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OSHPD Mid-Cycle Code Changes

June 25, 2018

Welcome

Robyn ThomasonCalifornia Hospital Association

Continuing Education

Continuing education will be offered for this program for health care executives.

Full attendance and completion of the online evaluation and attestation of attendance are required to receive CEs for this webinar. CEs are complimentary and available for the registrant only.

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Program Overview

Cheri HummelVice President, Emergency Management& Facilities

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Diana Scaturro

Ms. Scaturro has been the supervisor of Health Facilities Review with OSHPD for over 8 years. Prior to joining, she worked as a consulting health care architect in various capacities ranging from team member to Associate Principal for approximately 20 years. She also served as a staff architect at two Medical Centers, being responsible for oversight of capital program initiatives. Ms. Scaturro currently supervises the Building Standards Unit and participates as an OSHPD staff member for various committees of the Hospital Building Safety Board. Most recently, she became a member of the Advisory Loan Insurance Committee (ALIC) hosted by Cal-Mortgage.

Faculty

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Nanci Timmins

Ms. Timmins is the Chief Fire and Life Safety Officer at OSHPD. She has 22 years of experience in the fire industry. Prior to her position at OSHPD, she was a fire marshal for the State of Michigan. Ms. Timmins has certifications in NFPA and holds degrees in Psychology and Fire Science.

Faculty

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HHBSB/OSHPDDiana Scaturro, Supervisor, Building Standards Unit

Nanci Timmins, Chief Fire and Life Safety OfficerJune 25, 2018

Intervening Cycle Amendments

Effective 7/1/2018

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2018 CALIFORNIA BUILDING CODE

OVERVIEW – PSYCHIATRIC CARE

Part 1 Functional Program -

Patient Safety Risk Assessment

Part 2 New Section 1228 -

Acute Psychiatric Hospital Seclusion Rooms Section 1224.31 Modifications to

allow for either 1224.14 or 1228.14 Provisions

I-2 with Restraint

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Part 3 Tamper Resistant Lighting and

Receptacles Option for no Receptacles within

Patient Rooms

Part 4 Security Diffusers, Grilles and

Registers MERV 8 Filtration

Part 5 New Section 322.0 Psychiatric

Services

OVERVIEW – PART 2

Definition – FLOOR AREA, CLEAR Standardization of Patient Support

Areas to Section 1224.4.4.4 Medical Gas Modifications New Section Technology & Medical

Communication Rooms Increase in Handwashing Sinks

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Section 1225

Coved Base Modifications Maximum 4 Patients / Room Operating Room Quantities Removal of Exception for “shelled space

approved under 2001 or prior..” New Section 1224.32.3 Cesarean Delivery

Space

Section 1224

Separate Toilets for Patients, Staff & the Public

Optional Quiet Rooms

Maximum 2 Patients / Room Modified Toilet Access and Ratios for

Patients Special Treatment Program

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OVERVIEW – PARTS 1, 3, 4 & 5 Part 1

Fee Modifications

Part 3 Clarification for OSHPD 3 (surgical

clinics) where applicable New Section 517.124 Technology

and Telecommunications Rooms Modification to On-site Generator

Testing

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Part 4 “Sensitive Areas or Rooms” better

defined under new Section 322.0 and Temperature/Humidity Requirements shown in Table 4-A

New Section 320.4 Telephone and Data Equipment Rooms

Clarified adoption of ASHRAE 170 and removed redundant CMC Requirements

Table 4-A reformatted to match ASHRAE 170 Table 7.1

Part 5 New Section 310.13 Telephone and Data

Equipment Rooms

MID-CYCLE CHANGES IN THE 2016 CALIFORNIA BUILDING STANDARDS CODE

Diana Scaturro Supervisor, HFR

Section 1228 & Related Parts

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GACH vs. APHGENERAL ACUTE CARE HOSPITALS -Section 12248 Basic Services (Per Title 22 - §70000)

• Medical• Nursing• Surgical• Anesthesia• Laboratory• Radiology• Pharmacy• Dietary

Supplemental Services: Psychiatric Nursing Unit(A unit within a GACH)

ACUTE PSYCHIATRIC HOSPITALS -Section 12285 Basic Services (Per Title 22 - §71000)

• Medical• Nursing• Rehabilitative• Pharmacy• Dietary

Supplemental Services: Electroconvulsive Therapy, Forensic Unit, Pediatric and Adolescent Unit, Intermediate-care Services, Outpatient Services, Clinical Lab, Radiology, Skilled Nursing Service, and Social Services

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ACUTE PSYCHIATRIC HOSPITALS

One-size fits all?

Always design for the very worst possible case in each and every instance, however unlikely it would be.

OR

Design the facility in response to a functional programmatic statement to construct the acute psychiatric hospital tailored to the actual services to be provided and the needs of the actual patient population being served.

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PATIENT SAFETY RISK ASSESSMENTDesign Guide for the Built Environment of Behavioral Health Facilities(Referenced by FGI Guidelines for Design and Construction of Hospitals and Outpatient Facilities)

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PATIENT SAFETY RISK ASSESSMENT

15Design Guide for the Built Environment of Behavioral Health Facilities

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PATIENT SAFETY RISK ASSESSMENT

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Design Guide for the Built Environment of Behavioral Health Facilities

PART 1 – CHAPTER 7CALIFORNIA ADMINISTRATIVE CODE

CHAPTER 7SAFETY STANDARDS FOR HEALTH FACILITIES

7-119. Functional Program…

(c) Functional program content. The functional program for the project shall include the following:

1. Purpose of the project. ……8. Short and long-term planning considerations… 9. Patient Safety Risk Assessment. Projects associated with acute psychiatric hospitals, acute psychiatric nursing units in general acute-care hospitals, and special treatment program service units in skilled nursing facilities, shall include a Patient Safety Risk Assessment.

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PART 1 – CHAPTER 7

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SECTION 1228 California Building Code (CBC) – New Section 1228 Structure

– 1228.1 Scope – 1228.2 Application– 1228.3 Definitions– 1228.4 General Construction (Common Elements)

BASIC SERVICES– 1228.13 – Psychiatric Rehabilitation Activities Service– 1228.14 – Psychiatric Nursing Service– 1228.19 – Pharmaceutical Service– 1228.20 – Dietetic Service– 1228.21 – 1228.27 Support Services

SUPLEMENTAL SERVICES– 1228.28 – 1228.43

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1228.1 SCOPEChapter 12

INTERIOR ENVIRONMENT

SECTION 1228ACUTE PSYCHIATRIC HOSPITALS

1228.1 Scope. The provisions of this section shall apply to acute psychiatric hospitals.

1228.2 Application. New buildings and additions, alterations or repairs ....

1228.2.1 Functional Program. Refer to California Administrative Code (Part 1 of Title 24) Section 7-119 Functional Program for requirements. Projects associated with acute psychiatric hospitals and with psychiatric nursing units in general acute-care hospitals shall include a Patient Safety Risk Assessment.

