Selvaggi Built

Selvaggi Built Southern California's healthcare construction specialists. HCAI/OSHPD-compliant builds inside active hospitals. Protecting patient safety on every project.

Precision Under Pressure.

Plan review is a discipline.Most contractors treat HCAI submission as an administrative step. Fill out the forms, attach...
05/27/2026

Plan review is a discipline.

Most contractors treat HCAI submission as an administrative step. Fill out the forms, attach the drawings, wait for comments, respond. That process works if you have time and a simple project. It does not work if you are running a phased renovation inside a licensed facility with a regulatory deadline attached to the occupancy schedule.

HCAI plan review has a logic to it. Project category determinations drive the review track. Title 22 requirements layer on top of CBC. OSHPD inspectors look for specific documentation patterns. Reviewers flag the same categories of errors repeatedly because most GCs do not know what the review team is actually looking for.

We do. Preconstruction includes a submission strategy, not just a drawing package. Comments are anticipated before they arrive. The response is prepared before the review clock starts. That is how you protect the schedule on a licensed facility.

Plan review is not paperwork. It is field intelligence applied upstream.

Casework built to the room.Off-the-shelf casework does not fit healthcare. The wall is never perfectly square. The floor...
05/25/2026

Casework built to the room.

Off-the-shelf casework does not fit healthcare. The wall is never perfectly square. The floor is never perfectly level. The existing MEP rough-in lands where it lands. A standard unit gets shimmed, scribed, and caulked to hide the gap. It looks fine on day one. It fails inspection or creates a surface that cannot be properly cleaned.

We fabricate in-house. Field dimensions are verified before a single panel is cut. Tolerances are held to the room, not to a catalog spec. The result is casework that installs clean, seals properly, and meets the surface requirements of a clinical environment.

That is not a premium feature. In healthcare, it is the baseline.

The unit stays open.That is not a marketing line. It is an operational commitment that requires a specific sequence to d...
05/23/2026

The unit stays open.

That is not a marketing line. It is an operational commitment that requires a specific sequence to deliver.

Containment sealed to the deck before demo. Negative pressure established and logged. HEPA unit staged and running. Entry and egress protocol confirmed with the charge nurse before the first crew member enters the wing. Noise and vibration schedule coordinated with patient care hours. Debris routes planned to avoid occupied corridors.

Every one of those steps happens before construction starts, not during. Because once you are in an active unit, there is no version of disruption that is acceptable. Patients are there. Staff are working. The facility is licensed and operating. Your construction activity cannot change that.

Zero-disruption protocol is not a feature. It is the price of admission for working in an occupied facility.

The room performs first.A patient room renovation is not complete when it looks finished. It is complete when it passes....
05/22/2026

The room performs first.

A patient room renovation is not complete when it looks finished. It is complete when it passes. Med gas pressure tested and certified. Nurse call operational. HVAC balanced to the room design parameters. All surfaces cleanable to infection control standards. Hardware verified against the patient population requirements.

We sequence the work so the clinical systems are validated before the finishes close in. That means rough-in inspected, pressure tested, and signed off before drywall. It means the ceiling grid does not go up until every above-ceiling system is confirmed. It means the punch list starts from a functional baseline, not from a walk with a paint brush.

The room performs first. Then it looks the part.

The gap is where projects fail.Every set of construction documents represents design intent. What the engineer drew, wha...
05/21/2026

The gap is where projects fail.

Every set of construction documents represents design intent. What the engineer drew, what the architect specified, what the owner approved. That drawing set is based on as-built information that is often years old, frequently incomplete, and sometimes wrong.

In an active healthcare facility, the gap between the drawing and the field is where projects fail. The wall that is supposed to be drywall is concrete. The conduit that is not on the drawings runs exactly where the new MEP needs to go. The slab is six inches thicker than the structural notes indicate.

We close that gap before demo starts. Existing conditions are field-verified by our team, not assumed from documents. Ground-penetrating radar where the structure requires it. Above-ceiling inspection before mechanical rough-in is priced. The RFI gets written before the bid, not during construction when a change order is the only option.

What you find in preconstruction costs nothing to resolve. What you find after mobilization costs everything.

A working hallway. A sealed line.ICRA Level 4 does not mean the corridor shuts down. It means the corridor continues ope...
05/19/2026

A working hallway. A sealed line.

ICRA Level 4 does not mean the corridor shuts down. It means the corridor continues operating with a sealed construction boundary running through it. Staff move past it. Patients move past it. Supply carts move past it. The construction zone is fully isolated from occupied circulation, and the seal holds regardless of traffic on the other side.

Building that boundary correctly requires more than poly and tape. The barrier runs floor to deck, not floor to drop ceiling. Penetrations are sealed. The anteroom is staged for proper entry and egress. Negative pressure is confirmed on the construction side before any demolition starts.

The hallway keeps moving. The line holds. That is ICRA Level 4 in an active facility. That is the only way we build it.

Logged at every shift change.Negative pressure is not a setup condition. It is an ongoing protocol. In an active healthc...
05/18/2026

Logged at every shift change.

Negative pressure is not a setup condition. It is an ongoing protocol. In an active healthcare facility, the air pressure relationship between the construction zone and the occupied corridor has to be maintained continuously, not just verified at the start of the day.

We log pressure readings at every shift change. If the HEPA unit drops performance, work stops. If a seal is compromised, it is addressed before the next crew enters. The documentation exists not because a regulator asked for it but because a facility director should be able to pull the log and know, for any hour of any day, that the containment held.

That is the standard in an occupied facility. Everything else is a liability.

The schedule is built before demo.The most expensive phase of a healthcare renovation is not construction. It is the one...
05/17/2026

The schedule is built before demo.

The most expensive phase of a healthcare renovation is not construction. It is the one after a problem surfaces in the field that preconstruction should have caught. An RFI that stops three trades. A phasing conflict that forces a weekend shutdown. A lead-time item that was not on order because nobody confirmed the spec in week one.

We build the schedule before we pull permits. Existing conditions are field-verified. Submittals are staged against the phase sequence. Long-lead equipment is identified and ordered before the drawings are even stamped. Every trade knows their sequence, their access window, and their constraints before mobilization.

The schedule is not a Gantt chart handed over at kickoff. It is a living document built from the field up, stress-tested against the facility's operational calendar before a single wall comes down.

That is preconstruction. That is where the project is actually won.

"A hospital is not a building."A hospital director told me last year that her three biggest construction problems were n...
05/16/2026

"A hospital is not a building."
A hospital director told me last year that her three biggest construction problems were never about construction.
They were noise at 2 a.m. on a med-surg floor. A barrier that breached during a code. A subcontractor who didn't know which corridor was patient-only.
None of that shows up in a scope of work.
The first question I ask any healthcare client is not about the build. It's about the floor. Who runs it. What time the shift changes. Which doors get used by patients in gowns and which get used by staff carrying meds. Where the family waiting area is.
If a contractor cannot answer those questions before drawings get marked up, the project is already inside the schedule it will eventually miss.
A hospital is a system of people, schedules, and air pressure. We are guests inside that system for a defined window. Our job is to leave it stronger than we found it, without ever interrupting it.
The build is the easy part. The discipline is in everything that surrounds it.
If you are evaluating contractors for an active facility project, ask them what they do in the first thirty minutes on site. The answer tells you whether they are going to treat your hospital like a building or like a system.
The patient on the other side of the barrier is the one who pays for the difference.

Address

5100 E. La Palma Avenue Ste 110
Anaheim, CA
92807

Opening Hours

Monday 7am - 5pm
Tuesday 7am - 5pm
Wednesday 7am - 5pm
Thursday 7am - 5pm
Friday 7am - 5pm

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+17143535309

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