Wyo. Code R. 048-0061-3
Effective Date: 05/29/1991 to 06/20/1996
Rule Type: Superceded Rules & Regulations
Reference Number: 048.0061.3.05291991
Section 1. Authority. These rules are promulgated by the Department of Health pursuant to W.S. 35-2-901 et seq., and the Wyoming Administrative Procedures Act at W.S. 16-3-101 et seq.
Section 2. Applicability. These rules shall apply to and govern the construction, remodel, or expansion of health care facilities, on and after the effective date of these rules.
Section 3. Definitions. Authority having jurisdiction is the
(a) AHJ - Aut Department of Health.
(b) Approved - approval by the authority having jurisdiction.
(c) ASHRAE American Society of Heating, Refrigerating and Air Conditioning Engineers. This society adopts standards for heating, refrigeration and air conditioning. The standards are adopted by number and year and are referenced as such.
(d) Assembly (ies) - to fit components together to form a whole component, i.e., floor/ceiling/roof.
(e) Department - The Department of Health, Health Facilities Licensing Unit.
(f) Fire Resistance Rating - the time, in hours that material or assemblies have withstood a fire exposure.
(g) Fire Retardant Generally denotes a substantially lower degree of fire resistance than 'fire resistive'. The term is most often used to refer to materials or structures which are combustible in whole or in part, but have been subjected to treatments or have surface coverings to prevent or retard ignition or the spread of fire under the conditions in which they are used.
(h) Flame Retardant - refers to materials, usually decorative, which due to chemical treatment or inherent properties, do not ignite readily or propagate flame under conditions of low to moderate exposure. Items such as clothing, Christmas trees, foliage, etc. fall under this classification. Also flame retardant denotes a lower degree of resistance than fire retardant.
(i) Flame Spread - is used to express surface characteristics of materials with respect to the propagation of a flame. It refers to surface finish such as interior walls, ceilings and floors.
(j) Flame Spread Rating - is a numerical value that is either assigned to a material as a result of an actual test by an approved laboratory (i.e., Underwriters Laboratory, etc.) or a specified value to which a material must meet.
(k) Health care facilities - means any ambulatory surgical center, birthing center, boarding home, freestanding diagnostic testing center, freestanding emergency center, home health agency, hospital, intermediate care facility for the mentally retarded, medical assistance facility, nursing care facility, rehabilitation facility and renal dialysis center.
(l) LSC - NFPA 101 Life Safety Code, 1988 edition and all codes referenced by Appendix B.
(m) NCRP - the National Council on Radiation Protection. This council adopts protective standards concerning radiation protection.
(n) NFPA - The National Fire Protection Association. This association adopts standards relating to fire protection.
(o) Punch list a listing of construction deficiencies.
(p) Rules - are to be construed to embrace and be synonymous with the term "regulations".
(q) Shall - indicates Department requirement.
(r) Standards - are basic, minimum requirements promulgated by the Department.
(a) New Construction.
(i) The 1988 edition of NFPA 101 Life Safety Code- and all codes referenced therein are adopted as the Wyoming State Fire Safety Minimum Standards for Health Care Facilities.
This is a publication of:
National Fire Protection Association
Batterymarch Park
Quincy, MA 92269
Phone: (617) 770-3000
(b) Existing Facilities.
(i) Buildings constructed prior to the effective date of these rules shall meet the requirements of NFPA 101, Life Safety Code that were in effect at the time the facility was constructed. Facilities constructed prior to 1967 shall meet the NFPA 101 Life Safety Code, 1967 edition.
(a) The responsibilities and procedures outlined in this section are necessary to ensure that the owner, architect, contractor and the division are fully aware of procedural obligations to the other and to help minimize confusion and additional costs during the construction process.
(i) Procedures for Approval.
(A) At the earliest possible date preliminary plans shall be submitted to the Department so that it may consult and assist the Wyoming Licensed Architect and Wyoming Licensed Engineer in complying with the latest codes and standards in effect as defined in these rules at the time and give preliminary approval.
(B) Final plans and specifications for all construction projects shall be submitted to the Department for approval which have been prepared by a Wyoming licensed Architect and Wyoming Licensed Engineer.
(I) Two sets of final plans shall be submitted for approval. One set of which the Department will forward to the Wyoming Fire Marshall's office for review and approval of the electrical systems.
(II) Plans and specifications must be submitted to the Department at least 30 days prior to the date set for the bid letting.
(III) All change orders and addenda to the final plans shall be submitted to the Department, for approval by the Department.
(C) If a pre-construction conference is held, the Department shall be notified.
(ii) Building inspections and certifications.
(A) Inspections by the Department shall be performed during construction to observe the progress of construction and verify compliance with codes and standards.
