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Page 1: Comox Valley Regional Districtagendaminutes.comoxvalleyrd.ca/Agenda_minutes/Hospital... · 2015. 2. 18. · The building as it currently stands does not meet the CSA Z317.2 requirements
Page 2: Comox Valley Regional Districtagendaminutes.comoxvalleyrd.ca/Agenda_minutes/Hospital... · 2015. 2. 18. · The building as it currently stands does not meet the CSA Z317.2 requirements
Page 3: Comox Valley Regional Districtagendaminutes.comoxvalleyrd.ca/Agenda_minutes/Hospital... · 2015. 2. 18. · The building as it currently stands does not meet the CSA Z317.2 requirements
Page 4: Comox Valley Regional Districtagendaminutes.comoxvalleyrd.ca/Agenda_minutes/Hospital... · 2015. 2. 18. · The building as it currently stands does not meet the CSA Z317.2 requirements
Page 5: Comox Valley Regional Districtagendaminutes.comoxvalleyrd.ca/Agenda_minutes/Hospital... · 2015. 2. 18. · The building as it currently stands does not meet the CSA Z317.2 requirements

ST. JOSEPHST. JOSEPHST. JOSEPHST. JOSEPH’S ’S ’S ’S GENERAL GENERAL GENERAL GENERAL HOSPITALHOSPITALHOSPITALHOSPITAL

EXECUTIVE SUMMARYEXECUTIVE SUMMARYEXECUTIVE SUMMARYEXECUTIVE SUMMARY LHRa Project NO.:14.22

Page 1 of 2

EXECUTIVE SUMMARYEXECUTIVE SUMMARYEXECUTIVE SUMMARYEXECUTIVE SUMMARY

With the new acute care hospital in Courtenay projected to open in late 2017 or early 2018, provision of acute

care services will transfer from St Joseph’s to Island Health.

St Joseph’s future role, while still in development, will be in healthcare and serve the needs of frail elderly

and chronic disease patients and will focus in phase one on the continuance of residential and hospice care

services and in phase two expand to consider new innovative and integrated approaches to health care

service delivery with other Health Care partners.

Low Hammond Rowe Architects Inc. (LHRa). were commissioned by St. Joseph’s General Hospital to carry

out a campus wide Facilities Assessment Study and prepare a comprehensive written report outlining the

condition of the buildings on site, as well as assist the St. Joseph’s Task Force by providing an assessment

of the existing land and facilities infrastructure, and to study facility redevelopment and expansion

opportunities in support of the future role.

The purpose of this high level strategic study is to ensure that the Task Force has the information necessary

to look at future roles for St Joseph’s and has the information necessary to:

• determine the best future use of the existing facilities and infrastructure to meet future needs,

• how to sustain and grow residential care capacities,

• leverage potential of the site,

• retain investment in facilities that still have a significant useful economic life, and

• complete the capital components of a Future Role business plan.

This report forms Phase One of the two phase assessment of the St Joseph’s General Hospital campus

facility assessment. The scope of work for Phase One includes the following:

• Assessment of condition and life span of existing facilities infrastructure

• Capacities of current electrical, mechanical and heating infrastructure • Feasible options to meet complex care standards for existing Residential Care facilities including

Hospice facilities.

• Benefits of from a high level of options to re-purpose mothball or demise vacated facilities.

• Site conditions overview

• Seismic Assessment

Phase Two of this assessment, beginning in January of 2015 will consist of an overall strategic capital

facilities plan for the site including:

• Suitability of vacated facilities for accommodation of new health related services as identified by the

Task Force

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ST. JOSEPHST. JOSEPHST. JOSEPHST. JOSEPH’S ’S ’S ’S GENERAL GENERAL GENERAL GENERAL HOSPITALHOSPITALHOSPITALHOSPITAL

EXECUTIVE SUMMARYEXECUTIVE SUMMARYEXECUTIVE SUMMARYEXECUTIVE SUMMARY LHRa Project NO.:14.22

Page 2 of 2

• Identification of pros and cons of various facility location options to maximize use of the

available land - including potential for redevelopment and/or sale

• Zoning Implications

• Alignment with Town of Comox Official Community Plan • Capital Plan in support of the Future Role for redevelopment and expansion and long term capital

maintenance including Operating and Maintenance costs and regulatory and code requirements

The report that follows is a building by building assessment of the current buildings and infrastructure of all

the buildings on the St. Joseph’s general Hospital site. Following the lead of LHRa the following Consultants

each completed a review of the site facilities respective of their specific disciplines, and included:

• Read Jones Christoffersen Ltd. – Structural/Seismic

• WSP Mechanical – Plumbing, Mechanical (HVAC) Fire Suppression and building water and sewer

services.

