Georgia Health Care Association Summer Conference
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1 Georgia State Fire Marshal s Office Amelia Island, FL Georgia Health Care Association Summer Conference
2 Mission Statement To prevent the loss of life and property by providing a fire safe environment in buildings and structures in the State of Georgia and to provide assistance to the public and local agencies to assure the same goal throughout Georgia. Our goal is to effectively raise the level of fire protection by applying cost effective fire protection methods, enforcing criminal statutes of the State, and to increase the level of fire safety awareness and knowledge of the citizens of Georgia. 2
3 Background Allen LaBerteaux came to the State Fire Marshal s Office in June of 2007, as a Sr. Fire Safety Engineer. Since that time, he has taken on numerous responsibilities including Life Safety Plan review, plan review for Healthcare, Assisted Living/Personal Care Homes, Residential (Hotels, Dorms, etc.), Public Assemblies and Daycare Centers. He also assists the Georgia State Fire Marshal, Dwayne Garriss, with variance requests, code research and development of new regulations. 3
4 Contact Information Allen LaBerteaux 2 Martin Luther King Jr. Dr. Ste. 920, West Tower Atlanta, GA alaberteaux@sfm.ga.gov
5 SFMO Structure and Staffing Chief Dwayne Garriss State Fire Marshal Deputy Chief Chris Stephens Inspections/Engineering Engineering 4 full time Plan Reviewers 2 Life Safety Plan Reviewers 2 Sprinkler Plan Reviewers 1 Fire Alarm Plan Reviewer (Vacant Slot) 1 Hazardous Material Plan Reviewer Field Staff/Inspections 2 Supervisors (North/South) 11 Inspectors (State-Wide) 159 Counties 35,000 plus buildings under State Jurisdiction per Title 25 5
6 SFMO Structure and Staffing 2005 Staffing: Inspections/Engineering Engineering 9 full time Plan Reviewers Field Staff/Inspections 3 Supervisors 20 Inspectors (State-Wide) 159 Counties 35,000 plus buildings under State Jurisdiction per Title 25 6
7 SFMO Structure and Staffing Inspections/Plan Review Procedures Inspections 21 day written notice. Once request is received, an inspector should contact you within a few days to schedule a time. Each inspector has different demands in his territory and his time. Some inspections can be done within a week or so, others may require more lead time. Plan Review Properly submitted plans will require a MINIMUM of 30 days for review. There are no expedited plan reviews and review time is not expected to change. For questions regarding proper plan review, please visit our website or contact me directly. When submitting plans or requesting inspections, please inquire about any associated fees. 7
8 8
9 K-tag Top 10 Between 1/1/14 and 12/31/14 there were a total of 462 K-tag citations written. This is a 34% reduction from last year. The following Top 10 K-Tags were recorded from July 1, 2014 to May 1,
10 ELECTRICAL K Tags Cited Electrical wiring and equipment shall be in accordance with NFPA 70, National Electrical Code
11 AUTOMATIC SPRINKLER SYSTEMS K Tags Cited If there is an automatic sprinkler system it shall be installed in accordance with NFPA 13, Standard for the Installation of Sprinkler Systems, by an approved supervised to provide complete coverage for all portions of the building. If partial system, indicate location of sprinklers. The systems shall be properly maintained in accordance with NFPA 25, Standard for the Inspection, Testing, and Maintenance of Water-Based Fire Protection Systems. It shall be fully supervised. There shall be a reliable, adequate water supply for the system. Required sprinkler systems are equipped with water flow and tamper switches, which are electrically connected to the building fire alarm system
12 AUTOMATIC SPRINKLER SYSTEMS K Tags Cited Required automatic sprinkler systems are continuously maintained in reliable operating condition and are inspected and tested periodically ,19.7.6,4.6.12, NFPA 13, NFPA 25,
13 CORRIDOR WALLS AND DOORS K Tags Cited Doors protecting corridor openings in other than required enclosures of vertical openings, exits, or hazardous areas shall be substantial doors, such as those constructed of 1 3/4 inch sold-bonded core wood, or capable of resisting fire for at least 20 minutes. Doors in sprinkled buildings are only required to resist the passage of smoke. There is no impediment to the closing of the doors. Doors shall be provided with a means suitable for keeping the door closed. Dutch doors meeting are permitted Roller latches are prohibited by CMS regulations in all health care facilities. 13
