Long Term Care Covid19Commission MtgFero International InconThursday November 26 202077 King Street West Suite 2020Toronto Ontario M5K 1A1neesonsreportingcom 4164137755Long Term Care Covid19 Commis ID: 872185
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1 Long Term Care Covid-19 Commission Mtg.
Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 40neesonsreporting.com416.413.7755 1 REPORTER 2 3 I, JANET BELMA, CSR, Certified 4Shorthand Reporter, certify: 5 6 That the foregoing proceedings were 7taken before me at the time and place therein set 8forth; 910 That all remarks made at the time11were recorded stenographically by me and were12thereafter transcribed;1314 That the foregoing is a true and15correct transcript of my shorthand notes so taken.161718 Dated this 27th day of November, 2020.19202122 ___________________________________23 NEESONS, A VERITEXT COMPANY24 PER: JANET BELMA, CSR25 CHARTERED SHORTHAND REPORTER Long Term Care Covid-19 Commission Mtg. Fero International Inc. on Thursday, November 26, 2020 77 King Street West, Suite 2020 Toronto, Ontario M5K 1A1 neesonsreporting.com | 416.413.7755 Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 1neesonsreporting.com416.413.7755 1 2 3 4 5 6 7 MEETING OF THE LONG-TERM CARE COVID-19 COMMISSION 8 910111213 --------14--- Held via Zoom, with all participants attending15remotely, on the 26th day of November, 2020,169:00 a.m. to 9:40 a.m.17
2 --------1819BEFORE:2021The H
--------1819BEFORE:2021The Honourable Frank N. Marrocco, Lead Commissioner22Angela Coke, Commissioner23Dr. Jack Kitts, Commissioner Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 2neesonsreporting.com416.413.7755 1PRESENTERS: 2Sabrina Fiorellino, Chief Executive Officer, 3Fero International Inc. 4Alex Scopacasa, Chief Operating Officer 5Fero International Inc. 6 7PARTICIPANTS: 8 9Alison Drummond, Assistant Deputy Minister,10Long-Term Care Commission Secretariat.11Ida Bianchi, Counsel, Long-Term Care Commission12Secretariat13Sanjay Bahal, Team Lead for Operations, LTCC14Derek Lett, Policy Director, Long-Term Care15Commission Secretariat16Adriana Diaz Choconta, Senior Policy Analyst for17the Operations Branch, Long-Term Care COVID-1918Commission Secretariat19John Callaghan, Gowling LLP2021ALSO PRESENT:2223Janet Belma, Stenographer/Transcriptionist Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 3neesonsreporting.com416.413.7755 1 -- Upon commencing at 9:00 a.m. 2 COMMISSIONER FRANK MARROCCO (CHAIR): 3Well, our -- I guess we 4 Alex, is it? 5 ALEX SCOPACASA: Yes. 6 COMMISSIONER FRANK MARROCCO (CHAIR): 7All right. So are you -- are you the person -- are 8you the person we 9 ALE
3 X SCOPACASA: It10myself, correct.11
X SCOPACASA: It10myself, correct.11 COMMISSIONER FRANK MARROCCO (CHAIR):12How do you do? Good morning.13 SABRINA FIORELLINO: Good morning.14 COMMISSIONER FRANK MARROCCO (CHAIR):15I16There17 COMMISSIONER JACK KITTS: Good morning.18 COMMISSIONER FRANK MARROCCO (CHAIR):19-- and Commissioner Angela Coke. Janet is our20court reporter, so she21and there22 So I think you know, generally, the23issues that we24back at what happened in Wave 1 as far as long-term25care homes are concerned and more importantly, Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 4neesonsreporting.com416.413.7755 1looking forward to see if there are recommendations 2that we should be making to try to prevent a 3reoccurrence of that. We made one interim report. 4We may make and probably will make a second one 5before the end of the year. 6 So we 7one of the issues that presents itself is how 8you -- how you deal -- how you deal with homes that 9get into this kind of a situation, what are your10opportunities to create a safe space on a temporary11basis where you can remove people, and so on. So12that13 We tend to ask questions as we go14along, if that15be on -- you may be on mute.16 ALEX SCOPACASA: Oh, we17hear
4 us?18 COMMISSIONER FRANK MARR
us?18 COMMISSIONER FRANK MARROCCO (CHAIR):19Yeah, I can hear you now. So, you know, I think20we21 SABRINA FIORELLINO: Perfect. Yeah,22our preference is also for you to interrupt us as23much as possible so it can be more of a dialogue.24Just a note, just so we don25we Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 5neesonsreporting.com416.413.7755 1and masking, but we 2that 3present together in the same room. 4 COMMISSIONER FRANK MARROCCO (CHAIR): 5Okay. I assumed that, actually. 6 SABRINA FIORELLINO: So just a bit of 7background before we start, my name 8Sabrina Fiorellino. I 9background, I10several years on Bay Street in mergers and11acquisitions, but a serial entrepreneur. My12previous company was in construction. I13a number of different fields.14 But when the pandemic broke and turned15the world upside down, I decided, with a group of16partners, that we had to do something to help. So17it touched my family and continues to touch my18family in a particular way. My mom is a double19lung transplant recipient who is immunocompromised.20Hospital, obviously, shut down transplant, and she21couldn22understood if she was at the wrong place at the23wrong time, she wouldn24transplant.25 My brother Long Term Care
5 Covid-19 Commission Mtg. Fero Internatio
Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 6neesonsreporting.com416.413.7755 1sister-in-law 2baby at home, and, obviously, we -- family can 3see each other under those circumstances. 4 My grandfather also, unfortunately, 5passed during the first wave in hospital. It was 6his first hospital admission, and I couldn 7with him. And obviously, that was quite difficult 8for me. 9 I10then we can get into our slide deck and, you know,11happy to field questions along the way.12 COMMISSIONER FRANK MARROCCO (CHAIR):13That14 ALEX SCOPACASA: Hi, everyone. My name15is Alex Scopacasa. I16International. I have a background in project17management and operations managements. I actually18worked for Sabrina for a number of years and19started -- started with FERO with her as well.20 SABRINA FIORELLINO: Thanks. So I21just going to go through the first few slides22quickly. I think you understand the challenges23even more than we do. We know the Canadian health24system, both long-term care and acute care, is25struggling to keep up with increasing changing Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 7neesonsreporting.com416.413.7755 1demands. Obviously, the pandemic has tested the 2limits of the system, and we unders
6 tand there 3been heroic efforts made by,
