DOH review approval letter.pdf
Letter of Transmittal
August 13, 2015
Construction Review Services
111 Israel Rd. SE
Tumwater, WA 98501
PO Box 47852
Olympia, Washington 98504-7852
Address Plans To (internal use only):
Rosewood Courte Memory Care Community
www.doh.wa.gov/crs
Attn: Facility Administrator
tel. 360-236-2944
728 Edmonds Way
fax. 360-236-2321
Edmonds, WA 98020-5126
Project Info:
CRS# 60548773 Project 728 Edmonds Way
Rosewood Courte Memory Care Community location: Edmonds, WA 98020
Chapter 388-78A WAC Assisted Living Facility
Add Nurse Office and Apartment Local Permit #: BLD20150594
Key People:
Assigned DOH Kevin A. Scarlett, RA
Reviewer: kevin.scarlett@doh.wa.gov
Facility Rosewood Courte Memory Care Community Facility Contact: Same as Administrator
Administrator: Patrick Shepard
728 Edmonds Way
Edmonds, WA 98020-5126
(425) 673-2875 x. x.
patrick@rosewoodcourte.com
Architect / Robert Moore Architect Local AHJ: City of Edmonds
Engineer: Robert Moore Leif Bjorback
th
106 Madison Ave N 121 5 Ave N.
Bainbridge Island, WA 98110 Edmonds, WA 98020
(206) 371-5191 x. (425) 771-0220 x.
rmoore@robertmoorearch.com
bjorback@ci.edmonds.wa.us
Consultant: N/A Consultant: N/A
x. x.
Contact: N/A Contact: N/A
x. x.
Copies To:
of Edmonds DOH Child Birth Center Licensing
Local AHJ: City
DOH Office of Investigations & Inspections
Moore Architect
Architect / Engineer: Robert
L&I Electrical Section
/A
Consultant: N
L&I Factory Assembled Structures
/A
Consultant: N
/A
Contact: N
CRS File
/A
Contact: N
Page 1 of 7 Plan Review Comments for Project #60548773
Facility Data Certificate:
Facility Name: Rosewood Courte Memory Care Community Licensee UBI#: 601926961
Site Address: 728 Edmonds Way Critical Access Facility:
Yes No
Edmonds, WA 98020
Estimated Date of Occupancy: Currently Occupied
Occupancy Construction Applicable Code:
R2
Group: Type:
2012 IBC
Number of Current: 43 Added: 2 Removed: 0 Total: 45
Beds:
Automatic Fire Sprinkler System: Yes No Type
Automatic Fire Alarm System: Yes No
Compartmentation reqd: Yes No Smoke Control System Provided: Yes No
Special Delayed Egress Control: Yes No Location:
Certificate of Need Required: Yes No CON Approval Granted: Yes No
CON Number :
Number of units: Private occupancy: Two person occupancy:
Based on size of rooms used for sleeping Residents
Based on size of common rooms Residents
Maximum allowable licensable beds:
Qualifies for Assisted Living Funding Program Yes No Number of qualifying units:
Put up wall to create office. Convert common area to an apartment.
The data above is based on the information presented to CRS. Any change in the facility or facility program that
causes the above information to be incorrect is subject to review by CRS. Approval for construction is not
approval for licensure. A copy of the facility data certificate will be sent to the licensing agency.
Page 2 of 7 Plan Review Comments for Project # 60548773
Rosewood Courte Memory Care Community
Chapter 388-78A WAC Assisted Living Facility
Add Nurse Office and Apartment
:
Project Status
- Authorized to Begin Construction -
- All Comments Approved
The construction documents have been reviewed and found acceptable. Construction can begin, subject to
construction permitting from the local building official.
Project Close-out Requirements
Once the below have been completed, we will notify Department of Social
& Health Services (DSHS) that you have completed the review process and are ready for final inspection
Please note the following:
The stamped Authorization to Begin Construction drawings will be delivered to the Facility
Administrator. These shall be kept available on site for inspection during construction and at post
occupancy survey.
