Attachment_18_-_Optional_Service_7_Aseptic.pdf

OPTIONAL SERVICE #7

PERFORMANCE WORK STATEMENT

ASEPTIC/CUSTODIAL MANAGEMENT SUPPORT

OPTIONAL SERVICE

1.0. SCOPE. The contractor shall provide all personnel, equipment, tools, materials, supervision, and other items and services necessary to perform Aseptic/Custodial Management Support services in accordance with the standards identified in the Base IDIQ contract and this PWS. Tasks and services identified in the Base IDIQ are applicable at the Task Order level unless specifically stated otherwise and this site specific PWS is intended to supplement IDIQ with site specific data, exclusions, inclusions, or unique requirements.

1.1. Director of Hospital Aseptic Services (HAS). The Contractor shall assign a Director HAS to serve solely in the MTF. The Director EVS shall be assigned full time duty as the on-site manager for all HAS requirements. The Contractor shall present a written certification to the COR that the Director

HAS meets the requirements of this Performance Work Statement (PWS). These certifications shall be presented within 10 days of contractor award.

1.1.1. MINIMUM QUALIFICATIONS OF HAS. Bachelor of Arts or Science degree in Business from an accredited college or University or Certification from IEHA. Three years of prior housekeeping management experience in a Joint Commission accredited hospital within the last five years. The HAS shall have met the following experience requirements in the past three years. Twelve (12) consecutive months of experience as a certified International Executive Housekeeper Association (IEHA) HAS in a full service hospital as defined in the PWS. Responsible for departmental procedures, supervision, scheduling, work assignment training, hiring/firing, quality assurance, shall have integrity when speaking to the Medical Staff, COR and HAS QAE and overall contract performance.

1.1.2. If the experience required in paragraph 1.1.1. has not been obtained, the individual may be considered to meet the experience requirements if the individual was assigned and served as an Assistant

Director HAS for at least two (2) years within the last three (3) years in any full service hospital of at least 200 active beds; or if the individual has been assigned as an Assistant Director HAS at an Air

Force Regional Hospital or Medical Center on an Air Force Hospital Aseptic Management System

(HAMS) contract.

1.1.2.1. HAS RESPONSIBILIITES. Serve as the onsite manager. Supervise, train, and maintain employees and contract records to ensure compliance with all provisions of this contract. Be assigned as a full time duty residence (during the normal working hours of the MTF administrative staff) as the onsite manager representative (of the contractor) at the individual MTF. Attend meetings as required.

Be available onsite during the hours specified. Shall notify the COR and QAE when the HAS will miss a normal eight hour shift. Notification shall include who will be the stand-in representative during the absence. Shall notify the COR and QAE when the HAS plans to be absent more than one but not more than five consecutive working days (Monday through Friday and Holidays, excluding Saturday and

Sunday), the COR and QAE shall be notified in writing and advised of who shall be the stand-in representative during this absence.

1.1.2.2. REPLACEMENT OF HAS. If the HAS shall be absent for more than five consecutive working days (including Monday through Friday and Holidays, excluding Saturday and Sunday), the company shall provide a qualified replacement HAS during the absence. The COR and QAE shall be notified in advance, in writing, of this substitution. Corporate Office operational management personnel with previous HAS experience may be used temporarily to stand in while the HAS is absent. Should the

HAS be terminated, resign voluntarily, retire, or have an extended authorized absence, temporary replacement (with Corporate Office Operational Management Personnel or an AEH) cannot stand in more than six weeks before a new, fully qualified HAS is provided onsite.

1.1.3. Shift Supervisors or ASSOCIATE EXECUTIVE HOUSEKEEPERS (AEH). The Contractor shall appoint Shift Supervisors/AEHs for every shift daily. The Shift Supervisor shall represent the

Contractor in the absence of the Director and shall be capable of implementing all requirements of the

Contract without the Director of EVS. The names of these individuals shall be provided to the COR and

QAE, no later than the fifth day of the new contract, or as a supervisor leaves the position the COR and

QAE will be notified and a new one is appointed by the contractor. The vacant position shall be filled immediately. At no time shall a lead be used in place of a Director or shift supervisors for EVS during any shifts.

1.1.3.1. ASSOCIATE EXECUTIVE HOUSEKEEPER (AEH) RESPONSIBILITIES and Shift

Supervisors. Serve as the onsite manager during absence of the HAS. Supervise, train, and maintain employees and contract records to ensure compliance with all provisions of this contract during absence of the HAS. Be assigned as a full time employee to perform duties as the onsite manager representative

(of the contractor) at the individual MTF during absence of the HAS.

1.1.3.2. AEH MINIMUM QUALIFICATIONS/EDUCATION. Bachelor of Arts or Science degree in

Business from an accredited college or university or Certification from IEHA. Or immediately start course requirements for certification in IEHA and complete training within 18 months.

1.1.3.3. GENERAL REQUIREMENTS. The contractor shall provide personnel who have excellent interpersonal skills and be able to communicate clearly, both orally and in writing in English. The contractor shall provide personnel who meet the requirements of this PWS without further training, except for familiarization of policies and procedures governing MTF when employed. The contractor shall ensure all employees remain proficient in their work throughout the period of performance. The contractor shall not employ any person who is an employee of the United States Government (either civilian or military) if the employment of that person would create a conflict of interest. The contractor shall not hire military individuals who are assigned to the MTF. The contractor shall not hire any convicted felons.

