What are the special egress rules for care occupancies under the Ontario Building Code?
Care, care and treatment, and detention occupancies require sprinklering, subdivided floor areas so occupants can be moved horizontally to an adjacent protected zone rather than evacuated downstairs, wider corridors and doorways for beds, and enhanced staff alarm features.
Paraphrased for clarity — open this provision in the BUILDAiD Library for the exact wording.
The design philosophy shifts from evacuation to defend-in-place: hospitals, long-term care homes and detention facilities move occupants through smoke-tight compartment boundaries instead of down exit stairs. Plan cross-corridor door pairs, compartment sizing around bed counts, and travel to a second compartment early, since they shape the whole floor plate. Retirement homes and group homes fall under related residential-care provisions with their own thresholds, so confirm the exact occupancy classification before applying rules.
In hospitals and care homes, many residents cannot use stairs, so each floor is split into fire-safe zones. In a fire, staff roll patients through special doors into the next zone and wait safely instead of evacuating downstairs.
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This page is provided for general information. Building code requirements depend on your specific project, occupancy and municipality, and code editions change. Always verify requirements against the current Ontario Building Code and confirm with your local building department.