UpCodes logo
Table of contentsContents
CALIFORNIA BUILDING CODE — MATRIX ADOPTION TABLE
CHAPTER 12 — INTERIOR ENVIRONMENT
(Matrix Adoption Tables are non-regulatory, intended only as an aid to the user.
See Chapter 1 for state agency authority and building applications.)
Adopting agency BSC BSC-CG SFM HCD DSA OSHPD BSCC DPH AGR DWR CEC CA SL SLC
1 2 1/AC AC SS SS/CC 1 2 3 4
Adopt entire chapter X X
Adopt entire chapter as amended (amended sections listed below) X X X X X X X
Adopt only those sections that are listed below X X X X X X
Chapter / Section
1203.1 X X
1203.2 X X
1203.3 X X
Table 1203.3 X X
1203.4.1.1 X
1203.4.2 X
1203.5 X
1203.5.2.1 X X
1203.6 X
1204.1, Exceptions 2 & 4 X X X X X
1205.1 X
1205.6 X
1205.7 X
1205.7.1 X
1206 X
1207.3, Exception X X
1207.4 X X
1207.5 X
1208 X
1208.1 X
1208.2 X X X X
1208.4 X
1209 X
1209.1.1 X
1210.1 X X
1210.2 X X X X
1211 X X
1212 X
1224 X
1225 X
1226 X
1227 X
1230 X
1231 X
1235 X
1236 X
1237 X
1240 X
1241 X
1242 X
1243 X
1250 X
1251 X
1252 X
1253 X
1254 X
The Office of the State Fire Marshal's adoption of this chapter or individual sections is applicable to structures regulated by other state agencies pursuant to Section 111.
The provisions of this chapter shall govern ventilation, temperature control, lighting, yards and courts, sound transmission, room dimensions, surrounding materials and rodent proofing associated with the interior spaces of buildings.
The following terms are defined in Chapter 2:
Buildings shall be provided with natural ventilation in accordance with Section 1203.4, or mechanical ventilation in accordance with the California Mechanical Code.
Enclosed attics and enclosed rafter spaces formed where ceilings are applied directly to the underside of roof framing members shall have cross ventilation for each separate space by ventilation openings protected against the entrance of rain and snow. Blocking and bridging shall be arranged so as not to interfere with the movement of air. An airspace of not less than 1 inch (25 mm) shall be provided between the insulation and the roof sheathing. The net free ventilating area shall be not less than 1/150 of the area of the space ventilated. Ventilators shall be installed in accordance with manufacturer's installation instructions.
Exception: The net free cross-ventilation area shall be permitted to be reduced to 1/300 provided both of the following conditions are met:
  1. In Climate Zones 14 and 16, a Class I or II vapor retarder is installed on the warm-in-winter side of the ceiling.
  2. At least 40 percent and not more than 50 percent of the required venting area is provided by ventilators located in the upper portion of the attic or rafter space. Upper ventilators shall be located not more than 3 feet (914 mm) below the ridge or highest point of the space, measured vertically, with the balance of the ventilation provided by eave or cornice vents. Where the location of wall or roof framing members conflicts with the installation of upper ventilators, installation more than 3 feet (914 mm) below the ridge or highest point of the space shall be permitted.
Exterior openings into the attic space of any building intended for human occupancy shall be protected to prevent the entry of birds, squirrels, rodents, snakes and other similar creatures. Openings for ventilation having a least dimension of not less than 1/16 inch (1.6 mm) and not more than 1/4 inch (6.4 mm) shall be permitted. Openings for ventilation having a least dimension larger than 1/4 inch (6.4 mm) shall be provided with corrosion-resistant wire cloth screening, hardware cloth, perforated vinyl or similar material with openings having a least dimension of not less than 1/16 inch (1.6 mm) and not more than 1/4 inch (6.4 mm). Where combustion air is obtained from an attic area, it shall be in accordance with Chapter 7 of the California Mechanical Code.
Unvented attics and unvented enclosed roof framing assemblies created by ceilings applied directly to the underside of the roof framing members/rafters and the structural roof sheathing at the top of the roof framing members shall be permitted where all the following conditions are met:
  1. The unvented attic space is completely within the building thermal envelope.
  2. No interior Class I vapor retarders are installed on the ceiling side (attic floor) of the unvented attic assembly or on the ceiling side of the unvented enclosed roof framing assembly.
  3. Where wood shingles or shakes are used, a minimum 1/4-inch (6.4 mm) vented airspace separates the shingles or shakes and the roofing underlayment above the structural sheathing.
  4. In Climate Zones 14 and 16, any air-impermeable insulation shall be a Class II vapor retarder or shall have a Class III vapor retarder coating or covering in direct contact with the underside of the insulation.
    See the California Energy Code, Figure 100.1-A — California Climate Zones.
    1. 4.1. (HCD 1 & HCD 2) In Climate Zones 14 and 16, a Class I or Class II vapor retarder shall be installed on the indirectly conditioned space side of all insulation in an unvented attic with air-permeable insulation, for condensation control.
  5. Insulation shall be located in accordance with the following:
    1. 5.1. Item 5.1.1, 5.1.2, 5.1.3 or 5.1.4 shall be met, depending on the air permeability of the insulation directly under the structural roof sheathing. No insulation shall be required when roof tiles, wood shingles or wood shakes, or any other roofing system using battens and no continuous underlayment is installed. A continuous underlayment shall be considered to exist if sheathing, roofing paper or any continuous layer having a perm rate of no more than one perm under the dry cup method is present.
      1. 5.1.1. Where only air-impermeable insulation is provided, it shall be applied in direct contact with the underside of the structural roof sheathing.
      2. 5.1.2. Where air-permeable insulation is provided inside the building thermal envelope, it shall be installed in accordance with Item 5.1. In addition to the air-permeable insulation installed directly below the structural sheathing, rigid board or sheet insulation shall be installed directly above the structural roof sheathing in accordance with the R-values in Table 1203.3 for condensation control.
      3. 5.1.3. Where both air-impermeable and air-permeable insulation are provided, the air-impermeable insulation shall be applied in direct contact with the underside of the structural roof sheathing and shall be in accordance with the R-values in Table 1203.3 for condensation control. The air-permeable insulation shall be installed directly under the air-impermeable insulation.
      4. 5.1.4. Alternatively, sufficient rigid board or sheet insulation shall be installed directly above the structural roof sheathing to maintain the monthly average temperature of the under-side of the structural roof sheathing above 45°F (7°C). For calculation purposes, an interior air temperature of 68°F (20°C) is assumed and the exterior air temperature is assumed to be the monthly average outside air temperature of the three coldest months.
    2. 5.2. Where preformed insulation board is used as the air-impermeable insulation layer, it shall be sealed at the perimeter of each individual sheet interior surface to form a continuous layer.
Exceptions:
  1. Section 1203.3 does not apply to special use structures or enclosures such as swimming pool enclosures, data processing centers, hospitals or art galleries.
  2. Section 1203.3 does not apply to enclosures in Climate Zones 14 and 16 that are humidified beyond 35 percent during the three coldest months.
INSULATION FOR CONDENSATION CONTROL
CLIMATE ZONEMINIMUM R-VALUE OF AIR- IMPERMEABLE INSULATIONa
6-15 tile roof only0 (none required)
3-15R-5
1 & 2R-10
16R-15
  1. Contributes to, but does not supersede, thermal resistance requirements for attic and roof assemblies in the California Energy Code.
The space between the bottom of the floor joists and the earth under any building except spaces occupied by basements or cellars shall be provided with ventilation openings through foundation walls or exterior walls. Such openings shall be placed so as to provide cross ventilation of the under-floor space.
Upcodes Diagrams
The net area of ventilation openings shall be not less than 1 square foot for each 150 square feet (0.67 m2 for each 100 m2) of crawl-space area. Ventilation openings shall be covered for their height and width with any of the following materials, provided that the least dimension of the covering shall be not greater than 1/4 inch (6.4 mm):
  1. Perforated sheet metal plates not less than 0.070 inch (1.8 mm) thick.
  2. Expanded sheet metal plates not less than 0.047 inch (1.2 mm) thick.
  3. Cast-iron grilles or gratings.
  4. Extruded load-bearing vents.
  5. Hardware cloth of 0.035-inch (0.89 mm) wire or heavier.
  6. Corrosion-resistant wire mesh, with the least dimension not greater than 1/8 inch (3.2 mm).
Openings for under-floor ventilation shall be not less than 11/2 square feet (0.135 m2) for each 25 linear feet (7620 linear mm) of exterior wall. They shall be covered with corrosion-resistant wire mesh with mesh openings not less than 1/4 inch (6.4 mm) nor more than 1/2 inch (13 mm) in any dimension.
The following are exceptions to Sections 1203.4 and 1203.4.1:
  1. Where warranted by climatic conditions, ventilation openings to the outdoors are not required if ventilation openings to the interior are provided.
  2. The total area of ventilation openings is permitted to be reduced to 1/1,500 of the under-floor area where the ground surface is covered with a Class I vapor retarder material and the required openings are placed so as to provide cross ventilation of the space. The installation of operable louvers shall not be prohibited.
  3. Ventilation openings are not required where continuously operated mechanical ventilation is provided at a rate of 1.0 cubic foot per minute (cfm) for each 50 square feet (1.02 L/s for each 10 m2) of crawl-space floor area and the ground surface is covered with a Class I vapor retarder.
  4. Ventilation openings are not required where the ground surface is covered with a Class I vapor retarder, the perimeter walls are insulated and the space is conditioned in accordance with the California Energy Code.
  5. For buildings in flood hazard areas as established in Section 1612.3, the openings for under-floor ventilation shall be deemed as meeting the flood opening requirements of ASCE 24 provided that the ventilation openings are designed and installed in accordance with ASCE 24.
  6. [SPCB] For purposes of structural pest control inspections, ventilation shall be considered inadequate when the lack thereof has contributed to the growth of wood-destroying pests or organisms.
Natural ventilation of an occupied space shall be through windows, doors, louvers or other openings to the outdoors. The operating mechanism for such openings shall be provided with ready access so that the openings are readily controllable by the building occupants.
[HCD 1] In employee housing, all openable windows in rooms used for living, dining, cooking or sleeping purposes, and toilet and bath buildings, shall be provided and maintained with insect screening.
[HCD 1] Door openings of rooms used for dining, cooking, toilet and bathing facilities in employee housing shall be provided and maintained with insect screening or with solid doors equipped with self-closing devices in lieu thereof, when approved by the enforcement agency.
[HCD 1] The windows, doors, louvers or other approved closeable openings not required by Section 1029 may open into a passive solar energy collector for ventilation required by this section. The area of ventilation openings to the outside of the passive solar energy collector shall be increased to compensate for the openings required by the interior space.
Upcodes Diagrams
The openable area of the openings to the outdoors shall be not less than 4 percent of the floor area being ventilated.
Where rooms and spaces without openings to the outdoors are ventilated through an adjoining room, the opening to the adjoining room shall be unobstructed and shall have an area of not less than 8 percent of the floor area of the interior room or space, but not less than 25 square feet (2.3 m2). The openable area of the openings to the outdoors shall be based on the total floor area being ventilated.
Exception: Exterior openings required for ventilation shall be permitted to open into a sunroom with thermal isolation or a patio cover provided that the openable area between the sunroom addition or patio cover and the interior room shall have an area of not less than 8 percent of the floor area of the interior room or space, but not less than 20 square feet (1.86 m2). The openable area of the openings to the outdoors shall be based on the total floor area being ventilated.
Upcodes Diagrams
Where openings below grade provide required natural ventilation, the outside horizontal clear space measured perpendicular to the opening shall be one and one-half times the depth of the opening. The depth of the opening shall be measured from the average adjoining ground level to the bottom of the opening.
Contaminant sources in naturally ventilated spaces shall be removed in accordance with the California Mechanical Code and the California Fire Code.
Rooms containing bathtubs, showers, spas and similar bathing fixtures shall be mechanically ventilated in accordance with the California Mechanical Code.
The minimum exhaust rate shall not be less than that established by Table 403.7 "Minimum Exhaust Rates." See California Mechanical Code, Chapter 5, for additional provisions related to environmental air ducts.
[HCD 1] In addition to the requirements in this section and in the California Mechanical Code, bathrooms in Group R occupancies shall be mechanically ventilated in accordance with the California Green Building Standards Code (CALGreen), Chapter 4, Division 4.5.
Where natural ventilation is to be provided by openings onto yards or courts, such yards or courts shall comply with Section 1206.
Ventilation and exhaust systems for occupancies and operations involving flammable or combustible hazards or other contaminant sources as covered in the California Mechanical Code or the California Fire Code shall be provided as required by both codes.
Interior spaces intended for human occupancy shall be provided with active or passive space heating systems capable of maintaining an indoor temperature of not less than 68°F (20°C) at a point 3 feet (914 mm) above the floor on the design heating day.
Exceptions:
  1. Space heating systems are not required for:
    1. 1.1. Interior spaces where the primary purpose of the space is not associated with human comfort.
    2. 1.2. Group F, H, S or U occupancies.
  2. [HCD 1] For limited-density owner-built rural dwellings, a heating facility or appliance shall be installed in each dwelling subject to the provisions of Subchapter 1, Chapter 1, Title 25, California Code of Regulations, commencing with Section 74; however, there shall be no specified requirement for heating capacity or temperature maintenance. The use of solid-fuel or solar-heating devices shall be deemed as complying with the requirements of this section. If nonrenewable fuel is used in these dwellings, rooms so heated shall meet current installation standards.
  3. [OSHPD 1, 2, 3 & 4] Space heating systems shall comply with the requirements of the California Mechanical Code.
  4. [HCD 1] When a passive solar energy collector is designed as a conditioned area it shall comply with the California Energy Code. Nonconditioned passive solar energy collectors are exempt from compliance with the California Energy Code.
Upcodes Diagrams
Every space intended for human occupancy shall be provided with natural light by means of exterior glazed openings in accordance with Section 1205.2 or shall be provided with artificial light in accordance with Section 1205.3. Exterior glazed openings shall open directly onto a public way or onto a yard or court in accordance with Section 1206.
[HCD 1] Glazed openings may open into a passive solar energy collector provided the area of exterior glazed openings in the passive solar energy collector is increased to compensate for the area required by the interior space.
The minimum net glazed area shall be not less than 8 percent of the floor area of the room served.
For the purpose of natural lighting, any room is permitted to be considered as a portion of an adjoining room where one-half of the area of the common wall is open and unobstructed and provides an opening of not less than one-tenth of the floor area of the interior room or 25 square feet (2.32 m2), whichever is greater.
Exception: Openings required for natural light shall be permitted to open into a sunroom with thermal isolation or a patio cover where the common wall provides a glazed area of not less than one-tenth of the floor area of the interior room or 20 square feet (1.86 m2), whichever is greater.
Exterior openings required by Section 1205.2 for natural light shall open directly onto a public way, yard or court, as set forth in Section 1206.
Exceptions:
  1. Required exterior openings are permitted to open into a roofed porch where the porch meets all of the following criteria:
    1. 1.1. Abuts a public way, yard or court.
