Strategic Facilities Planning

FIRM PROFILE

5 Knoll Vista Atherton, CA 94027

Voice: 650.854.8937 Fax: 650.854.7280 Email: ald@pacbell.net Web: www.sfp-ald.com

Founded by Amy L. Delson, AIA in 1996, Strategic Facilities Planning(SFP) provides facilities planning and program management services togrowing/changing institutions and corporations.

Managing change requires an understanding of mission, values, process,technology, regulations, market forces, funding, phasing, and construction alternatives. For over twenty-five years, we have planned and implemented facilities for universities, medical centers, high tech corporations, and governmental agencies

Planning Process

Cash Flow Options3

Concept Workshop

Design Workshop

PROFESSIONAL SERVICES We offer the following range of services to our clients:

Needs Assessment Functional and Space

Programming Space Planning Laboratory Planning:

Research/ Development/ Forensic/Clinical/ Vivarium

Medical Planning: Acute/ Long Term/ Ambulatory Care

Higher / K-12 Education Planning

Equipment Planning

Strategic & Master Facilities Planning

Operations Analysis (Process & Flow / Lean)

Project / Program Management Tenant Improvements Construction Administration Move Coordination Site Analysis Code Compliance Benchmarking Alternate Officing

APPROACH Responsive service, attention to detail, operational efficiency, adaptability, cost control, and quality design form the basis of our planning approach.

A collaborative planning process fosters creative decision-making, owner participation, and builds consensus among stakeholders. We begin bylistening to share the vision, assisting clients to: establish goals and objectives, define roles and responsibilities, determine planning horizons,refine scope, schedule milestones and meeting dates, and budget projectcost.

We develop customized tools including web-enabled surveys to identify key issues and drivers of change, relationships, head count, space standards,workload, operational process and flow (Lean), functional needs, equipment,utilities and support systems. We document findings in a ProgramStatement or in a more dynamic forecasting model.

At the same time, we evaluate sites or assess existing conditions. From ouranalysis of opportunities and constraints / supply and demand, we canproject facilities development requirements before traditional design servicesbegin.

In the design phase, we can provide space planning services; assist inequipment, finishes, and casework selection/specification; develop details; coordinate building design and systems with functional requirements; andquality control documents.

During/post construction, we can provide conformance with design intentreviews, move-coordination, and post occupancy evaluation services

.

Strategic Facilities Planning

FIRM PROFILE

Selected Experience: EDUCATION & RESEARCH

Master P lan D iagram

Master Plan Diagram

Chemistry Class Labs

Lab Casework Study

Neuroscience Research Lab

Teaching Lab

Stanford University, Stanford, CA - School of Earth Sciences Laboratory Master Plan (2005: 236k bgsf) - Department of Biological Sciences Strategic Facilities Plan (2001:

287k nasf)) - Varian Phase Two (1996) Renovation with accelerated schedule including

Biochemistry Laboratories (for the Nobel Prize winner for Physics) and Class 10k Astrophysics Clean Rooms (HMC)

- Varian Phase Three Study (1997) including Physics Clean Rooms (Dr. Blas Cabrera) and Department Library (HMC)

Stanford University School of Medicine, Stanford, CA - Center for Population Health Research (2007/ 8: 39,000 gsf) Tenant

Improvements for Clinical Research programs. including Offices, Research Subject Center and Lab

- Defining the Research Facilities Model of the Future http://medfacilities.stanford.edu/space/downloads/TaskForceReport.pdf (2007)

- The Li Ka Shing Center for Learning and Knowledge (2003-6) Program Statement 120k gsf new / 67k nasf backfill) (SFP/A+A), and Peer Review

- Master Plan (2005) (BOORA) - SIM1 Scoping Workshops Preparation (2004) - Anesthesia Department 5-Yr Facilities Plan (2004: 21k nasf) - Fleischmann Teaching Labs Retrofit (2003: 7k nasf) - Vision Institute Programming Report and Site Selection (2002/3: 75.2

gsf) Includes cGMP Lab, Research Laboratories, Histology & Animal Operatory.

