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4.9. SR 02-04-2019Request for Action To Item Number Mayor and City Council 4.9 Agenda Section Meeting Date Prepared by Consent February 4, 2019 Zack Carlton, Planning Manager Item Description Reviewed by Resolution for Finding of Fact: CUP Request by Peter Beck, City Attorney ResCare Minnesota Reviewed by Cal Portner, City Administrator Action Requested Adopt, by resolution, the finding of fact denying a Conditional Use Permit to allow establishment of an Institutional use by ResCare Minnesota, Inc. at 633 Upland Ave NW. Background/Discussion Case No. CU 18-19 On January 22, 2019, the City Council reviewed the Conditional Use Permit (CUP) request from ResCare Minnesota, Inc. to establish an Intensive Residential Treatment Services (IRTS) facility — Institutional Use — at 633 Upland Ave NW. Council evaluated the application against the standards for approval outlined in Sec. 30-654, and concluded the standards had not been met. The City Council voted 3-2 to direct staff to prepare a resolution outlining the findings of fact for denial of the CUP at their February 4, 2019, regular meeting. Financial Impact None Attachments ■ Resolution for Finding of Fact ■ November 27, 2018, Planning Commission Minutes ■ December 17, 2018, Council Agenda Item and Minutes ■ January 22, 2019, Council Agenda Item The Elk River Vision A ia ehoMing community ia itb revolutionary and spirited resourcefulness, exceptional P,` 01 W E H E 8 6 T service, and community engagement that encourages and inspires prosperity INAWRE1 City of Elk River City of Elk River City Council Resolution 19- A Resolution of the City Council of the City of Elk River Making Findings of Fact and Denying the Conditional Use Permit Request by ResCare Minnesota, Inc. to Establish an Institutional Use at 633 Upland Ave NW in the City of Elk River WHEREAS, ResCare Minnesota, Inc. ("Applicant"), has applied ("Application") for a Conditional Use Permit allowing establishment on an Institutional Use at 633 Upland Ave NW (Case No. CU 18-19); and WHEREAS, the record in this matter shall include all of the materials submitted to the Planning Commission and City Council in connection with the October 25, 2018, Application, including the staff reports and all attachments thereto, all other written materials submitted to the Planning Commission and City Council, and all staff presentations and other testimony taken at the public meetings considering the Application, all of which is incorporated and made a part of the findings of fact and this resolution; and WHEREAS, the Planning Commission held a public hearing on November 27, 2018, to receive testimony and evidence from city staff, the Applicant and any other persons regarding the Application; and WHEREAS, the Planning Commission recommended approval of the Application, moving the application forward to the City Council; and WHEREAS, the City Council held a public hearing on December 17, 2018, to receive testimony and evidence from city staff, the Applicant and any other persons regarding the Application; and WHEREAS, the Applicant and all others wishing to speak were given the opportunity to present testimony to the Planning Commission and City Council; and WHEREAS, the City Council, at the conclusion of its December 17, 2018, public hearing on the Applicant's Application, directed city staff to gather additional information regarding the Application and continued the item to January 22, 2019; and WHEREAS, the City Council held a public meeting on January 22, 2019, to review the Application and all materials submitted for the public record, and to ask additional questions of city staff and the Applicant; and WHEREAS, the City Council, at the conclusion of its January 22, 2019, public meeting on the Applicant's Application, made findings of fact and directed that a resolution denying the Application and incorporating the City Council's findings of fact be prepared for City Council consideration. NOW, THEREFORE, the City Council of the City of Elk River, Minnesota, makes the following findings of fact and decision with respect to the Application by ResCare Minnesota, Inc. for a Conditional Use Permit to allow establishment of an Institutional Use at 633 Upland Ave NW. FINDINGS OF FACT The building at 633 Upland Ave NW, (the "Property�') was constructed in 1978 for use as a Masonic Lodge. 2. In 1980 the Property was zoned R -1c (single-family residential), and the Property has remained in the R -1c zoning district since 1980. 3. The Elk River Comprehensive Plan, most recently amended on May 19, 2014, has guided the Property for residential uses since 1983. 4. On October 25, 2018, ResCare Minnesota, Inc. submitted a Conditional Use Permit application for the Property, proposing to establish an Intensive Residential Treatment with Services (IRTS) facility (Institutional Use) at the Property. An IRTS facility is an Institutional Use pursuant to the City of Elk River Zoning Ordinance. Institutional Uses are allowed in the R -1c zoning district as a conditional use, and only up approval of a Conditional Use Permit. 