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Home My WebLink About026-250-051 CF ArchiveF/RE FIRE E CORes...ential Care Facilities (Group ..-3.1) F7a"tT, ry�gInspection Checklist (Group R��-3.1 = Six or less clients, regardless of ambulatory status, or licensing agency) Property Owner: N 'roperty Location: f' 6-5-3 -�- ti La n � City: a' 4efp�-AO �� Inspector: �1) v Inspection Date: /n� �jo,)TnL'�Permit #: APN: 1 OK CN NA 1. Minimum Construction: Eir El El Non -rated up to 3 stories. CBC Table 503. (Must be Type V 1 -hour in facilities housing clients above the first floor, more than 2 stories in height or having more than 3,000 sq. feet floor area above the first floor). CBC Section 425.3.4. In facilities housing a bedridden client, the client sleeping room shall not be located above or below the first floor. 425.3.4. Exception: Clients who are temporarily bedridden for up to 14 days as per H&S Code. 1566.45 2. Smoke Barriers: El Not required. 3. Automatic Sprinklers: ❑ 171 2' a. Not required unless housing bedridden clients or housing non-ambulatory clients above the first floor or housing clients above the second floor. b. Not required if housing only one bedridden client and complying with Section 425.8.3.3 If required, can have either an NFPA 13-R or 13-D system. Section 4-6 of NFPA 13-D shall not apply unless approved by the AHJ. CBC Section 903.2.7 #3 & 4. 4. Smoke Alarms: El ❑ a. Required in all habitable areas of the facility including stairwells. CBC Section 907.2.10.1.2. b. In all facilities housing any bedridden clients, smoke alarms shall receive their Primary power from the building wiring and shall be equipped with battery backup. Alarms shall be interconnected so that they all sound upon actuation of a single smoke alarm. They are not required to be interconnected to a control panel. CBC Section 907.2.10.1.5 5. Fire Alarm: 1-1 El Not required. 6. Strobes: ❑ ❑ R_ Required in protective care facilities that house any deaf patient. Strobes shall activate upon initiation of any smoke alarm. CBC Section 907.9.1.5. 7. Exits: Minimum of two exits are required. CBC Section 425.8.2.1. 8. Corridor Construction: �' E] El Non -rated. 9. Corridor Width: EY ❑ ❑ Shall be 36 inches on floors housing clients. CBC Section 425.8.4.2#3. 10. Intervening Rooms: El El Means of egress shall not pass through more than one intervening room. A means of egress shall not pass through kitchens, storerooms, closets, garages or spaces used for similar purposes. CBC Section 425.8.3.4. Exception: Kitchens that do not form separate rooms by construction. 11. Exit Access: 0 El a. Sleeping rooms used for non-ambulatory clients shall have access to one of the following exit arrangements: (Given in order of preference) 1. Direct exit from the sleeping rooms to the exterior. 2. From sleeping room through an adjoining sleeping room with direct exit. 3. From sleeping room through the hallway serving the sleeping and which has an exit directly to the outside. The hallway shall be separated from the rest of the house by a wall and a 1-3/8" self-closing, solid wood door. The door can be automatic closing by actuation of a 1 2 smoke alarm. 4. From sleeping room through the hallway into another sleeping room that has an exit directly to the outside. The hallway shall be separated from the rest of the house by a wall and a 1-3/8" self-closing, solid wood door. The door can be automatic closing by actuation of a smoke detector. CBC Section 425.8.3.2. b. Sleeping rooms used for bedridden clients shall meet all of the following requirements: 1. Sleeping rooms shall exit directly to the exterior of the building. 2. Interior doors to sleeping room shall be a self-closing, positive latching 1-3/8" solid wood Door provided with a gasket to be smoke -tight. The door can be automatic closing by actuation of a smoke alarm. 3. Doors from sleeping rooms leading to an interior corridor or interior areas shall not have a night -latch, dead -bolt, security chain, or any similar locking devices. 4. The exterior sleeping room door shall be operable from both the interior and exterior of the residence. 5. Exterior sleeping room doors shall be at least 3 foot wide and 6 feet 8 inches high with a clear width of 32" and capable of opening at least 90 degrees. CBC Section 425.8.3.3. 12. Floor Separation: El Ela. Floor separations shall be provided with non -rated smoke partition to prevent smoke travel between floors. Such partitions shall have construction equal to 1/2 " gypsum board on one side of wall framing. CBC Section 425.8.7 Exceptions: 1. Occupancies with at least one exterior exit from floor occupied by patients. 