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1228.3 DEFINITIONS1228.3 Definitions. The definitions provided under Section 1224.3 apply to this section except as modified below:

ACUTE PSYCHIATRIC HOSPITAL. Acute psychiatric hospital means a hospital having duly constituted governing body with overall administrative and professional responsibility and an organized medical staff which provides 24-hour inpatient care for mentally disordered, incompetent or other patients referred to in Division 5 (commencing with section 5000) or Division 6 (commencing with section 6000) of the Welfare and Institutions Code, including the following basic services: medical, nursing, rehabilitative, pharmacy and dietary services.

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1228.4 GENERAL CONSTRUCTION1228.4 GENERAL CONSTRUCTION. Acute psychiatric hospitals shall comply with the provisions under Section 1224.4 General Construction where ... Specific application shall respond to the patient injury and suicide prevention component of the Patient Safety Risk Assessment prepared under California Administrative Code (Part 1 of Title 24) Section 7-119 .

1228.4.1 – 1228.4.3 Reserved1228.4.4 Support areas for patients

1228.4.4.1 Examination and treatment rooms.1228.4.4.1.1 Examination Room. Examination rooms in acute psychiatric hospitals shall meet the requirements of Section 1224.4.4.1.1 as amended below:

1228.4.4.1.1.1 Location. Examination rooms shall be permitted to serve several nursing units ...1228.4.4.1.1.2 Space requirements. Examination rooms shall have a minimum clear floor area of 120 square feet (11.15 m2).

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1228.4.4.1 EXAMINATION & TREATMENT ROOMS

1228.4.4.1.2 Treatment room. Where provided, refer to Section 1224.4.4.1.2

1228.4.4.1.3 Airborne infection isolation exam/treatment room. Where provided, refer to Section 1224.4.4.1.3

1228.4.4.1.4 Seclusion room. Where provided, refer to Section 1224.4.4.1.4

New section under Section 1224 Hospitals –

1224.4.4.1.4 Seclusion room. Where provided, seclusion rooms shall comply with the following requirements:

1224.4.4.1.4.1 General1. Capacity...

2. Layout and access…

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1228.4.4.1 SECLUSION ROOMS1224.4.4.1.4.2 Space requirements…

1224.4.4.1.4.3 Special design requirements. Seclusion rooms shall be designed …

1. The walls, ceiling, and floor ...

2. Minimum ceiling height shall be 9 feet (2743 mm).

3. Doors-• Ligature-resistant• Swing outward• Permit staff observation

4. Seclusion rooms shall not contain outside corners or edges.

5. All items in the room (e.g. lighting fixtures, sprinkler heads, HVAC grilles, and surveillance cameras, etc.) shall be tamper-resistant.

6. Electrical switches and receptacles are prohibited in the seclusion room.

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1228.4.4 SUPPORT AREAS FOR PATIENTS1228.4.4.1.5 Quiet room. Where provided, a quiet room ...1228.4.4.2 Administrative center(s) or nurse station(s). Refer to Section 1224.4.4.21228.4.4.3 Specimen and blood collection facilities. Refer to Section 1224.4.4.31228.4.4.4 Medication station. Refer to Section 1224.4.4.4.1228.4.4.5 Nourishment area or room. Refer to Section 1224.4.4.51228.4.4.6 Clean utility/work room. Refer to Section 1224.4.4.61228.4.4.7 Soiled utility/work room. Refer to Section 1224.4.4.7

1228.4.5 Outpatient waiting rooms. Where provided, refer to Section 1224.4.5

1228.4.6 Miscellaneous requirements. Refer to Section 1224.4.6 for requirements regarding station outlets, gas and vacuum systems, hyperbaric facilities, laboratories, and nurse call systems.

1228.4.7 Corridors. Refer to Section 1224.4.7

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1228.4.8 DOORS & OPENINGS1228.4.8 Doors and door openings. Refer to Section 1224.4.8 with the following modifications and amendments:

1. Where indicated… toilet room doors shall be equipped with keyed locks that allow staff to control access.

2. Use of door closers is to be avoided unless required by other sections of this code.

3. Door hinges …4. Except for specifically designed ligature-resistant hardware, door lever

...5. All hardware shall have tamper-resistant fasteners.

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1228.4.9 WINDOWS & SCREENS1228.4.9 Windows and screens

1. Windows located in patient care areas...

1.1 All glazing (interior and exterior) shall be fabricated with polycarbonate or laminate on the ...1.2 Where window treatments are provided…1.3 Where operable windows are provided ...

2. Anchorage for windows and window assemblies (including frames, hinges and locking devices) shall be designed to resist impact loads ...

3. A minimum net glazed area of not less than 8 percent of the floor area of each indoor activity space and dining space shall be provided.

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1228.4.10-11 CEILINGS & FINISHES1228.4.10 Ceiling heights. Refer to Section 1224.4.10 unless ...

1228.4.11 Interior Finishes. Interior finishes shall comply with Section 1224.4.11 as amended in this section...

1228.4.11.4 Ceilings. Refer to Section 1224.4.11.4 with the following modifications …

Ceilings shall be monolithic in seclusion rooms, exam/treatment rooms, patient bedrooms, patient toilet rooms, or patient bathing facilities.

1. Shall be secured from patient access.

2. Mechanical, electrical, and plumbing systems, other than terminal elements serving the room (e.g. diffusers, registers, luminaires, etc.), shall be concealed above the ceiling.

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1228.4.12-18 GENERAL1228.4.12 Courts. Refer to Section 1224.4.12

1228.4.13 Elevators. Refer to Section 1224.4.13

1228.4.14 Garbage, solid waste and trash storage. Refer to Section 1224.4.14

1228.4.15 Housekeeping room. Refer to Section 1224.4.15

1228.4.16 Laundry and trash chutes. Refer to Section 1224.4.16

1228.4.17 Telephones. Refer to Section 1224.4.17

1228.4.18 Grab bars. Refer to Section 1224.4.18 with the following modifications and amendments:

1. Grab bars, including those that are part of such fixtures as soap dishes, shall be sufficiently anchored to sustain a concentrated load of 250 pounds (113.4 kilograms).2. Grab bars shall be graspable and shall be ligature-resistant.

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1228.4.19-.20 BUILT-IN FURNISHINGS

1228.4.19 Noise Control. Refer to Section 1224.4.191228.4.20 Built-in furnishings. Built-in furnishings in areas accessible to patients shall comply with the following requirements:

1. Built-in furnishings with doors or drawers shall not be provided.2. Open shelves shall be fixed with tamper-resistant hardware.3. When provided, clothing rods or hooks shall be ligature resistant.4. The following are not permitted:

(4.1) Towel bars(4.2) Shower curtain rods(4.3) Lever handles, except where a specifically designed ligature-resistant lever handle is used.

