05. Agency Specific Requirements.pdf

Santa Cruz Community-Based Outpatient Clinic 1

Outpatient Clinic for Veterans Affairs (VA) in Sant Cruz County, CA.

Agency Specific Requirements (ASR) for VA Palo Alto Health Care System (VAPAHCS)

1.0 QUALITY OF SPACE

1.0.1 Comply with VA Lease Design Narrative and Room Data Matrix for a 15,495 SFT.

ABOA / 20,000 (+/-) Rentable Square Footage (RSF) building tenant improvement or built-to-suit medical clinic.

1) Per the Lease Design Narrative, Section 2.2 Lessor shall work with AHJ to properly determine the Occupancy type relative to table 1.1 (Conceptual Area Table on Pg. 3) and Conceptual Floor Plan drawing (part of the ASR documents).

2) The required parking is 55 reserved spaces, 10% of which shall be accessible per the ABAAS (6 spaces, 1 of which is van accessible).

1.0.2 The leased facility will be broadly based on but not limited to the following space utilization requirements: The lessor shall provide manufactured upper/lower wood casework and solid surface tabletops and provide first quality vitreous China sinks and faucets in exam rooms, and restrooms (this is applicable for rooms not specified in the Room Data Matrix).

1) Lobby/Reception Area consists of 1 Vestibule with an adequate buffer at the entry so people circulating in the welcome area do not trigger automatic doors; 1 Janitorial Closet for housekeeping aid closet; 1 Wheelchair Alcove to accommodate at least 5 wheelchairs; 1 Reception Area as a built-in transition counter that is handicap accessible and open to circulation with secured access from behind; 1 Security station.

2) One Waiting Area consisting of 9 chairs and a Queuing Area. There should be charging stations for phones and computers. Also included are separate restrooms for Men and Women.

3) Integrated Mental Health/ Primary Care Patient Aligned Care Team Areas to consist of 1 Patient Corridor; 1 Weigh In Alcove as a dedicated area near the rear patient corridors for height and weight measurements; 11 Patient Consult/Exam rooms; 3 Patient toilets total in PACT area, 2 in-suite toilets and 1 shared toilet; 1 Medication Room for vaccine refrigerators and other medication administration items; 1 Telehealth Room, a standard patient care room set-up with special equipment including a digital stethoscope, diagnostic set, and high resolution camera to support remote examination; 1 Wheelchair Alcove; 1 Omnicell Alcove for prosthetic supply storage.

4) PACT Team Workspace 4 groupings of 4 individual, repositionable, systems furniture-based workstations set-up for use by each four persons Teamlet. Should team composition change, these workstations shall be rearrangeable; 2 clinical https://www.cfm.va.gov/TIL/Leasing/VA_Leased_CBOC_Design_Narrative_LDN_6_9_24.docx https://www.cfm.va.gov/TIL/Leasing/VA_Leased_CBOC_Design_Narrative_LDN_6_9_24.docx https://www.cfm.va.gov/TIL/Leasing/Room_Data_Matrix_7_3_24.xlsx https://www.cfm.va.gov/TIL/Leasing/Room_Data_Matrix_7_3_24.xlsx

Santa Cruz Community-Based Outpatient Clinic 2 supply storage rooms; 1 general storage room; 1 Soiled Utility Room as a soiled Instrument Holding Room; 1 universal staff toilet.

5) Specialty Care Mental Health Area consists of one PACT team, 2 Group Rooms which will be used for multiple forms of group care and education functions. The rooms should be acoustically controlled, and furniture should be easily rearranged, moved, and stacked to allow for frequent changes in use. HUD/VASH Area consists of HUD/VASH Team Workspace with systems furniture-based workstations; 1 single-person office; 1 storage room; 1 copy room.

6) Staff Support Area consists of 1 Staff Toilet; Teamwork Area/Clinical Support; 1 Teamlet Backstage; 1 Office for CBOC Nurse Manager Office/Staff Support; 1 staff Conference Room; 1 Staff Lounge; 1 Nursing Work Room; 1 Nursing Equipment storage area; 2 Group rooms.

7) Engineering Service area consists of 1 Electrical room and 1 Mechanical room.

8) Supply Chain Services consisting of 1 Supply Chain Office / Storage.

9) Environmental Management Services (EMS) consists of 1 HAC (Housekeeping Aides Closet); 1 Biohazard Waste holding area; 1 utility room for storage of Dirty Gas; 1 Storage room for Clean Gas.

10) Information Technology Services consisting of 1 IT Closet used for both OIT active and passive IT distribution equipment and FMS (Facility Management System) active and passive distribution equipment.

1.0.3 Allowable room size variance from stated program requirements is 5%.

1.0.4 For multi-tenant buildings, VA prefers to have a standalone building entrance that is not shared with any other tenants. Other building entrance configurations are allowable.

1.0.5 VA prefers to occupy contiguous space on a single floor, on the ground floor. Contiguous space above the ground floor, and space split between two adjacent floors, is allowable, subject to the elevator and egress requirements in this Solicitation.

