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// CODE SNIPPET

Section 1226 [OSHPD 3] Clinics

California Building Code 2016 (Vol 1) > 12 Interior Environment > 1226 [OSHPD 3] Clinics
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1226.1 Scope

The provisions of this section shall apply to outpatient clinical services of a hospital when provided in a freestanding building, primary care clinics, specialty clinics, and psychology clinics. Primary care clinics include free clinics, community clinics, employee clinics and optometric clinics. Specialty clinics include surgical clinics, chronic dialysis clinics, rehabilitation clinics and alternative birth centers (ABC).

1226.2 Application

All new buildings and additions, alterations or repairs to existing buildings, and conversion of space to a clinic use within existing buildings, subject to licensure by Licensing and Certification, California Department of Public Health, shall comply with applicable provisions of the California Electrical Code, California Mechanical Code, California Plumbing Code, California Fire Code, (Parts 3, 4, 5, and 9 of Title 24) and this section. OSHPD requirements apply to all facilities described above and are not dependent upon Occupancy Group designations.

Exception: See Section 1224.2.

1226.2.1 Outpatient clinical services

Hospitals providing outpatient clinical services and clinics licensed under Health and Safety Code Section 1200 providing services that are not covered by this section shall meet the applicable requirements in Section 1224.

1226.2.2 Special services

A general acute care hospital referenced in Health and Safety Code Section 1255 (d) (3) (E), that provides special services in conformance with Health and Safety Code Section 1255, shall meet all the provisions of Section 1224.28.3 in addition to Section 1226.2. The Office of Statewide Health Planning and Development (OSHPD) shall review any proposed construction or alteration for OSHPD compliance.

1226.3 Definitions

Refer to Section 1224.3.

1226.4 General construction

Clinics and outpatient clinical services under a hospital license shall comply with the following provisions wherever applicable.

1226.4.1 Examination and treatment areas

1226.4.1.1 Service spaces

Refer to Section 1224.4.2.

1226.4.1.2 Treatment spaces

Refer to Section 1224.4.3.

1226.4.1.3 Examination or treatment room

Refer to Section 1224.4.4.1.

1226.4.1.4 Airborne infection isolation exam/treatment room

Refer to Section 1224.4.4.1.3.

1226.4.2 Miscellaneous requirements

1226.4.2.1 Station outlets

When provided, refer to Section 1224.4.6.1.

1226.4.2.2 Gas and vacuum systems

When provided refer to Section 1224.4.6.2.

1226.4.2.3 Hyberbaric facilities

When provided, refer to Section 1224.4.6.3.

1226.4.2.4 Laboratories

Refer to Section 1224.4.6.4.

1226.4.2.5 Nurse call systems

Refer to Section 1224.4.6.5.

1226.4.3 Corridors

1226.4.3.1 Outpatient services

Refer to Section 1224.4.7.3

1226.4.3.2 Corridor width

For clinics with bed/gurney patient(s) refer to Section 1224.4.7.1.

1226.4.3.3 Light traffic

Refer Section 1224.4.7.2.

1226.4.3.4 Handrails

For rehabilitation services space, refer to Section 1224.4.7.4.

1226.4.3.5 Connections

Refer to Section 1224.4.7.5.

1226.4.4 Doors and door openings

1226.4.4.1 Toilet room doors

Refer to Section 1224.4.8.1.

1226.4.4.2 Pocket doors

Refer to Section 1224.4.8.2.

1226.4.5 Windows

1226.4.5.1 Window screens

Refer to Section 1224.4.9.4.

1226.4.5.2 Light and ventilation

Refer to Section 1224.4.9.5.

1226.4.6 Ceiling heights

1226.4.6.1 Minimum height

For minimum ceiling height requirements, refer to Section 1224.4.10.1.

1226.4.6.2 Minimum height with fixed ceiling equipment

Refer to Section 1224.4.10.2.

1226.4.7 Interior finishes

1226.4.7.1 Floor finishes

Refer to Section 1224.4.11.1 and Table 1224.4.11.

1226.4.7.1.1 Coved base

Refer to Section 1224.4.11.1.1.

1226.4.7.1.2 Wet cleaning

Refer to Section 1224.4.11.1.3.

1226.4.7.1.3 Airborne infection isolation exam/treatment room

Refer to Section 1224.11.1.4.

1226.4.7.2 Wall bases

1226.4.7.2.1 Material

Refer to Section 1224.4.11.2.1.

1226.4.7.2.2 Wet cleaning

Refer to Section 1224.4.11.2.2.

1226.4.7.3 Wall finishes

Refer to Section 1224.4.11.3.

1226.4.7.4 Ceilings

Ceiling finishes shall comply with Section 1224.4.11.4 and Table 1224.4.11.

1226.4.8 Elevators

1226.4.8.1 Elevator cab requirements

Buildings over one story in height with accommodations or services for patients on floors without grade-level entrance shall provide at least one elevator in compliance with Section 3002.4.

1226.4.8.2 Dimensions

Elevators used for the routine transport of wheeled stretchers shall have minimum inside platform dimensions of 5 feet by 8 feet (1524 mm by 2438 mm) and a minimum clear door opening of 3 feet 8 inches (1118 mm).

1226.4.9 Garbage, solid waste, medical waste and trash storage

These facilities shall comply with the appropriate local health and environmental authorities’ requirements, California Department of Public Health requirements for medical waste management, and comply with the following minimum requirements:

1226.4.9.1 Location

A location shall be provided for waste collection and storage with sufficient space based upon the volume of projected waste and length of anticipated storage. The location of compactors, balers, sharps containers, and recycling container staging at docks or other waste removal areas shall comply with Section 1224.4.2.

1226.4.9.2 Enclosure

A lockable room or screened enclosure of at least 25 square feet (2.32 m2) shall be provided for the washing and cleaning of garbage containers and for the storage of garbage, trash and other solid wastes.

Exception: This amount of space may not be required by the enforcing agency if there is a proposed method of handling and storage which requires a lesser amount of space. Additional space may be required by the enforcing agency when special operations or collection and disposal methods result in greater than usual accumulation of solid wastes.

