Dialysis Center
Backflow Preventer
Installation Testing & Repair

Dialysis centers are generally treated as high-hazard (health hazard) premises for cross-connection control because they use complex water treatment/distribution systems and may handle disinfectants, cleaning chemicals, and potential biological contamination pathways.

Because of this, purveyors commonly classify dialysis facilities as health hazard, which in turn requires Reduced Pressure Principle Assembly or Air Gap minimum backflow assemblies under local policy.

As a bonded and insured licensed contractors and certified backflow testing professionals specializing in the installation, testing and repair of commercial backflow prevention assemblies, Backflow Test Pros guarantees top-tier workmanship at the most competitive rates, provides backflow repair coverage and includes 2-year installation warranty to help you meet and exceed your Dialysis Center backflow installation, testing, repair compliance requirements.

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Dialysis Center
Backflow Prevention Services

Installing, testing and repair of backflow preventer devices in Dialysis Centers is a critical component of California’s commitment to water quality protection from commercial properties connected to a public potable water system.

Property owners and Dialysis Center operators are responsible for installation, testing, repair, and ongoing compliance.

Because of this, purveyors commonly classify dialysis facilities as health hazard, which typically drives Reduced Pressure Principle Assembly or Air Gap minimums under local policy. In fact, most California water purveyors require premises containment at the potable service connection for dialysis facilities, and may also require point-of-use protection for specific equipment connections.


Hiring a certified backflow tester to perform Dialysis Center backflow prevention installation, testing and repair in a timely manner is key to ensuring compliance with state and municipal water department regulations.

Backflow Test Pros is 100% dedicated to ensuring your property meets local water authority Dialysis Center backflow installation, testing and repair requirements so you can avoid civil penalties and ensure your water is not turned off for noncompliance.

Water Authority Compliance
Dialysis Center
Backflow Installation
Municipal Compliance

Ensure you're fully compliant with specific city, county and water districts backflow prevention requirements

Plan & Permitting Approval
Dialysis Center
Backflow Installation
Permit & Plan Approval

Ensure your backflow assembly installation clears local permitting requirements and plans approvals

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Dialysis Center
Backflow Installation
Approved Devices

Ensure your installed backflow device is USC FCCCHR approved and meets hazard level requirements

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Dialysis Center
Backflow Installation
Free Testing & Certification

Free initial backflow certification testing, same-day report submittal and backflow repair coverage

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Dialysis Center
Backflow Device Installation & Testing

We provide the best value in Dialysis Center backflow prevention installations, testing and repair services by combining competitive pricing with premium service, warranty coverage and unmatched expertise.

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AWWA Certified Backflow Testers
& Cross Connect Control Specialists

Backflow Test Pros is an AWWA Certified Backflow Tester and Certified Backflow Tester with County Health Departments across Southern California. As a CA State licensed contractor and AWWA Certified backflow specialists, our team of experienced backflow experts work with County Health Boards and Municipal Water Departments throughout Southern California to protect our water and prevent backflow contamination.

Dialysis Center
Backflow Containment Risk
Violation Enforcement & Liabilities

The installation, inspection and testing of Dialysis Center backflow preventer devices are essential for ensuring the safety of drinking water from contamination by moderate to high hazard site features at Dialysis Centers.

In California, Dialysis Center backflow preventer assembly installation, testing and repair is governed by a combination of state regulations and local ordinances, aiming to protect the public water supply from contamination.

Understanding the types of Dialysis Center backflow installation, testing, and maintenance requirements helps you avoid civil liabilities and ensures water safety compliance.


Backflow Risk at Dialysis Centers that Trigger a High-Hazard Level of Protection:

- Water treatment trains (softeners, carbon tanks, RO/DI), storage tanks, and distribution loops
- Chemical cleaning/sanitization processes (e.g., disinfectants, acids/bases, regeneration brine)
- Pressurized distribution pumping and multiple zones/branches
- Hose connections and utility sinks used near chemical handling areas
- Frequent equipment changes and service work that can unintentionally create cross-connections

Because these hazards are often present, water agencies commonly require require premises containment at the potable service connection for dialysis facilities and typically require point-of-use protection for specific equipment connections as well.


Additional Dialysis Center Internal (Point-of-Use) Backflow Prevention Requirements

Even when premises containment is installed, dialysis centers typically also need strong internal controls to prevent cross-connections and backflow within building plumbing and treatment equipment.
Common internal expectations:

- No direct cross-connections between potable water and treated/product water systems unless properly protected
- Air gaps on indirect waste/drain connections from treatment equipment and tanks where required by plumbing code / manufacturer requirements (often essential in practice)
- Hose bibb vacuum breakers / anti-siphon hose bibbs on hose connections in janitorial/utility areas and treatment rooms
- Dedicated, labeled piping (especially if any nonpotable/reuse water exists on site)


Dialysis Center Backflow Violation Enforcement & Penalties

Because Dialysis Centers are usually considered high hazard, agencies tend to enforce compliance aggressively.
Most water purveyors have authority to:

- issue notices of violation
- levy fees for late testing or administrative enforcement
- require immediate hazard correction
- terminate water service for failure to install/test/maintain required assemblies
- require onsite inspection and cross-connection surveys (especially after noncompliance)

It is worth noting that High-Hazard healthcare sites often receive shorter cure windows.


