Draft EIR — Riverside City Council, July 5, 2022

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Prepared for the Lead Agency
City of Riverside
3737 Main Street, Suite 400
Riverside, CA 92501
January 2022
Draft Environmental
Impact Report
Kaiser Permanente Riverside Medical Center Hospital Expansion SCH No. 2021090271

City of Riverside Table of Contents
Kaiser Permanente Riverside Medical Center
Hospital Expansion DEIR
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TABLE OF CONTENTS

1.1 Introduction ............................................................................................................. 1-1

1.1.1 Lead and Responsible Agencies ................................................................. 1-1

1.1.2 Environmental Process ................................................................................ 1-2

1.2 Project Information .................................................................................................. 1-3

1.2.1 Project Applicant ......................................................................................... 1-3

1.2.2 Project Location .......................................................................................... 1-3

1.2.3 Project Site – Existing Conditions ............................................................... 1-6

1.2.4 Land Use Designation, Specific Plan, and Zoning ...................................... 1-8

1.3 Project Description .................................................................................................. 1-9

1.4 Project Objectives ................................................................................................. 1-12

1.5 Discretionary Actions and Approvals .................................................................... 1-13

1.6 Areas of Controversy and Issues to be Resolved ................................................. 1-14

1.7 Environmental Analysis ......................................................................................... 1-15

1.8 Alternatives to the Proposed Project .................................................................... 1-55

1.8.1 Alternatives Rejected from Further Consideration .................................... 1-55

1.8.2 Alternatives Evaluated in the DEIR ............................................................ 1-56

1.9 Environmentally Superior Alternative .................................................................... 1-58

1.10 Other CEQA Topics ............................................................................................... 1-59

1.10.1 Significant Unavoidable Adverse Impacts ................................................. 1-59

1.10.2 Growth Inducing Impacts .......................................................................... 1-59

1.10.3 Significant Irreversible Environmental Changes which would be Involved in the Proposed Project Should it be Implemented .................... 1-60

2.1 Background ............................................................................................................. 2-1

2.2 Purpose and Scope ................................................................................................ 2-1

2.3 Authorization ........................................................................................................... 2-1

2.4 Lead and Responsible Agencies ............................................................................. 2-2

2.5 Project Applicant ..................................................................................................... 2-2

2.6 Compliance with CEQA ........................................................................................... 2-3

2.6.1 Environmental Procedures .......................................................................... 2-3

2.6.2 Potentially Significant Environmental Effects .............................................. 2-5

2.6.3 Format ......................................................................................................... 2-6 Table of Contents City of Riverside
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2.7 Documents Incorporated by Reference .................................................................. 2-7

2.7.1 City of Riverside General Plan 2025 Final Program Environmental Impact Report ...................................................................... 2-7

2.7.2 City of Riverside General Plan 2025 ............................................................ 2-7

2.7.3 City of Riverside Municipal Code ................................................................ 2-8

2.7.4 Magnolia Avenue Specific Plan (MASP) ...................................................... 2-8

2.7.5 Housing and Public Safety Element Updates and Environmental Justice Policies Environmental Impact Report ............................................ 2-8

3.1 Project Location and Setting ................................................................................... 3-1

3.1.1 Project Location .......................................................................................... 3-1

3.1.2 Project Site – Existing Conditions ............................................................... 3-3

3.1.3 Land Use Designation, Specific Plan, and Zoning ...................................... 3-7

3.1.4 Surrounding Land Uses ............................................................................. 3-11

3.2 Project Characteristics .......................................................................................... 3-13

3.2.1 Conditional Use Permit Modification (CUP) – DP-2021-00008 ................. 3-13

3.2.2 Minor Conditional Use Permit (MCUP) –
DP-2021-01307 – Off-Site Area 1 ............................................................. 3-13

3.2.3 Rezone (RZ) – DP-2021-01650 and Minor Conditional Use Permit (MCUP) – DP-2021-01306 – Off-Site Area 2 ............................................. 3-15

3.2.4 Summary Vacation (SV) – SD-2021-00020 ............................................... 3-19

3.2.5 Design Review (DR) –DPR-2021-00009 .................................................... 3-23

3.2.6 Project Objectives ..................................................................................... 3-47

3.2.7 Discretionary Actions and Approvals ........................................................ 3-48

4.1 Effects Found Not to be Significant During Preparation of the Initial Study/Notice of Preparation .......................................................................... 4-1 Aesthetics ................................................................................................................ 4-1 Agriculture and Forestry Resources ........................................................................ 4-3 Air Quality ................................................................................................................ 4-4 Biological Resources ............................................................................................... 4-6 Cultural Resources .................................................................................................. 4-9 Energy ................................................................................................................... 4-12 Geology and Soils ................................................................................................. 4-13 Greenhouse Gas Emissions .................................................................................. 4-15 Hazards and Hazardous Materials ........................................................................ 4-16 City of Riverside Table of Contents
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Hydrology and Water Quality ................................................................................ 4-18 Land Use and Planning ......................................................................................... 4-22 Mineral Resources ................................................................................................ 4-23 Noise ................................................................................................................... 4-23 Population and Housing ........................................................................................ 4-27 Public Services ...................................................................................................... 4-28 Recreation ............................................................................................................. 4-30 Transportation ....................................................................................................... 4-30 Utilities and System Services ................................................................................ 4-31 Wildfire .................................................................................................................. 4-33 Technical Studies .................................................................................................... 5-1 Analysis Format ....................................................................................................... 5-1

5.1 Transportation ...................................................................................................... 5.1-1

5.1.1 Setting ...................................................................................................... 5.1-1

5.1.2 Related Regulations ............................................................................... 5.1-11

5.1.3 Thresholds of Significance ..................................................................... 5.1-17

5.1.4 Project Design Features ......................................................................... 5.1-17

5.1.5 Methodology .......................................................................................... 5.1-21

5.1.6 Environmental Impacts before Mitigation ............................................... 5.1-22

5.1.7 Proposed Mitigation Measures .............................................................. 5.1-31

5.1.8 Environmental Impacts after Mitigation Measures are Implemented ..... 5.1-33

5.1.9 References ............................................................................................. 5.1-34

5.2 Tribal Cultural Resources ..................................................................................... 5.2-1

5.2.1 Setting ...................................................................................................... 5.2-1

5.2.2 Related Regulations ................................................................................. 5.2-3

5.2.3 Thresholds of Significance ..................................................................... 5.2-10

5.2.4 Project Design Features ......................................................................... 5.2-10

5.2.5 Environmental Impacts before Mitigation ............................................... 5.2-10

5.2.6 Proposed Mitigation Measures .............................................................. 5.2-13

5.2.7 Environmental Impacts after Mitigation Measures are Implemented ..... 5.2-15

5.2.8 References ............................................................................................. 5.2-15

6.1 Cumulative Impact Analysis .................................................................................... 6-1

6.1.1 Introduction ................................................................................................. 6-1

6.1.2 Transportation ............................................................................................. 6-2 Table of Contents City of Riverside
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6.1.3 Tribal Cultural Resources ............................................................................ 6-4

6.2 Significant Unavoidable Adverse Impacts .............................................................. 6-5

6.3 Growth Inducing Impacts ........................................................................................ 6-5

6.4 Significant Irreversible Environmental Changes which would be Involved in the Proposed Project Should it be Implemented ................................................ 6-7

6.5 Consistency with Regional Plans ............................................................................ 6-8

6.6 References .............................................................................................................. 6-9

7.1 Project Objectives ................................................................................................... 7-1

7.2 Summary of the Project’s Significant Unavoidable Impacts ................................... 7-2

7.3 Rationale for Alternatives Selection ........................................................................ 7-2

7.4 Alternatives Rejected from Further Consideration .................................................. 7-3

7.4.1 Alternative Project Location ........................................................................ 7-3

7.5 Description of Alternatives Evaluated in the DEIR .................................................. 7-5

7.5.1 Alternative 1: No Project/Alternative .......................................................... 7-6

7.5.2 Alternative 2 – Reduced Intensity Alternative ............................................ 7-10

7.6 Comparison of Alternatives ................................................................................... 7-14

7.7 Environmentally Superior Alternative .................................................................... 7-14

7.8 References ............................................................................................................ 7-15 City of Riverside Table of Contents
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LIST OF FIGURES
Figure 1-1 – Vicinity Map .......................................................................................................... 1-4 Figure 1-2 – Project Site ........................................................................................................... 1-5 Figure 1-3 – Proposed Off-Site Areas ...................................................................................... 1-7 Figure 3-1 – Vicinity Map .......................................................................................................... 3-2 Figure 3-2 – Project Site ........................................................................................................... 3-4 Figure 3-3 – Existing Kaiser Permanente Riverside Medical Center Site Plan ......................... 3-5 Figure 3-4 – Proposed Off-Site Parking Lots ........................................................................... 3-6 Figure 3-5 – Land Use Designation .......................................................................................... 3-8 Figure 3-6 – Magnolia Avenue Specific Plan (MASP) ............................................................... 3-9 Figure 3-7 – Zoning Map ........................................................................................................ 3-10 Figure 3-8 – Hospital Site Plan ............................................................................................... 3-14 Figure 3-9A – Off Site Area 1 Site Plan ................................................................................... 3-16 Figure 3-9B – Off-Site Area 1 Landscape Plan ....................................................................... 3-17 Figure 3-10 – Rezoning DP-2021-01650 ................................................................................ 3-18 Figure 3-11A – Off Site Area 2 Site Plan ................................................................................. 3-20 Figure 3-11B – Off-Site Area 2 Landscape Plan ..................................................................... 3-21 Figure 3-12 – Summary Vacation ........................................................................................... 3-22 Figure 3-13 – Hospital Expansion Landscape Plan ................................................................ 3-25 Figure 3-14A – Colored Elevations – Hospital Expansion (North and South) ......................... 3-27 Figure 3-14B – Materials – Hospital Expansion ...................................................................... 3-28 Figure 3-14C – Hospital Expansion Visual Simulation 1 ......................................................... 3-29 Figure 3-14D – Hospital Expansion Visual Simulation 2 ......................................................... 3-30 Figure 3-15A – Colored Elevations – Parking Structure ......................................................... 3-31 Figure 3-15B – Materials – Parking Structure ......................................................................... 3-32 Figure 3-15C – Parking Structure Visual Simulation 1 ............................................................ 3-33 Figure 3-15D – Parking Structure Visual Simulation 2 ............................................................ 3-34 Figure 3-15E – Parking Structure Visual Simulation 3 ............................................................ 3-35 Figure 3-16 – Hospital Expansion Site BMP Plan ................................................................... 3-38 Figure 3-17A – Construction Subphases 1 and 2 ................................................................... 3-43 Figure 3-17B – Construction Subphases 3 and 4 .................................................................. 3-44 Figure 3-17C – Construction Subphases 5 and 6 .................................................................. 3-45 Figure 3-17D – Construction Subphase 7 .............................................................................. 3-46 Figure 5.1-1– Regional Kaiser Locations ............................................................................... 5.1-2 Figure 5.1-2– Master Plan of Roadways ................................................................................ 5.1-6 Figure 5.1-3 – Existing and Proposed Bikeways ................................................................... 5.1-8 Figure 5.1-4 – Master Plan of Trails ..................................................................................... 5.1-10 Figure 5.1-5 – Pedestrian Circulation .................................................................................. 5.1-20 Figure 7-1 – Regional Kaiser Facilities ...................................................................................... 7-4 Table of Contents City of Riverside
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LIST OF TABLES
Table 1-A – Project Site Details ................................................................................................ 1-6 Table 1-B – Impact Summary Matrix ...................................................................................... 1-15 Table 1-C – Comparison of Alternatives Matrix ...................................................................... 1-58 Table 2-A – Summary of Written Comments Received in Response to the Notice of Preparation ............................................................................................. 2-4 Table 3-A – Project Site Details ................................................................................................ 3-1 Table 3-B – Hospital Expansion Site Surrounding Land Uses ............................................... 3-11 Table 3-C – Off-Site Area 1 Surrounding Land Uses .............................................................. 3-11 Table 3-D – Off-Site Area 2 Surrounding Land Uses .............................................................. 3-12 Table 3-E – Construction Phases ........................................................................................... 3-42 Table 5.1-A – Consistency with Connect SoCal Goals ....................................................... 5.1-23 Table 5.1-B – Recommended Improvements ...................................................................... 5.1-27 Table 5.1-C – Difference in VMT Emergency Department Visitations ................................. 5.1-28 Table 5.1-D – Difference in VMT Operating Rooms ............................................................ 5.1-29 Table 5.1-E – Difference in VMT Inpatient Beds .................................................................. 5.1-30 Table 5.1-F – Employee Related VMT ................................................................................. 5.1-31 Table 5.1-G – Project Net Daily VMT Change ..................................................................... 5.1-31 Table 5.2-A– AB 52 Response Log ........................................................................................ 5.2-7 Table 6-A – Project-Related Changed in Patient-Generated VMT ........................................... 6-3 Table 6-B – Location in the DEIR in which Consistency with Regional Plans is Discussed .... 6-8

APPENDICES
Appendix A.1 – Notice of Preparation
Appendix A.2 – NOP Distribution List
Appendix A.3 – Scoping Meeting
Appendix A.4 – Written Comments Received in Response to the NOP Appendix A.5 – Initial Study
Appendix A.5.1 – Initial Study Appendices
 Detailed Plan Set
 Air Quality Technical Memorandum, September 3, 2021
 Cultural Resources Report, June 2021 –replaces the March 2021 report  Geotechnical Investigation Report, revised July 26, 2021  Geotechnical Investigation Report Parking Structure, revised July 21, 2021  Greenhouse Gas Emissions Technical Memorandum, September 3, 2021  Noise and Groundborne Vibration Technical Memorandum, December 14, 2021 – replaces the September XX, 2021 report.
 Preliminary Technical Drainage Study, April 6, 2021
 Preliminary Project Specific WQMP for Kaiser Permanente Riverside, signed by the owner October 22, 2021
 Preliminary Project Specific WQMP – Magnolia Lot, Revised January 11, 2022  Preliminary Project Specific WQMP – Fillmore Lot, Revised January 11, 2022  Sewer Study Report, July 12, 2021
 Energy Calculation
 Native Soils Letter, August 24, 2021
Appendix B – Vehicle Miles Traveled Analysis
City of Riverside Table of Contents
Kaiser Permanente Riverside Medical Center
Hospital Expansion DEIR
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Acronyms
AB Assembly Bill
AC Air Conditioner
ACHP Advisory Council on Historic Preservation
ADA Americans with Disabilities Act
APN Assessor’s Parcel Number
AQIP Air Quality Investment Program
AQMD Air Quality Management District
AQMP Air Quality Management Plan
BHP Brake Horsepower
BMP Best Management Practices
CalGreen California Green Building Standards Code
CAP Climate Action Plan
CAPCOA California Air Pollution Control Officers Association CARB California Air Resources Board
CBC California Building Code
CCR California Code of Regulations
CEQA California Environmental Quality Act
CG-SP Commercial General and Specific Plan
CH4 Methane
CHRIS California Historical Resource Information System CMA Congestion Management Agency
CMP Congestion Management Program
CNEL Community Noise Equivalent Level
CO2 Carbon Dioxide
CR Commercial Retail
CRHR California Register of Historical Resources
CR-SP Commercial Retail and Specific Plan
CUP Conditional Use Permit
D&T Diagnostic and Treatment
dBA Decibel A (A-weighted sound level)
DEIR Draft Environmental Impact Report
DIF Development Impact Fees
DPR Development Plan Review
DR Design Review
ED Emergency Department
EIC Eastern Information Center
EIR Environmental Impact Report
EPA Environmental Protection Agency
EV Electric Vehicle
FAR Floor Area Ration
FAR Federal Aviation Regulations
FEMA Federal Emergency Management Agency
GHG Greenhouse Gas
GIS Geographic Information System
GMZ Groundwater Management Zone
GP 2025 City of Riverside General Plan 2025
GPD Gallons Per Day
GRH Guaranteed Ride Home
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Acronyms
HCP Habitat Conservation Plan
HQTA High Quality Transit Areas
HVAC Heating, Ventilation, and Air Conditioning
ICU Intensive Care Unit
IP Inpatient Facility
IS Initial Study
kV Kilovolt
LDMF Local Development Mitigation Fee
LEED Leadership in Energy and Environmental Design
LHMP Local Hazard Mitigation Plan
LID Low Impact Development
LOS Levels of Service
LRTS Long Range Transportation Study
LST Localized Significance Threshold
LTS Less than Significant
LTSM Less than Significant with Mitigation
MASP Magnolia Avenue Specific Plan
MBTA Migratory Bird Treaty Act
MCUP Minor Conditional Use Permit
MGD Million Gallons Per Day
MM Mitigation Measure
MOB Medical Office Building
MSHCP Western Riverside County Multiple Species Habitat Conservation Plan MU-U Mixed-Use Urban
MU-V Mixed-Use Village
MU-V-SP Mixed-Use Village and Specific Plan
MW Megawatt
N2O Nitrous Oxide
NAHC Native American Heritage Commission
NICU Neonatal Intensive Care Unit
NO Nitric Oxide
NOP Notice of Preparation
NPDES National Pollutant Discharge Elimination System
NRHP National Register of Historic Places
OPR Governor’s Office of Planning and Research
OR Operating Room
OSHPD Office of Statewide Health Planning and Development PRC Public Resources Code
QSD Qualified SWPPP Developer
QSP Qualified SWPPP Practitioner
R-1-7000-SP Single Family Residential and Specific Plan Overlay Zone R-3-1500-SP Multi-family Residential and Specific Plan Overlay Zone R-3-2000-S-2-SP Multi-Family Residential, Building Stories (maximum 2-story), and Specific Plan (Magnolia Avenue) Overlay Zones
RCA Western Riverside County Regional Conservation Agency RCTC Riverside County Transportation Commission
RIVTAM Riverside County Traffic Analysis Model
RPD Riverside Police Department
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Acronyms
RPU Riverside Public Utilities
RTA Riverside Transit Agency
RTP/SCS Regional Transportation Plan/Sustainable Communities Strategy RUSD Riverside Unified School District
RWQCB Regional Water Quality Control Board
RZ Rezone
SB Senate Bill
SCAG Southern California Association of Governments
SCAQMD South Coast Air Quality Management District
SCS Sustainable Communities Strategy
SF Square Feet
SFHA Special Flood Hazard Area
SKR HCP Stephens’ Kangaroo Rat Habitat Conservation Plan SLF Sacred Lands File
SO2 Sulfur Dioxide
SOV single-occupancy vehicles
SR-91 California State Route 91
SU Significant Impact
SWPPP Storm Water Pollution Prevention Plan
TCR Tribal Cultural Resource
TDM Transportation Demand Management Regulations
TOA Traffic Operational Analysis
TPA Transit Priority Area
TUMF Transportation Uniform Mitigation Fee (Western Riverside County) TWLTL two way‐left‐turn lane
VC-S Summary Vacation
VMT Vehicle Miles Traveled
WDID Waste Discharge Identification
WRCOG Western Riverside Council of Governments
City of Riverside Section 1
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Executive Summary
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1 EXECUTIVE SUMMARY

1.1 Introduction
A Conditional Use Permit (CU-038-834) was approved in 1984 for the construction of a medical campus for Kaiser Hospitals at 10800 Magnolia Avenue. The medical campus included a hospital building, three medical office buildings, a 4-level parking structure, and surface parking lots. Construction was completed and the facility was opened in 1989. The Kaiser Permanente Riverside Medical Center currently comprises four Medical Office Buildings (MOB), surrounded by surface parking lots, and one parking structure. The existing facilities contain 226 hospital beds, including 51 single occupancy rooms, 78 double occupancy rooms, and 19 neonatal intensive care (NICU) rooms.

In response to growth within the Inland Empire area served by Kaiser Permanente’s Riverside Medical Center, Kaiser Permanente is requesting a modification to Planning Case CU-038-834 to expand this facility. In addition to the expansion of the Kaiser Permanente Riverside Medical Center, Kaiser Permanente is also proposing the development of two off-site parking lots (referred to as Off-Site Area 1 and Off-Site Area 2 in the DEIR) to accommodate employee and construction worker parking during the expansion as described in detail in Section 3 – Project Description of this DEIR.

The purpose of this Draft Environmental Impact Report (DEIR) is to evaluate and disclose potential environmental impacts resulting from the expansion of the Kaiser Permanente Riverside Medical Center (hereinafter referred to as the Hospital Expansion Site), and the construction and operation of two parking lots located at 10821 Magnolia Avenue (hereinafter referred to as Off-Site Area 1) and 11510 Magnolia Avenue (hereinafter referred to as Off-Site Area 2.) All sites are located within the La Sierra District of the Magnolia Avenue Specific Plan in the City of Riverside. The Hospital Expansion Site, Off-Site Area 1, and Off-Site Area 2 are collectively referred to as the Project Site.

1.1.1 Lead and Responsible Agencies
This DEIR has been prepared by the City of Riverside (City) as “lead agency” in accordance with the Guidelines for the Implementation of the California Environmental Quality Act (State CEQA Guidelines), (Sections 15000–15387 of the California Code of Regulations), and the City’s CEQA Guidelines. The City’s address is:

City of Riverside
Community Development Department
Planning Division
3900 Main Street, 3rd Floor
Riverside, California 92522
Contact: Brian Norton, Senior Planner
[email protected]
Tel: (951)826-2308
Section 1 City of Riverside
Executive Summary Kaiser Permanente Riverside Medical Center Hospital Expansion DEIR
1-2
Entitlement actions to be considered by the City of Riverside as Lead Agency include a change of zone for one off-site parking area, Modification of a Conditional Use Permit, two Minor Conditional Use Permits, and a Summary Vacation as described in Section 3 of the DEIR. As part of the entitlements, the Project requires consideration of the proposed Floor Area Ratio (FAR) if it can be found that it (a) will not have a detrimental effect on infrastructure and municipal services, (b) will not adversely impact the surrounding neighborhood, and (c) will not likely set a precedent for additional development that would adversely affect infrastructure, service or surrounding land uses.

Responsible Agencies for the Project include, but may not be limited to, the South Coast Air Quality Management District for the issuance of a permit to operate a generator.

1.1.2 Environmental Process
The EIR process typically consists of three parts—the Notice of Preparation (including the Initial Study), DEIR, and Final EIR. Pursuant to Section 15060(d) of the State CEQA Guidelines, the City prepared an Initial Study for the Project in order to determine if the Project may have a significant effect on the environment. Based upon the findings of fact contained within the Initial Study, the City concluded that the Project may cause potentially significant impacts related to transportation (vehicle miles traveled) and tribal cultural resources, and that an EIR should be prepared to address those topics. The NOP was distributed to the State Clearinghouse, responsible agencies, and other interested parties, on September 15, 2021.

Pursuant to Section 15082 of the State CEQA Guidelines, recipients of the NOP were requested to provide responses concerning the contents of the NOP and the scope of this EIR within 30 days after their receipt of the NOP. Because the Project is considered to be of statewide, regional, or area wide significance, per Section 15206(b)(2)(E) of the State CEQA Guidelines, a noticed virtual scoping meeting was held on September 27, 2021 between 6:00 p.m. – 7:00 p.m. via Zoom. No members of the public attended this meeting; therefore, no comments were received.

An EIR is an informational document intended to inform decision makers and the general public of potentially significant environmental impacts of a project. An EIR also identifies possible ways to minimize these potentially significant impacts (referred to as mitigation measures) and describes alternatives to a project that may also reduce its significant impacts.

Having the authority to take action on the proposed Project, the City Planning Commission and City Council will consider the information in this EIR in their evaluations of the proposal. The findings and conclusions presented in the EIR regarding environmental impacts do not control the City’s discretion to approve, deny, or modify the Project, but instead are presented as information to aid the decision-making process.

As set forth in Section 15021 of the State CEQA Guidelines, as lead agency, the City has the duty to avoid or minimize environmental damage where feasible. Furthermore, Section 15021(d) of the State CEQA Guidelines states that, “CEQA recognizes that in determining whether and how a project should be approved, a public agency has an obligation to balance a City of Riverside Section 1
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Executive Summary
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variety of public objectives, including economic, environmental, and social factors, and in particular the goal of providing a decent home and satisfying living environment for every Californian.” Other public agencies (i.e., Responsible and Trustee Agencies) that may use this EIR in their decision-making or permit processes will consider the information in the EIR along with other information that may be presented during the CEQA and decision-making process.

In accordance with CEQA, the public agencies will be required to make findings for each significant environmental impact of the proposed Project. If the agency determines that significant impacts cannot be reduced to less than significant, the agency must assess whether the benefits of the proposed Project outweigh unmitigated significant environmental effects, and the agency will be required to adopt a statement of overriding considerations stating the reasons supporting its action notwithstanding the proposed Project’s unavoidable significant environmental effects.

1.2 Project Information

1.2.1 Project Applicant
The Project Applicant is:

Kaiser Permanente
Deborah Han – Senior Land Use Planner
National Facilities Services
393 E. Walnut Street, 4th Floor
Pasadena, California 91188

1.2.2 Project Location
The overall Project vicinity is shown on Figure 1-1 – Vicinity Map. The proposed Project includes the expansion of the existing Kaiser Permanente Riverside Medical Center (referred to as the “Hospital Expansion” in the EIR) and the construction of two temporary off-site parking lots (referred to as “Off-Site Area 1” and “Off-Site Area 2” in this DEIR). The Hospital Expansion Site is located at 10800 Magnolia Avenue. Off-Site Area 1 and Off-Site Area 2 are located at 10821 Magnolia Avenue and 11510 Magnolia Avenue, respectively. All sites are located within the City of Riverside. The Hospital Expansion Site, Off-Site Area 1 and Off-Site Area 2 are collectively referred to as the Project Site and are shown on Figure 1-2 – Project Site. The Project Site encompasses approximately 43.8 gross acres, of which 21.8 acres will be developed as part of this Project, as shown in Table 1-A on page 1-4.

FIGURE
1-1 VICINITY MAP

KAISER PERMANENTE RIVERSIDE MEDICAL CENTER HOSPITAL EXPANSION SOURCE: Riverside Co. San Bernardino Co. and Orange Co. 0 2
4 6 MILES

PROJECT
SITE
FIGURE 1-2 PROJECT SITE

KAISER PERMANENTE RIVERSIDE MEDICAL CENTER HOSPITAL EXPANSION SOURCE: BING MAPS / GOOGLE MAPS
1 2
POLK ST.

HOSPITAL EXPANSION SITE

OFF-SITE AREAS
BURGE ST.

LA SIERRA AVE.

GOLDEN AVE.

FILLMORE ST.

LA SIERRA AVE.

PARK SIERRA DR.

MAGNOLIA AVE.

MERCER AVE.

HOSPITAL

EXPANSION
SITE
Section 1 City of Riverside
Executive Summary Kaiser Permanente Riverside Medical Center Hospital Expansion DEIR
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Table 1-A – Project Site Details
Location APN Acres
Acres Proposed
for Development
Hospital Expansion 138-470-010 37.5 15.5
Off-Site Area 1 142-293-028 1.3 1.3
Off-Site Area 2 132-020-033 5.0 5.0
Total 43.8 21.8

1.2.3 Project Site – Existing Conditions
The Hospital Expansion Site is located on the Kaiser Permanente Riverside Medical Center campus and is accessed via five existing driveways: two full-access driveways on Park Sierra Drive; two full-access driveways on Polk Street; and one right-in and right-out driveway on Magnolia Avenue.

Off-Site Area 1 is a vacant lot located north of the Kaiser Permanente Riverside Medical Center Campus (see Figure 1-3 – Proposed Off-Site Areas). Off-Site Area 1 has been previously disturbed with ornamental trees and other shrub vegetation present. Walls and fences around Off-Site Area 1 consist of chain link fencing along the north (Magnolia Avenue frontage) and the east property lines, and a CMU block wall along the north and west property lines. Off-Site Area 1 has one entrance on Magnolia Avenue at the southeast corner of the site.

Off-Site Area 2 is approximately three-fourths of a mile south of the Kaiser Permanente Riverside Medical Center campus at the southwest corner of Magnolia Avenue and Fillmore Street (see Figure 1-3). Off-Site Area 2 is a vacant lot that has been heavily disturbed with remnants of an old concrete pad on the southeast portion of the site. There are two paved driveways on Fillmore Street in proximity to the concrete pad. Ornamental trees and other shrub vegetation are located throughout this site. Off Site Area 2 is surrounded by a chain link fence along the north, east and south property lines and a CMU block wall and tubular steel fence along the west property line, shared with the Paseo at Magnolia Luxury Apartments. Off Site Area 2 has two paved driveway approaches and an unpaved access along Fillmore Street.

FIGURE 1-3 PROPOSED OFF-SITE AREAS

KAISER PERMANENTE RIVERSIDE MEDICAL CENTER HOSPITAL EXPANSION SOURCE: BING MAPS / GOOGLE MAPS
1 2
POLK ST.

OFF-SITE AREA 1

HOSPITAL

EXPANSION
SITE
BURGE ST.

LA SIERRA AVE.

GOLDEN AVE.

FILLMORE ST.

PARK SIERRA DR.

MAGNOLIA AVE.

MERCER AVE.

KEY MAP SCALE: 1” = 1,000’
OFF-SITE AREA 1 SCALE: 1” = 60’

HOSPITAL EXPANSION SITE

OFF-SITE AREAS

HOSPITAL EXPANSION SITE
PARK SIERRA DR.

MAGNOLIA AVE.

FILLMORE ST.

BURGE ST.

OFF-SITE AREA 2 SCALE: 1” = 60’
OFF-SITE AREA 2
Section 1 City of Riverside
Executive Summary Kaiser Permanente Riverside Medical Center Hospital Expansion DEIR
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1.2.4 Land Use Designation, Specific Plan, and Zoning
The City of Riverside General Plan 2025 (“the GP 2025”) designates the Hospital Expansion Site as MU-U – Mixed -Use Urban within the La Sierra District of the Magnolia Avenue Specific Plan. Both Off-Site Areas 1 and 2 are designated Mixed-Use Village (MU-V).

Development of the Project Site is also guided by the La Sierra District of the Magnolia Avenue Specific Plan, which was adopted in 2009 by the City in order to encourage and provide incentives for economic development in the 1,588-acre planning area. The Magnolia Avenue Specific Plan designates the Hospital Expansion Site as Mixed Use – Urban and the off-site areas as Mixed Use – Village.

Further, per the City’s Zoning Map, the Hospital Expansion Site is zoned CR-SP -Commercial Retail- and Specific Plan (Magnolia Avenue) Overlay Zones. Off-Site Area 1 is zoned MU-V-SP – Mixed Use - Village and Specific Plan (Magnolia Avenue) Overlay Zones and Off-Site Area 2 is zoned R-1-7000–SP – Single Family Residential and Specific Plan (Magnolia Avenue) Overlay Zones and CG–SP - Commercial General and Specific Plan (Magnolia Avenue) Overlay Zones.

A Rezoning is required for Off-Site Area 2, to amend the zone from R-1-7000 SP – Single Family Residential and Specific Plan (Magnolia Avenue) Overlay Zones and CG–SP - Commercial General and Specific Plan (Magnolia Avenue) Overlay Zones to MU-V-SP –Mixed Use - Village and Specific Plan (Magnolia Avenue) Overlay Zones. The proposed MU-V-SP will be consistent with the General Plan land use designation and allow the establishment of a parking lot.

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1.3 Project Description
Implementation of the proposed Project will require the approval of the following applications by the City of Riverside. As part of the entitlements, the Project requires consideration of the proposed Floor Area Ratio (FAR) if it can be found that it (a) will not have a detrimental effect on infrastructure and municipal services, (b) will not adversely impact the surrounding neighborhood, and (c) will not likely set a precedent for additional development that would adversely affect infrastructure, service, or surrounding land uses.

Conditional Use Permit Modification (CUP) – DP-2021-00008 Implementation of the Project will require approval of a modification to the original CUP (CU038-834), approved in 1984 for the construction of the existing Kaiser Permanente Riverside Medical Center campus. The facilities proposed at the Kaiser Permanente Riverside Medical Center campus are referred to as the “Hospital Expansion”. The Hospital Expansion will entail redevelopment of approximately 15.5-acres of the existing 37.5-acre Riverside Medical Center Site with a five-story hospital tower, a two-story diagnostic and treatment (D&T) building, fivestory (six decks) aboveground parking structure, and ancillary features.

Minor Conditional Use Permit (MCUP) – DP-2021-01307 – Off-Site Area 1 Approval of MCUP DP-2021-01307 would permit the construction of an 87-stall parking lot (82 standard stalls and five ADA compliant stalls) and five (5) construction trailers for use by construction staff at Off-Site Area 1. This parking lot and construction trailers will be used by Hospital Expansion construction staff during business hours for no more than 36 months. Due to the proximity of Off-Site Area 1 to the Hospital Expansion Site, there will be no shuttle service between this lot and the Hospital Expansion Site. At the end of the construction period, the trailers will be removed and Off-Site Area 1 will remain a parking lot.

ReZone (RZ) – DP-2021-01650 and Minor Conditional Use Permit (MCUP) – DP-2021- 01306) – Off-Site Area 2
Off-Site Area 2 is currently zoned R-1-7000-SP – Single Family Residential and Specific Plan (Magnolia Avenue) Overlay Zones and CG-SP – Commercial General and Specific Plan (Magnolia Avenue) Overlay Zones. The recently approved Housing Element Update identified Off-Site Area 2 as Opportunity Site 11, and proposed to amend the zoning to MU-U-SP – Mixed-Use Urban and Specific Plan (Magnolia Avenue) Overlay Zones. Opportunity Site 11 was removed from the Ordinance rezoning the various Opportunity Sites and, as a result, the MU-U-SP Zoning was not applied to Off-Site Area 2.

The Project Applicant has requested Off-Site Area 2 be rezoned to MU-V. The proposed MUV-SP will be consistent with the General Plan land use designation and allow the establishment of a parking lot, which is a permitted use in the MU-V zone with the granting of a MCUP. The proposed rezoning of Off-Site Area 2 is for the explicit purpose of a parking lot. Approval of RZ DP-2021-01650 and DP-2021-01306 would permit the construction of a 516-stall (505 standard stalls and 11 ADA compliant stalls) parking lot at Off-Site Area 2. Initially, this lot would be used by Kaiser Permanente Riverside Medical Center employees 24 hours every day Section 1 City of Riverside
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for approximately 18 months. Medical Center employees would be shuttled between Off-Site Area 2 and the Kaiser Permanente Riverside Medical Center in hospital operated vehicles.

Following employee utilization, Hospital Expansion construction staff would park at Off-Site Area 2 during business hours for an additional 18 months for a total of approximately 36 months. Access will be secured with a vehicle gate arm activated by a personnel badge. There would be no on-site security guard.

Summary Vacation (VC-S) – SD-2021-00020
The proposed Project includes vacation of Lot D of Parcel Map No. 16073 (recorded August 25, 1983 on page 92, Book 166 of Parcel Maps, an unimproved public right-of-way area, totaling 0.042 acre (1,816.14 square feet). Lot D is an existing unimproved public right-of-way, totaling 0.042 acres (1,1816.14 square feet). Riverside Municipal Code Chapter 19.890– Street, Alley and Walkway Vacations sets forth the procedures for vacating unneeded rights-of-way for streets, alleys, and pedestrian walkways. The 1,816 square feet of unimproved, excess, public right of way is no longer needed as it was intended for the construction of a driveway along Park Sierra Drive that was never built and not needed for access. The excess public right of way will allow the proposed parking structure to comply with the minimum 15-foot setback required for parking structures.

Design Review (DR) – DPR-2021-00009
The City’s Design Review process is required by the Zoning Code for any new buildings, structures, signs, exterior alterations, enlargements of existing buildings, or new landscaping and irrigation. The purpose of the Design Review procedures is to protect and preserve the value of properties and to encourage excellence in development.

The Hospital Expansion would expand acute medical services facilities and ancillary uses. The proposed Hospital Expansion would include a new 175,968 square-foot (SF) five-story hospital tower, 115,526 SF two -story diagnostic and treatment (D&T) Building, and a five-story (six decks) approximately 1,200-space aboveground parking structure.

The proposed hospital tower would be five stories with a subgrade basement and would stand

74.5 feet from ground level to the top of the roof. Mechanical equipment on the roof would be screened by a parapet and screen, which would result in a total building height of 95.5 feet.

The Zoning Code allows for parapet and screen walls to exceed the maximum building height prescribed in the underlying zone, provided it does not add another floor space, subject to approval by the appropriate Approving or Appeal Authority. The proposed building height can be supported as it complies with the intent of the Zoning Code.

The proposed tower would provide an additional 152 acute care beds, consisting of 116 single occupancy rooms and 36 neonatal intensive care unit (NICU) rooms for a total of 359 beds.

Existing double occupancy rooms in the existing hospital tower would be upgraded and converted to single occupancy rooms. The proposed tower would also include new emergency and surgical departments, eight operating rooms, 58 emergency department treatment bays, and other hospital related functions, including an inpatient pharmacy. A rotunda connecting the City of Riverside Section 1
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new tower to the existing Medical Center and various outdoor seating areas with meandering pathways and landscaping would also be constructed. The new patient tower will receive a new 12 (kilovolt) kV power circuit from City of Riverside Power and a meter at 12kV. There will be a Unit substation 12kV-480V installed in the basement providing power to the new hospital tower.

The D&T building would be two stories, approximately 34 feet in height to the top of the parapet and would be constructed on the northwestern side of the proposed hospital tower.

The D&T building would provide direct support to the new emergency and surgical departments as well as expanded diagnostic services and interventional radiology treatment.

The existing central utility plant and utility connections from the central utility plant to the new buildings are proposed to be upgraded and will include: a new 1.5 megawatt (MW) to 2 MW generator, a new 15,000 gallon diesel fuel tank, a new 500 brake horsepower (BHP) boiler, and a 1,000 ton chiller. The Project also includes new underground storage tanks for propane (60,000 gallons), sewage (two 25,000 gallon tanks), and water (two 25,000 gallon tanks. The building code, enforced by the Office of Statewide Health Planning and Development (OSHPD), requires that a hospital facility have a 72-hour water supply tank and a sewer storage tank for disaster preparedness. The water tank is a flow-through continuously utilized facility providing the required water storage resource should the municipal infrastructure fail in a disaster. The sewer tank is only utilized through a diverter valve should the municipal sewer system fail in a disaster. The sewer tank would be pumped out post-disaster utilization The five-story (6 decks) parking structure would be constructed in the southwest corner of the Hospital Expansion Site. The maximum proposed height of the parking structure would be approximately 70 feet. Construction of the parking structure would result in a temporary loss of 354 parking stall during construction. Once completed, the parking structure would replace approximately 250 parking stalls and modifications would be made to the surrounding on‐site surface parking lots. The parking structure would provide approximately 1,151 vehicle parking stalls of which 45 will be Americans with Disabilities Act (ADA) compliant. In addition there will be 78 motorcycle stalls and 55 bicycle stalls. The parking structure will include two stairwells on the northern and southern corner, respectively, and three elevators all centralized on the northern corner of the structure.

Ancillary features proposed as part of the Hospital Expansion are a new patient drop-off canopy, driveway, walkways, surface parking, landscaping, lighting, and signage. A new entry plaza with a patient drop-off canopy would be constructed south of the existing hospital building to connect to the existing driveway on Park Sierra Drive. A tech dock connected to the northeast side of the proposed new tower with access from Polk Street would also be constructed. An additional right-in and right-out driveway off of Magnolia Avenue would also be constructed for use by emergency vehicles only.

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Construction is anticipated to begin in the fall of 2022 and take approximately 58 months.

Construction will be completed in summer of 2027. Project construction will occur in two major build phases with seven subphases. The Project proposes to operate 24 hours a day 7 days a week.

1.4 Project Objectives
The objectives of the proposed Project are:

1. Expand the Kaiser Permanente Riverside Medical Center campus through the construction and operation of new medical facilities in order to accommodate future growth of Kaiser members and the need to provide additional medical services that benefit the community.

2. Develop a comprehensively planned, integrated medical campus within the existing hospital campus boundaries by facilitating construction of a new five story hospital tower with 359-hospital-licensed bed buildout capacity, and increasing services for Newborn Intensive Care Unit (NICU), operating rooms, perioperative services, diagnostic and treatment, increased emergency services and ancillary services to keep pace with increasing population growth in the City and the region.

3. Allow members to access a full suite of medical services nearer to their homes and workplace.

4. Optimize the use of development potential on the existing Kaiser Permanente Riverside Medical Center property.

5. Accommodate Medical Center expansion to continue without interruption, while offering all current medical services and 24/7 emergency services.

6. Maximize the number of single-occupancy in-patient hospital rooms in order to meet modern standards and expectations.

7. Increase patient parking to meet current and projected future demand.

8. Increase employment opportunities in healthcare, by expanding personnel in specialty healthcare departments.

9. Implement the vision, objectives, and policies of the Magnolia Avenue Specific Plan by enhancing the role of the La Sierra District as a major employment center in the City.

10. Redesign internal circulation in order to implement safety, provide enhanced health and wellness, and create a seamless flow between pedestrians and vehicle traffic.

11. Continue to provide employee parking to Kaiser Permanente Riverside Medical Center staff during construction by introducing off-site parking lots with shuttle support during construction.

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12. Incorporate sustainable green building design features developed by the Leadership in Energy and Environmental Design (LEED) to meet and exceed the LEED Gold performance standards and Kaiser Permanente’s long-term environmental stewardship goals.

1.5 Discretionary Actions and Approvals
In conformance with State CEQA Guidelines Sections 15050 and 15367, the City has been designated the “Lead Agency,” defined as the “public agency which has the principal responsibility for carrying out or approving a project,” for the Project’s environmental analysis.

The DEIR serves as an informational document for use by the public agencies, the general public, and decision-makers. This DEIR discusses the impacts of development pursuant to the Project and related components, and analyzes the Project alternatives. This DEIR will be used by the City in assessing impacts of the Project.

The following public agencies are expected to use this EIR when considering the following actions, as well as any discretionary actions necessary or desirable to implement the Project identified through consultation with the appropriate public agencies:

City of Riverside
• Certification of the Environmental Impact Report (EIR) (DP-2021-00731) • ReZone (RZ) – (DP-2021-01650)
• Conditional Use Permit (CUP) – (DP-2021-00008)
• Minor Conditional Use Permit (MCUP) – (DP-2021-01306) • Minor Conditional Use Permit (MCUP) – (DP-2021-01307) • Summary Vacation (VC-S) – (SD-2021-00020)
• Design Review (DR) –(DPR-2021-00009)
• Consideration of proposed Floor Area Ratio (FAR)
• Issuance of applicable building and grading permits
State Water Resources Control Board, Santa Ana Regional Water Quality Control Board
• National Pollutant Discharge Elimination System’s California General Permit for Stormwater Discharges Associated with Construction Activity Office of Statewide Health Planning and Development
• Issuance of construction permit (new tower and D &T Building) Section 1 City of Riverside
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South Coast Air Quality Management Plan
• Issuance of permit to operate an emergency generator

1.6 Areas of Controversy and Issues to be Resolved
By the close of the 30-day public review period, two (2) responses to the NOP were received from the Native American Heritage Commission and South Coast Air Quality Management District.

