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HomeMy WebLinkAbout835 E. 5th Street 835 E 51" Street CUP 14-05 CITY OF ORT NGELES . 0011 Pju'a . U.S.POSTAGE�D PITNEY BOWES WASH I N G T O N, U. S. A. 16 JUN 15 o e nn �� ZIP 1VV P. O. BOX 1150 d �. � �a: ;� 02 1VV PORT ANGELES, WASHINGTON 98362-0217 Q 0001368804JUN 16 2015 /aw?i/1'7G` e�4V' Paul Stigen 11 Wye Road - Port Angeles, WA NIXIE ��� 7E l009 RETURN TO SENDER ' 3 NOT DELIVERA6LE AS ADDRESSED I s NASI—E TO FORWARD s � FSC: 9836202'17-50 CITY OF PORT ANGELES -__-a_-_________ o�r� EToF_- _t _____ LAND FTSE ACTION NOTICE IS HEREBY GIVEN that on May 12, 2015,the CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT received a request for a required one year review of a conditional use permit (CUP 14-05) to allow the use of the site at 825 E. 5th Street to continue operations as a residential treatment center. The application was determined to be complete on May 12, 2015. Review of requests for extensions of conditional uses are done administratively. Written comment must be submitted no later than July 6, 2015, to be included in the staff report on this matter. Comments should pertain to conditions required of the applicant as a result of the June 11, 2014, decision for CUP 14-05. Written comments must be submitted to the Department of Community & Economic Development, 321 East Fifth St., P.O. Box 1150, Port Angeles, Washington, 98362. Information may be reviewed at the City Department of Community& Economic Development. City Hall is accessible to persons with disabilities. STATE ENVIRONMENTAL POLICY ACT: A Determination of NonSignificance#1344 was issued for the project on June 10, 2014,per WAC 197-11-355. No further environmental review is required. APPLICANT: Specialty Services II LOCATION: 825 E. 5th Street For further information contact: Scott Johns, (360) 417-4752 For additional information please call the City of Port Angeles Department of Community & Economic Development at (360) 417-4752 Pub: June 21,2015 Post: June 16,2015 Mail: June 16,2015 T:\Cup\2014\Phillips\Notice of LU Action 2015.Docx PORTAIN��GELES �L`IV+1A -=� }, '�a ' '�i� U.S.POSTAGE}JD PITNEY BOWES O W A SH 1 N G T O N, U. S. A. F� ` ,> .. q . �O4 o� ® P. O. Box 1 150 0 2 1 VY ZIP 1YV O000� o UN PORT ANGELES, WASHINGT N 98362-0217 000136,$6.04 JUN 16 2015 Werner Beier 145 Viewcrest Ave - Port Angeles, W, A RETURN 70 SENDER NOT DELIVERABLE AS ADDRESSED UNABLE TO PORWARD •._ • ;�.•..,: BC; 9836202171.7 * 262£x-05716-16-33 93362 �€3Z17 .i31„3l, 111 s if if i ail z i! I i tl 7 ! Ifl i If11 1131(` I Ill II'it,II3 III 111 ! 3 11 ! 13 II I CITY OF PORT ANGELES ------= _r -- ---.----- - - -- � -- - -------- -----NO_T_LCE-Off_-._ _._ ---r s�_ -----_--,- �---_ ._ _ . LAND USE ACTION NOTICE IS HEREBY GIVEN that on May 12, 2015, the CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT received a request for a required one year review of a conditional use permit(CUP 14-05)to allow the use of the site at 825 .E. 5th Street to continue operations as a residential treatment center. The application was determined to be complete on May 12, 2015. Review of requests for extensions of conditional uses are done administratively. Written comment must be submitted no later than July 6, 2015, to be included in the staff report on this matter. Comments should pertain to conditions required of the applicant as a result of the June 11, 2014, decision for CUP 14-05. Written comments must be submitted to the Department of Community& Economic Development, 321 East Fifth St., P.O. Box 1150, Port Angeles, Washington, 98362. Information may be reviewed at the City Department of Community& Economic Development. City Hall is accessible to persons with disabilities. STATE ENVIRONMENTAL POLICY ACT: A Determination of NonSignificance#1344 was issued for the project on June 10, 2014,per WAC 197-11-355. No further environmental review is required. APPLICANT: Specialty Services II LOCATION: 825 E. 5th Street For further information contact: Scott Johns, (360) 417-4752 For additional information please call the City of Port Angeles Department of Community & Economic Development at (360) 417-4752 Pub: June 21,2015 Post: June 16,2015 Mail: June 16,2015 T:\Cup\2014\Phillips\Notice of LU Action 2015.Docx ()RT - NGELES , VIA 98 b � �� U.S.POSTAGE PITNEY BOWES WASH I N G T O N, U. S. A. 16 a)N "IS o e ,• . . b 0004}p ® P o. eox 1150 �7 ZIP 9836202 In PORT ANGELES, WASHINGTON 98362-0217 q, 0 0001368804 JUN 16 2015 Randall and Shannon Walz 813 E. 6"'Street Port Angeles, WA 98362 RETURN TO SENDER NOT DELIVERABLE AS ADDRESSER UNABLE TO FORIWARD 96:.3 iw BC: 98362021.750 *2726-321131-16— :13 9836290217 1W1I111lifl lily l illralis1 111, 11ii tjrjl,1'111111HIPlr CITY OF PORT ANGELES -------_- -- -- - - - --- lOTICE_-OFe- ----- - -- - -- LAND USE ACTION NOTICE IS HEREBY GIVEN that on May 12, 2015, the CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT received a request for a required one year review of a conditional use permit (CUP 14-05)to allow the use of the site at 825 E. 5th Street to continue operations as a residential treatment center. The application was determined to be complete on May 12, 2015. Review of requests for extensions of conditional uses are done administratively. Written comment must be submitted no later than July 6, 2015, to be included in the staff report on this matter. Comments should pertain to conditions required of the applicant as a result of the June 11, 2014, decision for CUP 14-05. Written comments must be submitted to the Department of Community& Economic Development, 321 East Fifth St., P.O. Box 1150, Port Angeles, Washington, 98362. Information may be reviewed at the City Department of Community& Economic Development. City Hall is accessible to persons with disabilities. STATE ENVIRONMENTAL POLICY ACT: A Determination of NonSignificance#1344 was issued for the project on June 10, 2014,per WAC 197-11-355. No further environmental review is required. APPLICANT: Specialty Services II LOCATION: 825 E. 5th Street For further information contact: Scott Johns, (360) 417-4752 For additional information please call the City of Port Angeles Department of Community & Economic Development at (360) 417-4752 Pub: June 21,2015 Post: June 16,2015 Mail: June 16,2015 T:\Cup\2014\Phillips\Notice of LU Action 2015.Docx CITY- • ORT ST ELES -,-ACO - ' U.S.POSTAGE>>PITNEY BOWES �►� 'bid-:�-�3�s .p a '�' WASH I NGTON, U. S. A. 16 3U>'+3 `15 00 W"x P. O. BOX 1 1 50 , PV?..vZIP 98362 $02 1WPORT ANGELES, WASHINGTON 98362-0217 � ®�/q®®/ , 0001368804 JUN 16 2015 mmu�2l /9���o�7orr✓e� 1r�eLa�ne�2f Grace and John Tietz 2350 Ottawa Avenue West Vancouver,BC V7V2S CITY OF PORT ANGELES ------- -- -_ --_ _ -. - -- --------- ---------NO.T_ICE__OF=- r�_-a_---�------- �-------_--- -_ - - - - . LAND FTSE ACTION NOTICE IS HEREBY GIVEN that on May 12, 2015, the CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT received a request for a required one year review of a conditional use permit(CUP 14-05)to allow the use of the site at 825 E. 5th Street to continue operations as a residential treatment center. The application was determined to be complete on May 12, 2015. Review of requests for extensions of conditional uses are done administratively. Written comment must be submitted no later than July 6, 2015, to be included in the staff report on this matter. Comments should pertain to conditions required of the applicant as a result of the June 11, 2014, decision for CUP 14-05. Written comments must be submitted to the Department of Community& Economic Development, 321 East Fifth St., P.O. Box 1150, Port Angeles, Washington, 98362. Information may be reviewed at the City Department of Community& Economic Development City Hall is accessible to persons with disabilities. STATE ENVIRONMENTAL POLICY ACT: A Determination of NonSignificance#1344 was issued for the project on June 10, 2014,per WAC 197-11-355. No further environmental review is required. APPLICANT: Specialty Services II LOCATION: 825 E. 5th Street For further information contact: Scott Johns, (360) 417-4752 For additional information please call the City of Port Angeles Department of Community & Economic Development at (360) 417-4752 Pub: June 21,2015 Post: June 16,2015 Mail: June 16,2015 T:\Cup\2014\Phillips\Notice of LU Action 2015.Docx RV GELJ WA b '•d U.S.POSTAGE PITNEY BOWES �-"- WASH 1 N G T O N, U. S. A. , ' 3 .3UN '1 o . o �� ;o boe• � � o� ZIP 98362 P. O. BOX 1150 �•�.;.r, 02 1W PORT ANGELES, WASHIN TON 9 362-0217 0001368804 JUN 16. 2015 i United Co Lending Corp 8549 United Plaza Blvd Baton Rouge, LA 70809 4dT XT is 7 0 R 7;: 1 AAq PAA€;/77 /1 RETURN TO SENDER 1 = T ,11I c iZ3 LE AS- UNABLE AS UNABLE 1O FORWARD e SC: *2726- 0'c_048-16-33 � C: 98362021750 i CITY OF PORT ANGELES LAND) USE ACTION NOTICE IS HEREBY GIVEN that on May 12, 2015, the CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT received a request for a required one year review of a conditional use permit(CUP 14-05)to allow the use of the site at 825 E. 5th Street to continue operations as a residential treatment center. The application was determined to be complete on May 12, 2015. Review of requests for extensions of conditional uses are done administratively. Written comment must be submitted no later than July 6, 2015, to be included in the staff report on this matter. Comments should pertain to conditions required of the applicant as a result of the June 11, 2014, decision for CUP 14-05. Written comments must be submitted to the Department of Community& Economic Development, 321 East Fifth St., P.O. Box 1150, Port Angeles, Washington, 98362. Information may be reviewed at the City Department of Community& Economic Development. City Hall is accessible to persons with disabilities. STATE ENVIRONMENTAL POLICY ACT: A Determination of NonSignificance#1344 was issued for the project on June 10, 2014,per WAC 197-11-355. No further environmental review is required. APPLICANT: Specialty Services II LOCATION: 825 E. 5th Street For further information contact: Scott Johns, (360) 417-4752 For additional information please call the City of Port Angeles Department of Community & Economic Development at(360) 417-4752 Pub: June 21,2015 Post: June 16,2015 Mail: June 16,2015 T:\Cup\2014\Phillips\Notice of LU Action 2015.Docx ORE 0"INk ® F A - ORT NGELES. W A S H I N G T O N, U. S. A. DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT TO: Planning Commission FROM: Scott Johns, AICP Assistant Planner DATE: June 11, 2014 RE: Conditional Use Permit - CUP 14-05 APPLICANT: Craig Phillips dba CRALI Properties OWNER: SAME LOCATION: 825 E. 5th Street—NW corner of 5th and Race Streets REQUEST: Establish a 32-bed residential care facility for the treatment of chemical dependency treatment and detoxification. RECOMMENDATION: The Planning Division recommends that the Planning Commission approve CUP 14-05 with 3 conditions, citing 17 findings and 4 conclusions in support of that action as listed in Attachment "A" to this staff report. EXISTING CONDITIONS IN AREA: The subject property is located at 825 E. 5th Street and consists of Lots 12 through 18, Block 175 Townsite of Port Angeles. Building sites in the area are a variety of sizes measuring from the standard 50 feet by 140 feet(7,000 square feet in area)to the subject lot size of 350 feet x 140 feet(48,976) in area. Neighboring uses include apartment buildings, several single family residences, Erikson Park and Civic Field, which are City parks,the YMCA, two churches and commercial office uses. The subject property contains a vacant structure that was constructed as a nursing home, in 1970. The 22,236 sq. ft. structure has been vacant for several years. Site access is from 5th Street or from the 4/5 alley. Fifth Street is a collector arterial street. The site is generally level and landscaped. An on site (gravel)parking area is located at the northeast corner of the site with small areas for additional parking off the 4/5 alley at the rear of the structure if needed. The application and site maps are attached as Attachment C. DEPARTMENT COMMENTS: City Departments reviewed the proposal and provided the following comments: The Fire Department has no objection to the proposal, but provided the following development comments that will be required: A CUP 14-05 C I Page 2 hianni mission June 11,2014 • The facility fire alarm system will need to be monitored by an off-site monitoring company prior to occupancy. The system is currently monitored by PenCom. • The fire alarm system will need to have a current annual inspection prior to occupancy. • The fire sprinkler system will need to have a current annual inspection prior to occupancy, a flush of the Fire Department Connection will be required as a part of the inspection. • If there is a commercial kitchen fire suppression system in the building it must have a current inspection prior to use. If it has not been converted to a UL 300 compliant system, that must be accomplished prior to use. • Keys for the KNOX box will need to be updated prior to occupancy. • The loading and no parking zones currently identified on the north side of the building must be maintained and may not be converted to a parking zone. The Public Works and Utilities Department had no comments. The Building Division of DCD; The change in use may require several modifications for compliance. A building permit for those modifications is required. PUBLIC COMMENT: Notification of the proposed action was placed in the Peninsula Daily News on May 25, 2014 and the site was posted for notice of application and notice sent by U.S. Mail to neighboring property owners on May 21,2014. Due to an irregularity in the notice information, a correction was placed in the Peninsula Daily News, re mailed to neighbors, and posted on site on June 1,2014. Several comment letters of support were received during the public comment period that ended on June 9, 2014. The letters from local entities include Serenity House and Clallam County Health and Human Services, Jamestown S'klallam Family Health Center, St. Vincent De Paul, 4-Directions Counseling and Consulting, Reflections Counseling Services, and the Clallam County Affiliate of the national Alliance on Mental Illness(NAMI). In addition to letters from local health care providers, letters of support were received from 4 private parties. Letters were received from parties in Chehalis and Spokane Washington, where American Behavioral Health Systems operates similar facilities. Those letters included comments from the City Manager and two Chehalis City Council members,the Director of the Northwest Tribal Center, the Visiting Nurses Foundation, and 7 letters from private individuals, one with multiple signatures. Letters from Spokane include those from 2 businesses in the vicinity of a facility operated by the applicants located in Spokane, one church (Valley Real life Church), Spokane Urgent Care, 2 dentists and one private individual. Comment letters opposing the proposal were also received during the public comment period. One (1) letter writer from Port Angeles expressed concerns that such a facility would attract clients from out of the area who may stay in the area after completion of the program with the potential result being that the City would need to absorb more needy people into the community. Another letter writer expressed concern regarding the location being close to churches,parks,pre-schools, and the YMCA. A neighborhood resident did not feel that the location is a good fit for the area. A property owner in the area strongly opposed the location and explained reasons for that position, and a letter was received from Landmark Properties in opposition to the location in the neighborhood. All of the public comment letters are attached to this staff report as Attachment"D". STATE ENVIRONMENTAL POLICY ACT (SEPA) REVIEW: A Determination of NonSignificance was issued for this proposed action by the City's SEPA Responsible Official on June 10, 2014,per WAC 197-11-355. This satisfies the City's responsibility under the State Environmental Policy Act(SEPA). CUP 14-05 CRAM Page 3 Planning Commission June 11,2014 ENVIRONMENTAL REVIEW The subject site is not located within a 100-year flood zone. No environmentally sensitive areas exist on the site or in the vicinity of the site. No other environmental review is necessary and this conditional use permit review is the only environmental review required. DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT ANALYSIS: The entire Comprehensive Plan and Port Angeles Municipal Code were reviewed with regard to the proposal, and the references listed in Attachment"C"to this staff report were found to be the most relevant to the proposal. In addition to the Comprehensive Plan goals and policies, development regulations in the City's Commercial Office (CO) zone are also included in Attachment"B"to this staff report. The City's Comprehensive Plan and Land Use Map identify the area as being located in the North Central Planning Area with the site being designated as both Commercial (C) and Medium Density Residential (MDR). A portion of the site is located in the imprecise margin separating the Commercial designation from the Medium Density Residential designation. The site is zoned Commercial Office 4CO). Chemical dependency treatment and detoxification centers are allowed by conditional use permit in the CO zone per Section 17.20.160(E) of the Port Angeles Municipal Code (PAMC). No physical change to the site or exterior structure is being proposed. The application materials indicate that up to 16 persons will be treated for substance abuse or addiction with an additional 16 beds for chemical dependency treatment(detoxification) for a total of 32 beds. The chemical dependency treatment service will be the second phase of care once the primary substance abuse treatment portion is satisfactorily functioning. Treatment at the facility will be strictly on a voluntary basis. Low income, indigent, or insurance patients will be served with funding sources being state, federal, or private insurance plans. No mentally ill persons will be admitted. This type of treatment facility is governed by the American Society of Addictive Medicine criteria. Once clients have completed treatment,transportation will be arranged for them to return home: they will not just simply be released. The proposed facility will employ professional staff 24 hours a day 7 days a week. The facility will provide staff on site to monitor clients and run operations continually. A therapeutic ratio of 1 to 4 professional staff(a clinical supervisor, 2 chemical dependency counselors, and a case manager) .to client is intended. A typical treatment stay is 30 days. Table A of Section 14.40 PAMC (Parking Ordinance) does not address the proposed use. Uses not specifically addressed in Section 14.40 PAMC require a staff recommendation and approval by the Planning Commission to determine the appropriate amount of parking. The administration will not permit clients to store vehicles on-site during their treatment stay. The site currently contains approximately 4,400 square feet of graveled area that has been used as parking in the past. That amount of area is distributed among 3 separate areas on site. The 3 areas should be adequate to provide parking area for at least 10 vehicles once improved. Given the applicant's intent to have no more than 12 employees on site during a shift, a requirement of 13 off street parking spaces should be sufficient to accommodate a full complement of staff employees with 3 guest spaces. Staff therefore recommends that the Planning Commission approve the provision of 13 off street parking spaces. In consideration of a conditional use permit application, the Planning Commission may impose whatever restrictions or conditions are considered to be essential to protect the public health, safety, and welfare, and to prevent depreciation of neighboring property. Uses developed by conditional use permit must remain in continual compliance with the conditions of approval or the use may be revoked. Consideration is also given to the impacts on traffic patterns, the physical circumstances of the subject property, other uses in the neighborhood, schools, and needed public improvements. CUP 14-05 CRALI Page 4 Planning Commission June 11,2014 The Planning Division recommends the Planning Commission approve Conditional Use Permit CUP 14-05 subject to 3 conditions supported by the 17 findings and 4 conclusions listed in Attachment "A"to this staff report: Attachments: A-Conditions,Findings, and Conclusions B- Zoning Ordinance, Comprehensive Plan,and Other Municipal Code References C- Application D- Public Comment Letters CUP 14-05 CRALI Page 5 Planning Commission June 11,2014 ATTACHMENT A CONDITIONS,FINDINGS, AND CONCLUSIONS IN SUPPORT OF CUP 14-05 Conditions: 1. The applicant shall obtain all necessary permits from local, state and federal agencies for the use including but not limited to City Building Department, County Health Department, or others. 2. The permit is approved for the applicants to conduct the substance abuse treatment center as described in Conditional Use Permit CUP 14-05 at 825 East 5t' Street for one year. If extension of the use is desired beyond June 11, 2015, extension may be approved by the Planning Commission subject to review. 3. A minimum of 13 off street parking shall be provided for the use. Findings: Based on the information provided in the Community Development Staff Report for CUP 14-05 dated June 11, 2014, including all information in the public record file, comments and testimony presented during the public hearing, the Planning Commission discussion and deliberation, and the above listed conditions of approval, the City of Port Angeles Planning Commission hereby finds that: 1. Craig Phillips submitted Conditional Use Permit application CUP 14-05 to allow a 32 bed residential substance abuse treatment center at 825 East Fifth Street, Port Angeles, WA on behalf of CRALI Properties. 