EXHIBIT B - ASR New Dental Clinic 09-8-2023.pdf

Agency Specific Requirements (ASR)

New Dental Clinic, TIP

Project Type: Build-to-Suit

DATE: 12/13/2024

Table of Contents:

Section 1. Executive Summary

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

Section 3. PACT Space Module Design Guide, Proposed Blocking Plan

Section 4: Agency Specific Requirements (ASR)

Section 5. Design Guide References

Section 6. Attachments

A. U.S. Department of Veterans Affairs Office of Information and Technology

Infrastructure Standard for Telecommunications Spaces Version 3.1

Section 1. Executive Summary

Requirement is for a new lease for a facility (approx.. 9,000 NSF) to provide Dental Services off-campus in Helena, MT. The objectives of design are to create a calm, healing environment and to provide flexible space to support a variety of care. General Industry Trends is organized around four main areas of concern: Safety and Risk Reduction, Efficiency and Flexibility, Planning that a accommodates Program Growth, and Response to Human Needs as they apply to objectives for planning and design of Dental Services.

Section 2. Program for Design (PFD - SEPS Report

Functional Area Room Room Code Qty

PFD

Area

Proposed

Net Area Notes

RECEPTION AREA Dental Clnc Waiting, Bldg Sprt SB003 1 330 330

Large - may need less , include restroom

RECEPTION AREA

Dental Clnc Vis i tor Toi let, Bldg

Sprt SB191 2 60 0 Shared Bui lding Common - yes

RECEPTION AREA

Dental Clnc Wheelchair Alcove, Bldg Sprt SB262 1 30 30

RECEPTION AREA

Dental Clnc Patient Check-in

Kiosk, Clncl Sprt SC165 2 55 0 No longer used

RECEPTION AREA

Dental Clnc Patient Education

Workstation, Clncl Sprt SC172 2 40 30

Travel Desk - Veteran travel reimb comp

RECEPTION AREA

Dental Clnc Reception, Clnc

Sprt SC183 1 260 160

RECEPTION AREA

Dental Clnc Playroom, Chldcr

Ctr SS091 1 80 0

GENERAL SCOPE: (2) HYGENISTS, (8) TREATMENT AREAS AND (1) MINOR PROCEDURE ROOM

PROJECT: DENTISTRY EXPANSION - HELENA

PROGRAM FOR DESIGN

DENTAL CLINIC

DENTAL TREATMENT PATIENT AREA

Panoramic / Cephalometric X-

Ray Room, Dental Clnc CDS03 1 120 150 Same Room as CT 150 SF total

DENTAL TREATMENT PATIENT AREA

Dental Cone-Beam CT Room, Dental Clnc CDS05 1 120 0 Combine with Panoramic 150 total

DENTAL TREATMENT PATIENT AREA

Dental Cone-Beam CT Control

Room, Dental Clnc CDS06 1 30 0 Combine with Panoramic 150 total

DENTAL TREATMENT PATIENT AREA

Multi functional Dental

Treatment Room (DTR), Dental

Clnc CDS11 9 120 1080

11 total treatment rooms - 4 dentis ts = 8 , 3 hygienis ts = 3

DENTAL TREATMENT PATIENT AREA

Specia l Needs Dental

Treatment Room (DTR), Dental

Clnc CDS13 1 150 150 Treatment Room 10, Pt cei l ing l i ft

DENTAL TREATMENT PATIENT AREA

Endodontics Dental Treatment

Room (DTR), Dental Clnc CDS15 1 120 150

Treatment Room 11, 1 endo at 150 for microscope

DENTAL TREATMENT PATIENT AREA

Oral Surgery, Minor Procedure

Room DNTS1 0 180 0

Proc Room. Don't need, could be done in DTR room 120SF

DENTAL TREATMENT PATIENT AREA

Clean Dental Supply Room, Dental Clnc CDS21 2 120 120 One room

DENTAL TREATMENT PATIENT AREA

Supply Storage Room, Dental

Clnc CDS26 1 120 0

DENTAL TREATMENT PATIENT AREA

Dental Clnc PACS Viewing

Room, Imgng Svcs CI501 1 120 0 Don't need

DENTAL TREATMENT PATIENT AREA

Dental Clnc Dental Treatment

Patient Waiting, Bldg Sprt SB003 2 80 0

DENTAL TREATMENT PATIENT AREA

Dental Clnc Patient Toi let, Bldg

Sprt SB201 2 60 80 Reduced to one.

DENTAL TREATMENT PATIENT AREA

Dental Clnc Crash Cart Alcove, Clncl Sprt SC052 1 20 0 AED to be provided.

DENTAL TREATMENT PATIENT AREA

Dental Clnc Mobi le Equipment

Storage Room, Clncl Sprt SC092 1 100 100

DENTAL TREATMENT PATIENT AREA

Dental Clnc Team Room, Clncl

Sprt SC243 1 240 0

May want to add back in for conf room. Veri fy/Shared Bui lding

Common area

DENTAL TREATMENT PATIENT AREA

Dental Clnc Telehealth Room, Clncl Sprt SC249 1 120 120 Yes , 1 for whole s tat

DENTAL TREATMENT PATIENT AREA

Dental Clnc Consult Room, Clncl Sprt SC271 1 120 0 Don't need

DENTAL TREATMENT PATIENT AREA

Steri le Instruments Storage

Room, SPS SC951 1 100 100

DENTAL TREATMENT PATIENT AREA

Dental Clnc Medication Room, Phrm Svc SV583 1 120 120

DENTAL LABORATORIES

General Purpose Laboratory, Dental Clnc CDS51 1 280 280

DENTAL LABORATORIES

Porcela in / Ceramics

Laboratory, Dental Clnc CDS61 1 120 0 no need

DENTAL LABORATORIES

Maxi l lo-Facia l Laboratory, Dental Clnc CDS63 1 120 0 no need

DENTAL LABORATORIES

Machine Mi l led Restorations

Laboratory, Dental Clnc CDS65 1 60 0

Done in Lab, 280 SF should be plenty

DENTAL LABORATORIES

Acryl ic Process ing Laboratory, Dental Clnc CDS67 1 50 0

DENTAL LABORATORIES

Acryl ic Finishing Laboratory, Dental Clnc CDS69 1 50 0

DENTAL LABORATORIES

Cast Metal Laboratory, Dental

Clnc CDS71 1 60 0

DENTAL LABORATORIES

Laboratory Shipping /

Receiving Room, Dental Clnc CDS73 1 180 180

Future - receiving for lab cases , cabinets , may be flexible during des ign

DENTAL LABORATORIES

Expendable Laboratory

Suppl ies Storage Room, Dental

Clnc CDS76 1 180 180

Future - receiving for lab cases , cabinets , may be flexible during des ign

DENTAL LABORATORIES

Laboratory Models Storage

Room, Dental Clnc CDS81 1 120 0

DENTAL LABORATORIES

Precious Metals Storage Room, Dental Clnc CDS91 1 15 0

DENTAL LABORATORIES

Dental Models Process ing

Workroom, Dental Clnc CDS92 1 120 0

DENTAL LABORATORIES

Laboratory Equipment Storage

Room, Dental Clnc CDS93 1 180 0

SUPPORT AREA

Instrument Supply / Receiving, Dental Clnc CDS94 1 90 180

SPS Requirement/Confi rm, smal l for a l l equipment, bump 90 to 180

SUPPORT AREA

Dental Equipment Mechanica l

Room, Dental Clnc CDS95 1 120 120

SUPPORT AREA

Dental Clnc Housekeeping

Aides Closet (HAC), Bldg Sprt SB244 1 60 100 60 to 100

SUPPORT AREA

Dental Clnc Wheelchair / Li ft

Storage Room, Bldg Sprt SB264 1 60 0

SUPPORT AREA

Dental Clnc Gas Cyl inders

Storage Room, Lgstcs Svc SB541 1 80 80

SUPPORT AREA

Dental Clnc Clean Uti l i ty Room, Lgstcs Svc SB737 1 130 0 See Clean in Dental Treatment

SUPPORT AREA

Dental Clnc Soi led Uti l i ty

Room, Lgstcs Svc SB743 1 130 130 Confi rm SF need

SUPPORT AREA

Dental Clnc AED Alcove, Clncl

Sprt SC007 1 15 0

SUPPORT AREA

Dental Clnc CAD/CAM Alcove, Clncl Sprt SC013 1 30 0

SUPPORT AREA

Dental Clnc Receiving

Workstation, Stff Sprt SS218 1 56 0

Note: Room Code designations are for general guideline reference only.

STAFF AND ADMINISTRATIVE AREA

Dental Clnc Staff Female Staff

Shower, Bldg Sprt SB173 1 85 85

STAFF AND ADMINISTRATIVE AREA

Dental Clnc Staff Male Staff

Shower, Bldg Sprt SB184 1 85 85

STAFF AND ADMINISTRATIVE AREA

Dental Clnc Staff Toi let, Bldg

Sprt SB191 2 60 120 Two Shared Mens/Womens

STAFF AND ADMINISTRATIVE AREA

Dental Clnc Secure Documents

Storage Room, Clncl Sprt SC195 1 100 0 No Need

STAFF AND ADMINISTRATIVE AREA

Dental Clnc Team Room, Clncl

Sprt SC243 1 360 360

STAFF AND ADMINISTRATIVE AREA

Dental Clnc Staff Conference

Room, Educ Svc SS101 1 300 0

STAFF AND ADMINISTRATIVE AREA

Dental Clnc Adminis trative

Officer (AO) Office, Stff Sprt SS204 1 100 100

STAFF AND ADMINISTRATIVE AREA

Dental Clnc Chief Office, Stff

Sprt SS204 1 100 150

150 dental chief per dental des ign guide

STAFF AND ADMINISTRATIVE AREA

Dental Clnc Director Office, Stff

Sprt SS204 1 100 0 No Need

STAFF AND ADMINISTRATIVE AREA

Dental Clnc Ass is tant

Workstation, Stff Sprt SS218 8 56 448 2 ass is tants per dentis t

STAFF AND ADMINISTRATIVE AREA

Dental Clnc Staff Dentis t

Workstation, Stff Sprt SS218 4 56 224 4 dentis ts

STAFF AND ADMINISTRATIVE AREA

Dental Clnc Staff Workstation, Stff Sprt SS218 3 56 168 3 hygienis ts

STAFF AND ADMINISTRATIVE AREA

Dental Clnc Female Staff

Locker Room, Stff Sprt SS232 1 150 150

Prefer separate Male/Female locker areas for changing

STAFF AND ADMINISTRATIVE AREA

Dental Clnc Male Staff Locker

Room, Stff Sprt SS241 1 150 150

Merge Male/Female - Confi rm

Staff#

STAFF AND ADMINISTRATIVE AREA

Dental Clnc Staff Breakroom, Stff Sprt SS262 1 120 180 May reevaluate and increase >120

STAFF AND ADMINISTRATIVE AREA

Dental Clnc Copy / Supply

Room, Stff Sprt SS272 1 80 80

EDUCATION AREA

Dental Clnc Res ident Team

Room, Clncl Sprt SC243 1 240 0

EDUCATION AREA

Dental Clnc Res idency Director

Office, Stff Sprt SS204 1 100 0

EDUCATION AREA

Dental Clnc Auxi l iary Tra ining

Coordinator Workstation, Stff

Sprt SS218 1 56 0

LOGISTICS AREA CBOC Demarc Room, OIT SC393 1 80 80

LOGISTICS AREA

CBOC Telecommunications

Room (TR), OIT SC391 1 100 100

Section 3. Dental Service design guide

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

2. The Montana VA requests that Dental Clinic be built and based on the Dental Service

Design Guide (June 2014) dgDental.pdf (va.gov)

Below is the Dental Service Design Guide recommended Functional Diagram. Plan is provided for verification and proposed design intent only.

A Functional Area (FA) is the grouping of rooms and spaces based on their function within a clinical service. The organization of services in this Guide follows the categories established in VA Space

Planning Criteria, Chapter: 222 – Dental Service.

This service is organized into seven Functional Areas:

FA 1: Dental Treatment Rooms (DTR)

FA 2: Reception Area

FA 3: Dental Treatment Patient Area

FA 4: Dental Surgical Suite Patient Area

FA 5: Dental Laboratories

FA 6: Support

FA 7: Staff and Administrative Area https://www.cfm.va.gov/til/ https://www.cfm.va.gov/til/dGuide/dgDental.pdf

Section 4. Agency Specific Requirements (ASR)

1. Provide minimum 4’-0” Entry door with door operator function to the space.

2. Provide a Veteran Waiting area with a minimum capacity of 10 seats. Seating to include a minimum of two (2) seats for bariatric use.