• WSP Electrical – Electrical lighting, Power, Fire-alarm, nurse call and Communications.

For each discipline statements are provided documenting the findings with respect to:

• The hospital buildings’ current condition

• Compliance with current codes, best practice and standards

• Seismic conditions as related to BC Building Code 2012 Edition.

Though there are no detailed cost estimates for operation and maintenance, building upgrade or

repurposing, the report includes commentary from a high level related to the general strategic goals for the

site after opening of the Acute Care Facility in 2017.

Work not in scope of this assessment:

• Development of the future role of St. Joseph’s

• Community engagement

• Preparation of operational service plans and funding for future role(s)

• Planning for potential non-healthcare uses of the site

• Detailed functional programming for capital projects identified for the future role

• Detailed design development for capital projects identified for the future role

• Hazmat survey and assessment

• Building envelope destructive testing and investigation. (Addendum January 23, 2015)

• Options Costing

The following building by building Facility Assessment Report summarizes the findings of the team with

respect to the condition of all buildings on the St Joseph’s general Hospital campus.

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ST. JOSEPH’S ST. JOSEPH’S ST. JOSEPH’S ST. JOSEPH’S GENERAL GENERAL GENERAL GENERAL HOSPITALHOSPITALHOSPITALHOSPITAL

FACILITY ASSESSMENT REPORTFACILITY ASSESSMENT REPORTFACILITY ASSESSMENT REPORTFACILITY ASSESSMENT REPORT LHRa Project NO.:14.22

Page 1 of 16

FACILITY FACILITY FACILITY FACILITY ASSESSMENTASSESSMENTASSESSMENTASSESSMENT

Following is a general building assessment report for each of the buildings at St. Joseph’s General

Hospital. This section of the Facility Assessment report is backed up by the building Facility Audit

Sheets found in Appendix One.

BUILDING ENVELOPEBUILDING ENVELOPEBUILDING ENVELOPEBUILDING ENVELOPE –––– GENERAL COMMENTARYGENERAL COMMENTARYGENERAL COMMENTARYGENERAL COMMENTARY

In anticipation of redevelopment of either the campus or the individual buildings, the team has

made on site visual observations only and have provided comments on those bases. It the

understanding that it would be most prudent from a practical and cost perspective that when a

redevelopment plan is in place, then SJGH can request a more detailed review of a building

envelope based on the potential re-use, re-purpose, renovation or demolition of a building to

provide a methodology for rehabilitation/restoration and be able to provide a more accurate

account of the potential cost to SJGH.

HAZARDOUS MATERIALS HAZARDOUS MATERIALS HAZARDOUS MATERIALS HAZARDOUS MATERIALS –––– GENERAL GENERAL GENERAL GENERAL COMMENTARYCOMMENTARYCOMMENTARYCOMMENTARY

As with the Building Envelope, a Hazardous Materials survey has minimum benefit at this

particular juncture as the future plans for re-development are still unknown. Given the limited

time and budget for this initial phase the team have decided that in order to obtain the optimum

benefits of any survey or study is to understand what the future plans are for each building and

then assess the individual buildings based on what the future plans may be. We understand that

the facility currently has limited information as to the various levels of hazardous materials in

each building. As re-development plans are defined and confirmed then a methodology of

abatement and treatment will be developed based on the particular details.

SITESITESITESITE

The site was visited on three occasions by LHR, and in both good weather and very wet weather. In

general the site appears to be well maintained from both a hard landscaping (roads, walkways and

paving) and soft landscaping (plants, shrubs and trees). The site slopes to the south east from the

entrance on Comox Avenue and on the wet days it appeared that all lots were draining well to

catch basins and flooding was minor.

The parking lots are primarily asphalt paving and curbs with some apron areas in concrete. There

are accessibility let downs at all entrances to the buildings and crossings are well marked and

clear to read. Painted lines appear to be relatively new and signage is clear throughout the site.