Additional Civil Liabilities

Property owners and Dialysis Center operators are exposed to additional civil liabilities resulting from contamination in the event of failure to prevent backflow into the potable water resources used by other parties.


Dialysis Center  
Backflow Installation Testing & Repair
Requirements

Backflow preventers are devices installed at specific points in Dialysis Center facilities where the system connects to the public water supply. Backflow prevention devices allow water to flow in one direction. They shut off or redirect the flow if backpressure or backsiphonage is detected.


Dialysis Center Backflow Prevention Installation Requirements

A. Permits, Approval & Device Selection
- The water purveyor typically determines the hazard rating and specifies the containment device type (RP vs AG, and sometimes additional assemblies).
- Installation commonly requires plumbing permits plus purveyor approval of device make/model and location.- Installation generally requires water purveyor approval and often a plumbing permit.
- The water agency specifies the approved device type and location based on hazard evaluation.
- Installing a “less protective” device than specified is typically rejected.

B. Location & Accessibility Standards (Common Requirements)
- Install above grade or in an approved vault designed to prevent submergence
- Maintain required clearances for testing/maintenance
- Provide appropriate drainage so RP relief discharge does not flood equipment rooms or create a nuisance
- Keep assemblies accessible (locked cages are often allowed if testers can access)

C. Typical Installation Deficiencies (Frequent Causes of Rejection/Failure)
- RP installed where it can flood/submerge (invalidates function and creates discharge problems)
- Inadequate clearance to test cocks/shutoffs
- Missing upstream/downstream shutoffs or incorrect orientation
- Installing a less protective device than required by hazard classification


Dialysis Center Backflow Prevention Testing Requirements

A. Routine Testing Frequency
- At least annually for all testable assemblies (RPs, DCVAs, detector assemblies).
This is consistent with CCCPH’s emphasis on annual testing of testable assemblies.- At least annually for all testable assemblies (RPs, DCVAs, detector assemblies, etc.).
- Some agencies require more frequent testing for high-hazard sites or repeated failures.

B. Triggered Testing (Always Required)
Testing is typically required:
- immediately after installation
- after repair
- after relocation
- after replacement
- after any system modification affecting the protected line
- after a backflow incident, cross-connection finding, or contamination concern

C. Tester Qualification
- Tests must be performed by certified testers recognized/accepted by the water agency (many require tester registration/approval in addition to certification).

D. Reporting
- Test results must be submitted via the purveyor’s required method (portal or approved forms) by the deadline.
- Dialysis centers should maintain internal compliance files (test reports, repairs, replacements, permits).


Dialysis Center Backflow Prevention Repair & Failure Response Requirements

A. Immediate Corrective Action If a device fails

- Repair or replace promptly
- Retest to verify a passing result before the assembly is considered compliant

B. Common Repair Standards

- Use manufacturer-approved parts and correct rebuild kits
- Do not modify the assembly in ways that compromise approvals/listing
- Ensure any repair is followed by a passing test and proper documentation

C. Replacement Required

- Repeated failures despite repair
- Body corrosion/cracks or compromised seats
- Obsolete/non-approved model
- Installation constraints that cannot be corrected without replacement/relocation


Failure to comply with these Dialysis Center backflow installation, testing and repair regulations can result in fines, disconnection of service, or other enforcement actions.

High-hazard healthcare sites often receive shorter cure windows.

Call for Your Free
Multi-Location Dialysis Center
Backflow Compliance Review

Because dialysis centers typically have many High-Risk backflow containment conditions it is important that you perform an extensive cross connection and backflow prevention compliance review to avoid penalties, water disruptions and civil liabilities.  


Dialysis Center-Specific Best Practices for Backflow and Cross-Connection Compliance

Water system QA/QC: Dialysis centers are expected to follow current AAMI standards for treated water system performance, monitoring, and sanitation.

Facility water risk evaluation: CDC recommends evaluating facility water systems for risk of backsiphonage/cross-connections as part of healthcare water management.

Water Departments and County Health Boards and Facility Compliance Teams closely scrutinize hose connections, chemical mix areas, drain/air-gap practices, and any points where treated water could be pushed/pulled backward into potable lines. It is of great importance that your dialysis centers closely monitor these and other high-hazard connection points to ensure water safety and liability mitigation before repair and replacement events occur.


Call Us for Your Free Dialysis Center Backflow Compliance Review to Ensure
You are Not in Violation State or Local Backflow Prevention Requirements

1. Confirm hazard classification with the water purveyor (dialysis is typically health hazard).
2. Install required premises containment (usually RP) at each potable service connection.
3. Confirm fire line backflow requirement (DCDA vs RPDA/RP).
4. Ensure all hose connections have appropriate vacuum breaker protection.
5. Ensure equipment waste/drain connections meet air-gap/indirect waste expectations.
6. Test all assemblies annually, and after install/repair/relocation.
7. Submit test reports on time and retain internal compliance records.
8. Repair failed assemblies immediately; retest and document.