EXHIBIT B_ Agency Requirements.pdf

Lease SOW LESSOR INITALS:

STATEMENT OF WORK

Project: McAllen MH Clinic Lease

VA Texas Valley Coastal Bend Health Care System, TVCBHCS, Harlingen

Texas

April 2024

I. GENERAL SCOPE OF WORK

A. Space Requirements

Total Staff / Headcount: Current 50. The space shall include rooms to serve as reception area, waiting area, consultation rooms, group rooms, program support rooms (HUB), housekeeping (janitorial) closet, restrooms, a break room, security room, and a secured telecommunications room. Please reference attachment for

Program for Design (PFD). Space must be adjoining and located on one floor.

Common areas shall have security monitoring. Clinic operational hours are 0630

AM to 0630 PM Mon – Fri. The space must be located within 9 minutes or less from an ambulance dispatch center. The space cannot be located within a block radius of an adult entertainment industry or alcohol industry.

B. Parking Requirements

The space shall provide a parking area for approximately 100 vehicles, including at least 15 dedicated ADA accessible spaces, to be utilized by patients, and staff.

ADA accessible parking spaces must be located immediately adjacent to the building's main entrance(s). All other parking spaces shall be located within 100 feet of the main entrance(s).

The parking area shall meet the following requirements:

1. The parking area shall have appropriate vehicular circulation, access from main thoroughfares, emergency vehicle access and entry, barrier free access to public entrances, safe passage for pedestrians, adequate lighting, and security monitoring.

2. The parking area shall be paved and striped.

C. Additional Requirements

Lessor shall provide the Services, Utilities and Maintenance in compliance. The

Lessor shall assume all of the obligations with ownership, operation and maintenance of facility.

1. Utilities

The Lessor shall ensure that public utilities are available and operable at the site at the time of inspection before acceptance. The Lessor is responsible for all connection and impact fees to public utilities, including but not limited to, any and all tap fees associated with public utilities. The Lessor shall provide separate meters (exterior electric, gas and water) to measure VA usage versus

Lessor usage.

2. Housekeeping (cleaning janitorial) Services

The Lessor shall furnish all supplies, materials machinery, appliances, supervision, and labor necessary to provide complete janitorial services for the clinic. Services shall be provided in all interior areas of the leased premises to provide a clean, neat, and attractive appearance. The Lessor shall consider the clinical environment and ensure that the janitorial staff is instructed on applicable safety precautions and special requirements. Lessor shall provide disposal of general waste and trash. The Lessor shall provide two (2) day porters. One day porter will perform regular services during the day such as spills or accidents from employees and patients. One day porter will perform regular services after business hours such as sweeping floors, vacuuming carpets, moping areas, and terminal cleaning spaces which were not available during business hours due to the presence of a patient within a particular space at the time.

Cleaning and Disinfecting requirements. The Lessor shall routinely wipe down all solid, high contact surfaces in common and high traffic areas using soap and water, followed by a disinfectant from the EPA-registered list of products.

Cleaning staff shall use products in accordance with directions provided by the manufacturer, including the use of personal protective equipment (PPE), if applicable. Disinfection application and products should be chosen so as to not damage interior finishes or furnishings. The Lessor shall clean and disinfect all consult rooms a minimum of two (2) times a week. The Lessor shall clean all restrooms twice a day. The Lessor shall vacuum all carpeted areas three (3) times a week. The Lessor shall empty the trash twice a day.

“Routinely,” for purposes of this section, is defined as no less than once daily.

Cleaning may be conducted after normal operations and coordinated with the lessor. More frequent cleaning and disinfection may be required based on level of use. Cleaning will be carried out twice daily; once during business hours and once after business hours while operating under Covid-19 guidelines.

Examples of common and high traffic areas include, but are not limited to, handrails, door knobs, key card scan pads, light switches, countertops, table tops, water faucets and handles, elevator buttons, sinks, toilets and control handles, restroom stall handles, toilet paper and other paper dispensers, door handles and push plates, water cooler and drinking fountain controls.

Disinfected surfaces should be allowed to air dry.

