CHC Healthcare Compliance & Regulations 2 — Questions and Answers
Question 1: Which federal agency enforces the Americans with Disabilities Act (ADA) accessibility standards for healthcare facilities?
- The Joint Commission
- Department of Justice (DOJ) (Correct answer)
- Centers for Medicare & Medicaid Services (CMS)
- Occupational Safety and Health Administration (OSHA)
Correct answer: Department of Justice (DOJ)
The Department of Justice enforces ADA Title III accessibility requirements for places of public accommodation, including healthcare facilities.
Question 2: Under CMS Conditions of Participation, what is the minimum required distance between beds in a multi-bed patient room?
- 2 feet
- 3 feet
- 4 feet (Correct answer)
- 6 feet
Correct answer: 4 feet
CMS Conditions of Participation require a minimum of 4 feet between beds in multi-bed patient rooms to allow for patient care and equipment access.
Question 3: Which standard specifically addresses infection control requirements during healthcare construction projects?
- NFPA 101 Life Safety Code
- ICRA (Infection Control Risk Assessment) (Correct answer)
- ASHRAE Standard 90.1
- AIA Guidelines for Design and Construction
Correct answer: ICRA (Infection Control Risk Assessment)
ICRA (Infection Control Risk Assessment) is the standard protocol used to evaluate and mitigate infection risks during healthcare construction and renovation.
Question 4: A healthcare contractor discovers asbestos-containing materials (ACM) during demolition. What is the FIRST required action?
- Continue work while wearing respirators
- Notify the project owner and stop work (Correct answer)
- Remove the ACM immediately before it spreads
- Seal the area and continue demolition in adjacent zones
Correct answer: Notify the project owner and stop work
Upon discovering ACM, workers must immediately stop work and notify the owner/contractor so a licensed abatement professional can be engaged per EPA and OSHA regulations.
Question 5: The Interim Life Safety Measures (ILSM) policy is triggered when which condition exists during healthcare construction?
- A fire extinguisher is temporarily relocated
- A required fire safety feature is impaired or taken out of service (Correct answer)
- Construction noise exceeds OSHA limits
- Dust levels exceed ICRA Class II thresholds
Correct answer: A required fire safety feature is impaired or taken out of service
ILSM are compensatory measures required by The Joint Commission when a required fire or life safety feature is compromised during construction or renovation.
Question 6: Which NFPA standard governs the installation and testing of fire alarm systems in healthcare occupancies?
- NFPA 13
- NFPA 70
- NFPA 72 (Correct answer)
- NFPA 110
Correct answer: NFPA 72
NFPA 72, the National Fire Alarm and Signaling Code, governs the installation, testing, and maintenance of fire alarm systems in all occupancy types including healthcare.
Question 7: What is the primary purpose of a Preconstruction Risk Assessment (PCRA) in a healthcare setting?
- Estimate the project budget before bidding
- Identify and mitigate risks to patients and staff before construction begins (Correct answer)
- Evaluate contractor safety records
- Confirm zoning compliance with local authorities
Correct answer: Identify and mitigate risks to patients and staff before construction begins
A PCRA is conducted before construction starts to identify potential hazards—including infection, noise, vibration, and utility disruption—and implement controls to protect patients and staff.
CHC Healthcare Compliance & Regulations 2
Which federal agency enforces the Americans with Disabilities Act (ADA) accessibility standards for healthcare facilities?