1. Call to order. Call meeting to order at 1:00 PM (CDT) on Tuesday, August 14, 2012.

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1 NFPA Technical Committee on Board and Care Facilities NFPA 101 and NFPA 5000 FIRST DRAFT MEETING AGENDA Tuesday-Wednesday, August 14-15, 2012 St. Louis Union Station Marriott St. Louis, Missouri 1. Call to order. Call meeting to order at 1:00 PM (CDT) on Tuesday, August 14, Introduction of committee members and guests. For a current committee roster, see page Approval of previous meeting minutes. Approve the October 18, 2010 meeting minutes, see page Review re-engineered NFPA codes and standards development process. See page Health and Long Term Care Summit update W. Bonisch, H. Bradley, R. Byrd, A. Jones, H. Kowalenko, D. Nichols, T. Schultz, F. Worley. Proceedings available at: Also see page Deletion of NFPA 101, A and associated table. See page CO Detection Task Group report D.Nichols. 8. NFPA 101 new construction/nfpa 5000 requirements correlation. Create first revisions to NFPA 101/5000 as directed by correlating committees. (Draft first revisions (FRs) to be provided via separate distribution prior to meeting.) 9. Review of NFPA 101 and NFPA 5000 core chapter first revisions (FRs). Drafts to be provided via separate distribution prior to meeting. 10. NFPA 101 public input (formerly public proposals). For public input review, see page NFPA 5000 public input (formerly public proposals). For public input review, see page Other business. 13. Future meetings. 14. Adjournment. Adjourn by 5:00 PM (CDT), Wednesday, August 15, Page 1 of 59

2 Address List No Phone Board and Care Facilities Building Code Chad E. Beebe Chair ASHE - AHA PO Box 5756 Lacey, WA U 7/23/2008 Gregory E. Harrington Secretary (Staff-Nonvoting) National Fire Protection Association 1 Batterymarch Park Quincy, MA Gregory E. Harrington Scott D. Allen Principal LifeServices Management Corporation 1625 Lowell Avenue Erie, PA U 10/20/2010 Gregory J. Austin Principal Gentex Corporation Chicago Drive Zeeland, MI National Electrical Manufacturers Association Alternate: Martin J. Farraher M 1/1/1991 Andrew Blum Principal Exponent, Inc Science Drive, Suite 200 Bowie, MD SE 10/27/2009 Warren D. Bonisch Principal Aon/Schirmer Engineering Corporation 1701 North Collins Blvd., Suite 235 Richardson, TX I 7/1/1993 Harry L. Bradley Principal Maryland State Fire Marshals Office 5 West Riding Drive Bel-Air, MD International Fire Marshals Association E 1/1/1985 Richard T. Byrd Principal Tennessee Department of Health Bureau of Health Licensure & Regulation 7961 Highway 100 Nashville, TN E 3/1/2011 Virgil Hall Principal US Department of Veterans Affairs 1700 East 38th Street Marion, IN Alternate: Margaret R. Engwer U 10/27/2009 Kenneth E. Isman Principal National Fire Sprinkler Association, Inc. 40 Jon Barrett Road Patterson, NY M 4/1/1996 Thomas W. Jaeger Principal Jaeger and Associates, LLC PO Box 1291 Middletown Springs, VT American Health Care Association Alternate: David A. Seitz U 7/23/2008 Adam C. Jones Principal Buechel Fire Protection District 4101 Bardstown Road Louisville, KY E 10/18/2011 Philip R. Jose Principal P. R. Jose & Associates Point Mills Estates Road Hancock, MI SE 1/1/1987 Henry Kowalenko Principal Illinois Department of Public Health Office of Health Care Regulation 525 West Jefferson Street, 4th Floor Springfield, IL Alternate: Robert Barnett E 10/20/2010 Page 2 of 59 1

3 Address List No Phone Board and Care Facilities Building Code James K. Lathrop Principal Koffel Associates, Inc. 81 Pennsylvania Avenue Niantic, CT Alternate: Diana E. Hugue SE 1/1/ Gregory E. Harrington Cindy Mahan Principal Friendship Community Care, Inc. PO Box 2109 Russellville, AR American Network of Community Options & Resources U 10/23/2003 Randy S. McDermott Principal US Department of Health & Human Services Centers for Medicare & Medicaid Services (CMS) 1301 Young Street, Suite 827 Dallas, TX E 3/4/2008 David E. Mills Principal UL LLC 333 Pfingsten Road Northbrook, IL Alternate: Kerry M. Bell RT 03/05/2012 Daniel E. Nichols Principal State of New York Department of State 99 Washington Avenue, #1160 Albany, NY E 10/27/2009 John A. Rickard Principal Katus, LLC 5838 Balcones Drive, Suite B Austin, TX SE 8/5/2009 Terry Schultz Principal Code Consultants, Inc Woodland Parkway, Suite 300 St. Louis, MO Alternate: Kaitlin McGillvray SE 8/5/2009 Jon Taluba Principal Russell Phillips & Associates, LLC 500 Cross Keys Office Park Fairport, NY SE 3/4/2009 Fred Worley E 03/05/2012 Principal Texas Department of Aging & Disability Services Long Term Care Regulatory Division PO Box , Mail Code E-250 Austin, TX Robert Barnett Alternate Illinois Department of Public Health Long Term Care 3316 Merrimac Drive Springfield, IL Principal: Henry Kowalenko E 03/05/2012 Kerry M. Bell Alternate UL LLC 333 Pfingsten Road Northbrook, IL Principal: David E. Mills RT 4/1/1993 Margaret R. Engwer Alternate US Department of Veterans Affairs VA Pittsburgh Healthcare System 7180 Highland Drive Pittsburgh, PA Principal: Virgil Hall U 7/14/2004 Martin J. Farraher Alternate Siemens Industry 5075 Houston Road Rockford, IL National Electrical Manufacturers Association Principal: Gregory J. Austin M 3/2/2010 Diana E. Hugue Alternate Koffel Associates, Inc Centre Park Drive, Suite 200 Columbia, MD Principal: James K. Lathrop SE 3/1/2011 Page 3 of 59 2

4 Address List No Phone Board and Care Facilities Building Code Kaitlin McGillvray Alternate Code Consultants, Inc. 215 West 40th Street, 15th Flor New York, NY Principal: Terry Schultz SE 3/2/2010 David A. Seitz Alternate HCF Management, Inc Shawnee Road Lima, OH American Health Care Association Principal: Thomas W. Jaeger 0 Gregory E. Harrington U 7/23/2008 Gregory E. Harrington Staff Liaison National Fire Protection Association 1 Batterymarch Park Quincy, MA Page 4 of 59 3

5 Building Code Life Safety Technical Committee on Board and Care Facilities ROC MEETING MINUTES Monday, October 18, 2010 Hotel Monteleone New Orleans, Louisiana 1. Call to order. The meeting was called to order by Chair Chad Beebe at 8:00 AM. 2. Introduction of attendees. The following committee members and guests were in attendance: TECHNICAL COMMITTEE MEMBERS PRESENT NAME Chad Beebe, Chair Andrew Blum, Principal Warren Bonisch, Principal Harry Bradley, Principal Martin Farraher (Alt. to G. Austin) Virgil Hall, Principal Thomas Jaeger, Principal Phillip Jose, Principal REPRESENTING American Society for Healthcare Engineering Exponent, Inc. Aon Fire Protection Engineering Corporation Maryland State Fire Marshals Office Rep. International Fire Marshals Association Siemens Industry, Inc. US Department of Veterans Affairs Jaeger and Associates, LLC Rep. American Health Care Association P. R. Jose & Associates BLD/SAF-BCF October 18, 2010 Meeting Minutes / Page 1 Page 5 of 59

6 James Lathrop, Principal Koffel Associates, Inc. Cindy Mahan, Principal Friendship Community Care, Inc. Rep. American Network of Community Options & Resources Kaitlin McGilvray (Alt. to T. Schultz) Daniel Nichols, Principal John Rickard, Principal Jon Taluba, Principal Gregory Harrington, Secretary (Nonvoting) Code Consultants, Inc. State of New York, Department of State Olicon Design Russell Phillips & Associates, LLC NFPA GUESTS NAME Sam Francis Joe Holland Karl Wiegand REPRESENTING American Wood Council Hoover Treated Wood Products National Fire Sprinkler Association, Inc. TECHNICAL COMMITTEE MEMBERS NOT PRESENT NAME Kerry Bell, Voting Alternate Justin Biller, Principal Ken Isman, Principal Randy McDermott, Principal REPRESENTING Underwriters Laboratories Inc. Roanoke County Office of Building Safety National Fire Sprinkler Association, Inc. US Department of Health and Human Services 3. Approval of previous meeting minutes. The minutes of the December 8, 2009 meeting were approved as written and distributed. BLD/SAF-BCF October 18, 2010 Meeting Minutes / Page 2 Page 6 of 59

7 4. Chair s report C. Beebe. a. Welcomed and thanked the committee for attending the ROC meeting for the 2012 editions of NFPA 101 and NFPA b. Notified the committee of his recent change of employment to ASHE. His reapplication for committee membership is on the Standards Council s meeting agenda this week. c. Reported that NFPA is in the process of re-engineering the codes and standards development process. The new process should be more userfriendly and increase committee efficiency. Details are still being worked out. The new process should be in place for the next revision cycle of NFPA 101 and NFPA 5000 (2015 editions). d. Attended a 1.5-day technical committee chair training program held at NFPA headquarters in September. The program covered numerous aspects of the NFPA standards development system and was a valuable activity. 5. Staff liaison s report G. Harrington. a. Added his thanks and welcome to the committee. b. Gave a brief presentation on the document revision process, ROC meeting procedures and the letter ballot process. 6. CO Detection Task Group report D. Nichols and J Taluba. Reported the task group reviewed the CO detection issue following the ROP meeting and several concerns were identified. A generic reference to NFPA 720 won t work for board and care facilities as they have unique features not contemplated by NFPA 720 that will affect the locations of detectors. It is understood that the TC on Residential Occupancies (RES) is also reviewing the issue for its chapters. The task group recommends waiting to see what RES does and possibly implement something for the next revision cycle. (No action.) 7. NFPA 101 ROC preparation. The committee reviewed and acted on the public comments on NFPA 101. See the A2011 Report on Comments for the committee actions. 8. NFPA 5000 ROC preparation. The committee reviewed and acted on the public comments on NFPA See the A2011 Report on Comments for the committee actions. 9. Other business. There was no other business. 10. Future meetings. The committee will likely next meet late 2012, at a location to be determined, to prepare the Reports on Proposals (ROPs) for the 2015 editions of NFPA 101 and NFPA Meeting notices will be distributed when the dates and location have been determined. 11. Adjournment. The meeting adjourned at 12:10 PM. Attachments BLD/SAF-BCF October 18, 2010 Meeting Minutes / Page 3 Page 7 of 59

8 NFPA 101/5000 First Draft Meeting BLD/SAF BCF TC on Board and Care Facilities NFPA 101 / 5000 First Draft (Public Input) Technical Committee Meeting NFPA First Draft Meetings At this and all NFPA committee meetings we are concerned with your safety. If the fire alarm sounds, please proceed to an exit. Page 8 of 59 1