3. Building Maintenance Services

Maintenance of the building, building systems, equipment and grounds is the responsibility of the Lessor. The Lessor shall submit a Building Operations and

Maintenance (O&M) Plan with the offer to include factors relevant to the

Lessor’s proposed ongoing maintenance and repair of the facility. The plan shall include a schedule of startup and shutdown times for operation of each building system, such as lighting, cooling, ventilation, plumbing, and worn floor or wall coverings necessary for the operation of the building. The O&M plan shall be in operation on the effective date of the lease. HVAC system shall not be shut down after normal hours.

The Lessor must have a building superintendent or a local, designated representative available to promptly diagnose and or correct deficiencies upon written notice of such condition from VA within 3 business days for deficiencies not requiring immediate response. Deficiencies requiring immediate response include but not limited to; office or building conditions that pose a probable human health risk, building leaks or flooding, power outages, loss of ability to temper the space for an extended period of time.

These timeframes are to be specified in the O&M Plan. The Lessor shall provide the labor, material, and supervision to adequately maintain the structure, the roof, the exterior walls, windows, doors, and any other necessary building appurtenances to provide watertight integrity, structural soundness, and acceptable appearance. The Lessor's maintenance responsibility includes initial supplies of all items, materials, and equipment necessary for such maintenance. All maintenance work will be done in accordance with applicable local Building Codes and ordinances, and inspection certificates will be displayed as appropriate. Maintenance by

Lessor includes, but is not limited to, interior and exterior care of the building and the site; all sidewalks, parking areas, driveways, private access roads, lawns, and shrubbery; utilities; and building service equipment;

including all repairs and replacements. All equipment and systems shall be maintained to provide reliable service without unusual interruption, disturbing noises, exposure to fire or safety hazards, or unusual emissions of dirt.

4. Pest Control Services

Lessor shall provide interior and exterior extermination of insects and rodents on a minimum of every four (4) months, and upon any sign of infestation. If any signs of re- infestation appear, additional service shall be provided by the Lessor at no cost to VA. Use of chemicals shall conform to

EPA and State requirements. Control pests as appropriate, using Integrated

Pest Management techniques, as specified in the GSA Environmental

Management Integrated Pest Management Technique Guide (E402-1001).

Lessor shall provide interior extermination of bed bugs once a month.

Control pests as appropriate, using Integrated Pest Management techniques, as specified in the GSA Environmental Management Integrated Pest

Management Technique Guide (E402-1001).

5. Site and Grounds

Landscape maintenance shall be performed as needed year-round. During the growing season landscape maintenance shall be performed at not less than a weekly cycle and shall consist of watering, weeding, mowing, and policing the area to keep it free of debris. Pruning and fertilization shall be done on an as-needed basis. In addition, dead, dying, or damaged plants shall be replaced.

Lessor shall maintain the leased exterior premises to provide a safe, clean, neat, and attractive appearance. Activities to include cleaning of building entrances and gazebo; landing, steps and sidewalks; de-icing of walkways and parking areas prior to clinic opening; mowing and edging lawns;

removal of weeds from around the building, parking areas, all landscaped areas and fence borders; trimming and pruning shrubbery and trees.

6. Waste

Building interior: trash bins to be provided by VA and serviced under the Janitorial agreement.

Building exterior: The Lessor shall provide a dedicated space for both

Trash and Recyclable containers and dumpsters within the Area of the building and shall be in accordance with Security Requirements.

Waste Management Program: Lessor shall minimize waste including the generation of wastes requiring treatment and disposal; advance pollution prevention; support markets for recycled products; and promotes a transition to a circular economy by annually diverting from landfills at least 75% of non-hazardous solid waste, including food and compostable material, and construction and demolition waste and debris. Lessor shall maintain records to document the quantity of waste generated; the quantity of waste diverted through sale, reuse, or recycling; and quantity of waste disposed by landfill or incineration. Record shall include at a minimum: dates removed, transportation costs, weight tickets, manifests, invoices; include net total costs or savings for each salvaged or recycled material. Lessor shall provide a copy of record to the VA semi-annually.

