Attachment 01 Scope of Work dated 05DEC2019.pdf

PERFORMANCE WORK STATEMENT

FOR

LAUNDRY AND DRY CLEANING SERVICES

U.S. NAVAL HOSPITAL GUAM

December 5, 2019

LAUNDRY AND DRY CLEANING SERVICE, MEDICAL FACILITIES

PART I ‐ GENERAL

1. DESCRIPTION OF SERVICES.

Provide all personnel, equipment, tools, materials, supervision, training, transportation and other items and services necessary to perform laundry and dry cleaning service in accordance with local, federal, and professional industry standards and as defined in the Performance Work Statement (PWS) that applies to services provided for U.S. Naval Hospital, Guam M.I.

2. CONTRACTOR’S PERSONNEL.

Contract Manager. The Contractor shall provide a representative who shall be responsible for the performance of the work. The name of this person and an alternate(s) who shall act for the Contractor when the representative is absent shall be designated in writing to the Contracting Officer no later than the pre‐performance conference. Contract manager/Alternate should be available to the Government during normal duty hours (7:30 am to 4:30 pm). The Contract manager or alternate shall be available to meet with Government personnel designated by the Contracting Officer to discuss contract issues.

3. QUALITY CONTROL.

Quality Control Plan. The Contractor shall develop and maintain a Quality Control Plan (QCP) that has been accepted by the Government to ensure that laundry services are performed in accordance with commonly accepted commercial practices and the contract requirements. The Contractor shall submit the final written QCP 30 days after the award for acceptance.

Quality Assurance. The Government will monitor the Contractor’s performance using periodic surveillance of pick up/delivery operations, inspections of the Contractor’s facilities for adherence to laundry standards, and validated customer complaints. The Contracting Officer Representative (COR) will maintain a file of all surveillance observations. Government surveillance of tasks may occur at any time during Contractor’s performance. Successive months of unsatisfactory performance for any required service item may result in other appropriate actions by the Contracting Officer. Contracting Officer Representative (COR) should document all discrepancies on a Contractor Discrepancy Report (CDR) when discrepancy is apparent.

Progress Meetings. Periodic progress meetings will be held between the Contractor and Government. At these meetings the parties will discuss any problems or items of concern and generate solutions. These meetings will be held at least quarterly, and more frequently if circumstances require.

4. PERFORMANCE ASSESSMENT.

Performance Assessment. The government will appoint a Contracting Officer Representative (COR) to monitor performance to ensure services are received. The COR will evaluate the Contractor’s performance through intermittent on‐site inspections of the Contractor's quality control program and receipt and investigation of complaints from base personnel. The government may inspect each task as completed. The government may increase or decrease the number of inspections as deemed appropriate based upon the Contractor’s performance. The Contractor shall be responsible for initially validating customer complaints. However, the COR shall make final determination of the validity of customer complaint(s) in cases of disagreement with customer(s).

Contractor Performance Assessment Reporting System (CPARS). Annually, at the conclusion of each contract year, the Government will file a CPAR report which is an assessment of the Contractor’s performance over the preceding year. The Contractor will have opportunity to comment on the evaluation before it is closed and filed in the DOD Contractor performance database. This assessment will be accessible only to other DOD Source Selection Authorities who are considering the Contractor for another DOD contract in order to help evaluate Past Performance.

5. METHODS OF SURVEILLANCE.

Periodic Surveillance. The COR assigned by the Government will inspect Contractor pick‐up and delivery activities on an intermittent basis for adherence to cleanliness, finish, packaging/bundling, agreement of pick‐up and delivery counts or weights, and adherence to delivery schedules.

Inspection of Contractor Facilities. Inspections will be conducted at least, but not limited to once month in accordance with attachment (1), Naval Hospital Laundry Facility Inspection Checklist, as applicable. The Contractor’s facility shall be open for inspection of sanitary conditions at any time by a COR when specified in writing by the Contracting Officer.

Validated Customer Complaints. This method is initiated when the COR receives a customer complaint. If the complaint is validated, it results in a required service being re‐performed to the performance standards as stated in the PWS and Services Summary without additional expense to the Government. The Contracting Officer shall make final determination of the validity of customer complaints.

100% Inspection. With this method, performance is inspected/evaluated at each occurrence.