The room or screened enclosure shall include the following:

  1. Floor and curb. A concrete floor with a curb and with a drain connected to the sewer.
  2. Water. Steam or hot water and cold water supplies in accordance with the California Plumbing Code.
  3. Size. A minimum floor area of not less than 25 square feet (2.32 m2), the least dimension of which shall be 4 feet (1219 mm). This amount of space may not be required by the enforcing agency if there is proposed a method of handling, storage, or cleaning of containers which requires a lesser amount of space. Additional space may be required by the enforcing agency when special operations or collection and disposal methods result in greater than usual accumulation of solid wastes.

1226.4.9.3 Waste holding room

As an alternative to the requirements in Section 1226.4.9.2, a holding room for medical waste and garbage may be provided.

Exception: This amount of space may not be required by the enforcing agency if there is a proposed method of handling and storage which requires a lesser amount of space. Additional space may be required by the enforcing agency when special operations or collection and disposal methods result in greater than usual accumulation of solid wastes.

The waste holding room shall comply with the following:

  1. The waste holding room shall be a minimum of 25 square feet, with the least dimension of which is 4 feet.
  2. The waste holding room shall have 100 percent exhaust ventilation.
  3. All finishes in the waste holding room shall comply with the requirements in Section 1224.4.11.
  4. The waste holding room shall be immediately accessible to an exterior door.

1226.4.10 Compactors

Trash compactor systems shall meet the drainage and wash-down requirements under Section 1226.4.9.2, Items 1 and 2.

Exception: If a dumpster system is proposed, operational procedures for handling and storage must be specifically approved by the local health officials.

1226.4.11 Housekeeping room

Refer to Section 1224.4.15.

1226.4.12 Laundry and trash chutes

Gravity-type laundry and trash chutes shall comply with Section 1224.4.16.

1226.4.13 Support areas for examination and treatment rooms

1226.4.13.1 Administrative center(s) or nurse station(s)

This area shall have space for counters and storage and shall have direct access to a handwashing stations (refer to Section 1224.3 for definition of handwashing station). It may be combined with or include centers for reception, charting and communication.

1226.4.13.2 Medication station

Provision shall be made for distribution of medications. This shall be done from a medicine preparation room or a self-contained medicine dispensing unit.

1226.4.13.2.1 Medicine preparation room or area

When provided, the entry of the medicine preparation room or area shall be under the visual control of the staff. This may be a part of the administrative center or nurse station and shall include all of the following:

  1. Work counter
  2. Sink
  3. Lockable refrigerator
  4. Immediate access to handwashing station
  5. Locked storage for biologicals and drugs

When a medicine preparation room or area is to be used to store self-contained medicine dispensing units, the room shall be designed with adequate space to prepare medicines with the self-contained medicine-dispensing units present.

1226.4.13.2.2 Self-contained medicine-dispensing unit

When provided, the location of a self-contained medicine-dispensing unit shall be permitted in the clean workroom or at the administrative center or nurses’ station, provided there is adequate security for medications and adequate lighting to easily identify drugs. Immediate access to a handwashing station shall be provided.

1226.4.13.3 Clean utility room

A clean utility room shall be provided. If the room is used for preparing patient care items, it shall contain:

  1. Work counter
  2. Handwashing fixture
  3. Storage facilities for clean and sterile supplies

If the room is used only for storage and holding as part of a system for distribution of clean and sterile materials, the work counter and handwashing fixture may be omitted. Soiled and clean utility rooms or holding rooms shall be separated and have no direct connection.

1226.4.13.4 Soiled workroom or soiled holding room

Soiled workroom or soiled holding room shall be provided and contain:

  1. Clinic sink

    Exception: For primary care clinics, a utility sink or patient toilet room equipped with a bedpan flushing device may be provided in lieu of a clinic sink. A utility sink may be used for soaking or rinsing and shall be provided as appropriate to the method of decontamination used.

  2. Handwashing fixture
  3. Work counter
  4. Storage cabinets
  5. A designated area for waste receptacle(s)
  6. A designated area for soiled linen receptacle(s)

If the clinic includes a central sterile supply that complies with Section 1224.22 and the soiled holding room is used only for temporary holding of soiled materials, the clinic sink and work counter may be omitted. Where rooms are used for temporary holding of materials, provisions shall be made for separate collection, storage, and disposal of soiled materials. Soiled and clean utility rooms or holding rooms shall be separated and have no direct connection.

1226.4.13.5 Sterile and pharmaceutical supply storage

Separate storage for sterile supplies and pharmaceutical supplies shall be provided.

1226.4.13.6 Sterilization facilities

When provided, a sterilization facility shall meet the following applicable requirements:

1226.4.13.6.1 Storage

Each facility shall provide space for the storage of disposable sterile supplies or provide space for sterilization and disinfection equipment.

Exception: Facilities with contractual arrangements for outside autoclaving and sterilizing services.

1226.4.13.6.2 Central sterile supply and sterilizing area

When provided, rooms and spaces of the central supply and sterilizing area shall comply with the following:

  1. Soiled work area. A receiving and gross cleaning area which shall contain work space and equipment for cleaning medical and surgical equipment and for disposal of or processing of soiled materials.
  2. Clean work area. A clean work area which shall contain work space and equipment for sterilizing medical and surgical equipment and supplies.
  3. Sterilizing and equipment disinfection space.
  4. Storage. Space for sterile supplies and unsterile supplies.

1226.4.13.6.3 Sterilizers

When provided, all sterilizers and autoclaves which emit system steam exhaust shall be vented to the outside of the building. Such vents shall be independent from the plumbing vent system.

Exception: Small instrument sterilizers.

1226.4.13.7 Nourishment room

When provided, the nourishment room or area shall have all of the following:

  1. Sink
  2. Work counter
  3. Refrigerator
  4. Storage cabinets
  5. Equipment for serving nourishment
  6. A handwashing fixture, as defined in Section 1224.3, shall be located in the nourishment room or adjacent to the nourishment area.

1226.4.14 Support areas for patients

1226.4.14.1 Patient toilet room(s)

Toilet room(s) with a lavatory shall be provided separate from public use toilet(s) and shall be located to permit access from patient care areas without passing through publicly accessible areas.