    2. 1.2. Has a ceiling height of not less than 7 feet (2134 mm).
    3. 1.3. Has a longer side at least 65 percent open and unobstructed.
  2. Skylights are not required to open directly onto a public way, yard or court.
Artificial light shall be provided that is adequate to provide an average illumination of 10 footcandles (107 lux) over the area of the room at a height of 30 inches (762 mm) above the floor level.
Stairways within dwelling units and exterior stairways serving a dwelling unit shall have an illumination level on tread runs of not less than 1 footcandle (11 lux). Stairways in other occupancies shall be governed by Chapter 10.
Upcodes Diagrams
The control for activation of the required stairway lighting shall be in accordance with the California Electrical Code.
The means of egress shall be illuminated in accordance with Section 1008.1.
[BSC-CG] See California Green Building Standards Code, Chapter 5, Division 5.1 for additional light pollution reduction requirements.
[BSC] Artificial light shall be provided for parking facilities and primary walkways at California State Universities, colleges and community colleges in accordance with provisions of this subsection. This subsection shall not apply to the University of California unless the Regents of the University of California, by resolution, make it applicable.
Based on the recommendations of the most current edition of the Illumination Engineering Society lighting handbook, the following lighting standards shall be used for all new construction of open parking facilities, covered parking facilities and primary walkways:
  1. Open and covered parking facilities.
    1. 1.1. Medium-level activity usage when medium usage is present.
    2. 1.2. High-level activity usage when high usage is present.
  2. Primary campus walkways.
    1. 2.1. Medium-level activity usage when medium usage is present.
    2. 2.2. High-level activity usage when high usage is present.
This section shall apply to yards and courts adjacent to exterior openings that provide natural light or ventilation. Such yards and courts shall be on the same lot as the building.
Yards shall be not less than 3 feet (914 mm) in width for buildings two stories or less above grade plane. For buildings more than two stories above grade plane, the minimum width of the yard shall be increased at the rate of 1 foot (305 mm) for each additional story. For buildings exceeding 14 stories above grade plane, the required width of the yard shall be computed on the basis of 14 stories above grade plane.
Upcodes Diagrams
Courts shall be not less than 3 feet (914 mm) in width. Courts having windows opening on opposite sides shall be not less than 6 feet (1829 mm) in width. Courts shall be not less than 10 feet (3048 mm) in length unless bounded on one end by a public way or yard. For buildings more than two stories above grade plane, the court shall be increased 1 foot (305 mm) in width and 2 feet (610 mm) in length for each additional story. For buildings exceeding 14 stories above grade plane, the required dimensions shall be computed on the basis of 14 stories above grade plane.
Access shall be provided to the bottom of courts for cleaning purposes.
Courts more than two stories in height shall be provided with a horizontal air intake at the bottom not less than 10 square feet (0.93 m2) in area and leading to the exterior of the building unless abutting a yard or public way.
The bottom of every court shall be properly graded and drained to a public sewer or other approved disposal system complying with the California Plumbing Code.
This section shall apply to common interior walls, partitions and floor/ceiling assemblies between adjacent dwelling units and sleeping units or between dwelling units and sleeping units and adjacent public areas such as halls, corridors, stairways or service areas.
Walls, partitions and floor/ceiling assemblies separating dwelling units and sleeping units from each other or from public or service areas shall have a sound transmission class of not less than 50, or not less than 45 if field tested, for air-borne noise when tested in accordance with ASTM E90. Penetrations or openings in construction assemblies for piping; electrical devices; recessed cabinets; bathtubs; soffits; or heating, ventilating or exhaust ducts shall be sealed, lined, insulated or otherwise treated to maintain the required ratings. This requirement shall not apply to entrance doors; however, such doors shall be tight fitting to the frame and sill.
Upcodes Diagrams
The sound transmission class of concrete masonry and clay masonry assemblies shall be calculated in accordance with TMS 0302 or determined through testing in accordance with ASTM E90.
Floor/ceiling assemblies between dwelling units and sleeping units or between a dwelling unit or sleeping unit and a public or service area within the structure shall have an impact insulation class rating of not less than 50, or not less than 45 if field tested, when tested in accordance with ASTM E492.
Exception: Impact sound insulation is not required for floor-ceiling assemblies over nonhabitable rooms or spaces not designed to be occupied, such as garages, mechanical rooms or storage areas.
Upcodes Diagrams
Interior noise levels attributable to exterior sources shall not exceed 45 dB in any habitable room. The noise metric shall be either the day-night average sound level (Ldn) or the community noise equivalent level (CNEL), consistent with the noise element of the local general plan.
[BSC-CG] See California Green Building Standards Code, Chapter 5, Division 5.5 for additional sound transmission requirements.
Habitable spaces, other than a kitchen, shall be not less than 7 feet (2134 mm) in any plan dimension. Kitchens shall have a clear passageway of not less than 3 feet (914 mm) between counter fronts and appliances or counter fronts and walls.
[HCD 1] For limited-density owner-built rural dwellings, there shall be no requirements for room dimensions, provided there is adequate light and ventilation and adequate means of egress.
Upcodes Diagrams
Occupiable spaces, habitable spaces and corridors shall have a ceiling height of not less than 7 feet 6 inches (2286 mm). Bathrooms, toilet rooms, kitchens, storage rooms and laundry rooms shall have a ceiling height of not less than 7 feet (2134 mm).
Exceptions:
  1. In one- and two-family dwellings, beams or girders spaced not less than 4 feet (1219 mm) on center shall be permitted to project not more than 6 inches (152 mm) below the required ceiling height.
  2. If any room in a building has a sloped ceiling, the prescribed ceiling height for the room is required in one-half the area thereof. Any portion of the room measuring less than 5 feet (1524 mm) from the finished floor to the ceiling shall not be included in any computation of the minimum area thereof.
  3. The height of mezzanines and spaces below mezzanines shall be in accordance with Section 505.1.
  4. Corridors contained within a dwelling unit or sleeping unit in a Group R occupancy shall have a ceiling height of not less than 7 feet (2134 mm).
  5. [OSHPD 1, 2 & 3] Minimum ceiling heights shall comply with Section 1224.4.10.
  6. [OSHPD 4] Minimum ceiling heights shall comply with Section 1227.8
Upcodes Diagrams
Any room with a furred ceiling shall be required to have the minimum ceiling height in two-thirds of the area thereof, but in no case shall the height of the furred ceiling be less than 7 feet (2134 mm).
Upcodes Diagrams
Every dwelling unit shall have no fewer than one room that shall have not less than 120 square feet (13.9 m2) of net floor area. Other habitable rooms shall have a net floor area of not less than 70 square feet (6.5 m2).
Exception: Kitchens are not required to be of a minimum floor area.
Upcodes Diagrams
[HCD 1] Unless modified by local ordinance pursuant to Health and Safety Code Section 17958.1, efficiency dwelling units shall comply with the following:
  1. The unit shall have a living room of not less than 220 square feet (20.4 m2) of floor area. An additional 100 square feet (9.3 m2) of floor area shall be provided for each occupant of such unit in excess of two.
  2. The unit shall be provided with a separate closet.
  3. The unit shall be provided with a kitchen sink, cooking appliance and refrigeration facilities, each having a clear working space of not less than 30 inches (762 mm) in front. Light and ventilation conforming to this code shall be provided.
  4. The unit shall be provided with a separate bathroom containing a water closet, lavatory and bathtub or shower.
Upcodes Diagrams
Crawl spaces shall be provided with no fewer than one access opening which shall be not less than 18 inches by 24 inches (457 mm by 610 mm).
Accessible under-floor areas shall be provided with an 18-inch by 24-inch (457 mm by 610 mm) access crawl hole. Pipes, ducts and other nonstructural construction shall not interfere with the accessibility to or within under-floor areas.
An opening not less than 20 inches by 30 inches (559 mm by 762 mm) shall be provided to any attic area having a clear height of over 30 inches (762 mm). Clear headroom of not less than 30 inches (762 mm) shall be provided in the attic space at or above the access opening.
Upcodes Diagrams
Access to mechanical appliances installed in under-floor areas, in attic spaces and on roofs or elevated structures shall be in accordance with the California Mechanical Code.
Upcodes Diagrams
The number and type of plumbing fixtures provided in any occupancy shall comply with the California Plumbing Code.
Walls, floors and partitions in toilet and bathrooms shall comply with Sections 1210.2.1 through 1210.2.4.
[OSHPD 1, 2 & 3] Facilities subject to OSHPD 1, 2, & 3 shall also comply with Section 1224.4.11.
[OSHPD 4] Facilities subject to OSHPD 4 shall also comply with Section 1227.9.
In other than dwelling units, toilet, bathing and shower room floor finish materials shall have a smooth, hard, nonabsorbent surface. The intersections of such floors with walls shall have a smooth, hard, nonabsorbent vertical base that extends upward onto the walls not less than 4 inches (102 mm).
Upcodes Diagrams
Walls and partitions within 2 feet (610 mm) of service sinks, urinals and water closets shall have a smooth, hard, nonabsorbent surface, to a height of not less than 4 feet (1219 mm) above the floor, and except for structural elements, the materials used in such walls shall be of a type that is not adversely affected by moisture.
Exception: This section does not apply to the following buildings and spaces:
  1. Dwelling units and sleeping units.
  2. Toilet rooms that are not accessible to the public and which have not more than one water closet.
Accessories such as grab bars, towel bars, paper dispensers and soap dishes, provided on or within walls, shall be installed and sealed to protect structural elements from moisture.
Shower compartments and walls above bathtubs with installed shower heads shall be finished with a smooth, nonabsorbent surface to a height not less than 72 inches (1829 mm) above the drain inlet.
Upcodes Diagrams
Built-in tubs with showers shall have waterproof joints between the tub and adjacent wall.
Upcodes Diagrams
Privacy at water closets and urinals shall be provided in accordance with Sections 1210.3.1 and 1210.3.2.
Each water closet utilized by the public or employees shall occupy a separate compartment with walls or partitions and a door enclosing the fixtures to ensure privacy.
Exceptions:
  1. Water closet compartments shall not be required in a single-occupant toilet room with a lockable door.
  2. Toilet rooms located in child day care facilities and containing two or more water closets shall be permitted to have one water closet without an enclosing compartment.
  3. This provision is not applicable to toilet areas located within Group I-3 occupancy housing areas.
Each urinal utilized by the public or employees shall occupy a separate area with walls or partitions to provide privacy. The walls or partitions shall begin at a height not more than 12 inches (305 mm) from and extend not less than 60 inches (1524 mm) above the finished floor surface. The walls or partitions shall extend from the wall surface at each side of the urinal not less than 18 inches (457 mm) or to a point not less than 6 inches (152 mm) beyond the outermost front lip of the urinal measured from the finished backwall surface, whichever is greater.
Exceptions:
  1. Urinal partitions shall not be required in a single-occupant or family or assisted-use toilet room with a lockable door.
  2. Toilet rooms located in child day care facilities and containing two or more urinals shall be permitted to have one urinal without partitions.
This section shall apply to applications listed in Sections 1.8.2.1.1 and 1.8.2.1.3 regulated by the Department of Housing and Community Development.
Every extension garage door spring sold or offered for sale, whether new or as a replacement, or installed in any garage or carport which is accessory to an apartment house, hotel, motel or dwelling shall conform to the following requirements:
Hard-drawn spring wire shall conform to ASTM A227 06 (2011) or a more current version, and shall be made by the steel processes described therein, conforming to the chemical composition requirements listed and meeting the standards of steel heat as set forth by the ladle analysis. Wire tensile strength and dimension variations shall meet the prescribed properties of established standards.
Oil-tempered wire shall conform to ASTM A229-12 or a more current version, and shall be made by the steel processes described therein, conforming to the chemical composition requirements listed and meeting the standards of steel heat as set forth by the ladle analysis. Wire tensile strength and dimension variations shall meet the prescribed properties of established standards.
Extension springs shall be fabricated from either hard-drawn spring wire or oil-tempered wire as specified above.
Minimum design standard shall be 9,000 cycles. (One cycle is equal to door opening plus door closing at maximum working load.)
Mill certification of wire physical tests and chemical properties shall be kept on file by the spring manufacturer.
Physical cycling tests shall be performed for each extension spring design and shall be certified by an approved testing agency acceptable to the department and reports kept on file by the manufacturer.
Containment devices shall be physically tested for each extension spring design by installing the device on the spring and by destroying the spring at maximum recommended stretch. Containment tests shall be certified by an approved testing agency acceptable to the department and reports kept on file by the manufacturer.
Each extension spring shall be equipped with an approved device capable of restraining the spring or any part thereof in the event it breaks.
Extension springs shall be permanently identified as to manufacturer and also to indicate maximum recommended stretch. Both extension springs and containment devices shall bear information stating that they have been manufactured in accordance with requirements of the California Department of Housing and Community Development.
Installation of extension springs, containment devices and hardware shall be in accordance with the manufacturer's installation instructions. Instructions shall be provided by the manufacturer and shall specify the approved method of restraint and maximum recommended stretch. Unless otherwise permitted by the manufacturer's installation instructions, the hardware and extension springs shall be mounted to nominal 12 by 6 framing members, conforming to the applicable provisions of Section 2303.
Finish materials, including adhesives, sealants, caulks, paints and coatings, aerosol paints and coatings, carpet systems, carpet cushion, carpet adhesive, resilient flooring systems, and composite wood products shall meet the volatile organic compound (VOC) emission limits in accordance with the California Green Building Standards Code (CALGreen), Chapter 4, Division 4.5.
The provisions of this section shall apply to general acute-care hospitals and general acute-care hospitals providing only acute medical rehabilitation center services. The provisions of Section 1225 shall apply to distinct part skilled nursing and intermediate-care services on a general acute-care hospital license, provided either in a separate unit or a freestanding building.
New buildings and additions, alterations or repairs to existing buildings subject to licensure shall comply with applicable provisions of the California Electrical Code, California Mechanical Code, California Plumbing Code, California Energy Code, California Fire Code (Parts 3, 4, 5, 6 and 9 of Title 24) and this section.
Exceptions:
  1. Facilities licensed and in operation prior to the effective date of this section shall not be required to institute corrective alterations or construction to comply with any new requirements imposed thereby or subsequently, except where specifically required or where the enforcing agency determines that a definite hazard to health and safety exists. Facilities for which preliminary drawings have been submitted to the enforcing agency prior to the effective date of this change shall not be required to comply with such new requirements, provided working drawings are submitted within one year of the effective date of such new requirements.
  2. A change in function shall require compliance with all the functional requirements for new construction in this code, including requirements in Sections 1224, 1225, 1226, 1227 and 1228.
  3. The provisions of this section do not prohibit the use of alternate space utilization, new concepts of design, treatment techniques, equipment and alternate finish materials provided the intent of this section is accommodated and written approval for such alternative is granted by the enforcing agency. Written substantiating evidence in support of the alternate and a written request for consideration shall be submitted to the enforcing agency.
  4. Nothing in this section shall prohibit the provisions of required services from a centralized service facility serving two or more licensed facilities when approved in writing by the licensing agency. Buildings and required spaces for services provided in a separate centralized services facility shall comply with all applicable provisions of these regulations and applicable local codes and ordinances for the services so provided.