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1228.4.21-22 SYSTEMS & HANDWASHING1228.4.21 Building Systems

1228.4.21.1 Lighting. Lighting in areas … shall be tamper-resistant. Refer to California Electrical Code.

1228.4.21.2 Receptacles. When electrical receptacles are provided in a patient bedroom, the receptacles shall be in compliance with California Electrical Code.

1228.4.22 Handwashing stations. All handwashing fixtures … shall include ligature-resistant features … requirements of the California Plumbing Code. Handwashing fixtures … in psychiatric nursing units are not required to be equipped with gooseneck spouts and the discharge point may be less than 5 inches (127 mm) above the fixture rim.

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PART 3 - ARTICLE 517 FOR PSYCHCALIFORNIA ELECTRICAL CODE (CEC) Related Amendments

ARTICLE 517 – HEALTHCARE FACILITIES

517.18 (B) Patient Bed Location Receptacles. …

Exception No. 4: [OSHPD 1] Psychiatric patient bedrooms shall not be required to have receptacle outlets installed in the room. If installed, the receptacles shall be tamper-resistant, controlled by a switch outside the room that is under the control of staff, and shall be protected by a ground-fault circuit interrupter. …

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PART 3 - ARTICLE 517 FOR PSYCH517.22 [OSHPD 1, 2, 3 & 4] Artificial lighting.

(A)…

(D) Special Locations …

4. Where a psychiatric area … lighting shall be tamper-resistant. 5. Acute psychiatric patient bedrooms shall have general lighting and night

lighting with at least one nightlight fixture in each bedroom that shall be controlled at the room entrance.

6. Corridors in psychiatric nursing units shall have general illumination with provisions for reducing light levels at night.

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1228.13 PSYCH REHAB ACTIVITIES SERVICE1228.5 Communications Systems. Refer to Section 1224.5.

BASIC SERVICES

1228.6 – 1228.12 Reserved

1228.13 PSYCHIATRIC REHABILITATION ACTIVITIES SERVICE SPACE. The psychiatric rehabilitation activities service space may be centralized for common use or may be located in each nursing unit …

1228.13.1 Patient care areas

1228.13.1.1 Indoor activity rooms.

1. At least two separate activity rooms...2. Space requirements...

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1228.13 PSYCH REHAB ACTIVITIES SERVICE (cont.)

1228.13.1.2 Outdoor activity area. An outdoor activity area shall be provided. Outdoor areas shall meet the following requirements:

1. Fences and walls shall be …1.1. Tamper-resistant hardware1.2. Minimum height of 10 feet1.3. Withstand the body force of a 350-pound person

2. If provided, gates or doors in the fence or wall shall:2.1. Swing away from the outdoor activity area.2.2. Hinge installed on the outside2.3. Locking mechanism

3. Lights shall ...

4. If provided, security cameras shall ...

5. If provided, furniture shall ... 35

1228.13 PSYCH REHAB ACTIVITIES SERVICE (cont.)

1228.13.1.3 General support areas1. Space for staff conferences, patient evaluation and progress reports.

1.1. Staff conference room...1.2. Office space ...

2. Where outpatients are treated, there shall be a waiting area …

1228.13.2 Physical therapy service room(s). When provided, the physical therapy service room(s) shall comply with Section 1224.35.2.

1228.13.3 Occupational therapy service room. When provided, the occupational therapy service space shall comply with Section 1224.35.3.

1228.13.4 Speech pathology and/or audiology service room(s). When provided, the speech pathology service space shall comply with Section 1224.35.4.

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1228.14 PSYCHIATRIC NURSING SERVICE1228.14 PSYCHIATRIC NURSING SERVICE SPACE. The primary access point to a locked unit shall be through a sally port.

1228.14.1 Patient rooms. Each patient bedroom shall …1228.14.1.1 Capacity. Maximum room capacity shall be two patients.1228.14.1.2 Space requirements. Patient bedrooms shall …1228.14.1.3 Windows. Each patient bedroom shall have a window in accordance with Section 1228.4.9.1228.14.1.4 Reserved. 1228.14.1.5 Outside exposure. Refer to Section 1224.14.1.51228.14.1.6 Handwashing stations. Handwashing stations shall ... Handwashing stations are not required in patient bedrooms.

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1228.14 PSYCHIATRIC NURSING SERVICE (cont.)1228.14.1.7 Patient toilet room.

1. Each patient shall have access to a toilet room ...2. One toilet room shall serve no more than two patient bedrooms and no more than four patients.3. The toilet room shall contain a toilet and a handwashing station.

1228.14.1.8 Patient storage. Each patient shall have...

1228.14.1.9 Privacy. Visual privacy in multi-bed rooms … is not required in psychiatric nursing units.

1228.14.1.10 Grab bars. Grab bars provided in accessible patient toilet rooms shall comply with Section 1228.4.18.

1228.14.1.11 Room identification. Each patient room shall be labeled with an identification number, letter or combination of the two.

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1228.14 PSYCHIATRIC NURSING SERVICE (cont.)1228.14.2 Service areas. Unless otherwise indicated, provision for the services listed below shall be in or immediately accessible ...

1228.14.2.1 Administrative center(s) or nurse station(s). Refer to Section 1224.4.4.2.

1228.14.2.1.1 Documentation area.1228.14.2.1.2 Handwashing station(s). Refer to ... Handwashing stations in high or medium patient risk areas shall be ligature resistant.

1228.14.2.2 Office(s) for staff.

1228.14.2.3 Support areas for staff. 1. Staff lounge facilities. 2. Staff toilet rooms.3. Staff storage locations.

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1228.14 PSYCHIATRIC NURSING SERVICE (cont.)1228.14.8.4 Multipurpose room. Multipurpose rooms shall be ...

1224.14.2.5 Examination and treatment room. Refer to Section 1228.4.4.1.1.

1228.14.2.6 Clean utility/workroom. Refer to Section 1228.4.4.6.

1228.14.2.7 Soiled utility/workroom. Refer to Section 1228.4.4.7.

1228.14.2.8 Medication station. Refer to Section 1228.4.4.4.

1228.14.2.9 Clean linen storage. Each psychiatric nursing unit shall ...

1228.14.2.10 Nourishment area. Refer to Section 1228.4.4.5.

1228.14.2.11 Ice-making equipment. Each nursing unit shall ...

1228.14.2.12 Equipment and supply storage. Equipment and supply storage is required...

1228.14.1.13 Gurneys and wheel chairs.

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1228.14 PSYCHIATRIC NURSING SERVICE (cont.)1228.14.2.14 Patient bathing facilities. A bathtub or shower shall be provided for each six patient beds not otherwise served by bathing facilities at patient bedrooms.

