| (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;
(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 241 hospital, provided
the existing systems meet these requirements. Power and lighting distribution
panels shall be within the facility served and comply with the requirements
of §134.122(d)(5)(E). Electrical installation details shall conform
with all requirements contained in §134.(d)(5)(A).
(II) When the existing essential electrical system
in nonconforming, 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 nonconforming system shall be corrected.
Corrections shall be made in accordance with a plan of correction
approved by the department.
(c) Facilities located in buildings with other licensed
health care entities.
(1) Before a facility is licensed in a building containing
other licensed health care entities, the following requirements shall
be met.
(A) The facility shall be in one identifiable location
and shall be separated (vertically and horizontally) with two-hour
fire rated noncombustible construction from the other licensed health
care entity and comply with the requirements of this chapter.
(i) 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 other licensed
health care entity.
(I) Each facility and licensed entity shall be identified
with external signage at the building entrance.
(II) Internal signage shall provide direction to the
facility and to the licensed entity.
(ii) The facility shall have services and amenities
separate from the other health care entity. The required services
and amenities shall be located within the proposed facility.
(iii) Common use of services and amenities using time-sharing
concepts may be permitted on a case by case basis when the other
health care entities comply with the requirements contained in NFPA
101, Chapter 18, and §134.123 of this title, and provided this
chapter and the other health care entity licensing rules allow.
(B) The equipment and systems required in each facility
may be provided exclusively for the facility or by contractual agreement
with a licensed health care entity. The equipment and systems provided
shall be in accordance with §134.122 of this title.
(i) The following equipment and systems shall be provided
for the exclusive use of the facility:
(I) electrical service for power and lighting and the
essential electrical system;
(II) emergency water storage located with the facility;
(III) a fire alarm system; and
(IV) air-conditioning, heating and ventilating systems;
(V) medical piping systems with alarm; and
(VI) nurses calling systems.
(ii) Where applicable, the following systems may be
a part or extension of those in the existing licensed health care
entity, provided the existing systems meet the requirements of this
chapter for new construction:
(I) drainage systems;
(II) elevators;
(III) fire sprinkler systems.
(IV) stand pipe systems; and
(V) steam systems; and
(VI) water supply systems, hot and cold.
(2) When a facility and other licensed health care
entities share one building, the building systems and equipment may
be shared in accordance with subsection (a)(5)(B) of this section,
or be provided separately. The shared systems and equipment shall
meet the requirements of this subchapter and be under the control
of the licensed health care entity.
(d) Facilities in buildings with non health care occupancies.
Before a facility is licensed in a building also containing occupancies
other than health care occupancies, all requirements of this chapter
and the following requirements shall be met.
(1) Construction. Construction of the building shall
conform to the requirements of NFPA 101, Chapter 18, and the facility
shall be in one identifiable location.
(A) The facility shall be in one identifiable location
and shall be separated (vertically and horizontally) with two-hour
fire rated noncombustible construction from the other non health care
occupancies and comply with the requirements of this chapter.
(B) Access to the facility shall be through a dedicated
facility lobby or from the building's main lobby. The building's main
lobby shall be part of the facility and shall comply with the requirements
of §134.122 of this title.
(C) The required means of egress from the facility
shall be independent of and shall not traverse through the other
occupancies.
(2) Services and amenities. Services and amenities
shall be provided exclusively for the facility in accordance with
subchapters C, F, and G of this title (relating to Operational Requirements,
Fire Prevention and Safety Requirements, and Physical Plant and Construction
Requirements, respectively). Required services and amenities shall
not be shared with the other occupancies.
(3) Building equipment and amenities. The equipment
and amenities shall be provided for the exclusive use of a facility
in accordance with this subchapter.
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| Source Note: The provisions of this §510.125 adopted to be effective January 1, 2004, 28 TexReg 5154; transferred effective June 1, 2019, as published in the Texas Register May 17, 2019, 44 TexReg 2469 |