(B) Final inspection of the construction will be made as prescribed:
(I) Architect shall notify the Department with a copy of the punch list to the contractor.
(II) The Contractor as requested shall submit to the Department test reports and certifications as requested by law for building systems that are incorporated in the project, including but not limited to:
(1.) Medical gas systems (oxygen, vacuum, air) as per NFPA 99-1990, Standard for Health Care Facilities.
(2.) Fire sprinkler system as per NFPA 13-1989, Standard for Installation of Sprinkler Systems.
(3.) Fire detection system as per NFPA 72E-1990, Standard on Automatic Fire Detectors.
(4.) Fire Alarm system as per NFPA 72-1990 Standard for Installation, Maintenance, and Use of Local Protective Signaling Systems.
(5.) Essential electrical systems as per NFPA 99-1990, Standard for Health Care Facilities and NFPA 70-1990, National Electrical Code.
(6.) Fire retardant lumber.
(7.) Isolated power as per NFPA 70-1990, National Electrical Code and NFPA 99-1990, Health care Facilities.
Reports Nos. 33 and 49.
retardancy.
flame spread rating.
rating.
spread rating.
water piping systems.
(8.) Radiation protection, NCRP
(9.) Drapery flame retardancy.
(10.) Cubicle curtain flame
(11.) Vinyl Wall Covering
(12.) Paneling flame spread
(13.) Folding door flame
(14.) Generator startup.
(15.) Carpet classification.
(16.) Sanitization of domestic
(17.) Ventilation balance
report.
(C) The owner or architect shall establish a date of final inspection with the Department.
(iii) The Department will notify the owners and/or the architect, after inspections, the areas of construction that are incomplete or not in compliance with these standards. When safety items and other requirements of the Department are substantially completed, occupancy may occur.
(a) Requests for interpretation of these standards can be submitted to the Department office.
(b) Replies will be issued within 30 days and maintained for disclosure.
The 1987 edition of 'Guidelines for Construction and Equipment of Hospital and Medical Facilities' and all codes referenced therein are adopted as the Wyoming Minimum Standards for design and construction of Hospitals as amended in subsection (ii) of this section.
This is a publication of U.S. Department of health and Human Services and is available from:
The American Institute of Architects Order Department 9 Jay Gould Court P. O. Box 753 Waldorf, MD 20601 Phone: (202) 626-7474
(A) In addition to the requirements in 'Guidelines for Construction and Equipment of Hospital and Medical Facilities' the following shall apply:
(I) Each patient room shall have access to a toilet room without entering the corridor area. one toilet room shall serve no more than two beds or no more than one single bed patient room.
(1.) This does not include specialized care units. i.e., ICU, CCU.
(II) At least a portion of the nurse stations shall be in direct line of vision to all patient care areas.
(III) Compartmented sinks in soiled utility, decontamination/central sterile supply, and kitchens shall have integral drain boards on each side.
(IV) All clinical service rim flush sinks shall have a bed pan flushing device.
(V) When individual bathing facilities are not provided in patient rooms there shall be at least one shower and/or tub for each 15 beds, or fraction thereof. Long Term Care, Swing Beds, or Geriatric Units shall be equipped with at least one circulating type bath fixture per unit.
(VI) Surgical and obstetrical suites shall be separated and shall be located such that neither staff nor patients need travel through one area to reach the other.
(VII) The laundry must have a soiled linen holding room equal in area to 1.75 square feet times the number of beds. This room shall be equipped with handwashing facilities and a sink for soaking soiled items.
(VIII) All building insulation, pipe and duct insulations, unless sealed on all sides and edges with non-combustible material, shall have a flame spread rating of 25 or less and a smoke density factor of 50 or less as determined by an independent testing laboratory in accordance with NFPA 255-1984, Standard Method of Test of Surface Burning Characteristics of Building Materials.
(IX) Continuous mechanical exhaust ventilation shall be provided in all bathing rooms, toilet rooms, soiled areas, wet areas and storage rooms.
M Dietary Facilities shall include:
(1.) At least 15 square feet of area per facility bed to house the meal production and dishwashing areas.
(2.) Aisles shall be a minimum of feet in width. Where doors swing into the aisle at least feet of width shall be provided.
(3.) only commercial warewashing equipment shall be provided and appropriately sized. At least 7 feet of dish table shall be provided on each side of the warewashing machine. The soiled side of the warewashing area shall be sized to house at least two soiled dish carts, handwashing facilities and allow enough space for an individual to work. A three compartment sink with integral drain boards on each side shall be provided for potwashing.
(4.) Handwashing facilities shall be located convenient to all work areas.
(5.) Storage space shall include walk-in coolers, walk-in freezers, and a dry storage room. The dry storage room shall house food stuffs as well as paper goods used in the dietary area.
(6.) Food holding and transportation equipment capable of protecting food from contamination and of maintaining cold food at 45 degrees Fahrenheit or less and hot food at 140 degrees Fahrenheit or above during the total serving period shall be provided.
(7.) A vegetable preparation area with a two compartment sink with integral drainboards on each side shall be provided. A garbage disposal shall be included.
(XI) All mechanical supply and air conditioning ventilation systems shall have at least one filter having an efficiency rating of not less than 25%, placed before the final filters. All central ventilation or air conditioning systems serving food preparation areas and laundry areas must be equipped with filters of at least 80% efficiency. All filter efficiencies are based on ASHRAE Standard 52-76.
(XII) Nurse call systems shall be both visual and audible.
(XIII) Ducts that penetrate floors shall be provided with fire rated dampers which are activated by smoke and heat.
(XIV) All sinks must be provided with spray heads or equivalent. Aerators are not to be used.
(XV) All hand wash sinks must have faucets which discharge at least 5 inches above the spill level of the sink. Soap dispensers and hand drying apparatus must be provided at each hand wash sink.
(XVI) All faucets to which hoses can be attached must be provided with anti-siphon devices or back flow preventors - This would include hand held shower hoses.
(XVII) All construction shall be protected by an approved supervised automatic sprinkler system in accordance with NFPA 13, Standard for Installation of Sprinkler Systems.
(B) Additions that amend the publication mentioned in (i):
M Halon fire extinguishers are not allowed to service patient areas.
(II) All seasonal decorations shall be flame retardant.
(III) Fire extinguishers of at least 2A classification must be provided in accordance with NFPA 10-1988, Standard for Portable Fire Extinguishers.
(IV) Engineering Service and
Equipment:
(1.) The boiler room or other rooms containing storage of combustible material shall not contain ventilation equipment, the main electrical switch board, emergency electrical equipment, or unprotected ventilation ducts serving other areas.
(2.) All areas containing fuel fired equipment shall have a second means of egress. one may be a fixed ladder or similar appurtenance.
M Fire alarm pull stations shall be located at both ends of each fire zone.
(VI) Janitor closets shall be provided with approved hand washing facilities.
(VII) Air from evaporative coolers must not be introduced directly into areas for patient care, treatment, and/or diagnosis, and those areas providing direct service or clean supplies such as kitchens, laundries, and central services.
(VIII) All electrical receptacles located adjacent to sinks or other potentially wet areas shall be provided with ground fault circuit interrupter protection.
(IX) A standby electrical generator shall be installed in all facilities to provide emergency lighting and power as per NFPA 70, 1990 National Electrical Code, and NFPA 99, 1990, Standard for Health Care Facilities.
M Exposed bulb light fixtures and heat lamps are not allowed. Globes, guards, lenses or specially coated bulbs shall be provided.
W The 1987 edition of 'Guidelines for Construction and Equipment of Hospital and Medical Facilities' and all code references therein are adopted as the Wyoming Minimum Standards for Design and Construction of Nursing Homes, as amended in subsection (ii) below.
This is a publication of the U.S. Department of Health and Human Services and is available from:
The American Institute of Architects Order Department 9 Jay Gould Court P. O. Box 753 Waldorf, MD 20601
(A) In addition to requirements in 'Guidelines for Construction and Equipment of Hospital and Medical Facilities' the following shall apply:
(I) Resident rooms shall be limited to a maximum of two residents.
(II) Each resident shall have access to a toilet room without entering the corridor area. one toilet room shall serve no more than one room.
(III) At least a portion of the nurses stations shall be in direct line of vision to all patient care areas.
(IV) Treatment/Examination rooms may be omitted if complete visual privacy may be obtained in a multi-bed resident room.
M Compartmented sinks in soiled utility, and kitchens shall have integral drain boards on each side.
(VI) All clinical service flush rim sinks shall have a bed pan flushing device.
(VII) When individual bathing facilities are not provided in resident rooms there shall be at least one shower and/or tub for each 15 beds, or fraction thereof including one circulating type bathing fixture per nurse's station.
(VIII) The total area for resident dining and recreation/activity areas shall be a minimum of 35 square feet per bed. A minimum of 18 square feet per bed shall be defined as dining space.
(IX) The laundry must have a soiled linen holding room which shall have a minimum area of 1.75 square feet times the number of beds. This room shall be equipped with handwashing facilities and a sink for soaking soiled items.
M Dietary Facilities shall include:
(1.) At least 15 square feet of area per facility bed to house the meal production and dishwashing areas.
(2.) Aisles with a minimum of 3 feet in width. Where doors swing into the aisle at least 4 feet of width shall be provided.