7. Elk River City Code states that in order for a Conditional Use Permit to be granted, the request must meet the seven standards outlined in Sec. 30-654. — Standards for Issuance; (a) Required findings. The planning commission shall recommend a conditional use permit and the council shall order the issuance of such a permit only if it finds that such use at the proposed location: (1) Will not endanger, injure or detrimentally affect the use and enjoyment of other property in the immediate vicinity or the public health, safety, morals, comfort, convenience or general welfare of the neighborhood or the city. (2) Will be consistent with the comprehensive plan. (3) Will not impede the normal and orderly development and improvement of surrounding vacant property. (4) Will be served adequately by and will not adversely affect essential public facilities and services including streets, police and fire protection, drainage, refuse disposal, water and sewer systems, parks and schools; and will not, i in particular, create traffic congestion or interference with traffic on adjacent and neighboring public thoroughfares. (5) Will not involve uses, activities, processes, materials, equipment and conditions of operation that will be detrimental to any persons or property because of excessive traffic, noise, smoke, fumes, glare, odors, dust or vibrations. (6) Will not result in the destruction, loss or damage of a natural, scenic or historic feature of major importance. (7) Will fully comply with all other requirements of this Code, including any applicable requirements and standards for the issuance of a license or permit to establish and operate the proposed use in the city. 8. The Planning Commission voted 6-0 to recommend approval of the Conditional Use Permit, stating that the application met all seven standards for issuance. The City Council directed preparation of a resolution of denial on the grounds that the application does not satisfy standard number one: (1) Will not endanger, injure or detrimentally affect the use and enjoyment of other property in the immediate vicinity or the public health, safety, morals, comfort, convenience or general welfare of the neighborhood or the city. 10. The City Council Finds that standard number one for approval of a Conditional Use Permit has not been met because: a. The Property is located in a predominantly single-family residential area, not supportive of a medical treatment facility due to pedestrian and vehicular traffic, police calls, and lack of proximity to commercial uses. b. Testimony from residential property owners in the vicinity of the Property shows concern for the safety of the residents in the single-family neighborhood. c. The Applicant operates six IRTS facilities throughout the Twin Cities metropolitan area, with some facilities averaging six or more police calls per month. Police reports submitted for the record indicate that some police calls have been for threats against other clients and staff, intoxication and suicidal tendencies with the intent to take place outside of the facility, including walking into traffic, jumping off of bridges, and slitting throats and laying out in the front yard. d. Multiple police responses per month in a single-family residential district will draw additional attention and focus from the neighborhood, detrimentally affecting properties in the immediate vicinity. e. The 17 group homes reviewed by the Elk River Police Department had 55 total calls for service in 2018. These 17 facilities combine for less than the total police calls for one IRTS facility operated by ResCare in another community. i f. IRTS facilities operated by ResCare in other communities are typically located in multi -family settings with mixed commercial and retail settings, creating a different demographic than is surrounding this Property. g. Residents in single-family neighborhoods expect the surrounding single- family uses and residents to turnover slowly, unlike a multi -family or commercial neighborhood which regularly experiences turnover in residents and uses. The nature of the use, short stays of 60 to 90 days, will detrimentally affect surrounding properties. 11. Taking into consideration all of the testimony and evidence received, the City Council finds, based on findings of fact a -g set forth above, that the Applicant has not established that it has met the requirements for approval of a Conditional Use Permit, and that it would not be in the public interest to approve the Application. DECISION Therefore, the City Council of the City of Elk River denies the Conditional Use Permit at 633 Upland Ave NW, based on the findings of fact set forth above. Passed and adopted this 4th day of February 2019. John J. Dietz, Mayor ATTEST: Tina Allard, City Clerk i Planning Commission Page 3 November 27, 2018 --------------------------- 2. The parking area must be removed and vegetation re-established prior to expiration of the IUP. 3. Upon removal of the parking area the base materials must be removed and the soils must be de -compacted in order to maintain compliance with approved stormwater plans. 