SC Engineers served as the Mechanical Engineer of Record for the first hospital in the State of California to achieve LEED Certified status, the Rady Children's Hospital Acute Care Pavilion. The facility houses a surgical center, 84 medical-surgical beds, a neonatal intensive care unit (NICU), and a cancer center as well as provides 16 operating rooms with associated support departments, a 28-bed hematology and oncology unit, and a 10-bed bone marrow transplant intensive care unit.

The project achieved a rating of 23% below Title 24 requirements for energy efficiency by utilizing the LEED Energy Cost Budget methodology. Sustainable design features include occupancy sensors in operating rooms; variable frequency drives on air handling unit motors to adjust the fan speed due to filter loading; CO2 monitoring for high occupancy areas to reduce ventilation rates, based on the number of occupants; a supply air temperature reset strategy; a 24,000 SF cogeneration plant; and variable frequency drives on cooling tower fans and hot water pumps. This project also included an upgrade of the existing campus central plant.