  5. Acute psychiatric hospitals and general acute-care hospitals providing only acute medical rehabilitation center services may provide for surgical and anesthesia services to be provided by an outside licensed facility when approved by the licensing agency.
  6. When the Corrections Standards Authority, the Department of Corrections or the Department of Youth Authority determines that a particular requirement for hospitals located in a correctional facility may compromise the safety, security or protection of staff, inmates or property, the enforcement agency shall consider an alternate design.
Specific terms and definitions are provided to facilitate consistency in the interpretation and application of these requirements. Some of these terms may have a broader definition in other contexts, but the definitions provided here reflect the use of the terms for OSHPD requirements.
AIR CONDITIONING. The process or system by which simultaneously the temperature, humidity, air motion and quality are maintained within required limits.
AIRBORNE INFECTION ISOLATION ROOM. A single-occupancy patient room where environmental factors are controlled in an effort to minimize the transmission of those infectious agents usually spread from person to person by droplet nuclei associated with coughing and inhalation.
AMBULATORY CARE. A defined health care encounter(s) of less than 24 hours in duration that requires direct professional health care support within a specific facility.
AMBULATORY SURGICAL FACILITY. Any surgical facility organized for the purpose of providing procedural, invasive surgical care to patients with the expectation that they will be recovered sufficiently to be discharged in less than a 24-hour period.
ANGIOGRAPHY. The radiographic visualization of blood vessels following introduction of contrast material for purposes of diagnosis.
BASIC SERVICES. Those essential services required for licensure as a hospital, including medical, nursing, surgical, anesthesia, laboratory, radiology, pharmacy, dietary services and support services. See "SUPPLEMENTAL SERVICES."
BIOTERRORISM. The use, or threat of use, of biological agents to intimidate a political entity or population group.
CENTRAL AIR-HANDLING SYSTEMS. Any units requiring ductwork on the supply or inlet side and serving more than one room.
CHANGE IN FUNCTION. A change in function is a change in activity, service or licensed service provided, within the project limits, that does not necessarily change the use, specific use, and/or occupancy. Conversion of a space that results in a change in activity such that the space will be required to satisfy the functional space requirements under a different code sub-section than that of the prior use is considered a change in function.
CLEAR DIMENSION. An unobstructed room dimension exclusive of built-in casework and equipment and available for functional use.
COURT. An open exterior space bounded on three or more sides by the walls of a structure.
ENVIRONMENT OF CARE. Those features in a built health care entity that are created, structured, and maintained to support quality health care.
EXAM ROOM. A room with a bed, stretcher, or examination table and capability for periodic monitoring (e.g., measurement of blood pressure or pulse oximetry) in which procedures that do not require a specialized suite can be performed (e.g., pelvic examination, blood transfusion).
FLOOR AREA, CLEAR. The actual occupied area exclusive of fixed or wall-mounted cabinets, fixed beds and furnishings, built-in shelves, toilet rooms, closets, lockers, wardrobes, alcoves, anterooms or vestibules.
GENERAL ACUTE-CARE HOSPITAL. A hospital, licensed by the California Department of Public Health, having a duly constituted governing body with overall administrative and professional responsibility and an organized medical staff which provides 24-hour inpatient care, including the basic services.
HANDWASHING STATION. An area that provides a hand-washing fixture, cleansing agents and means for drying hands. Refer to the California Plumbing Code, Section 210.0 for the definition of handwashing fixture.
HOSPITAL. A general acute-care hospital, including those providing only acute medical rehabilitation center services and acute psychiatric hospitals.
HOUSEKEEPING. Services anywhere within a health care facility that include general cleaning and tidying and the provision and positioning of identified materials, e.g., soaps, towels, etc. (While routine disinfection protocols can be included in such a definition, the definition is not intended to include complex, nonroutine disinfection procedures nor the nonroutine disposition of hazardous materials such as potentially toxic drugs or other chemicals and radioactive wastes.)
LDR. Labor, Delivery, Recovery (an unlicensed patient bed)
LDRP. Labor, Delivery, Recovery, Postpartum (a licensed patient bed)
LICENSING AGENCY. The Department of Public Health, Licensing and Certification.
LOCATION TERMINOLOGY (terms for relationship to an area or room)

ADJACENT. Located next to but not necessarily connected to the identified area or room.
DIRECTLY ACCESSIBLE. Connected to the identified area or room through a doorway, pass-through, or other opening without going through an intervening room or public space.
IMMEDIATELY ACCESSIBLE. Available either in or adjacent to the identified area or room.
IN. Located within the identified area or room.
READILY ACCESSIBLE. Available on the same floor as the identified area or room.
MONOLITHIC. A surface free of fissures, cracks, perforations, and crevices.
MONOLITHIC CEILING. A ceiling constructed with a surface free of fissures, cracks, and crevices. Any penetrations such as lights, diffusers, and access panels shall be sealed or gasketed. Lay-in ceilings are not considered "monolithic."
NURSING UNIT. A designated patient care area of the hospital which is planned, organized, operated and maintained to function as a unit. It includes patient rooms with adequate support facilities, services and personnel providing nursing care and necessary management of patients.
OPERATING ROOM. A room specifically designed for the performance of surgical procedures. (In common understanding, this means most types of surgical procedures, especially those involving the administration of anesthesia, multiple personnel, recovery room access, and a fully controlled environment.)
HYBRID OPERATING ROOM. A room that meets the definition of an operating room and is also equipped to enable diagnostic imaging before, during, and after surgical procedures. Imaging equipment is permanently installed in the room and may include MRI, fixed single-plane and bi-plane tomographic imaging systems, and computed tomographic equipment.
Note: Use of portable imaging technology does not make an operating room a hybrid operating room.
OUTPATIENT SERVICE. An organizational unit of the hospital, which provides nonemergency healthcare services to patients.
BAY (patient). A space for human occupancy with one hard wall at the headwall and three soft walls (e.g., cubicle curtains or portable privacy screen).
CUBICLE. A space intended for human occupancy that has at least one opening and no door and is enclosed on three sides with full-height or partial-height partitions.
PATIENT CARE STATION. A designated space for a specific patient care function. This term does not imply any structural requirement (e.g., a Post-anesthesia Care Unit (PACU) can have 10 patient care stations of which three are rooms, three are cubicles, and four are bays).
PATIENT ROOM. Licensed patient bed rooms.
PERIOPERATIVE. Patient care and other related supportive activities before, during or after the operative event.
PROTECTIVE ENVIRONMENT. A bedded unit or patient room where severely immunosuppressed patients are cared for.
RESTRICTED AREA. A designated space with limited access eligibility. Such space has one or more of the following attributes: specific signage, physical barriers, security controls and protocols that delineate requirements for monitoring, maintenance, attire, and use. The term is often applied to specialized procedure suites, such as operating rooms and suites, interventional imaging, cardiac catheterization labs, angiography suites, etc.
ROOM. A space enclosed by hard walls and having a door. Where the word "room" or "office" is used, a separate, enclosed space for the one named function is intended. Otherwise, the described area may be a specific space in another room or common area.
SCRUB SINK. A sink used to wash and scrub the hands and arms during the aseptic preparation for surgery, and equipped with a supply spout and controls as required for a handwashing fixture. Refer to the California Plumbing Code Sections 210.0 and 221.0.
SERVICE SINK. A sink located in a housekeeping room and designed for the purpose of cleaning mops and the disposal of waste water.
SUB-ACUTE CARE. A segment within a continuum of levels of care determined by patient acuity, clinical stability, and resource needs.
SUPPLEMENTAL SERVICE. An inpatient or outpatient service which is not required to be provided by law or regulation for licensure. A supplemental service, when provided, must accommodate the provisions of this section.
Note: See "BASIC SERVICES."
SURGICAL SERVICE SPACE. A space that includes the operating room(s) and service areas.
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, hazards and unsightliness in patient-care areas and bedrooms.
Radiology, laboratory, pharmacy, physical therapy and service spaces serving only outpatients and similar outpatient service departments shall not be located in nursing units, surgical units, peri-natal units, nursery areas, central sterilization rooms, food-service' areas, power plants, mechanical equipment rooms, maintenance shops, general storage, laundry, employees' dressing or housekeeping facilities.
Exception: Physical and occupational therapy spaces of a rehabilitation service may serve both outpatients and inpatients.
Identifiable spaces shall be provided for each function indicated in all Basic and applicable Supplemental Service Space sections with requirements for support areas. The following rooms and spaces are common to most types of health care facilities and the requirements associated with each, as listed below, shall be used unless modified under a specific Service Space section.
Unless specified elsewhere, if an exam room is provided, it shall have a minimum clear floor area of 80 square feet (7.4 m2), the least dimension of which shall be 8 feet (2438mm). The room shall contain a handwashing fixture and accommodations for written or electronic documentation shall be provided.
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 space for writing or electronic documentation. Multi-bed treatment rooms shall have separate patient cubicles with a minimum clear floor area of 80 square feet (7.4 m2) per cubicle. Each cubicle shall contain an examination light, counter and storage facilities, In multi-bed treatment rooms, a hand-washing fixture shall be provided in the room for each three or fewer cubicles.
When provided, the airborne infection isolation room shall be an exam/treatment room, shall be labeled with the words "Airborne Infection Room", and provide the following:
  1. Capacity. Each airborne infection isolation exam/treatment room shall contain only one examination table or recliner.
  2. Handwashing station. A handwashing station shall be located in each airborne infection isolation exam/treatment room.
  3. Gowning and storage area. An area for gowning and storage of clean and soiled materials shall be located directly outside or inside the entry door to the airborne infection isolation exam/treatment room.
  4. Doors. Room doors shall be self-closing and include latching devices.
  5. Sealed-tight room. Room perimeter walls, ceiling, floors, doors and penetration shall be sealed tightly to minimize air infiltration from the outside or from other spaces.
  6. Ventilation. The ventilation shall be provided as required by the California Mechanical Code for airborne infection isolation room.
An airborne infection isolation anteroom is not required; however, when an anteroom is provided, it shall meet the following requirements:
  1. The anteroom shall provide space for persons to don personal protective equipment before entering the patient room.
  2. All doors to the anteroom shall have self-closing devices.
  3. The anteroom shall provide storage of personal protective equipment (e.g. respirators, gowns, gloves) and clean equipment.
  4. Ventilation shall be provided in the anteroom as required by the California Mechanical Code for airborne infection isolation anteroom.
Where provided, seclusion rooms shall comply with the following requirements:
  1. Capacity. Each room shall accommodate only one patient.
  2. Layout and access. Seclusion rooms shall be accessed through an anteroom or vestibule that also provides access to a toilet room. The door openings to the anteroom and the toilet room shall have a minimum clear width of 3 feet 8 inches (1118 mm).
  3. The room(s) shall be located to permit observation from the nurse station.
  4. Seclusion rooms shall be permitted to be grouped together and may share a common vestibule/anteroom.
Seclusion rooms shall have a minimum clear floor area of 60 square feet (5.57 m2) with a minimum wall length of 7 feet (2134 mm) and a maximum wall length of 11 feet (3353 mm).

Exception: Where a room for restraining patients is authorized by the California Department of Public Health, it shall have a minimum clear floor area of 80 square feet (7.43 m2) with a minimum wall length of 7 feet (2134 mm) and a maximum wall length of 11 feet (3353 mm).
Seclusion rooms shall be designed and constructed in compliance with the following requirements:
  1. The walls, ceiling, and floor of the seclusion room shall be designed to withstand direct and forceful impact. If padded materials are used inside the room, they shall meet the interior finish requirements in Chapter 8, Interior Finishes, of this code.
  2. Minimum ceiling height shall be 9 feet (2743 mm).
  3. Doors.

    1. Door hardware shall be ligature resistant.
    2. The entrance door to the seclusion room shall swing outward.
    3. Doors shall permit staff observation of the patient through a view panel while also maintaining provisions for patient privacy. The maximum sill height shall be 36 inches (914 mm) above the finish floor. The view panel shall be fixed glazing with polycarbonate or laminate on the inside of the glazing.
  4. Seclusion rooms shall not contain outside corners or edges.
  5. All items in the room (e.g., lighting fixtures, sprinkler heads, HVAC grilles, and surveillance cameras, etc.) shall be tamper resistant.
  6. Electrical switches and receptacles are prohibited in the seclusion room.
This area shall have space for counters and storage and at least one hand-washing station shall be located in, adjacent to, or directly accessible to the administrative center or nurse station. It may be combined with or include centers for reception, charting and communication.
When provided, specimen collection facilities shall comply with the following requirements:
  1. Urine collection rooms shall be equipped with a water closet and handwashing station.
    Exception: The handwashing station may be located immediately outside the collection room when the specimen is used for drug testing.
  2. Use of the toilet room provided within the examination and treatment room shall be permitted for specimen collection.
When provided, blood collection facilities shall comply with the following requirements:
  1. Space for a chair and work counter shall be provided.
  2. A handwashing station shall be provided.
Provision shall be made for distribution of medications. This shall be done from a medication preparation room or from a self-contained dispensing unit.
If provided, this room shall be directly accessible from the nursing station. When a medicine preparation room is to be used to store one or more self-contained medicine dispensing units, the room shall be designed with adequate space to prepare medicines with the self-contained medicine dispensing unit(s) present. Medicine preparation rooms shall include:
  1. Work counter.
  2. Handwashing station.
  3. Refrigerator.
  4. Locked storage for controlled drugs.
If provided, a self-contained medicine dispensing unit shall be located at the nurses' station, in the clean utility room, or in an alcove.
Nourishment areas or rooms required in patient care areas shall include the following:
  1. Sink
  2. Work counter
  3. Refrigerator
  4. Storage cabinets
  5. Equipment for hot and cold nourishment between scheduled meals.
  6. The nourishment shall include space for trays and dishes used for nonscheduled meal service.
  7. Provisions and space shall be included for separate temporary storage of unused and soiled dietary trays not picked up at mealtime.
  8. Handwashing fixtures separate from the nourishment sink shall be in or adjacent to the nourishment area.
The clean work-room or clean supply room shall be separate from and have no connection with the soiled workroom or soiled holding room. If the room is used for preparing patient care items, it shall contain the following:
  1. Work counter
  2. Handwashing station
  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 or a handwashing station may be omitted.
The soiled work-room or soiled holding room shall be separate from and have no connection with either clean workrooms or clean supply rooms. The soiled utility/workroom shall contain:
  1. Clinical sink (or equivalent flushing-rim fixture).
  2. Handwashing station
  3. Work counter
  4. Space for separate covered containers for soiled linen and/or waste
Rooms used only for temporary holding soiled material may omit the clinical sink and work counter. If the flushing-rim clinical sink is eliminated, facilities for cleaning bedpans shall be provided elsewhere.
Separate toilet rooms shall be provided for the use of patients, staff, and public. When provided, single-user toilets shall include a doormounted geometric symbol, as identified in Section 11B703.7.2.6.3, Unisex toilet and bathing facilities, and wall signage designating use for patients, staff or public. When existing toilet rooms are not compliant with Section 11B-603, Toilet and bathing rooms, directional signage in compliance with Section 11B-216.8, Toilet rooms and bathing rooms, shall also be provided.