1.1.3.4. Transition Plan. The Contractor shall provide a transition plan describing processes and procedures for a 25 day transition period. The transition plan shall include the following: key milestones to reflect a ramp-up period of 25 days, as applicable; chronological sequence of events and actions that will be accomplished without disruption of services; activities necessary to transfer contract responsibilities from the incumbent to the Contractor (e.g., inventorying and assuming accountability of

Government-Furnished Property (GFP)); and the Service Contract Act (SCA) policies, procedures, and regulations concerning transfer of SCA employees to a new contract.

1.1.3.5. Pre-performance conference. Not later than 10 working days after contract award, a pre-performance conference will be held. The intent is to initiate the communication process between the

Government and contractor by introducing key task participants and explaining their roles, reviewing communication ground rules, and assuring a common understanding of subtask requirements and objectives.

1.1.3.6. Personnel Security Requirements. The contractor shall implement and administer a security program in accordance with DoD 5220.22, National Industrial Security Program to ensure that sensitive information and Government documentation are protected.

1.1.3.7. Criminal History Check will be conducted on all prime and sub-contractor employees requiring base access. After receiving award, Notice of Award or the exercising of a contract option, the contractor within three (3) working days shall provide the COR and the Information Protection Office a list of employees requiring access to the MTF. The list of employees (initial or new employee during period of performance) shall include employee's name, date of birth, state driver's license/state identification card number, and the state issuing the driver license/state identification card. Notifications of contractor employee additions and deletions shall be provided to the Information Protection Office and COR within three (3) working days with employee’s name, date of birth, state driver’s license/state identification card number and the name of the state of which the driver’s license/state identification number was issued. Within the ten (10) business days (after receipt of the list of employees), Security

Forces will notify the contractor that installation access passes are available for those employees clearing the criminal history check. The duration of any pass issued will not exceed one year or the duration of the contract, whichever is shorter.

1.1.3.8. Pass and Identification Items. The contractor shall ensure the following pass and identification items required for contract performance are obtained for employees:

1.1.3.8.1 Common Access Card (CAC) if applicable. Each contractor employee shall have this card/pass/badge in his/her possession at all times while working on any Government installation and shall surrender same at the end of his/her employment under this contract or when the form expires, whichever occurs first. All contractor employees shall have a favorable National Agency Check with

Inquires (NACI) application initiated by their company's point of contact (Facility Security Officer), and submitted to OPM prior to reporting for duty. The loss of any pass and identification items shall be reported as soon thereafter as possible to the issuing activity and the Contract Officer Representative

(COR).

1.1.3.8.2. Retrieving Identification Media. The contractor shall retrieve all identification media from employees who depart for any reason before the contract expires (e. g., terminated for cause, retirement) and return such media to Pass and Identification section for proper disposition.

1.1.3.9. Reporting Requirements. Automated Data Processing (ADP) SECURITY REQUIREMENTS:

Contractor personnel shall report to an appropriate authority, any information or circumstances of which they are aware may pose a threat to the security of DoD personnel, contractor personnel and resources.

Contractor employees shall be briefed by their immediate supervisor upon initial on-base assignment and as required thereafter. The contractor shall provide the personnel with clearances commensurate with the individual access requirements. The position requires at least a National Agency Check

Investigation (NACI). The contractor shall be responsible for any cost associated with security clearances, if they hire anyone who does not possess a clearance.

1.1.4 Performance Requirements Summary:

RS-1 Provide aseptic housekeeping in 7 day per week non case driven/critical care areas

Work shall be completed IAW

PWS

HIGH RISK.

0 Failed Inspections

0 Customer Complaints

Random

Surveillance

Customer

Complaints

RS-2 Provide aseptic housekeeping in 7-day/wk case driven critical care areas

Work shall be completed IAW

PWS

HIGH RISK.

0 Failed Inspections

0 Customer Complaints

Random

Surveillance

Customer

Complaints

RS-3 Provide aseptic housekeeping in 7-day/wk patient use/visit areas

Work shall be completed IAW

PWS

MODERATE TO

HIGH RISK.

No more than 2 failed inspections. No more than 1 Customer

Complaint

Random

Surveillance

Customer

Complaints

RS-5 Provide aseptic housekeeping in 5 day/wk (Mon-Fri) non case-driven /critical care areas

Work shall be completed IAW

PWS

L0W TO MODERATE

RISK.

No more than 1 failed inspection. No more than 1 Customer

Complaint

Random

Surveillance

Customer

Complaints

RS-6 Provide aseptic housekeeping in 5 day/wk (Mon-Fri) case-driven/critical areas

Work shall be completed IAW

PWS

MODERATE RISK.

0 failed inspection

0 Customer Complaint

Random

Surveillance

Customer

Complaints

RS-7 Provide aseptic housekeeping in 5 day/wk (Mon-Fri) patient care/visit areas

Work shall be completed IAW

PWS

HIGH RISK.

No more than 2 failed

Inspections

No more than 1

Customer Complaints

Random

Surveillance

Customer

Complaints

RS-18 Provide aseptic housekeeping in 1 day wk admin areas

Work shall be completed IAW

PWS

No more than 2 failed inspections and No more than 1 Customer

Complaints

Random

Surveillance.

Customer

Complaint

RS-22 Provide 7 day/wk emergency response service in all rooms/areas

Work shall be completed IAW

PWS &

0 failed inspection Customer

Complaint

1.2. HOSPITAL ASEPTIC SERVICES. The Contractor shall provide complete Hospital Aseptic

Service (HAS) as described herein, and supplemented by Technical Exhibit 1, Room Listings. This program provides for the aseptic cleaning, protection, and beautification of all rooms and areas identified for coverage at a particular installation to maintain a level of asepsis commensurate with the use of the facility, rooms, and areas.