Santa Cruz Community-Based Outpatient Clinic 3

1.1 CONCEPTUAL PLAN: AREA TABLE: Note all areas are approximate as reflected in the Conceptual Floor Plan.

ROOM NO. ROOM NAME SF QTY

DEPT

NSF

Lobby/Reception Area 8 1386

1001 Housekeeping Aid Closet 75 1 75

1001B Wheelchair Alcove 35 1 35

1004 Shared Office 110 1 110

1005 Operations Office 1 110

1015 Men’s Restroom 220 1 220

1016 Women’s Restroom 220 1 220

1013 Group Room 308 1 308

1014 Group Room 308 1 308

Clinical Lab/ Blood Draw 1 130

1008 Blood Draw/ Pathology 130 1 130

Home Telehealth 1 130

1130 Offices 130 1 130

Police Service

4 200

Security Desk 20 1 20

1003A Police Operations Room 120 1 120

1003C Armory Weapons/ Storage Room 60 1 60

Santa Cruz Community-Based Outpatient Clinic 4

Patient Aligned Care Team (PACT) 26 3996

1119A Weigh In/ Wheelchair Alcove 30 3 90

1102 - 1111 Consult/Exam Rooms 130 11 1430

1105 PT TLT Room 73 3 199

1101A PT TLT Room 61

1114 PT TLT Room 65

- Storage 85 1 85

1110 PACT Team Workspace 1530 1 1515

1120 X-Ray Room 500 1 500

1110A Med Room 62 1 62

1107A Soiled Utility 65 1 65

1140A Omnicell Alcove/ Prosthetics Storage

50 1 50

ROOM NO. ROOM NAME SF QTY

DEPT

NSF

Mental Health 11 1844

1128 Group Room 240 2 480

1129 Group Room 240

1128A - 1129A

Group Room Storage 27 2 54

HUD/VASH Open Office 895 1 895

1131 HUD/VASH Private Office 130 1 130

1125 HUD/VASH Storage 130 2 260

Copy Alcove 25 1 25

Staff Support Area 7 1089

Santa Cruz Community-Based Outpatient Clinic 5

1118 Staff TLT 88 1 88

1148 Nurse Training/ BLS 83 1 83

1154 Nursing Equipment 100 1 100

1150 Office 125 1 125

1155 Phone Room / Lactation Room 59 1 59

1152 Conference Room 179 1 175

1132 Staff Gym 271 1 271

1153 Staff Lounge 188 1 188

Engineering Services 2 195

1146 Electrical Room 120 1 120

1147 Mechanical Room 75 1 75

OIT 1 100

1126 IT Closet 100 1 100

EMS 4 200

1141 HAC 68 1 65

1142 Biohazard Waste 50 1 50

1143 Gas Dirty 35 1 35

1142 Gas Clean 50 1 50

Santa Cruz Community-Based Outpatient Clinic 6

Supply Chain Service

(SCS)

1 265

1144 SCS Office/ Storage 265 1 265

NSF Total 9535

Support Space/ Circulation 5,960

ABOA 15,495

RENTABLE SQUARE FOOTAGE (RSF) 20,000

Santa Cruz Community-Based Outpatient Clinic 7

1.2 GENERAL CRITERIA

1.2.1 Master reference and governing document for all CBOC design requirements is the (i) VA_Leased_CBOC_Design Narrative dated 5/1/2024 and

(ii) Room_Data_Matrix dated 5/1/2024. Reference BUILDING REQUIREMENTS FOR LEASED SPACES - Office of Construction & Facilities Management (va.gov) for required documents. In case of any conflict with this ASR document reference (i) and (ii) with due approval from the CO and COR.

1.2.2 VAPAHCS Integrated Wayfinding Master Plan, dated April 21, 2023, is to be referenced for all signage requirements. If there is discrepancy between VA TIL and VAPAHCS Integrated Wayfinding Master Plan coordinate with VA’s Contracting Officer’s Representative (COR).

1.2.3 The existing fire rated features and fire protection changes will be shown on a separate drawing sheet by the A/E and stamped by a Fire Protection Engineer (FPE) in the contract documents. All fire protection equipment will have 100% emergency power backup. Systems requiring emergency power include, but not limited to fire alarm systems, emergency lighting, exit signs, fire pumps and smoke control systems and elevators if present.

1.2.4 NOTE: The above list is intended to serve as a starting point for design and does not represent all the information in identifying the project scope.

1.2.5 Flagpole if applicable per L-100 shall conform to Santa Cruz County Code Section 13.10.510 (D)(2) for height exceptions, and otherwise conform to VA flagpole master construction specification division 10 75 00 FLAGPOLES.

https://www.cfm.va.gov/TIL/spec.asp#00

1.2.6 The Lessor’s Interior Designer and Medical Equipment Planning (MEP) will provide room-by-room furniture and equipment layouts outlining exam table, patient lifts, privacy curtains, stool, workstation and media-mounts, wall mounted items, casework, bookcases, and room furniture locations so Lessors MEP design team can determine plumbing, electrical power, and data drop locations.

1.2.7 The Lessors A/E shall provide design services that utilize and incorporate VA Prototypes for Standardized Design and Construction Community Based Outpatient Clinics, latest edition.

1.2.8 The Lessor’s design team shall utilize and incorporate all VHA’s Patient Aligned Care Team (PACT) Facility Design concepts and models into the new leased space design and provide required tenant improvements that meet PACT model requirements to support PACT teams and a variety Mental Health and Tele-Health Services. http://www.cfm.va.gov/til/dGuide/dgPACT.pdf.

1.2.9 The lessor shall provide new furnishings.

https://www.cfm.va.gov/TIL/Leasing/VA_Leased_CBOC_Design_Narrative_LDN_6_9_24.docx https://www.cfm.va.gov/TIL/Leasing/Room_Data_Matrix_7_3_24.xlsx https://www.cfm.va.gov/til/leasing.asp Caitlin Cunningham Sticky Note Completed set by Caitlin Cunningham https://www.cfm.va.gov/til/prototypes.asp#CBOC Caitlin Cunningham Sticky Note Completed set by Caitlin Cunningham

Santa Cruz Community-Based Outpatient Clinic 8

1.2.10 Lessor shall provide upper and lower wood casework and solid surface counter tops for conference, staff break room, physical therapy, and exam rooms.

1) Provide upper and lower manufactured metal casework for Blood Draw Lab.

2) Lessor shall provide built-in casework with lockable doors and drawers for reception, mail/copier work room, and conference and group rooms.

3) Lessor shall provide employee lockers for staff rest/locker rooms.

1.2.11 Other Applicable Standards: all available at links shared in Section 1.2.1:

i) VA The Joint Commission (TJC) Requirements for Behavioral Health and Laboratory categories.

ii) Interagency Security Committee Policy for Leased Facilities.

iii) VA PG-18-9 SPACE Planning Criteria (263).

iv) VA PG-18-14 Room Finishes, Door & Hardware Schedule.

v) VA PG-18-10 Design Manuals - Signage Design Manual.

vi) VA Directive 0730

2.0 EXTERIOR SIGNAGE

2.0.1 All exterior signage, including identification, directional, informational and regulatory signs, shall be provided and installed by Lessor. Signage must comply with local municipality’s codes and VA Guidelines.