Exception: Patient toilet rooms accessed directly from patient bedrooms are not required to include signage.
Waiting rooms for outpatients shall provide a seating area and space for wheelchairs and have public corridor access. Public toilets, drinking fountains and telephones shall be readily accessible.
Note: One waiting area may serve more than one department or service.
If x-ray examinations are to be performed on outpatients, outpatient access to the radiological spaces shall not traverse a nursing unit.
Exception: Satellite radiology, laboratory, pharmacy, and physical and occupational therapy space serving inpatients may be located in nursing units and inpatient treatment areas.
Station outlets for oxygen, vacuum, and medical air shall comply with Table 1224.4.6.1.

TABLE 1224.4.6.1
STATION OUTLETS FOR OXYGEN, VACUUM (SUCTION), AND MEDICAL AIR SYSTEMS1, 6


LOCATIONS OXYGEN VACUUM MEDICAL AIR WAGD3
1 Patient rooms (medical/surgical unit) 1/bed 1/bed
2 Examination or treatment (medical/surgical unit and postpartum care) 1/room 1/room
3 Airborne infection isolation or protective environment rooms (medical/surgical unit) 1/bed 1/bed
4 Seclusion room (medical/surgical unit and postpartum care) 1/bed 1/bed
5 Intensive care (general) 3/bed 3/bed 1/bed
6 Airborne infection isolation 3/bed 3/bed 1/bed
7 Coronary-care service space 3/bed 2/bed 1/bed
8 Pediatric intensive care 3/bed 3/bed 1/bed
9 Newborn intensive care 3/bassinet 3/bassinet 3/bassinet
10 Newborn nursery (full term) 1/4 bassinets2 1/4 bassinets2 1/4 bassinets2
11 Pediatric and adolescent 1/bed 1/bed 1/bed
12 Pediatric nursery 1/bassinet 1/bassinet 1/bassinet
13 Psychiatric patient room
14 Seclusion treatment room (psychiatric unit)
15 General operating room 2/room 5/room 1/room 1/room
16 Cardio and special procedures 2/room 5/room 1/room 1/room
17 Orthopedic surgery 2/room 5/room 1/room 1/room
18 Surgical cystoscopic and other endo-urologic procedures 1/room 3/room
19 Post-anesthesia care unit 2/bed 3/bed 1/bed
20 Anesthesia workroom 1/workstation 1/workstation
21 Endoscopy procedure room 1/room 3/room
22 Postpartum bedroom 1/bed 1/bed
23 Cesarean operating/delivery room 2/room 4/room 1/room 1/room
24 Recovery space for cesarean delivery 1/bed 3/bed 1/bed
25 Infant resuscitation space4 3/bassinet 3/bassinet 3/bassinet
26 Labor room 1/room 1/room
27 OB recovery room 1/bed 3/bed
28 Labor/delivery/recovery (LDR)5 1/bed 1/bed
29 Labor/deliver/recovery/postpartum (LDRP)5 1/bed 1/bed
30 Initial emergency management 1/bed 1/bed 1/bed
31 Triage area (definitive emergency care) 1/station 1/station
32 Definitive emergency care examination or treatment rooms 1/bed 1/bed 1/bed
33 Observation unit 1/bed 1/bed
34 Trauma/cardiac room(s) 2/bed 3/bed 1/bed
35 Orthopedic and cast room 1/room 1/room
36 Cardiac catheterization lab 2/bed 2/bed 2/bed
37 Autopsy room 1/workstation
38 MRI 1/room 1/room 1/room
39 Interventional imaging procedure room 2/room 2/room 1/room
40 Hyperbaric suite pre-procedure/patient holding area 2/station 2/station
41 Electroconvulsive therapy procedure room 1/room7 1/room7
  1. For any area or room not described above, the facility clinical staff shall determine outlet requirements after consultation with the enforcing agency.
  2. Four bassinets may share one outlet that is accessible to each bassinet.
  3. WAGD stands for "waste anesthesia gas disposal" system.
  4. When infant resuscitation takes place in a room such as cesarean section/delivery or LDRP, then the infant resuscitation services shall be provided in that room in addition to the minimum service required for the mother.
  5. One outlet for mother and one for each bassinet.
  6. Renovation projects of existing spaces where the existing function is not changed, are not required to comply with the requirements of this table.
  7. Use of portable equipment shall be permitted.
The design, installation and testing of medical gas and vacuum systems shall conform to Table 1224.4.6.1 and NFPA 99.
The design and construction of hyperbaric facilities shall conform to NFPA 99; Health Care Facilities and Section 1224.39.5.
The design and construction of hospital laboratories shall conform to NFPA 99.
The location of nurse call devices shall comply with Table 1224.4.6.5. The design of call systems shall comply with the California Electrical Code, Part 3 of Title 24.
TABLE 1224.4.6.5
[OSHPD 1, 2, 3 & 4] LOCATION OF NURSE CALL DEVICES
KEY: ● Required
AREA DESIGNATIONPATIENT STATIONBATH STATIONSTAFF EMERGENCY STATIONCODE CALL STATIONNURSE MASTER STATIONDUTY STATIONNOTES
Nursing Units
Nursing Unit bed location1, 2, 3, 4
Patient toilets2
Patient showers and baths2
Critical care bed locations, including NICU1, 2, 4, 5
LDR/LDRP rooms1, 2, 3, 4
Newborn and special care nurseries
Examination/treatment room
Support Areas
Nurse/control station
Clean workroom
Soiled workroom
Medication preparation room
Staff lounge
Diagnostic and Treatment Areas
Psychiatric seclusion ante/exam rooms
Cesarean delivery rooms2
Emergency exam, treatment, triage rooms1, 2, 4
Observation unit patient station
Operating rooms2
Preoperative patient care area1, 2
Recovery—PACU2, 4
MRI, CT, stress testing areas2, 4
Diagnostic radiology, fluoroscopy and ultrasound procedure rooms2
Cardiac catheterization, interventional imaging, angiography
Nuclear medicine procedure room2
Endoscopy procedure room2
Electroconvulsive therapy procedure room
Notes:
  1. One device shall be permitted to accommodate both patient station and emergency staff assistance station functionality.
  2. A visible signal shall be activated in the corridor at the patient's door, at the nurse/control station, and at all duty stations. In multicorridor nursing units, additional visible signals shall be installed at corridor intersections.
  3. Two-way voice communication shall be provided with the nurse/control station.
Exception: Skilled nursing facilities.
  1. One device shall be permitted to accommodate both emergency staff assistance and code call station functionality.
  2. A patient station shall not be required in the NICU.
The minimum width of corridors and hallways shall be 8 feet (2438 mm).
Exception: Patient-care corridors and hallways in hospitals for psychiatric care of patients who are not bedridden shall have a minimum clear and unobstructed width of 6 feet (1829 mm). For the purposes of this section, bedridden patients shall be defined as patients confined to beds who would be transported or evacuated in beds or litters.
Service corridors and hallways with anticipated light traffic volume for nonpatient use may be reduced to a width of 5 feet (1524 mm) if approved by the enforcing agency.
Exception: Corridors and hallways in administrative and business areas may be reduced to a width of 44 inches (1118 mm).
Outpatient clinics or outpatient departments which contain facilities for out-patient use only, such as laboratory, x-ray, physical therapy or occupational therapy, shall have a minimum corridor or hallway width of 5 feet (1524 mm). Outpatient clinics and outpatient departments consisting only of waiting rooms, business offices, doctor's offices, and examining rooms, where there is no traffic through such area to other services or to exits from the building, shall have a minimum corridor or hallway width of 44 inches (1118 mm).
Corridors for patient traffic in areas providing skilled nursing, intermediate care or rehabilitation services shall be furnished with a handrail on both sides at a height not less than 30 inches (762 mm) or greater than 36 inches (914 mm).
Corridor systems shall connect all patient rooms and basic services.
Exception: Covered pedestrian walkways connecting separate buildings are permitted for ambulatory, psychiatric or chemical dependency patients.
Department/service space areas shall be contiguous and include internal circulation to access each of the rooms/spaces associated with it, as identified under the specific Service Space requirements.
Doors to toilet rooms shall have an opening of not less than 32 inches (813 mm) clear in width and shall be equipped with hardware which will permit the door to swing outward or in a manner to negate the need to push against a patient who may have collapsed within the toilet room.
Pocket sliding doors are not permitted.
Exception: Administration and business areas.
Rooms approved for the housing of patients shall be provided with natural light by means of exterior glazed openings excluding clerestory windows, obscure glass and skylights, with an area not less than one tenth of the total floor area.
Patient room windows shall have sills not more than 36 inches (914 mm) above the floor. If operable windows are provided that require the use of tools or keys for operation, the tools or keys shall be located at the nurses' station.
Exception: Window sills in intensive-care units may be 60 inches (1524 mm) above the floor.
If operable windows are provided in airborne infection isolation or protective environment rooms, they shall only be operable by the use of tools or keys which shall be located at the nurses' station.
Safety glass or plastic glazing materials shall be used in windows in psychiatric patient areas.
Windows which may be frequently left in an open position 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.
The minimum height of ceilings shall be 8 feet (2438 mm).
Exception: Closet, toilet room and bathroom minimum ceiling heights shall not be less than 7 feet (2134 mm).
Operating rooms, emergency rooms, delivery rooms, radiographic rooms and other rooms containing ceiling-mounted, major fixed equipment or ceiling-mounted surgical light fixtures shall have ceiling heights to accommodate the equipment or fixtures and their normal movement. Suspended tracks, rails and pipes located in the traffic path for patients in beds and/or on stretchers, including those in inpatient service areas, shall be not less than 7 feet (2134 mm) above the floor.
Exception: Mobile suspended tracks such as traverse rails for overhead patient lifts that may be moved out of the traffic path shall provide a clearance of not less than 6 feet, 8 inches (2032mm) above the floor when in use.
ACCEPTABLE CEILING AND CARPET LOCATIONS
AREAS/ROOMS3,4GENERAL ACUTE CARE HOSPITAL CEILING/CARPETACUTE PSYCHIATRIC HOSPITAL CEILING/ CARPETSKILLED NURSING AND INTERMEDIATE-CARE FACILITIES CEILING/CARPETCLINIC CEILING/ CARPET
Patient bedrooms3*3*3*
Patient corridors/hallways3*3*3*3*
Airborne infection isolation rooms2N2N2N2N
Protective environment rooms1N1N1N--
Nurses' or administration station3Y3Y3Y3Y
Utility rooms2N2N2N2N
Surgical units22N2N
Operation rooms
1N1N
Surgical corridors/hallways
2N2N
Recovery3N3N
Radiological unit23*3*3
X-ray rooms1
3N3N3N
Treatment rooms22N3N2N2N
Examination rooms3*3*3*3*
Administration4Y4Y4Y4Y
Central sterile supply2N2N2N2N
Clinical laboratories3N3N3N
Pharmacy3*3*3*3*
Morgue and autopsy3N
General storage rooms3N3N3N3N
Housekeeping rooms2N2N2N2N
Laundry15N15N15N
Soiled linen2N3N3N3N
Clean linen3N3N3N3N
Kitchens15N15N15N15N
Dining rooms3*3*3*3*
Dishwasher rooms2N2N2N2N
Dietary day storage2N2N2N
Catheterization laboratory1N
Chronic dialysis3*3*
Coronary care3*
Dental3*3*
Hydrotherapy2N2N2N2N
Intensive-care nursery3*
Intensive care3*
Occupational therapy3*3*3*3*
Obstetrical unit23*
Delivery rooms
1N
Labor rooms, LDRP and LDR
3N
Nurseries3N
Physical therapy3*3*3*3*
Radiation therapy3*3*
Speech pathology and audiology3Y3Y3Y3Y
Ceilings:
1 — Continuous monolithic surface equal in smoothness to enamel plaster.
2 — Smooth and easily cleanable without perforations or fissures.
3 — Pin perforated, fine fissured, or lightly textured.
4 — Any finish meeting code requirements.
Carpets:
Yes = Y
No = N
* Upon approval by the licensing agency with adequate maintenance procedure. However, should the carpet not be maintained adequately, the licensing agency has the right to have it removed and replaced with another acceptable material.
Footnotes:
  1. Carpet permitted in mammography.
  2. Except those rooms specified otherwise.
  3. For rooms not listed, contact the Office of Statewide Health Planning and Development (OSHPD).
  4. Table applies to new construction, additions, remodels, and conversions. The patching and replacement of existing materials will be permitted.
  5. Lay-in ceiling meeting the requirements of Section 1224.4.11.4.1.7 may be substituted in laundry and kitchens
Floor finishes shall be smooth, waterproof and durable. Flooring surfaces shall provide smooth transitions between different floor materials. Slip-resistant flooring products shall be used for flooring surfaces in wet areas (e.g., kitchens, shower and bath areas), ramps, stairways, entries from exterior to interior space, and other areas as determined by the functional program. Joints for floor openings for pipes, ducts and conduits shall be tightly sealed. Joints of structural elements shall be similarly sealed.
Exception: Upon written appropriate documented requests, the licensing agency may grant approval of the installation of carpets. See Table 1224.4.11.
Resilient flooring, if used in toilet and bathing rooms, shall be continuous and extend upward onto the wall at least 5 inches (127 mm) to minimize moisture infiltration. Wood bases are prohibited except in waiting areas and administration departments.
Floors in areas used for food preparation and assembly shall be water-resistant. Floor surfaces, including tile joints, shall be resistant to food acids. Floor construction in dietary and food preparation areas shall be free of spaces that can harbor pests.
In all areas subject to frequent wet-cleaning methods, flooring materials shall not be physically affected by germicidal or other types of cleaning solutions.
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.
Exception: In locations where carpet is permitted as a floor finish material, the use of carpeted base (coved or strip base) up to a maximum height of 5 inches (127 mm) is also permissible.
Floor and wall base assemblies in the following rooms shall be monolithic and have an integral coved wall base that is carried up the wall a minimum of 6 inches (150 mm) and is tightly sealed to the wall:
  1. Operating rooms
  2. Interventional imaging rooms, including cardiac catheterization labs
  3. Cesarean delivery rooms
  4. Cystoscopy, urology, and minor surgical procedure rooms
  5. Endoscopy procedure rooms
  6. Endoscopy instrument processing rooms
  7. IV and chemotherapy preparation rooms
  8. Airborne infection isolation (AII) rooms
  9. Protective environment (PE) rooms
  10. Anterooms to AII and PE rooms, where provided
  11. Cast rooms
The floors and wall bases of kitchens, soiled and clean utility rooms, housekeeping rooms with mop sinks, patient, public and staff sanitary facilities and other areas subject to frequent wet cleaning, shall also be homogeneous, nonabsorbent, smooth, easily cleaned and not physically affected by germicidal cleaning solutions, but may have tightly sealed joints and shall be constructed without voids at the intersection of floor and wall surfaces.
