Chapter 8.24 Hospitals and Institutional Homes

1. For the purposes of this Chapter, the terms “hospital” and “institutional homes” are hereby defined as follows:
2. A.  “Hospital” means any institution devoted primarily to the rendering of healing, curing and nursing care, or healing, curing or nursing care, which maintains and operates facilities for the diagnosis, treatment and care of two or more nonrelated individuals suffering from illness, injury or deformity, or where obstetrical or other healing, curing or nursing care is rendered over a period exceeding 24 hours.
3. B.  “Institutional homes” mean any institution within the definitions of “maternity home,” “nursing home,” “home for the aged,” “day nursery,” “kindergarten,” “child caring institution,” and “group care home for physically handicapped or mentally handicapped children” as stated in this Code.

1. For the purposes of administration, all hospitals shall be classified by the Bureau of Health in accordance with the following descriptive titles.  Each title shall be selected and applied with due regard to the nature and purpose of the hospital and the definition applicable thereto.  No hospital shall operate in any capacity beyond that indicated by the definition of its title:
2. A.  General hospital.  To operate as a general hospital, an institution must provide complete medical and surgical care to the sick and injured, and maternity care, and have:
   1. 1.   An organized staff of qualified professional, technical and administrative personnel, with a chief or chairman of the attending staff, and appropriate hospital department heads;
   2. 2.  An approved laboratory with standardized equipment necessary for the performance of biochemical, bacteriological, serological and parasilogical tests, and the services of a consulting clinical pathologist.  Necessary equipment should be available for the preparation of pathological specimens.  Housing and lighting facilities for the laboratory must be adequate for the accurate performance of all the required tests;
   3. 3.  X‑ray facilities with the services of a consulting radiologist.  These facilities shall include, as a minimum, a complete radiographic unit, consisting of a transformer, tube stand, table with a stereoscopic attachment, fluoroscopic equipment adjustable to horizontal and vertical positions, a viewing box, a stereoscope, and a dark room equipped for the development of films;
   4. 4.  A separate surgical unit, with the following as minimum facilities: An operating room, a sterilizing room, a work room, a scrub room and a dressing room;
   5. 5.  A separate isolation unit, consisting of sufficient number of rooms, according to the size and needs of the hospital, located either in a separate building or in a location that may be isolated as a separate Section, with separate lavatory and toilet facilities;
   6. 6.  Separate maternity facilities, preferably a separate maternity unit with a separate entrance, including as minimum requirements wards or rooms for patients, labor rooms and delivery room, all exclusively designated and used for maternity patients, and a nursery;
   7. 7.  Mental unit.  In the case of all general hospitals, hereafter constructed, provision shall be made for a mental unit, consisting of an adequate number of soundproofed rooms with adequate safeguards for the patients, and in case of all other general hospitals such facilities should be provided at their earliest convenience;
   8. 8.  Dental unit.  In the case of general hospitals, with 100 or more beds, hereafter constructed, it is recommended that consideration be given to the inclusion of a separate dental unit, in charge of a duly licensed dental surgeon, with standardized equipment for the diagnosis and treatment of diseases of the teeth, performance of orthodontia, and rehabilitation of the defective teeth and oral surgery, including all necessary anesthetic and sterilization equipment.
3. B.  Intermediate general hospital.  To operate as an intermediate general hospital, an institution must have not less than 16 nor more than 75 beds for patients, provide medical and surgical care to the sick and injured, and maternity care, and have:
   1. 1.  A staff of qualified personnel;
   2. 2.  The services of an approved laboratory, such as required for a general hospital, readily available, in addition to which hospitals in this classification with 30 or more beds shall have suitable space, laboratory equipment and supplies for the performance of urinalyses, blood counts, blood cross‑matching and serological tests for syphilis, as minimum facilities within the institution; and those having less than 30 beds shall have, as an absolute minimum, laboratory facilities for blood counts and urinalyses within the institution.
   3. 3.  X‑ray facilities, such as required for a general hospital, conveniently available with portable x‑ray facilities as minimum equipment within the institution.
   4. 4.  An operating room with standard equipment, in addition to which there shall be adequate provision for sterilization of equipment and supplies.
   5. 5.  Isolation facilities, with adequate and proper procedures for the care and control of infectious, contagious and communicable disease, and for the prevention of cross infections.
   6. 6.  Maternity facilities, consisting of wards or rooms a delivery room, all exclusively designated and used for maternity patients, and a nursery.
4. C.  Contagious disease hospital.  To operate as a contagious disease hospital, an institution must be maintained in a separate building, be devoted exclusively to the care of persons who have, or are suspected of having, infectious, contagious, or communicable disease, and meet the requirements for an intermediate general hospital, except for the isolation facilities required of such hospitals.
5. D.  Convalescent hospital.  To operate as a convalescent hospital, an institution must have at least 20 beds for patients, provide medical and nursing care for persons afflicted with a chronic illness, or a chronic disability resulting from injury, or are convalescing from illness or injury, and exclude the acutely ill, the acutely injured, and persons who are surgical or maternity patients.  Persons with tuberculosis shall not be admitted unless they are in a noninfectious stage, and are admitted primarily for the care of another chronic disease, or will be cared for in an isolation unit under strict isolation procedures, conforming to Section B of Regulations VII in the booklet “Rules and Regulations of the State Board of Health for the Control of Communicable Diseases.”  The institution shall have:
   1. 1.  A staff of qualified personnel, including a dietitian on a consultative basis;
   2. 2.  The services of an approved laboratory readily available;
   3. 3.  The X‑ray facilities conveniently available, with portable X‑ray facilities within the institution;
   4. 4.  Isolation facilities, with adequate and proper procedures, for the care and control of infectious, contagious and communicable diseases, and for the prevention of cross infections, sufficient to care for such illnesses as may occur in persons being cared for within the institution until such persons can be transferred to an institution equipped to care for acute illness.  If persons suffering from infectious, contagious or communicable disease are to be admitted, a separate isolation unit as required for a general hospital must be provided;
