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Packet 05-17-11
Woodland Terrace Smokey Row Road and Pro Med Drive Docket Nos. 11020013 DP /ADLS 11030006 ZW DEVELOPMENT PLAN ADLS AND ZONING WAIVER CITY OF CARMEL, INDIANA May 17, 2011 Carmel Plan Commission SUPPLEMENTAL BROCHURE Please bring this Supplemental Brochure and the Original Brochure from the April 19 Plan Commission meeting to the May 17 Plan Commission Meeting Applicant: The Justus Companies Attorneys Nelson Frankenberger, P.C. Attn: James E. Shinaver, Attorney 844 -0106 Attn: Jon C. Dobosiewicz Professional Land Planner 844 -0106 Justus TOC PC 051711 TABLE OF CONTENTS 1. Explanation 2. Rendering demonstrating how detached garage units will appear 3. Additional explanation regarding skilled nursing level of care offered for the CCRC 4. Revised colored site plan showing additional tree plantings along east elevation of the building 5. Copy of email from Urban Forester, Daren Mindham, evidencing approval of landscape plan and acceptance of Best Management Practices for Tree Preservation 6. Findings of Fact for Development Plan Approval TA EXPLANATION OF REQUESTS The Justus Companies appeared before the full Plan Commission on April 19 to present their request to construct a senior living facility on a parcel of real estate located at the intersection of Smokey Row Road and Pro Med Drive. The facility will be a Continuing Care Retirement Community (CCRC) under Carmel's Zoning Ordinance and the use is a permitted use per the underlying zoning classification. The defined levels of service to be delivered within the building are Independent Living, Assisted Living and Skilled Rehabilitation Care. In order to allow this development, two (2) approvals have been requested from the Plan Commission; namely, (i) approval of the development plan and architecture, design, lighting, landscaping, and signage (DP /ADLS), and (ii) approval of a zoning waiver to allow a 40' front building setback. On May 4 the proposal was reviewed by the Subdivision Committee and received a favorable recommendation back to the full Plan Commission. As a result of the discussion at the May 4 Committee meeting, Justus has included within this Supplemental Brochure the following exhibits: Exhibit "2" Rendering depicting how the attached garage units will appear which was reviewed with the Subdivision Committee on May 4th. Exhibit "3" An explanation that provides more detail regarding the skilled rehabilitation level of care that will be offered by Justus at this facility. Exhibit "4" Rendering of a revised colored site plan showing 24 additional tree plantings which includes a combination of Dentatum Viburnum and Green Giant Arborvitae varieties along the east elevation of the building on the western edge of the 50 foot Tree Preservation Area. Exhibit "5" A copy of an email from Daren Mindham, the Urban Forester, evidencing approval of the landscape plan and acceptance of the Best Management Practices for Tree Preservation. Exhibit "6" Proposed Findings of Fact for Development Plan approval. Please bring with you to the May 17 Plan Commission meeting this Supplemental Brochure as well as the Original Brochure that was submitted for the April 19 Plan Commission meeting. We look forward to presenting this mater to the full Plan Commission on May 17, 2011 for a final vote on the DP /ADLS request and Zoning Waiver. Justus EXPLANATION PC 051711 Respectfully su mitted, Shinaver i on C. Dobosiewicz Woodland Terrace Description of Community and Services Continuing Care Retirement Community Woodland Terrace is a retirement community where a number of aging care needs, from assisted living, independent living and skilled nursing care will be provided within a single environment. Typically, residents move in while still living independently, with few health risks or healthcare needs, and as medical needs change, the level of skilled nursing care and service increases proportionally in response. The needs of residents are consistently monitored and are thereby provided wellness options, particularly as those needs become more intensive. They are primarily regarded as residents and only secondarily as consumers of healthcare. The philosophy is premised upon concept that persons with age related changes have the same rights to participation, to the same range of options, degree of freedom, control and self determination in every day life as others may have. At the May 4 Subdivision Committee meeting, Justus provided to the Committee an explanation regarding the three (3) levels of care that would be offered and how those levels of care met and satisfied the definition in Carmel's Zoning Ordinance of a