PERFORMANCE WORK STATEMENT (PWS).pdf

36C24823Q1009 Comprehensive Health and Safety Inspections

PERFORMANCE WORK STATEMENT (PWS)

1. Introduction: The United States Department of Veterans Affairs Caribbean Healthcare System (VACHS) requires annual Comprehensive Health and Safety Inspection services in accordance with regulations established by the Commission on Accreditation of Rehabilitation Facilities (CARF) in all areas subject to such accreditation, in order to identify any potential sources of safety risk or liability on rehabilitation facilities, as well as provide a detailed list of findings in each inspected area and provide corrective recommendations. The intent of these services is to ensure the VACHS facility meets the standards, regulations, and guidelines set forth in the Life Safety Code (LSC), Occupational Safety and Health Administration (OSHA), VA Directives, The Joint Commission (TJC), and CARF.

2. Objective: The purpose of a health and safety inspection is to ensure that any risk of hazards to visitors, staff, and patient’s health, safety, and welfare, which arise from a work activity, have been identified and the associated risks have been adequately controlled.

3. Scope: The Contractor shall provide all management, supervision, personnel, materials, equipment, and services necessary to conduct an annual health and safety external inspection to enhance and maintain the VACHS organization’s health and safety practices, to comply with CARF 1.H.15.

4. Inspections: Each inspection shall be conducted in a single, uninterrupted process that moves methodically and comprehensively through an entire program area or physical location.

4.1 Reports: Each inspection shall be provided with a written report with the following information, as a minimum:

4.1.1 Company name and certifications

4.1.2 Surveyor name and qualifications

4.1.3 Date of inspection

4.1.4 Building inspected

4.1.5 Area/Program Inspected by Room Number, Name of Area, and Finding Classification and Description

4.1.6 Recommendations for areas needing improvement

4.1.7 Historical findings vs. current findings chart

4.1.8 Facilities findings by individual areas/program chart

4.1.9 Finding quantities by finding classifications chart

4.2 Classifications and Criteria: The Contractor shall perform a comprehensive safety and health inspection that shall include as a minimum the following finding classifications and criteria as applicable IAW OSHA 1910 and VA Directives:

4.2.1 Heating and cooling systems:

4.2.1.1 Water leaking from air conditioning unit

4.2.1.2 Strong humidity smell - air conditioning system should be evaluated

4.2.1.3 Wall air conditioning unit missing

4.2.1.4 Air conditioner vent loose

4.2.1.5 Other

4.2.2 Electrical systems:

4.2.2.1 Identify electrical panels properly (voltage and feeder source)

4.2.2.2 Affix electrical equipment cords to the wall

4.2.2.3 Remove obstruction from electric distribution panel

4.2.2.4 Affix electrical multiplug to the wall

4.2.2.5 Electrical outlet without Ground Fault Circuit Interrupter (GFCI) device (less than 5 feet away)

4.2.2.6 Junction box missing cover plate

4.2.2.7 Wiring and Junction boxes in bad condition

4.2.2.8 Other

4.2.3 Emergency warning devices

4.2.3.1 Bed help request alarm ("Nurse Call") not working

4.2.3.2 Emergency lighting ("Nurse Call") not working

4.2.3.3 Other

4.2.4 Walking and working surfaces

4.2.4.1 Remove cardboard boxes stored on the floor

4.2.4.2 Relocate files stored on the floor

4.2.4.3 Relocate electrical equipment stored on the floor

4.2.4.4 Relocate or place equipment in a way to prevent trip hazard

4.2.4.5 Computer cables protrude under cubicle division

4.2.4.6 Affix electrical equipment cords to the wall

4.2.4.7 Improper storage under desk

4.2.4.8 Other

4.2.5 Ingress and egress

4.2.5.1 Automated door out of service

4.2.5.2 Unidentified emergency exit door

4.2.5.3 Exit door is obstructed

4.2.5.4 Office door not properly identified

4.2.5.5 Replace exit sign

4.2.5.6 Door labeled as exit sealed from the outside

4.2.5.7 Change doorknob to lever handle for better accessibility of patients

4.2.5.8 Damaged entrance lock

4.2.5.9 Exit door is locked

4.2.5.10 Other

4.2.6 Health and sanitation related to food preparation, eating areas, and restrooms

4.2.6.1 Equipment is leaking and represents a slip hazard

4.2.6.2 Lack of housekeeping

4.2.6.3 Hand wash expired

4.2.6.4 Excess lint builds up in dryer’s lint trap

4.2.6.5 Disposable germicidal cleaner & healthcare disinfecting wipes present in non-clinical area

4.2.6.6 Spill kit required

4.2.6.7 Other

4.2.7 Structural integrity of facility

4.2.7.1 Bed's overhead lamp (clear cover) missing

4.2.7.2 Ceiling tile missing

4.2.7.3 Water leaking from the ceiling

4.2.7.4 Floor inclination must be corrected to prevent water accumulation

4.2.7.5 Ceiling tile must be placed appropriately

4.2.7.6 Replace ceiling panel, humidity presence

4.2.7.7 Improvised door stoppers present

4.2.7.8 Affix data jack box to the wall

4.2.7.9 Cover plate for data jacks loose or missing

4.2.7.10 Telephone jack switch plate cover loose

4.2.7.11 Cracking and signs of humidity on the walls

4.2.7.12 Ceiling tile is cracked

4.2.7.13 Unused ceiling curtain rails should be removed

4.2.7.14 Other

4.2.8 Operations involving hazardous materials and processes, including the safe and effective management of biohazardous materials

4.2.8.1 Biohazard waste container used for regular waste

4.2.8.2 Biohazardous waste container missing label

4.2.8.3 Other

4.2.9 Air contaminants and ventilation

4.2.9.1 Extractor system is out of service

4.2.9.2 Extractor vent doesn’t open

4.2.9.3 Other

4.2.10 Fire protection systems and equipment

4.2.10.1 Fire extinguisher sign missing

4.2.10.2 Obstructed fire extinguisher

4.2.10.3 Hoses obstructed

4.2.10.4 Sprinkler system obstructed

4.2.10.5 Fire Cabinet glass broken

4.2.10.6 Install fire extinguisher

4.2.10.7 Damage in hose valve

4.2.10.8 Other

4.2.11 Operation of machinery, power tools, and handheld equipment

4.2.11.1 Equipment missing biomedical test

4.2.11.2 Equipment with biomedical test due

4.2.11.3 Electrical equipment missing electrical safety test

4.2.11.4 Non-office electrical equipment connected to a multiplug

4.2.11.5 Equipment with electrical cords in bad condition

4.2.11.6 "HOT" warning sign missing

4.2.11.7 Relocate grease trap treatment metering pump away from electrical outlet

4.2.11.8 Automated external defibrillator missing ready kit

4.2.11.9 Daily log not up to date

4.2.11.10 Equipment is out of service

4.2.11.11 Other

4.2.12 Machinery guarding

4.2.12.1 Equipment missing safety guards

4.2.12.2 Other

4.2.13 Personal Protective Equipment (PPE) and clothing

4.2.13.1 PPE required in this area

4.2.13.2 Other

4.2.14 The working environment, including illumination, noise

4.2.14.1 Replace burnt out light bulb

4.2.14.2 Ceiling light plastic cover broken

4.2.14.3 The area should be more illuminated

4.2.14.4 Noise exposure and controls

4.2.14.5 Other

4.2.15 Hazardous materials management

4.2.15.1 Secondary containment recommended

4.2.15.2 Secondary containment not clean

4.2.15.3 Hazardous material stored inappropriately

4.2.15.4 Chemical containers missing product identification

4.2.15.5 Incompatible material stored together

4.2.15.6 Hazardous waste container missing label

4.2.15.7 Other

4.2.16 Recreation/visitation areas

4.2.17 Special processes, including welding, use of chemical treatments, and spray painting

4.2.18 Use of X-ray equipment

4.2.19 Swimming pools

4.2.20 Other areas appropriate to the services provided

4.3 Detailed Reports: The Contractor shall complete each external inspection separately within the period of performance and shall provide a detailed report for each of the following locations and areas:

4.3.1 CARF External Inspection at VA San Juan areas:

4.3.1.1 Blind Rehabilitation Clinical Areas

4.3.1.2 Blind Rehabilitation Patient Rooms

4.3.1.3 Cardiac/Amputation Gym

4.3.1.4 Compensate Work Therapy (CWT)

4.3.1.5 Electrodiagnosis (EDX) Offices

4.3.1.6 Interventional Radiology

4.3.1.7 Interdisciplinary Pain Rehabilitation Program (IPRP)/ Foot Clinic

4.3.1.8 Medical Doctors (MD) Offices

4.3.1.9 Mental Hygiene Occupational Therapy (OT)

4.3.1.10 Occupational Therapy

4.3.1.11 Occupational Therapy Day Hospital

4.3.1.12 Occupational Therapy New Beginning

4.3.1.13 Psychiatric Acute Intensive Care Unit (PAICU) Occupational Therapy

4.3.1.14 Physical Therapy Gym

4.3.1.15 Physical Medicine & Rehabilitation (PM&R) Administrative Office

4.3.1.16 PM&R Community Living Center (CLC) OT and Physical Therapy (PT) Gyms

4.3.1.17 PM&R Living Skills Laboratory

4.3.1.18 Polytrauma

4.3.1.19 Prosthetics Laboratory

4.3.1.20 Recreational Therapy

4.3.1.21 Recreational Therapy Gym

4.3.1.22 Rehabilitation Unit Ward 3K

4.3.1.23 Rehabilitation Medical Service (RMS) Clinics and Resident Lounge

4.3.1.24 Spinal Cord Injury (SCI) Clinic

4.3.1.25 SCI 2D2

4.3.1.26 SCI Ward 1K

4.3.1.27 Homeless

4.3.2 CARF External Inspection at Mayaguez Clinic (84,572 Gross Square Feet, GSF)

4.3.3 CARF External Inspection at Ponce Clinic (114,550 GSF)

4.3.4 CARF External Inspection at Comerio Clinic (1,361 GSF)

4.3.5 CARF External Inspection at Arecibo Clinic (25,000 GSF)

4.3.6 CARF External Inspection at St. Thomas Clinic (4,508 GSF)

4.3.7 CARF External Inspection at St. Croix Clinic (4,500 GSF)

4.3.8 CARF External Inspection at Ceiba Clinic (8,846 GSF)

4.3.9 CARF External Inspection at Guayama Clinic (6,075 GSF)

4.3.10 CARF External Inspection at Utuado Clinic (1,000 GSF)

4.4 The comprehensive health and safety inspection shall conform to the most current CARF external inspection criteria as specified in section 1.15.H. No inspection criteria will be deleted from the PWS baseline. Additional inspection criteria may be incorporated to ensure compliance with OSHA 1910, VA Directives, and CARF accreditation, in the case that there are any changes within such directives and accreditation.

4.5 Each comprehensive inspection survey shall occur during work-week hours, Monday to Friday between 8:00 AM and 4:00 PM, unless a different schedule is approved by the VACHS Safety Department or the Contracting Officer (CO).

4.6 Each comprehensive inspection survey and reporting shall be completed within sixty (60) days of the current contract period, in accordance with the schedule as seen in section 4.7 of the PWS.

4.7 Inspection Surveys: Each survey shall be completed on a single and uninterrupted day in descending order, for the following areas:

Location Inspection Survey Dates

VACHS Main Facility (San Juan) Between 6 – 9 June 2023

Mayaguez Out-patient Clinic (MOPC) Before 16 June 2023

Ponce Out-patient Clinic (MOPC) Before 23 June 2023

Guayama Community-Based Out-patient Clinic (CBOC) Before 30 June 2023

Arecibo CBOC Before 7 July 2023

Utuado Rural Out-Patient Clinic Before 9 June 2023

Ceiba CBOC Before 14 July 2023

Comerio Rural Out-Patient Clinic Before 21 July 2023

St. Thomas CBOC Between 6 June – 21 July 2023

St. Croix CBOC Between 6 June – 21 July 2023

4.8 Exit Briefing: For each comprehensive inspection survey, the Contractor shall conduct an exit briefing with the staff pertinent to CARF accreditation, facilities representative, and VACHS Safety Office to discuss findings and any major findings that may need immediate correction. The VACHS Safety Office will be responsible for identifying which Government employees must attend this exit briefing. Total exit briefing time is not expected to exceed thirty (30) minutes and is to be performed following the scheduled inspection visit.

4.9 Inspection Report: A digital copy in Portable Document Format (PDF) format inspection report draft for each inspection shall be submitted within thirty (30) days of site survey completion, unless required sooner in order to be in compliance with any guideline or regulation stated in this PWS. The Government shall review documentation provided within thirty (30) days after receival of each inspection provided to present to the CARF accreditation committee. Observations gathered from the inspection report will be provided to the Contractor for any omissions or modifications or comments needed for final acceptance of each report.