Wall finishes shall comply with the following requirements:
  1. Wall finishes shall be washable. In the vicinity of plumbing fixtures, wall finishes shall be smooth, scrubbable and water-resistant.
  2. Wall finishes in areas such as operating rooms, delivery rooms and trauma rooms shall be monolithic, scrubbable and able to withstand cleaning with chemicals.
  3. Wall finishes in operating rooms, cesarean delivery rooms, isolation rooms and sterile processing rooms shall be free of fissures, open joints or crevices that may retain or permit passage of dirt particles.
  4. Wall finishes in areas such as clean corridors, central sterile supply spaces, specialized radiographic rooms and minor surgical procedure rooms shall be washable, smooth and able to withstand cleaning with chemicals.
  5. Wall areas penetrated by pipes, ducts and conduits shall be tightly sealed to minimize entry of rodents and insects. Joints of structural elements shall be similarly sealed.
  6. Wall finish requirements of Section 1224.4.11.3 do not apply to boiler rooms, mechanical equipment rooms, administration departments, other offices, enclosed stairways, maintenance shops and similar spaces.
Dietary and food preparation areas shall comply with the following requirements:
  1. In dietary and food preparation areas, wall construction, finish, and trim, including the joints between the walls and the floors, shall be free of spaces that can harbor insects and rodents.
  2. Wall surfaces in wet areas (e.g., kitchens, environmental services closets) shall be monolithic and all seams shall be covered and/or sealed.
Ceilings in areas occupied by patients and the public shall be cleanable with the use of routine housekeeping equipment. Acoustic and lay-in ceiling, where used, shall not create ledges or crevices.
Ceiling finishes shall comply with Table 1224.4.11 and the following requirements:
Semirestricted areas:
  1. Ceiling finishes in semirestricted areas such as airborne infection isolation exam/treatment rooms, surgical corridors, central sterile supply spaces and minor surgical procedure rooms, shall be nonabsorptive, nonperforated, capable of withstanding cleaning with chemicals, and without crevices that can harbor mold and bacterial growth.
  2. If a lay-in ceiling is provided in semi-restricted areas, it shall be gasketed or each ceiling tile shall weigh at least one pound per square foot to prevent the passage of particles from the cavity above the ceiling plane into the semirestricted environment. Perforated, tegular, serrated cut or highly textured tiles are not acceptable.
  1. 3. Ceilings in restricted areas shall be monolithic with no cracks or perforations.
  2. 4. Ceilings in restricted areas shall be scrubbable and able to withstand cleaning and/ or disinfecting chemicals.
  3. 5. All access openings in restricted area ceilings shall be gasketed.
Dietary and laundry areas:
  1. 6. Provide either a sealed monolithic and scrubbable gypsum board ceiling or a layin ceiling.
  2. 7. If a lay-in ceiling is provided, it shall include the following:
    • A rust-free grid.
    • Ceiling tiles that weigh at least one pound per square foot and are smooth, scrubbable, nonabsorptive, nonperforated and able to withstand cleaning with chemicals.
  3. 8. Ceiling finish requirements of Section 1224.4.11.4.1 do not apply to boiler rooms, mechanical equipment rooms, administration departments, other offices, enclosed stairways, maintenance shops and similar spaces.
Where one or more walls of a court contain a door or window of one or more patients' bedrooms, the least dimension of the court shall be 20 feet (6096 mm) between facing structures.
Patient elevators shall have minimum inside platform dimensions of 5 feet by 8 feet (1524 mm by 2438 mm), and a minimum clear door opening of 4 feet 0 inches (1219 mm).
Passenger elevators shall have minimum inside platform dimensions of 4 feet 8 inches by 7 feet 4 inches (1422 mm by 2236 mm).
Buildings over one story in height with accommodations or services for patients on floors without grade-level entrance shall provide at least one patient elevator.
If bed patients are accommodated on one or more floors, other than the main entrance floor or where operating rooms or delivery rooms are above or below the main entrance floor, at least one patient elevator shall be provided.
At least one patient elevator and one service elevator shall be provided in hospitals with a capacity of from 60 to 149 beds on floors other than the main entrance floor.
At least one patient elevator, one passenger elevator and one service elevator shall be provided in hospitals with a capacity of 150 or more beds on floors other than the main entrance floor.
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:
  1. A concrete floor with a curb and with a drain connected to the sewer.
  2. Steam or hot-water and cold-water supply.
  3. A minimum floor area of 1/2 square foot (0.046 m2) per bed, but not less than 25 square feet (2.3 m2), the least dimension of which shall be 4 feet (1219 mm).
  4. A method of limiting access to the material except by authorized persons.
This room shall be a minimum floor area of 15 square feet (1.4 m2). It shall contain a service sink or floor receptor and provisions for storage of supplies and housekeeping equipment.
Gravity-type laundry and trash chutes shall have a minimum diameter of 2 feet (610 mm) and shall be designed to prevent distribution of airborne contaminating elements to all floors served.
Each floor accommodating patients shall have a telephone installed for patient use. Such telephones shall be readily accessible to patients who are limited to wheel chairs and stretchers. This may not be required in separate buildings having six or fewer beds which are restricted to occupancy by ambulatory patients.
Each toilet, bathtub and shower serving patients shall have conveniently placed grab bars that shall comply with Chapter 11B.
Exception: Excluding facilities designed for use by persons with disabilities, grab bars may be deleted from those facilities serving chemical dependency recovery and psychiatric patients.
TABLE 1224.4.19
SOUND TRANSMISSION LIMITATIONS IN HOSPITALS
NEW CONSTRUCTIONAIRBORNE SOUND TRANSMISSION CLASS (STC)1
PartitionsFloors
Patient room to patient room4540
Public space to patient room35540
Service areas to patient room46545
Patient room access corridor54545
Exam room to exam room45
Exam room to public space45
Toilet room to public space45
Consultation rooms/conference rooms to public space45
Consultation rooms/conference rooms to patient rooms45
Staff lounges to patient rooms45
  1. Sound Transmission Class (STC) shall be determined by tests in accordance with methods set forth in ASTM 90 and ASTM 413. Where partitions do not extend to the structure above, sound transmission through ceilings and composite STC performance shall be considered.
  2. Treatment rooms shall be treated the same as patient rooms.
  3. Public space includes corridors (except patient room access corridors), lobbies, dining rooms, recreation rooms, and similar space.
  4. Service areas for the purposes of this table include kitchens, elevators, elevator machine rooms, laundries, garages, maintenance rooms, boiler and mechanical equipment rooms, and similar spaces of high noise. Mechanical equipment located on the same floor or above patient rooms, offices, nurses stations, and similar occupied space shall be effectively isolated from the floor.
  5. Patient room access corridors contain composite walls with doors/ windows and have direct access to patient rooms.
  6. Renovation projects of existing spaces where the existing function is not changed, are not required to comply with the requirements of Table 1224.5.
Recreation rooms, exercise rooms, equipment rooms and similar spaces where impact noises may be generated, shall not be located directly over patient bed areas or delivery and operating suites, unless special provisions are made to minimize such noise.
The noise reduction criteria shown in Table 1224.4.19 shall apply to partitions, floors, and ceiling construction in patient areas.
Technology and medical communication rooms shall comply with the California Electrical Code, California Mechanical Code, California Plumbing Code and the requirements of this section.
The telecommunications service entrance room houses the point at which outside carrier data and voice circuits and services enter the facility and outdoor cabling interfaces with the building's internal cabling infrastructure. Each hospital facility shall have at least one telecommunications service entrance room, and each room that is provided shall be dedicated to the telecommunications function with related support facilities and meet the requirements of this section.
Each hospital shall have at least one technology equipment center space that is not used for any purpose other than electronic data storage, processing, and networking.
The technology equipment center shall be sized to provide space to meet the service requirements for the required equipment.
The technology equipment center shall be located to minimize the risk of water damage, both from internal and external sources. The technology equipment center shall be located above any floodways or flood hazard areas as described in the National Flood Insurance Program.
There shall be a minimum of one technology distribution room on each floor of the facility.

Exception: For existing facilities not undergoing major renovation, a technology distribution room may serve adjacent floors.
  1. Technology distribution rooms shall be sized based on the area of the floor being served, with minimum clear dimensions as follows:

    Area Served in
    Square Feet (m2)
    Minimum Technology
    Distribution Room Size
    ≤ 8,000 square feet
    (740 m2)
    10 feet by 10 feet
    (3.05 m by 3.05 m)
    8,001 — 15,000 square feet
    (1400 m2)
    10 feet by 12 feet
    (3.05 m by 3.66 m)
    15,001 — 25,000 square feet
    (2325 m2)
    10 feet by 14 feet
    (3.05 m by 4.27 m)
    > 25,000 square feet
    (2325 m2)
    12 feet by 14 feet
    (3.66 m by 4.27 m)
  2. Where ceilings are provided, the minimum clear height shall be 9 feet (2.75 m).

    Exception: Existing buildings shall be permitted to have a minimum clear height of 8 feet (2.44 m).
Technology distribution rooms shall be provided throughout the facility as necessary to meet the maximum cable distance requirement for the cabling system specified.
The location of spaces required by this section shall meet the requirements of California Building Code, Section 3416A Compliance Alternatives for Services/Systems and Utilities
Access to the spaces required by this section shall be controlled and not require passage through patient-care or sterile space.
The combining of the telecommunications service entrance room, technology equipment center and technology distribution room shall be permitted, provided that the requirements for each of the individual spaces are met.
No patient room shall be designed to accommodate more than four beds.

Exception: Where renovation of existing individual patient rooms is undertaken in facilities built under the 2013, or prior, California Building Code, maximum room capacity shall be no more than the present capacity, to a maximum of eight patients per patient room. Placement of beds shall not be more than three deep from the exterior window.
In new construction, patient rooms shall have a minimum of 100 square feet (9.29 m2) of clear floor area per bed in multiple-bed rooms and 120 square feet (11.15 m2) of clear floor area for single-bed rooms. The dimensions and arrangement of rooms shall be such that there is a minimum of 3 feet (914 mm) between the sides and foot of the bed and any wall or any other fixed obstruction. In multiple-bed rooms, a minimum clearance of 3 feet (914 mm) shall be provided between beds and a clearance of 4 feet (1219 mm) shall be available at the foot of each bed to permit the passage of equipment and beds

Exception: Where renovation of existing patient rooms is undertaken in facilities built under the 2001 or prior California Building Code, patient rooms shall have no less than 80 square feet (7.43 m2) of clear floor area per bed in multiple-bed rooms and 110 square feet. (10.22 m2) of clear floor area in single-bed rooms.
Each patient room shall have a window in accordance with Section 1224.4.9.
Patient rooms shall not be designed to permit the placement of beds more than three deep from the exterior window, but shall be of such shape and dimensions to allow for the performance of routine functions, including the easy transfer of patients to and from bed to wheelchair or wheeled gurney.
All patient bedrooms shall have an outside exposure and shall not be below ground level.
A handwashing station shall be provided in the patient room. This handwashing station shall be located at or adjacent to the entrance to the patient room with unobstructed access for use by health care personnel and others entering and leaving the room. Water spouts used shall have clearances adequate to avoid contaminating utensils and the contents of carafes, etc. In multiple-bed rooms the handwashing station shall be located outside of the patient's cubicle curtain so that it is immediately accessible to staff. Where renovation of patient rooms is undertaken a handwashing station shall be located in the patient toilet room or patient room.
Each patient shall have access to a toilet room without having to enter the general corridor area. One toilet room shall serve no more than four beds and no more than two patient rooms. The toilet room shall contain a water closet and a lavatory and the door shall swing outward or be double acting. Unless located in a toilet room, bedpan-washing fixtures shall be installed in dedicated rooms, separate from patient care areas.
Each patient shall have within his or her room a separate wardrobe, locker, or closet suitable for hanging full-length garments and for storing personal effects.
A method of assuring visual privacy for each patient shall be maintained in patient rooms and in tub, shower and toilet rooms. Windows or doors within a normal sightline that would permit observation into the room shall be arranged or curtained as necessary for patient privacy. In multiple-bed rooms, visual privacy from casual observation by other patients and visitors shall be provided for each patient. The design for privacy shall not restrict patient access to the entrance, lavatory, or toilet room.
Grab bars shall be installed in accordance with Section 1224.4.18.
Each patient room shall be labeled with an identification number, letter or combination of the two.
Unless otherwise indicated, provision for the services listed below shall be in or immediately accessible to each nursing unit. The size and location of each service area will depend upon the numbers and types of beds served. Identifiable spaces are required for each of the indicated functions. Each service area may be arranged and located to serve more than one nursing unit but, unless noted otherwise, at least one such service area shall be provided on each nursing floor. Where the words "room" or "offices" are used, a separate, enclosed space for the one named function is intended; otherwise, the described area may be specific space in another room or common area.
Administrative center(s) or nurse station shall be provided in accordance with Section 1224.4.4.2.
Multipurpose rooms shall be provided for staff, patients, patients' families for patient conferences, reports, education, training sessions, and consultation. These rooms must be readily accessible to each nursing unit. One such room may serve several nursing units and/or departments.
Examination or treatment rooms are optional. If provided, provision shall be made to preserve patient privacy from observation from outside the exam room though an open door.
Clean utility/ workroom shall be provided in accordance with to Section 1224.4.4.6.
Soiled workroom or soiled holding room shall be provided in accordance with Section 1224.4.4.7.
Medication station shall be provided in accordance with Section 1224.4.4.4.
Each nursing unit shall contain a designated area for clean linen storage. This may be within the clean utility room or a separate closet.
A nourishment area or room shall be provided in accordance with Section 1224.4.4.5.
Each nursing unit shall have equipment to provide ice for treatments and nourishment. Ice making equipment may be in the clean utility room/holding room or at the nourishment station. Ice intended for human consumption shall be from self-dispensing icemakers.
Appropriate room(s) shall be provided for storage of equipment necessary for patient care. Each unit shall provide not less than 10 square feet (0.93 m2) per patient bed.
Provide a storage room or alcove for gurneys and wheelchairs which shall be a minimum of 15 square feet (1.39 m2).
When individual bathing facilities are not provided in patient rooms, there shall be at least one shower and/or bathtub for each 12 beds without such facilities. Each bathtub or shower shall be in an individual room or enclosure that provides privacy for bathing, drying, and dressing.
Special bathing facilities, including space for attendant, shall be provided for patients on gurneys, carts, and wheelchairs at the ratio of one per 100 beds or a fraction thereof. The special bathing facility may be located in a nursing unit on a separate floor.
Common patient toilet room(s), in addition to those serving bed areas, shall be located adjacent to multipurpose room(s) and within, or directly accessible to each central bathing facility.
Space shall be provided for emergency equipment that is under direct control of the nursing staff, such as a cardiopulmonary resuscitation (CPR) cart. This space shall be directly accessible from the nursing station, but out of normal traffic.
Grab bars shall be installed in accordance with Section 1224.4.18.
Single rooms shall be provided for the isolation of patients with airborne communicable disease at a ratio of one room for each 35 licensed beds, and for each major fraction thereof. At least one airborne infection isolation room shall be provided. Airborne infection isolation rooms shall be labeled with the words "Airborne Infection Room" on or adjacent to the anteroom side of the door between the isolation room and the anteroom.
