A. General. Newly constructed facilities shall
contain all the elements described herein and shall be built in accordance with
the construction requirements outlined. Should there be a change of ownership
of the facility, these standards shall be applicable insofar as existing
structures physically permit. New additions and renovations to existing
facilities shall be built in accordance with these standards. A safe, sanitary,
and comfortable environment is a basic requirement for residents in the
facility. If day care programs are to be incorporated in this building,
additional supportive facilities shall be provided to accommodate the program.
At no time shall any program reduce the minimum services required for this
Minimum services required.
(a) Lobby, with visitors' toilet rooms (to
include facilities for each sex) and public telephone.
(b) Business or administration
Resident rooms (see
Resident baths (see Sec.
Resident toilet rooms (see
Resident lounge or sitting
room (see Sec.
Resident dining and
recreation rooms (see Sec.
Resident recreation area
Dietary facilities (see
Central storage room (see
Employees' facilities (see
Details of construction
Mechanical system (see Sec.
Electrical system (see Sec.
Emergency electric service
(q) Provision for holding
expired persons (adequately sized and ventilated space in unobjectionable
Resident rooms. Each
resident room shall meet the following minimum requirements:
(1) Net minimum room clear floor area
exclusive of closets, toilet rooms, lockers or wardrobes and vestibule shall be
one-hundred and fifty (150) square feet in single rooms and one-hundred and
twenty-five (125) square feet per bed in multi-bed rooms. Minimum dimensions of
rooms shall not be less than eleven feet (11').
(2) No resident room shall be designed to
permit more than two (2) beds.
Windows. Sills shall not be higher than three feet (3') above the finished
floor. Insulated window glass or approved storm windows shall be
(4) The room furnishing
for each resident room shall include a bed with a firm water-proof mattress,
bedside stand, reading light, dresser or bureau with mirror and one (1)
resident's wardrobe or closet shall have a minimum clear dimension of one
foot-ten inches deep by one foot-eight inches wide (1'10" deep by 1'8" wide)
with full length hanging space, clothes rod and shelf.
(6) All resident rooms shall open to a common
corridor (sheltered path of egress) which leads directly to the
(7) Doors shall be three
feet (3') wide and swing into the room.
(8) Ceiling height shall not be less than
eight feet (8') above the finished floor.
(9) A resident unit shall be twenty-five (25)
beds or fraction thereof.
C. Resident baths. Resident baths shall have
one (1) separate shower or one (1) separate bathtub for each eight (8) beds not
individually served. There shall be at least one (1) separate bathtub and one
(1) separate shower in each resident unit. Grab bars shall be provided at all
bathing fixtures. Each bathtub or shower enclosure in a central bathing area
shall provide space for the private use of the bathing fixture and for
dressing. Showers in central bathing areas shall not be less than four (4)
square feet without curbs. Soap dishes in showers and bathrooms shall be
Resident toilet rooms.
(1) A toilet room with lavatory shall be
directly accessible from each resident room and from each central bathing area
without going through the general corridor. One (1) toilet room may serve two
(2) resident rooms but not more than four (4) beds.
(2) Grab bars shall be provided at all
(3) Doors to toilet
rooms shall have a minimum clear width of three feet (3').
E. Resident lounge or sitting room. Each
resident wing and/or floor shall contain at least one (1) lounge area of
two-hundred and twenty-five (225) square feet or nine (9) square feet per
resident, whichever is greater.
Resident dining and recreation rooms.
total area designed for combined residents' dining and recreation purposes
shall not be less than thirty (30) square feet per resident bed. Additional
space shall be provided for non-residents if they participate in day care
Areas appropriate for
an activities program shall be provided which shall;
(a) be readily accessible to wheelchair
(b) be of sufficient size
to accommodate equipment and permit unobstructed movement of residents and
personnel responsible for instructing and supervising residents.
(c) have storage space to store equipment and
supplies convenient or adjacent to the area or areas.
(d) have toilet and handwashing facilities
Resident recreation area.
(1) Recreation areas are required.
(2) Space for recreation, if separated from
dining area, shall contain fifteen (15) square feet per resident. This space
shall be provided in one area. Lobby area shall not be included in recreation
(3) Ten (10) square feet per
resident shall be provided for outdoor porches or paved patio areas.