Section 5 of the DEIR addresses each environmental effect that was determined to be potentially significant during preparation of the Project’s NOP (Appendix A). Each effect is organized into an issue area; those that will be analyzed (and the section of the DEIR in which the analysis is contained) are listed below:
• Transportation/Traffic (Section 5.1)
• Tribal Cultural Resources (Section 5.2)
State CEQA Guidelines Section 15123(b)(3) requires that an EIR identify issues to be resolved; this includes the choice among alternatives and whether or how to mitigate significant impacts.

The major issues to be resolved for the proposed Project include decisions by the City as to whether:
• the EIR adequately describes the potential environmental impacts of the proposed Project;
• the recommended mitigation measures should be adopted or modified; • additional feasible mitigation measures need to be applied; • the Project should or should not be approved as proposed; or • the Project should be modified based on the alternatives considered in the EIR.

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1.7 Environmental Analysis
The following table (prepared pursuant to State CEQA Guidelines Section 15123(b)(1)), Table 1-B – Impact Summary Matrix, provides a summary of impacts related to the proposed Project. The table identifies the location of the analysis for each impact, i.e., Initial Study (IS) or DEIR, significant environmental impacts resulting from the Project along with applicable mitigation measures.

Table 1-B – Impact Summary Matrix
Impact
Category
Location of
Analysis
(IS or DEIR) Impact
Level of Impact and
Mitigation Measure (if required)
Level of Impact
After Mitigation
Aesthetics IS, p. 36 Substantial adverse effect on a
scenic vista
Less than significant impact; no
mitigation is required.

No mitigation required.

Aesthetics IS, pp. 36–37 Substantially damage scenic
resources, including but not limited
to trees, rock outcroppings, and
historic buildings within a state
scenic highway.

Less than significant impact; no
mitigation is required.

No mitigation required
Aesthetics IS, p. 37 Conflict with applicable zoning and other regulations governing scenic
quality.

Less than significant impact; no
mitigation is required.

No mitigation required
Aesthetics IS, pp. 37–38 Create a new source of substantial light or glare which would adversely
affect day or nighttime views in the
area.

Less than significant impact; no
mitigation is required.

No mitigation required
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Table 1-B – Impact Summary Matrix
Impact
Category
Location of
Analysis
(IS or DEIR) Impact
Level of Impact and
Mitigation Measure (if required)
Level of Impact
After Mitigation
Agriculture &
Forestry
Resources
IS, pp. 38–39 Convert Prime Farmland, Unique
Farmland, or Farmland of Statewide
Importance, as shown on the maps
prepared pursuant to the Farmland
Mapping and Monitoring Program
of the California Department of
Conservation, to non-agricultural
use.

No impact, no mitigation is required. No mitigation required.

Agriculture &
Forestry
Resources
IS, pp. 39 Conflict with an existing zoning for
agricultural use, or a Williamson Act
Contract.

No impact, no mitigation is required No mitigation required.

Agriculture &
Forestry
Resources
IS, pp. 39 Conflict with existing zoning for, or
cause rezoning of, forest land (as
defined in Public Resources Code
section 12220 (g)), timberland (as
defined by Public Resources Code
section 4526), or timberland zoned
Timberland Production (as defined
by Resources Code section 51104
(g)).

No impact, no mitigation is required. No mitigation required.

Agriculture &
Forestry
Resources
IS, pp. 39 Result in the loss of forest land or
conservation of forest land to nonforest use.

No impact, no mitigation is required. No mitigation required.

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Table 1-B – Impact Summary Matrix
Impact
Category
Location of
Analysis
(IS or DEIR) Impact
Level of Impact and
Mitigation Measure (if required)
Level of Impact
After Mitigation
Agriculture &
Forestry
Resources
IS, pp. 39–40 Involve other changes in the
existing environment which, due to
their location or nature, could result
in conversion of Farmland to nonagricultural use or conversion of forest land to non-forest use.

No impact, no mitigation is required. No mitigation required.

Air Quality IS, pp. 40–41 Conflict with or obstruct
implementation of the applicable air
quality plan
Less than significant impact; no
mitigation is required.

No mitigation required.

Air Quality IS, pp. 41–44 Result in a cumulatively
considerable net increase of any
criteria pollutant for which the
project region is non-attainment
under an applicable federal or State
ambient air quality standard
Less than significant impact; no
mitigation is required.

No mitigation required.

Air Quality IS, pp. 44–46 Expose sensitive receptors to substantial pollutant
concentrations.

Less than significant impact; no
mitigation is required.

No mitigation required.

Air Quality IS, pp. 46–47 Result in other emissions (such as those leading to odors) adversely
affecting a substantial number of
people
Less than significant impact; no
mitigation is required.

No mitigation required.

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Table 1-B – Impact Summary Matrix
Impact
Category
Location of
Analysis
(IS or DEIR) Impact
Level of Impact and
Mitigation Measure (if required)
Level of Impact
After Mitigation
Biological
Resources
IS, p. 47 Have a substantial adverse effect,
either directly or through habitat
modifications, on any species
identified as a candidate, sensitive,
or special status species in local or
regional plans, policies, or
regulations or by the California
Department of Fish and Game or
U.S. Fish and Wildlife Service.

Less than significant impact; no
mitigation is required.

No mitigation required.

Biological
Resources
IS, pp. 47–48 Have a substantial adverse effect
on any riparian habitat or other
sensitive natural community
identified in local or regional plans,
policies, regulations or by the
California Department of Fish and
Wildlife or US Fish and Wildlife
Service.

Less than significant impact; no
mitigation is required.

No mitigation required.

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Table 1-B – Impact Summary Matrix
Impact
Category
Location of
Analysis
(IS or DEIR) Impact
Level of Impact and
Mitigation Measure (if required)
Level of Impact
After Mitigation
Biological
Resources
IS, p. 48 Have a substantial adverse effect
on federally protected wetlands as
defined by Section 404 of the Clean
Water Act (including, but not limited
to, marsh, vernal pool, coastal, etc.)
through direct removal, filling,
hydrological interruption, or other
means
No impact, no mitigation is required. No mitigation required.

Biological
Resources
IS, pp. 48–49 Interfere substantially with the
movement of any native resident or
migratory fish or wildlife species or
with established native resident or
migratory wildlife corridors, or
impede the use of native wildlife
nursery sites
Less than significant with mitigation.

MM Bio 1: Pursuant to the MBTA and
Fish and Game Code, removal of any
trees, shrubs, or any other potential
nesting habitat should be conducted
outside the avian nesting season.

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Table 1-B – Impact Summary Matrix
Impact
Category
Location of
Analysis
(IS or DEIR) Impact
Level of Impact and
Mitigation Measure (if required)
Level of Impact
After Mitigation
clearance survey for nesting birds
shall be conducted within three (3)
days of the start of any grounddisturbing activities to ensure that no nesting birds will be disturbed during
construction.

If the biologist finds an active nest on
the Project site and determines that
the nest may be impacted, the
biologist shall delineate an appropriate
buffer zone around the nest. The size
of the buffer shall be determined by
the biologist and shall be based on the
nesting species, its sensitivity to
disturbance, expected types of
disturbance, and location in relation to
the construction activities. These
buffers are typically 300 feet from the
nests of non-listed species and 500
feet from the nests of raptors and
listed species. Any active nests
observed during the survey shall be
mapped on an aerial photograph.

Only construction activities (if any) that
have been approved by a Biological
Monitor shall take place within the
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Table 1-B – Impact Summary Matrix
Impact
Category
Location of
Analysis
(IS or DEIR) Impact
Level of Impact and
Mitigation Measure (if required)
Level of Impact
After Mitigation
buffer zone until the nest is vacated.

The biologist shall serve as a
Construction Monitor when
construction activities take place near
active nest areas to ensure that no
inadvertent impacts on these nests
occur.

Biological
Resources
IS, pp. 49–50 Conflict with any local policies or
ordinances protecting biological
resources, such as a tree
preservation policy or ordinance
Less than significant impact; no
mitigation is required.

No mitigation required.

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Table 1-B – Impact Summary Matrix
Impact
Category
Location of
Analysis
(IS or DEIR) Impact
Level of Impact and
Mitigation Measure (if required)
Level of Impact
After Mitigation
Biological
Resources
IS, p. 50–51 Conflict with the provisions of an
adopted Habitat Conservation Plan,
Natural Community Conservation
Plan, or other approved local,
regional, or state habitat
conservation plan.

Less than significant impact; no
mitigation is required.

No mitigation required.

Cultural
Resources
IS, pp. 51–53 Cause a substantial adverse
change in the significance of a
historical resource as defined in
Section 15064.5.

Less than significant with mitigation
MM Cult 1: Changes to Project Site
Design. Prior to grading permit
issuance, if there are any changes to
Project site design and/or proposed
grades, the Applicant and the City
shall contact consulting tribes to
provide an electronic copy of the
revised plans for review. Additional
consultation shall occur between the
City, developer/applicant, and
consulting tribes to discuss any
proposed changes and review any
new impacts and/or potential
avoidance/preservation of the cultural
resources on the Project site. The City
and the developer/applicant shall
make all attempts to avoid and/or
preserve in place as many cultural and
Less than significant.

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Table 1-B – Impact Summary Matrix
Impact
Category
Location of
Analysis
(IS or DEIR) Impact
Level of Impact and
Mitigation Measure (if required)
Level of Impact
After Mitigation
paleontological resources as possible
that are located on the Project site if
the site design and/or proposed
grades should be revised. In the event
of inadvertent discoveries of
archaeological resources, work shall
temporarily halt until agreements are
executed with consulting tribe, to
provide tribal monitoring for ground
disturbing activities.

MM Cult 2: Archaeological and
Paleontological Monitoring. At least
30 days prior to application for a
grading permit and before any
grading, excavation and/or ground
disturbing activities take place, the
developer/applicant shall retain a
Secretary of Interior Standards
qualified archaeological monitor to
monitor all ground-disturbing
activities in an effort to identify any
unknown archaeological resources.

1. The Project archaeologist, in
consultation with consulting tribes,
the Developer, and the City, shall
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Table 1-B – Impact Summary Matrix
Impact
Category
Location of
Analysis
(IS or DEIR) Impact
Level of Impact and
Mitigation Measure (if required)
Level of Impact
After Mitigation
develop an Archaeological
Monitoring Plan to address the
details, timing, and responsibility
of all archaeological and cultural
activities that will occur on the
Project site. Details in the plan
shall include:
a) Project grading and
development scheduling;
b) The development of a
rotating or simultaneous
schedule in coordination with
the developer/applicant and
the Project archaeologist for
designated Native American
Tribal Monitors from the
consulting tribes during
grading, excavation, and
ground-disturbing activities
on the site, including the
scheduling, safety
requirements, duties, scope
of work, and Native American
Tribal Monitors’ authority to
stop and redirect grading
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Table 1-B – Impact Summary Matrix
Impact
Category
Location of
Analysis
(IS or DEIR) Impact
Level of Impact and
Mitigation Measure (if required)
Level of Impact
After Mitigation
activities in coordination with
all Project archaeologists;
c) The protocols and
stipulations that the
Applicant, tribes, and Project
archaeologist/paleontologist
will follow in the event of
inadvertent cultural resources
discoveries, including any
newly discovered cultural
resource deposits, or
nonrenewable paleontological
resources that shall be
subject to a cultural
resources evaluation;
d) Treatment and final
disposition of any cultural and
paleontological resources,
sacred sites, and human
remains if discovered on the
Project site; and
The scheduling and timing of the
Cultural Sensitivity Training noted in
mitigation measure MM Cult 3.

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Table 1-B – Impact Summary Matrix
Impact
Category
Location of
Analysis
(IS or DEIR) Impact
Level of Impact and
Mitigation Measure (if required)
Level of Impact
After Mitigation
MM Cult 3: Cultural Sensitivity
Training: The Secretary of Interior
Standards County certified
archaeologist and Native American
monitors shall attend the pre-grading
meeting with the developer/permit
holder’s contractors to provide
Cultural Sensitivity Training for all
construction personnel. This shall
include the procedures to be followed
during ground disturbance in sensitive
areas and protocols that apply in the
event that unanticipated resources are
discovered. Only construction
personnel who have received this
training can conduct construction and
disturbance activities in sensitive
areas. A sign-in sheet for attendees of
this training shall be included in the
Archaeological Monitoring Plan.

Cultural
Resources
IS, pp. 53–54 Cause a substantial adverse
change in the significance of an
archaeological resource pursuant to
Section 15064.5.

MM Cult 1, MM Cult 2, and
MM Cult 3 above
Less than significant.

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Table 1-B – Impact Summary Matrix
Impact
Category
Location of
Analysis
(IS or DEIR) Impact
Level of Impact and
Mitigation Measure (if required)
Level of Impact
After Mitigation
Cultural
Resources
IS, p. 54 Disturb any human remains,
including those interred outside of
formal cemeteries.

Less than significant impact, no
mitigation is required.

No mitigation required.

Energy IS, pp. 54–57 Result in potentially significant
environmental impact due to
wasteful, inefficient, or unnecessary
consumption of energy resources,
during project construction or
operation?
Less than significant impact, no
mitigation is required.

No mitigation required.

Energy IS, pp. 54–57 Conflict with or obstruct a state of local plan for renewable energy or
energy efficiency?
Less than significant impact, no
mitigation is required.

No mitigation required.

Geology and
Soils
IS, pp. 57–59 Directly or indirectly cause potential
substantial adverse effects,
including the rise of loss, injury, or
death involving: i) rupture of a
known earthquake fault, as
delineated on the most recent
Alquist-Priolo Earthquake Fault
Zoning Map issued by the State
Geologist for the area or based on
other substantial evidence of a
known fault; ii) strong seismic
Less than significant impact, no
mitigation is required.

No mitigation required.

City of Riverside Section 1
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Table 1-B – Impact Summary Matrix
Impact
Category
Location of
Analysis
(IS or DEIR) Impact
Level of Impact and
Mitigation Measure (if required)
Level of Impact
After Mitigation
ground shaking; iii) seismic-related
ground failure, including
liquefaction; and/or iv) landslides
Geology and
Soils
IS, pp. 59 Result in substantial soil erosion or
the loss of topsoil.

Less than significant impact, no
mitigation is required.

No mitigation required.

Geology and
Soils
IS, pp. 59–60 Be located on a geologic unit or soil
that is unstable, or that would
become unstable as a result of the
Project, and potentially result in onor off-site landslide, lateral spreading, subsidence, liquefaction
or collapse.

Less than significant impact, no
mitigation is required.

No mitigation required.

Geology and
Soils
IS, p. 60 Be located on expansive soil, as
defined in Table 18-1-B of the
Uniform Building Code (1994),
creating substantial risks to life or
property.

Less than significant impact, no
mitigation is required.

No mitigation required.

Section 1 City of Riverside
Executive Summary Kaiser Permanente Riverside Medical Center Hospital Expansion DEIR
Executive Summary 1-29
Table 1-B – Impact Summary Matrix
Impact
Category
Location of
Analysis
(IS or DEIR) Impact
Level of Impact and
Mitigation Measure (if required)
Level of Impact
After Mitigation
Geology and
Soils
IS, pp. 60–61 Have soils incapable of adequately
supporting the use of septic tanks
or alternative waste water disposal
systems where sewers are not
available for the disposal of waste
water.

No impact, no mitigation is required. No mitigation required.

Geology and
Soils
IS, pp. 61-62 Directly or indirectly destroy a
unique paleontological resource or
site or unique geologic feature
Less than significant with mitigation
MM Geo 1: Should any
paleontological resource(s) be
accidentally discovered during
construction, construction activities
shall be moved to other parts of the
construction site and a qualified
paleontologist shall be retained to
determine the significance of the
resource(s). If the find is determined to
be a unique paleontological resource,
as defined in Section 15064.5 of the
State CEQA Guidelines, then a
mitigation program shall be developed
in accordance with the provisions of
CEQA as well as the guidelines of the
Society of Vertebrate Paleontology
(2010).

Less than significant.

City of Riverside Section 1
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1-30
Table 1-B – Impact Summary Matrix
Impact
Category
Location of
Analysis
(IS or DEIR) Impact
Level of Impact and
Mitigation Measure (if required)
Level of Impact
After Mitigation
The paleontologist (or designee(s))
shall wash any collected samples of
sediments to recover small
invertebrate and vertebrate fossils.

Recovered specimens shall be
prepared so that they can be identified
and permanently preserved.

Specimens shall be identified and
curated at a repository with permanent
retrievable storage to allow further
research in the future (e.g., Western
Science Center, Raymond Alf
Museum, or the Natural History
Museum of Los Angeles County). The
cost of curation is assessed by the
repository and is the responsibility of
the landowner. If specimens are
found, the qualified paleontologist
shall prepare a report of findings,
including an itemized inventory of
recovered specimens, upon
completion of all Project fieldwork.

The report shall include a discussion
of the significance of all recovered
specimens. The report and inventory,
when submitted to the City of
Riverside Planning Division, shall
Section 1 City of Riverside
Executive Summary Kaiser Permanente Riverside Medical Center Hospital Expansion DEIR
Executive Summary 1-31
Table 1-B – Impact Summary Matrix
Impact
Category
Location of
Analysis
(IS or DEIR) Impact
Level of Impact and
Mitigation Measure (if required)
Level of Impact
After Mitigation
signify completion of the program to
mitigate impacts to paleontological
resources. If the monitoring efforts
produced fossils, then a copy of the
report will also be submitted to the
curation facility.

Greenhouse
Gas Emissions
IS, pp. 62–63 Generate greenhouse gas
emissions, either directly or
indirectly, that may have a
significant impact on the
environment
Less than significant impact, no
mitigation is required.

No mitigation required.

Greenhouse
Gas Emissions
IS, pp. 63-64 Conflict with an applicable plan,
policy, or regulation adopted for the
purpose of reducing the emissions
of greenhouse gases
Less than significant impact, no
mitigation is required.

No mitigation required.

Hazards and
Hazardous
Materials
IS, pp. 64–65 Create a significant hazard to the
public or the environment through
the routine transport, use, or
disposal of hazardous materials
Less than significant impact, no
mitigation is required.

No mitigation required.

Hazards and
Hazardous
Materials
IS, pp. 65–66 Create a significant hazard to the
public or the environment through
reasonably foreseeable upset and
accident conditions involving the
Less than significant impact, no
mitigation is required.

No mitigation required.

City of Riverside Section 1
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1-32
Table 1-B – Impact Summary Matrix
Impact
Category
Location of
Analysis
(IS or DEIR) Impact
Level of Impact and
Mitigation Measure (if required)
Level of Impact
After Mitigation
release of hazardous materials into
the environment
Hazards and
Hazardous
Materials
IS, p. 66 Emit hazardous emissions or handle
hazardous or acutely hazardous
materials, substances or waste
within one-quarter mile of an
existing or proposed school
Less than significant impact, no
mitigation is required.

No mitigation required.

Hazards and
Hazardous
Materials
IS, pp. 66–37 Be located on a site which is
included on a list of hazardous
materials sites compiled pursuant
to Government Code Section
65962.5 and, as a result, would it
create a significant hazard to the
public or the environment
No impact, no mitigation is required. No mitigation required.

Hazards and
Hazardous
Materials
IS, p. 67 For a project located within an
airport land use plan or, where such
a plan has not been adopted, within
two miles of a public airport or
public use airport, would the project
result in a safety hazard or
excessive noise for people residing
or working in the project area
No impact, no mitigation is required. No mitigation required.

Section 1 City of Riverside
Executive Summary Kaiser Permanente Riverside Medical Center Hospital Expansion DEIR
Executive Summary 1-33
Table 1-B – Impact Summary Matrix
Impact
Category
Location of
Analysis
(IS or DEIR) Impact
Level of Impact and
Mitigation Measure (if required)
Level of Impact
After Mitigation
Hazards and
Hazardous
Materials
IS, pp. 67–68 Impair implementation of or
physically interfere with an adopted
emergency response plan or
emergency evacuation plan
Less than significant impact, no
mitigation is required.

No mitigation required.

Hazards and
Hazardous
Materials
IS, p. 68 Expose people or structures to a
significant risk of loss, injury, or
death involving wildland fires,
including where wildlands are
adjacent to urbanized areas or
where residences are intermixed
with wildlands
Less than significant impact, no
mitigation is required.

No mitigation required.

Hydrology and
Water Quality
IS, pp. 68–70 Violate any water quality standards
or waste discharge requirements or
otherwise substantially degrade
surface or ground water quality
Less than significant impact, no
mitigation is required.

No mitigation required.

Hydrology and
Water Quality
IS, pp. 70–71 Substantially deplete groundwater
supplies or interfere substantially
with groundwater recharge such
that the project may impede
sustainable groundwater
management in the basin
Less than significant impact, no
mitigation is required.

No mitigation required.

City of Riverside Section 1
Kaiser Permanente Riverside Medical Center Executive Summary Hospital Expansion DEIR
1-34
Table 1-B – Impact Summary Matrix
Impact
Category
Location of
Analysis
(IS or DEIR) Impact
Level of Impact and
Mitigation Measure (if required)
Level of Impact
After Mitigation
Hydrology and
Water Quality
IS, p. 71 Substantially alter the existing
drainage pattern of the site or area,
including through the alteration of
the course of a stream or river, in a
manner which would result in
substantial erosion or siltation onor off-site.