   5. 5.  Mental unit.  If mentally disturbed patients are to be admitted to the institution, provision must be made for a mental unit as required for a general hospital.  A convalescent hospital shall have at least one room equipped as a psychiatric unit in which patients who may become mentally disturbed may be cared for until such time as they may be transferred to a mental disease hospital
   6. 6.  Physical therapy facilities.  Reasonable physical therapy facilities and equipment adequate to meet the needs of those patients requiring physical therapy are to be provided, including as a minimum wheel chairs, walkers, crutches, walking bars, suspended bar over beds and heat therapy equipment and are to be under the supervision of a physician and qualified physical therapist on a consultative basis;
   7. 7.  The building shall have adequate space to use the physical therapy equipment and room or rooms in which the physical therapist may carry out procedures and direct the recreational activities of patients;
   8. 8.  Adequate provision shall be made for immediate removal of acutely ill patients to a general hospital or intermediate general hospital.
6. E.  Maternity hospital.  To operate as a maternity hospital, an institution must be in a separate building, provide service for maternity patients exclusively, have on the staff professional personnel especially qualified in obstetrics, meet the requirements for a general hospital except that when the hospital is operated in connection with a general hospital the requirements for a laboratory, X‑ray, surgical and isolation facilities may be met through appropriate technique by the use of those in the general hospital, and in addition all special regulations governing maternity hospitals and maternity units in general hospitals must be carefully observed.
7. F.  Medical hospital.  To operate as a medical hospital, an institution must provide special facilities for diagnosis and drug therapy; meet all minimum requirements for an intermediate general hospital except those pertaining to the operating room, delivery room and nursery; have on its staff professional personnel especially qualified in internal medicine, including one or more physicians qualified by training and experience for certification by the American Board of Internal Medicine; have an approved laboratory under the direct supervision of a physician qualified by training and experience for certification by the American Board of Pathology; have an X‑ray department directly under the supervision of a physician qualified by training and experience for certification by the American Board of Radiology; exclude surgical and maternity patients; and have an enforceable agreement in writing with a licensed general hospital or intermediate general hospital permitting the prompt transfer to and admission by the latter of any patients requiring surgical or maternity service.
8. G.  Mental hospital.  To operate as a mental hospital, an institution must be devoted exclusively to the care of mental patients, have on the staff professional personnel especially qualified in the diagnosis and treatment of mental illness, have adequate facilities for the protection of the patients and staff against physical injury by patients becoming violent, and meet the requirements for an intermediate general hospital, except that maternity facilities need not be provided as part of the mental hospital service if provision is made for adequate prenatal care at the institution and for the delivery and postpartum care of the mother and infant at some readily available licensed hospital that does provide the service.
9. H.  Orthopedic hospital.  To operate as an orthopedic hospital an institution must be devoted exclusively to the care of orthopedic patients, have on the staff professional personnel especially qualified in the diagnosis and treatment of orthopedic conditions, and meet the requirements for a general hospital, except that maternity facilities are not required and isolation facilities may be substituted for separate isolation unit.
10. I.  Pediatric hospital.  To operate as a pediatric hospital, an institution must be devoted exclusively to the diagnosis and treatment of pediatric patients, have on the staff professional personnel especially qualified in the diagnosis and treatment of diseases of children, and meet the requirements for a general hospital, except that maternity facilities are not required.
11. J.  Tuberculosis hospital.  To operate as a tuberculosis hospital, an institution must be devoted exclusively to the care of tuberculosis patients, have on the staff professional personnel especially qualified in the diagnosis and treatment of tuberculosis, and meet the requirements for a general hospital, except that maternity facilities need not be provided as a part of the tuberculosis hospital service if provision is made for adequate prenatal care at the institution, and for the delivery and postpartum care of the mother and infant at some readily available licensed hospital that does provide the service.
12. K.  Chiropractic facility.  To operate as a chiropractic facility, an institution must be devoted exclusively to treatment by adjustment with the hand or hands of the bony framework of the human body and the employment and practice of physiotherapy, electrotherapy, and hydrotherapy; exclude all persons requiring surgical, maternity, or drug therapy; comply with the requirements for an intermediate general hospital except those for a laboratory, an operating room, X‑ray and maternity facilities; except that a registered nurse is not required if the nursing personnel is under the direct supervision of one or more licensed chiropractic physicians constantly on call and available in an emergency.
13. L.  Community health facility.  To operate as a community health facility, an institution must have not more than 15 beds for patients, provide medical and surgical care to the sick and injured, and maternity care, and meet the requirements for an intermediate general hospital, including minimum laboratory equipment for urinalyses and blood counts.
14. M.  Facility for the treatment of alcoholism.  To operate as a facility for the treatment of alcoholism, an institution must be maintained in a separate building, provide facilities and services for the treatment of patients suffering from acute alcoholism exclusively, and meet the requirements for a mental hospital, except that surgery and maternity facilities are not required.
15. N.  College infirmary.  To operate as a college infirmary a facility must be part of a college or university, provide care primarily for college students, have registered nurses and other qualified personnel, and the facility shall be directed by a physician licensed by the State Board of Medical Examiners, provide nursing care, diagnosis and treatment of illness and injury, post‑operative care, perform minor surgery; and meet the regulation governing communicable diseases, and those pertaining to the general sanitary regulations of the State Board of Health.