2.0.2 Lessor’s A/E shall provide a signage plan for review and approval by the

Contracting Officer’s Representative prior to construction. The Lessor shall list the sign type, message, and locations in accordance with VAPAHCS Signage Standards.

2.0.3 Signage Shop drawings and submittals shall be approved by Contracting Officer’s Representative prior to sign fabrication.

2.0.4 Lessor shall provide ground mounted, illuminated, vertical monument sign to identify the Outpatient Clinic main entrance. The Lessor shall provide foundations and electrical power as necessary. Monument sign shall be 12’-0" high x 5’-0" wide with a 12” high concrete base. Graphics shall be back-lit push-through translucent white polycarbonate. Sign message shall include:

VA logo Facility name.

Healthcare system name Address of facility

Caitlin Cunningham

Completed set by Caitlin Cunningham https://www.jointcommission.org/resources/news-and-multimedia/fact-sheets/facts-about-behavioral-health-care-accreditation/ https://www.jointcommission.org/what-we-offer/accreditation/health-care-settings/laboratory-services/ https://www.cfm.va.gov/realProperty/VASupplementChapterDocs/Chapter_19_5_20_2024.pdf https://www.cfm.va.gov/til/space/spChapter263.pdf https://www.cfm.va.gov/til/spclRqmts.asp#room https://www.cfm.va.gov/til/dManual.asp#SIGN https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=642&FType=2

Santa Cruz Community-Based Outpatient Clinic 9

2.0.5 Lessor shall provide illuminated, wall mounted Building Identification Dimensional Signs of dimensional painted aluminum letters with VA logo. Letters shall be minimum 5 feet high.

2.0.6 Wall mounted building identification signs shall be prominently located to be visible from street approach in accordance with VA-approved building elevations.

2.0.7 Exterior wayfinding, site and building signage shall meet the requirements listed in the current version of the following:

1) VAPAHCS Integrated Wayfinding Master Plan, dated April 21, 2023.

2) VA Signage Design Manual, available from the VA Technical Information Library (TIL) DESIGN MANUALS (PG-18-10) - Office of Construction & Facilities Management (va.gov)

2.0.8 Exterior signs for the clinic may include the following sign types. The final sign types and quantity of signs for the project will depend on the selected site.

Sign Type Description Sign Type

Primary source of design reference

Medical Center Identification – Large Vertical Monument EI – 01.08 VAPAHCS Integrated Wayfinding

Master Plan

Wall Mounted Building Identification EN – 06.02 VAPAHCS Integrated Wayfinding Master Plan

Building Identification Dimensional Letters EI – 09.10 VAPAHCS Integrated Wayfinding

Master Plan

Secondary Vehicular Directional EN – 03.07 VAPAHCS Integrated Wayfinding Master Plan

Tertiary Vehicular Directional EN – 03.08 VAPAHCS Integrated Wayfinding Master Plan

Secondary Pedestrian Directional EN – 3.10 VAPAHCS Integrated Wayfinding Master Plan

Parking Aisle Identification PL – 12.06 VAPAHCS Integrated Wayfinding Master Plan

Parking Stall Designation PL – 12.03 VAPAHCS Integrated Wayfinding Master Plan

Accessible Parking Space PL – 12.10 VAPAHCS Integrated Wayfinding Master Plan

Bus Stop PL – 12.11 VAPAHCS Integrated Wayfinding Master Plan

Traffic Regulatory

EN – 10.01

to EN – 10.09

VAPAHCS Integrated Wayfinding Master Plan

No Weapons Sign - Small IN – 02.10 VAPAHCS Integrated Wayfinding Master Plan

Santa Cruz Community-Based Outpatient Clinic 10

2.1 INTERIOR SIGNAGE

2.1.1. Lessor’s A/E shall develop and submit a signage plan for review and approval by the Contracting Officer Representative (COR) during design development.

Interior signage systems shall include identification, directional, informational, and code required signage. The Lessor shall list during design the type, message, and locations in accordance with VAPAHCS Signage Standards.

Lessor shall purchase and install all interior signs during construction and/or activation per the VA approved design.

3.0 WATER SUPPLY FOR FIRE PROTECTION

3.0.1 Assess adequacy of the water supply. The Lessor must verify the locations involved as well as the quality and accuracy of the data. Perform water supply flow testing.

3.0.2 Fire flows shall be available as required by NFPA 13 for the required occupancy classification. The Lessor shall verify and submit documentation of the fire department’s capability of handling the manual firefighting requirements to the Contracting Officer prior to occupancy by the Government.

3.1 MEDICAL GAS STORAGE

3.1.1 Location, construction, and arrangement of compressed medical gas storage areas shall comply with NFPA 99.

3.2 AUTOMATIC SPRINKLER SYSTEMS

3.2.1 Design wet pipe sprinkler systems, unless installed in areas subject to freezing.

Dry pendant or sidewall sprinklers are preferred in lieu of dry pipe or antifreeze systems. Propylene glycol shall be used should antifreeze systems need to be installed when permitted by local authorities. Do not use pre-action type systems.

3.2.2 The installation shall comply with the requirements of NFPA 13. Sprinklers shall be provided throughout VA occupied space. Rooms containing bulk supply storage shall be classified as defined by NFPA 13. Do not use shelving which obstructs sprinkler water from penetrating down through racks.

3.2.3 Install quick response sprinklers (QRS) in all areas, except where specifically prohibited (e.g., high temperature areas as defined in NFPA 13, elevator shafts, or elevator machine rooms). On retrofit projects, replace existing standard sprinklers with QRS.

3.2.4 Install standard sprinklers with intermediate temperature rating 200 F [93 C] or higher in elevator shafts, elevator pits, and elevator machine rooms. Install

Santa Cruz Community-Based Outpatient Clinic 11 sprinklers in elevator shafts and pits only where required by NFPA 13. (Comply with necessary power shutdown requirements.)

3.2.5 The installation of flow control (on/off) sprinkler heads is not permitted.

Provide non-ferrous piping for all areas within Magnetic Resonance Imaging (MRI) suites.

