Florida Administrative Code
59 - AGENCY FOR HEALTH CARE ADMINISTRATION
59A - Health Facility and Agency Licensing
Chapter 59A-26 - MINIMUM STANDARDS FOR INTERMEDIATE CARE FACILITIES FOR THE DEVELOPMENTALLY DISABLED
Section 59A-26.019 - Construction and Physical Environment Standards for Facilities Providing Services to Clients that Receive Chronic, Skilled/Acute Nursing or Medical Care or Designated as a Level of Care 9
Universal Citation: FL Admin Code R 59A-26.019
Current through Reg. 50, No. 187; September 24, 2024
All new facilities and all additions, renovations and alterations of existing facilities must be in compliance with the following physical plant standards:
(1) Site requirements.
(a) Utilities must be
commensurate with the facility's regular operational needs and emergencies. The
site must be remote from uncontrolled or uncontrollable sources of insect and
rodent harborage and air and water pollution.
(b) A site may include structures other than
the ICF/DD facility such as storage sheds and greenhouses. Ancillary spaces may
be available within the living units or in a separate on-site structure to
provide services that cannot be purchased in the community or when clients are
physically unable to attend community or therapy services.
(2) Living unit requirements.
(a) There must be sufficient equipment and
appliances to meet the programmatic needs of all clients.
(b) Each living unit must have a kitchen that
is adequate for preparing all meals, cleaning and storing of food and
equipment. The kitchen design, appliances, equipment, materials and finishes
must convey the image of a home like kitchen.
(c) Each living unit must have a dining
area.
(d) Provisions must be made
to ensure meals are eaten at the dining table with appropriate positioning
devices, chairs or wheelchairs for each client, as needed.
(e) Sufficient space must be provided to
accommodate client needs for indoor gross motor, fine motor and special
teaching activities within the facility.
(f) Each client living unit must have three
or more bedrooms.
1. Each client must have
accessible personal space within the bedroom to accommodate an individual bed
and personal furnishings, and to decorate and arrange without disturbing
others. This space must also be utilized to store personal
possessions.
2. The dimensions and
arrangement of the client bedrooms must provide a minimum of three feet wide
(0.91 m) clear access space to each bed along at least 75 percent of the length
of one side of the bed and must be designed to allow the use of a wheelchair
and other portable equipment. In multiple-bed rooms, a clearance of 3 feet 8
inches (1.11 meters) to any fixed obstruction must be available at the foot of
each bed to permit the passage of equipment and beds. For beds equipped with a
piped in medical gas headwall unit, there must be minimum clearance of 3 feet
(0.91m) along the entire length of the bed between both sides of the bed and
any other bed, wall or any other fixed obstruction. The maximum number of
clients sharing a bedroom shall be two.
(g) Each living unit must provide adequate
space for all clients to carry out normal bathroom functions, or for assistance
in carrying out these functions, including bathing, toileting, washing and
grooming. Facilities must be as comparable to normal home like standards as is
appropriate to the functional level of clients. The standard range of bathroom
fixtures must be provided in adequate numbers and in standard arrangements
providing privacy for clients in performing each function. Each client must
have access to a toilet room without having to enter the general corridor area.
One toilet room shall serve no more than four beds and no more than two client
rooms. The toilet room door must be side-hinged, swing out from the toilet
room, and unless otherwise required by code, be at least 32 inches (81.28
centimeters) wide.
(h) Each living
unit must provide a minimum of one multi-purpose staff workroom of not less
than 120 square feet.
(i) Each
living unit must be equipped to wash and dry the personal clothing of all
clients residing in the living unit.
(j) Each living unit must include outdoor
activity spaces that provide a variety of activities accessible to clients and
that provide cover and protection from the elements.
(3) Details and finishes.
(a) Potential hazards such as sharp corners
or loose laid rugs or carpets shall not be permitted.
(b) Doors to all rooms containing bathtubs,
showers, and water closets for client use must be equipped with privacy
hardware that permits emergency access without keys. When such rooms have only
one entrance or are small, the doors must open outward and, if on the corridor,
must open into an alcove.
(c) All
interior doors, except those that automatically close upon smoke detection,
must be side-hinged swinging type doors. Interior corridor doors, except those
to small closets not subject to occupancy, shall not swing into the
corridor.
