FACBC and ADA Accessibility Copyright Materials Standards...

FACBC and ADA Accessibility Standards for Medical/Hospital Facilties -Advanced

May 12, 2013 1

Presented by

Larry M. Schneider AIA

Jeffery Gross AIA NCARB

FACBC and ADA Accessibility Standards for Medical/Hospital

Facilities - Advanced

Copyright Materials

This presentation is protected by US and International Copyright laws. Reproduction,

distribution, display and use of the presentation without written permission of the speaker is

prohibited.

© Larry M. Schneider, AIA

What we will cover

• How did we get here with the ADA

• Common ADA Myths• Health Care specifics• Most missed items• 2010 ADA Standards• 2012 FACBC• What you and your facility can

do

Who do you know with a disability?

• Yourself

• Friend

• Parent

• Pet


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Learning Objectives

This session will address applying the 2010 ADA Standards and the Florida Accessibility Code for Building Construction to projects within the State of Florida

Oh, You Must Be An Architect . .Do Not Let This Happen to You


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We Do Not Want This To Be You

When Working On Accessibility Compliance

Issues

This Will Not Absolve You of

Accessibility Compliance !!!

This image cannot currently be displayed.

Compliance with the ADA??


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New 2010 ADA

Standards as Published by

the Department of Justice

New 2010 ADA Standards as Published by

the Department of

Justice – A Guidance

Book


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2010 ADA Requirements

• Element by Element Safe Harbor. The rule includes a general "safe harbor" under which elements in covered facilities that were built or altered in compliance with the 1991 Standards would not be required to be brought into compliance with the 2010 Standards until the elements were subject to a planned alteration. A similar safe harbor applies to elements associated with the "path of travel" to an altered area.


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2010 ADA New Definitions

• Service animal means any dog that is individually trained to do work or perform tasks for the benefit of an individual with a disability, including a physical, sensory, psychiatric, intellectual, or other mental disability. Other species of animals, whether wild or domestic, trained or untrained, are not service animals for the purposes of this definition. The work or tasks performed by a service animal must be directly related to the handler’s disability.


• The crime deterrent effects of an animal’s presence and the provision of emotional support, well-being, comfort, or companionship do not constitute work or tasks for the purposes of this definition.


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• Miniature horses. (i) A public accommodation shall make reasonable modifications in policies, practices, or procedures to permit the use of a miniature horse by an individual with a disability if the miniature horse has been individually trained to do work or perform tasks for the benefit of the individual with a disability.


• (ii) Assessment factors. In determining whether reasonable modifications in policies, practices, or procedures can be made to allow a miniature horse into a specific facility, a public accommodation shall consider—

• (A) The type, size, and weight of the miniature horse and whether the facility can accommodate these features;

2010 ADA New Definitions• (B) Whether the handler has sufficient control of

the miniature horse;

• (C) Whether the miniature horse is housebroken; and

• (D) Whether the miniature horse’s presence in a specific facility compromises legitimate safety requirements that are necessary for safe operation.

• (iii) Other requirements. Sections 36.302(c)(3) through (c)(8), which apply to service animals, shall also apply to miniature horses.

DOJ

The Fed’s


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New 2010 ADA

Standards as Published by

the Department of Justice

New 2010 ADA Standards as Published by

the Department of

Justice – A Guidance

Book

Standard Name Changes• ADAAG now - 1991

Americans with Disabilities Standards for Accessible Design

New update - 2010 Americans with Disabilities Standards for Accessible Design

Florida Accessibility Code Requirements


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2012 FACBC Requirements• Exceptions to applicability of the federal standards.—Notwithstanding

the adoption of the Americans with Disabilities Act Standards for Accessible Design pursuant to s. 553.503, all buildings, structures, and facilities in this state must meet the following additional requirements if such requirements provide increased accessibility:

• (1) All new or altered public buildings and facilities, private buildings and facilities, places of public accommodation, and commercial facilities, as those terms are defined by the standards, subject to this part, must comply with this part.

