(1) A PCCC shall
construct, arrange, and maintain the condition of the physical plant and the
overall facility environment in such a manner that the safety and well-being of
the occupants are assured.
After the applicant has submitted an application and licensure fees, the
applicant must submit the building construction plans to the department. All
facilities shall conform to the current edition of the following applicable
codes as approved by the Board for Licensing Health Care Facilities:
International Building Code (excluding Chapters 1 and 11) including referenced
International Fuel Gas Code, International Mechanical Code, and International
Plumbing Code; National Fire Protection Association (NFPA) NFPA 101 Life Safety
Code excluding referenced NFPA 5000; Guidelines for Design and Construction of
Health Care Facilities (FGI) including referenced Codes and Standards; U.S.
Public Health Service Food Code; and Americans with Disabilities Act (ADA)
Standards for Accessible Design. When referring to height, area or construction
type, the International Building Code shall prevail. Where there are conflicts
between requirements in local codes, the above listed codes, regulations and
provisions of this chapter, the most stringent requirements shall
(3) The codes in effect at
the time of submittal of plans and specifications, as defined by these rules,
shall be the codes to be used throughout the project.
(4) The licensed contractor shall perform all
new construction and renovations to PCCCs, other than minor alterations not
affecting fire and life safety or functional issues, in accordance with the
specific requirements of these regulations governing new construction in PCCCs,
including the submission of phased construction plans and the final drawings
and the specifications to each.
No new PCCC shall be constructed, nor shall major alterations be made to an
existing PCCC without prior written approval of the department, and unless in
accordance with plans and specifications approved in advance by the department.
Before any new PCCC is licensed or before any alteration or expansion of a
licensed PCCC can be approved, the applicant must furnish two (2) complete sets
of plans and specifications to the department, together with fees and other
information as required. Plans and specifications for new construction and
major renovations, other than minor alterations not affecting fire and life
safety or functional issues, shall be prepared by or under the direction of a
licensed architect and/or a licensed engineer and in accordance with the rules
of the Board of Architectural and Engineering Examiners.
(6) Final working drawings and specifications
shall be accurately dimensioned and include all necessary explanatory notes,
schedules and legends. The working drawings and specifications shall be
complete and adequate for contract purposes.
Detailed plans shall be drawn to a scale
of at least one-eighth inch equals one foot (1/8" = 1'), and shall show the
general arrangement of the building, the intended purpose and the fixed
equipment in each room, with such additional information as the department may
require. An architect or engineer licensed to practice in the State of
Tennessee shall prepare the plans the department requires.
(a) The project architect or engineer shall
forward two (2) sets of plans to the appropriate section of the department for
review. After receipt of approval of phased construction plans, the owner may
proceed with site grading and foundation work prior to receipt of approval of
final plans and specifications with the owner's understanding that such work is
at the owner's own risk and without assurance that final approval of final
plans and specifications shall be granted. The project architect or engineer
shall submit final plans and specifications for review and approval. The
department must grant final approval before the project proceeds beyond
(b) Review of
plans does not eliminate responsibility of owner and/or architect to comply
with all rules and regulations.
(8) Specifications shall supplement all
drawings. They shall describe the characteristics of all materials, products
and devices, unless fully described and indicated on the drawings.
Specification copies should be bound in an 8½ x 11 inch
(9) Drawings and
specifications shall be prepared for each of the following branches of work:
Architectural, Structural, Mechanical, Electrical and Sprinkler.
Architectural drawings shall include
(a) Plot plan(s) showing
property lines, finish grade, location of existing and proposed structures,
roadways, walks, utilities and parking areas;
(b) Floor plan(s) showing scale drawings of
typical and special rooms, indicating all fixed and movable equipment and major
items of furniture;
life safety plans showing the compartment(s), all means of egress and exit
markings, exits and travel distances, dimensions of compartments and
calculation and tabulation of exit units. All fire and smoke walls must be
(d) The elevation of
(e) The typical
sections throughout the building;
(f) The schedule of finishes;
(g) The schedule of doors and
(h) Roof plans;
(i) Details and dimensions of elevator
shaft(s), car platform(s), doors, pit(s), equipment in the machine room, and
the rates of car travel must be indicated for elevators; and
(j) Code analysis.
