Article 1

1.0 Scope. The regulations in this article shall apply to the¶

administrative procedures necessary to implement the seismic retrofit requirements of the Alfred E. Alquist Hospital Facilities Seismic Safety Act of 1983.

1.1 Application. The regulations shall apply to all general¶

acute care hospital facilities as defined in Section 1.2 of these regulations.

1.2 Definitions. Unless otherwise stated, the words and¶

phrases defined in this section shall have the meaning stated therein throughout Chapter 6, Part 1, Title 24.

ADMINISTRATIVE EXTENSION means an extension not to exceed two years granted while the hospital’s application for an extension pursuant to Section 1.5.2 Item 8 is being reviewed by the Office.

ALTERNATIVE ANALYSIS means a complete seismic analysis using methodology approved in advance by the Office and meeting the criteria of Article 2, Section 2.7 of these regulations.

BULK MEDICAL GAS SYSTEM means an assembly of fixed equipment such as storage containers, pressure regulators, pressure relief devices, vaporizers, manifolds and interconnecting piping that has a capacity of more than 20,000 cubic feet (NTP) of cryogenic medical gas.

COMMUNICATIONS SYSTEM means the assembly of equipment such as telephone switchgear, computers, batteries, radios, microwave communications systems, towers and antennas that provide essential internal and external communication links.

COMPLETE STRUCTURAL DAMAGE means a significant portion of the structural elements have exceeded their ultimate capacities for some critical structural elements or connections have failed, resulting in dangerous permanent lateral displacement, partial collapse or collapse of the entire building. A Complete Structural Damage would be a loss of 100% of the building’s replacement cost.

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 this section.

CRITICAL CARE AREA means those special care units, intensive care units, coronary care units, angiography laboratories, cardiac catheterization laboratories, delivery rooms, emergency rooms, operating rooms, postoperative recovery rooms and similar areas in which patients are intended to be subjected to invasive procedures and connected to line-operated, electromedical devices.

CRITICAL COMMUNITY PROVIDER means hospitals determined to be critical to community access to healthcare, as determined in Section 1.5.2 Item 8.5.

DAMAGE CONTROL STRUCTURAL PERFORMANCE CATEGORY is a performance category that has been demonstrated either by analysis or retrofit to satisfy the requirements of Section 1.4.5.1.3 and the California Existing Building Code (CEBC) Sections 303A.3.4.5, 501A.3.1 and 501A.3.2 or equivalent provisions in later editions of the CEBC. Buildings satisfying this structural performance stan- dard shall be deemed to satisfy the requirements of the Struc- tural Performance Category SPC-4D.

trated either by analysis or retrofit to satisfy the_ requirements of Section 1.4.5.1.3 and the California Existing Building Code (CEBC) Sections 303A.3.4.5, 501A.3.1 and 501A.3.2 or equivalent provisions in later editions of the CEBC. Buildings satisfying this structural performance stan- dard shall be deemed to satisfy the requirements of the Struc- tural Performance Category SPC-4D.

EMERGENCY POWER SUPPLY (EPS) means the source of electric power including all related electrical and mechanical components of the proper size or capacity, or both, required for the generation of the required electrical power at the EPS output terminals. For rotary energy converters, components of an EPS include the prime mover, cooling system, generator, excitation system, starting system, control system, fuel system and lube system (if required).

ESSENTIAL ELECTRICAL SYSTEMS means a system as defined in the California Electrical Code, Article 517 “Health Care Facilities,” Chapter 5, Part 3 of Title 24.

FIRE ALARM SYSTEM means a system or portion of a combination system consisting of components and circuits arranged to monitor and annunciate the status of fire alarm or supervisory signal initiating devices and to initiate appropriate response to those signals.

FUNCTIONAL CONTIGUOUS GROUPING means a group of hospital buildings, each of which contains the primary source of one or more basic service that are operationally interconnected in a manner acceptable to the Department of Health Services.

GENERAL ACUTE CARE HOSPITAL as used in Chapter 6, Part 1 means a hospital building as defined in Section 129725 of the Health and Safety Code and that is also licensed pursuant to subdivision (a) of Section 1250 of the Health and Safety Code, but does not include these buildings if the beds licensed pursuant to subdivision (a) of Section 1250 of the Health and Safety Code, as of January 1, 1995, comprise 10 percent or less of the total licensed beds of the total physical plant, and does not include facilities owned or operated, or both, by the Department of Corrections. It also precludes hospital buildings that may be licensed under the above mentioned code sections, but provide skilled nursing or acute psychiatric services only.

