PWS_Environmental_Services_NIH-CC-19-000894.pdf

PERFORMANCE WORK STATEMENT

Environmental Services

National Institutes of Health Clinical Center

SECTION 1

1. General. This performance work statement (PWS) is for environmental services in health care settings including housekeeping and related environmental infection control services performed within the National

Institutes of Health, Clinical Center (NIH CC) -- the federal research hospital located in Bethesda MD. The

NIH CC is located in a complex of connected but separate buildings referred to collectively as Building 10.

As a performance based contract, the requirements are stated in terms of desired results with associated quality standards. Environmental services shall be performed in a manner that will maintain a sanitation appropriate level of cleaning and disinfecting in high-risk patient care areas and satisfactory facility conditions that sustains a clean, neat, and professional appearance.

1.1. Description of Services. The Contractor shall furnish all personnel, training, labor, equipment, tools, supplies, management, administration, and services, except as may be expressly set forth as

Government furnished, and otherwise do all things necessary to perform and provide the work efforts described in the PWS.

1.2. Background. The NIH CC, America's research hospital, is located on the NIH campus in

Bethesda, MD. Through clinical research, clinician-investigators translate laboratory discoveries into better treatments, therapies and interventions to improve the nation's health. The hospital consists of 200 inpatient beds, 93-day hospital stations, 15 outpatient clinics, diagnostic and treatment areas, and public waiting areas. Adjacent to the hospital are research laboratories.

Hospital departments and services are housed in three of the intra-connected buildings that include the Warren G. Magnuson Clinical Center, the Ambulatory Care Research Facility, and the Mark O.

Hatfield Clinical Research Center (Hatfield Center).

1.2.1. The NIH CC is tertiary care research facility. All patients are voluntary research participants and must be enrolled in a clinical research protocol. The majority of patients are immunocompromised which makes them susceptible to potentially fatal infections with opportunistic pathogens whereas other patients may have a contagious disease. In both cases, patient and staff safety requires sustainable and effective adherence to environmental control measures. In some cases, novel technologies for reducing environmental contamination will be implemented to reduce the risk of spreading microorganisms in the facility. The Contractor shall be a participant in the selection and implementation of any new technologies or protocols for cleaning and disinfecting the health care environments.

The use of a vacuum cleaner in a patient room or other high-risk locations as defined by the

Hospital is prohibited at the NIH CC.

1.2.2. The Warren G. Magnuson Clinical Center was the original hospital commissioned in

1950. The patient care units and services were relocated to new facility as described below.

In 1981, the Ambulatory Care Research Facility (ACRF), also known as Building 10, was constructed and commissioned to accommodate the increased need for outpatient services.

The ACRF is a fourteen-floor structure, which houses clinics and research laboratories on each of twelve floors. The first and second levels of the ACRF house clinical services including diagnostic radiology, nuclear medicine and PET, perioperative medicine, transfusion medicine and laboratory medicine.

1.2.3. The Hatfield Center opened in 2005 and houses the inpatient units, day hospitals, additional ambulatory care services, admissions, pharmacy, social work, rehabilitation medicine departments, staff use areas, support areas as well as research laboratories. The

Hatfield Center is a seven-story structure with a central atrium at the core of the building that connects four separate sectors that house occupants. Patients are housed on levels 1, 3, 5 and 7 on the southeast, southwest, northeast and northwest sectors of the facility.

Radiation Oncology, an ambulatory care service, is located on level B2. Levels 2, 4 and 6 are interstitial mechanical space except for small clusters of offices on the east and west elevator lobbies and atrium portions of the facility. Research laboratories are located on levels B3, B2, 1, 3 and 5.

1.2.4. Building 10 also houses pharmaceutical and biological manufacturing suites that produce either a medication or cells for infusion into a patient. Because these products must be made under aseptic conditions, the Contractor must strictly adhere to specific cleaning and disinfecting protocols using chemical sterilants. These protocols are dictated by regulatory agencies such as the U.S. Food and Drug Administration. These areas include the Pharmacy Department Intravenous Admixture Unit, the Department of Transfusion

Medicine Cell Processing (2J & 3T) areas, a dedicated laboratory in the Department of

Laboratory Medicine, the Nuclear Medicine Department Radiopharmacy, the Positron

Emission Tomography (PET), Radiopharmacy Dispensing and cGMP and the National

Cancer Institute Surgery Branch Trailers 1and 2, and 3W facilities.

1.2.5. Building 65, The Edmund J. Safra Family Lodge, referred to as the Family Lodge, is a 34-room inn, which houses family members of patients who are presently admitted to the

NIH CC. The average daily occupancy level is 80%.

1.2.6. Building 61 is located behind the Family Lodge and houses offices for patient support employees.

1.2.7. Building 60, the NIH Medical Research Scholars Program (MRSP) is located on the

NIH Campus. Portions of Building 60 provide residential space for the students, as well as a shared kitchen, lounge, laundry, and other common areas. There is also office space used to support the Medical Scholars Program (MSRP).

1.2.8. The work to be performed under this contract will be performed at the NIH CC

Complex, which includes the NIH CC (Building 10), Building 60, and Building 61, and the

Family Lodge (Building 65), all on the Bethesda campus.

