Rule 51. Part A. Existing licensed homes for the aged
shall comply with the provisions of chapters 1 to 10, 11, 19, and 43 of the
code that apply to existing health care occupancies, which are adopted by
reference in
R 29.1802, except for the provisions
of the chapters amended by these rules.
Section 19.3.7.4 is amended, and sections 19.3.5.5 and
19.3.6.1.1 are added to the code, to read as follows:
19.3.5.5. Existing licensed home for the aged
facilities shall only house mobile residents unless the smoke compartments that
house non-mobile residents are protected throughout by an automatic
extinguishing system that is in compliance with section 19.3.5.3 of the
code.
19.3.6.1.1 To provide for the
physical needs of residents, seating locations within corridors shall be
limited in number and only allowed where essential, such as waiting areas at
elevators or outside transportation, and shall meet the following criteria:
(a) Seating shall not impede on the required
width of the corridor and shall be limited to seating which will accommodate up
to 2 persons per location.
(b)
Seating arrangements shall be of metal or wood construction or upholstered
furniture complying with 1 of the following provisions:
(i) The furniture shall meet the criteria
specified in 10.3.2.1 and 10.3.3.
(ii) The furniture shall be in a building
protected throughout by an approved, supervised automatic sprinkler system in
accordance with 9.7.1.1 (1).
(c) Pads or cushions used on metal or wood
construction or furniture shall meet the requirements of paragraph (i) of
subdivision (b) of this rule, or NFPA 701.
19.3.7.3 Any required smoke barrier shall be
constructed in accordance with section 8.5 and shall have a fire resistance of
not less than 1/2 hour, unless otherwise permitted by the following:
(a) This requirement shall not apply where an
atrium is used, and both of the following criteria also shall apply:
(i) Smoke barriers shall be permitted to
terminate at an atrium wall constructed in accordance with
8.6.7(1)(c).
(ii) Not less than two
separate smoke compartments shall be provided on each floor.
(b) The smoke dampers specified in
the provisions of section 8.5.5.2 of the code are not required.
Part B. Existing board and care homes for the aged shall
comply with the provisions of chapters 1 to 11, 43 and chapter 19 or 33, of the
code that apply to existing facilities that have verified to the department of
community and health systems that they were in existence before February 11,
2018, as proved in section 20156(4) of the public health code, 1978 PA 368, MCL
333.20156(4), in accordance with 2017 PA 167. Sections 33.1.1.4, 33.1.4.2,
33.2, 33.3.1.1.1, 33.3.1.1.2, 33.3.2.2.2, 33.3.2.11.2, 33.3.3.4.1, 33.3.3.4.2,
33.3.3.4.8.1, 33.7.1.1, 33.7.1.3, 33.7.3.1, 33.7.5.1, 33.7.5.2.1, 33.7.5.2.2,
33.7.5.3, and 33.7.6 are amended, and sections 33.1.1.4.1, 33.3.3.2.4,
33.3.3.2.5, 33.3.3.2.6, 33.3.3.4.8.4, 33.7.1.1.1, 33.7.1.2.1, 33.7.4.1.1, and
33.7.4.3 are added and sections 33.3.1.2.1.2, 33.3.3.4.7, 33.3.3.4.7.1,
33.3.3.4.7.2, 33.3.3.4.7.3, 33.3.3.4.8.2, 33.7.2.4, 33.7.3.5, and 33.7.5.3.2
are deleted from the code, to read as follows:
33.1.1.4 Chapter 32 Compliance. Any facility
meeting the requirements of Chapter 32 shall not be required to meet those of
Chapter 33 except Sections 33.1.4.2, 33.2, 33.3.1.1.1, 33.3.1.1.2, 33.3.2.2.2,
33.3.2.11.2, 33.3.3.2.4, 33.3.3.2.5, 33.3.3.2.6, 33.3.3.4.7, 33.3.3.4.8.4,
33.7.1.1, 33.7.1.1.1, 33.7.1.2.1, 33.7.1.3, 33.7.2.4, 33.7.3.1, 33.7.3.5,
33.7.3.6, 33.7.4.1.1, 33.7.5.1, 33.7.5.2.1, 33.7.5.2.2, 33.7.5.3, 33.7.5.3.2,
and 33.7.6 shall also apply and they shall supersede any corresponding sections
in Chapter 32.
33.1.1.4.1 Chapter 19
Compliance. Any facility meeting the requirements of Chapter 19 shall not be
required to meet those of Chapter 33. The provisions of amended Section
19.3.7.4 and added Sections 19.3.5.5 and 19.3.6.1.1 shall be
applicable.
33.1.4.2
Special Definitions. A list of special terms used in this chapter follows:
(2) Impractical evacuation capability. See
definition in
R
29.1803(r).
(3) Personal care. See 3.3.206.
(4) Point of safety. See 3.3.211.
(5) Prompt evacuation capability. See
definition in
R
29.1803(aa).
(6) Residential board and care occupancy. See
3.3.188.12.
