Archives: Projects


New Community Living Center, Montrose, NY

The Montrose Community Living Center (CLC) consists of one single story CLC Resident House that includes components of a CLC Neighborhood Center. The design provides 25,000±SF of usable space for 28 Veteran Residents (14 residents per wing). The client received the following features and benefits as part of the comprehensive architecture, engineering, and interior design of the CLC:

  • CLC connects to main hospital via sidewalks and covered walkways, giving residents easy access to treatment facilities.
  • Triple C followed the guidelines in the VA Small House Model for Residential-centered Living, assuring the client that proven design elements were employed to provide comfort and accessible living for residents.
  • Residents have easy and comfortable access to shared “Neighborhood” community group spaces in the home that allow for resident interaction and socialization, along with climate controlled accessible connections.
  • The site design is very aesthetic, including parking areas, entries, way-finding signage, landscaping and accessibly trails and walkways for residents to enjoy outdoor activities as weather permits.
  • Fully accessible utility support space have been provided in the basement level for all plumbing support and a penthouse has been included which houses the air handling units.
  • All utility, physical security and IT infrastructures are adequately sized for potential future requirements and include all necessary excavation for new underground utility, security, and IT services.
  • LIDAR survey and site evaluation was key in providing the most accurate data for the design team and for assuring scheduled activities were achieved accurately.
  • Design and construction coordination with other active projects at the VA Medical Center was ongoing through the life of the design phase.
  • Project is programmed for LEED Silver.

Triple C performed a thorough charrette process which enabled the client to choose between three site and building options. Triple C also provided virtual reality sessions to enable the VA client to visualize each option to aid in the decision process.

The design:

  • Economizes on staffing and circulation
  • Fully utilizes community spaces that would have been under utilized if the neighborhood center was a separate structure
  • Delivers natural daylight through the use of clerestory windows
  • Offers efficient use of infrastructure
  • Provides a residential feel
  • Includes home like room entrances to provide the resident a sense of ownership
  • Grants outside ground level access to patios and walking paths

VACCHCS 20-Year Master Plan

The Master Planning project developed an integrated facility design for VA Central California Health Care System (VACCHCS) identifying existing problems, future demands, and establishing strategic programs to address deficiencies. The work included two distinctive phases: (1) data collection, function, capacity and site analysis; and (2) comprehensive planning and phasing. Triple C developed reports to identify deficiencies, developed facility resource requirements and developed/finalized a Master Plan Option Presentation, all while keeping in mind and understanding the facility’s potential and its limitations.

Key Elements:

  • Seismic & Traffic Study
  • Facility Healthcare Planning Data Collection
  • Facility Data Collection & Site Analysis
  • Priorities & Precepts Discussion
  • Master Planning & Option Development
  • Master Plan Refinement & Final Documentation

VACCHCS Remodel ED for Observation Beds

Located in the basement of the existing Outpatient Clinic Building, the remodel of the 12,283 S.F. Emergency Department to utilize existing space available and maximize the number of Observation Beds. An orderly and professional development plan with associated site and cost estimates are provided.

The additional observation beds Development Plan also considers and addresses the following:

  • Entire Emergency Department and Mechanical Room site
  • Installing temporary smoke tight construction partition between construction area and adjoining
  • Maintaining free and unobstructed
  • Demolition of existing Police services, Observation Treatment rooms, locker room, Observation Treatment rooms, Head Nurse room, Chief of ER & SPD.
  • Adding 8 new patient observation beds and one storage/observation overflow space.
  • Adding new nurse station, trash cart closet, linen closet and
  • Adding back office corridor, with restricted access to trash cart closet, linen closet and storage.
  • Design identifies sustainability goals.
  • Correct deficiencies found in OPC HVAC System Summary Reports.
  • New equipment, additions and relocation of existing equipment.

NMVAHCS Response Improvements – Call Boxes

The $1.1M SimLEARN/ Resuscitation Education Initiative (REdi) project included a comprehensive simulation testing methodology on an active site, with a fast-track schedule, and incorporated: 1. a pre-assessment; 2. simulation testing; and 3. mitigation support and guidance of continuous improvement.

The results of this testing showed there were no call boxes or call buttons in parking lots, common areas, and patient care areas. Triple C developed a design that included the required equipment at appropriate locations and the utility infrastructure (electrical service and telecommunication services) to enable the construction and activation of call boxes or call buttons on the Albuquerque, New Mexico campus. All utility and grounds/landscaping services were completed for the safe and convenient installation of the approved equipment.

VACCHCS Expand Primary Care (Clovis Campus)

The project builds approximately 13,700 GSF of VA Primary Care space and implements the Patient Aligned Care Team (PACT) model. The project will be the first of a planned multi-structure complex and will require consideration for future vertical and/or horizontal expansions. The buildings primary utilization is to Expand Primary Care for Implementation of the PACT model.

PVAHCS Halls & Walls Phase 1

The Triple C design team renovated the interior of these spaces to address the unique needs of veterans.  By decreasing the number of environmental stressors and creating efficient traffic patterns that promote safety, ease, and calm, the interior of Building 1 now meets the VA’s vision for circulation of employees and patients with a welcoming atmosphere to a state-of-the-art medical center.


The entry and lobby were “re-visioned” to present an atmosphere that welcomes patients, while the Gallery and adjacent hallways were “re-visioned” to include new ceilings, column wraps, lighting, flooring, colors, seating, and signage. The 2,460 SF of Phase 1 renovations addressed safety, comfort, access, availability of ancillary services, patient confidentiality and corridor traffic through congested areas during the construction period.


The Triple C design team physically and visually separated access to hospital functions to enhance security and privacy. The Building 8 conceptual design included an extension of the second-story floor, and introducing an additional lounge and education area.

PVAHCS Value Engineering of the Master Plan

The Phoenix Veterans Affairs Health Care System (PVAHCS) completed a 10-year assessment of their Strategic Capital Investment Program. That assessment identified a capital investment of approximately $300M to provide 171,300 SF of new healthcare space at the Carl T. Hayden Medical Center and to renovate another 356,000 SF of existing space. Approximately 40 projects were identified for the needed expansion.

Triple C provided an independent value engineering assessment of the master plan and alternative recommendations for spatial arrangements, construction sequencing and other beneficial modifications. The value engineering to the proposed strategic plan included feasibility analysis, guidance and recommendations for construction phasing and implementation.

Triple C performed an analysis and derived recommendations for staffing/workload to support the expansion and workload/projected growth for the CBOCs. Triple C delivered workload projections according to strategic categories in the Medical Center’s overall master plan.

NMVAHCS Replace Central Plant Boilers

This project removes and replaces three 500 BHP, high-pressure steam boilers and associated equipment to include the DA tank, condensate tank and flash tank located in the central energy plant. In addition, all ancillary piping systems, controls, pumps, valves and other devices will be replaced with state-of-the-art equipment and materials with the intention of providing the highest levels of reliability and efficiency

New boilers are sized to meet the requirement for existing and planned loads so that the plant runs as efficiently as possible. Boilers, DA tank and condensate tank safety devices will adhere to standards for safety device testing established by the VA and detailed in the Technical Information Library specifications and Boiler Plant Safety Device Testing Manual (third edition).

VAHCS Improve Mental Health Inpatient Wards

This remodel project includes 6,000 SF of existing space in Building 1 on the 5th Floor, C&D Wings of the Phoenix VAHCS. The space supports specialty Mental and Behavioral Health services as well as the Mental Health administrative offices. Interior design and planning included suicide, proof light fixtures, extensions to patient room cabinets, drain enclosures and updating door hardware. Additionally, Triple C addressed:

  • 14 Patient Rooms
  • Brighten patient washroom lighting; design washrooms for ADA compliance; widen patient doorways, asbestos remediation; update all finishes; design suicide proof toilets and fixtures.
  • Washroom
  • Design showers and entry for ADA compliance, asbestos remediation, update all finishes; brighten room lighting; and install a power door operator.
  • Patient Seating
  • Redesign an open sitting area for patients with updated finishes, living murals, and new wall lighting.

Fresno VACCHCS Phase 2 Chiller Infrastructure Project

The Chiller Infrastructure system requires updating, upsizing, and corrections. Triple C is developing a design to increase the size of the chilled water piping system to increase the distribution capacity for the main hospital. The design also includes the installation of two additional chillers in the chiller plant to increase the chilled water capacity for the campus. Triple C is designing an Overhead Pedestrian Canopy to provide ease of access and maintenance of the unseen raceway and utility lines.

The design provides for the connection of the medical oxygen and vacuum pump control lines and alarm control panels.  The additional chiller units are designed within the existing infrastructure of Building 22A and will connect to the existing chiller infrastructure. The design includes the installation of automated controls for chilled water system components which shall be tied into the site-wide Metasys (Johnson Controls) computer based operating system centralized in the boiler plant.