Dietary facilities. The food
service shall include space and equipment for receiving, storage, preparation,
assembling and serving food; cleaning or disposal of dishes and garbage and
space for a food service office in a facility of fifty (50) beds or more. In
addition, the following shall apply:
Kitchens shall be centrally located, segregated from other areas and large
enough to allow for adequate equipment to prepare and care for food
(2) Floors shall be
waterproof, greaseproof, smooth and resistant to heavy wear, with covered
corners and wall junctions. There shall be floor drains located where the most
cleaning is required as in the dishwashing machine room, near the cooking area,
(3) All equipment and
appliances shall be installed to permit thorough cleaning of the equipment, the
floor and the walls around them.
(4) A commercial dishwashing machine shall be
provided in any facility with twenty-five (25) or more beds. A commercial
dishwashing machine shall be in a separate room or in an area separated from
the main kitchen by a partition of five feet (5') minimum height. There shall
be adequate openings for entrance and exit of carts. There shall be space for
trucks with dirty dishes at the beginning of the counter. For facilities of
less than twenty-five (25) beds, a dishwasher is still required.
(5) Outside ventilation openings shall be
screened and provide at least ten (10) air changes per hour. A working
ventilating fan is required. A strong exhaust fan in the hood over the range
and steam equipment is required. The hood shall be a box type with straight
sides and provided with a fire extinguishing system.
(6) Service pipes and lines in food cooking
and preparation areas must be enclosed and insulated.
(7) A dining section within the kitchen area
(8) A hand washing
sink with a soap dispenser shall be provided. Single service towels and a
covered waste receptacle shall be provided in the kitchen area for the
exclusive use of kitchen personnel.
(9) A janitor's closet shall be provided with
a floor receptor or service sink, storage space for housekeeping equipment and
supplies, and shall be located within the dietary department.
Food service equipment shall be arranged
for efficient, safe work flow, a separation of clean and contaminated functions
and shall provide:
storage for at least a three-day supply of food.
(c) Dry storage for at least a three-day
supply of food.
(d) Enclosed waste
(e) A toilet
room with lavatory conveniently accessible for dietary staff.
(1) A central storage room of not less
than ten (10) square feet per resident bed concentrated in one area shall be
provided, including shelving.
Storage should be located according to use and demand, but not in residents'
This service, if provided, shall be used
exclusively for laundry and shall be remote from resident and food service
areas, be self-contained, and shall not be accessible through any other room.
The design shall provide for the separation of clean and soiled functions and
(a) Basic mechanical services
required for the installation of the laundry.
(b) A soiled linen room.
(c) A clean linen room separated from the
soiled linen room.
(d) Linen cart
(e) A laundry
processing room with equipment, including ironing, sufficient to process seven
days' needs within the workweek.
(f) A janitor's closet with storage space for
housekeeping supplies and equipment, and a floor receptor or service sink for
the laundry area.
(g) Storage area
for laundry supplies.
(2) If laundry is processed outside the
facility, the facilities in subdivisions (e) (f) and (g) need not be provided
although space shall be designed in the laundry area for future installation of
these areas as needed.
facility shall have a separate area easily accessible to the resident for a
domestic type washer and dryer for residents' personal clothing and equipped
for ironing. Coin-operated equipment shall not be provided.
(4) Facilities without city water or sanitary
sewers shall not provide for commercial laundry processing on the well or
leaching system serving the domestic needs of the facility.
(1) Toilet rooms. A separate room for each
sex shall be provided for employees' use only. One (1) watercloset and one (1)
lavatory shall be for each twenty (20) employees of each sex up to one hundred
(100) employees, and one (1) water-closet and (1) lavatory for each additional
twenty-five (25) employees over one-hundred (100) employees. Provide one (1)
urinal for nine (9) or more males up to forty (40) employees.
(2) Locker rooms. Separate locker rooms for
each sex shall be provided, with adequate segregated space for employees'
clothing and personal effects. These lockers shall be installed in a completely
divided area from the waterclosets and lavatories.
(3) Dining room. A separate dining room shall
be provided for employee use in the amount of fifteen (15) square feet per
employee dining at one time. This dining room shall not be included in the
space requirement for any other area nor shall serve any other
construction. A high degree of safety for the occupants in minimizing the
incidence of accidents shall be provided. Hazards such as sharp corners shall
be avoided. All details and finishes shall meet the following requirements:
(1) Corridors shall be at least six feet (6')
(2) No door shall swing into
(3) Handrails shall
be provided on both sides of all corridors used by residents. They shall have
ends rounded and returned to the walls, a clear distance of one and one-half
inches (1 ½") between handrail and wall and a height of thirty-two
inches to thirty-four inches (32" to 34") above the finished floor.
(4) Thresholds and expansion joint covers
shall be flush with the finished floor.
(5) Such items as drinking fountains,
telephone booths, and vending machines shall be located so as not to project
into the required width of exit corridors.