2. The proposed site includes Lots 12 through 18 in Block 175, Townsite of Port Angeles and contains a large structure and parking area that were originally developed in 1970 as a convalescent home in the RS-7 Residential Single Family zone. 3. Section 17.20.160(E) PAMC lists chemical dependency treatment and detoxification centers are listed as a conditional use in the CO zone. 4. The site was rezoned in 2014 to Community Office(CO). Surrounding zoning includes Commercial Office, Residential Single Family(RS-7) and Public Buildings and Parks PBP. 5. The site is located in the City's North Central Planning Area. The Comprehensive Plan designates the site as Commercial and Medium Density Residential. An Open Space designation is located one half block to the north of the site. 6. Development in the neighborhood includes Civic Field and Erickson Park,two churches,two multifamily apartments, several single family residences, and a variety of professional commercial office uses. 7. Per 17.96.050 PAMC,the Planning Commission shall consider applications for conditional use permit uses as specified in the applicable Chapter of the Zoning Regulations. The Planning Commission may grant said permits which are consistent and compatible with the purpose of the zone in which the use is located, consistent with the Comprehensive Plan, and not contrary to the public use and interest. In each application the Planning Commission may impose whatever restrictions or conditions are considered essential to protect the public health, safety,welfare, and to prevent depreciation of neighboring property. The Planning Commission may refuse to issue a conditional use permit if the characteristics of the intended use would defeat the purpose of the City's zoning regulations. CUP 14-05 CRALI Page 6 Planning Commission June 11,2014 8. The purpose of the Commercial Office zone is "... a commercial zone intended for those business, office, administrative or professional uses that do not involve the retail sale of goods, but rather provide a service to clients, the provision of which does not create high traffic volumes, involve extended hours of operation, or contain impacts that would be detrimental to adjacent residential areas. Commercial uses that are largely devoid of any impacts detrimental to single family residential uses are allowed. This zone provides the basic urban land use pattern for small lot, transitional uses between residential neighborhoods and commercial zones with direct access on an arterial street and design standards compatible with residential development. " 9. The City's Comprehensive Plan was reviewed for consistency with the proposal. Land Use Element Policy D.1; and Transportation Element Policy B.14; were found to be most relevant to the proposal. 10. PAMC Chapter 14.40 Table A does not indicate a required number of parking spaces required for chemical dependency treatment and detoxification center uses. Uses not specifically addressed in Section 14.40 PAMC require a staff recommendation and approval by the Planning Commission to determine the appropriate amount of parking. The administration will not allow clients to store vehicles on-site during their treatment stay. The site contains approximately 4,400 square feet of graveled area that has been used as parking in the past. That amount of area can support at least 10 off street parking stalls with smaller areas off the 4/5 alley available to provide 2—3 additional parking areas once improved. The applicant intends to have no more than 12 employees on site during a shift. A requirement of 12 off street parking spaces should be sufficient to accommodate a full complement of staff employees with 2 spaces for pick up and drip off. Staff therefore recommends that the Planning Commission approve the provision of 15 off street parking spaces. 11. A development that is approved through the conditional use permit process must remain in continual compliance with specific conditions of approval or may be revoked. All conditional or unclassified use permits shall become void one year from the date of granting such permits if use of the land or buildings or applying for necessary building permits(s)has not taken place in accordance with the provisions in granting said requests. 12. Extensions of approved conditional use permits shall be considered in accordance with the same procedures as for the original permit application, and may be granted for a period of one to five years. 13. Notification of the proposed action was placed in the Peninsula Daily News on May 25, 2014. The site was posted with a notice of application and written notice was sent by U.S. Mail to neighboring property owners on May 21, 2014. Due to an irregularity in the notice information, a correction was placed in the Peninsula Daily News, re mailed to neighbors, and posted on site on June 1, 2014. 14. Several comment letters of support were received during the public comment period that ended on June 9, 2014. The letters from local entities include Serenity House and Clallam County Health and Human Services, Jamestown S'klallam Family Health Center, St. Vincent De Paul, 4- Directions Counseling and Consulting, Reflections Counseling Services, and the Clallam County Affiliate of the national Alliance on Mental Illness (NAMI). In addition to letters from local health care providers, letters of support were received from 4 private parties. Letters were received from parties in Chehalis and Spokane Washington,where American Behavioral Health Systems operates similar facilities. Those letters included comments from the City Manager and two Chehalis City Council members, the Director of the Northwest Tribal Center, the Visiting Nurses Foundation, and 7 letters from private individuals, one with multiple signatures. Letters CUP 14-05 CRALI Page 7 Planning Commission June 11,2014 from Spokane include those from 2 businesses in the vicinity of a facility operated by the applicants located in Spokane, one church(Valley Real life Church), Spokane Urgent Care,2 dentists and one private individual. Comment letters opposing the proposal were also received during the public comment period. One (1) letter writer from Port Angeles expressed concerns that such a facility would attract clients from out of the area who may stay in the area after completion of the program with the potential result being that the City would need to absorb more needy people into the community. Another letter writer expressed concern regarding the location being close to churches, parks, pre-schools, and the YMCA. A neighborhood resident did not feel that the location is a good fit for the area. A property owner in the area strongly opposed the location and explained reasons for that position, and a letter was received from Landmark Properties in opposition to the location in the neighborhood. All of the public comment letters are attached to this staff report as Attachment"D". 15. Reviewing City Departmental comments were considered in review of this application. 16. A Determination of Non-Significance was issued for this proposed action on June 10,2014. 17. The Planning Commission opened a public hearing on the proposal at the June 11, 2014, regular meeting and continued the public hearing to June 25, 2014. Conclusions: Based on the information provided in the Department of Community Development Staff Report for CUP 14-05 June 11, 2014, including all of the information in the public record file, comments, and testimony presented during the public hearing,the Planning Commission's discussion and deliberation, and the above listed conditions of approval and listed findings,the City of Port Angeles Planning Commission hereby concludes that: 1. The proposal is consistent with requirements for approval of a conditional use permit as specified in Section 17.96.050 PAMC. 2. As conditioned, the proposal is consistent with Section 14.40 (Parking Ordinance)PAMC and will require adequate off street parking for the use as proposed. 3. The use is consistent with the purpose of the City's Commercial Office zone (Section 17.20 PAMC) and is therefore permitted as a conditional use permit. 4. Testimony was provided from a number of professional sources that the use will provide a much needed resource service to the community. As conditioned,the use is in the public interest. CUP 14-05 CRALI Page 8 Planning Commission June 11,2014 ATTACHMENT B COMPREHENSIVE PLAN GOALS,POLICIES,AND OBJECTIVES THAT SUPPORT THE USE AS A INPATIENT CHEMICAL DEPENDENCY TREATMENT CENTER BY CONDITIONAL USE PERMIT IN THE CO ZONE: Comprehensive Plan The City's Comprehensive Plan establishes the long range goals and policies of the City. Any project proposed in the City must be consistent with the goals and policies of the Comprehensive Plan. The site is located in the City's North Central Planning Area. The Comprehensive Plan was reviewed in its entirety with regard to the proposed application and several goals and policies were found to be relevant to the proposal. An analysis of compliance with those policies is as follows: Land Use Element Commercial Goal D: Policy D.1-The City should encourage the recruitment of new and the retention of existing commercial developments and businesses, which are consistent with the goals and policies of this Comprehensive Plan. Transportation Element Policy B.14 - "Off-street parking should be sufficient and accessible within business and residential areas to ensure that the traffic flow of the street is not impaired. Zoning Ordinance The Zoning Ordinance is the primary implementing ordinance for the Comprehensive Plan. The Ordinance establishes what types of uses are permitted and where they may be located in the City. It also establishes definitions and minimum design standards for such uses. Any project proposed in the City must be consistent with specific regulations of the zone in which it is located. The Zoning Map identifies the subject property and adjacent properties as Commercial Office,CO. The purpose and intent of this zone is:"This is a commercial zone intended for those business, office, administrative or professional uses that do not involve the retail sale of goods, but rather provide a service to clients, the provision of which does not create high traffic volumes, involve extended hours of operation, or contain impacts that would be detrimental to adjacent residential areas. Commercial uses that are largely devoid of any impacts detrimental to single family residential uses are allowed. This zone provides the basic urban land use pattern for small lot, transitional uses between residential neighborhoods and commercial zones with direct access on an arterial street and design standards compatible with residential development. " Conditional Use is defined as: "a use permitted in a zone but which requires a special degree of control to make such use consistent and compatible with other existing or permissible uses in the same zone". The purpose of a conditional use permit is defined as "A Conditional Use Permit shall be to assure that the maximum degree of compatibility between uses shall be attained. The purpose of these regulations shall be maintained with respect to the particular use of the particular site and in consideration of other existing and potential uses within the general area in which such use is to be located." PAMC 17.96.050 specifies procedures for the review and processing of conditional use applications, as follows: 17.96.050 Conditional Use Permit A. The Planning Commission shall consider applications for Conditional Use Permits of uses as specified in the applicable Chapter of the Zoning Regulations. The Planning Commission may grant said permits which are consistent and compatible with the purpose of the zone in which the use is located, consistent with the Comprehensive Plan, and not contrary to the public use and interest. The Planning Commission may refuse to issue a Conditional Use Permit if the characteristics of the intended use as related to the specific proposed site are such as would defeat the purpose of these Zoning Regulations by introducing incompatible, detrimental, or hazardous conditions. CUP 14-05 CRALI Page 9 Planning Commission June 11,2014 B. In each application, the Planning Commission may impose whatever restrictions or conditions they consider essential to protect the public health, safety, and welfare, and to prevent depreciation of neighboring property. PARKING ORDINANCE 14.40.090 Parking space requirement modification—New uses in existing structures. 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SPG�r� trF�U.-�.�? wA LIq-LI L4—6323 Daytime phone 9:5.09- q51- q.f5-7 E-mail A13R-S C3 1%-6L C,6M Applicant's representative (if other than applicant): opMf (�S 1A6dV C- Contact Address: " .t Daytime phone il: It E-mail Property owner(if other than applicant): Cb ,Po-k ?R<59&tz 1 IZ.S cPA)& 1pflt.Llfss) Address: 323 S PoKA-m_ tom`; Q 2-1 gContact phone 9: 915 7 PROPERTY INFORMATION: Street address: lqa5 'T_ . SI`. Zoning: CC) Legal description:LPTS ))_-w9 IN pizcz SGf,t-rF 600 -%-bwN51TE 01P P027 /�nfbi a-CS1 C LAu_"m Co AwFt�WPBs, tTUP� IYV , " Co`.N u ,`s cit-C��� 's t i O-k-wA, Property dimensions: Property area(total square feet): L4 q , D y' S.F Physical characteristics (i.e., flat, sloped,vacant,developed,etc.): A .3aAt(_3i,,r& VO t fi-S H CDivVR• _5C(tIj r1vi�SvrJ6 tYoJ&tr. QVTII a,669 0.o g'i-.�R�-`2 \5 �RS�G-lit..`' 'F��r"' ON , Co`�•�"��L o� � -t-�.f�C.� PROPOSED USE: Please describe the proposed conditional use: 'FOO, 'Cos „►out ov.c ,s c���c��..���v� 5 i��� Q ��a3U O Q_ 36 Utk� nru , oCL kDpcgcns EL 'To ub rr�-►��C 6u oR fl�cna�. sty-Tefv 6(.0 FO u EO S,)a _c-t, 60—OV-as i`acL -Cq)14-tkcFt-ti J el" X O of en ployees: 2.o-g5 �-csst P- Hours of operation: �y Number of on-site parking spaces: IO Total square foot of floor area for the proposal: X23 G Sr % Site coverage: S SIGNATURES: Applicant: - Date: 5 1 ! ) 1 certify that all of the above statements are true and complete to the best of my knotirled le and acknvu-ledge that irilftrl misrepresentation of information will ternuttate this perm't application. Applicant Signature "r,_Date: (If the applicant is A07WC property owner, the property ovvneer must sign this application or provide a separette note thou he/she b4are aware of the application). Owner's Signature (if other tl 1 applicant): Signature � b Date - t a-uRMS'AVrs'.CU P.00CX CITY OF PORT ANGELES ENVIRONMENTAL CHECKLIST Page 2, Question 11: The entire building may be used for Convalescent services. No other use is planned for the any part of the facility. We are proposing to use half of the building for a Convalescent home while providing residence and chemical dependency treatment for up to 16 chemically addictive individuals. These individuals are low income or indigent individuals who are receiving Medicaid as SSI recipients. The other half of the building may be used for Convalescent services for those chemically dependent individuals needing detoxification services. This program most likely will not be started until after the building is occupied and also will be dependent on the City and County assessed needs. The initial 16 bed program will require a staff of about 12 people to provide 24 hour care. Stay at the facility will be from 30 to 90 days depending on the need of the individual. If the detox services are started it may require between 8 and 10 staff members, again for 24 hour care. Length of stay in this program will be approximately 5-6 days and then the individual would move to the treatment end of the program, or be referred to another program of their choosing. No residents will be allowed to bring a car to treatment, so the only need for parking will be for the staff on duty. Six plus parking spaces, for staff working in the initial program, are available now behind the building. If the services grow, it may be necessary to create a small parking lot in the Northeast corner of the property. There will be very little traffic to or from the facility. It will consist of staff going to or from work and residents that are being dropped off for, or picked up from convalescent addiction services. All residence in the building will be using our services on a voluntary basis. No involuntary programming will be provided. Residence will be able to take care of their personal and hygiene needs. Food service, laundry, and housekeeping will be provided by staff on site. As well, the facility will be managed locally as part of the plans for staffing. 9-n �SHOWmpt ROOM I -ssl I ROOM-2-S511 �k4cm Koom I -OCTOX ^ 5HOYCK ROOM 2-IMTOX urn -------------------------------------- ■ ----------- • --j------------------------ 'Maft ------------- --- FT M-1 cm V7' I JAF;' ............ jr TD r-plaa i 1:3T T" i.a ■. t ■1 1 " ■ [fir 1■ a r'9 Y • ■ 1 I' 7A - ■ 1 -__-_- / a 1 ' 1 • ■ 1 a i --------------------------------------------------------------------- 1 a t it CONSTR14TION FLOOR PLAN A2.0 May 26,2014 11C�� L� { Q 1, �} J MAY 2 9 2014 U CITY OF PORT ANGE!ES np r;; Dear Ms. Roberds, A ;dEi �.=.�i:��!i�DEVELOPMENT After reviewing your questions and concerns,I put together some information regarding Specialty Services I (SSII) 16-bed treatment facility.My hope is to bring understanding through the education of how our program works and what we do.All treatment facilities in the state of Washington are governed by The American Society of Addictive Medicine (ASAM) criteria,used to determine the level of care that an individual fits into,and where that individual will receive the greatest amount of support for addressing their chemical dependency.Identifying the following problem areas(using dimensions 1-6) is most important in formulating an individualized treatment plan and in making subsequent client placement decisions for treatment. Level 1II.5 Clinically-Managed High-Intensity Residential/Inpatient Treatment is the level of care that SSII manages.This encompasses organized services staffed by designated addiction treatment and mental health personnel who provide a planned regimen of care in a 240hour live❑in setting.Such services adhere to defined sets of policies and procedures (P&P).These(P&P's)are retained in,or affiliated with,permanent facilities where clients can reside safely.They are staffed 24 hours a day,7 days a week.Our program is a 30-60 day program depending on the progression of the client.To measure the progression of the client's development we use the American Society of Addictive Medicine(ASAM).We measure all 6 dimensions by using the Patient Placement Criteria(PPC)to score a 0-4 risk rating to determine if the client is ready to complete their treatment program and then move to a lower level of care,such as intensive out patient. It appears that the areas of concerns rest in dimension 2&4,which are: Dimension 2:Biomedical Conditions and Complications.Exploring an individual's health history and current physical conditions. Which could result in using medical services in the community. Dimension 4:Readiness to Change.Exploring an individual's readiness and interest in changing. Which could result in clients leaving treatment The following are the questions we have addressed: 1) How many employees will be on staff at anytime? a. As an operating facility serving clients,SSII has staff members employed in the facility 24 hours a day 7 days a week.This 16-bed facility will always have staff on site to monitor clients and run the operations. 2) What is the ratio of professional staff to patient? a. We offer a therapeutic ratio of 1 to 4 professional staff to client:clinical supervisor, 2 chemical dependency counselors,and a case manager.Our 24- hour staff members are trained in how to identify,manage,and deescalate clients if needed.Our team continues with a strong Care Team staff that is trained in the techniques of Motivational Interviewing.This allows them to identify and participate in how to best serve our client population.Care Team works closely with our clinical team to address an individual in a compassionate style as it gives the client power to move forward. 