1. For the purposes of administration, all institutional homes shall be classified by the Health Officer in accordance with the following descriptive titles.  Each Title shall be selected and applied with due regard to the nature and purpose of the home and the definition applicable thereto.  No home shall operate in any capacity beyond that indicated by the definition of its title:
2. A.  “Maternity home” means a private home or institution (with no more than 10 beds for patients) which has facilities for the receiving no less than two nonrelated maternity patients at one time before, during or after delivery, or where obstetrical care is rendered over a period exceeding 24 hours.
3. B.  “Nursing home” means any institution, including a private home, providing nursing care for two or more nonrelated individuals who are suffering from chronic illness, or requiring a rest regime, and excluding all persons who are acutely ill or are surgical or maternity cases.
4. C.  “Home for aged” means any institution, including a private home where three or more aged persons are given board, room and home care.  This does not apply to a private home wherein members of the family only are receiving such care.
5. D.  “Day nursery” means any institution, establishment or place in which are commonly received at one time three or more children not of common parentage, under the age of 14 years, for a period or periods not exceeding 12 hours, for the purpose of being given board, care or training apart from their parents or guardians.
6. E.   “Kindergarten” means any institution, establishment or place in which are commonly received at one time three or more children not of common parentage, between the ages of 2 and 6 years, inclusive, for a period not exceeding 4 hours in any 24 hour period, for the purpose of being given care or training apart from their parents or guardians.
7. F.  “Child caring institution” means any institution, establishment or place in which are commonly received at one time six or more children not of common parentage, under the age of 14 years, for a period or periods exceeding 12 hours, for the purpose of being given board, care or training apart from their parents or guardians.
8. G.  “Group care home for physically handicapped or mentally handicapped children” means any home or private institution maintained and operated for the care, boarding, housing and training of one or more physically handicapped or mentally handicapped children under the age of 18 years by any person who is not the parent or guardian of, and who is not related by blood or marriage to such children, but does not include any institution that is covered by any other definition in this Section.

