California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 1 - General Acute Care Hospitals › Article 6 - Supplemental Services › Section 70603 - Rehabilitation Center Space

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Rehabilitation beds shall be in a designated area of the hospital and shall be
				  included in the licensed bed capacity of the hospital.
(b) The following structural features shall
				  be provided in the rehabilitation service area:
(1) Flooring in rehabilitation areas, while
				  selected for appearance, durability and ease of cleaning and maintenance, shall
				  also be selected and maintained to minimize slipping hazards.
(2) Architectural barriers as defined in
				  Specifications for Making Buildings and Facilities Accessible and Usable by the
				  Physically Handicapped, A-117.1 1961 (reaffirmed 1971) by the American National
				  Standards Institute, Inc., 1430 Broadway, New York, NY 10018, shall have
				  alternate means of access such as ramps.
(3) Sturdy handrails shall be provided on
				  both sides of ramps and stairs in areas used by physically handicapped
				  patients.
(4) Grab bars on both
				  sides of toilets and supports shall be provided in patient bathrooms so that
				  physically disabled patients may use toilet, handwashing and bathing facilities
				  with minimal or no assistance.
(5)
				  Doors and doorways.
(A) Doors to be used by
				  ambulatory and wheelchair patients shall be at least 1.1 meters (three feet,
				  eight inches) wide. Doors 0.9 meter (three feet) wide may be permitted at
				  individual toilet rooms adjacent to patient bedrooms.
(B) Thresholds at doorways shall be flush
				  with the floor.
(C) There should be
				  at least two doors of entry and exit from group activity areas, i.e., craft and
				  workshops. All such exit doors shall be equipped with panic bars.
(D) Doors shall not obstruct wheelchair
				  patients' access to toilets and other patient areas.
(6) Bathing facilities.
(A) Bathtubs shall be of standard height.
				  There shall be access on both sides and one end of bathtub to allow personnel
				  to work on either side or end of tub.
(B) Shower stalls shall have minimum
				  dimensions of at least 1.2 meters (four feet), be equipped with handrails and
				  curtains and be designed for easy accessibility. The floor shall be sloped to
				  provide drainage.
(7)
				  There shall be at least one training toilet area in each patient unit with
				  minimum dimensions of 1.5 meters (five feet) and 1.8 meters (six
				  feet).
(8) Drinking fountains shall
				  be located conveniently in nursing units, treatment areas and the lobby.
				  Fountains shall be usable by wheelchair patients.
(9) Telephones shall be accessible to and
				  usable by wheelchair patients.
(10)
				  All rooms shall contain a minimum of 10 square meters (110 square feet) of
				  usable floor space per bed with greater space provided for special needs such
				  as circ-o-lectric beds.
(11) Beds
				  of adjustable height, preferably electrically operated, adequate to the needs
				  of the service shall be provided. Beds shall be adjustable to the heights of
				  wheelchair seats for use in patient transfer.
(12) A mirror with overhead light, so
				  arranged as to be easily usable by handicapped patients in wheelchairs, shall
				  be provided in patient rooms.
(13)
				  Dining and lounge or recreation area.
(A)
				  Space for group dining shall be provided in a minimum amount of at least 2
				  square meters (20 square feet) per licensed bed for adults and/or children
				  beyond the crib age.
(B) Space for
				  group recreation or patients lounge shall be provided in the same space ratio
				  as the dining area.
(C) Dining and
				  recreation areas shall be equipped with appropriate height tables to
				  accommodate patients in wheelchairs.
(14) Suitable space shall be provided for
				  staff conferences, patient evaluation and progress reports.
(15) Classroom space.
(16) An examining room equipped with
				  furnishings, equipment and supplies adjacent or readily accessible to the
				  office of the physician in charge of the outpatient service.
(17) A waiting room area with coat or locker
				  space, drinking fountain, telephone and men and women toilet facilities in or
				  adjacent to the rehabilitation outpatient service area.
(18) Access to an outside area to be used in
				  therapeutic procedures for patients.