Exh B Agency Req REV III.pdf

Agency Specific Requirements (ASR)

Miles City Community Living Center (CLC)

Project Type: Build-to-Suit

DATE: 12/15/2022

Table of Contents:

Section 1. Executive Summary

Section 2. Program for Design (PFD - SEPS Report)

Section 3. Small House Model Design Guide, Proposed Blocking Plan

Section 4: Agency Specific Requirements (ASR)

Section 5. Design Guide References

Section 6. U.S. Department of Veterans Affairs Office of Information and Technology IT Operations and Services Solution Delivery – Inside Plant Information Systems Specifications

Section 1. Executive Summary

The current Miles City Community Living Center (CLC) is reaching current building end of life.

The Montana VA (MTVHA) is proposing a build to suite leased CLC facility based on the “Small House Model” VA design guideline.

Section 2. Program for Design (PFD - SEPS Report)

PROGRAM FOR DESIGN - MILES CITY COMMUNITY LIVING CENTER

Functional Area Room Room Code Qty Unit Area Net Area

CLC HOME

Waiting/Reception Desk/MSA for Outpatients WTG08 1 170 170

CLC HOME Living Room DAYR1 1 400 400 CLC HOME Dining Room Combined FSCD1 1 360 360 CLC HOME Consult Room Scheduled CONS1 1 120 120 CLC HOME Shared Home Office Residents OFA04 1 120 120 CLC HOME Storage, Home SRPB1 1 200 200 CLC HOME Toilet, Resident/Visitor TLTU1 1 80 80

CLC HOME Bedroom Resident BRNP1 15 250 3750

CLC HOME Toilet/Shower, Resident Bedroom Patient TLTS2 15 80 1200 CLC HOME Bedroom Special Care BRBA1 2 300 600

CLC HOME

Toilet/Shower, Special Care Bedroom Patient TLTS2 2 100 200

CLC HOME Bathing Suite/Salon TUB01 1 220 220 CLC HOME Toilet, Bathing Suite TLTU1 1 80 80

CLC HOME Utility, Hair Care Shop/Salon JANC1 1 40 40

CLC HOME Laundry Room LAUN1 1 120 120 CLC HOME Storage, Clean Linen UCCL1 1 40 40 CLC HOME Utility Room, Soiled USCL1 1 80 80

CLC HOME Workroom, Team Charting for Staff WKTM1 1 240 240 CLC HOME Medication Room/Omnicell CSMR3 1 80 80

CLC HOME Toilet, Staff TLTU1 1 80 80

CLC HOME Vestibule, Delivery LOB02 1 50 50 CLC HOME Prep Kitchen/Servery 1 200 200 CLC HOME Pantry SRS01 1 60 60 CLC HOME Oxygen Storage 1 100 100

