Current through Register No. 40, October 3, 2024
(a) All ESRDDCs
shall, at a minimum, meet the Business or Ambulatory Health Care Occupancy
chapter of NFPA 101 as adopted by the commissioner of the department of safety
in Saf-C 6000 under RSA 153, and as amended pursuant to
RSA 153:5,
I, by the state fire marshal with the board
of fire control.
(b) The licensee
shall provide and maintain a complete fire alarm system installed and
maintained in accordance with Saf-C 6000 as adopted by the commissioner of the
department of safety under RSA 153, and as amended pursuant to
RSA 153:5,
I by the state fire marshal with the board of
fire control, regardless of the size of the facility.
(c) The licensee shall comply with all state
and local codes and ordinances for:
(1)
Building, including the International Building Code as adopted by
RSA
155-A:2;
(2) Health;
(3) Fire, including but not limited to NFPA
101 and Saf-C 6000 as adopted by the commissioner of the department of safety
under RSA 153, and as amended pursuant to
RSA 153:5,
I by the state fire marshal with the board of
fire control;
(4) Waste disposal;
and
(5) Water, including the
requirements of
He-P
811.06(d) .
(d) The ESRDDC shall:
(1) Have all entrances and exits to the
licensed premises accessible at all times;
(2) Be maintained in good repair and kept
free of hazards to personnel and clients, including but not limited to hazards
from falls, burns, or electrical shocks;
(3) Be free from environmental nuisances,
including noise and odors; and
(4)
Take measures to prevent the presence of rodents, insects, and vermin
including, but not limited to:
a. Having
tightly fitting screens to all doors, windows, or other openings to the outside
unless the door is self-closing and remains closed unless in use;
b. Repairing holes and caulking of pipe
channels; and
c. Extermination by a
pesticide applicator licensed under RSA 430.
(e) An emergency and fire safety program
shall be developed and implemented to provide for the safety of clients and
personnel.
(i) Each licensee shall
develop a written emergency response plan that covers:
(1) Loss of electricity;
(2) Loss of water;
(3) Loss of heat;
(4) Bomb threat;
(5) Severe weather;
(6) Fire;
(7) Gas leaks;
(8) Unexplained client disappearances;
and
(9) Any situation that requires
evacuation of the ESRDDC.
(j) Each licensee shall:
(1) Annually review and revise, as needed,
its emergency plan;
(2) Submit its
emergency plan to the local emergency management director for review and
approval when initially written and whenever the plan is revised; and
(3) Maintain documentation on-site which
establishes that the emergency plan has been approved as required under (2)
above.
(k) Fire and/or
evacuation drills shall be conducted quarterly as follows:
(1) Each employee shall participate in at
least one drill every calendar quarter; and
(2) Each drill shall include the transmission
of a fire alarm signal and simulation of emergency fire conditions.
(l) Immediately following any fire
or emergency situation, licensees shall notify the department by phone to be
followed by written notification within 72 hours, with the exception of:
(1) A false alarm or emergency medical
services (EMS) transport for a non-emergent reason; or
(2) Emergency EMS transport related to
pre-existing conditions.
(m) The written notification required by (l)
above shall include:
(1) The date and time of
the incident;
(2) A description of
the location and extent of the incident, including any injury or
damage;
(3) A description of events
preceding and following the incident;
(4) The name of any personnel or clients who
were evacuated as a result of the incident, if applicable;
(5) The name of any personnel or clients who
required medical treatment as a result of the incident, if applicable;
and
(6) The name of the individual
the licensee wishes the department to contact if additional information is
required.
(n) For
personnel who are unable to participate in the scheduled drill described in (k)
above, on the day they return to work the administrator or designee shall, if
applicable, instruct them as to any changes in the facility fire and emergency
plan and document such instruction in their personnel file.
(o) Personnel who are unable to participate
in a drill in accordance with (k) and (n) above shall participate in a drill
within the next quarter.
(p) The
timing of quarterly drills shall be at varying times to include all shifts and
all clients and individuals in the ESRDDC at the time of the drill.
