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TITLE 26HEALTH AND HUMAN SERVICES
PART 1HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 510PRIVATE PSYCHIATRIC HOSPITALS AND CRISIS STABILIZATION UNITS
SUBCHAPTER GPHYSICAL PLANT AND CONSTRUCTION REQUIREMENTS
RULE §510.125Building with Multiple Occupancies

(a) Multiple facilities located within one building.

  (1) Identifiable location. Each facility shall be in one separately identifiable location and conform with all the requirements contained in Chapter 18 of the National Fire Protection Association 101, Code for Safety to Life from Fire in Buildings and Structures, 2000 edition (NFPA 101).

  (2) Separate licensed facilities. Each facility shall provide the following separate services and amenities:

    (A) a nursing suite in accordance with the requirements of §510.123(n) of this subchapter (relating to Spatial Requirements for New Construction);

    (B) an administration office with an adjacent waiting room or waiting area;

    (C) a medical records room which conforms with the requirements of §510.123(m) of this subchapter;

    (D) a pharmacy suite in accordance with §510.123(o) of this subchapter;

    (E) employee locker facilities which comply with requirements of §510.123(f) of this subchapter;

    (F) a housekeeping room in accordance with the requirements of §510.122(d)(2)(A)(xxviii) of this subchapter (relating to New Construction Requirements);

    (G) an emergency treatment room as required by §510.123(e)(1)(A) of this subchapter;

    (H) external signage at the building entrance which identifies each facility; and

    (I) internal signage which provides directions to each facility.

  (3) Means of egress. Means of egress from the facility shall not be through another facility or other areas subject to locking.

  (4) Additional services and amenities. Additional services and amenities when required in each licensed facility may be provided by contractual agreement with the other facility when the services and amenities comply with the specific requirements of §510.41 of this chapter (relating to Facility Functions and Services) and §510.123 of this subchapter. Some services may be provided by contractual agreement with a commercial contractor; however, the following minimal services and amenities shall be provided on site:

    (A) dietary services and dietary suite which comply with §510.41(b) of this chapter and §510.123(d) of this subchapter respectively;

    (B) cart cleaning and sanitizing services and facilities which comply with §510.123(b) of this subchapter;

    (C) general stores services and facilities which comply with §510.123(h) of this subchapter;

    (D) laboratory services and a laboratory suite which comply with §510.41(e) of this chapter, and §510.123(k) of this subchapter, respectively;

    (E) housekeeping rooms as required in §510.122(d)(2)(A)(xxviii) of this subchapter;

    (F) parking, in accordance with §510.122(c)(2) of this subchapter;

    (G) physical therapy services and amenities, occupational therapy services and amenities, or both in accordance with §510.123(p) of this subchapter;

    (H) imaging services in accordance with §510.123(j) of this subchapter;

    (I) central sterile supply which complies with §510.123(c) of this subchapter; and

    (J) waste and waste disposal services, and waste processing and storage units shall comply with §510.41(o) of this chapter.

  (5) Building systems and equipment.

    (A) The following systems shall be provided separately in each facility.

      (i) Nurses calling systems shall be provided separately in each facility in accordance with §510.122(d)(5)(K) of this subchapter.

      (ii) When medical gas systems are provided, medical gas alarms shall be provided in each facility.

      (iii) A fire alarm system in accordance with §510.122(d)(5)(M) of this subchapter shall be provided.

    (B) Where applicable, the following systems may serve more than one facility provided the systems meet the new construction requirements of §510.122 of this subchapter:

      (i) air-conditioning, heating and ventilating systems;

      (ii) drainage systems;

      (iii) elevators;

      (iv) fire sprinkler systems;

      (v) medical piping systems;

      (vi) stand pipe systems;

      (vii) steam systems;

      (viii) water supply systems, hot and cold (including emergency water storage); and

      (ix) electrical service and equipment.

        (I) Where applicable, the building electrical service, lighting, essential electrical system, and fire alarm system, may be a part of or extension of those in the existing host facility, provided the existing systems meet these requirements. Power and lighting distribution panels shall be within the facility served and comply with the requirements of §510.122(d)(5)(E) of this subchapter. Electrical installation details shall conform with all requirements contained in §510.122(d)(5)(A) of this subchapter.

        (II) When the existing essential electrical system is non-conforming, the following options are available:

          (-a-) a separate conforming essential electrical system shall be provided in the new facility; or

          (-b-) separate transfer switches connected to the existing on-site generator(s) shall be provided when adequate capacity is available and the existing non-conforming system shall be corrected. Corrections shall be made in accordance with a plan of correction approved by HHSC.

(b) Facilities located in buildings with hospitals licensed under Texas Health and Safety Code Chapter 241. Before a facility is licensed in a building containing a hospital licensed under Texas Health and Safety Code Chapter 241 (241 hospital), the following requirements shall be met.

  (1) The facility shall be in one identifiable location and shall be separated (vertically and horizontally) with two-hour fire rated noncombustible construction from the 241 hospital and comply with the requirements of this chapter.

    (A) Access to the facility shall be directly from a main lobby or an elevator lobby, if on an upper floor. The required means of egress from the facility shall not be through the 241 hospital.

      (i) Each facility and 241 hospital shall be identified with external signage at the building entrance.

      (ii) Internal signage shall provide direction to the facility and to the 241 hospital.

    (B) Common use of services and amenities using time-sharing concepts may be permitted on a case by case basis when the 241 hospital complies with the requirements contained in NFPA 101 Chapter 18, and §510.123 of this subchapter, and provided this chapter and the 241 hospital licensing rules allow.

  (2) The facility and the 241 hospital shall provide services and amenities in accordance with their respective licensing requirements.

  (3) Additional services and amenities when required in the facility or 241 hospital may be provided by contractual agreement with either entity. Shared services and amenities shall meet the most stringent entity licensing standard or rule. Some services may be provided by contractual agreement with a commercial contractor; however, the following minimal services and amenities shall be provided on-site:

    (A) dietary services and dietary suite, including staff dining amenities;

    (B) cart cleaning and sanitizing services;

    (C) general stores services;

    (D) laboratory services and a laboratory suite;

    (E) housekeeping rooms;

    (F) parking;

    (G) physical or occupational therapy services and amenities;

    (H) imaging and other diagnostic services and amenities;

    (I) respiratory care services and respiratory therapy suite;

    (J) body holding room;

    (K) central sterile supply; and

    (L) waste and waste disposal services, and waste processing and storage units.

  (4) The equipment and systems required in the facility or 241 hospital may be provided exclusively for the facility or by contractual agreement with a 241 hospital. Equipment and systems provided shall be in accordance with the most stringent entity standard or rule.

    (A) The following equipment and systems shall be provided for the exclusive use of the facility:

      (i) a fire alarm system; and

      (ii) nurses calling systems.

    (B) Where applicable, the following systems may serve more than one facility or 241 hospital:

      (i) air-conditioning, heating, and ventilating systems;

      (ii) drainage systems;

      (iii) elevators;

Cont'd...

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