(3.) Commercial warewashing equipment which is appropriately sized. At least 7 feet of dish table shall be provided on each side of the warewashing machine. The soiled side of the warewashing area shall be sized to house at least two soiled dish carts, hand washing facilities and allow enough space for an individual to work. A three compartment sink with integral drainboards on each side shall be provided for potwashing.
(4.) Hand washing facilities located convenient to all work areas.
(5.) Storage space with walk-in coolers, walk-in freezers, and a dry storage room. The dry storage room shall house food stuffs as well as paper goods used in the dietary area.
(6.) Food holding and transportation equipment capable of protecting food from contamination and of maintaining cold food at 45 degrees Fahrenheit or less and hot food at 140 degrees Fahrenheit or above during the total serving period.
(7.) A vegetable preparation area with a two compartment sink with integral drainboards on each side. A garbage disposal shall be included.
(Xii) In addition to the wardrobe, lockers, or closet within the resident's room, there shall be 80 cubic feet of space per bed within the facility for general storage.
(Xii) All building insulation, pipe and duct insulations, unless sealed on all sides and edges with non-combustible material, shall have a flame spread rating of 25 or less and a smoke density factor of 50 or less as determined by an independent testing laboratory in accordance with NFPA 255-1984 Standard Method of Test of Surface Burning Characteristics of Building Materials.
(Xiii-) Continuous mechanical exhaust ventilation shall be provided in all bathing rooms, toilet rooms, soiled areas, wet areas and storage rooms.
(XIV) All mechanical supply and air conditioning ventilation systems shall have at least one filter having an efficiency rating of not less than 25%, placed before the final filters. Central ventilation and air conditioning systems serving food preparation areas and laundry areas must be equipped with filters of at least 80% efficiency. All filter efficiencies are based on ASHRAE Standard 52-76.
(XV) Ducts that penetrate floors shall be provided with fire rated dampers which are activated by smoke and heat.
(XVI) All faucets to which hoses can be attached must be provided with anti-siphon devices or back flow preventors. This would include hand held shower hoses.
(XVII) All handwash sinks must have faucets which discharge at least 5 inches above the spill level of the sink. Soap dispensers and hand drying apparatus must be provided at each handwash sink. All sinks must be provided with spray heads or equivalent. Aerators are not to be used.
(XVIII) Nurse call systems shall be both visual and audible.
(XIX) All new construction shall be protected by an approved supervised automatic sprinkler system in accordance with NFPA 13-1989, Standard for the Installation of Sprinkler Systems.
(B) Additions that amend the publication mentioned in (i) of this subsection:
M Halon fire extinguishers are not allowed to service patient areas.
(II) All seasonal decorations shall be flame retardant.
(III) Fire extinguishers of at least 2A classification must be provided in accordance with NFPA 10-1988, Standard for Portable Fire Extinguishers.
(IV) All electrical receptacles located adjacent to sinks or other potentially wet areas shall be provided with ground fault circuit interrupter protection.
M Engineering Service and
Equipment
(1.) The boiler room or other rooms containing storage of combustible material shall not contain ventilation equipment, the main electrical switchboard, or emergency electrical equipment or unprotected ventilation ducts serving other areas.
(2.) All areas containing fuel fired equipment shall have a second means of egress. one may be a fixed ladder or similar appertenance.
(VI) Fire alarm pull stations
shall be located at both ends of each fire zone.
(VII) Janitor closets shall be provided with approved hand washing facilities.
(VIII) Isolation rooms are not
required.
(IX) Each resident shall have within his bedroom storage space to include a wardrobe, locker or closet, separated from other resident shared spaces by a solid divider with a minimum dimension of 21 411 x 11811 with a shelf and rod to permit hanging of full length garments. In addition each resident shall have a drawer unit built in or freestanding which contains 3 drawers with minimum inside drawer width of 24'. Night stand furniture is not considered storage space and is reserved for nursing home equipment and supplies.
M Air from evaporative coolers must not be introduced directly into areas for patient care, treatment, and/or diagnosis, and those areas providing direct service or clean supplies such as kitchens, and laundries.
(Xi) A standby electrical generator shall be installed in all facilities to provide emergency lighting and power as per the requirements of NFPA 70, 1990 National Electrical Code and NFPA 99, 1990 Standard for Health Care Facilities.
(XII) Exposed bulb light fixtures and heat lamps are not allowed. Globes, guards, lenses or specially coated bulbs shall be provided.
(a) Continuous mechanical ventilation shall be provided in all existing nursing facilities and hospitals
(i) Within 5 years from the effective date of these rules.
(ii) The ventilation system shall meet the guidelines established in 'Guidelines for Construction & Equipment of Hospitals and Medical Facilities, 1987 edition.