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WISCONSIN DEPARTMENT OF HEALTH SERVICES

SAND RIDGE SECURE TREATMENT CENTER

MAUSTON, WISCONSIN

REQUEST FOR ARCHITECTURAL AND

ENGINEERING DESIGN SERVICES

Skilled Care Unit Expansion

PROJECT NUMBER 21H1L

OCTOBER 2021

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TABLE OF CONTENTS

PAGE Project Background and Purpose 3 Project Scope 3 General Requirements 3 Special Considerations 7 Project Schedule 8 Project Budget 8 A/E Scope of Services 9 A/E Requirements 9 Code and Regulatory Complicate 10

Space Tabulation 11

Appendix SRSTC Site Plan 12

Existing Building E Floor Plan 13

Existing Skilled Care Unit Enlarged Floor Plan 14

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Project Background and Purpose:

Sand Ridge Secure Treatment Center (SRSTC), located northwest of the City of Mauston, was constructed in 2001 to house and treat Sexually Violent Person’s (SVP). The cumulative SVP population housed at SRSTC has aged and continues to grow. The existing Skilled Care Unit (SCU) at SRSTC takes care of the aged residents who have a lack of mobility, diminishing cognitive ability, poor physical health or other impairments that prevent them from being fully independent. The SCU space cannot adequately serve this ageing and increasingly frail population.

This project will remodel the existing SCU in Building E and expand it by constructing a new building addition. This project is required to address the lack of SCU space and additional programming needs of the aging resident population at SRSTC. The SCU expansion will give SRSTC the ability to safely house and treat older and more medically frail residents.

Project Scope:

The existing Building E contains approximately 25,700 gross square feet (GSF). The western third of the building contains the existing SCU, which encompasses 8,900 GSF. This project will remodel in phases the existing SCU and construct a new 2400 GSF building addition. The new addition will include resident rooms, program space and a mechanical room. Work will include the internal demolition and remodeling of the existing SCU in Building E. Existing resident rooms will be demolished and reconfigured so that remodeled rooms can be converted from dry cell to wet cell type rooms. This includes adding a sink and toilet to each resident room. Furthermore, the resident rooms will have additional power receptacles and a sprinkler system will be reconfigured throughout the space for fire protection. The new building addition will be constructed to extend west of the existing SCU. The addition must remain east of the existing baseball field, which will not be impacted. The addition will contain eight new wet cells to offset most of the rooms lost when the existing SCU space is remodeled. Ceiling-mounted patient lifts will be installed in the eight new resident rooms. A new centralized nurse’s station will be constructed to allow direct visibility of all sleeping areas, dayrooms and toilet/bathing areas. The remodeled program space will also include adding two offices, an optometry room, storage room, janitor closet, mechanical room, and exam room to handle minor medical issues on the unit. The final design will include a new negative pressure resident room and ante-room. Mechanical, electrical, and plumbing systems will be modified to bring them up to current design practices.

General Requirements:

Site work: The site scope is planned to be limited to removal and replacement of existing pavement and walkways with minimal impervious pavement added to the site. The existing sidewalk may need to be relocated pending final building addition design. A topographic survey and geotechnical investigation will be necessary to estimate preliminary grading and evaluate existing site soils. Water service, sanitary sewer, telephone, gas and electric utilities will be extended from existing services inside the building. A new storm sewer lateral will be extended from the building addition to an existing catch basin west of the proposed location of the new building addition. Stormwater detention must be evaluated. Erosion control will be required. Site lighting shall be upgraded. Courtyards shall be fenced to provide secure outdoor activity space. Site work shall incorporate

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applicable DFD Sustainability Guideline requirements and encouraged measures. These include issues such as stormwater run-off quality, stormwater detention, and stormwater infiltration and volume control. Exterior Architectural and Structural Systems: The foundation of the new building addition will consist of normal spread footings and concrete slab designed for 4,000 PSF soil bearing capacity based on existing and a 6” concrete slab on grade with wire mesh. The new addition exterior walls will match the existing building. The roof on the building addition will be precast plank with a fully adhered EPDM roofing system on tapered rigid insulation, with an average R-25 thermal resistance. The existing roof is currently ballasted membrane and will be replaced with a fully adhered EPDM system. New windows on the addition will be thermally broken aluminum frame with 60-minute attack rated glazing and stainless-steel wire mesh screen with security grid over awning area. The structural system shall be designed in conformance with the current building codes consisting of load bearing masonry walls, precast columns and precast roof plank.

Interior Architectural Systems: Interior walls are to be constructed with concrete masonry units for durability. Interior finishes will be replaced throughout the remodeled space to match the new addition. Where required along existing walls, a CMU pilaster will be constructed for installation of required additional power receptacles and data jacks. Materials shall be durable and easy to maintain, including vinyl plank flooring, painted CMU and acoustical ceiling where acceptable. Security plaster “hard” ceilings shall be constructed in resident rooms, showers and any room where a resident could be left unattended. Interior doors will be replaced throughout the remodeled space. The newly remodeled Skilled Care Unit will use materials and finishes that that promote a more homelike environment rather than institutional. Door lever trim hardware should be replaced throughout the building with ADA accessible levers. Bathrooms and showers will be created and made ADA accessible.

Heating Ventilation and Air Conditioning: The existing HVAC system is at the end of its useful life; it is not adequately sized to handle both the existing space along with new building addition and must be replaced. A new air handling unit (AHU) will be provided as part of the building addition and will serve both the addition and remodeled areas. The operation of the AHU will have to be phased to transition the remodeled space onto the new AHU as the remodeling occurs. Once fully transitioned to the new, the existing AHU shall be demolished. The ventilation system shall be a fully ducted variable air volume central air handling system for supply and return air. The Patient Isolation Room with Ante Room will be provided with pressure monitoring controls to maintain negative pressure within the space. All air will be exhausted to an independent exhaust fan with HEPA filtration upstream of the fan. Provisions for a second Patient Isolation Room with Ante Room are to be included. An electric steam humidifier with duct-mounted steam dispersion tube to serve isolation rooms will also be provided. The humidifier will receive softened domestic hot water supply. HVAC system elements in resident areas must meet institutional grade security and ruggedness requirements. Air supply, return and exhaust openings shall be designed without anchor or tie-off points. Grill faces will be flush mounted with walls or ceilings and sealed in place with security caulk. Ductwork and HVAC equipment shall be designed to minimize background noise and reduce sound transfer between rooms. The existing campus-wide Direct Digital Controls (DDC) system will be extended to serve the SCU expansion. Spaces will be controlled by wall mounted flat plate sensors with no manual adjustment. HVAC system shall be designed to meet requirements of ANSI/ASHRAE/IESNA Standard 90.1-2016, in accordance with the DFD Sustainability Guidelines. Fire Protection: The existing fire suppression system consists of an automatic wet sprinkler system with a dedicated electronic fire alarm. Building E is zoned separately from the other building areas with a zone control valve and associated alarm, located in the upper-level mechanical space. Verify that the existing system has sufficient capacity for the proposed addition and renovation. In

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renovated areas, branch piping and sprinkler heads shall be removed and re-routed to accommodate new walls, ceiling and ductwork. The existing unprotected areas, remodeled areas and new addition will be fully sprinkled as an extension of the existing wet sprinkler fire suppression system. Tamper and ligature resistant sprinkler heads will be used in resident areas. Existing 1-1/4” hose stations will be removed.

Plumbing Systems: An existing combined 10” water service for plumbing and fire protection enters the facility in Building E, just east of the designated remodel space. A 6” domestic cold water main serving Building E also enters from the east. A 3” hot water main and 2” hot water return parallel the 6” cold water main, originating from the Central Plant water heaters. Domestic water distribution infrastructure shall be upgraded and rerouted to accommodate increased fixture quantities. No exposed piping will be permitted. New ADA compliant stainless steel security grade ligature resistant plumbing fixtures may be required in certain areas of the remodeled space. Fixture water control will be electronic. Water supply to resident lavatories, water closets and showers to be controlled from Security Station. Below-slab sanitary drainage to be evaluated for capacity to accept proposed additional plumbing fixtures. The existing floor slab in the renovated area must be saw-cut to extend the drainage system and adding piping at the correct slope elevations. New sanitary piping shall be added in the building addition as an extension of the existing sanitary system. Other new system components include point-of-use mixing valves, circulating pumps, and hot and cold supply / return piping. Evaluate the need for dedicated water softeners. New roof storm drain conductors and overflow drains shall be added to the building addition to handle storm water. Roof drainage in remodeled areas will be rerouted to allow concealment in new wall construction. Plumbing fixtures shall be specified in accordance with DFD Sustainability Guideline requirements. Electrical Normal Power: The existing electrical service consists of a 12,470V, 3-phase campus distribution loop that is stepped down to 480Y/277V by a 750KVA transformer that is tapped off to feed Building E. This equipment is in good condition and adequately sized for current and future proposed loads for Building E. Electrical Emergency Power: Emergency power is provided by an existing 1,500KW diesel generator, which backs up the entire 12,470V campus loop. The generator is adequately sized for current and future proposed loads for Building E. The need for additional UPS power for security systems and door controls must be evaluated.