Exceptions:
  1. Acute psychiatric hospitals shall provide airborne infection isolation rooms at the ratio of one room for each 50 beds, or major fraction thereof.
  2. Airborne infection isolation rooms are not required for chemical dependency recovery services.
Airborne infection isolation room(s) shall have self-closing and latching devices on all anteroom doors.
A separate anteroom shall be provided between the airborne infection isolation room and the corridor, which shall constitute the primary entrance to the airborne infection 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 airborne infection 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 1224.14.3.2 is provided. One anteroom may serve no more than two airborne infection isolation rooms.
When a secondary entry is provided, the secondary doors shall be provided with locking devices which are readily operable from the room side and which are readily operable 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.
Airborne infection isolation room perimeter walls, ceilings, floors, doors, and penetrations shall be sealed tightly to minimize air infiltration from the outside or from other spaces.
Each isolation room shall have its own directly accessible toilet room with an emergency nurse call system, a lavatory, a shower providing a seat or a space for a shower chair and a toilet equipped with a bedpan flushing attachment with a vacuum breaker.
Protective environment rooms for the protection of certain immunosuppressed patients may be provided by the facility. Protective environment rooms shall be labeled "Protective Environment Room" on or adjacent to the anteroom side of the door between the isolation room and the anteroom. Protective environment rooms shall contain only one bed.
Protective environment room (s) shall have self-closing and latching devices on all anteroom doors.
A separate anteroom shall be provided between the protective environment room and the corridor, hallway or adjoining space which shall constitute the only entrance to the protective environment 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 protective environment 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 protective environment 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.
Protective environment room perimeter walls, ceiling, floors, doors, and penetrations shall be sealed tightly to minimize air infiltration from the outside or from other spaces.
If provided, the hospital shall provide one or more single bedrooms for patients needing close supervision for medical and/or psychiatric care. This may be part of the psychiatric unit described in Section 1224.31. If the single bedroom(s) is part of the acute-care nursing unit, the provisions of Section 1224.14.1 shall apply, with the following exceptions: each room shall be for single occupancy; each shall be located to permit staff observation of the entrance, preferably adjacent to the nurses' station; and each shall be designed to minimize the potential for escape, hiding, injury or suicide. If vision panels are used for observation of patients, the arrangement shall insure patient privacy and prevent casual observation by visitors and other patients.
The surgical service space shall be divided into two designated areas: 1) semi-restricted areas (e.g. storage areas for clean and sterile supplies, sterile processing rooms, scrub stations, and corridors leading to restricted areas of the surgical suite, etc.); and 2) restricted areas (e.g. operating rooms, hybrid operating rooms, sterile procedure rooms, cardiac catheterization labs, etc.) that can be reached only through a semi-restricted area. The surgical service space shall be located and arranged to provide direct support from the anesthesia/recovery service space with a common door to prevent nonrelated traffic through the surgical service space.
An operating room suite design with a sterile core shall provide for no cross traffic of staff and supplies from the decontaminated/soiled areas to the sterile/clean areas. The use of facilities outside the operating room for soiled/decontaminated processing and clean assembly and sterile processing shall be designed to move the flow of goods and personnel from dirty to clean/sterile without compromising universal precautions or aseptic techniques in either department.
The number of operating rooms and recovery beds, and the sizes of the support areas, shall be based on the expected surgical workload. Hospitals shall maintain at least the number of operating rooms in ratio to licensed bed capacity as follows:

Licensed Bed Capacity Number of Operating Rooms
Less than 25 One
25 to 99 Two
100 or more Three

For each additional 100 beds, and for each major fraction thereof, at least one additional operating room shall be maintained, unless approved to the contrary by the Department of Public Health. Required operating rooms are in addition to special operating rooms, cystoscopy rooms and fracture rooms which are provided by the hospital. Beds in a distinct-part skilled nursing service, intermediate care service or psychiatric unit shall be excluded from calculating the number of operating rooms required
Exception: Surgical service space is not required in a rural general acute care hospital, if the hospital maintains written transfer agreements with one or more general acute care hospitals that provide surgical and anesthesia services. Written transfer agreements shall be approved by the Department of Public Health, Licensing and Certification.
Each room shall have a minimum clear floor area of 400 square feet (37.16 m2) with a minimum of 20 feet (6096 mm) clear dimension between fixed cabinets and built-in shelves; and a system for emergency communication with the surgical service space control station. X-ray or imaging viewing capabilities shall be provided.
Exception: Where renovation of existing operating rooms is undertaken in facilities built under the 2001 or prior California Building Code, each operating room shall have a minimum clear floor area of 324 square feet (30.10 m2) with a minimum of 18 feet (5486 mm) clear dimension between fixed cabinets and built-in shelves.
Each room shall have a minimum clear floor area of 250 square feet (23.23 m2) with a minimum of 15 feet (4572 mm) clear dimension between fixed cabinets and built-in shelves. X-ray viewing and/or other imaging modality capabilities shall be provided
Exception: Where renovation of operating rooms is undertaken in facilities built under the 2001 or prior California Building Code rooms for surgical cystos-copy shall have a minimum clear floor area of 180 square feet (16.72 m2). Cast rooms for open reductions, if provided, shall have a minimum clear floor area of 180 square feet (16.72 m2), no dimension of which shall be less than 11 feet (3353 mm).
Services, except for the enclosed soiled workroom referenced in Section 1224.15.3.7 and the housekeeping room referenced in Section 1224.15.3.12, may be shared with the obstetrical facilities. Service areas, when shared with delivery rooms, shall be designed to avoid the passing of patients or staff between the operating room and the delivery room areas. The following shall be provided in support of the surgical service space:
Control stations shall be located to permit visual observation of all traffic into the surgical service space.
If provided within the surgery suite, a sub-sterile area(s) shall be equipped with a flash sterilizer, warming cabinet, countertop, and handwashing station. If a sterilizing facility(ies) with high-speed sterilizer(s) or other sterilizing equipment for immediate or emergency use are provided, they shall be directly accessible from the operating room(s) it serves or shall be located inside the clean core if the clean core is directly accessible from the operating room(s). This room shall be accessible without traveling through any operating room. Other facilities for processing and sterilizing reusable instruments, etc., may be located in another hospital department such as central sterile supply.
A medication station shall be provided in accordance with Section 1224.4.4.4.
Scrub sinks shall be located outside of sterile areas. A minimum of two scrub sinks shall be provided in a surgical unit containing one operating room. Four scrub sinks shall be provided in surgical units containing two operating rooms. One additional scrub sink shall be provided for each additional operating room. Scrub sinks shall have water supply controls not requiring direct contact of the hands for operation.
A direct-wired or battery-operated clock or other equivalent timing device shall be visible from the scrub-up sinks.
An enclosed soiled workroom (or soiled holding room that is part of a system for the collection and disposal of soiled material) for the exclusive use of the surgical service space shall be provided. The soiled workroom shall contain a flushing-rim clinical sink or equivalent flushing-rim fixture, a handwashing fixture, a work counter, and space for waste receptacles and soiled linen receptacles. Rooms used only for temporary holding of soiled material may omit the flushing-rim clinical sink and work counters. However, if the flushing-rim clinical sink is omitted, other provisions for disposal of liquid waste shall be provided. The room shall not have direct connection with operating rooms. Soiled and clean utility room or holding rooms shall be separated. The soiled workroom shall provide 24 square feet (2.23 m2) per operating room up to eight operating rooms and shall have a minimum area of 48 square feet (4.46 m2), with no dimension less than 6 feet (1829 mm).
This room shall not be used for food preparation.
A clean utility room is required when clean materials are assembled within the surgical service space prior to use or following the decontamination cycle. It shall contain a work counter, a handwashing fixture, storage facilities for clean supplies, and a space to package reusable items. The storage for sterile supplies must be separated from this space. If the room is used only for storage and holding as part of a system for distribution of clean supply materials, the work counter and hand-washing fixture may be omitted. Soiled and clean utility rooms or holding rooms shall be separated.
Provide an anesthesia workroom for cleaning, testing and storing anesthesia equipment. This room shall contain work counter(s) and sink(s) and racks for cylinders.
for equipment and supplies used in surgical service space. Each surgical service space shall provide sufficient storage area to keep its required corridor width free of equipment and supplies, but not less than 150 square feet (13.94 m2) or 50 square feet (4.65 m2) per operating room, whichever is greater.
Appropriate areas shall be provided for male and female personnel (orderlies, technicians, nurses and doctors) working within the surgical service space. The areas shall contain lockers, showers, toilets, lavatories equipped for handwashing, and space for donning surgical attire. These areas shall be arranged to encourage a one-way traffic pattern so that personnel entering from outside the surgical service space can change and move directly into the surgical service space.
Shall be provided for the exclusive use of the surgical service space. It shall be directly accessible from the service space.
The anesthesia/recovery service space shall provide perioperative support services to the surgical service space as required under this section. Perioperative services shall include preoperative patient care and post-operative recovery with a Post-Anesthesia Care Unit (PACU). The anesthesia/recovery service space shall be located adjacent to the surgical service space with direct access to the surgical suite's semi-restricted corridor.
Exception: In a rural general acute care hospital, when the surgical service space is not provided, the anesthesia service space is not required. The hospital must maintain written transfer agreements with one or more general acute care hospitals that provide surgical and anesthesia services. Written transfer agreements shall be approved by the Department of Public Health, Licensing and Certification.
In facilities with two or more operating rooms, area(s) with patient care stations shall be provided to accommodate gurney patients or sitting space for ambulatory patients not requiring gurneys. The preoperative area is an unrestricted area and shall be under the direct visual control of the nursing staff and may be part of the recovery space. If the preoperative patient care area will serve other purposes, such as overflow PACU or holding area, applicable requirements in Section 1224.16.3 PACU shall be met.
Each station shall have a minimum clear floor area of 80 square feet (7.43 m2) and a minimum clearance of 3 feet (914 mm) shall be provided between the sides and foot of patient lounge chairs/gurneys and adjacent walls, partitions or fixed elements.
Provisions for patient privacy such as cubicle curtains shall be made.
Handwashing station(s) shall be provided in the preoperative service area at a ratio of one for each 4 stations, and for each major fraction thereof, in open bay areas. A handwashing station shall be provided in each single care station room.
The recovery area and Post-Anesthesia Care Unit is an unrestricted area and located such that at least one door to the recovery room shall provide access directly from the surgical service space without crossing unrestricted corridors. A minimum of 1.5, or major fraction thereof, post-anesthesia care stations per operating room shall be provided. If pediatric surgery is provided, pediatric recovery stations shall be provided. They shall be separate from adult stations, and shall include space for family or visitors and be visible from the nurse station.
A minimum of 4 feet (1218 mm) clearance shall be provided between the sides and the foot of patient gurneys, or beds, and adjacent walls or other fixed elements. A minimum clear floor area of 80 square feet (7.43 m2) shall be provided for each station in an open-bay plan. A minimum clearance of 5 feet (1524 mm) shall be provided between patient gurneys or beds, and a minimum of 3 feet (914 mm) clearance shall be provided between the foot of the gurney or bed, to a closed cubicle curtain.
Provisions for patient privacy such as cubicle curtains shall be made.
Handwashing stations shall be provided in the post-anesthesia care unit with at least one for every four patient positions, and for each major fraction thereof, uniformly distributed to provide equal access from each patient station. A handwashing station shall be provided in each single care station room.
A nurse station shall be provided in postoperative patient care areas, and shall allow direct observation of the patients and charting facilities. The nurse station shall comply with the requirements of Section 1224.4.4.2.
A clinical sink shall be provided in postoperative patient care areas with provisions for bedpan cleaning.
Each Post-Anesthesia Care Unit shall contain a medication station. The medication station shall comply with the requirements of Section 1224.4.4.4.
Ice-making equipment shall be provided in the perioperative service space. Ice-making equipment is permitted to be located in preoperative or postoperative patient care areas, however, it shall not be located in semi-restricted areas.
Storage shall be provided for gurneys, supplies and equipment.
Staff toilet rooms shall be immediately accessible to the postoperative patient care area(s) to maintain staff availability to patients.
A waiting area, in compliance with Section 1224.4.5, shall be provided.
A changing area shall be provided for outpatient use in perioperative areas in support of surgical suites that provide outpatient procedures. The changing area shall include space for changing or gowning, provisions for storing patients' belongings during the procedure, and access to patient toilet(s).
All hospitals shall provide space and equipment to perform urinalysis, complete blood counts, hemoglobin blood typing and cross matching. If laboratory facilities for bacteriological, serological, pathological and additional hematological procedures are not available in the community, then space, equipment and supplies for such procedures shall be provided. The following physical facilities shall be provided:
  1. Laboratory work space.
  2. Refrigerated blood storage facilities for transfusions shall be provided. Blood storage refrigerator shall be equipped with temperature-monitoring and alarm signals that are monitored continuously.
  3. Handwashing fixture.
Space and equipment shall be provided to accommodate all required elements, and any additional imaging modalities included in the service space, as required in this section. If interventional or image-guided procedures are performed in the imaging services area, additional provisions shall be as described in Section 1224.28 Supplemental Surgery and other Special Procedure Services. If nuclear medicine is provided in the imaging services area, spaces shall also comply with the requirements described in Section 1224.34 Nuclear Medicine.
Hospital shall provide a minimum of:
  1. One fluoroscopy room, which can also provide x-ray examination services.
  2. Space for processing images.
  3. A toilet room shall adjoin and be directly accessible to each fluoroscopy room. In addition to the fluoroscopy toilet rooms, common patient toilet room facilities shall be located in the radiological/diagnostic imaging service space.
  4. An office or other suitable area for viewing and reporting radiographic examination.
  5. Storage spaces for all image equipment, supplies and copies of reports.
  6. Handwashing stations located within the unit.
  7. Dressing room facilities.
A certified physicist or other qualified expert shall specify the type, location, and amount of radiation protection to be installed in accordance with the final approved department layout and equipment selections. Where protected alcoves with view windows are required, a minimum of 1'-6"(0.45 meter) between the view window and the outside partition edge shall be provided. Radiation protection requirements shall be incorporated into the construction documents and comply with Chapter 31C and the requirements of California Radiation Control Regulations, California Code of Regulations, Title 17, Division 1, Chapter 5, and Subchapter 4.
If provided, diagnostic angiography space shall accommodate the following:
  1. A control room with a view window to permit full view of the patient.
  2. A scrub sink located outside the staff entry to the procedure room.
  3. Patient holding area shall accommodate at least one patient gurney with a minimum of 3-foot (914 mm) clearance on the long side.
  4. Storage for portable equipment and catheters shall be provided.
If interventional angiography procedures are to be performed in the angiography room, the suite shall comply with interventional imaging requirements in Section 1224.28.4. If cardiac catheterization procedures are performed refer to Section 1224.28.2.
If provided, CT space shall accommodate the following:
If provided, CT scan spaces shall accommodate the equipment with a minimum of 3 feet (914 mm) on all sides of the equipment, together with the following:
  1. A control room shall be provided that is designed to accommodate the computer and other controls for the equipment. A view window shall be provided to permit view of the patient.