3) What security measures are in place to ensure that emergency service call are not needed-e.g.,do you deal with patients who are in a disturbed state when they intend to leave or do you just release them and call the Police; Dimension 4:Readiness to Change: a. At SSII we are aware that not all individuals who admit to treatment are going to stay the entire 30-60 days based on their ASAM.Most clients who decide to leave treatment just want to go home.They are feeling homesick and lonely and are afraid to begin the work needed to be in recovery.Our goal is to intervene as soon as possible on a client that appears to want to leave treatment and encourage them to stay.If a client admits to treatment and decides that they are not interested in treatment for whatever reasons we let them know that the protocol for leaving treatment is that we provide the transportation back to their county of origin.Most clients arrive with a round trip bus ticket,and we transport them to the bus station if needed.For the few who do not have a return bus ticket we will transport them and/or allow them to wait at the facility until they can arrange their own transportation.This is a basic protocol for SSII. b. When a client enters treatment we have them sign a Release of Information (ROI) for the local police department.If in the rare event that a client does not allow us to arrange transportation and leaves the facility we have the ability to call the local law enforcement.A client may not want to be in treatment,but they do not want to be"stuck"somewhere,they really just want to go home. c. It is important to note that if a client is not ready to be in treatment we do not discharge them without a call to the referent and all transportation set up for their safe departure home. d. Our facility has an alarmed system to alert staff if a client leaves the facility or if someone enters the facility from the outside.This has been a common practice for SSI&I1 and most Treatment facilities in the country. It a safety precaution we all are comfortable to have. 4) What measures will be in place to provide the neighbors with a sense that the facility is secure while reducing the need for emergency service calls.I ask this question to address whetheryou can deal with your population or do you regularly need aid calls, which, when flashing lights respond to a facility regularly tend to intensely disturb the neighborhood. I'm hoping you have some protocols in place such thatyou are able to handle the population without too much drain on local emergency services. Just a few questions that popped into my head today. Will begin review next week. I believe this question has 2 parts: 1.Addressing if and when a client leaves treatment similar to question three.and 2 the medical concerns of using community resources. Dimension 4:Readiness to Change&Dimension 2:Biomedical Conditions and Complications: a. SSII is a residential treatment facility with trained staff on site at all times.Trained in (MI) and de-escalation techniques.We also educate our clients on how to identify when a co-client has a change in their commitment to treatment.We have a Save our Sobriety(SOS) team of clients that help support each other in completing treatment and staying focused on their treatment goals. b. SSII is a residential impatient treatment facility. Our clients are assessed and screened to make sure they meet the ASAM standards for chemical dependency treatment and are both physical and mental stable enough to participate in an III.5 level of care treatment facility. Prior to the client arriving to treatment our admissions process also has a medical screening evaluation.All clients admitted to treatment also have medical insures and if they required medical attention the services would be paid.If a client's medical needs are greater then a III.5 the client will be moved to a higher level of care at a medically managed care III.7.We also have a medical staff member as a part of our program to manage medication,and direct us in the area of medical issues if and when they occur. c. We have policy and procedures in place that direct us in all situations that arise in the daily operations of managing an Intensive Inpatient Treatment center. d. One of the concerns that I received from a local neighbor is that they are under the impression that we are putting 100 clients in the building. Once I shared with this individual that we are a Non-IMD (non-Institutions Mental Diseases) 16-bed facility he seemed relieved. Statically for the past 19 months that SSI in Spokane WA has been operating we have called law enforcement one time and medical services approximately 5 times.This success is due to the Policy and Procedures in place that we are require to implement and follow by the American Society of Addictive Medicine. I look forward to meeting with you and sharing more information about what how we manage our program. Thank you for you time, Sincerely, Sally Beaven Director Specialty Services II 310-770-2526 PUBLIC COMMENT LETTERS Sue Roberds From: Rod and Ginger Melville [rgprecious@olypen.com] Sent: Monday, June 09, 2014 10:27 PM To: Sue Roberds Subject: Fw: Detox Facility -----Original Message----- From: Rod and Ginger Melville To: Sue Roberts Sent: Monday, June 09, 2014 5:27 PM Subject: Fw: Detox Facility -----Original Message----- From: Rod and Ginger Melville To: PA Planning Commission Members Sent: Monday, June 09, 2014 2:45 PM Subject: Re: Detox Facility June 9, 2014 Dear Port Angele Planning Commission Members: Attn: Sue Roberds The Clallam County Affiliate of the National Alliance on Mental Illness(NAMI) has been active in our county communities since the 1980's. Currently, we represent over sixty families locally who are affected by the specter of mental illness in some way, We want to express support for the conditional use permit that would allow a detox and treatment center at Fifth and Race Streets. Our families are all too familiar with the heartache of having an ill loved one be sent away for treatment because we have no local inpatient resources. Establishing a local inpatient facility will help families provide their relative the critical support network that enhances recovery.We will all benefit when appropriate treatment is available and we can stop burdening the jails and emergency rooms with individuals they are not designed to serve. Sincerely, NAMI of Clallam County Board of Directors By: Ginger Melville, President 1 Properties by 0 WInc. 330 E. 1 sc Street Suite 1 • Port Angeles,WA 98362 Ph. (360)452-1326• Fax: (360)457-3212 Website:portangeleslandmark.com Email:ianetgportangeleslandmark.com _ JUN -9 2014 June 6,2014 JMPUNITY ,. _�ITY &CONRT ANGELES OMIC DEVELO MENTRe: Drug Rehabilitation Center at the previous Crestwood Convalescent Center X. To Whom It May Concern: We as a company have serious concerns about putting a facility such as this in a residential neighborhood. We manage several residences in this neighborhood and feel that this not fit into the nature of the area of town which you are proposing to do so. The area of the community has already suffered a number of hardships and opening of facilities that seem to bring in a population that are not inviting to families and the more dense this population becomes in the residential areas of Port Angeles the less inviting it is to young families. There are home owners who depend on their homes being rented out to make the mortgage and this facility will make this area less inviting. There are other buildings in other areas that could facilitate this kind of environment so much better and accommodate the amount of traffic that would be involved. Civic Field and Dream Park are hubs of community activity involving children. This would not be a secure environment for the general population of town to have at this type of use at this location. For these reasons and some that you have already heard from the town,we disagree with the opinion that this is a good location for a drug rehabilitation center. Janet M.Stevenson Broker 0 V v y y 0 Y S O P H 1 E T R E T T E' V 1 C K INDIAN HEALTH CENTER INTEGRATIVE MEDICINE DIVISION � C @Odd Makah Recovery Services June 9,2014 n 100 Wellness Way J� �(} 2014 D Box 410 Neah Bay,WA 98357 LTY OF PORT ANGELES Aulkh Z rCOglOMjC DEVELOPMENT Letter of Support for Local Inpatient Detoxification and Substance Abuse Treatment.Facility To the Planning Commission,City of Port Angeles: The Makah Recovery Services is a state certified behavioral health agency that provides outpatient substance abuse treatment services to members of the Makah tribe and non-tribal community members living on the Makah Reservation.-Makah Recovery Services filly supports the approval of a conditional use permit to allow Specialty Services to open a local inpatient chemical dependency detoxification and treatment center.There is a high level of need for people suffering with substance abuse to have access to inpatient services,and providing such services locally would allow for much improved coordination of follow up activities and support services. The Makah Recovery Services strongly recommends approval for the conditional use permit that will greatly improve access to much needed services and will enhance communication,coordination,and collaboration of support services before,during,and after inpatient detoxification and chemical dependency treatment. Thank you for your consideration of this important matter. Sincerely, Elizabeth Buckingham,Health Director Sophie Trettevick Indian Health Center Shelly Hit,Clinical Supervisor Sophie Trettevick Indian Health Center <Chemical Brian Buckingham, Depen cy Administrator Sophie Tiettevick Indian Health Center 1 Department of Community & Economic Development City Hall 9PD P.O. Box 1150 I 321 E. 5th St. %� JU{V -g 2014 D Pt. Angeles, WA. 98362 CITY COMOF ppE{TANGEL MUNIES TY a ECOP10MiC OEVEIOPMEN7 Dear Community & Economic Development Officials, I am a property owner at 917 E. 5th writing in response to the notice of Development Application by Crali Properties who propose an "Inpatient Chemical Dependency Treatment facility at 825-835 E. 5th St. in what was formerly a nursing home facility. Although from what my neighbors and I can tell so far, from having attended the June 3 meeting, and my correspondence with Sue Roberds, who has kindly answered my questions, it does seem as if this proposal is all done and dusted before it comes forward to the property owners—I believe I will still say a few more things, if though I feel quite outside the process. To identify myself a little more fully: I was born and raised in Pt. Angeles and resettled here after the death of my late husband Raymond Carver, the internationally recognized short story writer. As the neighbors and I expressed at the meeting: we are not against a treatment center to serve Pt. Angeles. Raymond Carver was lucky enough to have entered Duffy's in Northern California for alcohol addiction and as a result of that and a number of other fortunate circumstances managed, after relapses, to gain ten years of sobriety that turned his life around and made him one of the world's giants in literature. 2 Because I believe in dialogue with my neighbors as to what sort of town we want to have, I contributed a meeting room for my town, The Carver Room, at our library in my late husband's name. It would have been good to have had a meeting there, as well, to better inform the town at large as to what is coming forward. The location of this facility needs close scrutiny, not only by those neighboring it, but also by the town as a whole. It is my wish to strongly oppose this use at the proposed site of the former nursing home site, just off one of the busiest North-South streets in the town en route to Hurricane Ridge and our college, and in an area that, despite being deemed a commercial area, has still remained residential. It closely abuts three parks for children (a kiddie play park where I used to take my 2 year old nephew) and young people using the skate park. Plus, across the street is Civic Field where children and teenagers play sports—baseball and football. When I asked Sue Roberds how thero osed use area was p P zoned she wrote me: "Dear Ms. Gallagher: Please remember that, while from a neighborhood standpoint this is a personal issue, from a land use standpoint, this is a land use impact review. The issues that are to be considered from a permitting perspective are: 1. Does the Comprehensive Plan allow the use? 2. Is the zoning consistent with the Comp Plan and is the use permitted? 3. Are there land use impacts (odors, parking, over lot coverage) that need to be addressed? The proposed use is permitted conditionally in the Commercial Office zone. The conditional use permit allows a certain amount 3 of flexibility to apply pertinent conditions that will alleviate known concerns, but not perceived concerns. Businesses that operate by conditional use permit often result in good neighbors because the operator is aware that neighbors are concerned and they try harder to work with each other to avoid conflicts. I am providing this information to you so you will know the actual parameters of the City's purview in this matter. We are hoping that comments will address tangible matters that can be conditioned, if necessary. Sincerely, Sue Roberds Planning Manager" I believe she was trying to be helpful, but one could understand that a citizen might just fold their tent after receiving such a message and decide heaven and earth had already been moved to put this facility into a residential area. Commercial Office use is a far cry from a detox center, to most anyone's way of thinking. If one could imagine sitting in one's living room across from this center when it adds its 16 bed Detox unit (and one must think ahead with 100 beds available here) and hearing the sounds of someone vomiting, in extreme physical discomfort and pain, crying out, and making what other signs of desperation they might, then this does not feel like commercial office space to that home owner. My friend jewel does live exactly across from the facility and this is not a matter of imagination for her. She is writing her own letter as she organized a protest before when a large ' 4 apartment unit went up nearby which now has taken all the available parking in front of her house, and although everyone in the neighborhood signed it—the counsel evidently went ahead and okayed this. Parking will be a problem here too. On Saturdays and Sundays there will be visiting by families of those in treatment. During the week people already use the church parking lot because of the lack of parking. Where space will be had for this large parking lot, is an important question. My property on Stn already has parking in front of houses taken up by residents. There is no street parking to be had in our direction. As I have said: This site has glaring obstacles to being an ideal fit for use as a drug rehabilitation center: the location of adjoining parks where children and young people congregate daily and also the location of the Y where more young people frequent should not be mixed with this kind of use where people from very distressed circumstances are attempting to get free of a life claiming illness. With only 46% of participants in drug treatment around the country finishing the 30 day treatment regimen, it is not unlikely that a significant number of those who don't finish the treatment and are from elsewhere (bused in as proposed) will remain in Pt. Angeles and our community resources will need to expand greatly to help them. At the June 3 meeting we understood that the nursing home was efficacious for the buyer Craig Phillips, who purchased it. It was no gamble for him as the City must have given him significant assurances that the facility would go forward for him to put $175,000 forward for it. The proposers of the facility who worked closely with him in Spokane (Sally Beavens) described their program as a "pilot" program of 5 16 beds. The Detox unit was not forward much in the discussion. It would be added. It would have medical people to sustain the often life challenging process. Someone from OMC informed the proposers that OMC could not handle detoxing for the facility until it got its own detox unit. This does seem like a serious flaw in the plan. If persons who have not been fully detoxed arrive in a drugged stated, there will be only our overburdened systems here that cannot sustain them. It would be hoped that the good things in this neighborhood could again be valued and not put in jeopardy by bringing in what will eventually become a 100 bed unit. Again, this is what Sue Roberd's answered me when I asked if the facility could be enlarged to use all of the 100 beds: "The application materials identify the proposal we are processing as a maximum 32 beds. Based on that application, a condition indicating that the use shall be operated "as proposed in the application" would be standard - which means that 32 beds would be the maximum. Our understanding is that this 16-bed (specialty services) program is federally and state funded which restricts the number of beds. The proponent does operate larger facilities elsewhere in the state but those uses are intentionally separated from the specialty service small group program due to funding. The 32 beds max would be two 16 bed specialty services functions: 1 for medically managed detox and 1 for chemical dependency treatment stabilization (total of 32). I understand the intent is to focus on the 16 beds, as it is a new state program and add the second phase if it is successful. Conditional use permits are issued initially for one year with a review at the end of that year. It is possible that an amendment could allow additional beds at a future date but that has not ' 6 been discussed. The structure could provide more beds, it always has; but that is not currently under discussion. " (Boldface is mine, and underlining) Although there has been a studious attempt to separate the proposer's aims here, the large unanswered question is: why purchase a 100-bed unit if only 32 beds will be used. This facility must be addressed at this planning stage as one that could and probably will expand. Consider again the good things at work in the neighborhood: 1.Play Park on Race, just behind the proposed site where a young mother told me her 4-year-old child had found a needle stuck into tree bark. So there is presently perceived drug activity in this vicinity. Does the City really want to bring drug- addicted persons into contact with readily available established activity outside this unsecured building? 2.The Skate Park is on Race half a block from the proposed facility. This is also, reported to be a site of drug activity, by those frequenting it. So do we want to compound the likelihood of this teenage play zone becoming a grooming ground for accelerated drug use if failed former occupants of the treatment facility begin to frequent it? 3. Civic Field, where many high school and recreational activities for young people are held should not be in close proximity to those who may be having in-and-out relapse problems with drug addictions and possibly attempting to sell or buy drugs. 4. Low Income Housing units with disabled and elderly persons situated just west of the proposed facility: people potentially easily intimidated by a street savvy population of mostly out of town drug users and newly released jail inmates. S. The Y where many community recreational activities take place for young and old alike, within close walking distance. From what I have been able to learn in just a few days, it appears that over at least the past years nursing homes in other communities and have become prime targets for re- constitution as Drug and Dependency Treatment facilities in those places, shipping patients in on buses, with round trip tickets, the far side of which there is no guarantee the person will use. Ms. Beavens joked that our police chief would give them an escort to the bus, but we know this is highly unlikely. And the paper they have to sign on entering the treatment-- that they know the police will be notified when they leave--is just that: a piece of paper with really no substantive impact. Living in our neighborhood causes us to have many things at stake that those who live elsewhere do not experience: 1. Worries for personal safety. Many of the residents are elderly and others are young working families or those on unemployment or disability renting. If those in the facility having a relapse need money for drugs it is an obvious worry that their targets would be neighbors near at hand. One could wonder if the patients would be searched for weapons. Also how is the population screened to assure residents that no rapists or mentally unstable patients were going to be housed near them? Sally Beavens said, at the meeting, that they would be screened, but at another moment said they really would not 8 fully know the backgrounds of those sent from low income Medicaid backgrounds. 2. Impact on life savings in the form of home equity and ownership. Devaluation of property. (Would City Counsel members like to move any aging members of their family to live near this facility? Would they like to rent or buy my house—a house just vacated by a woman who went bankrupt.) Should the City consider giving residents within a block either side of the facility an automatic tax break? 3. The inability to move elsewhere is a factor for many of the neighborhood inhabitants. The renters and home owners in this area do not have funds or the physical ability even to move out of range of such a development, so it is an insult to the working poor and to those struggling on fixed retirement incomes (Social Security, Medicare) within the community to propose suddenly co-opting their homes by a business with so many risk factors. Already the fire department unfortunately expects increased use of its emergency capacity because of the facility. We would expect increased blaring of fire alarms and police sirens in a neighborhood that has at present a reasonable level of usual city noise at this point. Questions hover: What are the security measures that would protect residents when a participant in treatment decides to leave the facility and not use their bus ticket home? Are alternate housing situations available to them when they become permanent members of our town? 9 Are some of these treatment candidates being given suspended sentences in exchange for this treatment option? A May 11, 2007 article from the Spokesman- Review says that in the Spokane Valley facility operated by Mr. Phillips, 10% of the patients are referred by the courts and the rest of the beds are funded through a state program to treat poor addicts, such as the one being proposed here. What percentages are at work accordingly in the Port Angeles referral system? I recommend that others read this news article on line entitled: "Owner defends Valley rehab Center," in which it was alleged that patients received poor treatment at this facility. In Alaska when oil was being pumped out of the state there was an argument for paying Alaska residents a percentage of the profit. Is there such a provision for neighbors to this treatment facility to profit-share with the proposers? Or should this be considered? After all the neighbors are taxpayers twice over, contributing to the government funds used to run the facility and also contributing the value and safety of our very homes. There will be $450,00 to renovate or build housing for this 32-bed unit. Why put into use a 100 bed facility if only 32 beds are needed and paid for by the grant putting this forward? There are a great many buildings standing empty in Pt. Angeles. Does the grant mandate an expandable unit of this size or shouldn't it be housed in a unit exactly to the size the grant is formed to? I am sure there are many other questions to be addressed, but at least these are enough with which to begin discussion. 10 But finally, for all the reasons stated above I believe this site is 1) Not strictly Commercial Office use for which the neighborhood was zoned. 2) Unmindful of investments already made.by the city to provide safe places for our children and young people to pursue recreational activities. 2) Unfair to poor & disabled & aged people unable either to move or to defend or articulate themselves against such an incursion. 