14 SMOKE COMPARTMENTION AND CONTROL K Tags Cited Smoke barriers shall be constructed to provide at least a one half hour fire resistance rating and constructed in accordance with 8.3. Smoke barriers shall be permitted to terminate at an atrium wall. Windows shall be protected by fire-rated glazing or by wired glass panels and steel frames. A minimum of two separate compartments shall be provided on each floor. Dampers shall not be required in duct penetrations of smoke barriers in fully ducted heating, ventilating, and air conditioning systems , , ,
15 HAZARDOUS AREAS K Tags Cited One hour fire rated construction (with 3/4hour fire-rated doors) or an approved automatic fire extinguishing system in accordance with and/or protects hazardous areas. When the approved automatic fire extinguishing system option is used, the areas shall be separated from other spaces by smoke resisting partitions and doors. Doors shall be self-closing and nonrated or field-applied protective plates that do not exceed 48 inches from the bottom of the door are permitted Boiler and Fuel-Fired Heater Rooms Laundries (greater than 100 SQ feet) Repair Shops and Paint Shops Laboratories (if classified a Severe Hazard - see K31) Combustible Storage Rooms/Spaces (over 50 SQ feet. Trash Collection Rooms Soiled Linen Rooms 15
16 ILLUMINATION AND EMERGENCY POWER K Tags Cited Exit and directional signs are displayed in accordance with 7.10 with continuous illumination also served by the emergency lighting system (Indicate N/A in one story buildings with less than 30 occupants where the line of exit travel is obvious.) 16
17 ILLUMINATION AND EMERGENCY POWER K Tags Cited Emergency lighting of at least 1/2 hour duration is provided in accordance with 7.9,
18 EMERGENCY PLAN AND FIRE DRILLS K Tags Cited Fire drills are held at unexpected times under varying conditions, at least quarterly on each shift. The staff is familiar with procedures and is aware that drills are part of established routine. Responsibility for planning and conducting drills is assigned only to competent persons who are qualified to exercise leadership. Where drills are conducted between 9:00 PM and 6:00 AM a coded announcement may be used instead of audible alarms ,
19 EMERGENCY PLAN AND FIRE DRILLS K Tags Cited There is a written plan for the protection of all patients and for their evacuation in the event of an emergency *NOTE: IFC requires Emergency Plan to be updated/reviewed annually or as needed. 19
20 DOCUMENT! DOCUMENT! DOCUMENT! 20
21 Scope and Severity Level A.4% Level B 2% Level C 3% Level D 56% Level E 35% Level F 4% 21
22 CMS What Else is New? 22
23 Sprinkler Requirements for Overhangs Overhangs, Porticos/Porte Cochere, Drive-Thrus, Canopies, etc. Per NFPA 13, all parts of combustible structures shall be protected (protected throughout). This extends to any combustible structure or membrane. If non-combustible construction, sprinkler protection is not required Unless there is combustible storage beneath Examples: Loading docks, combustible storage (wicker patio furniture), parking areas. Parking A strict no parking policy should be adopted and enforced in these non-sprinkled areas. 23
24 Sprinkler Requirements for Overhangs Overhangs, Porticos/Porte Cochere, Drive-Thrus, Canopies, etc. The plan to just not store anything under the loading dock canopy NEVER WORKS! 24
25 Sprinkler Requirements for Closets vs. Wardrobes Per NFPA 13, all parts of combustible structures shall be protected (protected throughout). In short a closet is part of the building, a wardrobe is a piece of furniture. Closets ARE required to be sprinkled, wardrobes, as free standing furniture are not. Alcoves are not considered to be a closet. Closets can be deconstructed to create an alcove provided the header, door frame, and astragals, etc. are removed. Additionally, the space shall be required to be covered by existing sprinkler heads or additional heads will be required to be installed to protect the alcove area. Furniture may be placed in the alcove and be permanently affixed to the wall for safety, but the sprinkler spray must be able to reach the wall behind. 25