  2. A patient toilet room convenient to the procedure room.
If provided, intraoperative CT scanning spaces shall comply with Section 1224.28.5.
If provided, the MRI room shall accommodate the equipment with a minimum of 3 feet (914 mm) on all sides of the equipment, together with the following:
  1. A control room shall be provided with full view of the patient in the MRI scanner. The control console shall be positioned so the operator has a full view of the approach and entrance to the MRI scanner room.
  2. An anteroom or area visible from the control room shall be located outside the MRI scanner room so that patients, health care personnel, and other employees must pass through it before entering the scanning area and control room. The room or area shall be outside the restricted areas of the MRI's magnetic field.
  3. A computer room shall be provided.
Handwashing station(s) shall be immediately accessible to the MRI scanner room.
Wall, floor, and ceiling assemblies shall accommodate the installation of required radio frequency (RF)-shielded assemblies. All doors, windows, and penetrations into the RF-shielded enclosure shall be RF-shielded. As well as RF shielding, individual sites may also require magnetic shielding on some or all surfaces to contain portions of the magnetic field not contained by the RF shield.
MRI rooms shall be clearly marked with a red light and lighted sign stating, "The Magnet Is On". This light and sign are to be lighted at all times and have a backup energy source to remain illuminated for at least 24 hours in the event of a loss of power.
Facilities shall use finishes or markings to identify the critical values of the magnetic field surrounding the MRI scanner, including the 5-gauss exclusion zone or other magnetic field strength values that may impair the operation of equipment.
Where superconducting MRI scanners are installed, an insulated cryogen quench exhaust pipe as well as room exhaust and pressure equalization shall be provided to protect occupants in the event of a cryogen breach.
If provided, the intraoperative magnetic resonance imaging (iMRI) suite shall comply with Section 1224.28.5.
When provided, the ultrasound room shall comply with the following:
  1. Area. Rooms used for ultrasound examination/ treatment shall have a minimum clear floor area of 120 square feet (11.15 m2).
  2. Clearances. A minimum clear dimension of 3 feet (914 mm) shall be provided on three sides of the table/stretcher.
A handwashing fixture shall be provided within the procedure room.
A patient toilet shall be directly accessible to the ultrasound procedure room.
The patient toilet may be permitted to serve more than one ultrasound procedure room.
When provided, the mammography room shall comply with the following:
  1. Area. Mammography rooms shall be a minimum of 100 square feet (9.3 m2).
  2. Shielded alcove. Each x-ray room shall include a shielded control alcove. For mammography machines with built-in shielding for the operator, omission of the alcove shall be permitted when approved by the certified physicist.
A handwashing fixture shall be provided within the procedure room.
The following spaces are common to the imaging service area and are minimum requirements unless stated otherwise:
In service spaces with procedure rooms that do not have dedicated patient toilets, provide a minimum of one patient toilet room within the service space.
Dressing areas shall be provided adjacent to the imaging rooms.
In service space of three or more procedure rooms, staff toilet room(s) internal to the service space shall be provided.
If film systems are used, provide the following:
  1. A room with cabinet or shelves for filing patient film for immediate retrieval shall be provided.
  2. Storage facilities for unexposed film which shall include protection of film against exposure or damage.
Provision shall be made for locked storage of medications and drugs.
All hospitals having a licensed capacity of 100 or more beds shall have a pharmacy on the premises licensed by the California Board of Pharmacy.
Note: See General Acute Care Hospitals §70263(a), Article 3, Chapter 1, Division 5, Title 22, California Code of Regulations, for requirements concerning hospitals with fewer than 100 beds. The pharmacy room or service space shall conform to the requirements of § 1751, Article 7, Division 17, Title 16, California Code of Regulations as enforced by the California Board of Pharmacy.
Handwashing fixture(s) shall be provided within each separate room where open medication is handled, or in an anteroom, or immediately outside the room where open medication is handled, still within the pharmaceutical service space.
Exception: ISO Class 5 sterile preparation areas (e.g., chemotherapy and intravenous solutions) and their ISO Class 7 buffer area(s) shall not contain sources of water (sinks) or floor drains. However the anteroom to the buffer area shall have a hand-washing fixture regardless of its intended ISO Classification (i.e. Class 7 or Class 8). Reference: U.S. Pharmacopeia (USP) 797 Pharmaceutical Compounding — Sterile Preparations.
Provide for immediate accessibility to staff toilet rooms and lockers.
Food service facilities and equipment shall conform to these standards, the standards of the National Sanitation Foundation and the requirements of the local public health agency.
On-site conventional food service preparation shall be provided as follows in the size and number appropriate for the type of food service selected:
Patient food preparation areas shall be directly accessible to the entry for food supply deliveries and for the removal of kitchen wastes, interior transportation, storage, etc., without traversing patient or public circulation. Food preparation, service and storage shall be inaccessible to nondietetic service staff.
Provide an area for the receiving and control of incoming dietary supplies.
  1. Food storage space shall be readily accessible to the receiving area and shall be located to exclude traffic through the food preparation area to reach them. Storage spaces for bulk, refrigerated, and frozen foods shall be provided. At least one week's (7 days) supply of staple foods and at least two (2) days' supply of frozen, and two (2) days' supply of perishable foods shall be maintained on the premises. Food storage components shall be grouped for convenient access from receiving and to the food preparation areas. All food shall be stored clear of the floor. Lowest shelf shall be not less than 12 inches (305 mm) above the floor or shall be closed in and sealed tight for ease of cleaning.
    As a minimum, dietary storage space shall be provided in accordance with the following schedule:
    Licensed Bed CapacityStorage Space
    1 to 99 beds2 square feet (0.19 m2) per bed
    100 to 199 beds200 square feet (18.58 m2) plus 1 square foot 0.0929 m2) per bed in excess of 100 beds
    200 beds and over300 square feet (27.99 m2), plus 1/2 square foot (0.0465 m2) per bed in excess of 200 beds
    Space to allow refrigeration for the storage of frozen and chilled foods shall be provided at a minimum of 2 cubic feet (0.057 m3) of usable space per bed.
  2. Additional storage space for dietetic service supplies, such as paper products, equipment, tray delivery carts, etc., shall be provided.
  3. Storage areas and sanitizing facilities for cans, carts and mobile-tray conveyors shall be provided.
  4. Waste storage and recycling facilities (per local requirements) shall be located in a separate room immediately accessible to the outside for direct pickup or disposal.
Provide a separate storage room for the storage of nonfood items such as cleaning supplies that might contaminate edibles.
Provide workspaces for food preparation, cooking, and baking. These areas shall be as close as possible to the user (i.e. tray assembly and dining). Provide additional spaces for thawing and portioning.
The patient tray assembly area shall be immediately accessible to the food preparation and distribution areas.
A cart distribution system shall be provided with spaces for storage, loading, distribution, receiving, and sanitizing of the food service carts. The cart traffic shall be designed to eliminate any danger of cross-circulation between outgoing food carts and incoming soiled carts, and the cleaning and sanitizing process. Cart circulation shall not be through food preparation areas.
Provide dining space(s) for ambulatory patients, staff, and visitors. These spaces shall be separate from the food preparation and distribution areas.
If vending devices are used for unscheduled meals, provide a separate room that can be accessed without having to enter the main dining area.
Ware-washing space shall be provided in a room separate from food preparation and serving areas. It shall be designed to prevent contamination of clean wares with soiled wares through cross-traffic. The clean wares shall be transferred for storage or use in the dining room area without having to pass through food preparation areas.
  1. Commercial-type ware-washing equipment shall be provided.
  2. Space shall be provided for receiving, scraping, sorting and stacking soiled tableware separate from food preparation areas.
  3. Handwashing stations shall be provided in the ware-washing space.
Pot washing shall include multi-compartmented sinks.
A food waste storage room shall be readily accessible to the food preparation and ware washing areas but not within the food preparation area. It shall have direct access to the hospital's waste collection and disposal facilities.
Handwashing fixtures shall be located conveniently accessible at locations throughout the unit.
Office or other space shall be provided for the dietician or dietetic service supervisor.
Toilet rooms shall be provided for the exclusive use of the dietary staff. They shall not open directly into the food preparation areas, but shall be readily accessible to them. An enclosed, separate locker area shall be provided for dietetic service employee's clothing and personal belongings.
A housekeeping room, meeting the requirements of Section 1224.4.15, shall be provided within the dietary department for the exclusive use of the dietary department.
On approval of the Licensing Agency, when food is provided by an outside food service, all applicable licensing and certification requirements shall be met. The facility shall maintain adequate space, equipment and food supplies to accommodate required functional elements listed in Section 1224.20.2, as required to provide patient food service in the event that outside food service is interrupted.
An administration area shall be provided which shall provide for the following functions:
  1. A lobby with reception and information counter or desk, waiting space, men's and women's public toilet room facilities, telephones and drinking fountain.
  2. Offices for administrator and admitting.
Hospitals shall provide a health record service which shall accommodate the following functions:
  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.
A central supply and sterilizing area shall be provided. Rooms and spaces shall accommodate the following services and equipment:
  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 material.
  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 space.
  4. Storage. Provide storage space for sterile supplies and unsterile supplies.
    Exception:Section 1224.22.1 does not apply to hospitals which serve psychiatric or alcoholism patients exclusively.
All sterilizers and autoclaves which emit 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.
Hospitals shall provide general storage space of at least 20 square feet (1.86 m2) per bed in addition to specialized storage spaces. All storage spaces shall be located within the hospital building and readily accessible to the connecting corridor required under Section 1224.4.7.5.
Specialized storage spaces shall include the following:
Provide separate and enclosed facilities for clean and soiled linen in each nursing unit. The clean linen storage space shall have a minimum area of 10 square feet (0.93 m2) and may be within the clean utility room. The soiled linen collection space shall have an area of no less than 10 square feet (0.93 m2), except where linen chutes are provided, and may be within the soiled utility room.
One supply storage space having a minimum area of 15 square feet (1.39 m2) shall be provided in each nursing unit. Supply storage may be within the clean utility room used only as part of a system for distributing clean and sterile supplies.
A room or space shall be provided in each nursing unit for wheelchairs and gurneys. The wheelchair and gurney space shall have a minimum area of 15 square feet (1.39 m2).
Sterile and unsterile supplies shall be stored separately.
Food storage shall be as described in Section 1224.20.
General acute-care hospitals with a licensed bed capacity of 50 or more beds shall provide a morgue with autopsy facilities.
Exception: This may not be required if it can be demonstrated to the licensing agency that morgue and autopsy facilities are available locally.
The morgue and autopsy space shall have a minimum of 250 square feet (23.23 m2) of floor area, no dimension of which shall be less than 10 feet (3048 mm), and provide for:
  1. Handwashing fixture.
  2. Space for refrigerated compartments if human remains are held unembalmed. Refrigerated rooms and prefabricated body refrigerator temperatures shall not be higher than 45°F (25°C).
Hospitals shall provide the following:
  1. Separate dressing rooms for male and female personnel with lockers, lavatory and toilet.
  2. Additional dressing rooms for the surgical service and as required within any of the supplemental services.
Shall be provided to serve each department and nursing unit, and may be shared by compatible departments, except when specifically required by other sections.
If a laundry is to be provided, the following is required in addition to the laundry room:
  1. A separate soiled linen receiving, holding and sorting room with handwashing fixture.
  2. A separate clean linen storage, issuing and holding room.
  3. Storage for laundry supplies.
If linen is processed off site, the following shall be provided within the hospital:
  1. Soiled linen holding room.
  2. Clean linen receiving room.
  3. Clean linen storage room.
When provided, the following supplemental surgery and special procedure services shall meet the requirements below:
When provided, the cardiovascular room shall have a minimum clear floor area of 650 square feet (60.39 m2), with a minimum of 20 feet (6096 mm) clear dimension. Orthopedic surgical and other special procedure rooms shall have a minimum clear floor area of 600 square feet (55.74 m2), with a minimum of 20 feet (6096 mm) clear dimension. When open-heart surgery is performed, an additional room in the restricted area of the surgical service space, that is directly accessible to this operating room, shall be designated as a pump room where extra corporeal pump(s), supplies and accessories are stored and serviced. Appropriate plumbing and electrical connections shall be provided in the cardiovascular, pump, and storage rooms.
Shall be provided in accordance with Section 1224.15.3.
Exception: Where renovation work is undertaken in facilities built under the 2001 or prior California Building Code, existing rooms for cardiovascular, and other special procedures may have a minimum clear floor area of 500 square feet (46.45 m2). Orthopedic surgical rooms shall have a minimum clear floor area of 360 square feet (33.44 m2) and a minimum dimension of 18 feet (5486 mm).
A procedure room with a minimum clear floor area of 400 square feet (37.16 m2) for the procedure room in addition to spaces for control, monitoring and recording equipment, and x-ray power and controls, and a minimum of one scrub sink for each catheterization laboratory. This space does not include the control room.
Where electrophysiology studies are performed, dedicated space and equipment for emergency resuscitation and stabilization shall be immediately accessible to the procedure room.
A control room or area shall be provided. A view window permitting full view of the patient from the control console shall be provided.
An equipment space or enclosure large enough to contain x-ray transformers, power modules, and associated electronics and electrical gear shall be provided.
Scrub facilities with hands-free operable controls shall be provided adjacent to the entrance of procedure rooms.
Appropriate areas shall be provided for male and female staff working within the surgical service space. The areas shall contain lockers, showers, toilets, lavatories equipped for handwashing, and space for donning surgical attire. These areas shall be arranged to ensure a traffic pattern so that personnel entering from outside the service space can enter, change their clothing, and move directly into the cardiac catheterization service space. The staff change area may be combined with the surgical staff change area.
A patient preparation, holding, and recovery area or room shall be provided and arranged to provide visual observation before and after the procedure. This may occur in a unit outside of the catheterization service space.
A clean utility room shall be provided. If the room is used for preparing patient care items, it shall contain a work counter and handwashing fixture. If the room is used only for storage and holding of clean and sterile supply materials, the work counter and handwashing fixtures shall be permitted to be omitted. The clean utility may be shared with an adjacent surgical unit.
A soiled utility room shall be provided which shall contain a handwashing fixture and a clinical sink (or equivalent flushing rim fixtures). When the room is used for temporary holding or soiled materials, the clinical sink and handwashing fixture shall be permitted to be omitted. The soiled utility may be shared with an adjacent surgical unit.
Shall be a minimum floor area of 15 square feet (1.4 m2). It shall contain a service sink or floor receptor and provisions for storage of supplies and housekeeping equipment. This may be shared with an adjacent surgical unit.
A general acute care hospital referenced in Health and Safety Code Section 1255 (d)(3)(E) may provide cardiac catheterization laboratory service in a freestanding nonhospital building in conformance with this section and Section 1226.2.2. In addition, the service space shall comply with Section 1224.28.2 and applicable requirements in Section 1224.15.3 that are not covered by this section.
Outpatient support areas shall include outpatient waiting rooms in compliance with Section 1224.4.5. A separate space shall be provided where outpatients change from street clothing and are prepared for a procedure. This space shall include provisions for clothing storage, toilet room(s), sink and an area for clothing change and gowning.
