• Codes
  • Features

    Features Overview

    Go to features
    Reference

    Reference.

    A reliable and up-to-date source of codes.
    Research

    Research.

    Rapidly and efficiently calculate project parameters.
    Collaboration

    Collaboration.

    Get everyone on the same page and streamline code research.
    Workflows
    Architects General Contractor Building Official & Plans Examiner Inspectors Owner Subcontractors Code Consultants
  • Pricing
  • Login
  • Sign Up
Sign Up
Login
  • Code Library
  • Features
  • Pricing
  • About
  • Careers
  • Help
  • Contact
  • Terms
  • Privacy
Sign Up
Upgrade to Premium
Code calculators: Code Calculators automatically generates a detailed list of requirements.
REFERENCE
Amendment Styling
Industry-leading search
Suggested code sections
Code diagrams
RESEARCH
Code calculators
Filter by topic
Code compare
Code sheet exports
COLLABORATION
Team projects
Bookmarks
Comments
START 2 WEEK FREE TRIAL
Have an account? Sign in
// CODE SNIPPET

7-119 Functional Program

California Administrative Code 2019 > 7 Safety Standards for Health Facilities > 3 Approval of Construction Documents > 7-119 Functional Program
JUMP TO FULL CODE CHAPTER
  1. General.

    1. Functional program requirement. The owner or legal entity responsible for the outcome of the proposed health care facility design and construction project shall be responsible for providing a functional program to the project's architect/engineer and to the Office. The requirement applies to all scopes and disciplines of the project that affect patient care directly or indirectly, by means of new construction, additions, or modifications to specific hospital departmental functions which form an integral part of the facility. Projects that only involve equipment replacement, fire safety upgrades, or renovations that will not change the occupancy, function, or use of existing space shall not require a functional program.
    2. Functional program purpose.

      1. An owner-approved functional program shall be made available for use by the design professional(s) in the development of project design and construction documents, and shall be submitted to the Office, at the time of application for plan review, to serve as a reference for the review of the application documents.
      2. Revisions to the functional program shall be documented and a final updated version shall be submitted to the Office prior to approval of the construction documents.
      3. The facility is encouraged to retain the functional program with other design data to facilitate future alterations, additions, and program changes.
    3. Nomenclature in the functional program.

      1. The names for spaces and departments used in the functional program shall be consistent with those used in the California Building Code. If acronyms are used, they should be defined clearly.
      2. The names and spaces indicated in the functional program shall also be consistent with those used on submitted floor plans.
  2. Functional program executive summary. An executive summary of the key elements of the functional program shall be provided and, at a minimum, shall include the following narrative:

    1. Purpose of the project.

      1. The narrative shall describe the services to be provided, expanded, or eliminated by the proposed project.
      2. The narrative shall describe the intent of the project and how the proposed modifications will address the intent.
    2. Project type and size.

      1. The type of health care facility(ies) proposed for the project shall be identified as defined by the California Building Code.
      2. Project size in square footage (new construction and renovation) and number of stories shall be provided.
    3. Construction type/occupancy and building systems.

      1. New construction. If the proposed project is new construction that is not dependent on or attached to an existing structure, the following shall be included:

        1. A description of construction type(s) for the proposed project.
        2. A description of proposed occupancy(ies) and, if applicable, existing occupancy(ies).
        3. A description of proposed engineering systems.
        4. A description of proposed fire protection systems.
      2. Renovation. For a project that is a renovation of, or addition to, an existing building, the following shall be included in the project narrative:

        1. A description of the existing construction type and the construction type for any proposed renovations or additions shall be described.
        2. A general description of existing engineering systems serving the area of the building affected by the proposed project and how these systems will be modified, extended, augmented, or replaced by the proposed project.
        3. A general description of existing fire protection systems serving the area of the building affected by the proposed project and how these systems will be modified, extended, augmented, or replaced by the proposed project.
  3. Functional program content. The functional program for the project shall include the following:

    1. Purpose of the project. The physical, environmental, or operational factors, or combination thereof, driving the need for the project and how the completed project will address these issues shall be described.
    2. Project components and scope.