1228.14.2.15 Common patient toilet room(s). In addition to the toilet rooms serving bed areas, common patient toilet rooms shall be located adjacent to multipurpose room(s) and within or directly accessible to each common patient bathing facility.

1228.14.2.16 Emergency equipment storage. Emergency equipment storage shall be provided at each nursing unit, under visual observation of staff.

1228.14.2.17 Housekeeping room. One housekeeping room shall be permitted to serve more than one nursing unit on a floor. Refer to Section 1228.4.15.

1228.14.2.18 Grab bars. Grab bars in common patient toilets and bathing facilities shall be installed in accordance with Section 1228.4.18.

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1228.14 PSYCHIATRIC NURSING SERVICE (cont.)SPECIAL PATIENT CARE ROOMS

1228.14.3 Airborne infection isolation (AII) room(s). There shall be at least one airborne infection isolation (AII) room provided for each 50 beds, or major fraction thereof...

1228.14.4 Protective environment room(s). If provided, refer to Section 1224.14.4 and the requirements of 1228.4.

1228.14.5 Seclusion room(s). A seclusion room shall be provided for each 24 beds, or major fraction thereof… and the following:

(1) The room(s) shall be located to permit observation ....(2) Seclusion rooms shall be permitted to be grouped together ...

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1228.14 PSYCHIATRIC NURSING SERVICE (cont.)1228.14.6 Quiet room. A quiet room shall be provided in each psychiatric nursing unit…1228.14.7 Visitor/Consultation room(s). Visitor/consultation rooms shall be provided at a room-to-bed ratio of one consultation room for each 12 psychiatric beds, or major fraction thereof...

1. Minimum clear floor area of 100 square feet (9.29 m2)2. Acoustical and visual privacy

1228.14.8 Conference room.1228.14.9 Space for group therapy.

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1228.19 PHARMACEUTICAL & DIETARY

1228.15 – 1228.18 Reserved

1228.19 PHARMACEUTICAL SERVICE SPACE. Pharmaceutical service space shall comply with the provisions of Section 1224.19.

1228.20 DIETETIC SERVICE SPACE. Refer to Section 1224.20 Dietetic Service Space for requirements, as modified below:

1228.20.1 Dining area. Provide dining space(s) for ambulatory patients, staff, and visitors. Separate patient dining room(s) of 20 square feet (1.86 m2) per patient bed shall be provided. These spaces shall be separate from the food preparation and distribution areas.

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1228 SUPPORT SERVICESSUPPORT SERVICES

1228.21 ADMINISTRATIVE SPACE. Refer to Section 1224.21 Administrative Space for requirements.

1228.22 CENTRAL STERILE SUPPLY. Refer to 1224.22 Central Sterile Supply for requirements.

1228.23 STORAGE. Refer to Section 1224.23 Storage for requirements and …

1228.23.1 Patient storage facilities. 1228.24 MORGUE. Acute-care Psychiatric Hospitals with a licensed bed capacity of 50, or more, shall maintain a morgue with autopsy facilities.

1228.25 EMPLOYEE DRESSING ROOMS AND LOCKERS. Refer to Section 1224.25.

1228.26 HOUSEKEEPING. Refer to Section 1224.26.

1228.27 LAUNDRY. Refer to Section 1224.27.

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1228 SUPPLEMENTAL SERVICESSUPPLEMENTAL SERVICES

1228.28 ELECTROCONVULSIVE THERAPY SERVICE SPACE. If electroconvulsive therapy (ECT) is provided in the facility, the requirements of Section 1224.28.6 shall be met.

1228.30 PEDIATRIC AND ADOLESCENT PSYCHIATRIC UNIT. Pediatric and adolescent psychiatric unit … shall be separate and distinct … as amended below:

1228.30.1 Patient bedroom1228.30.1.1 Capacity. Maximum bedroom capacity shall be four patients.

1228.30.1.2 Space requirements. Patient bedroom areas (with beds or cribs) shall meet the following requirements:

(1) For single-bed rooms, 100 square feet (9.29 m2).

(2) For multiple-bed rooms, 80 square feet and 60 square feet (5.57 m2) per crib.

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1228 PEDIATRIC AND ADOLESCENT UNIT1228.30.2 Patient toilet room

(1) Each patient shall have access to a toilet room, either from the patient room or from the corridor outside the patient room.

(2)Where access is provided via a corridor…1228.30.3 Activity areas

1228.30.3.1 Space requirements(1) 35 square feet (3.25 square meters) per patient bed

(2) A separate dining space

1228.30.3.2 Outdoor areas. …shall be separate from adult outdoor areas.

1228.30.4 Support areas for the pediatric and adolescent psychiatric unit. Storage space shall be provided ...

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1228 FORENSIC UNIT1228.31 FORENSIC PSYCHIATRIC UNIT. When provided, a forensic psychiatric unit shall be separate and distinct from other patient areas. The requirements of Section 1228.14 Psychiatric Nursing Unit shall apply to forensic units as amended below:

1228.31.1 Sally Port. Forensic units shall have security vestibules or sally ports at the unit entrance.

1228.31.2 Pediatrics and Adolescents. Forensic unit areas for pediatrics and adolescents shall be separated from adult areas. Refer to Section 1228.30.

1228.31.3 Space Requirements. Specialized program requirements may result in additional treatment areas, police and courtroom space, and security considerations. When a forensic unit is provided, the needs of the patient population and special requirements shall be specifically addressed in the Patient Safety Risk Assessment.

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1228 INTERMEDIATE, OUTPATIENT & SNF1228.31 – 1228.37 Reserved

1228.38 INTERMEDIATE-CARE SERVICE SPACE. When provided, an Intermediate-care service unit shall be housed in a separate and distinct nursing unit and shall comply with the applicable requirements of Section 1225 and the general construction provisions of Section 1228.4.

1228.39 OUTPATIENT SERVICE SPACE. When provided, outpatient service space shall comply with the applicable requirements of Section 1224.39 and the general construction provisions of Section 1228.4.

1228.40 SKILLED NURSING SERVICE SPACE. When provided, the skilled nursing service unit shall be housed in a separate and distinct nursing unit and shall comply with the applicable requirements of Section 1225 and the general construction provisions of Section 1228.4.

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1228 CLINICAL LAB & RADIOLOGICAL1228.41 Reserved.

1228.42 CLINICAL LABORATORY SERVICE SPACE. When provided, clinical laboratory service space shall comply with the requirements of Section 1224.17 Clinical Laboratory Service Space

1228.43 RADIOLOGICAL SERVICE SPACE. When provided, radiology/imaging service space shall comply with the requirements of 1224.18 Radiological/Imaging Service Space, and the provisions of Section 1228.4.