Less than significant impact, no
mitigation is required.

No mitigation required.

Hydrology and
Water Quality
IS, pp. 71–72 Substantially alter the existing
drainage pattern of the site or area,
including through the alteration of
the course of a stream or river, or
substantially increase the rate or
amount of surface runoff in a
manner which would result in
flooding on- or off-site.

Less than significant impact, no
mitigation is required.

No mitigation required.

Hydrology and
Water Quality
IS, p. 72 Create or contribute runoff water
which would exceed the capacity of
existing or planned stormwater
drainage systems or provide
substantial additional sources of
polluted runoff.

Less than significant impact, no
mitigation is required.

No mitigation required.

Hydrology and
Water Quality
IS, pp. 72–73 Impede or redirect flood flows Less than significant impact, no mitigation is required.

No mitigation required.

Section 1 City of Riverside
Executive Summary Kaiser Permanente Riverside Medical Center Hospital Expansion DEIR
Executive Summary 1-35
Table 1-B – Impact Summary Matrix
Impact
Category
Location of
Analysis
(IS or DEIR) Impact
Level of Impact and
Mitigation Measure (if required)
Level of Impact
After Mitigation
Hydrology and
Water Quality
IS, p. 73 In flood hazard, tsunami, or seiche
zones, risk release of pollutants due
to project inundation
Less than significant impact, no
mitigation is required.

No mitigation required.

Hydrology and
Water Quality
IS, pp. 73-74 Conflict with or obstruct
implementation of a water quality
control plan or sustainable
groundwater management plan
Less than significant impact, no
mitigation is required.

No mitigation required.

Land Use &
Planning
IS, p. 74 Physically divide an established
community.

No impact, no mitigation is required. No mitigation required.

Land Use &
Planning
IS, pp. 74–75 Cause a significant environmental
impact due to a conflict with any
land use plan, policy, or regulation
adopted for the purpose of avoiding
or mitigating an environmental
effect
Less than significant impact, no
mitigation is required.

No mitigation required.

Mineral
Resources
IS, pp. 75–76 Result in the loss of availability of a
known mineral resource that would
be of value to the region and the
residents of the state.

No impact, no mitigation is required. No mitigation required.

Mineral
Resources
IS, p. 76 Result in the loss of availability of a
locally-important mineral resource
No impact, no mitigation is required. No mitigation required.

City of Riverside Section 1
Kaiser Permanente Riverside Medical Center Executive Summary Hospital Expansion DEIR
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Table 1-B – Impact Summary Matrix
Impact
Category
Location of
Analysis
(IS or DEIR) Impact
Level of Impact and
Mitigation Measure (if required)
Level of Impact
After Mitigation
recovery site delineated on a local
general plan, specific plan or other
land use plan.

Noise IS, pp. 76–80 Generation of a substantial
temporary or permanent increase in
ambient noise levels in the vicinity
of the project in excess of
standards established in the local
general plan or noise ordinance, or
applicable standards of other
agencies
Less than significant impact, no
mitigation is required.

No mitigation required.

Noise IS, pp. 80–83 Generation of excessive
groundborne vibration or
groundborne noise levels
Less than significant impact, no
mitigation is required.

No mitigation required.

Noise IS, p. 83 For a project located within the
vicinity of a private airstrip or an
airport land use plan or, where such
a plan has not been adopted, within
two miles of a public airport or
public use airport, exposing in the
project area to excessive noise
levels
No impact, no mitigation is required. No mitigation required.

Section 1 City of Riverside
Executive Summary Kaiser Permanente Riverside Medical Center Hospital Expansion DEIR
Executive Summary 1-37
Table 1-B – Impact Summary Matrix
Impact
Category
Location of
Analysis
(IS or DEIR) Impact
Level of Impact and
Mitigation Measure (if required)
Level of Impact
After Mitigation
Population/
Housing
IS, p. 83–84 Induce substantial population
growth in an area, either directly (for
example, by proposing new homes
and businesses) or indirectly (for
example, through extension of
roads or other infrastructure).

Less than significant impact, no
mitigation is required.

No mitigation required.

Population/
Housing
IS, p. 84 Displace substantial numbers of
existing people or housing,
necessitating the construction of
replacement housing elsewhere
No impact, no mitigation is required. No mitigation required.

City of Riverside Section 1
Kaiser Permanente Riverside Medical Center Executive Summary Hospital Expansion DEIR
1-38
Table 1-B – Impact Summary Matrix
Impact
Category
Location of
Analysis
(IS or DEIR) Impact
Level of Impact and
Mitigation Measure (if required)
Level of Impact
After Mitigation
Public Services IS, pp. 84–86 Result in substantial adverse physical impacts associated with
the provision of new or physically
altered governmental facilities, need
for new or physically altered
governmental facilities, the
construction of which could cause
significant environmental impacts,
in order to maintain acceptable
service ratios, response times or
other performance objectives for
any of the public services: fire
protection; police protection;
schools; parks; and/or other public
facilities.

Less than significant impact, no
mitigation is required.

No mitigation required.

Recreation IS, p. 86–87 Increase the use of existing
neighborhood and regional parks or
other recreational facilities such that
substantial physical deterioration of
the facility would occur or be
accelerated
Less than significant impact, no
mitigation is required.

No mitigation required.

Recreation IS, p. 87 Include recreational facilities or require the construction or
expansion of recreational facilities
Less than significant impact, no
mitigation is required.

No mitigation required.

Section 1 City of Riverside
Executive Summary Kaiser Permanente Riverside Medical Center Hospital Expansion DEIR
Executive Summary 1-39
Table 1-B – Impact Summary Matrix
Impact
Category
Location of
Analysis
(IS or DEIR) Impact
Level of Impact and
Mitigation Measure (if required)
Level of Impact
After Mitigation
which might have an adverse
physical effect on the environment
Transportation DEIR
Section 5.1
Conflict with a program plan,
ordinance, or policy addressing the
circulation system, including transit,
roadway, bicycle, and pedestrian
facilities
Less than significant impact, no
mitigation is required.

No mitigation required.

Transportation DEIR
Section 5.1
Would the project conflict or be
inconsistent with CEQA Guidelines
section 15064.3, subdivision (b)
Potentially significant impact
MM TRAN 1: Preferential Parking.

Prior to Project design approval,
Kaiser shall designate preferential
parking, which means dedicated
parking spaces reserved for users that
use a non‐single-occupancy vehicle
(SOV) mode of transportation, such as
carpool and vanpool. Such spaces
shall be located near building
entrances to encourage and
incentivize non‐SOV trips. The
preferential parking for vanpool and
carpool vehicles shall be located on
the west side of the Project site, near
Significant and
unavoidable
City of Riverside Section 1
Kaiser Permanente Riverside Medical Center Executive Summary Hospital Expansion DEIR
1-40
Table 1-B – Impact Summary Matrix
Impact
Category
Location of
Analysis
(IS or DEIR) Impact
Level of Impact and
Mitigation Measure (if required)
Level of Impact
After Mitigation
the existing four medical office
buildings (MOB)s and the hospital.

MM TRAN 2: Carpooling. Kaiser
shall provide information regarding
carpooling on various platforms such
as bulletin boards, intranet, new hire
information packets, etc., to
encourage carpools and thereby
reducing employee VMT. Kaiser shall
encourage the use of carpool
matching service, such as Waze
Carpool, to help employees find
carpool partners. Information on
UberPool and Lyft Share can help find
riders along the route to fill the empty
seats and split the costs. Kaiser shall
facilitate a carpooling program for
employees and encourage employees
to use the program.

MM TRAN 3: Vanpooling. Kaiser
shall provide information about
vanpooling on bulletin boards and
intranet (private network for
employees), allowing employees to
find available seats in an existing
Section 1 City of Riverside
Executive Summary Kaiser Permanente Riverside Medical Center Hospital Expansion DEIR
Executive Summary 1-41
Table 1-B – Impact Summary Matrix
Impact
Category
Location of
Analysis
(IS or DEIR) Impact
Level of Impact and
Mitigation Measure (if required)
Level of Impact
After Mitigation
vanpool that matches their commuting
preferences.

MM TRAN 4: Guaranteed Ride
Home Program. Kaiser shall provide
information about the Guaranteed
Ride Home (GRH) Program to
employees via emails, bulletin board,
and intranet so that employees
participating in carpool/vanpool
programs can sign up for program,
thereby reducing VMT.

MM TRAN 5: Website. Kaiser shall
create a webpage to access
information about the transportation
services available reduce employee
VMT. The website can provide
essential travel information for first
time visitors to the project. The
website should include information
such as address, site map,
transportation options (carpool and
vanpool), and timetables for transit
routes near the project site.

Additionally, external resource links to
the Riverside Transit Agency (RTA)
can be provided for users to access
City of Riverside Section 1
Kaiser Permanente Riverside Medical Center Executive Summary Hospital Expansion DEIR
1-42
Table 1-B – Impact Summary Matrix
Impact
Category
Location of
Analysis
(IS or DEIR) Impact
Level of Impact and
Mitigation Measure (if required)
Level of Impact
After Mitigation
relevant transit schedules and transit
network map. The intranet can provide
employees information and resources
regarding vanpooling, GRH Program,
and other relevant information
regarding transportation options and
services.

Flyers shall be posted for events such
as National Bike to Work Day and
World Car‐Free Day to encourage
employees to use alternative modes of
transportation.

MM TRAN 7: Information Center.

Kaiser shall provide an information
center, a static board, or an interactive
kiosk, at commonly trafficked areas for
the convenience of employees to
Section 1 City of Riverside
Executive Summary Kaiser Permanente Riverside Medical Center Hospital Expansion DEIR
Executive Summary 1-43
Table 1-B – Impact Summary Matrix
Impact
Category
Location of
Analysis
(IS or DEIR) Impact
Level of Impact and
Mitigation Measure (if required)
Level of Impact
After Mitigation
obtain information about various
transportation services.

MM TRAN 8: Bus Stop Amenities.

Kaiser shall provide bus stop
amenities at existing stops on
Magnolia Avenue, within the vicinity of
the Project. These amenities may
include shelters, benches, and trash
receptacles. Shelters at bus stops
provide protection to passengers in
the event of inclement weather. Kaiser
shall coordinate with City/RTA to
determine the design and placement
of shelters, benches, and trash
receptacles prior to implementation of
these added amenities. Kaiser shall
provide ADA compliant connectivity
from the Hospital Expansion site
directly to the existing bus stop.

MM TRAN 9:

Telecommuting/Alternative Work
Schedules. Kaiser shall encourage
telecommuting opportunities and
alternative work schedules.

Telecommuting eliminates the need to
be physically present at the worksite if
City of Riverside Section 1
Kaiser Permanente Riverside Medical Center Executive Summary Hospital Expansion DEIR
1-44
Table 1-B – Impact Summary Matrix
Impact
Category
Location of
Analysis
(IS or DEIR) Impact
Level of Impact and
Mitigation Measure (if required)
Level of Impact
After Mitigation
the work can be done remotely.

Alternative work schedules include a
compressed work week, flexible daily
work schedule, and staggered shifts to
alleviate transportation demand during
peak hours.

MM TRAN 10: Transportation
Coordinator. Kaiser shall designate
an onsite transportation coordinator to
oversee, monitor, and promote the
Transportation Demand Management
(TDM) program. The coordinator will
answer questions that employees and
patients have about the available
transportation services, prepare
mobile amenities for employees,
promote the TDM program through
public outreach, conduct employee
surveys about the TDM program and
improve/adjust if necessary, and
coordinate with local transit agencies
and transportation authorities to relay
up‐to‐date information about transit
service changes and active/future
projects.

Section 1 City of Riverside
Executive Summary Kaiser Permanente Riverside Medical Center Hospital Expansion DEIR
Executive Summary 1-45
Table 1-B – Impact Summary Matrix
Impact
Category
Location of
Analysis
(IS or DEIR) Impact
Level of Impact and
Mitigation Measure (if required)
Level of Impact
After Mitigation
MM TRAN 11: Bus Passes. Kaiser
shall provide partial subsidy of
CommuterLink bus pass for new
employees for the first three years
after the Project completion day to
encourage the use of public transit.

MM TRAN 12: IE Commuter
Program. Kaiser shall promote the IE
Commuter program and provide
rideshare information to all employees
via emails, project website,
information center, and the
Transportation Coordinator required
per MM TRAN 10.

MM TRAN 13: Service Amenities.

Kaiser shall provide service amenities
on‐site such as ATMs, cafeteria, café,
gift shop, food carts and vending
machines to reduce the need for
employees to travel off‐site throughout
the workday.

City of Riverside Section 1
Kaiser Permanente Riverside Medical Center Executive Summary Hospital Expansion DEIR
1-46
Table 1-B – Impact Summary Matrix
Impact
Category
Location of
Analysis
(IS or DEIR) Impact
Level of Impact and
Mitigation Measure (if required)
Level of Impact
After Mitigation
Transportation IS, p. 88 Result in a change in air traffic patterns, including either an
increase in traffic levels or a change
in location that results in substantial
safety risks
No impact, no mitigation is required. No mitigation required.

Transportation IS, p. 88 Substantially increase hazards due to a geometric design feature (e.g.,
sharp curves or dangerous
intersections) or incompatible uses
(e.g., farm equipment)
Less than significant impact, no
mitigation is required.

No mitigation required.

Transportation IS, p. 89 Result in inadequate emergency access.

Less than significant impact, no
mitigation is required.

No mitigation required.

Tribal Cultural
Resources
DEIR
Section 5.2
Would the project cause a
substantial adverse change in the
significance of a tribal cultural
resource, defined in Public
Resources Code Section 21074 as
either a site, feature, place, cultural
landscape that is geographically
defined in terms of the size and
scope of the landscape, sacred
place, or object with cultural value
to a California Native American
Less than significant with mitigation.

MM Cult 1, MM Cult 2, and
MM Cult 3 above and
MM TCR 1: Treatment and
Disposition of Cultural Resources: In
the event that Native American cultural
resources are inadvertently discovered
during the course of grading for this
project, the following procedures will
Less than significant.

Section 1 City of Riverside
Executive Summary Kaiser Permanente Riverside Medical Center Hospital Expansion DEIR
Executive Summary 1-47
Table 1-B – Impact Summary Matrix
Impact
Category
Location of
Analysis
(IS or DEIR) Impact
Level of Impact and
Mitigation Measure (if required)
Level of Impact
After Mitigation
tribe, and that is Listed or eligible
for listing in the California Register
of Historical Resources, or in a local
register of historical resources as
defined in Public Resources Code
Section 5020.1(k),
be carried out for treatment and
disposition of the discoveries:

1. Consulting Tribes Notified: within
24 hours of discovery, the
consulting tribe(s) shall be notified
via email and phone. The
developer shall provide the city
evidence of notification to
consulting tribes. Consulting
tribe(s) will be allowed access to
the discovery, in order to assist
with the significance evaluation.

2. Temporary Curation and
Storage: During the course of
construction, all discovered
resources shall be temporarily
curated in a secure location on site
or at the offices of the project
archaeologist. The removal of any
artifacts from the Project Site will
need to be thoroughly inventoried
with tribal monitor oversight of the
process; and

3. Treatment and Final Disposition:

The landowner(s) shall relinquish
City of Riverside Section 1
Kaiser Permanente Riverside Medical Center Executive Summary Hospital Expansion DEIR
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Table 1-B – Impact Summary Matrix
Impact
Category
Location of
Analysis
(IS or DEIR) Impact
Level of Impact and
Mitigation Measure (if required)
Level of Impact
After Mitigation
ownership of all cultural resources,
including sacred items, burial
goods, and all archaeological
artifacts and non-human remains
as part of the required mitigation
for impacts to cultural resources.

The Applicant shall relinquish the
artifacts through one or more of
the following methods and provide
the City of Riverside Community
and Economic Development
Department with evidence of
same:
a. Accommodate the process for
on-site reburial of the discovered
items with the consulting Native
American tribes or bands. This
shall include measures and
provisions to protect the future
reburial area from any future
impacts. Reburial shall not occur
until all cataloguing and basic
recordation have been
completed;
b. A curation agreement with an
appropriate qualified repository
Section 1 City of Riverside
Executive Summary Kaiser Permanente Riverside Medical Center Hospital Expansion DEIR
Executive Summary 1-49
Table 1-B – Impact Summary Matrix
Impact
Category
Location of
Analysis
(IS or DEIR) Impact
Level of Impact and
Mitigation Measure (if required)
Level of Impact
After Mitigation
within Riverside County that
meets federal standards per 36
CFR Part 79 and therefore will
be professionally curated and
made available to other
archaeologists/researchers for
further study. The collections
and associated records shall be
transferred, including title, to an
appropriate curation facility
within Riverside County, to be
accompanied by payment of the
fees necessary for permanent
curation;
c. If more than one Native
American tribe or band is
involved with the project and
cannot come to a consensus as
to the disposition of cultural
materials, they shall be curated
at the Western Science Center
or Riverside Metropolitan
Museum by default; and
d. At the completion of grading,
excavation, and grounddisturbing activities on the site, a City of Riverside Section 1
Kaiser Permanente Riverside Medical Center Executive Summary Hospital Expansion DEIR
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Table 1-B – Impact Summary Matrix
Impact
Category
Location of
Analysis
(IS or DEIR) Impact
Level of Impact and
Mitigation Measure (if required)
Level of Impact
After Mitigation
Phase IV Monitoring Report shall
be submitted to the City
documenting monitoring
activities conducted by the
project archaeologist and Native
Tribal Monitors within 60 days of
completion of grading. This
report shall document the
impacts to the known resources
on the property; describe how
each mitigation measure was
fulfilled; document the type of
cultural resources recovered and
the disposition of such
resources; provide evidence of
the required cultural sensitivity
training for the construction staff
held during the required pregrade meeting; and, in a
confidential appendix, include
the daily/weekly monitoring
notes from the archaeologist. All
reports produced will be
submitted to the City of
Riverside, Eastern Information
Center, and consulting tribe.

Section 1 City of Riverside
Executive Summary Kaiser Permanente Riverside Medical Center Hospital Expansion DEIR
Executive Summary 1-51
Table 1-B – Impact Summary Matrix
Impact
Category
Location of
Analysis
(IS or DEIR) Impact
Level of Impact and
Mitigation Measure (if required)
Level of Impact
After Mitigation
Tribal Cultural
Resources
DEIR
Section 5.2
A resource determined by the lead
agency, in its discretion and
supported by substantial evidence,
to be significant pursuant to criteria
set forth in subdivision (c) of Public
Resources Code Section 5024.1. In
applying the criteria set forth in
subdivision (c) of Public Resources
Code Section 5024.1, the lead
agency shall consider the
significance of the resource to a
California Native American tribe
Less than significant with mitigation.

MM Cult 1, MM Cult 2, MM Cult 3,
and MM TCR 1 above
Less than significant.

Utilities &
Service
Systems
IS, pp. 90-92 Require or result in the relocation or
construction of new or expanded
water, wastewater treatment or
storm water drainage, electric
power, natural gas or
telecommunications facilities, the
construction or relocation of which
could cause significant
environmental effects.

Less than significant impact, no
mitigation is required.

No mitigation required.

Utilities &
Service
Systems
IS, pp. 92–93 Have sufficient water supplies
available to serve the project and
reasonably foreseeable future
Less than significant impact, no
mitigation is required.

No mitigation required.

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Table 1-B – Impact Summary Matrix
Impact
Category
Location of
Analysis
(IS or DEIR) Impact
Level of Impact and
Mitigation Measure (if required)
Level of Impact
After Mitigation
development during normal, dry
and multiple dry years
Utilities &
Service
Systems
IS, p. 93 Result in a determination by the
wastewater treatment provider
which serves or may serve the
project that it has adequate
capacity to serve the project’s
projected demand in addition to the
provider’s existing commitments
Less than significant impact, no
mitigation is required.

No mitigation required.

Utilities &
Service
Systems
IS, p. 94 Generate solid waste in excess of
State or local standards, or in
excess of the capacity of local
infrastructure or otherwise impair
the attainment of solid waste
reduction goals.

No mitigation is required. Less than significant.

Utilities &
Service
Systems
IS, pp. 94–95 Comply with federal, state, and
local statutes and regulations
related to solid waste
Less than significant impact, no
mitigation is required.

No mitigation required.

Wildfire IS, pp. 95–96 Substantially impair and adopted emergency response plan or
emergency evacuation plan
Less than significant impact, no
mitigation is required.

No mitigation required.

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Table 1-B – Impact Summary Matrix
Impact
Category
Location of
Analysis
(IS or DEIR) Impact
Level of Impact and
Mitigation Measure (if required)
Level of Impact
After Mitigation
Wildfire IS, p. 96 Due to slope, prevailing winds and
other factors, exacerbate wildfire
risks, and thereby expose project
occupants to, pollutant
concentrations from a wildfire or the
uncontrolled spread of a wildfire
Less than significant impact, no
mitigation is required.

No mitigation required.

Wildfire IS, pp. 96–97 Require the installation or
maintenance of associated
infrastructure (such as roads, fuel
breaks, emergency water sources,
power lines or other utilities that
may exacerbate fire risk or that may
result I temporary or ongoing
impacts to the environment
No impact, no mitigation is required. No mitigation required.

Wildfire IS, p. 97 Expose people or structures to
significant risks, including
downslope or downstream flooding
or landslides, as a result of runoff,
post-fire slope instability or
drainage changes
Less than significant impact, no
mitigation is required.

No mitigation required.

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1.8 Alternatives to the Proposed Project
State CEQA Guidelines Section 15126.6 identifies the parameters within which consideration and discussion of alternatives to a proposed project should occur. As stated in this section of the Guidelines, alternatives must focus on those that would feasibility attain most of the basic objectives of the Project but would avoid or substantially lessen any of the significant effects of the Project

1.8.1 Alternatives Rejected from Further Consideration
Pursuant to State CEQA Guidelines Section 15126.6(f)(2), alternate sites should be evaluated, if any feasible sites exist, where significant impacts can be lessened.

An alternative site for the hospital expansion Project would not be logical and would not meet the basic project objectives. Kaiser has identified the need, as outlined in the Project Objectives, to expand hospital services at the current hospital location, including increasing the number of emergency room, operating room, and recovery room beds at the Kaiser Permanente Riverside Medical Center campus (10800 Magnolia Avenue) in order to support the growing population and service demands in the localized region.

Kaiser Permanente operates multiple facilities and medical office buildings throughout the Inland Empire area (e.g. Fontana, Moreno Valley, Murrieta) and a few others located in the City of Riverside; the Hospital Expansion Site is the main Kaiser Permanente hospital in Western Riverside County and offers a comprehensive, “one stop shop” medical care. There is a deficiency in hospital capacity at the Kaiser Permanente Riverside Medical Center location.

Specifically, different Kaiser hospitals in the region are used by patients for emergency room services, operating rooms, intensive care units, and neonatal intensive care units. Therefore, an alternative location for these facilities is already being utilized and will not fix the underserved population at the Riverside Medical Center Hospital location. Further, the Project Objectives would not be satisfied by dispersion of services and facilities. Additionally, use of an alternative site or sites for the uses within the Project would not minimize the significant VMT impact, and in fact may well exacerbate it and increase its severity. The only identified VMT impact of the Project stems from employee trips and applying conservative assumptions to the number and length of such trips. The same assumptions as to employee need, and employee trips, would pertain to an alternate site or sites for Project facilities, thus resulting in the same employee VMT effects as with the Project, but likely without the VMT reduction from the Project’s consolidation of patient services.

For these reasons, an alternative site for the expansion of the hospital and parking structure was rejected as being infeasible and would not result in reduced impacts compared to the Project
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1.8.2 Alternatives Evaluated in the DEIR
This Draft EIR evaluates 1) a No Project Alternative and 2) a Reduced Intensity Alternative.

Alternative 1 – No Project/No Expansion
Pursuant to State CEQA Guidelines Section 15126.6(e)(3)(B), the No Project Alternative for a development project on identifiable property is the circumstance under which the proposed Project does not proceed, and the discussion of the No Project Alternative must compare the environmental effects from the Project Site remaining in its existing state, versus the environmental effects that would occur if the proposed Project were approved. Accordingly, under the No Build Alternative, the Hospital Expansion Site and Off-Site Area 1 and Off-Site Area 2 would remain in their existing condition and expansion of the existing medical facility as well as the construction of the parking structure would not occur.

Employee trips would still occur at other Kaiser Permanente facilities. Therefore, the No Project/No Expansion Alternative would likely result in less impact from VMT when compared to the Project given the City’s impact threshold that focuses on VMT within the City; however, Alternative 1 would still result in VMT impacts in the region due to the need for patients to drive elsewhere for services not provided at the Kaiser Permanente Riverside Medical Center and the need for employees to serve those patients in the other locations.

Tribal Cultural Resources
The No Project/No Expansion Alternative would not involve the City making a discretionary action, and no physical construction would occur; thus, there would be no AB 52 Tribal Consultation. Therefore, this Alternative would not result in any impacts to existing known or unknown tribal cultural resources as the existing medical center and hospital would stay in operation.

Relationship to Project Objectives
Alternative 1 – No Project/No Expansion would not meet any of the Project Objectives, and certainly not the basic objectives of the Project. Section 15126.6(f)(1) of the State CEQA Guidelines states that among the factors that may be taken into account when addressing the feasibility of alternatives, are site suitability and economic viability; Alternative 1 is neither City of Riverside Section 1
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suitable for the social or economic conditions for the City as the region overall is experiencing population demand for more medical services than can currently be served at the existing Riverside location.

Alternative 2 – Reduced Intensity Alternative
Since the intent of the Alternatives analysis is to explore alternatives to the Project that would lessen the significant impacts from the Project, the focus of Alternative 2 – Reduced Intensity Alternative would be to attempt to reduce the project VMT. Under the Reduced Intensity Alternative, the proposed Project would instead entail the construction of facilities approximately half the size of the proposed Project. Specifically, Alternative 2 would include reducing the size of the Hospital Tower and Diagnostics and Treatment buildings by half and not constructing the parking garage in order to reduce VMT impacts by approximately half of the proposed Project. The number of new hospital beds would be reduced by half from the proposed Project, existing double occupancy rooms would not be converted to single occupancy, the parking garage at the Hospital Expansion Site, and the parking lots at Off-Site Area 1 and Off-Site Area 2 would not be constructed.

Transportation
Daily VMT generated under the Reduced Intensity Alternative would be approximately half of the Project’s Daily VMT of 9,316, which would be 4,658 Daily VMT. Alternative 2 would reduce the project scope by half along with reduction in Project’s VMT generated by new employees.

However, the reduction would not reduce the amount of employee VMT required to reduce the Project’s VMT impact to less than significant. Therefore, the resultant VMT from employees under this Alternative would not be below the City’s VMT Threshold of no net change from existing conditions.

Furthermore, because certain patients would most likely continue to need to travel outside Riverside for services, the reduced service expansion would not meet patient needs that would otherwise be provided by the Project. Therefore, the level of patient VMT decrease achieved by the Project would not be attained and employee VMT would occur for the service to those patients served elsewhere. Thus, regional VMT (as opposed to VMT within Riverside) could be higher than with the Project.

Tribal Cultural Resources
A reduction in the size of the project buildings would not change the requirement for AB 52 consultation on the new facilities, albeit smaller than the Project. Therefore, it is expected that impacts to tribal cultural resources would be the same for Alternative 2, as for the Project.

Relationship to Project Objectives
Alternative 2 – Reduced Intensity Alternative meets five of the twelve Project Objectives; however, these objectives would be met to a lesser degree than the proposed Project, as a result of a smaller project than is proposed. Since the VMT is being generated by the employees at the Riverside location, no matter the size, even a smaller footprint of the buildings under Alternative 2 would still result in VMT impacts that would exceed the City’s Section 1 City of Riverside
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threshold of no net increase of VMT. Since the purpose of the Project is to accommodate jobs and provide for medical services to be centrally located instead of having Kaiser patients drive to separate facilities across the region, Alternative 2 – Reduced Intensity does not meet all of the Project Objectives, and does not reduce the significance impacts to less than significant levels. For these reasons, Alternative 2 is rejected as infeasible.

Table 1-C – Comparison of Alternatives Matrix, below, compares the potential environmental impacts of each alternative and ranks each alternative as having impacts that are increased, similar, or reduced in comparison to the proposed Project.

Table 1-C – Comparison of Alternatives Matrix
Environmental Issue
Proposed
Project
Alternative 1
No Project
Alternative 2
Reduced
Intensity
Transportation SU None SU
Tribal Consultation LTSM None LTSM
None: No impact
LTS: Less than significant
LTSM: Less than significant with mitigation
SU: Significant, Unavoidable

1.9 Environmentally Superior Alternative
Section 15126.6(e)(2) of the State CEQA Guidelines requires the identification of the environmentally superior alternative. Of the alternatives evaluated above, Alternative 1 – No Project/No Expansion is the environmentally superior alternative because the Project Site would stay in its existing condition. Since no expansion of the hospital or construction of offsite parking lots would occur, Alternative 1 would eliminate the significant and unavoidable impacts to VMT resulting from increased employee traffic from the proposed Project; but it would not reduce employee traffic. Alternative 1 would increase the amount of VMT by Kaiser patients (at least outside the City) as they would need to drive a greater distance to various other facilities throughout the region.

The State CEQA Guidelines also require the identification of another environmentally superior alternative if the No Project Alternative is the environmentally superior alternative.

Alternative 2 – Reduced Intensity Alternative is environmentally superior to the proposed Project because this alternative would reduce impacts to VMT by roughly half and would include half of the physical improvements as the Project. However, Alternative 2 would also not include the parking garage, which would not increase the parking for patients accessing the Kaiser Permanente Riverside Medical Center campus. Alternative 2 does meet six of the twelve Project objectives; however, it does not meet the need to increase the services offered City of Riverside Section 1
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at one site in response to the increase in population in the City and the growing needs for more of the hospital facilities at one location.

Alternative 2 reduces the employee VMT impacts; however, the tradeoff would be that the VMT of Kaiser Permanente patients traveling to the various Kaiser Permanente facility locations throughout the region would increase. Because the demand for hospital services is not expected to decrease, limiting the number of facilities at the Kaiser Permanente Riverside Medical Center in order to reduce employee VMT would be offsetting the VMT impacts to other Kaiser Permanente locations. Therefore, although Alternative 2 is environmentally superior to the Project, Alternative 2 is rejected as infeasible because it still results in VMT impacts elsewhere.

1.10 Other CEQA Topics
The State CEQA Guidelines set forth several general content requirements for a DEIR, including certain potential impacts which must be addressed. Those impact areas applicable to this Project include the potential for the Project to cause cumulative impacts (Section 15130); unavoidable adverse impacts (Section 15126(b)); growth inducing impacts (Section 15126(d)); or significant irreversible changes caused by a project (Section 15126.2(c)). Section 15125(d) of the State CEQA Guidelines also requires an EIR to discuss any inconsistencies between the proposed Project and applicable general and regional plans. These topics are summarized below and discussed in Section 6 of the DEIR.

1.10.1 Significant Unavoidable Adverse Impacts
This topic is intended to address any significant impacts that cannot be mitigated to below a level of significance (State CEQA Guidelines Section 15126.2). As discussed in Section 5.1 – Transportation and Section 6.1.2, even with implementation of mitigation measures MM TRANS 1 through MM TRANS 13, the proposed Project will result in Project-specific and cumulatively significant unavoidable impacts to vehicle miles traveled.

1.10.2 Growth Inducing Impacts
According to CEQA Guidelines Section 15126.2(e), a project may foster economic or population growth, or additional housing, either indirectly or directly, in a geographical area if it meets any one of the following criteria:
• A project would remove obstacles to population growth; • Increases in the population may tax existing community service facilities, causing significant environmental effects; or
• A project would encourage and facilitate other activities that could significantly affect the environment.

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As discussed under the Population and Housing subheading in Section 4, Environmental Effects Found Not to be Significant of this Draft EIR and Initial Study threshold 14, Population and Housing, the proposed Project would require approximately 746 new full-time employees.

Although it is likely that the majority of new employees would already be living in the City or surrounding communities, it is possible that some employees would move to the City.

Assuming an average household size of 3.28 persons, the Project could, at most, result in an indirect population increase of approximately 2,446 persons.

Based on Southern California Association of Governments (SCAG) growth forecasts in Connect SoCal the City’s population is estimated to reach 395,800 persons by 2045, representing a total increase of 70,500 persons between 2016 and 2045. The Project’s highest potential indirect population growth (2,446 persons) represents approximately 3.5 percent of the City’s anticipated population increase by 2045, and less than one percent of the City’s total projected 2045 population. (SCAG, p. 39; IS, pp. 83–84.)
Connect SoCal employment forecasts estimate the City’s employment to reach 188,700 jobs by 2045, representing a total increase of 43,300 jobs between 2016 and 2045. The approximately 746 Project-generated jobs represent approximately 1.7 percent of the City’s anticipated jobs increase by 2045, and less than one half of one percent of the City’s total projected 2045 employment. Since the Project is consistent with the Typical Growth Scenario of the GP 2025, it is not reasonably foreseeable that the Project would cause the GP 2025 buildout population or employment forecasts to be exceeded. (SCAG, p. 39; IS, pp. 83–84, 91).

The Project does not require the provision or extension of utilities that could serve future development. The existing storm drain system at the Hospital Expansion Site would be expanded as part of the Project to convey on-site flows so there would be no increase in stormwater runoff with the implementation of the proposed Project. Therefore, no off-site improvements to the existing stormwater system would be required. (IS, p. 91).

The Project Site is located in a highly developed area that is fully served with all utilities. The Project does not include or require utility infrastructure that accommodate growth or development beyond what is proposed. Additionally, the Project does not open any large undeveloped areas for new uses. Therefore, direct and indirect growth-inducing impacts would be less than significant.

1.10.3 Significant Irreversible Environmental Changes which would be Involved in the Proposed Project Should it be Implemented Nonrenewable resources, such as gravel and steel, will be consumed during Project construction. Energy, fossil fuels, oils, and natural gas will be irreversibly committed during Project construction. These same resources are used for vehicles traveling to and from the Project Site and energy used to operate the Project. The continued use of these resources associated with Project operations represents a long-term obligation. The energy consumed in construction and operation of the Project may be considered a permanent investment.

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However, the Project will use “green” building materials, where feasible, to reduce impacts to nonrenewable resources. The proposed hospital tower and diagnostic and treatment building would be constructed to meet or exceed the LEED Gold performance standards. Because the LEED certification program does not include parking structures, the proposed parking structure would be designed and constructed in accordance with the rating system and performance standards for certification under the Green Garage Certification Program, which is the parking industry’s equivalent of LEED certification, provided by the Green Parking Council, an affiliate of the International Parking Institute.

The Project would also be designed to meet or exceed requirements of the most current version of the Title 24 and CALGreen Building Codes. Energy-saving features incorporated into the proposed Project are anticipated to include low-impact design features such as droughttolerant landscaping, low water and recycled water irrigation systems, energy-saving lighting, mechanical systems, low-flow plumbing fixtures and fittings, and transportation-related sustainability features, such as EV charging stations and bicycle facilities.

Because the Project would incorporate energy efficiency features in an effort to conserve energy over the life of its operation; the proposed Project would not result in long-term significant energy use.

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2 INTRODUCTION

2.1 Background
A Conditional Use Permit (CU-038-834) was approved in 1984 for the construction of a medical campus for Kaiser Hospital at 10800 Magnolia Avenue. The medical campus included a hospital building, three medical office buildings, a 4-level parking structure, and surface parking lots. Construction was completed and the facility was opened in 1989. No new medical buildings or parking facilities have been added to what is now known as the Kaiser Permanente Riverside Medical Center. The Kaiser Permanente Riverside Medical Center is currently comprised of four Medical Office Buildings (MOB), surrounded by surface parking lots, and one parking structure. The existing facilities contain 226 hospital beds, including 51 single occupancy rooms, 78 double occupancy rooms, and 19 neonatal intensive care (NICU) rooms.

In response to growth within the Inland Empire area served by Kaiser Permanente’s Riverside Medical Center, Kaiser Permanente is requesting a modification to Planning Case CU-038-834 to expand this facility. In addition to the expansion of the Kaiser Permanente Riverside Medical Center, Kaiser Permanente is also proposing the development of two off-site area to accommodate employee and construction worker parking during the expansion as described in detail in Section 3 – Project Description of this DEIR.

2.2 Purpose and Scope
The purpose of this Draft Environmental Impact Report (DEIR) is to evaluate and disclose potential environmental impacts resulting from the expansion of the Kaiser Permanente Riverside Medical Center (hereinafter referred to as the Hospital Expansion Site), and the construction and operation of two parking lots located at 10821 Magnolia Avenue (hereinafter referred to as Off-Site Area 1) and 11510 Magnolia Avenue (hereinafter referred to as Off-Site Area 2.) The Hospital Expansion Site, Off-Site Area 1, and Off-Site Area 2 are collectively referred to as the Project Site. The Project Site is located within the La Sierra District of the Magnolia Avenue Specific Plan. The Hospital Expansion Site is bordered by Magnolia Avenue to the north, Park Sierra Drive to the west, Castle Park to the south, and Polk Street to the east. Off-Site Area 1 is located directly north of the Hospital Expansion Site and is fronted by Magnolia Avenue. Off-Site Area 2 is located approximately 0.9 miles west of the Hospital Expansion Site at the northeast corner of Magnolia Avenue/Fillmore Street. The construction and operation of the proposed Kaiser Permanente Riverside Medical Center expansion (Hospital Expansion) and the two off-site areas will hereinafter be referred as the Project as further described in Section 3 – Project Description of this DEIR.

2.3 Authorization
This DEIR has been prepared by the City of Riverside (City) as “Lead Agency” in accordance with the California Environmental Quality Act (CEQA) (Pub. Res. Code Section 21000 et. seq), the Guidelines for the Implementation of the California Environmental Quality Act (State CEQA Section 2 City of Riverside
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Guidelines) (Sections 15000–15387 of the California Code of Regulations), and the City’s CEQA Guidelines. The proposed Project considered in this DEIR is a “project,” as defined by Section 15378 of the State CEQA Guidelines, which states that an EIR must be prepared for any project that may have a significant impact on the environment. The City, as Lead Agency, has determined that the Project may have a significant adverse impact on the environment; therefore, preparation of an EIR was required.

2.4 Lead and Responsible Agencies
CEQA defines a “Lead Agency” as the public agency that has the principal responsibility for carrying out or approving a project that may have a significant effect upon the environment.

Other agencies, e.g., the South Coast Air Quality Management District, which also have some authority or responsibility to issue permits for Project implementation, are designated as “Responsible Agencies.” Both the Lead Agency and Responsible Agencies must consider the information contained in the EIR prior to acting upon or approving a project. The City is the Lead Agency for the Project. The City’s address is:

City of Riverside
Community & Economic Development Department
Planning Division
3900 Main Street, 3rd Floor
Riverside, California 92522
Contact: Brian Norton, Senior Planner
[email protected]; Tel: (951)826-2308
Entitlement actions to be considered by the City of Riverside as Lead Agency include a Rezone, modification of a Conditional Use Permit, two Minor Conditional Use Permits, Design Review, and a Summary Vacation as described in Section 3 of the DEIR.

Responsible Agencies for the Project include but may not be limited to:
• South Coast Air Quality Management Plan: Issuance of permit to operate the proposed generator.

2.5 Project Applicant
The Project Applicant is:

Kaiser Permanente
Deborah Han, Senior Land Use Planner
National Facilities Services
393 E. Walnut Street, 4th Floor
Pasadena, California 91188
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2.6 Compliance with CEQA
The basic purposes of CEQA are to:
• Inform governmental decision makers and the public about the potential, significant environmental effects of proposed activities;
• Identify the ways that environmental damage can be avoided or significantly reduced; • Prevent significant, avoidable damage to the environment by requiring changes in projects through the use of alternatives or mitigation measures when the governmental agency finds the changes to be feasible; and
• Disclose to the public the reasons why a governmental agency approved the project in the manner the agency chose if significant environmental effects are involved. (State CEQA Guidelines, Section 15002)

2.6.1 Environmental Procedures
The EIR process typically consists of three parts—the Notice of Preparation (including the Initial Study), DEIR, and Final EIR. Pursuant to Section 15060(d) of the State CEQA Guidelines, the City prepared an Initial Study for the Project in order to determine if the Project may have a significant effect on the environment. Based upon the findings of fact contained within the Initial Study, the City concluded that the Project may cause potentially significant impacts related to transportation (vehicle miles traveled) and tribal cultural resources, and that an EIR should be prepared to address those topics. The NOP was distributed to the State Clearinghouse, responsible agencies, and other interested parties, on September 15, 2021.

Pursuant to Section 15082 of the State CEQA Guidelines, recipients of the NOP were requested to provide responses within 30 days after their receipt of the NOP. Because the Project is considered to be of statewide, regional, or area wide significance, per Section 15206(b)(2)(E) of the State CEQA Guidelines, a virtual scoping meeting was held on September 27, 2021 via Zoom.

On September 27, 2021 between 6:00pm-7:00pm, a noticed public scoping meeting was held via Zoom. No members of the public attended this meeting; therefore, no comments were received. Appendix A.3 provides evidence that a meeting was held.

Agencies and interested parties that submitted written comments in response to the NOP are identified in Table 2-A – Summary of Written Comments Received in Response to the Notice of Preparation and copies of the letters received are included in Appendix A.4 of this DEIR.

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Table 2-A – Summary of Written Comments Received
in Response to the Notice of Preparation
Commenting Party
(Date of Letter/email) Summary of Comment
Addressed in Section(s) of
the DEIRa
Native American
Heritage Commission
(September 15, 2021)
This comment letter identifies, outlines CEQA
Guidelines and compliance regarding cultural
resources. The NAHC recommends consultation
with California Native American tribes and a
cultural resources assessment.

Section 5.2 – Tribal Cultural
Resources
South Coast Air Quality
Management District
(October 5, 2021)
This comment letter provides recommendations
the Lead Agency use South Coast AQMD’s
CEQA Air Quality Handbook as guidance when
preparing air quality and greenhouse gas
analyses. The letter identifies pollutant emission
significance thresholds that should be used to
determine the Project’s air quality impacts.

Additionally, South Coast Air Quality
Management District is requesting all technical
documents and appendices be submitted
electronically during the DEIR public review.

The comment letter requests
electronic files to be
submitted at the time of DEIR
public review.

Since the Initial Study
determined air quality and
greenhouse gas emissions
were less than significant, this
topic is not further evaluated
in the DEIR. Refer to Section 4
– Environmental Effects Found
not to be significant.

Notes:
a Comments may also be addressed in other sections of the DEIR.

Copies of the NOP, the NOP distribution list, and copies of written comments received by the City in response to the NOP are included in Appendices A.1, A.2, and A.3.

An EIR is an informational document intended to inform decision-makers and the general public of potentially significant environmental impacts of a project. An EIR also identifies possible ways to minimize these potentially significant impacts (referred to as mitigation measures) and describes alternatives to a project that may also reduce its significant impacts.

