26 Tex. Admin. Code § 510.125 - Building with Multiple Occupancies
(a)
Multiple facilities located within one building.
(1) Identifiable location. Each facility
shall be in one separately identifiable location and conform with all the
requirements contained in Chapter 18 of the National Fire Protection
Association 101, Code for Safety to Life from Fire in Buildings and Structures,
2000 edition (NFPA 101).
(2)
Separate licensed facilities. Each facility shall provide the following
separate services and amenities:
(A) a
nursing suite in accordance with the requirements of §
510.123(n) of
this subchapter (relating to Spatial Requirements for New
Construction);
(B) an
administration office with an adjacent waiting room or waiting area;
(C) a medical records room which conforms
with the requirements of §
510.123(m) of
this subchapter;
(D) a pharmacy
suite in accordance with §
510.123(o) of
this subchapter;
(E) employee
locker facilities which comply with requirements of §
510.123(f) of
this subchapter;
(F) a housekeeping
room in accordance with the requirements of §
510.122(d)(2)(A)(xxviii)
of this subchapter (relating to New
Construction Requirements);
(G) an
emergency treatment room as required by §
510.123(e)(1)(A)
of this subchapter;
(H) external
signage at the building entrance which identifies each facility; and
(I) internal signage which provides
directions to each facility.
(3) Means of egress. Means of egress from the
facility shall not be through another facility or other areas subject to
locking.
(4) Additional services
and amenities. Additional services and amenities when required in each licensed
facility may be provided by contractual agreement with the other facility when
the services and amenities comply with the specific requirements of §
510.41 of this chapter (relating
to Facility Functions and Services) and §
510.123 of this subchapter. Some
services may be provided by contractual agreement with a commercial contractor;
however, the following minimal services and amenities shall be provided on
site:
(A) dietary services and dietary suite
which comply with §
510.41(b) of
this chapter and §
510.123(d) of
this subchapter respectively;
(B)
cart cleaning and sanitizing services and facilities which comply with §
510.123(b) of
this subchapter;
(C) general stores
services and facilities which comply with §
510.123(h) of
this subchapter;
(D) laboratory
services and a laboratory suite which comply with §
510.41(e) of
this chapter, and §
510.123(k) of
this subchapter, respectively;
(E)
housekeeping rooms as required in §
510.122(d)(2)(A)(xxviii)
of this subchapter;
(F) parking, in accordance with §
510.122(c)(2) of
this subchapter;
(G) physical
therapy services and amenities, occupational therapy services and amenities, or
both in accordance with §
510.123(p) of
this subchapter;
(H) imaging
services in accordance with §
510.123(j) of
this subchapter;
(I) central
sterile supply which complies with §
510.123(c) of
this subchapter; and
(J) waste and
waste disposal services, and waste processing and storage units shall comply
with §
510.41(o) of
this chapter.
(5)
Building systems and equipment.
(A) The
following systems shall be provided separately in each facility.
(i) Nurses calling systems shall be provided
separately in each facility in accordance with §
510.122(d)(5)(K)
of this subchapter.
(ii) When
medical gas systems are provided, medical gas alarms shall be provided in each
facility.
(iii) A fire alarm system
in accordance with §
510.122(d)(5)(M)
of this subchapter shall be provided.
(B) Where applicable, the following systems
may serve more than one facility provided the systems meet the new construction
requirements of §
510.122 of this subchapter:
(i) air-conditioning, heating and ventilating
systems;
(ii) drainage
systems;
(iii) elevators;
(iv) fire sprinkler systems;
(v) medical piping systems;
(vi) stand pipe systems;
(vii) steam systems;
(viii) water supply systems, hot and cold
(including emergency water storage); and
(ix) electrical service and equipment.
(I) Where applicable, the building electrical
service, lighting, essential electrical system, and fire alarm system, may be a
part of or extension of those in the existing host facility, provided the
existing systems meet these requirements. Power and lighting distribution
panels shall be within the facility served and comply with the requirements of
§
510.122(d)(5)(E)
of this subchapter. Electrical installation details shall conform with all
requirements contained in §
510.122(d)(5)(A)
of this subchapter.
(II) When the
existing essential electrical system is non-conforming, the following options
are available:
(-a-) a separate conforming
essential electrical system shall be provided in the new facility; or
(-b-) separate transfer switches connected to
the existing on-site generator(s) shall be provided when adequate capacity is
available and the existing non-conforming system shall be corrected.
Corrections shall be made in accordance with a plan of correction approved by
HHSC.
(b) Facilities located in buildings with
hospitals licensed under Texas Health and Safety Code Chapter 241. Before a
facility is licensed in a building containing a hospital licensed under Texas
Health and Safety Code Chapter 241 (241 hospital), the following requirements
shall be met.
(1) The facility shall be in one
identifiable location and shall be separated (vertically and horizontally) with
two-hour fire rated noncombustible construction from the 241 hospital and
comply with the requirements of this chapter.
(A) Access to the facility shall be directly
from a main lobby or an elevator lobby, if on an upper floor. The required
means of egress from the facility shall not be through the 241 hospital.
(i) Each facility and 241 hospital shall be
identified with external signage at the building entrance.
(ii) Internal signage shall provide direction
to the facility and to the 241 hospital.
(B) Common use of services and amenities
using time-sharing concepts may be permitted on a case by case basis when the
241 hospital complies with the requirements contained in NFPA 101 Chapter 18,
and §
510.123 of this subchapter, and
provided this chapter and the 241 hospital licensing rules allow.
(2) The facility and the 241
hospital shall provide services and amenities in accordance with their
respective licensing requirements.
