Document Citation: Wis. Adm. Code DHS 134.83

Header:
WISCONSIN ADMINISTRATIVE CODE
DEPARTMENT OF HEALTH SERVICES
CHAPTER DHS 134. FACILITIES SERVING PEOPLE WITH DEVELOPMENTAL DISABILITIES
SUBCHAPTER VII -- LIFE SAFETY, DESIGN AND CONSTRUCTION


Date:
08/31/2009

Document:

DHS 134.83 Safety and systems.

(1) MAINTENANCE. The building shall be maintained in good repair and kept free of hazards, including hazards created by any damaged or defective building equipment. Floors shall be maintained in a safe condition.

(2) CORRIDORS. (a) In all facilities having plans approved on or after March 17, 1974, except in small facilities, all corridors in resident use areas shall be at least 6 feet wide.

(b) In all facilities having plans approved before March 17, 1974, except in small facilities, all corridors in resident use areas shall be at least 4 feet wide.

(c) In small facilities all corridors in resident use areas shall be at least 3 feet wide.

(3) DOORS. (a) Size. 1. In existing small facilities exit doors. stair doors and resident room doors shall be at least 28 inches wide and in newly constructed small facilities exit doors, stair doors and resident room doors shall be at least 36 inches wide.

2. In type I facilities with over 16 beds, exit doors, stair doors and resident room doors shall be at least 28 inches wide.

3. In type II facilities with over 16 beds, exit doors, stair doors and resident room doors shall be at least 36 inches wide and 80 inches high and shall have a tire rating of at least 20 minutes or equivalent, except that in facilities having plans approved on or after March 17, 1974 exit doors and resident room doors shall be at least 44 inches wide.

(b) Latches. Each exit door shall have fastenings or hardware to permit the door to be opened from the inside by pushing against a single bar or plate or by turning a single knob or handle.

(c) Locks. 1. Exit doors from the building and from nursing areas and resident living areas may not be hooked or locked to prevent exiting from the inside, except as provided under s. DHS 134.33 (3).

Note: See rules adopted under chs. Comm 61 to 65 for other restrictions on locking of exits.

2. No lock may be installed on the door of a resident's room, unless:

a. The lock is operable from inside the room with a simple one-hand, one-motion operation without the use of a key unless the resident is confined in accordance with s. DHS 134.33 (3);

b. All staff regularly assigned to work in the resident care area have in their possession a master-key for the rooms in that area;

c. A master-key is available to emergency personnel such as the fire department; and

d. The resident is capable of following directions and taking appropriate action for self-preservation under emergency conditions.

(d) Toilet room doors. 1. In new construction, toilet room doors shall be at least 36 inches wide.

2. In facilities converted from another use that are approved after the effective date of these rules, toilet room doors shall be at least 32 inches wide.

3. In type II facilities, except for new construction, toilet room doors shall be at least 30 inches wide.

4. Toilet room doors under this paragraph may not swing into the toilet room unless they are provided with 2-way hardware.

(4) EMERGENCY POWER. (a) If a facility houses more than 16 residents, it shall have an emergency electrical service with an independent power source which covers lighting at living unit stations, telephone switchboards, exit and corridor lights, boiler room, fire alarm systems and medical records when solely electronically based. The service may be battery-operated if effective for at least 4 hours.

(b) In small facilities flashlights shall be readily available to staff on duty in the event that there is an electrical power interruption.

(5) FIRE PROTECTION. (a) Carpeting. Carpeting may not be installed in rooms used primarily for food preparation and storage, dish and utensil washing, cleaning of linen and utensils, storage. of janitor supplies, laundry processing, hydro-therapy, toileting and bathing, resident isolation or resident examination.

(e) Vertical exit stairwells. 1. In all multi-story facilities there shall be at least one enclosed exit stairway for all floors, except that if floors are divided into fire sections there shall be at least one enclosed exit stairway for each fire section. This exit stairway shall provide an enclosed protected path of at least one-hour fire-rated construction for occupants to proceed with safety to the exterior of the facility.

2. Sprinkler heads shall be provided at the top of each linen or trash chute and also in the room in which a chute terminates.

(f) Fire escapes. 1. An outside fire escape is permitted in an existing facility as one of the required means of exiting the facility if it meets all of the following requirements:

a. Iron, steel, concrete or other noncombustible material shall be used in the construction and support of the fire escape;

b. No part of the path of exit from the facility may be across a roof or other part of the facility that is made of combustible materials;

c. To protect against fire in the facility, the walls directly under the stairway and for a distance of 6 feet in all other directions shall be blank or closed walls. A window is permitted within this area if it is stationary or of steel sash construction and is glazed with wire glass of not less than 1/4-inch thickness. The size of the wire glass part of the window may not exceed 1296 square inches and not more than 54 inches in either length or width;

d. The fire escape shall be protected by a roof and at least partial sidewalls to prevent the accumulation of snow and ice;

e. The bottom riser shall terminate at ground level, with the last riser not more than the spacing of the riser above; and

f. It is not a tubular or spiral slide-type fire escape.

2. Small facilities shall meet either the requirements of subd. 1. or the provisions of the lodgings and rooming house section of the applicable life safety code.

(g) Conditions for housing certain residents above the street level floor. Residents who are blind, non-ambulatory or physically handicapped may not be housed above the street level floor in an existing facility of 2 or more stories that is not at least 2-hour fire-resistive construction unless the facility is one-hour protected noncombustible construction as defined in-standard 220 of the NFPA's National Fire Code, 1979 edition, fully sprinklered one-hour protected ordinary construction or fully sprinklered one-hour protected wood frame construction.

