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17. The use of 'lite ward "snre" dr word,: ,,! ,Imi l;ir rat';thing l.o do.~cribe any services <br />r'endered by a frr, r'.~;!anJi.g ,~;~rgical (re!l, '~ i,..t fnctlilSy In prohibited in the absence <br />of Information abouL the risks nssoeiat~,,t wi Lh tilt: procedure. <br /> <br />18. No freestandi.g s.rgical m~tpatient facility nor a.y physician shall advertise <br />any procedure of surl~('ry unless; Lb. advert ige,l(,nt includes prominent notice about <br />the mortality risk and the risks of 1n jury from the surgery. <br /> <br />SECTION 503.03 PLANS AND Si'ECI. FICATIONS; (;ONSTRUC'rlON AND MAJOR ALTERATIONS. <br /> <br />I. A floor plan of tho f~-acility, dr:~wn to .~calr~, with' de.~rrlptlon of. room.~ <br />simwt.g size, d~mr locations and fixed equi. pmen~ shall be on file with the facility <br />and the department. <br /> <br />2. A facility shal.I .at be con.~tructed .or ma.ior alterations undertaken without <br />first obtaining a con~tr.cti(,n permit fr.m the City Building Department after <br />compliance with all applicable statutes and ordinances, including the provisions <br />of this Chapter. <br /> <br />3. The owner or p. twerninp. I-)dy of a. prOl-~S,.d frr'm';.tn.ding s.rg[ca] outpatient <br />.facility nhall md.nit plan~ nf llm' prtq~m:.d facilify to the director for review <br />and approval prior t- Ihe initlnl, t.n of nny constructim~ project, tncludlng <br />modernization, additi.n to, or conver~im~ of an exisring structure. The purpose <br />of the review ts I- r(,,i,,ire that the i,r.lm.ed facility ts destgned and constructed <br />tn accord with applicable laws. <br /> <br />4. A major all. er;~tim~ ir4 dc~,,.t,d t~ h~. an exl~.n~lv(, ~lr~.'tural nlteratlm~.of an <br />existing hulldlng ar.n inw,lvl.s,. ~;il,.nll'ic;~nt ch:~n[t~'~; i.. Ihe Intorl.r c-nflg, rntlons <br />or Intended ~,~e hy ti., ,..vi.g ~,f l,;~rt, lll~,,~ ,,r a ,~,.,,her .f r..m~ ami I.volvlnl~ an <br />expenditure of .4. a..~uul in ~.x~'~'~:~: ~f $25,OO(1. Remov:~l of the partitions between <br />two adjacent rooms to provide ;~ddi~ lo.al r.om space is m~t deemed to be a major <br />alteration tm[ess It exceed~ $2%,000 in co~t a.d m.ltiple chnrge~ are to be made <br />for a changed tree of :~n vnl ire wing or area and extensive plumbing and electrical <br />wiring changes are req,~lred. <br /> <br />SECTION 503.04 EXTF. RI()I~ AND IN'I'I';RIOR <br /> <br />1. The buildi.g ,~hall bo oF ~,~afe CmlStrtlctioll and shal.[ be free from hazards Lo <br />patients, personnel or visitors. <br /> <br />2. The premises of' a f,'lc'ilily shall he mainlnined i.n n .~afe and sanitary condition <br />and in a manner consistent with the public health and welfare. <br /> <br />3. At least o.r, e.r~,.~.c¢, t. a facility ~hall 1, r,,uide :;.If,' ;ln,I ¢':1,'4V :~cceR::. <br />tile physical ly handic;~l~l.,d I,y ..'an'~; .f cxl~,ricLr r;m,pS ;md/or steps which shall <br />have adequate lighting, and a hamlrai.! on both sides. <br /> <br />/4. Each area of a facility :;hall be provided with lighting adequate for the use <br />to be made of the location and in accord with generally recognized lighting <br />standards. <br /> <br />5. Each area of a facility .glmll he pr.vialed with a type and amount of ventilation <br />commcnsurato wilh lin ~,~;~., to mlnimlz~, ~he occ.rrm.'~, .f a tran.gml.g~ible disease, <br />control odors and contrih.te to the comfor! of patlent.g and persnn.el.. <br /> <br />6. Corrtdor,~, hallwaY.q, passageways and doorways shall be kept free from <br />obstruction at all times., <br /> <br />7. Floors, w:~ll:~'a.,I celllnF,:~ shall he c-vered ami fl.l.hed in a manner that <br />permits maintenance <br /> <br />8. Tile building, .~.pl~lie.'~. C,lUil.m'.l: ;~n,I furnir4hI.wg ~lmil bo maintained t. a <br />clean, sanitary, ~:~ft' and t~':ahl,' <q,mlltim~. A fncilily ~hall have a t.,.sekeeplng <br />manual elating frequency and procedure for cleaning vart. ous areas tn the facility. <br /> <br />9. Emergency elec".'t'Jcal ~;,'rvic~'::l~nll h~, p,'rmn.c.I Iv in::lnll~.d to' p'rovtdo lighting <br /> <br />stations and other critical ;~r(,as. In m'w c(m~trtwti(m or rcnovattot~s, an emergecny <br />generator with automatice tra.sfer switch or an alternative so.rte of immediate <br />electri,tal power acceptahle to Ih¢ dir~,clor slmll be provided for lighting and <br />oi>eration of equipment necessary to patient care. <br /> ~:. <br /> <br /> <br />