The purpose is to update references to the outdated edition of the Life Safety Code which has been revised and incorporated in rule; correct rule references; delete unnecessary rule language already contained in the Life Safety Code and incorporate ...

 

AGENCY FOR HEALTH CARE ADMINISTRATION

Health Facility and Agency Licensing

RULE NOS.:RULE TITLES:

59A-3.077Fire Protection

59A-3.079Codes and Standards to Be Used for Construction of Hospitals

59A-3.080Plans Submission and Fee Requirements

59A-3.081Physical Plant Requirements for General, Rehabilitation and Psychiatric Hospitals

59A-3.303Facilities and Physical Plant Safety

PURPOSE AND EFFECT: The purpose is to update references to the outdated edition of the Life Safety Code which has been revised and incorporated in rule; correct rule references; delete unnecessary rule language already contained in the Life Safety Code and incorporate the Florida Building Code by reference.

SUMMARY: These rules are amended to:

59A-3.077, F.A.C.: update references to the outdated edition of the Life Safety Code which has been revised and incorporated in rule; correct rule references.

59A-3.079, F.A.C.: correct rule references; delete unnecessary rule language already in the Life Safety Code; incorporate the Florida Building Code by reference.

59A-3.080, F.A.C.: correct rule references; delete unnecessary rule language already in the Life Safety Code; incorporate the Florida Building Code by reference.

59A-3.08, F.A.C.1: eliminate physical plant requirements established by rule; update rule references and references to building and fire codes; add requirements for Mobile Surgical Facilities

59A-3.303, F.A.C.: correct rule references; delete unnecessary rule language already in the Life Safety Code; incorporate the Florida Building Code by reference.

SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COSTS AND LEGISLATIVE RATIFICATION: The Agency has determined that this will not have an adverse impact on small business or likely increase directly or indirectly regulatory costs in excess of $200,000 in the aggregate within one year after the implementation of the rule. A SERC has not been prepared by the Agency.

For rules where a SERC was not prepared, a checklist was prepared to determine the need for a SERC.

The Agency has determined that the proposed rule is not expected to require legislative ratification based on the statement of estimated regulatory costs or if no SERC is required, the information expressly relied upon and described herein: A SERC has not been prepared by the agency. For rules where a SERC was not prepared, a checklist was prepared to determine the need for a SERC.

Any person who wishes to provide information regarding a statement of estimated regulatory costs, or provide a proposal for a lower cost regulatory alternative must do so in writing within 21 days of this notice.

RULEMAKING AUTHORITY: 395.0163, 395.1055 FS.

LAW IMPLEMENTED: 252.35(2)(l), 252.38(1)(e), 395.001, 395.0163, 395.1055, 471.025, 481.221, 553.73 FS.

IF REQUESTED WITHIN 21 DAYS OF THE DATE OF THIS NOTICE, A HEARING WILL BE HELD AT THE DATE,TIME AND PLACE SHOWN BELOW(IF NOT REQUESTED, THIS HEARING WILL NOT BE HELD):

DATE AND TIME: January 15, 2016, 2:00 p.m. – 3:00 p.m.

PLACE: Ft. Knox Bldg. 3, Conference Room D, 2727 Mahan Drive, Tallahassee, FL 32308

THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE IS: Scott Waltz, Bureau of Plans and Construction, 2727 Mahan Drive, MS #28A, Tallahassee, FL 32308 or at [phone]

 

THE FULL TEXT OF THE PROPOSED RULE IS:

 

59A-3.077 Fire Protection.

(1) Each hospital shall provide fire protection through the elimination of fire hazards. All portions of the existing facility shall comply with the requirements of the Chapter 13, Existing Health Care Occupancies chapter, as written in the Code for Safety To Life From Fire in Buildings and Structures, published by The National Fire Protection Association (NFPA), known as the of NFPA101 Life Safety Code. The edition shall be as described in the fire codes in Rule 69A-3.012, F.A.C.; as adopted by the State Fire Marshal.

(2) All fires or explosions shall be reported by telephone to the Agency’s Office of Plans and Construction by telephone at [phone] or by fax at [phone] by the next working day after the occurrence. The facility shall complete and submit a Fire Incident Report, AHCA form 3500-0031, July 2014, incorporated by reference and available at http://www.flrules.org/Gateway/reference.asp?No=Ref-XXXXX ,This office will send a fire occurrence report to the facility which is to be completed and returned to the Office of Plans and Construction and a copy to the appropriate Agency Field Office within 15 calendar days of the incident. All reports shall be complete and thorough and shall record the cause of the fire or explosion, the date and time of day it occurred, the location within the facility, how it was extinguished, any injuries which may have occurred and a description of the local fire department participation. The Fire Incident Report is available from the Agency for Health Care Administration, Office of Plans and Construction, 2727 Mahan Drive, Mail Stop 24, Tallahassee, Florida, 32308 or at the web address: http://ahca.myflorida.com/plansandconstruction.

Rulemaking Authority 395.1055 FS. Law Implemented 395.1055 FS. History–New 1-1-77, Formerly 10D-28.77, 10D-28.077, Amended 1-16-87, 9-3-92,                                   .

 

(Substantial rewording of Rule 59A-3.079 follows.  See Florida Administrative Code for present text.)

59A-3.079 Physical Plant Codes and Standards to Be Used for Construction of Hospitals.

(1) The Agency provides technical assistance to the Florida Building Commission and the State Fire Marshal in developing and maintaining standards for the design and construction of hospitals. These standards are included in the following:

(a) The building codes in Rule 61G20-1.001, F.A.C.; as adopted by the Florida Building Commission.

(b) The fire codes in Rule 69A-3.012, F.A.C.; as adopted by the State Fire Marshal.

(c) The handicap accessibility standards in Chapter 553, Part V, F.S. and Rule 61G20-4.002, F.A.C; as adopted by the Florida Building Commission.

(2) No building shall be converted to a licensed hospital unless it complies with the standards and codes in effect when the building is converted.

(3) The Fire Safety Evaluation System (FSES) NFPA-101A as adopted by the State Fire Marshall and described in Rule 69A-3.012

(4)Where modernization or replacement construction is done within an existing facility, all new work and additions shall comply with applicable sections of the codes for new facilities.

(5) In renovation projects and those projects that are making additions to existing facilities, only that portion of the total facility affected by the project shall comply with applicable sections of the referenced codes for new construction.

(6) Existing portions of the facility that are not included in the additions, modifications, alterations, refurbishing, renovations or reconstruction, shall be in compliance with the requirements of Chapter 19, Existing Health Care Occupancy, of the National Fire Protection Association (NFPA) Life Safety Code 101, as adopted by the State Fire Marshall and described in Rule 69A-3.012 F.A.C.

(7) When a building is converted from another type of occupancy to a hospital, it shall comply with the requirements for an Institutional Group I-2 Occupancy and the hospital occupancy chapter, of the Florida Building Code (FBC) as adopted by the Florida Building Commission and incorporated by reference and obtainable from the International Code Council at www.iccsafe.org and the National Fire Protection Association (NFPA) Life Safety Code 101, Chapter 18, New Health Care Occupancy, as adopted by the State Fire Marshall and incorporated by reference and obtainable from the National Fire Protection Association, 1 Batterymarch Park, P.O. Box 9101, Quincy, Massachusetts 02269-9101. A change of ownership shall not constitute a change of occupancy. 

(8) Nothing in these standards shall be construed as restrictive to a facility that chooses to do work or alterations as part of a long-range, phased safety improvement plan. All hazards to life and safety and all areas of noncompliance with applicable codes and regulations are to be corrected in accordance with a plan of correction approved in advance by the Office of Plans and Construction.

(9) An ambulatory surgical center or a birth center shall not be constructed, located or operated within the same physical plant of, nor shall it be physically attached with any interior openings to a hospital facility. Other facilities not owned or operated by the licensee of a hospital may be fully integrated with the hospital’s physical plant only when it has been successfully demonstrated to the agency that the following conditions have been met:

(a) The Agency is granted the authority to enter and inspect any part of the physical plant of the facility to determine full compliance with all applicable federal and state codes and standards.

(b) All areas of the physical plant of the facility are maintained in a manner that will ensure continued licensure compliance of the hospital.

(c) The Agency is granted the authority to review for approval all contemplated additions, conversions, renovations or alterations to the physical plant of the facility before such additions, conversions, renovations or alterations are commenced.

(d) The unlicensed or separately licensed facility shall provide and maintain clear, visible and readable signs denoting its separateness from the licensed hospital.