tand there 3been heroic efforts made by, you know, frontline 4workers in acute care and long-term care, but we 5just don 6possible care when faced with this kind of crisis. 7 And with limited beds and multiple 8outbreaks in LTC homes and other congregate living 9settings, you know, we tried to develop a solution10to quickly and safely increase capacity where it11critically needed to protect frontline workers, and12above all, obviously, to ensure residents can13safely and effectively receive the care that they14need.15 So what we do is, instead of trying to16fit residents or patients into existing17infrastructure that just doesn18current circumstances, we create flexible19infrastructure that can be flexible around20residents21 We created by hard shell, scalable22mobile units, and we have breakthrough technology23to support long-term care and acute care.24 We -- our hard-shell units have25everything needed for high quality and comfortable Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 8neesonsreporting.com416.413.7755 1resident care, and we help to mitigate 2cross-contamination within congregate living during 3an outbreak so residents can be effectively cared 4for while keeping frontline workers and fellow 5residents safe. 6 The
7 other thing that we 7constantly collabo
other thing that we 7constantly collaborate with the frontlines to 8develop new solutions and to adapt our existing 9offerings to meet their needs. So we10number of meetings with acute-care providers and11long-term care providers and associations to ensure12that our solution is what they want because they13the frontlines, and they know better than we know.14 Our units themselves, so this is -- we15create them out of shipping containers. We can16create custom enclosures, but because shipping17containers are the most cost efficient, we start18with that. They19rapidly deployable. The units are pressurized,20so -- and they21and bed shortages to deal with outbreaks. I think22some of the countries that have been most23successful in dealing with LTC outbreaks have24decanted their homes, and so we25a solution that allows for rapid decanting where Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 9neesonsreporting.com416.413.7755 1and when needed. 2 The units can serve as isolation to 3accommodate infections where there 4constraints and that design requirements of the 5existing infrastructure limit the ability of 6operators to separate infected residents from those 7who are well. For some residents, this can 8eliminate the need to transfer the residents to 9hospit
8 al. Units, obviously, can be customized
al. Units, obviously, can be customized for10a large variety of uses, and we can create11full-scale nursing stations, communications12capabilities, and more.13 And our goal is always to work with14long-term care operators as well as acute-care hubs15and government to produce tailored solutions to16challenges in relation to both physical space and17staffing.18 ALEX SCOPACASA: So a little bit about19our units and the capacity of our units: Each20proposed unit would provide approximately 60021square feet to each -- to two residents, and they22actually are separated from one another. The units23can be scaled up or down to a fully connected24solutions to ensure residents are isolated safely25and comfortably. So what we -- Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 10neesonsreporting.com416.413.7755 1 COMMISSIONER FRANK MARROCCO (CHAIR): 2Excuse me, Alex. Is each unit -- how many -- like, 3one person per unit, or how does that work? 4 ALEX SCOPACASA: The units actually 5interconnect using our proprietary technology to 6provide a larger living space. So you 7putting one resident in one unit. We 8interconnecting the units to provide a large living 9space.10 SABRINA FIORELLINO: I think -- I think11what you were getting at
9 , Frank, is do we put12multiple resident
, Frank, is do we put12multiple residents in the same unit, and the answer13is no. Each unit has their -- each resident has14their own space, and the way our system is created15is that each unit has their own HVAC, which we16get into, but I17raised it.18 Our HVAC does up to 30 air exchange an19hour, so we exceed CDC requirements, and there20cross-flow of air between any of the resident21rooms. That was extremely important for us to22ensure that if -- you know, we try to decrease23viral load as much as possible and ensure that even24if there25frontline workers continue to be safe and the air Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 11neesonsreporting.com416.413.7755 1doesn 2residents sicker. 3 COMMISSIONER FRANK MARROCCO (CHAIR): 4M-hm. 5 ALEX SCOPACASA: Yeah, so going from 6that point there, just continuing on, unless 7there 8 COMMISSIONER JACK KITTS: Well, let 9me -- let me see if I understand. So I think the10picture there has -- looks like three units --11three separate units joined by one walkway. And in12each of those units, each of those units is 60013square feet, and you have two people in a unit; is14that right?15 SABRINA FIORELLINO: Oh, I will --16maybe what -- I17slide deck so I can show you, and then we
10 18back up.19 Okay. So here20
18back up.19 Okay. So here20picture you can see. So on the right, you see a21hallway in between. On the right side of the22hallway, there23 Each of the resident rooms is 30024square feet, so 600 square feet together.25 COMMISSIONER JACK KITTS: Yeah. Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 12neesonsreporting.com416.413.7755 1 SABRINA FIORELLINO: Each resident room 2has a bedroom and a living room and a washroom. 3However, the air between those resident rooms 4doesn 5rooms has its own HVAC. Each of those rooms 6achieves 30 air exchanges an hour. Each of those 7rooms is independently temperature controlled from 8minus 50 to plus 50 and dehumidified. 9 ALEX SCOPACASA: Yeah, so these -- this10room here, there11these units. The HVAC units are all serviced from12the outside, so you have your electrical room and13your HVAC room serviced from the exterior, and each14of these resident rooms has its own HVAC and15electrical room that gets serviced (phonetic) from16the outside so there17between each room.18 SABRINA FIORELLINO: Is that -- is that19more helpful?20 COMMISSIONER JACK KITTS: There21patients in a square there?22 SABRINA FIORELLINO: That23 COMMISSIONER JACK KITTS: Y
11 eah.24 SABRINA FIORELLINO: B
eah.24 SABRINA FIORELLINO: But all25independent air handlings per each room. Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 13neesonsreporting.com416.413.7755 1 ALEX SCOPACASA: Yeah. 2 COMMISSIONER JACK KITTS: And is that 3square the 600 square foot unit? 4 SABRINA FIORELLINO: No. Each resident 5room is 300 square feet, so this would be -- in 6this iteration, you have, I believe, 40 feet by 40 7feet. 8 ALEX SCOPACASA: So you have 1, 2, 3, 94, 5 containers connected together. There10that is a completely open concept here, so there11no dividing wall between here. There12dividing wall to separate the actual residents.13 SABRINA FIORELLINO: They14real room, as an example. It15foot, like we mentioned, with its own HVAC.16 COMMISSIONER JACK KITTS: Okay. As we17go forward, are we talking about just the two beds18and the HVAC? Is that the unit -- is that the unit19you20to be talking about the whole square?21 SABRINA FIORELLINO: No. So we can --22I can show you if we go down. So this is what a23solution could like look when you put units24together to create a full, let25solution. So the idea would be to -- for example, Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 1
12 1/26/2020 14neesonsreporting.com416.413.