4.3 ResCare Minnesota — 633 Upland Avenue NW a Conditional Use Permit to operate Mr. Carlton presented the staff report. Chair Johnson asked if there were any other uses currently taking place in the building. Mr. Carlton stated there was an office use and a church operating out of the building, and those uses would cease if this use is approved. Chair Johnson opened the public hearing. Patrick Kelly, 2350 Wycliff Street, St. Paul, attorney from Kelly & Lemmons, P.A., representing the applicant. He complimented staff with their assistance in this process. He stated ResCare has no concerns with condition two regarding SAC/WAC charges. Regarding condition three, he explained ResCare's Robbinsdale location also experienced concerns with smoking and explained they worked with city staff to establish criteria for smoking. He went on to explain the role of ResCare was transitional care for patients to return to the community, noting the patients had already received hospital treatment and were transitioning back to independent living. In response to the police department's concerns regarding the proposed location in a residential area, he explained many of the other ResCare facilities are located in residential areas. He said their staff are trained first responders and equipped to handle any emergency situation. He noted staff can request no lights and sirens from emergency responders should they be called to their facility. He stated it's a rare occasion that their patients require emergency response. In his opinion ResCare does good work to assist patients in transitioning back into independent living. Commissioner Rydberg asked the applicant about the conditions being proposed and how many code 3 responses their other locations receive. Thomas Alf, 4440 Beard Ave. N., Robbinsdale, represents ResCare - Minnesota and stated he had no objections to the Planning Commission's proposed conditions. He stated some locations can go months without calling for police assistance or EMS care. He explained how clients are monitored and constantly evaluated for concerns that may need to be addressed in a hospital setting. Planning Commission Page 4 November 27, 2018 Chair Johnson asked about the realm of conditions that their patients are being treated for, and asked if residents can come and go as they please or if they are required to remain at the facility full time. Mr. Alf explained the variety of emotional conditions and psychiatric disorders their patients experience regarding their thoughts, which may include suicidal or confused thinking, preventing them from functioning in the community in a positive way. He stated some patients are recluse and find themselves unable to take care for themselves in their own homes without receiving the assistance of care that ResCare provides called Intensive Residential Treatment Services (IRTS). He stated the patient's goal is to regain skills and receive support to return to independent living. He stated patients can come and go as they please from the facility but typically stay on site because of the lack of public transportation services such as buses. ResCare will have a van available for any required transportation. They will also have visiting hours. Mr. Carlton indicated he had heard from a few property owners in the neighborhood who expressed concerns with safety and risk to the neighborhood. Mr. Alf responded that he's worked for 30+ years in mainly residential settings and never really had any incidences with community safety being threatened. He said patients are more vulnerable from members of the public and is not aware of patients that have assaulted or harmed the general public. Tammy Jorgenson Owens, 1790 Tipton Circle NW, stated her concerns are for the safety of her child and other children in the neighborhood playing outside as she lives just down the street from this proposed facility. She stated she was opposed to ResCare operating in her neighborhood. Chris Jacobson, 4720 30'h Avenue So., Minneapolis, works for CBRE as a healthcare real estate advisor and indicated this proposed site is fantastic for this type and level of care and treatment of these vulnerable patients who have already received hospitalized treatment and are transitioning back to independent living. Mr. Jacobson stated there's already a need for mental health treatment in this area. He explained the remodeling that will be done to the building and job creation as a result of this proposal. He stated there will be interior cameras and exterior cameras at all three entrances monitoring the patients. Councilmember Wagner asked the applicant why this location was attractive to ResCare. Mr. Jacobson explained the criteria used to review the needs for a desired location and what condition the building is in, noting this building is built very well and can support fire suppression as well as already zoned institutional. He stated the community is fantastic. He stated these resources are very much in need for this type of patient population of Sherburne County residents. Planning Commission November 27, 2018 Page 5 Mary Jo Cobb, 11445 Brenda Blvd., Becker, is the Director of Health and Human Services at