SURVEY FORM 24: MEDICAL CARE FACILITIES

Section	Item	Technical Requirements	Comments	Yes	No
4.1.2(5)(d) 4.6	Parking - Outpatient Facilities:	If the unit or facility is an outpatient facility, does 10 percent of the total number of parking spaces serving such unit or facility comply with 4.6? (Use Form 1: Parking)
	Facilities Treating Persons with Mobility Impairments:	If the unit or facility is one that specializes in treatment or services for persons with mobility impairments, does 20 percent of the parking spaces serving such unit or facility comply with 4.6? (Use Form 1: Parking)
4.1.2(5)(a)		Do other facilities comply with the table in 4.1.2(5)(a)? (Use Form 1: Parking)
		Is one in every eight accessible parking spaces (but not less than one) designated "van accessible"? (Use Form 1: Parking)
6.2	Entrance:	Is there at least one accessible entrance covered by a canopy or overhang?
	Passenger Loading Zone:	Is there an accessible passenger loading zone at this entrance complying with 4.6.6? (Use Form 2: Passenger Loading Zones)
6.1	Public and Common Use Areas:	In all medical care facilities, are all public use and common use areas accessible? (Use Form 14: Rooms and Spaces and Form 16: Toilet Rooms and Bathrooms)
6.1(1)	Patient Bedrooms and Toilets - General Purpose Hospitals:	If the facility is a general purpose hospital, are at least 10 percent of patient bedrooms and toilets accessible? Note: The distribution of accessible patient bedrooms can vary based on the anticipated need in different specialized units (e.g., more than 10% may be needed in a general surgical unit and less than 10% in obstetrics and pediatrics).
6.1(2)	Facilities Treating Persons with Mobility Impairments:	If the facility is a hospital or rehabilitation facility that specializes in treating conditions that affect mobility, or units within either that specialize in treating conditions that affect mobility, are all patient bedrooms and toilets accessible?
6.1(3)	Nursing Homes:	If the facility is a long term care facility or nursing home, are at least 50 percent of patient bedrooms and toilets accessible?
4.1.3(1)	Accessible Route:	Are accessible patient bedrooms located on an accessible route? (Use Form 12: Building Lobbies and Corridors)
6.3	Accessible Patient Bedrooms:	Do accessible patient bedrooms comply with the following provisions?
6.3(1) 4.13	Doors:	Does the door to each accessible bedroom comply with 4.13? (Use Form 11: Doors and Gates)
4.13.6		If the door is not automatic or power assisted, does it have maneuvering space relative to the direction of approach as shown in Figure 25? EXCEPTION: Entry doors to acute care hospital bedrooms are exempt from the requirement for the 18 inch space at the latch side of the door if the door is at least 44 inches wide.
6.3(2)	Floor Space:	Does each accessible bedroom have adequate space to provide a maneuvering space of 60 inches in diameter or a T-shaped space (See Figure 3)? (If the room has two beds, it is preferable that this space be located between the beds.)
6.3(3)		Does each accessible bedroom have adequate space to provide floor space at least 36 inches wide on each side of the bed?
		Does each accessible bedroom have adequate space to provide an accessible route to each side of the bed?
6.4 4.22 4.23	Patient Toilet/Bath Rooms:	If patient toilet/bath rooms are provided as part of a patient bedroom, does each accessible patient bedroom have an accessible toilet/bath room complying with 4.22 or 4.23 located on an accessible route? (Use Form 16: Toilet Rooms and Bathrooms and Form 17: Bathtubs and Showers)
6.1(4)(a)	Alterations Patient Bedrooms in Units, Wings or Discrete Areas:	Where patient bedrooms are added or altered as part of renovation to an entire wing, department, or other discrete area, does the percentage of accessible rooms provided comply with 6.1(1), 6.1(2) or 6.1(3) (See above)? Note: No additional accessible rooms are required in an alteration when the overall number of accessible bedrooms provided in the facility would meet or exceed the number required in new construction.
		Do the altered patient bedrooms and toilet/bath rooms which are required to be accessible comply with 6.3 (See above)?
6.1(4)(b)	Individual Patient Bedrooms:	Where patient bedrooms are added or altered individually, do they comply with 6.3 (See above)? EXCEPTION: No additional accessible patient bedrooms are required in an alteration when either of the following occur: - The number of accessible bedrooms provided in the unit, department or area meet or exceed the percentage requirements of 6.1(1), 6.1(2), or 6.1(3), OR - The number of accessible bedrooms provided in the facility equals the overall number that would be required if the facility were newly constructed.

NOTE: All doors in alcoves shall comply with the clearances for front approaches.

Diagram (a) Front Approaches -- Swinging Doors. Front approaches to pull side of swinging doors shall have maneuvering space that extends 18 in (455 mm) minimum beyond the latch side of the door and 60 in (1525 mm) minimum perpendicular to the doorway.

Front approaches to push side of swinging doors, equipped with both closer and latch, shall have maneuvering space that extends 12 in (305 mm) minimum beyond the latch side of the door and 48 in (1220 mm) minimum perpendicular to the doorway.

Front approaches to push side of swinging doors, not equipped with latch and closer, shall have maneuvering space that is the same width as door opening and extends 48 in (1220 mm) minimum perpendicular to the doorway.

Diagram (b) Hinge Side Approaches. Hinge-side approaches to pull side of swinging doors shall have maneuvering space that extends 36 in (915 mm) minimum beyond the latch side of the door if 60 in (1525 mm) minimum is provided perpendicular to the doorway or maneuvering space that extends 42 in (1065 mm) minimum beyond the latch side of the door shall be provided if 54 in (1370 mm) minimum is provided perpendicular to the doorway.

Hinge-side approaches to push side of swinging doors, not equipped with both latch and closer, shall have a maneuvering space of 54 in (1370 mm) minimum, parallel to the doorway and 42 in (1065 mm) minimum, perpendicular to the doorway.

Hinge side approaches to push side of swinging doors, equipped with both latch and closer, shall have maneuvering space of 54 in (1370 mm) minimum, parallel to the doorway, 48 in (1220 mm) minimum perpendicular to the doorway.

Diagram (c) Latch Side Approaches -- Swinging Doors. Latch-side approaches to pull side of swinging doors, with closers, shall have maneuvering space that extends 24 in (610 mm) minimum beyond the latch side of the door and 54 in (1370 mm) minimum perpendicular to the doorway.

Latch-side approaches to pull side of swinging doors, not equipped with closers, shall have maneuvering space that extends 24 in (610 mm) minimum beyond the latch side of the door and 48 in (1220 mm) minimum perpendicular to the doorway.

Latch-side approaches to push side of swinging doors, with closers, shall have maneuvering space that extends 24 in (610 mm) minimum parallel to the doorway beyond the latch side of the door and 48 in (1220 mm) minimum perpendicular to the doorway.

Latch-side approaches to push side of swinging doors, not equipped with closers, shall have maneuvering space that extends 24 in (610 mm) minimum parallel to the doorway beyond the latch side of the door and 42 in (1065 mm) minimum perpendicular to the doorway.

Diagram (d) Front Approach -- Sliding Doors and Folding Doors. Front approaches to sliding doors and folding doors shall have maneuvering space that is the same width as the door opening and shall extend 48 in (1220 mm) minimum perpendicular to the doorway.

Diagram (e). Slide-side approaches to sliding doors and folding doors shall have a maneuvering space of 54 in (1370 mm) minimum, parallel to the doorway, and 42 in (1065 mm) minimum, perpendicular to the doorway.

Diagram (f) Latch Side Approach -- Sliding Doors and Folding Doors. Latch-side approaches to sliding doors and folding doors shall have a maneuvering space that extends 24 in (610 mm) minimum beyond the latch side of the door and extends 42 in (1065 mm) minimum perpendicular to the doorway.

Depending on the direction of approach, diagrams (a) through (f) illustrate minimum maneuvering space depths and latch side clearances for both push and pull sides of swinging, sliding and folding doors. (4.13.6).

The T-shape space is 36 inches (915 mm) wide at the top and stem within a 60 inch by 60 inch (1525 mm by 1525 mm) square.

Facility Name:	Medical care facilities covered by ADAAG 6 are those in which people receive physical or medical treatment or care and where persons may need assistance in responding to an emergency and where the period of stay may exceed twenty-four hours.
Facility Location: