Preparation of Plans and Specifications for Ambulatory Surgical Centers

PURPOSE: The Division of Health Resources, Department of Health has the authority to establish construction standards for ambulatory surgical centers. This rule provides procedures to follow in the submission of plans and specifications for new construction. (1) Preliminary Plans and Sketches. (A) When construction is contemplated, either for new buildings additions to existing buildings or material alterations to existing buildings, the preliminary plans or sketches shall be submitted in duplicate to the Department of Health for review and approval before the preparation of working drawings is undertaken. The preliminary plans may be reviewed by the Department of Health in schematic form, but before they are declared acceptable for procedure with working drawings and specifications, they should also include the following information, stated briefly and not in detailed form required in working drawings and specifications: 1. Site plan showing scale, orientation, street names, topography, walks, drives, fire lanes, parking areas and utilities including fire hydrant location; 2. Plans and elevations of the buildings at a scale of not less than one-eighth inch to one foot no inches (1/8":1' 0"); 3. Rooms and corridors, designated by name and number; 4. Windows. Note, wired glass where it is required; TABLE I Pressure Relationships and Ventilation of Certain Areas Pressure Minimum Air Minimum Total All Air Recirculated Relationship to Changes of Outdoor Air Changes Exhausted Within Area Designation Adjacent Areas Air Per Hour Per Hour Directly to Outdoors Room Operating Room P 5 15 Optional No Recovery P 2 26 Optional No Patient Area Corridor E 2 24 Optional No Treatment Room E 2 6 Optional No Laboratory N 2 6 Optional No Soiled Workroom N 2 4 Yes No Clean Workroom P 2 4 Optional Optional Toilet Room N 10 Yes No Janitor’s Closet N 10 Yes No P=Positive N=Negative E=Equal SENIOR SERVICES 5. Doors, including door swings. Identify fire doors by time rating and Underwriters’ Laboratories label; 6. Plumbing fixtures. Show fixtures in proper shape and scale for positive recognition. Identify special types such as service sinks and clinic sinks; 7. Plans of rooms shall indicate principal items of furniture accurately scaled; 8. All other principal items of equipment such as boilers, chiller, cooling tower, electrical substations, tanks, air handlers, fan-coil units, kitchen equipment, laundry equipment, cabinets, counters and any other items which take up space and affect the final layout; 9. Fire and smoke-barrier partition designations; 10. Floor lines, top ceiling line and grade lines, designated and preferably dimensioned, and with basic elevations shown; 11. Ceiling heights of principal rooms and also of each room for which the rules establish a minimum ceiling height. Only one (1) typical room of a group need be so shown; 12. Area of each room for which the rules establish a minimum area. Only one (1) typical room of a group need be so noted; and 13. Brief noted descriptions of the general construction and finish; the structural system; the heating, ventilating and air-conditioning systems, including the fuel supply; the plumbing system including the water supply and sewage disposal; and the electrical system. (B) In the case of a project which is an addition to an existing building, it will be necessary to give the Department of Health sufficient information about the existing building on which to base a determination of acceptability of the plans for the addition. This information shall cover all items required to be provided in an ambulatory surgical center by the rules of the Department of Health and shall be submitted in the form as required for the particular project by the Department of Health. (2) Working Drawings and Specifications. (A) Working drawings and specifications, complete in all respects, shall be submitted in duplicate, covering all phases of the construction project, including site preparation; paving; general construction; mechanical work, including plumbing, heating, ventilating and air conditioning; electrical work and all built-in equipment, including elevators, kitchen equipment, cabinet work, etc. 1. Each sheet of the plans and each set of the specifications shall identify the project by name and location and shall bear the names and addresses of the architect or professional engineer and the owner. 2. Each sheet of the plans and each set of specifications shall bear the official seal and signature of the registered architect or registered professional engineer who prepared it. 3. Each set of the plans and each set of specifications shall bear the date of its completion or its latest revision. 4. The plans shall be on sheets of the same size, securely bound into complete sets, with the sheets in the proper order. The specifications shall be securely bound into complete sets. (B) The working drawings and specifications shall include the following: the material set out in paragraphs (1)(A)1.–12. of this rule; courses and distances of property lines; dimensions and locations of any building, structures, easements, rights-ofway or encroachments on the site; details of party walls, and walls and foundation adjacent to lot line; detailed information by the city engineer or other official report as to established curbs, buildings lines, streets, alleys, sidewalks; all utilities including size, characteristics and location of these services, piping, mains, sewers, poles, wires, hydrants and manholes upon, over or under the site and location of high pressure gas lines within one thousand two hundred feet (1200') of the building; complete information as to the disposal of sanitary, storm water and subsoil drainage; official datum upon which elevations are based and benchmark established on or adjacent to the site; contours on elevations at two foot (2') intervals over site and elevations at the bottom of excavation; and thickness, consistency, character and estimated safe bearing value of various strata encountered. AUTHORITY: section 197.225, RSMo 1986. This rule was previously filed 13 CSR 50-30.040. Original rule filed Dec. 2, 1975, effective Feb. 1, 1976.