6. PAYMENT.

Invoice. At the end of each month, the Contractor shall prepare an invoice, detailing all laundry and dry cleaning services transactions rendered for respective articles. The Contractor shall meet with the Contracting Officer Representative (COR) prior to submitting the monthly invoice to ensure billing accuracy. The Contractor shall submit invoices to the COR no later than the 5th day of the following month.

7. BASE SECURITY REQUIREMENTS.

Listing of Employees. The Contractor shall maintain a current listing of employees that require access to U.S Naval Hospital Guam and NBG. The list shall include the employee's name and social security number. The list shall be provided to the Contracting Officer and sponsoring agency security manager. An updated listing shall be provided when an employee's status or information changes;

i.e., terminated for cause, reassignment, retirement, etc., or when a new employee is added.

Pass and Identification Items. The Contractor shall ensure the pass and identification items required for contract performance are obtained for employees. Employees shall only be granted access to the installation to perform functions directly related to their respective contract.

Access. The Contractor shall comply with the security regulations enforced at Naval Hospital Guam and Naval Base Guam. Access to each base must be attainable for contract performance. (i.e.

DBIDS).

Typhoon Conditions. The Contractor shall comply with the following at setting of typhoon conditions at each respective base:

Typhoon Condition Directives

4 All regular laundry procedures as scheduled.

3 All regular laundry procedures as scheduled.

2 All regular laundry procedures as scheduled.

1 All work ceased until designation of other Typhoon Condition has been issued.

8. HOURS OF OPERATION. Normal hours of operation are 0730‐1630 Monday through Saturday of each week. See delivery schedule. The Contractor is NOT required to provide service on the following recognized Federal Holidays: Thanksgiving, Christmas, and New Year. If the holiday falls on a Sunday, observation is on the following Monday. Pick‐up/drop‐off will be completed on the first workday following the holiday.

9. PERFORMANCE OF SERVICES DURING CRISIS DECLARED BY THE NATIONALCOMMAND

AUTHORITY.

All services performed under this contract have been determined to be non‐essential for performance during crisis and, according to Department of Defense Instruction (DODI) 3020.37, it is determined that the Contractor will not be required to perform during crisis.

10. GOVERNMENT FURNISHED FACILITIES, EQUIPMENT, SERVICES AND MATERIALS.

None.

11. CONTRACTOR FURNISHED ITEMS.

a. Pick up/Delivery Vehicles (must be an enclosed vehicle)

b. All packaging and marking materials.

c. Laundry Carts and Liners (plastic)

d. Clothing hangers

e. Delivery tickets (original and 1 copy)

f. Any other supplies, material, and equipment necessary to perform the services required by the contract.

g. Bags for contaminated/soiled linen (double bag consisting of yellow bag and water soluble bag)

PART II – FIRM FIXED PRICE (FFP) LAUNDRY AND DRY CLEANING SERVICES

The Contractor shall provide Laundry and Dry Cleaning Services based on the awarded ELINS listed in attachment (2). ELINS in attachment (2) include pre‐priced Line Items with estimated quantities.

The Contractor shall ensure compliance with all applicable local, and federal laws and regulations.

1. PICK‐UP AND DELIVERY.

Pick‐Up. Counting of articles, including the laundry bag shall be done by Government personnel prior to pick‐up. The Contractor shall verify count and sign a pick‐up ticket for the items being picked‐up and such signature will constitute agreement to the Government’s count unless specific exception is taken. The Government will retain a copy of the pick‐up slip.

Delivery. The Contractor shall record number of pieces delivered on the delivery ticket and the Government representative will verify this amount. The Contractor shall provide the tickets and furnish the Government with one (1) copy.

2. PACKAGING.

Packaging is the process by which cleaned garments or other items are placed on hangers and in protective paper or plastic film bags. The Contractor shall furnish materials to be used for the packaging of laundry and dry cleaning for all delivery. As soon as possible after laundering, linen shall be completely packaged so as to minimize contamination from surface contact and airborne disposition. Linen should be packed dry and shall be wrapped in protective paper in accordance with commercial practice. Rough dry, unfolded articles required no wrapping but shall be sorted.

Laundry bags, when provided by the ordering activity, may be utilized.

