1. 4/22/2014
1
2014 THCA LTC/AL Quality
Symposium
Rebekah Eaddy, Architect
Architectural Unit
Survey Operations Section
512-438-2535
512-438-4623 FAX
becky.eaddy@dads.state.tx.us
DADS REGIONAL MAP
Facility Totals
April 7, 2014
Adult Day Care 470
Assisted Living 1,747
ICF-IID/RC 861
Nursing 1,222
Total Facilities 4,300
HCSSA agencies 6,336

2. 4/22/2014
2
Assisted Living___________1,747
• Large A 147 ( 139 in 9/06)
• Large B 545 (393 in 9/06)
• Small A 429 (485 in 9/06)
• Small B 582 (298 in 9/06)
• Type C 44 (119 in 9/06)
• Type E 0 ( 16 in 9/06)
LIFE SAFETY CODE (LSC)
• The LSC’s purpose is to provide
minimum requirements for the
design, operation, and
maintenance of buildings and
structures for safety to life
from fire.
LIFE SAFETY CODE (LSC)
Protection of occupants is achieved
by a combination of:
• Prevention of ignition
• Detection of fire
• Control of fire development

3. 4/22/2014
3
LIFE SAFETY CODE (LSC)
Protection of occupants is achieved
by a combination of:
• Extinguishment of fire
• Provision of refuge or
evacuation
• Staff reaction
• Provision of fire safety
information
JUNE 13, 2013
DADS COUNCIL
TEXAS REGISTER
EFFECTIVE DATE
JANUARY 6, 2014
DADS adopts 2000
edition LSC for ALF
2000 edition of NFPA 101
Chapter 32 for New
Residential Board and Care
All new ALF’s must have sprinklers
Chapter 33 for Existing
Residential Board and Care
Small Type A’s sprinklers not req’d

4. 4/22/2014
4
2000 edition of NFPA 101
Chapter 18 for New Healthcare
All new ALF’s must have sprinklers
Chapter 19 for Existing Healthcare
Only conversions of existing NF to
Large B would NOT require
sprinklers
NFPA 101 2000 EDITION
CODE BOOK COST $82.50 + S&H
http//catalog.nfpa.org
1-800-344-3555
http://www.nfpa.org/

5. 4/22/2014
5
How sprinklers work
I got a great deal on insurance
Large Type A ALF’s
An existing Large
Type A facility
may have an NFPA
13 system. In a
building not more
than four stories
high an NFPA 13R
system may be
permitted.

6. 4/22/2014
6
Large Type A ALF’s
An existing Large
Type A facility
may have an NFPA
13 system. In a
building not more
than four stories
high an NFPA 13R
system may be
permitted.
A new Large Type
A facility must
have an NFPA 13
system, however a
building not more
than four stories
high may have an
NFPA 13R system
Large Type B ALF’s
Existing Large
Type B ALF’s must
have a complete
NFPA 13 system
Large Type B ALF’s
Existing Large
Type B ALF’s must
have a complete
NFPA 13 system
New Large Type B
ALF’s must have a
complete NFPA 13
system

7. 4/22/2014
7
Large Type B ALF’s
Plastic CPVC piping
may be used if
installed to meet
manufacturers’
installation
instructions
New Large Type B
ALF’s must have a
complete NFPA 13
system
Small Type A ALF’s
An existing small
Type A facility
may have a system
that meets NFPA
13, 13D, or 13R
requirements.
Small Type A ALF’s
An existing small
Type A facility
may have a system
that meets NFPA
13, 13D, or 13R
requirements.
A new small Type A
facility must have a
system that meets
NFPA 13, 13D, or 13R
requirements,
installed in
accordance with
§32.2.3.5.2.

8. 4/22/2014
8
§33.2.3.5.2. Exception No. 2
In existing slow evacuation
capability facilities, an automatic
sprinkler system in accordance
with NFPA 13D with a 30-minute
water supply, shall be permitted.
All habitable areas and closets
shall be sprinklered. Bath-rooms
<55 sf are exempt.
§32.2.3.5.2. Exception No. 2
In new slow evacuation capability
facilities, an automatic sprinkler
system in accordance with NFPA
13D with a 30-minute water supply,
shall be permitted. All habitable
areas and closets shall be
sprinklered.
Small Type B ALF’s
An existing small
Type B facility must
have a system that
meets NFPA 13,
13D, or 13R
requirements, in
accordance with
§33.2.3.5.2. .

9. 4/22/2014
9
Small Type B ALF’s
An existing small
Type B facility must
have a system that
meets NFPA 13,
13D, or 13R
requirements, in
accordance with
§33.2.3.5.2. .
A new small Type B
facility must have a
system that meets
NFPA 13, 13D, or 13R
requirements,
installed in
accordance with
§32.2.3.5.2.
§33.2.3.5.2. Exception No. 2
In existing impractical evacuation
capability facilities, an automatic
sprinkler system in accordance
with NFPA 13D with a 30-minute
water supply, shall be permitted.
All habitable areas and closets
shall be sprinklered. Bath-rooms
<55 sf are exempt.
§32.2.3.5.2. Exception No. 2
In new impractical evacuation
capability facilities, an automatic
sprinkler system in accordance
with NFPA 13D with a 30-minute
water supply, shall be permitted.
All habitable areas and closets
shall be sprinklered.

10. 4/22/2014
10
Thirty minute water supply
NFPA 13D has the
minimum design
discharge at 4-1.1, but
it can be no less than
the listing of the
sprinkler, and the
number of design
sprinklers is at 4-1.2.
NFPA 13D Sprinkler Systems
Installation of Sprinkler Systems in One- and Two-Family
Dwellings and Manufactured Homes
Only ten minute water supply required
No sprinklers required in:
• Bathrooms <55 sf,
• Closets <24 sf with dimension <3 ft
• Garages, porches, carports
• Attics, crawl spaces
• Entry foyers if not only means of egress
Sprinkler Maintenance
When installed or required, sprinkler
systems must be inspected, tested,
and maintained in accordance with
NFPA 25.

11. 4/22/2014
11
Sprinkler Maintenance
The facility must have a written
contract with a fire protection
sprinkler firm that has been issued a
Sprinkler Certificate of Registration
number (SCR) from the Texas State
Fire Marshal's Office to perform
the required services semiannually.
Sprinkler Maintenance
The facility must have documentation
available to show that all the
requirements of NFPA 25 have been
met including the annual inspection,
test, and maintenance by the
registered fire sprinkler firm.
Sprinkler Maintenance
The facility must retain one set
of the fire sprinkler system plans
and hydraulic calculations on the
property in accordance with
NFPA 25.

12. 4/22/2014
12
TOP 10 MOST
FREQUENTLY CITED
A. L. TAGS FY2013
10. Failed to provide a written
contract for maintaining the fire
alarm system semi-annually
§92.62(f)(1)(e)
Not ranked in FY12
TOP 10 MOST
FREQUENTLY CITED
A. L. TAGS FY2013
9. Type B Large meets Health Care LSC
§92.61(b)(4)(B)
#6 in FY12 & FY13
TOP 10 MOST
FREQUENTLY CITED
A. L. TAGS FY2013
8. Failed to ensure interior wall and
ceilings were sheathed with at
least 20-minute fire-rating
§92.62(e)(2)
Number 10 in FY12

13. 4/22/2014
13
TOP 10 MOST
FREQUENTLY CITED
A. L. TAGS FY2013
7. Dirty, rubbish, hazards, clean
floors, no storage in attic
§92.62(h)(8)
Top five last ten years
TOP 10 MOST
FREQUENTLY CITED
A. L. TAGS FY2013
6. Fire drills conducted properly
§92.62(c)(2)
#8 in FY11
TOP 10 MOST
FREQUENTLY CITED
A. L. TAGS FY2013
5. Fire alarm and smoke detection
system
§92.62(f)(1)
# 5 in FY10,
F11, & FY12

14. 4/22/2014
14
TOP 10 MOST
FREQUENTLY CITED
A. L. TAGS FY2013
4. Failed to meet other chapters of
the Life Safety Code
§92.61(b)(4)(C)
Ranked #6 in FY11 and #8 in FY12
TOP 10 MOST
FREQUENTLY CITED
A. L. TAGS FY2013
3. Type A Large & Small must meet LSC
§92.61(b)(4)(A)
Top three last ten years
LSC 21-2.3.5.2 Impractical
All impractical facilities shall be protected
throughout by an approved supervised
automatic sprinkler system (supervised
requires signal to sound at panel)
TOP 10 MOST
FREQUENTLY CITED
A. L. TAGS FY2013
2. Sprinkler maintenance and testing
§92.62(f)(2)
Top 3 last 4 years

15. 4/22/2014
15
TOP 10 MOST
FREQUENTLY CITED
A. L. TAGS FY2013
1. Building, heating and air
conditioning, electrical systems
must be maintained. Use of
electrical appliances, devices, and
lamps must be such as to not overload
circuits..
§92.62(i)(2)
Top five last ten years
Any questions?