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ST. JOSEPH’S ST. JOSEPH’S ST. JOSEPH’S ST. JOSEPH’S GENERAL GENERAL GENERAL GENERAL HOSPITALHOSPITALHOSPITALHOSPITAL

FACILITY ASSESSMENT REPORTFACILITY ASSESSMENT REPORTFACILITY ASSESSMENT REPORTFACILITY ASSESSMENT REPORT LHRa Project NO.:14.22

Page 2 of 16

Planted materials looked healthy and hardy, but along the west site of the Ambulatory care

building it may be advisable to cut back some of the growth away from the stucco walls. From a

maintenance perspective overall the grounds-keeping appears to be excellent.

There are areas all around the Ambulatory Care Building (stucco/brick veneers) that are staining

and absorbing moisture because of the lack of separation between concrete walks and the

building faces. In a long range plan should the building remain in place, it is recommended that

the hard surfaces be cut back or realigned so that a free draining separation can be installed. This

would alleviate the splash back and also allow the wall surface to drain water away rather than

deposit water onto pedestrian walks.

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ST. JOSEPH’S ST. JOSEPH’S ST. JOSEPH’S ST. JOSEPH’S GENERAL GENERAL GENERAL GENERAL HOSPITALHOSPITALHOSPITALHOSPITAL

FACILITY ASSESSMENT REPORTFACILITY ASSESSMENT REPORTFACILITY ASSESSMENT REPORTFACILITY ASSESSMENT REPORT LHRa Project NO.:14.22

Page 3 of 16

ACUTE CARE BUILDINGACUTE CARE BUILDINGACUTE CARE BUILDINGACUTE CARE BUILDING

The original acute care facility was constructed from 1964 to 1967, and officially opened on June

17th, 1967. Subsequent additions and renovations have taken place, including Ambulatory care and

Administration additions (1970) and Intensive Care Unit Additions and Alterations (1999), a Dietary

and Cafeteria Addition (1993) and the addition of the Physical Medicine Building (2006).

The Acute care building has reached a point where structural and building systems’ obsolescence

requires substantial upgrade.

The building structure appears to be performing well, with no significant signs of deflection or

structural deterioration. However seismic force resistance requirements for the building have

evolved considerably over the past 50 years, and buildings of this vintage do not typically meet the

current building code seismic design requirements.

Finishes are a combination of brick veneer and stucco on the Acute Care building, stucco on the

Cancer Centre, and masonry units on the Physical Med addition. The Physical Med building and the

Cancer Centre all have a metal cladding spandrel at the roof level. Finishes on these two buildings

are in good shape while the brick veneer shows a history of cracking along mortar lines that

appear to be caused by thermal stresses over the years. There has been some levels of repointing

and caulking of the mortar joints.

The Acute care building contains the main heating plant, steam plant and emergency generators

(located in an attached building) servicing all buildings on the St. Joseph’s General Hospital Site.

The building as it currently stands does not meet the CSA Z317.2 requirements for a health care

facility for HVAC systems. The exterior radiation cabinets do not meet the Standard will need to be

replaced with radiant ceiling panels to comply. There is no redundancy for the air handling units

supplying the building as required by the CSA. The air change rates do not meet the rates required

and the rooms lack the control and infrastructure required to accommodate the room by room

temperature regulation required by CSA.

The main electrical utility service for this site is provided by BC Hydro and is connected via a single service via a power pole at the site boundary on the corner of Comox Ave and Rodello Street in Comox BC. The utility service enters the substation in the acute care building via underground ducts and

pullboxes from the BC Hydro pole dip service. The utility power is transformed for secondary

distribution throughout the hospital site to the Acute Care Building, 1938 Wing, Emergency

/ambulatory care/diagnostics care building, Psychiatry Wing, physical medicine building and the

Eagle View and Ocean View buildings. There is no dual radial feed; meaning that when BC Hydro

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ST. JOSEPH’S ST. JOSEPH’S ST. JOSEPH’S ST. JOSEPH’S GENERAL GENERAL GENERAL GENERAL HOSPITALHOSPITALHOSPITALHOSPITAL

FACILITY ASSESSMENT REPORTFACILITY ASSESSMENT REPORTFACILITY ASSESSMENT REPORTFACILITY ASSESSMENT REPORT LHRa Project NO.:14.22

Page 4 of 16

loses power to the circuit that feeds the hospital there is no other circuit to feed the hospital, this

arrangement does not meet the CSA Standard Z32-09 clause 6.6.2.1(a). In the event of a power

failure there are two backup generators capable of sustaining power for up to 72 hours from a

backup fuel tank. If one generator were to fail the system load sheds to sustain vital areas of the

hospital.