3.2.6 Coordinate with architectural, mechanical and electrical work and show smoke zone boundaries, hazard classification, density, and other special requirements on drawings.

3.2.7 Coordinate sprinkler zones with fire or smoke (compartments) and fire alarm evacuation zones. Provide a flow switch, isolation valve, tamper switch, and pressure gauge for each zone. Notification shall comply with NFPA 72.

3.2.8 Determine and identify on drawings the location of fire pump, risers, all valves, fire department connections, drains, and points of connection with underground fire service main.

3.2.9 Provide seismic protection per Leased CBOC Design Narrative dated May 1, 2024.

3.2.10 For the leased facilities, commissioning of the fire protection systems shall be implemented to verify the intent of the design by inspecting and testing the systems.

3.3 FIRE ALARM SYSTEMS

3.3.1 Fire alarm systems shall be provided as required by NFPA 101 or the locally adopted codes.

3.3.2 Wiring for fire alarm systems shall be as follows: Initiating Device Circuits – Style

B (Class B), Signaling Line Circuits – Style 4.0 (Class B), Notification Appliance Circuits – Style Y (Class B), and Communications between fire alarm control units – Style 7 (Class A). Where there are conflicts with local codes, the most stringent requirements shall be enforced.

3.3.3 Initiation devices shall be provided in accordance with NFPA 101, NFPA 72, NFPA 90A, and ASME 17.1 or ASME 17.3, as applicable.

3.3.4 Audible fire alarm notification appliances shall be provided in accordance with

NFPA 72 and NFPA 101.

3.3.5 Visual fire alarm notification appliances shall be provided in mechanical rooms, public restrooms, and publicly accessible areas such as corridors, auditoriums, https://www.cfm.va.gov/TIL/Leasing/VA_Leased_CBOC_Design_Narrative_LDN_6_9_24.docx

Santa Cruz Community-Based Outpatient Clinic 12 cafeterias, assembly rooms, canteens, retail stores, and other publicly accessible rooms of more than 750 square feet [228.6 square meters] of area.

3.3.6 Coordinate fire alarm zones with the location of smoke compartments and sprinkler zones. The fire alarm system shall be monitored by a listed remote central station.

3.4 FIRE EXTINGUISHERS

3.4.1 Portable fire extinguishers recessed in cabinets shall be provided, inspected, and maintained / repaired / replaced by the Lessor in accordance with National Fire Protection Association (NFPA) 10, Standard for Portable Fire Extinguishers.

3.4.2 Recessed cabinets shall be provided in occupied areas. Size fire extinguisher cabinets to accommodate a 2.5 gallon [9.5 liters] pressurized water extinguisher.

Recessed cabinets shall be conspicuously marked.

3.5 PHYSICAL SECURITY

3.5.1 The Lessor shall provide a level of security which reasonably deters unauthorized entry to the space leased during non-duty hours and deters loitering or disruptive acts in and around the space leased. Lessor shall use Best manufacturer for door hardware with WA keyway, small core, and 7 pin. The Lessor shall ensure that security cameras and lighting are not obstructed.

3.5.2 Lessor shall provide Security Systems to include Intrusion Detection System

(IDS), Physical Access Control System (PACS), Security Surveillance (SSTV), Nurse Call, and Public-Address Improvements. Systems shall be designed and install in accordance with VA Design Manuals, VA Master Construction Specifications, and VA Handbook 0730/4 Security and Law Enforcement.

https://www.va.gov/vapubs/search_action.cfm?formno=730&SortBy=Pub_Type_ Desc. Lessor shall use the ISC for Leased Facilities Checklist for conducting Facility Security Assessments. The Risk Management Process: An Interagency Security Committee Standard (cisa.gov)

3.5.3 Physical Access Control System: Compliance with Federal Standards. New installations or retrofitted access control systems will be compliant with technology described in Federal Information Processing Standard (FIPS) Publication 201, Personal Identity Verification of Federal Employees and Contractors, and the document "PACS Implementation Guidance, Version 2.2 (July 30, 2004), published by the Physical Access Interagency Interoperability Working Group of the GSA Government Smart Card Interagency Advisory Board.

This requires that such systems will meet the ISO/IEC 14443 a, Parts 1-4 standard for contactless (proximity) card systems, or the ISOIIEC 7816 Standard https://www.cisa.gov/sites/default/files/publications/The%20Risk%20Management%20Process%20-%202021%20Edition_1.pdf https://csrc.nist.gov/Projects/piv/piv-standards-and-supporting-documentation https://www.idmanagement.gov/docs/pacs-tig-scepacs.pdf

Santa Cruz Community-Based Outpatient Clinic 13 for contact-type cards. **Lessor to provide Andover Continuum with latest firmware revision, or equal.

3.5.4 Physical Access Control System (PACS): Shall include, but not be limited to:

card readers, keypads, electromagnetic locks and strikes, and electronic security management system (SMS). PACS devices shall be used for the purpose of controlling access and monitoring building entrances, sensitive areas, mission critical asset areas, and alarm conditions from an access control perspective.

PACS shall be able to be fully integrated with other security subsystems using direct hardwire or computer interface.

The HID PIV class reader is 920PHRNEK00005 for Regular Access or Medium Access as stated in police handbook 0730/4. If the secured area is a PACS High and requires a two-factor reader (pin and badge) then use Bridgepoint 74-01- 4003 2F DI TP RDR Crypto Ver. 1.1.11.4.

SIELOX ac1700 two-door control boards or a comparable system by Lenox will be used. A manufacturer-certified trained technician to install. Lessor to verify with VA on which of the two manufacturers to use at time of solicitation.

Altronix 12vdc/24vdc to power the system and the locks.

3.5.5 Security Surveillance Television (SSTV): Shall be provided to monitor building entrances, restricted areas, mission critical asset areas, and alarm conditions.

SSTV system shall be used for surveillance and observations of defined exterior areas, such as site and roadway access points, parking lots, and building perimeter, and interior areas from a centralized police operations room or security control center. Station standard to be Avilgilon. The design, installation, and use of SSTV cameras shall support the visual identification and surveillance of persons, vehicles, assets, incidents, and defined locations.

