(a) Plan Review. - (i) Submission of Plans and Specifications.
- (A) Plans and specifications for new construction must be submitted to the Department for evaluation and approval. No construction shall begin prior to approval of the plans by the Department.
- (B) Plans and specifications shall be submitted whenever:
- (I) New construction of a healthcare facility is planned;
- (II) An existing structure is being converted for use as a healthcare facility;
- (III) There are changes to the functional operation and space usage of an existing healthcare facility;
- (IV) Remodeling of an existing healthcare facility is planned.
- (C) Based on a preliminary plan review, the final plan review may be waived at the discretion of the Department, based on the scope and nature of the project.
- (D) Routine maintenance does not require the submission of plans and specifications. For the purpose of this subsection, Aroutine maintenance means repair or replacement of existing equipment, room finishes and furnishings, and similar activities. Such repairs shall not include the cutting away of any wall, partition or portion thereof; the removal or cutting of any structural beam or load-bearing support; or the removal or change of any required means of egress, or rearrangement of parts of the structure affecting the egress requirements; nor shall ordinary repairs include addition to, alteration of, replacement or relocation of any standpipe, water supply, sewer, drainage, drain leader, gas, soil, waste, vent or similar piping, electrical wiring or mechanical or other work affecting health or general safety.
- (E) Where equipment replacement and construction are to be performed in an emergency situation, the Department shall be notified within the next working business day. The approval for any work requiring plan approval shall be obtained for the work done for the emergency situation.
- (ii) Preliminary Plans.
- (A) One (1) set of preliminary plans, the functional program, and the Infection Control Risk Assessment, as required by the"Guidelines for Design and Construction of Healthcare Facilities - 2006 Edition," approved by the owner, shall be submitted to the Department for review and approval by the Department or by the Department's authorized representative prior to submitting final plans.
- (B) After preliminary plans are approved, the final plans shall be submitted to the Department, or the owner may choose to retain an outside plan reviewer, at the expense of the facility, who has been qualified and approved by the department.
- (C) The requirement for preliminary plans may be waived at the sole discretion of the Department, based on the nature of the project.
- (D) Approval of preliminary plans expires twelve (12) months after the date of the Department's approval letter if the final drawings have not been submitted and approved. Preliminary plans shall be resubmitted to obtain a new letter of approval.
- (iii) Final Plans.
- (A) Prior to beginning work, the owner or owner's representative shall submit two (2) complete sets of plans and specifications to the Department for evaluation and approval. Alternately, the facility owner may choose to retain an outside plan reviewer, at the expense of the facility, who has been qualified and approved by the department. Sufficient stamps or metered postage to provide for the return of one (1) set of plans and specifications shall be included at the time of plan submission and attached to a label bearing the return address of the owner or owner's representative.
- (B) When plans and specifications are submitted for review, they shall be-drawn to scale on substantial paper and shall be of sufficient clarity to indicate the nature and extent of the work proposed, and shall show in sufficient detail to indicate they conform to the provision of the statutes and the rules and regulations of the Department.
- (C) If the plans and specifications are prepared by an architect or engineer, that professional must be licensed in the State of Wyoming.
- (D) When the Department issues its final acceptance, the plans and specifications shall be stamped AREVIEWED AND ACCEPTED." The accepted plans and specifications shall not be changed, modified, or altered without authorization of the Department, and all work shall be done in accordance with the accepted plans. A set of the plans and specifications shall be returned to the owner or owner's representative, stamped AREVIEWED AND ACCEPTED," and shall be kept at the site of work, and shall be open to inspection.
- (E) Any construction on a project prior to the Department's approval of the final plans shall only be permitted by written authorization from the Department. This type of approval shall be limited to foundation construction only.
- (F) Stamped plans and specifications marked "REVIEWED AND ACCEPTED" do not authorize, allow, or approve the violation of any applicable code, law, or rules and regulations.
- (G) All plan approvals issued for a project shall become invalid unless the construction commences within 180 days from the date on the approval letter issued by the Department. In addition, plan approvals shall become invalid if construction on a project is suspended or abandoned for a period of 180 consecutive days. The Department may authorize, in response to a written request by the owner, one or more extensions of time for periods not to exceed 180 days each.