Electrical Secondary Power Distribution: Existing 480Y/277V and 208Y/120V distribution serving Building E is provided from panels and transformers located in electrical room FE302. This existing equipment is in good condition and shall continue to be used to serve Building E loads. There is limited physical space within the panels for additional branch circuits. New branch circuit panel boards shall be added as necessary to support increased loading. All resident rooms, acute care rooms, negative pressure room and ante room in the Building E remodel and addition will have a minimum of three duplex receptacles. Receptacles shall be recessed, tamper-resistant type. All receptacle cover plates shall be security grade. All receptacles within a resident room shall have a switch control to allow them to be overridden from outside the rooms.

Lighting and Controls: Replace all existing lighting fixtures in the remodeled area and add new lighting fixtures within and around the building addition. All new interior and exterior lighting fixtures shall be LED. Lighting levels in all spaces shall conform to ANSI/ASHRAE/IESNA Standard 90.1-2016, in accordance with the DFD Sustainability Guidelines. Daylight sensors shall be used where adequate natural light is available. Light fixtures within the resident rooms and adjoining corridors and living spaces are to be high abuse security grade, and controls designed to be overridden from outside the rooms. In general, volumetric LED troffers should be utilized for offices and non-resident

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spaces. Storage and utilitarian space will use enclosed LED strips. Emergency egress lighting shall be provided for all paths of egress. Exterior lighting will be addressed with LED wall-packs which will match existing exterior lighting. Lighting control will comply with the requirements of ANSI/ASHRAE/IESNA Standard 90.1-2016, in accordance with the DFD Sustainability Guidelines for the mandatory controls (this facility currently 24-hours facility). Patient common areas shall be designed with tunable LED lighting to provide variation of color temperature in zonal programmed spaces and allow regulation of patient circadian rhythm.

Cable television outlets shall be provided and tied into the existing campus-wide cable television system.

Telecommunication System: The existing main telecommunications room F303A on the second floor is adequately sized and shall be used to extend new cabling into the new SCU area. Existing structured cabling will be evaluated for reuse, and unused cabling will be demolished back to source. Voice/data cabling shall be CAT6 to each workstation. Data and voice jacks will be provided as required for the SCU building E expansion. The existing Mitel VoIP system shall be utilized for voice applications. Building E shall be made WiFi ready by adding wireless access point (WAP) locations throughout the building to maximize coverage. Two CAT6A cables will be routed to each WAP location. Lockable secure enclosures shall be provided for all wireless access points that are located in secure areas. The new structured cabling installation shall meet all requirements to support Electronic Health Records in a manner consistent with the rest of SRSTC.

Security Systems: Video surveillance and monitoring shall be provided in select areas inside the remodeled space, building addition and at exterior courtyards. The existing campus surveillance system is a hybrid of analog and digital. New system devices in the SCU expansion will be IP based and include digital fixed and PTZ cameras, color monitors, network switches and NVR storage equipment. Cameras shall be provided at all new resident rooms. All resident rooms that are remodeled shall be provided with conduits stubbed to accessible ceilings for future camera installations. All interior cameras shall utilize CAT6 cabling, and exterior cameras shall utilize shielded CAT6 cabling. Video surveillance will be monitored from the security station. Video patient monitoring devices in resident areas shall be installed within security grade protective enclosures. Provision for recording of video will be included in the system capable of 120-day minimum retention.

