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Home My WebLink AboutPC94007 3-16-95 5401 69th Ave- =!JR .:!E`r' i=:GPIPL I Htl =E TO 95r,9.�4 4 F' . 11 HPR-071-1'D9 1t=1: _,r. FR.OM HF -- F Minnesota Department of Health Health Resources Division 393 North Dunlap P.O. Box 64900 5t_ Paul, MN 55164-0900 (612) 043.2100 March 16, 1995 Post -it" brand fax transmittal memo 7671 # � p99eS Cis Co. ac D t Phone # (g!Lk Q 4i Fax # i6io-1 - fax # Mr. Larry S. Peterson, Administrator Maranatha Baptist Care Center 5401 - 69th Avenue North Brooklyn Center, MN 55429 Re: Final Plan Approval Plan File No. 551 NH Addition for 13 Replacement Beds, plus Remodeling Dear Mr. Peterson: Construction documents for the referenced project, received March 16, 1995, have been reviewed for compliance with the Department's licensure (and certification) rules pertaining to physical plant requirements for nursing homes. The results of this review are detailed in the report(s) listed below. The review does not cover engineering design analysis, nor does it abridge or replace the review authority of other State agencies or local officials. The construction documents are approved, contingent upon the Department receiving written notification that the licensee has corrected all items of noncompliance noted in the enclosed memorandums. This approval covers spacial design and layout, and may include comments on installations Etas shown on the con5trruction documents. It :-es not constitute prior approval of: built construction. 2. Actual performance of as -built mechanical and electrical systems, including illumination levels. 3. Deficiencies in the as -built construction that are subject to and noted during final inspection (s ) that ate beyond the scope of this construction document review. it is the responsibility of the licensee to assure that final construction complies in all respects with Department rules and s`andards. The failure of final construction in meeting .-,j-,4uire7Rents may result in a reduction of licensed bed capacity or a decision to withhold issuance of a license. TOD: (612) 623-5522 (TAin Cities) 1-800-627-"1629 (Greater Minnesota) An Equal Opportunity Employer 131Z 04Z5 ;D--i ��4 HPR_0 -199C5 10:57 FROM HR '=1_FRJE`T'=:Of1PLIHhdi_E Ti i 95693494 P.02 Larry Peterson, Adm. Maranatha Rapt. CC Construction changes rules or standards approval. Page 2 March 16, 1995 Brooklyn Center that involve physical plant details covered by must be submitted to the Department for You, are reminded that Minnesota 113tatute 144A.071, subd. 2, requires, in part, that prior to the. final plan approval of any construction project, the cummissione:r of health shall be provided with an itemized cost estimate for the project construction costs. The Department has received a lump sum cost estimate for this project_ If the final construction cost exceeds -the dollar threshold in this subdivision, the commissioner of human services shall not recognize any of the project construction costs or related financing costs in excess of this threshold in establishing the facility's property -related payment rate. The completed project is subject to inepectioh and final approval by this Department as a condition for licensure and certification. if you have any questions concerning this matter, pleaoe contact me at 612-643-2186. Construction Memorandum, dated March 16, 1995 Plumbing review Memorandum, dated March 16, 1995 SAncerely yours, Rex Stromquist, P.E. Public Health Engineer Engineering services section RCS/res/Vi l Enclosure(s) cc, Gerald Mundt, Architect 4959 Olson Mem. Hwy., Mple., MN 55422 stan siutua5/A1ck reig, Innovative Engineering Design Corp. 9740 Irving Ave. South, Bloomington, MN 55431 Glenn Silloway/Anne Kane Interagency Long Term care Planning Committee Robert Leger, State Fire Marshal Division S. Hernick, state Building Code Division, Plan Review Section Beverly Hartman, Unit supervisor, Metro c 612 6A3 353d APR-0 -1 95 10:56 FROM HR SURI.)Pl' 2, COMPL I A110E TO r •. 95693494 P.03 RE: KINNE80TA DEPARTXENr OF REALTB DIVISION OF REALTB REBOURC99 ENGINEERING SERVICES SECTION NH addition for 13 replacement beds, plus remodel- ing for Maranatha Baptist CC, $rook. Ctr. ADMINISTRATOR: Larry S. Peterson ARCHITECT: Gerald Mundt ENGINEER: Innovative Engineering, Design Corp., Bloom. REVIEWED BY. Rex C. Stromquist DATE: March 16, 1995 A. The following items were noted pertaining to Minnesota Department of Health regulations for State licensure of nursing homes: 1. Verify that outside air used for ventilation is filtered at 304 efficiency based on the National Bureau of Standards Dust Spot Test N[ethod with Atmospheric Dust (4660.8380). - 2. Verify that corridor handrails are installed with 1�11 clear from the wall (4660. 1.500) . 3. Provide a vertical non -slip grab bar, 24" long, at the replacement central tub, mounted on the wall 36" above the floor to the bottom of the grab bar. This grab bar should be located adjacent to the patient drying area, and is considered to be an acceptable alternative to the 2 vertical grab bars required by 4660.2630, 3L. 4. Provide grab bars in accordance with 4660.2610 FfiG for special toilet rooms to .serve at least 25% of the residents. Verify that the mounting height of horizontal grab bars is 10" above the toilet seats. S. Lighting must meet the minimum illumination levels required in MN Rules, Tables 4660.9900/9910. Lighting levels will be checked by this Department upon completion of the project. 012 043 3534 i=�PR ;-1- 1t ;? FPOM HF :=�UP"'E`r' r:=pf'1FLIAHC:E TO 95693494 P.04 Construction Morro Maranatha Baptist CC Page a March 16, 1995 6. Mechanical ventilation must shown in MN Rules, Table including the relative air adjoining spaces. meet the air quantities as 4660.9930 for each area, pressure relationships with A balancing report showing 'the measured air quantity in crm for each air supply, air return and exhaust will be required to determine the aocieptability of the ventila- tion system. B. The following items were noted pertaining to complianco with Federal requirements for certification under the Medicaid and Medicare programs. 1. The facility shall comply with the M Code (A 117.1, 1980) for making buildings accessible to and usable by the physically handicapped. Please be advised that compliance with ANSI A117.1 does not uscessarl.lg assure comppliance with ADA (Americans with Disabilities Act) a. Provide a visual fire alarm signal for the hearing impaired in addition to the audible fire alarm signal. The visual component of the fire alarm signal should be a strobe light. b. Provide means for the blind to identify rooms. Roam numbers should be raised or deeply incised and located on the wall 61) inenes above the floor at the opening side of the door. C. Identify the door(s) to mechanical spaces as hazardous locations for the blind. Recommend locking of doors to these areas and also using an abrasive application o;n the knob. d. The public/resident telephone $hall be located for access and use by the handicapped. Volume control is recommended. 01Z 040 001-)4 HPR-0 -1995- 10: 59 FFOt'l HR SI_IF.)EY C:OMPL I AH E TO w �ti 'r1 construction Memo Maranatha Baptist ec Page 3 March 16, 1995 95693494 P.051 e. The towel dispensers;, mirrors, and telephones intended for use by the handicapped shall be mounted at a height of 33 to 40 inches above the floor. Allow 27 inches, vertical clearance for knee ,space, and 30 inches for wheelchairs. 2. The facility shall comply with the Life Safety Code (NFPA No. 101, chapter 1.2, 1S$5) for certification in Federal programs. Constint Type II (111), Totally Sprinklered, i Story a. Assure that the corridor will not be used as an air plenum for pressurized rooms and exhausted rooms for compliance with NF'PA 90A. b. Provide smoke dampers for the duct penetrations through the supply and exhaust ducts at the new smoke partition. c. Verify that a complying smoke partition is provided at the existing smoke doors For this wing to meet the maximum allowable smoke compartment size. d. Make provision to separate the areas under construction from occupied areas of the facility by a fire resistive separation which also serves as a noise/dust barrier. Review with the state Fire Marshal. e. Interior finish of walls and ceilings throughout shall be Class A (or B) in accordance with 12-3.3.1 and Section 6-5. f. Interior floor finish in corridors and exits shall be Class I (or II) in accordance with 12-3.3.2 and Section 6-5. g. All documentation F> _ gaining to fire safety must be kept in a convenient :location at the facility for quick reference during inspections. h. Locate smoke detectors; within ' 5 feet of the smoke doors whale maintaining no gyreator than 30 feet between smoke detectors in the corridor. 01Z 04y Z57�Z54 HPR-0 -19915 10:59 FROM HR SUPI)EY & COMPLIANCE TO 95693494 P.06 XINNSBOTA DEPARTM3W OF HEALTH Realth Resources Division Lngineering services section II;!' 1 t .:"1.M YI Y 6• March 16, 1995 1. Project: NH Add'n for 10 Replacement Beds, plus Remodeling for Maranatna Baptist CC 2. Address: 5401 - 69th Avenue North 3. Plans dud specifications prepared by: Gerald Mundt, Architect 4. Date Received: March 15, 1995 5. Health Resources File No.: 551 6. Scope: This review is limited to 'the design of this particular project only and insofar as the provisions of the Minnesota Plumbing Code, Chapter 4715, MN Rules as amended, apply, and does not cover the water supply or sewerage system to which this plumbing system is connected. 7. Requirements: a. solvent weld joints in PVC and CPVC pipe must include use of a primer which is of contrasting color to the pipe and cement (see Minn. Rules, p. 4715.0810, subp. 2). b. The plumbing system shall be tested in accordance with Minn. Rules, p. 4715.2820. c. The water piping system shall be disinfected in accordance with Minn. mules, p. 4715.2250. Contingent upon the inclusion of the above requirements, these plans and specifications are approved as complying with the provisions of the Minnesota Plumbing Code. 61Z 04�5 �5:54 HF'F'-O -1995 11: 00 FROM HR EURI,)EY = C:OMPL I At ICE TO 9— 5693494 P.07 Plumbing Review Memo Maranatha Baptist CC Page 2 March 15, 1995 NOTL: As required by MN Rule 47:15. 2800 ( formerly Regulatio #MHD 134) inspection must also be made of the plumbing installatio. during construction and at the completion of the project by this Department's Plumbing Unit. In this regard, it is important that the attached card be returned so that the necessary inspections can be scheduled. r' Rex C. Strbmquist, P.E. Public Health Engineer Attachment (postcard) cc: Larry Peterson, Administrator Gerald Mundt, Architect Stan Simons, Engineer Beverly Hartman, Metro C Xmi - Plumbing unit ( 2 ) TOTAL F.07