• (2) All new single-family houses, duplexes, triplexes, condominiums, and townhouses shall provide at least one bathroom, located with maximum possible privacy, where bathrooms are provided on habitable grade levels, with a door that has a 29-inch clear opening. However, if only a toilet room is provided at grade level, such toilet room must have a clear opening of at least 29 inches.

• (3) Notwithstanding the requirements in s. 404.2.9 of the standards, exterior hinged doors must be designed so that such doors can be pushed or pulled open with a force not exceeding 8.5 foot pounds.

2012 FACBC Requirements• (4) In motels and hotels a number of rooms equaling

at least 5 percent of the guest rooms minus the number of accessible rooms required by the standards must provide the following special accessibility features:

• (a) Grab rails in bathrooms and toilet rooms that comply with s. 604.5 of the standards.

• (b) All beds in designed accessible guest rooms must be an open-frame type that allows the passage of lift devices.

• (c) Water closets that comply with section 604.4 of the standards.

• All buildings, structures, or facilities licensed as a hotel, motel, or condominium pursuant to chapter 509 are subject to this subsection. This subsection does not relieve the owner of the responsibility of providing accessible rooms in conformance with ss. 224 and 806 of the standards.

2012 FACBC Requirements• (5) Notwithstanding ss. 213 and 604 of the standards, required

bathing rooms and toilet rooms in new construction shall be designed and constructed in accordance with the following:

• (a) The wheelchair accessible toilet compartment must contain an accessible lavatory within it, which must be at least 19 inches wide by 17 inches deep, nominal size, and wall-mounted. The lavatory shall be mounted so as not to overlap the clear floor space areas required by s. 604 of the standards for the wheelchair accessible toilet compartment and comply with s. 606 of the standards. Such lavatories shall be counted as part of the required fixture count for the building.

• (b) The accessible water closet within the wheelchair accessible toilet compartment must be located in the corner, diagonal to the door.

• (6) Barriers at common or emergency entrances and exits of business establishments conducting business with the general public that are existing, under construction, or under contract for construction which would prevent a person from using such entrances or exits must be removed.


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2012 FACBC Requirements

• Accessible Parking Spaces• All spaces must be located on an accessible route

that is at least 44 inches wide so that users are not compelled to walk or wheel behind parked vehicles except behind his or her own vehicle.

• (c)1. Each parking space must be at least 12 feet wide. Parking access aisles must be at least 5 feet wide and must be part of an accessible route to the building or facility entrance. The access aisle must be striped diagonally to designate it as a no-parking zone.

2012 FACBC Requirements Each such parking space must be striped in a manner that is consistent with

the standards of the controlling jurisdiction for other spaces and prominently outlined with blue paint, and must be repainted when necessary, to be clearly distinguishable as a parking space designated for persons who have disabilities. The space must be posted with a permanent above-grade sign of a color and design approved by the Department of Transportation, which is placed on or at least 60 inches above the finished floor or ground surface measured to the bottom of the sign and which bears the international symbol of accessibility meeting the requirements of s. 703.7.2.1 of the standards and the caption “PARKING BY DISABLED PERMIT ONLY.” Such a sign erected after October 1, 1996, must indicate the penalty for illegal use of the space. Notwithstanding any other provision of this section, in a theme park or an entertainment complex as defined in s. 509.013 in which accessible parking is located in designated lots or areas, the signage indicating the lot as reserved for accessible parking may be located at the entrances to the lot in lieu of a sign at each parking place. This subsection does not relieve the owner of the responsibility of complying with the signage requirements of s. 502.6 of the standards.

2012 FACBC Requirements

• 553.513 Enforcement.—It shall be the responsibility of each local government and each code enforcement agency established pursuant to s. 553.80 to enforce the provisions of this part. This act expressly preempts the establishment of handicapped accessibility standards to the state and supersedes any county or municipal ordinance on the subject. However, nothing in this section shall prohibit municipalities and counties from enforcing the provisions of this act.

Changes to the Florida Accessibility Code – 2012 FACBC

• The 1997 Florida Accessibility Code for Building Construction was certified by DOJ, however, the 2012 Florida Accessibility Code for Building Construction must also be reviewed and certified by DOJ. Until the review is completed and DOJ notifies the State the 2012 Code is certified all parties should maintain due diligence to ensure compliance with both the 2010 ADA Standards for Accessible Design and the 2012 Florida Accessibility Code.