Sherburne County. She explained Thomas Alf asked her 3 years ago if there was a need for an IRTS facility in Sherburne County, and she stated yes there was. Currently they are sending county residents long distances to get this type of service that would now be available in Elk River. She explained it doesn't allow for patients to get well in their home community, secure employment, and sending someone far away to receive IRTS care is not a good option to get well. She addressed Ms. Owens and stated that the folks that are in these facilities are better monitored and cared for, and less likely to be harmfid to others. She understands her feats but she trusts ResCare, noting they've looked for a long time to find the right location. There being no one else to speak, Chair Johnson closed the public heating. Commissioner Thiel stated he felt this type of facility was a good fit for this location, and was a needed service in the Sherburne County community. He stated what struck him is the need for this level of care to properly transition patients into M"' Planning Commission November 27, 2018 W independent living. He noted the need to break down the myths and misconceptions about mental illness and show that IRIS works and supports people. He stated this facility would be a good addition to the community. Commission Larson -Vito agreed with Commissioner Thiel, noting she lives in the area and has two sons who bicycle in this location. She stated she too had the same concerns regarding public safety when she initially read this application, but feels more harm may come when people get turned away from care that they need. She's thought long and hard and need to take care of people. Commissioner Feinstein stated he would support this request, noting the increase in mental health calls experienced by law enforcement and how this type of facility could assist in benefitting patients and the justice system. Chair Johnson agreed, noting he had initial concerns similar to local residents regarding safety, but the applicant explained how the facility is used and felt Sherburne County would benefit from this facility. Commissioner Rydberg stated the only mitigation he could provide for neighbors of this facility is if they observe things happening that they are uncomfortable with, ResCare would love the opportunity to hear from them to resolve any problems. He stated he supports this type of use. Commissioner Larson -Vito asked about future trail connections and any discussion regarding screening. Mr. Carlton indicated there were no discussions or requirements regarding screening the property from any futures trail. Moved by Commissioner Thiel and seconded by Commissioner Feinstein to approve the request by ResCare Minnesota for a Conditional Use Permit (CUP) to operate an Institutional Use at 633 Upland Avenue, with the following conditions: 1. A copy of the Intensive Residential Treatment Services (ITS) License from the State of MN must be submitted to the city. 2. The SAC/WAC Units will be reassessed in order to decide if an additional WAC Fee wiff need to be paid based on the change in use. 3. Smoking shall not be allowed in the building, and a designated smoking area outside of the building must be identified on the site plans. Motion carried 6-0. October4.4 River Walk — 17354 Zane St. NW — continued from a Zone Change — from FAST to PUD, Case No. ZC 18-05 fal Conditional Use Permit Request for Action To Item Number Mayor and City Council 7.4 Agenda Section Meeting Date Prepared by Public Hearin s December 17, 2018 Zack Carlton, Planning Manager Item Description Reviewed by Conditional Use Permit: Institutional Use, ResCare Chris Leeseberg, Senior Planner MN — 633 Upland Ave Reviewed by Cal Portner, City Administrator Action Requested Approve, by motion, the Conditional Use Permit authorizing establishment of an Institutional Use at 633 Upland Ave NW, with the following conditions: 1. A copy of the Intensive Residential Treatment Services (IRTS) License from the State of Minnesota must be submitted to the city. 2. The SAC/WAC Units will be reviewed to decide if additional fees will need to be paid based on the change in use. Fees will be due before issuance of a building permit. 3. A designated smoking area outside of the building must be identified on the site plans. Background/Discussion ResCare Minnesota is proposing to convert the former Masonic Lodge building at 633 Upland Ave NW to an Intensive Residential Treatment Services (IRTS) facility. The Minnesota Department of Human Services defines IRTS facilities as: time-limited mental bealtb services provided in a residential setting. Recpients of IRTS are in need of more restrictive settings (versus community settings and are at risk of significant functional deterioration if tbey do not receive these services. IRTS are designed to develop and enbance: pgcbiatric stability, personal and emotional adjustment, self-sufciency, and skills to live in a more independent setting. The use complies with the ordinance definition of an Institutional Use as it is a health care facility offering principally inpatient care. Hwy 10 The