HOSPITAL EQUIPMENT means equipment permanently attached to the building utility services such as surgical, morgue, and recovery room fixtures, radiology equipment,

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SEISMIC EVALUATION PROCEDURES FOR HOSPITAL BUILDINGS

medical gas containers, food service fixtures, essential laboratory equipment, TV supports, etc.

HYBRID STRUCTURE means a structure consisting of an original and one or more additions, constructed at different times, and with lateral-force-resisting systems of different types, or constructed with differing materials or a different design approach. The original building and additions are interconnected and not seismically isolated.

NONCONFORMING BUILDING means any building that is not a conforming building.

NONSTRUCTURAL PERFORMANCE CATEGORY (NPC) means a measure of the probable seismic performance of building contents and nonstructural systems critical to providing basic services to inpatients and the public following an earthquake, as defined in Article 11, Table 11.1 of these regulations.

NONSTRUCTURAL PERFORMANCE CATEGORY NPC-4D is a performance category assigned to existing hospital buildings not designed and constructed under a building permit issued by OSHPD that have been evaluated and or retrofitted to satisfy the requirements of NPC 4D for one of the Levels defined in Article 11, Table 11.1 Nonstructural Performance Categories. Level 1 being the minimum level of seismic compliance and Level 3 being the highest level of compliance required for continued operation beyond 2030.

PATIENT ORIGIN REGION is a geographic area bounded by the same U.S. Postal Service five-digit Zip Code. For the purposes of determining the hospital service area the patient origin region may be referred to as “region.”

PRIMARY SOURCE means that building or portion of a building identified by the hospital as housing the main or principal source of a basic hospital service, serving the greatest number of patients, providing the greatest number of patient beds, or having the largest/greatest floor space of the specified basic service. The hospital may submit data to substantiate the primary source through alternative criteria if different than above.

PRINCIPAL HORIZONTAL DIRECTIONS means the two predominant orthogonal translational modes of vibration with the lowest frequency.

PROBABILITY OF COLLAPSE means the fraction of building that is expected to collapse given that the ground motions defined in Section 1.4.5.1.2.1.4 occur at the building site.

REBUILD PLAN means a plan to meet seismic standards primarily by constructing a new conforming SPC-5 building for use in lieu of an SPC-1 building.

REGION see definition for “patient origin region.”

REMOVAL PLAN means a plan to meet seismic standards primarily by removing acute care services or beds from the hospital’s license.

REPLACEMENT PLAN means a plan to meet seismic standards primarily by relocating acute care services or beds from nonconforming buildings into a conforming building.

RETROFIT PLAN means a plan to meet seismic standards primarily by modifying the building in a manner that brings the building up to SPC-2, SPC-4D, or SPC-5 standards.

SIGNIFICANT STRUCTURAL DEFICIENCY means an attribute of the structure considered to be significant with respect to Probability of Collapse.

SLENDER SEISMIC RESISTING SYSTEM means any vertical system for resisting lateral forces, such as walls, braced frames or moment frames, with a height to width ratio greater than four for the minimum horizontal dimension at any height.

STRUCTURAL PERFORMANCE CATEGORY (SPC) means a measure of the probable seismic performance of building structural systems and risk to life posed by a building subject to an earthquake, as defined in Article 2, Table 2.5.3 of these regulations.

STRUCTURAL PERFORMANCE CATEGORY SPC-4D is a performance category assigned to previously nonconform- ing hospital buildings that have been demonstrated either by analysis or retrofit to be equivalent to the minimum prescrip- tive requirements of the 1979 Uniform Building Code (UBC 1979) including the California amendments, hereafter called the 1980 CBC, in accordance with Section 1.4.5.1.3 and the California Existing Building Code Sections 303A.3.4.5, 501A.3.1 and 501A.3.2.

1.3 Seismic evaluation.¶

All general acute care hospital owners shall perform a seismic evaluation on each hospital building in accordance with the Seismic Evaluation Procedures as specified in Articles 2 through 11 of these regulations. By January 1, 2001, hospital owners shall submit the results of the seismic evaluation to the Office for review and approval. By completing this seismic evaluation, a hospital facility can determine its respective seismic performance categories for both the Structural Performance Category (SPC) and the Nonstructural Performance Category (NPC) in accordance with Articles 2 and 11 of these regulations.

