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Assisted Living Communities: Changes & Challenges November 20, 2014 Central Georgia Technical College Macon, GA – PowerPoint PPT presentation

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Title: Assisted Living Communities:


1
  • Assisted Living Communities
  • Changes Challenges

November 20, 2014 Central Georgia Technical
College Macon, GA
2
Law of Unintended Consequences
  • SB 178 was created and passed into Law in January
    of 2012 to amend Chapter 7 of Title 31 of the
    Official Code of Georgia Annotated. Legislation
    required the State Fire Marshals Office to
    review and inspect the newly created Assisted
    Living Communities under Limited Healthcare
    designation due to the nature of the residents
    cared for.

3
Law of Unintended Consequences
  • Being mandated to review and inspect Assisted
    Living Communities as Limited Healthcare
    presented a number of challenges to both the
    Industry as well as the State Fire Marshals
    Office. It soon became apparent that many
    providers would not be able to change licensure
    to an Assisted Living. This lead to the creation
    of Chapters 34 and 35 in the current OCGA
    120-3-3, adopted January 30, 2014. Previously
    these chapters were reserved in the LSC.

4
Law of Unintended Consequences
  • The Georgia State Fire Marshals Office soon
    began a series of meetings, code analysis and
    research of how other states have approached this
    unique problem. After several months and numerous
    meetings, a solution began to emerge that was
    acceptable to the Industry as a whole while
    maintaining the safety of the residents being
    served by the Industry.

5
Jurisdiction
  • Although Assisted Living Communities are reviewed
    under Chapters 34 and 35 of the 2012 NFPA 101
    Life Safety Code, as modified by OCGA 120-3-3, SB
    178 designates Assisted Living Communities as
    Limited Healthcare, and therefore remains a State
    Jurisdiction. All inspections and plan reviews
    must come through the State Fire Marshals
    Office.

6
Jurisdiction
  • This does not mean a local jurisdiction cannot
    enter upon the premises. Just as with Healthcare
    facilities, if any issues or concerns are found,
    forward those to the State Fire Marshals Office.

7
New and Existing Facilities
  • New Facilities are held to more stringent
    requirements, primarily construction type
    limitations and sprinkler requirements.
  • Existing Facilities (existing Personal Care Homes
    conversions) are less stringent in requirements
    but concessions were made.
  • Construction type/number of stories limitations
  • Sprinkler requirements NFPA13R with
    modifications vs an NFPA 13 system
  • Not all existing facilities will qualify.

8
Does a Facility Qualify for Conversion?
  • Not all facilities will qualify to convert to an
    Assisted Living Community. The three biggest
    challenges are
  • Construction Type/Number of Stories
  • Sprinkler System
  • NFPA13R with modifications
  • Financial Constraints

9
35.1.6 Minimum Construction Requirements. Assisted living community facilities shall be limited to the building construction types specified in Table 35.1.6 (see 8.2.1), based on the number of stories in height as defined in 4.6.3.
Table 35.1.6 Number of Stories - See Note b Number of Stories - See Note b Number of Stories - See Note b Number of Stories - See Note b Number of Stories - See Note b Number of Stories - See Note b Number of Stories - See Note b
Construction Type Sprinklered See Note a 1 2 3 4 5-6 gt6-12
Type I (442) c d Yes No X N.P. X N.P. X N.P. X N.P. X N.P. X N.P.
Type I (332) c d Yes No X N.P. X N.P. X N.P. X N.P. X N.P. X N.P.
Type II(222) c d Yes No X N.P. X N.P. X N.P. X N.P. X N.P. X N.P.
Type II(111) c d Yes No X N.P. X N.P. Xe N.P. Xe N.P. N.P. N.P. N.P. N.P.
Type II(000) a Yes No X N.P. X N.P. N.P. N.P. N.P. N.P. N.P. N.P. N.P. N.P.
Type III(211) a Yes No X N.P. X N.P. Xe N.P. Xe N.P. N.P. N.P. N.P. N.P.
Type III(200) a Yes No X N.P. N.P. N.P. N.P. N.P. N.P. N.P. N.P. N.P. N.P. N.P.
Type IV(2HH) a Yes No X N.P. X N.P. N.P. N.P. N.P. N.P. N.P. N.P. N.P. N.P.
Type V(111) See note a or e Yes No Xa N.P. Xa N.P. Xe N.P. Xe N.P. N.P. N.P. N.P. N.P.
Type V(000) a Yes No Xa N.P. N.P. N.P. N.P. N.P. N.P. N.P. N.P. N.P. N.P. N.P.
X Permitted if sprinklered as required by 33.3.3.5 unless otherwise noted. NP Not permitted. a Building shall be protected throughout by an approved supervised automatic sprinkler system installed in accordance with 35.3.5, and the interior walls are covered with lath and plaster or materials providing a 15-minute thermal barrier. (See requirements of 35.3.5). b See requirements of 4.6.3. c See requirements of 35.1.6.2.1. d See requirements of 35.1.6.2.2. e See requirements of 35.1.6.5.
10
Definitions
  • Previously, Personal Care, Assisted Living and
    Residential Board and Care were reviewed under
    Chapters 32 and 33 of the 2000 edition of the
    Life Safety Code.
  • SB178 creates and clearly defines Assisted Living
    Communities.
  • Assisted Living Communities are defined as 25 or
    more beds with residents who are capable of
    assisted self-preservation, with the intention to
    allow the resident to age in place.

11
Definitions
  • 120-3-3-.03(4) Assisted Living Community (ALC)
    means facility serving 25 residents or more that
    is licensed by the Georgia Department of
    Community Health and meets the requirements of an
    existing health care occupancy found in Chapter
    19 of the Life Safety Code or the requirements
    established in Chapter 34 or 35 of the Life
    Safety Code as may be applicable for new or
    existing facilities.

12
Definitions
  • 120-3-3-.03(5) Assisted self-preservation as
    applied to an Assisted Living Community (ALC)
    means the capacity of a resident to be evacuated
    from an assisted living community to a designated
    point of safety and within an established period
    of time as determined by the Office of the Safety
    Fire Commissioner. Assisted self-preservation is
    a function of all of the following (A) the
    condition of the individual (B) the assistance
    that is available to be provided to the
    individual by the staff of the assisted living
    community, and (C) the construction of the
    building in which the assisted living community
    is housed, including whether such building meets
    the safety requirements applicable to an existing
    Health Care Occupancy or an Assisted Living
    Community as established by Chapter 34 or 35of
    NFPA 101, Life Safety Code, as may be applicable
    respectively to a new or existing facility, and
    other safety to life provisions as adopted by the
    Rules and regulations of the Safety Fire
    Commissioner. (Also see the definition for
    Self-Preservation)

13
Definitions
  • 120-3-3-. (24) Self-Preservation, except as
    defined in NFPA 101, Life Safety Code for
    day-care occupancies, means the ability to
    respond to an emergency condition, whether caused
    by fire or otherwise, and escape the emergency
    without physical, hands-on assistance from staff.
    The resident may move from place to place by
    walking, either unaided or aided by prosthesis,
    brace, cane, crutches, walker or handrails, or by
    propelling a wheelchair.

14
Why Healthcare?
  • Assisted Self-Preservation this is what drives
    the Healthcare Designation. Self-preservation is
    the act of an individual being able to
    independently evacuate a building or to a point
    of safety without assistance from others. With
    assisted self-preservation, evacuation time is
    even more critical.

15
Evacuation and Fire Drills
  • Prompt Evacuation Achieved in 3 minutes or
    less, night or day.
  • Slow Evacuation Achieved in more than 3 but in
    not less than 13 minutes, night or day.
  • Impractical Evacuation Achieved in more than 13
    minutes, night or day.
  • (Above definition as modified by OCGA 120-3-3).

16
Evacuation and Fire Drills
  • The Code does require for any facility or
    individual that cannot be effectively evacuated
    in 13 minutes or less to provide additional,
    dedicated staff for those residents.

17
Evacuation and Fire Drills
  • Emergency Egress and Relocation Drills shall be
    conducted no less than once per quarter per shift
    at alternating times. One total building
    evacuation a year is required, other drills may
    include evacuation to a Point of Safety.
  • Drills may be announced before hand
  • Record keeping of all drills is required.

18
Evacuation and Fire Drills
  • Point of Safety refers to a location such as
    exterior door, rated stairwell, or opposite side
    of a one-hour rated smoke barrier wall.
    Considered a Healthcare Occupancy, ALCs are a
    Defend In Place facility.

19
Egress
  • 35.2.3.3 The width of corridors serving an
    occupant load of 50 or more in facilities having
    prompt or slow evacuation capability, and all
    facilities having impractical evacuation
    capability, shall be sufficient for the occupant
    load served but shall be not less than 60 in.
    (1525 mm).
  • 35.2.3.4 The width of corridors serving an
    occupant load of less than 50 in facilities
    having prompt or slow evacuation capability shall
    be not less than 44 in. (1120 mm).

20
Egress
  • 35.2.5.2 Dead-end Corridors. Dead-end corridors
    shall not exceed 35 ft. (15 m).
  • (30 ft. for new construction)
  • 35.2.5.3 Common Path. Common paths of travel
    shall not exceed 110 ft. (35.5 m).
  • (75 ft. for new construction)

21
Travel Distance to Exits
  • 35.2.6 Travel Distance to Exits.
  • 35.2.6.1 Travel distance from any point within a
    room, suite, or living unit to a corridor door
    shall not exceed 75 ft. (23 m) in buildings not
    protected throughout by an approved automatic
    sprinkler system in accordance with 35.3.5.
  • 35.2.6.2 Travel distance from any point within a
    room, suite, or living unit to a corridor door
    shall not exceed 125 ft. (38 m) in buildings
    protected throughout by an approved automatic
    sprinkler system in accordance with 35.3.5.

22
Travel Distance to Exits
  • 35.2.6.3 Travel distance from the corridor door
    of any room to the nearest exit shall be in
    accordance with 35.2.6.3.1or 35.2.6.3.2
  • 35.2.6.3.1 Travel distance from the corridor door
    of any room to the nearest exit, measured in
    accordance with Section 7.6, shall not exceed 200
    ft. (61 m).
  • (150 ft. for new construction)
  • 35.2.6.3.2 Travel distance to exits shall not
    exceed 200 ft. (61 m) for exterior ways of exit
    access arranged in accordance with 7.5.3.
  • (150 ft. for new construction)

23
Corridor/Sleeping Room Separation
  • 35.3.6.1.1 Sleeping rooms shall be separated from
    corridors, living areas, kitchens and all other
    areas by walls having a minimum 1/2-hour fire
    resistance rating.
  • 35.3.6.1.3 Rooms or spaces, other than sleeping
    rooms and hazardous areas, shall be separated
    from corridors by smoke partitions in accordance
    with Section 8.4, and the provisions of 8.4.3.5
    shall not apply.

24
Corridor/Sleeping Room Separation
  • 35.3.6.4.1 Doors shall have a minimum 20-minute
    fire protection rating.
  • 35.3.6.4.2 Solid-bonded wood-core doors of not
    less than 1 3/4 in. (44 mm) thickness shall be
    permitted to continue in use.
  • (No fire rating required, but must resist
    passage of smoke in new construction)
  • 35.3.6.5.1 Door-closing devices shall not be
    required on doors in corridor wall openings,
    other than those serving exit enclosures, smoke
    barriers, enclosures of vertical openings, and
    hazardous areas.

25
Subdivision of Building Spaces
  • Every sleeping room floor shall be divided into 2
    smoke compartments of approximately the same
    size.
  • Each smoke compartment shall not exceed 22,500
    ft2
  • Smoke barriers shall not be required in
    facilities with prompt or slow evacuation
    capabilities where each sleeping room has access
    to an exterior exit.

26
Subdivision of Building Spaces
  • Every sleeping room floor shall be divided into 2
    smoke compartments of approximately the same
    size.
  • Each smoke compartment shall not exceed 22,500
    ft2
  • Smoke barriers shall not be required in
    facilities with prompt or slow evacuation
    capabilities where each sleeping room has access
    to an exterior exit.

27
Subdivision of Building Spaces
  • 35.3.7.3 The travel distance from any point to
    reach a door in the required smoke barrier shall
    be limited to a distance of 200 ft. (61 m).

28
Subdivision of Building Spaces
  • Existing facilities of construction Type II(111),
    Type III(211)or Type V(111) shall prohibit
    residents who require assistance for preservation
    to first and second stories unless facility is
    equipped with combination of smoke barrier and
    horizontal exit on the third and fourth floors
    or, protected throughout by an approved
    automatic, supervised NFPA 13 sprinkler system
    with quick response or residential heads.

29
Sprinkler Coverage
  • New Facilities require full NFPA 13 Sprinkler
    System.
  • Existing Facilities (conversions) require NFPA
    13R system as modified (Sprinkler coverage in
    all restrooms and closets regardless of their
    size).
  • Non-sprinkled attics (NFPA 13R systems for
    existing facilities) shall be provided with heat
    detection, connected to fire alarm control panel
    and emergency forces notification.

30
Smoke Detection
  • Each resident sleeping room shall be provided
    with smoke detection, hardwired to the
    buildings electrical system.
  • Where approved by the AHJ, existing battery
    operated smoke alarms may be allowed to remain
    with acceptable record keeping, testing,
    maintenance and battery replacement.
  • Existing battery powered smoke alarms, when
    replaced or installed on or after Jan. 1, 2014,
    shall be non-replaceable, non-removable, tamper
    resistant and shall be powered for a minimum of
    10 years.

31
How to Get Started
  • To determine a facilities qualification, contact
    the Georgia State Fire Marshals Office. ALL
    requests must be in writing.
  • Go to http//oci.ga.gov/ExternalResources/Forms/Al
    lForms/GID-342-SF.pdf
  • Or Fax request to 678-717-5877.
  • Allow 21 working days to schedule inspection. We
    also strongly recommend retaining the services of
    a registered architect or engineer prior to
    requesting inspection.

32
Contact Information
  • Mailing Address
  • State Fire Marshals Office
  • 2 Martin Luther King Jr. Drive
  • Suite 920, West Tower
  • Atlanta, Georgia 30334
  • www.gainsurance.org
  • Engineering/Inspections
  • Telephone (404) 656-7087
  • FAX (678) 717-5877
  • E-mail inspections_at_sfm.ga.gov
  • Allen LaBerteaux
  • Telephone (404) 617-6653
  • alaberteaux_at_sfm.ga.gov
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