Fla. Admin. Code Ann. R. 59A-3.079 - Physical Plant Codes and Standards Hospitals
(1) The Agency provides technical assistance
to the Florida Building Commission and the State Fire Marshal in developing and
maintaining standards for the design and construction of hospitals. These
standards are included in the following:
(a)
The building codes in Rule
61G20-1.001, F.A.C.; as adopted
by the Florida Building Commission.
(b) The fire codes in Rule
69A-3.012, F.A.C.; as adopted by
the State Fire Marshal.
(c) The
handicap accessibility standards in Chapter 553, Part V, F.S., and Rule
61G20-4.002, F.A.C; as adopted
by the Florida Building Commission.
(2) No building shall be converted to a
licensed hospital unless it complies with the standards and codes in effect
when the building is converted.
(3)
Where modernization or replacement construction is done within an existing
facility, all new work and additions shall comply with applicable sections of
the codes for new facilities.
(4) In
renovation projects and those projects that are making additions to existing
facilities, only that portion of the total facility affected by the project
requires compliance with applicable sections of the codes for new construction
identified in subsection (1) of this rule.
(5) Existing portions of the facility that
are not included in the additions, modifications, alterations, refurbishing,
renovations or reconstruction, shall be in compliance with the requirements of
Chapter 19, Existing Health Care Occupancy, of the National Fire Protection
Association (NFPA) Life Safety Code 101, as adopted by the State Fire Marshall
and described in Rule
69A-3.012, F.A.C.
(6) When a building is converted from another
type of occupancy to a hospital, it shall be in compliance with the
requirements for an Institutional Group I-2 Occupancy and the hospital
occupancy chapter, of the Florida Building Code (FBC) as adopted by the Florida
Building Commission and the National Fire Protection Association (NFPA) Life
Safety Code 101, Chapter 18, New Health Care Occupancy, as adopted by the State
Fire Marshal and described in Rule
69A-3.012, F.A.C. A change of
ownership shall not constitute a change of occupancy.
(7) Nothing in these standards shall be
construed as restrictive to a facility that chooses to do work or alterations
as part of a long-range, phased safety improvement plan. All hazards to life
and safety and all areas of noncompliance with applicable codes and regulations
are to be corrected in accordance with a plan of correction approved in advance
by the Office of Plans and Construction.
(8) An ambulatory surgical center or a birth
center shall not be constructed, located or operated within the same physical
plant of, nor shall it be physically attached with any interior openings to a
hospital facility. Other facilities not owned or operated by the licensee of a
hospital may be fully integrated with the hospital's physical plant only when
it has been successfully demonstrated to the agency that the following
conditions have been met:
(a) The Agency is
granted the authority to enter and inspect any part of the physical plant of
the facility to determine full compliance with all applicable federal and state
codes and standards.
(b) All areas
of the physical plant of the facility are maintained in a manner that will
ensure continued licensure compliance of the hospital.
(c) The Agency is granted the authority to
review for approval all contemplated additions, conversions, renovations or
alterations to the physical plant of the facility before such additions,
conversions, renovations or alterations are commenced.
(d) The unlicensed or separately licensed
facility shall provide and maintain clear, visible and readable signs denoting
its separateness from the licensed hospital.
(9) In addition to meeting the standards
contained in subsection
59A-3.079(9),
F.A.C., a separately licensed hospital facility to be located within the
physical plant or on the premises of another facility must also meet the
following:
(a) Have a separate pharmacy and
basic radiographic equipment located within the boundaries of the physical
plant of the newly licensed hospital;
(b) Be in compliance with all codes and
standards as required for a new hospital facility as described in subsection
59A-3.079(6),
F.A.C. above; or
(c) Be in
compliance with all codes and standards as required for an existing hospital as
described in subsection
59A-3.079(5),
F.A.C. above, if the new facility is to be located in a currently licensed
Class I hospital utilizing currently licensed hospital beds and spaces or
utilizing previously licensed hospital beds and spaces that have not been
altered in a manner that reduced code compliance.
(10) In addition to the codes and standards
of this section, a new physically detached emergency department of a hospital
facility must be in compliance with the requirements of the hospital occupany
chapter and with the requirements for an Institutional Group I-2 Occupancy, of
the Florida Building Code (FBC), as adopted by the Florida Building Commission
and described in Rule
61G20-1.001, F.A.C., and with
the National Fire Protection Association (NFPA) Life Safety Code 101, Chapter
18, New Health Care Occupancy, as adopted by the State Fire Marshal and
described in rule 69A-3.012, F.A.C.
(11) Projects that have not received a Stage
II Preliminary Plan approval or Stage III Construction Document approval from
the Office of Plans and Construction on the effective date of this rule shall
conform to the requirements as set forth in these rules.
Notes
Rulemaking Authority 395.0163 FS. Law Implemented 395.0163 FS.
New 1-1-77, Formerly 10D-28.79, Amended 1-16-87, 11-23-88, Formerly 10D-28.079, Amended 9-3-92, 5-12-16.
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