1.2.1. Administrative Support. The Contractor shall provide all administrative support necessary to ensure performance of aseptic services, including but not limited to, preparation and distribution of work schedules, emergency recall rosters, facilities defects reports, and all other data submissions required by

Paragraphs 1.2.3, 1.3 and 1.4.

1.2.2. Meetings. The Director of HAS (DOH) shall attend the MTF Infection Control Committee (ICC)

(on a non-voting consultative basis); when requested, shall attend meetings with MTF executive staff, the Hospital Administrator (HA), and the COR. The DOH shall attend all meetings related to the MTF regulated waste management program (i.e. EOC).

1.2.3 Work Scheduling. The Contractor shall determine and schedule the number of times per day services shall be performed to assure that all rooms/areas meet the “total clean” requirement. The

Contractor shall also determine and schedule the exact day-by-day performance of all daily and cycle task cleaning. “Critical Care” rooms/areas (“Non Case-driven” and “Case-driven”) are the only rooms/areas that do not require a written schedule. "Case-driven" rooms do not require scheduling, but they do require dedicated or lock-in staffing as identified in Technical Exhibit 1. The Contractor shall provide copies of detailed daily schedule and cycle task schedules to the QAE.

1.2.4. Schedules for “Patient Use” and “Patient Care” cycle task daily effort shall be provided to the

QAE one (1) month prior to accomplishment. Schedules shall show the phasing of completion of work by room/area throughout the day. Cycle task schedules shall indicate the rooms/areas to be completed on a given date. If a cycle task is not completed on the date scheduled, the Contractor shall notify the

QAE at the start of the next workday.

1.2.5. The Contractor shall submit all schedule changes in writing to the QAE at least twenty-four (24) hours prior to the initially scheduled time.

1.2.6. Dedicated/Lock in Personnel. Sufficient ‘lock in’ or ‘dedicated’ housekeeping personnel shall be permanently assigned to provide all HAS services required in the areas specified as ‘lock in’ or

‘dedicated’ areas on the room listings in Technical Exhibit 1. Supplemental personnel shall be trained and assigned to fill in during breaks, meals or other scheduled or unscheduled absences of permanently assigned personnel, and to provide additional support as the need arises such as during heavy case loads, (i.e., four (4) surgical cases breaking at the same time, etc.). NOTE: Personnel shall be "dedicated" 24 hours per day in, Operating Room/Surgical areas.

1.2.7. EVS Suspension Process. Areas closed for construction/renovation projects shall be documented by QAE and forwarded to the COR.

1.3. Data and Report Submittals.

1.3.1. Facility defects found by Housekeeping staff shall be reported immediately, to the Contractor operated Central Service Call Desk (EMCS).

1.3.2. All changes in supplies and equipment shall be considered as a change to the WI/PM. Product literature shall be submitted, along with a copy of the MSDS, to the COR and QAE for all new supplies and equipment for review and approval by the Infection Control Committee (ICC), prior to EMIS submission. Samples may be requested by the Government for testing or review.

1.3.3. The Contractor shall submit the WI/PM in a CD/Electronic format to the COR/QAE within 30 days after contract award. The Contractor shall update/revise the WI/PM when procedures change or when directed by the Contracting Officer within 30 days. The WI/PM must be accepted by the

Government prior to implementing changes.

1.3.4. The Contractor shall prepare and submit a semiannual linen/housekeeping supply inventory to the

Housekeeping QAE and COR within seven days electronically.

1.3.5. The Contractor shall also provide a monthly written report of all linen and housekeeping supplies on hand to the Housekeeping QAE and COR. The report format shall be electronically submitted.

1.3.6. The Contractor shall prepare and submit a monthly report of clean linen requirements for each section. The report format may be electronically submitted to the Housekeeping QAE by the 5 of every month.

1.3.7. The Contractor shall maintain a computer-based log of daily EVS customer calls/interactions (i.e., complaints with names and units, between case cleaning requests, terminal cleaning requests, out of cycle cleaning requests, QAE discrepancies) and provide to HAS QAE and COR by 0730 the following duty day from the government provided computer.

1.4. Housekeeping.

1.4.1. Methods. All rooms/areas are to be pre-inspected and receive cleaning, protection and beautification in accordance with the Contractor's WI/PM which shall specify the proper solutions and mixtures appropriate (to the intended use) for the room/areas within the MTF. The Contractor’s procedures shall include the wear of appropriate PPE and practices for each cleaning procedure. The

COR/QAE may direct the Contractor to improve any work which could cause damage to the facility and/or improve or revise any work instructions in the WI/PM that have the potential to cause harm to staff and patients.

1.4.2. Soils can be removed chemically, mechanically, or by a combination of both. Mechanical soil removal is removing soil with a machine such as a vacuum cleaner. Chemical soil removal is removing soil with a liquid that contains cleaning agents, such as detergents, sanitizer and sterilizers. The combination of chemical and mechanical methods, such as an automatic floor-scrubbing machine, uses the chemical method to break down and loosen the soil while the mechanical method picks up and carries the soil away. Which soil removal method is used depends on the cleaning objectives and on the size, location, and the type of surface to be cleaned and is the prerogative of the Contractor.

1.4.3. The Contractor shall clean (i.e., vacuum, shampoo, clean or dry clean upholstery, wipe, polish, spot clean, etc.) all furniture and equipment unless exempted by the government. The Contractor shall move all furniture and equipment to allow for cleaning underneath and behind and shall replace each in its original position upon completion.