3.5.6 The Intrusion Detection System (IDS): Shall include motion detection, glass break, and door contact sensors, among other devices. These devices provide alternative methods to detect actual or attempted intrusion into protected areas through the use of alarm components, monitoring, and reporting systems. The IDS shall have the capability of being integrated with PACS, and SSTV systems.

All IDS shall meet UL 639 Intrusion Detection Standard. The IDS shall be used to monitor the site perimeter, building envelope and entrances, interior building areas (where access is restricted or controlled, see FSL-II), and SCS storage room (independent system)

3.5.7 Electronic Security Management System (SMS): The SMS shall allow the configuration of an enrollment and badging, alarm monitoring, administrative, asset management, digital video management, intrusion detection, visitor enrollment, remote access level management, and integrated security

Santa Cruz Community-Based Outpatient Clinic 14 workstations or any combination thereof. Entry control software shall allow for programming of the PACS via a CPU. All software shall be updated per manufacturer’s instructions. Network interface devices shall consist of all hardware and software required to allow for full interface with other security subsystems via a CPU.

VAPAHCS’ system is controlled by Pinnacle software on a server at the Palo Alto main campus. All new systems installed will be programmed to the server by VA’s Electronics technician via the VA Network using an OI&T issued IP address connected to an OI&T switch that is connected to the VA Network.

3.5.8 Provide nurse call system(s) as required: System(s) shall be the Jeron

Provider 790 system, or approved equivalent. The system shall consist of nurse consoles, control stations, staff and duty stations, room and corridor dome lights, pull cord and/ or emergency push button stations, and wiring. The calls shall be able to be initiated from the Patient station, staff station, and Toilet emergency pull cord/ push button station. Head end equipment shall be located in the OIT closet.

3.5.9 Provide perimeter fencing or walls and gates. Design fencing with due consideration for character and aesthetics of the building design and surrounding properties. Fencing shall comply with security requirements in VA Physical Security Design Manual for Life Safety Protected Facilities.

4.0 ARCHITECTURAL

4.0.1 Flooring: Flooring material specifications and installation methods shall conform to the requirements of VA Design Guide PG-18-14, Room Finishes, Door, and Hardware Schedules. Under floor concrete must be smooth and level. Patching and leveling compounds containing gypsum are prohibited. When floor coverings are newly installed or changed, samples must be approved in advance by the Contracting Officer. Unless other material is scheduled for a room or area, perimeter base shall be rubber or vinyl complying with ASTM F1861. Base shall be 1/8-inch thick, 4 inches high with molded top. Style B (cove) shall be used throughout.

4.0.2 Casework: Casework shall be of the flush overlay design and, except as otherwise specified, be in conformance with AWI 1600, Modular Cabinets.

Fabricate casework of plastic laminated covered particleboard.

1) Plastic laminate shall conform to NEMA LD-3

2) Exposed vertical surfaces including both sides of cabinet doors shall be high pressure laminate Type VGS (0.28).

https://www.cfm.va.gov/til/PhysicalSecurity/dmPhySecLS-2015.pdf Caitlin Cunningham

Santa Cruz Community-Based Outpatient Clinic 15

3) Cabinet interiors including shelving shall comply with NEMA, LD3.1 at a minimum: high pressure cabinet liner Type CLS (0.20), OR thermally fused melamine laminate.

4) Backing (concealed surfaces) shall be high pressure backer Type BKH (0.28).

Core materials shall be as follows:

Particleboard up to 7/8 inch [22.22 mm] thick shall be Industrial Grade average 47- pound density particleboard, ANSI A 208.1, M-3.

Particleboard 1 inch [25.4 mm] thick and thicker shall be Industrial Grade average 45- pound density particleboard, ANSI A 208.1, M-2.

Moisture Resistant Particleboard shall be average 47-pound density particleboard, ANSI A208.1, M-3.

Medium Density Fiberboard 1/4-inch thick shall be average 54-pound density grade, ANSI A208.2.

5) Edging machine applied and machine profiled to 1/8-inch radius.

6) Exposed hardware, except as otherwise specified, shall be satin-finished chromium-plated brass or nickel-plated brass.

7) Hinges shall be fabricated of minimum 0.072-inch [1.83-mm] thick chromium-plated steel leaves, with minimum 0.139-inch [3.53-mm] diameter stainless steel pin. Hinges shall be a five-knuckle design with 2-1/2 inch [63.5 mm] high leaves and hospital type tips. Doors 36 inches [914.4 mm] and more in height shall have three hinges, and doors less than 36 inches [914.4 mm] in height shall have two hinges. Each door shall close against two rubber bumpers.

8) Door catches shall be friction or magnetic type, fabricated with metal housing.

Provide one catch for cabinet doors 48 inches [1200 mm] high and under, and two for doors over 48 inches [1200 mm] high.

9) Locks shall be by Best, with small core, 7 pins, and WA keyway. Provide two keys for each lock. The name of the manufacturer, or trademark by which manufacturer can readily be identified, shall be legibly marked on each lock, the key change number shall be marked on the exposed face of lock, and stamped on each key. Key change numbers shall provide sufficient information for replacement of the key by the manufacturer.

10) Drawer and door pulls shall be flush pulls fabricated of ABS plastic.

Santa Cruz Community-Based Outpatient Clinic 16

11) Drawer slides shall be full extension, 150-pound [68-kg] load rated epoxy coated steel with nylon, ball bearing rollers, with positive stop both directions.

4.0.3 Countertops: Plastic Laminate (HPDL) shall conform to NEMA LD 3. Decorative surfaces shall be either:

1) Horizontal: High-pressure decorative laminate type HGS (.048)

2) Post forming: High-pressure decorative laminate type HGP (.039) Concealed backing sheet shall be high-pressure backer BKH (.048) or (.039) to match exposed faces.

4.0.4 Window Treatments: All exterior windows shall be equipped with window blinds and / or shades.

1) Window Blinds: Blinds may be aluminum or plastic vertical blinds, or horizontal blinds with aluminum slats of one-inch width or less. The window blinds must have non-corroding mechanisms and synthetic tapes.

2) Cloth Window Shades: Provide screen (percentage determined by VA) and / or opaque cloth shades on windows of special procedures rooms, Telemedicine rooms, exterior conference rooms, and rooms containing image intensifiers.

