Current Construction & Fire Codes and Guidelines
Federal: The Life Safety Code is a source for strategies to protect people based on building construction, protection, and occupancy features that minimize the effects of fire and related hazards. The publication contains various types of occupancies, covering both new and existing constructions. Center for Medicare and Medicaid Services (CMS) uses the NFPA 101: The Life Safety Code (2000 edition) for inspections on healthcare occupancies.
State: Physical plant statues can be located under 7 AAC 12.900. Specifically, 7 AAC 12.900(b)(1) states approved facilities are to follow the Guidelines for Design and Construction of Hospital and Health Care Facilities, American Institute of Architects, 2001 edition.
Life Safety Code Waivers
The Life Safety Code (LSC) provides that the authority having jurisdiction shall determine the adequacy of protection provided for life safety from fire in accordance with the provisions of the LSC. In cases of unreasonable hardship, 42 CFR 483.70(a)(2) specifies that a waiver may be granted where it would not adversely affect resident health and safety.
The Secretary has delegated to Center for Medicare and Medicaid Services (CMS) the authority to grant waivers of LSC provisions for all facilities participating in Medicare and Medicaid with the exception of ICFs/MR. The State Agency (SA) may recommend approval of waivers requested by providers, but only CMS Regional Offices (RO) may grant approval of waivers. The State has the authority to grant waivers of ICFs/MR requirements. There is no authority for either the State or the RO to grant waivers of Board and Care Occupancy provisions.
Providers and suppliers are expected to have written documentation that they have elected to use the waiver. A provider or supplier must notify the LSC survey team at the entrance conference that it has elected the use the waiver permitted under this guidance and that it meets the applicable waiver requirements. The survey team will review the information and confirm the facility meets the conditions for the waiver.
Documentation & Record Review
In accordance with the NFPA 101 Life Safety Code, Providers are to ensure all required documentation is readily and easily accessible to the Authority Having Jurisdiction (AHJ). Each facility is expected to have a Life Safety Code Binder established and maintained for review. Please review the file attachment below for an updated list of required documentation.
Anchorage Building Safety Office
4700 Elmore Road
State Fire Marshal’s Office
Plan Review Bureau
5700 E. Tudor Road