1.4.4. Contractor employees shall interrupt their work at any time to allow passage of hospital patients, personnel, equipment or carts. EVS shall be accomplished in the least disruptive manner possible. Any hospital or patient care activity, if it conflicts with scheduled cleaning service, shall take precedence over that cleaning. The occurrence of such an inconvenience shall not give rise to any delay or hindrance claim under this contract.

1.4.5. Mixing of Chemicals: Mixing of chemicals shall be accomplished in areas having permanent eye wash stations only and the eye wash stations must be inspected and signed off weekly.

1.4.6. Categories of Time: There are four (4) time categories in which housekeeping services are required to be performed:

• 7 days per week, minimum once per day

• Weekdays (5-day/week, Monday through Friday), minimum once per day

• Weekdays (1day/week, Monday through Friday), minimum once per day

• Cycle Task Cleaning

1.5. EVS Emergency Response. The Contractor shall respond to MTF staff emergency requests during clinic hours and after normal duty hours in inpatient care areas within ten (10) minutes from notification, to maintain aseptic conditions, assure patient, staff and visitor safety, or safety and stability to buildings.

1.5.1. The Contractor shall provide a ten (10) minute response for re-performance or late performance of daily cleaning when notified by the Government QAE.

1.5.2. Emergency response to provide unit checkout service per paragraph 1.5.7. shall start within times specified under the following conditions:

1.5.3. All rooms/areas within the MTF require services to be performed in the categories specified in paragraph 1.4.6. The specific room/areas under contract are identified on the room listing in Technical

Exhibit 1. The Contractor shall notify the HAS QAE of any room function changes within 24 hours.

The Contractor shall determine and schedule the daily number of times per day services is required to be performed in all room/areas to assure the room/areas meets the "total clean" requirements. The

Contractor shall also determine (and provide the QAE a copy) of the scheduling of all cycle task-cleaning efforts.

1.5.4. Critical Care Areas. Technical Exhibit 1, EVS PRS, delineates services in critical care areas.

These areas include, but are not necessarily limited to, surgery, recovery, labor and delivery areas, infant nursery, and central sterile supply areas. These areas are sometimes, but not necessarily, described as

"cap and gown areas"; "behind the red line areas"; or "behind the double doors" that are labeled

"AUTHORIZED PERSONNEL ONLY."

1.5.5. Patient Use/Visit Area. These areas require thorough cleaning using strict aseptic procedures.

They are directly connected to patient welfare and are essential to the control of cross contamination.

1.5.6. Non-Patient Use/Visit Areas. These areas do not require maximum or strict aseptic procedures but require procedures to provide needed protection. These areas have no direct patient interface.

Patients are not treated in these areas. Inhabitants do not leave this area to interface with patients.

1.5.7. "Unit Checkout Service" is a seven (7) day per week "as necessary" required service and includes patient rooms, infant nursery, on-call bedrooms (and any additional bedrooms listed in Technical

Exhibit 1).

1.5.8. “Unit Checkout Service” shall be performed when an occupant's stay has ended, or the occupant is transferred to another bed.

1.5.9. The "Case-Driven" Operating and Labor/Delivery rooms identified on the room charts shall be made clean in accordance with the standards of this PWS. Any between-case cleaning required after end-of-day cleaning shall be considered "emergency response" cleaning in accordance with paragraph

1.5. The Contractor shall have sole use wet vacuums, sprinkle apparatus (for application of solutions to floors) mops, buckets, and other equipment needed for cleaning Operating and Delivery rooms, and written procedures for use of this equipment for sprinkle disinfecting/wet vacuuming, and two (2)-bucket wet mopping (both techniques). The Contractor shall also have equipment used solely for cleaning Nursery, Intermediate Intensive Care Unit (IMCU), Intensive Care Unit (ICU), (CVICU) and

Central Sterile Supply (CSS), as a minimum.

1.5.10. Surgery. Weekdays: Monday through Friday.

1.5.11. Pre-cleaning. Shall NOT commence until 5:00 a.m. but must be completed thirty (30) minutes prior to the first scheduled case each day.

1.5.12. Between Cases. Work shall commence within five (5) minutes after each case as well as meet

DGMC Operating Room case turnover times (20 minute average turnover time). Rooms listed in

Technical Exhibit 1 marked with asterisk (*).

1.5.13. End-of-Day Cleaning. Shall be started within forty-five (45) minutes after the last scheduled case each day.

1.5.14. Labor and Delivery Surgical Suites.

1.5.15. Daily Pre-Cleaning. Shall not commence earlier than 5:30 a.m., but must be completed by 7:00 a.m.

1.5.16. Between Cases. Shall commence within ten (10) minutes after each case and shall include labor rooms listed in Technical Exhibit 1.

1.5.17. End-of-Day Cleaning. Shall be started within forty-five (45) minutes after the last scheduled case each day. Delivery rooms shall be cleaned completely and thoroughly daily by 3:00 p.m. even if no between cases was required.

1.5.18. Ante & Clean Rooms. Ante & Clean Room in the Inpatient Pharmacy/IV Pharmacy require the following housekeeping/cleaning: Daily mopping with a cleaning/disinfecting agent; monthly cleaning of the walls and ceilings with cleaning/disinfecting agents. All entries into the Clean Room will require donning of PPE’s, such as in the Operating Room. A schedule shall be provided to the unit and HAS

QAE for monthly cleaning.

1.5.19. Restrictions. The Contractor is contractually obligated to clean all rooms/areas and their contents, including all furniture and equipment not listed in this PWS. The devices on the following list compiled by the professional staff of each functional area of the MTF are not to be cleaned, moved, or otherwise handled by contractor personnel.