(10) In addition to meeting the standards contained in Rule 59A-3.079(9), F.A.C., a separately licensed hospital facility to be located within the physical plant or on the premises of another facility must also meet the following:

(a) Have a separate pharmacy and basic radiographic equipment located within the boundaries of the physical plant of the newly licensed hospital;

(b) Be in compliance with all codes and standards as required for a new hospital facility as described in Section 59A-3.079(7) F.A.C. above; or

(c) Be in compliance with all codes and standards as required for an existing hospital as described in Section 59A-3.079 (6) F.A.C. above, if the new facility is to be located in a currently licensed Class I hospital utilizing currently licensed hospital beds and spaces or utilizing previously licensed hospital beds and spaces that have not been altered in a manner that reduced code compliance.

(11) In addition to the codes and standards of this section, a new physically detached emergency department of a hospital facility must be in compliance with the requirements of the hospital occupany chapter and with the requirements for an Institutional Group I-2 Occupancy, of the Florida Building Code (FBC), as adopted by the Florida Building Commission and incorporated by reference and obtainable from the International Code Council at www.iccsafe.org, and with the National Fire Protection Association (NFPA) Life Safety Code 101, Chapter 18, New Health Care Occupancy, as adopted by the State Fire Marshall and incorporated by reference and obtainable from the National Fire Protection Association, 1 Batterymarch Park, P.O. Box 9101, Quincy, Massachusetts 02269-9101.

(12) Projects that have not received a Stage II Preliminary Plan approval or Stage III Construction Document approval from the Office of Plans and Construction on the effective date of this rule shall conform to the requirements as set forth in these rules.

Rulemaking Authority 395.1055 395.005 FS. Law Implemented 395.1055395.001, 395.005 FS. History–New 1-1-77, Formerly 10D-28.79, Amended 1-16-87, 11-23-88, Formerly 10D-28.079, Amended 9-3-92, ___________.

 

(Substantial rewording of Rule 59A-3.080 follows.  See Florida Administrative Code for present text.)

59A-3.080 Plans Submission and Fee Requirements.

(1) No construction work, including demolition, shall be started until prior written approval has been given by the Agency’s Office of Plans and Construction. This includes all construction of new facilities and any and all additions, modifications, renovations, or refurbishment of the site, building, equipment or systems of all existing facilities. Approval to start construction will be granted by the Agency when the design complies with all applicable codes and standards, as evidenced by a thorough examination of the documents submitted to the Agency, as required for Stage III construction documents.

(2) Approval to start construction limited to demolition, site work, foundation, and building structural frame may be obtained prior to the approval of Stage III construction documents when the following is submitted for review and approval:

(a) A Preliminary Stage II approval letter from the Office of Plans and Construction granted by the Agency when the design complies with applicable life safety code requirements, flood requirements and the layout will accommodate all required functional spaces as evidenced by a thorough examination of the documents submitted to the Agency as required in this rule for Stage II preliminary plans.

(b) Construction documents, specifications and construction details for all work to be undertaken.

(c) A letter from the facility holding the Agency harmless for any changes that may occur to the project as a result of the final construction document review.

(d) An infection control risk assessment (IRCA) and a life safety plan indicating temporary egress and detailed phasing plans indicating how the area(s) to be demolished or constructed are to be separated from all occupied areas shall be submitted for review and approval when demolition or construction in and around occupied buildings is to be undertaken. Submissions that fail to provide an ICRA or depict the safety measures prescribed by the ICRA will not be approved.

(3) Projects which have not received approval to begin construction will be considered abandoned following 12 months of inactivity and the project will be terminated. Construction must commence within 12 months of receiving approval from the Agency’s Office of Plans and Construction to begin construction. Once construction begins construction activities should be continuous until the completion of the project. Failure to commence construction within 12 months of plan approval or periods of construction inactivity exceeding 12 months following commencement of construction will result in termination of the project. Restarting a terminated project will require resubmission of the construction documents accompanied by a new plan review application and will be subject to all fees prescribed by section 395.0163, F.S. Projects requiring a Certificate of Need (CON) must also comply with the conditions of the CON relating to the commencement, completion and continuity of construction.

(4) When construction is planned, either for new buildings or additions, alterations or renovations to existing buildings, the plans and specifications shall be prepared and submitted to the Office of Plans and Construction for approval by the appropriate Florida-registered design professionals as required by the Florida Building Code, Chapter 471, F.S. and Chapter 481, F.S.  All architecture or engineering firms not practicing as a sole proprietor shall also be registered as an architecture or engineering firm with the Florida Department of Business and Professional Regulation or Board of Professional Engineers, as applicable.

(5) The initial submission of plans to the Agency’s Office of Plans and Construction for any new project shall include a completed Application for Plan Review, AHCA Form 3500-0011, June 2014, incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-05456, and a valid Certificate of Need if required by the Agency. This information shall accompany the initial submission, and approval will not be granted for any project without a certificate of need if required by the Agency. Applications for Plan Review are available from the Agency for Health Care Administration, Office of Plans and Construction, 2727 Mahan Drive, Mail Stop 24, Tallahassee, Florida 32308, or at the web address at: http://ahca.myflorida.com/MCHQ/HQALicensureForms/index.shtml.

(6) Projects submitted for review shall be subject to the fees authorized by Section 395.0163, F.S. All fees shall be payable to the Agency for Health Care Administration and shall annotate the Office of Plans and Construction and the facility log number. The initial review fee is due with the first submission of plans. Fees are not refundable. The Agency will conduct onsite construction inspections as needed to verify compliance with applicable codes and standards. 

(7) Plans and specifications may be submitted for review at any of the three stages of development described in this rule.

(a) Stage I, schematic plans.

(b) Stage II, preliminary plans or design development drawings.

(c) Stage III, construction documents, including specifications, addenda and change orders.

(8) For each stage of submission, a program or scope of work shall be submitted. It shall consist of a detailed written description of all contemplated work and any required phasing and shall identify the types of medical services to be provided.

(9) For projects involving only equipment changes or system renovations, only Stage III, construction documents may be submitted. These documents shall include the following:

(a) Life safety plans showing the fire/smoke compartments in the area of renovation.

(b) Detailed phasing plans indicating how the new work will be separated from all occupied areas.

(c) Engineering plans and specifications for all of the required work.

(10) Stage I, Schematic Plans. 

(a) The following shall be incorporated into the schematic plans:

1. Single-line drawings of each floor that indicates the relationship of the various activities or services to each other and the room arrangement in each.

2. The function of each room or space shall be noted in or near the room or space.

3. The proposed roads and walkways, service and entrance courts, parking, and orientation shown on either a small plot plan or on the first floor plan.

4. A simple cross-section diagram showing the anticipated construction.

5. A schematic life safety plan showing smoke and fire compartments, exits, exit passageways and gross areas of required smoke and fire compartments.

6. Indication of which areas are sprinklered, both new and existing.

(b) If the proposed construction is an addition or is otherwise related to existing buildings on the site, the schematic plans shall show the facilities and general arrangement of those buildings.

(c)  If the project involves increasing, decreasing, relocating or transferring licensed beds, a schedule showing the total number of beds, types of bedrooms and types of ancillary spaces must be provided.

(11) Stage II, Preliminary Plans.   The following shall be incorporated into the preliminary plans.

(a) A Vicinity Map. For new facility construction, provide a vicinity map showing the major local highway intersections.

(b) Site Development Plans.

(c) Plans depicting existing grades and proposed improvements.

(d) Building location dimensions.

(e) Evidence of compliance with the hospital disaster preparedness site standards of the Florida Building Code, must be provided for projects that involve a new facility, an addition to an existing facility, or substantial improvements to an existing facility.

(f) Location of the fire protection services water source to the building.

(g) Architectural Plans.

1. Floor plans, 1/8-inch scale minimum, showing door swings, windows, case work and mill work, fixed equipment and plumbing fixtures. Indicate the function of each space.

2. A large-scale plan of typical new bedrooms with a tabulation of gross and net square footage of each bedroom. Tabulate the size of the bedroom window glass.

3. Typical large-scale interior and exterior wall sections to include typical rated fire and fire/smoke barriers and a typical corridor partition.

4. All exterior building elevations.

(h) Equipment which is not included in the construction contract that requires mechanical or electrical service connections or construction modifications shall be identified to assure coordination with the architectural, mechanical and electrical phases of construction.