Final licensing approval is subject to a site inspection by DSHS and the Office of the State Fire
Marshal to verify compliance with licensing regulations and your approved documents. If stamped
approved plans are not available, the site inspection may be terminated until such time they are
available as determined by the licensing inspector/surveyor.
Any changes/deviations (incl. change orders or addenda) from the stamped documents must be
submitted to the Department for review and approval.
Please include your CRS number on all communications to Construction Review Services.
PROJECT CLOSE-OUT REQUIREMENTS
You must notify the department when construction is
complete by completing the following steps:
Verify that you have resolved all of the comments on this form and have submitted any revisions
Complete the Notification of Construction Completed at:
http://www.doh.wa.gov/NotificationofCompletion.aspx
Email a copy of the approval from the local building department (final permit approval or
fslcrs@doh.wa.gov
certificate of occupancy) to:
fslcrs@doh.wa.gov
Email a floor plan showing the scope of work to:
If you have any questions please contact Construction Review Services at (360) 236-2944. You can monitor
project status at www.doh.wa.gov/crs.
Page 3 of 7 Plan Review Comments for Project # 60548773
Rosewood Courte Memory Care Community
Chapter 388-78A WAC Assisted Living Facility
Add Nurse Office and Apartment
Plan Review Comments:
1 Indicate (on plan) where existing Fire Alarm Detection and Notification Devices are
located for both work locations.
Approved 6/24/15 based on documents received 5-28-15. kas
2 Indicate (on plan) where existing Fire Sprinkler heads are located for both work
locations.
Approved 6/24/15 based on documents received 5-28-15. kas
3 Provide a City of Edmonds Building Permit number for this work.
Approved 6/24/15 based on documents received 5-28-15. kas
4 Indicate what the new office space used to be used for.
Approved 6/24/15 based on documents received 5-28-15. kas
5 Indicate the type of new doors and their construction details (20min, SCWD, vision
panel in 47, listed closers and locksets, etc).
Not Approved 6/24/15 based on documents received 5-28-15, this comment is
approved except for the following; Door 67 must be 20min rated (otherwise this
comment is approved. Also, both 20 min. doors 67 & 68 must positively latch (via auto
closers) when door is released from full open position. kas
Approved 7/24/15 based on documents received 7-16-15, Door 67 shall be 20 min
rated (see attached revised door schedule dated 7-14-15). Doors 67 & 68 each have
(2) spring hinges per submittal dated May 26, 2015 for positive latching. -kas
6 Indicate what wall infill at door construction materials are used (stud spacing, GWB
size & type, etc).
Approved 6/24/15 based on documents received 5-28-15. kas
7 Indicate what wall, floor & ceiling finishes will be used, patched, installed new.
Approved 6/24/15 based on documents received 5-28-15. kas
Page 4 of 7 Plan Review Comments for Project # 60548773
Rosewood Courte Memory Care Community
Chapter 388-78A WAC Assisted Living Facility
Add Nurse Office and Apartment
8 Indicate what heating & cooling devices will be provided for the new 2 bedroom
apartment and where the thermostat is located.
Not Approved 6/24/15 based on documents received 5-28-15, this comment is
approved except for the following; these wall heaters need to shown to mount as high
as possible (suggest contacting product mfr for distance from ceiling requirements) to
avoid burning these special Memory Care residents. The Paw-guard option may still be
necessary. Consult with the Facility Administrator and the manufacturer, then contact
your CRS reviewer with the results of those discussions prior to proceeding with this
issue. Also, indicate the finished ceiling height in this bedroom. -kas
Approved 7/24/15 based on documents received 7-16-15, in lieu of the King wall
heaters specified 5-26-15 we would like to instead use the Ouellet ORC Sunshine
Radiant Cove Heaters which can be installed on the wall 4.5 down from the
ceiling (see attached spec sheets). One (1) 450watt heater in each sleeping area as
shown on plan. Ceilings are 8 feet high. -kas
9 Provide catalog cuts for all new door hardware.
Approved 6/24/15 based on documents received 5-28-15. kas
10 Indicate where common space is located for the use of the Memory Care residents in
this West wing (corner).
