Chapter 12 — INTERIOR ENVIRONMENT

Section 1224 — [OSHPD 1]—HOSPITALS

2025 California Building Code (Title 24, Part 2) · 2025 edition · ingested 2026-07-07 · California

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1224.1 Scope.

1224.1 Scope. [OSHPD 1] The provisions of this section shall apply to general acute-care hospitals and general acute-care hospitals providing only acute medical rehabilitation center services. The provisions of Section 1225 shall apply to distinct part skilled nursing and intermediate-care services on a general acute-care hospital license provided in a separate unit. The provisions of Section 1229 shall apply to distinct part chemical dependency recovery hospitals on a general acute-care license provided in a separate unit. [OSHPD 1R] This section shall apply to buildings removed from acute…

1224.2 Application.

1224.2 Application. New buildings and additions, alterations or repairs to existing buildings subject to licensure shall comply with appli- cable provisions of the California Electrical Code, California Mechanical Code, California Plumbing Code, California Energy Code, California Fire Code, California Existing Building Code (Parts 3, 4, 5, 6, 9 and 10 of Title 24) and this section. Exceptions: 1. Facilities licensed and in operation prior to the effective date of this section shall not be required to institute corrective alter- ations or construction to comply with any new requirements…

1224.3 Definitions.

1224.3 Definitions. Specific terms and definitions are provided to facilitate consistency in the interpretation and application of these requirements. Some of these terms may have a broader definition in other contexts, but the definitions provided here reflect the use of the terms for OSHPD requirements. AIR CONDITIONING. The process or system by which simultaneously the temperature, humidity, air motion and quality are maintained within required limits. AIRBORNE INFECTION ISOLATION ROOM. A single-occupancy patient room where environmental factors are controlled in an effort to minimize the…

1224.4 GENERAL CONSTRUCTION.

1224.4 GENERAL CONSTRUCTION. 1224.4.1 Jurisdiction. 1224.4.1.1 Services/systems and utilities. [OSHPD 1] Services/systems and utilities shall comply with California Existing Building Code Section 310A. [OSHPD 1R] Services/systems and utilities shall only originate in, or pass through or under structures which are under the juris- diction of the Office of Statewide Hospital Planning and Development (OSHPD). 1224.4.1.2 Means of egress. [OSHPD 1 ] Means of egress shall comply with Part 10, California Existing Building Code, Section 308A. [OSHPD 1R] Means of egress shall only pass through…

1224.5 Communications Systems.

1224.5 Communications Systems. Technology and medical communication rooms shall comply with the California Electrical Code, California Mechanical Code, California Plumbing Code and the requirements of this section. 1224.5.1 Telecommunications service entrance room. The telecommunications service entrance room houses the point at which outside carrier data and voice circuits and services enter the facility and outdoor cabling interfaces with the building’s internal cabling infrastructure. Each hospital facility shall have at least one telecommunications service entrance room, and each room…

1224.6 Reserved.

1224.7 Reserved.

1224.8 Reserved.

1224.9 Reserved.

1224.10 Reserved.

1224.11 Reserved.

1224.12 Reserved.

1224.13 Reserved.

1224.14 NURSING SERVICE SPACE.

1224.14 NURSING SERVICE SPACE. 1224.14.1 Patient rooms. 1224.14.1.1 Capacity. No patient room shall be designed to accommodate more than four beds. Exception: Where renovation of existing individual patient rooms is undertaken in facilities built under the 2013, or prior, Cali- fornia Building Code, maximum room capacity shall be no more than the present capacity, to a maximum of eight patients per patient room. Placement of beds shall not be more than three deep from the exterior window. 1224.14.1.2 Space requirements. In new construction, patient rooms shall have a minimum of 100 square…

1224.15 SURGICAL SERVICE SPACE.

1224.15 SURGICAL SERVICE SPACE. 1224.15.1 General. The surgical service space shall be divided into two designated areas: 1) semi-restricted areas (e.g., storage areas for clean and sterile supplies, sterile processing rooms, scrub stations and corridors leading to restricted areas of the surgical suite, etc.); and 2) restricted areas (e.g., operating rooms, hybrid operating rooms, sterile procedure rooms, cardiac catheterization labs, sterile cores, etc.) that can be reached only through a semi-restricted area. The surgical service space shall be located and arranged to provide direct…

1224.16 ANESTHESIA/RECOVERY SERVICE SPACE.

1224.16 ANESTHESIA/RECOVERY SERVICE SPACE. 1224.16.1 General . The anesthesia/recovery service space shall provide perioperative support services to the surgical service space as required under this section. Perioperative services shall include preoperative patient care and post-operative recovery with a Post- Anesthesia Care Unit (PACU). The anesthesia/recovery service space shall be located adjacent to the surgical service space with direct access to the surgical suite’s semi-restricted corridor. Exception: In a rural general acute care hospital, when the surgical service space is not…