CLC HOME Housekeeping Aids Closet JANC1 2 80 160

COMMUNITY

CENTER

Waiting/Reception Desk/MSA for Outpatients WTG08 1 190 190

COMMUNITY

CENTER

Chapel/Multi-Purpose Activity/Conference Rm DAYR1 1 300 300

COMMUNITY

CENTER

Storage, Multi-purpose Activity/Conference SRSE1 1 120 120

COMMUNITY

CENTER Exam/Consult Room EXRG0 1 120 120

CENTER Toilet, Public TLTU1 2 80 160

COMMUNITY

CENTER OIT Closet COMC1 1 100 100

COMMUNITY

CENTER Workstations, Administration OFA07 4 56 224

COMMUNITY

CENTER Copier Room RPR01 1 80 80

COMMUNITY

CENTER Locker Room, Staff Lounge

LR004,

SL001 1 250 250

COMMUNITY

CENTER Toilet, Staff TLTU1 1 80 80

COMMUNITY

CENTER Toilet/Shower, Staff TLTU1 1 100 100

CENTER Office, Nurse Manager OFA09 1 100 100

CENTER Kitchen/Servery IPK01 1 360 360

COMMUNITY

CENTER Exam/Treatment Room PT w/ Curtain EXRG3 1 120 120

COMMUNITY

CENTER Office, Medium with Windows to Gym OFA09 1 100 100

COMMUNITY

CENTER Physical Therapy, Exercise Gym PTEA1 1 660 660

CENTER Toilet, Patient TLTU1 1 80 80

CONNECTOR Connecting Corridor 1 160 160

ABOA 12,054

Section 3. Small House Model Design Guide, Proposed Blocking Plan

1. Refer to Department of Veterans Affairs (VA) Office of Construction and Facilities Management Standards contained in the Technical Information Library (TIL) for Physical Security Design Manuals, Standard Details, Design Guides, Design Manuals, and other technical criteria standards. Site work and amenities need to conform to VA standards, with regards to items such as flag poles, exterior signage, and physical security requirement protections. OIT closet and related infrastructure will follow VA OIT build Standards. All the aforementioned items can be found in the TIL Standards at the following link https://www.cfm.va.gov/til/

The Montana VA requests that the VA CLC be built and based on the Small House Model Design Guide (rev March 2019) https://www.cfm.va.gov/til/dGuide/dgSHModel.pdf

Below is the Montana VA proposed blocking and space program adjacency plans for the Community Center and Small House Single Model homes. Note: The Small House Model is intended to be flipped/turned/mirrored as need to fit the site and to connect to the Community Center or another future Small House Model.

Section 4. Agency Specific Requirements (ASR)

1. Provide Oxygen Storage with access from both the exterior and interior. Exterior access preferred to be located from the Service side of the building, not front Entrance.

2. Provide a Central (Commercial Grade) Kitchen for meal preparation for Small House Model distribution. Provide “Home like” kitchens in each respective Small House Model for serving and final food preparation from the Central Kitchen. The Small House Model will have a double oven, stove top, dishwasher, microwave, double sink, sink disposal and cabinet storage similar to a residence. The Central Kitchen design to be designed with commercial grade appliances and related food service equipment to support the entire CLC. Provide fire suppression systems as required for Central Kitchen and Small House Model kitchens.

3. 10’ x 10’ minimum dimensions for the OIT Room.

4. Primary Mech/Electrical Rooms in each House and Community Center are required.

Secondary Mech/Electrical rooms are included for utility distribution.

5. A Building Service Room is required for the Community Center and Small House Model.

Building services are to include but not limited to the following services: Nurse Call, Duress Systems, Security Systems, Public Address Systems, Mass Notification System, Access Control Systems and any other system not allowed in the OIT Rooms per VA Guidelines. These rooms may be incorporated into the Mech/Electrical rooms, but not the OIT Rooms.

6. Increase the amount of storage in the Small House Model as much as possible.

7. The hair salon is to be incorporated into the Bathing Suite/Salon. Provide (1) Salon chair and (1) hair wash/shampoo basin for use. Note, separate utility room is needed for vacuum equipment. Vacuum equipment could be stored in secondary Mech/Electrical rooms.

8. Laundry room: provide (4) stacked washer/dryers for resident use.

9. Montana climate requires the addition of connectors from the Small House Model to the Community Center. Connectors could serve as entry points for exterior patios, walkways, etc.

10. Montana VA requires Emergency Power. Assumption is a generator located outside/near the Community Center connected to Switchgear and Automatic Transfer System to a central electrical distribution point feeding the Small House Model. Conduit pathways/duct bank shall be placed below the central corridors to the Small House Model. Provide additional conduits as needed to facilitate any future expansion to the

CLC.

11. Utilize standard roof trusses and simple roof lines as much as possible.

12. Overhead track, patient lift system is required from bed to bath in each Patient Room.

Additional track may be required for Special Care Rooms for patient seating within the room.

13. A goal is to provide a “clean” front entry with no back of the house activities using the front door for deliveries and/or service activities. Pantry, oxygen storage, mechanical and electrical rooms are to be accessed from a "service" drive at the rear of the Small House Model. Allow for ample parking space for maintenance and service activities.

Assume enough parking space to allow access for a service pick-up and trailer.

14. Dining Room and Living Room should be one continuous space with a demising feature, i.e., fireplace or similar. The "corridor" is contiguous to both the Dining Room and Living Room and is to be considered part of each respective space and use.

15. The site should be a minimum of 5 acres with a focus on guest/visitor parking at each Small House Model entrance. Provide a minimum of twenty (40) general parking stalls and the required ADA compliant stalls for the Small House Model.

16. The Lessor shall provide on-call janitorial housekeeping and maintenance (buildings, landscaping, snow removal) services (24/7) for the leased space, parking, public areas, entrances and all other common areas.

