_Exhibit B4 - Program for Design.pdf

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LEASE - CBOC - SAN GABRIEL VALLEY - CALIFORNIA
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36C24W25R0067
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This is a Program for Design (PFD) document for a new Community Based Outpatient Clinic (PACT) facility at the West Los Angeles VA Medical Center (VISN 22, California). The project involves designing an interim PACT clinic with a projected completion year of 2026 and midpoint year of 2027. The facility will comprise 133 total rooms across 16 functional areas with a net assignable building area of 14,431 square feet and gross area of 29,223 square feet, accommodating 65 staff members.

The clinic design includes five separate patient-aligned care teams (4 PACT units and 1 Women's Health PACT) with core components including lobby/reception (10 rooms, 1,825 NSF), business office (4 rooms, 474 NSF), primary PACT clinic (43 rooms, 3,648 NSF), women's health clinic (11 rooms, 883 NSF), telehealth services (7 rooms, 599 NSF), audiology/speech pathology (4 rooms, 865 NSF), mental health clinic (4 rooms, 505 NSF), physical medicine and rehabilitation (10 rooms, 1,515 NSF), pathology and laboratory medicine (5 rooms, 485 NSF), and supporting services including clinic management, logistics, canteen, staff support, and general support areas. Specialized features include bariatric patient accommodations, contract security stations positioned at entrances, and separate entrance capability for women's health services. The document was last updated November 21, 2025, by Christopher Rhea.

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Exhibit K - DOL Wage Determination - Los Angeles County 12-12-2025.pdf PDF
Exhibit B1- Agency Specific Requirements - San Gabirel Valley CBOC.pdf PDF
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Exhibit F - 3517B General Clauses.pdf PDF
Exhibit H - Form 1217 - Lessor_s Annual Cost Statement.pdf PDF
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PROGRAM FOR DESIGN

SGV PFD UPDATED 251121

NEW SGV PLAN

SGV

Projected Year: 2026 Midpoint Year: 2027

VISN: 22 State: CA State: 691 Station: West Los Angeles

Installation: Greater Los Angeles HCS

Project Created: 10/25/2024 10:14:40 AM by Stephen Thompson Space Plan Last Edited: 11/21/2025 9:19:12 PM by Christopher Rhea

Contents List Created: 10/25/2024 2:21:40 PM by Stephen Thompson Contents List Last Edited: 11/17/2025 2:50:07 PM by Christopher Rhea

Report Generated: 21 Nov 2025 04:47PM ET

SGV PFD UPDATED 251121 (NEW SGV PLAN)

Project Notes: 5 PACTs (4 PACT and 1 WH-PACT)

Page 2 of 9FOR OFFICIAL USE ONLY21 Nov 2025 04:47PM ET

Department: 01 - COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263)

Functional Area: 01 - LOBBY / RECEPTION AREA

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type Staff Net Staff

1 LAC01 Lactation Room 100 100 1 0 0 0

1 LOB02 Vestibule 0 0 1 0 0 0

Non-ABOA space. Was 200 NSF.

1 RCA01 Alcove, AED 0 0 1 0 0 0

Wall-mounted and recessed.

1 RCP03 Reception 425 425 1 0 5 5

Upsized to accommodate 5 MSAs

1 SB851 Security Station, Police Svc 80 80 1 0 1 1

CONTRACT SECURITY. LOCATE WITHIN THE LOBBY WITH LINE OF SIGHT TO THE ENTRANCE.

1 SRLW1 Alcove, Wheelchair 90 90 1 0 0 0

1 TNPF1 Toilet, Female 0 0 1 0 0 0

Non-ABOA space. Was 205 NSF.

1 TNPFM Toilet, Family 0 0 1 0 0 0

Non-ABOA space. Was 80 NSF.

1 TNPM1 Toilet, Male 0 0 1 0 0 0

Non-ABOA space. Was 205 NSF.

1 WTPC1 Waiting, PACT 1 1130 1130 1 0 0 0

FA Totals: Room Qty: 10 Net Area: 1,825 Gross Area: 2,738 Staff: 6

Department: 01 - COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263)

Functional Area: 02 - BUSINESS OFFICE (CUSTOM)

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type Staff Net Staff

2 SC183 Reception, Clncl Sprt 85 170 1 0 0 0

These function as interview stations where Staff sit across a counter from Patients to conduct interviews. Setup is very much like Check-in / Reception, but enclosed in a non-public area.

1 SS219 Veteran Identification Card (VIC) Issue Workstation, Stff Sprt 64 64 1 0 0 0

1 WRTM1 Teamwork Area, Business Office 240 240 1 0 4 4

FA Totals: Room Qty: 4 Net Area: 474 Gross Area: 711 Staff: 4

Page 3 of 9FOR OFFICIAL USE ONLY21 Nov 2025 04:47PM ET

Functional Area: 03 - PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type Staff Net Staff

10 EXPA1 Exam Room, Patient Aligned Care Team (PACT) 125 1250 1 0 0 0

4 PACT @ 2.5 EXAM ROOMS EACH.

3 OFA07 Workstation, Staff, PACT 1 56 168 1 0 1 3

MSA space included at Reception

3 OFA07 Workstation, Staff, PACT 2 56 168 1 0 1 3

MSA space included at Reception

3 OFA07 Workstation, Staff, PACT 3 56 168 1 0 1 3

MSA space included at Reception

3 OFA07 Workstation, Staff, PACT 4 56 168 1 0 1 3

MSA space included at Reception

6 OFA07 Workstation, Staff, PACT Extended Team 56 336 1 0 1 6

5 OFDC2 Consult Room, Patient Aligned Care Team (PACT) 125 625 1 0 0 0

1 RD; 1 CPS; 2 PACT SW; 1 FLEX.

2 PEHW2 Alcove, Height / Weight Accessible Station 40 80 1 0 0 0

1 RCA01 Alcove, AED 0 0 1 0 0 0

Wall-mounted and recessed.

1 SRE01 Storage, Medical Equipment 120 120 1 0 0 0

1 SV583 Medication Room, Phrm Svc 130 130 1 0 0 0

SIZE INCREASED TO ENSURE LOCKABLE DOOR WITH DOOR SWING, AND TO ACCOMMODATE WOMEN'S HEALTH NEEDS.

1 TPB01 Toilet, General Procedure Room Patient 75 75 1 0 0 0

2 TPG01 Toilet, Patient, PACT 60 120 1 0 0 0

1 TRPR1 Procedure Room, General 180 180 1 0 0 0

1 UCCL1 Utility Room, Clean 60 60 1 0 0 0

FA Totals: Room Qty: 43 Net Area: 3,648 Gross Area: 5,472 Staff: 18

Page 4 of 9FOR OFFICIAL USE ONLY21 Nov 2025 04:47PM ET

Functional Area: 04 - WOMEN'S HEALTH CLINIC (CUSTOM)

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type Staff Net Staff

2 EXW01 Exam Room, WH-PACT 125 250 1 0 0 0

3 OFA07 Workstation, Staff, WH-PACT 56 168 1 0 1 3

MSA space included at Reception

1 PEHW2 Height / Weight Accessible Station Alcove, WH-PACT 40 40 1 0 0 0

1 RCP03 Reception, WH-PACT 100 100 1 0 1 1

ONLY REQUIRED IF WOMEN'S HEALTH HAS SEPARATE ENTRANCE.

1 SB051 Family Waiting, Bldg Sprt, WH-PACT 125 125 1 0 0 0

ONLY REQUIRED IF WOMEN'S HEALTH HAS SEPARATE ENTRANCE.

1 SB851 Security Station, Police Svc, WH-PACT 80 80 1 0 1 1

ONLY REQUIRED IF WOMEN'S HEALTH HAS SEPARATE ENTRANCE. CONTRACT SECURITY. LOCATE WITHIN THE LOBBY WITH LINE OF SIGHT TO THE ENTRANCE.

2 TPG01 Toilet, Exam Room Patient, WH-PACT 60 120 1 0 0 0

FA Totals: Room Qty: 11 Net Area: 883 Gross Area: 1,325 Staff: 5

Department: 01 - COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263)

Functional Area: 05 - TELEHEALTH (CUSTOM)

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type Staff Net Staff

4 OFA07 Workstation, Staff, Tele-Health 56 224 1 0 1 4

1 WRTM2 Tele-Health Room 125 125 1 0 0 0

1 WRTM2 Tele-Health Room - Mental Health 125 125 1 0 0 0

1 WRTM3 Tele-Retinal Room 125 125 1 0 0 0

FA Totals: Room Qty: 7 Net Area: 599 Gross Area: 899 Staff: 4

Department: 01 - COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263)