- Grant/Alway/Lane /Edwards Buildings (GALE) Master Planning (1999: 1M nasf) through Design Development (2000: 150k gsf ) (SFP | A+A|BOORA)

- CCSR Building Web-Enabled Post Occupancy Evaluation (2001) - Pediatrics Offices Tenant Improvements (1997)

California Polytechnic University Class Labs Renovation, Pomona, CA (2005-8: 23k sf) (HMC)

University of California, Berkeley, CA - Barker Hall Lab Renovation and Study for Cell & Molecular Biology

Research Labs (2001) (A+A) - Department of Physics Long Range Facilities Program (1996: 246k sf )

(M&C) University of California, Los Angeles, Los Angeles, CA (M&C)

- Gonda Molecular Neurosciences Research Facility, including Transgenic Mouse Facility (1996: 123k gsf)

- Young Hall East Wing Detailed Project Program (1991: 94k gsf ) - Chemistry and Biological Sciences, Master Plan and Master Plan

Update (1988/91: 500k gsf) University of California, San Francisco, San Francisco, CA – Mission Bay

Medical Center Clinical, AP, NCPL, Translational Medicine, Stem Cell Transplant Labs

California Academy of Mathematics and Science (CAMS), California State University Dominguez Hills, CA (1997) (HMC)

Santa Clara University, Santa Clara, CA - New Communication, Public Policy and Applied Ethics Building (1996:

40k gsf) Included TV studio, teleconferencing facility, multimedia laboratories and classrooms, and departmental offices (HMC)

- Support Services Relocation Project(1997: 35k gsf) Included Facilities, Purchasing/ Warehouse, Mail Room and Copy Center

- Department of Art and History Needs Assessment (1998: 39k gsf) - Development Office Alternate Officing TI Project (1998: 5k gsf)

University of Nevada Las Vegas CoSci Lab Study (1997: 30k nasf) (HMC)

Oregon State University Agricultural and Life Sciences Building, Corvallis, OR (1989: 175k gsf) (M&C)

Strategic Facilities Planning

FIRM PROFILE

Selected Experience: CLINICAL LABS

Chemistry Line w/Touring Corridor

Clinical Toxicology

Couriers (Clinics + other County + Outreach)Phlebotomists (Carts)Pneumatic Tubes Specimens: blood, tissue, fluids

Some pre-registered& ordered / some not

Data EntryVerify , Register (30%),

Accession #

Point of Care

TestingCalibration / Repair / Stor

MicroscopyIMI +

manual stations

Spec Hem SED rates

special stainsBody fluidsslide setup

occult blood

Special TestingBatched/ Aliquoted

Spec ChemProtein

Electrophoresis,Tosoh, Neph, Osmo,

kit triage, air or ultrafuge

Serology / Immunochem

EIAInfectious &

Autoimmune Disease Diagnosis

Special Coag1 PFA

1 STA-R

Molecular Diagnostics

Manual Process

Manual ReadPTS

24 hr. urinePedi tubes

Exceptional handlingCoag

Hem (Analyzer

+SM/SS)Cen-

trifuge

Inlet

Stckyd

Out

let

Chemistry/ImmunoChm

UA

Cen-trifuge

Inlet

Stckyd

Outlet

Specimen Receiving /

Confirmation (ALL)

Specimen Sorting

AnatomicalPathology

GrossingCytology (Process &

Screen)Histology

FNAMorgue / Autopsy

Tissue StorageSlide/Block Storage

Microbiology (Enclosed Space)

BacT, Mycobacteriology,

Mycology, Virology, Anaerobes, O+P

Flam Stor RmFormalin, Alcohol, Xylene

+ Tissue Teks & Recyclers

Room Temp Storage /

Warehouse / Purchasing

Send outs

Kits

Freezer Room

Specimen Cold Room

redundant compressors

Reagent Cold Room

redundant compressors

Courier Park

/Loading Dock

Hospital

Staff SupportLockers, Lab Coats (clean + working),

Break room, Training

StaffParking

Forensic Toxicology

Flow Cytometry

Blood Bank

Blood Bank (could

remain in Hospital

with RRL)

Lab

Aut

omat

ion

Syst

em

LabWaste

Custo-merSrvc Process Water,

Tank Farm / gas manifold

Glasswash/ Autoclave

L.I.S.