1.3. Objective. The Contractor shall provide specialized healthcare housekeeping services that prioritize environmental infection control measures as dictated by the Hospital while optimizing cleaning and disinfecting practices in support of NIH CC’s mission of providing quality healthcare and clinical research in safe, hygienic, and aesthetically-pleasing environment.

1.3.1 The Contractor shall maintain a clean hygienic physical environment for patients, visitors, and staff. This includes the cleaning and disinfecting of furnishings and finishes per NIH CC policies in order to minimize the spread of microorganisms within the hospital and to maintain work practices and procedures that ensure supplies, equipment and traffic patterns are such that they separate clean from dirty consistently in all areas.

1.4. Scope. The Contractor shall provide specialized healthcare housekeeping services to the NIH

CC Complex. Requirements for this effort are determined by square feet (SF) of designated spaces to be cleaned. The estimated SF quantity for NIH CC Complex in the Health Service Area (HSA) is

1,568,638 SF. There may be reduced or additional SF for newly constructed buildings and/or building expansions that will require services as they are completed or a reduction of SF for facilities closing as a result of consolidation of services.

1.5. Ordering Period. The ordering period is one year from date of contract award, with four (4) twelve month options to extend the ordering period. Task Orders (TO) will be funded by annual appropriations and each task order will not exceed one year except when authorized by law or by exercise of TO option periods.

1.6. Commercial Standards/Advisory Recommendations. The following commercial standards and advisory recommendations are applicable to this effort:

1.6.1. Association for the Healthcare Environment (AHE) Practice Guidance for Healthcare

Environmental Cleaning manual.

1.6.2. International Sanitary Supply Association (ISSA) and Cleaning Industry Management

Standard for Green Buildings (CIMS-GB). The Contractor shall maintain ISSA CIMS-GB certification throughout the contract period.

1.6.3. Advisory recommendations of the Association of Perioperative Registered Nurses

(AORN).

1.6.4. Advisory recommendations of the Centers for Disease Control and Prevention (CDC) and

The Healthcare Infection Control Practices Advisory Committee (HICPAC), "Guidelines for

Environmental Infection Control in Health-Care Facilities”.

1.6.5. Clinical Nursing Skills and Techniques, 8th edition, Perry, Potter, Ostendorf.

1.6.6. American National Standards Institute/Association for the Advancement of Medical

Instrumentation publication (ANSI/AAMI) ST65:2008.

1.7. Hours of Operations. As healthcare operations include a wide range of services from inpatient to outpatient care, the housekeeping program must accommodate differing work hours. Normal operating hours are 8:00 am – 4:30 pm local time, Monday through Friday, except where otherwise specified in this PWS. In some areas, due to the volume of personnel, type of operation, or other considerations, cleaning shall be accomplished at times other than during normal operating hours.

1.7.1 The Contractor shall have trained and competent staff on duty 24 hours per day, 365 days per year to service all areas designated in the PWS. NIH CC is a research tertiary care hospital and therefore cares for patients every day of the week. When the local news broadcasts an announcement from the Office of Personnel Management that the federal Government will be closed due to an unforeseen circumstance, the Contractor is expected to be at full force and on site to perform all tasks. Housekeepers are considered emergency personnel, which also includes first response to spills and floods in the NIH CC. See Exhibit D for details of building/room by square footage, type of services, and operational hours and shifts.

1.8. Holidays. The following is a list of legal federal holidays as referred to elsewhere in the contract and PWS:

New Year’s Day, January 1st

Martin Luther King’s Birthday, 3rd Monday in January

Presidents’ Day, 3rd Monday in February

Memorial Day, last Monday in May

Independence Day, July 4th

Labor Day, 1st Monday in September

Columbus Day, 2nd Monday in October

Veteran’s Day, November 11th

Thanksgiving Day, 4th Thursday in November

Christmas, December 25th

1.8.1. Note: If the U.S. President declares an additional holiday for federal employees it will not be considered a holiday for the Contractor.

1.8.2 The Contractor shall provide healthcare environmental services on federal holidays as a regular working day in the NIH CC Complex. The failure of the Contractor to provide healthcare environmental services on holidays is considered a violation of the terms and conditions of this contract.

1.8.3. Any of the above federal holidays falling on a Saturday will be observed on the preceding Friday; holidays falling on a Sunday will be observed on the following Monday.

1.9. Key Personnel. The Contractor shall provide sufficient management to ensure that this task is performed efficiently, accurately, on time, and in compliance with the requirements of this document. Specifically, the Contractor shall designate a single manager to oversee this task and supervise staff assigned to this task. The Contractor shall provide sufficient contract service providers (CSPs) experienced in the conduct of similar hospital operations. Key personnel consist of the Executive Housekeeper (EH), Assistant Executive Housekeeper (AEH), Training Coordinator

(TC), Lead Housekeepers (LH), and an Office Administrator (OA). Both the EH and AEH will be considered “Executive Housekeepers” under the contract.

1.9.1. Executive Housekeeper. The Contractor shall provide an Executive Housekeeper and an Assistant Executive Housekeeper to serve solely at NIH CC Complex. The EH and

AEH shall serve as the over-all onsite managers and represent the Contractor in performing all duties to ensure compliance with the provisions of the contract. The EH or AEH must maintain a presence on site during core EVS hours between 7:30 and 4:00.