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END SECTION 1228

MID-CYCLE CHANGES IN THE 2016 CALIFORNIA BUILDING STANDARDS CODE

Nanci Timmins Chief Fire & Life Safety Officer, OSHPD

Fire & Life Safety Provisions

Hospital Building Safety Board 201851

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BUILDING CODE TOPICS Building Planning

Chapters 3 through 6

Fire ProtectionChapters 7 through 9

Means of EgressChapter 10

Building Services, Special Devices and Special Conditions

Chapters 27 through 34A

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Use and Occupancy Classification

BUILDING PLANNING

USE AND OCCUPANCY CLASSIFICATION308. Institutional Group I

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INSTITUTIONAL GROUP I Housing patients in hospitals under conditions of restraint is permitted by the

Life Safety Code, NFPA 101 and the International Building Code. The State Fire Marshal has permitted the housing of persons under

conditions of restraint only in a Group I-3 occupancy typically including correctional centers, detention centers, jails, prisons, reformatories.

Patients under conditions of restraint in hospitals, nursing homes and psychiatric hospitals have been permitted in accordance with the provisions of OSHPD CAN 2-308.1 first published February 2, 2001.

The State Fire Marshal has adopted mid-cycle amendments to the CBC that permit the restraint of patients in hospitals, nursing homes and psychiatric hospitals.

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INSTITUTIONAL GROUP I 308.1 Institutional Group I. Institutional Group I occupancy

includes, among others, the use of a building or structure, or a portion thereof, in which care or supervision is provided to persons who are or are not capable of self-preservation without physical assistance or in which persons are detained for penal or correctional purposes or in which the liberty of the occupants is restricted. Institutional occupancies shall be classified as Group I-1, I-2, I-2.1, I-3 or I-4. Restraint shall not be permitted in any building except in Group I-2 occupancies constructed for such use in accordance with Section 407.1.2 and Group I-3 occupancies constructed for such use, in accordance with Section 408.1.2.

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Chapter 4Special Detailed Requirements

Based on Use and Occupancy

BUILDING PLANNING

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SPECIAL DETAILED REQUIREMENTS BASED ON USE AND OCCUPANCY Group I-2 Construction

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GROUP I-2 CONSTRUCTION To accommodate the housing of patients under conditions of

restraint, the construction requirements for Group I-2 occupancies have been amended.

When a Group I-2 occupancy houses patients under a condition of restraint, the requirements for Type IIA, IIIA and VA construction limit the floor area and height for locked facilities.

The construction limitations are consistent with the limitations for Group I-3 occupancies.

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GROUP I-2 CONSTRUCTIONCBC 407.1.2 Construction. Occupancies in Group I-2

wherein mental health patients are restrained are permitted to be housed in one story buildings of Type IIA, Type IIIA or Type VA construction provided the floor area does not exceed 5,200 square feet (483m2) between fire walls of two-hour fire-resistive construction with openings protected by fire assemblies having a 1-½ hour fire protection rating.

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Chapter 8Interior Finishes

Fire Protection

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INTERIOR FINISHESWall and Ceiling Finishes

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803 WALL AND CEILING FINISHES

Footnote on Table 803.11 - Interior Wall and Ceiling Finish Requirements by Occupancy is amended to regulate wall and ceiling finishes located in a Group I-2 psychiatric treatment area in accordance with the same requirements applicable to a Group I-3.

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803 WALL AND CEILING FINISHES

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Footnote n. Where patients are restrained in psychiatric treatment areas of Group I-2, finishes shallcomply with the requirements of a Group I-3.

INTERIOR FINISHESInterior Floor Finish

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804 INTERIOR FLOOR FINISH

Interior floor finish requirements have been amended to include the regulation of Group I-2 areas where patients are restrained in the same manner as Group I-3 facilities are regulated.

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804 INTERIOR FLOOR FINISH (cont.)

CBC 804.4.1 Test requirement. In all other occupancies except Group I-3 and Group I-2 areas where patients are restrained, interior floor finish and interior floor covering materials shall comply with the requirements of ASTM Standard E 648, and having a specific optical density smoke rating not to exceed 450 per ASTM E662. For Group I-3 occupancies and Group I-2 areas where patients are restrained, see Section 804.4.3.

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804 INTERIOR FLOOR FINISH (cont.)

CBC 804.4.2 Minimum critical radiant flux. In all occupancies, interior floor finish and floor covering materials in enclosures for stairways and ramps, exit passageways, corridors and rooms or spaces not separated from corridors by partitions extending from the floor to the underside of the ceiling shall withstand a minimum critical radiant flux. The minimum critical radiant flux shall be not less than Class I in Groups I-2 and R-2.1 and not less than Class II in Groups A, B, E, H, I-2.1, I- 4, M, R-1, R-2 and S. For Group I-2 areas where patients are restrained, see Section 804.4.3.

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804 INTERIOR FLOOR FINISH (cont.)CBC 804.4.3 Group I-2 and Group I-3 floor surfaces.

Interior floor finish and floor coverings occupied by inmates or patients whose personal liberties are restrained shall be noncombustible.

Noncombustible? Well, not really. Class I floor coverings have been accepted. This section will be amended in the 2019 CBC to indicate Class I floor coverings are acceptable.

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Chapter 10Means of Egress

Means of Egress

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MEANS OF EGRESSDoor Operations

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DOOR OPERATIONSThe requirements of Section 1010.1.9 Door operations, are

amended to permit locking of means of egress doors where the clinical needs of persons receiving care require their containment.

Subsection 1010.1.9.6 regulating the installation of controlled egress doors has been added to the California Building Code.

Subsection 1010.9.6 includes IBC model code language and California State Fire Marshal amendments.

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DOOR OPERATIONS (cont.)The following is newly adopted mid-cycle language

regulating the locking of Group I-2 doors. State Fire Marshal amendments are indicated by red font.

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CONTROLLED EGRESS DOORS IN GROUP I-2CBC 1010.1.9.6 Controlled egress doors in Group I-2. Electric

locking systems, including electromechanical locking systems and electromagnetic locking systems, shall be permitted to be locked in the means of egress in Group I-2 occupancies where the clinical needs of persons receiving care require their containment. Controlled egress doors shall be permitted in such occupancies where the building is equipped throughout with an automatic sprinkler system in accordance with Section 903.3.1.1 and an approved automatic smoke detection system installed in accordance with Section 907, provided that the doors are installed and operate in accordance with all of the following:

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CONTROLLED EGRESS DOORS IN GROUP I-2 (cont.)1. The door locks shall unlock on actuation of the automatic sprinkler system or automatic smoke detection system.2. The door locks shall unlock on loss of power controlling the lock or lock mechanism.3. The door locking system shall be installed to have the capability of being unlocked by a switch located at the fire command center, a nursing station or other approved location. The switch shall directly break power to the lock.4. A building occupant shall not be required to pass through more than one door equipped with a controlled egress locking system before entering an exit.5. All staff shall have the keys, codes or other means necessary to operate the locking systems.6. Emergency lighting shall be provided at the door.7. The door locking system units shall be listed in accordance with UL 294.

