Building Standards

(1) An ACH shall construct, arrange, and maintain the condition of the physical plant and the overall ACH living facility environment in such a manner that the safety and well-being of residents are assured. (2) An ACH shall be of sound construction with wall and ceiling flame spread rates at least substantially comparable to wood lath and plaster or better. The maximum flame spread of finished materials must not exceed Class III (76-200) and smoke density must not be greater than four hundred and fifty (450). If more than ten percent (10%) of combined wall and ceiling areas in a sleeping room or exit way is composed of readily combustible material, such material must be treated with an approved flame retardant coating unless the facility is supplied with an approved automatic sprinkler system. (3) After the applicant has submitted an application and licensure fees, the applicant must submit the building construction plans to the department. All facilities shall conform to the current edition of the following applicable codes as approved by the Board for Licensing Health Care Facilities: International Building Code (excluding Chapters 1 and 11) including referenced International Fuel Gas Code, International Mechanical Code, and International Plumbing Code; National Fire Protection Association (NFPA) NFPA 101 Life Safety Code excluding referenced NFPA 5000; Guidelines for Design and Construction of Health Care Facilities STANDARDS FOR ADULT CARE HOMES – LEVEL 2 CHAPTER 0720-37 (FGI) including referenced Codes and Standards; U.S. Public Health Service Food Code; and Americans with Disabilities Act (ADA) Standards for Accessible Design. When referring to height, area or construction type, the International Building Code shall prevail. Where there are conflicts between requirements in local codes, the above listed codes, regulations and provisions of this chapter, the most stringent requirements shall apply. (4) The codes in effect at the time of submittal of plans and specifications, as defined by these rules, shall be the codes to be used throughout the project. (5) The licensed contractor shall perform all new construction and renovations to ACHs, other than minor alterations not affecting fire and life safety or functional issues, in accordance with the specific requirements of these regulations governing new construction in ACHs, including the submission of phased construction plans and the final drawings and the specifications to each. (6) No new ACH shall be constructed, nor shall major alterations be made to an existing ACH without prior approval of the Department, and unless in accordance with plans and specifications approved in advance by the Department. Before any new ACH is licensed or before any alteration or expansion of a licensed ACH can be approved, the applicant must furnish two (2) complete sets of plans and specifications to the Department, together with fees and other information as required. Plans and specifications for new construction and major renovations, other than minor alterations not affecting fire and life safety or functional issues, shall be prepared by or under the direction of a licensed architect and/or a licensed engineer and in accordance with the rules of the Board of Architectural and Engineering Examiners. (7) Final working drawings and specifications shall be accurately dimensioned and include all necessary explanatory notes, schedules and legends. The working drawings and specifications shall be complete and adequate for contract purposes. (8) Detailed plans shall be drawn to a scale of at least one-eighth inch equals one foot (1/8” = 1’), and shall show the general arrangement of the building, the intended purpose and the fixed equipment in each room, with such additional information as the Department may require. An architect or engineer licensed to practice in the State of Tennessee shall prepare the plans the Department requires. (a) The project architect or engineer shall forward two (2) sets of plans to the appropriate section of the Department for review. After receipt of approval of phased construction plans, the owner may proceed with site grading and foundation work prior to receipt of approval of final plans and specifications with the owner’s understanding that such work is at the owner’s own risk and without assurance that final approval of final plans and specifications shall be granted. The project architect or engineer shall submit final plans and specifications for review and approval. The Department must grant final approval before the project proceeds beyond foundation work. (b) Review of plans does not eliminate responsibility of owner and/or architect to comply with all rules and regulations. (9) Specifications shall supplement all drawings. They shall describe the characteristics of all materials, products and devices, unless fully described and indicated on the drawings. Specification copies should be bound in an 8½ x 11 inch folder. (10) Drawings and specifications shall be prepared for each of the following branches of work: Architectural, Structural, Mechanical, Electrical and Sprinkler. (11) Architectural drawings shall include, where applicable: STANDARDS FOR ADULT CARE HOMES – LEVEL 2 CHAPTER 0720-37 (a) Plot plan(s) showing property lines, finish grade, location of existing and proposed structures, roadways, walks, utilities and parking areas; (b) Floor plan(s) showing scale drawings of typical and special rooms indicating all fixed and movable equipment and major items of furniture. Floor plan(s) shall indicate the size of each room and shall differentiate resident sleeping rooms from caregiver sleeping rooms (c) Separate life safety plans showing the compartment(s), all means of egress and exit markings, exits and travel distances, dimensions of compartments and calculation and tabulation of exit units. All fire and smoke walls must be identified; (d) The elevation of each facade; (e) The typical sections throughout the building; (f) The schedule of finishes; (g) The schedule of doors and windows including the location of all exits on each level of the ACH; (h) Roof plans; (i) Details and dimensions of elevator shaft(s), car platform(s), doors, pit(s), equipment in the machine room, and the rates of car travel must be indicated for elevators; (j) Code analysis; (k) The location of wheelchair ramps, if applicable; and (l) The location of fire extinguishers and smoke alarms. (12) Structural drawings shall include, where applicable: (a) Plans of foundations, floors, roofs and intermediate