the Authority

Having Jurisdiction.

d) Rooms or spaces used for processing or use of hazardous materials or flammable or combustible liquids in quantities deemed hazardous by recognized standards.

17.3.2

3-2 Are cooking facilities protected in accordance with NFPA 96?

Note: Openings are not required to be protected between food preparation areas and dining areas.

Note: Approved domestic cooking equipment used for food warming or limited cooking is not required to be protected.

17.3.2.3

17.3.2.4

17.3.2.5

3-3 Are interior wall and ceiling finishes a minimum of Class B?

Note: Where sprinkler protection is provided, Class C interior finishes are permitted.

17.3.3.2

10.2.8

Protection - Corridors

3-4 Is every interior corridor constructed of walls having a minimum 1⁄2-hour fire resistance rating, unless otherwise permitted by any of the following?

(1) Corridor protection is not be required where all spaces normally subject to student occupancy have not less than one door opening directly to the outside or to an exterior exit access balcony or corridor in accordance with 7.5.3.

(2) Corridor walls are not required to be rated in buildings protected throughout by an approved supervised automatic sprinkler system, provided that such walls form smoke partitions in accordance with Section 8.4. (Doors must be self-or auto-closing.)

(3) Where the corridor ceiling is an assembly having a minimum 1⁄2-hour fire resistance rating where tested as a wall, the corridor walls are permitted to terminate at the corridor ceiling.

(4) Lavatories are not required to be separated from corridors, provided that they are separated from all other spaces by walls having a minimum 1⁄2-hour fire resistance rating.

(5) Lavatories are not required to be separated from corridors, provided that both of the following criteria are met:

(a) The building is protected throughout by an approved, supervised automatic sprinkler system, and

(b) The walls separating the lavatory from other rooms form smoke partitions in accordance with Section 8.4. (Doors must be self- or auto-closing.)

17.3.6

Protection – Extinguishment Requirements

3-5 Are buildings with unprotected openings in accordance with

8.6.6 (unenclosed floor openings - communicating spaces) protected throughout by an approved, supervised automatic sprinkler system?

17.3.5.3

Protection – Fire Alarm System

3-6 Does the adult day health care occupancy, have a fire alarm system in accordance with Section 9.6?

17.3.4.1

Note: Day care occupancies housed in one room are not required to have a fire alarm system.

3-7 Is the required fire alarm system initiated by manual means in accordance with 9.6 and by operation of any required smoke detectors and any required sprinkler systems?

17.3.4.2

3-8 Is a smoke detection system installed in accordance with (1) and (2) below?

Note: In day-care occupancies housed in one room or those housing participants capable of self-preservation where no sleeping facilities are provided, smoke detection is not required.

(1) Smoke detectors are installed on each story in front of the doors to the stairways and in the corridors of all floors occupied by the day-care occupancy.

(2) Smoke detectors are installed in lounges, recreation areas, and sleeping rooms in the day-care occupancy.

17.3.4.5

3-9 Is occupant notification provided in accordance with 9.6.3?

Note: Positive alarm sequence is permitted in accordance with

9.6.3.4 and private operating mode is permitted in accordance with 9.6.3.6.3.

17.3.4.3.1

17.3.4.3.2

17.3.4.3.3

3-10 Is emergency forces notification provided in accordance with

9.6.4?

Note: For daycare occupancies with not more than 100 clients, emergency forces notification is not required.

Note: Emergency forces notification is required to be installed when an existing fire alarm system is replaced.

17.3.4.4.1

17.3.4.4.2

Inspection, Testing and Maintenance Requirements

4-1

Is a minimum of 18 inches vertical clearance maintained between the top of all storage and ceiling sprinkler deflectors?

NFPA 25-

2011 5.2.1.2

A.5.2.1.2

4-2

Are sprinkler system main drain tests performed annually and are records maintained?

NFPA 25-

13.2.5

4-3

Are electric fire pump churn tested monthly and diesel fire pumps churn tested weekly; and are all fire pumps flow tested annually?

NFPA 25-

2011, 8.3.

4-4

Where the fire alarm system is out of service (for more than 4 hours in a 24-hour period) or where the sprinkler system is out of service (for more than 10 hours in a 24 hour period) has the facility notified the fire department and established a fire watch or evacuated the building?

9.6.1.6

9.7.6.

NFPA 25-

2011, 15.5

4-2 Are fire alarm systems inspected, tested, and maintained in accordance with NFPA 72?

4.6.12

Building Services

5-1 Are there no unvented fuel-fired room heaters present other than gas space heaters that are in compliance with NFPA 54?

17.5.2.2

5-2 Is all heating equipment in spaces occupied by participants provided with partitions, screens, or other means to protect clients from hot surfaces and open flames?

Note: If solid partitions are used to provide such protection, provisions shall be made to ensure adequate air for combustion and ventilation for the heating equipment.

17.5.2.3

Operating Features: Fire Drills

6-1 Is there a written emergency plan in accordance with 4.8? 17.7.1

6-2 Are emergency egress and relocation drills conducted monthly?

Note: Not less than one emergency egress and relocation drill is required to be conducted every month the facility is in session, unless both of the following criteria are met:

(a) In climates where the weather is severe, the monthly emergency egress and relocation drills shall be permitted to be deferred.

(b) The required number of emergency egress and relocation drills shall be conducted, and not less than four shall be conducted before the drills are deferred.

17.7.2.2

6-3 Do all occupants of the building participate in the drill? 17.7.2.2 (2)

Operating Features: Inspections

6-4 Are monthly fire inspections conducted by a trained senior member of the staff and is the latest inspection form posted in a conspicuous place in the adult day health care facility?

17.7.3.1

6-5 Are exit facilities inspected on a daily basis by staff to ensure that all stairs, doors, and other exits are in proper condition?

17.7.3.2

6-6 Are the following door assemblies inspected and tested not less than annually in accordance with 7.2.15.1?

(1) Door leaves equipped with panic hardware or fire exit hardware in accordance with 7.2.1.7

(2) Door assemblies in exit enclosures

(3) Electrically controlled egress doors

(4) Door assemblies with special locking arrangements subject to 7.2.1.6

(5) Fire door assemblies

(6) Smoke door assemblies

17.7.3.4

6-7 Does artwork and teaching materials attached directly to the walls take up no more than 20% of the wall area in buildings that are not sprinkler protected, or not more than 50% of the wall area in buildings that are sprinkler protected?

17.7.4.3

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