      1. The department(s) affected by the project shall be identified.
      2. The services and project components required for the completed project to function as intended shall be described.
    3. Indirect support functions. The increased (or decreased) demands throughout, workloads, staffing requirements, etc., imposed on support functions affected by the project shall be described. (These functions may or may not reside adjacent to or in the same building or facility with the project.)
    4. Operational requirements. The operational requirements, which include but are not limited to the following, shall be described:

      1. Projected operational use and demand loading for affected departments and/or project components.
      2. Relevant operational circulation patterns, including staff, family/visitor, and materials movement.
      3. Departmental operational relationships and required adjacencies
    5. Environment of care requirements. The functional program shall describe the functional requirements and relationships between the following environment of care components and key elements of the physical environment:

      1. Delivery of care model (concepts). This shall include:

        1. A description of the delivery of care model, including any unique features.
        2. A description of the physical elements and key functional relationships necessary to support the intended delivery of care model.
      2. Patients, visitors, physicians, and staff accommodation and flow. Design criteria for the following shall be described:

        1. The physical environment necessary to accommodate facility users and administration of the delivery of care model.
        2. The physical environment (including travel paths, desired amenities and separation of users and workflow) necessary to create operational efficiencies and facilitate ease of use by patients, families, visitors, staff, and physicians.
      3. Building infrastructure and systems design criteria. Design criteria for the physical environment necessary to support organizational, technological, and building systems that facilitate the delivery of care model shall be described.
      4. Physical environment. Descriptions of and/or design criteria for the following shall be provided:

        1. Light and views — How the use and availability of natural light, illumination, and views are to be considered in the design of the physical environment.
        2. Wayfinding.
        3. Control of environment — How, by what means, and to what extent users of the finished project are able to control their environment.
        4. Privacy and confidentiality — How the privacy and confidentiality of the users of the finished project are to be protected.
        5. Security — How the safety and security of patients or residents, staff, and visitors shall be addressed in the overall planning of the facility consistent with the functional program.
        6. Architectural details, surfaces, and furnishing characteristics and criteria.
        7. Cultural responsiveness — How the project addresses and/or responds to local or regional cultural considerations.
        8. Views of, and access to, nature.
    6. Architectural space and equipment requirements.

      1. Space list.

        1. The functional program shall contain a list organized by department or other appropriate functional unit that shows each room in the proposed project, indicating its size by gross floor area and clear floor area.
        2. The space list shall indicate the spaces to which the following components, if required, are assigned:

          1. Fixed and movable medical equipment.
          2. Furnishings and fixtures.
          3. Technology provisions.
      2. Area.

        1. Gross floor area for the project shall be aggregated by department, and appropriate multiplying factors shall be applied to reflect circulation and wall thicknesses within the department or functional area. This result shall be referred to as department gross square footage (DGSF).
        2. DGSF for the project shall be aggregated, and appropriate multiplying factors shall be applied to reflect inter-departmental circulation, exterior wall thickness, engineering spaces, general storage spaces, vertical circulation, and any other areas not included within the intra-department calculations. This result shall be referred to as building gross square footage (BGSF) and shall reflect the overall size of the project.
    7. Technology requirements. Technology systems for the project shall be identified to serve as a basis for project coordination and budgeting.

      1. Any technology systems integration strategy shall be defined.
      2. Department and room specific detail for system and device deployment shall be developed.
    8. Short- and long-term planning considerations. A statement addressing accommodations for the following, as appropriate for the project shall be included:

      1. Future growth.
      2. Impact on existing adjacent facilities.
      3. Impact on existing operations and departments.
      4. Flexibility.
    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. At a minimum, a Behavioral and Mental Health Risk Assessment shall be addressed as part of the Patient Safety Risk Assessment. The Patient Safety Risk Assessment shall be subject to review and approval by the California Department of Public Health.

      1. Behavioral and Mental Health Risk Assessment. A Behavioral and Mental Health Risk Assessment shall be prepared for all acute psychiatric hospitals, psychiatric nursing units within general acute-care hospitals, and special treatment program units in skilled nursing facilities. The risk assessment shall include evaluation of the population at risk and the nature and scope of the project, taking into account the model of care and operational considerations, and proposed built environment solutions to mitigate potential risks and hazards.
      2. Behavioral and Mental Health Elements (Psychiatric Patient Injury and Suicide Prevention). The safety risk assessment report shall identify areas that will serve patients at risk of mental health injury and suicide.

