Section R9-10-104. Approval of Architectural Plans and Specifica- tions

A.      For approval of architectural plans and specifications for the construction or modification of a health care institution that is required by this Chapter to comply with any of the physical plant codes and standards incorporated by reference in A.A.C. R9-1-412, an applicant shall  submit to the Department an application packet including:

1.        An application in a format provided by the Department that contains:

a.         For construction of a new health care institution:

i.         The health care institution’s name, street address, city, state, zip code, telephone number, and e-mail address;

ii.        The name and address of the health care institu- tion’s governing authority;

iii.      The requested health care institution class or subclass; and

iv.       If applicable, the requested licensed capacity, licensed occupancy, and dialysis stations for the health care institution;

b.        For modification of a licensed health care institu- tion:

i.         The health care institution’s license number,

ii.        The name and address of the licensee,

iii.      The health care institution’s class or subclass, and

iv.       The health care institution’s existing licensed capacity, licensed occupancy, or dialysis sta- tions; and the requested licensed capacity, licensed occupancy, or dialysis stations for the health care institution;

c.         The health care institution’s contact person’s name, street address, city, state, zip code, telephone num- ber, and e-mail address;

d.        The name, street address, city, state, zip code, tele- phone number, and e-mail address of:

i.         The project architect; or

ii.        If the construction or modification of the health care institution does not require a project archi- tect, the project engineer or other individual responsible for the completion of the construc- tion or modification;

e.         A narrative description of the project;

f.         If providing or planning to provide medical services, nursing services, or health-related services that require compliance with specific physical plant codes and standards incorporated by reference in

A.A.C. R9-1-412, the number of rooms or inpatient beds designated for providing the medical services, nursing services, or health-related services;

g.        If providing or planning to provide behavioral health observation/stabilization services, the number of behavioral health observation/stabilization chairs designated for providing the behavioral health observation/stabilization services;

h.        For construction of a new health care institution and if modification of a health care institution requires a project architect, a statement signed and sealed by the project architect, according to the requirements in 4 A.A.C. 30, Article 3, that the:

i.         Project architect has complied with A.A.C. R4- 30-301; and

ii.        Architectural plans and specifications comply with   applicable   licensing    requirements   in

A.R.S. Title 36, Chapter 4 and this Chapter;

i.         If construction or modification of a health care insti- tution requires a project engineer, a statement signed and sealed by the project engineer, according to the requirements in 4 A.A.C. 30, Article 3, that the proj- ect engineer has complied with A.A.C. R4-30-301; and

j.         A statement signed by the governing authority or the licensee that the architectural plans and specifica- tions comply with applicable licensing requirements in A.R.S. Title 36, Chapter 4 and this Chapter;

2.        If the health care institution is located on land under the jurisdiction of a local governmental agency, one of the following:

a.         A building permit for the construction or modifica- tion issued by the local governmental agency; or

b.        If a building permit issued by the local governmental agency is not required, zoning clearance issued by the local governmental agency that includes:

i.         The health care institution’s name, street address, city, state, zip code, and county;

ii.        The health care institution’s class or subclass and each type of medical services, nursing ser- vices, or health-related services to be provided; and

iii.      A statement signed by a representative of the local governmental agency stating that the address listed is zoned for the health care insti- tution’s class or subclass;

3.        The following information that is necessary to demon- strate that the project described on the application com- plies with applicable codes and standards incorporated by reference in A.A.C. R9-1-412:

a.         A table of contents containing:

i.         The architectural plans and specifications sub- mitted;

ii.        The physical plant codes and standards incor- porated by reference in A.A.C. R9-1-412 that apply to the project;

iii.      The physical plant codes and standards that are required by a local governmental agency, if applicable;

iv.       An index of the abbreviations and symbols used in the architectural plans and specifica- tions; and

v.        The facility’s specific International Building Code construction type and International Build- ing Code occupancy type;

b.        If the facility is larger than 3,000 square feet and is or will be occupied by more than 20 individuals, the seal of an architect on the architectural plans and specifications  according  to  the  requirements   in

A.R.S. Title 32, Chapter 1 and 4 A.A.C. 30, Article 3;

c.         A site plan, drawn to scale, of the entire premises showing streets, property lines, facilities, parking areas, outdoor areas, fences, swimming pools, fire access roads, fire hydrants, and access to water mains;

d.        For each facility, on architectural plans and specifi- cations:

i.         A floor plan, drawn to scale, for each level of the facility, showing the layout and dimensions of each room, the name and function of each room, means of egress, and natural and artifi- cial lighting sources;

ii.        A diagram of a section of the facility, drawn to scale, showing the vertical cross-section view from foundation to roof and specifying con- struction materials;

iii.      Building elevations, drawn to scale, showing the outside appearance of each facility;

iv.       The materials used for ceilings, walls, and floors;

v.        The location, size, and fire rating of each door and each window and the materials and hard- ware used, including safety features such as fire exit door hardware and fireproofing materials;

vi.       A ceiling plan, drawn to scale, showing the lay- out of each light fixture, each fire protection device, and each  element of the  mechanical ventilation system;

vii.     An electrical floor plan, drawn to scale, show- ing the wiring diagram and the layout of each lighting fixture, each outlet, each switch, each electrical panel, and electrical equipment;

viii.    A mechanical floor plan, drawn to scale, show- ing the layout of heating, ventilation, and air conditioning systems;

ix.       A plumbing floor plan, drawn to scale, showing the layout and materials used for water, sewer, and medical gas systems, including the water supply and plumbing fixtures;

x.        A floor plan, drawn to scale, showing the com- munication system within the health care insti- tution including the nurse call system, if applicable;

xi.       A floor plan, drawn to scale, showing the auto- matic fire extinguishing, fire detection, and fire alarm systems; and

xii.     Technical specifications or drawings describing installation of equipment or medical gas and the materials used for installation in the health care institution;

4.        The estimated total project cost including the costs of:

a.         Site acquisition,

b.        General construction,

c.         Architect fees,

d.        Fixed equipment, and

e.         Movable equipment;

5.        The following, as applicable:

a.         If the health care institution is located on land under the jurisdiction of a local governmental agency, one of the following provided by the local governmental agency:

i.         A copy of the certificate of occupancy for the facility,

ii.        Documentation that the facility was approved for occupancy, or

iii.      Documentation that a certificate of occupancy for the facility is not available;

b.        A certification and a statement that the construction or modification of the facility is in substantial com- pliance with applicable licensing requirements in

A.R.S. Title 36, Article 4 and this Chapter signed by the project architect, the contractor, and the owner;

c.         A written description of any work necessary to com- plete the construction or modification submitted by the project architect;

d.        If the construction or modification affects the health care institution’s fire alarm system, a contractor cer- tification and description of the fire alarm system in a format provided by the Department;

e.         If the construction or modification affects the health care institution’s automatic fire extinguishing sys- tem, a contractor certification of the automatic fire extinguishing system in a format provided by the Department;

f.         If the construction or modification affects the health care institution’s heating, ventilation, or air condi- tioning system, a copy of the heating, ventilation, air conditioning, and air balance tests and a contractor certification of the heating, ventilation, or air condi- tioning system;

g.        If draperies, cubicle curtains, or floor coverings are installed or replaced, a copy of the manufacturer’s certification of flame spread for the draperies, cubi- cle curtains, or floor coverings;

h.        For a health care institution using inhalation anes- thetics or nonflammable medical gas, a copy of the Compliance Certification for Inhalation Anesthetics or Nonflammable Medical Gas System required in the National Fire Codes incorporated by reference in

A.A.C. R9-1-412;

i.         If a generator is installed, a copy of the installation acceptance required in the National Fire Codes incorporated by reference in A.A.C. R9-1-412;

j.         If equipment  is installed, a certification from an engineer or from a technical representative of the equipment’s manufacturer that the equipment has been installed according to the manufacturer’s rec- ommendations and, if applicable, calibrated;

k.        For a health care institution providing radiology, a written report from a certified health physicist of the location, type, and amount of radiation protection; and

l.         If a factory-built building is used by a health care institution:

i.         A copy of the installation permit and the copy of a certificate of occupancy for the factory- built building from the Office of Manufactured Housing; or

ii.        A written report from an individual registered as an architect or a professional structural engi- neer under 4 A.A.C. 30, Article 2, stating that the factory-built building complies with appli- cable design standards;

6.        For construction of a new health care institution and for a modification of a health care institution that requires a project architect, a statement signed by the project archi- tect that final architectural plans and specifications have been submitted to the person applying for a health care institution license or the licensee of the health care insti- tution;

7.        For modification of a health care institution that does not require a project architect, a statement signed by the proj- ect engineer or other individual responsible for the com- pletion of the modification that final architectural plans and specifications have been submitted to the person applying for a health care institution license or the licensee of the health care institution; and

8.        The applicable fee required by R9-10-106.

B.       Before an applicant submits an application for approval of architectural plans and specifications for the construction or modification of a health care institution, an applicant may request an architectural evaluation by submitting the docu- ments in subsection (A)(3) to the Department.

C.      The Department may conduct on-site facility reviews during the construction or modification of a health care institution.

D.      The Department shall approve or deny an application for approval of architectural plans and specifications of a health care institution in this Section according to R9-10-108.

E.       In addition to obtaining an approval of a health care institu- tion’s architectural plans and specifications, a person shall obtain a health care institution license before operating the health care institution.

Historical Note

New Section made by final rulemaking at 8 A.A.R. 3559, effective August 1, 2002 (Supp. 02-3). Amended by exempt rulemaking at 19 A.A.R. 2015, effective October 1, 2013 (Supp. 13-2). Amended by exempt rulemaking at

20 A.A.R. 1409, pursuant to Laws 2013, Ch. 10, § 13;

effective July 1, 2014 (Supp. 14-2).