applicant's narrative states the average stay at the facility will range from 60 to 90 days. The property is located in the R -1c zoning district which allows Institutional Uses as a Conditional Use. Planning Commission The Commission asked the applicant and their representatives about frequency of emergency responses, the types of patients being treated, and whether or not patients are required to remain at the facility. Figure I The Elk River Vision A welcoming community witb revolutionary and spirited resourcefulness, exceptional service, and community engagement that encourages and inspires prosperity CR 33 a b RR CR 12 AWR The applicant and their representatives addressed the Commission's concerns and provided the following additional information regarding ResCare's background, operations, and the patients: ■ ResCare is a transitional care facility for patients returning to the community after having received hospital-based treatment. ■ Staff are trained as first responders and equipped to handle emergency situations. ■ Calls for emergency responses vary, but according to ResCare representatives it has not been an issue in the past. Patients are continually monitored and evaluated for concerns that may need to be addressed in a hospital setting. ■ Patients are treated for a variety of emotional conditions and psychiatric disorders regarding their thoughts, which may include suicidal or confused thinking, which can prevent them from functioning in the community in a positive way. The patient's goal is to regain skills and receive support to return to independent living. ■ Patients can come and go as they please from the facility, but they typically stay on site because of a lack of public transportation services. Mary Jo Cobb, Sherburne County Director of Health and Human Services spoke in support of the project. She described the need for this type of facility in Elk River and noted that patients in need of this type of care sometimes have to travel long distances for a facility to help them get well. Public Comments One resident spoke during the public hearing. She is concerned about safety in her neighborhood as a result of this facility. She stated that her children regularly bike past the facility and is concerned about their safety. She is opposed to the proposed facility in her neighborhood. Staff has also received two phone calls from residents with concerns about safety in the neighborhood if this facility is approved. Recommendation The Commission unanimously recommended approval of the Conditional Use Permit to operate an Institutional Use at 633 Upland Ave. Financial Impact None Attachments ■ Planning Commission Packet dated November 27, 2018 N:\Public Bodies\Agenda Packets\12-17-2018\Fina1\7.4 sr ResCare CC Memo 12-17-2018.docx Request for Action ver To Item Number Planning Commission 4.3 Agenda Section Meeting Date Prepared by Public Hearings November 27, 2018 Zack Carlton, Planning Manager Item Description Reviewed by ResCare Minnesota — 633 Upland Avenue NW, Chris Leeseberg, Senior Planner Case No. Cu 18-19 ■ Conditional Use Permit to operate an Reviewed by Institutional Use Action Requested Recommend, by motion, approval of the Conditional Use Permit (CUP) to operate an Institutional Use at 633 Upland Avenue, with the following condition: 1. A copy of the Intensive Residential Treatment Services (IRTS) License from the State of MN must be submitted to the city. 2. The SAC/WAC Units will be reassessed in order to decide if an additional WAC Fee will need to be paid based on the change in use. 3. Smoking shall not be allowed in the building, and a designated smoking area outside of the building must be identified on the site plans. Background/Discussion The applicant, ResCare Minnesota, is proposing to convert the former masonic lodge building at 633 Upland Ave NW to an intensive residential treatment services (IRTS) facility. The MN Department of Human Services defines IRTS facilities as: "time- limited mental health services provided in a residential setting. Recipients of IRTS are in need of more restrictive settings (versus community settings) and at risk of significant functional deterioration if they do not receive these services. IRTS are designed to develop and enhance: psychiatric stability, personal and emotional adjustment, self-sufficiency, and skills to live in a more independent setting." The use complies with the ordinance definition of an Institutional Use as it is a health care facility offering principally inpatient care. The applicant's narrative states the average stay at the facility will range from sixty to ninety days. The property is located in the R -1c zoning district which allows Institutional Uses as a Conditional Use. Proposed Facility/ Operation The proposal shows a complete interior remodel of the existing building. The facility will allow for 16 residents (patients) at a time — The Elk River Vision RR — - Hwy 10 Figure I A welcoming community with revolutionary and spirited resourcefulness, exceptional service, and community engagement that encourages and inspires prosperity CR 33 4 CR 12 P 0 W E R I D B Y NATUR plans show