(q) All emergency and evacuation drills shall
be documented and include the following information:
(1) The names of the participating personnel
and clients;
(2) The time, date,
month, and year the drill was conducted;
(3) The exits utilized if the ESRDDC does not
comply with the health care chapter of the state fire code;
(4) The total time necessary to evacuate the
ESRDDC, when evacuation of the facility is required by the drill;
(5) The time needed to complete the drill;
and
(6) Any problems encountered
and corrective actions taken to rectify problems.
(r) Storage and use of oxygen cylinders or
systems shall comply with NFPA 99, Health Care Facilities Code including but
not limited to:
(1) Oxidizing gases such as
oxygen and nitrous oxide shall be separated from combustibles or flammable
materials by one of the following:
a. Minimum
distance of 6.1 m (20 ft);
b.
Minimum distance of 1.5 m (5 ft) if the entire storage location is protected by
an automatic sprinkler system designed in accordance with NFPA 13,;
or
c. A gas cabinet constructed per
NFPA 30,, or NFPA 55,, if the entire storage location is protected by an
automatic sprinkler system designed in accordance with NFPA 13;
(2) Cylinders shall be protected
from damage by means of the following specific procedures:
a. Oxygen cylinders shall be protected from
abnormal mechanical shock, which is liable to damage the cylinder, valve, or
safety device;
b. Oxygen cylinders
shall not be stored near elevators or gangways or in locations where heavy
moving objects will strike them or fall on them;
c. Cylinders shall be protected from
tampering by unauthorized individuals;
d. Cylinders or cylinder valves shall not be
repaired, painted, or altered;
e.
Safety relief devices in valves or cylinders shall not be tampered
with;
f. Valve outlets clogged with
ice shall be thawed with warm, not boiling water;
g. A torch flame shall not be permitted,
under any circumstances, to come in contact with a cylinder, cylinder valve, or
safety device;
h. Sparks and flame
shall be kept away from cylinders;
i. Even if they are considered to be empty,
cylinders shall not be used as rollers, supports, or for any purpose other than
that for which the supplier intended them;
j. Large cylinders (exceeding size E) and
containers larger than 45 kg (100 lb) weight shall be transported on a proper
hand truck or cart complying with NFPA 99, section 11.4.3.1;
k. Freestanding cylinders shall be properly
chained or supported in a proper cylinder stand or cart; and
l. Cylinders shall not be supported by
radiators, steam pipes, or heat ducts;
(3) Cylinders and their contents shall be
handled with care, which shall include the following specific procedures:
a. Oxygen fittings, valves, pressure reducing
regulators, or gauges shall not be used for any service other than that of
oxygen;
b. Gases of any type shall
not be mixed in an oxygen cylinder or any other cylinder;
c. Oxygen shall always be dispensed from a
cylinder through a pressure reducing regulator;
d. The cylinder valve shall be opened slowly,
with the face of the indicator on the pressure reducing regulator pointed away
from all persons;
e. Oxygen shall
be referred to by its proper name,, not air, and liquid oxygen shall be
referred to by its proper name, not liquid air;
f. Oxygen shall not be used as a substitute
for compressed air;
g. The markings
stamped on cylinders shall not be tampered with, because it is against federal
statutes to change these markings;
h. Markings used for the identification of
contents of cylinders shall not be defaced or removed, including decals, tags,
and stenciled marks, except those labels/tags used for indicating cylinder
status (e.g., full, in use, empty);
i. The owner of the cylinder shall be
notified if any condition has occurred that might allow any foreign substance
to enter a cylinder or valve, giving details and the cylinder number;
j. Neither cylinders nor containers shall be
placed in the proximity of radiators, steam pipes, heat ducts;
k. Very cold cylinders or containers shall be
handled with care to avoid injury;
l. A precautionary sign, readable from a
distance of 1.5 m (5 ft), shall be displayed on each door or gate of the
storage room or enclosure; and
m.
The sign shall include the following wording as a minimum:
CAUTION:
OXIDIZING GAS(ES) STORED WITHIN
NO SMOKING
#9963, eff
7-28-11
