Chapter 7 — SAFETY STANDARDS FOR HEALTH FACILITIES
Article 2 — DEFINITIONS
2025 California Administrative Code (Title 24, Part 1) · 2025 edition · updated 2026-07-29 · California
Unless otherwise stated, the words and phrases defined in this article shall have the meaning stated therein throughout the California Building Standards Code . Where terms are not defined in this code and are defined in the other California codes, such terms shall have the meanings ascribed to them in those codes.
7-111 Definitions. ¶
7-111. Definitions.
ACTUAL CONSTRUCTION COST means the cost of all portions of a project to construct the work as shown on the approved construction documents and as necessary to comply with the California Building Standards Code , generally based upon the sum of the construction contract(s), when applicable, and other direct construction costs, including but not limited to mobilization, general and special conditions, supervision and management, overhead, markups and profit, demolition, building pad construction (including but not limited to grading, soil remediation, excavation, trenching, retaining, shoring, etc.), temporary construction and barriers, materials, supplies, machinery, construction equipment, labor cost or the wages paid to the workers doing the work, etc., as certified by the hospital governing board or authority. Construction cost does not include the compensation paid to the designer(s), inspector(s), plan review and building permit, the cost of the land, rights-of-way, work outside the scope of OSHPD’s jurisdiction, mobile equipment and furnishings, or other costs which are defined in the contract documents as not a part of the work. Work requiring a plan approval and/or building permit issued by the Office which is identified as not in the scope of the work and/or not in contract (NIC) shall be performed under a separate building permit.
ADDITION means any work which increases the floor or roof area or the volume of enclosed space of an existing building.
ALTERATION means any change in an existing building which does not increase and may decrease the floor or roof area or the volume of enclosed space.
ALTERNATE METHOD OF COMPLIANCE means the approved use of an alternative material, method of construction, device or design to comply with an architectural, electrical, mechanical or plumbing regulation.
ALTERNATE MEANS OF PROTECTION means the approved use of an alternative material, assembly or method of construction to comply with a fire and life safety regulation pursuant to Section 111.2.4, California Chapter 1, California Fire Code.
ALTERNATIVE SYSTEM means the approved use of an alternative material, design or method of construction to comply with a structural regulation.
APPLICATION means any review, evaluation, or process for which the Office has established an application, filing fee, and/or review/process fee, in accordance with its authority in the California Health and Safety Code.
APPROVED CONSTRUCTION DOCUMENTS means all plans, specifications, amended construction documents and deferred submittals that have the written approval of the Office. The identification stamp of the Office shall not be construed to mean the written approval of plans required by Section 7-113.
ARCHITECT means a person licensed as an architect under Chapter 3 (commencing with Section 5500), Division 3, the California Business and Professions Code .
ASSIGNMENT means the project scope of services, expected results, completion time and the monetary limitation for the services. ASSOCIATED STRUCTURAL ALTERATIONS means any change affecting existing structural elements or requiring new structural elements for vertical or lateral support of an otherwise nonstructural alteration.
CANDIDATE means an applicant who is accepted by the Office as eligible to participate in a Hospital Inspector Certification Examination pursuant to the qualification criteria described in these regulations.
CIVIL ENGINEER means a person licensed as a civil engineer under Chapter 7 (commencing with Section 6700), Division 3, the California Business and Professions Code .
CONFORMING BUILDING means a building originally constructed in compliance with the requirements of the 1973 or subsequent edition of the California Building Code or classified as SPC-4D, as defined in Chapter 6 of this code.
CONSTRUCTION means any construction, reconstruction or alteration of, or addition or repair to any health facility.
DEFERRED SUBMITTALS see Section 7-126.
DIRECTOR means the Director of the Office of Statewide Health Planning and Development or the Director’s designee authorized to act in his or her behalf.
ELECTRICAL ENGINEER means a person licensed as an electrical engineer under Chapter 7 (commencing with Section 6700), Division 3, the California Business and Professions Cod e.