levels which show a complete design with sizes, sections and the relative location of the various members; (b) Schedules of beams, girders and columns; and (c) Design live load values for wind, roof, floor, stairs, guard, handrails, and seismic. (13) Mechanical drawings shall include, where applicable: (a) Specifications which show the complete heating, ventilating, fire protection, medical gas systems and air conditioning systems; (b) Water supply, sewerage and HVAC piping systems; (c) Pressure relationships shall be shown on all floor plans; (d) Heating, ventilating, HVAC piping, medical gas systems and air conditioning systems with all related piping and auxiliaries to provide a satisfactory installation; STANDARDS FOR ADULT CARE HOMES – LEVEL 2 CHAPTER 0720-37 (e) Water supply, sewage and drainage with all lines, risers, catch basins, manholes and cleanouts clearly indicated as to location, size, capacities, etc., and location and dimensions of septic tank and disposal field; and (f) Color coding to show clearly supply, return and exhaust systems. (14) Electrical drawings shall include, where applicable: (a) A Seal, certifying that all electrical work and equipment is in compliance with all applicable codes and that all materials are currently listed by recognized testing laboratories; (b) All electrical wiring, outlets, riser diagrams, switches, special electrical connections, electrical service entrance with service switches, service feeders and characteristics of the light and power current, and transformers when located within the building; (c) The electrical system shall comply with applicable codes, and shall include: 1. The fire alarm system; and 2. The emergency power system including automatic services as defined by the codes. (d) Color coding to show all items on emergency power. (15) Sprinkler drawings shall include, where applicable: (a) Shop drawings, hydraulic calculations, and manufacturer cut sheets; (b) Site plan showing elevation of fire hydrant to building, test hydrant, and flow data (data from within a 12-month period); and (c) Show “Point of Service” where water is used exclusively for fire protection purposes. (16) The licensed contractor shall not install a system of water supply, plumbing, sewage, garbage or refuse disposal nor materially alter or extend any existing system until the architect or engineer submits complete plans and specifications for the installation, alteration or extension, to the Department demonstrating that all applicable codes have been met and the Department has granted necessary approval. (a) Before the ACH is used, the Tennessee Department of Environment and Conservation shall approve the water supply system. (b) Sewage shall be discharged into a municipal system or approved package system where available; otherwise, the sewage shall be treated and disposed of in a manner of operation approved by the Department of Environment and Conservation and shall comply with existing codes, ordinances and regulations which are enforced by cities, counties or other areas of local political jurisdiction. (c) Water distribution systems shall be arranged to provide hot water at each hot water outlet at all times. Hot water at shower, bathing and hand washing facilities shall be between 105°F and 115°F. (17) The licensed contractor shall ensure through the submission of plans and specifications that in each ACH a negative air pressure shall be maintained in the soiled utility areas, toilet rooms, janitor’s closets, dishwashing and other such soiled spaces, and a positive air STANDARDS FOR ADULT CARE HOMES – LEVEL 2 CHAPTER 0720-37 pressure shall be maintained in all clean areas including, but not limited to, clean linen rooms and clean utility rooms. (18) With the submission of plans the facility shall specify the evacuation capabilities of the residents as defined in the National Fire Protection Code (NFPA). This declaration will determine the design and construction requirements of the facility. (19) The Department shall acknowledge that it has reviewed plans and specifications in writing with copies sent to the project architect, the project engineer, the owner, the manager or other executive of the institution. The Department may modify the distribution of such review at its discretion. (20) In the event submitted materials do not appear to satisfactorily comply with Rule 0720-37- .11(3), the Department shall furnish a letter to the party submitting the plans which shall list the particular items in question and request further explanation and/or confirmation of necessary modifications. (21) The licensed contractor shall execute all construction in accordance with the approved plans and specifications. (22) If construction begins within one hundred eighty (180) days of the date of Department approval, the Department’s written notification of satisfactory review constitutes compliance with Rule 0720-37-.11(21). This approval shall in no way permit and/or authorize any omission or deviation from the requirements of any restrictions, laws, regulations, ordinances, codes or rules of any responsible agency. (23) Prior to final inspection, the licensed contractor shall submit a CD Rom disc, in TIF or DMG format, of the final approved plans including all shop drawings, sprinkler, calculations, hood and duct, addenda, specifications, etc., to the Department. (24) The Department requires the following alarms that shall be monitored twenty-four (24) hours per day: (a) Fire alarms; and (b) Generators (if applicable). (25) Manufactured Homes. If a manufactured home unit is to be used as the adult care home residence, such unit must: (a) Be constructed after 1976; (b) Be designed for use as a home rather than a travel trailer; (c) Have a manufacturer’s label permanently affixed on the unit evidencing that the unit meets the requirements of the Department of Housing and Urban Development (HUD). The required label shall read as follows: “As evidenced by this label No. ABC00001, the manufacturer certifies to the best of the manufacturer’s knowledge and belief that this mobile home has been inspected in accordance with the requirements of the Department of Housing and Urban Development and is constructed in conformance with the Federal Mobile Home Construction and Safety Standards in effect on the date of manufacture. See date plate.” If such label is not evident and the licensee believes he/she meets the required specifications, the licensee must take the necessary steps to secure and provide verification of compliance from the manufacturer.