3. RE‐PERFORMANCE OF LAUNDRY/DRY CLEANING.

Any items found to have been un‐satisfactorily cleaned, folded or pressed being free of wrinkles shall be re‐serviced at no additional cost to the Government. The COR at the ordering activity will identify such items to be re‐serviced and relay that information to the Contractor’s representative the next scheduled pick‐up after the unsatisfactory condition is discovered. The Government will segregate and itemize these items and present them at the next scheduled pick‐up. The Contractor shall pack the identified items separately after they are re‐serviced and indicate to the COR upon delivery that the items are the ones that were re‐serviced. Such articles returned and reported by the customer as unsatisfactory shall be verified by the Contracting Officer Representative (COR) by utilizing guidelines set forth in the Services Delivery Summary (SDS) portion of this PWS. The Contractor shall be responsible to ensure the article(s) returned are identified and packaged separately for delivery after re‐ performance has been satisfactorily accomplished.

4. UNSERVICEABLE ARTICLES.

During the laundering process the Contractor may notice items he believes to be unserviceable.

Unserviceable and non‐repairable articles no longer usable for the purpose intended will be returned to the Government in a separate bundle, clearly marked as “unserviceable.” Unserviceable articles shall be laundered and returned to the Government.

5. REPAIRS.

Except for articles determined to be unserviceable, the Contractor shall repair all minor rips, tears, pulled or open seams and holes caused by Contractor or their equipment used in the cleaning and finishing process. Contractor will use threads and materials of comparable quality, color, color fastness and texture as was used in the original manufacture specifications of the article. The Contractor shall also replace all broken and missing buttons with suitable replacements of similar color, appearance and quality, if cause of such damage is attributable to the Contractor. All such repairs shall be made with no additional costs incurred by the government.

6. LOST/DAMAGED ITEMS.

The Contractor will pay an equitable replacement cost for items reasonable determined to have been lost, damaged or destroyed while in the Contractor’s possession. The Government will notify the Contractor within 24 hours of delivery of missing or damaged articles in that delivery. If the Contractor disputes the notification, the COR will determine the circumstances and validity of the claim against the Contractor. Validation of any claims for loss or damage shall be made by the Contracting Officer based on factual (documentary) evidence produced by the U.S. Government’s representatives and/or the Contractor. If the Contracting Officer determines the article(s) to have been lost or destroyed while in the Contractor’s possession a determination will be made of fair replacement value and given to the Contractor. The Contractor will reduce his next invoice by the amount of the determination.

The Contractor in the next regular scheduled delivery at no additional cost to the Government shall deliver any article(s) missing from delivery. The Contractor will replace with an equivalent item, any lost or damaged item at no cost to the Government.

7. FAIR WEAR AND TEAR.

The Contractor may claim that destruction or damage to articles is due to fair wear and tear. If the COR agrees, the Contractor is relieved of responsibility to replace that individual item. If no agreement can be reached, the Contracting Officer will make a final decision.

8. LIABILITY.

The Contractor assumes liability for any and all property entrusted to them during the cleaning process and shall be obligated to safeguard such property at all times until custody is transferred back to U.S. Government control. The Contractor shall ensure to protect the U.S. Government’s interests at all times by planning for and making ready all manner and means to satisfactorily receive and process the estimated workload quantities of laundry and dry cleaning articles.

9. VEHICLE INTERIOR REQUIREMENTS.

Soiled items and clean items shall be transported in accordance with all Federal and local health regulations or laws. Articles are to be protected from contamination and soiling during transit to designated delivery points.

10. CLEANLINESS AND FINISH.

All articles delivered from cleaning shall conform to the current generally accepted commercial practices and Government standards of quality, cleanliness, finish and appearance. All articles should look and smell clean when bundled in appropriate bundles. The use of bleach on whites and unscented fabric softener will be used to extend the life of all linens and improve the feel of the fibers. Additionally, pre‐treating/spotting of linens will be accomplished to extend life.

All bundled articles shall be delivered sealed and shrink‐wrapped in a sanitary plastic film. All articles on hangers shall be encased in a plastic film cover or bag to prevent soiling during transportation and temporary storage. All bundled items should be alike. For example, full sheets bundled together with only full sheets. Since all sheets are uniform in color, the Contractor should identify the size of the items bundled with either a T for twin, F for full, Q for Queen and K for King.

11. WORK STANDARDS.

All workmanship, including delivery shall be in accordance with the best practices of the hospital laundry and dry cleaning industries.

The Contractor must have and follow a quality control (QC) manual, which ensures compliance with the Centers for Disease Control and Prevention Healthcare Infection Control Practices Advisory Committee (HICPAC) (ref 3). The QC manual shall also address the Guidelines for Environmental Infection Control in Health‐Care Facilities.

The Contractor shall provide the Government a written list of all cleaning agents used for hospital/clinic laundering and shall inform the Government immediately of any change in cleaning agents.

The chemical TCC (TRICHLOROCARBANILIDE) shall not be used in laundering because of the potential hazard to newborn infants.

A germicidal bacteriostatic textile agent shall be used in the final rinse as additional protection against bacterial growth.

All linen articles are to be washed and finished as specified in accordance with the following quality standards:

Laundry will be free of contaminates and pathogenic bacteria.

Fabrics will be clean of all soils, spots and stains.

All work will be of a uniform high quality, entirely clean, dry and lint free.

Laundry articles will be free of objectionableodors.

Fabrics will be free of any trace of detergents or laundry processing products that might cause skin irritations.

Failure to meet the industry standards, including bacteriological requirements, may result in termination of the unexpired portion of this contract for cause without allowing additional time for correction.

The following information shall be provided to the COR within 30 days after award of contract. (In addition, any changes during the contract period must also be provided within 30 days.):

Water temperature and times for the wash and rinse cycles of each of the following:

Whites, light colors, dark colors, and woolens.

A list of all state/local Department of Health Certifications and inspections (include dates). People who use antimicrobial pesticides at work, need to attend a basic training course that includes on how to handle these products safely. Sodium Hypochlorite (bleach) is an EPA registered pesticide. Basic Training‐A (BT‐A) is the training that is required for paid employees who apply general‐use antibacterial, antimicrobials, as part of their occupational duties.

A brief explanation of all quality assurance (QA) procedures in use. Documentation of QA test results must be made available upon request.

Provide verification that a tour of the plant was conducted involving the Contracting Officer’s Technical Representative or designated Government representative. This information shall be provided within 30 days after award of contract and semi‐annually thereafter for the duration of the contract period.

12. CONTAMINATED LINENS.

Portions of the linens to be laundered may be contaminated by contact with pathogenic microorganisms. Historically 5% of total laundry requiring service involves contaminated items.

The Contractor must comply with all local, and federal regulations and/or laws pertaining to transporting and handling of linens contaminated with pathogenic microorganisms.

The Contractor must have facilities available whereby goods contaminated with pathogenic microorganism can be received, sorted separated from non‐contaminated laundry.

The Contractor must remove or destroy all contaminates, pathogenic bacteria and other agents in the laundering process and prevent the reintroduction of such agents to the laundry.

All soiled linen covered by this contract shall be considered to be contaminated and shall at all times be kept physically separated from clean linen during processing and/or transit.

Soiled laundry from patients with communicable diseases shall be placed and kept in specifically marked double bags provided by the Contractor. The yellow bags shall have the Universal Biohazard Symbol and marked as “infectious Linen”. These bags shall also have a water soluble bag to be used inside of the yellow infectious linen bags.

Soiled nursery linen shall be washed separately from other hospital linens. This linen must remain soft and the scouring process appropriate.

Laundry carts, bags and hamper must be handled and transported by the Contractor in such a manner as to alleviate the possibility of cross contamination of clean linen by soiled linen; i.e.;

sanitizing of carts, bags, and hamper after‐soiled linen transport.

Any physical barriers interposed between clean and soiled linen must be impervious to penetration by any and all disease agents.

13. LINEN CARTS.

The Contractor will provide the appropriate size linen carts with wheels, solid walls, floor, and top.

One cart will be for clean linen and the other will be for dirty linen. The clean and dirty linen carts will be distinguishable by color. All the clean carts will be one color while all dirty carts will be another color. At no time will clean linen be carried in a dirty linen cart and at no time will dirty linen be carried in a clean linen cart. The linen carts will be used for transporting linen from the Contractor’s truck to the clean linen room and to pick up dirty linen from the dirty linen room and transport to the Contractor’s truck. Linen carts shall be covered during transport.