Not Approved 6/24/15 based on documents received 5-28-15, CRS reviewer is
consulting with DSHS directly, however, Lobby 50 does not meet the requirements of
WAC 388-78A-3050. Contact your CRS reviewer to discuss, what, if any, options exist
for compliance with this regulation. -kas
Approved 7/24/15 based on documents received 7-16-15, the entire facility is
memory care and residents can move freely throughout the building. -kas
11 Indicate what corridor wall ratings are intended.
Approved 6/24/15 based on documents received 5-28-15. kas
12 Indicate what is provided and intended for window types at existing and new windows
in this project (fixed, sliders, size of openings, screens, etc).
Not Approved 6/24/15 based on documents received 5-28-15, Architect to verify that
at least one window in the apartment meets requirements of 2012 IBC 1029.2 & 1029.3
-kas
Page 5 of 7 Plan Review Comments for Project # 60548773
Rosewood Courte Memory Care Community
Chapter 388-78A WAC Assisted Living Facility
Add Nurse Office and Apartment
Approved 7/24/15 based on documents received 7-16-15, the existing E
windows noted on the plan drawing are single hung 3-0 wide x 5-0 tall windows
these meet the 5.7 square foot net clear opening requirement. The openings are
also located within the 44 maximum distance to the floor. -kas
13 Indicate what room furnishings and accessories will be provided in the new resident
room to fully comply with WAC 388-78A (2 towel bars, 2 wardrobes of what size, the
correct number of electrical outlets, etc).
Approved 6/24/15 based on documents received 5-28-15. Refer to added
comments 17 & 18 below. kas
14 Indicate where Nurse Call devices are located.
Approved 6/24/15 based on documents received 5-28-15. kas
15 Provide ventilation to comply with 2012 IMC outdoor air requirements.
Approved 6/24/15 based on documents received 5-28-15. kas
16 Indicate how you will separate work areas from other residents and maintain work
areas with a negative pressure space. Also, do not allow dust/ debris to enter existing
exhaust and/or return air ducts.
Approved 6/24/15 based on documents received 5-28-15. kas
17 Indicate where secure (lockable) storage for each resident is located (indicate how the
location/unit complies with WAC 388-78A-3010(1)(i)
Approved 7/24/15 based on documents received 7-16-15, each resident shall have
a night stand with a lockable drawer meeting the requirements of WAC 388-78A-
3010(1)(i). -kas
18 Indicate where additional storage for each resident is located (indicate how the
location/unit complies with WAC 388-78A-3010(1)(j)
Approved 7/24/15 based on documents received 7-16-15, each resident shall have
a wardrobe for adequate storage of clothing and personal possessions per WAC
388-78A-3010(1)(j). -kas
19 Patrick Shepard requested the following in an email dated 7/6/15; The wall & door
separating the corridor (and this small renovation) from the rest of the community
appears to be smoke/fire door. We would if possible like to do away with this door.
Page 6 of 7 Plan Review Comments for Project # 60548773
Rosewood Courte Memory Care Community
Chapter 388-78A WAC Assisted Living Facility
Add Nurse Office and Apartment
Approved 7/24/15 This door IS NOT a Fire or Smoke door, nor is the adjacent
wall. This door and cross-corridor wall may be removed. kas
20 N/A Contact CRS Senior Plans Reviewer Kevin A. Scarlett at 360.236.2949 to schedule
a Final Inspection within 2 weeks of completing construction efforts.
Compliance with the comments above provided by the Department of Health, Construction Review Services, are necessary for this facility to meet
the requirements of the applicable licensing regulations found in the Washington State Administrative Code and associated references. These
comments do not relieve the facility from the responsibility to meet the requirements of any other applicable federal, state or local regulations.
In the event of conflicts between other jurisdictions and these written comments, the most stringent shall apply.
Page 7 of 7 Plan Review Comments for Project # 60548773