1224.17 CLINICAL LABORATORY SERVICE SPACE.

1224.17 CLINICAL LABORATORY SERVICE SPACE. 1224.17.1 General requirements. All hospitals shall provide space and equipment to perform urinalysis, complete blood counts, hemoglobin blood typing and cross matching. If laboratory facilities for bacteriological, serological, pathological and additional hematological procedures are not available in the community, then space, equipment and supplies for such procedures shall be provided. 1224.17.2 Laboratory work areas. The following laboratory work areas shall be provided: 1224.17.2.1 Laboratory workstation(s). Space shall be provided to…

1224.18 RADIOLOGICAL/DIAGNOSTIC IMAGING SERVICE SPACE.

1224.18 RADIOLOGICAL/DIAGNOSTIC IMAGING SERVICE SPACE. Space and equipment shall be provided to accommodate all required elements, and any additional imaging modalities included in the service space, as required in this section. To differentiate the design and construction requirements needed to achieve the environmental controls and other requirements that support the amount of intervention to be provided, imaging rooms shall be classified as described in Table 1224.4.11.4a (Examination/Treatment, Imaging, Procedure and Operating Room Classification). Where an imaging room will be used for…

1224.19 PHARMACEUTICAL SERVICE SPACE.

1224.19 PHARMACEUTICAL SERVICE SPACE. 1224.19.1 General. Facilities shall be provided to accommodate services and equipment associated with the drug distribution system used, the number of patients to be served, and the extent of shared or purchased services as licensed by the California Board of Pharmacy. Hospital pharmacies shall comply with the requirements of Section 1250 and include the functional spaces under Sections 1224.19.2 through 1224.19.7. Exempt hospitals shall provide a drug room and the supporting spaces, in compliance with Section 1224.19.1.2. 1224.19.1.1 Licensed pharmacy.…

1224.20 DIETETIC SERVICE SPACE.

1224.20 DIETETIC SERVICE SPACE. 1224.20.1 General. Food and nutrition facilities shall be provided to support food services provided for staff, visitors and patients. Adequate space for the preparation and serving of food shall be provided. Equipment shall be placed so as to provide aisles of sufficient width to permit easy movement of personnel, mobile equipment and supplies. Food service facilities and equipment shall conform to these stan- dards, the standards of the National Sanitation Foundation and the requirements of the local public health agency. 1224.20.2 Functional elements.…

1224.21 ADMINISTRATIVE SPACE.

1224.21 ADMINISTRATIVE SPACE. 1224.21.1 Administration. An administration area shall be provided which shall provide for the following functions: 1. A lobby with reception and information counter or desk, waiting space, men’s and women’s public toilet room facilities, tele- phones and drinking fountain. 2. Offices for administrator and admitting. 1224.21.2 Records. Hospitals shall provide a health record service which shall accommodate the following functions: 1. Work area for sorting and recording records for either paper or electronic media. 2. Storage area for records for either paper or…

1224.22 CENTRAL STERILE SUPPLY.

1224.22 CENTRAL STERILE SUPPLY. 1224.22.1 Minimum requirements. A central supply and sterilizing area shall be provided. Rooms or distinct spaces shall accommo- date the following services and equipment: 1. Soiled work area. A receiving and gross cleaning area which shall contain work space and equipment for cleaning medical and surgical equipment and for disposal of or processing of soiled material. 2. Clean work area. A clean work area which shall contain work space and equipment for sterilizing medical and surgical equipment and supplies. 3. Sterilizing space. 4. Storage. Provide storage…

1224.23 STORAGE.

1224.23 STORAGE. 1224.23.1 General storage. Hospitals shall provide general storage space of at least 20 square feet (1.86 m [2] ) per bed in addition to specialized storage spaces. All storage spaces shall be located within a conforming hospital building and readily accessible to the connecting corridor required under Section 1224.4.7.5. Required storage, including but not limited to patient, dietary, etc., shall accommodate at least 72 hours of storage capacity in a conforming building. Storage beyond this requirement may be in a non- hospital or nonconforming building. 1224.23.2…

1224.24 MORGUE AND AUTOPSY FACILITIES.

1224.24 MORGUE AND AUTOPSY FACILITIES. 1224.24.1 General acute-care hospitals with a licensed bed capacity of 50 to 99 beds shall provide a morgue with autopsy facilities. Exception: This may not be required if it can be demonstrated to the licensing agency that morgue and autopsy facilities are available locally. 1224.24.2 General acute-care hospitals with a licensed bed capacity of 100 or more shall provide a morgue with autopsy facilities. 1224.24.3 Minimum requirements. The morgue and autopsy space shall have a minimum of 250 square feet (23.23 m [2] ) of floor area, no dimension of which…

1224.25 EMPLOYEE DRESSING ROOMS AND LOCKERS.

1224.25 EMPLOYEE DRESSING ROOMS AND LOCKERS. 1224.25.1 Minimum facilities. Hospitals shall provide the following: 1. Separate dressing rooms for male and female personnel with lockers and a toilet room. 2. Additional dressing rooms for the surgical service and as required within any of the supplemental services.

