Codes and Regulations
Building Standards Unit
The HCAI Office of Statewide Hospital Planning and Development (OSHPD) Building Standards Unit is responsible for the development of administrative regulations and building standards for the construction of hospitals, skilled nursing facilities, licensed clinics and correctional treatment centers in California. These regulations are developed, as necessary, to implement the provisions of the Alfred E. Alquist Hospital Seismic Safety Act of 1983.
Building Standards Unit staff work in conjunction with HCAI’s architects, engineers and construction observation staff, the Hospital Building Safety Board, and interested members of the public to develop code language for new building standards and amendments to existing standards in the California Code of Regulations, Title 24, California Building Standards Code. All regulatory proposals are submitted to the California Building Standards Commission for approval and adoption.
Title 24 California Building Standards Code
- The Triennial Edition of Title 24, California Code of Regulations (CCR)
- Errata & Supplements (Errata & Supplements are provided by expanding each Triennial Year)
- California Building Standards Commission
2022 Intervening Code Adoption Cycle
HCAI/OSHPD has submitted proposed actions (code changes) that have been adopted and will be included in the Intervening Supplement to the 2022 California Building Standards Code, Title 24. The Intervening Supplement will be published January 1, 2024, with an effective date of July 1, 2024.
2024 Triennial Code Adoption Cycle
The California Building Standards Commission has started development of the 2025 California Building Standards Code, Title 24. This code adoption cycle will be published July 1, 2025, with an effective date of January 1, 2026.
Visit the California Building Standards Commission website for resources, current information, and opportunities for public participation: https://www.dgs.ca.gov/BSC.
OSHPD 3 Clinics
The Department of Health Care Access and Information is responsible for writing regulations pertaining to licensed clinics. These regulations are identified in the California Building Standards Code as “OSHPD 3”. OSHPD 3 requirements for clinics shall only be applied to clinics that are licensed pursuant to Health and Safety Code (H&S) Section 1200 (which includes primary care clinics and specialty clinics) or outpatient services of a hospital licensed pursuant to H&S Section 1250.
The following documents are intended to assist designers, building officials, and clinic operators in applying OSHPD 3 requirements and determining which jurisdiction has authority over the plan review, certification, and construction inspection of clinic facilities.
- CAN 1-7-2100 Clinics
(Includes “Plan Review, Approval, Inspection and Certification” flowchart with explanatory notes) - Health Facility Checklist – Section 1226.6 Primary Care Clinics
- Health Facility Checklist – Section 1226.8 Surgical Clinics
- Health Facility Checklist – Section 1226.9 Chronic Dialysis Clinics
*Due to the complexity of the data, technical expertise is needed in order to interpret this content. If you have trouble reading please contact RegsUnit@hcai.ca.gov.
Code Application Notices (CANs)
HCAI issues Code Application Notices (CANs) to interpret specific sections of the California Building Standards Code. A Policy Intent Notice (PIN) is the Department’s policy on a specific subject. Use the links below to view an index of CANs that were issued for a specific year of California Building Standards Codes and the index of PINs that have been issued.
For questions or comments related PINs or CANs, please email the Building Standards Unit at RegsUnit@hcai.ca.gov.
2022 California Building Standards Code
Code Application Notices (CANs)
Index of 2022 CANs (Based on 2022 California Building Standards Code)
CAN 1-0 – Enforceable Codes – 09/05/1989
Action/Comment: 01/10/2023
CAN 2-0 – OSHPD Jurisdiction – 07/15/2013
Action/Comment: 04/10/2023
2022 CALIFORNIA ADMINISTRATIVE CODE
Part 1, Title 24, California Code of Regulations
CAN 1-7-153(b) – (Formerly CAN 1-7-153) Non-Material Alterations (NMA) – 06/08/2023
2022 CALIFORNIA BUILDING CODE
Part 2, Title 24, California Code of Regulations
CAN 2-703.2 – Rebar in Lieu of Welded Wire Fabric in Fire-Resistance-Rated Assemblies – 05/18/2009
Action/Comment: 02/28/2023
For questions or comments related to the CANs, please email the Building Standards Unit at RegsUnit@hcai.ca.gov.
