(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), relating to New Health Care Occupancies.
All documents published by NFPA as referenced in this section may
be obtained by writing or calling the NFPA at the following address
or telephone number: National Fire Protection Association, 1 Batterymarch
Park, Post Office Box 9101, Quincy, MA 02269-9101 or (800) 344-3555.
(2) Separate licensed facilities. Each facility shall
provide the following separate services and amenities:
(A) a nursing suite in accordance with the requirements
of §134.123(n) of this title (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 §134.123(m) of this title;
(D) a pharmacy suite in accordance with §134.123(o)
of this title;
(E) employee locker facilities which comply with requirements
of §134.123(f) of this title;
(F) a housekeeping room in accordance with the requirements
of §134.122(d)(2)(A)(xxviii) of this title (relating to New
Construction Requirements);
(G) an emergency treatment room as required by §134.123(e)(1)(A)
of this title;
(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 §134.41
of this title (relating to Facility Functions and Services) and
§134.123 of this title. 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 §134.41(b) of this title and §134.123(d) of this title
respectively;
(B) cart cleaning and sanitizing services and facilities
which comply with §134.123(b) of this title;
(C) general stores services and facilities which comply
with §134.123(h) of this title;
(D) laboratory services and a laboratory suite which
comply with §134.41(e) of this title, and §134.123(k)
of this title respectively;
(E) housekeeping rooms as required in §134.122(d)(2)(xxviii)
of this title;
(F) parking, in accordance with §134.122(c)(2)
of this title;
(G) physical and/or occupational therapy services and
amenities, in accordance with §134.123(p) of this title;
(H) imaging services in accordance with §134.123(j)
of this title;
(I) central sterile supply which complies with §134.123(c)
of this title; and
(J) waste and waste disposal services, and waste processing
and storage units shall comply with §134.41(o) of this title.
(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 §134.122(d)(5)(K).
(ii) When medical gas systems are provided, medical
gas alarms shall be provided in each facility.
(iii) A fire alarm system in accordance with §134.122(d)(5)(M)
shall be provided.
(B) Where applicable, the following systems may serve
more than one facility provided the systems meet the new construction
requirements of §134.122 of this title:
(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 §134.122(d)(5)(E). Electrical installation
details shall conform with all requirements contained in §134.122(d)(5)(A).
(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
the department.
(b) Facilities located in buildings with hospitals
licensed under Health and Safety Code, Chapter 241. Before a facility
is licensed in a building containing a hospital licensed under 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 §134.123 of this title, 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;
(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
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