4.1 CUBICLE CURTAIN TRACKS AND CURTAINS

4.1.1 Provide cubicle curtain tracks with carriers and hooks in exam rooms and other locations for privacy.

4.1.2 Provide surface-mounted curtain tracks of extruded aluminum, ASTM B221, alloy 6063, with white powder coat finish. Dimensions: 1 1/2 inches (39 mm) high by 3/8 inch (10 mm) wide. Provide straight and bent sections. All accessories shall be fabricated from the same material with the same finish as the tracks. Provide the following accessories: Grabber (curtain loading tool), Hard Ceiling Mounting Plate, Hanger and Track Connector, Track Connector, Hanger, 1’ Extensible Tube, 2’ Extensible Tube, 4’ Extensible Tube, 6” Extensible Tube, Loading Zone, Combo End Cap, Ceiling Vertical Mount Plate, Thumb Screw with Fastener, Curtain Stopper.

4.1.3 At end of each section of track, make provision for insertion and removal of carriers. Design to prevent accidental removal of carrier. Any operating mechanism shall be removable with common tools.

4.1.4 Lessor will supply and maintain disposable cubicle curtains, which are fire-retardant curtains with panel, integrated mesh, and top designed for attachment to track without separate hooks. Made of 100% recyclable polypropylene. The panel size should be 69 inches wide by 92 inches high, including 19 inches of

Santa Cruz Community-Based Outpatient Clinic 17 mesh, hemmed as required. VA uses On the Right Track curtain track and curtains.

4.2 HANDRAILS, WALL GUARDS AND CORNER GUARDS

4.2.1 Stainless steel shall conform to ASTM A167, Type 302B. Extruded aluminum components shall conform to ASTM B221, Alloy 6063, Temper T5 or T6.

4.2.2 Resilient materials shall be extruded, and injection molded acrylic vinyl or extruded polyvinyl chloride meeting following requirements:

1) Minimum impact resistance of 2150 ft-lbs. [200 Nm] (when tested in accordance with ASTM D256 (Izod impact, ft-lbs. per inch notch)

2) Class 1 fire rating when tested in accordance with ASTM E84, having a maximum flame spread of 25 and a smoke developed rating of 450 or less.

3) Shall be rated self-extinguishing when tested in accordance with ASTM D635.

4) Material shall be labeled and tested by Underwriters Laboratories or other approved independent testing laboratory.

5) Provide resilient materials with integral color with all colored components matched in accordance with SAE J 1545 to within plus or minus 1.0 on the CIE LCH scales.

4.2.3 Except in administrative areas, provide handrails and wall guards on both sides of all corridors. Provide chair rail at waiting rooms. Provide continuous reinforcing in the wall attachment of handrails and bumper guards.

4.2.4 Handrail/Wall Guard Combination shall consist of snap-on covers of resilient material, minimum 0.078-inch thick, free-floated on a continuous, extruded aluminum retainer, minimum 0.072-inch thick, anchored to wall at maximum 32 inches on center.

4.2.5 Wall Guards (Crash Rails) shall consist of snap-on covers of resilient material, minimum 0.110-inch thick, free-floated over a continuous extruded aluminum retainer, minimum 0.090- inch thick anchored to wall at maximum 24 inches on center.

4.2.6 Resilient, shock-absorbing corner guards shall be flush mounted type of 1Ú4-inch

[6.35 mm] corner. Snap-on corner guards shall be formed from resilient material, minimum 0.078-inch [1.98 mm] thick, free floating on a continuous 0.063-inch-thick extruded aluminum retainer. Design retainer used for flush mounted type to act as a stop for adjacent wall finish material. Provide appropriate mounting

Santa Cruz Community-Based Outpatient Clinic 18 hardware, cushions and base plates as required. Provide factory fabricated end closure caps at top and bottom of surface mounted corner guards.

4.2.7 Stainless steel corner guards shall be fabricated of 0.0625 inch [1.59 mm] thick stainless steel. Stainless steel corner guards shall be surface mounted, with 3-inch [76-mm] wings and 1Ú4-inch [6.35 mm] corner.

4.2.8 Provide resilient or corrosion-resisting metal corner guards for the external corners of finished interior walls and columns in the paths of wheeled traffic as indicated below. Use surface applied 48 inch [1200 mm] high resilient-type corner guards on gypsum wallboard. Use corrosion-resisting-metal corner guards on masonry or ceramic tile walls. Corner guards are not required in corridors where continuous handrails and bumper guards are used around external corners.

4.3 PARTITIONS

4.3.1 Non-bearing interior partitions shall be capable of supporting equipment and furnishings specified for the clinic. For interior partition framing use minimum 3- 5/8 inch, 20-gauge, galvanized metal studs ASTM C645 with fasteners and accessories complying with ASTM C 754. Stud spacing shall be 16-inches on center maximum. For special requirements, use other sizes or systems as appropriate.

4.3.2 Where pipe spaces are required, size partition framing thickness to conceal piping. Installation of metal studs shall comply with ASTM C754. Provide support required for equipment, furnishings, and work of other trades.

4.3.3 Use 5/8-inch-thick gypsum wallboard ASTM C1396, except for special conditions. Use fire resistant Type X or Type C wallboard ASTM C1396 in fire resistant rated assemblies. Use moisture resistant wallboard ASTM C620 at wet locations. Provide accessories, fasteners, and finishing materials in accordance with ASTM C1047, C1002, and C840. Install and finish gypsum wallboard in accordance with ASTM C840.

4.3.4 Reference Room Data Matrix for Wall Finish “Level” requirements.

4.3.5 Provide fire and/or smoke rated partitions that comply with published UL, FM Global, or IBC designs. Extend all layers of gypsum board, on both sides of studs, from floor to underside of structure above on the following partitions:

1) Fire rated partitions.

2) Security partitions for Police Control Room.

3) Smoke barriers.

Santa Cruz Community-Based Outpatient Clinic 19

4) Sound rated partitions.

5) Corridor partitions as required by building code.

6) In other locations, extend gypsum board from floor to heights as follows:

Not less than 4 inches [101.6 mm] above suspended acoustical ceilings.

At ceiling of suspended gypsum board ceilings.

4.4 AUTOMATIC DOORS

4.4.1 At a minimum, automatic door equipment shall comply with the requirements of

Builders Hardware Manufacturers Association (BHMA) 156.10. Provide operators which will move the doors from the fully closed to fully opened position three seconds maximum time interval, when speed adjustment is at maximum setting. Equipment shall conform to UL 325. Provide key operated power disconnect wall switch for each door installation.

4.4.2 Automatic door operators and hardware shall be selected and sized appropriately for the door and frame, and for the type and frequency of traffic anticipated for the opening. Provide controls to open automatic doors from both sides. Equip controls with safety devices for pedestrian protection. Provide door operator controls and equipment that are easily accessible for maintenance.

4.4.3 Swing door operators shall be of institutional type, door panel size 2'-0" to 5'-0" width, weight not to exceed 600 pounds, electric operated for overhead mounting. Furnish metal mounting supports, brackets, and other accessories necessary for the installation of operators at the head of the door frames. The motor on automatic door operator shall be provided with an interlock so that the motor will not operate when doors are locked. Operators shall have checking mechanism providing cushioning action at last part of door travel, in both opening and closing cycle. Operators shall be capable of recycling doors instantaneously to fully open position from any point in the closing cycle when control switch is activated. Operators shall, when automatic power is interrupted or shut-off, permit doors to easily open manually without damage to automatic operator system.

4.4.4 Sliding doors shall have electric operators, conforming to BHMA A156.10 and the following. Assembly shall be single or bi-parting sliding doors. Doors shall be opened by electric motor pulling door from closed to open position and shall stop door by electrically reducing voltage and stalling door against mechanical stop.

System shall permit manual control of door in event of power failure. Opening and closing speeds shall be adjustable. In compliance with NFPA-101, all door panels shall allow "breakout" to the fully open position to provide instant egress at any point in the door’s movement.

Santa Cruz Community-Based Outpatient Clinic 20

5.0 PLUMBING

5.0.1 Lessor shall provide Plumbing systems in accordance with the latest edition of

VA Plumbing Design Manual http://www.cfm.va.gov/til/dManual/dmPlbg.pdf.

5.0.2 Potable water provided to VA from municipal or community water systems shall meet EPA and/or state standards for contaminants. For existing buildings, Lessor will repair or replace existing plumbing that is shown to increase the contaminants in municipal or community supplied water to levels that exceed EPA and/or state requirements. The Lessor shall flush and sanitize potable water systems in accordance with AWWA.

5.0.3 If potable water does not meet EPA and/or state standards, Lessor shall take action necessary to reduce contamination to acceptable levels. Lessor shall test potable water periodically to ensure that it continues to meet EPA and state standards. Lessor shall provide bottled water at his/her expense at any time contaminant levels exceed EPA and/or state requirements. If potable water does not meet EPA and/or state standards, Lessor shall take action necessary to reduce contamination to acceptable levels.

5.0.4 Plumbing design and tenant improvements shall be in strict accordance with the latest edition of the International Plumbing Code (IPC), VA Plumbing Design Guide, and VA Master Construction Specifications, Division 22.

5.0.5 If applicable, lessor shall provide emergency eye and face wash stations in Lab in accordance with ANSI Z358.1-2009 In-Depth Compliance Guide, and latest ANSI Eyewash Standards. Locate eyewash stations on the same level as the hazard and the path of travel shall be free of obstructions. Lessor shall provide Thermostatic Mixing Valves (TMV) or water tempering valves to deliver tempered water to eye wash stations (range 60°F to 100°F) per ANSI Z358.1-2009. Refer to ANSI Standard for Minimum Performance and Installation requirements.

Provide Eyewash Signage as required.

5.0.6 Size the piping for the hot and cold-water systems per criteria specified in the

IPC including backflow preventers, water hammer arrestors, and trap primers.

5.0.7 Maintain a minimum pressure of 35 PSI [240 kPa] at the plumbing fixtures on the top floor. In minimum pressure calculations, use residual pressure at design flow. Monitor for diurnal pressure fluctuations experienced by the building water supply and modify starting pressures accordingly. Provide a pressure gauge on the top floor branch adjacent to the riser.

5.0.8 Legionella Mitigation: There are currently no EPA enforceable regulations governing the levels of Legionella bacteria in potable water systems; however, EPA has issued a Maximum Contaminant Level Goal (MCLG) of 0 ppm [mg/L].

Santa Cruz Community-Based Outpatient Clinic 21

Municipal water supplies and wells can carry Legionella, so it is a given that the bacteria will be introduced into the facility potable water system at some time.

The A/E will consider the following design recommendations:

1) Provide means to easily remove and disinfect all outlet devices such as showerheads and faucets, etc. Utilize self-draining showerheads.

2) Provide a 3Ú4" ball valve at the end of each piping section as a means to drain heated (above 140 °F [60 ̊C]) flushing hot water that will be used for initial and supplemental disinfection. Ball valve shall be within 50 feet [15.24 meters] of a floor sink, floor drain, sink, or lavatory.

3) Mix hot/cold water as near the showerhead and faucets as possible.

Eliminate all dead legs in the piping system.

4) Subsequent to piping disinfection required per IPC, and as part of the commissioning process, disinfect the potable water systems against Legionella by one of the following methods:

Thermal Eradication: Flush 145°F water through all outlets for a period of at least 30 minutes.

Chlorine: Flush free chlorine at a level of 2 parts per million (PPM) or greater for a period of at least 2 hours. Further information can be found in ASHRAE paper CH-03-3-2.

5.1 PLUMBING FIXTURES, TRIM AND EQUIPMENT

5.1.1 Provide plumbing fixtures, trim and equipment as required by the VA Plumbing

Design Manual, and the International Plumbing Code (IPC). Water closets, urinals, sinks and lavatories shall be vitreous China. Bariatric water closets shall be rated at 1,000 pound [454 kg] capacity. Waterless urinals are not permitted.

Service sinks (mop sink/basin) shall be floor mounted.