Continuing Care Retirement Community. While the explanation to the Subdivision Committee regarding the Independent Living and Assisted Living components seemed self explanatory, the explanation that follows is intended to provide more detail regarding the Skilled Nursing component that will be provided within the facility. Skilled nursing care and skilled rehabilitation services are those services, furnished pursuant to physicians orders that require the skills of qualified technical or professional health personnel, such as registered nurses, physical therapists, occupational therapists and speech pathologists. Care must be provided directly or under the general supervision of these skilled nursing or skilled rehabilitation personnel to assure the safety of the individual and to achieve the medically desired result. The Woodland Terrace skilled nursing program will facilitate and provide for professional medical treatment and care as outlined. An interdisciplinary team of nurses, physical and occupational therapists, nutritionist, and social workers will work together to assess resident needs and develop individualized plans of care. The mission of the team is always to maximize the resident's functional independence. Facility Features Therapy Center will provide for resident rehabilitation and mobility requirements ADA design features, such as easy to reach cupboards and shelves, or top heights. Doorway access, hallways, and rooms are accommodating to wheelchairs and walkers. 24 Hour Emergency notification system, directly connected Elevators are available for those unable to use stairways Handrails are available to aid in mobility Floors of non transitional specifications for ease of walking Ample natural and artificial lighting Integration of advanced technology into every home and common area Private patios/balconies Fully equipped kitchens Washer and Dryer provided in each home Transportation Services Convenient Elevator Service 24 -hour emergency maintenance Library and Business Center Activities Room Resident Conference Room Resident Lounge Area Barber and Beauty Boutique Skilled Nursing Service Provision Skilled nursing care, and thereby a professional nursing staff is available on site and 24 hours a day to observe and assess the resident in order to identify and evaluate the need for modification of their treatment plan. Initially and periodically, as their condition indicates, a standardized, accurate and reproducible assessment of the skilled resident's functional capacity will be conducted by staff. o Skilled nursing care will be provided by a registered nurse, or a licensed practical nurse under the supervision of a registered nurse. Examples of some services may include intravenous and intramuscular injections or insertion of catheters. o At the time a physician initiates an order for skilled services a comprehensive assessment process is initiated utilizing a resident assessment instrument. The assessment process will include direct observation and communication with the resident, as well as communication with the resident family and licensed and nonlicensed direct care staff members. Infection control practices will insure a safe, sanitary, and comfortable environment and to help prevent the development and transmission of disease and infection. The nursing staff will investigate, control, and prevents infections among skilled residents. Physical, occupational, and speech therapists provide rehabilitation services shall be provided as ordered by the physician. These services will be provided within the residents home, as well as the designated Therapy Center located on site. Dieticians consult with the team to include meal planning that is supportive of the plan of care. Assistive devices such as special eating equipment and utensils for residents who need them are available. Pharmacy Services will provide assistance to obtain routine and emergency drugs and biological for skilled care residents. o Including the accurate acquiring, receiving, dispensing, and administering of all drugs and biological to meet the needs of each skilled resident. o A system of receipt and disposition of all controlled drugs in sufficient detail to enable an accurate reconciliation. o Drug regimen review at least once a month by a licensed pharmacist which notes irregularities to the attending physician. Woodland Terrace skilled staff is required to meet the qualifications specified in this section. o The Skilled Care Administrator has training and experience in health service administration and at least 1 year of supervisory or administrative experience in home health care or related health programs. o Practical nurse. A