9 NFPA 101/5000 First Draft Meeting BLD/SAF BCF NFPA First Draft Meetings Members, please verify/update your contact information Use of tape recorders or other means capable of reproducing verbatim transcriptions of this or any NFPA meeting is not permitted NFPA First Draft Meetings Guests All guests are required to sign in and identify their affiliations. Participation is limited to those individuals who have previously requested of the chair time to address the committee on a particular subject or individuals who wish to speak to Public Input they have submitted. Guest chairs are located around the room as a courtesy. Page 9 of 59 2

10 NFPA 101/5000 First Draft Meeting BLD/SAF BCF NFPA First Draft Meetings Members categorized in ANY interest category who have been retained to represent the interests of ANOTHER interest category (with respect to a specific issue or issues that are to be addressed by a TC/CC) shall declare those interests to the committee and refrain from voting on any Public Input, Comment, or other matter relating to those issues. NFPA First Draft Meetings New Process General Procedures Follow Robert s Rules of Order Discussion requires a motion Page 10 of 59 3

11 NFPA 101/5000 First Draft Meeting BLD/SAF BCF NFPA First Draft Meetings Motions for Ending Debate Previous Question or Call the Question Not in order when another has the floor Requires a second This motion is not debatable and DOES NOT automatically stop debate A 2/3 affirmative vote will immediately close debate and return to the original motion on the floor. Less then 2/3 will allow debate to continue. NFPA First Draft Meetings Committee member actions: Member addresses the chair Receives recognition from the chair Introduces the motion Another member seconds the motion Page 11 of 59 4

12 NFPA 101/5000 First Draft Meeting BLD/SAF BCF NFPA First Draft Meetings Committee chair actions: States the motion Calls for discussion Ensures all issues have been heard Takes the vote Announces the result of the vote NFPA First Draft Meetings Technical Committee on Board and Care Facilities (22) Enforcers, 7 Members: 32% Insurance, 1 Member: 5% Manufacturers, 2 Members: 9% Research and Testing, 1 Member: 5% Special Experts, 6 Members: 27% Users, 5 Members: 23% Page 12 of 59 5

13 NFPA 101/5000 First Draft Meeting BLD/SAF BCF NFPA 101/NFPA 5000 New Process Timeline Public Input Stage (First Draft): PI Closing Date: May 4, 2012 First Draft Meeting: Core Chapters: May 21-25, 2012 Occupancy Chapters: August 12-16, 2012 Correlating Committees: November 5-7, 2012 Posting of First Draft for Balloting Date: Varies by TC Posting of First Draft for Public Comment: February 22, 2013 Comment Stage (Second Draft): Public Comment Closing Date: May 3, 2013 Second Draft Meeting: Core Chapters: May 20-23, 2013 Occupancy Chapters: June 24-27, 2013 Correlating Committees: October 2013 Posting of Second Draft for Balloting Date: Varies by TC Posting of Second Draft for NITMAM: January 3, 2014 NFPA 101/NFPA 5000 New Process Tech Session Preparation: NITMAM Closing Date: February 7, 2014 NITMAM /CAM Posting Date: April 4, 2014 NFPA Annual Meeting: June 9-12, 2014 Standards Council Issuance: Issuance of Documents with CAM: August 14, 2014 with 2015 edition date Page 13 of 59 6

14 NFPA 101/5000 First Draft Meeting BLD/SAF BCF Changes in Terms: NFPA First Draft Meetings New Process What s New? New Term Input Stage Public Input First Draft Meeting Committee Input Committee Statement (CS) First Revision (FR) First Draft Report First Draft Old Term ROP Stage Proposal ROP Meeting Trial Balloon (or later, FR that fails ballot) Committee Statement Committee Proposal or Accepted Public Proposal ROP ROP Draft Changes in Terms: NFPA First Draft Meetings New Process What s New? New Term Comment Stage Public Comment Second Draft Meeting Committee Comment Second Revision Second Draft Report Second Draft Old Term ROC Stage Public Comment ROC Meeting Comment that Failed Ballot (Second Revision that failed ballot) Committee Comment or Accepted Public Comment ROC ROC Draft Page 14 of 59 7

15 NFPA 101/5000 First Draft Meeting BLD/SAF BCF Flowchart See page 4 for flowchart overview NFPA First Draft Meetings New Process NEW Committee Actions and Motions: Resolve Public Input Create a First Revision Create a Committee Input (Trial Balloon) Page 15 of 59 8

16 NFPA 101/5000 First Draft Meeting BLD/SAF BCF First Draft New Process Resolve a Public Input (No Change to Text): Committee does not want to incorporate the Public Input as a revision. Committee develops a Committee Statement (CS) to respond (resolve) a Public Input. Committee must clearly indicate reasons for not accepting the recommendation in CS. Does not get balloted First Draft New Process Create a First Revision (FR) Committee wants to make a change to a current section. Committee develops a Committee Statement (CS) substantiating the change. If the revision is associated with one or more Public Input (s), the Committee develops a CS to respond to each PI. Each FR gets balloted Page 16 of 59 9

17 NFPA 101/5000 First Draft Meeting BLD/SAF BCF First Draft New Process Create a Committee Input (Trial Balloon) Committee wants to receive Public Comment on a topic, but not ready to incorporate it into the draft Need to have a Committee Statement Does not get balloted First Draft New Process Committee Statements (Substantiation): All Public Input must have a Committee Statement Must include a valid technical reason No vague references to intent Explain how the submitter s substantiation is inadequate Page 17 of 59 10

18 NFPA 101/5000 First Draft Meeting BLD/SAF BCF First Draft New Process Committee Statements (Substantiation): Should reference the First Revision i if it addresses the intent of the Submitter s Public Input First Draft New Process Formal Voting Voting during meeting is used to establish a sense of agreement (simple majority) Secured by letter ballot (2/3 agreement) Only the results of the formal ballot determine the official position of the committee on the First Draft Page 18 of 59 11

19 NFPA 101/5000 First Draft Meeting BLD/SAF BCF First Draft New Process Ballots are on the First Revisions (FR) ONLY Public Input and Committee Input not balloted Reference materials are available: First Draft, PI, CI, CS, etc Ballot form allows you to vote: Affirmative on all FR Affirmative on all FR with exceptions specifically noted Ballot form provides a column for affirmative with comment Note: This box only needs to be checked if there is an accompanying comment. Reject or abstain requires a reason First Draft New Process Initial ballot Circulation of negatives and comments Members may change votes during circulation First Revision that fails letter ballot becomes Committee Input (CI) just like the trial balloon version of CI so as to solicit Public Comment Page 19 of 59 12

20 NFPA 101/5000 First Draft Meeting BLD/SAF BCF First Draft New Process Balloting Ballots will be an online format Alternates are strongly encouraged to return ballots NFPA First Draft Meetings No New Material after the Public Input Stage What constitutes new material is to some extent a judgment call Page 20 of 59 13

21 NFPA 101/5000 First Draft Meeting BLD/SAF BCF TC Struggles with an Issue TC needs data on a new technology or emerging issue Two opposing views on an issue with no real data Data presented is not trusted by committee Code Fund Lends a Hand TC rep and/or staff liaison submits a Code Fund Request Requests are reviewed by a Panel and chosen based on need / feasibility Research Project Carried Out Funding for project is provided by the Code Fund and/or industry sponsors Project is completed and data is available to TC Legal Antitrust: the single most important provision- Federal law prohibits contracts, combinations, or conspiracies which unreasonably restrain trade or commerce. Section 1 of the Sherman Act Patent: Disclosures of essential patent claims should be made by the patent holder, but others may also notify NFPA if they believe that a proposed or existing NFPA standard includes an essential patent claim. Page 21 of 59 14

22 NFPA 101/5000 First Draft Meeting BLD/SAF BCF Legal Activities Disapproved by the Courts Packing meetings Hiding commercial interest throwing the committees out of balance No final decision-making authority to unbalanced Task Groups; include all interested parties. Hiding scientific or technical information from committees Doc Info Pages Document Information Next Edition Technical Committee Document scope Current/Previous Edition information Issued TIAs, FIs and Errata Archived revision information Standard Council Decisions Articles and Reports Read only document Meetings and Ballots ROP/ROC or First Draft Report and Second Draft Report NITMAMand Standard Council Decisions Submission of Public Input/Comment Private TC info Ballot circulations, informational ballots and other committee info Committee name, responsibility and scope Staff liaison Committee list Private committee contact information Current committee documents in PDF format Committees seeking members and committee online application Page 22 of 59 15

23 NFPA 101/5000 First Draft Meeting BLD/SAF BCF NFPA First Draft Meetings Questions Page 23 of 59 16

24 Cote, Ron From: Sent: To: Subject: Almand, Kathleen Wednesday, June 06, :06 AM chad beeby; Cote, Ron; dave klein; george mills; james merrill; Solomon, Robert; tom jaeger Health care summit proceedings Program committee members just a note to let you know that the final proceedings have been posted at the link below. Thank you for all that you have done to create an excellent program; I look forward to working with you again in the future. %20Foundation/Reports%20and%20proceedings/Proceedings Kathleen. 1 Page 24 of 59

25 MINUTES Technical Discussions Meeting Following the National Trends in Delivery of Health and Long Term Care Symposium March 28, 2012 Baltimore, Maryland 1. Attendees. NAME COMPANY / ORGANIZATION TC on TC on Guest BCF HEA Kathleen Almand NFPA Fire Protection Research x Foundation Chad Beebe American Society for x Healthcare Engineering Warren Bonisch Aon/Schirmer Engineering x Corporation Harry Bradley Maryland State Fire Marshal s x Office Kenneth Bush Maryland State Fire Marshal s x Office -Rep. International Fire Marshals Association Richard T. Byrd TN Department of Health x Amy Carpenter Lenhardt Rodgers / Pioneer x Network Maggie Calkins Pioneer Network / IDEAS x Martin Casey Centers for Medicare & x Medicaid Services Ron Coté NFPA x Samuel S. S. Dannaway Associates, x Dannaway Inc. Buddy Dewar National Fire Sprinkler x Association, Inc. William Dorfler Rolf Jensen & Associates x Mitch Elliott Vetter Health Services, Inc. x Alice Epstein CNA Insurance x John Fishbeck The Joint Commission x Page 25 of 59

26 Mike Gencarelli Naval Facilities Medical x Skip Gregory Health Facility Consulting x Robert Harmeyer MSKTD & Associates x Rep. American Institute of Architects David Hood Russell Phillips & Associates, x LLC Richard Horeis HDR Architecture x Thomas Jaeger Jaeger and Associates, LLC Rep. American Health Care Association x Adam Jones Buechel Fire Protection District x Amanda Kimball NFPA Fire Protection Research Foundation x David P. Klein US Department of Veterans Affairs x William Koffel Koffel Associates, Inc. x Henry Kowalenko Illinois Department of Public Health x x David Kyllo National Center for Assisted x Living Cathy Lieblich Pioneer Network x Robert Mayer Rothschild Foundation x James Merrill II Centers for Medicare & Medicaid Services x Daniel Nichols State of New York, Department of State x Jim Peterson Heery International x Dan Purgiel LRS Architects / ALFA x John Rickard Katus, LLC x Richard Roberts Honeywell / AFAA x Terry Schultz CCI x x Robert Solomon NFPA x Mitchell Stenoff, AIA Kettor Health Services, SAGE, NFPA HOS Board x Saundra Stevens Adams County Regional Medical Center x Eunice Noell- Waggoner Center of Design for an Aging Society x Michael Zurich Services Corporation x Widdekind Fred Worley TX Department Aging & Disability Services x x Page 26 of 59