1. The following words and phrases shall have the meanings ascribed to them in this Section:
2. A.  “Duly licensed” when applied to a person means that the person to whom the term is applied has been duly and regularly licensed by the proper authority to follow his or her profession or vocation with the State; when applied to a hospital or institution means that the same has been issued a permit to operate by the Bureau of Health and has been duly and regularly licensed in accordance with Chapter 7.28 of this Code;
3. B.  “Registered nurse” means a person graduated from any accredited school of nursing and currently registered through the Oregon State Board for Examinations and Registration of Graduate Nurses;
4. C.  “Licensed practical nurse” means a person licensed in the State as a practical nurse;
5. D.  “Bureau of Health” means the Bureau of Health of the City;
6. E.  “Ambulatory person” means a person who, unaided, is physically and mentally capable of walking a normal path to safety, including the ascent and descent of stairs.

1. Any hospital or institutional home desiring to change from one classification or title to another may do so by obtaining a permit from the Food and Sanitary Division of the Bureau of Health.  Application for such permit shall be made in the same manner as is herein required for the establishment and maintenance of hospitals and institutional homes.

1. “Local Health Officer,” used in Rules and Regulations of the Oregon State Board of Health, as hereinafter adopted, filed and made a part of this Chapter, means the Health Officer of the City, or his duly authorized representative.

1. Any and all records required by Rules and Regulations of the Oregon State Board of Health, as hereinafter adopted, filed and made a part of this Chapter, shall be available for inspection at reasonable times by the City Health Officer or his duly authorized representative.

1. In addition to obtaining a permit, each hospital and institutional home operating under this Chapter shall be licensed in accordance with Chapter 7.28 of this Code.

1. All permits issued under this Chapter expire on June 30 following date of issue, except as otherwise specifically provided herein.

1. It is unlawful for any person to establish, maintain or conduct in the City any hospital or institutional home as hereinbefore defined, without first having obtained a permit in writing therefor, from the Food and Sanitary Division of the Bureau of Health.  Such permit shall be granted only upon compliance with the provisions of this Code applicable thereto.

1. Every person desiring to establish, maintain or conduct a hospital or institutional home in the City shall make a written application for a permit so to do upon a form supplied by and addressed to the Food and Sanitary Division of the Bureau of Health.  The application shall contain a statement giving an intelligible description of the property or place in or upon which the applicant proposes to establish, maintain, or conduct such hospital or institutional home; the classification desired; the number of patients or inmates which can be taken care of; the number of floors to be occupied; the number of beds on each floor and such references as to character, reputation, and professional standing of the applicant as shall be required by the Bureau of Health.

1. A permit shall be issued by the Food and Sanitary Division of the Bureau of Health for the establishment and maintenance of a hospital or institutional home upon a satisfactory showing by the applicant that such hospital or institutional home is to be established and maintained in a building conforming to the requirements of all City ordinances applicable thereto and that its management and control will at all times be in strict accord with all other City ordinances applicable thereto and the ethical practices common to the profession involved therein.

1. Every such permit shall state the name of the permittee; the particular premises in which the hospital or institutional home shall be carried on; the classification under which it will operate; the number of beds that may be maintained on each designated floor and in toto at any one time for the accommodation and care of patients or inmates; the number of persons employed or engaged in taking care of patients or inmates; and such other information as the Health Officer may require.

1. No permit which has been issued for the operation of a hospital or institutional home to any person for given location, or classification, shall be valid for use by any other person, or at any location, or classification, other than that for which it was issued.

1. It is unlawful for any hospital or institutional home to receive, keep, or care for any number of patients, inmates, or wards beyond the number of beds specified in the permit for such hospital or institutional home.
2. All limitations and restrictions set forth in any regular or special permit shall be construed as necessary precautionary requirements necessitating the strictest observance.

1. The Health Officer shall have authority to revoke any permit for a hospital or institutional home under the following circumstances:
2. A.  When it is evident that any of the conditions set forth herein as prerequisites for the issuance of such permit no longer obtain;
3. B.  When the permit was issued under fraudulent or untrue representation;
4. C.  When the owner or operator has failed to observe the rules and regulations duly and properly required for the safe operation of such hospital or institutional home;
5. D.  When he or she has been convicted in the municipal or other competent court for a violation of any of the provisions of the Code, or any state or federal law by which moral turpitude is disclosed.

1. Operation and maintenance of hospitals shall be in accordance with Rules, Regulations and Standards for Hospitals in Oregon, dated 1968, promulgated by the Oregon State Board of Health, and filed with the Secretary of State December 16, 1968, a copy of which shall be filed with the Auditor, and applicable provisions of the Rules, Regulations and Standards for Hospitals in Oregon hereby is made a part of this Charter.

1. Operation and maintenance of maternity hospitals and maternity units in general hospitals shall be in accordance with Section III, Buildings and Equipment; Section IV, Policies; Section V, Reports and Records; and Section VI, Additional Rules, Regulations and Standards for Hospitals and Related Institutions, dated 1955, and filed with the Secretary of State April 1, 1955, a copy of which pamphlet shall be filed with the Auditor, and which Sections III, IV, V and VI, as contained therein, and as filed, hereby are made a part of this Chapter.

1. Operation and maintenance of nursing homes shall be in accordance with Rules, Regulations and Standards for Nursing Homes in Oregon, dated 1968, as promulgated by the Oregon State Board of Health, filed with the Secretary of State February 2, 1969, a copy of which shall be filed with the Auditor, and applicable provisions of the Rules, Regulations and Standards for Nursing Homes in Oregon hereby is made a part of this Chapter.

1. Operation and maintenance of homes for the aged shall be in accordance with Rules and Regulations Governing the Operation of Homes for the Aged in Oregon dated 1968, as promulgated by the Oregon State Board of Health, filed with the Secretary of State, a copy of which shall be filed with the Auditor, and applicable provisions of the Rules and Regulations Governing the Operation of Homes for the Aged in Oregon is hereby made a part of this Chapter.

1. Operation and Maintenance of day nurseries shall be in accordance with Rules and Regulations Governing Day Nurseries in Oregon, dated 1967, promulgated by the Oregon State Board of Health, filed with the Secretary of State, a copy of which shall be filed with the Auditor, and applicable provisions of the Rules and Regulations Governing Day Nurseries in Oregon hereby is made a part of this Chapter.

1. Operation and maintenance of kindergartens shall be in accordance with Paragraphs D through M of the Oregon State Board of Health Rules and Regulations Governing Day Nurseries in Oregon, except that provisions for preparation and serving of food and maintaining of sleeping space need not be met.

1. Operation and maintenance of group care homes for physically handicapped or mentally handicapped children under the age of eighteen years shall be in accordance with Section 3, Physical Plant; Section 4, Operational Policies; and Section 5, Admittance and Discharge Records, of the Oregon State Board of Health Rules and Regulations Relating to Sanitation and Safety in Group Care Homes, dated April 1, 1955, and filed with the Secretary of State April 1, 1955, a copy of which pamphlet shall be filed with the Auditor, and which Sections 3, 4, and 5, and which Sections entitled Sanitation and Food Sanitation, as contained therein, and as filed, hereby are made a part of this Chapter.