The freestanding cardiac catheterization laboratory service space shall be located in the nonhospital building such that the service space has a direct connection to the general acute care hospital providing cardiac surgery by a patient corridor link in compliance with Section 1224.4.7. The corridor link shall have a minimum width of 8 feet (2438 mm) as required under Section 1224.4.7.1. The corridor link shall connect to the hospital corridor system with access to all basic services as required under Section 1224.4.7.5.
Control station(s) shall be located to permit visual observation of all traffic into the semi-restricted service space from unrestricted corridors and/or passageways.
Cardiac catheterization laboratories shall meet the provisions for ambulatory surgical clinics required in the California Electrical Code including the requirements of Article 517.45 for an essential electrical system.
Services/ systems and utilities that support the catheterization laboratory space include, but are not limited to: normal power; emergency power; nurse call; communication and data systems; space heating systems; cooling systems; domestic hot and cold water systems; building drain and sewer systems; and medical gas systems. When these systems serve other portions of the building, any alteration to the system shall be subject to review by the Office of Statewide Health Planning and Development.
Image-guided interventional procedures shall be performed in procedure rooms in compliance with this section. Cardiac catheterization operating rooms shall be in compliance with Section 1224.28.2, and hybrid operating rooms shall be in compliance with Section 1224.28.5.
The procedure room shall meet the space, clearance, and storage requirements for the imaging equipment contained in the room and the following:
  1. A minimum clear dimension of 18 feet (5486 mm).
  2. The procedure room shall also be sized to allow a minimum clearance of 4 feet (1219 mm) on all sides of the procedure table.
Pre-procedure and recovery areas shall be immediately accessible to procedure rooms and separate from corridors. The pre-procedure and recovery areas shall comply with the requirements of Section 1224.16 Anesthesia/ recovery Service Space.
Interventional and intraoperative magnetic resonance imaging (I-MRI) procedure rooms shall comply with Section 1224.28.5 Hybrid Operating Rooms.
A control room or area shall be provided.
  1. The control room or area shall be sized to accommodate the image-recording and viewing equipment.
  2. A shielded view window permitting direct observation of the patient from the control console shall be provided.
  3. The shielded control room shall be configured to prevent radiation exposure into occupied areas of the control room when ionizing radiation modalities are used.
  4. Where the procedure room requires positive (or negative) pressure, a door shall be provided between the control room and the procedure room or between the combined control room/procedure room and other adjacent space.
  5. Where control functions for ionizing radiation exposures take place in the procedure room, storage for personal radiation protection devices shall be provided.
Scrub sinks shall be located outside of sterile areas. A minimum of one scrub sink station shall be provided for each interventional imaging procedure room. Scrub sinks shall have water supply controls not requiring direct contact of the hands for operation.
A medication station shall be provided in compliance with the requirements in Section 1224.4.4.4.
A reading room for reviewing images shall be available for use by the interventional imaging suite.
Electronic equipment or enclosures large enough to contain x-ray transformers, power modules, and associated electronics and electrical gear shall be provided. Sharing of electronics equipment rooms by multiple procedure rooms is permitted.
A clean utility room shall be provided in accordance with the requirements in Section 1224.4.4.6.
A soiled workroom shall be provided in accordance with Section 1224.4.4.7.
A housekeeping room shall be provided in accordance with the requirements of Section 1224.4.15.
Staff changing areas shall be provided and arranged to ensure a traffic pattern so that personnel can enter from outside the suite, change their clothing, and move directly into the semi-restricted corridor within the interventional imaging suite.
Hybrid operating rooms shall comply with the requirements of Section 1224.15 and comply with the requirements in this section.
Each hybrid operating room shall meet the space, clearance, and storage requirements for the imaging equipment contained in the room and the following:
  1. A minimum clear floor area of 650 square feet (60.39 m2) is required for a hybrid operating room unless the imaging equipment requires a larger area.
  2. The minimum clear dimension shall be 24 feet (7315 mm) unless the requirements for the specific imaging equipment require a greater distance.
  3. If mobile storage units are used in lieu of fixed cabinets, the minimum clear dimension shall be available between such units when they are parked against a permanent partition.
If required, a control room shall be provided that accommodates the imaging system control equipment and the following requirements:
  1. The control room shall have a minimum clear floor area of 120 square feet (11.15 m2), which may include fixed work surfaces.
  2. The room shall be physically separated from the hybrid operating rooms with walls and a door.
  3. The room shall have viewing windows that provide for a full view of the patient and the surgical team.
  4. If the control room is adjacent to a restricted area, it must be physically separated from the restricted area with walls and a door.
An imaging equipment room shall be provided for each hybrid operating room.
If the imaging equipment emits ionizing radiation, protection shall be provided in accordance with Section 1224.18.1.1.
Hybrid operating rooms with intraoperative computerized tomography (CT) systems shall have control rooms that comply with Section 1224.18.3.1.
Hybrid operating rooms with intraoperative magnetic resonance imaging (iMRI) systems shall comply with the following:
  1. Space and configuration requirements in Section 1224.18.4, except the clearances shall meet the requirements of 1224.28.5.1.
  2. The control room shall comply with Section 1224.18.4, Item 1.
  3. The anteroom shall comply with Section 1224.18.4.2.
  4. Entry doors to iMRI hybrid rooms shall swing outward from inside the room.
Hybrid operating rooms with vascular imaging systems shall comply with Section 1224.28.4.4.
Pre-procedure and recovery areas shall be immediately accessible to procedure rooms and separate from corridors.
The pre-procedure and recovery areas shall comply with the requirements of Section 1224.16 (Anesthesia/ recovery Service Space).
If electroconvulsive therapy (ECT) is provided, the requirements of this section shall be met. Where a psychiatric unit is part of a general acute care hospital (Section 1224.31 Psychiatric Nursing Unit), all the requirements in this section shall be permitted to be accommodated in a procedure suite that complies with the requirements in this section or in an operating room in a surgical suite that meets the requirements in Section 1224.15.
The ECT procedure area may be a single procedure room or a suite of procedure rooms.
  1. Space requirements. Each ECT procedure room shall have a minimum clear floor area of 200 square feet (18.6 m2) with a minimum clear dimension of 14 feet (4267 mm)
  2. Handwashing station. A handwashing station shall be provided.
  3. Documentation area. Accommodation for written or electronic documentation shall be provided.
When ECT services have a low-volume of procedures, the ECT procedure room may be used for pre-procedure patient care and recovery. If a pre-procedure and recovery areas are provided they shall comply with the requirements of Section 1224.16.
Space shall be provided in the procedure room(s) for storage of emergency equipment such as a CPR cart. A separate emergency equipment storage is permitted to serve more than one ECT procedure room.
A waiting area and changing area shall be provided for outpatient use in perioperative areas in support ECT suites that provide outpatient procedures. The waiting room shall comply with Section 1224.4.5. The changing area shall include space for changing or gowning, provisions for storing patients' belongings during the procedure, and access to patient toilet(s).
The following shall apply to all types of intensive care service spaces, acute respiratory-care service spaces, burn center spaces, critical-care units, coronary-care service spaces, pediatric intensive-care service spaces unless otherwise noted. Each unit shall comply with the following provisions:
Each intensive-care unit shall contain not less than four or more than 12 beds.
Exception: When approved by the licensing agency a small or rural hospital intensive care unit may consist of less than four but not less than two patient beds.
In new construction, each patient space (whether separate rooms, cubicles, or multiple bed space) shall have a minimum of 200 square feet (18.58 m2) of clear floor area with a minimum headwall width of 13 feet (3962 mm) per bed. There shall be a minimum clear dimension of 1 foot (305 mm) clear space from the head of the bed to the wall, a minimum of 5 feet (1524 mm) clear space from the foot of the bed to the wall, a minimum of 5 feet (1524 mm) clear space on one side of each bed for patient transfer, a minimum of 4 feet (1218 mm) clear width on the non-transfer side, and a minimum of 8 feet (2438 mm) clear space between beds.
Exception: Where renovation of existing intensive care units is undertaken, in facilities approved under the 2001 or prior California Building Code, existing patient space (whether separate rooms, cubicles, or multiple bed space) may be renovated or replaced in kind one for one in the renovated space. Such patient space shall have no less than 132 square feet (12.26 m2) with no dimension less than 11 feet (3353 mm), and with 4 feet (1219 mm) of clearance at each side and the foot of the bed, and with a minimum of 8 feet (2438 mm) between beds. The space shall be designed so that all beds shall be placed in relation to the nurse's station or work area to permit, enable or allow maximum observance of patients.
When private rooms or cubicles are provided, view panels to the corridor shall be required with a means to provide visual privacy. Where only one door is provided to a bed space, it shall be at least 4 feet (1219 mm) wide and arranged to minimize interference with movement of beds and large equipment. Sliding doors shall not have floor tracks. Where sliding doors are used for access to cubicles within a service space, a 3-foot-wide (914 mm) swinging door may also be provided for personnel communication.
Modular toilet/sink combination units located within a privacy curtain may be used within each patient space or private room. The toilet fixture shall be completely contained within cabinetry when not in use. This fixture shall not be equipped with a bedpan washing attachment. Exhaust ventilation requirements shall comply with the California Mechanical Code.
Each patient bed area shall have space at each bedside for visitors, and provisions for visual privacy from casual observation by other patients and visitors. For both adult and pediatric units, there shall be a minimum of 8 feet (2438 mm) between beds.
Each patient bed shall have visual access, other than clerestory windows and skylights, to the outside environment with not less than one outside window in each patient bed area.
The distance from the patient bed to the outside window shall not exceed 50 feet (15 240 mm). When partitioned cubicles are used, patients' view to outside windows may be through no more than two separate clear vision panels.
Handwashing stations shall be directly accessible to nurse stations and patient bed areas. There shall be at least one handwashing station for every three beds in open plan areas, and one in each patient room. The handwashing station shall be located near the entrance to the patient cubicle or room.
This area shall have space for counters and storage. It may be combined with or include centers for reception and communication.
There shall be direct visual observation between either a centralized or distributed nurse station or work station and the heads of all patient beds in the intensive care unit.
Each unit shall contain equipment for continuous monitoring. Monitors shall be located to permit easy viewing but not interfere with access to the patient.
Space that is easily accessible to the staff shall be provided for emergency equipment such as a CPR cart.
A medication station shall be provided in accordance with Section 1224.4.4.4.
At least one airborne infection isolation room shall be provided per unit. The room shall comply with the requirements of Section 1224.14.3; however, the adjoining toilet room is not required. Modular toilet units located within a privacy curtain may be used within the airborne infection isolation room. The modular toilet fixture shall comply with Section 1224.29.1.4.
Exception: When approved by the licensing agency an airborne infection isolation room is not required for small or rural hospitals.
The following additional service spaces shall be immediately accessible within each intensive care service space. These may be shared by more than one intensive care unit provided that direct access is available from each.
Clean utility/workroom shall be provided in accordance with Section 1224.4.4.6.
There shall be a designated area for clean linen storage. This may be within the clean utility room or a separate closet.
Soiled workroom or soiled holding room shall be provided in accordance with Section 1224.4.4.7.
A nourishment area or room shall be provided in accordance with Section 1224.4.4.5.
Each unit shall have equipment to provide ice for treatments and nourishment. Ice-making equipment may be in the clean utility room or at the nourishment station. Ice intended for human consumption shall be from self-dispensing icemakers.
Appropriate room(s) shall be provided for storage of large items of equipment necessary for patient care. Each intensive care unit shall provide not less than 20 square feet (1.86 m2) per patient bed.
The following shall be provided and shall be located immediately accessible to the unit:
  1. Visitors' waiting room.
  2. Office space.
  3. Staff lounge(s) and toilet room(s).
  4. Multipurpose room(s). Provide for staff, patients, and patients' families for patient conferences, reports, education, training sessions, and consultation.
  5. Housekeeping room. Provide within or immediately adjacent to the intensive care unit. It shall not be shared with other nursing units or departments.
  6. Gurney and wheelchair storage. Provide a minimum 15 square feet (1.39 mm) per each nursing unit.
The NICU shall comply with all the requirements of Section 1224.29.1. Additionally each NICU shall include or comply with the following:
The NICU shall have a clearly identified entrance and reception area for families. The area shall permit visual observation and contact with all traffic entering the unit.
Provide one handwashing fixture for each four infants and for each major fraction thereof. In a multiple-bed room, every bed position shall be within 20 feet (6096 mm) of a handwashing fixture. Where an individual room concept is used, a handwashing fixture shall be provided within each infant care room.
At least one door to each patient room shall be a minimum of 44 inches (1118 mm) wide.
When viewing windows are provided, provision shall be made to control casual viewing of infants. Controls shall be provided to enable lighting to be adjusted over individual patient care spaces. Darkening sufficient for transillumination shall be available when necessary.
A central area shall serve as a control station, and shall have space for counters and storage, and direct access to a handwashing station. It may be combined with or include centers for reception, communication and patient monitoring.
Each patient care space shall contain a minimum of 120 square feet (11.15 m2) of clear floor area per bassinet excluding handwashing fixtures and aisles. There shall be an aisle for circulation adjacent to each patient care space with a minimum width of 4 feet (1219 mm).

Exception: Where renovation of existing NICUs is undertaken in facilities built under the 2001 or prior California Building Code, patient care areas shall have no less than 80 square feet (7.43 m2) of clear floor area per bassinet exclusive of space for nurse control, scrubbing and gowning, and reception area.
Ceilings shall have a noise reduction coefficient (NRC) of at least 0.90.
Shall comply with the requirements of Section 1224.29.1.13 except for separate toilet, bathtubs or shower. The room shall be enclosed and separated from the nursery unit with provisions for observation of the infant from adjacent nurseries or control area(s).
Space shall be provided for lactation support and consultation in or immediately adjacent to the NICU.
  1. Where infant formula is prepared on site, direct access from the formula preparation room to any infant care room is prohibited.
  2. The formula preparation room shall be located in or adjacent to the NICU. The formula preparation room may be located at another location as approved by the Licensing Agency.
The formula preparation room shall include the following:
  1. A separate cleanup area for washing and sanitizing. This area shall include a handwashing station, facilities for bottle washing and a work counter.
  2. A separate room for preparing infant formula. This room shall contain a refrigerator, work counter, formula sterilizer, storage facilities and a handwashing station.
Shall be accessible for use by NICU personnel at all times.
Where a commercial infant formula is used, omission of the separate cleanup and preparation rooms shall be permitted, and storage and handling in the NICU workroom or another appropriate room that is readily accessible at all hours shall be permitted. The preparation area shall have the following:
  1. A work counter
  2. A hand-washing station
  3. Storage facilities
Space shall be provided for emergency equipment that is under direct control of the nursing staff, such as a CPR cart.
Shall be directly accessible from the unit and be dedicated for the exclusive use of the neonatal intensive care unit.
In addition to meeting the requirements in Section 1224.4.9, at least one source of daylight shall be visible from newborn care areas.
  1. External windows in infant care rooms shall be glazed with insulating glass to minimize heat