Missouri Code of State Regulations
Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES
Division 30 - Division of Regulation and Licensure
Chapter 30 - Ambulatory Surgical Centers and Abortion Facilities
Section 19 CSR 30-30.040 - Preparation of Plans and Specifications for Ambulatory Surgical Centers
Universal Citation: 19 MO Code of State Regs 30-30.040
Current through Register Vol. 49, No. 6, March 15, 2024
PURPOSE: The Division of Health Resources, Department of Health has the authority to establish construction standards for ambulatory surgical centers. This rule provides procedures to follow in the submission of plans and specifications for new construction.
(1) Preliminary Plans and Sketches.
(A) When construction is contemplated, either
for new buildings additions to existing buildings or material alterations to
existing buildings, the preliminary plans or sketches shall be submitted in
duplicate to the Department of Health for review and approval before the
preparation of working drawings is undertaken. The preliminary plans may be
reviewed by the Department of Health in schematic form, but before they are
declared acceptable for procedure with working drawings and specifications,
they should also include the following information, stated briefly and not in
detailed form required in working drawings and specifications:
1. Site plan showing scale, orientation,
street names, topography, walks, drives, fire lanes, parking areas and
utilities including fire hydrant location;
2. Plans and elevations of the buildings at a
scale of not less than one-eighth inch to one foot no inches (1/8":1'
0");
3. Rooms and corridors,
designated by name and number;
4.
Windows. Note, wired glass where it is required;
5. Doors, including door swings. Identify
fire doors by time rating and Underwriters' Laboratories label;
6. Plumbing fixtures. Show fixtures in proper
shape and scale for positive recognition. Identify special types such as
service sinks and clinic sinks;
7.
Plans of rooms shall indicate principal items of furniture accurately
scaled;
8. All other principal
items of equipment such as boilers, chiller, cooling tower, electrical
substations, tanks, air handlers, fan-coil units, kitchen equipment, laundry
equipment, cabinets, counters and any other items which take up space and
affect the final layout;
9. Fire
and smoke-barrier partition designations;
10. Floor lines, top ceiling line and grade
lines, designated and preferably dimensioned, and with basic elevations
shown;
11. Ceiling heights of
principal rooms and also of each room for which the rules establish a minimum
ceiling height. Only one
(1) typical room of a
group need be so shown;
12. Area of each room for which the rules
establish a minimum area. Only one
(1)
typical room of a group need be so noted; and
13. Brief noted descriptions of the general
construction and finish; the structural system; the heating, ventilating and
air-conditioning systems, including the fuel supply; the plumbing system
including the water supply and sewage disposal; and the electrical
system.
(B) In the case
of a project which is an addition to an existing building, it will be necessary
to give the Department of Health sufficient information about the existing
building on which to base a determination of acceptability of the plans for the
addition. This information shall cover all items required to be provided in an
ambulatory surgical center by the rules of the Department of Health and shall
be submitted in the form as required for the particular project by the
Department of Health.
(2) Working Drawings and Specifications.
(A) Working drawings and specifications,
complete in all respects, shall be submitted in duplicate, covering all phases
of the construction project, including site preparation; paving; general
construction; mechanical work, including plumbing, heating, ventilating and air
conditioning; electrical work and all built-in equipment, including elevators,
kitchen equipment, cabinet work, etc.
1. Each
sheet of the plans and each set of the specifications shall identify the
project by name and location and shall bear the names and addresses of the
architect or professional engineer and the owner.
2. Each sheet of the plans and each set of
specifications shall bear the official seal and signature of the registered
architect or registered professional engineer who prepared it.
3. Each set of the plans and each set of
specifications shall bear the date of its completion or its latest
revision.
4. The plans shall be on
sheets of the same size, securely bound into complete sets, with the sheets in
the proper order. The specifications shall be securely bound into complete
sets.
(B) The working
drawings and specifications shall include the following: the material set out
in paragraphs (1)(A)1.-12. of this rule; courses and distances of property
lines; dimensions and locations of any building, structures, easements,
rights-of-way or encroachments on the site; details of party walls, and walls
and foundation adjacent to lot line; detailed information by the city engineer
or other official report as to established curbs, buildings lines, streets,
alleys, sidewalks; all utilities including size, characteristics and location
of these services, piping, mains, sewers, poles, wires, hydrants and manholes
upon, over or under the site and location of high pressure gas lines within one
thousand two hundred feet (1200') of the building; complete information as to
the disposal of sanitary, storm water and subsoil drainage; official datum upon
which elevations are based and benchmark established on or adjacent to the
site; contours on elevations at two foot (2') intervals over site and
elevations at the bottom of excavation; and thickness, consistency, character
and estimated safe bearing value of various strata encountered.
Disclaimer: These regulations may not be the most recent version. Missouri may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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