person who is licensed as a practical nurse by the State of Indiana. o Registered professional nurse (RN). A graduate of an approved school of professional nursing, who is licensed as a registered nurse by the State of Indiana. o A Physical therapist is a person who is licensed as a physical therapist by the State of Indiana, and (a) Has graduated from a physical therapy curriculum approved by: (1) The American Physical Therapy Association, or (2) The Committee on Allied Health Education and Accreditation of the American Medical Association, or (3) The Council on Medical Education of the American Medical Association and the American Physical Therapy Association; or (b) Prior to January 1, 1966, (1) Was admitted to membership by the American Physical Therapy Association, or (2) Was admitted to registration by the American Registry of Physical Therapist, or (3) Has graduated from a physical therapy curriculum in a 4 -year college or university approved by a State department of education; or (c) Has 2 years of appropriate experience as a physical therapist, and has [[Page 436]] achieved a satisfactory grade on a proficiency examination conducted, approved, or sponsored by the U.S. Public Health Service except that such determinations of proficiency do not apply with respect to persons initially licensed by a State or seeking qualification as a physical therapist after December 31, 1977; or (d) Was licensed or registered prior to January 1, 1966, and prior to January 1, 1970, had 15 years of full -time experience in the treatment of illness or injury through the practice of physical therapy in which services were rendered under the order and direction of attending and referring doctors of medicine or osteopathy; or (e) If trained outside the United States, (1) Was graduated since 1928 from a physical therapy curriculum approved in the country in which the curriculum was located and in which there is a member organization of the World Confederation for Physical Therapy. (2) Meets the requirements for membership in a member organization of the World Confederation for Physical Therapy, Physical therapy assistant. A person who is licensed as a physical therapy assistant, if applicable, by the State of Indiana, and (1) Has graduated from a 2 -year college -level program approved by the American Physical Therapy Association; or (2) Has 2 years of appropriate experience as a physical therapy assistant, and has achieved a satisfactory grade on a proficiency examination conducted, approved, or sponsored by the U.S. Public Health Service, except that these determinations of proficiency do not apply with respect to persons initially licensed by a State or seeking initial qualification as a physical therapy assistant after December 31, 1977. o Occupational therapist is a graduate of an occupational therapy curriculum accredited jointly by the Committee on Allied Health Education and Accreditation of the American Medical Association and the American Occupational Therapy Association; or is eligible for the National Registration Examination of the American Occupational Therapy Association; or has 2 years of appropriate experience as an occupational therapist, and has achieved a satisfactory grade on a proficiency examination conducted, approved, or sponsored by the U.S. Public Health Service, except that such determinations of proficiency do not apply with respect to persons initially licensed by a State or seeking initial qualification as an occupational therapist after December 31, 1977. o Occupational therapy assistant is a staff person who: (a) Meets the requirements for certification as an occupational therapy assistant established by the American Occupational Therapy Association; or (b) Has 2 years of appropriate experience as an occupational therapy assistant, and has achieved a satisfactory grade on a proficiency examination conducted, approved, or sponsored by the U.S. Public Health Service, except that such determinations of proficiency do not apply with respect to persons initially licensed by a State or seeking initial qualification as an occupational therapy assistant after December 31, 1977. o Social worker. A person who has a master's degree from a school of social work accredited by the Council on Social Work Education, and has 1 year of social work experience in a health care setting. Speech language pathologist. A person who: (1) Meets the education and experience requirements for a Certificate of Clinical Competence in (speech pathology or audiology) granted by the American Speech Language Hearing Association; or (2) Meets the educational requirements for certification and is in the process of accumulating the supervised