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Utah Administrative Code (Current through November 1, 2019) |
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R432. Health, Family Health and Preparedness, Licensing |
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R432-14. Birthing Center Construction Rule |
| R432-14-1. Legal Authority |
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This rule is adopted pursuant to Title 26, Chapter 21. |
| R432-14-2. Purpose |
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This rule provides construction and physical plant standards for birthing centers. |
| R432-14-3. General Design Requirements |
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(1) Birthing centers shall be constructed in accordance with the requirements of R432-4-1 through R432-4-23 and the requirements of section 5.2 of the Guidelines for Design and Construction of Health Care Facilities, 2010 edition (Guidelines) and are adopted and incorporated by reference. (2) Birthing centers shall consist of at least one, but not more than five birth rooms. Licensure is not required for birthing centers with only one birth room. (3) Birthing rooms and ancillary service areas shall be organized in a contiguous physical arrangement. (4) Birthing centers with 4 or 5 birth rooms shall comply with NFPA 101, Life Safety Code, Chapter 20, New Ambulatory Health Care Occupancies. Birthing centers with one to three birth rooms shall comply with NFPA 101, Life Safety Code, Chapter 38, New Business Occupancies and NFPA 101 A.3.3.178.3, as indicated in section 5.2-7.1 of the Guidelines. (5) A Birthing center located contiguous with a general hospital may share radiology services, laboratory services, pharmacy services, engineering services, maintenance services, laundry services, housekeeping services, dietary services, and business functions. The owner shall retain in the birthing center a written agreement for the shared services. |
| R432-14-4. General Construction Patient Facilities |
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(1) Requirements of section 5.2 of the Guidelines shall be met except as modified in this section. (2) When a modification is cited, the modification supersedes conflicting requirements of the Guidelines. (3) The facility shall be designed to allow access to service areas and common areas without compromising patient privacy. (4) Birth rooms and service areas shall be grouped to form a physically defined service unit. (5) Spaces shall be provided for each of the required services. (6) Interior finishes, lighting, and furnishings shall reflect a residential rather than an institutional setting. (7) Maximum room occupancy shall be one mother and her newborn infant or infants. (8) Windows in a birth room with a sight line which permits observation from the exterior shall be arranged or draped to ensure patient privacy. (9) Birth rooms shall provide each patient a wardrobe, closet, or locker, having minimum clear dimensions of 24 inches by 20 inches, suitable for hanging full-length garments. A clothes rod and adjustable shelf shall be provided. (10) A toilet room with direct access from the birth room shall be accessible to each birth room. (a) The toilet room shall contain a toilet and a lavatory. A shower or tub shall be accessible to each birth room and may be located in the toilet room. (b) A toilet room may serve two birth rooms. (c) All toilet room fixtures shall be handicapped accessible and shall have grab bars in compliance with ADA/ABA-AG. (11) Newborn infant resuscitation equipment, including electrical receptacles, oxygen, and suction shall be immediately available to each birth room in addition to resuscitation equipment provided for the mother. Portable oxygen and suction equipment shall be permitted. (12) A mechanically exhausted area for storage of facility maintenance materials and equipment shall be provided and may be combined with the environmental services room. (13) Special surgical lighting is not required. (14) An examination light shall be readily available in each birth room. (15) An emergency lighting system is required and must include: (a) emergency exit signs; (b) sufficient lighting to safely exit the building; and (c) an examination light. |
| R432-14-5. Excluded Guidelines and Administrative Code |
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(1) The following sections of the Guidelines do not apply: (a) Location, Subsection 5.2-1.3.1.1; (b) Soiled workroom 5.2-2.6.10.1; and (c) Soiled holding room 5.2-2.6.10.2; (d) Ventilation of Health Care Facilities, Part 6. (2) The following sections of Administrative Code do not apply: (a) General construction R432-4-23(5); and (b) General construction R432-4-23(17). |
| R432-14-6. Penalties |
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The Department may assess a civil money penalty of up to $10,000 and deny approval for patient utilization of new or remodeled areas if a health care provider does not submit architectural drawings to the Bureau of Licensing. The Department may assess a civil money penalty of up to $10,000 if the licensee fails to follow Department-approved architectural plans. The Department may assess a civil money penalty of up to $1,000 per day for each day a new or renovated area is occupied prior to licensing agency approval. |