Billing

Payroll

Logistics / Courier Sppt

Pathology & Residents Offices /

Lab AdminConference

(videoconfrnce)Library

10 & 5-head Scopes

Scope/Sign-outEducation

Offices

MD’s

Product Receive/Send

Need but don’t haveNow Remote / Inadequate

Automation opportunity but no space

BL-3

Deficiencies (Operations Diagram)

Clinical Toxicology

Couriers (Clinics + other County + Outreach)Phlebotomists (Carts)Pneumatic Tubes Specimens: blood, tissue, fluids

Some pre-registered& ordered / some not

Data EntryVerify , Register (30%),

Accession #

Point of Care

TestingCalibration / Repair / Stor

MicroscopyIMI +

manual stations

Spec Hem SED rates

special stainsBody fluidsslide setup

occult blood

Special TestingBatched/ Aliquoted

Spec ChemProtein

Electrophoresis,Tosoh, Neph, Osmo,

kit triage, air or ultrafuge

Serology / Immunochem

EIAInfectious &

Autoimmune Disease Diagnosis

Special Coag1 PFA

1 STA-R

Molecular Diagnostics

Manual Process

Manual ReadPTS

24 hr. urinePedi tubes

Exceptional handlingCoag

Hem (Analyzer

+SM/SS)Cen-

trifugeCen-

trifuge

Inlet

Stckyd

Out

let

Stckyd

Out

let

Chemistry/ImmunoChm

UA

Cen-trifugeCen-

trifugeCen-

trifuge

InletInlet

Stckyd

Outlet

Outlet

Specimen Receiving /

Confirmation (ALL)

Specimen Sorting

AnatomicalPathology

GrossingCytology (Process &

Screen)Histology

FNAMorgue / Autopsy

Tissue StorageSlide/Block Storage

Microbiology (Enclosed Space)

BacT, Mycobacteriology,

Mycology, Virology, Anaerobes, O+P

Flam Stor RmFormalin, Alcohol, Xylene

+ Tissue Teks & Recyclers

Room Temp Storage /

Warehouse / Purchasing

Send outs

Kits

Freezer Room

Specimen Cold Room

redundant compressors

Reagent Cold Room

redundant compressors

Courier Park

/Loading Dock

Hospital

Staff SupportLockers, Lab Coats (clean + working),

Break room, Training

StaffParking

Forensic Toxicology

Flow Cytometry

Blood Bank

Blood Bank (could

remain in Hospital

with RRL)

Lab

Aut

omat

ion

Syst

em

LabWaste

Custo-merSrvc Process Water,

Tank Farm / gas manifold

Glasswash/ Autoclave

L.I.S.

Billing

Payroll

Logistics / Courier Sppt

Pathology & Residents Offices /

Lab AdminConference

(videoconfrnce)Library

10 & 5-head Scopes

Scope/Sign-outEducation

Offices

MD’s

Pathology & Residents Offices /

Lab AdminConference

(videoconfrnce)Library

10 & 5-head Scopes

Scope/Sign-outEducation

Offices

MD’s

Product Receive/Send

Need but don’t haveNow Remote / Inadequate

Automation opportunity but no space

BL-3

Deficiencies (Operations Diagram)

Core Lab Process & Flow

Open Lab Receiving

Chemistry Automation Line

VA Greater Los Angeles, Los Angeles, CA (2008-): Department of Pathology & Clinical Medicine (30k dgsf) with Ortho TLA also includes Infectious Disease and Tissue Molecular Diagnostics, and Cytogenetics - Concept Planning through DD (c|a)

UCSF Mission Bay Medical Center, San Francisco, CA (2007- ): Clinical (10.2k dgsf with BCI TLA), Pathology (8.6k dgsf), Stem Cell Transplant (cGMP/cGTP Clean Rooms - 1.7k), Translational Research Labs (0.5k) - Lab Programming and Design (LEED, BIM - A+A).

John Muir Health: MuirLab, Concord, CA (completed 2008: 56k gsf, $20M) New core laboratory building includes largest TLA System in US. (HPS)

Cottage Health System Pacific Diagnostic Laboratories, Santa Barbara, CA (2008 - ): PDL Core Lab Relocation/Expansion (25k gsf) includes Siemens TLA; Cottage Hospital Lab Relocation (9k dgsf)

Kaiser South Bay Medical Center, Harbor City, CA (2007 - : 11k dgsf): Clinical & Pathology Laboratory Relocation Programming and Design including BCI TLA (c|a)

Palomar Pomerado Health System, San Diego, CA (2005 - ): Palomar West Medical Center, Escondido - Clinical and Pathology Labs (11k dgsf) (LEED, BIM - CO); Pomerado Hospital, Poway, CA 6k dgsf (A+A) - each with Siemens TLA

Queen of the Valley Medical Center North Wing Addition Laboratories, Napa, CA (2008 - , 8.7k dgsf)) – Clinical and Pathology Laboratory Programming and Design (CO) (LEED, BIM).

Mills-Peninsula Health Services Replacement Hospital Labs, Burlingame, CA (2004 - :7.9k dgsf): Includes pre-analytical automation, Frozen Section, and Morgue/Autopsy (BIM) (A+A)

Palo Alto Medical Foundation San Carlos Center, San Carlos, CA (2005 - : 7.5 dgsf) - Clinical and Pathology Lab Programming and Design (NBBJ)

Stanford School of Medicine Blood Center, Palo Alto, CA (Completed 2005: 25k gsf, $5.45M) Donor Services, Lean Technical Services & Histocompatibility (MBT)

Santa Clara Health & Hospital System San Jose, CA - Clinical and Anatomic Pathology Service Building Replacement Program (SBR) (2003 - 2007) (~50k dgsf) – Various studies (SmithGroup)

Arrowhead Medical Center, Coulton, Ca – (2007, 16k dgsf) – Public Health and Clinical Laboratory Consolidation Study with TLA (HMC)

Stanford University Medical Center Transfusion Services Master Plan and Interim Improvements, Stanford CA (2003: 7.3k dgsf) (HPSA)

Sutter Delta Medical Center, Antioch, CA (2005/6, 3k dgsf) Clinical Lab Master Plan

El Camino Hospital District Clinical Lab Upgrade, Mountain View, CA (2003: 10k gsf) Includes 8-phased reconfiguration of Core Lab and incorporation of chemistry automation line.

Intermountain Medical Center Core Lab and Hospital Lab / Pharmacy Programming & Concept Planning, Murray, UT (2002: 75k nasf) (A+A)

Contra Costa County Forensic Science Facility, Martinez, CA (1990: 20k gsf): Morgue/Autopsy and Drug, Alcohol & Instrumentation Bureau (M&C)

UniLab Renovation and Consolidation Project, San Jose, CA (1995: 30,000 sf) (M&C)

MERIS Laboratories Master Plan, San Jose, CA (1992)

Multicare Health System Wright Park Facility - New Clinical Laboratory Building, Tacoma, WA (1992: 60,000 sf) (M&C

Technical Services Lean Lab

Strategic Facilities Planning

FIRM PROFILE

Selected Experience: PATIENT CARE

Clinic Waiting

Blood Center

Research Subject Center

HMC-SFP/Drever/Watt/Berkoff9

SCVHHS’ 12 Health Services Regions: Expansion Priorities

87

85

Regions for PC expansion

880

101

280

17

680

1 North County2 Sunnyvale3 Santa Clara4 Milpitas-Beryessa5 Cupertino-West San Jose6 Downtown San Jose & VMC Campus7 Franklin McKinley8 East Valley9 West Valley10 Cambrian11 Blossom Hill12 South Valley

NLEGEND

Regional Planning

HMC-SFP/Drever/Watt/Berkoff38

VMC Long Term Master PlanExisting Facilities1. Barbara Arons Pavilion2. Rehabilitation Building3. H-1 West4. Ancillary5. West Wing6. New Main7. Don Lowe Pavilion9. Renal Care

10. Central Plant14. Parking Structure

Short Term Master PlanA. Medical Office Building 1B. Service Building ReplacementC. Administrative Office Building 2D. Parking Structure

Long Term Master PlanE. Acute Care ExpansionF. Medical Office BuildingG. Long Term CareH. Parking Structure

14

23

4

10

1

76

5

A

C

B

DF G H

F

F

South Bascom Ave

17

Thornton Ave.

Turner Drive.

18

F+G+H

F

E

Santa Clara County Health & Hospital System, San Jose, CA - Master Planning Consulting (2001 -7) - Valley Medical Center MOB Program (2000: 245k gsf - $93.8M)

Multispecialty Clinic (HMC) - VMC Master Plan (1999) (HMC) - Strategic Facilities Plan (1999) for all health-related facilities in

Santa Clara County (HMC) - East Valley Clinic Program Statement (1991:2k gsf) (M&C)

Palo Alto Medical Foundation Wellness Center Program & Planning (2002: 44.5 gsf) (HPSA/SFP)

Stanford University School of Medicine, Stanford, CA - Center for Population Health Research (2007-8, 32k dgsf) incldg

Research Subject Center and Lab. - Blood Center, Donor Services, Lean Technical Services &

Histocompatibility (MBT) (2004: 30k gsf) - Vision Institute Programming Report (2003/3 :75.2 gsf) - Psychiatry Academic/Clinic Building Program (1991: 74k) (M&C)

& Utilization Analysis (1999) (SFP) Kaiser Permanente, Oakland, CA

- Santa Clara Medical Center Angio-Related Moves Project (2002) - Gilroy Medical Office Building (1991: 60k gsf) (M&C) - Marina Playa 300 Medical Office Building (1990: 33k gsf) 1990),

Santa Clara, CA (M&C) San Mateo Health Services Agency Geriatric Assessment Clinic

Feasibility Study and Business Plan (2001: 9.5 dgsf) (JMWatt Consulting)

GSHS/Columbia Good Samaritan Hospital - Emergency Department Planning Study, San Jose, CA - (1995:

10k dgsf) (HMC) - Lobby/ Admitting/ Registration/ Pre-admitting Upgrade Study

(10,000 sf - 1993) (M&C) Columbia Mission Oaks Hospital, San Jose, CA - Skilled Nursing

Unit (27 Beds) Relocation and Code Compliance (1996) (HMC) Dominican Santa Cruz Hospital Radiology Expansion (7,000 sf) and

HVAC Upgrade, Santa Cruz, CA - (1996) (HMC) Alexian Brothers Hospital, San Jose, CA (M&C)

- Intensive Care Expansion Study (1992:13k gsf) - Emergency Expansion Study (1992: 15k sf) - Inpatient Dialysis Relocation (2k sf) and Radiology Life Safety

Upgrade (1993) (M&C) NME Doctor’s Hospital of Manteca Perinatal Study, Manteca, CA

(1993:14k dgsf) (M&C) San Jose Medical Center Skilled Nursing Facility, San Jose, CA