experience required for certification. o Social work assistant. A person who: (1) Has a baccalaureate degree in social work, psychology, sociology, or other field related to social work, and has had at least 1 year of social work experience in a health care setting; or (2) Has 2 years of appropriate experience as a social work assistant, and has achieved a satisfactory grade on a proficiency examination conducted, approved, or sponsored by the U.S. Public Health Service, except that these determinations of proficiency do not apply with respect to persons initially licensed by a State or seeking initial qualification as a social work assistant after December 31, 1977. o Home health aide has completed a competency evaluation program and a state licensure program. FEE: 7.12acre DP $1,774.94 ADLS $912.00 Total due: $2,686.94 Jon Dobosiewicz From: Mindham, Daren [dmindham ©carmel.in.gov] Sent: Monday, May 09, 2011 12:14 PM To: Jon Dobosiewicz; Charlie Frankenberger; Walt E. Justus; Kelly, Rich; Reynolds, Rick Cc: Conn, Angelina V Subject: RE: Docket No. Assignment: 11020013 DP /ADLS Woodland Terrace CCRC Attachments: Woodland Terrace Approved Landscape Plan.pdf I see that this project is on the Plan Commission Agenda. I have attached the landscape plan stamped approved by me. Please let me know if there were changes to this design since last submitted to me; if so I will need to have it submitted for review. Daren Mindham Urban Forester City of Carmel Department of Community Services One Civic Square Carmel, Indiana 46032 Office: 317 -571 -2283 *The true meaning of life is to plant trees, under whose shade you do not expect to sit. Nelson Henderson From: Conn, Angelina V Sent: Monday, February 21, 2011 2:43 PM To: Boone, Rachel M.; Blanchard, Jim E; Mindham, Daren; Donahue -Wold, Alexia K; Hancock, Ramona B; Hollibaugh, Mike P; Keeling, Adrienne M; Littlejohn, David W; Martin, Candy; Mindham, Daren; Stewart, Lisa M; Tingley, Connie S; Barnes, David R; Duncan, Gary R; Haney, Douglas C; 'John Molitor' Cc: 'Jon Dobosiewicz'; 'Charlie Frankenberger'; 'Walt E. Justus'; 'Kelly, Rich' Subject: Docket No. Assignment: 11020013 DP /ADLS Woodland Terrace CCRC I have issued the Docket Number for Woodland Terrace CCRC It is the following: Docket No. 11020013 DP /ADLS: Woodland Terrace CCRC The applicant seeks site plan design approval for a continuing care retirement community (CCRC) on 7 acres. The site is located at 136th Street and Pro Med Lane, and is zoned B- 6/Business, within the US 31/Meridian Street Overlay. Filed by Charlie Frankenberger of Nelson Frankenberger, on behalf of Justus Homes, Inc. Mr. Jon Dobosiewicz, land use specialist, and Mr. Frankenberger, project attorney, can be contacted at 317 -844- 0106. Petitioner, please note the following: 1. This item will be on the Wednesday, March 16 meeting agenda of the Technical Advisory Committee (TAC), which begins at 9am. If not done already, the petitioner must submit plans and review materials to all TAC members ASAP via email and/or mail. The updated TAC members list is online at: http://www.ci.carmeLin.us/services/DOCS/DOCSTAC2004.htm. 2. Mailed and Published Public Notice needs to occur no later than Friday, March 25. Published notice is required within the Indianapolis Star. Try to get the public notice ad to the IndyStar by Noon, two days prior to the public notice deadline, in order for them to publish it on time. Also, the placement of a public 5/11/2011 Page 1 of 2 Thank you, Angie Conn, Planning Administrator Dept. of Community Services Planning Zoning 1 Civic Square, 3rd Floor City of Carmel, IN 46032 p. 317 -571 -2281 1 f. 317 -571 -2426 1 e. aconnna carmel.in.gov w. www. cannel. in .gov /services/DOCS/DOCSDOPZ.htm A Please consider the environment before printing this e -mail 5/11/2011 Page 2 of 2 hearing sign on the property is required; see application. 3. The Filing Fee and Fifteen (15) Informational Packets must be delivered to Plan Commission Secretary Ramona Hancock no later than Noon, Friday, April 8. 4. Proof of Notice will need to be received by this Department no later than Noon, Friday, April 15. Failure to submit Proof of Notice by this time will result in the tabling of the petition. 5. This item will appear on the Tuesday, April 19 meeting agenda of the Plan Commission (under "Public Hearings which begins at 6 pm. (A representative must be present.) 6. This item will also appear on the Wednesday, May 4 agenda of the Plan Commission Subdivision Committee, which begins at 6 pm. (A representative must be present.) 7. Please refer to the application/checklist for more detail. 8. The Planning/Zoning Department's review comments will be issued soon.