1/26/2020 14neesonsreporting.com416.413.7755 1we partner with the University Health Network to 2test our units to ensure they 3both Toronto General and Toronto Western, both on 4the acute-care side and the long-term care side. 5 And so the idea is, for example, the 6UHN has 15 long-term care homes. We would find a 7central location to put down our hub where any 8COVID-positive resident from any one of those homes 9could be decanted into one of our spaces, and then10we11staff the units to ensure there12site, a physician, and then appropriate nurse --13nursing staff. We have our own staffing solution14as well, but understand that we need to work with15both acute care and long-term care to make it work16effectively.17 COMMISSIONER FRANK MARROCCO (CHAIR):18So when -- so when you put -- and I don19get ahead, you know, if you want me to wait with20the question, just say so.21 SABRINA FIORELLINO: No. Go ahead.22 COMMISSIONER FRANK MARROCCO (CHAIR):23But -- so when you put the unit down, one unit, it24will create two spaces that function as two25separate rooms would function in a hospital? Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 15neesonsreporting.com416.413.7755 1 SABRINA FIORELLINO: That 2Completely separate, complete --
13 the air is 3completely separate. 4
the air is 3completely separate. 4 COMMISSIONER FRANK MARROCCO (CHAIR): 5Yeah. 6 SABRINA FIORELLINO: Yeah, you got it. 7 COMMISSIONER FRANK MARROCCO (CHAIR): 8All right. 9 SABRINA FIORELLINO: You got it.10 COMMISSIONER ANGELA COKE: So just --11sorry, just to confirm what I12the bedroom, and then there13area; is that what you said?14 SABRINA FIORELLINO: Yeah.15 COMMISSIONER ANGELA COKE: Okay.16 SABRINA FIORELLINO: We can create it17any way required. If it18required, we can create that and put patient lifts19in all of the bedrooms and whatever equipment is20required.21 If we require bedroom and living room22and washroom, we can create that. If we require23nursing station or supply rooms, clean and soiled24utility rooms, those are easy for us. It25like Lego blocks because they Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 16neesonsreporting.com416.413.7755 1handling for each unit. So the beauty is we can 2also scale up and scale down where outbreaks exist, 3so we can receive a phone call and say we need four 4resident rooms tomorrow; and then, you know, ten 5days later, we need another six resident rooms 6because the outbreak is getting worse, we can 7deliver those and conne
14 ct them, and then we can 8scale down in
ct them, and then we can 8scale down in the same manner. 9 COMMISSIONER ANGELA COKE: So, sorry,10just one other thing: You mentioned that you also11have a staffing solution. Is that an HR supply12agency or something that goes with it?13 SABRINA FIORELLINO: Yes, that14but I think we would still need to work with, you15know, the LTC provider, the acute care hubs,16potentially a MEST team to make sure that there17proper management, there18and our recommendation would always be to have19dedicated staff servicing this unit also to ensure20that there21staffing.22 COMMISSIONER ANGELA COKE: Okay. Thank23you.24 SABRINA FIORELLINO: You25 ALEX SCOPACASA: I Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 17neesonsreporting.com416.413.7755 1up to where we were just to continue off there. 2 COMMISSIONER FRANK MARROCCO (CHAIR): 3Sure. 4 ALEX SCOPACASA: So as we were saying, 5so each resident will be isolated from one another, 6and then residents will actually be able to 7communicate with their families through 8sophisticated video-conferencing software or in 9person through large transition privacy glass10windows while the patients -- while the residents11or patients are being safely isolated.12 So yo
15 u can13iteration, but in each resident r
u can13iteration, but in each resident room, there will be14a large transitional privacy glass window that will15allow for in-person visitation. Once you clear the16glass up, you can see the person on the other side,17and then we18visit because not only is our air HEPA-filtered19coming in, but also, it20HEPA-filtered as well, so no visitors are getting21sick walking by the units from the air.22 COMMISSIONER FRANK MARROCCO (CHAIR):23So you filter the air as it comes in, and you24filter the air as it goes out.25 ALEX SCOPACASA: Yes. Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 18neesonsreporting.com416.413.7755 1 SABRINA FIORELLINO: That 2 COMMISSIONER FRANK MARROCCO (CHAIR): 3Okay. 4 ALEX SCOPACASA: And then we had 5mentioned part of our proprietary technology is 6that each room has two independent rooms that can 7be pressure controlled separately. So in a 8hospital setting, you can have one room acting as a 9negative -- in negative pressure, the other room10beside it acting in positive pressure so you can be11doing a procedure on one side and then have an ICU12bed on the other side in -- or any long-term care13home, you can have both units acting in negative14pressure.15 So this is a unique technology that16a
16 vailable through our proprietary technol
vailable through our proprietary technology that17not available in Ontario health facilities right18now, only in our facilities.19 So the units can be cooled and heated20to accommodate Canadian weather fluctuations, as we21mentioned, plus 50 to minus 50, and it also22includes dehumidification, so we23the Canadian extreme weather fluctuations. And I24mentioned that the air is filtered, incoming and25exhausted, and we can achieve up to 30 air Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 19neesonsreporting.com416.413.7755 1exchanges per hour in our units. 2 On the interior of our units, we have 3all medical-grade finishes, no seams, no drywall, 4and making the units very easy to clean and 5sterilize in the hospital settings or in long-term 6care settings. So we don 7wood. All our wall is green-grade powder-coated 8aluminum to allow for high flash points of over 92,000 degrees to making it very fire retardant, and10obviously, all these seams -- there11the rooms to allow for infection control.12 SABRINA FIORELLINO: So -- in what we13always propose to deliver in a long-term care14setting is resident rooms that, obviously, don15look like this but look like real room rooms, like16bedrooms and living rooms and are just as17comfortable as an existing h
17 ome would be.18 But we would
ome would be.18 But we would propose to deliver also19some treatment rooms where more aggressive20treatment could be provided to avoid having a21resident go to hospital where, you know, they could22do vitals every hour and provide some additional23level of care if they could avoid the hospital24visit.25 So in these type of rooms that, like I Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 20neesonsreporting.com416.413.7755 1mentioned, UHN 2medical gas lines available. We have 3hospital-grade headwall units. Throughout our 4whole system, all of our electrical outlets operate 5on independent circuit breakers so you can 6overload any outlet. 7 We also have a dedicated UPS backup 8system to ensure that equipment 9any external power failures. As Alex mentioned, we10have a wireless communication system for residents11and frontline workers to communicate with resident12families and remote medical professional access to13residents by camera and monitoring capability which14assists when there15 So you --16 COMMISSIONER FRANK MARROCCO (CHAIR):17Does that -- you can also -- you could also do that18not just where you needed physicians but with any19kind of staff.20 SABRINA FIORELLINO: That21Yeah, they could --22 C
