Built for Care
Your Partner in California Healthcare Construction
Healthcare construction in California requires precise coordination and strict HCAI compliance. Elm Street provides full-scope owner’s representation for hospitals, clinics, and medical facilities—guiding projects from early permitting through construction and close-out. We help clients navigate complex systems, active facility constraints, and regulatory requirements to ensure safe, efficient, and successful project delivery.
Start to Finish
Full Lifecycle Project Management
We manage every phase of healthcare construction with precision and accountability. From early planning and HCAI strategy to on-site coordination and final approvals, our team provides continuous oversight to keep your project compliant, efficient, and on track from beginning to end.
Pre-Construction Phase
- HCAI application and permit strategy development
- Early collaboration with HCAI compliance experts
- Design team selection with proven HCAI experience
- Regulatory compliance review during design development
- Construction document review for HCAI requirements
- Contractor pre qualification focusing on healthcare expertise
- Budget development incorporating HCAI-specific requirements
- Schedule development accounting for HCAI review periods
- Risk assessment and mitigation strategies
Construction Phase
- HCAI inspector coordination and management
- Field observation and quality control
- RFI and submittal management
- HCAI deviation request management
- Change order review and negotiation
- Schedule monitoring with HCAI milestone tracking
- Cost control and progress payment review
- Coordination with facility’s ongoing operations
- Infection Control Risk Assessment (ICRA) oversight
- Interim life safety measure implementation
Project Close-out
- HCAI final approval coordination
- Systems commissioning oversight
- Warranty documentation collection
- Staff training coordination
- Final inspection coordination
- Record document collection and organization
- Certificate of Occupancy obtainment
- Transition planning support
The Elm Street Difference
What Sets Us Apart
Through our comprehensive owner’s representative services, we ensure your healthcare construction project meets all HCAI requirements while maintaining budget, schedule, and quality objectives. Our expertise helps navigate the complex regulatory environment of California healthcare construction, ensuring a successful project delivery that meets all stakeholder needs.
Value-Added Healthcare Expertise
Our team brings specialized knowledge in:
- Complex medical equipment coordination
- Healthcare facility operations
- Phased construction in active hospitals
- Medical gas system requirements
- Emergency power systems
- Seismic compliance requirements
- Clean room and sterile environment standards
- Healthcare technology infrastructure
- Patient safety and accessibility requirements
Regulatory Compliance
We ensure project compliance with:
- California Building Standards Code (Title 24)
- HCAI requirements and regulations
- Centers for Medicare & Medicaid Services (CMS) standards
- Joint Commission requirements
- Local health department regulations
- ADA accessibility requirements
- Fire Life Safety regulations
- Environmental Health & Safety standards
Stakeholder Management
We coordinate effectively with:
- Hospital administration
- Medical staff
- Facility operations teams
- HCAI field staff
- Design professionals
- Contractors and subcontractors
- Equipment vendors
- Testing agencies
- Local authorities
Risk Management
Our proactive approach includes:
- Infection control planning
- Interim life safety measures
- Business continuity strategies
- Patient care impact mitigation
- Schedule risk assessment
- Cost control measures
- Quality assurance protocols
- Documentation management
- Claims prevention strategies