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CMS: Use of the Fire Safety Evaluation System (FSES)

The purpose of the attached memorandum is to notify the State Agencies (SA) and other stakeholders that CMS will be using NFPA 101A, Guide on Alternative Approaches to Life Safety, 2013 Edition (referred to here as 2013 FSES), as one method for determining LSC equivalencies and that we are extending the amount of time to correct certain deficiencies to November 1, 2023.

The 2013 FSES will be used in place of the 2001 FSES which was previously approved for use (Survey and Certification policy memorandum, S&C-03-21, dated May 8, 2003) with the 2000 LSC. The 2013 FSES has been updated by the NFPA and is calibrated to the requirements found in the recently adopted 2012 LSC. This will allow for a more accurate determination of LSC equivalencies.

NYSHFA/NYSCAL CONTACTS:

Jackie Pappalardi, RN, BSN
Executive Director
518-462-4800 x16

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15