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CONTROLLED EGRESS DOORS IN GROUP I-2 (cont.)

Exceptions: 1. Items 1 through 4 shall not apply to doors to areas occupied by

persons who, because of clinical needs, require restraint or containment as part of the function of a psychiatric treatment area.

2. Items 1 through 4 shall not apply to doors to areas where a listed egress control system is utilized to reduce the risk of child abduction from nursery and obstetric areas of a Group I-2 hospital.

Note: The State Fire Marshal does not permit listed egress control systems to reduce the risk of child abduction.

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CONTROLLED EGRESS DOORS IN GROUP I-2 (cont.)

The provisions of CBC Sec. 1016.1.9.6 comply with NFPA 101, Sec. 18.2.2.2.5.1.

In NFPA 101, these provisions are applicable to psychiatric, Alzheimer and dementia units.

In NFPA 101, in accordance with Sec. 18.2.2.2.5.2, the provisions are not applicable to pediatric, maternity and emergency departments.

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MEANS OF EGRESSEgress Through Intervening Spaces

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EGRESS THROUGH INTERVENING SPACESSection 1016.2 Egress through intervening spaces, Item 6 is

amended to permit the means of egress in a Group I-2 psychiatric treatment area to pass through a room subject to locking.

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EGRESS THROUGH INTERVENING SPACES (cont.)1016.2 Egress through intervening spaces. Egress through

intervening spaces shall comply with this section.

6. The means of egress shall not pass through any room subject to locking except in Group I-3 occupancies classified as detention facilities and psychiatric treatment areas in Group I-2 occupancies.

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Chapter 30Elevators & Conveying Systems

Building Services, Special Devices and Special Services

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BUILDING SERVICES, SPECIAL DEVICES AND SPECIAL CONDITIONS

Elevators

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ELEVATOR MACHINE ROOMSThe elimination of sprinklers in the elevator machine room

addresses concerns with water damaging the elevator equipment during a fire and creating a hazard for the fire service. Shunt-trip protection is not required when there is no automatic sprinkler system covering the elevator equipment.

It was never the intent to require smoke detection in areas other then the areas where fire sprinklers are removed in accordance with this code section.

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ELEVATOR MACHINE ROOMS (cont.)3005.4 Machine rooms, control rooms, machinery spaces,

and control spaces.3005.4.1 Automatic sprinkler system. Automatic sprinklers

shall not be required to be installed in the elevator hoistway, elevator machine room, elevator machinery space, elevator control space, or elevator control room where all the following are met:

1. Approved smoke detectors shall be installed and connected to the building fire alarm system in accordance with Section 907 in the area where the fire sprinkler was removed per this section.

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Chapter 6Building Services & Systems

California Fire Code

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CALIFORNIA FIRE CODEStationary Storage Battery Systems

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STATIONARY BATTERY STORAGE SYSTEMSCalifornia Fire Code Section 608 regulating the installation of

stationary battery storage systems is completely revised including:Concerns related to thermal runaway Prohibiting the location of systems more than 75’ above the level

of fire department access or 30’ below grade The separation of battery arraysRevised signageWhen battery systems must be classified as Group H occupanciesRequirements for ventilation and gas detection

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CALIFORNIA FIRE CODETanks in an Underground Area

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TANKS IN AN UNDERGROUND AREA

The State and Federal Aboveground Storage Tank requirements and the current fire code do not provide the same level of protection against leaks or spills from the piping connected to petroleum tanks in underground areas. The amended language addresses the piping, valves, fittings, and ancillary equipment, unable to be viewed, connected to Aboveground Storage Tanks located in underground areas to ensure that petroleum does not leak or spill and contaminate the environment, including groundwater, in a manner consistent with existing UST regulations.

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TANKS IN AN UNDERGROUND AREA (cont.)What is a tank in an underground area?CFC Sec. 202. A tank located in a structure that is at least

10 percent below the ground surface, including, but not limited to a basement, cellar, shaft, pit or vault.

So… it is an aboveground tank that is located below grade but not actually buried as an underground tank.

Oil-filled electrical equipment is frequently located in such locations but most oil-filled electrical equipment is not included.

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TANKS IN AN UNDERGROUND AREA (cont.)

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Chapter 9Gas Detection Systems

Fire Protection Systems

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GAS DETECTION SYSTEMSNew section, 916, for Gas Detection System requirements. Includes: Construction documents, Equipment, Power

connection, Emergency and standby power, Sensor locations, Gas sampling, System activation, Signage, Fire alarm system connections, Inspection, testing and calibration.

Connection to the fire alarm shall be in accordance with the fire alarm equipment manufacturer’s instructions.

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CALIFORNIA FIRE CODEGas Detection Systems

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MID-CYCLE CHANGES IN THE 2016 CALIFORNIA BUILDING STANDARDS CODE

Diana Scaturro Supervisor, HFR

Part 2 Sections 1224 - 1225

& Parts 3, 4,& 5

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1224 GENERAL 1224.3 Definitions.

FLOOR AREA, CLEAR. The actual occupied area exclusive of fixed or wall-mounted cabinets, fixed beds and furnishings, built-in shelves, toilets rooms, closets, lockers, wardrobes, alcoves, anterooms or vestibules.

Table 1224.4.6.1 Modifications…

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TABLE 1224.4.6.1

STATION OUTLETS FOR OXYGEN, VACUUM (SUCTION), AND MEDICAL AIR SYSTEMS 1, 6

LOCATIONS OXYGEN VACUUM MEDICAL AIR W

1 Patient rooms (medical/surgical unit) 1/bed 1/bed -- 2 Examination or treatment (medical/surgical unit and

postpartum care) 1/room 1/room --

3 Airborne infection isolation or protective environment rooms (medical/surgical unit)

1/bed 1/bed --

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1224 WALL BASES 1224.4.11.2 Wall bases.

1224.4.11.2.2 Wet cleaning. Floor and wall... have an integral coved wall base … and is tightly sealed to the wall:

1.Operating rooms2. Interventional imaging rooms, including cardiac catheterization labs3.Cesarean delivery rooms4.Cystoscopy, urology, and minor surgical procedure rooms5.Endoscopy procedure rooms6.Endoscopy instrument processing rooms7. IV and chemotherapy preparation rooms8.Airborne infection isolation (AII) rooms9.Protective environment (PE) rooms10.Anterooms to AII and PE rooms, where provided11.Cast rooms

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1224 COMMUNICATION SYSTEMS 1224.5 COMMUNICATIONS SYSTEMS.

