HomeMy WebLinkAboutCBPR-4-10-4831 NC Dept. of health and Human Services .tif p — 4 4 p !
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North Carolina Department of Health and Human Services
Division of Health Service Regulation
Construction Section
2705 Mail Service Center ■ Raleigh, North Carolina 27699 -2705
Beverly Eaves Perdue, Governor Steven C. Lewis, Chief
Lanier M. Cansler, Secretary Phone: 919 -855 -3893
Jeff Horton, Acting Director Fax: 919- 733 -6592
July 12, 2010
Michael Blackburn, CEO
Frye Regional Medical Center
420 N Center Street
Hickory NC 28601
(via e-mail only: michael .blackburn@tenethealth.com)
Re: Project No. HL- 8589- MS /ALH
FID No. 943182
Frye Regional Medical Center
Activity Room Retrofit into Two Patient Rooms
Hickory (Catawba County)
Dear Mr. Blackburn:
The engineering portion of final working drawings dated March 10, 2010 (received April 15,2010; fee
paid May 19, 2010) for the referenced project has been reviewed for conformance with licensure's
minimum standards for Hospitals (10A NCAC 13B). The engineering drawings are approved
provided the following conditions are met:
1. Please verify that Toilets T4072 and T4073 will be provided with a minimum of 10 air changes
per hour as required by Licensure l0A NCAC 13B .6225 Table 1. Please specify the required
exhaust volume for the existing exhaust grilles for test and balance purposes. Reference Drawing
M -1.
2. Please insure that Patient Rooms 466 azfd 464 will be provided with a minimum of 1 air change
per hour of outside air and 2 total air changes per hour as required by Licensure 1 O NCAC 13B
.6225 Table 1. Please specify the required outside air and total air change volumes for either the
existing fan coil units or any new required duct work for test and balance purposes. Reference
Drawing M -1.
3. Please provide an emergency calling station to serve the shower located in Toilet T4072 as
required by Licensure l0A NCAC 13B .6227 (g)(2). Reference Drawing E-3.
4. Please insure that all panels serving receptacles located in the patient care vicinities of Patient
Rooms 466 and 464 are bonded in accordance with 2008 NEC 517.14. Reference Drawing E-3.
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Location: 701 Barbour Drive ■ Dorothea Dix Hospital Campus ■ Raleigh, N.C. 27603
'�[�� An Equal Opportunity / Af1'i native Action Employer
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Project No. HL- 8589- MS /ALH Page 2 of 3
Frye Regional Medical Center — Activity Room Retrofit into Two Patient Rooms
July 12, 2010
We must receive a written response from your engineer to this review.
This project was reviewed with the understanding that the project was designed under the 2009 edition of
the NC State Building Codes as renovations within an existing 7 -story not fully- sprinklered building of
Type H -A construction under Group I -2 occupancy. It has also been reviewed under NFPA 101 Chapter
18 New Health Care Occupancies as NFPA Type II (222) construction.
Please note that changes or revisions should be submitted to our office for review and approval prior to
completion of the work. When construction is not started within one year of the date of this letter, our
approval of these documents expires and they are subject to re- review for compliance with any changes in the
governing codes and regulations that may have occurred. Please understand that approval of these
documents in no way relieves the owner, architect, or engineer from responsibility related to violations of
governing codes and regulations not found by our office or other reviewing agencies. When such violations
are found they must be corrected.
Before the final inspection date we will need to receive a copy of the Certificate of Occupancy issued by
the local Code Enforcement Official having jurisdiction. (NC Administrative Code, 2009 edition, Section
307). If we have not received the certificate of occupancy prior to the inspection date, we will need to
reschedule the inspection.
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The following documerrtation must be available at the time of the inspection or prior to our recommendation
for occupancy and licensure:
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1. A letter from the design architect and engineer confirming that their firms have inspected the
project, and have found it to be constructed in conformance with approved plans and specifications;
and that all requirements of applicable codes and licensure regulations have been met in the
constriction.
2. Confirmation that all electrical devices appliances, and t located in the '
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area have been evaluated for safety and suitability for their intended use by an approved testing
agency (such as Underwriters Laboratories). This evaluation must be conducted in conformance
with nationally recognized standards, and must be conducted by a qualified testing laboratory. (N.C.
General Statue 66-25)
3. Documentation showing the values of voltage measurements (not to exceed 20 mV) made under no- f
fault conditions between a reference grounding point and the exposed conductive surfaces of fixed
electrical equipment in all patient -care areas. Please include the location of the common ground point
in the documentation. (NFPA 99, Health Care Facilities, 2005 edition, Section 4.3.3.1.3)
4. Documentation showing the values of impedance (not to exceed 0.1 ohms) from the ground point of
the receptacles and a common ground point in all patient care areas. Please include in the €'
documentation the location of the common groan d point (NFPA 99, Health Care Facilities, 2005
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edition, Section 4.3.3.1.4)
5. A copy of the air - balance report for each HVAC system located in project areas of hospitals
(Hospital Licensure Section 10A NCAC 13B .6225(a))
6. Verification that the medical s for use, including: t
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Project No. HL- 8589- MS /ALH Page 3 of 3
Frye Regional Medical Center — Activity Room Retrofit into Two Patient Rooms
July 12, 2010
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a. Documentation by a medical gas certification company that contains copies of the various
tests and field reports required by NFPA 99, Health Cane Facilities, 2005 edition, Section
5.1.12.3. Any deficiencies noted by the third party verifier must be corrected prior to our
inspection.
b. A copy of the brazens' current certification, and a list of the brazing procedures done.
C. A separate document, on the facility's letterhead, showing that each medical gas outlet and
inlet was tested prior to use by qualified facility staff to assure correct gas connections and
Pressures.
At the time of the final inspection we will expect to find that all building systems have been completed and
tested, and that they are operating properly. All fire - resistant construction, fire stopping, and smoke stopping
must be complete. Representatives of the various trades and equipment installers must be present to
demonstrate that all systems are fimctioning as designed, or as required by governing codes and regulations.
Failure to have knowledgeable personnel at the final inspection may result in an incomplete inspection. Due
to our current workload, there may be considerable delay in scheduling a re- inspection should the building
not be ready on the scheduled date.
Please use our Project No. HL- 8589- MS /ALH on all correspondence related to this project. Please let us
know if you have any questions or if we can be of any further service.
Sincerely,
Alex Harwell
Engineer
Construction Section
alex.harwell@dhhs.nc.gov
(919) 855 -3887
ALH
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. cc: Abee Architect, PA — Dallas Abee (via e-mail only)
Brittain Engineering — Don Brittain (via e-mail only)
Frye Regional Medical Center — Jim Smith (via e-mail only)
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Catawba County Building Inspections (via e-mail only)
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