(6) All doors to resident toilet rooms,
bathrooms and shower rooms shall be equipped with hardware which will permit
access in any emergency.
doors opening to corridors shall be swing-type. Alcoves and similar spaces
which generally do not require doors are excluded from this
(8) Grab bars and
accessories in resident toilet rooms, shower rooms, and bathrooms shall have
sufficient strength and anchorage to sustain a load of two-hundred and fifty
(250) pounds for five (5) minutes.
If linen and refuse chutes are used, they
shall be designed as follows:
openings to chutes shall have approved Class "B," one and one-half (1 ½)
hour fire rated doors.
openings to chutes shall be located in a room or closet of not less than two
(2) hour fire-resistive construction, and the entrance door to such room or
closet shall be a Class "B," one and one-half (1 ½) hour fire rated
(c) Minimum diameter of
gravity-type chutes shall be two feet (2') with wash-down device.
(d) Chutes shall terminate in or discharge
directly into collection rooms separate from laundry or other services.
Separate collection rooms shall be provided for refuse and linen. Such rooms
shall be of not less than two (2) hour fire-resistive construction and the
entrance door shall be a Class "B," one and one-half (1 ½) hour fire
rated door with hardware as required by NFPA.
(e) Chutes shall extend at least four feet
(4') above the roof and shall be covered by an explosive type hatch.
(f) Chutes shall be protected internally by
automatic sprinklers. This will require a sprinkler-head at the top of the
chute and, in addition, a sprinkler-head shall be installed within the chute at
alternate floor levels in buildings over two (2) stories in height. The room
into which the chute discharges shall also be protected by automatic
Dumbwaiters, conveyors, and material handling systems shall not open into any
corridor or exitway but shall open into a room enclosed by not less than two
(2) hour fire-resistive construction. The entrance door to such room shall be a
Class "B," one and one-half (1 ½) hour fire rated door.
(11) Janitor's closet. This room shall
contain a floor receptor or service sink and storage space for housekeeping
supplies and equipment. One (1) janitor's closet may serve a fifty (50) bed
unit on each floor.
(a) Boiler room shall be not less
than two feet - six inches (2' 6") above the main boiler header and connecting
piping with adequate headroom under piping for maintenance and
(b) Storage rooms,
residents' toilet rooms, and other minor rooms shall be not less than seven
feet - eight inches (7' 8") above the finished floor.
(c) All other rooms and corridors shall be
not less than eight feet (8') above the finished floor.
(13) Boiler rooms, food preparation centers,
and laundries shall be insulated and ventilated to prevent any floor surface
above from exceeding a temperature of ten degrees (10°) Fahrenheit above
the ambient room temperature.
Approved fire extinguishers shall be provided in recessed locations throughout
the building not more than five feet (5') above the floor.
(15) For flame spread requirements, see the
State of Connecticut Fire Safety Code.
(16) Floors generally shall be easily
cleanable and shall have the wear resistance appropriate for the location
involved. Floors in kitchens and related spaces shall be waterproof and
greaseproof. In all areas where floors are subject to wetting, they shall have
a non-slip finish.
dissimilar floor materials shall be flush with each other to provide an
generally shall be washable and in the immediate area of plumbing fixtures, the
finish shall be moistureproof Wall bases in dietary areas shall be free of
spaces that can harbor insects.
(19) Ceilings generally shall be washable or
easily cleanable. This requirement does not apply to boiler rooms, mechanical
and building equipment rooms, shops and similar spaces.
(20) Ceilings shall be accoustically treated
in corridors and resident occupied areas.
(21) All resident occupied rooms shall be
provided with at least a one and three-quarter inch (1¾"), threequarter
(¾) hour wood or metal door equal to "C" label construction with metal
frame and positive latching.
All operable windows shall be provided with screens.
(a) At least one elevator shall be installed
where one to fifty (1 to 50) resident beds are located on any floor other than
the main entrance floor, or where resident facilities are located on a floor
other than those containing resident beds.
(b) At least two (2) elevators shall be
installed where fifty-one to one-hundred and fifty (51 to 150) resident beds
are located on floors other than the main entrance floor, or where resident
facilities are located on a floor other than those containing resident
(c) At least three (3)
elevators shall be installed where one-hundred and fifty to three-hundred and
fifty (150 to 350) resident beds are located on floors other than the main
entrance floor or where resident facilities are located on a floor other than
those containing resident beds.
For facilities with more than three-hundred and fifty (350) beds, the number of
elevators shall be determined from a study of the facility plan and the
estimated vertical transportation requirements.