7. Hazardous Waste

The Government will be responsible for the disposal of hazardous or pathological waste which has been properly stored in the designated soiled utility room.

II. TENANT IMPROVEMENTS

The facility may require tenant improvements to meet the VA requirements.

A. Electronic Security Systems

New and existing facilities are required to meet the integration and monitoring of the following to be provided and installed by Lessor and shall be a negotiated item post award:

1. Intrusion Detection System - IDS consists of a minimal motion alarm system required to detect and “locally” annunciate unauthorized entry into a protected space with a private monitoring service capable of continuous operation and monitoring through the use of UPS equipment.

2. Panic Alarm System. - Alarm sensors/devices shall be hardwired, or wireless transmission directly connected to the data network without degrading the effective range of alarm.

3. Video-Cameras Assessment-Recording and Surveillance - VASS includes

“digital IP video” cameras, monitors, controlling and recording equipment to archive minimum of 6 months of video recording, and centralized management and operations of the system. Digital Video Recording (DVR) can terminate at the Police/Security Office. Cameras shall be color that allows for black and white application to support the exterior and interior to cover egress, public entrances, utilities, fire control room, lobby, main corridors, telecommunication and security rooms. VASS shall be supported by UPS equipment.

4. Duress, Security Phones, and Intercom System - DSIP requires an intercom to be integrated with VASS. Lessor to provide Duress/Panic Alarms and Intercom

Systems at locations where there is considerable public contact in isolated and pre-identified high-risk areas, such as the lobby reception desk, patient service areas, nursing stations, and isolated where VA personnel work.

B. IT Security Systems

New and existing facilities are required to meet the integration and monitoring of the following to be provided and installed by Lessor and shall be a negotiated item post award:

Lessor/Landlord shall follow mandatory procedures stated under VA Handbook

Directive 0730 – Security and Law Enforcement 0730/4 –March 2013 to comply with physical security requirements for IT data centers, server room, telephone equipment room, storage areas, data connection closets, etc. Lessor/Landlord shall provide and install cable trays, data cable, telecommunications cable and terminating all connections. Refer to revised table below.

C. Emergency Power and Lighting

Lessor shall provide Emergency power throughout the building as required by local codes and as per VA Guidelines. Lessor shall also ensure the Emergency

Lighting has an independent circuit so as to conduct lighting inspections without interrupting Normal Lighting Circuits.

D. Consultation Room

Consultation rooms shall meet the design criteria in PACT (Patient Aligned Care

Team) design guide, and VA Design Manuals.

E. OIT EHRM Infrastructure

The Lessor shall provide design and construction work necessary at this CBOC site to support the Veterans Health Administration’s (VHA) change to the new

Electronic Health Record Management (EHRM). VHA requests the Lessor provide design and construction services to include all labor, materials, tools, equipment, transportation, supervision and other services necessary to upgrade the leased property in accordance with this scope of work.

1. The Lessor shall provide a complete package containing design drawings, bid drawings and specifications. The design drawing shall follow all applicable codes and standards and shall meet Technical Information

Library (TIL) references: Telecommunications and Special

Telecommunications Systems Design Manual and Infrastructure Standard for Telecommunications Spaces, Version 3.1.

2. The Lessor shall provide construction period services for the following infrastructure improvements, as necessary to meet listed requirements:

2.1. Communication infrastructure including new data outlets, patch panels, upgrades to Cat 6A cable, fiber infrastructure backbone within building.

2.2. Electrical infrastructure including electrical panel upgrades, normal and emergency power, as applicable, bonding, Uninterruptible Power Supply (UPS) system and Building

Management (BMS) interfaces to manage and monitor UPS.

2.3. HVAC infrastructure including temperature and humidity

upgrades, rack and space sensors, and BMS interfaces to manage and monitor temperature and humidity.

2.4. Reconfiguration of existing space including demolition, new construction, and finishes.

2.5. Physical security upgrades including telecommunication room cameras, alarms, and necessary interfaces to existing security system.