4.10 Inspection Report Submittal: The Contractor shall provide final documents in PDF format and a printed copy for each inspection report accepted as described in sections 3 and 4 of the PWS, within ten (10) working days to the VACHS Safety Office.

4.11 Additional Areas: Inspections in additional areas or locations subject to CARF accreditation may be incorporated into the contract via supplemental agreement. In such cases, a quote may be requested from the Contractor, which shall provide a fixed price per square footage. Additional areas or locations shall comply with the same criteria specified in this PWS.

4.12 Re-Inspections: Re-inspection of areas or locations subject to CARF accreditation that were not accessible during the scheduled survey or presented a major safety or life safety deficiency may be incorporated via supplemental agreement. Contractor shall provide quote with a fixed unit price per square footage.

Additional areas or locations shall comply with the same criteria specified in this

PWS.

4.13 Life Safety, Architectural Barriers Act Accessibility Standards (ABAAS): In the case that accessibility analyses or compliance services are needed during the performance of this contract, such inspection may be incorporated into the contract via Supplemental Agreement. In such case, a quote may be requested from the Contractor, which shall provide a fixed price per square footage. This inspection shall comply with the criteria specified in OSHA 1910 and ABAAS.

5. General Requirements:

5.1 Period of Performance: Services shall be provided for one twelve (12) month base period beginning on the contract award date, and four (4) subsequent option years.

5.2 Non-Personal Services: Contractor employees performing services under this contract will be controlled, directed, and supervised by the Contractor. Contractor management will ensure that employees properly comply with the performance standards outlined in the PWS. Contractor employees will perform their duties independent of, and without the supervision of, any Government official.

5.3 Location and Hours of Operation:

5.3.1 Service Locations: Services shall be performed in the locations previously listed, under section 4.7 of this PWS.

5.3.2 Hours of Operation:

5.3.2.1 Normal Business Hours: Contractor shall perform services on Monday through Friday, from 8:00 AM to 4:00 PM, Atlantic Standard Time (AST).

5.3.2.2 The Contractor shall perform services during normal hours as approved by the CO or COR.

5.3.2.3 The Contractor shall perform services outside of normal duty hours only after receiving prior approval from the CO or COR.

5.3.3 List of Federal Holidays: Legal holidays recognized by the Federal Government in accordance with 5 U.S.C. 6103, Executive Order 11582 and Public Law 94-97 or any other by the President of the United States to be a national holiday, the following national holidays are observed and for the purpose of this contract is defined as "Legal Federal, official holidays" as follows:

New Year’s Day January 1

Martin Luther King Day Third Monday in January

Presidents’ Day Third Monday in February

Good Friday Last Friday in March

Memorial Day Last Monday in May

Juneteenth June 19

Independence Day July 4 July 4

Labor Day First Monday in September

Columbus Day Second Monday in October

Veterans’ Day November 11

Thanksgiving Day Fourth Thursday in November

Christmas Day December 25

Note: And any other Federal Holiday as declared by the U.S. President.

5.4 Support: The Contractor shall provide telephone and e-mail support during the performance period of the contract.

6. Specific Requirements:

6.1 Specific Tasks: The Contractor shall provide an inspection schedule for each site specified in section 4.3.1 with deliverables dates specified in section 4.7 for approval. This inspection schedule shall be submitted to the CO, COR, and VACHS

Safety Office at least seven (7) calendar days in advance of the date of the inspection, for approval.

6.2 Qualifications and Requirements:

6.2.1 Core Requirements:

6.2.1.1 The Contractor shall be a certified occupational health and safety consultant with a minimum of five (5) years of experience in a field related to the services being provided.

6.2.1.2 The Contractor shall possess a minimum of five (5) years of experience providing occupational health and safety services consulting services in the healthcare industry for compliance with National Fire Prevention Agency (NFPA), TJC standards, OSHA 1910, and CARF in hospitals, and applying principles and certifications established in 6.2.

6.2.1.3 The Contractor shall be able to demonstrate to be fluent in English and Spanish.

6.2.1.4 The Contractor shall also possess a minimum of five (5) years of experience in providing comprehensive health and safety inspections to the Department of Veterans Affairs complying with CARF 1.H.15.