Card access system shall be installed and will be an extension of the existing campus card access system. Resident rooms shall be secured and contain either request to exit push buttons or key switch depending on the space. Paging System: Paging system shall be reworked in the remodeled spaces and extended into the new building addition. The new system shall be of the same type and extension of existing used throughout the Center. Speakers shall be distributed throughout all corridors and offices. Loud type speakers should be considered in mechanical rooms. Nurse Call System: A new nurse call system will be installed in the addition and expanded to the renovation area of Building E. The new system shall have both signal and voice two-way communication. Each resident room shall have signal and voice communication at the bed, and each resident toilet room shall have a nurse call pull station. The existing nurse call system must remain operational until the new system is in place. Once operational, the existing nurse call system will be demolished. The need for an Intercom system shall be evaluated and whether needs can be met with a new nurse call system.

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Fire Alarm: The existing fire alarm system is an Edwards EST3 fully addressable fire alarm system and will be reused and expanded upon to serve both the SCU remodeled area and the addition. All existing system devices such as speakers, strobes and pull stations shall be replaced with new. New devices will be extended into the new addition. Pull stations in resident accessible areas shall be key operated. The existing P-25 campus radio system coverage shall be extended into the SCU building expansion. This system must be tested and if necessary, enhanced to reach all areas within the remodeled areas as well as new addition.

Sustainable Design: This project will be designed in accordance with the “DFD Guidelines for Capital Projects, Version 2.0, dated September 2020.” The guidelines contain Mandatory Requirements, which this project must include, and non-mandatory Encouraged Measures, which shall be considered for inclusion as part of a comprehensive sustainability plan for this project. The Sustainability Guidelines are based on the AIA’s “Framework for Design Excellence” and are adapted for use on State of Wisconsin projects to align with Governor Evers Executive Order #38.

Special Considerations:

This project will be constructed inside a secure treatment center. Entry will require advanced scheduling, contractor background checks and onsite tool inventory. Site access, cleanliness and security will need to meet institution requirements. The SCU must be designed and constructed so that some of the resident rooms will stay operational at all times. This project will require construction phasing in order to do this, and transition periods must also be accounted for in between each phase to allow owner transition. A phased approach must be developed by the consultant and approved by SRSTC to include the following. - Construct new addition. The new addition will be constructed and connected to the existing

building. Once the new resident rooms are created in the addition, they must be made fully operational so that the central area of Building E can be remodeled.

- Remodel diagonal wing resident rooms. The resident rooms in the diagonal wing will be

remodeled while the six existing resident rooms north of the existing day room are still in operation.

- Nurse’s station and acute care remodeling. Once the new addition is operational, the existing

nurse’s station and acute care area can be remodeled.

- North wing remodeling. Once the nurse’s station and acute care area is complete, the north wing can be remodeled to convert existing resident rooms to wet rooms and complete the new offices and linen rooms.

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Project Schedule:

A/E Selection: Dec 2021

Design Report: Oct 2022

SBC Authority to Construct: Dec 2022

Bid Date: Sep 2023

Start Construction: Nov 2023

Substantial Completion: Feb 2025

Final Completion: Sep 2025

Project Budget:

Construction: $9,696,000

Design: $864,000

DFDM Fee: $427,000

Contingency: $970,000

Equipment: $582,000

Other Fees: $61,000

TOTAL $12,600,000

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A/E Scope of Services:

The A/E will provide pre-design services through construction administration services as indicated in the DFD “Policy and Procedure Manual for Architects/Engineers and Consultants”, the “Guide for Developing Program Statements for Projects Requiring Enumeration”, and the DFD “Contract for Professional Services as directed by DFD at the Design Kickoff meeting. The services may be contracted in multiple parts with project-specific review/ approval/ authorization points in the contract as determined by the needs of the project. Authorization for subsequent services will be issued in writing upon satisfactory performance and completion of contracted services and deliverables

In addition to the requirements for pre-design through construction in the DFD Policy and Procedure Manual for Architects/Engineers and Consultants, the following additions and clarifications should be noted:

• The A/E will work with the DFD and the appropriate DHS and SRSTC staff to review the Program Statement and finalize the space plan for the Skilled Care Unit. A Design Report Appendix will summarize the basis of design for the Expansion and will accompany the Design Report summary. A detailed construction estimate and total project cost estimate will be provided. • The A/E will lead a meeting at the beginning of the project with the entire project team to integrate sustainability guidelines into the project vision. This team shall include (at a minimum) the key project stakeholders: Prime A/E representative, MEP engineer representative(s) as applicable, DFD Project Manager, Agency Contact, and representative from each user group or department. A narrative (200-400 words per measure) shall be provided that demonstrates how each of the sustainability criteria will be incorporated into the project moving forward.