2. Occupancies provided with automatic fire sprinkler systems. b. Door openings in floor separations shall be protected by 1-3/8 inch solid wood core doors which shall be positive latching, smoke gasketed and self-closing or automatic closing by activation of a smoke detector. CBC Section 425.8.7.1. 13. Delayed Egress: ❑ ❑ Allowed if facility meets all requirements of CBC Section 1008.1.8.6. 14. Bedridden Clients: Hospice facilities can have up to six bedridden clients. Other facilities can have one V ❑ ❑ bedridden client. If housing one bedridden client, must meet the following: 1. Direct exits to the exterior must be provided for bedridden sleeping rooms. 2. Bedridden client sleeping room doors to the interior shall be 1-3/8" self-closing, positive latching and gasketed. Doors can be automatic closing 3. Bedridden client doors leading to the interior shall not have a night -latch, dead bolt, security chain or similar locking devices. 4. Exterior exit doors from bedridden clients sleeping rooms shall be operable from both the interior and exterior of the building. 5. Doors from client sleeping rooms shall be at least 3 feet wide by 6 feet 8 inches high. Doors shall be capable of opening at least 90 degrees and clear width shall be at least 32 inches. CBC 425.8.3.3. If facility wants to house more than one bedridden, they have to comply with above requirements as well as provide automatic firesprinklers. 15. Exit Signs: �' ❑ ❑ Not re uired. CBC Section 1011.1, Exception #3 16. Tactile Exit Signs: ❑ ❑ Not Reguired. 17. Emergency Lighting: ❑ ❑ Not re uired. CBC Section 1006.1, Exception #3 18. Fire Extinguishers: ❑ ❑ Not re uired. CBC Section 906.1, Item #1 19. Exit ramps: k� ❑ Required in facilities housing non-ambulatory clients when changes in level exceed 1/2 inches. CBC Section 425.8.5. 2 STATJ(REV. CALIFORNIA FIRSAFETY INSPECTION REQUEST STD.1aB/) See instructions on reverse. AGE Y CONTACTS NAME TELEPHONE NUMBER REQUEST DATE PROGRAM D S/COMMUNITY CARE LICENSING 530 895-5033 07/02/08 ADULT RESIDENTIAL EVALU TORS NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE J3 8/DONNA GURRIERE 045002171 1A CODES 1. ORIGINAL A. FIRE CLEARANCE UA NSIN DEPARTMENT OF SOCIAL SERVICES 2. RENEWAL B. LIFE SAFETY ENCY NA EAND COMMUNITY CARE LICENSING w ��, `t+t 3. CAPACITY CHANGE A DRESS 520 COHASSET ROAD, SUITE 6 4. OWNERSHIP CHANGE CHICO, CA 95926 5. ADDRESSCHANGE L 6. NAME CHANGE T OTHER AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY CAPCITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY 0 3 3 FACI�M NAME LICENSE CATEGORY H LPIN HOME 735/ARF ADDRESS (Adual Location) NUMBER OF BUILDINGS 1 53 HALPIN LANE 1 RESTRAINT P LERMO, CA 95968 NO FUTY CONTACT PERSON'S NAME HQUH5 IN KOLETT SIPOS (530) 345-6973 OR (530) 533-8807 24 SPE AL CONDITIONS CLEARANCE /DENIAL BUTTE COUNTY FIRE CODES FIRE 176 NELSON AVENUE FIRE CLEARANCE GRANTED NORITY MEAND OROVILLE, CA 95965 2. FIRE CLEARANCE DENIED \DDRESS A. EXITS L B. CONSTRUCTION C. FIRE ALARM PECTOWS NAME (typed orPrintod) TELEPHONE NUMBER CFIRS NUMBER OCCUPANCY CLASS D. SPRINKLERS E. HOUSEKEEPING F. SPECIALHAZARD PECTION DATE INSPECTOR'S SX3NATURE ed or Printed) G. OTHER 4AN DENIAL OR DST SPECIAL CONDITIONS STATE OF CALIFORNIA FIRE SAFETY INSPECTION REQUEST STD. (REV. 10-94) See Instructions on reverse. AGENCY CONTACT'S NAME TELEPHONE NUMBER REQUEST DATE PROGRAM DS /COMMUNITY CARE LICENSING 530 895-5033 9-24-09 FIRE ALARM EVALUATOR'S NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE J31 /Donna Gurriere Fax 895-5934 wc_�100'2 3a G. CODES 1. ORIGINAL A. FIRECLEARANCE LICENSING DEPARTMENT OF SOCIAL SERVICES 2. RENEWAL B. LIFE SAFETY AGENCY NA EAND COMMUNITY CARE LICENSING 3. CAPACITY CHANGE ADDRESS 520 COHASSET ROAD, SUITE 6 4. OWNERSHIP CHANGE CHICO, CA 95926 S. ADDRESS CHANGE L 6. NAME CHANGE 7. OTHER AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY CAPA CITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY 6 0 3 6 FACILITY NAME LICENSE CATEGORY HA PIN HOME ADULT RESIDENTIAL STREET ADDRESS (Actual Location) NUMBER OF BUILDINGS 16 3 HALPIN LANE 1 UTY RESTRAINT PA ERMO, CA 95968 NO FACT TY CONTACT PERSONS NAME HOURS NI OLETT SIPOS (530) 533-8807 24 SPECIAL CONDITIONS BUTTE COUNTY FIRE DEPARTMENT FIRE ATTN: MATT DAMON AurHORrrY ME AND 176 NELSON AVENUE ADDRESS OROVILLE, CA 95965 SJ 114 S'r%A6C— rr7�W Prvrfki) yIcLEPHONE NUMBER Cr,nS FiUP.i6C i ^vivo?i;P:C7 C' •ok ....•ION Y%PS !— �.�3/) )<zo -)Qtip ai % Avg i�— ��-id Mao — / , CLEARANCE /DENIAL CODE 1. FIRE CLEARANCE GRANTED 2. FIRE CLEARANCE DENIED A. EXITS B. CONSTRUCTION C. FIRE ALARM D. SPRINKLERS E. HOUSEKEEPING F. SPECIAL HAZARD G. OTHER