As set forth in Section 15021 of the State CEQA Guidelines, as Lead Agency, the City has the duty to avoid or minimize environmental damage where feasible. Furthermore, Section 15021(d) of the State CEQA Guidelines provides that, “CEQA recognizes that in determining whether and how a project should be approved, a public agency has an obligation to balance a variety of public objectives, including economic, environmental, and social factors, and in particular the goal of providing a decent home and satisfying living environment for every City of Riverside Section 2
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Californian.” Other public agencies (i.e., Responsible and Trustee Agencies) that may use this DEIR in their decision-making or permit processes will consider the information in this DEIR along with other information that may be presented during the CEQA process. In accordance with CEQA, the public agencies will be required to make findings for each significant environmental impact of the proposed Project. As to impacts that cannot be mitigated to below a level of significance, if the Lead Agency determines that the benefits of the proposed Project outweigh unmitigated significant environmental effects, the Lead Agency will be required to adopt a Statement of Overriding Considerations stating the reasons supporting its action notwithstanding the proposed project’s significant environmental effects.

2.6.2 Potentially Significant Environmental Effects
CEQA requires consideration and discussion of significant environmental effects. Sections 15126–15126.2 of the State CEQA Guidelines state that, “All phases of a project must be considered when evaluating its impact on the environment: planning, acquisition, development, and operation […] an EIR shall identify and focus on the significant environmental effects of the proposed project.” CEQA provides that a DEIR shall focus on all potentially significant effects created by the project onto the environment, discussing the effects with emphasis in proportion to their severity and probability of occurrence. Effects dismissed in an Initial Study as less than significant and unlikely to occur need not be discussed further in the DEIR unless substantial evidence inconsistent with the finding in the Initial Study is subsequently received.

The Initial Study (included as Appendix A.5 to this DEIR) determined that the proposed Project would have a less than significant impact to the following issue areas: aesthetics, agriculture and forestry resources, air quality, energy, geology and soils (except for paleontological resources), hazards and hazardous materials, hydrology and water quality, land use and planning, mineral resources, noise, population and housing, public services, recreation, utilities and service systems, and wildfire. The Initial Study also determined that potentially significant impacts to biological resources, cultural resources, and paleontological resources would be less than significant with implementation of mitigation measures identified in the Initial Study.

The mitigation measures set forth in the attached IS will be carried forward at the Project’s decision stage, imposed as mitigation measures, and included in the Project’s Mitigation Monitoring and Reporting Program (MMRP). Impacts determined to be less than significant in the Initial Study and any corresponding mitigation measures are further discussed in Section 4 – Environmental Effects Found Not to be Significant of this DEIR.

The Initial Study determined the Project may result in potentially significant impacts to Transportation and Tribal Cultural Resources. Section 5 – Environmental Impact Analysis of the DEIR addresses each environmental effect that the Initial Study determined to be potentially significant. Each effect is organized into an issue area; those that will be analyzed (and the specific section of the DEIR in which the analysis is contained) are listed below:
• Transportation/Traffic (Section 5.1)
• Tribal Cultural Resources (Section 5.2)
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2.6.3 Format
This DEIR has been organized in several sections as follows:

Table of Contents to assist readers in locating the analysis of different subjects and issues as required by Section 15122 of the State CEQA Guidelines. A list of acronyms used in the DEIR is included in the table of contents.

Section 1 – Executive Summary covers the summary requirements of CEQA as required by Section 15123 of the State CEQA Guidelines and includes: the proposed project location, a brief project description, a matrix containing a summary of environmental impacts and mitigation measures, project objectives, approvals related to the proposed project, areas of controversy, and a brief description of the project alternatives.

Section 2 – Introduction describes the scope and purpose of the DEIR, identifies the project applicant and Lead Agency, provides a brief summary of the CEQA process to date, summarizes and identifies the documents incorporated by reference in the DEIR, identifies the parties that provided written comments in response to the IS/NOP, summarizes the comments provided, and identifies the location in the DEIR in which the comments are addressed.

Section 3 – Project Description contains the information required by Section 15124 of the State CEQA Guidelines including: a detailed description of the proposed project, the project objectives, a general description of the project’s environmental setting, the approvals needed to implement the project, and a list of agencies expected to use the DEIR.

Section 4 – Environmental Effects Found Not to be Significant During Preparation of the Initial Study /Notice of Preparation identifies those environmental effects found not to be significant during preparation of the Initial Study.

Section 5 – Environmental Impact Analysis satisfies the requirements of Sections 15125, 15126, 15126.2, and 15126.4 of the State CEQA Guidelines by including an analysis of each environmental issue area determined to have potentially significant impacts during preparation of the Initial Study/ Notice of Preparation (IS/NOP). For each issue area analyzed, this section includes a discussion of the setting against which each issue area is analyzed, defines the related regulations affecting the proposed project, identifies the thresholds used to determine significance, describes any project design features that would reduce impacts, analyzes the proposed project’s impacts, provides a description of any feasible mitigation measures suggested to reduce or lessen potential impacts, and discusses the project’s impacts after mitigation.

Section 6 – Other CEQA Topics includes the project’s cumulative impact analysis, unavoidable adverse impacts of the proposed project, and the growth-inducing impact discussion.

City of Riverside Section 2
Kaiser Permanente Riverside Medical Center
Hospital Expansion DEIR
Introduction
2-7
Section 7 – Alternatives to the Proposed Project satisfies the requirements of Section 15126.6 of the State CEQA Guidelines by identifying and discussing the no project alternative in addition to alternatives to the proposed project that lessen the severity of significant impacts and identifying the environmentally superior alternative.

Section 8 – References includes a listing of all reference materials, the organizations and persons contacted in preparing the DEIR, and a list of preparers as required by Section 15129 of the State CEQA Guidelines.

2.7 Documents Incorporated by Reference
Section 15150 of the State CEQA Guidelines permits and encourages an environmental document to incorporate by reference other documents that provide relevant data. The documents summarized below are incorporated by reference, and the pertinent material is summarized throughout this DEIR, where that information is relevant to the analysis of potential impacts of the Project. All documents incorporated by reference are available for review at, or can be obtained through, the City of Riverside Planning Division of the Community & Economic Development Department.

2.7.1 City of Riverside General Plan 2025 Final Program Environmental Impact Report
The City of Riverside General Plan 2025 Final Program Environmental Impact Report (GP 2025 FPEIR) was certified in 2007. The GP 2025 FPEIR provided a first tier analysis of the potential environmental effects of the adoption and implementation of the proposed General Plan, adoption and implementation of the comprehensive update of the Zoning Code and Subdivision Code, an amendment to the Noise Code, and adoption and implementation of the Magnolia Avenue Specific Plan as well as the adoption and implementation of the Citywide Design and Sign Guidelines. The GP 2025 FPEIR contains information regarding the environmental setting within the City and is available online at https://riversideca.gov/cedd/planning/city-plans/general-plan-0.

2.7.2 City of Riverside General Plan 2025
The City of Riverside General Plan 2025 (GP 2025) was adopted in 2007. The GP 2025 is a long-range plan designed to control and regulate growth in the City and to maintain the quality of the human and natural environment. The GP 2025 is the City’s planning “constitution,” or a blueprint for development, and is the single-most important policy document in guiding land use and development decisions within the City (GP 2025 FPEIR, p. 2-5). To that end, the GP 2025 contains goals and policies that serve as the planning framework for the City in addition to providing direction for City operations and programs, and serves as a guide to public and private decision-making. The GP 2025 includes the following elements: Land Use and Urban Design, Circulation and Community Mobility, Housing, Arts and Culture, Education, Public Safety, Noise , Open Space and Conservation, Air Quality, Public Facilities, and Park and Section 2 City of Riverside
Introduction Kaiser Permanente Riverside Medical Center Hospital Expansion DEIR
2-8
Recreation Elements. The GP 2025 is available online at https://riversideca.gov/cedd/planning/city-plans/general-plan-0.

2.7.3 City of Riverside Municipal Code
The City’s Municipal Code complements the GP 2025. The Municipal Code, which contains among other ordinances, the City’s Zoning Code, is a mechanism to implement and enforce the goals, objectives, policies and programs articulated in the GP 2025. Many of the potential environmental concerns considered in this DEIR are adequately addressed through application of regulations contained in the Municipal Code. The Municipal Code is available online at http://www.riversideca.gov/municode/.

2.7.4 Magnolia Avenue Specific Plan (MASP)
The Magnolia Avenue Specific Plan (MASP) was originally adopted November 10, 2009. The MASP consists of six districts and covers approximately 1,588 acres. The project is located within the La Sierra district of the MASP. The vision for this area is to promote transit-oriented development that promotes pedestrian activity and provides medical support services to the Kaiser facility. The purpose of the MASP is to serve as a guideline for decision marking and provide direction for the future development proposals, public and private improvements, and action plan. The MASP was developed in conjunction with the City of Riverside General Plan 2025 and therefore zoning, land use designations, objectives, and policies in the MASP reflect and directly support the General Plan 2025. The MASP is available online at https://www.riversideca.gov/cedd/sites/riversideca.gov.cedd/files/pdf/planning/specplans/Final-Adopted-MASP.pdf.

2.7.5 Housing and Public Safety Element Updates and Environmental Justice Policies Environmental Impact Report
The Housing and Public Safety Element Updates and Environmental Justice Policies Environmental Impact Report (hereinafter the HPSEJ EIR) is a programmatic EIR that does not identify specific development projects that could occur as a result of approval of the Housing and Public Safety Element Updates and the new Environmental Justices policies. (HPSEJ DEIR, p. 1-5.)
The Housing and Public Safety Elements are citywide planning documents associated with GP 2025. One of the components of the Housing Element Update evaluated in the HPSEJ EIR is a rezoning program that involves amending the Zoning Code and Specific Plans to change the zone of multiple sites identified for future housing and mixed-use development, referred to as Opportunity Sites. Environmental Justice Policies are an additional component of the project evaluated in the HPSEJ EIR.

Off-Site Area 2 was included in the Housing Element Update as Opportunity Site 11. The Final Program Environmental Impact Report (FPEIR) prepared for the Phase 1 General Plan Update – Housing Element, Public Safety Element and Environmental Justice Policies (SCH No.

City of Riverside Section 2
Kaiser Permanente Riverside Medical Center
Hospital Expansion DEIR
Introduction
2-9
2021040089) certified by the Riverside City Council on October 5, 2021 assessed a total of 460 parcels totaling 581 acres for rezoning, Specific Plan and General Plan Land Use amendments to accommodate the City’s 6th Cycle Regional Housing Needs Assessment (RHNA) obligation of at least 18,458 new residential units over an 8-year planning period (2021-2029). The FPEIR evaluated identified sites for a variety of zoning and Land Use changes that generally increased allowed development capacities to promote the development of new residential and mixed use projects, resulting in a potential net increase of 31,175 dwelling units. This evaluation included Off-Site Area2 (, also known as APN 132-020-033 identified as Site 11 in Appendix A – Opportunity Sites Inventory of the draft Housing Element) to be rezoned from R-1-7000-SP – Single Family Residential and Specific Plan (Magnolia Avenue) Overlay Zones and CG-SP – Commercial General and Specific Plan (Magnolia Avenue) Overlay Zones to MU-U-SP – Mixed Use Urban and Specific Plan (Magnolia Avenue) Overlay Zones.

The FPEIR did not evaluate specific development densities or intensities for individual sites; rather, for sites proposed for Mixed Use Zones and General Plan designations, the FPEIR assumed that 33 percent of sites would develop with nonresidential uses, 33 percent would develop with residential uses, and 34 percent would develop with a mix of residential and nonresidential uses. Of the 34 percent that would develop with a mix of uses, it was further assumed that the resulting development would comprise 80 percent residential uses and 20 percent nonresidential uses by floor area. Residential floor area was then converted to an estimated number of dwelling units by assuming an average unit size of 1,050 square feet.

However, City Council removed Opportunity Site 11 (Off-Site Area 2, APN 132-020-003) from the Ordinance changing the zone of the Opportunity Sites and, as a result, the MU-U-SP Zones were not applied to Off Site Area 2, as was evaluated in the FPEIR.

This Project proposes to amend the zone of Off-Site Area 2 (APN 132-020-003, formerly Opportunity Site 11) from R-1-7000-SP Overlay Zones and CG-SP – Commercial General and Specific Plan (Magnolia Avenue) Overlay Zones to MU-V-SP – Mixed-Use-Village and Specific Plan (Magnolia Avenue) Overlay Zones to permit construction of a parking lot. The MU-V – Mixed-Use Village Zone allows for less intense uses than the Housing Element proposed change to MU-U – Mixed-Use Urban. It is important to note that the proposed rezoning of OffSite Area 2 is for the explicit purpose of a surface parking lot. Any other use of APN 132-020- 003 (Off-Site Area 2) would potentially require a subsequent entitlement action and CEQA process.

The HPSEJ EIR is incorporated by reference because it evaluated a more intense use for OffSite Area 2 than what is proposed by this Project and it includes a cumulative impact analysis based on buildout projections from General Plan 2025 and implementation of the Housing Element. Furthermore, the impacts of potential future development of Off-Site Area 2 were examined programmatically within the HPSEJ EIR. Therefore, the HPSEJ EIR is incorporated herein to analyze at a programmatic level the possible future development effects from the rezoning, while the Initial Study and this EIR are employed to analyze the Project-specific impacts of the rezoning and use of the property as a parking lot.

City of Riverside Section 3
Kaiser Permanente Riverside Medical Center
Hospital Expansion DEIR
Project Description
3-1
3 PROJECT DESCRIPTION
This Draft Environmental Impact Report (DEIR) analyzes the potential environmental effects of the construction and operation of an expansion of the Kaiser Permanente Riverside Medical Center, two off-site parking lots, and all associated on- and off-site supporting improvements, which are collectively referred to as the “Project.”
A Conditional Use Permit (CU-038-834) was approved in 1984 for the construction of a medical campus for Kaiser Hospitals at 10800 Magnolia Avenue. The medical campus included a hospital building, three medical office buildings, a 4-level parking structure, and surface parking lots. Construction was completed and the facility was opened in 1989. In response to planned growth. Kaiser Permanente is requesting a modification to CU-038-834 to expand this facility.

3.1 Project Location and Setting

3.1.1 Project Location
The Project vicinity is shown on Figure 3-1 – Vicinity Map. The proposed Project includes the expansion of the existing Kaiser Permanente Riverside Medical Center (referred to as the “Hospital Expansion” in the DEIR) and the construction of two off-site parking lots (referred to as “Off-Site Area 1” and “Off-Site Area 2” in this DEIR). The Hospital Expansion Site is located at 10800 Magnolia Avenue. Off-Site Area 1 and Off-Site Area 2 are located at 10821 Magnolia Avenue and 11510 Magnolia Avenue, respectively. All sites are located within the City of Riverside. The Hospital Expansion Site, Off-Site Area 1 and Off-Site Area 2 are collectively referred to as the Project Site. The Project Site encompasses approximately 43.8 gross acres, of which 21.8 acres will be developed as part of this Project, as shown in Table 3-A, below.

Table 3-A – Project Site Details
Location APN Acres
Acres
Proposed for
Development
Hospital Expansion
Site 138-470-010 37.5 15.5
Off-Site Area 1 142-293-028 1.3 1.3
Off-Site Area 2 132-020-033 5.0 5.0
Total 43.8 21.8
FIGURE 3-1 VICINITY MAP

KAISER PERMANENTE RIVERSIDE MEDICAL CENTER HOSPITAL EXPANSION SOURCE: Riverside Co. San Bernardino Co. and Orange Co. 0 2
4 6 MILES

PROJECT
SITE
City of Riverside Section 3
Kaiser Permanente Riverside Medical Center
Hospital Expansion DEIR
Project Description
3-3
The Project Site is located in the southwestern portion of the City within the La Sierra District of the Magnolia Avenue Specific Plan. The Hospital Expansion Site is bounded by Magnolia Avenue (to the north), Park Sierra Drive (to the west), Polk Street (to the east), and Castle Park (to the south). La Sierra Avenue is the nearest major cross street. Off-Site Area 1 is located north of Magnolia Avenue and across the street from the Hospital Expansion Site. Off-Site Area 2 is located west of the Hospital Site and is bounded by Magnolia Avenue (to the north), Fillmore Street (to the east), State Route 91 (SR-91) (to the south) and an existing apartment complex (to the west). (Refer to Figure 3-2 – Project Site.)

3.1.2 Project Site – Existing Conditions
The Hospital Expansion Site is located on the Kaiser Permanente Riverside Medical Center campus. The Kaiser Permanente Riverside Medical Center campus is situated on approximately 37.5 acres and includes four main medical buildings, generally located in the center of the site. (Refer to Figure 3-3 – Existing Kaiser Permanente Riverside Medical Center Site Plan.) Surrounding these buildings are staff and member surface parking lots.

There is a staff parking structure on the east side of the campus. Throughout the perimeter of the Medical Center campus and the medical buildings are landscaped walkways. The Medical Center campus is accessed by five existing driveways. There are two full-access driveways on Park Sierra Drive, two full-access driveways on Polk Street, and one right-in and right-out driveway on Magnolia Avenue. As shown on Figure 3-3, the Polk Street entrances provide access to the primary routes for hospital staff, service, patient, and ambulance traffic. The Kaiser Permanente Medical Center currently has 226 hospital beds, including 51 single occupancy rooms, 78 double occupancy rooms, and 19 neonatal intensive care (NICU) rooms.

Off-Site Area 1 is currently a vacant lot located north of the Kaiser Permanente Riverside Medical Center Campus (see Figure 3-4 – Proposed Off-Site Areas) Off-Site Area 1 has been previously disturbed with ornamental trees and other shrub vegetation present. Walls and fences around Off-Site Area 1 consist of chain link fencing fronting Magnolia Avenue and the east property line, with a brick wall along the north and west property lines. Off-Site Area 1 has one entrance on Magnolia Avenue at the southeast corner of the site. Off-Site Area 1 is surrounded by existing urban development, specifically, Harbor Freight Tools to the east, single family residences to the north, and Pep Boys to the west.

Off-Site Area 2 is located approximately three-fourths of a mile south of the Medical Center Campus at the southeasterly corner of Magnolia Avenue and Fillmore Street (see Figure 3-4).

Off-Site Area 2 is currently a vacant lot that has been heavily disturbed with remnants of an old concrete pad on the southeast portion of the site. There are two paved driveways on Fillmore Street in proximity to the concrete pad. Ornamental trees and other shrub vegetation are located throughout this site. Walls and fences around Off-Site Area 2 consist of chain link fencing around the northern, eastern, and southern property lines and a split-face block wall covered with overgrown vegetation on the western property line that separates Off-Site Area 2 from The Paseos at Magnolia apartment complex.

FIGURE 3-2 PROJECT SITE

KAISER PERMANENTE RIVERSIDE MEDICAL CENTER HOSPITAL EXPANSION SOURCE: BING MAPS / GOOGLE MAPS
1 2
POLK ST.

HOSPITAL EXPANSION SITE

OFF-SITE AREAS
BURGE ST.

LA SIERRA AVE.

GOLDEN AVE.

FILLMORE ST.

LA SIERRA AVE.

PARK SIERRA DR.

MAGNOLIA AVE.

MERCER AVE.

HOSPITAL

EXPANSION
SITE
SCALE: NOT TO SCALE
FIGURE 3-3 EXISTING KAISER PERMANENTE RIVERSIDE MEDICAL CENTER SITE PLAN

KAISER PERMANENTE RIVERSIDE MEDICAL CENTER HOSPITAL EXPANSION SOURCE: CO ARCHITECTS
LOT “D” - REFER TO FIGURE 3-12 - SUMMARY VACATION
FIGURE 3-4 PROPOSED OFF-SITE AREAS

KAISER PERMANENTE RIVERSIDE MEDICAL CENTER HOSPITAL EXPANSION SOURCE: BING MAPS / GOOGLE MAPS
1 2
POLK ST.

OFF-SITE AREA 1

HOSPITAL

EXPANSION
SITE
BURGE ST.

LA SIERRA AVE.

GOLDEN AVE.

FILLMORE ST.

PARK SIERRA DR.

MAGNOLIA AVE.

MERCER AVE.

KEY MAP
OFF-SITE AREA 1

HOSPITAL EXPANSION SITE

OFF-SITE AREAS

HOSPITAL EXPANSION SITE
PARK SIERRA DR.

MAGNOLIA AVE.

FILLMORE ST.

BURGE ST.

OFF-SITE AREA 2
OFF-SITE AREA 2
60’ 120’ 0
60’ 120’ 0 0 1,000’ 2,000’
City of Riverside Section 3
Kaiser Permanente Riverside Medical Center
Hospital Expansion DEIR
Project Description
3-7
In addition to The Paseos at Magnolia to the west of this site, Off-Site Area 2 is surrounded by single family residences and the Rancho Riverside Mobile Home Community to the east, the SR-91 to the south, and multi-family development to the north (across Magnolia Avenue).

3.1.3 Land Use Designation, Specific Plan, and Zoning
The City of Riverside General Plan 2025 (“the GP 2025”) designates the Hospital Expansion Site as MU-U – Mixed -Use Urban within the La Sierra District of the Magnolia Avenue Specific Plan. Both Off-Site Areas 1 and 2 are designated MU-V – Mixed-Use Village. Figure 3-5 – Land Use Designation (on page 3-8) shows the existing land use designations for the Project Site and surrounding areas.