1. A.  All buildings in which children are housed shall be placed on a well-drained ground and separated from stables and barns at least 200 feet.
2. B.  All buildings shall be built to comply with the sanitary regulations of the State Board of Health and the Bureau of Health.
3. C.  All institution buildings including school buildings which are more than one story in height shall be fitted with easily accessible fire escapes to provide for the rapid emptying of buildings in case of fire.
4. D.  The minimum requirements for rooms for a child caring institution are:
   1. 1.  Playground.  The playground should be well equipped.  Sufficient outdoor space shall be provided so that each child shall have at least 15 square feet of space.  Provision shall be made for a part of the playground to be covered and protected from rain, and this area must contain a minimum of 5 square feet of space per child.
   2. 2.  Playroom.  The playroom shall provide at least 15 square feet of floor space for each child.  The walls and floors must be finished so as to be washable, and the rooms shall be cleaned daily.  The furniture and toys shall be constructed of material that is washable and easily cleaned.  The use of lead base paint in such rooms is prohibited.
   3. 3.  Rest or sleeping room.  The rest or sleeping room shall be used exclusively for sleeping purposes and shall furnish at least 500 cubic feet of air space for each child.  Separate beds or cots shall be provided for each child.  The bends shall have satisfactory springs in good repair and they shall be kept clean.  All the sleeping rooms shall provide at least 50 square feet of floor space for each bed.  When beds are placed side by side, there shall be a minimum space of 5 feet between the beds so that the face of the occupants may be at least 6 feet apart.  Adequate ventilation shall be provided for these rooms;
   4. 4.  Dining room.  The dining room shall have walls and floor finished so as to be washable.  The tables, chairs and eating utensils shall be kept clean;
   5. 5.  Kitchen equipment.  Kitchen equipment shall be adequate for the service of good meals.  Kitchen utensils shall be kept in good repair and so designed as to be easily cleaned.  Utensils contained or plated with cadmium or lead shall not be used;
   6. 6.  Isolation room.  An isolation room shall be provided for the treatment and care of children who are suspected of having communicable disease, and be available at all times;
   7. 7.  Lavatories and bathrooms.  The lavatories and bathrooms shall be equipped with washbasins and toilets of such a size that they may be used by the children without assistance.  Every toilet shall be scrubbed daily with soap and water.  Each ward or corridor shall be provided with at least one bath and toilet for every 15 children.  Each child shall be given an individual towel, toothbrush and comb;
   8. 8.  Receiving ward.  A receiving ward shall be provided where new children are received and isolated for the required time to prevent the introduction of communicable disease into the institution.
5. E.  Floors shall be of such construction as to be easily cleaned and maintained.  Walls shall be of smooth and washable material.
6. F.  There must be a heating plant capable of maintaining a temperature of approximately 70 degrees Fahrenheit at a point 24 inches above the floor in all rooms occupied by the children.
7. G.  All living and sleeping rooms shall have window space of at least twenty percent of the floor area and shall be constructed to give sufficient light and ventilation.
8. H.  A water supply under pressure from the City water mains shall be provided in ample quantity for the needs of the institution.
9. I.  The sewage of the institution shall be disposed of in a manner approved by the Bureau of Health, and in accordance with applicable ordinances of the City.

1. A.  The kitchen, dining room, toilets and rooms where patients are confined, shall be screened and measures installed for the prevention and destruction of flies, vermin or rodents.
2. B.  All institutions shall furnish wholesome food which shall be stored, prepared, cooked and served under sanitary conditions and shall at all times be protected from dust, flies, vermin and other contamination.
3. C.  The serving of raw milk is prohibited.
4. D.  Covered metal garbage containers must be provided in sufficient number to care for the daily needs of the institution.  Garbage cans shall be kept covered and thoroughly cleaned after they are emptied.  The garbage shall be disposed of in such a manner that there will be no nuisance condition created.
5. E.  All children shall be treated kindly and in no instance shall a child be subject to corporal punishment.
6. F.  There shall be attached to the staff, a physician of good professional standing, duly licensed to practice medicine and surgery in the State, and who shall be responsible for health supervision and medical care, including health examinations on admission and at subsequent intervals, and control of communicable disease.  At the time of admission, an effort should be made to obtain a list of communicable diseases, immunizations, and other significant information concerning the child’s health.
7. G.  Each child shall have a health record showing growth and development, accidents, illness and other pertinent information.  Dental care should be provided.
8. H.  In the event of a communicable disease occurring in the institution, the Bureau of Health, or the City Health Officer must be notified immediately by telephone.

