Summary of National Green Building Programs
Contents
1. 36 524 000 36 Cellirig Floors and Wall 38 Bore 40 Electtical 2 enun eH dmn EU 41 Water e mec 42 SYSTCMN etiani et T A 43 45 Landry Area 47 EE A E 48 48 Smoke and Carbon Monoxide 49 M 50 WINJOWS 50 comments Housing Unt SECON epe RARE TEN NER Rua 51 Other Items m T a 52 Garbage arid DeD Sonerienan 52 saure 52 Childproofing 53 Poisoning Hazards iet eter tae EE Lo AREE Y E VE Eu LE VE Ao LE YE CE c 53 Pe2. 84 Commerits and Notes ecrire ete ted eto etta i de 84 APPENDIX 2 2003 International Property Maintenance Code 2003 IPMC Cross Referenceg 85 APPENDIX 3 Additional RESOURCES sii iecit tid ia a dae cati obo A ri d 87 Optional Environmental Sampling Methods Links to Information on the 87 Selected Web References for Healthy Homes ISSUES 88 Page VI Healthy Housing Inspection Manual 111 Preface THE HEALTHY HOUSING INSPECTION MANUAL completes the foundation of the Centers for Disease Control and Prevention s CDC s Healthy Homes Initiative The manual reflects the ongoing commitment of both CDC and the U S Department of Housing and Urban Development HUD to work together to provide local jurisdictions with tools to address housing related health hazards Development of this manual was supported by the HUD and CDC Healthy Homes Initiatives The agencies initiatives related to healthy homes were created to develop a holistic approach to healthy housing based on the following broad objectives Broaden the scope of single issue public health and safety programs such as childhood lead poisoning prevention residential asthma intervention injury prevention to adopt a holistic approach addressing multiple housing deficiencies that affect health and safety Build competency among envi
3. 20 ire ep 20 BOE 21 Walls A 22 WINGOWS PUE 24 Comments Exterior Section 25 B ilding Systems tems 63481 i i cna tps Recte ruso dieta Poux 26 Electrical Systeml 2c bee 26 irtee 27 28 Comments Building Systems Section ec sete cen ees esee a aed ev aate 30 Healthy Housing Inspection Manual Page 108 Common Areas Items 22100 NU 31 Elevators eenen ana 31 EI EE 31 SMOKING ALCS 31 sid 31 Outlets Switches Cover Plates occu ette e EP ei Ee eoe 31 Smoke and Carbon Monoxide 32 WalkWays Ste pS D 32 32 D LEID 33 Comments Common Areas Section der pede Cd e ota aai 35 Housing Unit Items 103919
4. Explain what kinds of samples you plan to take after you finish the visual survey If a tenant ask whether the resident received lead hazard disclosure information from the landlord and note the response in the space provided at the bottom of the Visual Survey Report 2 Survey the exterior and grounds and draw the Site Plan The Site Plan is a sketch of the area around the home where you will not any problems you identify and where you collect soil samples See CEHRCS website for the Site Plan form and an example O Walk around outside the building to look at the overall layout of the property O On the Site Plan draw the outline of the building and where it sits on the property O Label important features on the Site Plan e he location of the street and other landmarks e Play areas e Trash areas dumpster trash collection area e Outdoor parking areas e Garages or other buildings CEHRC Community Environmental Health Resource Center 117 www cehrc org Revised 7 04 2 6 Visual Survey Instructions 3 Note hazards on Site Plan and Visual Survey Report O Note the following hazards 1 on the Site Plan AND 2 by making a check mark next to the name of the problem in the exterior column on the Visual Survey Report Bare soil no grass mulch or wood shavings in the yard around the home or in a common outdoor area in play areas in sand boxes under swing sets in areas where kids play along
5. CEHRC Community Environmental Health Resource Center 119 www cehrc org Revised 7 04 4 6 Visual Survey Instructions do not have enough columns use a second copy of the report and write of 2 on the first sheet and 2 of 2 on the second O Draw star asterisk next to the names of rooms where children sleep or play CJ In each room look for the problems listed below For each 1 note the location of each problem on the floor plan using the abbreviation from the key below AND 2 make a check mark next to the name of the problem in the column for that room on the Visual Survey Report a Deteriorated paint peeling flaking chipping cracking paint Deteriorated in any way Paint coming loose from the painted surface wood plaster metal drywall Teeth marks on the painted surface b Cockroaches or their remains Note the location if you see any cockroaches their shells or debris or if the resident reports seeing them c Holes in walls between the inside and outside of the building and between rooms Look for openings around windows and exterior doors d Unvented gas oven clothes dryer or heater An appliance that burns natural gas kerosene wood or other fuel is unvented if it does not have a pipe or ductwork that sends the exhaust outside e Mold or fungus or similar stains on the wall on the carpet under sinks outside of showers or around windows On the Vi
6. Mandatory Criteria Yes limited mandatory minimum points Third Party Certification Yes Units Certified NA 99 9 5 Environmental Protection Agency Energy Star with Indoor Air Package Pilot Specifications The U S Environmental Protection Agency EPA developed the Star with Indoor Air Package Pilot Specifications to recognize homes equipped with a comprehensive set of indoor air quality measures IAP is targeted to production builders which according to EPA are the most rapidly growing sector of the home building industry and are highly influential in home building trends Homes that comply with these specifica tions can use Indoor Air Package as a complementary label to ENERGY Star for homes As a prerequisite for this label home must first be ENERGY Star qualified ENERGY STAR is a performance based program which requires qualified homes to be at least 15 96 more energy efficient than homes built to the 2004 International Residential Code IRC and include additional energy saving features that typically make them 20 30 more efficient than standard homes IAP requires suite of additional prescriptive measures including Moisture Control e Radon Control e Pest Control e HVAC Systems e Combustion Safety e Building Materials Home Commissioning Like Energy Star IAP requires third party verification through the Home Energy Rating System HERS Mandatory Criteria Yes compre
7. Healthy Housing Inspection Manual Contents PREFACE T ah ah el 1 Format of This za 3 SECTION 1 Healthy Homes Model Resident Questionnaire 4 General Housing 77 5 Indoor Poll tatnts 6 RR E 7 Voluntary Health Assessment 2 1 21 1 1 O 8 SECTION 2 Healthy Homes Visual Assessment Data Collection 10 Instructions for Visual Assessment Observations 11 SCHLIMM ERE 12 Gates E m aA 12 Grounds Pavement 12 Children s Play Areas ieri EE AE AE aE AA 14 n tete RII 15 COMMENTS Site SOCUON x 17 Building Exterior 30 99 etre tet tarte rro idet ei a ases t 18 Bloom 18 TT 19 Foundations osscar
8. and Neighborhood Fabric Site Improvements Water Conservation Energy Efficiency e Materials Beneficial to the Environment e Healthy Living Environment e Operations and Maintenance Optional criteria are available in Location and Neighborhood Fabric Site Improvements Energy Efficiency Materials Beneficial to the Environment and Healthy Living Environment A review panel evaluates each project for grant approval As part of the grant requirement the grantee s architect and construction manager must self certify compliance with the program criteria Mandatory Criteria Yes comprehensive Third Party Certification No Building Performance Testing Optional Units Certified Completed as of June 30 2008 11 970 www greencommunitiesonline org 97 US Green Building Council s Leadership Energy and Environmental Design for Homes LEED for Homes The U S Green Building Council USGBC administers the Leadership in Energy and Environmental Design LEED program LEED for Homes is a voluntary initiative designed to actively promote the transformation of the mainstream home building industry toward more sustainable practices The long term goal is to recog nize and reward the top 2596 of new homes in terms of environmental stewardship LEED for Homes applies to market rate and affordable homes as well single family and multifamily homes The program has completed its pilot phase and began its full program in 2008 Th
9. not face down Do not hang toys across crib Bars crib should be no more than 4 apart Contact local injury prevention program to determine whether there are window guard resources available Install window guards Keep window blind cords out of children s reach O Purchase childproofing items for cord safety 137 138 National Center for Healthy Housing Pediatric Environmental Home Assessment Scenario The scenario is fictional The photos are taken from a variety of homes to highlight key issues For the sake of the exercise take on the role of a public health nurse conducting a pediatric environmental home visit Itis a warm summer day and you are going out on a home visit to see a family The family has a six year old child who has and is being treated for asthma The mom has concerns about recent exacerbations in her child s asthma and the need for more frequent use of rescue inhalers You note that the family lives in a multi family building in an urban neighborhood The building appears to have been built in the late 1950s That 15 consistent with other buildings in the neighborhood Given its urban location you know that the home is connected to a public water system As you go along you make notes and check off any relevant information on the PEHA Survey form Let s get started Welcome and Introductions e View Welcome and Introductions video clip 7 5 MB e View photos of base
10. Be prepared to demonstrate lead safe cleaning techniques Review items in Family To Do column with family Counsel family about the dangers of such heating sources in terms of fire safety and indoor air quality Get more information about indoor air quality and combustion sources in the home at http www epa gov iag combust html and provide to family Review items in Family To Do column with family Counsel family to do proper filter maintenance Review items in Family To Do column with family FAMILY TO DO L1 L1 L1 127 If your child is less than six years old contact the childhood lead poisoning prevention program CLPPP at your state and local departments of health Consider getting a lead paint inspection or risk assessment to determine whether there are lead hazards in your home If there are hazards repair them based on state and local regulations and requirements Consult with state CLPPP or Dept of Environment for lists of trained contractors If planning do it yourself repairs take a Lead Safe Work practices course and follow the instructions in Lead Paint Safety A Field Guide for Painting Home Maintenance and Renovation Work or other state and local guidance Until potential paint hazards can be addressed place temporary barriers to children s contact with deteriorated paint and begin damp mopping and dusting windows doors trim and floors as demonstrated M
11. Enna 67 Electrical Systems Building ecce t eter ene o ed Ro VE a RAD 67 Fire Protection 9 68 HVAC BULGING 69 Common Areas Items 82 102 rr UR a i aan 70 Elevators 70 Im dae 70 70 Interior WASH eU 70 Outlets Switches Cover Plates etti eed eei eit s re Cb e x PR Pb er Y Rare 70 Smoke and Carbon Monoxide 70 Walkways 70 a ee np Dae eee ee ee 71 decl 71 Healthy Housing Inspection Manual Page V 110 Housing Unit Items 103 196 5 LXX ERE 72 72 Ceiling Floors and enhn nennen 74 Bol H 74
12. M 75 Water Heater pei 76 V e M T 76 525 a 77 E E EEEE EE EEEE 79 Mh pe c HM 79 Patio Porch BalOOny ee ER Fa erp EE te 79 Smoke Carbon Monoxide 80 80 m RE RT 81 Other tems Items 197 229 81 Garbage and 022222 Et 81 82 82 Pois ning Hazards 82 Ear eet 82 8 H T 83 Swimming Pool Spa or 6 c tre E 83 Other Hazard Siste
13. cessation services Do not burn candles incense or other products in the home if children or adults with respiratory problems live there 130 CONCERN NURSE TO DO FAMILY TO DO Other Irritants L1 Ifairfresheners present educate as follows Remove air fresheners from home scents potpourri o air fresheners have volatile organic compounds VOC which trigger asthma O Do not use products to freshen carpets Avoid these products whenever possible O Get more information about VOCs at O Use cleaners detergents labelled fragrance free http www epa gov iag voc html and provide to family O Review items in Family To Do column with family Cleaning Educate about benefits of wet mopping Avoid dry mopping or sweeping which makes dust airborne and may trigger O Identify low cost sources loaner programs for an asthma exacerbation Use wet mopping instead HEPA vacuums and provide information to family O Demonstrate the 3 bucket lead safe cleaning Use HEPA vacuum when possible practices if deteriorated paint is observed Review items in Family To Do column with family Drinking Water Source Know local resources for water testing and provide O Test water for lead Contact local or state department of health for water Public water supply to family testing information Get more information about water testing at Run water each morning for at least 3 minutes to clear pipes www epa gov s
14. sure the names of the rooms on the Floor Plan s match those on the Visual Survey Report 7 Determine further testing needs and locations Plan to take samples if you have identified any of the following O iu Deteriorated paint lead Bare soil lead Water damage lead mold and moisture Unvented appliances carbon monoxide Cockroaches or evidence CEHRC Community Environmental Health Resource Center 121 www cehrc org Revised 7 04 6 6 Visual Survey Instructions 8 Provide follow up instructions schedule the next visit and thank the resident 0 Explain approximately when and how the Summary Results Report will be presented Schedule a time when someone will be home if you need to return to collect tests for carbon monoxide cockroaches or radon and note this on the Visual Survey Report CEHRC Community Environmental Health Resource Center 122 www cehrc org Revised 7 04 Pediatric Environmental Home Assessment HOME VISIT EXERCISE ANSWER SHEET RESIDENT REPORTED INFORMATION Bolded responses indicate areas of greater concern General Housing Characteristics Type of ownership Own house Market rate rental hsg 0 Subsidized rental hsg 1 Shelter Age of home Pre 1950 1950 1978 L1 Post 1978 Don t know Structural foundation Basement on grade Crawlspace L1 Don t know Floors lived in Basement 117 2 3 3 or higher check all
15. the within three feet of the building and in other areas of the yard Deteriorated Paint peeling flaking chipping cracking Deteriorated in any way Paint coming loose from the surface or substrate wood plaster metal drywall On the home fences etc e Holes in the walls of the building Look for openings around windows and doors Indicate the extent of the problem for deteriorated paint and water damage by noting on the following on the Visual Survey Report e N None Low less than 282 e M Moderate 2 1082 e High IOft or more e Extreme structural damage caused by this problem Note the following hazards on the Visual Survey Report only e Rodents or evidence Note if you see or the resident reports seeing rats or mice or very small pellets that may be rodent droppings Other physical conditions that seem hazardous such as standing water woodpiles near exterior walls accumulated trash obvious water damage or wood rot and damaged gutters downspouts and other CEHRC Community Environmental Health Resource Center 118 www cehrc org Revised 7 04 3 6 Visual Survey Instructions building components 4 Draw one Floor Plan for each floor of the home The Floor Plan shows the layout of the rooms as seen from above The Floor Plan makes it easy for you to note where you identify problems You will also use the Floo
16. them See Infestations above See of Home above Inspect children s outdoor play equipment annually and repair as needed Make sure that there is no bare soil peeling paint animal feces in play areas O Water sources pools ponds should be feneced Children should be supervised around water at all times FAMILY TO DO 135 Hot liquids cleaning supplies medicines Lead testing for children less than 6 years old Child watched by an adult while in tub Hot water temperature O OOF 00 Lu OO OO Counsel to change behaviors Review items in Family To Do column with family If the home was built pre 1978 counsel the family to have the child s blood tested for lead See Age of Home above Review items in Family To Do column with family Counsel to change behavior Educate family about importance of not leaving children unattended in the tub Review items in Family To Do column with family Educate family about dangers of scalding Review items in Family To Do column with family 136 Do not have hot liquids cleaning supplies or medicines within a child s reach Keep pot handles and stove knobs out of children s reach Contact the childhood lead poisoning prevention program CLPPP at your state and local departments of health about lead testing resources See Age of Home above Do not leave children unattended in the tub Test wa