1.9.1.1 Lead Housekeepers (LH). The Contractor shall provide sufficient Lead

Housekeepers to serve solely at the NIH CC Complex and ensure Quality

Assurance scores remain at acceptable levels as specified in the QASP. See

QASP paragraph 3.2.1. The LHs shall serve as the onsite coordinator assigned to specified service areas and represent the Contractor in performing all duties in their assigned service areas to ensure compliance with the provisions of the contract. The LHs shall supervise other CSPs in their area while performing cleaning services, and shall report to the AEH, EH, and COR.

1.9.1.2 The Training Coordinator (TC) shall develop, conduct, and document training for all relevant topics to remain compliant with policies and procedures of the following organizations. The TC maintains a training program and documentation in the format prescribed in NIH policies and procedures, and standards for Orientation, Education, Training and Competency of Staff. The TC shall at least schedule in-service training, which includes copies of lesson plans and a monthly report to the COR.

1.9.1.3. The Office Administrator responsibilities shall include, but not be limited to, the following: maintaining CSP staffing, payroll, timekeeping, schedules, health records, and work order (manual, telephonic, and / or automated) functions.

1.9.1.2. Certification and Experience Requirements. The Executive Housekeepers, at no cost to the Government, shall meet or exceed the following: Certified by the

AHA as a Certified Healthcare Environmental Services Professional (CHESP) or the International Executive Housekeeper's Association (IEHA) as a

Certified/Registered Executive Housekeeper (C/REH). All certifications shall be maintained active and current throughout the term of the contract. Certification is preferred prior to starting work, and is required to be obtained within the first six

(6) months after PIV Card receipt. The executive housekeeper shall possess a minimum of five years housekeeping experience with a minimum of two years of specific hospital housekeeping experience. Specific experience shall indicate that the executive housekeeper has directly managed and performed in a research hospital of comparable size and services as the NIH CC Complex or the equivalent hospital facility.

1.9.1.3. Absence from Duty. The Contractor shall provide oral followed by written notification to the Contracting Officer’s Representative (COR) for any unscheduled absence of the executive housekeeper no later than two hours after commencement of the designated shift. For scheduled absences, the Contractor shall notify the COR in writing at least seven calendar days before any scheduled absence. Extended absences; e.g., four or more consecutive weeks, or the ongoing use of substitute personnel at the NIH CC or AF, shall constitute nonperformance.

1.9.2 All contract staff attending meetings, answering Government telephones, and working in other situations where their Contractor status is not obvious to third parties are required to identify themselves as such to avoid creating an impression in the minds of members of the public that they are Government officials. They must also ensure that all documents or reports produced by Contractors are suitably marked as Contractor products or that

Contractor participation is appropriately disclosed.

1.9.3. Replacement of Key Personnel. All proposed replacement of key personnel shall be submitted in writing to the Contracting Officer (CO) and the COR at least 15 calendar days prior to the proposed replacement. All proposed replacements shall meet the minimum qualifications of the person being replaced.

1.9.4. Availability of Key Personnel. The EH shall be onsite during normal operating hours and be available to meet with the COR on site during normal operating hours within one hour of notification. The Contractor shall provide the CO and COR phone numbers for the

EH during duty and non-duty hours (to include evenings, holidays, and weekends). After duty hours, the Executive Housekeeper shall be available on site within two hours of notification.

1.10. Miscellaneous Contract Service Personnel (CSP) Requirements. All Contractor personnel performing under this contract are required to undergo background security investigations to ensure suitability for employment with a Federal agency. Criminal history background checks shall be conducted for each employee in the state of Maryland and for the state or district of residence for each employee over the past five years. The Contractor shall provide the contracting officer or designee a written assurance statement that a criminal history background check was conducted on each prospective employee. The Contractor shall be required to furnish this information on all employees throughout the life of the contract. The Contractor shall submit its process for conducting background checks. Each employee will receive an NIH ID badge and will undergo the process for obtaining the ID, including fingerprinting and further background check per NIH policy on security requirements, which can be accessed on the NIH website www.nih.gov.

1.10.1. The Contractor shall maintain satisfactory standards of CSP competency, conduct, appearance, and integrity and shall be responsible for taking such disciplinary action with respect to his CSPs as may be necessary. The Contractor shall ensure that CSPs do not disturb papers on desks, open desk drawers or cabinets, or use Government telephones, except as authorized.

1.10.2. The Contractor shall be responsible for safeguarding all Government equipment, information and property provided for Contractor use. At the close of each work period, Government facilities, equipment, and materials shall be secured.

1.10.3. The Contractor shall ensure its CSPs are able to speak, read, and write in English in order to effectively communicate with Government personnel, understand hospital staff and patients, and understand and apply what is learned in training.

1.10.3.1. All Contractor staff acting in supervisory or program manager role must be able to read and speak fluent English.

1.10.4. Personnel Roster: The Contractor shall submit a monthly, written updated personnel/CSP roster to the COR not later than the 5th calendar day of each month (See Exhibit

B, Deliverables, Paragraph 3.e.). New CSPs and any proposed new hires that have not been cleared (background checks and all immunizations as required by the NIH CC) by the COR but listed on the personnel roster shall not be allowed to work in the NIH CC Complex until approved by the COR.

1.10.4.1. Person Hour Reports. The Contractor shall submit a written person-hour report to the COR not later than the 5th calendar day of each month. The person-hour report shall include the total number of hours worked by direct labor CSPs during the previous month. Direct labor is CSPs who are directly involved in the production of goods or services. Indirect labor is CSPs (such as supervisors, administrative support, quality control, etc.) who do not directly produce goods or services, but who make their production possible or more efficient (See Exhibit B, Deliverables, Paragraph 3.c.).

1.10.5. Uniforms. The Contractor shall supply uniforms for their employees in compliance with NIH CC general guidance. Uniforms shall not have the name of the Contractor nor shall contain any advertising of any kind. All CSPs shall wear distinctive uniform clothing for ready identification. Uniforms shall be neat, clean, and in good repair, and the CSP will wear an NIH CC name badge with the CSP’s name on it. CSPs shall wear Contractor-provided approved uniforms at all times while performing housekeeping duties except when working in areas requiring Government-furnished surgical garments. CSPs shall not wear artificial nails, tips, or extensions and must be in compliance with NIH CC general guidance. Fingernails (no longer than ¼”) shall be clean and free of dirt. CSPs shall not wear opened toed shoes.

1.11. Installation Access.

1.11.1. Access and General Protection/Security Policy and Procedures. All Contractor and sub-Contractor CPSs performing tasks on this PWS shall comply with applicable installation, facility access and local security policies and procedures, which will be provided to the Contractor by a Government representative within five working days of contract award. The Contractor shall also provide all information required for background checks to meet installation access requirements to be accomplished by the NIH CC

Administrative Officer. CSPs shall comply with all Personal Identity Verification (PIV) requirements as directed by the NIH and/or local policy. In addition to the changes otherwise authorized by the changes clause of this contract, should the Security

Requirements at any individual facility or installation change, the Government may require changes in Contractor security matters or processes.

1.11.2. NIH Enterprise Directory (NED).

1.11.2.1. The Contractor shall comply with agency Personal Identity Verification procedures that implement Homeland Security Presidential Directive-12 (HSPD-

12), Office of Management and Budget (OMB) guidance M-05-24, and Federal

Information Processing Standards Publication (FIPS PUB) Number 201. Personal

Identity Verification (PIV) is a common credentialing and standard background investigation process required by Homeland Security Presidential Directive 12

(HSPD-12). A PIV card is a United States federal smart card that contains the necessary data for the cardholder to be granted access to federal facilities and information systems and assure appropriate levels of security for all applicable federal applications.

1.11.2.2. The Contractor shall comply with agency personal identity verification procedures in all subcontracts when the Contractor is required to have physical access to a federally controlled facility or access to a Federal information system.

1.11.2.3. The Contractor shall ensure compliance with the provisions set forth below. For purposes of the Federal Acquisition Regulation (FAR) Clause 52.204-

9, the Government will designate a Trusted Agent, the Administrative Officer

(AO), for this contract. The Government reserves the right to amend or supplement these provisions pursuant to the FAR 52.243-1 – Changes – Fixed

Price clause in the contract.

1.11.2.4. The Contractor is responsible for absences of CSPs due to expired identification and access documents. Such absences shall not relieve the

Contractor of its obligation to perform the services required under this contract.

1.11.2.5. The Government will sponsor all contract CSPs for NIH PIV Cards

(also called ID Badges), and will sponsor contract Key Personnel for an NIH email account. All CSP e-mail addresses will identify them as a Contractor and use the format firstname.lastname@ctr.nih.gov. The Government will discontinue the email account when the CSPs no longer require access.

1.11.2.6. The Government AO will send a notice through the NIH Enterprise

Directory (NED) to the CSPs e-mail address provided in accordance with (IAW) the above requirement. The CSP’s user ID and password will be provided in the e-mail and will be require a change at first login. In the event the e-mail message is not received, the Contractor may request the username and password from the AO and proceed to the website https://www.ors.od.nih.gov/ser/dpsac/about/Pages/default.aspx to complete the process.

1.11.2.7. As part of the PIV Badging process, individuals will need to complete a background investigation. The CSP will receive a separate e-mail from DPSAC instructing them to complete ‘e-QIP’ (the Electronic Questionnaires for

Investigations Processing) and any necessary forms. If you do not complete e-QIP and submit the required forms, DPSAC will not be able to issue you a new ID

Badge. Watch for an e-mail alert with the subject line:

“****Mandatory**** RE: Background Investigation Forms.”

This e-mail provides a secure link to e-QIP that allows you to complete your background investigation form online. Please note that you cannot access the e-

QIP system prior to being sponsored for your new ID Badge in NED and then receiving your e-mail from DPSAC.

Complete your e-QIP and any additional required forms as soon as possible, but no later than seven (7) business days. The sooner you complete your e-QIP, the sooner you can be issued your ID Badge. Print and submit your forms as directed.

