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
Universal Citation: 26 TX Admin Code ยง 510.125
Current through Reg. 49, No. 38; September 20, 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.
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