The primary responsibility of DCI is to perceive, initiate and provide comprehensive care for patients with end-stage renal disease. BL Companies provided design services for the full renovation of an abandoned automobile dealership in Manchester, CT for use as a dialysis center, featuring a complete home training center and an in-house dialysis center. One of the challenges in the redesign of the site was to make it ADA compliant. An elevator was designed to provide access to the in-home training center on the lower level of facility. The existing site was re-graded to allow for handicapped access to the facility. Special consideration was given to the ventilation requirements of the mechanical systems.