17. Lessor shall provide two ISP (Internet Service Providers) to the CLC for network distribution from the Community Center to the Small House Model. One ISP will be dedicated for VA Business wifi use and will terminate in the Community Center OIT Room with structured cabling via conduit or cable tray (preferred) to the remaining Small House Model.

The second ISP will be used for Public wifi access, cable/internet television connectivity and will be terminated in the Community Center Building Services Room with structured cabling via conduit or cable tray (preferred) to the Small House Model and Community Center. Lessor to provide two separate wireless access point systems, (WAP) throughout the Community Center and each Small House Model for VA Business and Public wifi use.

Section 5. Design Guide References

1. Refer to Department of Veterans Affairs (VA) Office of Construction and Facilities Management Standards contained in the Technical Information Library (TIL) for Physical Security Design Manuals, Standard Details, Design Guides, Design Manuals, and other technical criteria standards. Site amenities need to conform to VA standards, with regards to items such as architecture, structural design, sustainable design, site/civil design, flag poles, electrical, fire protection, HVAC, interior finishes, door types and door hardware, signage and wayfinding, and physical security and resiliency requirements. OIT closet and related infrastructure will follow VA OIT build Standards. All the aforementioned items can be found in the TIL Standards at the following link https://www.cfm.va.gov/til/

Below is a list of common references and TIL links:

Alerts (https://www.cfm.va.gov/til/alert.asp)

A/E Submission Instructions (PG-18-15) (https://www.cfm.va.gov/til/aeDesSubReq.asp)

Architectural Accessibility and VA Barrier Free Design Standard (PG-18-13) (https://www.cfm.va.gov/TIL/accessibility.asp)

Design Guides (PG-18-12) (https://www.cfm.va.gov/til/dGuide.asp)

Design Manuals (PG-18-10) RE: Design Discipline Manuals (https://www.cfm.va.gov/til/dManual.asp)

Master Construction Specifications (PG-18-1) (https://www.cfm.va.gov/til/spec.asp)

Section 8. Flagpoles VA TIL – MASTER CONSTRUCTION SPECIFICATIONS DIV 10 – Specialties, Section 10 75 00 (https://www.cfm.va.gov/TIL/spec.asp#10)

Exterior Signage (https://www.cfm.va.gov/til/signs/Signage04-Exterior.pdf)

Interior Signage (https://www.cfm.va.gov/til/signs/Signage09-Interior.pdf)

Equipment Guide List (PG-18-5) (https://www.cfm.va.gov/til/equip.asp)

Fire & Safety (https://www.cfm.va.gov/til/spclRqmts.asp#FS)

Equipment Guide List (PG-18-5) (https://www.cfm.va.gov/til/equip.asp)

Physical Security and Resiliency Design Manual (PG-18-10) (https://www.cfm.va.gov/til/dManual.asp#PSR)

Room Finishes, Door, and Hardware Schedule (PG-18-14) (https://www.cfm.va.gov/til/spclRqmts.asp#room)

Safe Patient Handling and Mobility Design Criteria (PG-18-13) (https://www.cfm.va.gov/til/topicSpecific.asp#SPHM)

Seismic (Structural) Design Requirements (H-18-8) https://www.cfm.va.gov/til/seismic.asp

Section 6. U.S. Department of Veterans Affairs Office of Information and Technology IT Operations and Services Solution Delivery – Inside Plant Information Systems Specifications

Program for Design (11 Oct 2022 01:43PM ET)

Department Functional Area Room Room Code Qty

Unit

Area Net Area

COMMUNITY LIVING CENTER (CLC) (106) CLC HOME Vestibule/Foyer/ Lobby LOB02 1 90 90

COMMUNITY LIVING CENTER (CLC) (106) CLC HOME Waiting/Reception Desk/MSA for Outpatients WTG08 1 170 170

COMMUNITY LIVING CENTER (CLC) (106) CLC HOME Living Room DAYR1 1 400 400

COMMUNITY LIVING CENTER (CLC) (106) CLC HOME Dining Room Combined FSCD1 1 360 360

COMMUNITY LIVING CENTER (CLC) (106) CLC HOME Consult Room Scheduled CONS1 1 120 120

COMMUNITY LIVING CENTER (CLC) (106) CLC HOME Shared Home Office Residents OFA04 1 120 120