Exception: For primary care clinics where the facility contains no more than three examination and/or treatment rooms, the patient toilet room shall be permitted to serve outpatient waiting room(s).

1226.4.14.2 Specimen and/or blood collection facilities

When provided, refer to Section 1224.4.4.2. Use of patient toilet room(s) shall be permitted for specimen collection.

1226.4.15 General support services and facilities

1226.4.15.1 Areas for off-site laundry services

If linen is to be processed off site, the following shall be provided:

  1. Soiled linen holding area or designated and dedicated area for soiled laundry cart.
  2. Clean linen storage area that protects linen from soil or damage.

1226.4.16 Public and administrative areas

1226.4.16.1 Public

1226.4.16.1.1 Reception

A reception and information counter or desk shall be provided.

1226.4.16.1.2 Outpatient waiting rooms

Refer to Section 1224.4.5.

1226.4.16.2 Administrative services

1226.4.16.2.1 Medical records storage

Outpatient clinics shall provide a health record service which shall comply with the following:

  1. Work area for sorting and recording records for either paper or electronic media.
  2. Storage area for records for either paper or electronic media.

1226.4.16.2.2 Equipment and supply storage

General storage facilities for office supplies and equipment shall be provided.

1226.4.17 Support areas for staff

1226.4.17.1 Staff toilet(s)

Provide staff toilet(s) in addition to and separate from, public and patient facilities. The areas shall contain toilet(s) and handwashing fixtures pursuant to the California Plumbing Code, Table 4-2.

1226.4.17.2 Storage for employees

Provide storage for staff personal effects with locking drawers or cabinets (may be individual desks or cabinets). Such storage shall be readily accessible to individual workstations and shall be staff controlled.

1226.4.17.3 Staff lounge

When provided, the lounge shall have adequate space to accommodate staff.

1226.5 Outpatient Clinical Services of a Hospital

A licensed hospital may elect to locate certain outpatient services in a freestanding outpatient clinical services building(s). To be considered a freestanding outpatient clinical services building the building must not be physically attached to a building in which inpatient services are provided. No more than 25 percent of the services provided in an outpatient clinical services building may be rendered to inpatients. Services that duplicate the basic services may be provided in freestanding building(s). These services, defined in Subsection (a) of the Health and Safety Code Section 1250, must be in excess of the basic services, necessary for hospital licensure, required to be located in a hospital building under OSHPD jurisdiction.

Outpatient clinical services of a hospital in a freestanding outpatient clinical services building shall comply with Sections 1226.4.2 through 1226.4.8 and the provisions of this section. Outpatient clinical services of a hospital that are not addressed in the provisions of Section 1226 shall comply with applicable provisions of Section 1224.

GENERAL SUPPORT AREAS FOR OUTPATIENT CLINICAL SERVICES - Requirements for all service types.

1226.5.1 Support areas for patients

1226.5.1.1 Patient toilet room(s)

Refer to Section 1226.4.14.1.

1226.5.1.2 Specimen and/or blood collection facilities

When provided, refer to Section 1224.4.4.2.

1226.5.2 General support services and facilities

1226.5.2.1 Garbage, solid waste, medical waste, and trash storage

Refer to Section 1226.4.9.

1226.5.2.2 Housekeeping room

Refer to Section 1224.4.15.

1226.5.3 Public and administrative areas

1226.5.3.1 Public area

1226.5.3.1.1 Reception

Refer to Section 1226.4.16.1.1.

1226.5.3.1.2 Outpatient waiting room

Refer to Section 1224.4.5.

1226.5.3.1.3 Public toilet(s)

Refer to Section 1224.4.5.

1226.5.3.1.4 Public telephone access

Refer to Section 1224.4.5.

1226.5.3.1.5 Drinking fountain(s)

Refer to Section 1224.4.5.

1226.5.3.2 Administrative services

1226.5.3.2.1 Medical records storage

Refer to Section 1226.4.16.2.1.

1226.5.3.2.2 Equipment and supply storage

Refer to Section 1226.4.16.2.2.

1226.5.4 Support areas for staff

1226.5.4.1 Staff toilet(s)

Refer to Section 1226.4.17.1.

1226.5.4.2 Storage for employees

Refer to Section 1226.4.17.2.

1226.5.5 Radiological/imaging service space

When x-ray examination services, computerized tomography scanning, magnetic resonance imaging, ultrasound, and/or mammography services are provided, the radiological/imaging services space shall comply with the provisions of this section.

1226.5.5.1 Support spaces for radiological/imaging services

The following spaces are common to the imaging service area and are minimum requirements:

1226.5.5.1.1 Patient toilet room(s)

In service spaces with procedure rooms that do not require dedicated patient toilets, provide a minimum of one patient toilet room within the service space, refer to Section 1226.4.14.1.

1226.5.5.1.2 Outpatient change area

A separate space shall be provided where outpatients change from street clothing. This shall include provisions for clothing storage, space for clothing change and gowning area. Dressing rooms shall be readily accessible to the imaging rooms.

1226.5.5.1.3 Staff facilities

In service space of three or more procedure rooms, staff toilet room(s) internal to the service space.

1226.5.5.1.4 Handwashing fixtures

Handwashing fixtures shall be located within the unit.

1226.5.5.1.5 Imaging storage (active)

If imaging storage systems are used, provide a means of sorting and filing patient film or electronic media for immediate retrieval shall be provided.

1226.5.5.1.6 Medication station

Provision shall be made for locked storage of medications and drugs. Refer to Section 1226.4.13.2.

1226.5.5.1.7 Areas for off-site laundry services

Refer to Section 1226.4.15.1.

1226.5.5.2 Radiation protection

Radiation protection requirements for equipment refer to Section 1224.18.1.1.

1226.5.6 X-ray examination services

When provided, x-ray examination services space shall comply with the following:

  1. X-ray room.
  2. When shielded control alcove with protective view windows is provided, refer to Section 1224.18.1.1.
  3. Fluoroscopy room, when provided, shall have a toilet room directly accessible to the fluoroscopy room. This toilet room is in addition to common patient toilet room facilities located in the radiological/imaging service space.
  4. Space for processing images.
  5. An office or other suitable area for viewing and reporting radiographic examination.