Exception: The Structural Performance Category of SPC- 4D shall be established in accordance with Section 1.4.5.1.3 and the California Existing Building Code (CEBC) Sections 303A.3.4.5, 501A.3.1 and 501A.3.2 or equivalent provisions in later editions of the CEBC.

1.3.1 Seismic evaluation submittal. Hospital owners shall submit the seismic evaluation report to the Office by January 1, 2001. There are no provisions for submittal of the evaluation report after this date, except as provided in Section 1.4.5.1.2. The hospital owners shall submit the evaluation report in accordance with Section 7-113, “Application for Plan Report or Seismic Compliance Extension Review” and Section 7-133, “Fees” of Article 3, Chapter 7, Part 1, Title 24.

Exceptions:

Any hospital facility owner whose building is exempted from the structural evaluation in accordance with Section 2.0.1.2 shall not be required to submit a structural evaluation report as specified in Section 1.3.3. In lieu of the structural evaluation report, hospital owners shall submit the matrix of construction information for the specified build

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ing(s) as noted in Section 1.3.4.6 to the Office by January 1, 2001;

Any hospital facility owner whose building is exempted from the nonstructural seismic evaluation in accordance with Section 11.0.1.2 shall not be required to submit a nonstructural evaluation report as specified in Section 1.3.4. In lieu of the nonstructural evaluation report, hospital owners shall submit the matrix of construction information for the specified building(s) as noted in Section 1.3.4.6 to the Office by January 1, 2001.

lding is exempted from the nonstructural seismic evaluation in accordance with Section 11.0.1.2 shall not be required to submit a nonstructural evaluation report as specified in Section 1.3.4. In lieu of the nonstructural evaluation report, hospital owners shall submit the matrix of construction information for the specified building(s) as noted in Section 1.3.4.6 to the Office by January 1, 2001.

1.3.2 Seismic evaluation format. The evaluation shall consist of the Structural Evaluation and the Nonstructural Evaluation Reports. The reports shall be prepared in conformance with Part 1, Chapter 7, Title 24 and these regulations and prepared as follows:

Reports shall be submitted in an 8 ¹ /2′′ x 11′′ format;
All site, architectural, and engineering plans shall be formatted on 11- by 17-inch sheets (folded to 8 ¹ /2 by 11 inches);
Larger sheets, if required to clearly describe the requested information, shall be appended to the reports; and
Other supporting documents in addition to those meeting the minimum requirements of Sections 1.3.3 and 1.3.4 may be appended to the reports.

1.3.3 Structural evaluation report. The structural evaluation report shall include the following elements:

A description of the building, including photographs of the building, and sketches of the lateral force resisting system;
The “General Sets of Evaluation Statements” from the Appendix;
A synopsis of the investigation and supporting calculations that were made;
A list of the deficiencies requiring remediation to change statement responses from false to true; and
The SPC for the building, with comments on the relative importance of the deficiencies.

1.3.4 Nonstructural evaluation report. The nonstructural evaluation report shall include the following elements:

A written description of the evaluation methods and procedures conducted in conformance with Article 11 of these regulations for the determination of the facilities existing compliance. The description shall include the systems and components required for the planned level of nonstructural performance as identified in Table 11.1;

Exceptions:

Additional evaluations as in accordance with Section 11.01.3 will be required for any hospital owner electing to obtain a higher NPC at a future date consistent with an approved compliance plan;

SEISMIC EVALUATION PROCEDURES FOR HOSPITAL BUILDINGS

A complete nonstructural evaluation up to NPC 5 is required prior to the hospital owner selling or leasing the hospital to another party.
Provide single line diagrammatic plans (site plan and floor plans) of the following:

2.1. Location of the following areas/spaces:

(a) Central supply areas;

(b) Clinical laboratory service spaces;

(d) Pharmaceutical service spaces;

(e) Radiological service spaces; and

(f) Sterile supply areas.

2.2. Diagrammatic or narrative descriptions of the following major building systems where deficiencies are identified that are within the scope of the evaluation, including primary source location or point(s) of entry into the building and major distribution routes of each utility or system.

(a) Mechanical systems including:

i. Air supply equipment, piping, controls

and ducting;

ii. Air exhaust equipment and ducting;

iii. Steam and hot water piping systems,

including boilers, piping systems, valving and components; and

iv. Elevators selected to provide service to

patient, surgical, obstetrical and ground floors.