Development of the Project Site is also guided by the La Sierra District of the Magnolia Avenue Specific Plan which was adopted in 2007 by the City in order to encourage and provide incentives for economic development in the 1,588-acre planning area. The Magnolia Avenue Specific Plan designates the Hospital Expansion Site as Mixed Use – Urban and the off-site areas as Mixed Use – Village as shown on Figure 3-6 – Magnolia Avenue Specific Plan (MASP) on page 3-9.

Further, per City’s the Zoning Map (see Figure 3-7 – Zoning Map on page 3-10), the Hospital Expansion Site is zoned CR-SP -Commercial Retail- and Specific Plan (Magnolia Avenue) Overlay Zones Off-Site Area 1 is zoned MU-V-SP – Mixed Use - Village and Specific Plan (Magnolia Avenue) Overlay Zones and Off-Site Area 2 is zoned R-1-7000–SP – Single Family Residential and Specific Plan (Magnolia Avenue) Overlay Zones and CG–SP - Commercial General and Specific Plan (Magnolia Avenue) Overlay Zones.

As part of the Project’s entitlements to allow a surface parking lot at Off-Site Area 2, a Rezone has been submitted to amend the zone from R-1-7000 SP – Single Family Residential and Specific Plan (Magnolia Avenue) Overlay Zones and CG-SP – Commercial General and Specific Plan (Magnolia Avenue) Overlay Zones to MU-V-SP –Mixed Use - Village and Specific Plan (Magnolia Avenue) Overlay Zones.

FIGURE 3-5 LAND USE DESIGNATION

KAISER PERMANENTE RIVERSIDE MEDICAL CENTER HOSPITAL EXPANSION SOURCE: City of Riverside GP Land Use, La Sierra District MASP 0 0.25 0.5 MILES

HOSPITAL

EXPANSION
SITE
91 FWY
OFF-SITE AREA 1
LEGEND
MAGNOLIA AVENUE SPECIFIC PLAN:

LA SIERRA DISTRICT

LOW DENSITY RESIDENTIALMEDIUM DENSITY RESIDENTIALMEDIUM HIGH DENSITY RESIDENTIALHIGH DENSITY RESIDENTIALVERY HIGH DENSITY RESIDENTIALCOMMERCIALOFFICEBUSINESS/OFFICE PARKMIXED USE - VILLAGEMIXED USE - URBANPUBLIC FACILITIES / INSTITUTIONALPRIVATE RECREATIONPUBLIC PARK

LAND USE DESIGNATION
OFF-SITE AREA 2
FIGURE 3-6 MAGNOLIA AVENUE SPECIFIC PLAN (MASP)

KAISER PERMANENTE RIVERSIDE MEDICAL CENTER HOSPITAL EXPANSION SOURCE: La Sierra MASP
0 0.5 1MILES

HOSPITAL

EXPANSION
SITE
LEGEND
MAGNOLIA AVENUE SPECIFIC PLAN: LA SIERRA DISTRICT DESIGNATION

MIXED USE - URBANMIXED USE - VILLAGELA SIERRA DISTRICT
OFF-SITE AREA 1
OFF-SITE AREA 2
FIGURE 3-7 ZONING MAP

KAISER PERMANENTE RIVERSIDE MEDICAL CENTER HOSPITAL EXPANSION SOURCE: City of Riverside Zoning Nov.2021 / La Sierra District MASP 0 0.25 0.5 MILES

HOSPITAL

EXPANSION
SITE
91 FWY
R-18500 - SINGLE FAMILY RESIDENTIALR-1-7000 - SINGLE FAMILY RESIDENTIALR-3-4000 - MULTI-FAMILY RESIDENTIALR-3-2500 - MULTI-FAMILY RESIDENTIALR-3-2000 - MULTI-FAMILY RESIDENTIALR-3-1500 - MULTI-FAMILY RESIDENTIALR-4 - MULTI-FAMILY RESIDENTIALO - OFFICECR - COMMERCIAL RETAILCG - COMMERCIAL GENERALBMP - BUSINESS & MANUFACTURINGMU - U - MIXED USE - URBANMU - V - MIXED USE - VILLAGERWY - RAILWAY

CITY OF RIVERSIDE ZONING
OFF-SITE AREA 1
OFF-SITE AREA 2
LEGEND

MAGNOLIA AVENUE SPECIFIC PLAN
LA SIERRA DISTRICTNOTE: ALL PARCELS LOCATED WITHIN THE MAGNOLIA AVENUE SPECIFIC PLAN HAVE AN OVERLAY ZONE DESIGNATION OF “SP” City of Riverside Section 3
Kaiser Permanente Riverside Medical Center
Hospital Expansion DEIR
Project Description
3-11

3.1.4 Surrounding Land Uses
Existing land uses, General Plan land use designations, and zoning designations for the Hospital Expansion Site, Off-Site Area 1, and Off-Site Area 2 are shown in Table 3-B – Hospital Expansion Site Surrounding Land Uses, Table 3-C – Off-Site Area 1 Surrounding Land Uses and Table 3-D – Off-Site Area 2 Surrounding Land Uses, respectively.

Table 3-B – Hospital Expansion Site Surrounding Land Uses Existing Land Use
General Plan
Designation Zoning Designation
Hospital Expansion Site Kaiser Permanente
Riverside Medical Center)
MU- U - MixedUse Urban CR-SP - Commercial
Retail and Specific Plan
(Magnolia Avenue)
Overlay Zones
North
(Across Magnolia Avenue)
Commercial businesses
and vacant lot; Empire
Shopping Plaza; and Pep
Boys Auto
MU-V – MixedUse Village MU-V-SP - Mixed-Use
Village and Specific
Plan (Magnolia Avenue)
Overlay Zones
East
(Across Polk Street)
UCR Health Plastic
Surgery Center, and singlefamily residential
MU-U – MixedUse UrbanCR-SP - Commercial
Retail and Specific Plan
(Magnolia Avenue)
Overlay Zones
MU-U-SP - Mixed-Use
Urban and Specific
Plan (Magnolia Avenue)
Overlay Zones
South Castle Park PR – Private
Recreation
CR - Commercial Retail
Zone
West
(Across Park Sierra Drive)
Restaurants and
Nephrology Associates
Medical Group
MU-U – MixedUse UrbanCR-SP - Commercial
Retail and Specific Plan
(Magnolia Avenue)
Overlay Zones
Table 3-C – Off-Site Area 1 Surrounding Land Uses
Existing Land Use
General Plan
Designation Zoning Designation
Off-Site Area 1
(10821 Magnolia Avenue;
APN 142-293-028)
Vacant/Undeveloped Land MU-V – MixedUse VillageMU-V-SP - Mixed Use - Village and Specific Plan
(Magnolia Avenue)
Overlay Zones
North Single Family Residential MDR – Medium
Density
Residential
R-1-7000 - Single Family
Residential
East Commercial Retail MU-V – MixedUse Village
MU-V-SP - Mixed Use -
Village and Specific Plan
(Magnolia Avenue)
Overlay Zones
Section 3 City of Riverside
Project Description Kaiser Permanente Riverside Medical Center Hospital Expansion DEIR
3-12
Table 3-C – Off-Site Area 1 Surrounding Land Uses
Existing Land Use
General Plan
Designation Zoning Designation
South
(Across Magnolia Ave)
Kaiser Permanente Hospital
(Medical Campus)
MU-U – MixedUse UrbanCR-SP - Commercial
Retail and Specific Plan
(Magnolia Avenue)
Overlay Zones
West Pep Boys Auto MU-V – MixedUse Village
MU-V-SP - Mixed Use -
Village and Specific Plan
(Magnolia Avenue)
Overlay Zones
Table 3-D – Off-Site Area 2 Surrounding Land Uses
Existing Land Use
General Plan
Designation Zoning Designation
Off-Site Area 2
(11510 Magnolia Avenue;
APN 132-020-033)
Vacant/Undeveloped Land MU-V – MixedUse VillageR-1-7000-SP - Single Family Residential and
Specific Plan (Magnolia
Avenue) Overlay Zones
and CG-SP - Commercial
General and Specific Plan
(Magnolia Avenue)
Overlay Zones
North
(Across Magnolia Ave)
Multi-Family Residential HDR – High
Density
Residential
R-3-1500-SP - Multifamily Residential and
Specific Plan (Magnolia
Avenue) Overlay Zones
East
(Across Fillmore St)
Rancho Riverside Mobile
Home Park and single
family residential
HDR – High
Density
Residential
R-3-2000-S-2-SP - MultiFamily Residential,
Building Stories
(maximum 2-story), and
Specific Plan (Magnolia
Avenue) Overlay Zones
R-1-7000-SP - Single
Family Residential and
Specific Plan (Magnolia
Avenue) Overlay Zones
South State Route 91 (SR-91) N/A N/A
West Multi-Family Residential MU-V – MixedUse Village
R-3-1500-SP - Multifamily Residential and
Specific Plan (Magnolia
Avenue) Overlay Zones
City of Riverside Section 3
Kaiser Permanente Riverside Medical Center
Hospital Expansion DEIR
Project Description
3-13

3.2 Project Characteristics
Implementation of the proposed Project will require the approval by the City of Riverside of the following applications. As part of the entitlements, the Project requires consideration of the proposed Floor Area Ratio (FAR) if it can be found that it (a) will not have a detrimental effect on infrastructure and municipal services, (b) will not adversely impact the surrounding neighborhood, and (c) will not likely set a precedent for additional development that would adversely affect infrastructure, service or surrounding land uses.

3.2.1 Conditional Use Permit Modification (CUP) – DP-2021-00008 According to the Table 19-150-020.A (Permitted Uses Table) of the City’s Zoning Code, hospitals are allowed in the CR zone subject to the granting of a Conditional Use Permit (CUP).

CUPs are required when certain uses, due to the nature of use, intensity, or size, require special review. Implementation of the Project will require approval of a modification to the original CUP (CU-038-834), approved in 1984 for the construction of the existing Kaiser Permanente Riverside Medical Center campus.

The facilities proposed at the Kaiser Permanente Riverside Medical Center campus are referred to as the “Hospital Expansion”. The Hospital Expansion will entail redevelopment of approximately 15.5-acres of the existing 37.5-acre Riverside Medical Center Site with a fivestory hospital tower, a two-story diagnostic and treatment (D&T) building, five-story (six decks) aboveground parking structure, and ancillary features. The locations of the new hospital tower, D&T, and parking structure are collectively referred to as the Hospital Expansion Site and shown (in blue) on Figure 3-8 – Hospital Site Plan. Each of these proposed facilities are described further in Section 3.2.5, Design Review.

3.2.2 Minor Conditional Use Permit (MCUP) – DP-2021-01307 – Off-Site Area 1
According to the Table 19-150-020.A (Permitted Uses Table), parking lots are allowed in the MU-V zone subject to the granting of a Minor Conditional Use Permit (MCUP). Since construction of the Hospital Expansion will eliminate access to parking during construction, off-site parking is needed. As part of the Project, a parking lot is proposed at Off-Site Area 1, which would require approval of a MCUP.

Off-Site Area 1 encompasses approximately 1.3 acres and is located at 10821 Magnolia Avenue (APN 142-293-028). Approval of an MCUP would permit the construction of an 87-stall parking lot (82 standard stalls and five ADA compliant stalls) and five (5) construction trailers for use by Hospital Expansion construction staff. This parking lot and construction trailers will be used by construction staff during business hours for approximately 36 months. Due to the close proximity of Off-Site Area 1 to the Hospital Expansion Site, there will be no shuttle service between this lot and the Hospital Expansion Site. At the end of the construction period, the trailers will be removed and Off-Site Area 1 will remain a parking lot.

SCALE: NOT TO SCALE
FIGURE 3-8 HOSPITAL SITE PLAN

KAISER PERMANENTE RIVERSIDE MEDICAL CENTER HOSPITAL EXPANSION SOURCE: CO ARCHITECTS
City of Riverside Section 3
Kaiser Permanente Riverside Medical Center
Hospital Expansion DEIR
Project Description
3-15
Off-Site Area 1 would have one full access entrance from Magnolia Avenue as shown on Figure 3-9A – Off Site Area 1 Site Plan. Off-Site Area 1 would be improved with drive aisles, lighting, and landscaping. Trees, groundcover, shrubs, and ornamental grasses will be planted along the perimeter of Off-Site Area 1, with special treatment given to the Magnolia Avenue frontage. Parking lot trees and shrubs will be located in the parking lot as shown on Figure 3-9B – Off-Site Area 1 Landscape Plan. A bioretention basin will be constructed at the southern portion of this site to treat storm water runoff prior to discharge into the existing 60- inch diameter underground storm drain south of Magnolia Avenue. Paved pedestrian pathways will connect to the sidewalk on the north side of Magnolia Avenue. Off-Site Area 1 will provide additional lighting along paved walkways and throughout the parking stalls for safety and security purposes. There would be no on-site security guard.

3.2.3 Rezone (RZ) – DP-2021-01650 and Minor Conditional Use Permit (MCUP) – DP-2021-01306 – Off-Site Area 2
Off-Site Area 2 is currently zoned R-1-7000-SP – Single Family Residential and Specific Plan (Magnolia Avenue) Overlay Zones and CG-SP – Commercial General and Specific Plan (Magnolia Avenue) Overlay Zones. The recently-approved Housing Element Update identified Off-Site Area 2 as Opportunity Site 11 for housing, and proposed to change zoning to MU-U – Mixed-Use Urban. Opportunity Site 11 was removed from the ordinance rezoning the various Opportunity Sites and, as a result, the MU-U Zoning was not applied to Off-Site Area 2.

According to the Table 19-150-020.A (Permitted Uses Table), parking lots are not allowed in the R-1-7000 zone; therefore, in order to construct a surface parking lot at Off Site Area 2, the Project Applicant has requested Off-Site Area 2 be rezoned to MU-V-SP (see Figure 3-10 – Rezoning DP-2021-01650). The proposed MU-V-SP zone will be consistent with the General Plan land use designation and allow the establishment of a parking lot, which is a permitted uses in the MU-V zone with the granting of an MCUP. The proposed rezoning of Off-Site Area 2 is for the explicit purpose of a parking lot. Any other use of APN 132-020-003 (Off-Site Area 2) would potentially require a subsequent entitlement action and CEQA process.

Off-Site Area 2 encompasses approximately 4.6 acres and is located at 11510 Magnolia Avenue (APN 132-020-033). Approval of RZ DP-2021-01650 and MCUP DP-2021-1036 would permit the construction of a 516-(505 standard stalls and 11 ADA compliant stalls) parking lot at Off-Site Area 2. Initially this lot would be used by Kaiser Permanente Riverside Medical Center employees 24 hours every day for approximately 18 months. Medical Center employees would be shuttled between Off-Site Area 2 and the Kaiser Permanente Riverside Medical Center in hospital operated vehicles. Following employee utilization, Hospital Expansion construction staff would park at Off-Site Area 2 during business hours for an additional 18 months for a total of approximately 36 months. The parking lot will not be open to the public.

Access to the site will be controlled by entry arms activated by a key card.

SCALE: NOT TO SCALE
FIGURE 3-9A OFF-SITE AREA 1 SITE PLAN

KAISER PERMANENTE RIVERSIDE MEDICAL CENTER HOSPITAL EXPANSION SOURCE: CO ARCHITECTS
SCALE: NOT TO SCALE
FIGURE 3-9B OFF-SITE AREA 1 LANDSCAPE PLAN

KAISER PERMANENTE RIVERSIDE MEDICAL CENTER HOSPITAL EXPANSION SOURCE: CO ARCHITECTS / RIDGE LANDSCAPE ARCHITECTS
FIGURE 3-10 REZONING DP - 2021-01650

KAISER PERMANENTE RIVERSIDE MEDICAL CENTER HOSPITAL EXPANSION SOURCE: City of Riverside Zoning Nov.2021 / La Sierra MASP 0 500 1,000 FT

LA SIERRA DISTRICT
OFF-SITE AREA 2
R-1-7000 - SINGLE FAMILYR-3-2000 - MULTI-FAMILYR-3-1500 - MULTI-FAMILYO- OFFICE

CITY OF RIVERSIDE ZONING

EXISTING ZONING PROPOSED ZONING

CG - COMMERCIAL GENERALBMP - BUSINESS AND MANUFACTURING PARKRWY - RAILWAY OFF-SITE AREA 2
LEGEND
MAGNOLIA AVENUE SPECIFIC PLAN: LA SIERRA DISTRICT DESIGNATION

PROPERTY BOUNDARY LA SIERRA DISTRICT
R-1-7000 - SINGLE FAMILYR-3-2000 - MULTI-FAMILYR-3-1500 - MULTI-FAMILYO- OFFICE

CITY OF RIVERSIDE ZONING

CG - COMMERCIAL GENERALBMP - BUSINESS AND MANUFACTURING PARKRWY - RAILWAY LEGEND
MAGNOLIA AVENUE SPECIFIC PLAN: LA SIERRA DISTRICT DESIGNATION

PROPERTY BOUNDARY

MU - V - MIXED USE - VILLAGE

PROPOSED ZONING
City of Riverside Section 3
Kaiser Permanente Riverside Medical Center
Hospital Expansion DEIR
Project Description
3-19
According to the City’s Municipal Code 7.35.020 (G), construction is limited to daytime hours of 7:00 a.m. – 7:00 p.m. on weekdays and 8:00 a.m. – 5:00 p.m. on weekends. The construction staff will be shuttled between this off-site parking lot and the Hospital Expansion Site.

The parking lot proposed for Off-Site Area 2 would have one full access entrance from Fillmore Street as shown in Figure 3-11A – Off Site Area 2 Site Plan. Off-Site Area 2 would be improved with drive aisles, two designated shuttle stops, lighting, and landscaping. One shuttle stop will be located on the southern portion of the site and the second shuttle stop will be located on the northern portion of the site near Magnolia Avenue. Lighting and landscaping will be provided along the perimeter of the lot, with special treatment given to Magnolia Avenue and throughout the parking stalls. A bioretention basin will be constructed on the north portion of Off-Site Area 2 fronting on Magnolia Avenue. The bioretention basin will treat storm runoff prior to discharge into an existing storm drain in Magnolia Avenue. Pedestrian pathways will be paved along Magnolia Avenue and Fillmore Street. (Refer to Figure 3-11B – Off-Site Area 2 Landscape Plan. Access will be secured with a vehicle gate arm activated by a personnel badge. There would be no on-site security guard.

3.2.4 Summary Vacation (SV) – SD-2021-00020
Lot D of Parcel Map 16073 (recorded August 25, 1983 on page 92, Book 166 of Parcel Maps) was dedicated for Street and Public Utility purposes by Instrument No. 238814 (recorded December 19, 1980), and was accepted by the City by Instrument No. 160664 (recorded September 16, 1982). Lot D encompasses 0.042 acres of land (1,816.14 square feet) and was intended for a driveway apron east of Park Sierra Drive on the Hospital Expansion Site, but was never built. (Refer to Figure 3-12 – Summary Vacation.) The Project applicant has requested the City vacate this small portion of Park Sierra Drive accommodate the Hospital Expansion.

Riverside Municipal Code Chapter 19.890– Street, Alley and Walkway Vacations sets forth the procedures for vacating unneeded rights-of-way for streets, alleys, and pedestrian walkways.

The 1,816 square feet of unimproved, excess, public right of way is no longer needed as it was intended for the construction of a driveway along Park Sierra Drive that was never built and not needed for access. The excess public right of way will allow the proposed parking structure to comply with the minimum 15-foot setback required for parking structures.

SCALE: NOT TO SCALE
FIGURE 3-11A OFF-SITE AREA 2 SITE PLAN

KAISER PERMANENTE RIVERSIDE MEDICAL CENTER HOSPITAL EXPANSION SOURCE: CO ARCHITECTS
SCALE: NOT TO SCALE
FIGURE 3-11B OFF-SITE AREA 2 LANDSCAPE PLAN

KAISER PERMANENTE RIVERSIDE MEDICAL CENTER HOSPITAL EXPANSION SOURCE: CO ARCHITECTS / RIDGE LANDSCAPE ARCHITECTS
FIGURE 3-12 SUMMARY VACATION

KAISER PERMANENTE RIVERSIDE MEDICAL CENTER HOSPITAL EXPANSION SOURCE: MICHAEL BAKER INTERNATIONAL
SCALE: NOT TO SCALE
City of Riverside Section 3
Kaiser Permanente Riverside Medical Center
Hospital Expansion DEIR
Project Description
3-23

3.2.5 Design Review (DR) –DPR-2021-00009
The City’s Design Review process is required by the Zoning Code for any new buildings, structures, signs, exterior alterations, enlargements of existing buildings, or new landscaping and irrigation. The purpose of the Design Review is to protect and preserve the value of properties and to encourage excellence in development.

Hospital Expansion
The Hospital Expansion would entail site demolition, site preparation, and construction on approximately 15.5 acres of the 37.5-acre existing Medical Center Campus in order to expand acute medical services facilities and ancillary uses. The proposed Hospital Expansion would include a new 175,968 square-foot (SF) five-story hospital tower, 115,526 SF two-story diagnostic and treatment (D&T) Building, and a five-story (six decks) approximately 1,200- space above-ground parking structure.

The proposed hospital tower would be five stories with a subgrade basement and stand 74.5 feet from ground level to the top of the roof. Mechanical equipment on the roof would be screened by a parapet and screen, which would result in a total building height of 95.5 feet.

The proposed tower would provide an additional 152 acute care beds consisting of 116 single occupancy rooms and 36 neonatal intensive care unit (NICU) rooms for a total of 359 beds.

The new hospital tower will receive a new 12 (kilovolt) kV power circuit from City of Riverside Power and a meter at 12kV. There will be a unit substation 12kV-480V installed in the basement providing power to the new hospital tower.