(d) Operable windows must
be equipped with insect screens.
(e) Threshold covers must be designed to
facilitate use of wheelchairs and carts and to prevent tripping and shall
provide a smooth and level transition from surface to surface.
(f) Grab bars, 1-1/2 inches (3.8 centimeters)
in diameter, must be installed in all client showers, tubs, and baths and on
both sides of all client-use toilets. Wall-mounted grab bars shall provide a
1-1/2 inch (3.8 centimeters) clearance from walls and shall sustain a
concentrated load of 250 pounds (113.4 kilograms).
(g) Handrails with a maximum diameter of
1-1/2 inches (3.8 centimeters) must be provided on both sides of all corridors
used by clients. Mounting height shall be between 36 inches (91.4 centimeters)
and 42 inches (106.7 centimeters). A clearance of 1-1/2 inches (3.8
centimeters) must be provided between the handrail and the wall. Rail ends
shall return to the wall.
(h) Each
client hand washing facility must have a mirror for the client unless
prohibited by the IDT. Mirror placement must allow for convenient use by both
wheelchair occupants and ambulatory persons. Tops and bottoms may be at levels
usable by clients either sitting or standing. Additional mirrors may be
provided for wheelchair clients, or one separate full-length mirror located in
the client room may be provided to meet the needs of wheelchair clients. All
mirrors must provide a distortion free image.
(i) Provisions for soap dispensing and hand
drying must be included at all hand washing facilities. Hand drying provisions
in client use areas shall be paper or cloth towels enclosed to protect against
dust or soil and shall be single-unit dispensing.
(j) Towel bars must be provided at each
bathing area.
(k) Floor material
must be readily cleanable and appropriate for the location. If composition
floor tiles are used, the interstices must be tight. In residential care and
sleeping areas, a base must be provided at the floor line. Floors in areas used
for food preparation and assembly must be water-resistant. Floor surfaces,
including tile joints, must be resistant to food acids. In all areas subject to
frequent wet-cleaning methods, floor materials must not be physically affected
by germicidal cleaning solutions. Floors subject to traffic while wet, such as
shower and bath areas, kitchens, and similar work areas, must have a slip
resistant surface and floor-to-base intersections must be watertight. Carpet
and padding in client areas must be stretched tight, in good repair and free of
loose edges or wrinkles that might create hazards or interfere with the
operation of wheelchairs, walkers, or wheeled carts.
(l) Wall finishes must be washable and, if
near plumbing fixtures, must be smooth and have a moisture-resistant finish.
Finish, trim, walls, and floor constructions in dietary and food storage areas
must be free from rodent and insect harboring spaces.
(m) Basic wall construction in areas not
subject to conditioned air must be constructed of masonry, cement, plaster or
moisture resistant gypsum wallboard.
(n) The finishes of all exposed ceilings and
ceiling structures in the dietary facilities area must be readily cleanable
with routine housekeeping equipment.
(o) Where it is not possible to inspect smoke
barriers because of the fire-tested membrane, fire-rated access panels must be
installed adjacent to each side of the smoke barriers at intervals not
exceeding 30 feet (9.14 meters) and in such locations as necessary to view all
surfaces of the barriers.
(p) There
must be a minimum clearance of six inches (15.24 centimeters) between all
conduits, piping, and ductwork at corridor walls to facilitate the inspection
of these walls.
(4) Mechanical system requirements.
(a) Mechanical
equipment must be installed in a designated equipment room(s), or in a space(s)
located in an attic(s). If the unit serves only one room it may be located
above the ceiling and must be accessible through an access opening as required
by the Florida Building Code. Access panels are not required for lay-in ceiling
installations provided the service functions are not obstructed by other
above-ceiling construction such as electrical conduits, piping, audio-visual
cabling and like equipment components or supports.
(b) Ventilation must be provided by
mechanical means in all rooms in new facilities and in all renovated or
remodeled rooms of a facility.
(c)
For spaces listed in the Minimum Ventilation Rate Table, central station type
air handling equipment must be used. Package terminal air conditioning units or
fan coils may be used to serve client rooms and shall be provided with 20
percent filters minimum (Minimum Efficiency Reporting Value 5 or MERV
5).
(d) System designs utilizing
fan coil or package terminal air conditioning units must have the outdoor air
ventilation damper permanently closed. The ventilation requirement must be
satisfied by a central station type air handling unit provided with a 30
percent filter minimum (MERV 5) or as required by the listed space served.
Spaces designated for the exclusive use of physical plant personnel need not
comply with this requirement.
(e)
Administrative and other staff-only areas must be provided with outside air at
the minimum rate of 20 cubic feet per minute (9.43 liters/second) per person,
and the central system must have a minimum of 30 percent American Society of
Heating Refrigerating and Air Conditioning Engineers, Inc. (ASHRAE), dust spot
efficiency filter (MERV 5).
(f) All
filters in systems in excess of 1000 cubic feet per minute (28.32 cubic
meters/minute) capacity must be installed with differential pressure gauges.
The filter gauge must have the range of acceptable filter operation clearly and
permanently indicated.
(g) The
transfer of air quantities through one space to an adjacent space is not
permitted except that the transfer of air to maintain space relative pressure
by the undercutting of doors is permitted. The maximum allowable air quantity
for door undercuts shall be 75 cubic feet per minute (35.34 liters per second)
for single door widths up to 44 inches (111.7 centimeters).
(h) All supply, return and exhaust
ventilation fans must operate continuously. Dietary hood, laundry area,
administrative areas that are separated from all client areas and support
areas, and maintenance area supply and exhaust fans shall be exempted from
continuous operation.
(i) Cooling
coil condensate must be piped to a roof drain, floor drain or other approved
location.
(j) Exhaust fans and
other fans operating in conjunction with a negative duct system pressure must
be located at the discharge end of the system. Fans located immediately within
the building located at the end of all exhaust ducts shall be permitted.
Existing nonconforming systems need not be brought into compliance when
equipment is replaced due to equipment failure.
(k) All new facility construction must have
totally ducted supply, return, exhaust and outside air systems including areas
of all occupancy classifications.
(l) During a fire alarm, fan systems and fan
equipment serving more than one room must be stopped to prevent the movement of
smoke by mechanical means from the zone in alarm to adjacent smoke
zones.
(m) Air handling and fan
coil units serving exit access corridors for the zone in alarm must shut down
upon fire alarm.
(n) Smoke or
fire/smoke dampers must close upon fire alarm and upon manual shutdown of the
associated supply, return or exhaust fan.
(o) Mixing valves used in shower applications
must be of the balanced-pressure type design.
(p) The temperature of hot water supplied to
client use lavatories, showers and bath must be between 105ºF
(40.6ºC) and 110ºF (43.3ºC) at the discharge end of the
fixture.
(q) Wall mounted water
closets, lavatories, drinking fountains and hand-washing facilities must be
attached to floor mounted carriers and shall withstand an applied vertical load
of a minimum of 250 pounds (113.39 kilograms) to the front of the fixture and
provide deep seal traps for floor drains in client showers.
(r) Ice machines, rinse sinks, dishwashers,
and beverage dispenser drip receptacles must be indirectly wasted.
(s) Each water service main, branch main,
riser and branch to a group of fixtures must have valves. Stop valves must be
provided for each fixture. Panels for valve access must be provided at all
valves.
(t) Backflow preventers
(vacuum breakers) must be installed on bedpan-rinsing attachments, hose bibs
and supply nozzles used for connection of hoses or tubing in housekeeping sinks
and similar applications.
(u) A
backflow preventer must be installed on the facility main water
source(s).
(5) Electrical requirements.
(a) All material, including
equipment, conductors, controls, and signaling devices, must be installed to
provide a complete electrical system with the necessary characteristics and
capacity to supply the electrical facility requirements as shown in the
specifications and as indicated on the plans submitted to the Agency. All
materials and equipment must be listed as complying with applicable standards
of Underwriter's Laboratories, Inc., or other nationally recognized testing
facilities. Field labeling of equipment and materials will be permitted only
when provided by a Nationally Recognized Testing Laboratory (NRTL) that has
been certified by the Occupational Safety & Health Administration (OSHA)
for that referenced standard.
(b)
For purposes of this section, a client room, a client therapy area or an
examination room shall be considered a "patient care area" as described in NFPA
99 "Health Care Facilities, " and Chapter 27, "Electrical Systems" of the
Florida Building Code.
(c) Panels
located in spaces subject to storage must have the clear working space as
required by Chapter 27, "Electrical Systems" of the Florida Building Code,
permanently marked "Electrical Access - Not For Storage" with a line outlining
the required clear working space on the floor and wall.
(d) Panels and electrical equipment, other
than branch circuit devices serving the corridor, must not be located in egress
corridors in new construction.
(e)
Lighting.
1. All spaces occupied by people,
machinery and equipment within buildings, approaches to buildings and parking
lots must have electric lighting.
2. Client bedrooms must have general lighting
and separate fixed night lighting. The night-light must have a switch at the
entrance to each client's room. A reading light must be provided for each
client. Client reading lights, and other fixed lights not switched at the door,
must have switch controls convenient for use at the luminary. Wall-mounted
switches for control of lighting in client area must be of a quiet operating
type.
(f) Receptacles.
1. The facility must provide one general
purpose receptacle on a wall to serve each client and one additional receptacle
at the head of the bed if a motorized bed is provided.
2. Duplex receptacles for general use must be
installed in all general purpose corridors, approximately 50 feet (15.24
meters) apart and within 25 feet (7.62 meters) of corridor
ends.
(g) Fire alarm
systems. A fire alarm annunciator panel must be provided at a single,
designated, location that is monitored 24-hour per day. The panel must
indicate, audibly and visually, the zone of actuation of the alarm and system
trouble. Devices located in each smoke compartment must be interconnected as a
separate fire alarm zone. Annunciator wiring must be supervised. Annunciators
must clearly indicate the zone location of the alarm. An adjacent zone location
map to quickly locate alarm condition must be provided.
(h) Nurse call systems. Each facility must
have a nurse call system that meets the following requirements:
1. A nurse call system must be provided that
will register a call from each client bed to the related staff work area(s) by
activating a visual signal at the client room door and activating a visual and
audible signal in the clean utility, soiled utility, nourishment station,
medication prep and the master station of the nursing unit or sub-nursing unit.
Audible signals may be temporarily silenced provided subsequent calls
automatically reactivate the audible signal. In rooms containing two or more
calling stations, indicating lights must be provided for each calling station.
In the corridor zone of multi-corridor nursing units, lights must be installed
at corridor intersections in the vicinity of staff work areas;
2. An emergency calling station of the pull
cord type must be provided and must be conveniently located for client use at
each client toilet, bath or shower room, but not inside the shower unless the
nurse call device is listed for wet locations. The call signal must be the
highest priority and shall be cancelled only at the emergency calling station.
The emergency station must activate distinctive audible and visual signals
immediately at the client room door or wireless page, and activate a visual and
audible signal in the staff work areas or mobile nurse station receiver and the
master station of the client unit. If a mobile nurse station receiver is
utilized to receive the client call it will be worn by all staff who are
assigned to the client unit and must identify the specific client and or room
from which the call was placed;
3.
The nurse call master station must not block incoming client calls. The master
station control settings must not prevent the activation of the incoming
audible and visual signals. In wireless systems, all orphaned calls to mobile
nurse station receivers will register at the nurse call master
station;
4. In multi-client rooms,
activation of an emergency call shall not cancel a normal call from the same
room; and,
5. A corridor dome light
must be located directly outside of any client care area that is equipped with
a wired nurse call station.
(i) Emergency electrical system.
1. A Type 1 essential electrical system must
be provided in all ICF/DD facilities as described in NFPA 99, "Health Care
Facilities."
2. In new
construction, the normal main service equipment must be separated from the
emergency distribution equipment by locating it in a separate room. Transfer
switches must be considered emergency distribution equipment for this
purpose.
3. Switches for critical
branch lighting must be completely separate from normal switching. The devices
or cover plates must be of a distinctive color. Critical branch switches may be
adjacent to normal switches. Switches for life safety lighting are not
permitted except as required for dusk-to-dawn automatic control of exterior
lighting fixtures.
4. There must be
selected life safety lighting provided at a minimum of one footcandle and
designed for automatic dusk-to-dawn operation along the travel paths from the
exits to the public way or to safe areas located a minimum of 30 feet (9.14
meters) from the building.
5. If a
day tank is provided, then it must be equipped with a dedicated low level fuel
alarm and a manual pump. The alarm must be located at the generator derangement
panel.