2019 California Building Standards Code
Code Application Notices (CANs)
Index of 2019 CANs (Based on 2019 California Building Standards Code)
CAN 1-0 – Enforceable Codes – 09/05/1989
Action/Comment: 02/18/2020
CAN 2-0 – OSHPD Jurisdiction – 07/15/2013
Action/Comment: 05/08/2020
2019 CALIFORNIA ADMINISTRATIVE CODE
Part 1, Title 24, California Code of Regulations
CAN 1-7-133(k) (Formerly CAN 1-7-133) – Review of Design and Construction by Seismic Examination – 06/22/2020
Action/Comment: N/A
CAN 1-7-153 – Amended Construction Documents – 03/03/2022
Action/Comment: 03/30/2022
2019 CALIFORNIA BUILDING CODE
Part 2, Title 24, California Code of Regulations
CAN 2-11B – Accessibility in Health Facilities – 07/30/2021
Action/Comment: 12/19/2023
CAN 2-102.6 – Remodel – 11/08/2019
Action/Comment: 08/03/2021
CAN 2-108 – Temporary Structures and Uses – 02/03/2021
Action/Comment: 06/25/2021
CAN 2-407.4.1 – Direct Corridor Access from Habitable Rooms – 11/12/2015
Action/Comment: 04/23/2020
CAN 2-407.2.2 – Nurses’ Stations – 04/21/2009
Action/Comment: 07/08/2020
CAN 2-442.2.3 – Location of Combustion Engines and Gas Turbines – 12/08/1994
Action/Comment: 08/12/2021
CAN 2-508 – (Formerly CAN 2-1109B.2) – Construction Separation of Emergency Vehicle and Passenger Drop-Off and Loading Zones – 09/03/2020
Action/Comment: N/A
CAN 2-703.2 – Rebar in Lieu of Welded Wire Fabric in Fire-Resistance-Rated Assemblies – 05/18/2009
Action/Comment: 02/09/2022
CAN 2-703.3 – Engineering Judgments – 05/20/2009
Action/Comment: 09/21/2020
CAN 2-2508.2.1 – Weather Protection for Gypsum Wallboard – 08/19/2009
Action/Comment: 04/16/2020
2019 CALIFORNIA ELECTRICAL CODE
Part 3, Title 24, California Code of Regulations
CAN 3-517.40(B) – Electrical Life-Support Equipment for Nursing Homes and Limited Care Facilities – 10/10/2012
Action/Comment: 09/20/2021
2019 CALIFORNIA FIRE CODE
Part 9, Title 24, California Code of Regulations
CAN 9-907.2.6.2.2 – Patient and Client Room Smoke Detectors – 01/13/21
Action/Comment: N/A
*CAN 9-3301 – Fire-Resistance Rated Assemblies and Construction – 06/19/2008
Action/Comment: 10/06/2020
*Indicates the CAN was revised
For questions or comments related to the CANs, please email the Building Standards Unit at RegsUnit@hcai.ca.gov.
2016 California Building Standards Code
Code Application Notices (CANs)
Index of 2016 CANs (Based on 2016 California Building Standards Code)
*CAN 1-0 – Enforceable Codes – 09/05/1989
Action/Comment: 02/18/2020
CAN 2-0 – Jurisdiction – 07/15/2013
Action/Comment: 01/10/2017
2016 CALIFORNIA ADMINISTRATIVE CODE
Part 1, Title 24, California Code of Regulations
CAN 1-7-2100 – Clinics – 06/19/2008
Action/Comment: 01/23/2017
2016 CALIFORNIA BUILDING CODE
Part 2, Title 24, California Code of Regulations
*CAN 2-407.4.1 – Direct Corridor Access from Habitable Rooms – 11/12/2015
Action/Comment: 03/06/2017
2016 CALIFORNIA ELECTRICAL CODE
Part 3, Title 24, California Code of Regulations
N/A
2016 CALIFORNIA MECHANICAL CODE
Part 4, Title 24, California Code of Regulations
N/A
2016 CALIFORNIA PLUMBING CODE
Part 5, Title 24, California Code of Regulations
CAN 5-310.9 – Overhead Piping – 06/19/2008
Action/Comment: 02/03/2017
2016 CALIFORNIA FIRE CODE
Part 9, Title 24, California Code of Regulations
*CAN 9-3301 – Fire-resistive Assemblies and Construction – 06/19/2008
Action/Comment: 03/14/2017
*Indicates the CAN was revised
For questions or comments related to the CANs, please email the Building Standards Unit at RegsUnit@hcai.ca.gov.
