Kaiser Permanente San Rafael Hospital Modernization and Replacement Project
Summary
SCH Number
2026041263
Lead Agency
City of San Rafael
Document Title
Kaiser Permanente San Rafael Hospital Modernization and Replacement Project
Document Type
NOP - Notice of Preparation of a Draft EIR
Received
Present Land Use
The project site consists of a portion of the existing Kaiser Permanente San Rafael Medical Center campus that contains hospital and medical office space. The project site is designated Office Mixed Use in the City’s General Plan and zoned Planned Development (PD 1566). The PD (1566) zoning district allows hospital and medical office uses.
Document Description
Kaiser Foundation Hospitals (Kaiser Permanente), the project applicant, proposes to demolish the existing approximately 79,350-sf hospital and 19,300-sf general services building, and construct a new approximately 233,250-sf hospital. The proposed project would also involve changes to the access, circulation, and parking at the campus. The new approximately 233,250-sf, 116.5-foot-tall, six-story hospital (including basement level and rooftop penthouse) would be constructed within the footprint of the existing general services building and other campus support buildings.The proposed hospital would have 92 beds, which is 24 fewer beds than the existing hospital. The new hospital would be approximately 153,900 sf larger than the existing hospital. The proposed project would replace the existing hospital with a modern, all-electric facility equipped with advanced medical technology and designed to meet current healthcare delivery standards and the requirements of the Hospital Facilities Seismic Safety Act (Senate Bill 1953), which requires acute care hospitals to be replaced or retrofitted to meet seismic safety standards by 2030. The new hospital will be constructed under the permit jurisdiction of the California Department of Health Care Access and Information (HCAI). Net new campus building construction would total approximately 134,650 sf. The campus employee count would remain stable under the proposed project. The existing hospital would continue operating at full capacity until the new hospital building is complete and licensed to accept patients. Anticipated approvals for the proposed project include a Planned Development Rezone and approval of a development plan (including a Floor Area Ratio bonus from 0.3 to 0.395 pursuant to General Plan Policy LU-1.13), an Exception for height, and a Major Environmental and Design Review Permit.
Contact Information
Name
Kristina Estudillo
Agency Name
City of San Rafael
Job Title
Principal Planner
Contact Types
Lead/Public Agency
Phone
Name
Jill Feyk-Miney
Agency Name
Environmental Science Associates
Job Title
CEQA Project Manager
Contact Types
Consulting Firm
Phone
Email
Name
Deborah Wong
Agency Name
Kaiser Foundation Hospitals
Job Title
Senior Land Use Manager
Contact Types
Project Applicant
Phone
Email
Location
Coordinates
Cities
San Rafael
Counties
Marin
Regions
Citywide, Countywide, San Francisco Bay Area
Cross Streets
Monticello Road and Nova Albion Way
Zip
94903
Total Acres
26
Parcel #
175-060-57
State Highways
U.S. 101
Railways
SMART
Airports
n/a
Schools
Vallecito ES, Terra Linda HS, Miller Creek SD,San Rafael City SD
Waterways
Sleepy Hollow Creek, Gallinas Creek
Notice of Completion
State Review Period Start
State Review Period End
State Reviewing Agencies
California Air Resources Board (ARB), California Coastal Commission (CCC), California Department of Conservation (DOC), California Department of Fish and Wildlife, Bay Delta Region 3 (CDFW), California Department of Fish and Wildlife, Marine Region 7 (CDFW), California Department of Forestry and Fire Protection (CAL FIRE), California Department of Parks and Recreation, California Department of Resources Recycling and Recovery, California Department of Toxic Substances Control (DTSC), California Department of Transportation, District 4 (DOT), California Department of Water Resources (DWR), California Fish and Game Commission (CDFGC), California Governor's Office of Emergency Services (OES), California Highway Patrol (CHP), California Natural Resources Agency, California Office of Statewide Health Planning and Development (OSHPD), California Public Utilities Commission (CPUC), California Regional Water Quality Control Board, San Francisco Bay Region 2 (RWQCB), California State Coastal Conservancy (SCC), California State Lands Commission (SLC), Delta Stewardship Council, Office of Historic Preservation, San Francisco Bay Conservation and Development Commission (BCDC), State Water Resources Control Board, Division of Drinking Water, State Water Resources Control Board, Division of Drinking Water, District 25 (SWRCB), State Water Resources Control Board, Division of Water Quality, State Water Resources Control Board, Division of Water Rights, State Water Resources Control Board, Divison of Financial Assistance, California Native American Heritage Commission (NAHC)
State Reviewing Agency Comments
California Native American Heritage Commission (NAHC)
Development Types
Other (233,250 sf hospital)
Local Actions
Rezone
Project Issues
Aesthetics, Agriculture and Forestry Resources, Air Quality, Biological Resources, Cultural Resources, Cumulative Effects, Drainage/Absorption, Economics/Jobs, Energy, Flood Plain/Flooding, Geology/Soils, Greenhouse Gas Emissions, Growth Inducement, Hazards & Hazardous Materials, Hydrology/Water Quality, Land Use/Planning, Mandatory Findings of Significance, Mineral Resources, Noise, Population/Housing, Public Services, Recreation, Schools/Universities, Sewer Capacity, Solid Waste, Transportation, Tribal Cultural Resources, Utilities/Service Systems, Vegetation, Wetland/Riparian, Wildfire
Public Review Period Start
Public Review Period End
Attachments
Draft Environmental Document [Draft IS, NOI_NOA_Public notices, OPR Summary Form, Appx,]
Notice of Completion [NOC] Transmittal form
State Comment Letters [Comments from State Reviewing Agency(ies)]
Disclaimer: The Governor’s Office of Land Use and Climate Innovation (LCI) accepts no responsibility for the content or accessibility of these documents. To obtain an attachment in a different format, please contact the lead agency at the contact information listed above. For more information, please visit LCI’s Accessibility Site.
