Medical Office Cleaning Scope: Janitorial vs Staff

RKA Cleaning provides janitorial services in Portland. We clean offices and medical facilities on a written scope. This page is for the practice manager with clinics in the Portland metro. It shows which tasks the crew does, which stay with staff, and which go to a vendor.

A medical office cleaning scope tells the janitorial crew what to clean and tells staff what stays with them.

Who cleans what in a Portland medical office

Use this table as your medical office cleaning checklist. It shows who cleans what in each room. Copy it, change any row, and put it in the service agreement. Use the Copy table button.

The Oregon OSHA page says the Bloodborne Pathogens Standard, 1910.1030 covers Oregon employers whose employees have exposure to blood or other potentially infectious materials. RKA trains each crew member on bloodborne pathogens before they work a medical account. The standard sets the cadence: 29 CFR 1910.1030(g)(2)(ii) requires training at initial assignment and at least annually after that, with records kept. Ask every bidder for both.

ORS 459.386 to 459.405 set the Oregon rules for infectious waste. ORS 459.386 defines infectious waste as biological waste, cultures and stocks, pathological waste and sharps. ORS 459.405 requires a paid hauler to keep records of the origin and final disposal of the waste. The janitorial crew does not carry red bags or sharps out of the building.

For 3 bids, read how to send the same scope to each bidder.

What the crew does on a visit, in order

Medical office janitorial services run in a fixed order.

1. The crew checks in, logs the time, and checks out the keys and alarm code.
2. The crew cleans the waiting room and reception. Low-touch surfaces first, then chairs, then high-touch handles and the check-in counter, then the floor. CDC says clean low-touch before high-touch.
3. The crew cleans the exam rooms 1 at a time. Restrooms, break rooms, glass and general surfaces each get their own cloth color.
4. The crew cleans the break room, then the restrooms last. CDC says proceed from cleaner areas to dirtier ones, and the break room is where food gets handled.
5. The crew takes out the regular trash and puts in new liners. Nobody compresses a bag by hand and nobody reaches by hand into a container where a sharp could be. If a sharp or broken glass turns up in the regular trash, the crew stops and tells the practice the same night. Under 29 CFR 1910.1030(d)(4)(ii), contaminated broken glass comes up by mechanical means, a brush and dust pan or tongs, never by hand.
6. The crew vacuums with a ProTeam HEPA vacuum, which captures 99.97% of particles at 0.3 microns, the hardest size to trap, then damp mops the hard floors.
7. The crew fills in the digital checklist, takes timestamped photos, and sends both to the account manager.
8. The crew turns off the lights, sets the alarm, locks up, and returns the keys.

For general cleaning, the crew uses EPA Safer Choice certified products. Safer Choice does not cover disinfectants; EPA uses its Design for the Environment logo for those. For disinfection, the crew cleans the soil off first, then applies an EPA-registered disinfectant. A disinfectant on top of soil does not work. Check the product in your scope against the EPA registered disinfectant lists; for blood the product has to be on List S. The crew leaves the product wet for the label contact time.

The crew does not open drawers, move patient records, handle sharps containers, or clean a surface with visible blood. It does not pick up a suspected sharp or contaminated broken glass either. That stops the job and goes to practice staff.

How often each area gets cleaned

Most RKA clients use nightly or early-morning service. Evenings, early mornings, weekends and holidays are available.

Area	Frequency
Waiting room, reception, exam room surfaces and floors, restrooms, trash	Nightly
High dusting and baseboards in the waiting room	Monthly
High dusting and baseboards in private offices	Quarterly
Strip and wax on hard floors	Once a year, in September, before the rains
Carpet extraction	Every 6 to 12 months

2 Portland facts set these cycles. Portland gets about 36 inches of rain a year, so the crew rotates entry mats and adds wet-floor passes from October through May. Pollen seasons and mold spores from wet HVAC systems raise the dust load, so the waiting room gets monthly high dusting instead of quarterly.

Dental office cleaning uses the same split and the same nightly scope. The operatory surfaces between patients stay with staff.

How we set the price for a medical office

RKA gives no price over the phone. RKA walks the office first, about 20 minutes, then sends a written quote. RKA sets the price from 3 things: the square footage, the type of business, and the cleaning frequency. The quote includes labor, supplies, equipment and insurance. The price does not rise after an introductory period.

5 items change the number:

• The number of exam rooms and restrooms.
• Visits per week.
• The disinfectant steps in the scope. Contact time adds minutes to each room.
• Consumables in or out. Read who supplies consumables.
• Floor care cycles: strip and wax, and carpet extraction.

The Portland cleaning rates guide lists $55-$80/hr for medical and dental work. Read what a base commercial scope includes for any commercial cleaning quote.

What you get after each visit

Every RKA janitorial services account runs under the CleanAssure Standard: the same crew each visit, documented SOPs, digital quality reporting, and a satisfaction guarantee with same-day or next-business-day response.

After each visit, your account manager receives:

• A digital checklist for that visit, with each room marked done.
• Timestamped photos of the waiting room, exam rooms and restrooms.
• A note of each maintenance issue, such as a leak under a sink.
• The check-in and check-out log for the crew.

If an item fails your inspection, tell RKA. You get a same-day or next-business-day response, and the crew re-cleans the area at no charge. Read the satisfaction guarantee. RKA has zero missed cleanings across all active accounts.

Put the scope in the walkthrough and the agreement

Fill in this table before the walkthrough. The same 2 buttons copy or download it.

On keys, the crew checks keys out before each shift and returns them after. No keys go home. RKA reports a lost key the same day. Alarm codes and access cards follow the same process. On staff, every RKA employee passes a background check. On insurance, RKA carries $1 million per occurrence and $2 million aggregate in general liability, is bonded, and sends a Certificate of Insurance on request.

The OSHA post covers bloodborne pathogen training and SDS sheets. If a crew member is stuck or splashed on your site, 29 CFR 1910.1030(f)(3) requires the employer to make a confidential post-exposure evaluation and follow-up available immediately, and RKA tells the practice the same night. RKA uses a service agreement for recurring work with a 12-month rate lock and a 30-day performance out. Write the agreement term and notice period in the last row of the table. RKA staff do not read, photograph or discuss patient information.

FAQ

how often do you clean a medical office

Nightly for exam rooms, the waiting room, restrooms and trash. Add monthly high dusting in the waiting room and a strip and wax each September.

does the janitorial crew clean exam rooms

Yes, for floors, sinks, counters, handles and trash. Exam table surfaces between patients, instruments and sharps stay with practice staff.

what is included in medical office cleaning

The table above lists it by room. The crew does surfaces, floors, restrooms, trash and consumables; sharps, red-bag waste and sterilization are not in the crew scope.

how much does medical office cleaning cost in portland

The Portland cleaning rates guide lists $55-$80/hr for medical and dental work. RKA gives no price over the phone; the quote comes after a 20-minute walkthrough.

More answers are in our FAQ.

Send the walkthrough table to RKA

Fill in the table and send it to RKA. RKA will walk the office, confirm the medical office cleaning scope with the janitorial crew, and send a written quote. RKA can start within 2 weeks for most businesses. Get a free quote, call (971) 600-0752, or email info@rkacleaning.com.