Medical and dental office cleaning, to the standard you are inspected against.

Five things set the number: operatory or exam room count, square footage, frequency, restroom count and traffic, and how the building is accessed after hours. Clinical rooms are the largest driver — they carry more surfaces and more disinfectant dwell time than an equivalent square foot of office.

We can give you a quote on the phone or from the form. A flat monthly price in writing is different: that one needs a walk-through, because a price given without seeing the space is a guess, and a guess is how a contract gets renegotiated in month three. We walk your practice at the hour we would actually be working, and hand you a written scope naming every surface room by room and a flat monthly price when we finish. The walk-through is free and carries no obligation. Sales tax is shown as a line item, not buried in the rate: Connecticut charges 6.35% on janitorial services, and New York taxes interior cleaning at the rate for your municipality.

Yes. The boundary works the same way: floors, the base and frame of a treatment table, and every housekeeping surface in the room are ours. The table pad, face-cradle paper, mats, bolsters, wedges and straps are patient-contact equipment and stay on your own protocol with your own product. Therapy equipment — traction units, ultrasound heads, e-stim leads — is cleaned around, never moved, and a cord stays where the clinician left it.

Yes, and the exposure there is the record rather than the equipment. Psychotherapy notes carry a protection no other healthcare record has: under 45 CFR 164.508(a)(2) a practice must obtain a separate authorization for almost any use or disclosure of them, and it cannot be bundled with any other authorization. That rule binds the practice rather than its cleaner, but it sets the standard we work to. Nothing on a desk is read, moved, straightened or photographed. Drawers and closed cabinets stay shut. Screens are never touched. The room is left set, not rearranged.

Frequency is set at the walk-through, not from a template. What drives it: how many operatories or exam rooms are in use, how many days a week you see patients, patient volume through the restrooms, and how much end-of-day clinical disinfection your own staff already handle. A two-operatory practice open four days is a different scope from a six-operatory practice running six. Whatever the answer, housekeeping surfaces are ours on every visit and clinical contact surfaces stay with your staff.

Three things, and you can check all of them before signing. A written scope that names what is cleaned and what is never touched, so the CDC boundary is on paper rather than decided at 9pm by whoever is holding the cloth. A certificate of insurance naming your practice as additional insured, not just a policy number. And a named team with a key custody log, so you know who is in the suite after hours. A company that cannot produce all four on request is telling you something.

There are two more worth asking, about the contract rather than the cleaning: what it costs to leave in month seven, and whether the account will be serviced by the company you signed with or handed to a franchisee. We wrote all seven out, with the answers that should worry you, at how to compare cleaning bids.

Yes. You do not give notice until the scope and the price are signed, and we work around the notice period in your existing contract, starting the night after their last night, so there is no week where the practice is not being cleaned. Keys and alarm codes are logged on handover with a written custody receipt, and getting your current cleaner’s keys back goes on your checklist.

Yes, from the first night. Every signed checklist and supervisor inspection report, your invoices, and the compliance binder — certificate of insurance, safety data sheets, the signed scope — are in your Keeper portal. You can report a missed item from your phone and see its status until it is fixed; we return within 24 hours at no charge. Photographs appear only where your scope allows them: common areas, floors, a repair. Never inside clinical or private rooms.

EPA List N hospital-grade disinfectant, held wet for the contact time on its label. Color-coded microfiber cloths and flat-mop pads, one set per zone and a fresh pad per room, so nothing that touched a restroom touches a clinical or office surface. HEPA-filtration vacuums, so what the machine exhausts stays in the machine. Electrostatic sprayers that wrap disinfectant around touch points and restroom fixtures, including the sides and undersides a wipe reaches on one face only. The product list and safety data sheets are in the binder we keep in your office.

Fairfield County in Connecticut — Greenwich, Cos Cob, Riverside, Old Greenwich, Byram, Glenville, Stamford, Darien and Norwalk — and Westchester County in New York: Port Chester, Rye, Rye Brook, Harrison, Purchase, White Plains, Scarsdale and Armonk.

Those are the towns we can reach the same day today, which is the only list worth publishing. If you are a few minutes past one of them, ask.

Yes. Insured and bonded, and every person who enters your building is background-checked before their first visit. You receive a certificate of insurance naming your practice or firm as additional insured, in the binder we leave with you.

Yes. Offices are cleaned after close, and the walk-through happens at the hour we would actually be working, with the people who would actually be in your building — not a salesperson at 2pm describing a crew you will never meet.