17. 4 See Age of Home above If the home was built pre 1978 and there is a child less than six years old o Getalead paint inspection or risk assessment o Repair any lead hazards based on state and local regulations and requirements Consult with state CLPPP If the home was built pre 1978 and there is no child less than six years old o Consult with the CLPPP at your state and local departments of health about lead safe renovation o Change behaviors such as modifying dust generating techniques and containing the work area o Hire contractors trained in Lead Safe Work Practice or get this training if you are doing the work yourself If homeowner make necessary repairs consistent with local building codes If renter talk with your landlord about needed repairs Consider calling the local board of health for possible code violations Spaces between railings should be no more than 4 to prevent accidental injury Compact fluorescent light bulbs can reduce energy costs Do not use throw rugs near stairs or in bathrooms These can be trip and fall hazards Post the national poison control number 1 800 222 1222 near telephone Keep all medicines vitamins cleaners pesticides paints solvents and other chemicals out of sight and out of reach of children in locked cabinets wherever possible General Safety continued CONCERN Family fire escape plan Electrical appliance Matches and lighters Exterior environment Young Child
18. C 700 2008 National Green Building Standard The National Association of Home Builders NAHB the International Code Council ICC and the NAHB Research Center initiated a process in 2007 for the de velopment of a national standard for green home build ing construction practices beyond current rating sys tems following the consensus process of the American National Standards Institute ANSI The standard en titled the ICC 700 National Green Building Standard NGBS is a voluntary green home building standard that can be adopted by local green home building programs as a conformance guide for single family multi family remodeling and site development projects NGBS builds upon the NAHB Model Green Home Building Guidelines developed by the NAHB Re search Center in 2004 see NCHH s 2006 Comparison of Green Building Guidelines for an analysis of the NAHB Model Green Home Building Guidelines ANSI approved NGBS in January 2009 NGBS includes a minimum number of mandatory construction practices and a mandatory minimum point score based on construction practice options under each principle There are no maximum limits For single family homes for example projects reach a threshold by reaching specific point scores 222 points for Bronze 406 for Silver 558 for Gold and 697 for Emerald In the indoor environmental quality category the minimum score is 36 for Bronze 65 for Silver 100 for Gold and 140 for Emerald
19. D INFORMATION continued Child Safety Young Children Present Coffee hot liquids and foods Cleaning supplies stored Medicine and vitamins stored Child less than six years old been tested for lead poisoning Child watched by an adult while in the tub Home s hot water temperature Non accordion toddler gates used Crib mattress Window guards Window blind cords NOTES Not used near LJ Out of child s Well maintained Yes Out of child s reach Out of child s reach Out of child s reach Within past 6 months Result Li Always 1 lt 120 At top of stairs Fits well Yes Split cord Abundant trash and debris Used near water BATHROOM L1 Within child s reach No Most of the time gt 120 At bottom of stairs Ll Loose No Looped cord Funded by The U S Environmental Protection Agency and developed by National Center for Healthy Housing 10227 Wincopin Circle Suite 200 Columbia MD 21044 Tel 410 992 0712 www centerforhealthyhousing org With thanks to N E E T F The National Environmental Education amp Training Foundation We credit its Environmental Management of Pediatric Asthma Guidelines for Health Care Providers and model Pediatric Environmental History Form and The Center for Healthy Homes and Neighborhoods at Boston University We credit its model Pediatric Asthma Allergy Home Ass
20. Summary of National Green Building Programs Enterprise Community Partners Green Communities Criteria Green Communities is a major initiative led by Enterprise Community Partners Enterprise Established in September 2004 it is a five year 555 million commitment to create more than 8 500 homes that deliver significant health economic and environmental benefits for low income families and communities The pro gram establishes green building criteria and provides funding to assist developers in planning and construc tion As of January 2008 Enterprise has invested over 570 million in over 250 developments that will result in more than 11 000 homes that meet the Green Com munities Criteria Projects developed under the criteria must satisfy all 40 mandatory elements and gain additional points 35 points for new construction or 30 for rehabilitation proj ects from optional criteria The criteria allow flexibility if a particular hardship is demonstrated and alterna tive is proposed that meets the intent and accomplishes the same outcome as the criteria Building projects that conform to the criteria are eligible for grants loans and tax credit equity as incentives This is currently the only national green building program that requires a minimum number of new homes or apartments to be dedicated to lower income residents The criteria are divided into the following categories Integrated Design Process e Site Location
21. afewater labs Use cold water to make formula Find out if the public water supplier has notified consumers of any violations of health based standards in the last year Provide this to family Review items in Family Do column with family 131 Drinking Water Source Household well water Mold Damage NURSE TO DO 0 00 Ask these additional questions o water been tested within the last year o If water has been identified as contaminated does family use bottled water o Are infants pregnant women in the household If so encourage testing for nitrates o there noticeable changes in water taste odor color or clarity In this case especially if pregnant woman or infant is in the household recommend testing more than once a year o there been a chemical or fuel spill leak near water supply If yes recommend testing for chemical contaminants such as volatile organic compounds Provide local health department contactt information for water testing Get more information about water testing at www epa gov safewater labs Review items in Family To Do column with family See Mold and Musty Odor recommendations above Review items in Family To Do column with family Educate about mold risks as they relate to damage If family owns home then counsel to change behaviors If family rents home then counsel them to t
22. ake sure kerosene heaters are vented to the outdoors or not used Make sure space heaters are at least 3 feet from anything flammable When necessary use only 12 or 14 gauge extension cords the lower the better Ensure that there is a good seal on fireplace screen or woodstove doors Do not use charcoal grills to heat or cook inside the home Call utility company immediately if you smell natural gas Open window and evacuate the home of people and pets Change filters quarterly Use filters which are rated MERV 10 Indoor Pollutants CONCERN Vaporizers Humidifiers Mold Musty odor NURSE TO DO L1 L1 Counsel the family about the importance of proper vaporizer humidifier maintenance and impact of mold growth on patient health Get more information about humidifier maintenance at http www epa gov iag pubs humidif html and provide to family Review items in Family To Do column with family Educate family about the importance of keeping things dry and the impact of mold on family health Get more information at http www epa gov mold moldquide html and provide to family Review items in Family To Do column with family FAMILY TO DO OOO OF 0000 128 Change the water daily with clean cold water Use distilled or demineralized water Clean humidifier every 3 days Follow manufacturer s instructions Change filter regularly Follow manufacturer s instructions Change more often if dir