Structural drawings shall include where
(a) Plans of foundations, floors,
roofs and intermediate levels which show a complete design with sizes, sections
and the relative location of the various members;
(b) Schedules of beams, girders and columns;
(c) Design live load values for
wind, roof, floor, stairs, guard, handrails, and seismic.
Mechanical drawings shall include where
(a) Specifications which show the
complete heating, ventilating, fire protection, medical gas systems and air
supply, sewerage and HVAC piping systems;
(c) Pressure relationships shall be shown on
all floor plans;
ventilating, HVAC piping, medical gas systems and air conditioning systems with
all related piping and auxiliaries to provide a satisfactory
(e) Water supply,
sewage and drainage with all lines, risers, catch basins, manholes and
cleanouts clearly indicated as to location, size, capacities, etc., and
location and dimensions of septic tank and disposal field; and
(f) Color coding to show clearly supply,
return and exhaust systems.
Electrical drawings shall include where
(a) A seal, certifying that all
electrical work and equipment is in compliance with all applicable codes and
that all materials are currently listed by recognized testing
(b) All electrical
wiring, outlets, riser diagrams, switches, special electrical connections,
electrical service entrance with service switches, service feeders and
characteristics of the light and power current, and transformers when located
within the building;
electrical system that complies with applicable codes;
(d) Color coding to show all items on
breakers that are properly labeled; and
(f) Ground-Fault Circuit Interrupters (GFCI)
that are required in all wet areas, such as kitchens, laundries, janitor
closets, bath and toilet rooms, etc, and within six (6) feet of any
electrical drawings shall not include knob and tube wiring, shall not include
electrical cords that have splices, and shall not show that the electrical
system is overloaded.
(15) In all
new facilities or renovations to existing electrical systems, the installation
must be approved by an inspector or agency authorized by the State Fire
shall include where applicable:
drawings, hydraulic calculations, and manufacturer cut sheets;
(b) Site plan showing elevation of fire
hydrant to building, test hydrant, and flow data (Data from within a 12 month
(c) Show "Point of
Service" where water is used exclusively for fire protection
licensed contractor shall not install a system of water supply, plumbing,
sewage, garbage or refuse disposal nor materially alter or extend any existing
system until the architect or engineer submits complete plans and
specifications for the installation, alteration or extension, to the department
demonstrating that all applicable codes have been met and the department has
granted necessary approval.
(a) Before the
PCCC is used, Tennessee Department of Environment and Conservation shall
approve the water supply system.
(b) Sewage shall be discharged into a
municipal system or approved package system where available; otherwise, the
sewage shall be treated and disposed of in a manner of operation approved by
the Department of Environment and Conservation and shall comply with existing
codes, ordinances and regulations which are enforced by cities, counties or
other areas of local political jurisdiction.
(c) Water distribution systems shall be
arranged to provide hot water at each hot water outlet at all times. Hot water
at shower, bathing and hand washing facilities shall be between 105°F and
(18) It shall
be demonstrated though the submission of plans and specifications that in each
PCCC a negative air pressure shall be maintained in the soiled utility area,
toilet room, janitor's closet, dishwashing and other such soiled spaces, and a
positive air pressure shall be maintained in all clean areas including, but not
limited to, clean linen rooms and clean utility rooms.
(19) The department shall acknowledge that it
has reviewed plans and specifications in writing with copies sent to the
project architect, the project engineer, the owner, the manager or other
executive of the institution. The department may modify the distribution of
such review at its discretion.
In the event submitted materials do not appear to satisfactorily comply with
the department shall furnish a letter to the party submitting the plans which
shall list the particular items in question and request further explanation
and/or confirmation of necessary modifications.
(21) The licensed contractor shall execute
all construction in accordance with the approved plans and
construction begins within one hundred eighty (180) days of the date of
department approval, the department's written notification of satisfactory
review constitutes compliance with
This approval shall in no way permit and/or authorize any omission or deviation
from the requirements of any restrictions, laws, regulations, ordinances, codes
or rules of any responsible agency.
(23) Prior to final inspection, a CD Rom
disc, in TIF or PDF format, of the final approved plans including all shop
drawings, sprinkler, calculations, hood and duct, addenda, specifications,
etc., shall be submitted to the department.
The department requires the following
alarms that shall be monitored twenty-four (24) hours per day:
(a) Fire alarms;
(b) Generators (if applicable); and
(c) Medical gas alarms (if