1. A.  The following information regarding each child received for care shall be recorded at the time of admission and kept on file:

Name
Address
Sex
Date of birth
Date of entering
Names, work addresses and telephone numbers of parents or guardians
Name, address and telephone number of the person to be notified in case of emergency

1. B.  The date and hour when the child left the institution shall be recorded and filed with the admittance record.

1. A.  No patient, inmate or ward of any hospital or institutional home who is bedridden, crippled, or for any reason deprived of his ability to walk or escape from his place of confinement in case of fire or other emergency, shall be permitted to occupy space on any floor other than the ground or first floor unless such hospital or institutional home shall have first obtained a permit so to do from the fire marshal.  This shall not apply to hospitals and institutional homes where an attendant or special police guard shall be constantly on duty in or near the room where such patient, inmate, or ward is confined.
2. B.  No patient, inmate, or ward of any hospital or institutional home shall be placed under bodily restraint by the erection of any barrier or obstruction over any window or door unless such hospital or institutional home shall have a permit to do so from the fire marshal or constantly maintains an attendant or special police guard in or near the room where such patient, inmate, or ward is restrained.
3. C.  No lock or bar shall be permitted on any door of any room where patients, inmates or wards are confined or housed unless such lock or bar shall be of a type approved by the fire marshal which can be readily and easily opened from the corridor side without the use of key and that does not require any special knowledge to operate.

1. The storage of paints, oils, thinners, lacquers or any volatile flammable liquids or gases not otherwise specifically provided for in any hospital or institutional home is strictly prohibited.  This shall not be construed to prevent the storage and use of anesthetics in accordance with ordinances and regulations applicable thereto.

1. Every building occupied in whole or in part as a hospital or institutional home shall have such fire protection and shall be provided with such fire gongs, fire extinguishers, sprinklers, fire escapes, means of egress or ingress, and other equipment and facilities for the protection of the patients or inmates against fire as shall be required by the Fire Marshal.

1. Electric heating pads and blankets must be of a type approved by the Health Officer, who may consider the recommendations of the National Board of Fire Underwriters.  They shall not be used by or applied to a patient, inmate or ward unless attendant shall be present during the time of such use or application.

1. All boilers, furnaces, stoves, ranges, or other cooking or heating devices or appliances and all X‑Ray and high frequency apparatus requiring special circuit or using high voltage must be installed or placed in hospitals and institutional homes in accordance with the provisions of the building, fire and electrical codes of the City.

1. Doorways of rooms or compartments used by any patients or inmates in any hospital or institutional home shall not be hung with draperies or other textile fabrics in lieu of a door.

1. To the full extent permitted by law, the Health Officer or his representative shall have full authority to enter and to inspect the permit, license, register, and the sanitary conditions, and to question the patients, inmates or wards of any hospital or institutional home.

1. Every person conducting, maintaining or having charge of any hospital or institutional home, on receiving any person at such hospital or institutional home who cannot be identified or who is suffering from poisoning, administered by himself or another, or from any bullet wound or knife wound, or from any other physical injury, or traumatism inflicted with probable criminal intent, shall report the same immediately to the Bureau of Police.  Any authorized representative of the Bureau of Police or the Bureau of Health may visit such person and seek such information as may appear necessary in determining the cause of poisoning, wound or other injury.  In the event of the death of any such person the same shall be reported to the Bureau of Police immediately following such death.

1. A.  All hospitals and institutional homes shall be required to familiarize themselves with and particularly enforce all applicable provisions of the fire, housing, building, plumbing and electrical codes.
2. B.  All hospitals and institutional homes shall have at least one telephone (not including pay telephones) on each floor of the building, so located as to be easily accessible to anyone on the floor for the purpose of summoning help in case of fire or other emergency.