(i) If the project is located in an occupied facility, preliminary phasing plans indicating how the project is to be separated from all occupied areas.

(j) Life Safety Plans.

1. Life safety plans must include the following:

a. Single-sheet floor plans depicting required fire and smoke compartmentation, all means of egress and all exit signs. If smoke compartmentation is required, depict and provide the dimension for the longest path of travel in each smoke compartment to the door(s) accessing the nearest adjoining smoke compartment, calculate the total area of the smoke compartment in square feet, and tabulate exit inches.

b. All sprinklered areas.

c. All fire extinguishers.

d. All fire alarm devices and pull station locations.

2. If the project is an addition, or conversion of an existing building, fully developed life safety plans must be submitted.

3. If the project is a renovation in an existing building, life safety plans of the floor being renovated and the required exit egress floor(s) must be submitted.

4. When demolition or construction in and around occupied buildings will be undertaken, a life safety plan indicating temporary egress, and detailed phasing plans indicating how the area(s) to be demolished or constructed will be separated from all occupied areas must be submitted.

(k) Mechanical Engineering Plans.

1. Single-sheet floor plans with a one-line diagram of the ventilating system with relative pressures of each space. Provide a written description and drawings of the anticipated smoke control system, passive or active, and a sequence of operation correlated with the life safety plans.

2. The general location of all fire and smoke dampers, all duct smoke detectors and fire stats.

3. If the building is equipped with fire sprinklers, indicate the location of the sprinkler system risers and the point of connection for the fire sprinkler system. State the method of design for the existing and new fire sprinkler systems.

4. The locations of all plumbing fixtures and other items of equipment requiring plumbing services and/or gas services.

5. The locations of any fume, radiological or chemical hoods.

6. The locations of all medical gas outlets, piping distribution risers, terminals, alarm panel(s), low pressure emergency oxygen connection, isolation/zone valve(s), and gas source location(s).

7. The locations and relative size of major items of mechanical equipment such as chillers, air handling units, fire pumps, medical gas storage, boilers, vacuum pumps, air compressors and fuel storage vessels.

8. The locations of hazardous areas and the volume of products to be contained therein.

9. The location of fire pump, stand pipes, and sprinkler riser(s).

(l) Electrical Engineering Drawings. 

1. A one-line diagram of normal and essential electrical power systems showing service transformers and entrances, switchboards, transfer switches, distribution feeders and over-current devices, panel boards and step-down transformers. The diagram shall include a preliminary listing and description of new and existing, normal and emergency loads, preliminary estimates of available short-circuit current at all new equipment and existing equipment serving any new equipment, short-circuit and withstand ratings of existing equipment serving new loads and any new or revised grounding requirements.

2. Show fire alarm zones and correlate with the life safety plan.

(m) Outline Specifications. Outline specifications must include a general description of the construction, including construction classification and ratings of components, interior finishes, general types and locations of acoustical material, floor coverings, ventilating equipment, plumbing fixtures, fire protection equipment, medical gas equipment and electrical equipment.

(n) Whenever an existing building is to be converted to a health care facility, the general layout of spaces of the existing structure shall be submitted with the preliminary plans for the proposed facility.

(o) Whenever an addition, alteration, renovation or remodeling to an existing facility is proposed, the general layout of spaces of the existing facility shall be submitted with the preliminary plans.

(12) Stage III, Construction Documents.

The Stage III, construction documents shall be an extension of the Stage II, preliminary plan submission and shall provide a complete description of the contemplated construction. Construction documents shall be signed, sealed, dated, and submitted for written approval to the Office of Plans and Construction by a Florida-registered architect and/or Florida-registered professional engineer. These documents shall consist of work related to civil, structural, mechanical, and electrical engineering, fire protection, lightning protection, landscape architecture and all architectural work. In addition to the requirements for Stage II submission, the following shall be incorporated into the construction documents:

(a) Site and civil engineering plans indicating building and site elevations, site utilities, paving plans, grading and drainage plans and details, locations of the two fire hydrants utilized to perform the water supply flow test, and landscaping plans.

(b) Life safety plans for the entire project.  Projects located on floors above or below the exit discharge level must also include life safety plans for the exit discharge serving the project area.

(c) Architectural Plans. 

1. Typical large-scale details of all typical interior and exterior walls and smoke walls, horizontal exits and exit passageways.