(7) Residential board
and care resident. Means a person who receives supervised personal care as
defined in section 21302(2), of 1978 PA 368, MCL 333.21302(2), of the public
health code and resides in a home for the aged facility as defined in section
20106(3), of 1978 PA 368, MCL 333.20106 (3), of the public health
code.
(9) Staff (residential board and care). Means
persons who provide supervised personal care as defined in section 21302(2), of
1978 PA 368, MCL 333.21302(2), of the public health code, to residents of a
home for the aged facility as defined in section 20106(3), of 1978 PA 368, MCL
333.20106(3), of the public health code.
(10) Thermal barrier. See 3.3.31.3.
33.2 Small Facilities are not
permitted. All subsections of 33.2 are not applicable.
33.3.1.1.1 Section 33.3 shall apply to
residential board and care occupancies providing sleeping accommodations for 21
or more residents.
33.3.1.1.2.
Facilities having sleeping accommodations for 20 or fewer residents shall not
fall under part b of this rule. 33.3.1.2.1.2 Delete.
33.3.2.2.2 Doors in means of egress shall be
as follows:
(1) Doors complying with 7.2.1
shall be permitted.
(2) Doors
within individual rooms and suites of rooms may be swinging or
sliding.
(3) No door, other than
those meeting the requirement of 33.3.2.2.2(4) or (5), shall be equipped with a
lock or latch that requires the use of a tool or key from the egress
side.
(4) Delayed-egress locks in
accordance with 7.2.1.6.1 shall be permitted, provided that not more than 1
device is located in any egress path.
(5) Access controlled egress doors in
accordance with 7.2.1.6.2 shall be permitted, provided that not more than 1
device is located in any egress path.
(6) Clinical needs door locking in
impractical facilities is permitted for doors located in the means of egress,
other than those meeting the requirement of 33.3.2.2.2(4) or (5). The clinical
needs locking shall have adequate provisions made for the rapid removal of
occupants by means such as remote control of locks, keying of all locks to keys
carried by staff at all times, or other reliable means available to staff at
all times. Doors locked under this subdivision shall be submitted to the bureau
of fire services for review and inspection.
(7) Only 1 locking device as described in
33.3.2.2.2(6) shall be permitted on each door.
33.3.2.11.2 Lockups. Lockups are not
permitted.
33.3.3.2.2 Protection
from hazards Hazardous areas that include, but are not limited to, the
following shall be separated from other parts of the building by construction
having a minimum 1-hour fire resistance rating, with communicating openings
protected by approved self-closing fire doors, or these areas shall be equipped
with automatic fire-extinguishing systems:
(1) Boiler and heater rooms.
(2) Central/bulk laundries larger than 100
square feet.
(3) Repair/physical
plant maintenance shops and paint shops.
(4) Storage rooms larger than 100 square
feet.
(5) Soiled linen
rooms.
(6) Garages.
(7) Trash collection rooms.
33.3.3.2.4 Fireplaces are
prohibited.
Exception no. 1. Sealed, properly vented, underwriters
laboratory (UL) listed open-flame appliances that are installed according to
manufacturers specifications are permitted. Existing fireplaces in conversions
shall be sealed off and made inoperable.
Exception no. 2. Permanently installed UL listed electric
fireplaces installed in accordance with manufacturers instructions are
permitted. 33.3.3.2.5 Oxygen storage.
Oxygen used or stored in an existing board and care home
for the aged facility shall comply with all of the following
requirements:
(a) A separate room
shall be provided for the storage of oxygen and that room shall not be used for
other storage or for any other use.
(b) A room for the storage of oxygen shall be
separated from the remainder of the building by a minimum of 1-hour
fire-resistive rated construction.
(c) A storage room or manifold enclosure for
oxygen that has more than a 1,500-cubic foot manifold or cylinder capacity
shall not be located below grade. The room shall have 1 wall which is an
outside wall of the building and which has a window that is not less than 6
square feet in area, 1 square foot of which shall be a permanently open louver
for ventilation.
(d) A provision
shall be made for a rack or fastening to protect a cylinder from accidental
damage or dislocation.
(e) If the
manifold or cylinder capacity of oxygen is more than 12,000 cubic feet, the
oxygen shall be located, installed, and maintained in compliance with the
provisions of national fire protection association pamphlet no. 50, 2001
edition, bulk oxygen systems at consumers' sites, which is adopted by reference
in
R
29.1802(3).
(f) A 1-day supply of oxygen may be kept in
the room where it is being used.
(g) Smoking shall be prohibited in any room
or compartment where oxygen is used or stored. These areas shall be posted with
"no smoking" signs. Sign letters shall be not less than 2 inches (5.08 cm) high
and 1/4 inch (.635 cm) wide stroke.
33.3.3.2.6 Alcohol-based hand-rub dispensers.
Alcohol-based hand-rub dispensers shall be protected in accordance with
19.3.2.6.
33.3.3.4.1 General. A fire
alarm system in accordance with section 9.6 shall be provided.