1224.26 HOUSEKEEPING ROOMS.

1224.26 HOUSEKEEPING ROOMS. Shall be provided to serve each department and nursing unit, and may be shared by compatible departments, except when specifically required by other sections.

1224.27 LAUNDRY.

1224.27 LAUNDRY. 1224.27.1 If a laundry is to be provided, the following is required in addition to the laundry room: 1. A separate soiled linen receiving, holding and sorting room with handwashing fixture. 2. A separate clean linen storage, issuing and holding room. 3. Storage for laundry supplies. 1224.27.2 Outside service. If linen is processed off site, the following shall be provided within the hospital: 1. Soiled linen holding room. 2. Clean linen receiving room. 3. Clean linen storage room. SUPPLEMENTAL SERVICES.

1224.28 SUPPLEMENTAL SURGERY AND SPECIAL PROCEDURE SERVICES.

1224.28 SUPPLEMENTAL SURGERY AND SPECIAL PROCEDURE SERVICES. When provided, the following supplemental surgery and special procedure services shall meet the requirements below: 1224.28.1 Cardiovascular and other special procedures. When provided, the cardiovascular room shall have a minimum clear floor area of 650 square feet (60.39 m [2] ), with a minimum of 20 feet (6096 mm) clear dimension. Orthopedic surgical and other special proce- dure rooms shall have a minimum clear floor area of 600 square feet (55.74 m [2] ), with a minimum of 20 feet (6096 mm) clear dimension. When open-heart…

1224.29 INTENSIVE CARE UNITS.

1224.29 INTENSIVE CARE UNITS. 1224.29.1 General. The following shall apply to all types of intensive care service spaces, acute respiratory-care service spaces, burn center spaces, critical-care units, coronary-care service spaces, pediatric intensive-care service spaces unless otherwise noted. Each unit shall comply with the following provisions: 1224.29.1.1 Service space. Each intensive-care unit shall contain not less than four or more than 12 beds. Exception: When approved by the licensing agency a small or rural hospital intensive care unit may consist of less than four but not less than…

1224.30 PEDIATRIC AND ADOLESCENT UNIT.

1224.30 PEDIATRIC AND ADOLESCENT UNIT. A pediatric nursing unit shall be provided if the hospital has eight or more licensed pediat- ric beds. Pediatric patient area and adolescent patient area shall be separate from each other and shall be separate from adult nursing units. Common areas including exam and treatment rooms, service areas and playrooms may be shared and used by pediatric and adolescent patients at different times. The unit shall meet the following standards: 1224.30.1 Patient rooms. Patient rooms shall have direct visual observation between either a centralized or distributed…

1224.31 PSYCHIATRIC NURSING UNIT.

1224.31 PSYCHIATRIC NURSING UNIT. 1224.31.1 Psychiatric unit space. A psychiatric unit shall be housed in a separate nursing unit and shall provide the following: 1224.31.1.1 General. A psychiatric nursing unit shall meet the requirements of Section 1224.14 for a unit that provides acute medical care. A non-medical psychiatric nursing unit shall meet the requirements of Sections 1228.4, 1228.13 and 1228.14 based on the functional program. Specific application shall respond to the patient injury and suicide prevention component of the Patient Safety Risk Assessment prepared under California…

1224.32 OBSTETRICAL FACILITIES (PERINATAL UNIT SPACE).

1224.32 OBSTETRICAL FACILITIES (PERINATAL UNIT SPACE). 1224.32.1 General. The obstetrical facility, including cesarean operating room(s) and delivery room(s), shall be located and designed to prohibit nonrelated traffic through the unit. 1224.32.2 Antepartum and postpartum unit . 1224.32.2.1 Patient bedrooms. Antepartum and postpartum bedrooms shall comply with Section 1224.14.1. 1224.32.2.2 Service areas. Shall be provided in accordance with Section 1224.14.2 with the following additions: 1. Staff lounge. 2. Staff storage. Lockable closets or cabinets for personal articles of staff. 3.…