26 QUESTION: Sprinkler Requirements for Closets vs. Wardrobes will you clarify closets that need to be sprinklered? I understood if the closet was under 50 cubic feet it did not have to be sprinklered. ANSWER: Sprinklers are required in all closets in a nursing home regardless of the size of the closet according to CMS S&C Letter, the SFMO sprinkler plan review engineer, and a SFMO Inspector Supervisor. EXPLANATION: As always we must keep in mind two concepts; there is rarely a yes or no answer regarding code compliance and there are two levels of code enforcement in Georgia. The first level is State and the second level is Federal, which is Centers for Medicare and Medicaid Services (CMS). CMS code requirements always take president in nursing homes. 26
27 Sprinkler Requirements for Closets vs. Wardrobes From CMS Center for Clinical Standards and Quality/Survey & Certification Group S & C Letter LSC (revised ): 27
28 Sprinkler Requirements for Closets vs. Wardrobes From NFPA 13 (1999) as directed above: Concealed Spaces does not apply to closets Vertical Shafts does not apply to closets Dwelling Units - does not apply to closets in nursing homes (only dwelling units in hotels and motels). From CMS Center for Clinical Standards and Quality/Survey & Certification Group S & C Letter LSC (revised ): The first sentence of the paragraph above is the controlling element. 28
29 Sprinkler Requirements for Closets vs. Wardrobes The reason for the confusion is that within State Minimum Fire Safety Standards with Modifications (Regulation ) 2015, we find the following: NFPA 101 (2012) Chapter 19: 5. Add a new subparagraph to read as follows: Sprinklers may be omitted in closets less than 50 cubic feet (1.4 cu m) in volume and the building may still be considered as fully sprinkled provided the face of the closet is covered by the room sprinkler. This modification was added prior to the CMS requirement that all nursing homes be sprinkled and was included in the current edition of Regulation in error. It cannot apply as it is a State modification and the CMS requirement enumerated above takes precedence. 29
30 Documentation Evacuation Drills-Fire Alarm/Sprinkler Inspections-Generators Fire Alarms Tested annually. Records are to be retained by the facility for the life of the system. Sprinkler System Inspected annually by an outside certified technician. In accordance with NFPA 25, Section (as modified by OCGA ), Facility must retain records of inspections for a minimum of three years. Generators Weekly testing and exercised under load for 30 minutes per month in accordance with NFPA 99 and NFPA 110 Evacuation Drills Held at least quarterly for each shift. Evacuation times must be recorded. Records shall be maintained for a minimum of three years. 30
31 CONTACT INFORMATION CMS Liaison Keith Shadix
32 Changes in Caregiver Training 32
33 PURPOSE It is the purpose of this course to provide the adults working with occupants in group day-care homes, day-care centers, and for administrator s, directors, operators and all staff of Group I-1 and Group R-4 assisted living communities, assisted living facilities, community living arrangements, memory care units, personal care homes, and residential board and care homes basic information about fire safety so they may provide the occupants of their facility with at least a minimum level of protection from fire and the potential risks associated with fire. To realistically reduce the number of fires, injuries, deaths, and property losses associated with fire, a measurable change in the attitudes and behaviors related to fire risks and safety measures must occur.
34 COURSE DESCRIPTION This course is intended for persons responsible for the care, welfare, & safety of occupants in a caregiver facility. The course is required to be attended by care givers in group day care homes, day care centers and for administrator s, directors, operators and all staff of Group I-1 and Group R-4 assisted living communities, assisted living facilities, community living arrangements, memory care units, personal care homes, and residential board and care homes. This limited application is based on the provisions of the Official Code of Georgia Annotated (O.C.G.A.), Chapter 25, Title 2, that designates the building types and or uses that fall under the jurisdiction of the Georgia Safety Fire Commissioner s State Fire Marshal s Office. The designations are located in O.C.G.A (b)(1)(I). The specific requirement for attending and satisfactorily completing this course is in a modification in the form on exception to of the 2012 International Fire Code (IFC).