(3) Additional services and amenities when
required in the facility or 241 hospital may be provided by contractual
agreement with either entity. Shared services and amenities shall meet the most
stringent entity licensing standard or rule. Some services may be provided by
contractual agreement with a commercial contractor; however, the following
minimal services and amenities shall be provided on-site:
(A) dietary services and dietary suite,
including staff dining amenities;
(B) cart cleaning and sanitizing
services;
(C) general stores
services;
(D) laboratory services
and a laboratory suite;
(E)
housekeeping rooms;
(F)
parking;
(G) physical or
occupational therapy services and amenities;
(H) imaging and other diagnostic services and
amenities;
(I) respiratory care
services and respiratory therapy suite;
(J) body holding room;
(K) central sterile supply; and
(L) waste and waste disposal services, and
waste processing and storage units.
(4) The equipment and systems required in the
facility or 241 hospital may be provided exclusively for the facility or by
contractual agreement with a 241 hospital. Equipment and systems provided shall
be in accordance with the most stringent entity standard or rule.
(A) The following equipment and systems shall
be provided for the exclusive use of the facility:
(i) a fire alarm system; and
(ii) nurses calling systems.
(B) Where applicable, the
following systems may serve more than one facility or 241 hospital:
(i) air-conditioning, heating, and
ventilating systems;
(ii) drainage
systems;
(iii) elevators;
(iv) fire sprinkler systems.
(v) medical piping systems;
(vi) stand pipe systems;
(vii) steam systems;
(viii) water supply systems, hot and cold
(including emergency water storage); and
(ix) electrical service and equipment.
(I) Where applicable, the building electrical
service, lighting, essential electrical system, and fire alarm system, may be a
part of or extension of those in the existing 241 hospital, provided the
existing systems meet these requirements. Power and lighting distribution
panels shall be within the facility served and comply with the requirements of
§
510.122(d)(5)(E)
of this subchapter. Electrical installation details shall conform with all
requirements contained in §
510.122(d)(5)(A)
of this subchapter.
(II) When the
existing essential electrical system is nonconforming, the following options
are available:
(-a-) a separate conforming
essential electrical system shall be provided in the new facility; or
(-b-) separate transfer switches connected to
the existing on-site generator shall be provided when adequate capacity is
available and the existing nonconforming system shall be corrected. Corrections
shall be made in accordance with a plan of correction approved by the
department.
(c) Facilities located in buildings with
other licensed health care entities.
(1)
Before a facility is licensed in a building containing other licensed health
care entities, the following requirements shall be met.
(A) The facility shall be in one identifiable
location and shall be separated (vertically and horizontally) with two-hour
fire rated noncombustible construction from the other licensed health care
entity and comply with the requirements of this chapter.
(i) Access to the facility shall be directly
from a main lobby or an elevator lobby, if on an upper floor. The required
means of egress from the facility shall not be through the other licensed
health care entity.
(I) Each facility and
licensed entity shall be identified with external signage at the building
entrance.
(II) Internal signage
shall provide direction to the facility and to the licensed entity.
(ii) The facility shall have
services and amenities separate from the other health care entity. The required
services and amenities shall be located within the proposed facility.
(iii) Common use of services and amenities
using time-sharing concepts may be permitted on a case-by-case basis when the
other health care entities comply with the requirements contained in NFPA 101
Chapter 18, and §
510.123 of this subchapter, and
provided this chapter and the other health care entity licensing rules
allow.
(B) The equipment
and systems required in each facility may be provided exclusively for the
facility or by contractual agreement with a licensed health care entity. The
equipment and systems provided shall be in accordance with §
510.122 of this subchapter.
(i) The following equipment and systems shall
be provided for the exclusive use of the facility:
(I) electrical service for power and lighting
and the essential electrical system;
(II) emergency water storage located with the
facility;
(III) a fire alarm
system;
(IV) air-conditioning,
heating and ventilating systems;
(V) medical piping systems with alarm;
and
(VI) nurses calling
systems.
(ii) Where
applicable, the following systems may be a part or extension of those in the
existing licensed health care entity, provided the existing systems meet the
requirements of this chapter for new construction:
(I) drainage systems;
(II) elevators;
(III) fire sprinkler systems.
(IV) stand pipe systems;
(V) steam systems; and
(VI) water supply systems, hot and
cold.
(2) When a facility and other licensed health
care entities share one building, the building systems and equipment may be
shared in accordance with subsection (a)(5)(B) of this section or be provided
separately. The shared systems and equipment shall meet the requirements of
this subchapter and be under the control of the licensed health care
entity.
(d) Facilities in
buildings with non-health care occupancies. Before a facility is licensed in a
building also containing occupancies other than health care occupancies, all
requirements of this chapter and the following requirements shall be met.
(1) Construction. Construction of the
building shall conform to the requirements of NFPA 101 Chapter 18 and the
facility shall be in one identifiable location.
(A) The facility shall be in one identifiable
location and shall be separated (vertically and horizontally) with two-hour
fire rated noncombustible construction from the other non-health care
occupancies and comply with the requirements of this chapter.
(B) Access to the facility shall be through a
dedicated facility lobby or from the building's main lobby. The building's main
lobby shall be part of the facility and shall comply with the requirements of
§
510.122 of this
subchapter.
(C) The required means
of egress from the facility shall be independent of and shall not traverse
through the other occupancies.
(2) Services and amenities. Services and
amenities shall be provided exclusively for the facility in accordance with
Subchapters C, F, and G of this chapter (relating to Operational Requirements,
Fire Prevention and Safety Requirements, and Physical Plant and Construction
Requirements, respectively). Required services and amenities shall not be
shared with the other occupancies.
(3) Building equipment and amenities. The
equipment and amenities shall be provided for the exclusive use of a facility
in accordance with this subchapter.
Notes
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