Functional Area: 06 - AUDIOLOGY AND SPEECH-LANGUAGE PATHOLOGY CLINIC

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type Staff Net Staff

1 EXAU1 Exam / Consult, Audiology 125 125 1 0 0 0

Page 5 of 9FOR OFFICIAL USE ONLY21 Nov 2025 04:47PM ET

Functional Area: 06 - AUDIOLOGY AND SPEECH-LANGUAGE PATHOLOGY CLINIC

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type Staff Net Staff

BUILD TO STC RATING 50 TO ALLOW FOR FUTURE BOOTHLESS AUDIOLOGY

1 HAFR1 Hearing Aid Fitting Room 125 125 1 0 0 0

1 PEHS4 Exam, Audiometric Booth 375 375 1 0 0 0

1 WRTM1 Teamwork Area, ASLP 240 240 1 0 4 4

FA Totals: Room Qty: 4 Net Area: 865 Gross Area: 1,298 Staff: 4

Department: 01 - COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263)

Functional Area: 07 - MENTAL HEALTH CLINIC

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type Staff Net Staff

1 EXPA1 Exam Room, Mental Health 130 130 1 0 1 1

3 OFDC1 Consult Room, Mental Health 125 375 1 0 1 3

FA Totals: Room Qty: 4 Net Area: 505 Gross Area: 758 Staff: 4

Department: 01 - COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263)

Functional Area: 08 - CERS (CUSTOM)

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type Staff Net Staff

1 SRE01 Storage, Equipment 100 100 1 0 0 0

1 WRTM1 Teamwork Area, CERS 360 360 1 0 6 6

FA Totals: Room Qty: 2 Net Area: 460 Gross Area: 690 Staff: 6

Department: 01 - COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263)

Functional Area: 10 - PHYSICAL MEDICINE AND REHABILITATION (PM&R) CLINIC

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type Staff Net Staff

1 CT011 Exam Room, PMR Svc 145 145 1 0 0 0

2 OFA07 Workstation, Staff, Gym 0 0 1 0 0 0

Page 6 of 9FOR OFFICIAL USE ONLY21 Nov 2025 04:47PM ET

Functional Area: 10 - PHYSICAL MEDICINE AND REHABILITATION (PM&R) CLINIC

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type Staff Net Staff

Wall-mounted, incorporated into Treatment Exercise Area. Could also be done as Workstation on Wheels, discuss with Users.

1 PTEA1 Treatment Exercise Area 690 690 1 0 0 0

MINIMUM AREA IS 690 NSF IN SPC CHAPTER 263.

2 PTTC1 Treatment Room 130 260 1 0 0 0

1 SB737 Clean Utility Room, PMR 60 60 1 0 0 0

1 SB741 Soiled Utility Alcove, PMR 20 20 1 0 0 0

1 SRE01 Storage, Equipment 100 100 1 0 0 0

1 WRTM1 Teamwork Area, PMRS 240 240 1 0 4 4

FA Totals: Room Qty: 10 Net Area: 1,515 Gross Area: 2,273 Staff: 4

Department: 01 - COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263)

Functional Area: 11 - PATHOLOGY AND LABORATORY MEDICINE (PLM) SERVICE

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type Staff Net Staff

1 CL821 Blood Draw Station, Path Svc 80 80 1 0 0 0

1 CL822 Bariatric Blood Draw Station, Path Svc 100 100 1 0 0 0

1 LBGM1 Laboratory, General 150 150 1 0 2 2

1 STMQ1 Storage, Lab Medical 80 80 1 0 0 0

1 TPSP1 Toilet, Specimen Collection 75 75 1 0 0 0

INCREASED SIZE TO ACCOMMODATE BARIATRIC PATIENTS.

FA Totals: Room Qty: 5 Net Area: 485 Gross Area: 728 Staff: 2

Department: 01 - COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263)

Functional Area: 12 - CLINIC MANAGEMENT

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type Staff Net Staff

1 OFA07 Workstation, Administrative 56 56 1 0 1 1

1 OFA09 Office, CMO 100 100 1 0 1 1

Page 7 of 9FOR OFFICIAL USE ONLY21 Nov 2025 04:47PM ET

Functional Area: 12 - CLINIC MANAGEMENT

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type Staff Net Staff

1 OFA09 Office, MSA Supervisors 120 120 1 0 2 2

Shared Office between Business Office Supervisor and Operations Supervisor

1 OFA09 Office, Nurse Manager 100 100 1 0 1 1

1 OFA09 Office, Site Manager 100 100 1 0 1 1

1 SB776 Office Equipment Storage Room, Site Manager 80 80 1 0 0 0

FA Totals: Room Qty: 6 Net Area: 556 Gross Area: 834 Staff: 6

Department: 01 - COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263)

Functional Area: 13 - LOGISTICS SERVICE

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type Staff Net Staff

1 BSRB1 Receiving and Issue 120 120 1 0 0 0

1 OFA07 Workstation, Logistics 56 56 1 0 1 1

1 SRGC1 Storage, Medical Gas 60 60 1 0 0 0

1 STEQ1 Storage, Equipment 140 140 1 0 0 0

1 STMQ1 Storage, Medical and General 140 140 1 0 0 0

1 UTMW1 Biohazard Waste Holding 80 80 1 0 0 0

FA Totals: Room Qty: 6 Net Area: 596 Gross Area: 894 Staff: 1

Department: 01 - COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263)

Functional Area: 14 - CANTEEN SERVICE

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type Staff Net Staff

1 BX002 Vending Machine Area 100 100 1 0 0 0

1 CEY91 Optical Fitting Area Eyeglass Fitting / Dispensing Room, Eye Clnc 200 200 1 0 1 1

VENDOR OCCUPIED SPACE

FA Totals: Room Qty: 2 Net Area: 300 Gross Area: 450 Staff: 1

Page 8 of 9FOR OFFICIAL USE ONLY21 Nov 2025 04:47PM ET

Functional Area: 15 - STAFF SUPPORT AREA

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type Staff Net Staff

1 CFR01 Training Room, Staff 200 200 1 0 0 0

1 CLSC4 Shared Medical Appointment Room 300 300 1 0 0 0

CLINIC RESOURCE, SERVING BOTH STAFF AND PATIENT GROUP MEETING NEEDS.

1 LR001 Locker, Staff Personal Property 30 30 1 0 0 0

1 SL001 Lounge, Staff 220 220 1 0 0 0

2 SRE01 Storage, Equipment 100 200 1 0 0 0

1 SRE01 Storage, Shared Medical Appointments 100 100 1 0 0 0

4 SS268 Copy / Supply Alcove, Stff Sprt 40 160 1 0 0 0

INCORPORATE AROUND THE CLINIC IN STAFF-ONLY AREAS (PACT, RECEPTION, BUSINESS OFFICE, CLINIC ADMINISTRATION)

1 SS276 Wellness Room, Stff Sprt 100 100 1 0 0 0

END USER DEFINED SPACE. GRANT MONEY RECEIVED TO OUTFIT, DISCUSS WITH CLINIC MANAGEMENT.

4 TNPG1 Toilet, Staff 60 240 1 0 0 0

INCORPORATE AROUND THE CLINIC IN STAFF-ONLY AREAS.

FA Totals: Room Qty: 16 Net Area: 1,550 Gross Area: 2,325 Staff: 0

Department: 01 - COMMUNITY BASED OUTPATIENT CLINIC (PACT) INTERIM (263)

Functional Area: 16 - SUPPORT AREA

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type Staff Net Staff

1 COMC1 Communications Room 170 170 1 0 0 0

1 JANC1 Housekeeping Aides Closet - HAC 0 0 1 0 0 0

Non-ABOA space in fully serviced lease. Was 60 NSF.

1 SC393 Demarc Room, OIT 0 0 1 0 0 0

Non-ABOA space. Was 420 NSF.

FA Totals: Room Qty: 3 Net Area: 170 Gross Area: 255 Staff: 0

Dept Totals: Room Qty: 133 Net Area: 14,431 Gross Area: 21,647 Staff: 65

Building Totals: Room Qty: 133 Net Area: 14,431 Sum of Dept Gross Area: 21,647 Gross Area: 29,223 Staff: 65

Page 9 of 9FOR OFFICIAL USE ONLY21 Nov 2025 04:47PM ET

Exhibit B - SGV CBOC ver3 New replacing.pdf
B 1.Exhibit SGV ASR
THE LESSOR WILL PROVIDE:
SITE CONSIDERATIONS:
GENERAL REQUIREMENTS:
MAINTENANCE:
UTILITIES:
SECURITY
OTHER:
SPECIFIC WORK REQUIREMENTS:
JANITORIAL REQUIREMENTS
PFD_SGV PFD UPDATED 251121 New Replacing
Exhibit B - SGV CBOC ver3 New replacing
B 3.Design Nar.
1. INTRODUCTION
3. PLANNING AND DESIGN CRITERIA
3.1 Background
3.2 PACT Guiding Principles
3.3 Community Based Outpatient Clinics (CBOC) Planning Approach
3.4 Room Data Matrix
SECTION 1 - INTRODUCTION
SECTION 2 – GENERAL REQUIREMENTS
Exhibit B - SGV CBOC ver3 New replacing
B 3.Design Nar.
SECTION 5 - HARDWARE GROUPS AND MODIFIERS

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