2. Comprehensive ceiling plans that show all utilities, lighting fixtures, smoke detectors, ventilation devices, sprinkler head locations and fire-rated ceiling suspension member locations where applicable.

3. Floor/ceiling and roof/ceiling assembly descriptions for all conditions.

4. Details and other instructions to the contractor on the construction documents describing the techniques to be used to seal floor construction penetrations necessary to prevent smoke migration from floor to floor during a fire.

(d) Structural engineering plans, schedules and details.

(e) Mechanical engineering plans including fire and smoke control plans. Show all items of owner furnished equipment requiring mechanical services. Provide a clear and concise narrative control sequence of operations for each item of mechanical equipment including, but not limited to, air conditioning, heating, ventilation, medical gas, plumbing, and fire protection and any interconnection of the equipment of the systems. Mechanical engineering drawings shall depict completely the systems to be utilized, whether new or existing, from the point of system origination to termination. Provide a tabular schedule giving the required air flow (as computed from the information contained on the ventilation rate table) in cubic feet per minute (cfm) for supply, return, exhaust, outdoor, and ventilation air for each space, as applicable, shown on the architectural documents. The schedule shall also contain the HVAC system design air flow rates and the resulting space relative pressures.  The schedule or portion of the schedule as applicable shall be placed on each floor plan drawing sheet containing the spaces depicted on the drawing.

(f) Fire protection system layout documents as defined by the Department of Business and Professional Regulation in Rule 61G15-32.002, F.A.C., where applicable, that shall include the existing system as necessary to define the new work. These documents shall be signed and sealed by a Florida-registered professional engineer.

(g) Electrical engineering plans describing complete power, lighting, alarm, communications and lightning protection systems and power system study.

(h) A power study that shall include a fault study complete with calculations to demonstrate that over-current devices, transfer switches, switchboards, panel boards, motor controls, transformers and feeders are adequately sized to safely withstand available phase-to-phase and phase-to-ground faults. The study shall also include an analysis of generator performance under fault conditions and a coordination study resulting in the tabulation of settings for all over-current device adjustable trips, time delays, relays and ground fault coordination. This must be provided for all new equipment and existing equipment serving any new equipment. Power studies for renovations of existing distribution systems shall include only new equipment and existing equipment upstream to the normal and emergency sources of the new equipment. Renovations involving only branch circuit panel boards without modifications to the feeder do not require a full power study; instead, the power study shall be limited to the calculation of new and existing loads of the branch circuit panel.

(13) A complete set of specifications for all work to be undertaken.

(a) All project required contractor supplied testing and/or certification reports shall be submitted in writing reviewed and accepted by the Engineer of Record prior to presenting to the agency for review.

(b) The specifications shall require a performance verification test and balance air quantity values report with the specified air filters installed for each air handling unit system operating in the minimum pressure drop condition (clean filter state) and at the maximum pressure drop condition (dirty filter state). 

(14) All construction documents shall be coordinated to provide consistency of design intent throughout the documents and phasing plans shall be clear and provide continuity of required services. It is specifically required that in the case of additions to existing institutions, the mechanical and electrical, especially existing essential electrical systems and all other pertinent conditions shall be a part of this submission.

(a) All subsequent addenda, change orders, field orders and other documents altering the above shall also be signed, sealed, dated, and submitted in advance to the Agency’s Office of Plans and Construction for review. The Agency will either approve or disapprove the submission based on compliance with all applicable codes and standards and shall provide a listing of deficiencies in writing.

(b) All submissions will be acted upon by the Agency within 60 days of the receipt of properly executed construction documents and the initial payment of the plan review fee. The Agency will either approve or disapprove the submission and shall provide a listing of deficiencies in writing. All deficiencies noted by the Agency must be satisfactorily corrected before final approval will be provided from the Agency.

(15) Additions or revisions that increase the scope of the project work greater than fifty percent or change the original scope of the project more than fifty percent will be required to be submitted as a new project.

(16) Record Drawings. Within 60 days after final approval of the project has been obtained from the Agency, the Office of Plans and Construction shall be provided with a complete set of legible record drawings showing all of the construction, fixed equipment and the mechanical and electrical systems as installed. These drawings shall include the life safety plans. Record drawings may be submitted electronically in Portable Document Format (PDF).

Rulemaking Authority 395.1055 FS. Law Implemented 395.001, 395.0163, 471.025, 481.221, 553.73, 633.033 FS. History–New 6-14-78, Formerly 10D-30.21, Amended 2-3-88, 5-6-92, Formerly 10D-30.021, Amended 11-12-96,       

 

(Substantial rewording of Rule 59A-3.081 follows.  See Florida Administrative Code for present text.)

59A-3.081 Physical Plant Requirements for Mobile Surgical Facilities General, Rehabilitation and Psychiatric Hospitals.

(1) The following are special requirements for Mobile Surgical Facilities established after July 1, 1998.

(a) A mobile surgical facility is a mobile facility as defined in Chapter 395.002, F.S., and that provides elective surgical care under contract with the Department of Corrections or a private correctional facility operating pursuant to Chapter 957, F.S.

(b) General Requirements: In addition to the codes and standards referenced in this rule, the mobile surgical facility shall comply with the requirements of the National Fire Protection Association (NFPA) Life Safety Code 101, New Ambulatory Health Care Occupancy, adopted pursuant to Rule 69A-60, F.A.C.

1. Site Requirements:

a. A level concrete pad designed for the structural loads of the facility in accordance with the Florida Building Code, adopted pursuant to 61G20-4.002, F.A.C.

b. Walls, fences or concrete-filled steel bollards around the immediate site to prevent collisions with the unit by other vehicles.

c. A tie-down anchoring system designed by a Florida registered professional engineer to meet the wind up lift requirements of the Florida Building Code.

d. Facility siting so that it does not diminish egress from the hospital and so that the exhaust from the tractor and/or generator is kept away from all fresh air intakes of the hospital.

e. A rain-free covered passage from the hospital to the entrance of the mobile facility.

2. Architectural Design Requirements:

a. An operating room with a minimum area of 170 square feet. The minimum room dimension shall be 12 feet.

b. An operating room service area containing sterilizing facilities, medication preparation and storage areas, scrub facilities, soiled work room with work counter, clean work room with storage for clean and sterile supplies, and janitor's closet with floor receptor or service sink.

c. A recovery room/Post-Anesthetic Care Unit (PACU) adjacent to the operating room, that shall accommodate two or more recovery beds. The size of this room shall be based on 80 square feet per recovery bed.

d. A nurse station for charting, communications, and storage.

e. A recovery service area containing a nourishment station, a hand washing facility, medication preparation area with refrigerator and double locked storage, clean linen storage, soiled linen area with soiled linen receptacles, and clean work area with work counter and sink.

f. An accessible patient/staff toilet room and hand wash facility adjacent to the recovery room.

g. A clothing change area for doctors, nurses and other personnel with secured storage and access to toilet room.

3. Mechanical System Requirements:

a. The Heating, Ventilating and Air Conditioning systems shall comply with NFPA 90A, incorporated by reference in the Florida Fire Prevention Code adopted pursuant to Rule 69A-60, F.A.C

b. The patient gas medical systems shall be Type I as defined by NFPA 99, incorporated by reference in the Florida Fire Prevention Code adopted pursuant to Rule 69A-60, F.A.C. Medical gas, vacuum, and oxygen supply systems shall comply with the requirements of NFPA 99, incorporated by reference in the Florida Fire Prevention Code adopted pursuant to Rule 69A-60, F.A.C

c. The facility shall provide no fewer than the quantity of station outlets per bed position indicated in the following table:

Area Oxygen Vacuum

Recovery room/(PACU)    1    3

Operating Room    2    3

An additional vacuum station outlet shall be provided in the operating room dedicated for connection of an anesthesia machine.

d. The plumbing systems shall comply with the Florida Building Code – Plumbing adopted pursuant to 61G20-4.002, F.A.C.

e. The facility shall be equipped with fire extinguishers.

