Final answer:
Facility modifications generally require approval from local authorities or state regulators, ensuring compliance with building codes and safety regulations.
Step-by-step explanation:
When it comes to removing equipment or features of a building, approval must typically be obtained from local authorities. In most jurisdictions, alterations to facilities, especially those that impact building structure or safety features, need to go through a standard approval process involving the submission of plans and reviews by various regulatory bodies. This process ensures that changes comply with local building codes and regulations for safety and accessibility.
While a facility manager may play a role in the decision-making process, and it's generally good practice to inform residents' families of significant changes, the formal approval must come from local authorities or state regulators. These authorities have the final say in whether modifications may proceed. The specific requirements can vary by state and the nature of the building, with different rules for residential, commercial, and healthcare facilities, among others.