2013 California Building Standards Code
Code Application Notices (CANs)
Index of 2013 CANs (Based on 2013 California Building Standards Code)
*CAN 1-0 – Enforceable Codes – 09/05/1989
Action/Comment: 02/18/2020
*CAN 2-0 (formerly CAN 1-7-103) – Jurisdiction – 07/15/2013
Action/Comment: 06/16/2015
2013 CALIFORNIA ADMINISTRATIVE CODE
Part 1, Title 24, California Code of Regulations
CAN 1-7-2100 – Clinics – 06/19/2008
Action/Comment: 03/03/2014
2013 CALIFORNIA BUILDING CODE
Part 2, Title 24, California Code of Regulations
CAN 2-11B – Accessibility in Health Facilities – 09/09/2014
Action/Comment: N/A
*CAN 2-102.6 – Remodel – 06/19/2008
Action/Comment: Superseded 03/03/2014
CAN 2-108 – Temporary Systems, Utilities, Equipment – 04/09/2013
Action/Comment: 05/05/2014
CAN 2-407.4.1 – Direct Corridor Access from Habitable Rooms – 11/12/2015
Action/Comment: N/A
CAN 2-907.5.2.3.1 (formerly CAN 9-907.10.1.1) – Visible Fire Alarms – 07/14/2014
Action/Comment: N/A
*CAN 2-3009 – Special Requirements for Elevators in Hospitals – 10/25/2016
Action/Comment: N/A
2013 CALIFORNIA ELECTRICAL CODE
Part 3, Title 24, California Code of Regulations
CAN 3-517.40(B) – Electrical Life-Support Equipment for Nursing Homes and Limited Care Facilities – 10/10/2012
Action/Comment: 03/24/2014
2013 CALIFORNIA MECHANICAL CODE
Part 4, Title 24, California Code of Regulations
CAN 4-326.0 – (formerly CAN 4-316.0) – Essential Electrical Power for Heating – 06/19/2008
Action/Comment: 12/01/2014
2013 CALIFORNIA PLUMBING CODE
Part 5, Title 24, California Code of Regulations
CAN 5-310.9 – (formerly CAN 5-311.9) – Overhead Piping – 06/19/2008
Action/Comment: 11/06/2014
2013 CALIFORNIA FIRE CODE
Part 9, Title 24, California Code of Regulations
CAN 9-3301 – (formerly CAN 9-1401) – Fire-resistive Assemblies and Construction 06/19/2008
Action/Comment: 03/11/2014
*Indicates the CAN was revised
For questions or comments related to the CANs, please eMail the Building Standards Unit at RegsUnit@hcai.ca.gov.
2010 California Building Standards Code
Code Application Notices (CANs)
Index of 2010 CANs (Based on 2010 California Building Standards Code)
*CAN 1-0 – Enforceable Codes – 09/05/1989
Action/Comment: 02/18/2020
2010 CALIFORNIA ADMINISTRATIVE CODE
Part 1, Title 24, California Code of Regulations
CAN 1-6-1.4.5.1 – Change in Seismic Performance Category (SPC) by Voluntary Seismic Improvements – 02/13/2010
Action/Comment: N/A
CAN 1-6-1.4.5.1.4(formerly CAN 2-3406A) – Removal of Acute Care Services – 08/08/2012
Action/Comment: 09/10/2013
CAN 1-7-103 – OSHPD Jurisdiction – 07/15/2013
Action/Comment: N/A
CAN 1-7-133 – Fees – 03/24/2011
Action/Comment: 07/27/2012
CAN 1-7-214 – Suspension or Revocation of a Hospital Inspector of Record Certification – 03/24/2011
Action/Comment: N/A
CAN 1-7-153(a) – Materially Alter (Rescinded – See CAN 2-107.4) – 02/13/2010
Action/Comment: Rescinded 01/01/2011
CAN 1-7-2100 – Clinics – 06/19/2008
Action/Comment: 06/29/2011
2010 CALIFORNIA BUILDING CODE
Part 2, Title 24, California Code of Regulations
CAN 2-11B – Accessibility in Health Facilities – 08/22/2008
Action/Comment: 06/29/2011
CAN 2-102.6(formerly CAN 2-3403A) – Remodel – 06/19/2008
Action/Comment: 08/08/2013
CAN 2-107.4 – Amended Construction Documents – 01/01/2011
Action/Comment: N/A
CAN 2-108 – Temporary Systems, Utilities, Equipment – 04/09/2013
Action/Comment: N/A
CAN 2-2508.2.1 – Weather Protection for Gypsum Wallboard – 08/19/2009
Action/Comment: 06/29/2011
2010 CALIFORNIA ELECTRICAL CODE
Part 3, Title 24, California Code of Regulations
CAN 3-517.40(B) – Electrical Life-Support Equipment for Nursing Homes and Limited Care Facilities – 10/10/2012
Action/Comment: N/A
2010 CALIFORNIA MECHANICAL CODE
Part 4, Title 24, California Code of Regulations
CAN 4-316.0 – Essential Electrical Power for Heating – 06/19/2008
Action/Comment: 06/29/2011
CAN 4-408.1.5 – Humidifiers – 06/19/2008
Action/Comment: 06/29/2011
2010 CALIFORNIA PLUMBING CODE
Part 5, Title 24, California Code of Regulations
CAN 5-311.9 – Overhead Piping – 06/19/2008
Action/Comment: 06/29/2011
2010 CALIFORNIA FIRE CODE
Part 9, Title 24, California Code of Regulations
CAN 9-1401 – Fire-resistive Assemblies and Construction – 06/19/2008
Action/Comment: 06/29/2011
*Indicates the CAN was revised
For questions or comments related to the CANs, please eMail the Building Standards Unit at RegsUnit@hcai.ca.gov.
2007 California Building Standards Code
Code Application Notices (CANs)
Index of 2007 CANs (Based on 2007 California Building Standards Code)
2007 CALIFORNIA BUILDING CODE
Part 2, Title 24, California Code of Regulations
CAN 2-407.2.2 – Nurses’ Stations – 04/21/09
Action/Comment: 04/21/09
CAN 2-703.2 – Rebar in Lieu of Welded Wire Fabric in Fire-Resistance-Rated Assemblies – 05/18/09
Action/Comment: 05/18/09
CAN 2-703.3 – Engineering Judgments – 05/20/09
Action/Comment: 05/20/09
CAN 2-1912A.1 – Qualification, Design, and Use of Anchors Installed in Concrete – 07/01/08
Action/Comment: 07/01/2008
CAN 2-1916A.8 – Field Tests for Post-Installed Anchors in Concrete – 07/01/08
Action/Comment: 07/01/2008
*Indicates the CAN was revised
For questions or comments related to the CANs, please email the Building Standards Unit at RegsUnit@hcai.ca.gov.
2007 and 2001 California Building Standards Code
Code Application Notices (CANs)
Available on request (RegsUnit@hcai.ca.gov)
For questions or comments related to the CANs, please email the Building Standards Unit at RegsUnit@hcai.ca.gov.
Policy Intent Notices (PINs)
Below are listed the Office of Statewide Hospital Planning and Development’s (the Office’s) policy on a specific subject. The PINs are listed in numeric order.
PIN 2 – Installation of Underground Fuel Storage Tanks
Effective Date: 5/20/1994
Revised Date: 4/18/2016
PIN 4 – Review of Existing Facilities for Airborne Infection Isolation Rooms and Projects Related to Isolation of TB Patients
Effective Date: 2/14/1996
Revised Date: 6/09/2011
PIN 5 – Review of Underground Fire Main Submittals
Effective Date: 9/01/1994
Revised Date: 12/05/2013
PIN 8 – Hazardous Materials Inventory
Effective Date: 3/30/1995
Revised Date: 8/03/2020
PIN 11 – Establishment of Policy in Facilities Development Division
Effective Date: 5/30/1995
Revised Date: 6/09/2011
PIN 13 – Lighting System Retrofits
Rescinded Date: 7/12/2022
PIN 14 – Fire Watch
Effective Date: 5/16/1995
Revised Date: 2/14/2023
PIN 16 – Interior Finish Material(s) Approval
Effective Date: 6/20/1996
Revised Date: 6/19/2008
PIN 20 – Pneumatic Tube Systems Support and Bracing
Effective Date: 1/30/1997
Revised Date: 6/09/2011
PIN 32 – NPC-2 Seismic Bracing Upgrades
Effective Date: 5/07/2001
Revised Date: 9/19/2011
PIN 34– Review of Mobile Units Used for Outpatient Hospital Services
Effective Date: 3/08/2002
Revised Date: 3/17/2017
PIN 35 – Healthcare Decontamination Facilities
Effective Date: 7/21/2003
Revised Date: 12/05/2013
PIN 36 – Projects of $50,000 or less – Exempt from Plan Review Process
Effective Date: 1/05/2007
