reglab/statecodes huggingface dataset:
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2000 - PHYSICAL PLANT › Section 61-91.2000.2008 - Storage Areas

Current through Register Vol. 48, No. 6, June 28, 2024
A. Adequate general storage areas shall be provided for patient and staff/volunteer belongings, equipment, and supplies as well as clean linen, soiled linen, wheelchairs, and general supplies and equipment.
B. Soiled linen shall be stored in an enclosed room. This room may also be the soiled workroom.
C. Storage buildings on the premises shall meet the requirements of the current building code regarding distance from the licensed building. Storage in buildings other than on the facility premises shall be secure and accessible. An appropriate controlled environment shall be provided if necessary for storage of items requiring such an environment.
D. Supplies/Equipment shall not be stored directly on the floor. Supplies/Equipment susceptible to water damage/contamination shall not be stored under sinks or other areas with a propensity for water leakage.
E. Chemicals indicated as harmful on the product label, cleaning materials, and supplies shall be safely stored in cabinets or well-lighted closets/rooms.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2000 - PHYSICAL PLANT › Section 61-91.2000.2009 - Elevators (II)

Current through Register Vol. 48, No. 6, June 28, 2024
Elevators shall be inspected and tested upon installation, prior to first use, and annually thereafter by a certified elevator inspector.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2000 - PHYSICAL PLANT › Section 61-91.2000.2010 - Telephone Service

Current through Register Vol. 48, No. 6, June 28, 2024
At least one land-line telephone shall be available on each floor of the facility for use by patients and/or visitors for their private, discretionary use; pay phones for this purpose are acceptable
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2000 - PHYSICAL PLANT › Section 61-91.2000.2011 - Location

Current through Register Vol. 48, No. 6, June 28, 2024
A. Transportation. The facility shall be served by roads that are passable at all times and are adequate for the volume of expected traffic.
B. Parking. The facility shall have a parking area to reasonably satisfy the needs of patients, staff members, and visitors.
C. Access to firefighting equipment. Facilities shall maintain adequate access to and around the building(s) for firefighting equipment. (I)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2000 - PHYSICAL PLANT › Section 61-91.2000.2012 - Incinerators (I)

Current through Register Vol. 48, No. 6, June 28, 2024
If the facility has an incinerator, it shall conform to the requirements of the Department.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2000 - PHYSICAL PLANT › Section 61-91.2000.2013 - Furnishings/Equipment (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The facility shall maintain the physical plant free of fire hazards and impediments to fire prevention.
B. No portable electric or unvented fuel heaters shall be permitted in the facility except as permitted by the State Fire Marshal Regulations.
C. Wastebaskets, window dressings, portable partitions, cubicle curtains, mattresses, and pillows shall be noncombustible, inherently flame-resistant, or treated or maintained flame-resistant in accordance with the applicable code in Section 1700.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2000 - PHYSICAL PLANT › Section 61-91.2000.2014 - Water Requirements

Current through Register Vol. 48, No. 6, June 28, 2024
A. The facility shall establish written policies and procedures to prevent waterborne microbial contamination within the water distribution system.
B. The facility shall ensure the practice of hand hygiene to prevent the hand transfer of pathogens, and the use of barrier precautions (e.g. gloves) in accordance with established guidelines.
C. The facility shall eliminate contaminated water or fluid from environmental reservoirs (e.g. in equipment or solutions) wherever possible.
D. The facility shall not place decorative fountains and fish tanks in patient-care areas. If decorative fountains are used in separate public areas, the facility shall ensure they are disinfected in accordance with manufacturer's instructions and safely maintained.
E. The facility plumbing fixtures that require hot water and are accessible to patients shall be supplied with water which thermostatically controlled to a temperature of at least 100 degrees F. (37.8 degrees C) and not exceeding 125 degrees F. (51.7 degrees C.) at the fixture.
F. The facility shall have a written plan to respond to disruptions in water supply. The plan must include a contingency plan to estimate water demands for the entire facility in advance of significant water disruptions (i.e., those expected to result in extensive and heavy microbial or chemical contamination of the potable water), sewage intrusion, or flooding.
G. When a significant water disruption or an emergency occurs, the facility shall:
1. Adhere to any advisory to boil water issued by the municipal water utility;
2. Alert patients, families, employees, volunteers, students and visitors not to consume water from drinking fountains, ice, or drinks made from municipal tap water, while the advisory is in effect, unless the water has been disinfected;
3. After the advisory is lifted, run faucets and drinking fountains at full flow for greater than 5 minutes, or use high-temperature water flushing or chlorination;
4. All ice and drinks that may have been contaminated must be disposed and storage containers cleaned; and
5. Decontaminate the hot water system as necessary after a disruption in service or a cross-connection with sewer lines has occurred.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2000 - PHYSICAL PLANT › Section 61-91.2000.2015 - Panelboards (II)

Current through Register Vol. 48, No. 6, June 28, 2024
The directory shall be labeled to conform to the actual room designations. Clear access of stored materials shall be maintained to the panel. The panelboard directory shall be labeled to conform to the actual room numbers or designations.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2000 - PHYSICAL PLANT › Section 61-91.2000.2016 - Lighting

Current through Register Vol. 48, No. 6, June 28, 2024
A. Spaces occupied by persons, machinery, equipment within buildings, approaches to buildings, and parking lots shall be lighted. (II)
B. The facility shall have adequate artificial light to include sufficient illumination for reading, observation, and activities.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2000 - PHYSICAL PLANT › Section 61-91.2000.2017 - Heating, Ventilation, and Air Conditioning (HVAC) (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. The HVAC system shall be inspected at least once a year by a certified/licensed technician.
B. No HVAC supply or return grill shall be installed within three feet of a smoke detector. (I)
C. Intake air ducts shall be filtered and maintained to prevent the entrance of dust, dirt, and other contaminating materials.
D. Each bath/restroom shall have either operable windows or have approved mechanical ventilation.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2100 - SEVERABILITY › Section 61-91.2100.2101 - General

Current through Register Vol. 48, No. 6, June 28, 2024
In the event that any portion of these regulations is construed by a court of competent jurisdiction to be invalid, or otherwise unenforceable, such determination shall in no manner affect the remaining portions of these regulations, and they shall remain in effect as if such invalid portions were not originally a part of these regulations.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2100 - SEVERABILITY › Section 61-91.2100.2102 - Fire Alarms (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. A fire
				alarm system shall be provided in accordance with provisions of NFPA 72 and the
				current building code as listed in Section102.B. The fire alarm system shall at
				least meet the requirements of a "Partial System" as defined by NFPA
				72.
B. The system shall be arranged
				to transmit an alarm automatically to the fire department by an approved
				method.
C. The alarm system shall
				notify by audible and visual alarm all areas and floors of the
				building.
D. The alarm system shall
				cause the central re-circulating ventilation fans that serve the area(s) of
				alarm origination to cease operation and to shut the associated smoke
				dampers.
E. Fire alarm
				pull-stations shall be placed at all exits in accordance with NFPA
				72.
F. All fire, smoke, heat,
				sprinkler-flow, fire-sensing detectors, manual pull-stations, hold-open devices
				on fire-rated doors, alarming devices, or other fire-related systems shall be
				connected to and monitored by the main fire alarm system, and activate the
				general alarm when any of these devices are activated.
G. The fire alarm system shall have the main
				fire alarm located at a readily-accessible location. An audible/visual trouble
				indicator shall be located where it can be observed by staff members.
H. The fire alarm system shall be tested
				initially by an individual licensed to install fire alarms, and at least
				annually thereafter.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2100 - SEVERABILITY › Section 61-91.2100.2103 - Smoke Detectors (I)

Current through Register Vol. 48, No. 6, June 28, 2024
Smoke detectors shall be installed in all exit access
				  corridors 30 feet on center in accordance with NFPA 72 and the current building
				  code as listed in Section102.B. No smoke detectors shall be placed within three
				  feet of a HVAC supply or return vent.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2100 - SEVERABILITY › Section 61-91.2100.2104 - Flammable Liquids (I)

Current through Register Vol. 48, No. 6, June 28, 2024
The storage and handling of flammable liquids shall be in
				  accordance with NFPA 30 and 99.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2100 - SEVERABILITY › Section 61-91.2100.2105 - Gases (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Gases, i.e.,
				flammable and nonflammable, shall be handled and stored in accordance with the
				provisions of NFPA 99 and 101.
B.
				Installation, maintenance, and testing of piped gas systems shall meet the
				provisions of NFPA 99.
C. Safety
				precautions shall be taken against fire and other hazards when oxygen is
				dispensed, administered, or stored. "No Smoking" signs shall be posted
				conspicuously inside the facility and on oxygen cylinders. All cylinders shall
				be properly secured in place.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2200 - GENERAL › Section 61-91.2200.2201 - General

