ADA And California Access Code Signage Requirements
Transcription
ADA And California Access Code Signage Requirements
ADA and California Access Code Signage Requirements March 5, 2013 CHA Webinar Welcome Mary Barker California Hospital Association 1 Continuing Education Offered for this Program Compliance: Compliance Certification Board (CCB) has approved this program for 2.4 Compliance Certification Board (CCB) Continuing Education Units in one or more of the following areas: Application of Management Practices for the Compliance Professional; Application of Personal and Business Ethics in Compliance; Written Compliance Policies and Procedures; Designation of Compliance Officers and Committees; Compliance Training and Education; Communication and Reporting Mechanisms in Compliance; Enforcement of Compliance Standards and Discipline; Auditing and Monitoring for Compliance; Response to Compliance Violations and Corrective Actions; HIPAA Privacy Implementation. Granting of prior approval in no way constitutes endorsement by the Compliance Certification Board. Health Care Executives: CHA is authorized to award 2 hours of pre-approved ACHE Qualified Education Credit (non-ACHE) for this program toward the advancement, or recertification in the American College of Healthcare Executives. Participants in this program wishing to have the continuing education hours applied toward ACHE Qualified Education credit should indicate their attendance when submitting application to the American College of Healthcare Executives for advancement or recertification. 3 Continuing Education Requirements Full attendance, completion of online survey, and attestation of attendance is required to receive CEs for this webinar. CEs are complimentary for registrant. If additional participants under the same registration would like to be awarded CEs, a fee of $20 per person, will apply. Post-event survey will be sent to registrant and provide information on how to apply online for additional CEs. 4 2 Program Overview Roger Richter California Hospital Association Faculty: Sharon Toji Sharon Toji is general manager, CFO and ADA sign consultant for the H. Toji Companies, comprised of ADA Sign Products, accessible signage and way-finding design and fabrication; H. Toji and Company, an architectural signage fabricator and installer; and Access Communications, a consulting company dedicated to accessible communications in the built environment. Ms. Toji has performed numerous signage surveys since the advent of the ADA in 1992, from hotels to college campuses to entire small cities. As part of her committment to improve access she has been actively involved in state committees including: Committee on Accessible Evacuation with the California State Fire Marshal and Advisory Committee on Access with California Building Standards Commission. Previously, she served on the Access Committee at the Division of the State Architect. 6 3 California Access Code — New Signage Requirements Sharon Toji H. Toji & Company New Signs of Access 4 Signs and Wayfinding 2010 ADA and Title 24 Working Together for California Access 9 Three Codes • On September 15, 2010 the DOJ approved new standards. (2010 ADA Standards for Accessible Design (SAD)). Fortunately, many of the new federal sign standards were already part of California’s state code for signs. • On January 1, 2011, the 2010 CBC (California Building Standards Code) (state) took effect. • On August 1, 2012, emergency regulations amended the CBC to bring it into further compliance with the ADA. • On March 15, 2012, the 2010 ADA (federal) became legally enforceable. We must follow the most stringent standard, either federal or state. Sometimes that means the state standard, and sometimes the federal standard. 10 5 Alphabet Soup • DOJ: Federal Department of Justice • 2010 ADA SAD: ADA Standards for Accessibility (the latest federal standards) • 2010 CBC: California Building Code (the version now in effect) • ANSI: American National Standards Institute. The sign standards were originally written by the Subcommittee on Signs of the ANSI A117.1 Committee on accessible and usable facilities for the 1998 version. 11 California Complies • Until the new CBC takes effect, you must use the most stringent of these three: 2010 CBC, amended 2010 CBC, 2010 ADA SAD. • January 2013, the 2013 California code, which incorporates the format and much of the verbiage of the 2010 ADA, was adopted. It will become legally compliant. • January 1, 2014. Everything designed for 2014 should comply with the 2013 CBC. For large projects, the date when the permit is pulled is most important. However, even one sign replacement must comply. 12 6 Finding Your Way Around the Codes • The 2013 CBC has folded the new organizational structure of 2010 ADA into Chapter 11B. • The numbering system is identical, but each number is prefaced with 11B. • Many of the technical requirements that are the same for housing and Title 2 and 3 facilities have been moved from 11A to 11B. 13 Scoping - Chapter 2 • To find out where signs are required, go to Chapter 2 in the ADA, or 11B-200 in CBC for scoping. • Most of the sign requirements are under 216. • You might occasionally find a sign, or an element with braille, under another section in Scoping. 14 7 If a Sign is Not Mentioned, It is Probably Not a Requirement • Don’t assume an ISA (International Symbol of Accessibility) is required for every accessible element. • Look at the requirements for that element. If the symbol is not listed in that section, it is not required, and may be considered labeling or segregating. 15 Chapter 7 Confusion • Because they wanted to shorten it, the Access Board tried to telescope two sections from the American National Standards Institute (ANSI) Standards into one. It has created confusion. • The Standard allows two kinds of signs to identify rooms and spaces. • One type of sign combines visual and tactile in one set of characters. The new type allows you to separate the two sets of characters. 16 8 Chapter 7 is for Signs • Technical requirements for most signs are in Chapter 7 for the ADA, and 11B-700 (Division 7) for the CBC. • Sign requirements are also included in the elevator section (Division 4) and the parking section (Division 5). Chapter 10 of the CBC has detailed sign requirements for the path of egress. 17 Remember This! • All disabled people do not use wheelchairs! • Therefore, people with vision, hearing and cognitive impairments often don’t need the same accessible features as those who do not walk. • And most people who use wheelchairs to travel independently can see fairly well. They almost never need to read signs by touch. 18 9 Why Accessible Signs? 19 • For people who have vision problems: Easy to read text, visually and sometimes by touch. • For people who have hearing or speech problems: Directions and information to access visually. • For people who have mobility problems: Directions to hidden or obscure accessible features and pathways. • For people with cognitive impairments: Pictograms and symbols, easy to read text, independence from strangers. 20 10 Universal Sign Rules 21 High Contrast Characters • 703.5.1 … Contrast … Characters shall contrast with their background with either light characters on a dark background or dark characters on a light background. (See also CBC 1117B.5.2.) The proposed ANSI formula: Using the easily available LRV (light reflectance values) of various colors, choose colors that have values of 45 or higher, and 13 or less, for adequate light to dark contrast, 70 percent or more. • Put the two colors together and copy in black and white. Do the shades of gray have a strong contrast? 22 11 Silver Does Not Contrast With Light Walls! 23 Before & After • This hospital greatly improved independent access by painting silver signs black. 24 12 Contrast Examples of poor contrast Contrast Contrast (slide provided by US Access Board) 25 A high school’s choice of “light on dark” for their signs! 26 13 Do You Think it Contrasts? To someone with “red green color blindness” it has almost no contrast. It’s essentially invisible. That’s why the rule is about dark and light, and does not mention color, or “hue.” If we made a copy of this sign on a black and white copier, the text would be almost the same shade as the sign background. 27 Remember That California Also Has Contrast Rules for the Restroom Door Sign. The circle or triangle must contrast with the door, and the triangle on a unisex sign must contrast with the circle as well. You can see that this sign just looks like a circle, but also doesn’t contrast with the door. The whole point of the sign is lost! 28 14 Non-glare Finishes 703.5.1 Finish. Characters and their background shall have a non-glare finish … What I think it means: Originally, the term “eggshell, matte or non-glare was used. The attached Appendix listed a gloss meter reading between 10 and 19 for an “eggshell” finish. However, many people thought the term referred to the color “eggshell” and also, the term “matte” is used for brushed metals, which are not really non-glare enough. Therefore, the new rule just says “non-glare.” The gloss reading used in the old Appendix is still a good guide. Glare is a huge problem for many types of vision impairment, including for people with aging vision, who tend to have developing cataracts. Metal finishes, unless they are matte anodized, oxidized or painted, are almost never appropriate. We suggest using the proposed ANSI Standard of a maximum of 19 on a standard gloss meter for all sign finishes. 29 Too Much Glare! This sign is an extreme example of what happens when shiny metals are used. The sign becomes a mirror, or white streaks obscure the message. 30 15 Signs as Mirrors! These signs have a job to do. The first explains the sustainable resource program for a government building. The second helps people exit safely in an emergency. Glare turns them into mirrors, instead. 31 Readable Text • 703.2.4 Character Proportions. Characters shall be selected from fonts where the width of the uppercase letter “O” is 55 percent minimum and 110 percent maximum of the height of the uppercase letter “I.” • 1117B.5.3 (CBC) Proportions. Characters on signs shall be selected from fonts that have a width-to-height ratio of between 3:5 (60 percent) and 1:1.1 (110 percent) measured by the width of the uppercase letter “O” and height of the uppercase letter “I.” Emergency code change: In order to retain the more accessible section of the California code (no more condensed than 60 percent) but still adopt the more accessible wider character of the federal standard (no less than 110 percent), the California code was changed by emergency action that took effect on August 1, 2012. The new 2013 code will retain that standard for California. It will be numbered 11B-703.2.4. 32 16 Purpose of the standard: • The purpose is to avoid distorted fonts (very condensed or extremely extended). • Highly condensed fonts make the spaces in letters like “P,” “B,” and “A” disappear, for touch readers and visual readers. • Extended fonts may make many letters look identical to people with vision impairments. People who read by touch lose their cognitive vision of the letter and number shapes. 33 Condensed Fonts 34 17 Extended Fonts 35 Decorative Fonts 36 18 Measuring Characters 37 • You can create your own measuring template right on your computer, and determine compliance as you go, or you can use a transparent template, print out an entire page of test characters, (O and I) and measure them. • Our plastic template comes with instructions. It’s simple. Just place the appropriate rectangle over the test letter. 38 19 • First, create a rectangle the size of your font. We use a one inch high character, measured by the height of the uppercase “I.” • The rectangle must be 1.10 inches wide. Make a second rectangle 1 inch high and .6 inch wide. • Print out two characters from each font you are testing, an uppercase “I” and “O.”The “I” must be one inch high. 39 • It’s simple to see that the font is not too wide. You don’t even need to measure to see if it’s not too condensed, but we’ll show it to you. 40 20 • The rectangle was duplicated, and the height remained at 100 percent, and the width was reduced to .60. The result is placed over the “O” which is obviously not too condensed. 41 Readable by Touch • 703.2.6 Stroke Thickness. Stroke thickness of the uppercase letter “I” shall be 15 percent maximum of the height of the character. (This standard is for tactile characters only –– not for visual characters.) Note: The California code for stroke width is less stringent than this, (20 percent) so the federal standard must be used as of March 15, 2012. The top surface is the surface that will be measured, so if a beveled character is used, there is a little leeway in the choice of fonts. A 20 percent wide character can be beveled to 15 percent. 42 21 Readable Visually • The ADA standards have separate requirements for visual characters. They are allowed much wider strokes –– up to 30 percent of character height. However, in California, the 20 percent standard is more stringent, so the Emergency Code requires a maximum stroke for visual characters only of 20 percent. Tactile characters may have only 15 percent stroke. The 20 percent will remain in force in California for the 2013 code. 43 The Stroke Template • Use the “I” that measured the character height. • Copy your 1 inch square, and reduce the width to 15 percent, or .15. • Place the rectangle over the “I” to be sure the stroke is not too wide. If you are going to bevel the raised characters, you do have some leeway. • Remember that this measurement has been required since March 15, 2012 for new signs. 44 22 • You can see the stroke is a little wide. However, if you use a bevel, the top surface will be 15 percent. 45 • Create a new copy of the rectangle that is .20 in width. • Copy your 1 inch square, and reduce the width to 20 percent, or .20. The green rectangle is 20 percent of height. • Place the rectangle over the “I” to be sure the stroke is not too wide. • Remember that this measurement is compliant for visual characters only. • You might have a character that is both tactile and visual. The tactile section is what you feel on the top surface. The visual portion is what you see. 46 23 Character & Line Spacing • 703.2.7 Character Spacing. Character spacing shall be measured between the two closest points of adjacent raised characters within a message. Where characters have rectangular cross sections, spacing between individual raised characters shall be 1/8 inch minimum and 4 times the raised character stroke width maximum. 47 Other Cross Cross Sections Other Sections • … Where characters have other cross sections, spacing between individual raised characters shall be 1/16 inch and 4 times the raised character stroke maximum at the base of the cross section shall be 1/8 inch minimum and 4 times the raised character stroke width maximum at the top of the cross sections. Characters shall be separated from raised borders and decorative elements 3/8 inch minimum. 48 24 What Are Other Cross Sections? • Rounded shapes • Beveled shapes 49 • What it means: The standard is an endorsement of beveled or rounded tactile characters. If the color is integral, or subsurface, it means that a character can appear visually bolder, with more visually pleasing spacing, but will be more readable by touch, with a thinner or rounded top surface, and greater spacing between characters. • The standard is written so that mono-spacing is NOT required. 50 25 Raised Characters New standards: Character spacing (non-rectangular cross New standards: Character sections) spacing (non-rectangular cross sections) 1/8” – 4x stroke width 1/8” – 4x stroke width 1/16” – 4x stroke width (slide provided by US Access Board) This demonstrates the approval of beveled characters. The original Appendix stated that they were much easier to read by touch. They also allow better visual spacing. 51 How to Measure Spacing • Type in the characters you want to space. Use the digital spacing to start. Use the size chosen for the text. • Next, create an 1/8 inch circle. That will measure the minimum required space between characters. It’s OK, and often best, to have more space between some pairs. 52 26 • The “E” and “X” are a little too close. • The spacing at these points is compliant. 53 • Here are some difficult pairs. Notice how the spacing is corrected to accommodate the minimum. 54 27 Line Spacing • 703.2.8 Line Spacing. Spacing between the baselines of separate lines of raised characters shall be 135 percent minimum and 170 percent maximum of the raised character height. Following is a demonstration of how line spacing can be determined using the computer. First, type in the text in the chosen size, in two lines. Then create a rectangle that is the height of the character, plus the percentage of that height you want for spacing. For a one inch letter, your rectangle would be 1.35 inches for the minimum spacing. 55 The rectangle is created that is at least 135 percent of the character height. Next, move the bottom line up so the top of that line aligns with the baseline of the rectangle. Now move the bottom line up to the base of the rectangle to create the minimum spacing. 56 28 California Template • California is a little more stringent than 2010 ADA 57 On Site Template • This template can be used on site smaller characters and to check spacing. 58 29 Sign Categories 59 Signs That Identify 60 30 61 62 31 • Use signs with raised characters and braille only when required to identify rooms and spaces, exits and floor levels. • Uppercase characters in small sizes make directional signs too difficult to read for the majority of vision impaired people and others. • The Access Board suggests raised numbers for most signs, with visual room functions, except for restrooms. • Major rooms like libraries and cafeterias are an exception, for best access. 63 64 32 • This restroom set shows a non-tactile number for the use of security and maintenance people. 65 • These California exit signs are used to identify doors. They are not used as directional signs. 66 33 • An “Exit Route” sign that can be read by touch with an added arrow may lead a functionally blind person into a room that has no exit. Use tactile exit signs only to mark doors. 67 • Enclosed stairways need many signs, both tactile and visual. 68 34 The large sign is non-tactile. It must be accompanied by a small tactile floor level sign placed adjacent to the door entering the corridor. 69 70 35 71 ADA 2010 Has a Solution! 72 36 Best For Visual & Raised • Upper and Lowercase • Larger and Bolder • Tighter Spacing • Can Use Serifs • High Contrast and No Glare • Uppercase Only • Smaller with Thin Strokes • Wide Spacing • San Serif Fonts Only • Accompanied by Braille 73 New Braille Rules Federal Guidelines Have Been Added 74 37 California Braille Standards 75 New Federal Standards Use uppercase indicators only when they add meaning: • Proper names. • Sentence beginnings. • Acronyms. • Initials and single letters. Measurements for dot base and two-line spacing 76 38 What is Uppercase Braille? Extra dots in front of a word indicate uppercase in braille. One dot means the first letter is uppercase, and two dots indicates the entire word is uppercase. 77 Pictograms Identify Rooms 78 39 Pictograms for Visual Readers • Only pictograms that are used to identify rooms and spaces are required to be placed within a six inch high field. • When pictograms identify rooms, use corresponding raised text and braille below the six inch high space. People who are functionally blind do not normally recognize pictograms, even when they are raised. 79 80 40 Pictograms Direct & Inform 81 • Pictograms and Symbols of Accessibility that direct and inform usually do not require text and never require braille. • There are no size requirements, but they should have a size appropriate to their viewing distance and location. 82 41 83 New Installation Rules 84 42 Design for the New Rules • Place raised characters at the horizontal center or lower. • California has now passed an emergency code that complies with the 2010 ADA. • The 2010 ADA says to mount signs with the base of the top-most line of raised characters no higher than 60 inches, and no lower than 48 inches. • To match sign height in existing projects, satisfy both by designing signs that can be installed at 60 inches on center, but the raised character base will not be higher than 60 inches. One line signs are easiest. 