Current through Register Vol. 24-18, September 15, 2024
(1) Prior to beginning any construction or
remodeling, the applicant or licensee must submit an application and fee
specified in chapter 246-314 WAC, if applicable, to the department and receive
written authorization by the department to proceed.
(2) The requirements of chapter 246-337 WAC
in effect at the time the application and fee are submitted to the department,
and the project number as assigned by the department, apply for the duration of
the construction project.
(3) All
facilities seeking to be licensed and existing licensed facilities seeking to
renovate, alter, add, or relocate shall comply with the state building code as
adopted by the state building code council under the authority of chapter 19.27
RCW.
(4) In addition to subsection
(3) of this section, facilities, or any portion of the facility, licensed in
their capacity to provide mental health, substance use disorder, or
co-occurring services must follow physical environmental requirements in this
chapter for new construction.
(5)
In addition to subsection (3) of this section, facilities, or any portion of
the facility, licensed in their capacity to provide pediatric transitional care
services shall comply with the following physical environmental standards:
(a) The 2014 edition of the
Guidelines for Design and Construction of Hospitals and Outpatient
Facilities as developed by the Facilities Guidelines Institute and
published by the American Society for Healthcare Engineering of the American
Hospital Association, 155 North Wacker Drive, Chicago, IL 60606 for new
construction; and
(b) The following
specific construction standards:
(i) All doors
accessing the pediatric transitional care services unit are locked doors in
accordance with the Washington state adopted building code;
(ii) All resident sleeping rooms have windows
in the hallway wall or door to promote high visibility;
(iii) Security cameras, video only, installed
at all entry points into the PTCS unit, in hallways outside all resident
sleeping rooms, and in all designated parent visitation areas;
(iv) Telephones installed in all resident
sleeping rooms;
(v) A communication
system, wired or wireless, that provides staff the means to summon on-duty
staff assistance from key areas such as resident sleeping rooms, common rooms,
corridors, nurse station, and administrative offices; and
(vi) Emergency power. The licensee must have
an emergency generator that:
(A) Meets the
definition in the NFPA 99, Health care facilities, as adopted by the state
building code council; and
(B)
Provides a minimum of seventy-two hours of effective facility
operation.
(6) Preconstruction. The applicant or
licensee must request and attend a presubmission conference with the department
for projects with a construction value of two hundred fifty thousand dollars or
more. The presubmission conference shall be scheduled to occur at the end of
the design development phase or the beginning of the construction documentation
phase of the project.
(7)
Construction document review. The applicant or licensee must submit accurate
and complete construction documents for proposed new construction to the
department for review within ten days of submission to the local authorities.
The construction documents must include:
(a)
A written functional program, in accordance with
RCW
71.12.470, outlining the types of services
provided, types of residents to be served, and how the needs of the residents
will be met including a narrative description of:
(i) Program goals;
(ii) Staffing and health care to be provided
consistent with WAC 246-337-080 or
246-337-081, as
applicable;
(iii) Infection control
consistent with WAC
246-337-060;
(iv) Safety and security consistent with WAC
246-337-065;
(v) Restraint and seclusion consistent with
WAC 246-337-110;
(vi) Laundry consistent with WAC
246-337-112;
(vii) Food and nutrition consistent with WAC
246-337-111;
(viii) Medication consistent with WAC
246-337-105; and
(ix) Housekeeping.
(b) Drawings prepared, stamped, and signed by
an architect or engineer licensed by the state of Washington under chapter
18.08 RCW. The services of a consulting engineer licensed by the state of
Washington may be used for the various branches of the work, if
appropriate;
(c) Drawings with
coordinated architectural, mechanical, and electrical work drawn to scale
showing complete details for construction, including:
(i) Site plan(s) showing streets, driveways,
parking, vehicle and pedestrian circulation, and location of existing and new
buildings;
(ii) Dimensioned floor
plan(s) with the function of each room and fixed/required equipment
designated;
(iii) Elevations,
sections, and construction details;
(iv) Schedules of floor, wall, and ceiling
finishes;
(v) Schedules of doors
and windows - Sizes and type, and door finish hardware;
(vi) Mechanical systems - Plumbing and
heating/venting/air conditioning; and
(vii) Electrical systems, including lighting,
power, and communication/notification systems.
(d) Specifications that describe with
specificity the workmanship and finishes;
(e) Shop drawings and related equipment
specifications for:
(i) An automatic fire
sprinkler system; and
(ii) An
automatic fire alarm system.
(f) An interim life safety measures plan to
ensure the health and safety of occupants during construction and renovation;
and
(g) An infection control risk
assessment indicating appropriate infection control measures, keeping the
surrounding area free of dust and fumes, and ensuring rooms or areas are well
ventilated, unoccupied, and unavailable for use until free of volatile fumes
and odors.
(8)
Resubmittals. The licensee shall respond in writing when the department
requests additional or corrected construction documents.
(9) Construction. The licensee or applicant
shall comply with the following requirements during the construction phase:
(a) Assure conformance to the approved plans
during construction;
(b) Submit
addenda, change orders, construction change directives or any other deviation
from the approved plans to the department prior to their installation;
and
(c) Allow any necessary
inspections for the verification of compliance with the construction documents,
addenda, and modifications.
(10) Project closeout. The licensee or
applicant shall not use any new or remodeled areas until:
(a) The department has approved construction
documents;
(b) The local
jurisdictions have completed all required inspections and approvals, when
applicable or given approval to occupy; and
(c) The licensee or applicant notifies the
department when construction is completed and includes:
(i) A copy of the local jurisdiction's
approval for occupancy;
(ii) The
completion date;
(iii) The actual
construction cost; and
(iv)
Additional information as required by the department.
Statutory Authority: Chapter 71.12 RCW. 05-15-157, §
246-337-040, filed 7/20/05, effective
8/20/05.