2.6. Identification and appropriate remediation of hazardous

materials, as needed for project.

END OF STATEMENT OF WORK

PROGRAM FOR DESIGN

BEHAVIORAL HEALTH RELOCATION

RELOCATE BH FROM MOPC

MCALLEN, TEXAS

Projected Year: 2023 Midpoint Year: 2023

VISN: 17 State: TX State: 671 Station: San Antonio

Installation: San Antonio VA Medical Center

Project Created: 5/15/2023 11:10:29 AM by Luis Partida Space Plan Last Edited: 5/15/2023 4:48:20 PM by Luis Partida

Contents List Created: by Contents List Last Edited: by

Report Generated: 15 May 2023 04:48PM ET

BEHAVIORAL HEALTH RELOCATION (RELOCATE BH FROM MOPC)

Department: 02 - MENTAL HEALTH PATIENT CARE UNIT (MH PCU) (110)

Functional Area: 01 - PATIENT CARE UNIT (PCU) RECEPTION AREA

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

1 SB071 8-Bed MH PCU Visitor Waiting, Bldg Sprt 130 130 1 0

1 SC183 MH PCU Reception, Bldg Sprt 85 85 1 0

FA Totals: Room Qty: 2 Net Area: 215 Gross Area: 355

Department: 02 - MENTAL HEALTH PATIENT CARE UNIT (MH PCU) (110)

Functional Area: 02 - PATIENT CARE UNIT (PCU) STAFF-PATIENT AREA

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

1 IMH11 Sally Port, MH PCU 125 125 1 0

1 IMH18 8-Bed / 12-Bed PCU Conference / Hearing Room, MH PCU 240 240 1 0

2 IMH21 Group Room, MH PCU 270 540 1 0

35 SC271 MH PCU Consult Room, Clncl Sprt 125 4375 1 0

FA Totals: Room Qty: 39 Net Area: 5,280 Gross Area: 8,712

Department: 02 - MENTAL HEALTH PATIENT CARE UNIT (MH PCU) (110)

Functional Area: 04 - PATIENT CARE UNIT (PCU) PATIENT COMMON AREA

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

1 IMH81 8-Bed PCU Storage Room, MH PCU 100 100 1 0

1 SB121 MH PCU Telephone Alcove, Bldg Sprt 30 30 1 0

3 SB201 MH PCU Patient Toilet, Bldg Sprt 60 180 1 0

1 SB206 MH PCU Outdoor Courtyard, Bldg Sprt 0 0 1 0

FA Totals: Room Qty: 6 Net Area: 310 Gross Area: 512

Page 2 of 4FOR OFFICIAL USE ONLY15 May 2023 04:48PM ET

Functional Area: 05 - PATIENT CARE UNIT (PCU) SUPPORT AREA

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

1 SB244 8-Bed / 12-Bed MH PCU Housekeeping Aides Closet (HAC), Bldg Sprt 60 60 1 0

1 SB252 MH PCU Wheelchair / Stretcher Alcove, Bldg Sprt 50 50 1 0

1 SB663 8-Bed MH PCU General Storage Room, Lgstcs Svc 120 120 1 0

FA Totals: Room Qty: 3 Net Area: 230 Gross Area: 380

Department: 02 - MENTAL HEALTH PATIENT CARE UNIT (MH PCU) (110)

Functional Area: 06 - PATIENT CARE UNIT (PCU) CLINICAL STAFF AREA

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

1 SS203 MH PCU Nurse Manager Office, Stff Sprt 130 130 1 0

1 SS262 8-Bed MH PCU Clinical Staff Breakroom, Stff Sprt 120 120 1 0

FA Totals: Room Qty: 2 Net Area: 250 Gross Area: 413

Department: 02 - MENTAL HEALTH PATIENT CARE UNIT (MH PCU) (110)

Functional Area: 07 - STAFF AND ADMINISTRATIVE AREA

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

3 SB191 MH PCU Staff Toilet, Bldg Sprt 60 180 1 0

1 SS218 MH PCU Dietician Workstation, Stff Sprt 56 56 1 0

2 SS218 MH PCU Nurse Clinician Workstation, Stff Sprt 56 112 1 0

1 SS218 MH PCU Physician Assistant Workstation, Stff Sprt 56 56 1 0

1 SS218 MH PCU Psychiatrist Workstation, Stff Sprt 56 56 1 0

2 SS218 MH PCU Psychologist Workstation, Stff Sprt 56 112 1 0

2 SS218 MH PCU Rehabilitation Medicine Therapist Workstation, Stff Sprt 56 112 1 0

2 SS218 MH PCU Rehabilitation Technician Workstation, Stff Sprt 56 112 1 0

2 SS218 MH PCU Social Worker Workstation, Stff Sprt 56 112 1 0

2 SS218 MH PCU Vocational Rehabilitation Specialist Workstation, Stff Sprt 56 112 1 0

FA Totals: Room Qty: 18 Net Area: 1,020 Gross Area: 1,683

Page 3 of 4FOR OFFICIAL USE ONLY15 May 2023 04:48PM ET

Functional Area: 07 - STAFF AND ADMINISTRATIVE AREA

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

Dept Totals: Room Qty: 70 Net Area: 7,305 Gross Area: 12,053

Building Totals: Room Qty: 70 Net Area: 7,305 Sum of Dept Gross Area: 12,053 Gross Area: 16,272

Page 4 of 4FOR OFFICIAL USE ONLY15 May 2023 04:48PM ET

Cleaning & Disinfection Guidance on Standard and Enhanced Safety Practices

Standard Safety Practices Enhanced Safety Practices

Cleaning & Disinfection

• CDC Guidance: When and How to Clean & Disinfect a Facility (https://www.cdc.gov/hygiene/about/when-and-how-to-clean-and-disinfect-a-facility.html?CDC_AAref_Val=https:// www.cdc.gov/hygiene/cleaning/facility.html)

• CDC Environmental Infection Control Guidelines (https://www.cdc.gov/infection-control/hcp/ environmental-control/?

CDC_AAref_Val=https://www.cdc.gov/ infectioncontrol/guidelines/environmental/ index.html)

• Consider increasing frequency of cleaning in common areas/high touch surfaces and high-risk areas.

https://www.cdc.gov/covid/hcp/infection-control/guidance-risk-assesment-hcp.html?CDC_AAref_Val=https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-risk-assesment-hcp.html https://www.cdc.gov/covid/hcp/infection-control/guidance-risk-assesment-hcp.html?CDC_AAref_Val=https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-risk-assesment-hcp.html https://www.cdc.gov/hygiene/about/when-and-how-to-clean-and-disinfect-a-facility.html?CDC_AAref_Val=https://www.cdc.gov/hygiene/cleaning/facility.html https://www.cdc.gov/infection-control/hcp/environmental-control/?CDC_AAref_Val=https://www.cdc.gov/infectioncontrol/guidelines/environmental/index.html

MEDICAL CENTER & CBOC CLEANING MATRIX

CONFIRMED COVID-19

PRIVATE/SINGLE PATIENT ROOM

COVID-19 PATIENT DISCHARGE

FROM A SEMI-PRIVATE ROOM

NON-COVID-19 PUBLIC AREAS

Cleaning Requirements Follow two-step cleaning process whenever a patient is discharged from the room regardless of what type of private room or setting.

Clean and disinfect all high touch surfaces between patients (exam tables, side chairs, blood pressure cuffs, doorknobs, grab bars, faucet handles, sinks, etc.).

Allow proper air exchanges to complete prior to terminal cleaning. Refer to CDC Airborne Contaminant Removal Table.

Staff may enter the room prior to the recommended air exchanges as long as appropriate PPE for COVID-19 patient care is donned.

All non-dedicated, non-disposable medical equipment used for that patient should be cleaned and disinfected according to manufacturer’s instructions and facility policies before use on another patient.

Note: For designation of staff performing daily cleaning requirements of high touch surfaces, follow updated CDC guidance.