The linen carts used for the transportation of cleaned and packaged linen shall protect the packaged linen from environmental contamination such as rain, dust, or other such hazards.

14. COUNT OF ARTICLES.

The Contractor shall be liable for the return of the same quantity of items and same kind of articles furnished for service under this contract. The Contractor shall utilize “each” as the primary unit of measure for tracking and accounting for all items laundered or dry cleaned under this contract.

15. TRANSFER SLIPS.

The Contractor shall provide original slips that accurately record all pick‐up and delivery transactions to the COR. One copy of each slip shall be provided with each transaction to the pick‐ up/delivery location and one copy are retained in Contractor’s record file.

Signature on the pick‐up slips and delivery slips shall constitute an agreement between the Contractor and the COR as to the accuracy of the count and weight totals of articles in and out the pick‐up/delivery point.

The Contractor shall clearly mark the top of all transfer slips by pick‐up and delivery location name.

Specify each entity, for example, Naval Hospital for services performed.

PART III – SPECIAL INSTRUCTIONS

A. PICK‐UP AND DELIVERY SCHEDULE.

NAVAL HOSPITAL, NAVY BASE, GUAM

B. MEDICAL.

Laundry facility must comply with appropriate Center for Disease Control (CDC) standards and directives in accordance references (1), (2), (3). The Contractor’s facility will be subject to inspection for sanitary and safe conditions by the Government at any time.

Contractor is responsible for proper handling of medical linen and laundry in accordance with standards and directives in accordance with references (1), (2), (3). The Contractor shall comply with all local health regulations and/or state laws pertaining to the transportation and handling of medical linen. For the purposes of this contract, all medical linen picked up will be treated as contaminated.

Items in carts will be covered with protective covering.

C. FEDERAL OR LOCAL DEPARTMENT OF HEALTH REQUIREMENTS. Compliance with any certification of labeling requirements arising from Federal or local department of health regulation is the responsibility of the Contractor.

BUILDING # ORGANIZATION DAY TIME

NAVAL HOSPITAL

Daily except Sundays and recognized Federal Holidays Thanksgiving, Christmas & New Year

1030‐1330

All items picked up (except lab coats) must be processed and returned the next day. Lab coats shall be completed (pressed and hung with the use of hanger) within forty eight (48) hours of pick‐up. Privacy curtains shall be processed and returned within five (5) working days.

D. SPECIAL LAUNDERING AND DRY CLEANING TASKS

The following items require special handling (laundry/dry cleaning separately):

a. White cotton items washing in “white work” classification shall be subject to such temperatures in suds and rinses so as to obtain good action and results with high temperature (One‐hundred two to one‐hundred thirteen (102‐113) degrees Fahrenheit F) soap. The usual rinses shall be followed by a chemical rinse (sour) acting as an insecticidal sanitary and neutralizing agent for alkali.

b. Bleaching agents employed in the wash formula shall be used only on white cotton material and at a concentration not greater than one‐half (1/2) of one percent (.5%) available chlorine to one hundred (100) pounds of cloth (dry weight). People who use antimicrobial pesticides at work, need to attend a basic training course that includes on how to handle these products safely. Sodium Hypochlorite (bleach) is an EPA registered pesticide. Basic Training‐A (BT‐A) is the training that is required for paid employees who apply general‐use antibacterial, antimicrobials, as part of their occupational duties.

c. Cotton items washed in “light color” classification shall be subjected to temperatures, which at no time shall exceed one hundred sixty (160) degrees F. The articles shall be given at least three (3) or more suds of five (5) minutes each in a good running solution made preferable with neutralized soap. The suds shall be followed by at least three (3) soft water rinses of three (3) minutes each and then followed by a souring treatment with a suitable amount of laundry sour so that the treated items shall have a PH value between five and five point five tenths (5‐5.5).

d. Cotton items washed in “dark color” or “fugitive” classifications shall be subjected tothe temperatures, which at no time shall exceed one (100) degrees F.

e. Special laundering requirement for woolen clothing, wool‐mixed clothing and woolen blankets.

f. Classification for washing. The Contractor shall always segregate woolen blankets from other woolen items. Woolen clothing and wool‐mixed items, if intended for laundering, may be washed together in the same wheel.

g. Washing and Extraction. The speed of all washing machines shall not exceed twelve (12) revolutions per minute during the laundry processes of woolen items. Woolen items shall be subjected to temperatures in suds and rinses which at no time shall exceed one hundred

(100) degrees F. The articles shall be given at least two (2) or more suds of five (5) minutes each in a good running solution made with a neutral low temperature 9not to exceed eight‐ one (81) degree F soap. The washes shall be followed by a souring treatment with a suitable amount of laundry sour so that the laundered items shall have a PH value between five and five tenths (5‐5.5). Cylinders shall be stopped during the adding and discharging of water.

Water levels in all washers and rinses shall be less than two/fifths (2/5) of a diameter of the washer.

h. Finishing of Woolen Items. Woolen clothing and wool‐mixed clothing shall be pressed (if label indicates it can be) then folded after air‐drying. Woolen blankets, after being dried, shall be neatly folded. Each finished blanket shall be soft; all edges even, free from holes, tears or objectionable odors. No mechanical re‐napping shall be undertaken without previous written authority from the Contracting Officer’s Technical Representative, any blankets furnished for laundering, that have any defects which may prevent compliance with the specifications before laundering of said blankets.

Annual Infection Control/Medical Laundry Compliance Inspection. The Contracting Officer will provide the Contractor a notification of the Naval Hospital designated Infection Control Officer.

This individual will conduct an inspection of the Contractor’s facilities prior to award of a contract to assess compliance with the requirements for medical laundry set out in this PWS. Upon award of a contract the Infection Control Officer will inspect the facility annually, using attachment (1), Naval Hospital Laundry Facility Inspection Checklist. The Contractor, Contracting Officer Representative (COR), and Contracting Officer will be given a copyof the inspection’s findings.

Discrepancies/deficiencies noted during this inspection will be re‐ inspected no more than 30 days later for correction. If the discrepancies/infractions are not corrected at the time of the re‐ inspection the Contracting Officer will take appropriate action. The COR will retain the documented inspection reports in the contract surveillance files.

Containers. Sanitary containers shall be used for transporting clean laundry. Containers used for transporting soiled laundry shall be properly cleaned to insure that clean laundry is not contaminated. Carts to be used to transport clean laundry shall be sanitized daily.

Piece Laundry. All piece laundry will be returned to the originating pick up location. Contractor is responsible for providing suitable containers for laundry pick up and return. The Contractor will be accountable for all items while in their care. All cleaned items will be finished and packaged/bundled in accordance with attachment (4).

Bulk Laundry. All bulk laundry will be returned to the originating pick up location. Contractor is responsible for providing suitable containers for laundry pick up and return. The Contractor will be accountable for all items while in their care. Rags will be picked up and returned in Government‐ furnished containers. All cleaned items will be finished and packaged in accordance with attachment (4).

PART IV: SERVICE DELIVERY SUMMARY

NAVAL HOSPITAL, NAVY BASE, GUAM

Performance Objective Performance Threshold Method Of Surveillance

SS‐1 (NH) QUALITY

Provide the laundry services in accordance with the Government’s requirements set forth herein.

1. All articles furnished hereunder shall be of good quality, laundered clean and 100% compliance with local regulations.

2. Customers’ complaint(s) against Contractor’s performed services, if any, shall be minimal and timely resolved by taking corrective actions approved by the Contracting Officer.

Periodic Inspection/ Customer Complaint

SS‐2(NH) TIMELINESS

1. Meet the delivery dates.

2. Deliver within two working days “except weekend/U.S.

holidays” after receipt of an order.

1. Delivery dates are met.

2. Pick up soiled articles collectively at each location and deliver to each delivery point separately by the close of business Monday through Saturday unless otherwise agreed by the parties in advance for an exceptional case or excusable delays occurred.

100% inspection by the Ordering Officer

SS‐3 (NH)QUANTITY

Documentation for pick‐up and delivery must match the Government’s requirements.

The Contractor is responsible for monitoring counts of soiled articles out and cleaned articles

in. Difference in these counts, if any, minimal and soon reported to the Ordering Officer.

100% inspection by the Ordering Officer/COR

PART V: ATTACHMENTS AND REFERENCES

ATTACHMENTS:

1. Laundry Inspection Checklist

2. ELINS

3. Definitions of Words and Terms/Acronyms

REFERENCES:

1. Guidelines for Environmental Infection Control in Healthcare Facilities (2003), Center for

Disease Control and Prevention Healthcare Infection control Practices Advisory Committee

(HICPAC)

http://www.cdc.gov/hicpac/pdf/guidelines/eic_in_hcf_03.pdf

2. Department of Defense Instruction (DODI) 3020.37 http://www.dtic.mil/whs/directives/corres/pdf/110022p.pdf

INSPECTION OF LAUNDRY SERVICES CHECKLIST

Name of Facility: Date:

Conducted by:

References: APIC Text of Infection Control & Epidemiology – Laundry, Linens, and Textiles

A. POLICIES/PROCEDURES: YES NO

1. Written policies and procedures covering all areas of responsibility relating to service provided to Medical Treatment Facility?

B. PLANT FACILITY:

1. Ventilation system has adequate intake, filtration, exchange rate and exhaust to keep dust/lint level down?

2. Separation of clean and soiled areas by a physical barrier (separate room with closed door) or air flow (soiled linen room = negative pressure; clean linen room = positive pressure)?

3. Environmental conditions are adequate: temperature, humidity, cleanliness of area, etc.?

4. Adequate hand washing facilities available?

5. Eating, drinking and smoking is prohibited in all work areas?

C. PERSONNEL:

1. Employees participate in relevant continuing education program with documentation available? For example, initial/annual training in personal hygiene, hand washing, infection control, standard precautions, bloodborne pathogen transmission, and proper use of personal protective equipment (PPE). Basic Training‐A (BT‐A) is the training that is required for paid employees who apply general‐use antibacterial, antimicrobials, as part of their occupational duties.

2. Personal protective equipment available and in use: gowns, aprons, masks, eye protection?

3. Employees remove PPE before leaving receiving/sorting area?

4. Hepatitis B vaccine required for all employees or signed waiver per OSHA regulation?

5. Appropriate post‐exposure follow‐up, treatment and record keeping per OSHA regulation? No exposures per staff N/A

6. Personnel are free of infections?

7. Staffing is adequate?

D. DELIVERY:

1. Clean linen transported in containers exclusively for clean linen, clean hampers lined with plastic or reusable liners, placed in clean cart with a secure plastic or reusable cover?

YES NO

2. Separation of clean and soiled linen? (The containers used to transport soiled linen may be used to transport clean linen if they are properly cleaned first).

3. Cleaning of carts/trucks is properly done by steam cleaning or with soap and water solution? In either case, followed by germicidal agent.

E. SOILED LINEN RECEIVING AREA:

1. Soiled linen is handled as little as possible and with minimum agitation?

2. Do employees adhere to the dress code requirements, appropriate PPE for this area and task?

3. Compliance with standard precautions is observed in the soiled linen area – sharps disposal units available?

F. SORTING AND SOILED LINEN AREA:

1. Do employees adhere to the dress code requirements, appropriate PPE for this area and task?

2. Soiled linen handled as little as possible and with minimum of agitation?

3. Hand washing facilities located in this area?

4. Sharps disposal containers available?

5. Soiled linen is separated from clean linen processing area either by one or more of the following methods: physical design or barriers, negative air pressure in soiled area, and/or positive air‐flow in clean area.

G. WASHING AREA:

1. Is temperature of the water compatible with the detergent?

2. Wash formula: adequate temperature, time soap/detergent/bleach used?

3. Washer thermometer visible?

4. Does the temperature gauge on the washer register the temperature accurately?

5. Does the facility have some method of checking the accuracy of the gauges?

6. Are temperature and time monitored by one or a combination of the following: gauges, graphs and/or computer printouts?

7. Thermometer calibration data available?

8. Are additional chemicals such as a chlorine agent, sour agents, or water softeners employed to launder the linen?

9. Are the personnel in the washing area different from the personnel assigned to the sorting area?

10. Are the carts used in this area designated clean carts?

11. Is the MTF’s linen washed along with another facility’s linen?

12. Linens to be destroyed are processed prior to disposal?

H. DRYING AREA:

1. Are the dryers adjacent to the washers?

2. Are the temperature and time settings on the dryer specific for each load?

3. Is the lint vent cleaned with each load?

YES NO

4. Is a clean cart used to remove the dry linen from the dryer?

I. SORTING AREA FOR FOLDING DRY LINEN:

1. Cleaning tables/counter surface available to fold clean linen?

2. Is the area clean and free of food and beverages?

3. Is the linen packaged in like bundles per contract requirements?

J. IRONING AREA:

1. Is the linen damp when sent through the hot presses?

2. Are presses dusted each day?

3. Are the sprayers washed, dried and refilled when empty?

K. WRAPPING AREA:

1. Does a moisture repellant wrap cover the entire bundle per contract requirements?

2. Are the wrapped bundles placed in a linen cart that is designed for only clean linen transport to the MTF?

3. Are the clean linen carts cleaned on a regular basis?

4. Is there dust or lint build‐up on the overhead pipes?

L. TRANSPORTATION:

1. Are the transport vehicles cleaned on a regular basis?

M. HOUSEKEEPING:

1. Adequate cleaning procedures are developed and implemented regarding:

Cleaning and care of equipment and work areas

Maintenance of cleaning schedules

Documentation of cleaning

N. QUALITY ASSURANCE:

1. Does provider have written policies and procedures covering areas of responsibility relating to the service provided?

2. Does provider maintain documentation of identification of problems and methods to resolve them?

3. Does provider and user periodically review the laundry/linen program?

NOTES:

Other findings:

Recommendations:

Contractor Infection Control Officer COR

ATTACHMENT 2 – ELINS

See attached Excel Spread

ATTACHMENT 3

DEFINITIONS OF WORDS AND TERMS/ACRONYMS

1. Clean Articles: Finished articles returned for use that are dry and free of all signs of visible soil, lint and objectionable or unpleasant odors. All spots and stains have been removed where possible without damage to the fabric.

2. Contracting Officer Representative (COR): The individual specifically appointed by the Contracting Officer, either orally or in writing, who has been assigned responsibility for executing the requirements of this contract. For the purpose of this contract, the COR also serves as the Performance Assessment Representative (PAR), definition below.

3. Defective Service: A service output that does not meet the standards of performance specified in the contract and PWS for that service and may, at the option of the U.S.

Government need to be re‐performed to become satisfactory acceptable under the contract.

4. Dry Cleaning: The cleaning of articles of fabric through immersion in dry cleaning solvents or chemicals through mechanical action. Dry cleaning may also include pre‐spotting and use of soaps and synthetic detergents as is necessary to remove soil andstains.

5. Laundering: The process, by which soiled items of fabric are cleaned, treated and/or disinfected, to include cleaning by machine or by hand, in water solutions or detergents and other additives. For the purposes of the contract, the term also includes repellent treating, bleaching, bluing, chemical rinse (sour), starching, ironing and pressing operations as required for the types of fabric and the degree and nature of soiling.

6. Performance Objective: The services needed, identified within the SDS, defined in terms of the end result required.

7. Performance Threshold: Establishes the performance level required by the government by percentage of required conformance to or number of deviations from the performance objective to be considered acceptable.

8. Performance Assessment: A planned and systematic pattern of all actions necessary to provide confidence that adequate technical requirements are established; products and services conform to established technical requirements; and satisfactory performance is achieved. For the purposes of the contract, performance assessment refers to actions by the U.S. Government and actions as a result of customer complaint.

9. Repairable Items: Articles of fabric with minimal damage, such as minor rips, tears normally less than two (2) inches, pulled or open seams, holes, broken or missing buttons and zippers.

10. Service Delivery Summary (SDS): A listing of the service outputs under the contract that are considered critical to mission accomplishment that must be closely monitored and evaluated by the COR on a regular basis, that identifies the minimal acceptable performance standard and requirements of each listed output.

11. Performance‐Based Work Statement (PWS): A performance–based description of the services required by an authorized U.S. Government’s functional activity.

12. Unserviceable Articles: Items of fabric that, due to excessive wear, damage, or discoloration is no longer useable or repairable for the purposeintended.

13. Water Repellent Treatment: The machine or hand treatment of fabric items with either solvents or aqueous solutions of water‐repellent compounds.