COMMUNITY LIVING CENTER (CLC) (106) CLC HOME Storage, Home SRPB1 1 200 200

COMMUNITY LIVING CENTER (CLC) (106) CLC HOME Toilet, Resident/Visitor TLTU1 1 80 80

COMMUNITY LIVING CENTER (CLC) (106) CLC HOME Bedroom Resident BRNP1 15 250 3750

COMMUNITY LIVING CENTER (CLC) (106) CLC HOME Toilet/Shower, Resident Bedroom Patient TLTS2 15 80 1200

COMMUNITY LIVING CENTER (CLC) (106) CLC HOME Bedroom Special Care BRBA1 2 300 600

COMMUNITY LIVING CENTER (CLC) (106) CLC HOME Toilet/Shower, Special Care Bedroom Patient TLTS2 2 100 200

COMMUNITY LIVING CENTER (CLC) (106) CLC HOME Bathing Suite/Salon TUB01 1 220 220

COMMUNITY LIVING CENTER (CLC) (106) CLC HOME Toilet, Bathing Suite TLTU1 1 80 80

COMMUNITY LIVING CENTER (CLC) (106) CLC HOME Utility, Hair Care Shop/Salon JANC1 1 40 40

COMMUNITY LIVING CENTER (CLC) (106) CLC HOME Laundry Room LAUN1 1 120 120

COMMUNITY LIVING CENTER (CLC) (106) CLC HOME Storage, Clean Linen UCCL1 1 40 40

COMMUNITY LIVING CENTER (CLC) (106) CLC HOME Utility Room, Soiled USCL1 1 80 80

COMMUNITY LIVING CENTER (CLC) (106) CLC HOME Workroom, Team Charting for Staff WKTM1 1 240 240

COMMUNITY LIVING CENTER (CLC) (106) CLC HOME Medication Room/Omnicell CSMR3 1 80 80

COMMUNITY LIVING CENTER (CLC) (106) CLC HOME Toilet, Staff TLTU1 1 80 80

COMMUNITY LIVING CENTER (CLC) (106) CLC HOME Vestibule, Delivery LOB02 1 50 50

COMMUNITY LIVING CENTER (CLC) (106) CLC HOME Prep Kitchen/Servery 1 200 200

COMMUNITY LIVING CENTER (CLC) (106) CLC HOME Pantry SRS01 1 60 60

COMMUNITY LIVING CENTER (CLC) (106) CLC HOME Oxygen Storage 1 100 100

COMMUNITY LIVING CENTER (CLC) (106) CLC HOME Housekeeping Aids Closet JANC1 2 80 160

COMMUNITY LIVING CENTER (CLC) (106) CLC HOME Mechanical/Electrical Primary Estimated 1 200 200

COMMUNITY LIVING CENTER (CLC) (106) CLC HOME Mechanical/Electrical Secondary Estimated 2 130 260

COMMUNITY LIVING CENTER (CLC) (106) COMMUNITY CENTER Vestibule LOB02 1 90 90

COMMUNITY LIVING CENTER (CLC) (106) COMMUNITY CENTER Waiting/Reception Desk/MSA for Outpatients WTG08 1 190 190

COMMUNITY LIVING CENTER (CLC) (106) COMMUNITY CENTER Chapel/Multi-Purpose Activity/Conference Rm DAYR1 1 300 300

COMMUNITY LIVING CENTER (CLC) (106) COMMUNITY CENTER Storage, Multi-purpose Activity/Conference SRSE1 1 120 120

COMMUNITY LIVING CENTER (CLC) (106) COMMUNITY CENTER Exam/Consult Room EXRG0 1 120 120

COMMUNITY LIVING CENTER (CLC) (106) COMMUNITY CENTER Toilet, Public TLTU1 2 80 160

COMMUNITY LIVING CENTER (CLC) (106) COMMUNITY CENTER OIT Closet COMC1 1 100 100

COMMUNITY LIVING CENTER (CLC) (106) COMMUNITY CENTER Workstations, Administration OFA07 4 56 224

COMMUNITY LIVING CENTER (CLC) (106) COMMUNITY CENTER Copier Room RPR01 1 80 80

COMMUNITY LIVING CENTER (CLC) (106) COMMUNITY CENTER Locker Room, Staff Lounge LR004, SL001 1 250 250