        Informational Note: Behavioral and mental health risk should be determined through simultaneous consideration of the inherent danger of any individual environmental feature because of patient profile and acuity, the anticipated level of staff supervision for each area, and space visibility and supervision.
        The governing body should develop a detailed assessment of the level of risk for each program area where mental health patients will be served (e.g., emergency department, nursing units). Refer to Appendix Table Al.2-a Safety Risk Assessment Team Member Expertise of the Guidelines for Design and Construction of Hospitals and Outpatient Facilities published by The Facility Guidelines Institute for areas of expertise needed on the behavioral and mental health assessment team.
        Each area should be evaluated to identify the architectural details, surfaces, and furnishings and exposed mechanical and electrical devices and components to be addressed in the risk assessment. Examples of areas to be included in a mental health risk assessment include the following:
        Highest Level of Risk
        1. Seclusion rooms (where patient acuity poses an increased risk).
        2. Patient bedrooms and toilet rooms (areas where patients spend long periods of time out of direct supervision of the staff).
        3. Psychiatric emergency department (comprehensive psychiatric emergency program) and area under good supervision but dealing with unpredictable patients under initial evaluation and often under heavy medication.
        Moderate Level of Risk
        1. Activity spaces, group rooms, and treatment spaces (supervised with good visibility).
        2. Dining rooms and recreation spaces, both indoor and outdoor.
        3. Corridors (always visible).
        Lowest Level of Risk
        1. Exam rooms, private offices, and conciliation rooms (always supervised).
        2. Staff and support areas (not accessible by patients).
        Other information that could be considered can be found in Patient Safety Standards, Materials and Systems Guidelines published by the New York State Office of Mental Health, and the Design Guide for the Built Environment of Behavioral Health Facilities distributed by The Facility Guidelines Institute.
      3. Behavioral and Mental Health Response.

        1. The safety risk assessment team shall identify mitigating features for the identified at-risk locations.
        2. The design of behavioral and mental health patient care settings shall address the need for a safe treatment environment for those who may present unique challenges and risks as a result of their mental condition.

          1. The patient environment shall be designed to protect the privacy, dignity, and health of patients and address the potential risks related to patient elopement; and harm to self, to others, and to the environment.
          2. The design of behavioral/mental health patient areas shall accommodate the need for clinical and security resources.

Authority: Health and Safety Code Sections 127015 and 129850.

Reference: Health and Safety Code Sections 129675-129998.

Related Code Sections


1228.2.1 Interior Environment, Functional Program
Refer to California Administrative Code (Part 1 of Title 24), Section 7-119, Functional Program, for requirements. Projects associated with acute ...
California Building Code 2016 (Vol 1 & 2) > 12 Interior Environment > 1228 Acute Psychiatric Hospitals > 1228.2 Application > 1228.2.1 Functional Program
7-119 Safety Standards for Health Facilities, Functional Program
General. Functional program requirement. The owner or legal entity responsible for the outcome of the proposed health care facility design ...
California Administrative Code 2019 > 7 Safety Standards for Health Facilities > 3 Approval of Construction Documents > 7-119 Functional Program
7-119 Safety Standards for Health Facilities, Functional Program
(a) General. 1. Functional program requirement. The owner or legal entity responsible for the outcome of the proposed health care facility ...
California Administrative Code 2016 > 7 Safety Standards for Health Facilities > 3 Approval of Construction Documents > 7-119 Functional Program
1224.31.1.1 Interior Environment, General
on the functional program. Specific application shall respond to the patient injury and suicide prevention component of the Patient Safety Risk Assessment ...
California Building Code 2016 (Vol 1 & 2) > 12 Interior Environment > 1224 [OSHPD 1] Hospitals > 1224.31 Psychiatric Nursing Unit > 1224.31.1 Psychiatric Unit Space > 1224.31.1.1 General
1225.6.6 Interior Environment, 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 ...
California Building Code 2016 (Vol 1 & 2) > 12 Interior Environment > 1225 [OSHPD 2] Skilled Nursing and Intermediate-Care Facilities > 1225.6 Optional Services > 1225.6.6 Special Treatment Program Service
Help Contact Us Privacy Terms
Code Compare
Code Compare
Highlight differences between any two building codes.
Shared projects
Shared projects
Projects provide a dedicated space to collaborate on code research.
Code Calculators
Code Calculators
Code calculators automatically generate a detailed list of requirements.
Code diagrams
Code diagrams
Unpack the code through illustrations and descriptions.
Search
Search
Don't miss relevant code. Quickly locate sections across your jurisdiction.
Code sheet exports
Code sheet exports
Generate a code sheet that integrates with your drawing set.
View thousands of relevant UL Certified products and assemblies that help achieve code compliance
View thousands of relevant UL Certified products and assemblies that help achieve code compliance
Access to UL product and system certification information.
UpCodes Premium
Leverage the most sophisticated code compliance platform.
TRY FREE FOR TWO WEEKS VISIT PRICING
Join the waitlist
We are looking to gauge the level of interest in linking UL product and system certification information alongside related code sections.

Let us know your email and we’ll ping you once it’s ready! Learn more.

Thank you for your interest!

If you’re open to it, we would love to jump on the phone to make sure we’re building this in the best way possible for your workflow. Any insight or advice would be greatly appreciated. We’ve sent you an email with a calendar link to book at time with us.


Cancel
Get Early Access
UpCodes Premium
Leverage the full code compliance platform.
START 2 WEEK FREE TRIAL LEARN MORE