The fire alarm system in the Acute Care Building (is a fully addressable 2 stage Edwards EST3). It

is relatively new upgraded in 2007 and should operate as expected with regular maintenance for

the next ten years. WSP recommends utilizing and expanding the existing system for future

renovation projects as required. Any re-development of the acute care building or site area would

require a reconfiguration or complete re-work of the existing site fire alarm.

With respect to the current edition of the BC Building Code this building would no longer comply to

the code. Some of the corridor widths do not meet the minimum with for patient bed movement,

and exit stair widths do not comply with the code.

The building does lend itself to re-purposing to an alternate use such as an office or clinical

function. The building is un-suitable for Residential Care or Licensed Dementia Care without the

formation of a circulation loop and other layout revision. It is conceivable that to repurpose the

building the requirements of municipal rezoning and significant building Code upgrading would be

required.

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ST. JOSEPH’S ST. JOSEPH’S ST. JOSEPH’S ST. JOSEPH’S GENERAL GENERAL GENERAL GENERAL HOSPITALHOSPITALHOSPITALHOSPITAL

FACILITY ASSESSMENT REPORTFACILITY ASSESSMENT REPORTFACILITY ASSESSMENT REPORTFACILITY ASSESSMENT REPORT LHRa Project NO.:14.22

Page 5 of 16

PSYCHIATRY BUILDINGPSYCHIATRY BUILDINGPSYCHIATRY BUILDINGPSYCHIATRY BUILDING

The Psychiatric wing was constructed in 1972 and an addition to the north was constructed 30

years later in 2002. The main floor construction is a suspended concrete slab over a crawl space.

Exterior walls are split face striated masonry units and are un-painted on the exterior faces.

Interior partitions are primarily exposed painted concrete masonry units.

The 2002 addition added six seclusion rooms to the north end of the building. Floor construction is

a concrete slab on grade, exterior walls are a non-striated split face concrete masonry units, and

the interior partitions are painted concrete masonry.

The building appears to be in good condition and finishes are well maintained. Investigation of the

existing roof noted that the roof over the 2002 addition is the original roof and it is very soft. The

roof should be examined and tested for possible replacement to extend the life.

In general, the building structure appears to be performing well, with no signs of significant

deflections, structural deterioration, or distress to the building finishes or exposed structure.

Seismic design provisions in Building Codes have changed since this building was constructed.

Buildings of this vintage and of similar construction typically do not have sufficient lateral capacity

to meet the requirements of the current building code.

The building as currently functioning can maintain its use, but like all buildings on the campus is

dependent on the Acute Care Building for heat, water and power systems.

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ST. JOSEPH’S ST. JOSEPH’S ST. JOSEPH’S ST. JOSEPH’S GENERAL GENERAL GENERAL GENERAL HOSPITALHOSPITALHOSPITALHOSPITAL

FACILITY ASSESSMENT REPORTFACILITY ASSESSMENT REPORTFACILITY ASSESSMENT REPORTFACILITY ASSESSMENT REPORT LHRa Project NO.:14.22

Page 6 of 16

PHPHPHPHYYYYSICAL MEDICINE BUILDINGSICAL MEDICINE BUILDINGSICAL MEDICINE BUILDINGSICAL MEDICINE BUILDING

The Physical Medicine Building was constructed in 1970. Added to the North end of the Acute Care

building concurrently with the first expansion of the Ambulatory Care portion of the building, the

building is constructed of masonry exterior walls, metal deck and steel roof joist construction

supported by steel frame.

The existing seismic force resistance for the building is provided by the concrete block walls on

the interior and exterior of the building. The lateral loads imparted on the building by seismic

accelerations are transferred to the walls though the roof diaphragm which consists of metal

decking. Seismic design provisions in Building Codes have changed since this building was

constructed. Buildings of this vintage and of similar construction typically do not have sufficient

lateral capacity to meet the requirements of the current building code

As with all the buildings at St. Joseph’s the Physical Med building services originate in the 1964

building, and if the building is to remain and the Acute Care building removed all services would

need to be reconfigured from a new source or an addition to the building of Electrical and plant

services room. This building abuts the wood frame Cancer Centre which it may be partially

supporting as well as the concrete service ramp to the 1938 wing, which may make it impractical

to retain in the event that the acute care building is demolished.