27 2. Notes from Health Care Group Breakout Session (as recorded by Kathleen Almand) a. CMS Issues - Moving to adopt 2012 LSC no definite timeline - Note letter issued related to culture change is also applicable to hospitals - Working on other letters/guidance on 2012 LSC and other documents - Note legal and other regulatory constraints - Interests: terminology clarification, lighting - Note sprinkler requirement deadline for nursing homes is 8/13; expect 95% compliance - Open to the concept of a pilot case study of construction under the 2012 LSC b. Pioneer Network Concepts 1) Corridors task group chair Ken, Mike, Amy, Bill - permit p/t and o/t treatment rooms open to corridors (don t have hazardous materials) - are eight foot corridors always required - define a corridor is it a physical separation, is it a clear egress path, use the suite concept? - note concern re physical separation was min square footage for dining and deficient smoke barriers 2) Cooking Activities in Nursing home p/t and o/t treatment areas - does the definition of limited cooking include conventional kitchen range - what is the MAQ for cooking oil related to grease laden vapor acceptability - existing facilities use of portable electric tabletop cooking equipment which is not flue connected permit removal of requirement for separation from the corridor In clarify whether the kitchen is permitted to be open to the corridor in the presence of a Type A hood - clarify language on detectors and smoke alarms minimum and maximum distance from the cooking appliance and whether it can be outside the kitchen- Page 27 of 59

28 consider TIA - Task group Tom Jaeger (chair), Alice, Mike, Amy, Richard Roberts 3) Egress Doors - permit decoration or concealment still marked so visible for staff; either locked or unlocked; within clinical area - clarify what doors do NOT need to be 41 1/2' clear (ie those other than bedrooms) 4) Sprinkler tradeoffs for type of construction - type 3.2.1?? 2 story unprotected; type 5 1 story unprotected, 2 story protected - consider a footprint limitation or use of fire barriers - travel distance extension possibilities? c. Home based Health Care potentially consider a risk based approach, e.g., the 99 approach d. Noise Issues fire alarm pre-notification to staff prior to general notification to minimize resident distress it is currently possible to do this with fire alarms and sprinkler water flow alarms. Delayed egress lock alarms don t have this capability but in the 2009 edition of the code, this type of system is not required if smoke detection is present. Also possible to use magnetic type locks. Pull station positioning can help minimize the occurrence of false alarms or undue distress. Private notification with pagers is also an option in some situations. e. Lighting normal and emergency modes, contrast refer the contrast issue to chapter 7 of the LSC f. Temporary Medical structures eg tents, military note in the fire code there is a maximum time period specified for a temporary structure g. Terminology defn of nursing home a continuing issue, consider a risk based approach - no action h. Aging services mixed care and residents in a single structure consider risk based approach no action i. Increased use of robots and scooters charging facilities hazards, emergency role and hazards, storage hazards no actions j. Tele-medicine implications for life safety code? no issues Page 28 of 59

29 k. Retail health care centers - as doctor s offices, not in this committee s jurisdiction l. Bariatric evacuation issues no action m. Non fire emergencies space planning, patient protection fenestration is a concern a building code issue n. Combustible decorations/furnishings Pioneer representatives to bring proposals back to the committee to address a a way to define MAQ o. Intersection of LSC and FGI guidelines no issues p. Ambulatory Health Care Provisions revise editorially to make them stand alone chapters independent of the business chapter and bring up appendix material Ron Cote to develop for committee consideration 3. Notes from Residential Board and Care Group Breakout Session (as recorded by Amanda Kimball) Proposal to split I-1 and R-4 in IBC o Review these changes (G-31) and substantiation o Put together work group Dan Purgiel to lead work group John and Adam also on work group Assisted living vs board and care terminology o Rename board and care chapter to assisted living? Also, have residential care differences regionally Developmental disability home not assisted living Board and care is general terminology that can cover residential care, assisted living, group homes 2012 IBC switched personal care to custodial care (not viewed favorably by disabled community) Most states use some sort of derivation of personal care No consensus to change name o Should chapter be split into tiers? Residential setting, Middle ground, health care What envelope requirements needed? Have moved away from tiers. Biggest issues are sprinklers and smoke detection. Are we unhappy with the level of safety provided by code currently? NFPA 13 vs 13R systems Fire analysis and research division do annual sprinkler report to address when sprinklers do not activate, etc Page 29 of 59

30 University of MD report suggests need both sprinklers and smoke detection Age in place What about construction type? Use of wood frame construction. Defend in place vs full evacuation Risk of injury from evacuation drills Staged evacuation new term Always have a resident or two that will not be capable of self evacuation Travel distance = evacuation time shrink smoke compartment? May be better delineate when go to health care (applies to all facilities) All states have licensing reqs, but under different names Commonly say that you need to provide sufficient staff for acuity level Board and care chapter used to have staffing ratios Keeping general is best Is there a need to differentiate between skilled nursing and assisted living? Need to codify defend in place Main difference is number of stories allowed for wood frame construction CMS recognizes skilled nursing, but not assisted living (do regulate IFCMRs) o Maintain status quo for name Maybe address nursing at some point Alzheimer s facilities (memory care units) can build under board and care often connected to assisted living Focus on level of protection: sprinklers, smoke detection, compartmentation Managed care is changing dynamics changing on both provider and regulatory sides changing in every state Evacuation times o Take impact of smoke detection on evacuation times into consideration (NIST, U of MD studies) Smoke detection o New requirements in NFPA 72 on placement of detectors to reduce nuisance alarms (from cooking, etc) add these to NFPA 101 (instead of just referencing 72) Page 30 of 59

