Alternative Care Site Selection Matrix Tool
Church


| Feature |
Y / N / Unk |
| Ability
to lock down facility |
Unknown |
| Adequate
building security personnel |
No |
| Adequate
Lighting |
Yes |
| Air
Conditioning |
Yes |
| Area
for clean and dirty supplies |
Yes, small |
| Area
for equipment storage |
Yes |
| Biohazard/Other
waste disposal area |
No |
| Communications
(Local and Long Distance) |
3 telephones |
| Door
Sizes adequate for gurney/beds |
Yes, large doors |
| Electrical
Power |
Yes |
| Family
Areas |
Yes |
| Floor/Walls |
Yes |
| Food
Supply/Food Prep areas |
Yes |
| Heating |
Yes |
| Labs/Specimen
Handling areas |
No |
| Laundry |
Yes |
| Loading
Dock |
No |
| Mortuary
holding area |
No |
| Oxygen
Delivery Capability |
No |
| Parking
for staff/visitors |
Yes, 2 medium lots |
| Patient
Decontamination area |
No |
| Pharmacy
area |
No |
| Proximity
to main hospital |
1/4 mile |
| Roof |
Yes |
| Space
for Auxillary Services
(Rx,
counselors, chapel) |
Yes |
| Staff
Areas |
Yes |
| Toilet/Bathing
Facilities |
Yes, 2 medium restroom facilities,
separate men and women's |
| Two
way radio capability to main facility |
Unknown |
| Water |
Yes |
| Wired
for IT and Internet |
No |
Return to Contents
Proceed to Next Section