3. Card access is required from the Waiting Area into the remaining Clinic Space.

4. Card access will be required for both ingress and egress from the Reception Desk area.

5. An integrated sit/stand desk is required at the Reception Desk.

6. Provide a weight/height station. Provide room for (1) bariatric scale lift and (1) height measuring station.

7. Provide emergency rescue hardware for all Patient Toilets with doors that swing into the toilet room.

8. Provide a minimum, 10’ x 10’ space for the OIT Room. Provide EMT conduit pathway(s) from Level 2 OIT Room to the Level 1 OIT Room as needed for system wide operations, monitoring and coordination.

9. A dedicated Building Service Room is required for each clinic level. Building services are to include but not limited to the following services: Nurse Call, Duress Systems, Security Systems, Public Address Systems, Mass Notification System, Access Control Systems and any other system not allowed in the OIT Rooms per VA Guidelines. These systems may be incorporated into the Mech/Electrical rooms, but not the OIT Rooms. Provide EMT conduit pathway(s) from Level 2 Building Services Room to the Level 1 Building Services Room as needed for system wide operations, monitoring and coordination.

10. Separate access is required to the existing building Utility Room. Access to the utility room may not be through VA Clinic space to avoid potential HPPA violations by non-VA employees. Access to the adjacent VA clinic space will be via PIV/Card Access.

11. Building Services room and OIT Room can be accessed from the VA Clinic. Card Access to both Building Services Room and OIT Room is required.

12. OIT Room may not placed along an exterior wall.

13. MTVA to assist in the design and layout of the Dental Clinic. Initial layout to be based on the Dental Design Guideline.

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

15. Lessor shall provide two ISP (Internet Service Providers). One ISP will be dedicated for VA Business wifi use Small House Model. The second ISP will be used for Public wifi access, cable/internet television connectivity. Lessor to provide two separate wireless access point systems, (WAP) throughout the facility for VA Business and Public wifi use.

Section 5. Design Guide References

1. Refer to Department of Veterans Affairs (VA) Office of Construction and Facilities Management Standards contained in the Technical Information Library (TIL) for Physical Security Design Manuals, Standard Details, Design Guides, Design Manuals, and other technical criteria standards. Site amenities need to conform to VA standards, with regards to items such as architecture, structural design, sustainable design, site/civil design, flag poles, electrical, fire protection, HVAC, interior finishes, door types and door hardware, signage and wayfinding, and physical security and resiliency requirements. OIT closet and related infrastructure will follow VA OIT build Standards (see Section 6. Appendix). All the aforementioned items can be found in the TIL Standards at the following link https://www.cfm.va.gov/til/

Below is a list of common references and TIL links:

Alerts

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

A/E Submission Instructions (PG-18-15)

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

Architectural Accessibility and VA Barrier Free Design Standard (PG-18-13)

(https://www.cfm.va.gov/TIL/accessibility.asp)

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

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

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

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

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

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

Fire & Safety

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

Physical Security and Resiliency Design Manual (PG-18-10)

(https://www.cfm.va.gov/til/dManual.asp#PSR)

Room Finishes, Door, and Hardware Schedule (PG-18-14)

(https://www.cfm.va.gov/til/spclRqmts.asp#room)

Safe Patient Handling and Mobility Design Criteria (PG-18-13)

(https://www.cfm.va.gov/til/topicSpecific.asp#SPHM)

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

Section 6. Attachments:

A. U.S. Department of Veterans Affairs, Office of Information and Technology

Infrastructure Standard for Telecommunications Spaces, Version 3.1 https://www.cfm.va.gov/til/dManual.asp https://www.cfm.va.gov/til/spec.asp https://www.cfm.va.gov/til/signs/Signage04-Exterior.pdf https://www.cfm.va.gov/til/signs/Signage09-Interior.pdf https://www.cfm.va.gov/til/equip.asp https://www.cfm.va.gov/til/topicSpecific.asp#SPHM https://www.cfm.va.gov/til/seismic.asp