1226.5.7 Computerized tomography (CT) scanning

When provided, CT services space shall comply with the requirements of Section 1224.18.3.

1226.5.8 Magnetic resonance imaging (MRI)

When provided, MRI services space shall comply with the requirements of Section 1224.18.4.

1226.5.9 Ultrasound

When ultrasound is provided, refer to Section 1224.18.5.

1226.5.10 Mammography

When mammography is provided, refer to Section 1224.18.6.

1226.5.11 Gastrointestinal endoscopy

When provided, gastrointestinal endoscopy services space shall comply with Section 1224.39.3 and the provisions of this section:

1226.5.11.1 Procedure Room(s)

1226.5.11.1.1 Space requirements

Refer to Section 1224.39.3.1.1.

1226.5.11.1.2 Handwashing fixture

Refer to Section 1224.39.3.1.2.

1226.5.11.2 Processing room

Refer to Section 1224.39.3.2.

1226.5.11.3 Pre-operative patient holding

Refer to Section 1224.15.2.

1226.5.11.4 Post-anesthesia recovery area

Refer to Section 1224.16.

1226.5.11.5 Communication system

Refer to Section 1224.39.3.5.

1226.5.11.6 Support areas for outpatient gastrointestinal endoscopy

1226.5.11.6.1 Control station

Refer to Section 1224.15.3.1.

1226.5.11.6.2 Medication station

Refer to Section 1226.4.13.2.

1226.5.11.6.3 Soiled workroom

Refer to Section 1224.15.3.7.

1226.5.11.6.4 Clean utility room

Refer to Section 1224.15.3.8.

1226.5.11.6.5 Anesthesia workroom

Refer to Section 1224.15.3.9.

1226.5.11.6.6 Storage room(s) for equipment and supplies used in gastrointestinal endoscopy service space

Refer to Section 1224.15.3.10.

1226.5.11.6.7 Staff clothing change areas

Refer to Section 1224.15.3.11.

1226.5.11.6.8 Housekeeping room

Refer to Section 1224.39.2, Item 7.

1226.5.11.6.9 Cleanup room

Refer to Section 1224.39.2, Item 4.

1226.5.11.6.10 Sterile and pharmaceutical supply storage

Refer to Section 1226.4.13.5.

1226.5.11.7 Additional support areas for patients

1226.5.11.7.1 Outpatient change area

A separate space shall be provided where patients change out of their street clothing and are prepared for the procedure. This space shall include provisions for clothing storage, toilet room(s), sink, space for clothing change and gowning area.

1226.5.12 Nuclear medicine

When provided, nuclear medicine services space shall comply with Section 1224.34 and the provisions of this section:

1226.5.12.1 Radiation protection

When provided, refer to Section 1224.34.1.1.

1226.5.12.2 Nuclear medicine room

Refer to Section 1224.34.1.2.

1226.5.12.3 Radiopharmacy

When provided, refer to Section 1224.34.1.3.

1226.5.12.4 Support areas for nuclear medicine services

1226.5.12.4.1 Cleanup

Refer to Section 1224.34.2.2.

1226.5.12.4.2 Dose administration area

Refer to Section 1224.34.2.5.

1226.5.12.4.3 Holding

Refer to Section 1224.34.2.6.

1226.5.12.4.4 Patient dressing rooms

Refer to Section 1224.34.2.7.

1226.5.12.4.5 Patient toilet room(s)

Refer to Section 1224.34.2.8.

1226.5.12.4.6 Staff toilet room(s)

Refer to Section 1224.34.2.9.

1226.5.12.4.7 Handwashing fixtures

Refer to Section 1224.34.2.10.

1226.5.12.4.8 Control desk and reception

Refer to Section 1226.5.3.

1226.5.12.4.9 Clean linen storage

A storage area for clean linen shall be provided.

1226.5.12.4.10 Soiled and contaminated material

Refer to Section 1224.34.2.13.

1226.5.12.5 Radiotherapy service space

When provided, radiotherapy service space shall comply with the following provisions of this section:

1226.5.12.5.1 Radiation protection

Refer to Section 1224.34.3.2.

1226.5.12.5.2 Room sizes

Refer to Section 1224.34.3.3.

1226.5.12.5.3 General support area

Refer to Section 1224.34.3.4.

1226.5.12.6 Additional support areas for linear accelerator

1226.5.12.6.1 Mold room

Refer to Section 1224.34.4.1.

1226.5.12.6.2 Block room

Refer to Section 1224.34.4.2.

1226.5.12.7 Additional support areas for cobalt room

1226.5.12.7.1 Hot lab

1226.5.12.8 High dose rate brachytherapy room

1226.5.13 Cancer treatment/infusion therapy service space

When provided, cancer treatment/infusion therapy service space shall comply with the provisions of this section:

1226.5.13.1 Treatment area

1226.5.13.1.1 Location

Refer to Section 1224.39.4.2.1.

1226.5.13.1.2 Nurses’ station(s)

Refer to Section 1224.39.4.2.2.

1226.5.13.1.3 Individual patient treatment areas

Refer to Section 1224.39.4.2.3.

1226.5.13.1.4 Handwashing fixtures

Refer to Section 1224.39.4.2.4.

1226.5.13.1.5 Privacy

Refer to Section 1224.39.4.2.5.

1226.5.13.1.6 Medication dispensing

Refer to Section 1224.39.4.2.6.

1226.5.13.1.7 Examination room

Refer to Section 1224.39.4.2.7.

1226.5.13.1.8 Clean utility room

Refer to Section 1224.39.4.2.8.

1226.5.13.1.9 Soiled utility room

Refer to Section 1224.39.4.2.9.

1226.5.13.1.10 Nourishment station

Refer to Section 1224.39.4.2.10.

1226.5.13.1.11 Housekeeping room

Refer to Section 1224.39.4.2.11.

1226.5.13.1.12 Supplies

Refer to Section 1224.39.4.2.12.