EMERGENCY REPAIR [OSHPD 1, 2, 3 & 5] Repair to, or replacement of, an element of a building, structure, utility system, or equipment that is essential to the continued safe occupation and operation of a facility. May include repairs needed after a disaster.
ENGINEERING GEOLOGIST means a person certified as an engineering geologist under Chapter 12.5 (commencing with Section 7800), Division 3, the California Business and Professions Code , in that branch of engineering which is applicable.
ESTIMATED CONSTRUCTION COST means the cost estimate of actual construction cost proposed by an applicant for a construction project within the Office’s jurisdiction.
FEE means the fees authorized in the California Health and Safety Code, and the California Building Standards Code .
FIRM includes any qualified corporation, legal entity, architect or engineer.
FREESTANDING means a structure that is separated from any adjacent structures or buildings and meets the following criteria:
Structural separations comply with the applicable provisions of the California Building Code.
Fire-resistance-rated construction separations comply with the applicable provisions of the California Building Standards Code.
Buildings on the same lot comply with the height and area limitations of the California Building Code.
HEALTH FACILITY as used in this part and all applicable parts of the California Building Standards Code means any health facility licensed pursuant to Section 1250 of the Health and Safety Code under the jurisdiction of the Office.
- (a) Hospital building includes:
HOSPITAL BUILDING as used in this part and other applicable parts of the California Building Standards Code means any building used for a health facility of a type required to be licensed pursuant to Section 1250 of the Health and Safety Code.
- Except as provided in paragraph (7) of subdivision (b), hospital building includes a correctional treatment center, as defined in subdivision (j) of Section 1250, the construction of which was completed on or after March 7, 1973.
- (b) HOSPITAL BUILDING does not include any of the following:
Any building in which outpatient clinical services of a health facility licensed pursuant to Section 1250 are provided that is freestanding from a building in which hospital services are provided. If any one or more outpatient clinical services in the building provide services to inpatients, the building shall not be included as a “hospital building” if those services provided to inpatients represent no more than 25 percent of the total outpatient visits provided at the building. Hospitals shall maintain on an ongoing basis, data on the patients receiving services in these buildings, including the number of patients seen, categorized by their inpatient or outpatient status. Hospitals shall submit this data annually to the Department of Public Health.
Any building used, or designed to be used, for a skilled nursing facility or intermediate care facility, if the building is of single-story, wood-frame or light steel frame construction.
Any building of single-story, wood-frame or light steel frame construction in which only skilled nursing or intermediate care services are provided if the building is separated from a building housing other patients of the health facility receiving higher levels of care.
Any freestanding structures of a chemical dependency recovery hospital exempted under the provisions of subdivision (c) of Section 1275.2.
Any building licensed to be used as an intermediate care facility/developmentally disabled habilitative with six beds or less and any intermediate care facility/developmentally disabled habilitative of 7 to 15 beds that is a single-story, wood-frame or light-steel frame building.
Any building subject to licensure as a correctional treatment center, as defined in subdivision (j) of Section 1250, the construction which was completed prior to March 7, 1973.
- A. Any building that meets the definition of a correctional treatment center pursuant to subdivision (j) of Section 1250, for which the final design documents were completed or the construction of which was begun prior to January 1, 1994, operated by or to be operated by the Department of Corrections, the Department of the Youth Authority, or by a law enforcement agency of a city, county, or a city and county.
g that meets the definition of a correctional treatment center pursuant to subdivision (j) of Section 1250, for which the final design documents were completed or the construction of which was begun prior to January 1, 1994, operated by or to be operated by the Department of Corrections, the Department of the Youth Authority, or by a law enforcement agency of a city, county, or a city and county.
- B. In the case of reconstruction, alteration, or addition to the facilities identified in this paragraph, and paragraph (6) or any other building subject to licensure as a general acute care hospital, acute psychiatric hospital, correctional treatment center, or nursing facility, as defined in subdivisions (a), (b), (j) and (k) of Section 1250, operated or to be operated by the Department of Corrections, the Department of the Youth Authority, or by a law enforcement agency of city, a county, or city and county, only the reconstruction, alteration, or addition, itself, and not the building as a whole, nor any other aspect thereof, shall be required to comply with this chapter or the regulations adopted pursuant thereto.
HOSPITAL BUILDING SAFETY BOARD means the Board which shall advise the Director and, notwithstanding Health and Safety Code Section 13142.6 and except as provided in Section 18945, shall act as a board of appeals in all matters relating to the administration and enforcement of building standards relating to the design, construction, alteration and seismic safety of hospital building projects submitted to the Office pursuant to this chapter.
Further, notwithstanding Section 13142.6, the Board shall act as the board of appeals in matters relating to all fire and panic safety regulations and alternate means of protection determinations for hospital building projects submitted to the Office pursuant to this chapter.
The Board shall consist of 16 members appointed by the Director of the Office. Of the appointive members, two shall be structural engineers, two shall be architects, one shall be an engineering geologist, one shall be a geotechnical engineer, one shall be a mechanical engineer, one shall be an electrical engineer, one shall be a hospital facilities manager, one shall be a local building official, one shall be a general contractor, one shall be a fire and panic safety representative, one shall be a hospital inspector of record and three shall be members of the general public.
There shall be six ex officio members of the Board, who shall be the Director of the Office, the State Fire Marshal, the State Geologist, the Executive Director of the California Building Standards Commission, the State Director of Health Services, and the Deputy Director of the Facilities Development Division in the Office, or their officially designated representatives.
HOSPITAL INSPECTOR means an individual who has passed the OSHPD certification examination and possesses a valid Hospital Inspector Certificate (or Construction Inspector for Health Facilities Certificate) issued by the Office.
HOSPITAL INSPECTOR OF RECORD (IOR) means an individual who is:
(a) An OSHPD certified Hospital Inspector, pursuant to the provisions of these regulations and
(b) Employed by the hospital governing board or authority and
(c) Approved by the architect and/or engineer in responsible charge and the Office as being satisfactory to inspect a specified construction project.
INTEGRATED REVIEW is the process that engages the Office, at its sole discretion, early in the project design and continues through the development and submission of documents during the design phases of conceptualization, criteria design, detailed design, implementation documents, office review, and final plan approval. Within each phase, milestones are established for specific, agreed-upon points in time where segments of the design/building system are completely designed and/or defined in their entirety. The Office provides an agreed-upon level of review that allows for written conditional acceptance of these elements and/or systems. LICENSE means the basic document issued by the Department of Health Services permitting the operation of a health facility under the provisions of Title 22, California Code of Regulations, Division 5.
LOCAL GOVERNMENT ENTITY means a building department of a city, city and county, or county.
MAINTENANCE [OSHPD 1, 2, 3 & 5] The routinely recurring work required to keep a facility (plant, building, structure, utility system, etc.) in such condition that it may be continuously utilized, at its original or designed capacity and efficiency, for its intended purpose. Actions necessary for retaining or restoring an existing element or component of a building, piece of equipment, machine, or system to the specified operable condition to achieve its maximum useful life, including corrective maintenance and preventative maintenance.
MANAGED PROJECT means a project where schedules and deadlines relating to plan review are negotiated between the Office and the governing board or authority of the health facility or their designated representative. Managed projects include, but are not limited to, projects approved by the Office for integrated review, as described in Section 7-130, or incremental review, as described in Section 7-131.
MATERIALLY ALTER as applied to construction projects or approved construction documents means any change, alteration or modification, as determined by the Office, that alters the scope of a project, could cause the project to be in noncompliance with the California Building Standards Code, or causes an unreasonable risk to the health and safety of patients, staff or the public.
MECHANICAL ENGINEER means a person licensed as a mechanical engineer under Chapter 7 (commencing with Section 6700), Division 3, the California Business and Professions Code .
MINORITY, WOMEN AND DISABLED VETERAN BUSINESS ENTERPRISE shall have the respective meanings set forth in Section 10115.1 of the Public Contract Code.
NONCONFORMING BUILDING means any building that is not a conforming building.
NONSTRUCTURAL ALTERATION means any alteration which neither affects existing structural elements nor requires new structural elements for vertical or lateral support and which does not increase the lateral force in any story by more than five percent.
OFFICE means the Office of Statewide Hospital Planning and Development (OSHPD) within the Department of Health Care Access and Information (HCAI).
PRIMARY GRAVITY LOAD RESISTING SYSTEM (PGLRS) means assembly of structural elements in the building that resists gravity loads, including floor and roof beams/girders supporting gravity loads or any other members designed to support significant gravity loads. Foundations supporting loads from the PGLRS shall be considered part of the PGLRS.
PROGRAM FLEXIBILITY means the approved use of an alternate space utilization, new concepts of design, treatment techniques or alternate finish materials. Program flexibility requests must be reviewed by the Department of Public Health and the Office, or other authority having jurisdiction.
RECONSTRUCTION means the rebuilding of any “existing building” to bring it into full compliance with these regulations and all applicable parts of the California Building Standards Code.
SEISMIC FORCE RESISTING SYSTEM (SFRS) means assembly of structural elements in the building that resists seismic loads, including struts, collectors, chords, diaphragms and trusses. Foundations supporting loads from the SFRS shall be considered part of the SFRS.
SIGN, SIGNED, SIGNATURE, SIGNATURES means to affix an individual’s signature by manual, electronic or mechanical methods. Manual method includes, but is not limited to, a pen and ink signature. Electronic method includes, but is not limited to, scanned signature images embedded in construction documents, faxes or other electronic document files. Mechanical method includes, but is not limited to, rubber stamp signature.
SITE DATA means reports of investigation into geology, earthquake ground motion and geotechnical aspects of the site of a health facility construction project.
SMALL BUSINESS means a firm that complies with the provisions of Government Code Section 14837.
START OF CONSTRUCTION [OSHPD 1, 1R, 2, 4, 5 & 6] is the date the actual physical work, demolition, construction, repair, reconstruction, rehabilitation, addition, preparation of the site for the first placement of permanent construction of a building such as the trenching for foundations or utilities, or other improvements or offsite component preparation as shown on the approved construction documents begins.
STRUCTURAL ELEMENTS means floor or roof diaphragms, decking, joists, slabs, beams or girders; columns; bearing walls; retaining walls; masonry or concrete nonbearing walls exceeding one story in height; foundations; shear walls or other lateral force resisting members; and any other elements necessary to the vertical and lateral strength or stability of either the building as a whole or any of its parts including connections between such elements.
decking, joists, slabs, beams or girders; columns; bearing walls; retaining walls; masonry or concrete nonbearing walls exceeding one story in height; foundations; shear walls or other lateral force resisting members; and any other elements necessary to the vertical and lateral strength or stability of either the building as a whole or any of its parts including connections between such elements.
STRUCTURAL ENGINEER means a person licensed as a structural engineer under Chapter 7 (commencing with Section 6700), Division 3, the California Business and Professions Code .
STRUCTURAL REPAIRS means any change affecting existing or requiring new structural elements primarily intended to correct the effects of deterioration or impending or actual failure, regardless of cause.
SUBSTANTIAL COMPLIANCE means a stage of a construction or building project, or a designated portion of the project, that is sufficiently complete in accordance with the approved construction plans and the California Building Standards Code such that the owner may use or occupy the building project, or designated portion thereof, for the intended purpose.
VOLUNTARY STRUCTURAL ALTERATION means any alteration of existing structural elements or provision of new structural elements which is not necessary for vertical or lateral support of other work and is initiated by the applicant primarily for the purpose of increasing the vertical or lateral load carrying strength or stiffness of an existing building.
HISTORY:
(OSHPD 2/95) Regular order by the Office of Statewide Health Planning and Development to amend Section 7-111. Filed with the secretary of state on August 14, 1996, becomes effective September 13, 1996. Approved by the California Building Standards Commission on March 19, 1996.
(OSHPD 1/96) 1996 Annual Code Adoption Cycle will amend Section 7-111, of Part 1, Title 24, C.C.R. Filed with the secretary of state on March 4, 1997; effective April 3, 1997. Approved by the California Building Standards Commission on February 6, 1997.
(OSHPD/EF 1/92) Emergency order by the Office of Statewide Health Planning and Development to amend Sections 7-111 and 7-191, Part 1, Title 24, California Code of Regulations. Filed as an emergency order with the secretary of state September 1, 1992; effective September 1, 1992. Approved as an emergency by the California Building Standards Commission on August 27, 1992.
(OSHPD/EF 1/92, permanent) Emergency order by the Office of Statewide Health Planning and Development to amend Sections 7-111 and 7-191, Part 1, Title 24, California Code of Regulations. Filed as a permanent order with the secretary of state on March 9, 1993; effective March 9, 1993. Approved as a permanent order by the California Building Standards Commission on March 5, 1993.
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- Chapter 1 — ADMINISTRATIVE REGULATIONS OF THE CALIFORNIA BUILD…
- Chapter 2 — ADMINISTRATIVE REGULATIONS FOR THE DEPARTMENT OF H…
- Chapter 3 — ADMINISTRATIVE REGULATIONS FOR THE OFFICE OF THE S…
- Chapter 4 — ADMINISTRATIVE REGULATIONS FOR THE DIVISION OF THE…
- Chapter 5 — ACCESS TO PUBLIC BUILDINGS BY PERSONS WITH DISABIL…
- Chapter 6 — SEISMIC EVALUATION PROCEDURES FOR HOSPITAL BUILDINGS
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▸ Chapter 7 — SAFETY STANDARDS FOR HEALTH FACILITIES
Overview- Article 1 — GENERAL
- Article 2 — DEFINITIONS
- Article 3 — APPROVAL OF CONSTRUCTION DOCUMENTS
- Article 4 — CONSTRUCTION
- Article 5 — APPEALS TO THE HOSPITAL BUILDING SAFETY BOARD
- Article 5.5 — APPEALS TO A HEARING OFFICER
- Article 6 — CONTRACTS
- Article 7 — TESTING AND INSPECTIONS
- Article 8 — CALIFORNIA BUILDING STANDARDS
- Article 19 — CERTIFICATION AND APPROVAL OF HOSPITAL INSPECTORS
- Article 20 — REPAIR OF DAMAGE AFTER AN EMERGENCY
- Article 21 — PLAN REVIEW, BUILDING INSPECTION AND CERTIFICATIO…
- Chapter 8 — ADMINISTRATIVE REGULATIONS FOR THE CALIFORNIA DEPA…
- Chapter 9 — ADMINISTRATIVE REGULATIONS FOR THE OCCUPATIONAL SA…
- Chapter 10 — ADMINISTRATIVE REGULATIONS FOR THE CALIFORNIA ENE…
- Chapter 11 — ADMINISTRATIVE REGULATIONS FOR THE DEPARTMENT OF …
- Chapter 12 — ADMINISTRATIVE REGULATIONS FOR THE DEPARTMENT OF …
- Chapter 13 — ADMINISTRATIVE REGULATIONS FOR THE BOARD OF STATE…
- Chapter 14 — ADMINISTRATIVE REGULATIONS FOR THE DEPARTMENT OF …
- Chapter 15 — DEPARTMENT OF CONSUMER AFFAIRS
- Chapter 16 — CALIFORNIA STATE LIBRARY