Revised Date: 6/10/2020
*PIN 38 – Electrical Load Capacity Verification Guideline
Effective Date: 10/06/1993
Revised Date: 5/11/2021
PIN 40 – Dietary and Food Services within Health Facilities
Effective Date: 3/31/1993
Revised Date: 9/19/2011
PIN 44 – Senate Bill 306 Facility Master Plan components and Submittal Approach
Rescinded Date: 11/16/2019
PIN 45 – Converting a Senate Bill 1661 Project to a Senate Bill 499 Project
Rescinded Date: 11/16/2019
PIN 46 – Minimum Non-refundable Application Filing Fee
Effective Date: 1/01/2011
Revised Date: 4/20/2011
PIN 47 – Expedited Appeals
Effective Date: 2/21/2012
PIN 48 – School District Fee Compliance
Effective Date: 1/01/2011
Revised Date: 3/24/2021
PIN 50 – Integrated Review IR (formerly Collaborative Review and Construction Process (CRC) & Phased Plan Review (PPR))*
Effective Date: 7/30/2021
*Due to the complexity of the data, technical expertise is needed in order to interpret this content. If you have trouble reading please contact RegsUnit@hcai.ca.gov.
PIN 51 – Use of HCAI Pre-Approved Details
Effective Date: 8/16/2011
Revised Date: 4/26/2022
PIN 52 – Requests for Seismic Compliance Extension Under Senate Bill 90
Rescinded Date: 11/16/2019
PIN 53 – Requests for Seismic Compliance Extensions under Senate Bill 499 and Senate Bill 1661
Rescinded Date: 11/16/2019
PIN 54 – Application of Enforceable Codes
Rescinded Date: 02/18/2020
PIN 55 – Special Seismic Certification Preapproval (OSP)
Effective Date: 2/24/2014
Revised Date: 8/03/2022
PIN 56 – Request for Reopening a Closed Project
Effective Date: 2/07/2014
Revised Date: 6/18/2020
PIN 57 – Functional Program
Rescinded Date: 11/16/2019
PIN 58 – OSHPD Preapproved Agency (OPAA) for Structural Tests and Special Inspections
Effective Date: 7/20/2014
Revised Date: 8/22/2023
PIN 59 – SB 90 Financial Capacity Reports
Rescinded Date: 11/16/2019
PIN 60 – Temporary Wireless Nurse Call System
Effective Date: 8/07/2014
Revised Date: 10/04/2021
PIN 61 – Reasonable Accommodation For Hospital Inspector Certification and Recertification Examinations
Effective Date: 12/29/2014
PIN 62 – OSHPD Preapproval of Manufacturer’s Certification (OPM)
Effective Date: 6/02/2016
Revised Date: 8/22/2023
PIN 63 – Fire Alarm Voltage Drop and Testing
Effective Date: 4/28/2016
PIN 65 – All-Gender Toilet Facilities
Effective Date: 1/03/2017
Revised Date: 7/08/2020
PIN 67 – Fire-Resistant Penetrations and Joints – Special Inspections
Rescinded Date: 11/04/2022
PIN 68 – Support and Attachment Requirements for Fixed, Interim, Mobile, Movable, Other and Temporary Equipment
Effective Date: 03/04/2020
Revised Date: 12/28/2023
PIN 69 – Automated Guided Vehicle Systems (AGVS)
Effective Date: 9/03/2020
PIN 70 – Electrical Coordination
Effective Date: 8/12/2021
Revised Date: 10/17/2023
PIN 71 – Compliance Plan Requirements for Participants in the Small and Rural Hospital Relief Program
Effective Date: 6/01/2022
PIN 72 – Emergency Work Authorization
Effective Date: 6/15/2022
PIN 73 – Procedure and Class 1 Imaging
Effective Date: 8/03/2022
PIN 74 – Skilled Nursing Facility Alternate Source of Power
Effective Date: 12/12/2022
Revised Date: 11/16/2023
PIN 74 FAQ’s
PIN 75 – Hospital Seismic Safety Public Notices and Annual Status Update Reporting
*Please Note: this file is large and may take time to load
Effective Date: 12/12/2022
Revised Date: 5/30/2023
For questions or comments related to the PINs, please email the Building Standards Unit at RegsUnit@hcai.ca.gov.