(b) Plumbing systems including:

i. Domestic water supply system,

including heating equipment, valving, storage facilities and piping;

ii. Medical gas supply system, including

storage facilities, manifolding and piping;

iii. Fire protection system, including

sprinkler systems, wet and dry standpipes, piping systems and other fire suppression systems; and

iv. Sanitary drainage system, including

storage facilities and piping.

i. Essential electrical system, including

emergency fuel storage;

ii. Internal communication systems;

iii. External communication systems;

iv. Fire alarm systems; and

v. Elevators selected to provide service to patient, surgical, obstetrical and ground floors.

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A synopsis of the evaluation and all the calculations used in the course of the evaluation for the planned level of nonstructural performance;
A list of the deficiencies identified in the course of the evaluation for the planned level of nonstructural performance;
Provide an 11- by 17-inch scaled Site Plan which identifies the boundaries of the facility property, locates all buildings, roadways, parking and other significant site features and improvements. Identify boundaries between buildings which were constructed at different times. For all buildings, note the names of the buildings and date of each related building permit. Provide the SPC and NPC for all buildings.
Provide the following matrix of construction information for each building of the facility under the acute care license, include the Structural Performance Category (SPC) and Nonstructural Performance Category (NPC) for all hospital buildings (see Tables 2.5.3 and 11.1). Identify each building addition separately. For buildings constructed, reconstructed or remodeled under a building permit issued by the Office, provide the OSHPD application number and the date of the initial submittal.

1.4 Compliance plans. A compliance plan shall be prepared¶

and submitted for each building subject to these regulations. All general acute care hospital owners shall formulate a compliance plan which shall indicate the facilities intent to do any of the following:

Building retrofit for compliance with these regulations for continued acute care operation beyond 2030;
Partial retrofit for initial compliance, with closure or replacement expected by 2002, 2008, 2013 or 2030;
Removal from acute care service with conversion to nonacute care health facility use; or
No action, building to be closed, demolished or replaced.

This plan must clearly indicate the actions to be taken by the facility and must be in accordance with the timeframes set forth in Article 2 (Structural Performance Category-“SPC”) and Article 11 (Nonstructural Performance Category-“NPC”) of the Seismic Evaluation Procedure regulations.

1.4.1 Preparation of the compliance plan. The Compliance Plan shall be prepared and submitted in conformance with these regulations in the following format:

Compliance Plans shall be submitted in an 8 ¹ /2- by 11inch format;
All site, architectural, and engineering plans shall be formatted on 11- by 17-inch sheets (folded to 8 ¹ /2 by 11 inches);
Larger sheets, if required to clearly describe the requested information, shall be appended to the compliance plan; and
Other supporting documents in addition to those meeting the minimum requirements of Section 1.4.4 may be appended to the compliance plan.

1.4.2 Compliance plan submittal. Hospital owners shall submit the compliance plan to the Office by January 1, 2001, unless the owner requests an extension pursuant to Section 1.4.3. The hospital owners shall submit the compliance plan in accordance with Section 7-113, “Application for Plan or Report Review” and Section 7-133, “Fees” of Article 3, Chapter 7, Part 1, Title 24.

1.4.3 Compliance plan submittal extension. Hospital owners may request an extension from the Office for submission of the compliance plan. Any hospital owner requesting an extension for submittal of the compliance plan shall make such request in writing to the Office up to 180 days prior to, but no later than January 1, 2001. The compliance plan must be submitted no later than January 1, 2002. All hospital owners requesting an extension for submittal of the compliance plan shall certify to OSHPD that all hospital buildings continuing acute care operation beyond January 1, 2002 meet the standards of NPC 2 by January 1, 2002.

1.4.4 Compliance plan requirements. Each compliance plan shall contain the following elements:

An Existing Site/Campus Description;
A Compliance Plan Description;
A Compliance Site Plan;
A Compliance Plan Schedule; and
An Existing and Planned Buildings Matrix.

1.4.4.1 Existing site/campus description. If the compliance plan is submitted separately from the seismic evaluation, it will be necessary to resubmit the information as specified in Section 1.3.4.5, of the Nonstructural Evaluation Report.

1.4.4.2 Compliance plan description. Provide a comprehensive narrative description of the Compliance Plan, including the projected schedule for compliance.

1.4.4.3 Compliance site plan. Provide Compliance Site Plans, indicating the configuration of the facility at the 2008 and 2030 milestones. The plans shall indicate conforming and nonconforming buildings and identify the final configuration of the facility at each milestone, after completion of compliance measures.

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1.4.4.4 Compliance plan schedule. Provide a bar graph schedule which describes the schedule for compliance with the SPC and NPC seismic performance categories, indicating the schedule of the following major phases of the plan:

Obtain a geotechnical report (if necessary);
Architecture and engineering design/construction document preparation;
Local approvals;
Office review, approval and permitting;
Approval of Department of Health Services Licensing and Certification, and any other required licensing;
Permanent relocation of acute care services to other buildings or facilities (identify services affected);
Temporary/interim relocation of acute care services to other buildings including the duration of the approved program flexibility plan pursuant to Health and Safety Code Section 1276.05;
Construction period; and
Beneficial occupancy.

1.4.4.5 Existing and planned buildings matrix. Provide the following matrix of construction information for each building of the facility under the acute care license, include the Structural Performance Category (SPC) and Nonstructural Performance Category (NPC) for all hospital buildings (see Tables 2.5.3 and 11.1). Identify each building addition separately.

1.4.5 Compliance plan update/change notification. Should a hospital owner change an approved Compliance Plan, the hospital shall document any changes and submit for review and approval to the Office an amended Compliance Plan. Changes are defined as alterations to the planned level of seismic performance or compliance schedule. Submittal of an amended compliance plan shall require a hospital owner to comply with one or more of the following provisions, if applicable:

A hospital owner shall submit to the Department of Health Services’ Seismic Safety Unit (DHS) an Officeapproved compliance plan that includes interim relocation of general acute care services in accordance with a program flexibility plan pursuant to Health and Safety Code Section 1276.05. This submittal by the hospital owner to DHS shall occur within 30 days of the Office’s approval.
A hospital owner shall comply with the requirements of Section 1.5.2, “Delay in Compliance” for any amended compliance plan.

SEISMIC EVALUATION PROCEDURES FOR HOSPITAL BUILDINGS

A hospital owner amending a compliance plan to attain a higher NPC level will perform a nonstructural evaluation of the systems and components required for the planned level of nonstructural performance identified in Table 11.1, “Nonstructural Performance Categories.”

1.4.5.1 Change in seismic performance category. The SPC or NPC for a hospital building may be changed by the Office from the initial determination in Section 1.3.3 or 1.3.4, provided the building has been modified to comply with the requirements of the California Existing Building Code (Part 10 of Title 24) for the specified SPC or NPC. The SPC of a hospital building shall also be permitted to be changed on the basis of the following:

1. C ollapse probability assessments in accordance with Section 1.4.5.1.2 ; or

2. Analysis or retrofit in accordance with Section 1.4.5.1.3.

1.4.5.1.1 The SPC or NPC for a hospital building may be in accordance with by the Office from the initial determination made per Sections 2.0.1.2.3 or 11.0.1.2.1 upon the following:

A Seismic Evaluation Report shall be submitted and approved which shall include either or both of the following:

1.1. A structural evaluation report in accordance with Section 1.3.3;

1.2. A nonstructural evaluation report in accordance with Section 1.3.4.

Exception: To change an NPC 1 hospital building to an NPC 2 under this section, the nonstructural evaluation may be limited in scope to the systems and equipment specified in Section 11.2.1.

The building has been modified to comply with the requirements of the California Existing Building Code (Part 10 of Title 24) for the specified SPC or NPC.

1.4.5.1.2 Hospital buildings with an SPC 1 rating, may be reclassified to SPC 2 by the Office, pursuant to Table 2.5.3, on the basis of a collapse probability assessment in accordance with Section 1.4.5.1.2 Item 1 provided the hospital buildings received an extension to the January 1, 2008, compliance deadline in accordance with Section 1.5.2.

Exception: Hospital buildings with the potential for surface fault rupture and surface displacement at the building site (Section 9.3.3) are not eligible for reclassification.

Hospital buildings with SPC 1 rating may be reclassified as follows:

a) The Office shall issue a written notice to the hos pital owners informing them that they may be eligible for reclassification of their SPC 1 buildings as permitted by this section.

b) For an SPC-1 building to be considered for

reclassification to the SPC-2 rating, the hospital owner shall request a collapse probability assessment. The request shall include at a minimum the information and documents specified in Section 1.8.

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1.4.5.1.2.1 Upon assessment of the collapse probability of the SPC-1 building, the Office shall notify the hospital owner in writing the final SPC rating of the subject building.