(Note: A COVID-19 semi-private room is used for cohorting patients who are COVID-19 positive), Follow two-step cleaning process whenever a patient is discharged from the room, regardless of what type of semi-private room or setting.

Clean and disinfect all high touch surfaces between patients (exam tables, blood pressure cuffs, side chairs, doorknobs, grab bars, faucet handles, sinks, etc.).

Waiting for air exchanges is not required. EMS staff entering a -private room/ward occupied by a patient with suspected or confirmed SARS-CoV-2 infection should adhere to standard precautions and use a NIOSH-approved N95 or equivalent or higher-level respirator, gown, gloves, and eye protection (i.e., goggles or a face shield that covers the front and sides of the face). Additional information about appropriate personal protective equipment (PPE) for HCP can be found here: Protecting Healthcare Personnel |

HAI | CDC.

All non-dedicated, non-disposable medical equipment used for that patient should be cleaned and disinfected according to manufacturer’s

Follow cleaning and disinfecting process for a non-isolation room cleaning. For combination products (detergent and disinfectant), use a two-step cleaning process when bodily fluids and/or debris are present.

Consult with local Infection Prevention and Control. If COVID is at high levels in your community, it may be recommended to use the same frequency for cleaning for all rooms, regardless if the patient is non-COVID or COVID positive.

Follow two-step cleaning process.

Increase daily cleaning in corridors, public restrooms, entrances, check-in areas, elevators, and patient waiting areas. Consult with local Infection Prevention and Control. If COVID is at high levels in your community, the frequency of cleaning may be increased.

Consider staffing availability to determine cleaning frequency.

https://www.cdc.gov/infectioncontrol/guidelines/environmental/appendix/air.html https://www.cdc.gov/infectioncontrol/guidelines/environmental/appendix/air.html https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.cdc.gov%2Fhai%2Fprevent%2Fppe.html&data=04%7C01%7C%7C17b567948b61492c91f708d9d547c191%7Ce95f1b23abaf45ee821db7ab251ab3bf%7C0%7C0%7C637775326424905259%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000&sdata=4ZTDDz5w661AyB1u0jCfI24ZK9xXvNeHg1HIcDlZwNM%3D&reserved=0 https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.cdc.gov%2Fhai%2Fprevent%2Fppe.html&data=04%7C01%7C%7C17b567948b61492c91f708d9d547c191%7Ce95f1b23abaf45ee821db7ab251ab3bf%7C0%7C0%7C637775326424905259%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000&sdata=4ZTDDz5w661AyB1u0jCfI24ZK9xXvNeHg1HIcDlZwNM%3D&reserved=0 instructions and facility policies before use on another patient.

Responsibility for cleaning belongs to Environmental Management Service.

Note: For designation of staff performing daily cleaning requirements of high touch surfaces, follow updated CDC guidance.

Training

Ensure facilities are following CDC recommendations and guidelines, available HERE.

Implement guidelines and provide comprehensive training to reduce EMS exposure risk.

Train cleaning staff on two-step cleaning process utilizing the following training modalities:

Meaning of Cleaning Healthcare Sanitation 2-Step

Clean Simulation Training- TMS Course 37050 available HERE.

Implement guidelines and provide comprehensive training to reduce EMS exposure risk.

Train cleaning staff on two-step cleaning process utilizing the following training modalities:

Meaning of Cleaning Healthcare Sanitation 2-Step available HERE.

Implement guidelines and provide comprehensive training to reduce EMS exposure risk.

Train cleaning staff on two-step cleaning process utilizing the following training modalities:

Meaning of Cleaning Healthcare Sanitation 2-Step available HERE.

Implement guidelines and provide comprehensive training to reduce EMS exposure risk.

Train cleaning staff on two-step cleaning process utilizing the following training modalities:

Meaning of Cleaning Healthcare Sanitation 2-Step

SUSPECTED/CONFIRMED COVID-19 COVID-19 PATIENT DISCHARGE

FROM A SEMI-PRIVATE ROOM

NON-COVID-19 PUBLIC AREAS

Chemicals Utilize MSPV Product List for selection of cleaning chemicals. Verify that

Utilize MSPV Product List for selection of cleaning chemicals. Verify that

Utilize MSPV Product List for selection of cleaning chemicals.