1.11.2.8. The application will be accepted, returned, or rejected by the AO. Notice as to whether the application has been accepted, returned, or rejected will be provided to the CSP’s e-mail address within 48 hours after submission. If the application is returned or rejected, the CSP shall contact the AO and comply with the AO’s guidance to attempt to correct and resolve the issue(s).

1.11.2.9. Upon approval of the application, the CSP will receive an e-mail stating

NIH ID Badge application was approved. The applicant must then go to an NIH badge Issuing Facility to have the Government credential issued. The CSP must present two acceptable forms of ID, which may include: Driver's License, Military ID, Contractor Company ID with picture and expiration date, charge card with picture imprinted, or passport.

1.11.2.10. Revalidation Requirements. The AO is required to revalidate all CSPs, in the NED, every 6 months. In the event revalidation is denied, the NIH credentials shall be revoked and the NIH PIV Card will not be useable to log in.

1.11.2.11. Out-processing Requirements. When a CSP’s performance under this contract ceases, the CSP shall personally bring the NIH PIV Card (Badge) to the

AO and complete the DA Form 2962. The AO will revoke the NIH PIV Card from the NED.

1.12. Removal from Contract Work. The Contractor’s staff shall follow all rules and regulations of the NIH CC at all times while on NIH CC property. The Contractor, through the Contractor’s on-site manager, shall enforce the rules and regulations of the NIH CC. All of the Contractor’s new hires shall be required to attend the NIH CC orientation. The CO or COR may request the

Contractor immediately remove a CSP(s) from the work site when it is determined that the CSP’s behavior is contrary to the public interest, inconsistent with the best interests of security, or is identified as a potential threat to the health, safety, security, general wellbeing or operational mission of the facility and its population.

1.12.1. The Contractor shall comply with any removal request. For clarification, a determination to remove a CSP will be made for, but is not limited to, incidents involving the most immediately identifiable types of misconduct or delinquency as set forth below:

1.12.2. The CO will make all determinations regarding the removal of any CSP(s) from work site(s), except under certain conditions. When a CO is not available, either during the day or after hours, or in situations where a delay would not be in the best interest of the

Government or is identified as a potential threat to the health, safety, security, general wellbeing or operational mission of the facility and its population, the COR will have the https://www.ors.od.nih.gov/ser/dpsac/about/Pages/default.aspx authority to request immediately removal of the CSP from the work site. CSPs that are removed from contract work shall be required to leave the work site immediately. The

Contractor, before departure of the CSP, shall collect the NIH PIV Card of the CSP.

1.12.3. Law enforcement officers of the NIH Campus Police will have the authority to remove any CSP immediately from the work site when delay in removal would not be in the best interest of the Government, security, or is identified as a potential threat to the health, safety, security, general well-being or operational mission of the facility and its population. The CO and COR will be notified as soon after the incident as practical or at the beginning of the next business day if an action happened after hours. The CO will make all official notifications to the Contractor.

1.12.4. The Contractor shall meet the terms and conditions of the contract, to include the

PWS standards, regardless of CSP(s) removal from the work site.

1.13. Training: The Contractor shall maintain a training program and documentation in the format prescribed in NIH policies and procedures, and standards for Orientation, Education, Training and

Competency of Staff. The Contractor shall provide initial training and developmental training in healthcare environmental services topics to all CSPs. The Contractor shall provide a monthly, written report of training conducted to the COR not later than 5th calendar day of each month. The training report shall include dates training conducted, names of CSPs in attendance, and subjects of training. The Contractor shall provide a copy of all lesson plans to the CO and/or COR at least 15 days prior to the scheduled training date (See Exhibit B, Deliverables, Paragraph 3.d.).

1.13.1 Training: The Contractor shall conduct all training necessary to assure compliance with all federal, state, local, licensing and accrediting regulations. The Contractor shall also perform all training deemed necessary by the Chief, MMESD. The Contractor shall supply a full-time Training Coordinator (TC) to train both Federal and contract employees.

The Contractor’s TC shall be in complete compliance with all pertinent standards from the

Joint Commission, Centers for Disease Control and American Society for Hospital

Environmental Services (ASHES), and all pertinent Occupational Safety and Health

Administration (OSHA) standards. This includes, but is not limited to, blood-borne pathogen precautions, respiratory protection, infectious airborne pathogen precautions, hazard communication standard for chemical use, radiation protection precautions as warranted, medical and solid waste management and electrical safety for powered equipment and machinery.

1.13.1.1 Compliance: Contract employees shall meet all NIH CC to include department specific competencies/skills for patient safety, emergency procedures, patient privacy, IT

Security, and customer service.

1.13.1.2 Training Development and Documenting: The TC shall plan all training for the department. The Contractor will develop, conduct, and document training for these topics that are consistent with, but no less stringent than, NIH policies and procedures.

NIH CC and Joint Commission standards regarding training documentation shall be followed.

1.13.1.3 Schedule: Contractors will have a pre-determined schedule of at least monthly in-service training.

1.13.2. CSPs not previously trained in healthcare environmental services, including infection prevention and control, and safe handling and management of Hazardous Waste, may not perform work in a Government Healthcare Facility until this training requirement is completed. CSPs with previous and documented healthcare environmental training, including infection prevention and control, and safe handling and management of

Hazardous Waste shall complete retraining and/or specified training within two weeks after starting work.

1.13.3. Asbestos Awareness Training. The Contractor shall comply with training requirements of 29 Code of Federal Regulations (CFR) 1910.1001. The Contractor shall ensure all CSP, to include sub-contractor CSPs, complete training required by 29 CFR

1910.1001 prior to or at the time of initial assignment and annually thereafter. The

Contractor shall submit documentation of completed training within 30 calendar days of

CSPs starting work or initial assignment to an asbestos-containing material (ACM) area and within five calendar days of the annual training (See Exhibit B, Deliverables, Paragraphs 4.f., 5.l, and 5.m.).

1.13.4. Government Provided Training. Due to the computer requirements necessary to perform Government-provided training (with the exception of 1.13.3.1), the Contractor shall coordinate Government-provided training requirements with the COR as needed for new CSPs and annual requirements. The Contractor shall document all Government-provided training of CSPs to include orientation and annual training requirements. The

Contractor shall additionally ensure all CSPs accomplish Government-provided training as identified below:

1.13.4.1. The Contractor shall comply with NIH CC’s Policy Plan for Orientation, Education, Training and Competency of Staff. The Contractor shall ensure all

CSPs attend NIH CC’s required orientation training prior to assignment of the

CSP starting work. NIH CC’s training will be provided monthly for all new CSPs.

The Contractor will be provided training schedules and shall ensure that all required CSPs attend.

1.13.5. CSPs who have any interaction with the federal Government computer systems must receive training for the applicable system(s). The COR will coordinate the necessary computer training. The training will be on-site and during normal duty hours. This training will be at no cost to the Contractor.

1.13.5.1. Information Assurance Security Training - All employees having access to (1)

Federal information or a Federal information system or (2) personally identifiable information, shall complete the NIH Information Security Awareness and Privacy

Awareness Training course at http://irtsectraining.nih.gov/ before performing any work under this contract. Thereafter, employees having access to the information identified above shall complete an annual NIH-specified refresher course during the life of this contract. The Contractor shall also ensure sub-contractor compliance with this training requirement. The Contractor shall submit course certificates to the COR within five calendar days of completion for each affected CSP (See Exhibit B, Deliverables, Paragraphs 1.c., 1.d., 3.d., 4.f.). 1.13.6. NIH Ethics Training - All employees shall complete annual ethics training provided by the government at http://ethics.od.nih.gov/training.htm . The Contractor shall submit course certificates to the

COR within five calendar days of completion for each affected CSP (See Exhibit B, Deliverables, Paragraphs 1.c., 1.d., 3.d., 4.f.).

1.13.7. All Contractor staff is to comply with federal, state and local regulations and best practices for handling, segregating, labeling, and transporting solid wastes.

1.13.8. The COR will arrange for training space on the NIH CC premises, as necessary.

1.14. Health Requirements. The Contractor’s CSPs shall meet all health requirements under this contract. The following requirements are considered the minimum essential for performance of this contract except where otherwise indicated. The Contractor shall submit deliverables and /or compliance reports covering the control of infectious disease for each reporting period as specified in Exhibit 2

1.14.1. Record Retrieval: Contractors must maintain employee immunization records or the serologic status of each worker for measles, mumps, rubella, varicella, tetanus, diphtheria, and pertussis on file. The Contractor must keep records of influenza vaccine immunization, declination, or exemption for a period of one year. Contractors must maintain employee records of hepatitis B immunization and immunity, and records of occupational exposure to blood or other potentially infectious materials for at least the duration of employment plus http://irtsectraining.nih.gov/ http://ethics.od.nih.gov/training.htm

30 years, in accordance with the OSHA standard. Contractors must maintain Universal

Precautions training records for at least three years, in accordance with the OSHA standard.

The results of preplacement and, if indicated, periodic TB screening must be kept by

Contractors in a database. All contract personnel data and Contractor compliance reports related to these occupational safety measures must be readily retrievable and provided upon request to the Hospital Epidemiology Service. The infectious disease, related issues, work locations and job categories are outlined in the Exhibits herein. The reports shall be factual and prepared in accordance with the format as in Exhibits B through C. Contractors must ensure that they comply with all applicable federal and state Government regulations regarding control of infectious diseases in health care facilities. Contractors should consult the specific regulations for further details, exemptions, documentation, and record keeping requirements. Specific examples include, but are not limited to the following:

1.14.2. Mumps, Rubella, Rubeola. All personnel who work in the Hatfield Clinical

Research Center (CRC) or Building 10, and/or have face-to-face contact with NIH CC patients must demonstrate proof of immunity (record of immunization or titer) to measles, mumps and rubella at preplacement or be immunized with at least two doses of measles, mumps, rubella (MMR) vaccine.

1.14.3 Varicella - Every contract employee who has face-to-face contact with NIH CC patients must have varicella immune status on file. Those who do not have a clear history of varicella infection should be tested for varicella immunity. Varicella vaccine should be offered to those who are nonimmune.

1.14.4. Diphtheria-Tetanus – Personnel who may have face-to-face contact with NIH CC patients must demonstrate proof of immunization with a one-time administration of tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine (Tdap). Tdap should be administered regardless of the interval since the last tetanus, or diphtheria toxoid-containing vaccine.

