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July 14, 1972 <br />Pleasant Acres Nursing Home (Addition & Alterations) <br />5129 Hilltop Road <br />Everett, Washington <br />Edited and Reviewed gy; <br />Project Architect: <br />Review of: <br />Plans dated: <br />Plans received; <br />`-�% ,^ � ,�i="� . �.���--' /�-C/ <br />/ , <br />Harry Broman, elrchitect, Health Services Division <br />T. R. Leonard & Associates, Bellevuc <br />Preliminary Drawings, DSHS ;�72243 <br />June 12� 1972 <br />June 16, 1972 <br />Items followed by citation of a section number are requirements of t?�e Standards, <br />Rules and Regulations for Nursing Homes as adopted on March 11� 19G0 by the <br />State Soard of Ilealth, as amended to date. Pfedicaid items� Title XLY. are <br />followed by Che appropriate ECF Condition of Participation number. <br />Part A: Additional Znformation and/or Material Needed tor Review Purposes <br />A-1 The kitchen will be evaluated when the drawing is submitted <br />showing the major and fixed equilmentthaC will be used in <br />the dietary service. (IdAC 248-14-120(6) <br />A-2 Please indicate the kind of tray delivery �arts that caill <br />be used to delivery the patient's tood to their bedsides and <br />show the equipmenl• that will insure food being delivered <br />at the proper tertiperatures, both hoL- and cold, <br />(WAC 248-14-120(6)(HIR 405.1125) <br />A-3 Indicate proposed main enCrance to facility, <br />A-4 What is the proposed use of the room Located between <br />the new exam room and the clean utility room7 <br />A-5 Identify equip�ent and plumbind fiatures shown in new, clean <br />and soiled utility rooms. (See enclosure describing acceptable <br />layout and equipment) <br />A-6 {dhere is separate storage for oxygen provided? (SEC. 2321, <br />NFPA No. 56) <br />Part B: Design Fcatures Not Meeting the Standards of the State Board of <br />Health and/or the Fedcral Conditions of Participation Lor Stcilled <br />Nursing Care Facilieies <br />B-1 A lavatory equipped with other than hand controls shall be <br />located within the bedroom used for isolation. (WAC 248-14-120(2)(e)) <br />