Section 312 — [OSHPD 1R]—HOSPITAL SPC AND FREESTANDING BUILDINGS REMOVED FROM GENERAL ACUTE CARE SERVICE REMAINING UNDER THE JURISDICTION OF OSHPD

The provisions of this section shall apply to hospital SPC and freestanding buildings that have been removed from Acute Care Service in accordance with California Existing Building Code Section 312A but remain under the jurisdiction of the Office of Statewide Hospital Planning and Development (OSHPD). These buildings may house various occupancies, uses and functions in accordance with this section. The requirements for those various occupancies, uses and functions shall be in accordance with the provisions of the California Building Standards Code, specific to each. The designation OSHPD 1R shall be limited to provisions applicable to the overall hospital SPC or freestanding building.

312.1.1 Non-general acute care hospital (non-GACH) SPC buildings. Non-GACH SPC buildings shall conform to the requirements of Section 1.10.1 [OSHPD 1R].

312.1.2 Freestanding buildings. Application and enforcement of freestanding buildings removed from general acute care services but remaining under OSHPD jurisdiction shall be in accordance with Section 1.10.1 [OSHPD 1R].

Freestanding hospital-owned clinics shall be permitted to be under the jurisdiction of OSHPD in accordance with the California Administrative Code Sections 7-2104, 7-2105 and 7-2106.

312.1.3 Non-General Acute Care Building (non-GACH SPC building) access. All access points into hospital SPC buildings removed from general acute care service shall prominently display signage at each access point stating “NO GENERAL ACUTE CARE SERVICES BEYOND THIS POINT.”

FREESTANDING. Refer to Part 1, California Administrative Code, Chapter 7.

SPC BUILDING. Refer to Part 2, California Building Code, Chapter 2.

312.3.1 Freestanding buildings containing qualifying nonacute care services. In order for a freestanding building, as defined in the California Administrative Code, Section 7-111, that is removed from general acute care service, to remain under OSHPD jurisdiction, it shall contain one or more qualifying nonacute care services. Qualifying nonacute care services include: a. Services considered “Outpatient Clinical Services” as defined in H&SC §129730(a): i. Administrative space that directly supports hospital operations

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ii. Central sterile supply

iii. Storage iv. Morgue and autopsy facilities v. Employee dressing rooms and lockers vi. Janitorial and housekeeping facilities vii. Laundry b. Outpatient portions of the following services (with no more than 25 percent in-patient use), including but not limited to: i. Surgical ii. Chronic dialysis iii. Psychiatry iv. Rehabilitation, occupational therapy or physical therapy

v. Maternity

vi. Dentistry viii. Chemical dependency c. Services that duplicate Basic Services, as defined in H&SC §1250, or services that are provided as part of a Basic Service, but are not required for facility licensure (with no more than 25 percent in-patient use). d. Chemical dependency recovery services.

All hospital support services listed in Section 312.3.1 Item a that are located in an SPC building at the time general acute care services are removed may remain, provided the California Department of Public Health certifies to the Office that it has received and approved a plan that demonstrates how the health facility will continue to provide all basic services in the event of any emergency when the SPC building may no longer remain functional. This certification shall be submitted by the hospital to the Office prior to approval of the application to remove the SPC building from general acute care service.

es to the Office that it has received and_ approved a plan that demonstrates how the health facility will continue to provide all basic services in the event of any emergency when the SPC building may no longer remain functional. This certification shall be submitted by the hospital to the Office prior to approval of the application to remove the SPC building from general acute care service.

312.3.2 SPC non-GACH buildings containing nonacute care services under existing license. The services listed in Section 312.3.2 shall be permitted as follows: a. Existing approved nonacute care services shall be permitted to remain. The enforcement agency shall be permitted to require evidence that the existing occupancies and services were in compliance at the time they were located in the SPC building. All hospital support services listed in Section 312.3, Item a that are remaining in the SPC building removed from general acute care service shall be in excess of the minimum requirements for licensure and operation of the general acute care hospital. Prior approval by the California Department of Public Health shall be obtained by the hospital to maintain these services in the SPC building removed from acute care service. b. New nonacute care services listed in Section 312.3.1, Item a shall be permitted, provided they are in excess of the minimum services required for licensure and operation of the general acute care hospital. c. New nonacute care services listed in Section 312.3.1, Item b shall be permitted. These services require compliance with the current functional requirements for that service as defined in California Building Code, Section 1224.39, subject to the provisions of Section 506.1. d. New nonacute care services listed in Section 312.3.1, Item c shall be permitted provided they are in excess of the minimum services required for licensure and operation of the general acute care hospital. If patients are served by this service, it must meet the current functional requirements for that service as defined in California Building Code, Section 1224.39, subject to the provisions of Section 506.1.

312.3.3 SPC non-GACH buildings containing a change of licensed nursing services under existing license. A change of service or function for all, or a portion, of the SPC building removed from general acute care service requires compliance with the current functional requirements for that service as defined in California Building Code, Section 1224, subject to the provisions of Section 506.1.

312.3.3.1 Intermediate care and/or skilled nursing services. When general acute care services are removed from an SPC building which is intended to be used for separate and distinct intermediate care and/or skilled nursing services, and the new services will be licensed under the existing license of the general acute care hospital, these new services shall comply with current functional requirements as defined in California Building Code, Section 1224.38 and/or 1224.40, and Section 310A.1.1.1.5 of this code for a nonconforming hospital building.

r separate and distinct intermediate care and/or skilled nursing services, and the new_ services will be licensed under the existing license of the general acute care hospital, these new services shall comply with current functional requirements as defined in California Building Code, Section 1224.38 and/or 1224.40, and Section 310A.1.1.1.5 of this code for a nonconforming hospital building.

312.3.3.2 Psychiatric nursing service. When general acute care services are removed from an SPC building which is intended to be used for separate and distinct psychiatric nursing services, and the new services will be licensed under the existing license of the general acute care hospital, these new services shall comply with current functional requirements for that service as defined in California Building Code, Section 1228, and Section 310A.1.1.1.5 of this code for a nonconforming hospital building.

312.3.4 SPC non-GACH buildings containing other occupancies and/or uses. Other occupancies and/or uses shall comply with the occupancy/use requirements of the California Building Standards Code for that occupancy or use. Subject to the approval of the building official, the use or occupancy of existing buildings is allowed to be occupied for purposes in other groups, or within the same group, provided the new or proposed use is less hazardous, based on life and fire risk, than the existing use.

3-8 2025 CALIFORNIA EXISTING BUILDING CODE

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312.3.5 Vacant space. Spaces vacated through the removal of general acute care services that are intended to remain vacant must be in conformance with California Building Code, Section 116.1. The hospital shall submit a project to the Office to demonstrate remediation of potential unsafe and insanitary conditions.

312.3.6 Chemical dependency recovery services. Chemical dependency recovery services shall be permitted to be provided within a hospital building that has been removed from general acute care use.