6.3 Additional Requirements: The Contractor shall comply and provide evidence of at least one (1) of the following:

6.3.1 Occupational Health and Safety Management System (OHSAS) 18001 / ISO 45001:2018 certified with a minimum of five (5) years of experience in the healthcare industry field.

6.3.2 Quality Management System ISO 9001:2008 certified with a minimum of five (5) years of experience in the healthcare field, shall be Environmental Management System ISO 14001 certified with a minimum of five (5) years of experience in the healthcare industry field, and shall be a Safety Specialist/Safety consultant knowledgeable to the health and safety requirements applicable to the services requested with a minimum of five (5) years of experience in the healthcare industry.

6.3.3 Certified Industrial Hygienist (CIH) from the American Board of Industrial Hygiene (ABIH) with a minimum of five (5) years of experience in the healthcare industry field.

6.3.4 Certified Safety Professional (CSP) with a minimum of five (5) years of experience in the healthcare industry field.

6.3.5 Licensed Fire Protection Engineer (PE) with a minimum of five (5) years of experience in the healthcare industry field.

6.3.6 Licensed or registered Safety Engineer with a minimum of five (5) years of experience in the healthcare industry field.

6.3.7 Safety Management Specialist (SMS) certified with a minimum of six (6) years of experience in the healthcare industry field.

6.3.8 Safety Specialist/Safety consultant knowledgeable to the health and safety requirements applicable to the services requested with a minimum of six (6) years of experience in the healthcare industry.

7. Access to VA Facilities: Contractor’s personnel must show a valid state or federal identification at the VA facility entry gate upon arriving to such facility and carry the identification card throughout the entire servicing period.

7.1 Parking: No designated parking space will be arranged or saved for Contractor personnel. Parking may or may not be available within VA parking garages.

Contractor shall make necessary arrangements for parking outside premises. VA will not invalidate or reimburse parking violations of Contractor’s personnel under any circumstances.

8. Post Award Conference/Periodic Progress Meetings: The Contractor shall attend any post award conference convened by the CO in accordance with Federal Acquisition Regulations Subpart 42.5. The CO and COR may meet periodically with the Contractor to review the contractor’s performance. At these meetings, the CO will appraise the Contractor of how the Government views the Contractor’s performance and the Contractor will appraise the Government of problems, if any, being experienced. Appropriate action shall be taken to resolve outstanding issues within five (5) working days. These meetings shall be at no additional cost to the Government.

9. Contract Administration and Management: The Contractor shall establish clear organizational lines of authority and responsibility to ensure effective management of the services to be provided under this contract, and the resources necessary for the performance of such.

9.1 Points of Contact (POC): The Contractor shall assign a main and an alternate POC for the purpose of ensuring compliance with all the terms and conditions of this contract and who shall be responsible for administration matters in the performance of services under this contract. The POC shall have full authority to act for the Contractor on all matters relating to the daily operation of this contract. The POC shall be available by telephone Monday through Friday, between 0800 to 1600 excluding National Holidays.

10. Quality Control: The Contractor shall develop and maintain an effective Quality Control Program (QCP) to ensure services are performed in accordance with this PWS.

This QCP shall be submitted to the CO and COR within ten (10) days of contract award, for acceptance.

10.1 Methods of Surveillance: The COR may perform surveillance of services performed by the Contractor by any of the methods listed below:

10.1.1 Observing actual performance.

10.1.2 Inspecting the services to determine whether the performance meets the performance standards; and

10.1.3 Review of any other appropriate records.

10.2 Unacceptable Performance: If any of the services do not conform to contract requirements, the Government may require the Contractor to perform the services again in conformity with contract requirements, at no increase in contract amount.

When the defects in services cannot be corrected by re-performance, the Government may require the Contractor to take necessary action to ensure that future performance conforms to contract requirements.

10.3 Quality Assurance: The Government will evaluate the Contractor’s performance under this contract in accordance with the surveillance methods established in section 10.1 of the PWS, to ensure that the Contractor has performed in accordance with the requirements established in such PWS.

11. Contracting Officer Representative (COR): The (COR) will be identified by a Delegation of Authority letter from the CO. The COR monitors all technical aspects of the contract and assists in contract administration. The COR is authorized to perform the following functions: assure that the Contractor performs the technical requirements of the contract: perform inspections necessary in connection with contract performance:

maintain written and oral communications with the Contractor concerning technical aspects of the contract: issue written interpretations of technical requirements, including Government drawings, designs, specifications: monitor Contractor's performance and notifies both the CO and Contractor of any deficiencies; coordinate availability of government furnished property, and provide site entry of Contractor personnel.