From an envelope point of view the building appears to be in good shape and well maintained. It

shows no evidence of leaking or structural cracking.

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ST. JOSEPH’S ST. JOSEPH’S ST. JOSEPH’S ST. JOSEPH’S GENERAL GENERAL GENERAL GENERAL HOSPITALHOSPITALHOSPITALHOSPITAL

FACILITY ASSESSMENT REPORTFACILITY ASSESSMENT REPORTFACILITY ASSESSMENT REPORTFACILITY ASSESSMENT REPORT LHRa Project NO.:14.22

Page 7 of 16

EMERGENCY/AMBULATORY CARE/DIAGNOSTICS BUILDINGEMERGENCY/AMBULATORY CARE/DIAGNOSTICS BUILDINGEMERGENCY/AMBULATORY CARE/DIAGNOSTICS BUILDINGEMERGENCY/AMBULATORY CARE/DIAGNOSTICS BUILDING

The Emergency/Ambulatory Care/Diagnostics component was constructed in three separate

pieces. The first addition included a basement area to the north of the existing building consisting

of a suspended slab and slab-band on concrete walls and columns. Future additions in 1997 and

2005 were constructed as slab on grade. The partitions are steel stud and gypsum wallboard and

the roof construction is steel frame. The exterior walls are finished with an acrylic rendered stucco

system.

The buildings HVAC system lacks the redundancy required by CSA for a health care facility

performing its current function. The air change rates also do not meet the current standards and

there does not appear to be the negative pressure relationship between the Emergency

Department and the surrounding space as required. The space will require upgrading to meet the

current CSA codes for health care facilities.

The electrical distribution in this building is fed from the main North-East electrical room in the

basement of the acute care building. The normal distribution is also feed from the North–East

electrical room, the vital, delayed vital and condition services are derived from the substation

distribution. The transformer installation in the penthouse stairwell is not code compliant.

Stucco finishes, trims and reveals are in good shape typically and appear to be well maintained.

There is some splash staining at stucco where it is in close contact with sidewalks. Roofing of this

portion of the building is a modified bituminous roof membrane, and appears to be in good shape.

Metal flashings are sloped to drain and in good repair.

As with all the buildings at St. Joseph’s the services for these areas originate in the 1964 building,

and if the building is to remain and the Acute Care building removed all services would need to be

reconfigured from a new source or an addition to the building of Electrical and plant services

room.

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ST. JOSEPH’S ST. JOSEPH’S ST. JOSEPH’S ST. JOSEPH’S GENERAL GENERAL GENERAL GENERAL HOSPITALHOSPITALHOSPITALHOSPITAL

FACILITY ASSESSMENT REPORTFACILITY ASSESSMENT REPORTFACILITY ASSESSMENT REPORTFACILITY ASSESSMENT REPORT LHRa Project NO.:14.22

Page 8 of 16

EAGLE VIEW RESIDENTIAL CAREEAGLE VIEW RESIDENTIAL CAREEAGLE VIEW RESIDENTIAL CAREEAGLE VIEW RESIDENTIAL CARE

The Eagle View Residential Care Building was constructed in 1982. The residential component is a

single storey wood frame building with a stucco finish to the exterior. Interior partitions are wood

frame and drywall construction. The Building is connected to the 1938 wing at the main level via an

enclosed bridge link. The building is also connected to the Ocean View Dementia Care facility to

the south. This common link is a single storey structure over a basement area which houses a

carpentry shop and other related maintenance spaces.

Since the time of the field reviews on site, the hospital has begun a series of window replacements and

upgrades to the Eagle View residences. The deconstruction related to this upgrade has exposed and

identified water ingress issues on the south (water side) facing elevation of the facility, and resulting in some

of the wood framing showing sign of rotting. It is expected that the rot in this location is isolated a

investigation has not identified the problem on other faces of the building. The conditions revealed were not

identified in the original report submitted on the 8th of December 3014, as the mandate of the team did not

include destructive testing of the buildings. Photographs Fig 04 & 05, did indicate that at the east side of the

bridge connection water was getting behind the finish, The photo also indicated that this too appeared to be

an isolated incidence as the water appeared to be concentrated at this location.

Structurally the main floor is constructed of concrete slab on grade. The roof is constructed of

wood joists supported by wood framed walls. Foundations consist of reinforced concrete pad and

strip footings. Seismic design provisions in Building Codes have changed since this building was

constructed and buildings of this vintage and of similar construction typically do not have sufficient

lateral capacity to meet the requirements of the current building code.

Mechanically the Eagle View ECU utilises a dual duct box HVAC system to provide conditioned air

to all spaces served. The building originally had its own boiler system with 3 boilers but these were

replaced by hydronic mains from the 1964 Building system through the Ocean View Building in

1990

The electrical distribution in this building is fed from the main North-East electrical room in the

basement of the acute care building. The normal distribution is feed from the North–East

electrical room, the vital, delayed vital and condition services are derived from the substation

distribution. The main distribution is predominantly 1992 vintage and the sub distribution panel

boards are predominately 1970 vintage.

The condition of the building as it stands appears to be good. Exterior wall finishes are showing

little or no sign of stress or breach of the envelope. Roofs are relative new and are showing no sign

of ponding or degradation. The interior corridor walls are lined with a carpet type wall protection

that should be removed as it can hold moisture harvest mould growth. It is not a recommended

infection control material.

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ST. JOSEPH’S ST. JOSEPH’S ST. JOSEPH’S ST. JOSEPH’S GENERAL GENERAL GENERAL GENERAL HOSPITALHOSPITALHOSPITALHOSPITAL

FACILITY ASSESSMENT REPORTFACILITY ASSESSMENT REPORTFACILITY ASSESSMENT REPORTFACILITY ASSESSMENT REPORT LHRa Project NO.:14.22

Page 9 of 16

As with all the buildings at St. Joseph’s the Eagle View services originate in the 1964 building, and

if the building is to remain and the Acute Care building removed all services would need to be

reconfigured from a new source or an addition to the building of Electrical and plant services

room.

Eagle View does not satisfy the current Residential Care Regulation in terms of the type of

Bedroom and certain facilities for Residents and Staff. The Residential Care Regulation in our

opinion is a minimum standard in terms of Bedroom size, particularly given mobility issues for

Residents—the “old” Multilevel Care Guideline is an enhanced standard being 10% larger, and one

which we believe the Island Health Authority (IHA) supports. The CSA Z8000-11 space standard for

Canadian Health Care Facilities is larger than the Residential Care Regulation and the Multilevel

Care Guideline. It includes Hospice-type beds, and where complex medical and nursing needs are

required typical of a Hospital environment. There is an emphasis on more space where Resident

mobility is a challenge, e.g. wheelchairs, walkers, etc.

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ST. JOSEPH’S ST. JOSEPH’S ST. JOSEPH’S ST. JOSEPH’S GENERAL GENERAL GENERAL GENERAL HOSPITALHOSPITALHOSPITALHOSPITAL

FACILITY ASSESSMENT REPORTFACILITY ASSESSMENT REPORTFACILITY ASSESSMENT REPORTFACILITY ASSESSMENT REPORT LHRa Project NO.:14.22

Page 10 of 16

OCEAN VIEW DEMENTIA CAREOCEAN VIEW DEMENTIA CAREOCEAN VIEW DEMENTIA CAREOCEAN VIEW DEMENTIA CARE

The Ocean View Dementia Care Building was constructed in 1993. The main floor construction is a

suspended concrete slab over a fully open air ‘basement’. Stairs, columns, and foundations have

been carried to natural grade approximately 3.6 metres below the main floor level. It is assumed

that the exposed area is seen as expansion space. All plumbing services are underground which

would allow a new slab on grade floor be provided for a future lower level expansion. Stair shafts

as well as a shaft for a future elevator also extend to finished grade.

The seismic lateral loads imparted on the building by seismic accelerations are transferred to the

walls though the roof and floor diaphragms, which consist of plywood at the roof level, and a

reinforced concrete suspended slab at the main floor. Seismic design provisions in Building Codes

have changed since this building was constructed and buildings of this vintage and of similar

construction typically do not have sufficient lateral capacity to meet the requirements of the

current building code.

Mechanically the ventilation requirements of the building are served by two single fan supply air

handling units AHU 1 and AHU2. AHU 1 provides 100% outdoor air to the patient wings, AHU2

provides mixed air to the Servery and Dinning areas.

The building is lacking the redundancy in ventilation equipment to meet CSA requirements.

The electrical distribution in this building is fed from the main North-East electrical room in the

basement of the acute care building. The normal distribution is fed from the North –East electrical

room, the vital, delayed vital and condition services are derived from the substation distribution.

The main distribution is predominantly 1992 vintage and the sub distribution panel boards are

predominately 1970 vintage. The power for Ocean View is routed thru the existing buildings thru

ducts and pull-boxes, routes underground behind the 1938 Building and enters the basement

main electrical room of the Ocean View building and power is then distributed from a main CDP to

MCC’s and branch circuit panels throughout the facility.

The condition of the building as it stands appears to be good. Exterior wall finishes are showing

little or no sign of stress or breach of the envelope. The roofs is original (1993) and is showing no

sign of ponding or degradation. There is however a significant moss build-up. Like Eagle View the

interior corridor walls are lined with a carpet type wall protection that should be removed as it can

hold moisture harvest mould growth. It is not a recommended infection control material.

The suspended main floor slab of the building is insulated with a sprayed cellulose insulation that

has been severely compromised by a large pigeon population. Large areas of the insulation are

gone and there are multiple nesting areas on the service lines and trays running below the slab.

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ST. JOSEPH’S ST. JOSEPH’S ST. JOSEPH’S ST. JOSEPH’S GENERAL GENERAL GENERAL GENERAL HOSPITALHOSPITALHOSPITALHOSPITAL

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Page 11 of 16

As a minimum the full insulation coverage should be re-established and then protected with a

‘hard-coat’ application to prevent birds from removing the material.

As with all the buildings at St. Joseph’s the Ocean View building services originate in the 1964

building, and if the building is to remain and the Acute Care building removed all services would

need to be reconfigured from a new source or an addition to the building of Electrical and plant

services room.

Ocean View as with Eagle View does not satisfy the current Residential Care Regulation in terms of

the type of Bedroom and certain facilities for Residents and Staff. The Residential Care Regulation

in our opinion is a minimum standard in terms of Bedroom size, particularly given mobility issues

for Residents—the “old” Multilevel Care Guideline is an enhanced standard being 10% larger. The

CSA Z8000-11 space standard for Canadian Health Care Facilities is larger than the Residential

Care Regulation and the Multilevel Care Guideline. It includes Hospice-type beds, and where

complex medical and nursing needs are required typical of a Hospital environment. There is an

emphasis on more space where Resident mobility is a challenge, e.g. wheelchairs, walkers, etc.

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1938 BUILDI1938 BUILDI1938 BUILDI1938 BUILDINGNGNGNG

The four storey 1938 wing was constructed in 1938 and the East side of the building was modified

circa 1967 with the addition of the large decks.

The addition to the east end of the building appears to be constructed of reinforced concrete

columns and beams supporting wood floors. The decks on the east side were noted to have areas

of rot in the wood floor structure.

Structural drawings were not available at the time of review, however, buildings of similar vintage

and construction are typically constructed with load bearing exterior un-reinforced masonry

exterior walls, wood framed floors and wood framed supporting structure on the interior of the

building. The construction of the addition on the east side is unknown and is assumed to be of

similar construction as the original structure.

No seismic design provisions were included in Building Codes when this building was constructed.

Seismic provisions for buildings in Canada were first introduced in the National Building Code of

Canada in the 1960’s, and they have evolved considerably since that time. Buildings of this vintage

and of similar construction typically have less than 30% of lateral capacity specified by the current

building code and have performed poorly in recent earthquakes.

The heating and domestic piping systems are connected to the 1964 building. The HVAC system

consists of perimeter radiators and a central single zone air handling supply system. The radiators

are served by two zones, East and West, with separate pumps and 3 way mixing valves to further

lower the temperature of the radiator loop water. The radiators are controlled by zone, no

individual room temperature control is provided. Domestic water including hot and recirculation is

served from the 1964 building system through the Link.

Electrically the building is connected to the adjacent Eagle View building by an enclosed link with

fire suppression and smoke control on the South side and a corridor connects to the Acute Care

facility on the North side. The electrical service is routed thru the existing back of house area,

penetrates the exterior of the building by shipping receiving, continues underground and enters

the 1938 Wing building basement routing to the main electrical room terminating on a main

disconnect and distribution panelboard.