1.14.5. Hepatitis B Vaccine – Personnel at risk for occupational exposure to blood (human blood, human blood components, and products made from human blood) or other potentially infectious materials must be offered the hepatitis B vaccine within 10 working days of the initial assignment. Exceptions to this are unless the worker has previously received the complete hepatitis B immunization series; antibody testing has revealed that the worker is immune; or the vaccine is contraindicated for medical reasons. The primary series of three appropriately timed immunizations should be completed as indicated.

Personnel who decline the hepatitis B immunization must sign the mandatory declination, as specified in the Occupational Safety and Health Administration (OSHA) Blood borne

Pathogen standard.

1.14.6. Universal Precautions Training – Personnel at risk for occupational exposure to blood or other potentially infectious materials must receive annual training in Universal

Precautions. For workers in the NIH CC and/or credentialed to provide patient care, this training is routinely offered by the Hospital Epidemiology Service. Contractors must either provide annual training to their employees who are at risk for occupational exposure or ensure that they receive training through the Hospital Epidemiology Service.

1.14.7. Occupational Exposures to Blood or other Potentially Infectious Materials –

Personnel who experience occupational exposure to blood or other potentially infectious materials shall be offered medical evaluation and post-exposure evaluation and follow-up.

The Occupational Medical Service (OMS) provides emergency clinical evaluation and post-exposure treatment to contract personnel who report an exposure to potentially infectious materials. Incidents involving exposure to human blood and body fluids must be reported immediately to OMS and the immediate supervisor. If the exposure involves a primate retrovirus, OMS offers chemoprophylaxis and serologic monitoring. After emergency evaluation and treatment, Contractors are responsible for follow-up of exposures other than those involving primate retroviruses.

1.14.8. Influenza Vaccine. NIH CC will provide the vaccine to all CSPs. Personnel who have face-to-face contact with NIH CC patients must be immunized annually with the influenza vaccine. Those with medical contraindications (severe allergic reaction to the vaccine, severe egg allergy, or a history of Guillain-Barre syndrome) must submit physician documentation to be exempted from immunization. Personnel with religious objections to immunization must file a statement to that effect each year in order to decline the vaccine.

1.14.9. A CSP considered by Government Occupational Health to be infectious to patients or to health care facility personnel IAW NIH CC Infection Control Requirements, and the

NIH CC’s employee health policies and regulations, shall not be permitted within the premises. The Contractor shall present a medical release or certification to return to work for the affected CSP to Occupational Medical Service (OMS) prior to their working under the provisions of this contract.

1.14.10. NIH CC will provide emergency treatment to prevent loss of life or limb, or prevent undue suffering to the Contractor’s CSPs working at NIH CC. The Contractor shall reimburse the Government for medical services provided IAW current policies regarding civilian emergencies for CSP. Required follow up medical examinations and treatment for all job related injuries or illness shall be the responsibility of the Contractor.

1.14.11. CSPs who have an adverse exposure, i.e., direct contact with their skin or mucus membrane via a splash or needle stick and human blood or other body fluid, will receive emergency and follow up assessment and treatment as warranted at the NIH Occupational

Medical Services (OMS) at no cost to the CSP or Contractor. OMS will monitor, follow-up, and treat the CSP as medically indicated.

1.15. Building Security and Key Control Management. The Contractor shall comply with NIH

Campus and NIH CC policy, Key Control and Physical Access Standards.

1.15.1. Key Control. The Contractor shall maintain the approved key control procedures for all keys issued to the Contractor by the Government. The Contractor shall orally report not later than one hour after discovery any lost, stolen or duplicated keys to the COR followed by a written report within 24 hours. If lost during hours when COR is not available, the oral report shall be given to the Administrative Coordinator (AC), and followed up on the next business day with a written report to the COR.

1.15.1.1. In the event keys, other than master keys, are lost, stolen, or duplicated the

Contractor shall, upon direction of the CO, reimburse the Government for the cost to re-key or replace the affected lock or locks. The Government may re-key or replace the affected lock or locks, at its option. In the event a master key is lost, stolen, or duplicated, all locks and keys for that area shall be replaced by the Government and the cost shall be charged to the Contractor. The Contractor and the CO will negotiate a supplemental agreement for the reimbursement of the master key(s) and/or lock(s) IAW the Addendum to FAR 52.212-

4(c), Changes.

1.15.1.2. The Contractor shall prohibit the use of Government-issued keys by any persons other than Contractor’s CSPs. The CSPs shall unlock only the doors and windows necessary for the cleaning function. The Contractor shall prohibit the opening of locked areas by CSPs to permit entrance of persons other than Contractor’s CSPs engaged in the performance of assigned work in those areas or personnel authorized entrance by the COR.

1.15.2. All rooms or areas that a CSP unlocks shall not be left unattended or unlocked during the cleaning process. The Contractor's CSPs shall lock all doors and windows when they finish the cleaning process. CSPs shall report difficulty in closing and locking doors or windows to the supervisor on duty. The supervisor on duty shall immediately report such difficulty to the

COR or AC.