3) Unfair to our immediately adjoining property owners who must bear the brunt of the daily stress and liabilities of the high recidivism rate and indigent status of those suffering addiction. For all these above considerations my neighbors and I strongly urge that the City reconsider installing this Drug Treatment facility in a residential neighborhood, a neighborhood that has an entirely different prospect than the debilitation that would inevitably befall it should this plan is not be vetoed. I believe it is possible to find a better site for the center, one not near parks where, according to testimony from a former drug addict at the meeting: she had sold and purchased drugs at all the parks in Pt. Angeles. These local drug users and sellers at the adjoining parks would be anathema to the treatment center's mission, providing easy relapse possibilities. My recovering husband had to remove himself from all possibilities of drinking. There was no convenience store with easy access to liquor three blocks away as there is here. 11 ' This proposal has proceeded so much a "done deal" that I cannot feel alternate sites have been at all considered. I understand that another such facility operated on the Golf Course Road for a year, but did not survive because there weren't enough patients. It did not ship patients in and it also asked participants to pay themselves, instead of this government provided program. The Commercial Office use provided for by statute in this neighborhood seems violated by the proposed use for this drug rehabilitation center, which is expandable and in this case likely to use the 100 beds with patients arriving from all over our state. It may be true the 32 beds are all that is on the table: but planning, good planning has to read the cards in the hold hand too. I urge you to consider the placement and the zoning use, and be aware that it might not well stand up to legal scrutiny. Sincerely, Tess Gallagher Claiiarn County Depdrtment of Y . Health and Human Services Y ti 223 East 4t'Street, Suite#14 • Port Angeles, WA 98362• 360-417-2303 • FAX: 360-417-2583 UMp•x�l� June 4, 2014FD� � ��� Port Angeles Planning Commission j a City Hall I i JUN -9 2014 321 East Fifth Street CITY OF PORT ANGELES Port Angeles, WA 98362 COMMUNITY L ECO OWC DEVELOPMENT Re: Conditional Use Permit for Chemical Dependency Inpatient Treatment To Whom It May Concern: I am unable to attend next week's public hearing regarding a conditional use permit for a chemical dependency treatment program providing inpatient services and am submitting written comments on this proposal. The impacts of substance abuse in Clallam County are detailed in the Community Health Assessment that was prepared and released to the public in 2012: (littp•//www clallam net/HHS/documents/CHSAssessment2Ol3Ol l6final.pdf). Medicaid-sponsored treatment rates for alcohol and methamphetamine far exceed state levels. Opiate related hospitalizations and deaths also are much higher that state wide averages. Clallam County's syringe exchange program has witnessed an explosive growth over the past year, indicating increasing use of intravenous drugs in the community. At a Community Health Summit held in October of 2013, substance abuse was chosen as a high priority community health problem and a task force has been convened to intensify efforts to respond to this problem. While Clallam County has a number of outpatient chemical dependency treatment programs; there are currently no inpatient programs to serve City and County residents. Chemical dependency is a chronic, relapsing health condition that is very treatable. Optimal treatment results can only be achieved through access to both inpatient and outpatient treatment programs. Delays in access to treatment frequently result in relapse and complicate successful treatment of the illness. As Health Officer for Clallam County, I strongly support bringing inpatient chemical dependency treatment services to this County. There is a serious and growing need for these services. Well run programs have a high success rate and are truly life saving. It is within our power as a community to lower rates of substance abuse and chemical dependency but it will not be accomplished without a serious expansion in treatment services for these chronic health conditions. Sincerely, Thomas Locke, MD, MD Clallam County Health Officer June 9, 2014 InD � @ � 0WR Department of Community& Economic Development —' D P.O. Box 1150 f .91�N -9 20)4 Port Angeles,WA. 98362 CITY OF PORT ANGELES Attn: Sue Roberds COMMUNITY d ECO JOMlC DEVELOPMENT To Whom It May Concern: I am writing in support of the substance abuse treatment organization seeking Permission to operate an inpatient and detoxification facility in the former Port Angeles Care Center at 5t and Race Streets. I do this as a recently-retired CD counselor with over thirty years of work experience in all manner of professional treatment approaches, both inpatient and outpatient care. I also do this as a former abuser of alcohol and drugs, with almost thirty-two years of abstinence. Since I first came to Port Angeles in 1990, a great deal of recovery and my career have been in the local community. In both capacities, I well know the heartbreak that dependence on drugs and alcohol bring to the suffering individual and to his/her family and friends. I also am aware that, while in the throes of addiction, he or she is not contributing to his or her community in a positive manner and may, in fact, be draining local resources such as law enforcement, housing and health care use. Most importantly, I know that this destructive addiction is not a choice or a matter of morality. Substance abuse is a medical issue and, as do all medical issues, needs treatment. Addiction is a chronic disease, like Diabetes, and requires a sustained remission to avoid return. Having worked briefly with The Lodge and Highland Courte, the two former inpatient facilities in Port Angeles since 1990, 1 am aware of how desperately our local continuum of care to sustain that remission is currently lacking. Many addicts simply are unable to maintain abstinence from drinking and/or drugging on their own. Again, this is not unlike other chronic diseases for which a diagnosed individual will often begin an intense treatment period to "stabilize"the condition, learn about the disease and begin to learn techniques and skills to manage his or her disease. This begins the healing process which needs maintenance and support throughout the individual's lifetime to maintain the remission. In other words, Port Angeles has wonderful outpatient treatment which helps maintain and support, but it lacks the "jump-start"treatment for the very ill person. Please consider carefully how we are lacking this critical first phase of treatment in the addiction continuum of care. The proposed treatment center will, in essence, be the addition of this critical element. Thus, a positive decision will add to the health of our community. It will also add to the quality of life for many people, and their family and friends, as they move into the recovery process. Thank you in advance for your consideration. Sincerely yours, Barbara Uhl Meyer 1914 Lower Elwha Road Port Angeles, WA. 98363 June 9, 2014 Department of Community& Economic Development X___ P.O. Box 1150 I ` �(�� -9 Z���t .7, nn Port Angeles, WA. 98362 JjD Attn: Sue Roberds CITY OF PORT ANGELES COMMUNITY&ECONOIAIC DEVELOPMENT To Whom it May Concem: I write in support of the proposed treatment facility being considered for the former Port Angeles Care Center on East 5'h Street. I cannot state strongly enough our community's need for a monitored in-patient treatment program to assist local citizens in their efforts to, "escape,"the trap of drug and alcohol addiction. The addiction to substances is not a moral issue, rather it is a serious medical condition that has far too long been ignored and has been an issue or a problem for law enforcement to handle. People suffering from dependence on substances, whether legal or otherwise, find themselves in a state of addiction after sufficient use to have crossed over an unseen line that commits them to "needing,"whether they want to abstain or not. Drug and alcohol abuse is not a controllable behavior and thus is one requiring professional assistance to be overcome. I know, for I crossed that line myself, and have spent the last thirty-five years assisting others who recognize their need to abstain, but who cannot do it alone. I am not a substance abuse professional but consider myself an active member of the recovery community. Please consider this issue carefully for lives are, in fact, at stake. For some, the"addiction problem" is an inescapable trap and can result in death, sometimes by the addictive person's their own hand. We need a local facility to help save the lives of our citizens and to reduce the associated criminal activities that accompany our"drug problem." Please use discretion in any public use of my name, as even after my extended period of sobriety, I encounter judgments regarding my character even though I have never had a drink in the City of Port Angeles or anywhere in Clallam County. Thank you. Sincerely, `-- Eric E. (Gene) Meyer 1914 Lower Elwha Road Port Angeles, WA. 98363 untitled VnD R@PDepartment Of Community & Economic Development _ D 321 E. 5th St. Port Angeles,wa. 98362 JUN 19 2014 Dear Officials, CITY OF PORT ANGELES COMMUNITY L ECONOMIC DEVELOPMENT My husband and I would like to express our concern of the proposeG Tacility a and Race being used as a drug rehab center. we feel it is not a good fit for our neighborhood.A better use would be low income apartments for seniors. This neighborhood is made up of mostly seniors who have been long time residents and have enjoyed a pretty quiet neighborhood. in later years we have welcomed younger residents who are renting,with small children. They love the access to the playgrounds and civic field where all the ball games are held.The parks are used daily and civic field is used daily and hold ball games even into the evenings. Many young people come from out of town. we attended the lune 3rd meeting at the proposed site but came away unconvinced that this proposal is a good fit for our neighborhood. Parking is a big problem since the light was put in at 5th and Race. some neighbors have nogarages and have to park on the street. some can find no parking close to their homes. If it weren't for the church lot across the street they couldn't park at all . This is a needed facility and will become even more so with the legalization of drugs, but the location is not a good one. we can tell you first hand that when this location was a nursing facility they couldn't keep track of the old people,who were under 24 hr. care. we lost track of how many we returned to the nursing home. They had crossed Race St. alone and didn't know where they belonged. one was waiting for the train in our back yard! Another was looking for the barber shop. one unfortunate fellow I found upside down in his wheelchair. But they were under 24 hour care 11 It will be no different now except the clients are young and more mobile. so we remain unconvinced that this will work and we feel very uneasy about it. we are asking you, our city officials, to deny this usage. sincerely, Bill and Donna Cooper 915 E. 5th St. Port Angeles, wa. 98362 Page 1 Florence H. Bucierka 211 Windmill Lane Sequim, WA 98382 June 9, 2014 Ms. Sue Roberds (�o @ R Q W 2 Port Angeles Planning Manager I � _ 20' D PO Box 1150 (� JUN s 4 Port Angeles, WA 98362 CITY OF PORT ANGELES [COMMUNITY&ECONOMIC DEVELOPMENT RE: Planning Commission's discussion of the permit for the chemical dependency inpatient facility I was the Clallam County Drug and Alcohol Coordinator for 12 years and as such administered the funds for drug and alcohol treatment and prevention. I am now retired but these areas are still of interest and concern. I am very pleased to support an inpatient chemical dependency facility in Port Angeles. It is a healthcare facility that the North Olympic Peninsula sorely needs. It is estimated that one in ten people will have a problem with addiction sometime in their lifetime. It is a medical condition that needs professional care and some people are best served in an inpatient facility. There was an inpatient facility that operated well in Port Angeles, Highland Courte. At the time it was opened, the conditional use permit contained many segments that ended up not being needed. Highland Courte was located near a senior housing development. The neighbors were concerned for the seniors so requirements were put on the facility to meet with the neighbors monthly to discuss any problems. Once opened there were no problems and the neighbors decided they did not need any meetings. You may check with Port Angeles Police Department concerning any problems that were reported to them. There were few if any. I would encourage the Planning Commission to approve a permit for the establishment of a chemical dependency inpatient facility at the Fifth Street location. I would also support the development of a detox center (also sorely needed) on site which would assist immensely in the areas of law enforcement and emergency room use as well as providing appropriate medical care. I would be happy to answer any questions you may have. You may reach me at 683-4315 or florenceb@wavecable.com. Cordially yours, Florence H. Bucierka, MS Date:June 6, 2014 D F a To: Port Angeles City Council Members Re: Proposed Inpatient Chemical Dependency Treatment JUN 62014 p y ent Center Utp ANGELES City Council Members: COMMy&CQ MIVEOEUT I recent spoke at one of your committee meetings requesting that time be taken to consider the feasibility and impact of placing a chemical dependency center at the former Port Angeles Care Center site. I did attend the neighborhood meeting of held June 2nd at this site where I thought Specialty Services was woefully unprepared to answer the community's questions.After listening to Specialty Services presentation I again request that the city council members consider this proposition very carefully for the following reasons: 1. No one denies that this community needs an inpatient chemical dependency program. The community concern is not about the need but about the substance of the program and the proposed location of said program. The question for this community Is this the right program at the right time and at the right place? 2. Specialty Services bought the property and re-located staff before receiving approval for their facility. I also suspect Specialty Services engaged limited community partners in their decision to open a treatment program. I think this demonstrates a degree of hubris that does not bode well for our community. 3. Specialty Services did not provide any data on the effectiveness of their current programs: no completion rates, no clean at 1 year rates, not one piece of published data on anything. We, the community were asked to"Trust them". 4. The PACC site was chosen because it was affordable and could be funded by current grant. Was there any consideration given to other locations? 5. Specialty Services stated that clients would not be allowed outside the facility without an escort. Yet the staffing plan of 2 staff in the evenings and 1 staff at night would not lend itself to allowing escort services. It was not made clear if they could be escorted during the day shift. 6. The security plan for the facility is to call the local police department if a client does not want to stay.This could put a burden on our local police department. 7. Specialty Services did not have a medical evaluation plan for their clients. They also stated that some clients would binge before being admitted for treatment. My best guess is that the medical evaluation plan will be an admission to the OMC Emergency Department. 8. Inferences, based on no data, were made that having a treatment center would improve the neighborhood by reducing needles in the neighborhood parks, improve property values etc. This is insulting. 9. Clients from other communities who chose to leave the program will be put on a bus back to their point of origin. What bus would that be? What bus would that be at 2 AM? 10. As reassurance Mr. Phillips stated that he has been providing chemical dependency treatment for 30 years. Unfortunately,just because you do something for a long time does not necessarily mean you do it well. In summary,Specialty Services and Mr. Phillips have not provided data or adequate documentation on the benefits to our community of their proposed program to be located in a residential neighborhood of Port Angeles. In closing, I would ask the City Council to deny Specialty Services any required certification. Thank you for your time in consideration of this letter. Sincerely, Penny S. Becker, PhD 516 East 6th Street Port Angeles, WA,98362 OMReflections Counseling Services Group 3430 E- highway;1.01,Suite 3-.,.PO.gox 478 Port Angeles,WA.o362 Phone:(5 60)45'2-4062 rax:(5 60)452-4189 QD � � c� ad� May 27,2014 D .1U1� ­6 2014 CITY OF PORT ANGELES Letter of support for Proposed Inpatient/detox Facility in Port Angeles COMMUNITY a i CoNn?Alr NVE�oPF�EN7 To the planning commission, City of Port Angeles We have identified over 100 individuals needing residential care since last July. Often clients and their families are desperate for help. Last week, we told one of these individuals that the waitinglist"for'out of county treatment for a Medicaid eligible client was two months. This is common practice and unfortunate. As a professional who has worked with this population for over 30 years, I know that the best outcomes occur when the right treatment can be offered at the time the client asks. We spend thousands of dollars each year assessing the needs of local clients. If we cannot give them care at the level indicated,our efforts are often for naught and the individual continues to escalate. The cost to the individual,the family and the community is severe. This population is unable to stop using drugs and/or alcohol without 24 hour care. They end up in the emergency room or jail. Our State Department of Behavioral Health and Recovery(DBHR) estimate that every dollar spent for treatment saves the community 7 dollars in other emergency services. Thank you for considering this request. Our non-profit agency offers solutions to individuals and families that need help. The positive outcomes of our work are already being demonstrated as individuals become healthy mentally,physically, and emotionally. Families reunite,and parents return to work or school. We look forward to being able to reach more clients in co- ordination with the added resources that American Behavioral Health Systems propose for our community. I hope you will support the request to grant a conditional use permit for the facility at 5h and Race Streets. Sincerely, A/A Gayle McCormick MEd, CDP Executive Director RCSG Sue Roberds From: Debbie Roberts[debdanroberts@gmail.com] Sent: Tuesday, June 03, 2014 6:40 PM To: Sue Roberds Subject: drug/alcohol clinic To whom this may concern, I have got some different thoughts from my parents about this clinic going in a block from our Preschool. There are mixed feelings about this. Number one, with all the vacant buildings in Clallam County why is this opening right next to two Churches, a City Park, A skate park, our Civic field, YMCA, a Preschool and maybe more facilities for children? We have so many other places more suitable for a clinic to be a safe haven for their clients. Even if it might be a locked down facility that doesn't guarantee that our public places will be a safe area. We do not know how this will work in our community and if it will be safe for surrounding public places. I know we need something desperately in our town, but as the paper said, this place might have our in need people in there. Its for people now, from out of town. I'm just very concerned about the placement and area that was picked. A concerned Preschool owner &teacher, Debbie Roberts Creative Learning Preschool 712 East 5th Street 1 Sue Roberds From: Pamela[pamelablakeman@hotmail.com] Sent: Monday, June 02, 2014 2:06 PM To: Sue Roberds i Dy Subject: drug/alcohol center j r-,I I JUN 2 2014 ]D I ; CITY OF PORT ANGELES Dear Mr Roberds LjORIAUNITY&ECONOMIC DEVELOPMENT It is a rare person that hasn't been impacted by a friend or family member that needs help from addiction. I have worked at the hospital for over 35years, mainly as an ER nurse, and the need has always been there, but the need has exploded over the past several years. It is no longer uncommon for people to be held for days or weeks at the hospital (a huge expense where they really don't get the treatment they need) waiting for a place to open in a treatment center. The need is real and Port Angeles is a big hearted generous community. My concern is this: are we reaching a breaking point in how many needy people this community can absorb? Serenity House started years ago as a hospital adjunct largely to take intoxicated people that used to go to the jail but the culture shifted and they were taken to the ER instead. Now aren't they are a huge complex that houses people from all over the state and even out of state? I know of several living there that came here for the housing. You cannot even find overnight stays for local needy people anymore. Many good things happen through serenity house, but it has also brought in a large segment of needy people. Isn't it true that one section of their housing is dedicated to people who are still practicing their addictions? Peninsula Behavioral Health is another great community resource, but once again they have drawn a huge population of very needy people into our community. Isn't it true that they have one of the few outpatient treatment programs for schizophrenics and bipolar disorder and people with this mental health problem are sent here because of it? The church food cupboards and salvation army meals have all seen huge increasing demands over the past years- more than can be explained by the economy. If the clinic is approved the town needs to be prepared to absorb more needy people. The failure rate is very high,though certainly better than nothing. And the theory of discharging them to an address out of town is somewhat false. The residents will not be inmates, they are free people, and it is not uncommon that they have burned bridges out of town. If it is approved I would like to see a requirement that at least 80% of the residents are locals already where they have friends and family to support them. I am sure this town could easily fill up the place. Thanks for you time Pamela Blakeman 1 Sue Roberds From: Evan Bradow[evanbradow@gmail.com] Sent: Monday, June 02, 2014 12:59 PM To: Sue Roberds Subject: Drug and alcohol clinic Dear Sue, Please make all compromises available to this new clinic. It is desperately needed in Port Angeles. I can say this from my own personal experiences.. I do not know the owners and have nothing personal to gain but I understand the need for this type of facility here in our town. Prescription drugs are an epidemic in our town. I have family members and friends who would benefit from this type of facility. It should be funded from the corporations who make the drugs. It should be a priority for our town. In my opinion, people who need this type of treatment would not cause any problems for the residents in the area. These people are just looking for help. Sincerely, Evan Bradow i I << 4 Directions Counseling & C®dasulting, LLC r 342 West Washington Street 9Sequin, WA 98382 &Consultin LLC 6 (360) 681-2467, Fax (360) 683-2245 Friday, May 30, 2014 LETTER OF SUPPORT FOR PROPOSED INPATIENT/DETOX FACILITY IN PO To: Port Angeles JUN 2 2��4s Planning Commission - D 321 East 5 Street ' f Port Angeles Washington 98362 CITY OF PORT ANGELES COh9l,1U?JITY%�CG;Jal.1 C DEVELOPMENT 4 Directions Counseling& Consulting LLC has been providing chemical dependency,outpatient services since 2008. We are aware of the shortage of needed services for individuals in crisis and in need of intensive inpatient treatment and detoxification services. At this time, Clallam County has neither residential inpatient nor any detox services for chemical dependency. It makes sense to treat Clallam County residents here in Clallam County,rather than to send them out of the county where services are currently available. Treating these same crisis patients at the hospital is costly and many of them are repeat relapsers. We have a wonderful opportunity to have a detox and inpatient facility to help our county residents who need help with chemical dependency issues. Specialty Services has purchased the property at 56'and Race St. and is applying for a conditional use permit to operate detoxification and intensive inpatient treatment services for adults. The proposed intensive inpatient treatment program would be developed first, in large part with funding from the Washington State Division of Behavioral Health and Recovery. It is to consist of sixteen beds for Medicaid-funded patients for stays of up to 30 days. The sub-acute detoxification program would be developed at a later time and will house another sixteen beds,again for adult Medicaid patients. Most of the patients would come from Clallam County. Our staff strongly urges the City Council to grant the conditional use permit for this much- needed resource. Its presence will be a key factor in the provision of care that many of our highest-needs community citizens require. A chemical dependency intepsive inpatient and detoxification facility will fill a gap of service that has been desperately needed in our community for far too long. It will bring a better continuum of care for those who will need it. Thank you for your consideration in this matter, Patrick F. Adams, MSW, CDP Owner/Administrator Serenity House of Clallam County ; iue�. P.O. Box 4047 • Port Angeles, WA 98363 June 2, 2014 Department of Community and Economic Development ,9 @ 0 WEE P.O. Box 1150 Port Angeles, WA 98362 ' J11 JUN -22014 ATTN: Sue Roberds-Sroberds@cityofoa.us CITY OF PORT ANGELES com UNin ��o!j�Mic DEVELOPMENT RE: Support Inpatient Chemical Dependency Treatment permit Discharge planning, including stable clean and sober housing, is essential to support successful recovery from addiction. Local people currently must go out-of-area for inpatient treatment.Too many never return home safely. Exiting treatment into a strange community without the support of caring family often results in immediate reversion to addiction. Having treatment available here will substantially improve the chances of success for people who complete treatment because it will allow better communication and planning between treatment providers and providers of other services, including housing. Serenity House is committed to working to assure that every person coming out of treatment will go directly to appropriate housing. At a minimum, after-treatment housing will be a brief stay in a clean and sober shelter while arrangements are completed for stable permanent housing. Serenity House and other housing providers currently work with the Clallam County Sheriff's Department and Olympic Medical Center to provide this service for people discharging from the jail or the hospital. Crali Properties' proposal for redeeming the unutilized property at 835 East Fifth Street will provide a critical piece of the circle of service so urgently needed in our community, and will support successful long-term recovery for members of our community who receive treatment for chemical dependency. We urge the City of Port Angeles to give favorable consideration to this permit. Sincerely, ath ahto Exec t' a Director- (360)452-7224 �,�� A United Way Agency Sue Roberds From: Paul Cunningham [pcunningham3@me.com] Sent: Sunday, June 01, 2014 7:43 AM To: Sue Roberds Subject: inpatient chemical dependency Ms. Roberds, Thank you for the opportunity to provide feedback on the proposed inpatient chemical dependency unit at the former site of PA Care Facility. I am a physician(Family Medicine and Geriatrics) whose practice is primarily Sequim based but I'have a fair number of patients from the entire NOP. I live in PA not far from the proposed location. I fully support this application to bring an inpatient unit to PA. The need is great,the location seems reasonable, and every piece we can bring to the community health care puzzle is a benefit to our community as a whole. I will share one example: I have admitted to Crestwood Convalescent Center a middle aged male on 3 occasions in the past year, always following discharge from Olympic Medical Center,after treatment for complications related to acute on chronic alcohol abuse. For all intents and purposes, neither OMC, the patient,nor providers such as myself have any options for this patient except the cycle of intoxication, hospitalization, nursing home stay,discharge back to community with no alcohol dependency treatment. What he really needs is an intensive inpatient treatment stay. This is just one example, but should this facility come to fruition, I'm certain this patient and the larger community would benefit from. Feel free to contact me with any questions. Furthermore,I would be happy to make myself available to any government entities looking for input from local health care providers/residents of PA. Best regards, Paul Cunningham, MD Co-medical director Jamestown Family Health Clinic,Sequim Medical Director for Sequim Health and Rehab, Avamere Olympic Rehab of Sequim,and Assured Hospice of Clallam and Jefferson County 1 MAY 2 9 4 D To whom it may concern, CITY OF PORT ANGELES CQPAIAUrJITY L ECQN�.',!!r,OE'/ELOP�AEyT As a neighbor to ABHS I would like to say how nice it is to have the old hospital building being used to bring more jobs to our area. The good that they do in the treatment of various addictions is a great benefit to our community as well as the different communities that their patients come from. SOCIETY OF ST. VINCENT de PAUL St. Joseph Conference—Sequim, WA _ de Planning Commission City of Port Angeles ,� D Department of Community and Economic Development MAY 2 9 2014 PO Box 1150 Port Angeles, WA 98362CITY OF PORT ANGELES COMMUNITY&ECONOMIC DEVELOPMENT RE: American Behavioral Health System's Conditional Use Permit for a treatment center in Port Angeles To the Commission: I am President of the Sequim Conference of the Society of St. Vincent de Paul. Even though our ministry is confined to the Sequim School District, we know that many of our clients who suffer from chemical dependency are not so confined. We are aware that they move throughout the North Olympic Peninsula, including Port Angeles. And as they do so, the problems that are associated with their dependency move with them. With that in mind, I urge the Commission to approve the Conditional Use Permit for the facility at 5th and Race. The need has been well-described and documented. Of course, I understand the perspective of those who might live in the immediate facility of proposed facility. If I lived close by my first reaction might also to be to object. But if I were to give it further thought, I would begin to comprehend that if those with chemical dependency are left untreated, I would be equally vulnerable to those problems cause by their dependency. We all live in the same community and we all deserve the benefits of the proposed facility. Sincerely, t%� 0 Mike Flynn President 14 sod _ D ^ MY coC TYOF pORTAN GELES ECo;JOM C OEVELOpMENT May 28, 2014 To Whom It May Concern: I am writing this letter In support of American Behavioral Health Systems treatment center in Spokane Valley INA. We are across the street from ABHS and have watched them grow as a treatment center and admire the work they do. The purpose of this letter is to validate the work they do to help individuals struggling with addiction issues to live a satisfying life in recovery. These individuals are seeking the help they need and we see their mission as being a bridge for families and resources in the community. We believe addressing the issues of addiction in a safe,secure setting with trained and knowledgeable staff, such as ABHS is beneficial to all, Sincerely, Sodorff&Wilson Family Dentistry MARK SODORFF, DDS tLAURA WILSON,DDS 127o6 E.Mission Ave., Spokane Valley,WA 99216 Ph; 509-928-3131 Fx; (5o9)92a-7459 www.so dorifwitsondds,com M05/23/2014 12:33 FAX 0001 1000 Kresky Ave., Suite G Centralia, WA 98531 Telephone: (360) 528-0563 Fax: (360) 858-7047 EE(9 E�25014O Confidential Information -i I� MAY 2 9CITYOFPORTmA IUNITY EC0NO+AI DINE: Nay 23, 2G14. FRGM: Don n4a.Douglass Office Manager at Elaine Pichette, ARNP To whom it may concern: I am writing this letter in support of America Behavioral Health Systems (ABHS): Reha•bf[itation•is•one•of the goals of criminal justice.-The use of rehabilitation lowers the recidivism rate and creates a safer community. ABHS works as a rehabilitation center for offenders with addictions. This business-has benefitted the community and enriches the.offender's lives In multiple areas. It benefits the community by bringing jobs to our local economy, lowers reoffending rates through rehabilitation, and helps the community througirsopervised community service at local businesses: The program enriches the individual's lives in the program by teaching the individual coping skills other than the use of drugs when faced with a problem. We see the offenders at our office for their mental health needs and have seen major improvements in the offender's lives in regards to better judgment and admitting that:they have-a, problem.-We have-continued to provide mental health treatment to some of the offenders after they have left the program. These individuals have re-entered Into society, found jobs, and sought counseling to better their personal lives. It is my professional opinion that ABHS plays an important role In the community and in the offender's lives. Please feel free to contact me if you have any questions. Sincerely, Donnia M. Douglass (Office Manager) Please call 3601-5Z8-0563 for any questions.. I, MAY 2 9 2011 1119DL �J CITY OF PORT ANGELES COMMUNITY d ECO;;Ot�;DEVELOPMENT 0. r0 5 .rte i Ade— I i i I -- o �� CORE MAY 2 9 20% DD CITY OF PORT ANGELES coJ�J„ururr.._ C / 7 ' J h � � • _S fes' �S�` 1 . 1 VISITING NURSES ASSURED HOME HEALTH&HOSPICE FOUNDATION F R:Board of Directors (] E U .k/ - D President I f l MAY 2 9 2014 Wilma Wayson To Whom It May Concern: CITY OF PORT ANGELES Vice President COMMUI nv&ECONOIPC DF/EI.OPMEIJT Allen Unzeiman Secretary I am writing this letter to recognize American Behavioral Health Trevor Elliott Systems for the value and commitment they bring to our community. Treasurer Jeff Mecca ABHS opened in Chehalis in 2009 and as is common with most new Past President Amy DeBolt companies experienced some growing pains within our community. Directors ABHS has consistently recognized the concerns of this community Shari Aldrich and addressed them in a positive manner. Jerry Boes Maretta Boes Dr.Anthony Fritz ABHS has been very active within the community, allowing their Rosemarie Hartgroves clients an opportunity to "give back" by volunteering with several Kyle Heaton Tony Ketchum charitable organizations, such as the local food bank, Visiting Nurses, Ken Kostick Juanita Pine and The Salvation Army. Deanne Putman Ellen Stonecypher Dr.Richard Tausch American Behavioral Health Systems provides a valuable service to Shawn Thomas the clients they treat, the people they employee, and the community Executive Director they reside in. It is a pleasure to have them as a valued business Jenny Collins Administrative Assistant within this community. Sheila Stone Charitable Tax ID#91-1467848 Sincerely, J nn y ollins, Executive Director 222 South Pearl Stree`Centralia, ;�Ishington 98531 1360-623-15601 Fax 360-623-15631 wwwVisitingNursesFoundabon.org May 20,=opene � ABHS 500 Washington Ave, 4 Chehalis,Ewa. 98532 Mr Prentice,Mr.Phillips--and whoever this concerns, ELES IELOR ENT We are your 40 neighbors next door at Providence Place. When you there was a bit of apprehension in the community around us-In the five years you have been here we have found all of you to be great neighbors. Truthfully 19 years ago when Sisters of Providence said they would be building a housing project for low-income seniors----we were not wanted either. Ithink it was two years ago we became recepients of the blessing of having your people come and help us Most of us are in our 70's and 80's and a few in their 90's and can no longer lift bags of soil or transplant shrubs.. In the beginning we had just the wonderful young ladies helping and later just the young men... We have been so bles9d by them AND I know the young men havbe been encouraged by the love and respect of we Seniors!. I,personally,come to every graduation and visit with those who put me on their visitors list. Some keep in touch with me still and their families have written to thank us for encouraging their'boys' Letters have been written to the local Newspaper and you at ABHS have been ofyen praised on KELA on Let's talk about It!! I know this a 6�xeat program. So many lives have been changed.. Families coming together. Sincerely C G] i ; D� � oe� MAY 2 9 2014 J � D cirr o s CJ!,t!dUP�ll UE'7ECOKEPJT To Whom It May Concern, My name is Mary Beth DeHaven. I am the volunteer chaplain at American Behavioral Health Systems (ABHS), Chehalis, as their Christian Bible teacher and worship leader. I am a Foursquare Pastor and have been serving ABHS for almost four years. I lead two worship services each week on Tuesday and Thursday nights and attend two ABHS graduations a week for the clients who complete and graduate from the program. My husband and I attended a community"concerned citizens"meeting about ABHS in 2011, early on in the life of ABHS. ABHS was on a sharp learning and management curve with the complaints and concerns from local neighbors. I believe the owner, Craig Phillips, and management of ABHS have risen to the challenge and taken care of the criticism, requests, concerns and grumbling of those living around ABHS and local officials. ABHS provides a needed and valuable service to our local community and state. Clients come here for treatment. Families come to Chehalis to visit these men, eat in our restaurants and sometimes stay in our motels. Our local Dept. of Corrections is busy with these men who are from our county, region and state. ABHS provides unique employment for many who have families. The kitchen prepares three meals a day for the residents, drivers pick up and deliver men from around the state, professional counselors work with each man, and the building is staffed twenty four hours a day. My husband and I receive phone calls on a regular basis from a number of men who have graduated, stayed clean, gotten their lives back and found employment. It is not easy for a felon to return back to the public, but ABHS is providing appropriate education and counseling for the men who want to take advantage of the program.and make good life changes. American Behavior Health System is a valuable and needed asset to our community. Sincerely, r' � tOx > av" Mary Be h DeHaven, Foursquare Pastor Grace Foursquare Church 3030 Borst Avenue Centralia WA 98531 MAY/22/2014/THU 10:42 AM NWITC FAX No• 36048214" P. 002/002 D To Whom It May Concern: ��� MAY '2 9 2014 D c0C 1, OF PORT ANGELES R ,ANGELES JELOPMEUT I am writing this letter to recognize American Behavioral Health Systems for the value and commitment they bring to our community. ABHS opened In Chehalis in 2009 and as Is common'with most new companles experienced some grdwing pains within our community. ABHS has consistently recognized the concerns of this community and addressed them iri P►positive manner; ASHS-has been very active within the community, allowing their clients an opportunity to 'give back" by volunteering with several charitable organizations,such as the local food bank,Visiting Nurses,and The Salvation Army. American Behavional Health Systems provides a valuable service to the clients they treat,the people they employ,and the community they reside in. It Is a, pleasure to have there as a valued business within this community: Sincerely, 36 0 tl 7 • t CITY OF CHEHALIS 350 N. Market Boulevard Room 101 ' Chehalis,Washington 98532 (360) 345-1042 / Fax(360)748-0651 www.ci.chehalis.wa.us , May 6,2014 MAY 2 9 2014 D To Whom It May Concern: CITY OF PORT ANGELES COMMUNITY&E CON OMC DEVELOPMENT I am writing this letter to recognize American can Behavioral Health Systems ox e value an commitment they bring to our community. ABHS opened in Chehalis in 2009 and as is common with most new companies experienced some growing pains within our community.ABHS has consistently recognized the concerns of this community in a positive manner. Public meetings were held early on to address some of the initial neighborhood concerns. ABHS staff also provides the city with annual updates and statistical information about the programs they offer. ABHS has been very active within the community,allowing their clients an opportunity to"give back"by volunteering with several charitable organizations,such as the local food bank,Visiting Nurses,and The Salvation Army. American Behavioral Health Systems provides a valuable service to the clients they treat,the people.they employee,and the community they reside in. Itis a pleasure to have them as a valued business within this community. Sic, rely, ,- I ''1Vlexlin G.MacReynold City Manager cc: City Council Where Heart and History Shape Our Future i ��ti i X11 ._�L� 12 MAY 2 9 2014 CITY OF PORT ANGELES To Whom It May Concern: COMMUNITV&r,P-NOWS'DFIELOPMENT I am writing this letter to recognize American Behavioral Health Systems for the value and commitment they bring to our community. ABHS opened in Chehalis in 2009 and as is common with most new companies experienced some growing pains within our community.ABHS has consistently recognized the concerns of this community and addressed them in a positive manner. ABHS has been very active within the community, allowing their clients an opportunity to "give back" by volunteering with several charitable organizations, such as the local food bank, Visiting Nurses,and The Salvation Army. American Behavioral Health Systems provides a valuable service to the clients they treat,the people they employ, and the community they reside in. It is a pleasure to have them as a valued business within this community. Sincerely Tony Ketchum Chehalis City Council � D fi 1 MAY 2 9 2014 To Whom It May Concern: „��n'OF p T c�r,�r,Tu,�ur;• POF'. kNGEIES QzVELOPMENT I am writing this letter to recognize American Behavioral Health Systems for the value and commitment they bring to our community. ABHS opened in Chehalis in 2009 and as is common with most new companies experienced some growing pains within our community.ABHS has consistently recognized the concerns of this community and addressed them in a positive manner. ABHS has been very active within the community, allowing their clients an opportunity to "give back" by volunteering with several charitable organizations, such as the local food bank, Visiting Nurses, and The Salvation Army. American Behavioral Health Systems provides a valuable service to the clients they treat, the people they employ, and the community they reside in. It is a pleasure to have them as a valued business within this community. Sinc elyc Chad aylor Chehalis City Council SPOKANE 509 ifJrgenr TrY 50g:340:Care 8988': :.. :' 5901 N Ctdgeiwood Ste P � 0 D V Spokane;WA'99206ra:: uirww,spnliingurgeirfcaredrg' JOHANNA HELLER MAY 29 2014 Clinic Administrator CITY OF FORT ANGELES To Whom It May Concern: We are signing this letter in support of Specialty Services 1 treatment center in Spokane WA. We have provided services for the clients at Specialty Services.1 for the last two years. We have not had any concerns about the way that they(clients and,,staff) have utilized the Urgent Care Unit and have been satisfied with the conduct of clients with in our facility. It is our belief that if the same guidelines are used at any other facilities run by Specialty Services, you will have the same outcome. Sincerely, May 22, 2014 D MAY 2 9 2014 Specialty Services I 44 E. Cozza Drive suite B CITY OF PGRT ANGELES ,,,,-J, �PL1C GE/ELOPtAEP11 Spokane, WA 99208 To Whom It May Concern: As a business owner, I have worked next to Specialty Services I for many years and served their staff and some clients.Their work is important to our community providing help for individuals in need. I am writing this letter in support of Specialty Services I treatment center in Spokane WA. For the past 17 years Specialty Services I has been one of my neighbors. I have watched them grow as a treatment center and I admire the work they do in this community. The purpose of this letter is to validate the work they do to help individuals struggling with addiction to live a satisfying life in recovery. These individuals are our sons, daughters, parents and friends seeking the help they need. I see their mission as being a bridge for families and resources in the community. I think addressing the issues of addiction in a safe, secure setting with trained and knowledgeable staff, such as Specialty Services I is beneficial to all. Sincerely, fl � ou �C'kaae�C, May 22, 2014 n C�� DIM f MAY 2 9 2014 Specialty Services I CITY OF PORT ANGELES 44 E. Cozza Drive suite B c�r�r,uifTY =cc.