It is unknown at this time whether the building has any ‘Heritage” designation by the municipality

that may affect the ability to renovate or construct an addition. At the time of review the building

was undergoing a level of renovation and addition to convert it to an administration use.

For the building life to be extended there is a major envelope and structural up-grade required.

The building is not suited for a ‘hospital’ use at this time because of narrow corridors and non-

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compliant exit stairways. With upgrades and seismic improvement the building is useful as an

office or administration building, as well as an emotional and historic focal point for the campus.

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ST. JOSEPH’S ST. JOSEPH’S ST. JOSEPH’S ST. JOSEPH’S GENERAL GENERAL GENERAL GENERAL HOSPITALHOSPITALHOSPITALHOSPITAL

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CANCER CENTRECANCER CENTRECANCER CENTRECANCER CENTRE

The Cancer Centre abuts the Physical Medicine Building. The main floor construction is a concrete

slab on grade, with the entry at the same level as the Acute Care Building main floor. The interior

floor ramp on the east side follows roughly the line of the exterior ramp to the 1938 building that

the infill addition abuts.

The envelope appears to be in good condition, and the roof is relatively new and in good repair.

All services to the Cancer Centre originate in the Acute Care Building.

The building functions well in its current use, but as it is an infill structure between the Physical

Medicine Building and the 1938 wing ramp, may not lend itself to repurposing should the Cancer

Clinic be relocated or decanted to the new hospital site.

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ST. JOSEPH’S ST. JOSEPH’S ST. JOSEPH’S ST. JOSEPH’S GENERAL GENERAL GENERAL GENERAL HOSPITALHOSPITALHOSPITALHOSPITAL

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Building Condition SummaryBuilding Condition SummaryBuilding Condition SummaryBuilding Condition Summary

The following table shows an overview of the condition of the various building on the St. Joseph’s

general Hospital Site.

BuildingBuildingBuildingBuilding AgeAgeAgeAge Yrs Yrs Yrs Yrs

StructureStructureStructureStructure MechanicalMechanicalMechanicalMechanical SystemsSystemsSystemsSystems

ElectricalElectricalElectricalElectrical SystemsSystemsSystemsSystems

EnvelopeEnvelopeEnvelopeEnvelope

Roof Roof Roof Roof

Acute Care Building

51 Good Poor (1)

Fair (2)

Fair Good

Psychiatry Wing

43 Good Fair Fair

Good Fair

Physical Medicine

45 Good Fair Fair Good Good

Emergency/Ambulatory/Diagnostics

9-45 Good Fair Fair Good Good

Eagle View

35 Good Fair Fair Good(3) Good

Ocean View

24 Good Fair Fair Good(4) Fair

1938 Wing

77 Fair Poor Poor Good Good

Cancer Centre

Unknown Good Fair Fair Good Good

Notes:

1. Condition of power-house is good but remaining systems are in poor condition.

2. Generating system good, capacity good, main dist. Equipment fair. Majority of secondary dist.

equipment poor.

3. Some rot has been discovered in the course of work associated with window replacement on the

south (water-facing) elevation, but appears to be localized.

4. An envelope restoration has been carried out in recent years.

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Building ReBuilding ReBuilding ReBuilding Re----purposing Summarypurposing Summarypurposing Summarypurposing Summary

The table below indicates possible re-purposing options for the buildings on the St Joseph’s

General Hospital site.

BuildingBuildingBuildingBuilding AgeAgeAgeAge Yrs Yrs Yrs Yrs (1)

CurrentCurrentCurrentCurrent UseUseUseUse (2)

ResResResRes CareCareCareCare

ClinicalClinicalClinicalClinical OfficeOfficeOfficeOffice RetailRetailRetailRetail

NotesNotesNotesNotes

Acute Care Building 51 No No Yes Yes

Psychiatry Wing 43 Yes No Yes Yes

Physical Medicine 45 Yes No Yes Yes

Emergency/Ambulatory/Diagnostics 9-45 Yes No Yes Yes

Eagle View 35 No No Yes Yes

Ocean View 24 No No Yes Yes

1938 Wing 77 Yes No Yes Yes

Cancer Centre Unknown Yes No Yes Yes

NOTES:

1. Approximate age of building January 2015

2. Does the building meet current BC Building Code, Provincial Standards for the current use of the building?