23. alk with their landlord Review items in Family To Do column with family FAMILY TO DO 132 well water for lead nitrates and bacteria annually Contact local or state department of health for water testing information Family should never dump chemicals into the yard or septic system This prevents well drinking water contamination Avoid use of pesticides and fertilizers in the yard whenever possible These can filter into water supplies Run water each morning for at least 3 minutes to clear pipes Use cold water to make formula See Mold and Musty Odor recommendations above Make sure fans in bathroom and kitchen vent to the outside not just in to walls The goal is to take moisture out of home If homeowner then make necessary repairs If renter then talk with your landlord about needed repairs Consider calling the local board of health for possible code violations NURSE DO FAMILY TO DO Mattress covers If patient is allergic to dust mites educate as If symptomatic get allergen testing to determine if you are allergic to dust follows mites o Useallergen impermeable mattress covers with zippers on beds and pillows Review items in Family To Do column with family O Wash all bedding weekly in hot water Including blankets bed covers Wet wipe or vacuum impermeable mattress covers weekly Carpet Review items in Family To Do co
24. des summary grades for each program both by each healthy homes principle and overall We established a target score for each category by multiplying the number of criteria under each healthy homes principle by 2 5 average 2 and 3 of the scores listed above For example if half of the criteria in a category scored a 3 i e half criterion were mandatory and equivalent to the NCHH standard and half scored a 2 i e were mandatory and similar but not equivalent to the NCHH standard then the program would achieve 100 of the target score The score of 2 5 acknowledges that some differences in the language for a specific criterion are likely and acceptable The overall grade A C D for the program was calculated by totaling the scores for all the criteria across categories This provides all criterion equal weight in arriving at a total grade Grading Key gt 100 of target score all NCHH criteria included A 90 10090 of target score 101 B 80 89 of target score C 70 79 of target score D 6996 of target score This analysis did not assign a weighting factor to each individual criterion because there are generally insuf ficient scientific data to support such a judgment The concept of healthy homes involves taking a holistic approach to the home environment by implementing packages of upgrades which together can ensure the health safety and durability of a home For this reason
25. dren Identify local smoking cessation programs and provide to families Get more information about ETS at http www epa gov smokefree index html and provide to family Review items in Family To Do column with family If no smoke alarms then o Purchase smoke alarms Ensure that there is an operational smoke alarm on every floor of the home and in every sleeping area o Testalarms monthly and change batteries twice a year o Call local board of health for local smoke alarm requirements Some states have laws regarding presence of smoke alarms If combustion appliances but no CO alarms then o Make sure to purchase CO alarms which log peak levels o Ensure that there is an operational CO alarm on every floor of the home and in every sleeping area o Some states now have laws regarding presence of CO alarms If the power goes out do not burn candles use other heating sources unless there is a supply of fresh air in the room at all times O Choose not to smoke in your home and car and do not allow family and visitors to do so Infants and toddlers are especially vulnerable to the health risks from secondhand smoke Do not allow childcare providers or others who work in your home to smoke Until you can quit choose to smoke outside Moving to another room or opening a window is not enough to protect your children Get help to stop smoking Refer to EPA Smokefree Home pledge website www epa gov smokefree and contact local smoking
26. e program includes mandatory and optional green construction practices in the follow ing categories for a total of 136 available points e Awareness and Education e Location and Linkages Energy and Atmosphere e Sustainable Sites e Water Efficiency Indoor Environmental Quality e Materials and Resources e Innovation and Design Processes Builders receive credits for achieving criterion in each of the eight criteria categories LEED for Homes has several performance tiers termed Certified 45 59 points Silver 60 74 points Gold 75 89 points and Platinum 90 136 points The award level point thresholds are adjusted based on home size A third party Provider is responsible for determining the LEED for Homes score and the rating The costs of participation in the LEED for Homes Program are established by local or regional Providers plus a registration and certification fee to USGBC based on the number of homes or square footage of multifamily buildings www usgbc org DisplayPage aspx CMS Pagel D 147 Provider is responsible for the third par ty inspection and performance testing services These verification and rating services generally require approxi mately 2 to 3 days per home The costs vary depending on the size and location of the homes and the number of green measures to be inspected and tested Mandatory Criteria Yes moderate Third Party Certification Yes Building Performance Testing Yes 98 IC
27. ealthy housing Healthy Housing Inspection Manual Page 3 114 Visual Survey Report Resident Visual Conducted by Alternate Contact Address Date Unit Unique ID Resident Phone Make a checkmark if the problem appears in the room or area For deteriorated paint and water damage indicate the extent of the problem see instructions Use the extra rows to identify any other hazards you notice Put an asterisk above any room s where a child sleeps or plays Circle Q where you photograph a problem ROOM OR AREA PROBLEM Exterior Living Room Dining Room Bedroom Bedroom 2 Bedroom 3 Bathroom Bathroom 2 Basement Deteriorated Walls paint Windows door or trim Paint chips on floor Cockroaches TT L Cockroaches 14 Mold Obvious source of moisture Unvented gas oven dryer heater If renting received lead hazard disclosure information from landlord Yes No Follow up visit scheduled for Date Time CEHRC Community Environmental Health Resource Center www cehrc or Revised 3 04 115 5 116 Visual Survey Instructions Talk with the resident before you begin 0 Explain that you will draw floor and site plans take notes take photographs collect samples and possibly leave roach traps a carbon monoxide alarm or radon detectors for more than one day
28. es Check washer hoses connections Check dishwasher hoses for teas 06 Clean amp check refrigerator drip pan icemaker connections Check shower tub surrounds for signs of damage Check hot water heater for leaks Check boiler for leaks E Check traps and drains under sinks tubs showers for leaks Check water main meter or well pump for leaks or sweating Clean septic tank Check drain and supply time for leaks Check bath and kitchen fans operation Electrical Equipment Check for damaged cors 606 Test ground Test outlets for proper hot neutral and ground Check smoke and CO alarms Attic Check for signs of rodents bats roaches termites Check for water damage Hg Ensure insulation in place Hg Check that fans still exhaust to outdoors check ductwork connections Check for signs of water damage Check operation of windows and doors Lubricate and repair windows and doors Appliances Clean kitchen range hood screens Clean dryer vents and screens Clean exhaust fan outlets and screens Clean outdoor air intakes and screens Clean air conditioning coils drain pans Clean dehumidifier coils check operation Clean and tune furnaces boilers hot water heaters Clean and tune ovens and ranges Ensure storage of fuel cans Proper operati
29. essment form 125 Chipping peeling paint Within child s reach J Within child s reach Within child s reach Within past year or more When 1 year Result 10 Broken window s No No Don t know No NA 126 Pediatric Environmental Home Assessment Form NURSING PLAN OF ACTION After completing the assessment use this as a guide for patient education and recommending corrective action for potential residential hazards This care plan does not address education related to medical management of asthma or other conditions General Housing Characteristics NURSE TO DO CONCERN Age of home Heating source Other Kerosene heaters space heaters fireplaces wood stoves Filters L1 0 O If built before 1978 educate as follows o likely to have lead paint o Lead hazards can be harmful to young children s health and development o If family has a child less than six years old then it is important to test for lead hazards o deteriorated paint is observed encourage family to place temporary barriers to prevent children s contact with the paint Get more information about lead testing at www epa gov lead and provide to family Get more information on lead safe work practices from http www hud gov offices lead training index cfm and provide to family Have information on state and local CLPPP services and provide to family
30. ffs Look for water leaks Call local board of health for inspection AVOID bombs of pesticides Use baits gels and traps Place these out of child s reach Hire or talk to your landlord about hiring an exterminator for Integrated Pest Management which does NOT include spraying pesticides See Age of Home above Consider purchasing a radon home test kit Consult with your state and local departments of health about radon Do not disturb any surfaces which might contain asbestos Do not attempt to remove asbestos on your own If cracked or crumbling asbestos insulation is visible tack plastic to walls to encase the insulation until a trained contractor can address the problem Consult with your state and local departments of health about asbestos Smoke alarm CO alarm Tobacco Smoke Exposure If no smoke alarms educate about risks and local laws regarding the presence of smoke alarms Counsel family to o Install smoke alarms in home on every level and in every sleeping area o Testthem once a month o Replace the batteries at least twice a year o Replace alarms every 10 years If combustion appliances but no CO alarms educate about risks and local laws regarding the presence of CO alarms Change batteries twice a year Provide occupant with local CO alarm requirements Review items in Family To Do column with family Educate about risks of environmental tobacco smoke ETS to chil
31. he mom if she knows what the hot water temperature 15 set at She does not know Bedroom and Bathroom e View Bedroom and Bathroom Walkthrough video clip 6 6 MB View photos of bedroom conditions e View photos of bathroom conditions You ask the mom about the use of humidifiers in the bedroom She notes that she sometimes uses them in the winter because the air gets too dry from the hard to control heat As you talk further the mom confirms that the bathroom fan does function although it is a bit noisy You observe a hair dryer on the edge of the sink You ask the mom about adult supervision when her child is bathing She notes that she is right there most of the time but may sometimes leave the room to grab a towel or item of clothing for the child Medication Review and Wrap up e View Medication Review and Wrap up video clip 7 0 MB 140 Healthy Homes Maintenance Checklist The following checklist was developed for the Healthy Homes Training Center and Network as a tool for healthy home maintenance A healthy home is one that is constructed maintained and rehabilitated in a manner that is conducive to good occupant health To maintain a healthy home occupants should keep it dry clean well ventilated free from contaminants pest free safe and well maintained Good home maintenance can act to Yard and Exterior Check for signs of rodents bats roaches termites ee Drain o
32. hensive Third Party Certification Yes Building Performance Testing Yes Units Certified Not Applicable Pilot Program www energystar gov index cfm c bldrs lenders raters nh 100 Method of Analysis We compared the criteria of the four national programs to a detailed list of healthy homes measures that are aligned with NCHH s seven healthy homes principles Those principles involve keeping homes Dry e Clean e Ventilated e Safe Contaminant Free pest Free e Maintained These principles were developed broad based expert workgroup of housing and health professionals as part of the federally funded National Healthy Homes Training Center and Network principles reflect the latest in scientific research and best practices related to reducing housing related health hazards For more in formation see www healthyhousing org training Table 1 presents a detailed analysis comparing each program to the NCHH criteria The left column presents 5 recommended criteria for achieving the aforementioned principles We compared each program to these criteria and assigned a score based on the following scoring system Score Green Program Description 3 Includes mandatory criterion equivalent to NCHH criterion 2 Includes mandatory criterion similar to NCHH criterion 1 Includes optional criterion that is similar to NCHH criterion 0 Does not include similar criterion Table 2 provi
33. her child s asthma Next you do a kitchen walkthrough with the mom 139 Kitchen View Kitchen Walkthrough video clip 5 8 MB e View photos of other kitchen conditions You review the PEHA Survey Form and ask to move on to the bedroom and bathroom Living Room Walkthrough and Neighborhood Review View Living Room Walkthrough and Neighborhood Review video clip 3 2 View photos of living room conditions You note the active construction outside and the dust that 15 accumulating in the window sill even though the window is closed You also note that there are no window guards on the windows and that the blinds have looped cords You ask the mom when was the last time the young children were tested for lead Mom notes that it was within the last year and the results were less than 10 You sit down again with the mom to review home safety questions You provide her with a poison control hotline sticker to place on the phone You ask about fire safety issues She notes that there is no smoking allowed in the house and matches are stored in a high safety locked cabinet The family does not have a formal fire escape plan The mom reports that the hallway lighting is good She has no safety concerns about lighting In the kitchen you note the coffee maker and tea kettle You ask about the child s access to hot liquids The mom notes that her son is older and is aware that he should not touch hot things You ask t
34. lumn with family O Clean wall to wall carpet with vacuum weekly Shake area rugs outside weekly Ifcarpet is more than 8 years old consider replacing it with smooth wipeable flooring to reduce dust exposure Dust catchers O Review items in Family To Do column with family O Reduce dust with less clutter Seal clutter in bags or boxes Use wire shelving so dust can settle to closet floors and be vacuumed up Windows If patient is allergic to dust mites review items in If symptomatic get allergen testing to determine if you are allergic to dust Family To Do column with family Use window treatments that are wipeable Avoid curtains and drapes to reduce excessive dust exposure Use window guards or prevent windows from opening more than 4 if young children are in the room 133 Home Safety General Safety CONCERN Renovation remodeling Stairs walls railings porches lighting Poison control NURSE TO DO See Age of Home above Review items in Family To Do column with family Iffamily owns home then counsel to change behaviors such as making minor repairs to fix loose railings Iffamily rents home then counsel them to talk with their landlord Review items in Family To Do column with family O Provide national poison control number 1 800 222 1222 to family Review items in Family To Do column with family FAMILY TO DO OO 0 13
35. ment conditions View photos of outside conditions As you talk further the mom reports that she is a Section 8 tenant When she moved in she says the landlord told her that the house was built in 1958 and that lead hazard control work was completed before she moved in 18 months ago She could not remember getting any booklet or warnings about lead when she signed her lease You ask the mom about other general housing characteristics She knows there is a basement but has not been in there She says she has seen the oil truck connect up to the fittings on the side of the house She shows you the unlocked door to the basement in the common area You check out the basement The mom says that the oil heat can be hard to control in the winter Some rooms are too hot and others are too cold She sometimes has to open windows to make the rooms comfortable You observe and the mom reports that there are no pets in the home The mom is focused on the construction dust and mice She says she has not seen any mold You follow along on the PEHA Survey Form and ask about other pests The mom reports no trouble with cockroaches rats or bedbugs You ask about asbestos and radon The mom reports that she has no knowledge about whether the building has been tested or treated You do not observe any air fresheners or scented candles present but you ask about their use The mom confirms that she does not use those items because they aggravate