4. Electrical System Requirements:

a. An essential electrical system which complies with a Type I system as defined in NFPA 99, incorporated by reference in the Florida Fire Prevention Code adopted pursuant to Rule 69A-60, F.A.C

b. An electrical system which complies with Article 517 of the National Electric Code, NPFA 70, incorporated by reference in the Florida Fire Prevention Code adopted pursuant to Rule 69A-60, F.A.C and with the Florida Building Code, adopted pursuant to 61G20-4.002, F.A.C.

c. An automatic fire alarm system in the facility. An alarm initiated in the mobile facility shall activate the hospital fire alarm system and an alarm in the hospital shall initiate an alarm in the mobile facility.

d. A telephone connected to the hospital communication system.

e. Electrical connections to the hospital shall not interrupt, diminish or otherwise affect adversely in any way the electrical system of the hospital.

f. A lightning protection system as defined in NFPA 780, incorporated by reference in the Florida Fire Prevention Code adopted pursuant to Rule 69A-60, F.A.C, for the rain-free covered connection and the mobile facility, unless the mobile facility is shown to be within the cone of protection of the hospital and bonded to the lightning protection systems of the hospital.

5. Details and Finishes: The mobile facility shall comply with the building codes in Rule 61G20-1.001, F.A.C.; as adopted by the Florida Building Commission.

Rulemaking Authority 395.0163, 395.1055, 408.036, 400.23 F.S. Law Implemented 395.0163, 395.1031, 395.1055, 400.23, 408.036 F.S. History–New, 1-1-77, Formerly 10D-28.81, Amended 1-16-87, 11-23-88, Formerly 10D-28.081, Amended 9-3-92, 6-29-97, 3-18-98, 11-29-99, 12-20-99, 5-25-00, _________.

 

59A-3.303 Facilities and Physical Plant Safety.

(1) through (2)(g) No change.

(2)(h) Provide laundry and/or dry cleaning facilities. Where laundry facilities are provided, they shall be adequate to ensure an ample quantity of clean clothing, bed linens and towels. Laundry facilities shall be of sound construction and shall be kept clean and in good repair. Laundry rooms shall be well lighted and properly ventilated. Clothes dryers and dry cleaning machines shall be vented to the exterior. Exposure to dry cleaning solvents shall not exceed threshold limit values set by the American Conference of Governmental Hygienists. If laundry facilities are not available, sheets and blankets shall be sent to commercial laundries.

(2)(i) though (2)(k) No change.

(3) The facility shall be constructed and maintained in a manner that protects the lives and insures the physical safety of patients, staff and visitors. The center will comply with all relevant federal, state and local building codes, fire, health, safety laws and ordinances and regulations as specified below. Current inspection reports shall be retained in the facility’s files for Agency AHCA review.

(3)(a) No change.

(3)(b) The grounds and all buildings on the grounds shall be maintained in a safe and sanitary condition, as required in Chapter 386, F.S. (Nuisances Injurious to Health Particular Conditions Affecting Public Health).

(3)(c) through (3)(d)1. No change.

(3)(d)2. All plumbing shall comply with the requirements of the Florida Building Code, Plumbing as adopted pursuant to Rule 61G20-1 Chapter 9B-51, F.A.C., or the plumbing code legally applicable to the area where the facility is located.

(3)(d)3. through (3)(f) No change.

(3)(g) Insect and Rodent Control. Facilities shall be kept free of all insects and rodents. All outside openings shall be effectively sealed or screened to prevent entry of insects or rodents. All pesticides used to control insects or rodents shall be applied in accordance with instructions on the registered product label. Persons applying restricted use pesticides shall be certified by the Department of Agriculture. Facilities not having certified pest control operators shall utilize commercial licensed pest control companies.

(4) All facilities shall be required to meet the uniform fire safety standards for special hospitals as established by the State Fire Marshal pursuant to Section 633.206633.05(8), F.S.

(4)(a) through (6) No change.

Rulemaking Authority 395.1055 FS. Law Implemented 252.35(2)(l), 252.38(1)(e), 395.1055 FS. History–New 2-15-82, Formerly 10D-28.108, Amended 9-4-95, Formerly 59A-3.108,                             .

 

NAME OF PERSON ORIGINATING PROPOSED RULE: Scott Waltz, Bureau of Plans and Construction, 2727 Mahan Drive, MS #28A, Tallahassee, FL 32308 or at [phone]

NAME OF AGENCY HEAD WHO APPROVED THE PROPOSED RULE: Elizabeth Dudek, Secretary

Agency for Health Care Administration

DATE PROPOSED RULE APPROVED BY AGENCY HEAD: December 14, 2015

DATE NOTICE OF PROPOSED RULE DEVELOPMENT PUBLISHED IN FAR: October 31, 2014