3418A.4.1 Qualifying Nonacute Care Services

In order for a freestanding building to remain under OSHPD jurisdiction that is removed from general acute care service, it shall contain one or more qualifying services. Qualifying services include:

1. Services considered "Outpatient Clinical Services" as defined in H&SC §129730 (a):

   1. Administrative space
   2. Central sterile supply
   3. Storage
   4. Morgue and autopsy facilities
   5. Employee dressing rooms and lockers
   6. Janitorial and housekeeping facilities
   7. Laundry

2. Outpatient portions of the following services (with no more than 25 percent in-patient use), including but not limited to:

   1. Surgical
   2. Chronic dialysis
   3. Psychiatry
   4. Rehabilitation, occupational therapy or physical therapy
   5. Maternity
   6. Dentistry
   7. Chemical dependency
3. 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.