31 CO detection o May want to add requirements for CO detection voted down during last cycle o Residential chapter has requirements (10 ft of each sleeping room and on each level) Personal care o Definition of incapable o Clarify personal care somewhere in the code (may be in appendix or handbook) o What constitutes long term care services? Nursing care eligible different state by state Oregon, Washington high Medicaid involvement in assisted living (have to be nursing home eligible) Medicaid will pay for services (not room and board unless nursing home) ADLs, medication, and some other health care oversight o On-going nursing care Most states address it, but define it by intermittent care not clear what this means o Assisted living is middle class o Difficult for an AHJ to evaluate how much care patients are getting in terms of evacuation capability o NFPA 101 has applied main uses to board and care Private entities purchasing single family dwellings and putting in three people (fall under four, so no regulation) o In Kentucky proposals to sprinkler these dwellings Consideration of smoke compartment size Furniture in corridors (conflicts) Lighting o Low level lighting and emergency lights ADA conflicts (one in chapter 32) Emergency lighting levels o Adjust lighting levels up from 1cd? (since such a major change from 30cd and difficult for aged eyes to adjust to) o Issues with emergency lighting levels meeting code reqs o Beyond scope of board and care group, but could send information forward to fundamental groups (means of egress, Chapter 7) Apply to all occupancies? Or just to board and care and healthcare? Have Eunice help write annex language o Emergency lighting not req d in small facilities Page 31 of 59

32 Memory care units o Locking doors Delayed egress modified for nursing homes Worked well with full sprinkler and smoke protection Oregon special locking arrangement (small R-4/board and care modified to include full sprinklers) Need 24 hour staff in compartment or on that floor Electro magnetic locking Include in board and care and in healthcare chapters Work group to develop language for public input in August led by Harry (with John and Dan Purgiel) o Memory care units - Secondary means of escape is required in small (16 and under) Use of windows prohibit from opening by resident Do not require secondary means of escape where security issue In NY, lock windows in substance abuse facilities, etc Need other appropriate protection Full sprinkler protection? - Just apply to new construction? - could apply to existing too (extend 13R to attic) Can you get to 13 system from 13R? Yes, should be able to Chapter 32 spells out 13, 13R, or 13D system Smoke detection? Exception to John to develop proposal Pre-notification of alarm (esp in memory care units) o Apply pre-notification reqs from health care to apply to board and care (inc in NFPA 72 in AHJs hands) o Needs to be to a constantly attended location is this available in board and care facilities? o Fire alarm systems are capable Kitchens open to corridor need commercial hood in assisted living Changes in capability of residents no req for on-going evaluations Page 32 of 59

33 Harrington, Greg From: Sent: To: Subject: Follow Up Flag: Flag Status: Cote, Ron Wednesday, June 27, :32 AM Harrington, Greg Another BCF agenda item Follow up Flagged NFPA Delete A and associated Table A A In determining equivalency for existing buildings, the authority having jurisdiction might permit evaluations based on the health care occupancies fire safety evaluation system (FSES) of NFPA 101A, Guide on Alternative Approaches to Life Safety, substituting the mandatory safety requirements values of Table A for those contained in NFPA 101A. A residential board and care facility that selects the option to meet the requirements for limited care facilities in Chapter 19 is not considered a change in occupancy. Zone Location Table A Substitute Mandatory Safety Requirements Values Containment (S a ) Extinguishment (S b ) People Movement (S c ) First floor Above or below first floor Over 75 ft (23 m) in height Substantiation: NFPA 101A-2013 has been approved. It adds criteria for evaluating Large Residential Board and Care facilities with evacuation capability of Impractical. Thus, the Mandatory Values associated with an FSES for such facilities now reside in the NFPA 101A FSES for B&C without having to direct the user to the FSES for Health Care Occupancies with substitute mandatory values. The material needs to be deleted from NFPA 101 Annex. Ron Coté, P.E. Principal Life Safety Engineer NFPA - Quincy, MA USA 1 Page 33 of 59

34 Report on Proposals June 2014 NFPA Log #96 SAF-BCF Bill Galloway, Southern Regional Fire Code Development Committee Revise text as follows: (No requirements.) (Not addressed.) Whereas NFPA 101 is a life safety code, other NFPA codes take in to account building protection. To say that there are No requirements for minimum construction type is not an accurate statement. NFPA 5000 does address construction requirements for all occupancy types based on area and height limitations and sprinkler protection. The annex does state that: Where no building code has been adopted,,, should be used where the building code is referenced in this Log #201 SAF-BCF Catherine L. Stashak, Office of the Illinois State Fire Marshal Add a new section to read: * Multiple Levels In occupancies that contain multiple levels, the Level of Exit Discharge can be combined with another level as long as the number of stair risers connecting these levels is less than eight (8) In occupancies containing both a lower and upper level from the LED, one of the two levels may be combined with the LED and considered the same level as the LED, provided the number of stair risers connecting these level is less than eight (8). The other level that was not combined with the LED must be considered a separate story from the LED No more than two levels can be combined. The Life Safety code currently does not provide guidance in occupancies having multiple levels separated by a relatively short run of stairs (3, 4, 5, 6, etc). Short runs of stairs are most frequently found in multi-level homes (bi-level, tri-level, split-level, etc) and are often present in day-care homes, day-care centers, small residential board and care, educational, business and of course one- and two-family dwellings. This concept could theoretically be used for any occupancy to address requirements for short runs of stairs that would prohibitively require separation or enclosure. Note: Supporting material is available for review at NFPA Headquarters 101- Log #24 SAF-BCF Kenneth E. Bush, Maryland State Fire Marshals Office Revise text to read as follows: Every sleeping room and living area shall have access to a primary means of escape located to provide a safe path of travel to the outside at street or the finished ground level. This revised wording is being proposed to coordinate the requirements for means of escape with those stated for One- and Two- Family Dwellings, and to clarify that primary means of escape must be arranged to provide for a safe path of travel to grade. Printed on 1 Page 34 of 59