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2012 FACBC Certification

• The 2012 FACBC was submitted to the Department of Justice on March 12, 2012 for the certification process

• Still awaiting their response . . . . .

FACBC Waiver Availability• The Florida Building Commission may waive

Florida specific requirements of this code. It does not waive requirements of this code to standards below the federal ADA standards on which it is based. Applications for waiver and the criteria for their review are established by Rule Chapter 9N-4, Florida Administrative Code. Current versions of the Rule can be accessed through the Florida Department of State website http://dlis.dos.state.fl.us/fgils/government.html Applications can be found on the Florida Building Commission website www.FloridaBuilding.org

FACBC Waiver Availability• The commission may render declaratory statements in

accordance with s. 120.565 relating to the provisions of the Florida Accessibility Code for Building Construction not attributable to the Americans with Disabilities Act Accessibility Guidelines. Notwithstanding the other provisions of this section, the Florida Accessibility Code for Building Construction and chapter 11 of the Florida Building Code may not be interpreted by, and are not subject to review under, any of the procedures specified in this section. This subsection has no effect upon the commission’s authority to waive the Florida Accessibility Code for Building Construction as provided by s. 553.512.

• Florida code has been completely updated and formatted to mirror Federal format

• Florida code incorporates the 2010 Federal standard and Florida specific items

• Florida code was effective same date as Federal code, March 15, 2012

Florida Accessibility Changes


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New Format• Chapter 1: Application and

Administration • Chapter 2: Scoping Requirements • Chapter 3: Building Blocks • Chapter 4: Accessible Routes • Chapter 5: General Site and Building

Elements • Chapter 6: Plumbing Elements and

Facilities • Chapter 7: Communication Elements

and Features • Chapter 8: Special Rooms, Spaces,

and Elements • Chapter 9: Built-In Elements • Chapter 10: Recreation Facilities • Appendix

FBC Accessibility Markings

Survey Tools of the Trade

The Recommended “Tools of the Trade” for Accessibility Site Reviews• Any tape measure (recommend a minimum of 25 feet).• The leveling device is a Macklanburg-Duncan model

number 92379 24" SmartTool with Module by Macklanburg Duncan. The current price is $109.99 and it can be found at www.amazon.com The slope meter comes in a 6 inch, 2 foot, and 4 foot size. At a minimum we would recommend the 2-foot unit. Consider the 6-inch module also (for curb work).

• Door pressure gauge can be purchased from HMC, INT’L DIV., INC., Littleton, Colorado. Phone number is 303-7943703 and 1-800-8484912, ext 4452. You would be looking for model number DPG-PP 0-35 pound force range (estimated cost $30.00).

• Digital camera. Model and style your choice.


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2010 Standard Changes• Signage height changes - Formerly 60 inch centerline of sign to

floor, now changes to 48 to 60 inches bottom of letters on signs to the floor.

• Now signs on latch side of door only changes to allowing signs on door swings into space away from you.

New Sign Requirement

Valet Parking

Valet parking counted into total parking


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Healthcare ADA Specifics

Healthcare ADA Issues

• All staff knowledgeable about ADA, elements in facility.

• All staff knowledgeable about ADA Policies.

• Maintenance of accessibility features

• Provide accessibility for in-patient, out- patients and visitors.

Accessible RouteInvisible items

• Location

• Keep Clear

• Maintain

Clear Space at Tables/Beds• Drop rail• 30” x 48”

clear space• Transfer

height• Accessible

route 36”


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Standards for Medical Diagnostic Equipment • No standards

presently exist

• Still have to deal with patients

• Access-Board presently in rulemaking

Patient Transfer - Assisted

Patient Transfer - SelfPatient Transfers – Overhead Lifts


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Patient Transfer –Movable Tables

Know Your Resources What and were is accessible

Policies – Who Should Know Them

• Administration

• Nurses

• Support workers

• Maintenance / facilities

• Volunteers

• Vendors

Conventions

• Dimensions – range instead of absolute dimension where possible

• Construction and manufacturing tolerances

• Scoping percentages/ratios (round up)

• Figures – informational; text governs


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Ranges instead of absolute dimensions

Water closet centerline (16‐18”)

Width of ambulatory accessible stall (35”‐ 37”)

Some absolute dimensions remain

e.g. transfer shower stall (36” x 36”)

(measured to center points; manufacturing tolerances recognized)

Tolerances do not apply to ranges


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Common ADA Errors and Omissions in New Construction and Alterations - Parking

Error/Omission The built-up curb ramp projects into the access aisle. The

accessible parking space and access aisle is not level in all directions.

Result When an access aisle has a sloped surface, a wheelchair

may roll away from a car or van preventing the wheelchair user from getting out of the vehicle. The sloped surface also prevents a van-mounted wheelchair lift from being fully-lowered to the access aisle surface.

Requirement Parking Spaces…Parking spaces and access aisles

shall be level with surface slopes not exceeding 1:48 in all directions.


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Plan Ahead . . .


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Error/Omission There is no accessible route from accessible parking to an

accessible entrance. Result

A person using a wheelchair, scooter, or walker has no way of getting from the accessible parking space to the building entrance. Often when there is an inaccessible walkway provided for others, wheelchair users must use a roadway or vehicular route which can be dangerous.

Requirement Parking Spaces…Parking access aisles shall be part

of an accessible route to the building or facility entrance and shall comply with 502.3


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And the Accessible Parking Space Is???


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Error/Omission No van accessible spaces are provided in the parking

area. Result

A person who uses a van equipped with a wheelchair lift has inadequate space to lower the wheelchair lift and get out of the vehicle.

Requirement 208.2.4 Van Parking Spaces. Where van parking is

provided pursuant to section 502.2, for every six or fraction of six parking spaces required by 208.2 to comply with 502, at least one shall be a van parking space complying with 502.

installing the steel pillars in concrete to stop vehicles from parking on the pavement outside a Sports Bar downtown. They are now in the process of cleaning up at the end of the day and anxious to go home.

How long do you think it will be before they realize where their vehicle is parked?


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Common ADA Errors and Omissions in New Construction and Alterations - Accessible Route –Exterior Error/Omission

The pedestrian routes on a site from public transportation stops, accessible parking spaces, passenger loading zones, and public streets and sidewalks to the accessible entrance(s) are not accessible.

Result People with disabilities cannot travel from the site entry

points to the accessible entrance(s). In some cases, people must use vehicular routes which can be dangerous.

Requirement At least one accessible route shall be provided within the

site from accessible parking spaces and accessible passenger loading zones; public streets and sidewalks; and public transportation stops to the accessible building or facility entrance they serve per 206.2.1

Accessible Route


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Accessible Route


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Accessible Route at an Entry Door


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Accessible Path of Travel???


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Common ADA Errors and Omissions in New Construction and Alterations - Curb Ramps

Error/Omission Curb ramp that is located across a circulation path has

steep unprotected side flares. Result

People walking across the curb ramp may trip and be injured. People who use wheelchairs can tip over if they accidentally roll over the non-flared sides.

Requirement 406.3 Sides of Curb Ramps. Where provided, curb ramp

flares shall not be steeper than 1:10. EXCEPTION: In alterations, where there is no landing at

the top of curb ramps, curb ramp flares shall be provided and shall not be steeper than 1:12.


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Detectable Warnings At Curb Ramps

Detectable Warnings At Curb Ramps Detectable Warnings

406.8 Detectable Warnings. Curb ramps subject to Department of Transportation regulation 49 CFR 37.21 shall have a detectable warning complying with 705. The detectable warning shall extend the full width of the curb ramp (exclusive of flared sides) and shall extend either the full depth of the curb ramp or 24 inches deep minimum measured from the back of the curb on the ramp surface.


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Common ADA Errors and Omissions in New Construction and Alterations - Ramps

Error/Omission Parts of an accessible route with slopes that exceed 1:20 lack

required features including handrails and edge protection. Result

When a walkway or other pedestrian surface has a slope greater than 1:20, it is more difficult to maintain control of a wheelchair. Wheelchair users may also not be able to climb up the sloped route without railings. Lack of edge protection may result in injury if a wheelchair user rolls off the side of the route. People who use a mobility device such as crutches, a cane, or a walker may lose their balance or fall while using a sloped section that does not have handrails or edge protection.

Requirement 403.3 Slope. The running slope of walking surfaces shall not be

steeper than 1:20. The cross slope of walking surfaces shall not be steeper than 1:48.


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Ramp at the Stair


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Handrails are Required to Extend in the Direction of Travel


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Common ADA Errors and Omissions in New Construction and Alterations - Doors Error/Omission

Adequate maneuvering clearance is not provided at doors, including doors to accessible toilet stalls.

Result A person using a wheelchair cannot open the door without a

clear level area in front of and adjacent to the door that provides a place to maneuver.

Requirement 404.2.4.1 Swinging Doors and Gates. Swinging doors and gates

shall have maneuvering clearances complying with Table 404.2.4.1.

404.2.4.3 Recessed Doors and Gates. Maneuvering clearances for forward approach shall be provided when any obstruction within 18 inches of the latch side of a doorway projects more than 8 inches beyond the face of the door, measured perpendicular to the face of the door or gate.


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Common ADA Errors and Omissions in New Construction and AlterationsDoors

Door Approach Figure 404.2.4.1 Requirements


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Clear Floor Space at Door Exiting Out –See Figure 404.2.4.1

Ground & Floor Surfaces

404.2.5 Thresholds. Thresholds, if provided at doorways, shall be ½ inch high maximum. Raised thresholds and changes in level at doorways shall comply with 302 and 303.

EXCEPTION: Existing or altered thresholds ¾ inch high maximum that have a beveled edge on each side with a slope not steeper than 1:2 shall not be required to comply with 404.2.5.


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Add on Door Threshold for Existing Doors


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Common ADA Errors and Omissions in New Construction and Alterations - Doors

Error/Omission The shape of the door hardware requires tight grasping,

pinching, and twisting of the wrist to use. Result

The door cannot be opened if the user cannot operate the latch or handle.

Requirement 404.2.7 Door and Gate Hardware. Handles, pulls, latches,

locks, and other operable parts on doors and gates shall comply with 309.4.

309.4 Operation. Operable parts shall be operable with one hand and shall not require tight grasping, pinching, or twisting of the wrist. The force required to activate operable parts shall be 5 pounds (22.2 N) maximum.

Be Careful of the Design of the Pull Plates That You Specify

The Issue is the Locking Device Requires Pinching and/or Grasping to Operate


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Common ADA Errors and Omissions in New Construction and Alterations - Circulation Paths

Error/Omission Objects protrude into circulation paths from the side or

from posts. Objects that overhand circulation paths do not provide

clear headroom. Result

People who are blind or who have low vision can be seriously injured when they cannot detect and object by using the sweep of their cane.

Requirement 307.2 Protrusion Limits. Objects with leading edges more

than 27 inches and not more than 80 inches above the finish floor or ground shall protrude 4 inches maximum horizontally into the circulation path.

EXCEPTION: Handrails shall be permitted to protrude 4 1/2 inches maximum.

Accessible Route


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Protruding Counter Issue


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Protruding Object in a Circulation Space -Area

Protruding Object in a Circulation Space -Area


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Common ADA Errors and Omissions in New Construction and Alterations - Toilet Rooms and Bathrooms

Error/Omission Where toilet rooms or bathrooms are provided, not all public

and common use toilet rooms and bathrooms (including locker rooms and toilet rooms for employee use) are accessible.

Result People with disabilities are restricted to limited number of toilet

rooms and may have to travel long distances to the accessible toilet room while others can use any toilet room.

Requirement 213.2 Toilet Rooms and Bathing Rooms. Where toilet rooms are

provided, each toilet room shall comply with 603. Where bathing rooms are provided, each bathing room shall comply with 603.

213.3.1 Toilet Compartments. Where toilet compartments are provided, at least one toilet compartment shall comply with 604.8.1. In addition to the compartment required to comply with 604.8.1, at least one compartment shall comply with 604.8.2 where six or more toilet compartments are provided, or where the combination of urinals and water closets totals six or more fixtures.


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Transfer Within the Toilet Stall




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Toilet Rooms

This signage is for a Unisex –Companion –Family toilet room. Just no smoking allowed!!!!


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Watch out for what can fall on you!!!!!


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Care to sit on this seat?

The Ultimate Accessible Toilet Room


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604.8 Toilet Compartments


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How tough are you really ???


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Grab Bar Installation


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Plan Ahead


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6th Stall213.3.1 Toilet Compartments. Where toilet compartments are provided, at least one toilet compartment shall comply with 604.8.1. In addition to the compartment required to comply with 604.8.1, at least one compartment shall comply with 604.8.2 where six or more toilet compartments are provided, or where the combination of urinals and water closets totals six or more fixtures.

6 or More Fixtures Accessible Toilet Stall

Accessible Toilet Stall Side Bar Issue


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Toilet Stall Door Hardware

Access is blocked by the legs

There is no requirement for the extended –medical lavatory or the wrist blades. Do not specify this lavatory!!!!

There is no Requirement for Tilt Mirrors

That Requirement Went Away in 1993!!!!


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A Little Help from our Friends


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And What Might This be For???

Complaint Grab Bars at the Shower???


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So What is Wrong with this, if Anything?


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Toilet Room Door Signage

Access Via Steps???? Interesting But Not Compliant


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This image cannot currently be displayed.This image cannot currently be displayed.


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Common ADA Errors and Omissions in New Construction and Alterations -Drinking Fountains Error/Omission

All drinking fountains are mounted with the spout at 36˝ A.F.F Result

People who have difficulty stooping or bending over are not able to get a drink from the accessible 36˝ high drinking fountain.

Requirement 211.2 Minimum Number. No fewer than two drinking fountains

shall be provided. One drinking fountain shall comply with 602.1 through 602.6 and one drinking fountain shall comply with 602.7. EXCEPTION: Where a single drinking fountain complies with 602.1 through 602.6 and 602.7, it shall be permitted to be substituted for two separate drinking fountains.211.3 More Than Minimum Number. Where more than the minimum number of drinking fountains specified in 211.2 are provided, 50 percent of the total number of drinking fountains provided shall comply with 602.1 through 602.6, and 50 percent of the total number of drinking fountains provided shall comply with 602.7.

Common ADA Errors and Omissions in New Construction and Alterations -Drinking Fountains Requirement

211.2 Minimum Number. No fewer than two drinking fountains shall be provided. One drinking fountain shall comply with 602.1 through 602.6 and one drinking fountain shall comply with 602.7. EXCEPTION: Where a single drinking fountain complies with 602.1 through 602.6 and 602.7, it shall be permitted to be substituted for two separate drinking fountains.

211.3 More Than Minimum Number. Where more than the minimum number of drinking fountains specified in 211.2 are provided, 50 percent of the total number of drinking fountains provided shall comply with 602.1 through 602.6, and 50 percent of the total number of drinking fountains provided shall comply with 602.7.


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Common ADA Errors and Omissions in New Construction and Alterations - Restaurants

Error/Omission Accessible seating not provided

Result No able to sit at a table

Requirement 226 Dining Surfaces and Work Surfaces 226.1 General. Where dining surfaces are provided for

the consumption of food or drink, at least 5 percent of the seating spaces and standing spaces at the dining surfaces shall comply with 902. In addition, where work surfaces are provided for use by other than employees, at least 5 percent shall comply with 902.



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I KNOW YOU BELIEVE YOU UNDERSTAND WHAT YOU THINK I SAID BUT I AM NOT SURE YOU REALIZE THAT WHAT YOU HEARD IS NOT WHAT I MEANT

The End

Or is it??

Thank You

And have a

Great Day . . .

Larry M. Schneider AIA561-799-6942

Jeffery Gross AIA954-925-3964

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