1226.5.13.1.13 Storage

Refer to Section 1224.39.4.2.13.

1226.5.13.1.14 Clean linen storage

Refer to Section 1224.39.4.2.14.

1226.5.13.1.15 Patient storage

Refer to Section 1224.39.4.3.2.

1226.5.14 Hyperbaric therapy service space

When provided, hyperbaric therapy service space shall comply with Section 1224.39.5 and the provisions of this section:

1226.5.14.1 General

Refer to Section 1224.39.5.1.

1226.5.14.2 Hyperbaric chambers

Refer to Section 1224.39.5.2.

1226.5.14.3 Pre-procedure patient holding area(s)

Refer to Section 1224.39.5.3.

1226.5.14.4 Medical gas station outlets

Refer to Section 1224.39.5.4.

1226.5.14.5 Support areas for the hyperbaric suite

1226.5.14.5.1 Reception/control desk

Refer to Section 1224.39.5.5.1.

1226.5.14.5.2 Examination/treatment room(s)

Refer to Section 1224.39.5.5.2.

1226.5.14.5.3 Clean linen storage

Refer to Section 1224.39.5.5.3.

1226.5.14.5.4 Clean supply room

Refer to Section 1224.39.5.5.4.

1226.5.14.5.5 Gas cylinder room

Refer to Section 1224.39.5.5.5

1226.5.14.5.6 Gurney and wheelchair storage

Refer to Section 1224.39.5.5.6.

1226.5.14.5.7 Housekeeping room

Refer to Section 1224.39.5.5.7.

1226.5.14.5.8 Compressor room

Refer to Section 1224.39.5.5.8.

1226.5.14.6 Support areas for staff

Refer to Section 1224.39.5.6.

1226.5.14.7 Support areas for patients

1226.5.14.7.1 Patient waiting area

Refer to Section 1224.39.5.7.1.

1226.5.14.7.2 Patient changing area

Refer to Section 1224.39.5.7.2.

1226.5.14.7.3 Patient toilet room

Refer to Section 1224.39.5.7.3.

1226.6 Primary Care Clinics

Primary care clinics and outpatient clinical services of a hospital providing services equivalent to a primary care clinic shall comply with Sections 1226.4.3 through 1226.4.8 and the provisions of this section.

1226.6.1 Examination and treatment areas

1226.6.1.1 Examination room(s)

Refer to Section 1224.4.4.1.

1226.6.1.2 Treatment room(s)

Treatment room(s) for minor procedures (e.g. minor surgical procedures, casting), if provided, shall have a minimum area of 120 square feet (11.15 m2), the least dimension of which shall be a minimum of 10 feet (3048 mm), excluding such spaces as vestibules and work counters, and shall meet the requirements in Section 1224.4.4.1.

1226.6.1.3 Dental examination and treatment areas

When provided, the examination and treatment space shall be permitted to be a room or a patient care station in an open treatment area.

1226.6.1.3.1 Area

The treatment space shall have a minimum clear floor area of 80 square feet (7.4 m2).

This space is required for each station in an open operatory or treatment area. A minimum of 3 feet (915 mm) clearance shall be provided along the full length of one side of the chair, the head of the chair, and between the cuspidor and the head of the chair on the other side for assisting dental staff.

1226.6.1.3.2 Pediatric patients

At least one private consultation/treatment room shall be provided when pediatric patients are treated in a facility.

1226.6.1.3.3 Handwashing

Each treatment room shall include a handwashing station. If treatment is provided at stations in an open operatory, a handwashing station may be permitted to serve two treatment stations.

1226.6.1.3.4 Imaging

If provided, space for a dental panographic x-ray system and printer shall also comply with shielding requirements in Section 1226.5.5.2 and alcove requirements in Section 1224.18.1.1.

1226.6.1.4 Oral surgery

When provided, treatment areas for procedures for which general anesthesia is used, shall comply with the requirements in Section 1226.8.

1226.6.2 Support areas for examination rooms

1226.6.2.1 Administrative center or nurse station

Refer to Section 1226.4.13.1.

1226.6.2.2 Medication station

Refer to Section 1226.4.13.2.

1226.6.2.3 Clean utility room

Refer to Section 1226.4.13.3.

1226.6.2.4 Soiled workroom or soiled linen holding

Refer to Section 1226.4.13.4.

1226.6.2.5 Consultation room

Dental facilities must provide a consultation room for private conferences with patients.

1226.6.2.6 Sterilization facilities

If sterile processing and/or high level disinfection is provided, the sterile processing room shall consist of a decontamination area and a clean work area. The sterile processing/high level disinfection room shall be designed to provide one-way flow of contaminated materials/instruments to the sterilizer/high level disinfection equipment. Sterile/high level disinfected instruments should be distributed from the area in such a manner that processed items do not pass through the decontamination area.

1226.6.2.6.1 Decontamination area

The decontamination area shall be equipped with the following:

  1. Countertop, separated from clean countertop by 4 feet minimum distance.
  2. Handwashing station separate from the instrument washing sink.
  3. Sink for washing instruments. To avoid splash, the decontamination sink shall be separated from the clean work area by either a 4-foot distance from the edge of the sink or a separating wall or screen. If a screen is used, it shall extend a minimum of 4 feet (1220 mm) above the sink rim.
  4. Storage for supplies.

1226.6.2.6.2 Clean work area

The clean work area shall be equipped with the following:

  1. Countertop, separated from decontamination countertop by 4 feet minimum distance.
  2. Sterilizer/high level disinfection equipment, as required for the services provided.
  3. Handwashing station, may share with decontamination area handwashing station.
  4. Built-in storage for supplies.

1226.6.2.7 Laboratory

Facilities for laboratory services shall be provided in dental facilities or through a contract arrangement with a laboratory service.

1226.6.3 Support areas for patients

1226.6.3.1 Patient toilet room(s)

Refer to Section 1226.4.14.1.

1226.6.3.2 Specimen collection and/or blood collection facilities

When provided, refer to Section 1224.4.4.2.

1226.6.4 General support services and facilities

1226.6.4.1 Garbage, solid waste, medical waste and trash storage

Refer to Section 1226.4.9.