35 Report on Proposals June 2014 NFPA Log #342 SAF-BCF Chad E. Beebe, ASHE - AHA Add a new section to read: Exits shall terminate directly, at a public way or at an exterior exit discharge, unless otherwise provided in through Where approved by the authority having jusrisdiction, exits shall be permitted to discharge into a fenced or walled courtyard, provided that not more than two walls of the courtyard are the building walls from which egress is beingmade. Approved yards or courts used for exit discharge inaccordance with shall be of sufficient size to accommodate all occupants at a distance of not less than 50 ft (15 m)from the building while providing a net area of 25 ft 2 (7.62 m 2 ) per person. Many Board and Care facilities have resident populations that you want to keep in staff control if you have to exit the building such as Dementia residents. 25 square feet was determined by multiplying the area needed for a wheelchair with access. This requirement would be optional and only intended to be used if approved by the AHJ. This change is also consistent with other legacy code requirements Log #499 SAF-BCF John A. Rickard, Katus, LLC Revise to read: Sleeping rooms, other than those complying with , and or , and living areas in facilities without a sprinkler system installed in accordance with shall have a second means of escape consisting of one of the following: (3)* Outside window or door operable from the inside, without the use of tools, keys, or special effort, that provides a clear opening of not less than 5.7 ft 2 (0.53 m 2 ), with the width not less than 20 in. (510 mm), the height not less than 24 in. (610 mm), and the bottom of the opening not more than 44 in. (1120 mm) above the floor, with such means of escape acceptable, provided that one of the following criteria is met: (a) The window is within 20 ft (6100 mm) of the finished ground level. (b) The window is directly accessible to fire department rescue apparatus, as approved by the authority having jurisdiction. (c) The window or door opens onto an exterior balcony. Residents with Alzheimer's and related illnesses are prone to escaping via the secondary means of escape. This proposal allows preventing this escape in such facilities where additional fire sprinkler and alarm protection is provided. An operable window is still provided to allow venting products of combustion but the window opening may be limited. Smoke alarms are not required in resident rooms, as the residents are unable to respond appropriately to the alarm and may even hide, making evacuation more difficult for staff. Printed on 2 Page 35 of 59

36 Report on Proposals June 2014 NFPA Log #144 SAF-BCF Catherine L. Stashak, Office of the Illinois State Fire Marshal Revise text to read as follows: The entire primary means of escape shall be arranged so that occupants are not required to pass through a portion of a lower story above or a story below, unless that route is separated from all spaces on that story by construction having a minimum 1 2-hour fire resistance rating. It is clear that when occupants use the second floor of a residential board and care occupancy (small facility) for living or sleeping purposes, and the primary means of escape is down an interior stair to the LED, that the stairway as well as the path from the bottom of the stiarway to an outside door must be separated from all other spaces on the LED by construction having at least a 1/2-hour fire resistance rating. But the occupants who may be occupaying a level below the LED (basement) also need the same protection. Why would traveling up stirs to the LED be any safet than traveling down stairs from a second floor? a fire at the LED is hazardous in both situations. People needing to travel from a basement should have the saem protection as people traveling from the second floor Log #494 SAF-BCF John A. Rickard, Katus, LLC Delete the following text: Doors, other than those meeting the requirements of and , and paths of travel to a means of escape shall be not less than 32 in. (810 mm) wide Bathroom doors shall be not less than 24 in. (610 mm) wide In conversions (see ), 28 in. (710 mm) doors shall be permitted. NFPA duplicates NFPA NFPA and are in conflict with the Federal 2010 Accessibilty Standards for Design Section and NFPA 5000, which references ICC/ANSI Door leaf width requirements are adequately addressed in NFPA Chapter 7 and language that confilcts with federal law and other NFPA documents should be eliminated. Note that this text relates only to doors in a means of egress, not doors that are not covered by accessibility requirements in the federal standards and NFPA In practicality, there will be no effect of this change, other than to remove a conflict in the code, as other applicable standards are more stringent Log #443 SAF-BCF John A. Rickard, Katus, LLC Revise to read: Winders Existing winders complying with shall be permitted to remain only in conversions. New winders, which are not allowed in new construction, should not be allowed in conversions due to safety concerns. Only existing winders should be allowed to remain. Printed on 3 Page 36 of 59

37 Report on Proposals June 2014 NFPA Log #23 SAF-BCF Kenneth E. Bush, Maryland State Fire Marshals Office Add new text to read as follows: Ramps complying with Section shall be permitted. Ramps have been recognized as an acceptable primary means of escape in Chapter 24, however ramps have not been listed as an approved primary means of escape in this Chapter. The purpose of this new paragraph is to recognize and to standardize requirements for ramps as means of escape in Board and Care Facilities Log #159 SAF-BCF Kenneth E. Bush, Maryland State Fire Marshals Office Add new text to read as follows: Ramps complying with shall be permitted. Ramps have been recognized as an acceptable primary means of escape in Chapter 24, however ramps have not been listed as an approved primary means of escape in this Chapter. The purpose of this new paragraph is to recognize and to standardize requirements for ramps as means of escape in Board and Care Facilities Log #165 SAF-BCF Wendy B. Gifford, Consultant Add new text to read as follows: Carbon monoxide alarms or carbon monoxide detectors in accordance with Section 9.8 and shall be provided in new residential board and care occupancies where any of the following conditions is met: 1) Occupancies having a communicating attached garage unless otherwise exempted by ) Occupancies containing a permanently installed fuel-burning appliance Where required by , carbon monoxide alarms or carbon monoxide detectors shall be installed in the following locations: 1) Outside of each separate dwelling unit sleeping area in the immediate vicinity of the sleeping rooms 2) On every occupiable level of the occupancy including basements but excluding crawl spaces and unfinished attics. Carbon monoxide alarms and carbon monoxide detectors as specified in (1) shall not be required in the following locations: 1) In garages 2) Within occupancies with communicating attached garages that are open parking structures as defined by the building code 3) Within occupancies with communicating attached garages that are mechanically ventilated in accordance with the mechanical code According to a 2010 survey of Residents Living in Residential Care facilities, more than half of all residents are 85 or older. A total of 34% had heart disease and 15% had chronic obstructive pulmonary disease and allied conditions. (Full report at via the Center for Disease Control, National Center for Health Statistics, These conditions make a person even more vulnerable to carbon monoxide poisoning. Thus, it seems logical that residents of board and care facilities receive the same protection as those in one and two family dwellings. The language proposed parallels that in Chapter 24 (24.3.4). Printed on 4 Page 37 of 59