5.1.2 Faucets and showerheads shall be of chromed brass, monel, or stainless steel;

plastic trim is not permitted. Faucets shall be laminar flow; aerators are not permitted. Electronic hands- free controls shall be provided at all hand washing sinks and lavatories.

5.1.3 Provide wall-hung, self-contained, electric wheelchair accessible water cooler.

Hot water re-circulation pump shall be all bronze, with timer-based controls.

6 ELECTRICAL

6.0.1 Prepare and submit calculations as required by the type of design work performed. Calculations shall justify lighting designs; size of each branch circuit

Santa Cruz Community-Based Outpatient Clinic 22 and feeder conductor, overcurrent protective device, equipment bus, generator, transformer, etc., at all voltage levels; setting of each overcurrent protective device with adjustable characteristic; required PPE to meet arc flash energy levels; etc. The Lessor shall submit the following calculations to VA: fault current calculations, protective device coordination study, arc flash calculations, load calculations, generator-set sizing calculations, voltage drop calculations, lightning protection system risk analysis, and lighting calculations.

6.0.2 Perform all lighting calculations based on illumination criteria per the IESNA Lighting Handbook, latest edition. Calculations shall include room name, room number, fixture type chosen for the room, number and type of lamps to be used in the room, required illumination level, calculated illumination level, and all assumptions used.

6.0.3 Calculations for most interior spaces may be performed using the zonal cavity method. Perform and submit point-by-point calculations for areas of greater architectural or luminous sophistication. Calculations for exterior spaces, including parking structures, shall be point by point. Calculations shall demonstrate compliance with energy requirements.

6.0.4 Electrical distribution components shall have copper bussing. Each panelboard shall contain 25% spare breakers. 100% emergency power with AST for all mission critical sections or can be a standby power system for when serving non-health care related loads.

6.0.5 Allow for ability to connect a portable generator to the electrical system for 100% power back-up.

6.0.6 Provide ample spare capacity for a mobile MRI/ Imaging trailer.

6.1 RACEWAYS, RECEPTACELS AND LIGHTING

6.1.1 Install all wiring in raceways. All wiring shall be copper. All circuits and branch circuits shall have a separate equipment grounding conductor of appropriate size per the NEC.

6.1.2 No more than 3 branch circuits are allowed to run in one homerun.

6.1.3 No more than 6 receptacles shall be installed on a single circuit. Receptacles - All receptacles shall comply with NEMA, NFPA, and UL. Duplex Receptacles shall be hospital-grade, single phase, 20 ampere, 120 volts, 2-pole, 3-wire, NEMA 5-20R, with break-off feature for two-circuit operation. Wall plates for switches and receptacles shall be type 302 stainless steel.

6.1.4 Lessor shall provide two duplex (QUAD) outlets and adequate data drops for each computer workstation and central printer locations.

Santa Cruz Community-Based Outpatient Clinic 23

6.1.5 Ground Fault Circuit Interrupter (GFCI) Duplex Receptacles shall be provided at locations within three feet of a water source such as a sink and provided at all outdoor locations. GFCI's shall be an integral unit, hospital-grade, suitable for mounting in a standard outlet box, with end-of-life indication and provisions to isolate the face due to improper wiring. Interior wall plates for receptacles shall be type-302 stainless steel. Outdoor receptacles shall be weatherproof.

6.2 LIGHTING FIXTURES

6.2.2 Color-corrected lamps, having a CRI of 85 or above and correlated color temperature between 5000 degrees K and 6000 degrees K, are required in recovery rooms, operating rooms (color shall match that of the surgical light), and dental rooms (examination, oral hygiene, oral surgery, recovery, labs, treatment, and x-ray).

6.2.3 Select fixtures and light sources with long operating lives; which utilize controlling elements (lenses, louvers, reflectors, etc.) designed to provide the best utilization of emitted light at the task location; that are appropriate for the ambient temperature; and that are not prone to dirt accumulation. In high ceiling areas, locate fixtures for maintenance access or provide access for maintenance equipment.

6.2.4 Exterior lighting shall comply with energy requirements and should comply with Dark Sky principles. When required by VA, exterior lighting designs are to meet the requirements of local outdoor lighting codes. Criteria recommended in the IESNA Guideline for Security Lighting for People, Property, and Public Spaces (latest edition) shall govern the lighting design. Exterior lighting shall be coordinated with physical security, SSTV, and landscaping requirements.

6.3 AUDIO VISUAL SYSTEMS

6.3.1 All conference, group, exam and consult rooms which have monitors and or TV’s shall have one data drop, 120 VAC duplex port and TV monitor supports. All waiting rooms and staff gym shall have power and data port for television service connections installed.

6.4 WIRELESS NETWORK

6.4.1 The Lessor shall furnish, install, certify, test, and guaranty a complete and operating wireless Cable Distribution System. The System shall include, but not be limited to equipment cabinets, interface enclosures, and relay racks and necessary passive devices such as: cable “patch”, “punch down”, and cross-connector blocks or devices, wireless distribution sub-systems, and associated hardware. VA will provide and install wireless access point field devices. VA to

Santa Cruz Community-Based Outpatient Clinic 24 provide access point locations to lessor. Lessor to install cabling and mounting hardware to support this plan.

6.5 TELECOMMUNICATIONS

6.5.1 Lessor shall provide telecommunications systems design and tenant

Communications improvements in accordance with:

-VA Infrastructure Standard for Telecommunications Spaces OIT-ISTS.pdf (va.gov) -Office of Information and Technology Design Guide (va.gov).

-VA Master Construction Specifications, Division 27 Communications, and VA Electrical Design Manual, latest editions.

-Security must comply with Physical Security & Resiliency Design Manual.

http://www.cfm.va.gov/til/PhysicalSecurity/dmPhySec.pdf .

6.5.2 Lessor shall coordinate with VA Communications point of contact (POC) for equipment and telecommunications room requirements.

6.5.3 The Lessor shall furnish, install, certify, test, and guarantee a complete and operating Voice and Digital Cable Distribution System (hereafter referred to as “the System”), and associated equipment and hardware to be installed in the VA Outpatient Clinic (hereafter referred to as “the Facility”).