- (H) The Department may suspend or revoke the approval/acceptance issued under the provisions of these rules and regulations if the Department believes the approval/acceptance was issued on the basis of incomplete or inaccurate information.
- (I) Construction documents shall be submitted in accordance with Section 106 of the "International Building Code," Section 106.3.1 of the "International Fuel Gas Code," Section 106.3.1 of the "International Mechanical Code," Section 106.3.1 of the "International Plumbing Code," and Section 105.4 of the "International Fire Code." Separate drawings shall be prepared for each of the following branches of work: architectural, structural, mechanical, and electrical. The working drawings and specifications, in addition and as appropriate to the project, shall include or contain the following:
- (I) Architectural Drawings.
- (1.) Site plan showing all new topography: newly established levels and grades, existing structures on the site (if any), new buildings and structures, roadways, walks, and the extent of areas to be landscaped. All structures and improvements that are to be removed under the construction contract shall be shown.
- (2.) Plan of each floor and roof.
- (3.) Elevations of each facade.
- (4.) Sections through the building.
- (5.) Elevators and dumbwaiters. Drawings delineating shaft details and dimensions; sizes of cab platform and doors; travel distances, including elevation of landings; pit sizes; and machine rooms.
- (6.) Kitchen, laundry, laboratories, special care areas, and similar areas shall be detailed at a scale to show the location, type, size, and connection of all fixed and movable equipment.
- (7.) Scale details as necessary; scale details to one and one-half inches (1-1/2") to the foot may be necessary to properly indicate portions of the work.
- (8.) Schedule of finishes.
- (9.) List of applicable building codes.
- (10.) A separate plan for each floor, including smoke compartmentation, exit signage, fire extinguishers, fire alarm devices, pull stations, sprinklered areas, fire barriers, and corridor protection reflecting "NFPA 101: Life Safety Code."
- (II) Structural Drawings.
- (1.) Plan of foundation, floors, roofs, and intermediate levels shall show a complete design with sizes, section, and the relative location of the various members, schedule of beams, girders, and columns.
- (2.) Floor levels, column centers, and offsets shall be dimensioned.
- (3.) Special openings and pipe sleeves shall be dimensioned or otherwise noted for easy reference.
- (4.) Details of all special connection, assemblies, and expansion joints shall be given.
- (5.) Notes on design data shall include the name of the governing building code, values of allowable unit stresses, assumed live loads, wind loads, earthquake load, and soil-bearing pressures.
- (6.) For special structures, a stress sheet shall be incorporated in the drawings showing:
- b. All load assumptions used;
- c. Stresses and bending moments separately for each kind of loading;
- d. Maximum stress and/or bending moment for which each member is designed, when not readily apparent from the mechanical drawings; and
- e. Horizontal and vertical reaction at column bases.
- (III) Mechanical Drawings.
- (1.) Heating, cooling, and ventilation plans, including:
- a. Radiators, coils, and steam-heated equipment, such as sterilizers, warmers, and steam tables;
- b. Heating and steam mains and branches with pipe sizes;
- c. Diagram of heating and steam riser with pipe sizes;
- d. Sizes, types, and heating surface of boiler furnaces with stokers and oil burners, if any;
- e. Pumps, tanks, boiler breeching and piping, and boiler room accessories;
- f. Air conditioning systems with required equipment, water and refrigerant piping, and ducts;
- g. Supply and exhaust ventilating systems with connection and piping; and
- h. Air quantities for all room supply and exhaust ventilating duct openings.
- (2.) Plumbing, drainage, and stand pipe systems plans including:
- a. Size and elevation of street sewer, house sewer, house drains, street water main, and water service into the building;
- b. Location and size of soil, waste, and vent stacks with connection to house drain, clean outs, fixtures, and equipment;
- c. Size and location of hot, cold, and circulating mains, branches, and risers for the service entrance and fixture connections;
- d. Gas, oxygen, and similar piped system;
- e. Standpipe and sprinkler system; and
- f. All fixtures and equipment that require water and drain connections.
- (IV) Electrical Drawings.