additional beds, but these will be used for transitions between patients. No exterior changes are proposed at this time. The facility will operate 24/7 year round. The facility is expected to employ 20 full-time employees and coverage typically includes 3-7 employees per shift. Comprehensive Plan The site is guided for urban residential uses and the proposed use is consistent with the residential uses identified in the zoning code. The project is consistent with the Comprehensive Plan. Site Plan Plans show one entrance/exit on the east side of the parking lot with access to Upland Ave NW. There are 26 parking stalls identified, and 15 are required per city ordinance — one per two beds (8) and one for each employee on the major shift (7). The parking plan should be modified to account for the tight angle in the southeast corner of the parking lot. Additional impervious surfaces are not proposed. Landscaping The property includes mature trees on the three sides abutting residential properties. Credit given for existing trees satisfies the landscape ordinance. Applicable Regulation In approving a Conditional Use Permit, the council may impose such specific conditions with regard to the development or operation of the proposed use as it considers necessary to satisfy the seven standards set forth in Section 30-654 and the requirements contained in this article and to promote compatibility with and minimize any potentially adverse effects upon adjacent properties, the neighborhood or the city. The issuance of a Conditional Use Permit can be ordered only if the use at the proposed location: 1. Vill not endanger, injure or detrimentally affect the use and enjoyment of otherproperty in the immediate vicinity or the public health, safety, morals, comfort, convenience orgeneral welfare of the neighborhood or the city. The proposed use is self-contained, regulated by the State of MN, does not generate significant traffic, and does not appear to pose a security threat to nearby residents. The site is adjacent to Highway 10 with access to a signalized intersection and any traffic generated by the use will likely utilize this intersection. For these reasons, along with the extensive screening, the use is not expected to detrimentally affect the use and enjoyment of the other properties in the area. Staff does not see a need to impose specific conditions to satisfy this standard. 2. WIN be consistent with the comprehensive plan. The parcel and surrounding area are guided for residential uses. The use is consistent with our residential zoning ordinance and is consistent with the Comprehensive Plan. Staff does not see a need to impose specific conditions to satisfy this standard. N:\Departments\Community Development\Planning\Case FUes\CUP\CU 18-19 ResCareMN\4-Planning Commission\4.3 sr Res Care 11-27- 2018.docx 3. 1V711 not impede the normal and orderly development and improvement of surrounding vacantproperty. Surrounding properties are fully developed and use will not impede the normal and orderly development and improvement of surrounding properties. Staff does not see a need to impose specific conditions to satisfy this standard. 4. Will be served adequately by and will not adversely affect essential public facilities and services including streets, police and fire protection, drainage, refuse disposal, water and sewer gstems, parks and schools; and will not, in particular, create traffic congestion or interference with traffic on adjacent and neighboring public thoroughfares. The use may increase the sewer and water use of the property and the SAC/WAC units will be re- evaluated at the time of building permit review. Any increase in the number of units will need to be paid prior to issuance of the building permit. The police department also expressed concerns regarding police and emergency medical services, specifically overnight responses in a residential area where lights and sirens could wake the neighbors. Staff added a condition addressing the SAC/WAC calculations and the Commission should discuss the concerns regarding emergency response. 5. fVill not involve uses, activities, processes, materials, equipment and conditions of operation that will be detrimental to any persons orproperty because of excessive traffic, noise, smoke, fumes, glare, odors, dust or vibrations. Due to the proximity to residential areas, smoking by staff and patients could become an issue. Beyond smoking, the use does not involve any activities that would detrimentally impact any persons or property due to traffic, noise, smoke, fumes, glare, odors, dust, or vibrations. Staff added a condition noting the facility must be non-smoking to ensure compliance with this condition. 6. 1V711 not result in the destruction, loss or damage of a natural, scenic or historic feature of major importance. The proposed changes to the interior of the building will not result in the destruction, loss or damage of natural, scenic or historic features of major importance. Staff does not see a need to impose specific conditions to satisfy this standard. 