Swinerton provided general contracting services for this 4,500-square-foot tenant improvement, which transformed a 1960’s home into a medical grade in-home healthcare facility. This facility will offer full-time around the clock care for medically fragile children in the area, filling a current gap in the system of care in Spokane. The last medically fragile group home that served children and teenagers 18 years and younger in the Spokane area closed in 2019 after it lost its license from Washington State. Swinerton helped Ashley House NW, a Puget Sound-based nonprofit, with several construction components to maximize care space in this facility. The house was full of asbestos so abatement took most of the framing down to the studs. A fireplace was demolished to widen the footprint of the activity room. Structural brace framing occurred to provide a larger bathroom and hallways leading to the bedrooms. Ramps were installed at the front porch and back entrance for wheel chair accessibility. The project team helped the client make finish selections including paint, flooring, casework, plumbing and light fixtures. Overall, this project was very rewarding as this home will provide services the community desperately needs.