Every building with collapse probability more than 0.75 percent, but less than or equal to 1.20 percent, shall be altered, repaired or seismically retrofitted to mitigate any deficiencies identified in accordance with Article 10 Sections 10.1.1.1, 10.1.2.2, 10.1.6 and 10.1.7 of this chapter (as part of the complete seismic evaluation in accordance with Section 1.3.3) by January 1, 2015. Hospitals not meeting the deadline set by this section shall not be issued a building permit for any noncompliant building except those required for seismic compliance in accordance with the California Administrative Code (Chapter 6), maintenance, and emergency repairs until the building permit required by this section is issued.

1.4.5.1.2.2 When the collapse probability assessment by the Office results in the building remaining in SPC 1, further evaluation may be provided by the hospital owner in accordance with Section 2.7 in order to substantiate a higher SPC rating.

1.4.5.1.3 Nonconforming hospital buildings shall be permit- ted to be reclassified to SPC-4D, pursuant to Table 2.5.3, in accordance with the CEBC Sections 303A.3.4.5, 501A.3.1 and 501A.3.2 or equivalent provisions in later editions of the CEBC.

Exceptions: Hospital buildings with the following defi- ciencies are not eligible for reclassification to SPC-4D:

1. Hospital buildings with the potential for surface fault rupture and surface displacement at the build- ing site (Section 9.3.3).

2. Unreinforced Masonry shear wall buildings (Sec- tion 5.4), and

3. Precast Concrete buildings (Sections 4.4, 5.2 & 7.4).

1.4.5.1.4 Except as provided in Section 1.4.5.1.5, a nonconforming hospital building that does not meet the structural and nonstructural requirements of Table 2.5.3 and Table 11-1 shall not provide acute care services or beds after the compliance deadlines set forth in Section 1.5.1. After these deadlines, the following shall apply.

A nonconforming hospital building used as a hospital outpatient clinical services building shall not be classified as a hospital building. It shall comply with the provisions of Health and Safety Code Section 129725. It shall not be subject to the requirements of Title 24, Part 1, Chapter 6.
A nonconforming hospital building used as an acute psychiatric hospital or multistory skilled nursing facility or intermediate care facility shall be classified as a hospital building. However, it shall not be subject to the requirements of Title 24, Part 1, Chapter 6.
A nonconforming hospital building used as a singlestory wood frame or light steel frame skilled nursing facility or intermediate care facility shall not be classified as a hospital building, and shall not be subject to the requirements of Title 24, Part 1, Chapter 6.
A nonconforming hospital building used for purposes other than those listed above shall not be classified as a hospital building; shall not be licensed pursuant to Health and Safety Code Section 1250(a); shall not be subject to the requirements of Title 24, Part 1, Chapter 6; and shall not be under the jurisdiction of the Office.

1.4.5.1.5 A hospital building from which acute care services and beds have been removed or a nonconforming hospital building without SPC or NPC rating shall not provide gen- eral acute care services unless it has been modified to comply with the requirements of SPC-4D or SPC 5 and NPC 4, NPC 4D or NPC 5. Prior to use for acute care service, the SPC and/or NPC of the hospital building shall be changed in accordance with Section 1.4.5.1.1 or 1.4.5.1.3 .

1.5 Compliance requirements.¶

All general acute care hospital owners shall comply with the seismic performance categories, both SPCs and NPCs, established in the seismic evaluation procedures, Articles 2 and 11 and set forth in Tables 2.5.3 and 11.1, respectively.

1.5.1 Compliance deadlines.

Before January 1, 2020, the owner of an acute care inpatient hospital where buildings are rated SPC 1 or SPC 2; or where the NPC rating is less than 5, shall submit to the Office an attestation that the board of directors of that hospital is aware that the hospital building is required to meet the January 1, 2030, deadline for substantial compliance with those regulations and standards.
After January 1, 2020, any general acute care hospital building which continues acute care operation must, at a minimum, meet the nonstructural requirements of NPC 2, as defined in Article 11, Table 11.1 or shall no longer be granted a building permit for construction work in such building except those required for seismic compliance in accordance with the California Adminis- trative Code (Chapter 6), maintenance, and emergency repairs.
After January 1, 2030, any general acute care hospital building which continues acute care operation must, at a minimum, meet the structural requirements of SPC 3, 4, 4D or 5, as defined in Article 2, Table 2.5.3 and the nonstructural requirements of NPC 5, as defined in