(h) Storage of oxygen. Oxygen tanks when not in use shall be stored in a ventilated closet designated for that purpose or stored outside the facility building in an enclosed and secured area.

Note: The 1978 and 1979 editions of NFPA's National Fire Code referenced in pars. (b) and (g) can be obtained from the National Fire Protection Association, Batterymarch Park, Quincy, MA 02269. Copies are kept on file in the offices of the Department's Division of Quality Assurance and the Legislative Reference Bureau.

(6) SPRINKLERS FOR FIRE PROTECTION. (a) Existing facilities. All existing facilities shall have automatic sprinkler protection throughout all buildings unless all walls, partitions, piers, columns, floors, ceilings, roof and stairs are built of noncombustible material and all metallic structural members are protected by a noncombustible fire-resistive covering.

(b) Certification. Certification that the sprinkler system is in proper operating condition shall be obtained annually from a licensed sprinkler contractor. A copy of the certification document shall be kept on file in the facility.

(c) New construction and conversions. All newly constructed facilities, additions and buildings to be converted shall have automatic sprinkler protection throughout. In the event of an addition to or remodeling of an existing facility, the facility shall have automatic sprinkler protection throughout the building unless there is a 2-hour fire-rated partition wall between the old and new construction, in which case only the new addition or remodeled area shall be sprinklered. Facilities with more than 16 beds shall meet the automatic sprinkler protection standard 13 of NFPA's national fire code, 1985 edition. Facilities with 16 or fewer beds shall meet either standard 13 of that edition of the code or standard 13D of NFPA's national fire code, 1984 edition.

Note: The 1984 and 1985 editions of NFPA's National Fire Code can be obtained front the National Fire Protection Association, Batterymarch Park, Quincy, MA 02269. Copies are kept on file in the office of the Department's Division of Quality Assurance and the Legislative Reference Bureau.

(d) Sprinkler plans. All sprinkler plans shall be submitted to the department's bureau of quality compliance for review and approval before installation of the sprinkler system.

Note: The bureau of quality assurance was renamed the division of quality assurance.

(7) SMOKE DETECTORS FOR FIRE PROTECTION IN SMALL FACILITIES. (a) A small facility shall provide a low-voltage interconnected smoke detection system to protect the entire facility so that, if any detector is activated, either alarms are triggered throughout the building or a centrally located alarm is triggered, except that a facility with 8 or fewer residents may use a radio-transmitting smoke detection system that triggers an audible alarm in a central area of the facility.

(b) No facility may install a smoke detection system that fails to receive the approval of the department or of the department of industry, labor and human relations. At least one smoke detector shall be located at each of the following locations:

1. At the head of every open stairway;

2. At the door leading to every enclosed stairway on each floor level;

3. In every corridor, spaced not more than 30 feet apart and not further than 15 feet from any wall;

4. In each common use room, including living rooms, dining rooms, family rooms, lounges and recreation rooms but not including kitchens; and

5. In each sleeping room in which smoking is allowed.

(8) MECHANICAL SYSTEMS. (a) Water supply. 1. A potable water supply shall be maintained at all times. If a public water supply is available, it shall be used. If a public water supply is not available, the well or wells shall comply with ch. NR 812.

2. An adequate supply of hot water shall be available at all times. The temperature of hot water at a plumbing fixture used by residents may not exceed the range of 110 [degrees] - 115 [degrees] F.

(b) Sewage disposal. All sewage shall be discharged into a municipal sewage system, if one is available. Otherwise the sewage shall be collected, treated and disposed of by means of an independent sewage system approved by the department of industry, labor and human relations under applicable state law and by the local authority.

(c) Plumbing. Plumbing for potable water and for drainage for the disposal of excreta, infectious discharge and wastes shall comply with ch. Comm 82.

(d) Heating and air conditioning. 1. The heating and air conditioning systems shall be capable of maintaining adequate temperatures and providing freedom from drafts.

2. Minimum temperatures of 72 [degrees]F. (22 [degrees] C.) shall be maintained during the day and 70 [degrees] F. (21 [degrees] C.) during the night in all bedrooms and in all areas used by the residents.

(e) Telephone. There shall be at least one operational non-pay telephone on the premises and as many additional telephones as are judged necessary in an emergency.

(f) Incineration. 1. Facilities for the incineration of soiled dressings and similar wastes, as well as garbage and refuse, shall be provided when other methods of disposal are not available.

2. An incinerator may not be flue-fed nor shall any upper floor charging chute be connected with the combustion chamber.

(g) General lighting. Adequate lighting shall be provided in all areas of the facility. Lighting shall be of a type that does not produce discomfort due to high brightness, glare or reflecting surfaces. No candles, oil lanterns or other open-flame method of illumination may be used.

(h) Ventilation. 1. The facility shall be well-ventilated through the use of windows or mechanical ventilation or a combination of both. No room may be used for living or sleeping purposes that does not have at least one openable window leading to the outside and direct outside ventilation by means of windows, louvers, or air conditioning or other mechanical ventilation. Other rooms and areas which do not have outside windows and which are used by residents or staff shall be provided with functioning mechanical ventilation to change the air on a basis commensurate with the type of use.

2. Kitchens, bathrooms, janitor closets and soiled linen rooms shall be ventilated.

3. In type II facilities:

a. When mechanical ventilation is provided, the resident area corridors and the lounge, dining, living and recreation areas shall be under positive pressure; and

b. No transom, louver or grill may be in or above a resident room door exiting to a corridor.

(i) Electrical. 1. In all facilities nonconductive wall plates shall be provided for electrical outlets if the system is not properly grounded.

2. In newly constructed facilities at least 2 duplex-type wall outlets shall be provided in close proximity to each resident bed.