36. ndatory and will be evaluated as part of program participation NCHH rated LEED H s Dry criteria as similar to the NCHH specific requirements Ensuring structures are properly ventilated is particularly important because of the green building mandate to improve energy efficiency by tightening the building envelope Energy upgrades can benefit occupant health by increasing comfort and reducing unplanned airflows which can result in moisture problems Mechanical ventilation helps ensure contaminants and humidity are exhausted to the outside and that the home receives clean fresh air NCHH has identified the American Society of Heating Refrigerating and Air Conditioning 103 Engineers standard 62 2 ASHRAE 62 2 2007 as the industry standard for ventilation for buildings of four stories or less which should be included in all green and healthy programs All programs except NGBS specifically reference ASHRAE 62 2 as the ventilation performance standard The evaluation indicates greater consistency across green programs for the Pest Free and Maintained categories All of the programs included criteria to minimize pest infestations following the least toxic methods and to educate homeowners about proper maintenance of their green homes In contrast all of the programs in cluded in the analysis overlooked safety e g preventing trips falls and poisonings even though the home is the predominant source of unintentional injuries for children in
37. ned 2 Shared in room 1 On mattress only zippered Washable Trash or garbage not sealed Broken stove exhaust fan vent Needs cleaning and maintenance Needs cleaning and maintenance Li Needs cleaning and maintenance Dryer not vented Other a2 On mattress not zippered Feather down Wall ceiling floor damage No stove exhaust fan vent Wall ceiling floor damage Wall ceiling floor damage L1 Wall ceiling floor damage Hang clothes to dry LJ More than 2 No mattress covers Bedding Washable I Wool not washable Feather down Flooring I Hardwood Tile Linoleum Small area rug Large area rug Wall to wall carpet Dust mold catchers stuffed animals washable Non washable Plants Other toys toys No clutter Window Washable shades Washable blinds 11 Curtains drapes No window curtains poor ventilation Abundant cosmetics and fragrances Other irritants General Active renovation or remodeling Yes No Stairs protective walls railings porches Yes No lighting Adequate Inadequate Poison control number L Posted by phone Not posted by phone Family fire escape plan J Developed and None have copy available 124 Electrical appliances radio hair dryer space heater Water Matches and lighters stored reach Exterior environment NURSE OBSERVE
38. on of garage door safety shut off Check for signs of water damage Check for signs of rodents bats roaches termites National Center for Healthy Housing 10320 Little Patuxent Parkway Suite 500 Columbia MD 21044 www nchh org
39. r Plan to show where you collect samples leave testing materials for collection and take photographs The Floor Plan does not have to be drawn using exact measurements It should show the general relationships between rooms in the home and exterior walls See CEHRC s website for the Floor Plan for and an example g Walk through the home to get a good understanding of the overall ayout of the rooms Draw the overall outline of the entire home If the home has more than one floor note which floor each Floor Plan represents before you draw it If the home has two floors one copy of the floor plan will be marked 1 of 2 and the other will be 2 of 2 If you draw a plan for an unoccupied basement mark it 0 Draw the walls between rooms then the doors and windows a Draw a rectangle for each door b Draw a circle through the line of the wall for each window L c Mark the walls of closets to help you keep the walls in perspective and avoid confusion about the doors Label each room using the same names and abbreviations as listed on the Visual Survey Report Draw an asterisk in rooms where children sleep or play Be sure to note entryway of the home 5 Perform the Visual Survey note hazards on both the Floor Plan and Visual Survey Report 0 Fill in the top of the Visual Survey Report and cross out columns for rooms that are not present Add names or areas if necessary If you
40. ren CONCERN NURSE TO DO o O 0 OO Counsel to change behaviors such as develop family safety plan Get more fire safety information at http www usa safekids org content documents fir e checklist pdf Review items in Family To Do column with family Counsel to change behavior Review items in Family To Do column with family Counsel to change behavior Review items in Family To Do column with family If abundant trash and debris counsel family about waste management If waste containment is the problem counsel family to talk with landlord See Infestations above If the home was built pre 1978 contact the childhood lead poisoning prevention program CLPPP at your state and local departments of health for information about chipping peeling paint See Age of Home above Review items in Family To Do column with family NURSE TO DO FAMILY TO DO O Develop a family safety plan O Know two ways out of the house Have a place to meet after you are outside the house O Teach children the family safety plan for escaping your home in a fire O Practice plan at least twice a year Do not use electrical appliances near water Have Ground Fault Circuit Interrupters installed on electrical outlets near water Use outlet covers O Repair or throw away any appliance with frayed wiring O Do not store matches and lighters where children can reach
41. rg Page 2 Healthy Housing Inspection Manual 113 the Healthy Housing Reference Manual which gives public health and housing professionals the tools necessary to ensure that housing stock is safe decent and healthy for our citizens particularly children and the elderly who are often most vulnerable and spend more time in the home http www cdc gov nceh publications books housing housing htm FORMAT OF THIS MANUAL HUD and CDC recommend that section 1 the Healthy Housing Model Resident Questionnaire a voluntary health assessment be completed first The questionnaire should be used to collect information that cannot be determined visually Information from the questionnaire can provide important clues that point to housing deficiencies SECTION 2 the Visual Assessment Data Collection Form should be used to collect information that can be determined without asking questions of a resident This form includes detailed assessment of exterior housing kitchen bathroom and living area as well as a general building information This manual also contains three supporting appendices a data dictionary that defines housing deficiencies listed in the Visual Assessment Data Collection Form a cross reference to code provisions in the 2003 International Property Maintenance Code 2003 IPMC and additional resources links to environmental sampling methods and to more information about substances or issues related to h
42. ronmental public health practitioners public health nurses housing specialists housing owners housing managers and others who work in the community so they can incorporate healthy housing activities into their professional activities Develop national healthy homes capacity through crossdisciplinary grants contracts and other activities at the federal state tribal and community levels that research and demonstrate low cost effective home hazard assessment and intervention methods Develop effective education and outreach materials with a particular focus on high risk populations to increase public awareness of residential hazards and highlight effective actions households can take to reduce the risk for illness and injury Healthy Housing Inspection Manual Page 1 112 The Healthy Housing Inspection Manual is a model reference tool that local jurisdictions or others may use as is or modify based on local needs Use of the manual is expected to improve the effectiveness and efficiency of the public health housing management and workforces that identify prevent and control health problems associated with housing The manual does not introduce any inspection requirements nor does it modify any existing inspection requirements for housing agencies residents HUD or CDC The manual is not a substitute for the Federal Housing Administration FHA Minimum Property Standards Finally the manual does not propose to establish an
43. s that incorporate the optional measure by the score a measure would have received it were mandatory as an alternative scoring system For example if landscaping away from a building would receive a score of 3 as a mandatory element it would receive a 2 7 if 9096 of the program participants selected it as an optional criterion Although such a nuanced system may reflect a more precise view of the actual compliance with a programs criteria in a prior year because programs cannot predict the optional criteria that future projects will select NCHH felt that these programs could not be scored as highly as those based on mandatory criteria In addition NCHH believes that the healthy homes criteria are practical and cost effective e g avoiding install ing carpets in wet areas and so it is sensible to include them as prerequisites Across all the green programs there is substantial variation in their performance under the Dry and Contam inant Free categories with scores ranging from A to D Energy Star IAP and Green Communities received an A under the Dry category ENERGY STAR Green Communities and LEED H because they require extensive moisture control practices Ihe LEED H program addresses several aspects of moisture control through its Durability Plan requirement One concern is that it is not possible to assess whether the plan will always include the most important moisture control elements Nonetheless because the durability plans are ma
44. st Hazards et bea 54 Moisture Hazard S eH 55 Swimming Pool esit ttd theo gb ne eto o eae ene Uk be OR RARE ERR des 55 Other Hazald Se ee eee 56 Comments Other 57 Overall Comments on This Inspection 58 Page Healthy Housing Inspection Manual 109 APPENDIX 1 Description of Health and Safety Conditions Identified on the Visual Assessment Form 59 E TT 59 FENCING and Gales tte e edt dic b ER 59 Grounds OF Pavement cerne dert E RAFR cach eases 59 Children s Play Areas eei ee etse eters eve ee dus y cd eR CHEESE peque 60 inl TEL 61 Building Exterior Items 30 82 icona i ub ma tee 62 Be 62 Fire 91 63 Tied ees 64 M 64 64 EIER 65 lei Hr 66 Building Systems Items 63 81 ieiunia E E En en sa Ra E nsn a eaa a
45. sual Survey Report check obvious source of moisture if the mold is near a source such as a dripping drain or moisture around a window If there is no obvious moisture source for the mold check the other box O Indicate the extent of the problem for deteriorated paint and water damage by noting on the following on the Visual Survey Report e N None Low less than 282 e M Moderate 2 1082 e H 10 or more e Extreme structural damage caused by this problem CEHRC Community Environmental Health Resource Center 120 www cehrc org Revised 7 04 0 5 6 Visual Survey Instructions On the Visual Survey Report only note the following potential problems a Walls appear wet or newly stained or the plaster or drywall is bulging b Rodents or evidence Note if you see or the resident reports seeing rats or mice or very small pellets that may be rodent droppings c Strong musty smell like mold or fungus d Natural gas or sewer gas smell If you think you smell natural gas advise the resident to call the gas company immediately e Old or worn out carpeting if in poor condition or extremely dirty f Other write in additional physical conditions that seem problematic such as other odors water leaks etc 6 Double check the Visual Survey Report Floor Plan and Site Plan g The resident s name address and unit number and your name should be filled in Make
46. ted failed and Not Failed test but not mitigated tested Don t know mitigated Health and Safety Alarms Smoke alarm working alarm working alarm does smoke alarm and well placed and one on each floor log peak level No CO alarm Tobacco smoke exposure L1 No smoking allowed Smoking only allowed Smoking Total 4 smokers in outdoors allowed indoors household bedroom L1 Mother smokes playroom Other irritants None fresheners Potpourri Other strong odors incense candles Type of cleaning Standard Vacuum HEPA vacuum Damp mop and Sweep or dry non HEPA damp dusting Cleaning products used Labeled non toxic Bleach Ammonia L1 Other 123 NURSE OBSERVED INFORMATION Bolded responses indicate areas of greater concern Drinking Water Source Public water system Household Well Cleanliness c 2 Ventilation Bathroom Basement Living Room Laundry area Patient s sleep area Beds Allergen impermeable encasings on beds Pillows L No soiling LJ Functioning stove exhaust fan vent fan vent window 2 None No Access No soiling None Own room LJ Functioning exhaust On mattress and boxspring zippered Allergen proof 2 Trash or garbage sealed Mold growth present L1 Mold growth present L1 Mold growth present L1 Mold growth present Well maintai
47. ter temperature with forearm before placing child in tub Set hot water temperature to lt 120 F Toddler gates Young Children CONCERN Crib mattress Window guards Window blind cords O Counsel family to install non accordion toddler gates at the top and bottom of stairways Review items in Family To Do column with family NURSE TO DO O Counsel family that crib mattress should fit snugly next to the crib so that there is no gap If two adult fingers can be placed between the mattress and the crib then counsel the family to immediately replace the mattress Review items in Family To Do column with family O Counsel family about window safety Contact local injury prevention program to determine whether there are window guard resources available Review items in Family To Do column with family O Counsel family to keep window blind cords out of children s reach and to purchase childproofing items for cord safety Review items in Family To Do column with family Contact local injury prevention program to determine whether there are toddler gate resources available Install non accordion toddler gates at the top and bottom of stairways FAMILY TO DO Put your baby to sleep in a crib with a firm flat mattress and no soft bedding underneath Ensure that your crib mattress fits snugly next to the crib so that there is no gap Infants should always be put to bed on their backs
48. th department numbers for rodent control and inspection and provide to family Get more information and order print materials at www epa gov pesticides catalogue and provide to family Review items in Family To Do column with family See Age of Home above Have information on state and local CLPPP services and provide to family If family has a history with a history of elevated blood lead levels verify that the family is receiving case management from the state or local CLPPP Or make a referral to that program Report observations and teaching provided at this visit to the CLPPP case manager Review items in Family To Do column with family Be familiar with the areas of high radon in your ommunity Educate family about impact of radon on health Get more information about radon and radon testing at www epa gov radon and provide to family Review items in Family To Do column with family Educate family about impact of asbestos on health Get more information about asbestos testing at www epa gov asbestos and provide to family Review items in Family To Do column with family FAMILY TO DO O0 129 If symptomatic get allergen testing to determine if you are allergic to pets Frequently vacuum areas where pets spend time Use a HEPA vacuum if possible Wash all bedding regularly in hot water Groom pets outside Eliminate water and food sources Seal garbage and all foodstu
49. that apply Fuel used Natural gas LPG Electric Wood og Sourcesinhome Radiators Forced hot air vents 4 Space heater or oven Other 8 Filters changed L1 Yes No Don t know No filter Easy to control Hard to control heat Control heat Cooling Windows Central window LI Fans Li None Ventilation LJ Opens windows Kitchen amp bathroom Central ventilation check all that apply fans NOTES Indoor Pollutants Mold and moisture Uses dehumidifier Uses vaporizer L1 Musty odor Visible water mold L1 No damage humidifier evident damage No pets Cat Dog Other Kept strictly outdoors LJ Not allowed in Full access in Ly Sleeping location patient s bedroom home Cockroaches L1 None Family reports Evidence seen Presentin O kitchen bedroom other Mice None Family reports Evidence seen gt Present in O kitchen 2 bedroom other Rats None Family reports Evidence seen Present in 0 kitchen bedroom other Bedbugs None Family reports Evidence seen Present in L1 bedroom other Lead paint hazards Tested and passed Tested failed and L1 Not tested Don t Loose peeling or mitigated know chipping paint Asbestos L Tested None present Tested failed and L1 Not Damaged material mitigated tested Don t know Radon Tested and passed L1 Tes
50. the United States In addition the programs missed opportunities to incorporate building finishes that are easy to keep clean e g smooth cleanable floor ing which help owners reduce allergens and contaminants that may accumulate in a home Finally in this analysis we examined the extent to which the programs incorporate third party veri fication All of the programs except Enterprise Green Commuities require third party verification However Green Communities does require its participants to certify compliance with the program criteria It also conducts inspections nad performance testing of a sampling of units 104 Enterprise Community Partners Green Communities ENERGY STAR Indoor Air Package USGBC LEED Homes SAFE 5 Criteria 12 5 points 700 National Green Building Standard Hot Water Temperature 120 F 0 0 0 0 Locked Medicine Storage Cabinets 0 0 0 0 Shower Grab Bars 0 0 0 0 Smoke Detectors 2 2 2 2 Carbon Monoxide Alarms 3 3 3 1 TOTAL 5 4096 5 4090 5 4090 3 24 CONTAMINANT FREE 7 Criteria 17 5 points Low VOC Products 3 0 1 1 Urea Formaldehyde Free Composite 3 3 i i Wood Products or Sealed Low VOC Carpet 2 3 1 1 Garage Isolation 3 3 1 2 Smooth Cleanable Low VOC Floors 1 1 1 1 Combustion Venting 2 3 3 1 Radon Test and Mitigation System 3 2 2 2 Smoke free Policy optional 0 3 0 1 Use Lead Safe Work Prac
51. the analysis does not credit programs for establish ing a threshold number of points for optional items By definition this inclusion of optional items even to achieve an overall point value will entail trading off some indoor environmental quality item for another 102 Results Tables 1 and 2 show the results of the analysis The Enterprise Community Partners Green Communi ties Program and the EPA Indoor Air Package Programs ranked the highest among the programs included in the analysis This is largely due to the fact that they include many mandatory criteria for the indoor environment LEED H and 700 2008 rating systems in clude a mixture of mandatory and optional criteria to achieve even the lowest LEED rating of certifiable It is not possible to assess the mix of criteria that a builder will select to comply with the standard NCHH conser vatively rated optional criteria as a 1 thereby reducing the LEED H score for all such criteria The NGBS re lies substantially on optional criteria with a minimal set of mandatory standards As such the program received the lowest rating One reviewer suggested that optional criteria receive greater credit because the flexibility in scoring enables greater program participation reviewer also noted that several of the optional healthy homes criteria are pursued by the majority of program participants The reviewer suggested multiplying the percentage of proj ect
52. tices optional applicable only to rehabilitation 2 3 TOTAL does not include optional scores 18 10390 17 9700 10 5790 9 5190 PEST FREE 1 Criterion 2 5 points THIRD PARTY VERIFICATION 1 Criter On Site Inspection 2 ion 2 5 points 3 Rodent Proof Materials 3 3 2 1 TOTAL 3 12096 3 12096 2 8090 1 40 MAINTAINED 2 Criteria 5 points Users Manual for Health Features 3 3 3 3 Homeowners Manual for Equipment PME 3 2 3 2 and Certification TOTAL 6 120 5 10090 6 120 5 10090 3 3 TOTAL 2 8096 3 120 3 120 2 120 Table 2 National Green Program Health Grades Enterprise Community 1 700 National Partners Green EPA Indoor Air USGBC Green Building Health Principles Communities Package LEED For Homes Standard DRY A A B CLEAN D D D D VENTILATED A SAFE D D D D CONTAMINANT FREE A A D D PEST FREE A A B D MAINTAINED A A A A VERIFIED CERTIFIED B A A A OVERALL GRADE B B C D Based on total score across all criteria in comparison to 85 target score Grading Key A gt 100 all NCHH criteria included 90 100 of target score 80 89 of target score 70 79 of target score gt lt 70 of target score 106 U S Department of Health and Human Services U S Department of Housing and Urban Development
53. ty Keep surrounding area dry Drain and clean humidifier before storing Only run humidifier a few hours a day to avoid mold growth Any mold or musty odor must be investigated for a source of water Examine plumbing roofing or other possible leaks If homeowner make necessary repairs If renter talk with your landlord about needed repairs Consider calling the local board of health for possible code violations Run bathroom and kitchen fans for at least 30 minutes to remove moisture Wipe shower walls after bathing Wipe condensation from windows regularly Do not hang clothes inside the house to dry Contact local health department if you smell rotten eggs or sewer type gas in the home Indoor Pollutants continued NURSE TO DO CONCERN Pets Infestations mice rats cockroaches Lead paint hazards Radon Asbestos o OF O OOO 000 rn If patient is allergic to pets educate as follows o Pets should not be allowed in bedrooms o If possible pets should be given away o If pets cannot be given away wash and groom pet to reduce allergens Identify low cost sources loaner programs for HEPA vacuums and provide information to family Review items in Family To Do column with family Educate family about pest management and behavior change Identify resources in the local community for Integrated Pest Management services or equipment Identify local heal
54. utdoor faucets and hoses Clean window wells and check drainage Water drains away from house No trip fall choking sharp edge hazards Fence around pool intact Clean gutters and downspouts Basement and Crawlspace fof Check for signs of rodents bats roaches termites reduce allergens prevent illness and reduce injury from accidents This checklist provides basic guidelines items may need to be checked more often depending on local conditions and manufacturer suggestions Developed for the National Healthy Homes Training Center by Terry Brennan and Ellen technical advisors to the National Center for Healthy Housing g gt Pos Exterior Roof Walls Windows Shingles in good condition Check chimney valley plumbing vent skylight flashing Make sure gutters discharge water away from building Chk ae fer Check attic for signs of roof leaks Check for icicles and ice dams Look for peeling paint Look for signs of leaks where deck attaches to house National Center for Healthy Housing 10320 Little Patuxent Parkway Suite 500 Columbia MD 21044 www nchh org HVAC Equipment Replace Filters Warm air furnace 8 Air conditioner central air merv 8 m e Outdoor air to return to heat recovery ventilation Plumbing Fixtures Applianc
55. y regulatory authority for HUD or CDC with regard to residential inspection requirements The Healthy Housing Inspection Manual takes environmental health professionals and housing managers specialists and inspectors through the elements of a holistic home inspection It is also a useful reference tool for nurses outreach workers and others who are interested in preventing illness and injury due to residential health and safety hazards The Healthy Housing Inspection Manual addresses the broad range of housing deficiencies and hazards that can affect residents health and safety The purpose of the manual is to improve communication and collaboration among public health professionals housing professionals property owners and property managers increase the understanding of the relations among exposure to hazardous agents conditions in the home and adverse health outcomes and improve the ability of programs to address an array of housing deficiencies in an efficient effective and timely manner HUD and CDC have also jointly developed and funded other important activities related to healthy homes including a healthy housing curriculum that addresses the training needs of environmental public health practitioners public health nurses housing specialists and others interested in building local capacity to address housing related health hazards Healthy Homes Training Center and Network http www healthyhomestraining o
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