7. W1ill fully comply with all other requirements of this Code, including any applicable requirements and standards for the issuance of a license or permit to establish and operate the proposed use in the city. The use will fully comply with all other requirements of this Code, including any applicable requirements and standards for the issuance of a license or permit to establish and operate the proposed use in the city. Staff does not see a need to impose specific conditions to satisfy this standard. N:\Departments\Community Development\Planning\Case FUes\CUP\CU 18-19 ResCareMN\4-Planning Commission\4.3 sr Res Care 11-27- 2018.docx If denial of such a permit should occur, it shall accompany recommendations or determinations by findings or a report stating how the proposed use does not comply with the standards set forth in Section 30-654. Statutory Review Period The 60 -day statutory review period for this application is set to expire on December 28, 2018. Council Meeting With a recommendation from the Planning Commission the item will be reviewed on December 17, 2018 Attachments ■ Location Map ■ Applicant's Narrative ■ Building Plans ■ Site Plan N:\Departments\Community Development\Planning\Case FUes\CUP\CU 18-19 ResCareMN\4-Planning Commission\4.3 sr Res Care 11-27- 2018.docx I :IAV (1NVc4 A I Z&w a Wo., D PROJECT NARRATIVE ResCare Minnesota, Inc. is proposing to use the property located at 633 Upland Avenue Northwest, Elk River, Minnesota for operation of an intensive residential treatment services facility (IRTS). The name of the facility will be "ResCare Recovery Residence". The treatment facility will accommodate up to sixteen (16) residents at a time, but will most likely have an 81 % capacity for the year. The duration of stay for the resident will typically range from a period of sixty to ninety (60-90) days as they prepare to transition into a longer-term, community-based setting. The IRTS program uses an inter -disciplinary team to provide recovery -focused, evidence -based services and support to individuals with a primary diagnosis of mental illness. These services are designed to achieve psychiatric stability, personal and emotional adjustment, self-sufficiency, and skills to live in more independent settings. While the individuals reside in the IRTS facility, they receive services such as assessment and planning; illness management and recovery; independent living skills and vocational support; mental health treatment services; family education; nurse monitoring and supervision; and peer support groups. ResCare Minnesota, Inc. has been a leading provider of IRTS residential programs in Minnesota since 1982 through the operation of four other IRTS programs: Northwest Residence (Brooklyn Center); Community Options (St. Paul); Livingston Residence (St. Paul); Community Options (Fridley); Transitions on Broadway (Robbinsdale); and Transfer Home (St. Paul). • The Applicant's proposed use meets all of the general standards as listed in the City of Elk River's Comprehensive Plan and Zoning: (a) The extent, location and intensity of the use will be in substantial compliance with the Elk River Comprehensive Plan and Zoning for a conditional use and any applicable subarea plans which were approved by the city council. (b) The use will provide adequate ingress and egress to minimize traffic congestion in the public streets. (c) The use will not be detrimental to the existing character of the development in the immediate neighborhood or endanger the public health, safety and general welfare. (d) The use will not impede the normal and orderly development and improvement of the surrounding property for uses permitted in the district. (e) The use shall, in all other respects, conform to the applicable regulations of the district in which it is located. • Hours of Operation. The facility will operate 24/7 with three (3) awake, overnight staff coverage. During the day, coverage may vary from three to seven (3-7) employees depending on the time of day. This includes weekends. • Employees. There will be a total of about twenty (20) full-time staff. • Parking. There will be 26 stalls, as indicated on the Site Plan included with the application. Note: ResCare will stripe the parking lot. • Proposed screening. There is no proposed screening. Trees and bushes are in place. • Proposed building materials. The building materials will be maintained internally, pursuant to Elk River building code. No exterior work will be performed, as indicated on the Floor Plans included with the application. • Signage. None. • Outdoor Storage. None. u8mS3 d'F-W Z OZ _ O n K II II II II II o II II II II II II II II II o II a U 0 W O II II II w II II II II II II II II II V 11 II II V II II II II II U I I li I a� m It a„ $ w Z NOI omiSNOO 2:J0J lON - o II II II II II II II o II II II II II II II II II o II II II II II w II II II II II II II II II V 11 II II V II II II II II U I I li I w II I I rT X 11 ®v I I a I� III -ill --�---_-_-�- n El n II II II a NOuomiSNOO 2:J0J iON -mimillialmill IM a a 2 LU > LLI Lu� Cw Itn- <!Z� 0 0 Lu 2P NOuomiSNOO 2:J0J iON -mimillialmill IM a a u8 JZ W� Z Z. �Ow J Q;£9 M W W > W H - 71 Of Of U) • i 3 NOI omiSNOO 2:J0J lON LN r Our Commitment to