Texas Administrative Code › Title 26 - HEALTH AND HUMAN SERVICES › Part 1 - HEALTH AND HUMAN SERVICES COMMISSION › Chapter 510 - PRIVATE PSYCHIATRIC HOSPITALS AND CRISIS STABILIZATION UNITS › Subchapter G - PHYSICAL PLANT AND CONSTRUCTION REQUIREMENTS › Section 510.125 - Building with Multiple Occupancies

Current through Reg. 49, No. 28; July 12, 2024
(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), relating to New Health Care Occupancies. All documents
				  published by NFPA as referenced in this section may be obtained by writing or
				  calling the NFPA at the following address or telephone number: National Fire
				  Protection Association, 1 Batterymarch Park, Post Office Box 9101, Quincy, MA
				  02269-9101 or (800) 344-3555.
(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
				  Title 40 (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
				  Title 40;
(D) a pharmacy suite in
				  accordance with §
												510.123(o) of
				  Title 40;
(E) employee locker
				  facilities which comply with requirements of §
												510.123(f) of
				  Title 40;
(F) a housekeeping room
				  in accordance with the requirements of §
												510.122(d)(2)(A)(xxviii)
				  of Title 40 (relating to New Construction Requirements);
(G) an emergency treatment room as required
				  by §
												510.123(e)(1)(A)
				  of Title 40;
(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 Title 40 (relating to
				  Facility Functions and Services) and §
											510.123 of Title 40. 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
				  Title 40 and §
												510.123(d) of
				  Title 40 respectively;
(B) cart
				  cleaning and sanitizing services and facilities which comply with §
												510.123(b) of
				  Title 40;
(C) general stores
				  services and facilities which comply with §
												510.123(h) of
				  Title 40;
(D) laboratory services
				  and a laboratory suite which comply with §
												510.41(e) of
				  Title 40, and §
												510.123(k) of
				  Title 40 respectively;
(E)
				  housekeeping rooms as required in §
												510.123(d)(2)(xxviii)
				  of Title 40;
(F) parking, in
				  accordance with §
												510.122(c)(2) of
				  Title 40;
(G) physical and/or
				  occupational therapy services and amenities, in accordance with §
												510.123(p) of
				  Title 40;
(H) imaging services in
				  accordance with §
												510.123(j) of
				  Title 40;
(I) central sterile
				  supply which complies with §
												510.123(c) of
				  Title 40; and
(J) waste and waste
				  disposal services, and waste processing and storage units shall comply with
				  §
												510.41(o) of
				  Title 40.
(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).
(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)
				  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 Title 40:
(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).
				  Electrical installation details shall conform with all requirements contained
				  in §
														510.122(d)(5)(A).
(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
				  the department.
(b) Facilities
				  located in buildings with hospitals licensed under Health and Safety Code,
				  Chapter 241. Before a facility is licensed in a building containing a hospital
				  licensed under 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 Title 40, 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).
				  Electrical installation details shall conform with all requirements contained
				  in §
																			510.122(d)(5)(A).
(II) When the existing essential electrical
				  system in 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(s) 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 Title 40, 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 Title 40.
(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; and
(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; and
(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 Title 40.
(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 Title 40
				  (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.