Submitted Application from prior CIP Planning Cycle

AppID7678
I. Administrative Section 
1. Project Name: Lake's Crossing- Southern Forensic Facility
2. Project Description (One Sentence): The purpose of this project is to complete construction of a maximum security facility in Southern Nevada for mentally disordered criminal offenders.
3a. Project Location: County: Clark
3b. Project Location: City: Las Vegas
4. Department (department requesting project): DHHS
5. Division (division requesting project): Public & Behavioral Health
6. Agency (agency requesting project): Lakes Crossing
7. Agency contact person: Amanda Mcmasters
8. Contact phone: 775-688-0422
9. Contact email: amcmasters@health.nv.gov
The Department ranking of this project:
10. The Department will rank their projects 1 through the lowest ranked project (e.g., If 5 projects were submitted by the Department a ranking of 1 would be assigned to the most important or most needed project and a ranking of 5 would be the least needed project). 147
11. Has this project been previously requested in a prior CIP? Yes
12. SPWD 4 digit Building No. (for existing buildings)
13. Facility Condition Analysis Project No. (if recommended)
14. Is the property State Owned? Unknown
15. If the facility is existing, is it State owned? Unknown
II. Narrative Section 
16. Project Description: For many years, Lakes Crossing Center (LCC) was the only facility in the state of Nevada available to provide services to mentally disordered offenders. Recently, the Stein Hospital was opened in Las Vegas to provide services to mentally disordered offenders in Southern Nevada. Between the two agencies the staff serve clients from all 17 counties in Nevada. The services these agencies provide include competency to be adjudicated assessments, treatment to competency, criminal responsibility assessments and treatment for individuals acquitted Not Guilty by Reason of Insanity (NGRI). The agencies may also be the site of commitment for individuals who cannot be restored to competency and have been charged with very serious crimes. The agencies deliver these services both inpatient and outpatient as meets the national standard of least restrictive setting and Nevada statutory requirements. A recent lawsuit filed against the state has shrunk the time available to transfer defendants from the jails to the treatment facilities to 7 days. Should the state not be able to meet these standards sanctions will be applied in the form of a monitor and possible fines for violations of the consent decree that was the result of the lawsuit. While the opening of beds at the Stein Hospital has helped to decrease the number of days a client has to wait to be transferred to a psychiatric facility for treatment, there is still the possibility that clients would need to be transferred to LCC in Sparks if the Stein Hospital is at capacity. An analysis of the growth that has occurred over the last 5 years suggests that by 2018 the bed space for restoration and treatment of mentally disordered offenders will be at its maximum limits.
17. Project Justification: Client numbers at Lakes Crossing over the last five years have periodically exceeded what the original facility can accommodate. Between Lakes Crossing and the Stein Hospital clients are served from all 17 counties within the entire State. The agencies cannot allow clients to wait longer than seven days in the jail and therefore adequate space to accommodate all referrals must be available within that time frame. The average length of stay for clients at this time is approximately 100 days but under new laws (AB193 and SB 380) passed in the 73rd legislative session some clients fall into categories where the length of stay may be extremely lengthy (up to ten years or longer). As these long term clients are committed to the agencies fewer beds will turn over to accommodate the shorter term pre-trial commitments. Therefore, the state will need to provide sufficient beds in both the northern and southern regions of the state to meet the demands over the coming years. Please also refer to the health, safety and legal issues outlined in note #1 for explanation of why this project needs to be completed in the South where the largest number of defendants are housed and the largest number of courts operate to adjudicate them. While the numbers committed under the Not Guilty by Reason of Insanity Law (NGRI) (175.539) remains low other long term clients are growing in numbers. At present there are only 2 NGRI clients but 14 other long term Incompetent clients. The projection for long term Incompetent and Dangerous Clients should be based on the numbers of individuals that have committed crimes that qualify for that adjudication and have on average been committed over the last two years. That number is increasing and in this fiscal year it appears that as many as 6 will have been committed. The Lake’s Crossing could be up to 20 such clients by the end of the year which would fill an entire wing. In the South there are only two such clients but all other beds are filled. Consequently it is projected that bed space will definitely reach maximum capacity by the end of 2018.
18. Project Background Information: This project has been requested on several other occasions. In anticipation of the state’s expanding needs a request was made in 2003 based on observations in the preceding years after opening of the Lakes Crossing addition early in 2000 that the facility was frequently at capacity or over and it did not appear that this demand would remit. The request was made again in 2005, 2007, 2009 and 2011. In 2005 a lawsuit was filed against the Division of Mental Health and Developmental Services because a waiting list was generated that caused defendants committed to the facility to wait long periods in the jail. In part this occurred because Lakes Crossing would not exceed its designated capacity out of concern for the health and safety of clients and staff. Additionally, exceeding the capacity violates licensure regulations which the facility had begun seeking at that time. In 2007 funding was granted for Nevada State Public Works Board project #07-P31. The architectural design was completed prior to the last legislature.
19. Mechanical and/or Electrical Equipment Replacement Projects:
19a. Type of equipment to be replaced:
19b. Year existing equipment was installed:
19c. Manufacturer of existing equipment:
19d. Model of existing equipment:
19e. Are there any known hazardous materials? Unknown
Environmental Considerations
20a. Hazardous Materials (Asbestos, Lead Paint, etc.):
20b. Will the site require any hazardous material abatement? Unknown
21. Ramifications if the Project is not Approved (short essay): If this project is not approved, it is likely that the current facilities will not be able to respond to the demands for forensic mental health services in the state and waiting lists will develop causing complaints against the state going forward. A waiting list for inpatient services for court referrals is likely to generate more lawsuits claiming defendants civil rights are being violated because they are not being transferred in a timely manner from detention centers into a mental health facility for evaluation and treatment. Lakes Crossing Center and the Stein Hospital would become overwhelmed very quickly if the number of clients increased by even ten referrals a month more than what are presently being committed. It is important to note that that may mean only two or three referrals from the larger counties as the admissions from the rural counties are also increasing. The greatest concern is the specter of mentally ill clients waiting in growing numbers in the county detention centers for treatment space to be available and the violation of their constitutional rights. Additionally, if the courts expand outpatient forensic services in Clark County there would be considerable difficulty and expense without the local infrastructure to provide these services. It is anticipated that new staff and formal programming to meet this need would be housed at the new southern facility.
Health, Life Safety, and/or Legal Issues
22. Please describe any health, life safety, and/or legal issues that will be resolved by completing this project (Short Essay): Please see question 21
23. Proposed Project Schedule Impacts/Issues
23a. Will this project require relocating personnel or vacating the building for any period of time? No
23b. Explain:
23c. Has any design work been completed on the proposed project? Yes
23d. What is the latest date this project could be completed without disrupting your program? 06/30/18
23e. What is the driving proposed completion date? The availability of funding and the need for immediate expanded services for growing client and community needs.
III. Preliminary Construction Cost Estimate and Funding Sources Section 
Preliminary Construction Cost Estimate and Funding Sources (The SPWD will prepare all final cost estimates. This schedule is for preliminary purposes only.)
24. Land (if land must be purchased): 0
25. Offsite construction:
26. On-site Development:
27. Utility connection fees:
28. Water rights deeded:
29. Furniture, Fixtures and Equipment:
30. Specialty equipment:
31. Data and network equipment:
32. Telephone equipment costs:
33. Moving:
34. Renovation of vacated space:
35a. Correction of known deficiencies:
35b. (describe deficiencies)
36a. Any known commitments:
36b. (describe commitments)
37a. Known hazardous material abatement:
37b. (describe hazardous materials)
38. Total project costs: 40,050,000
NOTE: COSTS FOR EXTENDED LEASE AGREEMENTS MUST BE INCLUDED IN YOUR OPERATING BUDGET
39. Proposed funding of total project cost:
39a. Agency:
39b. Federal
39c. State 40,050,000
39d. Other/Donor
39e. (describe source of 'Other/ Donor' funding):
39f. Total:
40. Agency point of contact for outisde funding if 39a, 39b, or 39c funding sources are providing funds.
40a. Name
40b. Phone Number
40c. Email Address
IV. Site Analysis Section 
Site Analysis (New construction only)
41. Estimated land area to be acquired (acres) 10
42. Will this project require new parking spaces? Yes
43. Are utilities available to site? Yes
44. Will project require relocation of existing utilities? No
45. Are there any required offsite improvements (or right-of-way dedications)? Unknown
46. Is the site in a flood plain? No
47. Is the site in an airport impact zone? Yes
48. Does the site contain any underground storage tanks? Unknown
49. Does the site contain any adverse soil conditions? Unknown
50. Will the site require an environmental assessment? Unknown
51. Will rezoning or a special use permit be required? No
52. Will any Utility connection fees need to be paid? Yes
53. Will any water rights need to be deeded? Unknown
54. Will construction traffic degrade existing access or facilities? Unknown
55. Will the site require any hazardous material abatement? Unknown
56a. Other site considerations affecting cost? (describe): Unknown
56b. Describe Site Considerations:
V. Programming Section 
Programming (New construction, building remodels, and building additions only)
57. Has any architectural programming occurred?
(Programming is an architectural definition of the needs/problems that must be addressed by the project)
58. Has any advanced planning occurred in previous CIPs? Yes
59. Usable Square footage required (including storage space)
59a. New Construction SF: 65000
59b. Remodel/Renovation SF:
59c. Addition SF
59d.Total project SF:
60. Occupancy type (Assembly, business, educational, factory/industrial, high hazard, institutional, mercantile, residential, storage, utility/miscellaneous) : Institutional
61. Approximate number of staff to occupy facility: 130
62. Approximate number of visitors per day: 5
63. Will this project require funding for any furnishings, fixtures and equipment? Yes
64. For existing facilities, are there any known hazardous materials? (e.g., Asbestos, lead paint or underground storage tanks):
65. How many years of future growth will this project accommodate? 5
66. List of required facilites (laboratory space, classroom space, office space, conference rooms, cafeterias, maintenance shops, garages) and any unusual related equipment required for your project: Included but not limited to facilities within this CIP request is office space; security systems; control room and storage; client intake, showers, processing, laundry; service kitchen and storage; client housing blocks; janitorial closet and linen rooms; seclusion rooms; multi purpose rooms; recreation rooms and storage; fitness rooms; courtyard; gymnasium; creative arts room; barbershop; canteen; library; conference room; staff lounge; staff showers, rest rooms, lockers; family conference room; therapy rooms; reception area; visiting room; mail and receiving area; public phones area; maintenance work shop; mechanical room; vehicle garage; and sprinkler riser room.

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NOTE:  AFTER SUBMITTING THE COMPLETED APPLICATION, A PROJECT MANAGER FROM THE PUBLIC WORKS DIVISION WILL CONTACT YOU TO REVIEW THIS APPLICATION.