1226.6.4.2 Housekeeping room

Refer to Section 1224.4.15.

1226.6.5 Public and administrative areas

1226.6.5.1 Public area

1226.6.5.1.1 Reception

Refer to Section 1226.4.16.1.1.

1226.6.5.1.2 Outpatient waiting room

Refer to Section 1224.4.5.

1226.6.5.1.3 Public toilet(s)

Refer to Section 1224.4.5.

1226.6.5.1.4 Public telephone access

Refer to Section 1224.4.5.

1226.6.5.1.5 Drinking fountain(s)

Refer to Section 1224.4.5.

1226.6.5.2 Administrative services

1226.6.5.2.1 Medical records storage

Refer to Section 1226.4.16.2.1.

1226.6.5.2.2 Equipment and supply storage

Refer to Section 1226.4.16.2.2.

1226.6.6 Support areas for staff

1226.6.6.1 Staff toilet(s)

Refer to Section 1226.4.17.1.

1226.6.6.2 Storage for employees

Refer to Section 1226.4.17.2.

1226.8 Surgical Clinics

Outpatient surgical clinics, and outpatient clinical services of a hospital providing services equivalent to a surgical clinic, shall comply with Sections 1226.4.2 through 1226.4.8 and the provisions of this section.

1226.8.1 Outpatient surgical service space

1226.8.1.1 Operating room(s)

Refer to Section 1224.39.2, Item 1.

1226.8.1.2 Perioperative services

Provide preoperative patient holding and post-anesthesia recovery area. Refer to Section 1224.16.

1226.8.2 Support areas for outpatient surgery

1226.8.2.1 Control station

Refer to Section 1224.15.3.1.

1226.8.2.2 Supervisor’s office or station

Refer to Section 1224.15.3.2.

1226.8.2.3 Substerile areas

When provided, refer to Section 1224.15.3.3.

1226.8.2.4 Medication station

Refer to Section 1226.4.13.2.

1226.8.2.5 Scrub facilities

Refer to Section 1224.15.3.5.

1226.8.2.6 Clock

Refer to Section 1224.15.3.6.

1226.8.2.7 Soiled workroom

Refer to Section 1224.15.3.7.

1226.8.2.8 Clean utility room

Refer to Section 1224.15.3.8.

1226.8.2.9 Anesthesia workroom

Refer to Section 1224.15.3.9.

1226.8.2.10 Equipment storage room(s)for equipment and supplies used in outpatient surgery

Refer to Section 1224.15.3.10.

1226.8.2.11 Staff clothing change areas

Refer to Section 1224.15.3.11.

1226.8.2.12 Housekeeping room

Refer to Section 1224.39.2, Item 7.

1226.8.2.13 Cleanup room

Refer to Section 1224.39.2, Item 4.

1226.8.2.14 Sterile and pharmaceutical supply storage

Refer to Section 1226.4.13.5.

1226.8.2.15 Sterilization facilities

Refer to Section 1226.4.13.6.

1226.8.3 Support areas for patients

1226.8.3.1 Patient toilet room(s)

Refer to Section 1226.4.14.1.

1226.8.3.2 Outpatient change area

A separate space shall be provided where patients change out of their street clothing and are prepared for the procedure. This space shall include provisions for clothing storage, toilet room(s), sink, space for clothing change and gowning area.

1226.8.4 General support services and facilities

1226.8.4.1 Garbage, solid waste, medical waste and trash storage

Refer to Section 1226.4.9.

1226.8.4.2 Areas for off-site laundry services

Refer to Section 1226.4.15.1.

1226.8.5 Public and administrative areas

1226.8.5.1 Public area

1226.8.5.1.1 Reception

Refer to Section 1226.4.16.1.1.

1226.8.5.1.2 Outpatient waiting room

Refer to Section 1224.4.5.

1226.8.5.1.3 Public toilet(s)

Refer to Section 1224.4.5.

1226.8.5.1.4 Public telephone access

Refer to Section 1224.4.5.

1226.8.5.1.5 Drinking fountain(s)

Refer to Section 1224.4.5.

1226.8.5.2 Administrative services

1226.8.5.2.1 Medical records storage

Refer to Section 1226.4.16.2.1.

1226.8.6 Support areas for staff

1226.8.6.1 Staff toilet(s)

Refer to Section 1226.4.17.1.

1226.8.6.2 Storage for employees

Refer to Section 1226.4.17.2.

1226.9 Chronic Dialysis Clinics

Chronic dialysis clinics and outpatient clinical services of a hospital providing services equivalent to a chronic dialysis clinic shall comply with Sections 1226.4.3 through 1226.4.8 and the provisions of this section.

1226.9.1 Examination and treatment rooms

1226.9.1.1 Examination room(s)

An examination room with a handwashing fixture shall be provided with a minimum clear floor area of 100 square feet (9.29 m2).

1226.9.1.2 Treatment room(s)

When provided, refer to Section 1224.4.4.1.

1226.9.1.3 Individual patient treatment areas

Individual patient treatment areas shall contain at least 80 square feet (7.44 m2). There shall be at least a 4-foot (1219 mm) space around and between beds and/or lounge chairs. In addition, the following shall be provided:

  1. Location. The treatment area may be an open area and shall be separate from administrative area and outpatient waiting room.
  2. Privacy. An open unit shall be designed to provide visual privacy for each patient.

1226.9.1.4 Reception

Refer to Section 1226.4.16.1.1.

1226.9.1.5 Outpatient waiting room

Refer to Section 1224.4.5.

1226.9.1.6 Bloodborne infection isolation room

A minimum of one bloodborne infection isolation room of at least 120 square feet (11.15 m2) of clear floor space shall be provided for patients. This room shall contain a counter and handwashing fixture.

1226.9.1.7 Airborne infection isolation exam/treatment room

When provided, refer to Section 1224.4.4.1.3.

1226.9.1.8 Home training

When provided in the unit, a private treatment area of at least 120 square feet (11.15 m2) shall be provided for patients who are being trained to use dialysis equipment at home. This room shall contain counter, handwashing fixture(s), and a separate drain for fluid disposal.

1226.9.2 Support areas for examination and treatment rooms

1226.9.2.1 Administrative center or nurse station

Administrative center or nurse station shall be located within the dialysis treatment area and designed to provide visual observation of all patient stations. In addition, refer to Section 1226.4.13.1 for nurses’ station(s) requirements.

1226.9.2.1.1 Handwashing stations

Handwashing stations shall be directly accessible to the administrative center or nurses' station and to patient treatment areas. Handwashing stations shall be provided for each four patient stations and for each major fraction thereof. These shall be uniformly distributed to provide equal access from each patient station. Refer to Section 1224.3 for the definition of a handwashing station.

1226.9.2.2 Medication station

Refer to Section 1226.4.13.2.

1226.9.2.3 Clean utility room

Refer to Section 1226.4.13.3.

1226.9.2.4 Soiled workroom or soiled linen holding

Refer to Section 1226.4.13.4.

1226.9.2.5 Housekeeping room

Provide a housekeeping room that is immediately accessible to, and for the exclusive use of, the unit. This room shall have a minimum floor area of 15 square feet (1.4 m2) and shall include the following:

  1. Service sink or floor receptor
  2. Supply storage
  3. Housekeeping equipment storage

1226.9.2.6 Nourishment room

When provided, refer to Section 1226.4.13.7.

1226.9.2.7 Sterilization facilities

When provided, refer to Section 1226.4.13.6.

1226.9.3 Administrative services

Provide office and clinical work space including the following:

1226.9.3.1 Medical records storage

Refer to Section 1226.4.16.2.1.

1226.9.3.2 Equipment and supply storage

Refer to Section 1226.4.16.2.2.

1226.9.4 Support areas for patients

1226.9.4.1 Patient toilet room(s)

Provide patient toilet room(s) directly accessible from treatment area. The toilet shall be equipped with bedpan flushing attachment(s). Refer to Section 1226.4.14.1.

1226.9.4.2 Patient storage

Provide space for storage of patient clothing and personal items.

1226.9.4.3 Specimen collection facilities

When provided, refer to Section 1224.4.4.2.

1226.9.5 General support services and facilities

1226.9.5.1 Garbage, solid waste, medical waste and trash storage

Refer to Section 1226.4.9.

1226.9.5.2 Areas for off-site laundry services

Refer to Section 1226.4.15.1.

1226.9.5.3 Reprocessing room

When dialyzers are reused, a reprocessing room is required and sized to perform the functions required and include one-way flow of materials from soiled to clean with provisions for a refrigerator for temporary storage of dialyzer, decontamination/cleaning areas, sinks, processors, computer processors and label printers, packaging area, dialyzer storage and disinfectants storage.

1226.9.5.4 Repair room

When required, an equipment repair and breakdown room shall be equipped with a handwashing fixture, deep service sink, work counter and storage cabinet. Provide water supply and drain connection for testing machines.

1226.9.5.5 Mixing room

Each facility using a central batch delivery system shall provide, either on the premises or through written arrangements, individual delivery systems for the treatment of any patient requiring special dialysis solutions. The mixing room shall also include a sink, storage space and holding tanks.

1226.9.5.6 Water treatment room

The water treatment equipment shall be located in an enclosed room.

1226.9.6 Support areas for staff

1226.9.6.1 Staff toilet(s)

Refer to Section 1226.4.17.1.

1226.9.6.2 Storage for employees

Refer to 1226.4.17.2.

1226.10 Rehabilitation Clinics

Rehabilitation clinics and outpatient clinical services of a hospital providing services equivalent to a rehabilitation clinic shall comply with Sections 1226.4.3 through 1226.4.8 and the provisions of this section.

1226.10.1 Support area for patients

1226.10.1.1 Patient toilet room(s)

Refer to Section 1226.4.14.1.

1226.10.2 General support

1226.10.2.1 Garbage

Refer to Section 1226.4.9.

1226.10.2.2 Housekeeping

Refer to Section 1224.4.15.

1226.10.2.3 Areas for off-site laundry services

Refer to Section 1226.4.15.1.

1226.10.3 Public and administrative

1226.10.3.1 Public area

1226.10.3.1.1 Reception

Refer to Section 1226.4.16.1.1.

1226.10.3.1.2 Outpatient waiting room

Refer to Section 1224.4.5.

1226.10.3.1.3 Toilets

Refer to Section 1224.4.5.

1226.10.3.1.4 Drinking fountain

Refer to Section 1224.4.5.

1226.10.3.1.5 Telephone

Refer to Section 1224.4.5.

1226.10.3.2 Administrative services

Provide office and clinical work space including the following:

1226.10.3.2.1 Medical records storage

Refer to Section 1226.4.16.2.1.

1226.10.3.2.2 Equipment and supply storage

Refer to Section 1226.4.16.2.2.

1226.10.4 Support areas for staff

1226.10.4.1 Staff toilet(s)

Refer to Section 1226.4.17.1.

1226.10.4.2 Storage for employees

Refer to Section 1226.4.17.2.

1226.10.5 Physical therapy service space

A physical therapy service space shall be provided. The service space shall comply with the following provisions:

  1. Individual treatment area(s). Refer to Section 1224.35.2, Item 1.
  2. Handwashing fixture(s). Refer to Section 1224.35.2, Item 2.
  3. Exercise area. Refer to Section 1224.35.2, Item 3.
  4. Clean linen and towel storage. Refer to Section 1224.35.2, Item 4.
  5. Storage for equipment and supplies. Refer to Section 1224.35.2, Item 5
  6. Separate storage for soiled linen, towels and supplies. Refer to Section 1224.35.2, Item 6.

1226.10.6 Occupational therapy service space

When an occupational therapy service is provided, the service space shall comply with following provisions:

  1. Work areas and counters. Refer to Section 1224.35.3, Item 1.
  2. Handwashing fixture(s). Refer to Section 1224.35.3, Item 2.
  3. Storage for supplies and equipment. Refer to Section 1224.35.3, Item 3.
  4. Area for teaching daily living activities. Refer to Section 1224.35.3, Item 4.