COMMUNITY LIVING CENTER (CLC) (106) COMMUNITY CENTER Toilet, Staff TLTU1 1 80 80

COMMUNITY LIVING CENTER (CLC) (106) COMMUNITY CENTER Toilet/Shower, Staff TLTU1 1 100 100

COMMUNITY LIVING CENTER (CLC) (106) COMMUNITY CENTER Office, Nurse Manager OFA09 1 100 100

COMMUNITY LIVING CENTER (CLC) (106) COMMUNITY CENTER Kitchen/Servery IPK01 1 360 360

COMMUNITY LIVING CENTER (CLC) (106) COMMUNITY CENTER Mechanical/Electrical Estimated 1 200 200

PHYSICAL MEDICINE AND REHABILITATION COMMUNITY CENTER Exam/Treatment Room PT w/ Curtain EXRG3 1 120 120

PHYSICAL MEDICINE AND REHABILITATION COMMUNITY CENTER Office, Medium with Windows to Gym OFA09 1 100 100

PHYSICAL MEDICINE AND REHABILITATION COMMUNITY CENTER Physical Therapy, Exercise Gym PTEA1 1 660 660

PHYSICAL MEDICINE AND REHABILITATION COMMUNITY CENTER Toilet, Patient TLTU1 1 80 80

CONNECTOR CONNECTOR Connecting Corridor 1 160 160

NSF 12,894

GSF 17,149DEPARTMENT AREA SUMMARY (NSF/GSF) NTG Factor:1.33

PROGRAM FOR DESIGN - MILES CITY COMMUNITY LIVING CENTER

Privacy Act - FOR OFFICAL USE ONLY

VHAFHMArmstD Area Measurement

BUILDING GSF

11,853.12 sf

VHAFHMArmstD Area Measurement Vestibule 90 SF

92.44 sf

VHAFHMArmstD Area Measurement

BUILDING GSF

4,395.58 sf

VHAFHMArmstD Area Measurement Connector 160 SF

164.73 sf

VHAFHMArmstD Length Measurement 8'-3/4"

VHAFHMArmstD Text Box

SMALL HOUSE SINGLE MODEL

NSF AS SHOWN: 11,853

BLOCKING PLAN IS FOR PROPOSED DESIGN INTENT and ADJACENCIES

SEE PROGRAM FOR DESIGN (PFD) FOR ADDITIONAL REQUIREMENTS

Length Measurement 6'-0"

VHAFHMArmstD Area Measurement Consult 120 SF

120.29 sf

VHAFHMArmstD Length Measurement 8'-4"

VHAFHMArmstD Area Measurement Consult/Exam Room 120 SF

120.79 sf

VHAFHMArmstD Length Measurement 8'-0"