Delegation of Authority letter(s) shall be forwarded to the Contractor after contract award identifying the COR(s). This designation shall be furnished in writing to the Contractor prior to commencement of the contract.

12. Changes: The Contractor is advised that only the CO, acting within the scope of the contract has the authority to make changes which may affect the contract terms and conditions. The Contractor must contact the CO for approval in the event there are changes prior to proceeding. No other individual has the authority to make these binding changes and/or commitments. If the Contractor commits to such changes at the direction of any person other than the Contracting Officer, the changes shall be considered to have been made without proper authority and no adjustment shall be made in contract price to cover any increase in costs incurred as a result thereof.

13. VACHS Operations: VACHS operations will remain ongoing during the Contractor’s performance of the services outlined in this PWS. Therefore, the Contractor shall take all precautions to minimize disruption to VACHS operations while performing such services. The safety of VACHS patient’s, visitors, and employees shall be a top concern for the Contractor and his employees while rendering these services.

14. Contractor Employees:

14.1 Employee Identification: The Contractor shall provide the COR all necessary information for the issuing of the Identification Badges (IDs) to all employees that will provide services on VACHS premises under this contract. No employee will be allowed to work if he/she has not ID. Contractor personnel shall wear badges provided by the Government at all times when performing.

Badge shall be worn on the outer garment, attached to the outer shirt or jacket pocket by a button or clip or worn around the neck secured by an appropriate identification card lanyard.

14.2 No Smoking at the VACHS Premises: The Contractor shall require employees working at VACHS premises to comply with VA Directive 1805 (“Smoke-Free Policy for Patients, Visitors, Contractors, Volunteers, and Vendors at VA Health Care Facilities”), which prohibits smoking while at VA facilities.

14.3 The Contractor shall require his employees to comply with the instructions, pertaining to conduct and building regulations, issues by duly appointed officials, such as the CO, COR, and security guards and officials.

14.4 Identification of Contractor Employees: All Contractor personnel attending meetings and performing services under this contract 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 in the rendering of these services are suitably marked as their products or that contractor participation is appropriately disclosed.

14.5 Disorderly conduct: Use of abusive or offensive language, quarreling, intimidation by words, actions, or fighting shall not be condoned; also included is participation in disruptive activities which interfere with normal and efficient Government operations.

14.6 Contractor personnel performing services under this contract shall wear distinctive uniform clothing or identification while on VACHS premises.

14.7 Contractor personnel shall present a professional appearance commensurate with standards delineated for Government civilian personnel acting in similar capacities.

14.8 Contractor personnel shall conduct themselves in a professional manner while on VACHS premises. The CO may require the Contractor to remove from VACHS premises any employee performing services under this contract for reasons of suspected misconduct, a suspected security breach, or suspected to be under the influence of alcohol, drugs, or any other incapacitating agent. Contractor employees shall be subject to dismissal from the premises upon determination by the CO that such action is necessary in the interests of the Government. The removal from the job site or dismissal from the premises shall not relieve the contractor of the requirement to provide sufficient personnel to perform the services as required by this PWS.

14.9 Contractor personnel are not authorized to carry or possess personal weapons to include, but not limited to, firearms and knives with a blade length more than three

(3) inches, while on VACHS premises.

15. Increase or Decrease of the Quantity of Services: Due to unforeseen circumstances, emergencies, or the requirements of the facility, the quantities of services may increase or decrease. In the case(s) that these services increase, the vendor shall submit a quote for the additional services, and the Government will evaluate such to determine price fair and reasonableness. If the CO determines such price to be fair and reasonable to the Government, then the services shall be added to the contract via supplemental agreement, and then performed by the Contractor.

16. Publications and References:

16.1 NFPA 101 Life Safety Code, latest edition

16.2 Commission on Accreditation of Rehabilitation Facilities (CARF), latest edition

16.3 VHA Directive 1170.01 Accreditation of VHA Rehabilitation Programs

16.4 Code of Federal Regulation (CFR) 1910

16.5 CFR 1926

16.6 CFR 1960

16.7 VHA Handbook 7701.1

16.8 VHA Directive 7700

16.9 Joint Commission Environment of Care standards

17. Performance Work Statement (PRS):

Required Services (Tasks)

Performance Standard

Acceptable Quality Levels

Method of surveillance

Incentive (Positive or Negative)

Perform Inspection Surveys within the established schedule

100% 100% Validated through COR

Immediate corrective action taken at no additional cost to the Government

Perform Inspection Surveys IAW the latest edition of CARF external inspection criteria as defined in the Comprehensive Health and Safety section.

