3418A.4 Buildings Intended to Remain Under OSHPD Jurisdiction
- Chronic dialysis
- Rehabilitation, occupational therapy or physical therapy
- Chemical dependency
- Services that duplicate Basic Services, as defined in H&SC§1250, or services that are provided as part of a Basic Service, but are not required for facility licensure (with no more than 25 percent in-patient use).
All hospital support services listed in Section 3418A.4.1 Item a that are located in an SPC building at the time general acute care services are removed may remain, provided the California Department of Public Health certifies to the Office that it has received and approved a plan that demonstrates how the health facility will continue to provide all basic services in the event of any emergency when the SPC building may no longer remain functional. This certification shall be submitted by hospital to the Office prior to approval of the application to remove the SPC building from general acute care service.
Existing approved nonacute care occupancies, or services, existing in the SPC building at the time it is removed from general acute care service shall be permitted to remain, and removal of the SPC building from general acute care service is not considered a change in occupancy. The enforcement agency shall be permitted to require evidence that the existing occupancies and services were in compliance at the time they were located in the SPC building. Any hospital support services located in the building removed from general acute care service, including administrative services, central sterile supply, storage, morgue and autopsy, employee dressing rooms and lockers, janitorial and housekeeping service, and laundry, shall be in excess of the minimum requirements for licensure and operation. Prior approval by the California Department of Public Health shall be obtained by hospital to maintain these services in the SPC building removed from acute care service.
When general acute care services are removed from an SPC building which is intended to be used for skilled nursing or acute psychiatric services, and the new services will be licensed under the existing license of the general acute care hospital these new services shall comply with Section 3416A.220.127.116.11 for a nonconforming hospital building.
When general acute care services are removed from an SPC building, and new services provided in the SPC building are issued an initial license, as determined by the California Department of Public Health, as a skilled nursing facility or acute psychiatric hospital, the SPC building shall comply with the new building code requirements or equivalent provisions of the California Building Standards code at the time of application.
When an SPC building is removed from general acute care service with or without change of license, the new occupancy group and division of the building, and/or new service or function, shall be established. A new certificate of occupancy shall be required for the building removed from general acute care service.