VHAFHMArmstD Area Measurement PR Pat Toilet 80 SF

80.69 sf

VHAFHMArmstD Text Box

COMMUNITY CENTER

NSF AS SHOWN: 4,395

Polygon

VHAFHMArmstD Polygon

VHAFHMArmstD Polygon

VHAFHMArmstD Polygon

VHAFHMArmstD Area Measurement Spa Toilet 80 SF

80.47 sf

VHAFHMArmstD Area Measurement Shared Home Office 120 SF

120.29 sf

VHAFHMArmstD Area Measurement Team Workroom 240 SF

240.65 sf

VHAFHMArmstD Area Measurement Oxygen Storage 100 SF

100.61 sf

VHAFHMArmstD Area Measurement Prep Kitchen 200 SF

189.59 sf

VHAFHMArmstD Polygon

VHAFHMArmstD Area Measurement Resident Bedrooms SF

330.98 sf

VHAFHMArmstD Area Measurement Special Care Bedrooms 400 SF

400.37 sf

VHAFHMArmstD Area Measurement Special Care Bedrooms 400 SF

400.37 sf

VHAFHMArmstD Area Measurement Resident Bedrooms SF

330.99 sf

VHAFHMArmstD Area Measurement Laundry 120 SF

126.94 sf

VHAFHMArmstD Area Measurement Clean Linen 50 SF

42.07 sf

VHAFHMArmstD Area Measurement Resident Bedrooms SF

330.98 sf

VHAFHMArmstD Area Measurement Resident Bedrooms SF

330.98 sf

VHAFHMArmstD Area Measurement Delivery Vestibule 50 SF

48.45 sf

VHAFHMArmstD Area Measurement Physical Rehabilitation 880 SF

880.24 sf

VHAFHMArmstD Polygon

VHAFHMArmstD Area Measurement Housekeeping 60 SF

84.48 sf

VHAFHMArmstD Area Measurement Pantry 60 SF

66.22 sf

VHAFHMArmstD Area Measurement Future Connector N.I. SF

164.73 sf

VHAFHMArmstD Text Box

FUTURE

VHAFHMArmstD Area Measurement Spa Bath 220 SF

250.27 sf

VHAFHMArmstD Area Measurement Chapel Multipurpose Center 300 SF

300.36 sf

VHAFHMArmstD Area Measurement Reception 60 SF

100.39 sf

VHAFHMArmstD Area Measurement Chapel Closet 60 SF

62.21 sf

VHAFHMArmstD Length Measurement 8'-3/4"

VHAFHMArmstD Area Measurement Resident Bedrooms SF

329.57 sf

VHAFHMArmstD Area Measurement

MECH/ELEC 200 SF

200.32 sf

VHAFHMArmstD Area Measurement Mech/Elec 300 SF

200.59 sf

VHAFHMArmstD Area Measurement Kitchen 360 SF

350.88 sf

VHAFHMArmstD Area Measurement Pantry 100 SF

116.43 sf

VHAFHMArmstD Area Measurement Public Toilet 80 SF

84.85 sf

VHAFHMArmstD Area Measurement

OIT 100 SF

100.63 sf

VHAFHMArmstD Area Measurement Nurse Manager 100 SF

120.86 sf

VHAFHMArmstD Area Measurement Copier Room 80 SF

80.48 sf

VHAFHMArmstD Area Measurement Workstation Area 110 SF

213.96 sf

VHAFHMArmstD Area Measurement Staff SH/TLT 80 SF

95.86 sf

VHAFHMArmstD Area Measurement Locker/Break Room 250 SF

292.64 sf

VHAFHMArmstD Area Measurement Resident Bedrooms SF

330.98 sf

VHAFHMArmstD Area Measurement Resident Bedrooms SF

330.98 sf

VHAFHMArmstD Area Measurement Resident Bedrooms SF

330.98 sf

VHAFHMArmstD Area Measurement Resident Bedrooms SF

330.98 sf

VHAFHMArmstD Area Measurement Resident Bedrooms SF

330.98 sf

VHAFHMArmstD Area Measurement Resident Bedrooms SF

330.98 sf

VHAFHMArmstD Area Measurement Resident Bedrooms SF

330.99 sf

VHAFHMArmstD Area Measurement Resident Bedrooms SF

330.98 sf

VHAFHMArmstD Area Measurement Resident Bedrooms SF

330.98 sf

VHAFHMArmstD Area Measurement Resident Bedrooms SF

330.99 sf

VHAFHMArmstD Area Measurement Living Room 400 SF

400.49 sf

VHAFHMArmstD Area Measurement Dining Room 360 SF

378.05 sf

VHAFHMArmstD Area Measurement Housekeeping 80 SF

80.55 sf

VHAFHMArmstD Area Measurement

MECH/ELEC 130 SF

134.16 sf

VHAFHMArmstD Area Measurement Housekeeping 80 SF

80.55 sf

VHAFHMArmstD Area Measurement

MECH/ELEC 130 SF

134.17 sf

VHAFHMArmstD Area Measurement Visitor Toilet 80 SF

85.25 sf

VHAFHMArmstD Area Measurement Wait/Greet 170 SF

174.85 sf

VHAFHMArmstD Area Measurement Staff Toilet 80 SF

74.61 sf

VHAFHMArmstD Area Measurement Med Storage 80 SF

120.11 sf

VHAFHMArmstD Area Measurement Soiled Utility 60 SF

71.76 sf

VHAFHMArmstD Area Measurement Salon Utility 40 SF

49.39 sf

VHAFHMArmstD Area Measurement Storage 120 SF

227.82 sf

VHAFHMArmstD Polygon

VHAFHMArmstD Area Measurement Vestibule 90 SF

92.44 sf

VHAFHMArmstD Area Measurement Waiting 90 SF

85.83 sf