No. Cancel any month on 30 days’ notice, no reason required and no early-termination fee. If something is missed, tell us and we return within 24 hours at no charge.

Tell us what you pay now and what it covers, and we will tell you on the call. If we cannot do better we will say so.

Compare the terms as well as the figure. You can leave any month on 30 days’ notice, and there is no setup fee to start.

We can give you a quote over the phone or from the form on the walk-through page, based on the numbers you give us — exam or operatory room count, square footage, frequency, restrooms, and how the building is accessed after hours. That costs you nothing and takes about six questions.

What we will not do is commit to a flat monthly price we have never seen the rooms for. The quote holds if your numbers hold. If what we find at the walk-through matches what you told us, the price stays the same.

Yes, two ways. Tell us the numbers by phone or through the form and we will give you a quote without anyone setting foot in the practice.

And when you want it in writing, the walk-through happens after hours, when the practice is closed. That is the hour we would be working anyway, so it is the hour we want to see — the building at the time our crew would actually be in it, rather than mid-afternoon with patients in the chairs.

Thirty days, any month, no reason required and no early-termination fee. Not at the term end, not in a notice window — any month.

That is the answer that matters, and it is worth putting to every company you talk to. Most agreements in this trade renew; the renewal is only a problem when the exit beside it is a 30 to 90 day window you have to remember to hit. Ask what it costs to leave in month seven. If the answer takes more than one sentence, that is the answer.

Yes. The same named team, and your account is never sold, subcontracted or handed to a franchisee — the people in your practice work for the company you signed with.

Worth knowing: most national cleaning brands are franchise systems, so the company that sells you the contract is often not the company that shows up, and an account can change hands without the client being told. Ask any bidder directly whether your account would be serviced by them or by a franchisee, and get the answer in writing.

If anyone new is ever added to your account, you get their name before their first night and you meet them before they work alone.

No. The first visit is a deep clean and it is included in the monthly price, not quoted as a separate mobilisation fee and not amortised back into the rate.

Most practices are taking over a building that has been cleaned to a lower standard for a long time. Charging to correct that before the regular scope even starts is charging you for the last vendor’s work.

You do, unless the scope says otherwise. We restock your restrooms from your supplies every visit and tell you when stock is running low, rather than letting you find out at eight in the morning.

If you would rather we carried consumables, we will, and it is quoted as its own line rather than folded into the monthly rate. Either way it is settled in writing before the first visit — this is one of the most common things a practice and a cleaner discover they disagreed about in month three.

It goes on the checklist as not done, with the reason, and it is the first thing addressed the following visit. The nightly checklist records what we could not do as well as what we did.

A report that comes back perfect every single night is not a report, and in a practice where an operatory is occasionally still in use at nine at night, a perfect report is a sign nobody is looking.

Not the clinical surfaces, and you should be wary of any company that says it can. CDC splits a practice in two. Housekeeping surfaces — floors, walls, cabinetry faces, sinks, restrooms, waste — are ours. Clinical contact surfaces — anything touched during patient care — belong to your clinical staff under your own infection-control protocol. We do not offer end-of-day disinfection of clinical surfaces as an add-on either: it would blur the boundary your scope depends on and take on a liability we are not trained or insured for.

No. HHS guidance is clear that janitorial services are not business associates, because any contact with protected health information is incidental to the work. If you ever want us handling records or document destruction, that is a different scope and we would sign a business associate agreement for it.

Nothing. No bleach, no oxidizing or acidic cleaner, nothing at all into cuspidors, chair-side traps or vacuum lines. 40 CFR 441 governs it, your practice filed a one-time compliance report on it, and a crew that does not know this can put you out of compliance in a single night. We also do not touch the amalgam separator or its lines — that is a serviced device, not a fixture to be wiped.

Every EPA-registered disinfectant carries a contact time on its label: the minutes a surface must stay visibly wet for the kill claim to hold. Wipe it dry at two minutes when the label says four and you have cleaned the surface — you have not disinfected it. This is where cheap cleaning fails, and it fails invisibly. We work a fixed written scope rather than a clock, so nobody is rewarded for finishing early.

Never. We do not unplug it, move it, clean inside it, or use its outlet — and nothing else gets unplugged to free an outlet either, because our people carry their own cords. A single temperature excursion can destroy an entire inventory and trigger a reporting obligation. It is the most expensive mistake a cleaner can make in your building.

A binder, assembled before an inspector asks: certificate of insurance naming your practice as additional insured, W-9, safety data sheets with EPA registration numbers and required contact times, the written scope signed by both sides, and a key and access custody receipt.