+o' =c DEVELOPMENT Spokane, WA 99208 To Whom It May Concern: As a business owner, I have worked next to Specialty Services I for many years and served their staff and some clients. Their work is important to our community providing help for individuals in need. I am writing this letter in support of Specialty Services I treatment center in Spokane WA. For the past 17 years Specialty Services I has been one of my neighbors. I have watched them grow as a treatment center and I admire the work they do in this community. ;o The purpose of this letter is to validate the work they do to help individuals struggling with addiction to live a satisfying life in recovery. These individuals are our sons, daughters, parents and friends seeking the help they need. I see their mission as being a bridge for families and resources in the community. I think addressing the issues of addiction in a safe, secure setting with trained and knowledgeable staff, such as Specialty Services I is beneficial to all. Sincerely, �&Cse -J r MAY 2 9 20% D Ma 22, 2014 CITY OF PORT ANGELES y COtdtAUtdliY :GOtJOt!C G '/cLOPh1ENT Specialty Services I 44 E. Cozza Suite B Spokane, WA 99208 (509) 325-6800 To Whom It May Concern: I am writing this letter in support of Specialty Services I treatment center in Spokane WA. For the past 17 years SSI has been my neighbor. I have watched them grow as a treatment center and I admire the work they do in this community. The purpose of this letter is to validate the work they do to help individuals struggling with addiction issues to live a satisfying life in recovery. These individuals are your sons, daughters, parents and friends seeking the help they need. I see their mission as being a bridge for families and resources in the community. I think addressing the issues of addiction in a safe, secure setting with trained and knowledgeable staff, such as SSI is beneficial to all. Sincerely, 0" "� Claira County Dep�dr ment of ® ® Health and Human Services co 0 ® ® `U� 223 East 4t'Street, Suite#14• Port Angeles,WA 98362 •360-417-2303 • FAX: 360-417-2583 Nump.N ; FD R 5 V L5 May 23, 2014 ,( MAY 2 8 2014 lJ I CIN OF PORT ANGELES LETTER OF SUPPORT FOR PROPOSED INPATIENT/DETOX FACILITY or�rnENr To the Planning Commission, City of Port Angeles: The Clallam County Chemical Dependency/Mental Health Program Fund Advisory Board has been in existence since 2006, with the responsibility of making recommendations to the Board of County Commissioners on expenditures associated with the I/10th of 1%sales tax (or"Hargrove") funds for needed chemical dependency, mental health, and co-occurring disorders treatment services in the community. Staffed by Clallam County Health and Human Services,we have assessed community needs regularly over this time period and facilitated the provision of direct services for thousands of Clallam County citizens. We are aware of the shortage of needed state funds for treatment as well as the gaps that exist in service delivery in our community, especially for individuals in crisis and in need of more intensive treatment than our outpatient-based programs can offer. At this'point the County, along with the entire Olympic Peninsula, has no dedicated residential facilities for chemical dependency detoxification, mental health crisis, inpatient chemical dependency treatment,psychiatric hospitalization, or co-occurring disorders care. We have numerous and ongoing instances in which such care is needed, and the community pays a very heavy price due to the fact that these forms of care by default are provided by our OMC emergency room, inpatient hospital units, and county jail. In addition, it is always far more beneficial to treat our community members "in place", rather than sending them to facilities elsewhere in the state. Critical care coordination activities fall through the cracks when residential-level care is provided elsewhere, and people often return to the community, post-treatment, without an aftercare plan, without linkage to needed services, and sometimes even without a place to live. In addition,more than 50% of current jail inmates (64 out of 120 in a jail survey conducted March 25th, 2014 for the CD/MH Advisory Board) identify themselves as in need of chemical dependency treatment. This too is a population that often falls through the cracks—and quickly relapses, sometimes fatally—because the needed intensive level of care is not available in the community. We have an opportunity to house a chemical dependency detoxification and inpatient treatment program for our most needy citizens here in Port Angeles, concurrent with Peninsula Behavioral Health's own plans to create a mental health crisis respite unit. Together these programs address some of the community's most urgent needs that tax our health, behavioral health, shelter and housing, and criminal justice systems. Specialty Services has purchased the property at 5th and Race.Streets (the former Port Angeles Care Center) and is applying for a conditional use permit to operate detoxification and inpatient chemical dependency treatment services for adults. The proposed inpatient treatment program would be developed first, in large part with funding from the WA State Division of Behavioral Health and Recovery. It is to consist of 16 beds for Medicaid-funded patients for stays of up to 30 days. The sub- acute detoxification program would be developed at a later time and it will house another 16 beds, again primarily for the adult Medicaid population. It is anticipated that most of census for both programs would come from the immediate community and larger Olympic Peninsula area. We strongly urge the City Council to grant the conditional use permit for this needed resource. Its presence will be a key factor in the provision of care that many of our highest-needs community members require. We see those in need every day—in our jail, in our emergency shelters and permanent supportive housing facilities, in our OMC emergency room, and at our County's needle exchange program. A chemical dependency detoxification and inpatient facility in Port Angeles will fill a gap in service that has existed far too long, much to the detriment of our community, and usher in a much- needed continuum of care for those who—without this care—will continue disproportionately to occupy our criminal justice system and populate our jail, our emergency room, our streets and our parks. Thank you for your attention to this important matter. Gill Orr, CDP Chair Iva Burks, MBA, LCSW Co-Chair Appointees to the Clallam County Chemical Dependency/Mental Health Program Fund Board are: Margi Ahlgren,Advocate for Chemical Dependency/Mental Health Services Grace Bell, Consumer/Past Consumer of Chemical Dependency or Mental Health Services Pam Brown, Representative of Agency Delivering Subsidized Chemical Dependency Services Iva Burks, Director of Clallam County Health&Human Services Peter Casey, Representative of Subsidized Mental Health Services Martha Ireland, Services for Homeless Gill Orr, Private Provider of Chemical Dependency Services Not Contracting for Funding Pete Peterson, Juvenile Services Kirsten Poole, Superior Court Erik Smith, Representative of City Law Enforcement Tom Stokes, Designated DCFS Representative Ron Sukert, Sheriffs Office Norma Turner,At-Large Mary Wegmann, Private Provider of Mental Health Services Not Contracting for Funding Jan Yount, At-Large Ti OR r: NGELES s WASHINGTON, U. S. A. ® DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT TO: Planning Commission FROM: Scott Johns, AICP Assistant Planner DATE: June 11, 2014 RE: Conditional Use Permit- CUP 14-05 APPLICANT: Craig Phillips dba CRALI Properties OWNER: SAME LOCATION: 825 E. 5th Street—NW corner of 5th and Race Streets REQUEST: Establish a 32-bed residential care facility for the treatment of chemical dependency treatment and detoxification. RECOMMENDATION: The Planning Division recommends that the Planning Commission approve CUP 14-05 with 3 conditions, citing 17 findings and 4 conclusions in support of that action as listed in Attachment "A" to this staff report. EXISTING CONDITIONS IN AREA: The subject property is located at 825 E. 5th Street and consists of Lots 12 through 18, Block 175 Townsite of Port Angeles. Building sites in the area are a variety of sizes measuring from the standard 50 feet by 140 feet (7,000 square feet in area)to the subject lot size of 350 feet x 140 feet (48,976) in area. Neighboring uses include apartment buildings, several single family residences, Erikson Park and Civic Field, which are City parks,the YMCA,two churches and commercial office uses. The subject property contains a vacant structure that was constructed as a nursing home, in 1970. The 22,236 sq. ft. structure has been vacant for several years. Site access is from 5th Street or from the 4/5 alley. Fifth Street is a collector arterial street. The site is generally level and landscaped. An on site (gravel)parking area is located at the northeast corner of the site with small areas for additional parking off the 4/5 alley at the rear of the structure if needed. The application and site maps are attached as Attachment C. DEPARTMENT COMMENTS: City Departments reviewed the proposal and provided the following comments: The Fire Department has no objection to the proposal, but provided the following development comments that will be required: CUP 14-05 CRAM Page 2 Planning Commission June 11,2014 • The facility fire alarm system will need to be monitored by an off-site monitoring company prior to occupancy. The system is currently monitored by PenCom. • The fire alarm system will need to have a current annual inspection prior to occupancy. • The fire sprinkler system will need to have a current annual inspection prior to occupancy, a flush of the Fire Department Connection will be required as a part of the inspection. • If there is a commercial kitchen fire suppression system in the building it must have a current inspection prior to use. If it has not been converted to a UL 300 compliant system, that must be accomplished prior to use. • Keys for the KNOX box will need to be updated prior to occupancy. • The loading and no parking zones currently identified on the north side of the building must be maintained and may not be converted to a parking zone. The Public Works and Utilities Department had no comments. The Building Division of DCD; The change in use may require several modifications for compliance. A building permit for those modifications is required. PUBLIC COMMENT: Notification of the proposed action was placed in the Peninsula Daily News on May 25, 2014 and the site was posted for notice of application and notice sent by U.S. Mail to neighboring property owners on May 21, 2014. Due to an irregularity in the notice information, a correction was placed in the Peninsula Daily News, re mailed to neighbors, and posted on site on June 1, 2014. Several comment letters of support were received during the public comment period that ended on June 9, 2014. The letters from local entities include Serenity House and Clallam County Health and Human Services, Jamestown S'klallam Family Health Center, St. Vincent De Paul, 4-Directions Counseling and Consulting, Reflections Counseling Services, and the Clallam County Affiliate of the national Alliance on Mental Illness (NAMI). In addition to letters from local health care providers, letters of support were received from 4 private parties. Letters were received from parties in Chehalis and Spokane Washington, where American Behavioral Health Systems operates similar facilities. Those letters included comments from the City Manager and two Chehalis City Council members,the Director of the Northwest Tribal Center, the Visiting Nurses Foundation, and 7 letters from private individuals, one with multiple signatures. Letters from Spokane include those from 2 businesses in the vicinity of a facility operated by the applicants located in Spokane, one church (Valley Real life Church), Spokane Urgent Care, 2 dentists and one private individual. Comment letters opposing the proposal were also received during the public comment period. One (1) letter writer from Port Angeles expressed concerns that such a facility would attract clients from out of the area who may stay in the area after completion of the program with the potential result being that the City would need to absorb more needy people into the community. Another letter writer expressed concern regarding the location being close to churches,parks,pre-schools, and the YMCA. A neighborhood resident did not feel that the location is a good fit for the area. A property owner in the area strongly opposed the location and explained reasons for that position, and a letter was received from Landmark Properties in opposition to the location in the neighborhood. All of the public comment letters are attached to this staff report as Attachment"D". STATE ENVIRONMENTAL POLICY ACT (SEPA) REVIEW: A Determination of NonSignificance was issued for this proposed action by the City's SEPA Responsible Official on June 10, 2014, per WAC 197-11-355. This satisfies the City's responsibility under the State Environmental Policy Act (SEPA). CUP 14-05 CRALI Page 3 Planning Commission June 11,2014 ENVIRONMENTAL REVIEW The subject site is not located within a 100-year flood zone. No environmentally sensitive areas exist on the site or in the vicinity of the site. No other environmental review is necessary and this conditional use permit review is the only environmental review required. DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT ANALYSIS: The entire Comprehensive Plan and Port Angeles Municipal Code were reviewed with regard to the proposal, and the references listed in Attachment"C"to this staff report were found to be the most relevant to the proposal. In addition to the Comprehensive Plan goals and policies, development regulations in the City's Commercial Office (CO) zone are also included in Attachment`B"to this staff report. The City's Comprehensive Plan and Land Use Map identify the area as being located in the North Central Planning Area with the site being designated as both Commercial (C) and Medium Density Residential (MDR). A portion of the site is located in the imprecise margin separating the Commercial designation from the Medium Density Residential designation. The site is zoned Commercial Office (CO). Chemical dependency treatment and detoxification centers are allowed by conditional use permit in the CO zone per Section 17.20.160(E) of the Port Angeles Municipal Code (PAMC). No physical change to the site or exterior structure is being proposed. The application materials indicate that up to 16 persons will be treated for substance abuse or addiction with an additional 16 beds for chemical dependency treatment (detoxification) for a total of 32 beds. The chemical dependency treatment service will be the second phase of care once the primary substance abuse treatment portion is satisfactorily functioning. Treatment at the facility will be strictly on a voluntary basis. Low income, indigent, or insurance patients will be served with funding sources being state, federal, or private insurance plans. No mentally ill persons will be admitted. This type of treatment facility is governed by the American Society of Addictive Medicine criteria. Once clients have completed treatment,transportation will be arranged for them to return home: they will not just simply be released. The proposed facility will employ professional staff 24 hours a day 7 days a week. The facility will provide staff on site to monitor clients and run operations continually. A therapeutic ratio of 1 to 4 professional staff(a clinical supervisor, 2 chemical dependency counselors, and a case manager) .to client is intended. A typical treatment stay is 30 days. Table A of Section 14.40 PAMC (Parking Ordinance) does not address the proposed use. Uses not specifically addressed in Section 14.40 PAMC require a staff recommendation and approval by the Planning Commission to determine the appropriate amount of parking. The administration will not permit clients to store vehicles on-site during their treatment stay. The site currently contains approximately 4,400 square feet of graveled area that has been used as parking in the past. That amount of area is distributed among 3 separate areas on site. The 3 areas should be adequate to provide parking area for at least 10 vehicles once improved. Given the applicant's intent to have no more than 12 employees on site during a shift, a requirement of 13 off street parking spaces should be sufficient to accommodate a full complement of staff employees with 3 guest spaces. Staff therefore recommends that the Planning Commission approve the provision of 13 off street parking spaces. In consideration of a conditional use permit application, the Planning Commission may impose whatever restrictions or conditions are considered to be essential to protect the public health, safety, and welfare, and to prevent depreciation of neighboring property. Uses developed by conditional use permit must remain in continual compliance with the conditions of approval or the use may be revoked. Consideration is also given to the impacts on traffic patterns, the physical circumstances of the subject property, other uses in the neighborhood, schools, and needed public improvements. CUP 14-05 CRALI Page 4 Planning Commission June 11,2014 The Planning Division recommends the Planning Commission approve Conditional Use Permit CUP 14-05 subject to 3 conditions supported by the 17 findings and 4 conclusions listed in Attachment "A"to this staff report: Attachments: A-Conditions,Findings, and Conclusions B- Zoning Ordinance, Comprehensive Plan,and Other Municipal Code References C- Application D- Public Comment Letters CUP 14-05 CRALI Page 5 Planning Commission June 11,2014 r ATTACHMENT A CONDITIONS, FINDINGS,AND CONCLUSIONS IN SUPPORT OF CUP 14-05 Conditions: 1. The applicant shall obtain all necessary permits from local, state and federal agencies for the use including but not limited to City Building Department, County Health Department, or others. 2. The permit is approved for the applicants to conduct the substance abuse treatment center as described in Conditional Use Permit CUP 14-05 at 825 East 5t' Street for one year. If extension of the use is desired beyond June 11, 2015, extension may be approved by the Planning Commission subject to review. 3. A minimum ofl.'off street parking shall be provided for the use. Findings: Based on the information provided in the Community Development Staff Report for CUP 14-05 dated June 11, 2014, including all information in the public record file, comments and testimony presented during the public hearing, the Planning Commission discussion and deliberation, and the above listed conditions of approval, the City of Port Angeles Planning Commission hereby finds that: 1. Craig Phillips submitted Conditional Use Permit application CUP 14-05 to allow a 32 bed residential substance abuse treatment center at 825 East Fifth Street, Port Angeles, WA on behalf of CRALI Properties. 2. The proposed site includes Lots 12 through 18 in Block 175, Townsite of Port Angeles and contains a large structure andparking area that were originally developed in 1970 as a convalescent home in the RS-7 Residential Single Family zone. 3. Section 17.20.160(E) PAMC lists chemical dependency treatment and detoxification centers are listed as a conditional use in the CO zone. 4. The site was rezoned in 2014 to Community Office (CO). Surrounding zoning includes Commercial Office, Residential Single Family (RS-7) and Public Buildings and Parks PBP. 5. The site is located in the City's North Central Planning Area. The Comprehensive Plan designates the site as Commercial and Medium Density Residential. An Open Space designation is located one half block to the north of the site. 6. Development in the neighborhood includes Civic Field and Erickson Park, two churches,two multifamily apartments, several single family residences, and a variety of professional commercial office uses. 7. Per 17.96.050 PAMC,the Planning Commission shall consider applications for conditional use permit uses as specified in the applicable Chapter of the Zoning Regulations. The Planning Commission may grant said permits which are consistent and compatible with the purpose of the zone in which the use is located, consistent with the Comprehensive Plan, and not contrary to the public use and interest. In each application the Planning Commission may impose whatever restrictions or conditions are considered essential to protect the public health, safety, welfare, and to prevent depreciation of neighboring property. The Planning Commission may refuse to issue a conditional use permit if the characteristics of the intended use would defeat the purpose of the City's zoning regulations. CUP 14-05 CRALI Page 6 Planning Commission June 11,2014 8. The purpose of the Commercial Office zone is "... a commercial zone intended for those business, office, administrative or professional uses that do not involve the retail sale of goods, but rather provide a service to clients, the provision of which does not create high traffic volumes, involve extended hours of operation, or contain impacts that would be detrimental to adjacent residential areas. Commercial uses that are largely devoid of any impacts detrimental to single family residential uses are allowed. This zone provides the basic urban land use pattern for small lot, transitional uses between residential neighborhoods and commercial zones with direct access on an arterial street and design standards compatible with residential development. " 9. The City's Comprehensive Plan was reviewed for consistency with the proposal. Land Use Element Policy D.1; and Transportation Element Policy B.14; were found to be most relevant to the proposal. 