1.16. Safety and Health Plan. The Contractor shall comply with Occupational Safety and Health

Administration (OSHA) standards as a minimum level of safety and health performance and establish standards that are more stringent where necessary for effective CSP protection. At a minimum, the Contractor’s safety and health program shall address the following PWS-specific safety and health requirements:

1.16.1. The Contractor shall maintain an Exposure Control Plan fully compliant with OSHA

Blood borne Pathogen Standard (29 CFR 1910.1030) not later than 30 days after contract award. A copy of this document shall be made available to the COR upon request (See Exhibit

B, Deliverables, Paragraph 5.b.)

1.16.2. The Contractor shall comply with the OSHA Hazard Communication Standard (29 CFR

1910.1200 HCS 2012) and NIH CC Policy on Blood Borne Pathogen Exposure Control Plan.

1.16.3. All Contractor staff must know and abide by fire codes that apply to environmental and cleaning services including measures that negate damage to Government property, such as rated doors, frames, chutes and barriers. The Contractor shall comply with the NIH CC Policies on fire safety, and all other applicable codes shall be considered mandatory and enforceable throughout the term of this contract. All CSPs shall participate in quarterly, or as required, fire drills when on duty.

1.16.4. The Contractor shall comply with the provisions set forth below and FAR Clause

52.236-13 (with Alternate I), Accident Prevention. The Contractor shall comply with the NIH

CC Safety Policies. The Contractor shall submit accident, injury and incident reports on

Contractor’s form. A copy of all accidents, injuries and incidents shall be submitted within one working day of incident to the COR (See Exhibit B, Deliverables, Paragraph 5.e.).

1.16.4.1. When a Contractor’s CSP detects a condition that may cause injury or illness, an oral report shall be made without delay to the immediate supervisor. The supervisor shall take immediate corrective action within thirty minutes of being notified about conditions under Contractor control and immediately report all unsafe or unhealthful conditions in person to the AC and COR within one hour.

1.16.5. Asbestos Containing Material (ACM), to include but not limited to insulation, adhesives for flooring, and other building materials, may be encountered by the Contractor during the performance of healthcare housekeeping services. The locations of ACM are identified by building and area in Exhibit K, ACM Locations. On an as needed basis when changes occur regarding locations of ACM, the Government will provide the Contractor with an updated

Exhibit K not later than five working days after changes.

1.16.5.1. The Contractor shall comply with 29 CFR 1919.1001, Asbestos, in the performance of healthcare housekeeping services in areas containing ACM. In the event that ACM is disturbed in the performance of healthcare housekeeping services (e.g., floor care), the Contractor shall telephonically notify the COR and CO within two hours and in writing within 24 hours of disturbance (Ref. Exhibit B, Deliverables, Paragraph 5.m.).

Upon notification of disturbance by the Contractor, the COR and CO will provide further guidance to the Contractor regarding performance of services in the disturbed ACM location.

1.17. Emergency Management Plan (EMP). The Contractor’s key personnel shall be thoroughly familiar with NIH CC Emergency Management Plan. The Contractor shall train CSPs in a manner which ensures that all Contractor CSPs fully understand their responsibilities relative to each emergency plan. Healthcare environmental services are considered “mission-essential functions” and must be performed under all circumstances. The Contractor shall be required to perform the services required by the contract and as identified by the COR to the extent allowed during all emergency situations including but not limited to fires, accident and rescue operations, CSP strikes, other service Contractors on strike, civil disturbances, natural and man-made disasters, and utility service outages.

1.18. Housekeeping Procedures Manual. The Contractor shall submit a written healthcare housekeeping procedures manual to the CO and COR not later than 15 calendar days after contract award date. As necessary, the Contractor shall update/revise the Housekeeping Procedures Manual and submit the updated/revised document to the CO and COR for review/comments not later than 14 calendar days before implementation (See Exhibit B, Deliverables, Paragraphs 1.e. and 5.c).

1.19. Quality Control.

1.19.1. Quality Management Standard. The Contractor shall maintain ISSA CIMS-GB certification throughout the contract period.

1.19.2. Quality Control Program. The Contractor shall maintain a quality control program that ensures healthcare housekeeping and related services are performed IAW commercial standards, advisory recommendations, and federal, state, installation, and NIH CC policies, procedures, and regulations as identified in this PWS. The Contractor shall provide procedures to identify, prevent, and ensure non-performance and continual repetition of defective service does not occur.

1.19.3. Quality Control Plan (QCP). The QCP shall demonstrate how the Contractor intends to ensure quality performance during the contract-ordering period. The Contractor shall maintain a QCP that includes performance metrics. The QCP shall describe the quality management surveillance methodology and approaches used under this contract.

The final updated/revised QCP shall be incorporated into the contract by reference as a compliance document. The Contractor shall update/revise the QCP, as necessary, and submit the updated/ revised QCP to the CO and COR not later than seven (7) calendar days for review/comments prior to implementation (See Exhibit B, Deliverables, Paragraph 5.f.).

1.19.4. Quality Control Inspection Report. The Contractor shall submit a monthly written report to the CO and COR not later than 5th calendar day of each month of Contractor inspection results and actions in process to improve quality. Subject reports shall identify the performance/cleaning level based on the inspection performed. They shall also include

(1) the type…