38 Report on Proposals June 2014 NFPA Log #90 SAF-BCF Bill Galloway, Southern Regional Fire Code Development Committee Revise text as follows: All facilities, other than those meeting the requirement of , shall be protected throughout by an approved automatic sprinkler system, installed in accordance with , using quick-response or residential sprinklers. In conversions, sprinklers shall not be required in small board and care homes serving eight or fewer residents when all occupants have the ability as a group to move reliably to a point of safety within 3 minutes. This proposal eliminates the exemption for fire sprinklers in new small residential board and care facilities. NFPA 101 now requires fire sprinkler protection in all new one-and-two family dwellings and does not contain a similar exemption to the exception in If this level of care is established in new one-and two-family dwellings, a similar level of protection should be provided for all new residential board and care facilities. Residential Board and Care facilities, an arguably similar or greater hazard occupancy since the occupants may be transient and a fire in one sleeping room could compromise the safety of an occupant in an adjacent space. In addition, section for new apartments, does not contain this exemption either. The TC on residential occupancies removed an exemption for apartments last cycle. Lastly, the IBC/IFC has required complete fire sprinkler protection for all new residential occupancies for the last four code cycles. There is no similar sprinkler exemption provided in the IBC/IFC. Printed on 5 Page 38 of 59

39 Report on Proposals June 2014 NFPA Log #442 SAF-BCF John A. Rickard, Katus, LLC Revise to read: Where an automatic sprinkler system is installed, for either total or partial building coverage, all of the following requirements shall be met: (1) The system shall be in accordance with NFPA 13, Standard for the Installation of Sprinkler Systems, and shall initiate the fire alarm system in accordance with (2) The adequacy of the water supply shall be documented to the authority having jurisdiction In buildings four or fewer stories above grade plane, systems in accordance with NFPA 13R, Standard for the Installation of Sprinkler Systems in Residential Occupancies up to and Including Four Stories in Height, shall be permitted. All habitable areas, closets, roofed porches, roofed decks, and roofed balconies shall be sprinklered * An automatic sprinkler system with a 30-minute water supply, and complying with all of the following requirements and with NFPA 13D, Standard for the Installation of Sprinkler Systems in One- and Two-Family Dwellings and Manufactured Homes, shall be permitted: (1) All habitable areas, closets, roofed porches, roofed decks, and roofed balconies shall be sprinklered. (2 )Facilities with more than eight residents shall be treated as two-family dwellings with regard to water supply Automatic sprinkler systems installed in accordance with NFPA 13, Standard for the Installation of Sprinkler Systems, and NFPA 13R, Standard for the Installation of Sprinkler Systems in Residential Occupancies up to and Including Four Stories in Height, shall be (1) The system shall be provided with electrical supervision in accordance with Automatic sprinkler systems installed in accordance with NFPA 13D, Standard for the Installation of Sprinkler Systems in One- and Two-Family Dwellings and Manufactured Homes, shall be provided with valve supervision by one of the following methods: (1) Single listed control valve that shuts off both domestic and sprinkler systems and separate shutoff for the domestic system only (2) Electrical supervision in accordance with (3) Valve closure that causes the sounding of an audible signal in the facility Sprinkler piping serving not more than six sprinklers for any isolated hazardous area shall be permitted to be installed in accordance with and shall meet all of the following requirements: (1) In new installations, where more than two sprinklers are installed in a single area, waterflow detection shall be provided to initiate the fire alarm system required by (2) The duration of water supplies shall be as required by Attics shall be protected in accordance with or Where an automatic sprinkler system is required by , attics used for living purposes, storage, or fuel-fired equipment shall be protected with automatic sprinklers that are part of the required, approved automatic sprinkler system in accordance with Where an automatic sprinkler system is required by , attics not used for living purposes, storage, or fuel-fired equipment shall meet one of the following criteria: (1 )Attics shall be protected throughout by a heat detection system arranged to activate the building fire alarm system in accordance with Section 9.6. (2 )Attics shall be protected with automatic sprinklers that are part of the required, approved automatic sprinkler system in accordance with (3) Attics shall be of noncombustible or limited-combustible construction. (4) Attics shall be constructed of fire-retardant-treated wood in accordance with NFPA 703, Standard for Fire Retardant Treated Wood and Fire-Retardant Coatings for Building Materials Systems installed in accordance with NFPA 13D, Standard for the Installation of Sprinkler Systems in Oneand Two-Family Dwellings and Manufactured Homes, shall be inspected, tested, and maintained in accordance with through , which reference specific sections of NFPA 25, Standard for the Inspection, Testing, and Maintenance of Water-Based Fire Protection Systems. The frequency of the inspection, test, or maintenance shall be in accordance with this Code, whereas the purpose and procedure shall be from NFPA Control valves shall be inspected monthly in accordance with of NFPA 25, Standard for the Inspection, Testing, and Maintenance of Water-Based Fire Protection Systems Gages shall be inspected monthly in accordance with of NFPA 25, Standard for the Inspection, Printed on 6 Page 39 of 59