6. Transfer switch contacts
must be of the open type and must be accessible for inspection and
replacement.
7. If required by the
facility's emergency food plan, then there must be power connected to the
equipment branch of the essential electrical system for kitchen refrigerators,
freezers and range hood exhaust fans. Selected lighting within the kitchen and
dry storage areas must be connected to the critical branch of the essential
electrical system.
(6) Other general requirements.
(a) There must be at least one telephone
accessible to the clients.
(b) An
accessible, potable supply of water must be provided in all
facilities.
(c) An adequate and
safe method of sewage collection, treatment and disposal must be provided in
each facility. Whenever a municipal or public sewer system is available to the
property such system must be used.
(d) In all facilities vermin must be
controlled in all areas of the facility.
(7) Physical Plant Requirements for Disaster Resistance of ICF/DD Construction.
(a)
Definitions. The following definitions apply specifically to this subsection:
1. Existing Facility means a facility that
prior to December 1, 2015:
a. Is licensed and
certified; or
b. Has received a
Stage II preliminary plan approval from the Agency for a new
facility.
2. New Facility
means:
a. An ICF/DD licensed after December 1,
2015; or
b. A facility that
receives a Stage II Preliminary Plan approval after December 1, 2015;
or
c. An addition of a wing or
floor to an existing ICF/DD, which has not received a Stage II Preliminary Plan
approval pursuant to this section.
3. Net Square Footage means the clear floor
space of an area excluding cabinetry and other fixed furniture or
equipment.
4. During and
Immediately Following means a period of 72 hours following the loss of normal
support utilities to the facility.
5. Occupied Client Area(s) means the location
of clients inside the new facility or in the addition of a wing or floor to an
existing facility during and immediately following a disaster. If clients are
to be relocated into an area of the existing facility during and immediately
following a disaster, then for these purposes that location will be defined as
the "occupied client area."
6.
Client Support Area(s) means the area(s) required to ensure the health, safety
and well-being of clients during and immediately following a disaster, such as
a staff work area, clean and soiled utility areas, food preparation area and
other areas as determined by the licensee to be kept operational during and
immediately following a disaster.
7. On-site means either in, immediately
adjacent to, or on the campus of the facility, or addition of a wing or floor
to an existing facility.
8.
Client(s) Served means the number of clients as determined by the licensee that
will be served in the occupied client area(s) during and immediately following
a disaster, including clients from other facilities, if
applicable.
(b) New
Facility Construction Standards. The following construction standards are in
addition to the physical plant requirements described in this rule. These
minimum standards are intended to increase the ability of the new facility to
be structurally capable of serving as a shelter for clients, staff and the
family of clients and staff and equipped to be self-supporting during and
immediately following a disaster.
1. Space
standards.
a. Each new facility must provide
a minimum of 30 net square feet (2.79 square meters) per client served in the
occupied client area(s). The number of clients served is to be determined by
the facility.
b. Each licensee must
have space for administrative and support activities and space for use by
facility staff to allow for care of clients in the occupied client
area(s).
c. Each licensee must have
space for all staff and family members of clients and
staff.
2. Site standards.
a. The lowest floor of all new facilities
shall be elevated to the "Base flood elevation" plus 2 feet (61 cm), or to the
height of hurricane Category 3 (Saffir-Simpson scale) surge inundation
elevation, as described by the Sea, Lake, and Overland Surge (SLOSH) from
Hurricanes model developed by the Federal Emergency Management Agency (FEMA),
United States Army Corps of Engineers (USACE), and the National Weather Service
(NWS), whichever elevation requirement is more stringent. The Base flood
elevation shall be defined as the elevation of an area having a 1 percent
chance of being equaled or exceeded by flood waters in any given
year.
b. For all existing
facilities, the lowest floor elevations of all additions, and all resident
support areas including food service, and all resident support utilities,
including mechanical, and electrical (except fuel storage as noted in
sub-subparagraph 59A-26.019(7)(b)
9.e., F.A.C.) for the additions shall be at or above the elevation of the
existing building, if the existing building was designed and constructed to
comply with either the site standards of this rule or local flood resistant
requirements in effect at the time of construction, whichever requires the
higher elevation. If the existing building was constructed prior to the
adoption of either the site standards of this rule or local flood resistant
requirements, then substantial improvements as described in this section shall
either be designed and constructed to meet the requirements of this rule or be
designed and constructed to meet the dry flood proofing requirements of Florida
Building Code.
c. Substantial
improvement shall include any repairs, reconstruction(s), rehabilitation(s),
additions(s) or improvement(s) to the building over a five year period, the
cost of which cumulatively exceeds the market value of the building prior to
the start of work.
d. Where an
off-site public access route is available to the new facility at or above the
100-year flood plain, a minimum of one on-site emergency access route must be
provided that is located at the same elevation as the public access
route.