(1992:7k dgsf) (M&C) Pleasanton Ambulatory Surgery Center, Pleasanton, CA (1995)

(M&C) Summit Medical Center Master Plans, Peralta Outpatient Center and

Miscellaneous Projects, Oakland, CA (1990’s) (M&C) Stanford University Hospital Backfill Master Plan, Stanford , CA

(1987) NBBJ) Thirty-One North Medical Office Building Adaptive Re-use (10k) and

New Office Building (32,000 sf), Flemington, NJ (1985/7) Health Insurance Plan of Greater NY Clinics, NY, NY Two completed

construction projects and four feasibility studies (MDA) Montefiore Medical Center Replacement Project (Moses Division)&

Modernization Project (HAECOM Division), Bronx, NY- (MDA)

Strategic Facilities Planning

FIRM PROFILE

Software Company TI

Survey Findings

Selected Experience: CORPORATE Genentech South San Francisco, CA: Web Enabled Post Occupancy

Evaluations Buildings 33 (2006), 32 (2004) and 6 (2003),

Active Software, Santa Clara, CA, - Expansion/Relocation Project(11,800 nasf - 1996), facilities planning and project managment

Deltagen, San Carlos, CA – Tenant Improvements (1998) for start-up biotech company with transgenic mouse facility, tissue culture and microbiology labs, and offices (20,000 gsf) Design-Build (M&C)

Johnson & Johnson Advanced Sterilization Products, Irvine, CA -Program Statement for New Corporate Manufacturing , R&D, Training and Corporate Office Facility (400,000 sf - 1996) (HMC)

Mercator Genetics, Menlo Park, CA - Master Plan and Tenant Improvements (20,000 gsf - 1996) $600k (M&C)

Environmental Testing and Certification, Edison, NJ - Industrial Laboratory Expansion, $900k and Relocation Feasibility Study, (77,000 sf)

New Jersey Bell, New Brunswick, NJ - Various renovation projects for the Central Office Building including expansion of the Central Computer Facility

Burns & Roe Family of Companies, Oradell, NJ, - Exit strategy & space planning (60,000 sf) for downsizing engineering company (RE)

RECENT PRESENTATIONS

AIA SF Health and Science, and International Facilities Managers Association (IFMA) R&D and Healthcare Councils: MuirLab New Paradigms in Clinical Lab Planning - Building an offsite core lab to increase throughput, recruit staff, and adapt to future requirements (2009) http://www.ifma.org/learning/events/rdc_hcc09/files/sessionhandouts/RDC3%20-Delson.pdf

NoNames: A Case Study of Programming Institutional Innovation: Developing Nuggets into Gems, Pittsburg, PA May, 2004

Association of American Medical Colleges (AAMC): Stanford University School of Medicine Web Based Post Occupancy Evaluation of the CCSR Building, Newport Beach, California, May 2002

International Facilities Managers Association (IFMA) Academic Facilities Council (AFC): Stanford University School of Medicine Web Based Post Occupancy Evaluation of the CCSR Building, Seattle, Washington, May 2002

Society for College and University Planning (SCUP), April 2001 - Charting a Course for the GALE Project

Coalition for Adequate School Housing (CASH), March 2001 - Educational Programming

EDUCATION Labs21 High Performance, Low-Energy Design and Laboratory Ventilation Design; UC Berkeley Extension Recombinant DNA Technology; M-ARCH, Harvard University Graduate School of Design, Cambridge, MA,; Yale School of Art and Architecture, New Haven, CT, 1969; Academia Di Belle Arti, Florence, Italy; B.A. with honors in Architectural Sciences Harvard College, Cambridge, MA, 1967

LICENSE Architect C-18839, California; NCARB

AWARDS Northern California Real Estate and Construction Review The Building of America – Plaque of Honor: 2008 MuirLab, 2007 Stanford Blood Center

AFFILIATIONS American Institute of Architects; Society of College & University Planners; International Facilities Managers Association; CSHE; Labs21