- (1.) Electrical service entrance with switches and feeders to the public service feeders, characteristics for the light and power current, transformers and their connection if located in the building.
- (2.) Location of main switchboard, power panels, light panels, and equipment. Feeder and conduit sizes shall be shown with schedule of feeder breaker or switches.
- (3.) Light outlets, receptacles, switches, power outlets, and circuits.
- (4.) Telephone layout showing service entrance, telephone switchboard, strip boxes, telephone outlets, branch conduits, and public telephones.
- (5.) Nurse call systems with outlets for beds, duty stations, corridor signal lights, annunciators, and wiring diagrams.
- (6.) Fire alarm system with stations, signal devices, control board, and wiring diagrams.
- (7.) Emergency electrical system with outlets, transfer switch, source of supply, feeders, and circuits.
- (8.) All other electrically operated systems and equipment.
- (iv) Special submittals.
- (A) Automatic sprinkler systems. At least two (2) sets of the sprinkler system shop drawings, specifications, and calculations prepared by the installer shall be submitted for review and approval prior to the installation.
- (B) Radiation Protection. Any project that includes radiology or special imaging equipment used in medical diagnosis, treatment, and therapy of patient's, shall include plans, specifications, and shielding criteria, prepared by a qualified medical physicist. The plans shall be submitted and approved prior to the installation of the equipment.
- (v) Plans and specifications shall be reviewed by personnel who are certified pursuant to the applicable code. Personnel who perform plan reviews shall, as a minimum, be certified as follows:
- (A) Building Plans Examiner - certified by the International Code Council.
- (B) Mechanical Plans Examiner - certified by the International Code Council.
- (C) Plumbing Plans Examiner - certified by the International Code Council.
- (D) Fire Plans Examiner - certified by the National Fire Protection Association.
(b) Inspections. - (i) The construction specifications shall require the contractor to perform tests to ensure all systems conform to the approved plans and specifications.
- (A) It shall be the owner's responsibility to ensure qualified inspectors are retained to perform all required construction inspections throughout the course of the construction project. The owner may request inspection(s) by Department inspectors or may choose to retain outside inspectors, at the expense of the facility, who have been qualified and approved by the Department. Inspections shall be conducted in accordance with the following codes and shall be completed by personnel certified pursuant to the applicable code:
- (I) Section 109 of the 2006 Edition of the "International Building Code."
- (II) Section 107 of the 2006 Edition of the "International Fuel Gas Code."
- (III) Section 107 of the 2006 Edition of the "International Mechanical Code."
- (IV) Section 107 of the 2006 Edition of the "International Plumbing Code."
- (V) Section 106 of the 2006 Edition of the "International Fire Code."
- (B) Records of inspections shall be retained by the owner and shall be available for inspection by the Department. An inspection sign-off card shall be provided by the Department to be maintained at the construction site. A representative of the Department may periodically visit the site and conduct random inspections of construction elements to ensure conformance with approved plans and specifications.
- (ii) Licensure Construction Survey.
- (A) Requests for final inspection for licensure on a mutually agreed upon date between the owner and the Department shall be made in writing by the owner to the Department.
- (B) Building System Certifications and Tests.
- (I) The owner, as requested, shall submit to the Department test reports and certifications as determined by the Department, based on the scope and nature of the project.
- (C) If deficiencies are found as a result of the licensure construction survey, the healthcare facility, as requested, shall submit a plan of correction for review and acceptance by the Department.
- (D) Healthcare facilities shall not provide patient services in the construction, remodel, or expanded areas until written authorization to provide such services is provided by the Department.
(c) Technical Assistance. The owner or owner's representative may request technical assistance from the Department concerning the application of the codes, standards, and regulations in these Rules. - (i) Design and Professional Services. Project design and professional architect services requirements, including consultants, are provided in the Rules and Regulations of the Wyoming State Board of Architects and Landscape Architects.
(d) Interpretations. Requests for interpretations of Section 5. Construction Design Requirements for Healthcare Facilities, may be submitted to the Department. The following resources will be used by the Department to provide a formal interpretation: Centers for Medicare & Medicaid Services, National Fire Protection Association, International Code Council, and The American Institute of Architects Academy of Architecture for Health.