10. PAMC Chapter 14.40 Table A does not indicate a required number of parking spaces required for chemical dependency treatment and detoxification center uses. Uses not specifically addressed in Section 14.40 PAMC require a staff recommendation and approval by the Planning Commission to determine the appropriate amount of parking. The administration will not allow clients to store vehicles on-site during their treatment stay. The site contains approximately 4,400 square feet of graveled area that has been used as parking in the past. That amount of area can support at least 10 off street parking stalls with smaller areas off the 4/5 alley available to provide 2—3 additional parking areas once improved. The applicant intends to have no more than 12 employees on site during a shift. A requirement of 12 off street parking spaces should be sufficient to accommodate a full complement of staff employees with 2 spaces for pick up and drip off. Staff therefore recommends that the Planning Commission approve the provision of 15 off street parking spaces. 11. A development that is approved through the conditional use permit process must remain in continual compliance with specific conditions of approval or may be revoked. All conditional or unclassified use permits shall become void one year from the date of granting such permits if use of the land or buildings or applying for necessary building permits(s)has not taken place in accordance with the provisions in granting said requests. 12. Extensions of approved conditional use permits shall be considered in accordance with the same procedures as for the original permit application, and may be granted for a period of one to five years. 13. Notification of the proposed action was placed in the Peninsula Daily News on May 25, 2014. The site was posted with a notice of application and written notice was sent by U.S. Mail to neighboring property owners on May 21, 2014. Due to an irregularity in the notice information, a correction was placed in the Peninsula Daily News, re mailed to neighbors, and posted on site on June 1, 2014. 14. Several comment letters of support were received during the public comment period that ended on June 9, 2014. The letters from local entities include Serenity House and Clallam County Health and Human Services, Jamestown S'klallam Family Health Center, St. Vincent De Paul, 4- Directions Counseling and Consulting, Reflections Counseling Services, and the Clallam County Affiliate of the national Alliance on Mental Illness (NAMI). In addition to letters from local health care providers, letters of support were received from 4 private parties. Letters were received from parties in Chehalis and Spokane Washington, where American Behavioral Health Systems operates similar facilities. Those letters included comments from the City Manager and two Chehalis City Council members, the Director of the Northwest Tribal Center, the Visiting Nurses Foundation, and 7 letters from private individuals, one with multiple signatures. Letters CUP 14-05 CRALI Page 7 Planning Commission June 11,2014 from Spokane include those from 2 businesses in the vicinity of a facility operated by the applicants located in Spokane, one church(Valley Real life Church), Spokane Urgent Care, 2 dentists and one private individual. Comment letters opposing the proposal were also received during the public comment period. One (1) letter writer from Port Angeles expressed concerns that such a facility would attract clients from out of the area who may stay in the area after completion of the program with the potential result being that the City would need to absorb more needy people into the community. Another letter writer expressed concern regarding the location being close to churches, parks, pre-schools, and the YMCA. A neighborhood resident did not feel that the location is a good fit for the area. A property owner in the area strongly opposed the location and explained reasons for that position, and a letter was received from Landmark Properties in opposition to the location in the neighborhood. All of the public comment letters are attached to this staff report as Attachment"D','. 15. Reviewing City Departmental comments were considered in review of this application. 16. A Determination of Non-Significance was issued for this proposed action on June 10, 2014. 17. The Planning Commission opened a public hearing on the proposal at the June 11, 2014, regular meeting and continued the public hearing to June 25, 2014. Conclusions: Based on the information provided in the Department of Community Development Staff Report for CUP 14-05 June 11, 2014, including all of the information in the public record file, comments, and testimony presented during the public hearing,the Planning Commission's discussion and deliberation, and the above listed conditions of approval and listed findings,the City of Port Angeles Planning Commission hereby concludes that: 1. The proposal is consistent with requirements for approval of a conditional use permit as specified in Section 17.96.050 PAMC. 2. As conditioned, the proposal is consistent with Section 14.40 (Parking Ordinance) PAMC and will require adequate off street parking for the use as proposed. 3. The use is consistent with the purpose of the City's Commercial Office zone (Section 17.20 PAMC) and is therefore permitted as a conditional use permit. 4. Testimony was provided from a number of professional sources that the use will provide a much needed resource service to the community. As conditioned,the use is in the public interest. �-ff.'s-'—'�.f--+J�."�.���r-e, `'v�...sa._..n._�� �'c.)i \ G--�`•,.'*w,..v\v-\. �..`r?.��,�sL... � "'� CUP 14-05 CRALI Page 8 Planning Commission June 11,2014 ATTACHMENT B COMPREHENSIVE PLAN GOALS,POLICIES,AND OBJECTIVES THAT SUPPORT THE USE AS A INPATIENT CHEMICAL DEPENDENCY TREATMENT CENTER BY CONDITIONAL USE PERMIT IN THE CO ZONE: Comprehensive Plan The City's Comprehensive Plan establishes the long range goals and policies of the City. Any project proposed in the City must be consistent with the goals and policies of the Comprehensive Plan. The site is located in the City's North Central Planning Area. The Comprehensive Plan was reviewed in its entirety with regard to the proposed application and several goals and policies were found to be relevant to the proposal. An analysis of compliance with those policies is as follows: Land Use Element Commercial Goal D: Policy D.1- The City should encourage the recruitment of new and the retention of existing commercial developments and businesses, which are consistent with the goals and policies of this Comprehensive Plan. Transportation Element Policy B.14 - "Off-street parking should be sufficient and accessible within business and residential areas to ensure that the traff c flow of the street is not impaired. Zoning Ordinance The Zoning Ordinance is the primary implementing ordinance for the Comprehensive Plan. The Ordinance establishes what types of uses are permitted and where they may be located in the City. It also establishes definitions and minimum design standards for such uses. Any project proposed in the City must be consistent with specific regulations of the zone in which it is located. The Zoning Map identifies the subject property and adjacent properties as Commercial Office, CO. The purpose and intent of this zone is:"This is a commercial zone intended for those business, office, administrative or professional uses that do not involve the retail sale of goods, but rather provide a service to clients, the provision of which does not create high traffic volumes, involve extended hours of operation, or contain impacts that would be detrimental to adjacent residential areas. Commercial uses that are largely devoid of any impacts detrimental to single family residential uses are allowed. This zone provides the basic urban land use pattern for small lot, transitional uses between residential neighborhoods and commercial zones with direct access on an arterial street and design standards compatible with residential development. " Conditional Use is defined as: "a use permitted in a zone but which requires a special degree of control to make such use consistent and compatible with other existing or permissible uses in the same zone". The purpose of a conditional use permit is defined as "A Conditional Use Permit shall be to assure that the maximum degree of compatibility between uses shall be attained. The purpose of these regulations shall be maintained with respect to the particular use of the particular site and in consideration of other existing and potential uses within the general area in which such use is to be located." PAMC 17.96.050 specifies procedures for the review and processing of conditional use applications, as follows: 17.96.050 Conditional Use Permit A. The Planning Commission shall consider applications for Conditional Use Permits of uses as specified in the applicable Chapter of the Zoning Regulations. The Planning Commission may grant said permits which are consistent and compatible with the purpose of the zone in which the use is located, consistent with the Comprehensive Plan, and not contrary to the public use and interest. The Planning Commission may refuse to issue a Conditional Use Permit if the characteristics of the intended use as related to the specific proposed site are such as would defeat the purpose of these Zoning Regulations by introducing incompatible, detrimental, or hazardous conditions. CUP 14-05 CRALI Page 9 Planning Commission June 11,2014 B. In each application, the Planning Commission may impose whatever restrictions or conditions they consider essential to protect the public health, safety, and welfare, and to prevent depreciation of neighboring property. PARKING ORDINANCE 14.40.090 Parking space requirement modification—New uses in existing structures. A change of use in a building or structure that exists as of April 25,2004, that does not change the classification of the existing building or structure may occur without provision of additional off-street parking spaces unless the floor area of the building or structure is increased. =a > r s wrt f IN" - fa 40 rj t N All ARMS- Al rt !' ' $fhSts . INIV J ATTACHMENT C File # LILL L" APPLICANT/OWNER INFORMATION: Applicant: Applicant Address: I] 0 , �bQ K )`�30�• CPOO_O� kf9 U_T_-? w A CN-LI`4-6 323 Daytime phone#:5-01- 951- q.15-1 E-mail A3R5 (F, lit-- ,6M Applicant's representative (if other than applicant): OB (­yS F}6dU E Contact Address: " Daytime phone#: " E-mail Property owner(if other than applicant): aRk CK Pt-Lk ?R69F_iZ 1 1ZS CP I& F} ,KLtfS) Address:R0.3o\c vi 323 s9okF E. v O q�Ll gContact phone #: -0O9 ' 9Sl- 9i 57 PROPERTY INFORMATION: Street address: 45x5 �� SI. Zoning: CC Legal description:LDTS ►2_-rr,1g6,ocuActu . IN pLVcP_ 17Tr;r--1z-rF_ 6o,r. �WP5tTE o� ?da--7 /�tbv-Cs, e�w.�.m eoANrc I wA•, s«� ,w , coon et�� Is C'; wa, Property dimensions: Property area,(total square feet): 4 • 0;,5' S F. Physical characteristics (i.e., flat, sloped, vacant, developed,etc.): 92, )-V. 5e te_D,crG 0 + A-S Pr CL9rxO;�%F_5ctz-r-% 1ycn.•19VrJ(. ttoC&i`. wScC) u�Tl aC0 PROPOSED USE: Please describe the proposed conditional use: T-PctliTY fop, 5 trim QFaz�L\OU Da 36 IDW, —mzs. rnw-i Foc< QRDbc 'iM 5 Rt; 'to ub �C 6u r oR a�crto�J, g t XTEF 060 Fo u EO tLa:R`�10�l FTFhcC i Hca- ire Pro�O SSM�F-N c. r- r ��- �zw,r N Ober of employees: 3, �-csHours of operation: `4 11-7 Number of on-site parking spaces: fO Total square foot of floor area for the proposal: �3 G 'Sr % Site coverage- SIGNATURE S: overage:SIGNATURES: Applicant: Date: 5A 1 l 1 certify that all of the above staternents are true and complete to the best of my knowledge and acknowledge that wilful misrepresentation q information will terminate this perm•t application. Applicant Signature Date: (If the appllcarlt is XMRe property owner, the property owner nunsf srgn this application or provide a separate note that he/she is/are aware of the application). Owner's Sionature (if other t i applicant): Signature Y Date 5 IZi I 7 ,(-ci!:?.1S'.?PPStCUP,DUC'X CITY OF PORT ANGELES ENVIRONMENTAL CHECKLIST Page 2, Question 11: The entire building may be used for Convalescent services. No other use is planned for the any part of the facility. We are proposing to use half of the building for a Convalescent home while providing residence and chemical dependency treatment for up to 16 chemically addictive individuals. These individuals are low income or indigent individuals who are receiving Medicaid as SSI recipients. The other half of the building may be used for Convalescent services for those chemically dependent individuals needing detoxification services. This program most likely will not be started until after the building is occupied and also will be dependent on the City and County assessed needs. The initial 16 bed program will require a staff of about 12 people to provide 24 hour care. Stay at the facility will be from 30 to 90 days depending on the need of the individual. If the detox services are started it may require between 8 and 10 staff members, again for 24 hour care. Length of stay in this program will be approximately 5-6 days and then the individual would move to the treatment end of the program, or be referred to another program of their choosing. No residents will be allowed to bring a car to treatment, so the only need for parking will be for the staff on duty. Six plus parking spaces, for staff working in the initial program, are available now behind the building. If the services grow, it may be necessary to create a small parking lot in the Northeast corner of the property. There will be very little traffic to or from the facility. It will consist of staff going to or from work and residents that are being dropped off for, or picked up from convalescent addiction services. All residence in the building will be using our services on a voluntary basis. No involuntary programming will be provided. Residence will be able to take care of their personal and hygiene needs. Food service, laundry, and housekeeping will be provided by staff on site. As well, the facility will be managed locally as part of the plans for staffing. Hill (11 Iltlllt =g. we Q.mrnpt ROOM I ssil M--Ft ROOM 2 5511 0 vvnm FROOM I PLTOX 5MOYCK ROOM 2 PETOX- u4m 77 z I---------------------------- TVA ----------- ---------- - -------------------1-117----------------------- F-5 Z3- L aFMAM a 6.xmj. -------------- 41[a a lei 7R _ u u --- ---- ------ ------------------------------------------------------------------------ ignTR44TION FLOOR PLAN A2.0 May 26,2014 1 =9�72014D MA CITY OF PORT ANGELES Dear Ms. Roberds, ccu,t i_.rr;T-1;r,CEV`IOPMENT After reviewing your questions and concerns,I put together some information regarding Specialty Services I (SSII) 16-bed treatment facility.My hope is to bring understanding through the education of how our program works and what we do.All treatment facilities in the state of Washington are governed by The American Society of Addictive Medicine (ASAM) criteria,used to determine the level of care that an individual fits into,and where that individual will receive the greatest amount of support for addressing their chemical dependency.identifying the following problem areas(using dimensions 1-6) is most important in formulating an individualized treatment plan and in making subsequent client placement decisions for treatment. Level I11.5 Clinically-Managed High-Intensity Residential/Inpatient Treatment is the level of care that SSII manages.This encompasses organized services staffed by designated addiction treatment and mental health personnel who provide a planned regimen of care in a 240hour live❑in setting.Such services adhere to defined sets of policies and procedures (P&P).These(P&P's) are retained in,or affiliated with,permanent facilities where clients can reside safely.They are staffed 24 hours a day,7 days a week.Our program is a 30-60 day program depending on the progression of the client.To measure the progression of the client's development we use the American Society of Addictive Medicine(ASAM).We measure all 6 dimensions by using the Patient Placement Criteria(PPC)to score a 0-4 risk rating to determine if the client is ready to complete their treatment program and then move to a lower level of care,such as intensive out patient. It appears that the areas of concerns rest in dimension 2&4,which are: Dimension 2:Biomedical Conditions and Complications.Exploring an individual's health history and current physical conditions. Which could result in using medical services in the community. Dimension 4: Readiness to Change.Exploring an individual's readiness and interest in changing. Which could result in clients leaving treatment The following are the questions we have addressed: 1) How many employees will be on staff at any time? a. As an operating facility serving clients,SSII has staff members employed in the facility 24 hours a day 7 days a week.This 16-bed facility will always have staff on site to monitor clients and run the operations. 2) What is the ratio of professional staff to patient? a. We offer a therapeutic ratio of 1 to 4 professional staff to client:clinical supervisor, 2 chemical dependency counselors,and a case manager.Our 24- hour staff members are trained in how to identify,manage,and deescalate clients if needed.Our team continues with a strong Care Team staff that is trained in the techniques of Motivational Interviewing.This allows them to identify and participate in how to best serve our client population.Care Team works closely with our clinical team to address an individual in a compassionate style as it gives the client power to move forward. 3) What security measures are in place to ensure that emergency service call are not needed-e.g.,do you deal with patients who are in a disturbed state when they intend to leave or doyou just release them and call the Police; Dimension 4:Readiness to Change: a. At SSII we are aware that not all individuals who admit to treatment are going to stay the entire 30-60 days based on their ASAM. Most clients who decide to leave treatment just want to go home.They are feeling homesick and lonely and are afraid to begin the work needed to be in recovery.Our goal is to intervene as soon as possible on a client that appears to want to leave treatment and encourage them to stay.If a client admits to treatment and decides that they are not interested in treatment for whatever reasons we let them know that the protocol for leaving treatment is that we provide the transportation back to their county of origin.Most clients arrive with a round trip bus ticket,and we transport them to the bus station if needed.For the few who do not have a return bus ticket we will transport them and/or allow them to wait at the facility until they can arrange their own transportation.This is a basic protocol for SSII. b. When a client enters treatment we have them sign a Release of Information (ROI) for the local police department.If in the rare event that a client does not allow us to arrange transportation and leaves the facility we have the ability to call the local law enforcement.A client may not want to be in treatment,but they do not want to be"stuck"somewhere,they really just want to go home. c. It is important to note that if a client is not ready to be in treatment we do not discharge them without a call to the referent and all transportation set up for their safe departure home. d. Our facility has an alarmed system to alert staff if a client leaves the facility or if someone enters the facility from the outside.This has been a common practice for SSI&II and most Treatment facilities in the country. It a safety precaution we all are comfortable to have. 4) What measures will be in place to provide the neighbors with a sense that the facility is secure while reducing the need for emergency service calls.I ask this question to address whetheryou can deal with your population or do you regularly need aid calls, which, whentlashing lights respond to a facility regularly tend to intensely disturb the neighborhood. I'm hopingyou have some protocols in place such thatyou are able to handle the population without too much drain on local emergency services. Just a few questions that popped into my head today. Will begin review next week. I believe this question has 2 harts: 1 Addressing if and when a client leaves treatment similar to question three and 2 the medical concerns of using community resources. Dimension 4:Readiness to Change&Dimension 2:Biomedical Conditions and Complications: a. SSII is a residential treatment facility with trained staff on site at all times.Trained in (MI) and de-escalation techniques.We also educate our clients on how to identify when a co-client has a change in their commitment to treatment.We have a Save our Sobriety(SOS) team of clients that help support each other in completing treatment and staying focused on their treatment goals. b. SSII is a residential impatient treatment facility. Our clients are assessed and screened to make sure they meet the ASAM standards for chemical dependency treatment and are both physical and mental stable enough to participate in an III.5 level of care treatment facility. Prior to the client arriving to treatment our admissions process also has a medical screening evaluation.All clients admitted to treatment also have medical insures and if they required medical attention the services would be paid.If a client's medical needs are greater then a III.5 the client will be moved to a higher level of care at a medically managed care 111.7.We also have a medical staff member as a part of our program to manage medication,and direct us in the area of medical issues if and when they occur. c. We have policy and procedures in place that direct us in all situations that arise in the daily operations of managing an Intensive Inpatient Treatment center. d. One of the concerns that I received from a local neighbor is that they are under the impression that we are putting 100 clients in the building. Once I shared with this individual that we are a Non-IMD (non-Institutions Mental Diseases) 16-bed facility he seemed relieved. Statically for the past 19 months that SSI in Spokane WA has been operating we have called law enforcement one time and medical services approximately 5 times.This success is due to the Policy and Procedures in place that we are require to implement and follow by the American Society of Addictive Medicine. I look forward to meeting with you and sharing more information about what how we manage our program. Thank you for you time, Sincerely, Sally Beaven Director Specialty Services II 310-770-2526 PUBLIC COMMENT LETTERS Sue Roberds From: Rod and Ginger Melville[rgprecious@olypen.com] Sent: Monday, June 09, 2014 10:27 PM To: Sue Roberds Subject: Fw: Detox Facility -----Original Message ----- From: Rod and Ginger Melville To: Sue Roberts Sent: Monday, June 09, 2014 5:27 PM Subject: Fw: Detox Facility -----Original Message----- From: Rod and Ginger Melville To: PA Planning Commission Members Sent: Monday, June 09, 2014 2:45 PM Subject: Re: Detox Facility June 9, 2014 Dear Port Angele Planning Commission Members: Attn: Sue Roberds The Clallam County Affiliate of the National Alliance on Mental Illness (NAMI) has been active in our county communities since the 1980's. Currently, we represent over sixty families locally who are affected by the specter of mental illness in some way, We want to express support for the conditional use permit that would allow a detox and treatment center at Fifth and Race Streets. Our families are all too familiar with the heartache of having an ill loved one be sent away for treatment because we have no local inpatient resources. Establishing a local inpatient facility will help families provide their relative the critical support network that enhances recovery.We will all benefit when appropriate treatment is available and we can stop burdening the jails and emergency rooms with individuals they are not designed to serve. Sincerely, NAMI of Clallam County Board of Directors By: Ginger Melville, President 1 a erties by iRUInc. 