• The A/E will meet with the Local Fire Department to advise them of the proposed project. • The A/E will submit plans to the Division of Safety and Professional Services for plan review. • The A/E will design all building service improvements in the remodeled building. This includes steam, chilled water, potable water, sanitary and storm sewer, normal power, emergency power, and communications systems. • The project will add video surveillance, monitoring and door access controls to Building E so that it may be integrated into the existing campus-wide systems. • The A/E will design audio/video systems to be used by residents or staff. These systems will be located in bedrooms and common programming spaces. • The A/E will complete a Type 2 environmental assessment as required by Administrative Code DHS 18.

• The A/E will provide Level 1 commissioning services including development of bid phase commissioning documents; direct and oversee construction phase commissioning including construction verification, start-up, check out, functional performance testing, observation and reporting on contractor training of staff, development of spare parts list and a final commissioning report.

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A/E Requirements:

The selected consultant shall have expertise in the design and construction of secure treatment centers. The A/E must demonstrate the ability to design secure treatment centers that provide a safe environment for residents, staff, and visitors. This includes space plans that maximize resident oversight and control in order to minimize injuries during physical interventions and to minimize the potential for resident self-harm. The A/E will have experience with designing secure treatment centers for an aging population with a mental health focus. The MEP consultant must demonstrate knowledge of security grade hardware used in Mechanical, Electrical and Plumbing systems in a secure environment. Security expertise with IP audio/video streaming, video surveillance, door access controls, and patient monitoring systems will be required.

Code and Regulatory Compliance:

A. Building E will be licensed as an I-3 occupancy as defined by the International Code Council. The existing building classification is Type 2-B per equivalent code at time of construction.

B. All work should meet the following codes and standards, as applicable.

1. Applicable Wisconsin Department of Safety and Professional Services (DSPS) and Wisconsin Department of Health Services (DHS) codes.

2. 2015 edition of International Building Code, International Existing Building

Code, International Energy Conservation Code, International Fuel Gas Code, and the International Mechanical Code.

3. National Fire Protection Association – NFPA 101 Life Safety Code 2012

edition. This includes all applicable NFPA codes referenced in chapter 2.1.

4. DOA/DFD – Policies and Procedures, Design Guidelines, Master Specifications, General Conditions & General Requirements, Sustainability Guidelines, as well as all other guidelines found on the DFD website.

5. Federal OSHA Safety and Health Standards (29 CFR 1910).

6. Americans with Disabilities Act (ADA) as applied to new and existing construction

C. The designer shall verify codes in effect at the time of design and applicability of

any other codes not specifically designated above.

D. Consultant shall provide to Owner/Agency a copy of all submittals and approvals of code or regulatory variations or exceptions.

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Space Tabulation:

This project will add and remodel approximately 13,600 GSF. Tentative space requirements are listed below.

Space Designation Qty ASF Total

Remodeled Existing Space

Remodeled ADA Resident 8 150 1200

Shower 2 40 270

Janitor 1 40 40

Resident Toilet 1 64 64

Office 2 100 200

Exam Room 1 120 120

Optometrist 1 120 120

Existing ADA Resident 4 150 600

Nurse Station 1 360 360

Dayroom 1 1600 1600

Existing Office 5 95 475

Acute Care Resident 3 150 450

Medical Anteroom 1 76 76

Acute Care Shower 1 100 100

Staff Toilet 1 70 70

Soiled Linen 1 80 80

Clean Linen 1 75 75

Laundry 1 70 70

Vestibule 1 55 55

Medication Room 1 80 80

New Addition

New Resident Room 8 150 1200

New Storage Room 1 150 150

New Mechanical Room 1 2100 2100

Total ASF 9,365

Total GSF 13,575

Building Efficiency 68.9%

Appendix: -SRSTC Site Plan

-Existing Building E Floor Plan

-Existing Skilled Care Unit Enlarged Floor Plan

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