85 Then 86 43 87 No Obstacles • The new measurements are easier than the “3 inch” rule to understand. Place signs within an 18 inch space, with no obstructions. • Be careful of deep window frames. • Make sure the person can approach, standing upright, within 3 inches. 88 44 New Rules - Better Access • Lower sign installation locations when they provide better access for children or people with disabilities. • Put signs lower if there are obstructions at the 60 inch height. 89 Direct and Inform • Signs that direct and inform need easy to read visual text. • Use upper and lower case, in large sizes. Slightly bold is good! • Serifs can be used. Don’t use italics, oblique or decorative fonts. 90 45 New Visual Size Chart 91 Problem! • All directional and informational signs shall have minimum 5/8 inch characters. • The federal guidelines exempt directories, menus and parking garage signs, but CBC 2010 does not. • In a probable oversight in the ADA 2010 evacuation plans and site and floor plans were not exempted! • California decided to exempt directories and menus in the 2013 code, and did exempt evacuation plans, but not site plans. They took out many exemptions for parking garage signs. But until January, you must follow the most stringent rules for new signs. 92 46 Symbols of Accessibility International Symbol of Accessibility Assistive Listening System Volume Control Telephone Text Telephone (TTY) 93 • Use the International Symbol of Accessibility only where it is required or serves a useful purpose. • It identifies facilities that would not be easy to recognize or find. • It directs from inaccessible to accessible entrances, exits and paths of travel. • It is not used to segregate or set people apart or to label them. 94 47 Decision Points Only! 95 International Symbol of Accessibility (ISA) • Entrances • Toilets and bathrooms • Parking • Check-out aisles • Existing elevators (slide provided by U.S. Access Board) 96 48 Parking and Traffic Signs • 1129B.4 (CBC) Identification of parking spaces for off-street parking facilities. Each parking space reserved for persons with disabilities shall be identified by a reflectorized sign ... What I think it means: Cars have headlights, and the reflective surfaces of parking and traffic signs (not covered by accessibility rules) are helpful at night. However, wayfinding signs for pedestrians do not need to be reflective because people, and wheelchairs, do not have headlights. The reflection is a hindrance to reading the sign during the day, and is not allowed by either state or federal regulations. 97 California Parking Signs 98 49 99 Who Should Hire the Sign Company? • For new construction or remodeling, separate the sign contract from the construction contract. • Owners and designers/architects are much better at “sign language” than construction companies. • Be sure the sign designer and fabricator are part of the initial planning. They should work with the architect to be sure there are provisions for the legally compliant placement of signs. 100 50 Choosing a Sign Company • What have they done to become educated about the latest ADA and California rules? Why do they think accessibility rules are important (or not)? • Ask to see accessible signs they have fabricated and those they have designed, if any. • Did they use high contrast and non-glare finishes? If not, why not? • Check tactile elements for “touch” comfort (no sharp edges). Is type easily readable? • Are they willing to be frank if you suggest a design that is not compliant? 101 Good Luck! 102 51 Thank you Sharon Toji (562) 423-6600 [email protected] 103 Faculty: Paul Coleman Paul Coleman is the deputy director for the California Office of Statewide Health Planning and Development (OSHPD), Facilities Development Division (FDD). As deputy director, Mr. Coleman is the chief building official for California’s hospitals — more than 4,000 buildings located at 1,709 health care facilities under FDD jurisdiction statewide. Prior to assuming the role of deputy director in 2009, Mr. Coleman served as OSHPD’s southern California deputy division chief in the FDD. There he was responsible for planning and directing work of the program staff, and assisted in the formulation and implementation of policies related to enforcement of the Seismic Safety Act. Mr. Coleman is a licensed architect and general contractor in the state of California. 104 52 State Building Official’s Role Paul Coleman California Office of Statewide Health Planning and Development Accessible Signage for Hospitals Agenda State Building Official’s Role • Key enforcement players o Various jurisdictions and code applications • OSHPD’s role o When and how long involved o What officials will look for in terms of compliance • • Triggers for projects/inspections Vetting o Avoiding problems with pre-construction review 106 53 Accessible Signage for Hospitals Key Enforcement Players Code Adoption Agency o Division of the State Architect — Access Compliance Enforcing Agency o Office of Statewide Health Planning and Development — Facilities Development Division (FDD) o California Building Code § 1.10.1 Office of Statewide Health Planning and Development shall enforce the Division of State Architect — Access Compliance regulations … for [OSHPD 1] and [OSHPD 2]. 