Utilize MSPV Product List for selection of cleaning chemicals.

https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Finfection-control%2Fcontrol-recommendations.html https://dvagov.sharepoint.com/sites/VHA10NA5C/sanitation/SitePages/Meaning-of-Clean.aspx https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Finfection-control%2Fcontrol-recommendations.html https://dvagov.sharepoint.com/sites/VHA10NA5C/sanitation/SitePages/Meaning-of-Clean.aspx https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Finfection-control%2Fcontrol-recommendations.html https://dvagov.sharepoint.com/sites/VHA10NA5C/sanitation/SitePages/Meaning-of-Clean.aspx https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Finfection-control%2Fcontrol-recommendations.html https://dvagov.sharepoint.com/sites/VHA10NA5C/sanitation/SitePages/Meaning-of-Clean.aspx https://www.va.gov/opal/sac/mspv.asp https://www.va.gov/opal/sac/mspv.asp https://www.va.gov/opal/sac/mspv.asp https://www.va.gov/opal/sac/mspv.asp chemicals are on List N to ensure SARS- CoV-2 efficacy.

If there are supply shortages, consider using non-combination cleaner/disinfectants during the first step of surface cleaning of the two-step cleaning process.

chemicals are on List N to ensure SARS- CoV-2 efficacy.

If there are supply shortages, consider using non-combination cleaner/disinfectants during the first step of surface cleaning of the two-step cleaning process.

If there are supply shortages, consider using non-combination cleaner/disinfectants during the first step of surface cleaning of the two-step cleaning process.

If there are supply shortages, consider using non-combination cleaner/disinfectants during the first step of surface cleaning of the two-step cleaning process.

Considerations Medical Centers in areas with a high community prevalence of COVID- 19 should consider cleaning all rooms using suspected/confirmed COVID-19 cleaning processes.

Increase staffing levels to support cleaning exam rooms between patients.

Consider utilizing VA COVID-19 Supplemental Environmental Services Labor Contract to offset shortages.

Remove unnecessary clutter, table-top décor that impede cleaning and disinfecting, so the surfaces can be reached.

Medical Centers in areas with a high community prevalence of COVID- 19 should consider cleaning all rooms using suspected/confirmed COVID-19 cleaning processes.

Increase staffing levels to support cleaning exam rooms between patients.

Consider utilizing VA COVID-19 Supplemental Environmental Services Labor Contract to offset shortages.

Remove unnecessary clutter, table-top décor that impede cleaning and disinfecting so the surfaces can be reached.

Medical Centers in areas with a high community prevalence of COVID- 19 should consider cleaning all rooms using suspected/confirmed COVID-19 cleaning processes.

Increase staffing levels to support cleaning exam rooms between patients.

Consider utilizing VA COVID-19 Supplemental Environmental Services Labor Contract to offset shortages.

Remove unnecessary clutter, table-top décor that impede cleaning and disinfecting, so the surfaces can be reached.

Medical Centers in areas with a high community prevalence of COVID- 19 should consider cleaning all rooms using suspected/confirmed COVID-19 cleaning processes.

Increase staffing levels to support cleaning exam rooms between patients.

Consider utilizing VA COVID-19 Supplemental Environmental Services Labor Contract to offset shortages.

Remove unnecessary clutter, table-top décor that impede cleaning and disinfecting., so the surfaces can be reached.

Remove magazines/ literature from holders, displays, tabletops in accordance with facility policy.

SUSPECTED/CONFIRMED

COVID-19

COVID-19 PATIENT DISHCARGE

FROM A SEMI-PRIVATE ROOM

NON-COVID-19 PUBLIC AREAS

Considerations (cont.) Implement evidence-based practices and checklists to ensure effective cleaning.

Implement evidence-based practices and checklists to ensure effective cleaning.

Implement evidence-based practices and checklists to ensure effective cleaning.

Implement evidence-based practices and checklists to ensure effective cleaning.

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