18 OMMISSIONER FRANK MARROCCO (CHAIR):23Cou
OMMISSIONER FRANK MARROCCO (CHAIR):23Could it be organized in such a way that if, say,24my father was in one of those units, that -- and I25was at home on the Internet, that I could, sort of, Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 21neesonsreporting.com416.413.7755 1take a look and make sure that he was okay and then 2go off and -- 3 SABRINA FIORELLINO: Yeah, we 4a secure login for family that would be verified 5ahead of time that would allow family access with 6resident consent or if a resident is unable to give 7that consent so long as there was -- you had the 8Power of Attorney for personal care -- 9 COMMISSIONER FRANK MARROCCO (CHAIR):10Right.11 SABRINA FIORELLINO: -- for example,12gave consent, then we could allow secure access to13that.14 COMMISSIONER FRANK MARROCCO (CHAIR):15Okay. So then in terms of checking on the welfare16of the family member or the loved one, you could do17it yourself randomly as long as you had an Internet18connection.19 SABRINA FIORELLINO: That20Yeah, that21mentioned the units can be scaled up and scaled22down. If we have a fleet of units ready to deploy,23they can be operational within hours. They require24minimum-type site preparation, so -- and we --25we Long Term Care Covid-19 Co
19 mmission Mtg. Fero International Inc. on
mmission Mtg. Fero International Inc. on 11/26/2020 22neesonsreporting.com416.413.7755 1there 2to get sick, that they can be connected and up and 3running very quickly and easily. And we can 4accommodate a broad -- a broad variety of medical 5needs such as entry units, hallways, anterooms, 6nursing station, pharmacies, medical gas, pour 7generation units, utility rooms, restrooms. 8 We can, obviously, rapidly deploy 9anywhere in Ontario with truck, train, or plane,10and like I mentioned, we require minimum time to11install. Our units are all prefabricated. We12created the collaborations with some of the biggest13medical device suppliers in the world, and we don14take a markup on any of those supplies. It15a pass-through for us, but it16turnkey solution to ensure that we can streamline17the process.18 COMMISSIONER FRANK MARROCCO (CHAIR):19Can I just interrupt you? And sorry to keep doing20this.21 SABRINA FIORELLINO: No problem.22 COMMISSIONER FRANK MARROCCO (CHAIR):23But I want to make sure I understand this. If you24have the container --25 SABRINA FIORELLINO: Yeah. Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 23neesonsreporting.com416.413.7755 1 COMMISSIONER FRANK MARROCCO (CHAIR): 2-- then you said you ca
20 n deploy virtually 3immediately. What d
n deploy virtually 3immediately. What does that mean in terms of if 4somebody called you this morning at 9 o 5had the container available, how quickly can you -- 6can this happen? 7 SABRINA FIORELLINO: So 24 to 48 hours. 8Obviously, if it 9solution, it takes some amount of time. It10literally us loading it onto a truck or multiple11trucks; driving it to site; taking the crane;12putting it down on site; connecting them together13which takes less than 15 minutes; and then14connecting either to generator power or site power,15to municipal water or our own septic system,16above-ground septic system; and then, if required,17connecting to mini-bulk gas systems, so it18actually meant to be rapid, as rapid as you can get19for a modular solution.20 COMMISSIONER FRANK MARROCCO (CHAIR):21Is it -- is it difficult -- is the supply of22containers difficult?23 SABRINA FIORELLINO: So there are some24difficulties worldwide in container supply, but25we Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 24neesonsreporting.com416.413.7755 1containers. Our issue is that we need to be able 2to build them ahead of time. You know, at full 3ramp up, we ourselves can build 60 rooms a month. 4We 5Ontario who can get us up over a hundred rooms a 6month, but we do need ramp-
21 up time to get there. 7 And s
up time to get there. 7 And so until we 8ahead of time, it takes some time for us to build 9before we deploy. Once they10deploy immediately.11 COMMISSIONER FRANK MARROCCO (CHAIR):12We had here the President of the Hospital in13Windsor, and he was explaining how they took an14auditorium and created a hundred rooms. So if you15were going to -- if you were using your system, and16you wanted to create a hundred rooms, can you --17can you give me an idea of how long that would --18that would take? Assume you had the land --19 SABRINA FIORELLINO: Right.20 COMMISSIONER FRANK MARROCCO (CHAIR):21-- next to the -- next to the hospital. There22land there. How long are we talking here?23 SABRINA FIORELLINO: So from not having24built any units, I would say three months, three25months to get down the hundred rooms and have them Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 25neesonsreporting.com416.413.7755 1operational. 2 COMMISSIONER FRANK MARROCCO (CHAIR): 3And if you have units? 4 SABRINA FIORELLINO: I would say less 5than a week. 6 COMMISSIONER FRANK MARROCCO (CHAIR): 7Okay. So that would be 50. You would need to have 8had 50 units? 9 SABRINA FIORELLINO: Correct.10 COMM
22 ISSIONER FRANK MARROCCO (CHAIR):11All ri
ISSIONER FRANK MARROCCO (CHAIR):11All right. And do you always have an inventory of12units, or no?13 SABRINA FIORELLINO: No. So one of the14things, you know, we15government to stockpile the units, so for them to16fund a government stockpile that we can build and17maintain and deploy for them if and when required.18 COMMISSIONER FRANK MARROCCO (CHAIR):19Okay. Thank you.20 Commissioner Kitts.21 COMMISSIONER JACK KITTS: For a hundred22beds, you23 SABRINA FIORELLINO: Correct. Correct.24 COMMISSIONER JACK KITTS: I gather you25don Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 26neesonsreporting.com416.413.7755 1 SABRINA FIORELLINO: We do. We do go 2vertical. The only limitation to vertical stacking 3is that we would have to put in an elevator, and so 4it would slow down our install time. So our 5preference is to stay horizontal, but if we need to 6go vertical, we can. We just need TSSA to approve 7the elevator system. 8 COMMISSIONER JACK KITTS: I 9trying to imagine how big a hundred beds would be10all on the one level. Is there -- how big is that?11 SABRINA FIORELLINO: So every, let12say every unit, which is two rooms, is a footprint13of 8 by -- oh, sorry -- 40 by 16, so t
23 hen you can14extrapolate from there.15
hen you can14extrapolate from there.15 COMMISSIONER JACK KITTS: Okay.16 COMMISSIONER FRANK MARROCCO (CHAIR):17How -- well, let me -- maybe you can extrapolate18from there.19 SABRINA FIORELLINO: Okay.20 COMMISSIONER FRANK MARROCCO (CHAIR):21But I would be here all day --22 COMMISSIONER JACK KITTS: That sounds23like --24 COMMISSIONER FRANK MARROCCO (CHAIR):25 -- attempting to extrapolate from there. How big Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 27neesonsreporting.com416.413.7755 1an area would you need if you were going to -- if 2you were going to build a hundred -- if you were 3going to create a hundred beds? And let 4you were going to do them side by side rather than 5vertically. How big an area are you talking about? 6 SABRINA FIORELLINO: So what we can 7do -- so 600 square feet times a hundred beds, 8right? 9 ALEX SCOPACASA: So depending on,10obviously, the facility.11 COMMISSIONER FRANK MARROCCO (CHAIR):1260,000 square feet, then?13 SABRINA FIORELLINO: That would be1460,000 square feet plus if you require nursing15stations or communal washrooms, et cetera, so16that17 COMMISSIONER FRANK MARROCCO (CHAIR):18You would hit 60, or you would be in
24 excess of 60?19 SABRINA FIORE
excess of 60?19 SABRINA FIORELLINO: We20of 60.21 COMMISSIONER FRANK MARROCCO (CHAIR):22So a hundred? Seventy-five?23 SABRINA FIORELLINO: I would say less24than a hundred. I would say 70, 75.25 COMMISSIONER FRANK MARROCCO (CHAIR): Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 28neesonsreporting.com416.413.7755 1So that 2have to have is this 75,000 square feet. 3 SABRINA FIORELLINO: Right. 4 COMMISSIONER FRANK MARROCCO (CHAIR): 5And then I could get -- how -- all right. I 6ask -- okay. Fine. I got it. 7 SABRINA FIORELLINO: All right. Yeah. 8We can -- we can essentially do it, for example, on 9a football field or something that10that11example. They have 15 homes. We find a football12field that1315 homes, and we would put it there, and that would14be fine for us.15 COMMISSIONER FRANK MARROCCO (CHAIR):16All right. All right. I actually was thinking of17football fields. A lot of schools have them and so18on. Anyway, okay.19 SABRINA FIORELLINO: So we -- I think20we had mentioned that, you know, we21we22equipment so that we can deliver that, things like23patient lifts, et cetera, that are required in the24units. We25operational at any location, you know, of Long Term Care
25 Covid-19 Commission Mtg. Fero Internatio
Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 29neesonsreporting.com416.413.7755 1government or an LTC provider can offer. 2 Again, I think we mentioned this, that 3we 4needs of each home or each hub, and we can connect 5to existing facilities if required or be completely 6standalone. So if there 7that just needs a few beds, we can create a hallway 8module to connect to that facility and add a few 9beds. But if we need a full decanting solution, we10can do that too. I think we showed you these11renders.12 ALEX SCOPACASA: So, yeah, to add to13the point of the question of square footage and14everything, we can -- we can expand these units in15any direction either vertically, horizontally, out16to the side, any footprint that is required,17anywhere from a 20-bed to a 40-bed and depending on18the facilities that are required as well. If19they20soiled utility rooms, we would be able to, you21know, deploy, let22different areas to act as the general hub for a23certain amount of facilities to isolate.24 COMMISSIONER JACK KITTS: So are you25saying that for functionality, because I can Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 30neesonsreporting.com416.413.7755 1imagine a hundred bed horizontal, that the walk 2from one end to the
26 other would be terrific, so you 3said yo
other would be terrific, so you 3said you -- you 4that what you 5for these? 6 SABRINA FIORELLINO: So the one you see 7here is 36 beds. 8 COMMISSIONER JACK KITTS: Okay. 9 SABRINA FIORELLINO: And so what we can10do -- and we would never, sort of, have a situation11where we12build down here, and there would be hallways coming13through this way and up here again, so it14long. It15with hallways going vertical and horizontal, so16you17from all the way from one end to another.18 COMMISSIONER JACK KITTS: That sounds19good. Thank you.20 SABRINA FIORELLINO: You21So FERO, obviously, can22know, we need, sort of, collaboration from23government and otherwise. I think we believe that24a well-thought-out emergency strategy is required25now. We believe COVID-19 will be with us for some Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 31neesonsreporting.com416.413.7755 1time and that long-term care homes require 2assistance even post-pandemic due to bed shortages 3in the entire health system. 4 We believe, especially, that a 5collaborative approach is required between 6long-term care and acute care, and we believe that 7this idea requires socialization to ensure all 8parties are on board to work collaboratively and 9create uni
27 form standards across areas of overlap10
form standards across areas of overlap10between acute care and long-term care.11 From a safe infrastructure perspective,12FERO is able to act as a hub and move13COVID-positive residents out of homes as well as14take pressure off emergency departments. So FERO15can provide units that treat residents that require16additional medical support where vitals can be17taken every hour and where aggressive treatment can18be provided without sending residents to hospitals.19 And in that manner, we can act as both20an input and an output, so we can act to decant21residents22hospitals into FERO units before they23return to their homes.24 As we mentioned before, we25provide some staffing, but understand that a Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 32neesonsreporting.com416.413.7755 1collaborative approach is required which ensures 2strong managers are present. We, obviously, 3recommend that existing homes assign designated 4staff including physicians and nurse practitioners 5to work in the FERO hubs. We can work with 6long-term care homes and acute-care hubs. We can 7assist with providing clinical managers and 8logistics. 9 We10so we11on our conversations. And we can ramp up and ramp12down, so as fast as we can add beds, we can remove13t
28 hem and move them to different sites if
hem and move them to different sites if required.14We also believe that MEST or the Mobile Emergency15Support Team could be moved into a FERO unit as the16MEST teams include managers.17 Overall, we understand that there18difficulty in filling management roles in the19sector but that this endeavour requires strong20decisive leadership to make strategic and21just-in-time decisions proactively. And we also22believe Ministry of Health and Ministry of23Long-Term Care need to work collaboratively and24closely with one another and with long-term care25and acute-care providers for any solution, Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 33neesonsreporting.com416.413.7755 1including FERO 2 COMMISSIONER FRANK MARROCCO (CHAIR): 3So how mobile -- how mobile is it? Let 4you created this 36-bed facility in Kingston, only 5they don 6people mistakenly thought there would be, and there 7aren 8so somebody wants to move the whole thing. How 9long would something -- how long does that take? I10appreciate it depends on the distance, but how long11does that take?12 SABRINA FIORELLINO: Less than a week13for sure.14 ALEX SCOPACASA: So it15of us disconnecting the units and then putting them16on a truck and shipping them out to the next site.17
29 So the great thing about our units is
So the great thing about our units is,18like you said, if someone made a mistake and, you19know, they don20they would, they can decrease on a bed-by-bed21basis, so rather than putting up fixed22infrastructure like a tent, let23tent, and then that -- that site requires an24extreme amount of onsite trades to be present in25order to put up that tent and that infrastructure, Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 34neesonsreporting.com416.413.7755 1to take that -- to set that up and take that down 2requires several weeks to mobilize and demobilize; 3whereas our solution requires, you know, such -- 4much less time to mobilize and demobilize. 5 SABRINA FIORELLINO: I think the other 6thing is we don 7example, if there 8residents that require care, we can leave five 9units and move the rest somewhere else, so it10very flexible in that manner.11 COMMISSIONER FRANK MARROCCO (CHAIR):12Yeah. So you could -- in the example I gave, you13could leave a few units in Kingston just in case if14that were the consideration, move the rest of them15there because it16 SABRINA FIORELLINO: That17 COMMISSIONER FRANK MARROCCO (CHAIR):18Okay. I know that this is kind of an odd, awkward19question, but is -- can you give me a sense of what20the cost of
30 what you21they decided they wanted to do
what you21they decided they wanted to do this?22 SABRINA FIORELLINO: Sure. So our23rooms range from a hundred thousand to 300,000,24300,000 being the most sophisticated ICU room that25runs oxygen suction and medical gas lines, Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 35neesonsreporting.com416.413.7755 1et cetera. You know, our visitation pods, 2obviously, are much less expensive than that if, 3you know, it was only a visitation pod that was 4required, but we 5 COMMISSIONER FRANK MARROCCO (CHAIR): 6Yeah, I was thinking more of a situation where you 7had residents in a long-term care facility who 8tested positive, and you wanted to remove them 9to -- if -- in the interests of containing the10spread of the disease, so that kind of a unit.11What -- where is that on the range that you were12talking?13 SABRINA FIORELLINO: That14the hundred-thousand-dollar range for sure. It15also depends on if negative pressure is required,16if you require that pressurisation or not. If the17pressurisation is required, it18the hundred-thousand-dollar mark. If not, we19can -- we can stay closer to the20hundred-thousand-dollar mark per room for sure.21 COMMISSIONER FRANK MARROCCO (CHAIR):22Commissioner Kitts.23 COMMISSIONER JACK KITTS: I
31 s that a24hundred thousand per one pod w
s that a24hundred thousand per one pod which has two beds?25 SABRINA FIORELLINO: It Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 36neesonsreporting.com416.413.7755 1it 2 COMMISSIONER JACK KITTS: Okay. So 3200,000 per pod, and do you -- do you -- do you 4have -- the purchaser buys it. Do you lease them? 5 SABRINA FIORELLINO: We do lease them 6absolutely, sell, lease, finance, et cetera. 7 COMMISSIONER JACK KITTS: And what 8about other people in your market that are not 9healthcare? Do these have a use -- like, you say10they11beds.12 SABRINA FIORELLINO: Yes.13 COMMISSIONER JACK KITTS: They could be14something else. Do you have a market for that as15well?16 ALEX SCOPACASA: We could provide -- so17we -- not only does our infrastructure do hospital18beds and provide facilities for long-term care, but19as a stockpile, if government were to purchase20them, we could repurpose them for infrastructure in21remote communities or Indigenous communities where22the infrastructure is lacking. We can also use23them for, you know --24 SABRINA FIORELLINO: Social housing.25 ALEX SCOPACASA: -- social housing, Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 37
32 neesonsreporting.com416.413.7755 1school
neesonsreporting.com416.413.7755 1schools, correctional facilities, and the list goes 2on. And I can let Sabrina talk more about that. 3 SABRINA FIORELLINO: Yeah, the idea was 4always that COVID was limited, and so we understand 5that the need is now and there may not be a need, 6let 7repurposed in a number of manners including to deal 8with ALC bed shortages, temporary shortages for LTC 9beds, also to deal with surgical backlog to10repurpose for infrastructure in Indigenous or11remote communities for social housing for the12homeless, et cetera, so -- or they could be13stockpiled by government like a civilian stockpile14similar to a military stockpile where they could be15deployed for future pandemics or natural disasters16or mass casualty events.17 COMMISSIONER JACK KITTS: That18excellent. Thank you.19 COMMISSIONER FRANK MARROCCO (CHAIR):20The -- have you had an opportunity to demonstrate21in a long-term care facility or situation the --22how efficient this is?23 SABRINA FIORELLINO: So not yet. Like,24I had mentioned, we25University Health Network both on the acute-care Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 38neesonsreporting.com416.413.7755 1side and the long-term care side. You know, we 2requested funding from governme
33 nt so that we could 3deploy the units to
nt so that we could 3deploy the units to UHN so they can be used in a 4clinical setting on the long-term care side and the 5acute-care side so we can demonstrate how 6effectively they work. 7 COMMISSIONER FRANK MARROCCO (CHAIR): 8And in terms of how effective they can work, UHN is 9obviously satisfied that they would fulfill a need10for UHN, or they would never have entered into the11agreement with you in the first place.12 SABRINA FIORELLINO: Yeah, they13us a written report that said that the units are14suitable for use. They15government or are in the process of sending that to16government, so, yeah.17 COMMISSIONER FRANK MARROCCO (CHAIR):18Okay. Well, is there -- I don19any further questions. I -- on behalf of us all, I20thank you for this because this is a, sort of --21this is a concrete example of -- in the context in22which we23to -- or a potential solution to a problem that we24have been confronting all the way along both in25terms of a need to deal with people who are COVID Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 39neesonsreporting.com416.413.7755 1positive, and also there 2the shortage of the -- a number of beds and an 3anticipated shortage -- an anticipated worsening 4situation over the next few years as the baby-boom 5generation
34 gets older. 6 So this is ver
gets older. 6 So this is very informative from our 7point of view, and thank you both very much for a 8very helpful presentation. 9 SABRINA FIORELLINO: Thank you,10Commissioner Marrocco, and to the rest of the11Commissioners as well for giving us the opportunity12to speak with you today.13 ALEX SCOPACASA: Thank you, guys.14 COMMISSIONER JACK KITTS: Thank you.15 COMMISSIONER ANGELA COKE: Thank you.16 COMMISSIONER FRANK MARROCCO (CHAIR):17Good-bye now.18 SABRINA FIORELLINO: Bye-bye.19 -- Adjourned at 9:40 a.m. WORD INDEX 1 24 815 6 13 28:11, 1316 132 82,000 920 3200,000 1, 32020 15 1820-bed 1724 726th 1527th 183 830 18 6 18:25300 23 5,14300,000 23,2430-bed 2135-bed 836 736-bed 8 33:44 940 6 1340-bed 17 30:348 75 950 8 21 25:7, 8, 2260 3 18,2060,000 12, 14600 20 12,24 3 770 2475 2475,000 28 139 49:00 16 19:40 16 19a.m 16 1 39:19ability 5above-ground 23:16absolutely 6access 12 21:5, 12accommodate 9:3 20 4 29:3achieve 25achieves 6acquisitions 5:11act 22 31:12, 19, 20acting 8, 10,13actual 12acute 24 4,23 15 15 31:6, 10acute-care 10 9:14 4 6,25 25 5adapt 8add 8, 12 32:12additional 22 31:16address 16Adjourned 19admission 6Adriana 16ag
35 ency 12aggressive 19:19 17agreement
ency 12aggressive 19:19 17agreement 38:11ahead 19, 21 21:5 2, 8air 18, 20, 25 12:3, 6, 16, 25 15:2, 25 18,19, 21, 23, 24 18:24, 25ALC 8Alex 4 4, 5,9 16 9, 14,15 18 2, 4 11:5 9 1,8 25 4,25 4 9 27:9 12 33:14 16, 25 39:13Alison 9allow 15 19:8, 11 5, 12allows 25aluminum 8amount 9 29:23 24anaesthetist 5:25Analyst 16Angela 22 3:19 10, 15 16:9, 22 15anterooms 5anticipated 3Anyway 18appointments 5:21appreciate 10approach 5 32:1appropriate 14:12approve 6approximately 9:20area 13 27:1, 5areas 22 31:9assign 3assist 7assistance 2Assistant 9assists 14associations 8:11Assume 18 27:3 3assumed 5attempting 26:25attending 14Attorney 8auditorium 24:14available 16,17 2 5 28:9avoid 20, 23awkward 18baby 2baby-boom 4back 24 11:18 25background 7,9 16backlog 9backup 7Bahal 13based 10basis 11 33:21Bay 10beauty 1bed 21 12 30:1 2 8bed-by-bed 33:20bedroom 2 15:12, 21bedrooms 15:17, 19 16beds 7 17 25:22 9 27:3, 7 7, 9 30:7 12 35:24 11, 18 37:9 2behalf 19believe 6 30:23, 25 4,6 14, 22Belma 23 40:3, 24best 5better 13Bianchi 11big 9, 10, 25 27:5biggest 12bit 6 18 35:17blocks 25board 8Branch 17breakers 5breakthrough 7:22broad 4broke 14brother 25bubble 1, 2build 2, 3, 7,8 16 2 30:11, 12built 9, 24buy
36 s 4Bye-bye 18call 3Callaghan 19calle
s 4Bye-bye 18call 3Callaghan 19called 4camera 13Canadian 23 18:20, 23capabilities 12capability 13capacity 5, 10 8:20 19CARE 7 10,11, 14, 17 25 6:24 4, 6, 13,23 1, 11 14 14:4, 6, 15 16:15 12 19:6, 13, 23 21:8 1, 6, 10 32:6, 23, 24 34:8 7 36:18 21 38:1, 4cared 3case 13cases 5, 19casualty 16CDC 19central 7 28:10, 12centre 10CEO 8 15certain 23CERTIFICATE 40:1Certified 3certify 4Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 1neesonsreporting.com416.413.7755 cetera 15 28:23 1 36:6 12CHAIR 2, 6,11, 14, 18 18 5:4 12 1 11:3 17, 22 15:4, 7 2, 22 18:2 16, 22 21:9, 14 18,22 1, 20 24:11, 20 2,6, 10, 18 16,20, 24 11, 17,21, 25 4, 15 33:2 11, 17 35:5, 21 19 38:7, 17 16challenges 22 9:16changing 25 7:20CHARTERED 40:25checking 15Chief 2, 4Choconta 16circuit 5circumstances 6:3 18civilian 13clean 23 19:4 19clear 15clinical 7 38:4closely 24closer 13, 19Coke 22 19 15:10, 15 9,22 15collaborate 7collaboration 30:22collaborations 22:12collaborative 31:5 1collaboratively 31:8 23comes 23comfortable 7:25 17comfortably 9:25coming 19 30:12commencing 3:1COMMISSION 1:7 10, 11, 15,18Commissioner 1:21, 22, 23 2,6, 11, 14, 17, 18,19 18 4 6:12 1 3,8, 25 20, 23 13:2, 16 17,22 4, 7, 10,15
37 9, 22 17:2, 22 2 20:16, 22 9,14 18,
9, 22 17:2, 22 2 20:16, 22 9,14 18, 22 23:1, 20 11,20 2, 6, 10,18, 20, 21, 24 26:8, 15, 16, 20,22, 24 11, 17,21, 25 4, 15 29:24 8, 18 33:2 11, 17 35:5, 21, 22, 23 36:2, 7, 13 37:17, 19 7,17 10, 14, 15,16Commissioners 3:15 11communal 15communicate 17:7 11communication 20:10communications 9:11communities 36:21 11company 12 40:23complete 2completely 13:10 2, 3 29:5concept 10concerned 25concrete 21confirm 11confronting 38:24congregate 8 8:2connect 7 29:4, 8connected 23 13:9 2connecting 23:12, 14, 17connection 21:18consent 6, 7,12consideration 34:14constantly 7constraints 4construction 5:12container 24 23:5, 24containers 15,17 9 22 24:1containing 9context 21continue 25 17:1continues 17continuing 6control 11controlled 7 18:7conversations 32:9, 11cooled 19correct 10 25:9, 23 15correctional 37:1cost 17 20Counsel 11countries 22court 20COVID 4 38:25COVID-19 7 2:17 25COVID-positive 14:8 13crane 11create 10 7:18 15, 16,24 10 24 14:24 16, 18,22 3 16 27:3 7 9created 21 10:14 12 24:4, 14 20 33:4crisis 6critically 11cross 4cross-contamination 8:2 20crosses 16cross-flow 20CSR 3, 24current 18custom 16customisable 29:3customized 9Dated 18day 15 21 40:18days 5deal 8 21 37:7, 9 25dealing 23 8:23decant 20
38 decanted 24 14:9decanting 25 13:24
decanted 24 14:9decanting 25 13:24 9decided 15 34:21decisions 21decisive 20deck 10 11:17decrease 22 33:20dedicated 19 20:7degrees 9dehumidification 18:22dehumidified 12:8deliver 7 19:13, 18 22demands 1demobilize 2,4, 6demonstrate 37:20 5departments 31:14depending 9 29:17depends 10 35:15deploy 22 22:8 2 9,10 17 21 38:3deployable 19deployed 15Deputy 9Derek 14design 4designated 3detachable 34:15develop 9 8device 13dialogue 23Diaz 16different 13 29:22 13difficult 7 23:21, 22difficulties 24difficulty 18direction 15Director 14disasters 15disconnecting 33:15disease 10distance 10distancing 25dividing 10 13:11, 12doing 11 22:19double 18driving 11Drummond 9drywall 3, 6due 2easily 3easy 24 4effective 8effectively 13 8:3 16 6Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 2neesonsreporting.com416.413.7755 efficient 17 37:22efforts 3electrical 12,15 4elevator 3, 7eliminate 8emergency 30:24 14 32:14enclosures 16endeavour 32:19ensure 12 8:11 24 10:22, 23 2,11 19 8 21:25 16 31:7ensured 21ensures 1entered 10entire 3entrepreneur 5:11entry 5equipment 15:19 22equipment 20:8especially 4essentially 8events 16example 14,25 5 11 28:8, 10, 11 34:7, 12 21exceed 19excellent 18excess 18,
39 19exchange 18exchanges 6 19:1Excuse
19exchange 18exchanges 6 19:1Excuse 2Executive 2exhausted 17:19 25exist 2existing 16 8:8 5 17 29:5, 6 3expand 14expensive 2explaining 13exterior 13external 9extrapolate 26:14, 17, 25extreme 23 33:24extremely 21faced 6facilities 17,18 5, 18, 23 36:18 1facility 10 29:6, 8 4 35:7 21failures 9families 7 20:12family 17, 18 6:2 4, 5, 16fast 12father 24feet 21 13,24 5, 6, 7 27:7, 12, 14 2fellow 4Fero 3, 5 8 6:15, 19 21 31:12, 14, 22 32:5, 15FERO 1field 11 9,12fields 13 28:17filling 18filter 23, 24filtered 24finance 6find 6 11fine 13 6,14finishes 3Fiorellino 2 3:13 21 6,8 20 10 11:15 1, 18,22, 24 4, 13,21 21 1,6, 9, 14, 16 16:13, 24 1 19:12 20 21:3, 11, 19 22:21, 25 7,23 19, 23 25:4, 9, 13, 23 26:1, 11, 19 27:6, 13, 19, 23 28:3, 7, 19 6,9, 20 12 34:5, 16, 22 35:13, 25 5,12, 24 3, 23 38:12 9, 18fire 9fit 16fixed 21flash 8fleet 22flexible 18, 19 34:10 10fluctuations 18:20, 23foot 3, 15footage 13football 9, 11,17footprint 12 29:16foregoing 6,14forth 8forward 1 13:17Frank 21 2,6, 11, 14, 15, 18 4:18 4 12 10:1, 11 3 14:17, 22 4,7 2, 22 2 20:16, 22 9,14 18, 22 23:1, 20 11,20 2, 6, 10,18 16, 20, 24 27:11, 17, 21, 25 28:4, 15 2 34:11, 17 5,21 19 7,17 16frontline 1 7:3, 11 4 10:25 11
40 frontlines 7,13fulfill 9full 2 24 2
frontlines 7,13fulfill 9full 2 24 24:2 9 14full-scale 11fully 21 23 28:24 6function 24,25functionality 29:25functioning 38:22fund 16funding 2future 15gas 2 6 23:17 25gather 24General 3 29:22generally 22generation 7 39:5generator 14give 6 24:17 10 34:19giving 11glass 9, 14,16goal 13Good 12, 13,17 19Good-bye 17government 9:15 15, 16 29:1 23 36:19 13 38:2, 15, 16Gowling 19grandfather 4great 25 33:17green-grade 19:7group 15guess 3guys 13hallway 21,22 7hallways 5 30:12, 15handle 22handling 1handlings 25happen 6happened 24happy 11hard 21hard-shell 24headwall 3health 23 14:1 17 31:3 22 37:25healthcare 9hear 17, 19heated 19Held 14help 16 1,20helpful 19 39:8HEPA-filtered 17:18, 20heroic 3Hi 14high 25 8higher 17highly 3hit 16, 18home 2 18:13 17 20:25 4homeless 12homes 25 4:8 8 24 14:6, 8 11,13 1, 13, 21,23 3, 6Honourable 21horizontal 5 30:1, 15horizontally 29:15Hospital 20 6:5, 6 9 14:25 8 19:5, 21, 23 24:12, 21 10,17hospital-grade 20:3hospitals 18,22hour 19 12:6 1, 22 31:17Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 3neesonsreporting.com416.413.7755 hours 23 23:7housing 24,25 11HR 11hub 7 4,22 12hubs 14 16:15 5, 6hundred 1 24:5, 14, 16, 25 25:21 9 27:2
41 , 3, 7, 22, 24 30:1 23 35:24hundred-b
, 3, 7, 22, 24 30:1 23 35:24hundred-bed 33:22hundred-thousand-dollar 35:14, 18, 20HVAC 15, 18 12:5, 11, 13, 14 13:15, 18ICU 11 34:24Ida 11idea 25 14:5 17 31:7 3imagine 9 30:1immediately 23:3 10immunocompromised 19important 21importantly 25include 16includes 22including 4 33:1 7incoming 24increase 10increasing 25independent 12:25 6 5independently 12:7Indigenous 36:21 10infected 6infection 11infections 3informative 6infrastructure 7:17, 19 5 31:11 22, 25 36:17, 20, 22 37:10in-person 15input 20install 11 26:4intentionally 21:25interconnect 10:5interconnecting 10:8interested 6interests 9interim 3interior 2International 2:3, 5 16Internet 25 21:17interrupt 22 22:19interviewing 8introduce 9inventory 11isolate 23isolated 24 17:5, 11isolation 2issue 1 1issues 23 7iteration 6 17:13Jack 23 16,17 8, 25 12:20, 23 2,16 21, 24 26:8, 15, 22 29:24 8, 18 35:23 2, 7,13 17 14Janet 23 3:19 3, 24John 19joined 11just-in-time 32:21keeping 4kind 9 6 20:19 18 35:10Kingston 4 34:13Kitts 23 16,17 8, 25 12:20, 23 2,16 20, 21, 24 26:8, 15, 22 29:24 8, 18 35:22, 23 2,7, 13 17 39:14lacking 22land 18, 22 28:1large 10 8 17:9, 14larger 6lawyer 9Lead 21 13leadership 20lease 4, 5, 6leave 8, 13Lego 25lengths 25Lett 14
42 letting 10level 23 26:10lifts 18 28
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ze 2, 4modular 19module 8mom 18Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 4neesonsreporting.com416.413.7755 monitoring 20:13month 3, 6months 24,25morning 12,13, 17 4move 12, 21 32:13 8 34:9, 14moved 15multiple 7 10:12 10municipal 15mute 15name 7natural 15needed 11, 25 9:1 18needs 20 9 22:5 4, 7NEESONS 23negative 9,13 15Network 1 24:4 25new 8note 24notes 15November 15 40:18number 13 6:18 10 7 39:2nurse 12 32:4nursing 11 14:13 23 22:6 14o 4odd 18offer 1offerings 9Officer 2, 4older 5ongoing 1onsite 24Ontario 17 22:9 5open 10operate 4Operating 4operational 21:23 1 28:25Operations 13,17 17operators 6,14opportunities 4:10opportunity 37:20 11order 25organized 23outbreak 3 16:6outbreaks 8 8:21, 23 2outlet 6outlets 4output 20outside 12,16Overall 17overlap 9overload 6oxygen 1 34:25pandemic 14 7:1pandemics 37:15part 5participants 1:14 7particular 18parties 8partner 1partnered 24partners 16passed 5pass-through 22:15patient 18 28:23patients 16 12:21 10, 11people 11 11:13 6 36:8 25Perfect 21person 7, 8 10:3 9, 16personal 8person 20perspective 31:11pharmacies 6phone 3phonetic 15physical 16physician 12 16:17physicians 20:18 4picture 10, 20piece 1place 22 38:11 7
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45 1reoccurrence 4:3report 3 38:13report
1reoccurrence 4:3report 3 38:13reporter 20 40:4, 25REPORTER 40:1Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 5neesonsreporting.com416.413.7755 repurpose 36:20 10repurposed 7requested 2require 21,22 23 10 27:14 1, 15 34:8 16required 17,18, 20 16 25:17 23 29:5, 16, 18 30:24 5 32:1, 13 4,15, 17requirements 9:4 19requires 7 32:19 23 34:2, 3resident 1 10:7, 13, 20 11:22, 23 1,3, 14 4 8 16:4, 5 5, 13 19:14, 21 11 21:6residents 12,16, 20 3, 5 9:6, 7, 8, 21, 24 10:12, 24 2 13:12 6, 10,17 10, 13 31:13, 15, 18, 21 34:8 7rest 9, 14 39:10restrooms 7retardant 9return 23roles 18room 3 1,2, 10, 12, 13, 15,17, 25 5, 14 15:21 13 18:6, 8, 9 15 34:24 20, 25rooms 21 11:22, 23 3,4, 5, 7, 14 25 15:23, 24 4,5 6 11,14, 15, 16, 19, 25 22:7 3, 5, 14,16, 25 12 29:19, 20 23row 11running 3runs 25Sabrina 2 3:9, 13 21 5:6, 8 18, 20 10:10 15 12:1, 18, 22, 24 13:4, 13, 21 14:21 1, 6, 9,14, 16 13, 24 18:1 12 20:20 3, 11,19 21, 25 23:7, 23 19,23 4, 9, 13,23 1, 11, 19 27:6, 13, 19, 23 28:3, 7, 19 6,9, 20 12 34:5, 16, 22 35:13, 25 5,12, 24 2, 3,23 12 9,18safe 10 5 10:25 2 17:17 11safely 10, 13 9:24 11Sanjay 13satisfied 9scalable 21 8:18scale 2, 8scaled 23 21:21schools 17 37:1Scopacas
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47 17started 19station 23 22:6stations
17started 19station 23 22:6stations 11 27:15stay 6 5 35:19Stenographer/Transcriptionist 2:23stenographically 40:11sterilize 5stockpile 15,16 19 13,14stockpiled 13strategic 20strategy 24streamline 16Street 10strong 2, 19struggling 25successful 23 33:1suction 1 34:25suitable 14suppliers 13supplies 14supply 23 16:11 21, 24,25 21support 23 31:16 15surge 20surgical 9system 24 7:2 14 4,8, 10 15, 16 24:15 7 3systems 17tailored 15takes 9, 13 24:8talk 2Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/2020 6neesonsreporting.com416.413.7755 talking 17,19, 20 22 27:5 12Team 13 16:16 15teams 10 32:16technology 7:22 5 5,15, 16temperature 12:7temporary 10 37:8tend 13tent 22, 23,25terms 15 23:3 8, 25terrific 2test 2tested 1 1 35:8Thanks 20thing 6 10 33:8, 17 6things 14 28:22thinking 16 30:4 6thought 6, 19thousand 23 35:24time 23 5 22:10 9 24:2, 6, 8 4 31:1 4 7,10times 7today 8 12tomorrow 4Toronto 3touch 17touched 17trades 24train 9training 9transcribed 40:12transcript 21 40:15transfer 8transition 9transitional 17:14transplant 19,20, 24treat 15treatment 19,20 17truck 9 23:10 16trucks 11true 14trying 15 9TSSA 6turned 14turnkey 16type 25UHN 6, 10 28:10 3, 8, 10UHN 1unable 6un
48 derstand 4:24 22 2 11:9 14 22:23
derstand 4:24 22 2 11:9 14 22:23 25 32:17 4understood 22unfortunately 6:4uniform 9unique 15 29:3unit 20 2,3, 7, 12, 13, 15 11:1, 13 3,18 23 1,19 12 15 35:10units 22, 24 8:14, 19 2, 9,19, 22 4, 8,24 10, 11, 12 12:11 23 14:2, 11 21 18:13, 19 1,2, 4 3, 24 21:21, 22 5,7, 11 7, 24 25:3, 8, 12, 15,22 24 14 30:3 15, 22 33:15, 17 9,13 3, 13University 1 37:25UPS 7upside 15uses 10utility 24 22:7 20variety 10 22:4verified 4VERITEXT 23vertical 25 26:2, 6 15vertically 5 29:15video-conferencing 17:8view 7viral 23virtually 2visit 18 19:24visitation 15 35:1, 3visitors 20vitals 22 31:16wait 14 19walk 1, 16walking 21walkway 11wall 10 9,11, 12 7wanted 16 34:21 8wants 8washroom 2 15:22washrooms 27:15 19water 15Wave 24 5weather 20,23week 5 33:12weeks 2welfare 15well-thought-out 30:24Western 3who 7window 14windows 10Windsor 13wireless 10wood 7work 17 13 10:3 10, 14,15 14 8 32:5, 23 6, 8worked 18worker 1workers 4, 11 8:4 25 20:11 1world 15 22:13worldwide 24worse 6worsening 3written 13wrong 22, 23Yeah 19, 21 11:5, 25 9,23 1 5, 6,14 21 3,20 25 16 28:7 12 34:12 6 37:3 12, 16year 5 6years 10 6:18 4Zoom 14zoomed-in 19Long Term Care Covid-19 Commission Mtg. Fero International Inc. on 11/26/20