Section 1227 [OSHPD 4] Correctional Treatment Centers
BASIC SERVICES for correctional treatment centers are those services required for licensure as a correctional treatment center, including medical, surgical, psychiatrist, psychologist, nursing, pharmacy and dietary. See "Optional services."
HAND WASHING FIXTURE is a special application sink having a water supply spout mounted so the discharge point is at least 5 inches (127 mm) above the fixture rim and equipped with hot and cold supply controls not requiring direct contact of the hands for operation. The fixture cannot be equipped with an aerator and wrist or elbow blade handles. Gooseneck spouts shall not be used in correctional treatment centers.
OPTIONAL SERVICES are inpatient or outpatient services which are not required to be provided by law or regulation for licensure. An optional service, when provided, must accommodate the provisions of this section. See "Basic services."
OUTPATIENT SERVICE is an organizational unit of the correctional treatment center which provides nonemergency health care services to patients.
Correctional treatment centers shall comply with this section.
Spaces for dietary, laundry, morgue, ambulance entrance, receiving areas, power plants, mechanical equipment, incinerator, garbage can cleaning, automobile parking and storage areas for garbage, trash and medical gases shall be located and constructed to minimize noise, steam, odors and hazards in patient care areas and bedrooms.
Radiology, laboratory, pharmacy and physical therapy spaces shall not be located in nursing units, surgical units, perinatal units, nursery areas, central sterilization rooms, food service areas, power plants, mechanical equipment rooms, maintenance shops, general storage, laundry, employees' dressing or housekeeping facilities.
Unless specified elsewhere, if a treatment room is provided, it shall have a minimum clear floor area of 120 square feet (11.15 m2), the least dimension of which shall be 10 feet (3048 mm). A minimum of 3 feet (914 mm) is required between the sides and foot of the bed/gurney/table and any wall or other fixed obstruction. The room shall contain an examination light, a work counter for medical equipment, a handwashing fixture, cabinets, medication storage and counter for writing or electronic documentation.
The minimum width of corridors shall be 8 feet (2438 mm).
Exception: Patient-care corridors in correctional treatment centers for psychiatric care of patients who are not bedridden shall have a minimum clear and unobstructed width of 6 feet (1829 mm). For the purpose of this section, bedridden patients shall be defined as patients confined to beds who would be transported or evacuated in beds or litters.
Doors to patient bedrooms shall be provided with a view window with a minimum area of 288 square inches (0.186 square meters). Window sill height shall not be higher than 42 inches (1067 mm) from the floor.
Rooms approved for the housing of patients shall be provided with natural light by means of glazed openings.
When windows are operable, they shall be provided with insect screens of 16 meshes to the inch.
All portions of a building used by patients, personnel or other persons shall be provided with artificial light and a mechanically operated ventilating system as specified in the California Electrical Code and the California Mechanical Code.
Each patient bedroom shall be provided with viewing windows from the corridor to allow full and unobstructed visual observation of the patient.
The material and textures of bases and the installation thereof shall be such as to minimize dust-catching surfaces, moisture, infiltration and the harboring of vermin.
Exceptions: Wall bases in kitchens, operating rooms, delivery rooms, emergency operating rooms, cast rooms, special procedure rooms and other areas which are subject to wet cleaning methods shall be made integral and coved with the floor, and constructed without voids at the intersection of floor and wall surfaces.
If elevators in the correctional institution meet the above size requirements and are easily accessible, the elevators need not be duplicated in the correctional treatment centers.
Rooms or screening enclosures shall be provided for the washing and cleaning of garbage containers and for the storage of garbage, trash, and other solid wastes. Such rooms or screening enclosures shall include the following:
- A concrete floor with a curb and with a drain connected to the sewer.
- Steam or hot-water and cold-water supply.
- A minimum floor area of .5 square feet (0.046 m2) per bed, but not less than 25 square feet (2.32 m2), the least dimension of which shall be 4 feet (1219 mm).
- A method of limiting access to the material except by authorized persons.
Alternate designs for modifications to isolation rooms in operation prior to the effective date of this section may be utilized when it can be demonstrated that the alternate design meets performance requirements, without compromising any health or life-safety requirement.
A separate anteroom shall be provided between the airborne infection isolation room and the corridor, which shall constitute the primary entrance to the negative pressure isolation room. This anteroom shall have a handwashing fixture, work counter at least 3 feet (914 mm) long, cabinets and space to gown and to store clean and soiled materials. There shall be a view window from the anteroom to the isolation room and means to allow for airflow from the anteroom into the negative pressure isolation room. Doors shall be aligned to allow large equipment to be wheeled into the airborne infection isolation room unless a secondary door complying with Section 1220.127.116.11 is provided. One anteroom may serve no more than two airborne infection isolation rooms.
When a secondary entry is provided directly from the corridor to the negative-pressure isolation room, secondary doors shall be provided with locking devices which are readily openable from the room side and which are readily openable by the facility staff on the other side. When key locks are used on isolation rooms, keys shall be located at the nurses' station in a prominent readily accessible location.
A separate anteroom shall be provided between the protective environment room and the corridor or adjoining space which shall constitute the only entrance to the protective environment isolation room. This anteroom shall have a handwashing fixture, work counter at least 3 feet (914 mm) long, cabinets and space to gown and to store clean and soiled materials. There shall be a view window from the anteroom to the positive-pressure isolation room. There shall be means to allow for airflow from the protective environment room into the anteroom. Anteroom doors shall be aligned so that large equipment can be wheeled into the isolation room. One anteroom may serve no more than one protective environment room.
Exception: Alternate designs for protective environment rooms, without individual anterooms, may be approved by the enforcement agency when it can be demonstrated that the alternate design meets the requirements of the California Mechanical Code and does not compromise or alter any health or fire-protection component, assembly or system.