1224.33 EMERGENCY SERVICE.

1224.33 EMERGENCY SERVICE. 1224.33.1 Definition. Levels of emergency care range from initial emergency management as Standby Emergency Medical Service, with a Physician on call; to definitive emergency care as Basic Emergency Medical Service, with a Physician on duty; to a Comprehen- sive Emergency Medical Service as an Emergency Department. 1224.33.2 Standby Emergency Medical Service. If provided, initial emergency management shall be provided in a specifically designated area of the hospital which shall include the following elements: 1224.33.2.1 Exterior entrance. A well-marked,…

1224.34 NUCLEAR MEDICINE.

1224.34 NUCLEAR MEDICINE. 1224.34.1 General. If nuclear medicine is provided, the following shall be provided: 1224.34.1.1 Radiation protection. A certified physicist shall specify the type, location and amount of radiation protection to be installed in accordance with final approved department layout and equipment selection. A physicist report shall also address dosing areas and circulation paths of dosed patients, including within multi-bay scanner rooms. Radiation protection require- ments shall be incorporated into the construction documents and comply with Chapter 31C and the…

1224.35 REHABILITATION THERAPY DEPARTMENT.

1224.35 REHABILITATION THERAPY DEPARTMENT. Where two or more rehabilitation services are provided, facilities and equipment between services may be shared. Rehabilitation therapy services may be provided as part of a dedicated inpatient nursing unit in a rehabilitation center or as outpatient services, or both. 1224.35.1 Rehabilitation center space. If provided, a rehabilitation center space shall be designed to meet the requirements of Section 1224.14, except as follows: 1. Patient bedrooms shall contain a minimum of 110 square feet (10.22 m [2] ) of clear floor area per bed, exclusive of…

1224.36 RENAL DIALYSIS SERVICE SPACE (ACUTE AND CHRONIC).

1224.36 RENAL DIALYSIS SERVICE SPACE (ACUTE AND CHRONIC). 1224.36.1 General. If provided, renal dialysis service shall comply with the following: 1224.36.2 Treatment area. 1224.36.2.1 Location. The treatment area may be an open area and shall be separate from administrative and waiting areas. 1224.36.2.2 Nurse station(s). Shall be located within the dialysis treatment area and designed to provide visual observation of all patient stations. 1224.36.2.3 Individual patient treatment areas. Shall contain at least 80 square feet (7.44 m [2] ). There shall be at least a 4-foot (1219 mm) space…

1224.37 RESPIRATORY THERAPY SERVICE SPACE.

1224.37 RESPIRATORY THERAPY SERVICE SPACE. If respiratory service is provided, the following elements shall be included: 1. Storage for equipment and supplies. 2. Space and utilities for cleaning and disinfecting equipment. Provide physical separation of the space for receiving and cleaning soiled materials from the space for storage of clean equipment and supplies. Appropriate local exhaust ventilation shall be provided if gluteraldehyde or other noxious disinfectants are used in the cleaning process. This space may be co- located with other reprocessing functions within the hospital. 3.…

1224.38 INTERMEDIATE-CARE SERVICE SPACE.

1224.38 INTERMEDIATE-CARE SERVICE SPACE. An intermediate-care service unit shall be housed in a separate and distinct nursing unit and shall comply with the applicable requirements of Section 1225.

1224.39 OUTPATIENT SERVICE SPACE.

1224.39 OUTPATIENT SERVICE SPACE. 1224.39.1 Waiting area(s). Provide with access to public toilet room facilities, a public telephone and a drinking fountain. These facilities may be shared with other services. 1224.39.2 Outpatient surgery. If outpatient surgery is performed in the out patient service space, the following shall be provided: 1224.39.2.1 Operating rooms. An operating room(s) with a minimum clear floor area of 270 square feet (25.08 m [2] ), no dimension of which shall be less than 15 feet (4572 mm). 1224.39.2.2 Perioperative services. Preoperative patient holding and…

1224.40 SKILLED NURSING SERVICE SPACE.

1224.40 SKILLED NURSING SERVICE SPACE. If provided a skilled nursing service unit shall be housed in a separate and distinct nursing unit and shall comply with the applicable requirements of Section 1225.

1224.41 SOCIAL SERVICE SPACE.

1224.41 SOCIAL SERVICE SPACE. If provided, the social service space shall include office or other space for privacy in interviewing, tele- phoning and conducting conferences.

1224.42 CHEMICAL DEPENDENCY RECOVERY HOSPITAL.

1224.42 CHEMICAL DEPENDENCY RECOVERY HOSPITAL. Pursuant to Health and Safety Code Section 1250.3, general acute care hospi- tals may provide chemical dependency recovery services in a distinct part. If provided, the chemical dependency recovery hospital, unit or services shall comply with Section 1229.