LOCATION FURNITURE/EQUIPMENT

All Areas CCTV Equipment

Anesthesia Machines & Carts

Code Blue Carts

Computer Systems and Components

Any Equipment on Work Bench Tops

Surgery Areas Laser Units

Microscopes

Labor/Delivery Rooms Fetal Monitors

Cardiac Monitors (portable & ceiling mounted)

Transport Isolettes

Respirators

Hyperbaric Chambers & Associated Hyperbaric Medicine equipment Operator Console

Interior of Chamber

Intensive Care Units Balloon Pumps

Hemodialysis Unit, Portable

Blood Pressure Cuffs

ICU Staff members will remove the foot board, so the Contractor can clean it. The ICU staff members shall replace the foot board back on the bed after the Contractor has cleaned it.

Eye Clinic Phoropter Units

Slit Lamps

Keratometers

Hemodialysis Clinic Dialysis Units

1.5.20. The cleaning of medical equipment, other than that listed in paragraph 1.5.19 shall include all exterior surfaces except electronic or mechanical adjustments (knobs, controls, switches, touch pads, keyboards, nurse call remotes, etc.). Equipment cleaning shall be limited to wiping with a damp cloth using non-caustic disinfectant.

1.5.21. All RPIE food services equipment shall be cleaned by Nutritional Medicine staff.

1.5.22. Restricted Access Area. If there are restricted areas, those will be determined by the COR prior to the start of service.

1.5.23. Cycle Task and Other Government Specified Frequency Cleaning. In addition to routine daily housekeeping, cleaning services are required to be performed at set frequencies. The contractor shall provide the EVS QAE an annual scheduling plan for all cycle tasks at the beginning of the contract period. An actual cleaning schedule for each task shall be submitted to the Housekeeping QAE the month preceding start of work. Any changes to the actual cleaning schedule shall be provided to the

Housekeeping QAE prior to start of cycle task cleaning. The actual start and finish date shall be given to the QAE.

1.5.24. Light fixtures: Light fixtures shall be cleaned twice a year starting in the month of October and

April. Contractor shall provide the QAE with a scheduled cleaning plan and areas. Light covers shall be removed and the light fixture cleaned inside and out. The actual start and finish date shall be given to the QAE. This includes cleaning inside ceiling lights, emergency exit lights, patio lights, outside entrance and loading dock lights, interior lighted signs, canopy lights, delivery and operating room lights, and all other lights (except desk, table, floor). This cleaning is in addition to the cleaning of the outside of the light fixtures performed as part of daily scheduled inspection and cleaning.

1.5.24.1. Light and lamp bulb/tube replacement shall be done on a daily basis when burnout occurs, either when the contractor's inspection identifies the need or when notified. Light bulbs/tubes will be provided by the government.

1.5.25. Cleaning of windows: Cleaning of windows on exterior walls (both sides of window panes) shall be cleaned twice a year as a part of the contract. This includes cleaning the frame, the areas immediately adjacent to the frame and the ledges and sills. Removal, cleaning, and replacing of screens, and/or storm windows are included. Cleaning of exterior windows shall include the removal of hard water stains.

Cleaning process shall be safe to stucco and plants. Cleaning schedule shall be provided to QAE 5 working days prior to commencement of window cleaning. Schedule shall tell which areas are to be cleaned on each day.

1.5.26. Exterior Tile Cleaning. Wash down and clean (dirt, bird droppings, wind-blown dust, etc.)

exterior tiles to present a clean appearance. This cleaning shall be accomplished during the early spring and later summer months in areas where the irrigation system has left hard water stains. Additional cleanings may be directed by the COR/QAE for the removal of dirt, bird droppings, and grass clippings.

1.5.27. HVAC Ducts: Air terminal devices (i.e., diffusers, wall registers, return grilles) shall be vacuumed (as far as the vacuum hose shall reach) are to be thoroughly cleaned on a semi- annual basis.

The Contractor shall provide the QAE with a daily scheduled cleaning plan corresponding to his

WI/PM. Removable portions shall be removed and cleaned in their entirety with a germicidal detergent.

The inside of the duct behind the device, either flexible or metal, shall be referred to the Contractor's maintenance department for cleaning. The outside of the device shall be cleaned as part of the daily scheduled cleaning.

1.5.28. Dry Clean Window/Wall Drapes. Dry cleaning of window/wall draper shall be performed semi-annually with a schedule to the QAE as a part of this contract and unless the drapes become soiled for any reason.

1.5.29. Hanging Window/wall drapes. Window/wall drapes shall be picked up and re-hung within two

(2) days after they are returned from the cleaners. The Contractor shall ensure the drapes are hung in a professional-looking manner and shall present an aesthetically pleasing appearance. The Contractor shall ensure all appropriate hardware is available to hang drapes evenly. The Contractor shall check window/wall drapes as a part of the daily cleaning process.

1.5.30. Window blinds. Window blinds shall be cleaned in place as part of daily cleaning.

1.5.31. Cubicle curtains. Cubicle curtains shall be cleaned semi-annually and as needed with the exception of OR/ED/Recovery which shall cleaned quarterly or as directed by the HAS QAE. The contractor shall provide a scheduled cleaning plan to the QAE and Infection Control. The Contractor shall identify a system that will show that the cubicle curtains have been changed in accordance with the

Infection Control guidelines. The Contractor shall ensure that the cubicle curtains are hanging correctly on a daily basis.

The cubicle curtains will be changed during every terminal clean. Cubicle curtains are to be maintained as part of routine unit checkout services.