330 E. 1 sr Street Suite 1 Port Angeles,WA 98362 Ph. (360)452-1326 Fax: (360)457-3212 Website:portangeleslandmark.com Email: ianetaportangeleslandmark.com _ 1 to .� LID JUN -s 2014 June 6, 2014 - —L CITY OP PORT ANGELES CO MUNI TY&ECONOMIC DEVELOPMENT 1 , Re: Drug Rehabilitation Center at the previous Crestwood Convalescent Centerti�' 'C r To Whom It May Concern: We as a company have serious concerns about putting a facility such as this in a residential neighborhood. We manage several residences in this neighborhood and feel that this not fit into the nature of the area of town which you are proposing to do so. The area of the community has already suffered a number of hardships and opening of facilities that seem to bring in a population that are not inviting to families and the more dense this population becomes in the residential areas of Port Angeles the less inviting it is to young families. There are home owners who depend on their homes being rented out to make the mortgage and this facility will make this area less inviting. There are other buildings in other areas that could facilitate this kind of environment so much better and accommodate the amount of traffic that would be involved. Civic Field and Dream Park are hubs of community activity involving children. This would not be a secure environment for the general population of town to have at this type of use at this location. For these reasons and some that you have already heard from the town,we disagree with the opinion that this is a good location for a drug rehabilitation center. Janet M.Stevenson Broker y r V ��+ r v v S O P H I E T R E T T E' V 1 C K INDIAN HEALTH CENTER INTEGRATIVE MEDICINE DIVISION eR Makah Recovery Services June 9 2014 ; D 100 Wellness Way J L JUN —9 2014 Box 410 Neah Bay, WA 98357 CITY OF PORT ANGELES COMMU JITY&ECONOWC DEVELOPMENT Letter of Support for Local Inpatient Detoxification and Substance Abuse Treatment.Facility To the Planning Commission,City of Port Angeles: The Makah Recovery Services is a state certified Behavioral health agency that provides outpatient substance abuse treatment services to members of the Makah tribe and non-tribal community members" living on the Makah Reservation.Makah Recovery Services fully supports the approval of a conditional use permit to allow Specialty Services to open a local inpatient chemical dependency detoxification and treatment center. There is a high level of need for people suffering with substance abuse to have access to inpatient services,and providing such services locally would allow for much improved coordination of follow up activities and support services. The Makah Recovery Services strongly recommends approval for the conditional use permit that will greatly improve access to much needed services and will enhance communication,coordination,and collaboration of support services before,during,and after inpatient detoxification and chemical dependency treatment. Thank you for your consideration of this important matter. Sincerely, Elizabeth Buckingham,Health Director Sophie Trettevick Indian Health Center Shelly I-lil,Clinical Supervisor Sophie Trettevick Indian Health Center Brian Buckingham,Chemical Depend cy Administrator Sophie Trettevick Indian Health Center i i 1 Department of Community & Economic Development City Hall EOFa bg P.O. Box 1150 321 E. 5th St. 014 D Pt. Angeles, WA. 98362 NGELES DEVEIQpMENT Dear Community & Economic Development Officials, I am a property owner at 917 E. 5th writing in response to the notice of Development Application by Crali Properties who propose an "Inpatient Chemical Dependency Treatment facility at 825-835 E. 5th St. in what was formerly a nursing home facility. Although from what my neighbors and I can tell so far, from having attended the June 3 meeting, and my correspondence with Sue Roberds, who has kindly answered my questions, it does seem as if this proposal is all done and dusted before it comes forward to the property owners—I believe I will still say a few more things, if though I feel quite outside the process. To identify myself a little more fully: I was born and raised in Pt. Angeles and resettled here after the death of my late husband Raymond Carver, the internationally recognized short story writer. As the neighbors and I expressed at the meeting: we are not against a treatment center to serve Pt. Angeles. Raymond Carver was lucky enough to have entered Duffy's in Northern California for alcohol addiction and as a result of that and a number of other fortunate circumstances managed, after relapses, to gain ten years of sobriety that turned his life around and made him one of the world's giants in literature. 2 Because I believe in dialogue with my neighbors as to what sort of town we want to have, I contributed a meeting room for my town, The Carver Room, at our library in my late husband's name. It would have been good to have had a meeting there, as well, to better inform the town at large as to what is coming forward. The location of this facility needs close scrutiny, not only by those neighboring it, but also by the town as a whole. It is my wish to strongly oppose this use at the proposed site of the former nursing home site, just off one of the busiest North-South streets in the town en route to Hurricane Ridge and our college, and in an area that, despite being deemed a commercial area, has still remained residential. It closely abuts three parks for children (a kiddie play park where I used to take my 2 year old nephew) and young people using the skate park. Plus, across the street is Civic Field where children and teenagers play sports—baseball and football. When I asked Sue Roberds how the proposed use area was zoned she wrote me: "Dear Ms. Gallagher: Please remember that, while from a neighborhood standpoint this is a personal issue, from a land use standpoint, this is a land use impact review. The issues that are to be considered from a permitting perspective are: 1. Does the Comprehensive Plan allow the use? 2. Is the zoning consistent with the Comp Plan and is the use permitted? 3. Are there land use impacts (odors, parking, over lot coverage) that need to be addressed? The proposed use is permitted conditionally in the Commercial Office zone. The conditional use permit allows a certain amount 3 of flexibility to apply pertinent conditions that will alleviate known concerns, but not perceived concerns. Businesses that operate by conditional use permit often result in good neighbors because the operator is aware that neighbors are concerned and they try harder to work with each other to avoid conflicts. I am providing this information to you so you will know the actual parameters of the City's purview in this matter. We are hoping that comments will address tangible matters that can be conditioned, if necessary. Sincerely, Sue Roberds Planning Manager" I believe she was trying to be helpful, but one could understand that a citizen might just fold their tent after receiving such a message and decide heaven and earth had already been moved to put this facility into a residential area. Commercial Office use is a far cry from a detox center, to most anyone's way of thinking. If one could imagine sitting in one's living room across from this center when it adds its 16 bed Detox unit (and one must think ahead with 100 beds available here) and hearing the sounds of someone vomiting, in extreme physical discomfort and pain, crying out, and making what other signs of desperation they might, then this does not feel like commercial office space to that home owner. My friend Jewel does live exactly across from the facility and this is not a matter of imagination for her. She is writing her own letter as she organized a protest before when a large 4 apartment unit went up nearby which now has taken all the available parking in front of her house, and although everyone in the neighborhood signed it—the counsel evidently went ahead and okayed this. Parking will be a problem here too. On Saturdays and Sundays there will be visiting by families of those in treatment. During the week people already use the church parking lot because of the lack of parking. Where space will be had for this large parking lot, is an important question. My property on Stn already has parking in front of houses taken up by residents. There is no street parking to be had in our direction. As I have said: This site has glaring obstacles to being an ideal fit for use as a drug rehabilitation center: the location of adjoining parks where children and young people congregate daily and also the location of the Y where more young people frequent should not be mixed with this kind of use where people from very distressed circumstances are attempting to get free of a life claiming illness. With only 46% of participants in drug treatment around the country finishing the 30 day treatment regimen, it is not unlikely that a significant number of those who don't finish the treatment and are from elsewhere (bused in as proposed) will remain in Pt. Angeles and our community resources will need to expand greatly to help them. At the June 3 meeting we understood that the nursing home was efficacious for the buyer Craig Phillips, who purchased it. It was no gamble for him as the City must have given him significant assurances that the facility would go forward for him to put $175,000 forward for it. The proposers of the facility who worked closely with him in Spokane (Sally Beavens) described their program as a "pilot" program of I, 5 16 beds. The Detox unit was not forward much in the discussion. It would be added. It would have medicaleo le p P to sustain the often life challenging process. Someone from OMC informed thero osers that OMC could not handle p p detoxin for the facility until it of its own detox unit. This g t3' g does seem like a serious flaw in the plan. If persons who have not been fully detoxed arrive in a drugged stated, there will be only our overburdened systems here that cannot sustain them. It would be hoped that the good things in this neighborhood could again be valued and not put in jeopardy by bringing in what will eventually become a 100 bed unit. Again, this is what Sue Roberd's answered me when I asked if the facility could be enlarged to use all of the 100 beds: "The application materials identify the proposal we are processing as a maximum 32 beds. Based on that application, a condition indicating that the use shall be operated "as proposed in the application" would be standard - which means that 32 beds would be the maximum. Our understanding is that this 16-bed specialty services) program is federally and state funded which restricts the number of beds. The proponent does operate larger facilities elsewhere in the state but those uses are intentionally separated from the specialty service small group program due to funding. The 32 beds max would be two 16 bed specialty services functions: 1 for medically managed detox and 1 for chemical dependency treatment stabilization (total of 32). I understand the intent is to focus on the 16 beds, as it is a new state program and add the second phase if it is successful. Conditional use permits are issued initially for one year with a review at the end of that year. It is possible that an amendment could allow additional beds at a future date but that has not 6 been discussed. The structure could provide more beds, it always has; but that is not currently under discussion. " (Boldface is mine, and underlining) Although there has been a studious attempt to separate the proposer's aims here, the large unanswered question is: why purchase a 100-bed unit if only 32 beds will be used. This facility must be addressed at this planning stage as one that could and probably will expand. Consider again the good things at work in the neighborhood: 1.Play Park on Race, just behind the proposed site where a young mother told me her 4-year-old child had found a needle stuck into tree bark. So there is presently perceived drug activity in this vicinity. Does the City really want to bring drug- addicted persons into contact with readily available established activity outside this unsecured building? 2.The Skate Park is on Race half a block from the proposed facility. This is also, reported to be a site of drug activity, by those frequenting it. So do we want to compound the likelihood of this teenage play zone becoming a grooming ground for accelerated drug use if failed former occupants of the treatment facility begin to frequent it? 3. Civic Field, where many high school and recreational activities for young people are held should not be in close proximity to those who may be having in-and-out relapse problems with drug addictions and possibly attempting to sell or buy drugs. 4. Low Income Housing units with disabled and elderly persons situated just west of the proposed facility: people potentially easily intimidated by a street savvy population of mostly out of town drug users and newly released jail inmates. S. The Y where many community recreational activities take place for young and old alike, within close walking distance. From what I have been able to learn in just a few days, it appears that over at least the past years nursing homes in other communities and have become prime targets for re- constitution as Drug and Dependency Treatment facilities in those places, shipping patients in on buses, with round trip tickets, the far side of which there is no guarantee the person will use. Ms. Beavens joked that our police chief would give them an escort to the bus, but we know this is highly unlikely. g Y Y And the paper they have to sign on entering the treatment-- that they know the police will be notified when they leave--is just that: a piece of paper with really no substantive impact. Living in our neighborhood causes us to have many things at stake that those who live elsewhere do not experience: 1. Worries for personal safety. Many of the residents are elderly and others are young working families or those on unemployment or disability renting. If those in the facility having a relapse need money for drugs it is an obvious worry that their targets would be neighbors near at hand. One could wonder if the patients would be searched for weapons. Also how is the population screened to assure residents that no rapists or mentally unstable patients were going to be housed near them? Sally Beavens said, at the meeting, that they would be screened, but at another moment said they really would not 8 fully know the backgrounds of those sent from low income Medicaid backgrounds. 2. Impact on life savings in the form of home equity and ownership. Devaluation of property. (Would City Counsel members like to move any aging members of their family to live near this facility? Would they like to rent or buy my house—a house just vacated by a woman who went bankrupt.) Should the City consider giving residents within a block either side of the facility an automatic tax break? 3. The inability to move elsewhere is a factor for many of the neighborhood inhabitants. The renters and home owners in this area do not have funds or the physical ability even to move out of range of such a development, so it is an insult to the working poor and to those struggling on fixed retirement incomes (Social Security, Medicare) within the community to propose suddenly co-opting their homes by a business with so many risk factors. Already the fire department unfortunately expects increased use of its emergency capacity because of the facility. We would expect increased blaring of fire alarms and police sirens in a neighborhood that has at present a reasonable level of usual city noise at this point. Questions hover: What are the security measures that would protect residents when a participant in treatment decides to leave the facility and not use their bus ticket home? Are alternate housing situations available to them when they become permanent members of our town? 9 Are some of these treatment candidates being given suspended sentences in exchange for this treatment option? A May 11, 2007 article from the Spokesman- Review says that in the Spokane Valley facility operated by Mr. Phillips, 10% of the patients are referred by the courts and the rest of the beds are funded through a state program to treat poor addicts, such as the one being proposed here. What percentages are at work accordingly in the Port Angeles referral system? I recommend that others read this news article on line entitled: rr. Owner defends Valley rehab Center," in which it was alleged that patients received poor treatment at this facility. In Alaska when oil was being pumped out of the state there was an argument for paying Alaska residents a percentage of the profit. Is there such a provision for neighbors to this treatment facility to profit-share with the proposers? Or should this be considered? After all the neighbors are taxpayers twice over, contributing to the government funds used to run the facility and also contributing the value and safety of our very homes. There will be $450,00 to renovate or build housing for this 32-bed unit. Why put into use a 100 bed facility if only 32 beds are needed and paid for by the grant putting this forward? There are a great many buildings standing empty in Pt. Angeles. Does the grant mandate an expandable unit of this size or shouldn't it be housed in a unit exactly to the size the grant is formed to? I am sure there are many other questions to be addressed, but at least these are enough with which to begin discussion. 10 But finally, for all the reasons stated above I believe this site is 1) Not strictly Commercial Office use for which the neighborhood was zoned. 2) Unmindful of investments already made by the city to provide safe places for our children and young people to pursue recreational activities. 2) Unfair to poor & disabled & aged people unable either to move or to defend or articulate themselves against such an incursion. 3) Unfair to our immediately adjoining property owners who must bear the brunt of the daily stress and liabilities of the high recidivism rate and indigent status of those suffering addiction. For all these above considerations my neighbors and I strongly urge that the City reconsider installing this Drug Treatment facility in a residential neighborhood, a neighborhood that has an entirely different prospect than the debilitation that would inevitably befall it should this plan is not be vetoed. I believe it is possible to find a better site for the center, one not near parks where, according to testimony from a former drug addict at the meeting: she had sold and purchased drugs at all the parks in Pt. Angeles. These local drug users and sellers at the adjoining parks would be anathema to the treatment center's mission, providing easy relapse possibilities. My recovering husband had to remove himself from all possibilities of drinking. There was no convenience store with easy access to liquor three blocks away as there is here. 11 This proposal has proceeded so much a "done deal" that I cannot feel alternate sites have been at all considered. I understand that another such facility operated on the Golf Course Road for a year, but did not survive because there weren't enough patients. It did not ship patients in and it also asked participants to pay themselves, instead of this government provided program. The Commercial Office use provided for by statute in this neighborhood seems violated by the proposed use for this drug rehabilitation center, which is expandable and in this case likely to use the 100 beds with patients arriving from all over our state. It may be true the 32 beds are all that is on the table: but planning, good planning has to read the cards in the hold hand too. I urge you to consider the placement and the zoning use, and be aware that it might not well stand up to legal scrutiny. Sincerely, Tess Gallagher