Section 449.6114 - Design, construction, equipment and maintenance of obstetric center: General requirements; prerequisites to approval for licensure1. An obstetric center must be designed, constructed, equipped and maintained in a manner that protects the health and safety of the patients and personnel of the obstetric center and members of the general public.2. The Board hereby adopts by reference the chapter containing the specific requirements for freestanding birth centers contained in the Guidelines for Design and Construction of Hospitals and Outpatient Facilities in the form most recently published by the Facility Guidelines Institute, unless the Board gives notice that a revision is not suitable for this State pursuant to subsection 3. A copy of this publication may be obtained from the Facility Guidelines Institute at the Internet address http://www.fgiguidelines.org/guidelines-main/ or by telephone at (800) 242-2626 for the price of $200.3. The Board will review each revision of the publication adopted by reference pursuant to subsection 2 to ensure its suitability for this State. If the Board determines that a revision is not suitable for this State, the Board will hold a public hearing to review its determination within 6 months after the date of the publication of the revision and give notice of that hearing. If, after the hearing, the Board does not revise its determination, the Board will give notice within 30 days after the hearing that the revision is not suitable for this State. If the Board does not give such notice, the revision becomes part of the publication adopted by reference pursuant to subsection 2.4. An obstetric center shall comply with all applicable: (a) Federal and state laws;(b) Local ordinances, including, without limitation, zoning ordinances;(c) Environmental, health and local building codes;(d) Fire and safety codes, including, without limitation, those codes relating to ingress and egress of occupants, placement of smoke alarms, fire extinguishers or sprinkler systems, and fire escape routes ; and(e) Provisions of the publication adopted by reference in subsection 2, related to the design, construction and maintenance of the obstetric center. If there is a difference between state and local requirements, the more stringent requirements apply. 5. Except as otherwise provided in subsection 6, before any new construction of an obstetric center or any remodeling of an existing obstetric center is begun, the obstetric center must submit building plans for the new construction or remodeling to the entity designated to review such plans by the Division pursuant to the provisions of NAC 449.0115. The entity's review of those plans is advisory only and does not constitute approval for the licensing of the obstetric center. The Bureau shall not approve an obstetric center for licensure until all construction is completed and a survey is conducted at the site of the obstetric center.6. An obstetric center is not required to submit plans for remodeling to the entity designated to review such plans by the Division pursuant to the provisions of NAC 449.0115 if the remodeling is limited to refurbishing an area within the obstetric center, including, without limitation, painting the area, replacing the flooring in the area, repairing windows in the area, and replacing window or wall coverings in the area.7. Before issuing a license to an obstetric center, the Division shall conduct an on-site inspection of the obstetric center.Nev. Admin. Code § 449.6114
Added to NAC by Bd. of Health, eff. 7-19-96; A by R035-97, 10-30-97; R076-01, 10-18-2001; R072-04, 8-4-2004; A by R059-16A, eff. 12/21/2016