1.5.32. Mechanical, electrical, telephone rooms/closets, and elevator shafts. Mechanical, electrical, and telephone rooms/closets and elevator shafts shall be cleaned quarterly. The start and end date shall be given to the HAS QAE.

1.5.33. Pneumatic Tube System. The contractor shall clean the pneumatic tube system in accordance with Center for Disease Control aseptic standards for emergency cleaning only. Emergency tube system cleaning shall be accomplished within four hours of notification. The outside of the Pneumatic Tube

System shall be cleaned daily.

1.5.34. Home generated sharps units. Home generated sharps units (North and South Entrances) shall be checked and cleaned daily to ensure the safety of patients and staff. Empty when needed.

1.5.35. Quarterly Kitchen Cleaning (Food Preparation Area). The contractor shall perform complete kitchen cleaning to include walls and floors and coordinate with kitchen leadership for date to clean. The

Contractor shall provide a schedule to the QAE.

1.6. Miscellaneous Cleaning Requirements.

1.6.1. Entrances. The contractor shall perform daily policing of the entrances. The contractor shall provide continuous inspection and necessary cleaning services to exterior entrances and platforms (areas outside the buildings). Entrances and entrance platforms shall be cleaned once daily as a minimum (per contractor schedule) prior to the start of heavy traffic hours. These items shall be included as part of this service: Clean interior and exterior entrance mats, and individual trash, and smoking receptacles and flower planters. Remove lint, cobwebs, mud, dirt, bugs, and litter from canopies and entrance lights and from the outside walls of (and in the immediate vicinity of) the entrances. Wash down the area (except during freezing weather) and remove any standing water from the entrance and adjacent sidewalks.

Police and clean up within 25 feet of each direction from the entrance walkways. Clean entrance windows, doors, as required, maintaining a clean appearance. This includes all glassed-in areas of solariums and administrative and clinic entrances. Patios shall be cleaned except during inclement weather. These unique items shall be included as part of this service:

1.6.2. Clean (power wash) exterior and vestibule entrance mats, and individual trash receptacles once each month to include the balconies at the south side elevator lobbies or as needed by DGMC command.

1.6.3. Remove lint, cobwebs, mud, dirt, bugs, and litter from canopies and entrance lights and from the outside walls, and in the immediate vicinity of the entrances.

1.6.4. Clean entrance glass and doors as required maintaining a clean appearance daily. This includes all glassed-in areas of solariums, balconies, balconies at the south side elevator lobbies, administrative and clinic entrances. All courtyards within this facility shall be cleaned in accordance with the instructions contained in the Contractor's WI/PM and shall include the cleaning and dusting and/or wet washing of all courtyard furniture. Courtyard furniture shall be returned to an orderly arrangement after cleaning.

All windbreaks shall be cleaned weekly to include removal of water spots.

1.6.5. Cough Etiquette/Purell Holders. Cough Etiquette Stations, Purell and sanitizer holders (located at North, South Entrances and ER) shall be disinfected daily and refilled if needed. The contractor shall monitor and change out all Purell hand sanitizer within the Medical Center when needed. The outside of the Purell holders and cough etiquette stations shall be cleaned daily.

1.6.6. Umbrella Stations. Umbrella Stations (located at the North/2nd Floor South/ER/Dental/1st Floor

South Entrance shall be cleaned daily and re- filled as required.

1.6.7. Radiation Ablation Room 4A441 shall be cleaned IAW Technical Exhibit 1 when the room is not occupied. The Radiation Safety Officer shall notify HAS QAE and HAS Director to cease cleaning when patients are scheduled for treatment. Upon completion of treatment and decontamination the

Radiation Safety Officer shall contact HAS QAE and HAS Director to perform “Unit Checkout Service” as outlined in paragraph 1.5.7.

1.6.8. Ceilings. Vacuum or dust ceilings to ensure all dust, streaks and cobwebs are removed (as necessary to pass daily inspection). The immediate vicinity of air ducts in acoustical tile ceilings shall be kept clean using an approved ceiling tile cleaner.

1.6.9. Elevators. Clean as often as necessary, but at least once daily, on the evening or night shift.

Clean all interior surfaces (including all light fixtures, ventilators, guide tracks, floors, and floor guide tracks) of passenger, staff and material handling elevators. Only one (1) car is to be out of service for cleaning at a time when elevators are located in groups of two or more, and shall be cleaned at the lowest floor level only. Exception to the lowest floor level policy is the designated Trauma Elevator.

This elevator shall be cleaned at the 2nd floor level and be able to be returned to service at a moment’s notice.

1.6.10. EVS equipment, linen carts and trash carts shall not be transported on the designated food service, staff or trauma elevator. The linen and trash carts shall be stored in designated areas only. The carts shall pass quietly while traveling thru the hospital.

1.6.11. Portable Hand washing Stations. The contractor shall clean, fill with water, stock with soap and paper towels, stage, and drain portable hand washing stations in the facility when requested. The contractor shall track and monitor location of these stations at/during/after deployment to areas requesting portable hand washing stations and provide the information to the HAS QAE.

1.6.12. The contractor shall ensure that campus buildings are cleaned in accordance with established cleaning frequencies in Technical Exhibit 1 and performed in accordance with the contractor’s FOMP.

1.6.13. Contractor Wet/Dust Microfiber Mop Head and Rag Cleaning shall be performed off base at no additional cost to the government.

1.6.14. Spot cleaning of carpet may be performed between extractions using low-sudsing carpet cleaner for surface cleaning only, to prevent rapid re-soiling in high traffic areas when needed.

1.6.15. Floor care. Burnishing, stripping, finishing and waxing of floors shall be accomplished in accordance with a plan developed jointly by the EVS QAE and the contractor as a part of this contract.

The Contractor shall ensure that all corridors are completed weekly or as needed and the schedule shall be given to the HAS QAE. The contractor shall ensure that each unit floors has been accomplished according to the plan to include all outside buildings with start and end dates provide to the EVS QAE.

Each unit floors will be stripped and finished every six months as a minimal. Burnishing will be monthly for each unit as a minimal.

1.6.16. Recall System. The Contractor shall maintain a pyramid re-call system to contact HAS personnel between 1630 and 0730 hrs. The Contractor shall assure that the QAE/COR are informed of the specific person(s) to notify to start the re-call system. The Government shall be responsible for calling only the specified person(s). The Contractor shall be responsible for assuring the system functions properly to provide emergency HAS support within the time required.

1.6.17. Constant policing shall be performed as defined herein and as expanded in the contractor's procedures manual. Constant policing shall provide the inspection necessary to assure a continuously aseptically total clean area. Constant policing and cleaning as the need arises;

including the cleanup of papers and any other debris and the removal of spills, body fluids, spots, and marks from walls, loading docks, walkways, floors, carpets, and furniture, etc. Cleaning shall be the result of constant inspection by contractor's personnel.

1.6.18. The contractor shall respond to a request by a Government representative for immediate assistance or take corrective action if the contractor fails to provide adequate scheduled cleaning or constant policing.

1.7. Equipment and Supplies, Miscellaneous Requirements.

1.7.1. Equipment and supplies shall be stored and used in designated areas and shall not be transferred between sole-use areas. All equipment items assigned to a sole-use area shall be plainly marked with that area's designation. These markings shall be permanent, such as paint or a metal tag, which shall identify the sole use area. Sole-use areas are identified in 1.5.9. The COR and HAS QAE shall receive a monthly listing of government furnished items with condition and location.

1.7.2. All equipment shall be cleaned and sanitized with a disinfectant and/or detergent solution, alcohol, or iodophor product prior to introduction or re-entry into the MTF. In addition, project cycle cleaning equipment being moved within the MTF must be cleaned, as defined above, prior to entry into or removal from each aseptic level and between sole-use areas.

1.7.3. All containers of cleaning chemicals and similar products shall be conspicuously marked, preferably with a factory label, to identify contents and all other labels shall be removed or defaced.

Materials bearing DOT red labels meaning `FLAMMABLE' shall not be used in the performance of

HAS services.

1.7.4. Supplies and equipment shall not be transported in trash barrels, mop buckets, etc. All materials and equipment not immediately in use shall be stored in accordance with OSHA and federal and

California environmental safety standards.

1.7.5. All EVS material parts/supplies shall be provided by the contractor (also includes paint, salt, fertilizer, and pesticides).

1.7.6. List of Approved chemicals. Shall use the government approved list of chemicals for use in performing Hospital Aseptic Services.

1.7.7. Consumable Supplies shall be provided by the contractor.

1.7.8. Paper, toilet, white.

1.7.9. Paper towels.

1.7.10. Antimicrobial foaming hand wash with moisturizers 1.25 L 42 US FL OZ.

1.7.11. Plastic liners for regulated medical waste and general refuse (administrative dry waste) shall be of an appropriate size and thickness to prevent breakage and/or spillage of waste. Plastic liners may range in size from 7 gallon for small liners to 32 gallon for large liners.

1.7.12. Plastic bags for contaminated waste shall be steam permeable, red bag, conspicuously labeled with the words “Bio-hazardous Waste” or with the international biohazard symbol and the word

“BIOHAZARD”. Three sizes (1.8 mil minimum thickness) are required: 37” x 48”, 33” x 39”, and 25” x 30”.

1.7.13. Disposable poly liner, for all linens, 37" x 46" (1.2 mil thickness), yellow in color.

1.7.14. Box, Biohazard, 1.5 cubic feet. For laboratory hazardous waste.

1.7.15. Disinfectant/Detergent: Phenol based compound containing O-Phenyl phenol, O-Benzyl-P-

Chlorophenol, P-Tertiary Amyl phenol. The disinfectant/detergent shall be currently Environmental

Protection Agency (EPA) approved and registered as a tuberculocidal, pseudomonocidial, fungicidal, veridical and have an HIV efficacy claim and a recommended use dilution even in hard water of 400

PPM (CaCO3). The disinfectant/detergent shall be a phenol-based compound containing o-phenyl phenol, O-benzyl-P-Chlorophenol, p-tertiary amyl phenol. Use-dilution shall be that recommended by the Association of Official Analytical Chemists (AOAC) use-dilution confirmation test. The disinfectant used shall be compatible in use with local area water, pH of the soil and the specific type of microorganisms, which may be prevalent in the local area. Water and soil conditions at MTF are:

Water: pH = 7.3 to 7.4, Hardness = 200 mg/l; Soil is slightly acidic. If the MTF desires any other type of germicidal detergent, it shall be specified from the approved chemical listing from the goevernment.

Any germicidal detergents must be presented to the ICC for approval prior to use.

1.7.16. Floor Finish - Liquid. The liquid shall be a synthetic co-polymer plastic (not a wax) water emulsion with a solids content of no less than 20%, removable by detergent scrubbing and safe for use on all synthetic floors such as rubber, vinyl and linoleum. It shall dry to a high gloss shine, be slip resistant, resist scuffing and water penetration.

1.7.17. Stripping Compound. This product must be purely synthetic, non-ionic, biodegradable, and contain no animal or vegetable soaps, abrasive, bleach, alcohol, ammonia, or other ingredients, which would produce any harsh, harmful or noxious odors or fumes either in use or in storage. It shall be capable of completely removing all soap build-up and floor finish film (with the exception of permacrylic epoxy-pour type finishes). It shall contain approximately 12% or more active ingredients, exclusive of water, in its concentrated form. When mixed in a 10% use-dilution, it must have a pH of not less than 7, nor more than 11.0. It is permissible to use a special detergent stripper especially designed for use in automatic scrubber equipment, so long as it meets the above requirements.

1.7.18. Carpet Shampoos. Shampoo shall incorporate a current EPA registered sanitizer and soil retardant. The pH of the wet shampoos shall be between 9 and 10.6 for use on the synthetic fibers, and shall be no higher than 9 for natural fibers. Phenol based disinfectants shall not be used as a carpet shampoo.

1.7.19. Microfiber Mop Heads. No oil base treatments are allowed. The chemical treatment shall not have a "flash point" of less than 330 degrees Fahrenheit and shall be free of saponifiable matter. The compound shall not heat spontaneously under service conditions. Total treatment residue in mop heads shall not exceed 28% by weight and shall contain no carbon residues.

1.7.20. Microfiber mops shall be used.

1.7.21. Impregnated Cloths. These cloths shall be tubular cotton with 18% to 22% non-oil impregnation by weight, and the impregnation compound must be registered with the EPA.

1.7.22. Bowl Cleaner, Liquid Type. This product shall clean, deodorize, disinfect (triple action), not be noxious or cause irritating fumes in use, have a minimum phenol co-efficient of six, Food and Drug

Administration (FDA) approval for S-Thyphosa, and be suitable for use in toilet bowls and urinals only.

It must be fully inhibited to protect pipes and metal against corrosion. Products requiring a "poison" label as defined in CFR Title 49 are not permitted.

1.7.23. Steel wool, abrasive metal cleaners, and any other harsh cleaning material or supply, which could cause damage to Government property shall not be used. Additionally, alcohol, ammonia, or other ingredients, which would produce any harsh, harmful, or noxious odors or fumes, shall not be used unless approved by the Infection Control Committee.

1.7.24. The contractor shall provide Purell hand sanitizer for the Entrances, Linen room inside and outside in the hallway and the next to the EVS Bio room.

1.7.24. Personal Protective Equipment (PPE). The contractor shall provide its employees all necessary

PPE to safely carry out operations and maintenance in accordance with this PWS. The contractor shall provide such items as clothing/over-garments, safety eye goggles/face shields, steel toed boots, gloves

(appropriate to the task), etc., at no additional cost to the government. PPE is not included with HAS material, supplies, and equipment or consumables and shall not be reimbursed by the government.

1.8. "Pre-Move In" Cleaning. The Contractor shall determine what services are required to clean a room for its intended use and to assure the room can pass an inspection at that aseptic level. The service shall require all surface areas to be cleaned and floors to be cleaned and finished. Pre-move in cleaning may be required when:

1.8.1. An area has been closed and removed from the contract and is being returned to the contract, or

1.8.2. A construction project has been completed, and the area is ready to move into.

1.8.3. A contingency area is being moved into.

1.8.4. Infection Control Committee (ICC) Requirements. Notwithstanding the cleaning requirements described in this Performance Work Statement, the Contractor shall perform cleaning when identified by the ICC and as directed by the COR or his designated representative.

1.9. Regulated Medical Waste.

1.9.1. All regulated medical waste shall be placed in appropriate containers by MTF personnel.

Regulated medical waste shall be collected and removed by the contractor in a transport cart separate from general refuse. The cart must quiet as it moves thru out the medical center. Trash holding rooms are provided on the second, third and fourth floor nursing areas. Isolation waste shall be placed in designated rooms by nursing staff and/or unit housekeepers for pickup and transport to the sterilizer areas by the Contractor staff. Contractor personnel must wear appropriate PPE during any handling of waste. Chemotherapy waste designated as regulated medical waste by the MTF waste management program shall be picked up by Contractor personnel and treated in the same manner as regulated medical waste. Contractor personnel shall also pick up regulated medical waste from MTF buildings located on the medical campus.

1.9.2. All regulated medical waste shall be delivered to sterilizer area by the Contractor. The sterilizer holding areas shall be thoroughly cleaned daily, seven (7) days per week. Cleaning of the regulated medical waste storage areas shall be accomplished using an ICC approved germicidal detergent to ensure floors, walls, and ceilings are clean. Waste holding areas shall be kept secure. The Contractor's

EVS staff shall participate in the MTF's Hazardous Waste Management Plan with transport as their primary duty.

1.9.3. The Contractor shall sterilize/autoclave all contaminated waste generated by the MTF. The recording chart shall be changed before start up for the day. Interior of the sterilizer/autoclave shall be checked for foreign trash and removed before start up. Once treated, waste shall be disposed of in accordance with local and state guidelines. No waste shall remain in either area overnight. Contractor personnel shall adhere to all operating instructions given and/or posted in the sterilizer/autoclave areas.

1.9.4. The Contractor shall dispose of all pathological waste generated by the MTF.

1.9.5. The Contractor’s equipment operator of waste treatment equipment shall provide a treatment log to the COR. The log shall contain the date of each treatment cycle, length of each treatment, and an estimate of the weight of regulated waste treated during each cycle. The autoclave shall be calibrated before the permit expires. A copy of the calibration shall be given to the COR. Spore testing as be done on the equipment once a month.

1.9.6. The Contractor shall collect full sharps and pharmaceutical containers from using activities.