Community Clinics and Community Clinics and Emergency Centers

Draft: 082710

6 CCR 1011-1, Chapter IX

Community Clinics and Community Clinics and Emergency Centers

Section 1 Definitions

1.9Anesthetizing location means any area of a facility that has been designated to be used for the administration of nonflammable inhalation anesthetic agents in the course of examination or treatment, including the use of such agents for relative analgesia.

1.10Relative Analgesia means a state of sedation and partial block of pain perception produced in a patient by the inhalation of concentrations of nitrous oxide insufficient to produce loss of consciousness; i.e., conscious sedation.

13.8Compliance with Life Safety Code. Applicable facilities shall be compliant with the National Fire Protection Association (NFPA) 101, Life Safety Code (2000), which is hereby incorporated by reference. Such incorporation by reference, as provided for in 6 CCR 1011-1, Chapter II, excludes later amendments to or editions of referenced material.

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(c)Notwithstanding NFPA 101 Life Safety Code (2000) provisions to the contrary:

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(iii) Licensed facilities shall be separated from unlicensed contiguous occupancies by an occupancy separation with a fire resistance rating of not less than 2 hours.

(d)This paragraph applies to community clinics and not to community clinics and emergency centers. Notwithstanding 6 CCR 1011-1, Chapter II, Section 2.3.5 (A), only community clinics that contain an anesthetizing location shall be required to have an intact, two-hour fire rated separation wall, floor or ceiling assembly between the facility and all adjacent occupancies under the following circumstances:

1)For each applicant seeking an initial license on or after January 1, 2011, except for an applicant that has submitted building plans to the Department and obtained a building permit from the local authority having jurisdiction priorto January 1, 2011.

2)For each licensee that submits building plans to the Department or obtains a building permit on or after January 1, 2011 for relocations in whole or in part to another physical structure.

3)For each licensee that submits building plans to the Department or obtains a building permit on or after January 1, 2011 to add previously un-inspected or unlicensed square footage to an existing license. For the purposes of compliance with this section, the two-hour fire rated separation shall be around either the entire perimeter of the added square footage or the entire perimeter of the facility.

4)For each licensee that creates a new anesthetizing location on or after January 1, 2011, within an existing community clinic.

6 CCR 1011-1, Chapter II - General Licensure Standards

2.3.5 Two-Hour Fire Separation Required Between Occupancies

(A) An intact, two-hour fire rated separation wall, floor or ceiling assembly between the facility and all adjoining occupancy areas shall be required under the following circumstances unless the health care entity meets the criteria for one of the alternatives or exclusions outlined in paragraphs (B) and (C) below:

(1) For each applicant seeking an initial license on or after July 1, 2010, except for a health care entity that has submitted building plans to the Department and obtained a building permit from the local authority having jurisdiction prior to July 1, 2010.

(2) For each licensee who obtains a building permit on or after July 1, 2010 for relocations in whole or in part to another physical structure.

(3) For each licensee who obtains a building permit on or after July 1, 2010 to add previously un-inspected or unlicensed square footage to an existing license. For the purposes of compliance with this section, the two-hour fire rated separation shall be around either the entire perimeter of the added square footage or the entire perimeter of the facility.

(B) Alternatives

Where there are adjoining occupancies by licensed health care entities and all are directly owned by one of the licensees or share the same governing body, the following alternatives to section 2.3.5(A) shall be acceptable.

(1) Install a one-hour rated separation wall, floor or ceiling assembly between each occupancy if all occupancies are board and care, ambulatory care, or business occupancy. This alternative shall not apply to health care occupancies.

(2) Have no separation wall, floor, or ceiling assembly between the adjoining occupancies on the condition that all adjoining occupancies shall meet the standards applicable to the most stringent occupancy requirements and the citing of a life safety code deficiency in one occupancy shall result in the citing of such deficiency for all adjoining licensed occupancies.

(1) A community clinic (not a community clinic and emergency center) providing only out-patient care that does not cause any patient to require assistance from others in order to safely evacuate during an emergency.

(1)(2)A health care entity that does not provide services on its licensed physical premises.

Regular type = existing language. Striketype=deletion of existing language. Small caps = new language.