ATTACHMENT E
SITE SELECTION TOOL FOR MINIMUM CARE FACILITY
Grading: A (best) to D (unacceptable)
Priority Level / Domain / Characteristic / Grade1 / Facility / Flooring / A. Concrete, tile, vinyl, rubber
B. Wood
D. Carpet
1 / Facility / Site acquisition / A. Public building closed due to pandemic
B. Private building closed due to pandemic or public building closed for this use
C. Private building closed for this use
1 / Facility / Acute care space / A. Single room large enough for all beds
B. Two rooms will hold all beds
D. Multiple small rooms
1 / Facility / Assisted care space / A. Rooms holding from two to six beds
B. Single rooms
C. Two large rooms (male and female)
D. Single large room without sex segregation
1 / Facility / Triage space / A. Separate room proximal to acute care area, with external door opening onto driveway or parking lot
B. Distance to external door or distance to acute care area requires transport through non-clean area
D. Room not separate or transport through clean area required.
1 / Facility / Morgue space / Separate room with solid door required
1 / Facility / Ancillary space / A. Separate room for staff rest, eating area, offices, supply storage, counseling, pharmacy (if used)
B. Multi-function rooms due to limited space
D. No space for all above functions
1 / Facility / Halls and Doors / Adequate for gurneys and wheelchairs
1 / Facility / Sinks and Toilets / A. Sinks within acute care area and nearby toilets
B. Sinks located in nearby toilets only
C. Toilets distant
1 / Facility / Locker rooms / A. At least two rooms with individual lockers, showers and toilets (male and female)
B. At least two rooms with lockers (male and female)
C. Two rooms with space for staff changing and place to hang clothing and PPE to dry
D. Less than C
1 / Facility / Communications / A. Internet access, Stagenet access, telephone lines
B. No Stagenet access
C. No Internet access
D. No phone lines
1 / Facility / Utilities / A. Hot water, heating, cooling, sewage, electrical power with regular outlets
C. Electrical outlets distant
1 / Facility / Services / A. Facility provides security staff
B. Contracted security staff
C. Volunteers provide all security
1 / Facility / Services / A. Facility provides laundry services
B. Contracted laundry services
C. Volunteers provide laundry services
1 / Facility / Services / A. Facility provides janitorial services
B. Contract or volunteer janitorial services
1 / Facility / Services / A. Facility provides food services
B. Contracted food services
D. Volunteers prepare food
1 / Facility / Services / A. Facility provides administrative staff
B. Administrative staff assigned to rotating volunteers
D. Administrative staff assigned to random volunteers daily
1 / Supplies / Bed acquisition / A. Facility provided or DOC provided
B. Available from other public facility
C. Mixed acquisition (private source, purchase, donated)
D. Unsecured supply (e.g., 100% donated at time of event)
1 / Supplies / Beds / A. Twin bed or surge bed
B. Double beds, cots
D. Mattress or mat on floor
1 / Supplies / Mattresses / A. Vinyl cover, impervious
B. Cloth with plastic sheet underlayment
1 / Supplies / Refrigeration / A. At least two refrigerators – meds and food
B. One medication refrigerator
C. Refrigeration dependant on ice
2 / Facility / Generator / A. Backup generator on site which can run all services
B. Backup generator on site can maintain lights and HVAC
C. No backup power
2 / Facility / Lighting / A. Lighting adequate without supplementation
C. Lighting requires supplemental lamps
D. Supplemental lighting required without proximal electrical outlets
2 / Supplies / Office equipment / A. Fax, computers, copiers, printers available for use
B. Some office equipment must be brought in
C. All office equipment must be brought in
2 / Facility / Ancillary space / Loading dock
2 / Facility / Ancillary space / On-site parking
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