The D&T building would be two stories, approximately 34 feet in height to the top of the parapet and would be constructed adjacent to the northwestern side of the proposed hospital tower. The D&T building would provide direct support to the new emergency and surgical departments as well as expanded diagnostic services and interventional radiology treatment.

The five-story (6 decks) parking structure would be constructed in the southwest corner of the Hospital Expansion Site. The maximum proposed height of the parking structure would be approximately 70 feet. Construction of the parking structure would result in a temporary loss of 354 parking stalls during construction. Once completed, the parking structure would replace approximately 250 parking stalls and modifications would be made to the surrounding onsite surface parking lots. The parking structure would provide approximately 1,151 vehicle parking stalls of which 45 will be Americans with Disabilities Act (ADA) compliant. In addition, there will be 78 motorcycle stalls and 55 bicycle stalls. The parking structure will include two stairwells on the northern and southern corner, respectively, and three elevators all centralized on the northern corner of the structure.

Design and Appearance
Landscaping
The existing Kaiser Permanente Riverside Medical Center is already landscaped; thus the proposed landscaping for the Hospital Expansion Site will generally be confined to planters that would be located along the site perimeter, the new hospital tower, D&T building, parking structure, and throughout the surface parking spaces. Landscaping is also proposed along walkways between medical buildings and walkways between buildings and parking areas as shown on Figure 3-13 – Hospital Expansion Landscape Plan.

Landscaping at Off-Site Area 1 and Off-Site Area 2 would be installed around the perimeter and interior of these sites as shown on Figure 3-9B – Off-Site Area 1 Landscape Plan and Figure 3-11B – Off-Site Area 2 Landscape Plan. The Project Site would be landscaped with drought-tolerant and climate appropriate species.

SCALE: NOT TO SCALE
FIGURE 3-13 HOSPITAL EXPANSION LANDSCAPE PLAN

KAISER PERMANENTE RIVERSIDE MEDICAL CENTER HOSPITAL EXPANSION SOURCE: CO ARCHITECTS / RIDGE LANDSCAPE ARCHITECTS
Section 3 City of Riverside
Project Description Kaiser Permanente Riverside Medical Center Hospital Expansion DEIR
3-26
Architecture
The proposed hospital tower, D&T building, and parking structure are designed to be architecturally consistent with the existing structures at the Kaiser Permanente Riverside Medical Center campus. Figure 3-14A through Figure 3-14D and Figure 3-15A through Figure 3-15E show the materials and conceptual renderings of the proposed structures’ exterior design and elevations for both the proposed hospital tower, D&T building, and parking structure, respectively. The proposed buildings will consist of concrete tilt-up paneling with a color palette largely consisting of earthy beiges as well as accented use of white, green, and blues. Window treatments will include the use of channel glass, spandrel glazing glass, tempered vision glazing glass, and frit glazing glass. The exterior façade of the new hospital tower will include a glass aluminum curtain wall system with select areas of stick-built glass and aluminum store front system, and light gauge framed penthouses with metal panels. The building and screen wall include articulation and roof line modulation to reduce massing. All roof-mounted equipment will be screened from view as required by Riverside Municipal Code Section 19.555.

Lighting
The proposed Project lighting would provide additional exterior building and site lights and exterior lighting for safety and security purposes along building facades, walls, and polemounted lights in parking areas around the medical buildings, walkways, surface parking lots and parking structures. All building and parking lot lighting will be required to conform the City Municipal Code (Chapter 19.556). All light sources would be shielded so that the light is directed away from streets and adjoining properties.

All lighting has been designed to meet or exceed CALGreen Building Code and Title 24 standards. The CALGreen Building Code sets forth maximum allowable backlight, uplight, and glare (BUG) rating for different lighting zones and Title 24 outlines maximum zonal lumens per outdoor lighting zone.

Remainder of page intentionally blank
SCALE: NOT TO SCALE
FIGURE 3-14A COLORED ELEVATIONS - HOSPITAL EXPANSION

KAISER PERMANENTE RIVERSIDE MEDICAL CENTER HOSPITAL EXPANSION SOURCE: CO ARCHITECTS
1 - North East Colored Elevation
2 - South West Colored Elevation
3 - South East Colored Elevation
4 - North West Colored Elevation

MATERIALS - HOSPITAL TOWER EXPANSION

KAISER PERMANENTE RIVERSIDE MEDICAL CENTER HOSPITAL EXPANSION SOURCE: CO ARCHITECTS
FIGURE 3-14B
Metal Panel(MP-O1)
Glazing - Vision(GL-01)
Glazing - Frit(GL-02)
Glazing - Spandrel(SP-01)
Shade Structure(SH-01)
CMU #1 CMU #1
FIGURE 3-14C HOSPITAL EXPANSION VISUAL SIMULATION 1

KAISER PERMANENTE RIVERSIDE MEDICAL CENTER HOSPITAL EXPANSION SOURCE: CO ARCHITECTS
FIGURE 3-14D HOSPITAL EXPANSION VISUAL SIMULATION 2

KAISER PERMANENTE RIVERSIDE MEDICAL CENTER HOSPITAL EXPANSION SOURCE: CO ARCHITECTS
SCALE: NOT TO SCALE
FIGURE 3-15A COLORED ELEVATIONS - PARKING STRUCTURE

KAISER PERMANENTE RIVERSIDE MEDICAL CENTER HOSPITAL EXPANSION SOURCE: CO ARCHITECTS
1 - South West Elevation
3 - South East Elevation
2 - North East Elevation
4 - North West Elevation

MATERIALS - PARKING STRUCTURE

KAISER PERMANENTE RIVERSIDE MEDICAL CENTER HOSPITAL EXPANSION SOURCE: CO ARCHITECTS
FIGURE 3-15B
Perforated Corrugated Metal Panel+ Vertical Orientation (P-01) Channel Glass(P-02)
Solid Metal Panel+ Horizontal Orientation (P-03)
Perforated Corrugated Metal Panel+ Jump Screen (P-04)
Enhanced Concrete Masonry Unit+ Horizontal Striated Pattern (CMU-01) Welded Wire Mesh Screen(SC-01)
FIGURE 3-15C PARKING STRUCTURE VISUAL SIMULATION 1

KAISER PERMANENTE RIVERSIDE MEDICAL CENTER HOSPITAL EXPANSION SOURCE: CO ARCHITECTS
FIGURE 3-15D PARKING STRUCTURE VISUAL SIMULATION 2

KAISER PERMANENTE RIVERSIDE MEDICAL CENTER HOSPITAL EXPANSION SOURCE: CO ARCHITECTS
FIGURE 3-15E PARKING STRUCTURE VISUAL SIMULATION 3

KAISER PERMANENTE RIVERSIDE MEDICAL CENTER HOSPITAL EXPANSION SOURCE: CO ARCHITECTS
Section 3 City of Riverside
Project Description Kaiser Permanente Riverside Medical Center Hospital Expansion DEIR
3-36
Site Preparation, Grading Plan, and Building Setbacks
The Project will involve grading and earthwork within the site in order to accommodate the proposed structures, associated parking lots, and drive aisles. The Project is anticipated to excavate to a total depth of 20 feet below existing ground surface. Project earthwork would require approximately 70,650 cubic yards of cut and 18,500 cubic yards of fill; thus, approximately 52,150 cubic yards of soil export would be required. Soil export would require approximately 3,725 trips. Grading for the proposed five-story hospital tower will result in 9.08 acres of disturbance. The new parking structure will result in 6.46 acres of grading impacts.

Additionally, the off-site parking lots will result in approximately 5.9 acres (1.3 acres at Off-Site Area 1 and 4.6 acres at Off-Site Area 2) of grading for the improvements at these sites.

Prior to grading operations, a Stormwater Pollution Prevention Plan (SWPPP) will be prepared in accordance with requirements of the statewide general National Pollutant Discharge Elimination System (NPDES) Permit and Waste Discharge Requirements for stormwater discharges from construction sites.
1 The State Water Resources Control Board issues
coverage under the statewide general construction stormwater permit to a project in the form of a Waste Discharge Identification (WDID) number after all of the required materials are received in full, including a SWPPP. The City confirms the State issued a WDID for the project.

The City enforces its stormwater ordinance pursuant to its Municipal Code, which includes requiring preparation of a SWPPP (sections 17.16.010 and 14.12.385). The local Regional Water Quality Control Board and State Water Resources Control Board provide regulatory enforcement of the statewide permit.”. The SWPPP will include Project-specific best management practices (BMPs) to reduce erosion and sedimentation. BMPs may include, but not be limited to, soil stabilization controls, perimeter silt fences, placement of hay bales, and use of sediment basins. All erosion and sediment controls will be in accordance with the currently adopted state general permit. The developer and construction contractor will be responsible for implementing the BMPs in accordance with the SWPPP.

Fencing
The Hospital Expansion will provide a 3-foot high decorative screen wall along a portion of Magnolia Avenue to screen the surface parking lot from the public view.

Infrastructure and Utilities
Site Access
Vehicles
As part of the of the Hospital Expansion, internal circulation will be re-routed to promote vehicle circulation and pedestrian safety As shown on Figure 3-3 – Existing Kaiser Permanente Riverside Medical Center Site Plan, there are two full-access driveways off of 1 Per NPDES No. CAS000002, Waste Discharge Requirements Order No. 2009-0009-DWQ issued by State Water Resources Control Board (SWRCB) adopted September 2, 2009 and effective as of July 2, 2010 City of Riverside Section 3
Kaiser Permanente Riverside Medical Center
Hospital Expansion DEIR
Project Description
3-37
Park Sierra Drive, two full-access driveways from Polk Street, and one right-in and right-out driveway off of Magnolia Avenue. The most direct access to the Emergency Department for ambulances and patients is via the north driveway on Polk Street. This is also the most direct access to the staff parking lot on the north side of the Hospital Expansion Site. Service vehicles access the site using both driveways from Polk Street. The driveways on Magnolia Avenue and Park Sierra Drive provide access to surface parking lots used by patients and visitors via internal drive lanes.

Once completed, access to the Kaiser Permanente Riverside Medical Center will continue to be from the five existing driveways as shown on Figure 3-8 – Hospital Site Plan. The Magnolia Avenue driveway will become an emergency vehicle-only entrance with direct access to the relocated Emergency Department. Kaiser Permanente Riverside Medical Center patients will access the site via the north Park Sierra Drive driveway for patient drop off and via the south Park Sierra Drive driveway to the new parking structure or surface parking lot on the south side of the Hospital Expansion Site. Employees will use the north Polk Street driveway to access the employee parking lot at the northeast portion of the Hospital Expansion Site or the south Park Sierra driveway to access the new parking structure. Service vehicles will use both Polk Street Driveways to access the service automotive route and loading area as shown on Figure 3-8. Once the Project is completed, the Hospital Expansion Site will be served by a combination of surface parking lots and two parking structures.

Pedestrian
Pedestrian walkways are proposed to connect the hospital and medical office buildings to the proposed parking structure, surface parking lots, and public sidewalks on Magnolia Avenue, and Park Sierra Drive. (Refer to Figure 3-8.)
Drainage
The existing Medical Center currently has existing storm drain catch basins that collect on-site surface runoff. The proposed Project would maintain existing on-site drainage patterns and would be designed to utilize low impact development (LID) bio retention and biotreatment BMPs and landscaping to redirect capture and treat surface runoff from new development prior to entering the existing underground storm drain lines within Magnolia Avenue and Park Sierra Avenue. Five new bioretention basins will be placed along the western portion of the Hospital Expansion Site as shown on Figure 3-16 – Hospital Expansion Site BMP Plan. These new basins are sized to provide treatment of the unique “water quality volumes” calculated for the areas of the new 15.5 acres of the new expansion areas, which will drain to each basin. Flows in excess of the water quality volumes will bypass treatment via outlet risers located in each basin that will connect to the existing 60-inch diameter storm drain system on the corner of Magnolia Avenue and Park Sierra Avenue. As previously indicated, the erosion and sedimentation control for the Project will be designed in accordance with NPDES permit guidelines. The Project will implement a SWPPP (or SWPPPs) to meet the requirements of the NPDES permit during construction, which will identify BMPs to control erosion and water runoff during the Project’s construction phase.

SCALE: NOT TO SCALE
FIGURE 3-16 HOSPITAL EXPANSION SITE BMP PLAN

KAISER PERMANENTE RIVERSIDE MEDICAL CENTER HOSPITAL EXPANSION SOURCE: CO ARCHITECTS
City of Riverside Section 3
Kaiser Permanente Riverside Medical Center
Hospital Expansion DEIR
Project Description
3-39
Wet Utilities
Potable water service to the Hospital Expansion Site, Off-Site Area 1, and Off-Site Area 2 would be provided by Riverside Public Utilities via existing water pipelines that currently serves the Kaiser Permanente Riverside Medical Center campus and pipelines within Magnolia Avenue. The new hospital tower and the D&T building, will connect to water through existing pipelines on Magnolia Avenue. No potable water connections are needed for the new parking structure, Off-Site Area 1, or Off-Site Area 2. The proposed Project would increase water usage by 24,009,000 gallons of water a year above existing conditions. Waterline and storage upgrades are not required to supply water to the project as the existing water system has adequate capacity to serve the Project
Sanitary sewer collection will be provided by the City’s Public Works Department via existing sewer pipelines that currently serve the Kaiser Permanente Riverside Medical Center campus.

New sewer connections/extensions to serve the new hospital tower and D&T Building will be needed. The sewer pipeline from the new expansion areas will connect to an existing 21 inchsewer line in Magnolia Avenue toward the western portion of the Project site. Projectgenerated wastewater will be treated at the City’s Regional Water Quality Control Plan. No sewer connections will be required for Off-Site Area 1 or Off-Site Area 2.

Dry Utilities
Telephone and cable utilities for the Hospital Expansion will be provided by AT&T and Charter Communications, respectively. The Hospital Expansion will connect to existing on-site facilities at the Medical Center campus or to existing connections along Magnolia Avenue, Park Sierra Avenue, or Polk Street. No telephone or cable utilities will be required for Off-Site Area 1 or OffSite Area 2.

Gas Utilities
Natural gas service to the Hospital Expansion will continue to be provided by the Southern California Gas Company. The Hospital Expansion will include a new underground storage tank for propane (60,000 gallons) as part of the Hospital’s disaster preparedness. The Hospital Expansion will connect to existing gas facilities on-site or to existing connections along Magnolia Avenue, Park Sierra, or Polk Street. No gas service will be required for Off-Site Area 1 or Off-Sie Area 2.

Sustainability Features
The Project will meet or exceed all applicable standards under California’s Green Building Code (CALGreen) and Title 24. Additionally, in accordance with Kaiser Permanente’s long-term environmental stewardship goals, the proposed hospital tower and D&T building would be constructed to meet or exceed the LEED (Leadership in Energy and Environmental Design) Gold performance standards. Because the LEED certification program does not include parking structures, the proposed parking structure would be designed and constructed in accordance with the rating system and performance standards for certification under the Green Garage Certification Program, which is the parking industry’s equivalent of LEED Section 3 City of Riverside
Project Description Kaiser Permanente Riverside Medical Center Hospital Expansion DEIR
3-40
certification, provided by the Green Parking Council, an affiliate of the International Parking Institute. LEED/Green Garage certification will be accomplished by incorporating, at a minimum, the following sustainability features or other features that are equally efficient:

Energy Efficiency
• Design buildings to meet or exceed the LEED Gold performance standards. • Design Parking Structure in accordance with Green Garage Certification Program. • Install electric vehicle (EV) charging stations, designated EV parking, as well as bike parking in accordance with the 2019 Title 24 standards and CALGreen Code in both surface parking and in the parking structure.
• Design outdoor areas with landscape planters, trees and seating that would comply with sustainable practices included in the 2019 Title 24 standards and CALGreen Code.

Water Conservation and Efficiency
• Design buildings to be water-efficient. Install water-efficient fixtures and appliances in compliance with 2019 CALGreen Code.
• Install recycled water irrigation systems.

Solid Waste Measures
• Provide recycling services which would divert at least 50 percent of solid waste generation per Assembly Bill 341.

Public Transit, Bicycle, and Pedestrian Design Features • The Project’s site design will facilitate active modes of transportation by providing sidewalks, crosswalks and bicycle facilities for pedestrians and bicyclists throughout the Project site. Improvements of sidewalks, crosswalks, and bicycle facilities help pedestrians and cyclists navigate the area safely and efficiently. Proper site design ensures seamless connectivity from public roadways to the Project site for those arriving using active modes of transportation.
• The Project site will include bicycle amenities, pursuant to CAPCOA Measure TRT5, throughout the Project site to encourage employees and visitors to bike to the Project site. Examples of bicycle amenities can include bike racks, lockers, repair stations, and showers. The lack of bicycle amenities may deter existing cyclists from biking to the site. Bicycle amenities encourages bicycle use while promoting a healthier alternative to driving, reducing vehicle trips and parking demand.
• Additional bicycle parking, lockers and showers may accommodate the Hospital Expansion. Indoor bike storage rooms can be considered for enhanced security concerns and weather protection. These facilities will encourage bike ridership since City of Riverside Section 3
Kaiser Permanente Riverside Medical Center
Hospital Expansion DEIR
Project Description
3-41
there are existing Class II bike lanes along the westbound and eastbound directions of Magnolia Avenue along the Project frontage.
• Passenger loading zones will be designated in front of the hospital tower and the existing four medical office buildings (MOBs) for vehicles dropping off or picking up passengers only. Passenger loading zones reduce the need to circulate the site to find a parking space or idle in an undesignated area to pick up/drop off a passenger.

Passenger loading zones also provide a safe area for patients to access buildings directly to and from vehicles without crossing through the parking lot. During construction activities, shuttle services will be available for employees and construction staff to and from the buildings to the existing bus stop. Shuttle service will also be available from the Off-Site Area 2 parking lot to the Hospital Expansion Site. • As part of the proposed Project, the parking lots will be restriped in compliance with current City standards and a parking structure will be added. The Project’s site design will ensure that pedestrian connectivity is enhanced and is ADA compliant. This includes enhanced pedestrian connectivity at the drop-off area for the emergency department.

Employment
The Hospital Expansion will provide additional medical resources and services that will require additional support staff. Based on the influx of patients, the Project is estimated to require the support of approximately 746 new full time employees. The employees would work in three shifts: day, evening, and night with each shift overlapping by 30 minutes. The day shift supports approximately 439 employees, evening shift approximately 89 employees, and night shift approximately 218 employees. Project-construction would generate approximately 450 temporary construction jobs.

Construction Schedule
Construction is anticipated to begin in the fall of 2022 and take approximately 58 months, being completed in summer of 2027. Project construction will occur in two major build phases with seven subphases.

Table 3-E – Construction Phases provides a breakdown of each construction phase. Figure 3-17A through Figure 3-17D illustrate the Hospital Expansion Site construction zones and internal circulation during each construction phase. The Project proposes to operate 24 hours a day 7 days a week.

Section 3 City of Riverside
Project Description Kaiser Permanente Riverside Medical Center Hospital Expansion DEIR
3-42
Table 3-E – Construction Phases
Phase Subphases Description Activities
Construction
Duration
(Months)
Phase 1 1-3
Parking Lots at
Off-Site Area 1
and Off-Site
Area 2– Make
Ready –
Parking
Structure
Subphases 1 and 2 include construction of
the parking lots at Off-Site Area 1 and Off-Site
Area 2, reconfiguring the existing hospital
ambulance driveway and hospital patient
drop-off area.

A temporary patient drop-off canopy for the
hospital and a new patient drop-off area for
MOB 2 will be constructed as part of
Subphase 2.

Following the opening of the new patient
drop-off areas, parking reconfiguration and
restriping of the ADA parking spaces south of
MOB 3 and MOB 2 patient drop-off area
would be performed as part of Subphase 3.
6 Phase 1 4 Parking
Structure
Subphase 4 would involve establishing
parking structure laydown areas, demolition of
existing surface parking, grading, construction
of the cast-in-place concrete building
structure, construction of the interior 2,500
square feet of office space on the first level,
and exterior screening elements.
12 Phase 2
5 New
Ambulance
Driveway
Subphase 5 involves the reconfiguration of the
existing hospital ambulance egress and the
construction of the new emergency vehicle
driveway that will provide access from
Magnolia Avenue.
4 6-7
New Hospital
Tower, D&T
Building and
Entry Plaza
Construction
Subphases 6 and 7 involve construction of the
new hospital tower and correlating interior and
exterior site work, D&T building, upgrades to
the existing central utility plant, utility
connections from the central utility plant to the
new hospital tower and undergrounding of
existing aboveground utilities, construction of
a new patient entry and drop-off canopy,
reconfigured driveways, and landscaping.
36 Source: CO Architects Site Plans (Appendix A)
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FIGURE 3-17A CONSTRUCTION SUBPHASE 1 & 2

KAISER PERMANENTE RIVERSIDE MEDICAL CENTER HOSPITAL EXPANSION SOURCE: CO ARCHITECTS
SCALE: NOT TO SCALE
FIGURE 3-17B CONSTRUCTION SUBPHASE 3 & 4

KAISER PERMANENTE RIVERSIDE MEDICAL CENTER HOSPITAL EXPANSION SOURCE: CO ARCHITECTS
SCALE: NOT TO SCALE
FIGURE 3-17C CONSTRUCTION SUBPHASE 5 & 6

KAISER PERMANENTE RIVERSIDE MEDICAL CENTER HOSPITAL EXPANSION SOURCE: CO ARCHITECTS
SCALE: NOT TO SCALE
FIGURE 3-17D CONSTRUCTION SUBPHASE 7

3.2.6 Project Objectives
The objectives of the proposed Project are: