Developmental Disabilities Administration 040 - M2 - KI - CMO FIRE SYSTEMS TESTING

Agency Submittal: 21-2018 Suppl Agency Req Budget Period: 2017-19

REQUEST

The Department of Social & Health Services (DSHS) requests an ongoing $1,376,000 ($1,098,000 GF-State) to fully fund the fire systems testing and elevator maintenance services at the following DSHS facilities: Child Study and Treatment Center (CSTC), Eastern State Hospital (ESH), Echo Glen Children’s Center (EGCC), Fircrest School (FS), Green Hill School (GHS), Lakeland Village (LV), Naselle Youth Camp (NYC), Rainier School (RS), Special Commitment Center (SCC), Western State Hospital (WSH), and Yakima Valley School (YVS). For this request $480,000 ($246,000 GF-State) is to be appropriated to the Developmental Disabilities Administration.

PROBLEM STATEMENT

The institutions that hundreds of people call home are in a state of continuous deterioration. CMO is not adequately funded to cover the continuously rising cost of maintenance for the 11 major DSHS facilities it operates. The following activities are the most immediate needs for life safety:

Activity Interval Requiring Authority

Testing Requirements

Locations Contracted Cost per FY

Fire Systems Confidence Testing (alarms, sprinklers)

Annual/Quarterly International

Fire Code, CMS NICET*

BHA, JR and DDA facilities

Yes 297,000

Fire Suppression Hood System

Cleaning Annual CMS, WAC NICET

BHA, JR and DDA facilities

Yes 44,000

Elevator Maintenance

Monthly L&I, WAC L&I Certified

Elevator Mechanic

BHA, JR and DDA facilities

Yes 165,000

Emergency Generator Load

Bank Testing Annual CMS, WAC none

BHA, JR and DDA facilities

Yes 56,000

Pest Control Monthly CMS - Infection

Control

Licensed Pest Control

Technician (RCW 17.41)

BHA, JR and DDA facilities

Yes

79,000

Funding fire systems confidence testing and fire suppression hood system cleaning will reduce additional findings and/or citations by Centers for Medicare and Medicaid Services (CMS), and most importantly mitigate the possibility of loss of life or total asset loss due to an unsuppressed/unalarmed fire. In April 2017, Western State Hospital’s fire systems testing was mandated to be performed by a National Institute for Certification in Engineering Technologies* (NICET) 2 Certified individual. This new requirement represents another significant drain on current operating funds as no staff hold this certification. Due to increased CMS requirements, the cost of fire confidence testing services has increased over the last three years by 40 percent at some DSHS facilities. The most notable increase occurred with ESH and LV at a

040 - M2 - KI - CMO Fire Systems Testing

combined cost from $42,000 in Fiscal Year 2014 to $63,000 in Fiscal Year 2016. This increase in cost only adds to the already stretched operating funds of CMO and further takes away from needed preventive and corrective maintenance at DSHS facilities. Fire systems testing is an essential and continuous requirement for any professionally managed facility. Specific funding for elevator maintenance will bring degraded elevators back up to code by freeing up operating funds to be spent on much needed corrective elevator maintenance beyond that of the routine Maintenance Control Program. This will enable DSHS to avoid fines issued by Labor and Industries for any elevator inspection findings and mitigate the risk associated with elevator utilization. WSH has received over $24,000 in fines in the last two years for elevator maintenance citations. At ESH, a 51 year old generator installed in 1966 supplies backup power to clients on life support. Without performing intermittent load bank tests, CMO is unable to guarantee the generator is capable of handling the required electrical load. In the event of a power outage, life support equipment utilized by our clients could fail. Pest control is a necessity to facility life, safety, and maintenance as it assists DSHS facilities in infection control regulations. Birds, bats, rodents, rabbits, marmot herds, skunks, bed bugs, are examples of some of the pests that are located on the grounds of DSHS facilities. All of these animals can carry diseases and also cause harm to physical assets. Any professionally managed property will control pests through a licensed pest control program. Failure to fully fund the above services will contribute to the ongoing degradation of the living quarters for those people whose care and custody is the responsibility of DSHS. The below facilities have been identified as DSHS’s highest need sites.

PROPOSED SOLUTION Fully fund the costs of fire systems testing, hood suppression cleaning, elevator maintenance, pest control and emergency generator testing services across 11 DSHS facilities and continue funding at the same level for ongoing fiscal years.

EXPECTED RESULTS

Fire System

Confidence

Testing

Elevator

Maintenance

Services

Pest Control

Services

Emergency

Generator

Testing

Hood

Cleaning

Services

Total

Echo Glen Children's Center EGCC 020 19,000 5,000 4000 2000 5000 35,000

Green Hill School GHS 020 17,000 5,000 3000 3000 2000 30,000

Naselle Youth Camp NYC 020 4,000 0 4000 4000 5000 17,000

Eastern State Hospital ESH 030 28,000 30,000 5000 4000 6000 73,000

Western State Hospital WSH 030 103,000 74,000 10000 8000 5000 200,000

Child Study and Treatment Center CSTC 030 24,000 0 3000 0 0 27,000

Maple Lane MLS 030 2,000 0 7000 3000 0 12,000

Lakeland Village LV 040 37,234 27,660 21,277 4,255 15,957 106,383

Fircrest School FS 040 5,319 8,511 12,766 10,638 17,021 54,255

Rainier School RS 040 5,319 9,574 15,957 4,255 10,638 45,745

Yakima Valley School YVS 040 4,255 7,447 12,766 2,128 7,447 34,043

Special Commitment Center SCC 135 15,000 16,000 10000 7000 6000 54,000

264,128$ 183,191$ $108,766 $52,277 $80,064 688,426$

040 - M2 - KI - CMO Fire Systems Testing

DSHS residential clients and staff will live and work in an improved physical environment after these services areas are specifically and fully funded. DSHS will also operate with a lower level of risk when these vendor services are fully funded and continually implemented. This will allow CMO to direct limited operating funds and staff resources toward other regulatory, preventive, and corrective maintenance requirements necessary to meet and improve on basic environment of care standards for DSHS residential clients. This funding is also expected to reduce or eliminate fines and citations received from CMS, Fire Marshals, and the Washington State Department of Labor and Industries for regulatory maintenance compliance issues.

STAKEHOLDER IMPACT All DSHS staff, clients, and client advocates will support this investment in improved services. Agency Contact: Adam Lewis, (360) 902-8179 Program Contact: Kellett Sayre, (360) 902-8052

OTHER CONNECTIONS

Performance Outcomes/Important Connections 1. Does this DP provide essential support to one or more of the Governor’s Results Washington priorities?

Goal 4: Healthy & Safe Communities - Healthy People - Provide access to good medical care to improve people’s

lives.

2. Identify other important connections or impacts below. (Indicate ‘Yes’ or ‘No’. If ‘Yes’ identify the connections or impacts related to the proposal.)

a) Regional/County impacts? No b) Other local government impacts? Yes. Will ensure full compliance with the local Fire Marshals regulations and standards. c) Tribal government impacts? No d) Other state agency impacts? Yes. Ensures full compliance with Labor and Industries elevator regulations and standards. e) Responds to specific task force, report, mandate or executive order? Yes. Frees up labor at WSH to assist with the CMS Service Improvement Agreement. f) Does request contain a compensation change or require changes to a Collective Bargaining Agreement? No

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g) Facility/workplace needs or impacts? Yes. It enables labor and funding to be focused on CMS specific maintenance, routine preventative maintenance, and corrective maintenance at DSHS improving the environment of care of DSHS residential clients. h) Capital budget impacts? No i) Is change required to existing statutes, rules or contracts? No j) Is the request related to litigation? No k) Is the request related to Puget Sound recovery? No l) Other important connections? None 3. Please provide a detailed discussion of connections/impacts identified above. Alternatives/Consequences/Other 4. What alternatives were explored by the agency, and why was this alternative chosen? CMO explored contracting with other vendors to see if costs could be reduced, but there are only two to three vendors capable of performing each of these services and each charge around the same rate for labor and materials. 5. How has or can the agency address the issue or need within its current appropriation level? CMO has addressed this issue by moving forward with all purchases regarding fire and life safety systems. CMO has no choice due to State and Federal regulations. With the increase in cost to these services, CMO has had to cut back in preventive and corrective maintenance across all facilities in order to cover the cost of these services. Continuation of this trend will simply lead to further degradation of DSHS facilities, which are already 60 years or older, by running equipment to failure, eventually costing even more as it will require complete and mandatory replacement. 6. Does this decision package include funding for any IT-related costs (hardware, software, services, cloud-based

services, contracts or IT staff)?

☒ No

☐ Yes (Include an IT Addendum)

Fiscal Detail 040 - M2 - KI - CMO Fire Systems Testing

Operating Expenditures FY 2018 FY 2019 FY 2020 FY 2021

001-1 General Fund-State 123,000 123,000 123,000 123,000

001-C General Fund-Medicaid 117,000 117,000 117,000 117,000

Total Cost 240,000 240,000 240,000 240,000

Staffing FY 2018 FY 2019 FY 2020 FY 2021

FTEs 0.0 0.0 0.0 0.0

Performance Measure Detail

Incremental Changes

Activity: FY 2018 FY 2019 FY 2020 FY 2021

Program: 040

D086 Residential Habilitation Facilities

No measures submitted for package

Object Detail FY 2018 FY 2019 FY 2020 FY 2021

E Goods and Other Services 240,000 240,000 240,000 240,000

Total Objects 240,000 240,000 240,000 240,000

DSHS Source Detail

Overall Funding

Operating Expenditures FY 2018 FY 2019 FY 2020 FY 2021

Fund 001-1, General Fund-State

Sources Title

0011 General Fund State 123,000 123,000 123,000 123,000

Total for Fund 001-1 123,000 123,000 123,000 123,000

Fund 001-C, General Fund-Medicaid

Sources Title

19TA Title XIX Assistance (FMAP) 117,000 117,000 117,000 117,000

Total for Fund 001-C 117,000 117,000 117,000 117,000

Total Overall Funding 240,000 240,000 240,000 240,000

2018 Supplemental Budget

M2-KI CMO Fire Systems Testing

DSHS INSTITUTION Acronym Program Code

Fire System

Confidence

Testing

Elevator

Maintenance

Services

Pest Control

Services

Emergency

Generator

Testing

Hood Cleaning

ServicesTotal State Federal Total per Year

Echo Glen Children's Center EGCC 020 19,000 5,000 4,000 2,000 5,000 35,000 35,000$ -$ 35,000$

Green Hill School GHS 020 17,000 5,000 3,000 3,000 2,000 30,000 30,000$ -$ 30,000$

Naselle Youth Camp NYC 020 4,000 - 4,000 4,000 5,000 17,000 17,000$ -$ 17,000$

Eastern State Hospital ESH 030 28,000 30,000 5,000 4,000 6,000 73,000 68,000$ 5,000$ 73,000$

Western State Hospital WSH 030 103,000 74,000 10,000 8,000 5,000 200,000 186,000$ 14,000$ 200,000$

Child Study and Treatment Center CSTC 030 24,000 - 3,000 - - 27,000 25,000$ 2,000$ 27,000$

Maple Lane MLS 030 2,000 - 7,000 3,000 - 12,000 11,000$ 1,000$ 12,000$

Lakeland Village LV 040 37,234 27,660 21,277 4,255 15,957 106,383 54,447$ 51,936$ 106,383$

Fircrest School FS 040 5,319 8,511 12,766 10,638 17,021 54,255 27,768$ 26,487$ 54,255$

Rainier School RS 040 5,319 9,574 15,957 4,255 10,638 45,745 23,412$ 22,333$ 45,745$

Yakima Valley School YVS 040 4,255 7,447 12,766 2,128 7,447 34,043 17,423$ 16,620$ 34,043$

Special Commitment Center SCC 135 15,000 16,000 10,000 7,000 6,000 54,000 54,000$ -$ 54,000$

264,128$ 183,191$ $108,766 $52,277 $80,064 688,426$ 549,050$ 139,376$ 688,426$

JR 020 40,000 10,000 11,000 9,000 12,000 82,000 82,000$ -$ 82,000$

MH 030 157,000 104,000 25,000 15,000 11,000 312,000 290,000$ 22,000$ 312,000$

DD 040 52,000 53,000 63,000 21,000 51,000 240,000 123,000$ 117,000$ 240,000$

SCC 135 15,000 16,000 10,000 7,000 6,000 54,000 54,000$ -$ 54,000$

Total 264,000$ 183,000$ $109,000 $52,000 $80,000 688,000$ 549,000$ 139,000$ 688,000$

Estimated Yearly CMO Costs for

Vendor Services

Includes 6%

ICF tax

increase for

DDA

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