HCAI · OSHPD · California Construction
A working reference for California healthcare construction — code, regulation, standards, and agency resources curated from twenty-two years of active IOR practice. Maintained as a peer-level contribution to the California healthcare construction community.
These resources reflect the reference material Shane works with on active projects. HCAI regulations, Title 24 code, NFPA standards, and agency processes change — this list will be updated accordingly. If you are working on an HCAI-regulated project and need guidance on a specific compliance question, contact Shane directly rather than relying on these references alone. Code interpretation in the field often turns on project-specific conditions that a resource list cannot address.
The primary regulatory framework for California licensed healthcare facility construction. HCAI (Health Care Access and Information, formerly OSHPD) administers the Facilities Development Division and sets the requirements that apply to all covered projects.
HCAI's project tracking and correction systems. Understanding the PINS workflow and CANS process is foundational for any project team working under HCAI oversight — these systems govern how projects are initiated, tracked, and corrected at the regulatory level.
The National Fire Protection Association publishes the life-safety and health care facilities standards adopted by California and enforced on HCAI-regulated projects. Familiarity with the adopted editions in force for a given project is required for IOR practice on healthcare construction.
HCAI maintains the official registry of certified Inspectors of Record. Verifying IOR credentials before project commitment is a basic due-diligence step for any owner or GC on a licensed healthcare project.
The Division of the State Architect regulates construction for K-12 schools, California Community Colleges, and state-owned facilities. DSA IOR certification is separate from HCAI certification — Shane holds both. Projects that cross both jurisdictions — such as a healthcare clinic on a college campus — require careful attention to which agency's requirements govern which scope.
These resources cover the framework, not the project-specific application. If you're working through a specific compliance question — an unusual project condition, a grey area in the code, a CANS correction you're trying to route — contact Shane directly. Twenty-two years of active IOR practice means the question has probably come up before in a field context.
Shane works through HCAI compliance questions from owners, GCs, and architects on active projects. Email is the preferred first point of contact.