100% 100% Validated through COR

Immediate corrective action taken at no additional cost to the Government

Each Report Submittal shall 100% 100% Validated through COR Immediate corrective action

18. Influenza Vaccination:

18.1 All contract employees shall comply with VHA Directive 1192.01, Seasonal Influenza Vaccination Program for VHA Healthcare Personnel. This policy applies to all individuals who, during the influenza season, work in VHA locations or who come into contact with VA patients or other Health Care Personnel (HCP) as part of their duties.

contain the elements specified in section 4.1 taken at no additional cost to the Government

Each Report Submittal shall include and address the classifications and criteria specified in section 4.2 and as defined in the latest edition of the CARF manual, Comprehensive Health and Safety section.

100% 100% Validated through COR

Immediate corrective action taken at no additional cost to the Government

Individual Report Submittal shall address the locations/areas specified in section 4.3, 4.11, and 4.12.

100% 100% Validated through COR

Immediate corrective action taken at no additional cost to the Government

Reports Submittal within the established schedule

100% 100% Validated through COR

Immediate corrective action taken at no additional cost to the Government

Report Submittal 95%

95% (No more than 2 complaints per contract period)

Validated through COR

Immediate corrective action taken at no additional cost to the Government

18.2 Masking requirements for unvaccinated HCP: HCP who do not receive influenza vaccination due to medical or religious exemptions must designate this at the VA Employee Health Unit on the HCP Influenza VA Form 10-9050 and wear a face mask while in any VHA location, including both clinical and non-clinical areas.

In addition, HCP are required to wear a face mask during performance of their assigned duties and responsibilities. The face mask shall be worn throughout the influenza season, or until the individual HCP receives a flu vaccination and completes the required VA Form 10-9050.

19. VHA Supplemental Contract Requirements for Combatting COVID-19:

19.1 Contractor employees who work in or travel to VHA locations must comply with the following:

19.1.1 Documentation requirements:

19.1.1.1 If fully vaccinated, contractors shall show proof of vaccination:

NOTE: Acceptable proof of vaccination includes a signed record of immunization from a health care provider or pharmacy, a copy of the COVID- 19 Vaccination Record Card (CDC Form MLS-319813_r, published on September 3, 2020), or a copy of medical records documenting the vaccination.

19.1.1.2 If unvaccinated, contractors shall show negative COVID-19 test results dated within three calendar days prior to desired entry date. Test must be approved by the Food and Drug Administration (FDA) for emergency use or full approval. This includes tests available by a doctor’s order or an FDA approved over-the-counter test that includes an affiliated telehealth service.

19.1.1.3 Documentation cited in this section shall be digitally or physically maintained on each contractor employee while in a VA facility and is subject to inspection prior to entry to VA facilities and after entry for spot inspections by Contracting Officer Representatives (CORs) or other hospital personnel.

19.1.1.4 Documentation will not be collected by the VA; contractors shall, at all times, adhere to and ensure compliance with federal laws designed to protect contractor employee health information and personally identifiable information.

19.2 Contractor employees are subject to daily screening for COVID-19 and may be denied entry to VA facilities if they fail to pass screening protocols. As part of the screening process contractors may be asked screening questions found on the COVID-19 Screening Tool. Check regularly for updates.

19.2.1 Contractor employees who work away from VA locations, but who will have direct contact with VA patients shall self-screen utilizing the COVID-19 Screening Tool, in advance, each day that they will have direct patient contact and in accordance with their person or persons who coordinate COVID-19 workplace safety efforts at covered contractor workplaces. Contractors shall, at all times, adhere to and ensure compliance with federal laws designed to protect contractor employee health information and personally identifiable information.

19.3 Contractor must immediately notify their COR or Contracting Officer if contract performance is jeopardized due to contractor employees being denied entry into VA Facilities.

19.4 For indefinite delivery contracts: Contractor agrees to comply with VHA Supplemental Contract Requirements for any task or delivery orders issued prior to this modification when performance has already commenced

PERFORMANCE WORK STATEMENT (PWS)