33.3.3.4.2. Initiation. The required fire
alarm system shall be initiated by all of the following means:
(1) Manual means in accordance with 9.6.2,
unless there are other effective means, such as a complete automatic sprinkler
or automatic detection system, for notification of fire as required.
(2) Manual fire alarm box located at a
convenient central control point.
(3) Automatic sprinkler system, other than
those not required by another section of this code.
(4) Required detection system.
33.3.3.4.7 Smoke Alarms. Delete.
33.3.3.4.7.1 Delete.
33.3.3.4.7.2 Delete.
33.3.3.4.7.3 Delete.
33.3.3.4.8.1 All living areas, as defined in
3.3.21.5, and all corridors shall be provided with smoke detectors that comply
with NFPA 72, national fire alarm and signaling code, and are arranged to
initiate an alarm that is audible in all sleeping areas, as modified by
33.3.3.4.8.3.
33.3.3.4.8.2
Delete.
33.3.3.4.8.4 Smoke
detectors shall be required in all dwelling units, including sleeping
rooms.
33.7.1.1 The
administration of every residential board and care facility shall have in
effect and available to all personnel, written copies of a plan for protecting
all persons in the event of fire and for evacuating persons from the building
to the designated point of safety.
The emergency plan shall include provisions to protect
residents who are either permanently or temporarily incapable of
self-preservation. The emergency plan shall be evaluated annually to ensure
that all information is current and correct.
33.7.1.1.1 The written emergency plan shall
provide for all of the following:
(a) Use of
alarms.
(b) Transmission of alarm
to fire department.
(c) Response to
alarms.
(d) Isolation of
fire.
(e) Evacuation of
building.
(f) Closure of bedroom
doors and corridor access doors upon exiting.
(g) Use of fire extinguishers.
33.7.1.2.1 The proper protection
of residents shall require the prompt and effective response of staff members.
The basic response required of staff shall include the removal of all occupants
directly involved with the fire emergency, transmission of an appropriate fire
alarm signal to warn other building occupants and summon staff, confinement of
the effects of the fire by closing doors to isolate the fire area, and
evacuation of residents as detailed in the fire safety plan.
33.7.1.3 All employees shall be
periodically instructed and kept informed with respect to their duties and
responsibilities under the plan, including the operation of fire alarm and
other fire protection equipment. This instruction shall be reviewed by the
staff not less than every 2 months.
33.7.2.4 Deleted.
33.7.3.1 Emergency egress and relocation
drills shall be conducted not less than once per quarter per scheduled shift:
daytime, 7 a.m. to 3 p.m.; evening, 3 p.m. to 11 p.m.; and night, 11 p.m. to 7
a.m.
33.7.3.5 Deleted.
33.7.4.1.1 Smoking regulations shall include
all of the following:
(1) Smoking shall be
prohibited in any room, compartment, or area where flammable or combustible
liquids, combustible gases, or oxygen is used or stored and in any other
hazardous location. Both of the following also shall apply:
(a) Signs shall be posted that read NO
SMOKING or bear the international symbol for no smoking.
(b) In residential board and care facilities
where smoking is totally prohibited and signs indicating this prohibition are
placed at all major entrances; secondary signs with language that prohibits
smoking are not required.
(2) Smoking by residents classified as not
responsible with regard to their ability to safely use and dispose of smoking
materials shall be prohibited, unless the resident is under direct supervision
by staff or by a person approved by the administration. In this case, smoking
may be permitted.
(3) Smoking
materials shall not be provided to residents or maintained by residents without
the approval of the administration.
(4) Areas where smoking is permitted shall be
clearly identified.
(5) Ashtrays of
noncombustible material shall be provided and required to be used in all areas
where smoking is permitted.
(6)
Self-closing cover devices into which ashtrays may be emptied shall be made
available to all areas where smoking is permitted and shall be required to be
used.
33.7.4.3 Smoking
shall be permitted in a designated location only. Smoking in resident or staff
bedrooms or in stairwells, exit corridors, and fire escapes is
prohibited.
33.7.5.1 These
requirements are applicable only to new draperies, curtains, upholstered
furniture, and mattresses. The term "new" means unused, obtained normally via
procurement from the marketplace either by purchase or donation of items not
previously used. If a facility purchases contract furniture, then the new,
unused furniture, whether purchased or received as a donation, is regulated by
section 33.7.5.2. Exception: If residents are allowed to bring an upholstered
furniture item from the residents previous residence into the facility, then
this item is not new and is not regulated.
33.7.5.2.1 New upholstered furniture within
board and care homes shall be tested for rates of heat release in accordance
with 10.3.3.
33.7.5.2.2 Upholstered
furniture belonging to residents in sleeping rooms shall not be required to be
tested, provided that a smoke detector is installed in these rooms.
33.7.5.3 New mattresses within board and care
homes shall be tested for rates of heat release in accordance with 10.3.4.
Mattresses manufactured and sold within the United
States shall pass testing per 16 CFR 1632 (FF4-72),
Standard for the flammability of mattresses and mattress pads.
33.7.5.3.2 Deleted.
33.7.6 Staff. Staff shall be on duty and in
the facility at all times when residents are present.