Current through Register Vol. 48, No. 6, June 28, 2024
Conditions that have not been addressed in these regulations shall be managed in accordance with the best practices as interpreted by the Department.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2200 - GENERAL › Section 61-91.2200.2202 - Disinfection of Water Lines (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				After construction, expansion, or modification, a water distribution system
				shall be disinfected in accordance with R.61-58.
B. Samples shall be taken from the water
				system and forwarded to an approved laboratory for bacteriological analysis in
				accordance with R.61-58. The water shall not be
				used as a potable supply until certified as satisfactory.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2200 - GENERAL › Section 61-91.2200.2203 - Temperature (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Patient and
				staff handwashing lavatories and showers, if any, shall be supplied with hot
				and cold water at all times.
B.
				Plumbing fixtures that require hot water and which are accessible to patients
				shall be supplied with water that is thermostatically controlled to a
				temperature of at least 100 degrees F. and not to exceed 120 degrees F. at the
				fixture.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2200 - GENERAL › Section 61-91.2200.2204 - Stop Valves

Current through Register Vol. 48, No. 6, June 28, 2024
A. Each
				plumbing fixture shall have stop valves to permit repairs without disrupting
				service to other fixtures.
B. Each
				group of fixtures on a floor, each branch main, and each supply line shall be
				valved.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2200 - GENERAL › Section 61-91.2200.2205 - Cross-connections (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. There shall be
				no cross-connections in plumbing between safe and potentially unsafe water
				supplies.
B. Water shall be
				delivered at least two delivery pipe diameters above the rim or points of
				overflow to each fixture, equipment, or service unless protected against
				back-siphonage by approved vacuum breakers or other approved back-flow
				preventers.
C. A faucet or fixture
				to which a hose may be attached shall have an approved vacuum breaker or other
				approved back-flow preventer.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2200 - GENERAL › Section 61-91.2200.2206 - Wastewater Systems (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. A
				wastewater system, provided by a public or private source, shall be approved by
				the Department's Bureau of Water before the facility can be constructed and/or
				begins operation.
B. Plans,
				specifications, reports and studies, for the construction, expansion or
				alteration of a wastewater system shall be prepared by an engineer registered
				in S.C., and shall carry his or her signature and official seal.
C. The design and construction of wastewater
				systems shall be in accordance with standard engineering practice and
				R.61-67.
D. Liquid waste shall be
				disposed of in a wastewater system approved by the local authority, e.g.,
				sewage treatment facility.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2300 - ELECTRICAL › Section 61-91.2300.2301 - General (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Electrical
				installations shall be in accordance with NFPA 70 and 99.
B. Wiring in the facility shall be inspected
				at least once every two years by a licensed electrician, registered engineer,
				or certified building inspector.
C.
				All materials shall be listed as complying with available standards of
				Underwriters Laboratories, Inc. or other similarly established
				standards.
D. New systems shall be
				tested to indicate that the equipment is installed and operates as planned or
				specified.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2300 - ELECTRICAL › Section 61-91.2300.2302 - Panelboards (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Panelboards
				shall be installed and maintained in accordance with NFPA 70.
B. Panelboards serving lighting and appliance
				circuits shall be located on the same floor as the circuits served. (This
				requirement does not apply to life-safety system circuits.)
C. The panelboard directory shall be labeled
				to conform to the actual room designations.
D. Clear access to the panel shall be
				maintained, as per NFPA 70.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2300 - ELECTRICAL › Section 61-91.2300.2303 - Lighting

Current through Register Vol. 48, No. 6, June 28, 2024
A. Spaces occupied
				by persons, machinery, equipment within buildings, approaches to buildings, and
				parking lots shall be lighted with adequate artificial light. (II)
B. Hallways, stairs, and other means of
				egress shall be lighted at all times in accordance with NFPA 101, i.e., at a
				minimum, an average of one foot-candle at floor level. (I)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2300 - ELECTRICAL › Section 61-91.2300.2304 - Receptacles (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Recovery
				Area. Each bed in the recovery area shall have duplex grounding-type
				receptacles located per NFPA 70, to include one at the head of each
				bed.
B. Corridors. Duplex
				receptacles for general use shall be installed approximately 50 feet apart in
				all corridors and within 25 feet of the ends of corridors.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2300 - ELECTRICAL › Section 61-91.2300.2305 - Ground Fault Protection (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Ground fault circuit-interrupter protection shall be provided for all outside
				receptacles and restrooms in accordance with the provisions of NFPA
				70.
B. Ground fault
				circuit-interrupter protection shall be provided for any receptacles within six
				feet of a sink or any other wet location. If the sink is an integral part of
				the metal splashboard grounded by the sink, the entire metal area is considered
				part of the wet location.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2300 - ELECTRICAL › Section 61-91.2300.2306 - Exit Signs (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Required exits and exit access passages shall be identified by
				electrically-illuminated exit signs bearing the words "Exit" in red letters,
				six inches in height, on a white background.
B. Changes in egress direction shall be
				marked with exit signs with directional arrows.
C. Exit signs in corridors shall be provided
				to indicate two directions of exit.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2300 - ELECTRICAL › Section 61-91.2300.2307 - Emergency Call System

Current through Register Vol. 48, No. 6, June 28, 2024
A. An
				emergency call system shall be provided at each patient toilet fixture and
				patient change-room.
B. Activation
				shall be by a pull-cord that extends to within four inches above the
				floor.
C. This system will activate
				audio-visual signals in the recovery area work station.
D. The emergency call system shall be
				designed so that the audio-visual signal will remain activated until turned off
				at the patients' calling location (II)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2300 - ELECTRICAL › Section 61-91.2300.2308 - Emergency Electric Service (I)

Current through Register Vol. 48, No. 6, June 28, 2024
A.
				Emergency electrical services shall be provided as required by the current
				building code as listed in Section102.B, NFPA 101, and NFPA 110.
B. An emergency generator system shall be
				provided to provide electricity during an interruption of the normal electric
				supply. The emergency power system shall provide power for:
1. Illumination for means of
				egress;
2. Illumination for exit
				signs and exit directional signs;
3. Signal system;
4. Alarm systems;
EXCEPTION: In endoscopy facilities, batteries are an
				  acceptable source of power for items 2308.B.1 through 4.
5. Illumination and selected receptacles in
				operating/procedure rooms and recovery areas, and in the vicinity of the
				generator set.
EXCEPTION: Endoscopy facilities shall not be required to
				  provide emergency electrical power for Section2308.B.5. If a generator is
				  chosen to provide emergency electrical power, it must meet all of the
				  requirements of Section2308.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2400 - HEATING, VENTILATION, AND AIR CONDITIONING › Section 61-91.2400.2401 - General (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Prior to
				licensure of the facility, all mechanical systems shall be tested, balanced and
				operated to demonstrate that the installation and performance of these systems
				conform to the requirements of the plans and specifications.
B. If used, clinical vacuum (suction) system
				installations shall be in accordance with the requirements of NFPA No. 99.
				(I)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2400 - HEATING, VENTILATION, AND AIR CONDITIONING › Section 61-91.2400.2402 - Heating, Ventilation, Air Conditioning

Current through Register Vol. 48, No. 6, June 28, 2024
A. Heating, ventilation, and air conditioning
				(HVAC) systems shall comply with NFPA 90A and all other applicable
				codes.
B. The HVAC system shall be
				inspected at least once a year by a certified/licensed technician.
C. No HVAC supply or return grill shall be
				installed within three feet of a smoke detector. (I)
D. HVAC grills shall not be installed in
				floors.
E. Intake air ducts shall
				be filtered and maintained to prevent the entrance of dust, dirt, and other
				contaminating materials. The system shall not discharge in such a manner that
				would be an irritant to the patients/staff.
F. Each restroom shall have approved
				mechanical ventilation.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2500 - PHYSICAL PLANT › Section 61-91.2500.2501 - Administrative Areas

Current through Register Vol. 48, No. 6, June 28, 2024
A. The facility
				shall include:
1. Reception and information
				counter or desk;
2. Waiting
				space(s) that shall include:
a. Public toilet
				facilities;
b. Public
				telephone(s);
c. Drinking
				fountain(s).
3. Space(s)
				for private interviews relating to the procedure to be performed.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2500 - PHYSICAL PLANT › Section 61-91.2500.2502 - Surgical Suite(s)

Current through Register Vol. 48, No. 6, June 28, 2024
The size and design of the surgical suite(s) shall be in
				  accordance with individual programs. The following basic elements, designed to
				  ensure no flow of through traffic, shall be incorporated in all
				  facilities:
A. Operating/Procedure
				Room(s).
1. The number shall depend on the
				projected caseload and types of procedures to be performed. Rooms shall have
				adequate space to accommodate necessary equipment and staff.
2. Each operating room shall have a minimum
				clear area of 180 square feet exclusive of fixed and movable cabinets and
				shelves. The minimum width shall be 12 feet.
3. Each procedure room shall have a minimum
				clear area of 140 square feet exclusive of fixed and movable cabinets and
				shelves. The minimum width shall be 10 feet.
4. Additional clear area may be required as
				described in the narrative program to accommodate special functions in one or
				more of these rooms.
5. An
				emergency communication system connecting with the surgical suite work station
				shall be provided.
6. At least one
				x-ray film illuminator shall be provided in the facility.
EXCEPTION: Facilities performing endoscopy procedures are not
				  required to have the illuminator.
7. A hard-wire clock shall be provided in
				each operating/procedure room.
8.
				Operating rooms using inhalation anesthetics shall be in accordance with
				current practices of NFPA 56A, Standards for the Use of Inhalation
				Anesthetics.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2500 - PHYSICAL PLANT › Section 61-91.2500.2503 - Clinical Facilities (If Provided)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Examination room(s). Room size shall be
				determined by functions to be performed and types of equipment to be used, but
				shall have a minimum floor area of 80 square feet, excluding such spaces as
				vestibule, toilet, closet, and work counter (whether fixed or movable).
				Arrangement shall permit at least four feet clearance at each side and at the
				foot of the examination table. A lavatory or sink equipped for handwashing and
				a space for writing shall be provided.
B. Treatment room(s) for minor and cast
				procedures. Rooms shall have a minimum floor area of 120 square feet, excluding
				such spaces as vestibule, toilet, closet and work counter (whether fixed or
				movable). The minimum room dimension shall be 10 feet. A lavatory or sink
				equipped for handwashing and a space for writing shall be provided. Treatment
				rooms may also be used as examination rooms.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2500 - PHYSICAL PLANT › Section 61-91.2500.2504 - Doors (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Exit doors
				to stairwells and exit doors to the outside shall be at least 44 inches
				wide.
B. All doors subject to
				stretcher or bed passage shall be at least 44 inches wide.
C. The minimum width of doors for patient
				access to operating, procedure, examination, and treatment rooms shall be at
				least 34 inches.
D. Restroom door
				widths shall be at least 32 inches.
E. All exit doors shall swing in the
				direction of the nearest exit.
F.
				All operating and procedure rooms and recovery areas shall have at least one
				door opening to an exit access corridor meeting the requirements of
				Section2504.B above. (I)
G. No
				doors shall swing into corridors in a manner that might obstruct traffic flow
				or reduce the required corridor width except doors to spaces such as small
				closets that are not subject to occupancy.
H. All restrooms shall have opaque doors for
				the purpose of privacy.
I. All
				glass doors, including sliding or patio type doors, shall have a contrasting or
				other indicator that causes the glass to be observable, e.g., a decal located
				at eye level.
J. Doorways from
				exit-access passageways to the outside of the facility shall be at least 80
				inches in height.
K. Doors that
				have locks shall be unlockable and openable with one action.
L. If patient operating, procedure,
				examination, or treatment room doors are lockable, there shall be provisions
				for emergency entry.
M. Any locked
				room door must be unlockable and openable from inside the room.
N. All patient examination, operating,
				procedure rooms shall have solid-core doors with closures.
O. Doorways shall not open directly upon a
				flight of stairs.
P. Soiled linen
				storage room(s) over 100 square feet shall have a 3/4-hour fire rated
				door.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2500 - PHYSICAL PLANT › Section 61-91.2500.2505 - Corridors (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Corridors
				and passageways in all facilities shall be in accordance with the current
				building code as listed in Section102.B.
B. Minimum public corridor width shall be
				five feet.
C. There shall be at
				least one corridor that is no less than eight feet clear width between doors
				from the recovery area and/or operating/procedure rooms and an exit door. In a
				one-story building or on the ground floor of a multi-story building, if there
				is less than eight feet clear width, the corridors shall be so arranged as to
				allow a stretcher to exit from the recovery area or operating rooms directly
				into the corridor without turning and move to the required exit without having
				to make a turn. Minimum width shall be five feet.
D. The location of items such as drinking
				fountains, telephone booths, vending machines, and portable equipment shall not
				restrict corridor traffic or reduce the required corridor width. (II)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2500 - PHYSICAL PLANT › Section 61-91.2500.2506 - Ramps (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. At least one
				exterior ramp, accessible by all patients, staff members, and visitors, shall
				be installed from the first floor to grade.
B. The ramp shall serve all portions of the
				facility where patients are located.
C. The surface of a ramp shall be of nonskid
				materials.
D. Ramps shall be
				constructed in a manner in compliance with ANSI 117.1, i.e., for every inch of
				height, the ramp shall be at least one foot long.
E. Ramps shall be of noncombustible
				construction. (I)
F. Ramps shall
				discharge onto a surface that is firm and negotiable by persons who are
				physically challenged in all weather conditions and to a location accessible
				for loading into a vehicle.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2500 - PHYSICAL PLANT › Section 61-91.2500.2507 - Landings (II)

Current through Register Vol. 48, No. 6, June 28, 2024
Exit doorways that open upon a flight of stairs shall have a
				  landing that is at least the width of the door and is the same elevation as the
				  finished floor at the exit. (II)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2500 - PHYSICAL PLANT › Section 61-91.2500.2508 - Handrails/Guardrails (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Handrails shall
				be provided on at least one side of each corridor/hallway, and on all
				stairways, ramps, and porches with two or more steps. Ends of all installed
				handrails shall return to the wall.
B. All porches, walkways, and recreational
				areas (such as decks, etc.) that are elevated 30 inches or more above grade
				shall have guardrails 42 inches high. Open guardrails shall have intermediate
				rails less than six inches apart.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2500 - PHYSICAL PLANT › Section 61-91.2500.2509 - Restrooms (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. There shall
				be an appropriate number of restrooms in the facility, to accommodate patients,
				staff, and visitors.
B. The
				restrooms shall be accessible during all operating hours of the
				facility.
C. A restroom(s) shall be
				equipped with at least one toilet fixture, toilet paper installed in a holder,
				a lavatory supplied with hot and cold running water, liquid or granulated soap,
				single-use disposable paper towels or electric air dryer, and a covered waste
				receptacle.
D. Restroom floor areas
				shall not be less than 15 square feet.
E. The waiting/lobby area must have at least
				one restroom.
F. Toilet fixtures in
				restrooms for patient use shall be provided in ample number, located within or
				adjacent to the recovery area. The minimum requirement is one toilet fixture
				for every surgical and procedure room. These toilet fixtures shall be located
				in at least two restrooms, one designated "male" and the other
				"female".
G. There shall be at
				least one lavatory per every two toilet fixtures located within a
				restroom.
H. All toilet fixtures
				used by patients shall have approved grab bars securely fastened in a usable
				fashion.
I. Privacy shall be
				provided at toilet fixtures and urinals.
J. Facilities for persons with disabilities
				shall be provided as required by codes, whether or not any of the staff or
				patients are classified as disabled.
K. All restroom floors shall be entirely
				covered with an approved nonabsorbent covering. Walls shall be nonabsorbent,
				washable surfaces to the highest level of splash.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2500 - PHYSICAL PLANT › Section 61-91.2500.2510 - Sinks and Handwashing Fixtures

Current through Register Vol. 48, No. 6, June 28, 2024
A. A sink shall be provided in each utility
				room.
B. Handwashing fixtures shall
				be provided in the recovery area and in restrooms (see
				Section2509.C).
C. All handwashing
				fixtures shall be equipped with valves that can be operated without the use of
				hands.
D. Single-use towel
				dispensers or air dryers shall be provided at all handwashing fixtures, except
				scrub sinks.
E. Scrub sinks shall
				be provided in accordance with the number and arrangement of the operating
				rooms (see Section2502.C).
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2500 - PHYSICAL PLANT › Section 61-91.2500.2511 - Janitor's Closets

Current through Register Vol. 48, No. 6, June 28, 2024
A. A sufficient
				number of lockable janitor's closets shall be provided throughout the facility
				as required to maintain a clean and sanitary environment.
B. Each shall contain a floor receptor or
				service sink and storage space for housekeeping equipment and supplies, e.g.,
				mops.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2500 - PHYSICAL PLANT › Section 61-91.2500.2512 - Storage Areas

Current through Register Vol. 48, No. 6, June 28, 2024
A. Adequate
				general storage areas shall be provided for patient and staff/volunteer
				belongings, equipment, and supplies as well as clean linen, soiled linen,
				wheelchairs, and general supplies and equipment.
B. Soiled linen shall be stored in an
				enclosed room. This room may also be the soiled workroom (see
				Section2502.C.5).
C. Areas used for
				storage of combustible materials and storage areas exceeding 100 square feet in
				area shall be provided with an NFPA-approved automatic sprinkler system.
				(I)
D. In storage areas provided
				with a sprinkler system, a minimum vertical distance of 18 inches shall be
				maintained between the top of stored items and the sprinkler heads. The tops of
				storage cabinets and shelves attached to or built into the perimeter walls may
				be closer than 18 inches below the sprinkler heads. In nonsprinklered storage
				areas, there shall be at least 24 inches of space from the ceiling.
				(I)
E. All ceilings, floor
				assemblies, and walls enclosing storage areas of 100 square feet or greater
				shall be composed of not less than one-hour fire-resistive construction.
				(I)
F. Storage buildings on the
				premises shall meet the requirements of the current building code as listed in
				Section102.B regarding distance from the licensed building. Storage in
				buildings other than on the facility premises shall be secure and accessible.
				An appropriate controlled environment shall be provided if necessary for
				storage of items requiring such an environment.
G. In mechanical rooms used for storage,
				stored items shall be located away from mechanical equipment and shall not be a
				type of storage that might create a fire or other hazard. (I)
H. Supplies/Equipment shall not be stored
				directly on the floor. Supplies/Equipment susceptible to water
				damage/contamination shall not be stored under sinks or other areas with a
				propensity for water leakage.
I.
				Chemicals indicated as harmful on the product label, cleaning materials, and
				supplies shall be safely stored in cabinets or well-lighted
				closets/rooms.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2500 - PHYSICAL PLANT › Section 61-91.2500.2513 - Elevators (II)

Current through Register Vol. 48, No. 6, June 28, 2024
A. Elevators,
				if utilized, shall be installed and maintained in accordance with the
				provisions of the current building code as listed in Section102.B, ANSI17.1,
				Safety Code for Elevators and Escalators, and NFPA 101, as
				applicable.
B. Elevators shall be
				inspected and tested upon installation, prior to first use, and annually
				thereafter by a certified elevator inspector.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2500 - PHYSICAL PLANT › Section 61-91.2500.2514 - Telephone Service

Current through Register Vol. 48, No. 6, June 28, 2024
At least one land-line telephone shall be available on each
				  floor of the facility for use by patients and/or visitors for their private,
				  discretionary use; pay phones for this purpose are acceptable
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2500 - PHYSICAL PLANT › Section 61-91.2500.2515 - Location

Current through Register Vol. 48, No. 6, June 28, 2024
A. Transportation.
				The facility shall be served by roads that are passable at all times and are
				adequate for the volume of expected traffic.
B. Parking. The facility shall have a parking
				area to reasonably satisfy the needs of patients, staff members, and
				visitors.
C. Access to firefighting
				equipment. Facilities shall maintain adequate access to and around the
				building(s) for firefighting equipment. (I)
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2600 - SEVERABILITY › Section 61-91.2600.2601 - General

Current through Register Vol. 48, No. 6, June 28, 2024
In the event that any portion of these regulations is
				  construed by a court of competent jurisdiction to be invalid, or otherwise
				  unenforceable, such determination shall in no manner affect the remaining
				  portions of these regulations, and they shall remain in effect as if such
				  invalid portions were not originally a part of these
				  regulations.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-91 - Standards for Licensing Ambulatory Surgical Facilities › Sec2 61-91.2700 - GENERAL › Section 61-91.2700.2701 - General

Current through Register Vol. 48, No. 6, June 28, 2024
Conditions that have not been addressed in these regulations
				  shall be managed in accordance with the best practices as interpreted by the
				  Department.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-92 - UNDERGROUND STORAGE TANK CONTROL REGULATIONS › Part 280 - TECHNICAL STANDARDS AND CORRECTIVE ACTION REQUIREMENTS FOR OWNERS AND OPERATORS OF UNDERGROUND STORAGE TANKS (UST) › Subpart A - PROGRAM SCOPE AND INSTALLATION REQUIREMENTS FOR PARTIALLY EXCLUDED UST SYSTEMS › Section 61-92.280.A.10 - APPLICABILITY

Current through Register Vol. 48, No. 6, June 28, 2024
(a) The
				  requirements of this part apply to all owners and operators of an UST system as
				  defined in Section 280.12 (pp) and (rr) except as otherwise provided in
				  paragraphs (b) and (c) of this section.
(1)
				  Previously deferred UST systems. Airport hydrant fuel distribution systems, UST
				  systems with field-constructed tanks, and UST systems that store fuel solely
				  for use by emergency power generators must meet the requirements of this part
				  as follows:
(i) Airport hydrant fuel
				  distribution systems and UST systems with field-constructed tanks must meet the
				  requirements in Subpart K of this part.
(ii) UST systems that store fuel solely for
				  use by emergency power generators installed on or before May 23, 2008 must meet
				  the Subpart D requirements on or before May 26, 2020.
(iii) UST systems that store fuel solely for
				  use by emergency power generators installed after May 23, 2008 must meet all
				  applicable requirements of this part at installation.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-92 - UNDERGROUND STORAGE TANK CONTROL REGULATIONS › Part 280 - TECHNICAL STANDARDS AND CORRECTIVE ACTION REQUIREMENTS FOR OWNERS AND OPERATORS OF UNDERGROUND STORAGE TANKS (UST) › Subpart A - PROGRAM SCOPE AND INSTALLATION REQUIREMENTS FOR PARTIALLY EXCLUDED UST SYSTEMS › Section 61-92.280.A.11 - INSTALLATION REQUIREMENTS FOR PARTIALLY EXCLUDED UST SYSTEMS

Current through Register Vol. 48, No. 6, June 28, 2024
(a) Owners and
				  operators must install an UST system listed in Section 280.10(c)(1),(3), or (4)
				  storing regulated substances (whether of single or doublewall construction)
				  that meets the following requirements:
(1)
				  Will prevent releases due to corrosion or structural failure for the
				  operational life of the UST system;
(2) Is cathodically protected against
				  corrosion, constructed of non-corrodible material, steel clad with a
				  non-corrodible material, or designed in a manner to prevent the release or
				  threatened release of any stored substance; and
(3) Is constructed or lined with material
				  that is compatible with the stored substance.
South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-92 - UNDERGROUND STORAGE TANK CONTROL REGULATIONS › Part 280 - TECHNICAL STANDARDS AND CORRECTIVE ACTION REQUIREMENTS FOR OWNERS AND OPERATORS OF UNDERGROUND STORAGE TANKS (UST) › Subpart B - UST SYSTEMS: DESIGN, CONSTRUCTION, INSTALLATION, NOTIFICATION AND PERMITTING › Section 61-92.280.B.20 - PERFORMANCE STANDARDS FOR NEW UST SYSTEMS

Current through Register Vol. 48, No. 6, June 28, 2024
In order to prevent releases due to structural failure,
					 corrosion, or spills and overfills for as long as the UST system is used to
					 store regulated substances, all owners and operators of new UST systems must
					 obtain permits in accordance with Section 280.23 and meet the following
					 requirements. In addition, tanks and piping installed or replaced after May 23,
					 2008 must be secondarily contained and use interstitial monitoring in
					 accordance with Section 280.43(g). Secondary containment must be able to
					 contain regulated substances leaked from the primary containment until they are
					 detected and removed and prevent the release of regulated substances to the
					 environment at any time during the operational life of the UST system. For
					 cases where the piping is considered to be replaced, the entire piping run must
					 be secondarily contained.
(a) Tanks.
				  Each tank must be properly designed and constructed, and any portion
				  underground that routinely contains product must be protected from corrosion,
				  in accordance with a code of practice developed by a nationally recognized
				  association or independent testing laboratory as specified below:
(1) The tank is constructed of
				  fiberglass-reinforced plastic; or
[Note to paragraph (a)(1). The following codes of practice
					 may be used to comply with paragraph (a)(1) of this section:
(A) Underwriters Laboratories Standard 1316,
				  "Glass-Fiber-Reinforced Plastic Underground Storage Tanks for Petroleum
				  Products, Alcohols, and Alcohol-Gasoline Mixtures"; or
(B) Underwriter's Laboratories of Canada
				  S615, "Standard for Reinforced Plastic Underground Tanks for Flammable and
				  Combustible Liquids".]