(e) An elevator vestibule shall be provided
on each floor meeting the requirements of two (2) hour fire-resistant
construction with self-closing one and one-half (1 ½) hour fire rated
doors held open by electro-magnetic hold open devices connected to an automatic
and hot water systems.
(a) Boilers shall have
the capacity, based upon the published Steel Boiler Institute or Institute of
Boiler and Radiator Manufacturers' net ratings, to supply the normal
requirements of all systems and equipment. If the licensed capacity of the
facility exceeds one-hundred (100) beds, a second boiler shall be
(b) Boiler feed pumps,
condensate return pumps, fuel oil pumps, and circulating pumps shall be
connected and installed to provide standby service when any pump breaks
(c) Supply and return mains
and risers of space heating and process steam systems shall be valved to
isolate the various sections of each system. Each piece of equipment shall be
valved at the supply and return end.
(d) Boilers' and smoke breeching stacks, all
steam supply piping and high pressure steam return piping and hot water space
heating supply and return piping shall be insulated.
Air conditioning, heating and ventilating
(a) A minimum temperature of
seventy-five degrees Fahrenheit (75° F.) shall be provided for all occupied
areas at winter design conditions.
All air-supply and air-exhaust systems
shall be mechanically operated. All fans serving exhaust systems shall be
located at or near the point of discharge from the building.
(1) Outdoor ventilation air intakes, other
than for individual room units, shall be located as far away as practicable but
not less than twenty-five feet (25') from exhausts from any ventilating system
or combustion equipment. The bottom of outdoor intakes serving central air
systems shall be located as high as possible but not less than eight feet (8')
above the ground level or, if installed through the roof, three feet (3') above
(2) The ventilation
systems shall be designed and balanced to conform to accepted standards and/or
(3) Room supply
air inlets, recirculation, and exhaust air outlets shall be located not less
than three (3") inches above the floors.
(4) Corridors shall not be used to supply air
to or exhaust air from any room. All interior rooms shall be mechanically
(5) An approved fire
damper shall be provided on each opening through each fire or smoke wall
partition and on each opening through the floor of a vertical shaft.
(6) Cold air ducts shall be insulated where
necessary to maintain the efficiency of the system or to minimize condensation
(7) Exhaust hoods in food
preparation centers shall have a minimum exhaust rate of one-hundred (100)
cubic feet per minute per square foot of hood face area. All hoods over cooking
ranges shall be equipped with fire extinguishing systems and heat-activated fan
controls. Cleanout openings shall be provided every twenty feet (20') in
horizontal exhaust duct systems serving hoods.
(8) Boiler rooms shall be provided with
sufficient out-door air to maintain combustion rates of equipment and
reasonable temperatures in the room and in adjoining areas.
Plumbing and other
(1) The material used for plumbing fixtures
shall be of non-absorptive acid-resistant material.
Water supply systems.
(1) Systems shall be designed to supply water
to the fixtures and equipment on the upper floors at a minimum pressure of
fifteen (15) pounds per square inch during maximum demand periods.
(2) Each water service main, branch main,
riser and branch to a group of fixtures shall be valved. Stop valves shall be
provided at each fixture.
cold and chilled water piping and waste piping on which condensation or
unnecessary heat loss may occur shall be insulated.
(4) Backflow preventers (vacuum breakers)
shall be installed on hose bibbs and on all fixtures to which hoses or tubing
can be attached such as janitors' sinks.
(5) Flush valves installed on plumbing
fixtures shall be of a quiet operating type.
(6) Hot water distribution systems shall be
arranged to provide hot water at each hot water outlet at all times.
(7) Plumbing fixtures which require hot water
and which are intended for resident use shall be supplied with water which is
controlled to provide a water temperature ranging between one-hundred and ten
degrees to one-hundred and twenty degrees Fahrenheit (110° to 120° F.)
at the fixture.
water heaters and tanks. The hot water heating equipment shall have sufficient
capacity to supply the water at the temperatures and amounts as
(d) Drainage systems.
Piping over food preparation centers, food serving facilities, food storage
areas, and other critical areas shall be kept to a minimum and shall not be
exposed. Special precautions shall be taken to protect these areas from
possible leakage of or condensation from necessary overhead piping
(c) Fire extinguishing
systems. Automatic fire extinguishing systems shall be installed in areas such
as: Central soiled linen holding rooms, maintenance shops, refuse collection
rooms, bulk storage rooms, and adjacent corridors, attics accessible for
storage, and refuse chutes. Storage rooms of less than one-hundred (100) square
feet in area and spaces used for storage of non-hazardous materials are
excluded from this requirement if construction is
(1) Circuit breakers or fusible switches that
provide disconnecting means and overcurrent protection for conductors connected
to switchboards and distribution panelboards shall be enclosed or guarded to
provide a dead-front type of assembly. The main switchboard shall be located in
a separate enclosure accessible only to authorized persons. The switchboard
shall be convenient for use, readily accessible for maintenance, clear of
traffic lanes, and in a dry ventilated space free of corrosive fumes or gases.