35 OCGA Care-giver training. A minimum of five hours initial fire safety training and recommendation for receipt of a certificate of training for successful completion of the training shall be required for all directors, operators and all staff members of day-care facilities (adult and children), and for administrator s, directors, operators and all staff of Group I-1 and Group R-4 assisted living communities, assisted living facilities, community living arrangements, memory care units, personal care homes, and residential board and care homes, as defined in Chapter 2 of this Code or as defined by the Life Safety Code, and or as adopted by Chapter of the Rules and Regulations of the Georgia Safety Fire Commissioner. The curriculum for the fire safety training shall receive written approval by the State Fire Marshal s Office and be taught by an instructor registered with the Safety Fire Commissioner s Office. All persons as required herein to obtain such required training shall receive this training within 90 days from receipt of a license, being commissioned or the opening of a new facility. Such new persons shall receive a minimum of five hours initial fire safety training and recommendation for receipt of a certificate of training for successful completion of the training within 90 days of employment. In addition, a minimum of two hours of fire safety refresher training shall be required for receipt of a certificate of training for successful completion of the refresher training. The refresher training shall be required for all persons coming under , every three years from the date initial training is received. The curriculum for the fire safety refresher training shall receive written approval by the State Fire Marshal s Office and be taught by an instructor registered with the Safety Fire Commissioner s Office. Registered instructors shall deliver the training based on policies and direction from the State Fire Marshal s Office. Instructors found not to be delivering the training in accordance with the said policies and direction shall be removed from the registry and prohibited from delivering future training.
36 SUPPORTING DOCUMENTS
37 REGULATIONS A minimum of five hours initial fire safety training and recommendation for receipt of a certificate of merit for successful completion of the training shall be all directors, operators and all staff members of day-care centers and group day-care homes, and for administrator s, directors, operators and all staff of Group I-1 and Group R-4 assisted living communities, assisted living facilities, community living arrangements, memory care units, personal care homes, and residential board and care homes as defined by the Life Safety Code adopted by this Chapter. The curriculum for the fire safety training shall receive approval by the State Fire Marshal s Office and be taught by an instructor registered with the Safety Fire Commissioner s Office. All staff members shall receive this training within 90 days from receipt of a license, being commissioned or opening of a new center or home. Any new staff member shall receive a minimum of five hours initial fire safety training and recommendation for receipt of a certificate of merit for successful completion of the training within 90 days of employment.
38 REGULATIONS In addition, a minimum of two hours of fire safety refresher training shall be required for receipt of a certificate of training for successful completion of the refresher training. The refresher training shall be required for all persons coming under , every three years from the date initial training is received. The curriculum for the fire safety training shall receive the written approval by the State Fire Marshal s Office and be taught by an instructor registered with the Safety Fire Commissioner s Office.
39 COURSE DESCRIPTION Through the progression of this course, the caregiver will focus on the following: Motivation to teach and practice fire prevention and fire preparedness in the facility and in the home. Basic components of fire, products of combustion, and fire behavior in buildings. Facility fire prevention measures and fire protection features. Facility preparedness for a fire or other emergency, including building evacuation procedures. Modern burn prevention and treatment practices. Firesetting: Identification and Intervention. Special Evacuation Types. Evacuation procedures. Educating occupants about fire safety.
40 COURSE DESCRIPTION This course involves the use of lectures, discussions, and audio/visual teaching aids. The participant is to be provided an agenda and the objectives of each module. Participants will be tested at the end of the course to assure minimum competency and knowledge have been acquired. Upon satisfactory completion of the course, the participant will be issued a Caregiver Fire Safety Course Certificate from the Georgia Insurance and Safety Fire Commissioner.
41 CLASS REQUIREMENTS Each participant is required to complete and pass the Competency Exam. The passing score is seventy-five percent (75%). The exam has twenty (20) multiple choice questions, each having a value of five (5) points.
42 For Further Information: Special thanks to Karla Richter for her assistance with this portion of the presentation. For further information on provider training, please contact Karla Richter
43 Questions?!?!
44 Contact Information Allen LaBerteaux 2 Martin Luther King Jr. Dr. Ste. 920, West Tower Atlanta, GA alaberteaux@sfm.ga.gov
45 THANK YOU! 45
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