4. Roofing
standards.
a. Loose-laid ballasted roofs are
not permitted.
b. All new roof
appendages such as ducts, tanks, ventilators, receivers, condensing units and
decorative mansard roofs and their attachment systems must be structurally
engineered to meet the wind load requirements of the FBC. All of these
attachment systems must be connected directly to the underlying roof structure
or roof support structure.
5. Exterior unit standards.
a. All exterior window units, skylights,
exterior louvers and exterior door units, including vision panels and their
anchoring systems shall be impact resistant or protected with an impact
resistant covering meeting the requirements of the Testing Application
Standards (TAS) 201, 202, and 203 of Florida Building Code - Test Protocols for
High-Velocity Hurricane Zones and in accordance with the requirements of
Sections 1626.2 through 1626.4 of the Florida Building Code. The impact
resistant coverings may be either permanently attached or may be removable if
stored on site of the facility.
b.
The location or application of exterior impact protective systems shall not
prevent required exit egress from the building.
c. When not being utilized to protect the
windows, the protective system shall not restrict the operability (if provided)
of the windows to the occupied client bedrooms.
d. When not being utilized to protect the
windows, the protective system shall not reduce the percentage of the clear
window opening below that which is required by the FBC for client
bedrooms.
e. The glazed openings
inside or outside of the protective systems must meet the cyclical loading
requirements as required by Sections 1626.2-1626.4 of the FBC.
f. All of the exterior impact protective
systems must be designed and installed so that they do not come in contact with
the glazing under uniform, impact or cyclic pressure loading. The location or
application of exterior impact protective systems must not prevent required
exit/egress from the building.
6. Heating, Ventilation and Air Conditioning
(HVAC) Standards.
a. All new air
moving-equipment, dx condensing units, through-wall units and other HVAC
equipment located outside of, partially outside of, or on the roof of the
facility and providing services to the new facility shall be permitted only
when either of the following are met:
I. They
are located inside a penthouse designed to meet the wind load requirements of
the Florida Building Code, Building; or
II. Their fastening systems are designed to
meet the wind load requirements of the Florida Building Code, Building and they
and all associated equipment are protected as required by TAS 201, 202, and 203
in accordance with the requirements of Sections 1626.2 through 1626.4 of the
Florida Building Code from damage by horizontal impact by a separate and
independent structure that allows access to all parts of the equipment at all
times; or
III. They are completely
protected by the equipment shrouding that meets the requirements of TAS 201,
202, and 203 in accordance with the requirements of Sections 1626.2 through
1626.4 of the Florida Building Code.
b. All occupied client areas and client
support areas must be supplied with sufficient HVAC as determined by the
facility to ensure the health, safety and well-being of all clients and staff
during and immediately following a disaster.
c. As determined by the licensee, these
selected HVAC systems and their associated support equipment, such as a control
air compressor essential to the maintenance of the occupied client and client
support area(s), must receive their power from the emergency power supply
system(s).
d. Ventilation air
change rates in occupied client areas must be maintained as specified in this
section during and immediately following a disaster.
e. Auxiliary equipment and specialties such
as hydronic supply piping and pneumatic control piping must be located, routed
and protected in such a manner as determined by the licensee to ensure the
equipment receiving the services will not be interrupted.
7. Plumbing standards.
a. There must be an independent on-site
supply such as a water well, or on-site storage capability such as empty water
storage containers or bladders, of potable water at a minimum quantity of three
gallons per client served per day during and immediately following a disaster.