107 Accessible Signage for Hospitals Health and Safety Code § 129820 No contract for the construction or alteration of any hospital building, made or executed on or after January 1, 1983, by the governing board or authority of any hospital or other similar public board, body, or officer, is valid, and no money shall be paid for any work done under the contract or for any labor or materials furnished in constructing or altering the hospital building, unless all of the following requirements are satisfied: a) The plans and specification comply with this chapter and the requirements contained in the California Building Standards Code. b) The written approval thereof has first been obtained from the office. c) The hospital building is to be accessible to, and usable by, persons with disabilities. d) The plans and specifications comply with the fire and panic safety requirements of the California Building Standards Code. 108 54 Accessible Signage for Hospitals OSHPD’s Role Project Site — When applicable, site accessibility compliance related to the building under OSHPD jurisdiction shall be verified in one of the following manners: 1. Documentation from the local jurisdiction that they will be responsible for reviewing, approving, and inspecting all site accessibility. 2. Submittal of plans with sufficient detail for OSHPD to review, approve, and observe all site accessibility. The inspection of the site accessibility work shall be performed by the project Inspector(s) of Record. 3. Documentation from a CASp, hired by the hospital, that they will be responsible for reviewing, approving, and inspecting all site accessibility. Under consideration 109 Accessible Signage for Hospitals OSHPD’s Role Project Building — When applicable, building accessibility compliance related to the building under OSHPD jurisdiction shall be verified in the following manner: • Submittal of plans with sufficient detail for OSHPD to review, approve, and observe all building accessibility. The inspection of the building accessibility work shall be performed by the project Inspector(s) of Record. 110 55 Accessible Signage for Hospitals OSHPD’s Role Building — All accessible features of the building in CBC Chapter 11B • CBC 1117B.5 — Signs and identification. • C.A.N. 2-11B — Accessibility in Health Facilities http://www.oshpd.ca.gov/FDD/Regulations/CANs/2010/2-11B.pdf • DSA — AC Codes/Regulations http://www.documents.dgs.ca.gov/dsa/pubs/regulations_rev_02-15-11.pdf • DSA Access Compliance Manual http://www.dgs.ca.gov/dsa/Programs/progAccess/accessmanual.aspx 111 Accessible Signage for Hospitals Triggers for Projects/Inspections • • • • FDD is a Building Department New construction Alteration/renovation projects FDD can only review what is submitted 112 56 Accessible Signage for Hospitals 113 Accessible Signage for Hospitals Vetting • Avoid problems with a Field Confirmation o FREER Manual o http://www.oshpd.ca.gov/fdd/Plan_Review/Documents/FREER.PDF • Avoid problems with a Pre-Design Meeting o C.A.N. 2-102.6 Remodel o http://oshpd.ca.gov/FDD/Regulations/CANs/2010/2-102.6.pdf • Avoid problems with Pre-Construction Review o http://www.oshpd.ca.gov/FDD/Forms/SC-2007%20Preconstruction%20Mtg.pdf 114 57 Thank you Paul Coleman (916) 440-8381 [email protected] 115 Questions Online questions: Type your question in the Q & A box, hit enter Phone questions: To ask a question hit 14 To remove a question hit 13 58 CHA Publications New Editions California Hospital Compliance Manual (2013 Edition) EMTALA: A Guide to Patient Anti-Dumping Laws (2012 Edition) Mental Health Law (2012 Edition) Minors and Health Care Law (2012 Edition) New Updates for 2013 Consent Law Manual (April 2013) Principles of Consent and Advance Directives (April 2013) California Health Information Privacy Manual (July 2013) — The manual is currently being updated to reflect the recently released HIPAA/HITECH Final Rule. Learn more at www.calhospital.org/publications 117 Upcoming Programs Health Policy Legislative Day March 12 – 13, 2013, Sacramento, CA Rural Health Care Symposium March 13 – 15, 2013, Sacramento, CA Medicare Part B Outpatient Therapy Services Webinar March 27, 2013, 10:00 a.m. – 12:00 p.m. Rural Health Care Symposium March 14 – 15, 2013, Sacramento Consent Law Seminar April 17, San Diego April 18, Ontario April 30, Pasadena May 16, Costa Mesa May 29, Sacramento May 30, San Ramon 118 59 Thank You and Evaluation Thank you for participating in today’s program. An online evaluation will be sent to you shortly. Reminder: evaluation completion is required to receive continuing education credits. For education questions, contact Mary Barker at (916) 552-7514 or [email protected]. 119 60