Overload protective devices shall be suitable for operating properly in the
ambient temperature conditions.
Lighting and appliance Panelboards shall be provided for the circuits on each
floor. This requirement does not apply to emergency system circuits.
All spaces occupied by people, machinery,
and equipment within the building, and the approaches thereto, and parking lots
shall have electric lighting.
bedrooms shall have general lighting.
(b) One lighting fixture for general lighting
shall be exclusively wired to a switch at the entrance to each resident
(c) A reading light shall be
provided for each resident.
Residents' reading lights shall not be switched at the door.
(e) All switches for control of lighting in
resident areas shall be of the quiet operating type.
(4) Each resident bedroom shall have duplex
receptacles at least eighteen inches (18") above the floor as follows: One on
each side of the head of each bed, for parallel beds. Only one duplex
receptacle is required between beds, and one on at least one other wall. Single
receptacles for equipment, such as floor cleaning machines, shall be installed
approximately fifty feet (50') apart in all corridors. Duplex receptacles for
general use shall be installed approximately fifty feet (50') apart in all
corridors and within twenty-five feet (25') of ends of corridors.
(5) A calling station shall be installed in
each resident room to meet the following requirements: Each resident room shall
be equipped with at least an audible call bell system connected to an
annunciator panel in the manager's office and employees' sleeping area where
there is staff twenty-four (24) hours a day. If the office is not staffed
twenty-four (24) hours a day, the call system shall indicate the source of the
call, both audibly and visually. In addition to activating the annunciator
panel, the call bell shall turn on a light located directly over the door of
the resident room. In lieu of this requirement, a telephone system may be used
if the same functions are accomplished when the receiver is lifted.
(6) A manually-operated,
electrically-supervised fire alarm system shall be installed in each facility.
In multistory buildings, the signal shall be coded or otherwise arranged to
indicate the location of the station operated. The fire alarm system should be
connected to a municipal system, if possible. Pre-signal systems will not be
permitted. In multi-story buildings, with more than twenty-five (25) residents,
an annunciator panel shall be provided.
Emergency electric service.
(1) To provide electricity during an
interruption of the normal electric supply that could affect the care and
safety of the occupants, an emergency source of electricity shall be provided
and connected to all circuits for lighting and power.
The source of this emergency electric
service shall be as follows:
(a) All emergency
generating set, including the prime mover and generator, equipped with an
automatic transfer switch, shall he located on the premises and shall be
reserved exclusively for supplying the emergency electrical system. The
emergency generator set shall be of sufficient kilowatt capacity to supply all
lighting and power load demands of the emergency system and shall have an
automatic transfer switch which will start the emergency generator within ten
(10) seconds. The power factor rating of the generator shall be not less than
eighty percent (80%). Where fuel is normally stored on the site, the storage
capacity shall be sufficient for three (3) days operation of required emergency
electric services. Where fuel is normally piped underground to the site from a
utility distribution system, storage facilities on the site will not be
electric service shall be provided to circuits as follows:
(a) Where electricity is the only source of power
normally used for space heating, the emergency service shall provide for
heating of all resident bedrooms and resident service areas such as dining
rooms, day rooms and recreation areas. Emergency heating of resident bedrooms
will not be required in areas where the home is supplied by at least two (2)
utility service feeders, or a network distribution system fed by two (2) or
more generating sources, with the feeders so routed, transfer switch connected,
and protected that a fault any place between the sources and the facility will
not likely cause an interruption of more than one of the service feeders.
(b) Where more than one (1)
elevator is provided, at least one (1) shall be connected to the emergency
P. If residents are housed in two (2) or more
buildings not directly connected one with another, each such building shall be
treated as a separate unit.
resident room shall be numbered; the number, together with the licensed
capacity of each room, shall be posted by each door. The census shall not
exceed the number for which the license is issued, nor shall the number of
residents in any room exceed the licensed capacity of that room.
R. The buildings, equipment and precautions
taken to provide for the safety of residents and employees shall be approved by
the state department of health. An annual certificate from the local fire
marshal that fire precautionary measures meet his approval shall be submitted
with the annual application for license.
S. The buildings, equipment and site shall be
maintained in a good state of repair and shall be kept clean at all