36C26119Q0003-004.pdf

Attachment #3 Quality Assurance Surveillance Plan

1. Purpose

This quality assurance surveillance plan (QASP) is a government-developed and applied document used to make systematic quality assurance methods used in the administration of the performance-based service acquisition (PBSA) standards included in this contract. The intent is to ensure that the contractor performs in accordance with performance metrics set forth in the contract documents, that the government receives the quality of services called for in the contract, and that the government only pays for the acceptable level of services received.

2. Authority

Authority to issue this QASP is provided under Federal Acquisition Clause (FAR) 52.212-4(a) Inspection and Acceptance, which provided for inspections and acceptance of the articles, services, and documentation called for in the contract to be accomplished by the contracting officer or a duly appointed representative.

3. Scope

The contractor, and not the government, is responsible for management and quality control actions necessary to meet the quality standards set forth by the contract. The QASP is put in place to provide government surveillance oversight of the contractor’s quality control efforts to assure that they are timely, effective, and delivering the results specified in the contract. The QASP is not a part of the contract, nor is it intended to duplicate the contractor’s quality control plan.

4. Government Resources

The following definitions for government resources are applicable to this plan:

Contracting Officer

A person duly appointed with the authority to enter into, administer, or terminate contracts and make related determinations and findings on behalf of the government.

Contracting officer’s Representative (COR)

An individual designated in writing by the contracting officer to act as his or her authorized representative to assist in administering a contract. The source and authority for a COR is from the contracting officer.

COR limitations are contained in the written letter of designation.

5. Responsibilities

The government resources shall have responsibilities for the implementation of this QASP as follows:

Contracting Officer

The contracting officer ensures performance of all necessary actions for effective contracting and ensures compliance with the terms of the contract and safeguards the interests of the United States in the contractual relationship. It is the contracting officer who assures that the contractor receives impartial, fair, and equitable treatment under the contract. The contracting officer is ultimately responsible for the final determination of the adequacy of the contractor’s performance.

COR

The COR is responsible for technical administration of the contract and assures proper government surveillance of the contractor’s performance. The COR is not empowered to make any contractual commitments or to authorize any contractual changes on the government’s behalf. Any changes that the contractor deems may affect contract price, terms, or conditions shall be referred to the contracting officer for action.

6. Methods of Surveillance

The below listed methods of surveillance shall be used in the administration of this QASP.

Periodic Surveillance by the COR

The COR periodically sit in on the classes to verify that the contractor is meeting the goals of the training course.

Customer complaint

The COR is the point of contact and will collect all customer complaints. The COR will review all complaints and contact the originator to determine the validity of any claims. Customer complaints will become a permanent part of the COR surveillance records.

100% Inspections

Complete evaluation of the performance element.

Random Sampling

Method used to evaluate performance by randomly selecting and inspecting a sample of cases.

7. Identified QA Surveillance Tasks

The following PBSA items are identified within the contract performance work statement and will be monitored by period surveillance from the COR and customer complaints in the event that a task is not be adequately performed.

Performance Requirements Summary

Area – non-Clinical – Clerical/Reception Frequency 1 Spot clean and empty waste cans and re-line Daily and as needed during the day 2 Dust tops of filing cabinets Daily 3 Dust mop floors (tile) Daily 4 Wet mop floor with detergent-germicide (tile) Daily 5 Spot clean and vacuum carpets Daily 6 Dust all horizontal surfaces Weekly 7 Clean all furniture Monthly 8 Spot clean furniture As necessary 9 Spot clean walls and doors As necessary

10 Place furniture in proper locations As necessary 11 Clean and wash all inside windows As necessary 12 Dust and damp wide shades As necessary 13 Wash all baseboards As necessary 14 Shampoo and treat carpet with soil retardant As necessary

Area – Restrooms (Men and Women) 1 Spot wash walls and doors Daily and as needed during the day 2 Polish chrome and stainless steel (i.e. fixtures, partitions, dispensers, etc.)

Daily

3 Damp dust horizontal surfaces Daily 4 Clean and scrub the sinks Daily 5 Sweep floor Daily and as needed during the day 6 Wet mop floors with detergent germicide Daily and as needed during the day 7 Clean interior/exterior of urinals and commodes Daily and as needed during the day 8 Clean mirrors Daily and as needed during the day 9 Empty and spot clean waste cans and re-line Daily and as needed during the day

10 Clean and refill paper towel, toilet paper, soap dispensers and toilet seat covers

Daily and as needed during the day

11 Wash walls, doors and ceilings Weekly and as needed 12 Scrub floors with detergent solution Monthly

Area – Filing Rooms / Records 1 Dust mop floors Daily 2 Wet mop floors with detergent germicide Daily 3 Empty and spot clean waste cans and re-line Daily 4 Spot clean walls and doors (Hi and low dusting) As necessary

5 High and low dusting horizontal and vertical surfaces** As necessary Area – Patio – Exterior

1 Empty and spot clean waste cans and re-line Daily 2 Sweep and wipe down patio furniture Daily 3 General cleaning of patio floors Daily 4 Pressure clean/wash concrete areas As needed Area – Conference Rooms

1 Dry and dust mop floors (tile) Daily 2 Wet mop floor with detergent germicide Daily 3 Dust horizontal surfaces Daily 4 Empty and spot clean waste cans and re-line Daily and as needed during the day 5 Place furniture in proper locations Daily 6 Vacuum carpets Daily 7 Shampoo and treat carpets (with soil retardant) Quarterly 8 Spot clean furniture, walls, doors and carpets As necessary 9 Refill hand sanitizer containers As necessary Area – Waiting Rooms

1 Dry and dust mop floors (tile) Daily 2 Wet mop floor with detergent germicide Daily 3 Dust horizontal surfaces Daily 4 Empty and spot clean waste cans and re-line Daily and as needed during the day 5 Straighten up magazines Daily 6 Place furniture in proper locations Daily 7 Clean interior glass doors Daily 8 Vacuum carpets Daily 9 Dust shades Weekly

10 Dust horizontal surfaces Weekly and as needed 11 Spot clean furniture Weekly 12 Clean furniture Monthly 13 Wash walls and doors Quarterly

Area – Staff Lounge 1 Dust and mop floors Daily 2 Wet mop floor with detergent germicide Daily 3 Clean and empty waste cans and re-line Daily 4 Dust shades Daily 5 Clean sink with germicide Daily 6 Refill Paper towels and soap dispensers Daily 7 Wipe Exterior of refrigerator Monthly 8 Wash walls and doors Quarterly 9 Spot clean waste can As necessary

10 Spot clean walls and doors As necessary 11 Clean microwave As necessary

Area – Corridors and Hallways

1 Dust mop floors Daily 2 Wet mop floor with detergent germicide Daily 3 Clean and wipe baseboards Weekly 4 Scrub floors Weekly and as needed 5 High and Low dusting** As necessary Area – Outside of Building (within 10 feet)

1 Clean smoking receptacles in the parking area (some receptacles may be more than 10 feet away)

Daily

2 Clean major entry ways Daily 3 Wipe and clean outside benches Daily 4 Clean and empty waste cans and re-line Daily Area – Utility Rooms*

1 Sweep, wet mop floors with detergent germicide Daily 2 Spot clean and empty waste cans and re-line Daily 3 Spot clean walls and doors Daily 4 Dust horizontal surfaces Daily 5 Clean interior/exterior sinks with germicide Daily 6 Wash walls, doors and ceilings Monthly Area – Storage Rooms

1 Dry dust mop floors Daily 2 Wet mop floor with detergent germicide Daily 3 Spot clean walls and doors Quarterly 4 Wash walls and doors Annually Area – Laboratory (Medical)

1 Dust mop floors Daily 2 Wet mop floors with detergent germicide Daily 3 Empty and spot clean waste cans and re-line Daily and as needed during the day 4 Place furniture in proper locations Daily 5 Clean and refill soap and paper towel dispensers Daily 6 Clean mirrors Daily 7 Clean interior/exterior sinks with germicide Daily 8 Sanitize and disinfect exam table and patient furniture Daily and when requested 9 Wash walls and doors Monthly

10 Spot clean walls and doors As Necessary 11 Replace full Sharps Containers – put full container in biohazard holding room As Necessary

Area – Radiology (to include 2 change rooms and technician’s room (also known as Observation rooms)

1 Dust mop floors Daily 2 Wet mop floor with detergent germicide Daily 3 Sanitize and disinfect patient furniture Daily and when requested 4 Spot clean and empty waste cans and re-line Daily and as necessary 5 Place furniture in proper location Daily

6 Clean mirrors Daily 7 Clean interior/exterior sink with germicide Daily 8 Clean furniture As necessary 9 Spot clean walls and doors As necessary Area – Pharmacy

1 Dust mop floors Daily 2 Wet mop floor with detergent germicide Daily 3 Clean sink Daily 4 Spot clean and empty waste cans and re-line Daily and as necessary 5 Spot clean walls and doors As necessary 6 Spot clean furniture As necessary 7 Clean furniture Monthly 8 Wash walls and doors Quarterly Area – Exam and Procedure Rooms

1 Dust mop floors Daily 2 Wet mop floor with detergent germicide Daily 3 Spot clean and empty waste cans and re-line Daily and as necessary 4 Place furniture in proper location Daily 5 Clean and refill soap, paper towel and hand sanitizer dispensers*** Daily

6 Place furniture in proper locations. Daily 7 Clean interior glass and mirrors Daily 8 Clean interior/exterior sink with germicide Daily 9 Sanitize and disinfect patient furniture Daily and when requested

10 Dust horizontal surfaces Weekly 11 Spot clean walls and doors Weekly 12 Wash and empty waste cans and re-line As necessary 13 Change privacy curtains As necessary and when requested 14 Replace “Sharps” containers As necessary and when requested

8. Documentation

The COR will, in addition to providing documentation to the contracting officer, maintain a complete quality assurance file. The file will contain copies of all reports, evaluations, recommendations, and any actions related to the government’s performance of the quality assurance function, including the originals of all surveillance activity checklists. All such records will be retained for the life of this contract. The COR shall forward these records to the contracting officer at termination or completion of the contract.

Performance Requirements Summary