Hot water in boilers or tanks must not be counted to meet this
requirement.
b. There must be an
independent on-site supply or storage capability of potable water at a minimum
quantity of one gallon per facility staff, and other personnel in the facility
per day during and immediately following a disaster. For planning purposes, the
number of these personnel must be estimated by the licensee.
c. The licensee must determine what amount of
water will be sufficient to provide for client services, and must maintain an
on-site supply or on-site storage of the determined amount.
d. When used to meet the minimum requirements
of this rule, selected system appurtenances such as water pressure maintenance
house pumps and emergency water supply well pumps must take power from the
emergency power supply system.
8. Medical gas systems standards. The
storage, distribution piping system and appurtenances serving the occupied
client area(s) and client support area(s) shall be contained within a protected
area(s) designed and constructed to meet the structural requirements of the
building code and debris impact requirements as required by Sections 1626.2
through 1626.4 of the Florida Building Code.
9. Emergency electrical generator and
essential electrical system standards. There must be an on-site emergency
electrical generator system designed to support occupied client areas and
client support areas with the following support services:
a. Ice making equipment to produce ice for
the clients or freezer storage equipment for the storage of ice for the
clients.
b. Refrigerator units and
food service equipment as required by the emergency food plan.
c. There must be one clothes washer and one
clothes dryer for laundry service.
d. An emergency generator system must be
fueled by a fuel supply stored on-site sized to fuel the generator for 100
percent load for 64 hours, or 72 hours for actual demand load of the occupied
client areas and client support areas and client support utilities, during and
immediately following a disaster, whichever is greater.
e. The fuel supply shall either be located
below ground or contained within a protected area that is designed and
constructed to meet the structural requirements as required by the Florida
Building Code and debris impact requirements as specified by Sections 1626.2
through 1626.4 of the Florida Building Code. If an underground system is
utilized, it shall be designed so as to exclude the entrance of any foreign
solids or liquids.
f. All fuel
lines supporting the generator system(s) for the occupied client area(s) and
client support area(s) shall be protected also with a method designed and
constructed to meet the structural requirements as required by the Florida
Building Code and debris impact requirements as specified by Sections 1626.2
through 1626.4 of the Florida Building Code.
g. All panel boards, transfer switches,
disconnect switches, enclosed circuit breakers or emergency system raceway
systems required to support the occupied client area(s), client support area(s)
or support utilities shall be contained within a protected area(s) designed and
constructed to meet the structural requirements as required by the Florida
Building Code and debris impact requirements as specified by Sections 1626.2
through 1626.4 of the Florida Building Code, and shall not rely on systems or
devices outside of this protected area(s) for their reliability or continuation
of service.
h. The emergency
generator(s) shall be air or self-contained liquid cooled and it and other
essential electrical equipment shall be installed in a protected area(s)
designed and constructed to meet the structural requirements as required by the
Florida Building Code and debris impact requirements as specified by Sections
1626.2 through 1626.4 of the Florida Building Code.
i. If the facility does not have a permanent
on-site optional standby generator to operate the normal branch electrical
system, then there shall be a permanently installed pre-designed electrical
service entry for the normal branch electrical system that will allow a quick
connection to a temporary electrical generator. This quick connection shall be
installed inside of a permanent metal enclosure rated for this purpose and may
be located on the exterior of the building.
10. Fire protection standards. If the
facility requires fire sprinklers as part of its fire protection, one of the
following must be met:
a. On-site water
storage capacity to continue sprinkler coverage in accordance with the fire
codes adopted by the state fire marshal or a fire watch must be
conducted.
b. If the facility
provides a fire watch in lieu of water storage to continue sprinkler coverage,
then one 4-A type fire extinguisher or equivalent must be provided for every
three or less 2-A fire extinguishers. These additional extinguishers must be
equally distributed throughout the area they are
protecting.
11. External
Emergency Communication. Each new facility must provide for an external
electronic communication not dependent on terrestrial telephone lines,
cellular, radio or microwave towers, such as on-site radio transmitter,
satellite communication systems or a written agreement with an amateur radio
operator volunteer group(s). This agreement must provide for a facility
volunteer operator and communication equipment to be re-located into the
facility in the event of a disaster until communications are restored. Other
methods that can be shown to maintain uninterrupted electronic communications
not dependent on land-based transmission must be pre-approved by the Agency's
Office of Plans and Construction.
Rulemaking Authority 400.967 FS. Law Implemented 400.967(2)(a) FS.
New 12-21-15.
Disclaimer: These regulations may not be the most recent version. Florida may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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