1226.10.7 Speech pathology and/or audiology service space

When speech pathology and/ or audiology service(s) is provided, the service space shall comply with the following provisions:

  1. Interview, consultation and treatment space. Refer to Section 1224.35.4, Item 1.
  2. Waiting area. Refer to Section 1224.35.4, Item 2.
  3. Handwashing fixture. Refer to Section 1224.35.4, Item 3.
  4. Testing unit. If an audiology service is provided. Refer to Section 1224.35.4, Item 4.

1226.11 Alternative Birthing Clinics

Alternative birthing clinics and outpatient clinical services of a hospital providing services equivalent to alternative birthing clinics shall comply with Sections 1226.4.3 through 1226.4.8 and the provisions of this section:

1226.11.1 Birthing service space

1226.11.1.1 Birthing room

A birthing room shall have a minimum clear floor area of 200 square feet (18.58 square meters), including the newborn care area. A birthing room shall have a minimum clear dimension of 12 feet (3658 mm). The maximum number of beds per room shall be one.

1226.11.1.2 Location

Birthing rooms shall be located out of the path of unrelated traffic and under direct supervision of the facility staff.

1226.11.1.3 Nurse call system

A nurse call system shall be located in the birthing room which will alert the nearest continually staffed administrative center or nurses’ station. Refer to Section 1224.4.6.5 for requirements.

1226.11.1.4 Hand-washing stations

A handwashing fixture, as defined in Section 1224.3, shall be located within or directly outside the room. If the fixture is located within the room, the fixture may be screened or within openable casework.

1226.11.1.5 Lighting

Lighting capable of 1076 lux (100 footcandles) at working surfaces shall be provided. Dimmer switches may be used.

1226.11.1.6 Window

Each birthing room shall have an outside window. Refer to Sections 1224.4.9.4 and 1224.4.9.5.

1226.11.1.7 Privacy

Windows or doors within a normal sightline that would permit observation into the room shall be arranged or draped, as necessary, for mother and newborn privacy.

1226.11.1.8 Newborn care area

When provided, a separate newborn care area shall be provided that is in addition to the birthing room.

1226.11.1.9 Examination room

When provided, the examination room shall meet the requirements of Section 1224.4.4.

1226.11.2 Support areas for birthing services

1226.11.2.1 Administrative center or nurse station

Refer to Section 1226.4.13.1.

1226.11.2.2 Medication station

Refer to Section 1226.4.13.2.

1226.11.2.3 Clean utility room

Refer to Section 1226.4.13.3.

1226.11.2.4 Soiled utility or soiled holding room

Refer to Section 1226.4.13.4.

1226.11.2.5 Crash cart space

Space for storing crash cart shall be provided.

1226.11.2.6 Clean-up room

Each birthing room shall have immediate access to a clean-up room with a hand-washing station and work space which is separate from any sterilizing facilities. The clean-up room shall provide 24 square feet (2.23 m2) per birthing room up to eight rooms, with no dimensions less than 6 feet (1829 mm).

1226.11.2.7 Ice-making equipment

Each facility shall have equipment to provide ice for treatments and nourishment. Ice-making equipment shall be permitted in the clean utility or the nourishment room/area. Ice intended for human consumption shall be provided in the nourishment station and shall be served from self-dispensing ice-makers.

1226.11.2.8 Nourishment room or area

When provided, refer to Section 1226.4.13.7.

1226.11.2.9 Medical gas outlets

When provided, oxygen and suction capabilities may be portable or piped.

1226.11.3 Support areas for mother and newborn

1226.11.3.1 Patient toilet room(s)

Each birthing room shall have direct access to a private toilet room with lavatory, shower or tub and nurse call system. Facilities for cleaning bedpans shall be provided in the toilet room.

1226.11.4 General support services and facilities

1226.11.4.1 Housekeeping room

Refer to Section 1224.4.15.

1226.11.4.2 Garbage, solid waste, medical waste and trash storage

Refer to Section 1226.4.9.

1226.11.4.3 Areas for off-site laundry services

Refer to Section 1226.4.15.1.

1226.11.5 Public and administrative areas

1226.11.5.1 Public area

1226.11.5.1.1 Reception

Refer to Section 1226.4.16.1.1.

1226.11.5.1.2 Outpatient waiting room

Refer to Section 1224.4.5.

1226.11.5.1.3 Public toilet(s)

Refer to Section 1224.4.5.

1226.11.5.1.4 Public telephone

Refer to Section 1224.4.5.

1226.11.5.1.5 Drinking fountain

Refer to Section 1224.4.5.

1226.11.5.2 Administrative services

1226.11.5.2.1 Medical records storage

Refer to Section 1226.4.16.2.1.

1226.11.5.2.2 Equipment and supply storage

Refer to 1226.4.16.2.2.

1226.11.6 Support areas for staff

1226.11.6.1 Staff toilet(s)

Refer to Section 1226.4.17.1.

1226.11.6.2 Storage for employees

Refer to Section 1226.4.17.2.

1226.11.6.3 Staff lounge

Refer to Section 1226.4.17.3.

1226.11.6.4 Staff clothing change area

When provided, a changing room with shower shall be provided for staff to change into work attire.

1226.12 Psychology Clinics

Psychology clinics and outpatient clinical services of a hospital providing services equivalent to a psychology clinic shall comply with Sections 1226.4.3 through 1226.4.8 and the provisions of this section.

Psychology clinics shall provide at least an interview room, consulting room and group therapy room.

1226.12.1 Public and administrative area

1226.12.1.1 Public area

1226.12.1.1.1 Reception

Refer to Section 1226.4.16.1.1.

1226.12.1.1.2 Outpatient waiting room

Refer to Section 1224.4.5.

1226.12.1.1.3 Public toilet(s)

Refer to Section 1224.4.5.

1226.12.1.1.4 Drinking fountain

Refer to Section 1224.4.5.

1226.12.1.1.5 Public telephone

Refer to Section 1224.4.5.

1226.12.1.2 Administrative Area

1226.12.1.2.1 Medical Records storage

Refer to Section 1226.4.16.2.1.

1226.12.1.2.2 Equipment and supply storage

Refer to Section 1226.4.16.2.2.

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