1224.5.1 Telecommunications service entrance room. Entry point for outside carrier to interface with the building’s internal

infrastructure Minimum one telecommunications service entrance room Dedicated to the telecommunications function

1224.5.2 Technology equipment center. Used for electronic data storage, processing, and networking Minimum one technology equipment room Sized as needed Located to minimize risk of water damage

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1224 COMMUNICATION SYSTEMS (cont.)1224.5.3 Technology distribution room.

A minimum of one on each floor, except may serve adjacent floors if existing renovation is restrictive

Size shall be based on the area of the floor being served, with minimum clear dimensions as follows: Area Served in Square Feet / (m2) Minimum Technology Distribution Room Size

<= 8,000 square feet (740 m2) 10 feet by 10 feet (3.05 m by 3.05 m)

8,000 – 15,000 square feet (1,400 m2) 10 feet by 12 feet (3.05 m by 3.66 m)

15,000 – 25,000 square feet (2,325 m2) 10 feet by 14 feet (3.05 m by 4.27 m)

> 25,000 square feet (2,325 m2) 12 feet by 14 feet (3.66 m by 4.27 m)

Ceiling minimum clear height shall be 9 feet (2.75 m)Exception: Existing buildings permitted to have clear height of 8 feet (2.44 m)

Location shall be provided throughout the facility 99

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1224 NURSING SERVICE SPACE 1224.14 NURSING SERVICE SPACE.

1224.14.1 Patient rooms.

1224.14.1.1 Capacity. No patient room shall be designed to accommodate more than eight four beds.

Exception: Where renovation of existing individual patient rooms is undertaken in facilities built under the 2013, or prior, California Building Code, maximum room capacity shall be no more than the present capacity, to a maximum of eight patients per patient room. Placement of beds shall not be more than three deep from the exterior window,

Exceptions :1. Where renovation of existing patient rooms is undertaken in facilities built under the 2001 or prior California Building Code, patient rooms shall have no less than 80 square feet (7.43 m2) of clear floor area per bed in multiple-bed rooms and 110 square feet (10.22 m2) of clear floor area in single-bed rooms.

2. For shelled spaces built under the 2001 or prior California Building Code, patient rooms shall have no less than 80 square feet (7.43 m2) of clear floor area per bed in multiple-bed rooms and 110 square feet (10.22 m2) of clear floor area in single-bed rooms.

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1224 NURSING SERVICE SPACE (cont.)1224.14.1.2 Space requirements. In new construction, patient rooms shall have a minimum of 100 square feet (9.29 m2) of clear floor area per bed in multiple-bed rooms and 120 square feet (11.15 m2) of clear floor area for single-bed rooms. …

Exceptions :

1. Where renovation of existing patient rooms is undertaken in facilities built under the 2001 or prior California Building Code, patient rooms shall have no less than 80 square feet (7.43 m2) of clear floor area per bed in multiple-bed rooms and 110 square feet (10.22 m2) of clear floor area in single-bed rooms.

2. For shelled spaces built under the 2001 or prior California Building Code, patient rooms shall have no less than 80 square feet (7.43 m2) of clear floor area per bed in multiple-bed rooms and 110 square feet (10.22 m2) of clear floor area in single-bed rooms.

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1224 SURGICAL SERVICE SPACE 1224.15 SURGICAL SERVICE SPACE

1224.15.1 General...

The number of operating rooms and recovery beds, and the sizes of the support areas, shall be based on the expected surgical workload. Hospitals shall maintain at least the number of operating rooms in ratio to licensed bed capacity as follows:

Licensed Bed Capacity Number of Operating RoomsLess than 25 One25 to 99 Two100 or more Three

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1224 SURGICAL SERVICE SPACE (cont.)For each additional 100 beds, and for each major fraction thereof, at least one additional operating room shall be maintained, unless approved to the contrary by the Department of Public Health. Required operating rooms are in addition to special operating rooms, cystoscopy rooms and fracture rooms which are provided by the hospital. Beds in a distinct-part skilled nursing service, intermediate care service or psychiatric unit shall be excluded from calculating the number of operating rooms required.

Exception: Surgical service space is not required in rural general acute care hospital, if the hospital …

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1224 RESTRUCTURING 1224 RESTRUCTURING of COMMON SERVICE SPACES - EXAMPLE

1224.29.1.14 Additional service spaces...

1224.29.1.14.1 Clean utility/workroom. If the room is used for preparing patient care items, it shall contain a work counter, a handwashing fixture, and storage facilities for clean and sterile supplies. If the room is used only for storage and holding as part of a system for distribution of clean and sterile supply materials, the work counter and handwashing fixture may be omitted. Soiled and clean utility rooms or holding rooms shall be separated and have no direct communication. Clean utility/workroom shall be provided in accordance with Section 1224.4.4.6.

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1224.31 PSYCHIATRIC NURSING UNIT

1224.31 PSYCHIATRIC NURSING UNIT

1224.31.1 Psychiatric unit space...

1224.31.1 General. A psychiatric nursing unit shall meet the requirements of Section 1224.14 or 1228.14, in addition to the requirements of Section 1228.4, based on the functional program. Specific application shall respond to the patient injury and suicide prevention component of the Patient Safety Risk Assessment prepared under California Administrative Code (Part 1 of Title 24) Section 7-119. If a unit provides acute medical care, the unit shall comply with Section 1224.14 and be located in a building rated SPC 3 or higher.

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1224.32 OBSTETRICAL FACILITIES 1224.32 OBSTETRICAL FACILITIES (PERINATAL UNIT SPACE).

1224.32.3 Cesarean delivery and delivery service space. When cesarean operating rooms are located in the obstetrical suite, access and service arrangements shall be such that neither staff nor patients are required to travel through the cesarean delivery area to access other services.

1224.32.3.1 Cesarean delivery suite. …shall include:

1224.32.3.1.1 Cesarean operating room(s). Minimum clear floor area of 360 square feet (33.45 m2) with a minimum dimension of 16 feet (4877 mm). There shall be a minimum of one such room.

1224.32.3.1.2 Scrub facilities. Scrub sinks ...

1224.32.3.1.3 Control/nurse station. A control station shall ...

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1224.32 OBSTETRICAL FACILITIES (cont.)1224.32.3.1.4 Soiled workroom...

1224.32.3.1.5 Housekeeping...

1224.32.3.1.6 Perioperative support services. Preoperative patient holding and post-anesthesia recovery shall ...

1224.32.3.2 Delivery room(s). At least one … shall be provided … shall have a minimum clear floor area of 300 square feet (27.87 mm2). An emergency communication system shall be …

1224.32.3.2.1 Postpartum bed ratio. Delivery rooms, which are used for no other purpose, shall be provided at the ratio of one per 12 postpartum beds and for each major fraction thereof.

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END SECTION 1224

1225.4 NURSING SERVICE SPACE

1225.4.1 NURSING SERVICE SPACE

1225.4.1.6 Toilet room and bath facilities. Separate toilet room facilities shall be provided for the use of patients, and personnel, staff, and the public. Fixtures serving individual patient rooms shall not be considered as meeting the required ratios for bedrooms not served by individual adjoining toilet room or bathrooms.

1225.4.1.6.1 Grab bars. …

1225.4.1.6.2 Toilet rooms. One patient toilet room shall serve no more than two patients. The toilet room shall contain ...

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1225.4 NURSING SERVICE SPACEBathroom facilities shall be provided for patients in convenient locations in at least the following ratios:Bathtubs or showers 1:20 patients or major fraction thereof(Minimum one bathtub on each floor)Lavatories 1:8 patients(Fixtures shall be equipped with gooseneck spouts without aerators and may have conventional controls)Toilets 1:6 patients

Exception. Where renovation of existing patient rooms is undertaken in facilities built under the 2013, or prior… each toilet room may continue to serve up to the number of beds previously served, but not more than two patient rooms, or eight beds.

1225.4.1.6.3 Bathroom facilities. Bathtubs or showers shall be provided at a ratio of 1:20 patients, and for each major fraction thereof, with a minimum of one bathtub per floor.

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1225.5.1 MEDICAL MODEL 1225.5.1 MEDICAL MODEL

1225.5.1.2 Patient room beds. Patient rooms be of such shape and dimensions .... Patient rooms shall…

Provide direct access to a toilet room without entering or passing through a patient bed area

Maximum occupancy shall be two patients per patient room

Exception: Where renovation of existing individual patient rooms is undertaken in facilities built under the 2013, or prior, California Building Code, maximum room capacity shall be no more than the present capacity, to a maximum of four patients per patient room. Placement of beds shall not be more than three deep from the exterior window

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1225.6.6 SPECIAL TREATMENT PROGRAM

1225.6.6 SPECIAL TREATMENT PROGRAM SERVICE. Refer to California Administrative Code (Part 1 of Title 24) Section 7-119 Functional Program for requirements. Projects associated with Special Treatment Program Services in skilled nursing and intermediate-care facilities shall include a Patient Safety Risk Assessment.

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END SECTION 1225

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PART 3 - ARTICLE 517 FOR TELECOM517.124 [OSHPD 1, 2, 3 & 4] Technology and Telecommunications Rooms… the following requirements shall apply:

(A)General. Electrical equipment that is not directly related to the support of the room shall not be installed in or pass through the room. Non-lighting circuits serving each room shall be dedicated to that room.

(B) Grounding.

Shall meet the requirements Article 250 and the latest version of ANSI/TIA 607

Grounding bus bars shall be provided to meet the following requirements: Drilled with holes according to NEMA standards All racks, cabinets, sections of cable tray, and metal components of the technology

system that do not carry electrical current shall be grounded to the grounding bus bar. Shall be connected by a backbone of insulated #6 to 3/0 AWG copper cable Bonding conductors shall be colored green or be labeled appropriately. Shall be connected to the telecommunications main grounding bus bar in accordance

with Article 250.94.112

PART 4 – SECTION 320.4 FOR TELECOM320.4 Telephone and Data Equipment Rooms. [OSHPD 1 & 4] Where telecommunications service entrance rooms, technology equipment centers, or technology distribution rooms are … the following requirements shall apply:

320.4.1 Power for HVAC systems … shall be supplied by the Equipment Branch pursuant to the California Electrical Code...

320.4.2 Mechanical equipment or fixtures that are not directly related to the support of the room shall not be installed in or pass through the room.

Exception: Unrelated ductwork may be installed and shall be not less than 10 feet above the finished floor.

320.4.3 HVAC systems shall be provided to maintain environmental conditions recommended in ASHRAE’s Thermal Guidelines for Data Processing Environment and the requirements of the specific equipment installed.

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PART 4 – Section 402.1 VENTILATIONCHAPTER 4

VENTILATION402.1 Occupiable Spaces. [Not permitted for OSHPD 1, 2, 3, and 4] Occupiable spaces listed in Table 402.1 shall be designed to have ventilation (outdoor) air for occupants in accordance with this chapter. …

• 402.1.3 Ventilation in Health Care Facilities. Mechanical ventilation for health care facilities shall be designed and installed in accordance with this code and ASHRAE 170. -2013, through Addendum ae, as published with “Guidelines for Design and Construction of Hospitals and Outpatient Facilities,” 2014 edition (published by The Facility Guidelines Institute). All supply-air, return air, and exhaust-air systems shall comply with ASHRAE 170. The text of ASHRAE 170 shall be modified as follows:

(1)ASHRAE 170. Section 6.1.2.1 -- Not adopted. (2)ASHRAE 170. Section 6.3.2 -- Not adopted.(3)ASHRAE 170. Table 6.4 - Not adopted….

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PROPOSED CHANGES IN THE 2019 CALIFORNIA BUILDING STANDARDS CODE

2019 CBSC AMENDMENTS [OSHPD 1], [OSHPD 1R], [OSHPD 2] & [OSHPD 5] alignment I-2 (with restraint): Class I Flooring General Housekeeping Items Sharing of Nursing Unit Support Spaces Surgical Suite Staff Changing Areas – Flow Improvement Outpatient Observation Units Pharmacy Requirements CEC – Fuel Storage Requirements CMC – Modifications to Table 4A for alignment with ASHRAE 170 Energy Conservation Enhancements and Enforcement

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2019 CBSC Timeline

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YES, WE ARE DONE.

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Thank You

Diana ScaturroSupervisor Health Facilities ReviewOffice of Statewide Health Planning and DevelopmentDiana.Scaturro@oshpd.ca.gov

Nanci TimminsChief Fire Life Safety OfficerOffice of Statewide Health Planning and DevelopmentNanci.Timmins@oshpd.ca.gov

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Questions

Online questions:Please type your question in the Q & A box, then press enter

Phone questions:To ask a question, dial *1

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Upcoming Programs

July 1010:30 a.m. – 12:00p.m. Webinar: Continuity of Care in a Disaster: Understanding the CMS 1135 Waiver and CDPH Licensing Program Flex

September 24–26, Sacramento Annual Disaster Planning for California Hospitals Conference

Thank You and Evaluation

Thank you for participating in today’s webinar. An online evaluation will be sent to you shortly.

For education questions, contact Robyn Thomason at (916) 552-7514 or rthomason@calhospital.org.