Quality and Safety Aandt,,� c sc (-'n Ld. rcp ;k}rYl -7.4. ResCare's top priority is always to ensure the safety and well-being of the individuals we serve, as well as our employees and caregivers. Every day, we take care of approximately 60,000 individuals in need of assistance. Our mission is to help people live the best life possible and to live more independently each day in a home-based community setting. States, advocates, the courts and the industry believe that this personalized care environment is more effective for an individual's physical and mental well-being than living in an institutionalized setting. We're changing the industry through our commitment to continuous quality and safety improvement, demonstrated by significant investments we've made and will continue to make in people, quality, training and technology. To effect change that improves quality and safety, we spend approximately $125 million per year on clinical, quality and training programs. While these investments aren't reimbursed, they pay dividends by improving the quality of life for our clients with iDD. We're investing in technology to connect homes and people, improving quality and safety. We're creating real-time care plans that track medication adherence and other daily living activity. And we're equipping homes with emergency response devices to improve safety. We have one of only a few pharmacies in the nation specializing in serving people with intellectual and developmental disabilities. A review of 91 unique studies reveals a nearly 20 percent error rate in medication adherence for people with IDD. The most common errors include omitted doses, medications not taken as directed, taking the wrong medicine and preparing the medicine incorrectly. This service offers pharmaceutical systems and packaging technology designed to reduce medication errors for populations under our care. Our investment in quality speaks volumes when addressing the issue of whether a for-profit company is compatible with providing the services required by the individuals we serve in a challenging industry. While we know of no studies comparing clinical outcomes between for-profit and not-for-profit providers, we stand behind our safety record and commitment to continuous quality improvement. We're proud of the employees who spend every day taking care of people in need of assistance. We believe we make a difference in the lives not only of the individuals we serve, but also the families and loved ones who often are not equipped to provide care themselves. Our quality and safety goal is zero incidences related to safety or impropriety. During our history, we've provided more than 70 million days of care. That context is important when considering tragic but isolated instances over several decades of time. We are deeply saddened by situations where an employee or client is harmed in any way. We work hard to protect the individuals we serve, and our employees are constantly improving and developing new solutions that increase safety and the quality of care delivered. Our goal is to ensure every individual we serve receives the right care at the right time in the safest environment possible. Putting safety and quality service first is our business plan. We wouldn't be able to succeed any other way. REALMM WO M, NK ,�� 6DOOR:IID Y0l https://www.nwitimes.com/news/local/lake/another-rescare-worker-charged-with-battery/article_5cb1c551- d765-55cd-9f41-d291fb ifd432.htmI EDITOR'S P]C RGi=N Another ResCare worker charged with battery Elvia Malagon elvia.malagon@nwi.com, (219) 662-5331 Jun 14, 2016 Megan C. Akers Provided TRY 1 MONTH FOR 99Q k HOBART — For the third time time in less than a week, an employee for a company that provides services to people with disabilities is accused of battering a man under their care. Megan C. Akers, 23, of Chesterton, faces charges of battery against a disabled person, neglect of a dependent resulting in bodily injury, battery with moderate bodily injury, neglect of a dependent, battery resulting in bodily injury and battery. A warrant was issued for her arrest. The charges filed in Lake Criminal Court come the same week a civil lawsuit was filed in Lake Superior Court accusing ResCare, the company Akers worked for, of negligence. GIFT CARD CONTEST '- You could Win up to $500 in Grit Cards i•�wi EATER T©DAY! u Leeann Murphy is the mother of Jeffrey Wardlow, the man Akers is accused of hitting, and she said her family decided to pursue the lawsuit to bring attention to abuse against disabled people. Her son was previously hurt while in the care of another company. Her 27 -year-old son is autistic, has an intellectual disability and is considered non- verbal. He lives in a Hobart home with two other disabled men. ResCare provides home -care services for the men. "All I know is that somebody has to bring this to light somewhere, and it's not going to happen to my boy, again," she said. "I just can't let it happen again." In the lawsuit, Murphy accuses ResCare of not properly training and hiring appropriate staff. Her attorney, Donald Wruck, said companies such as ResCare typically have a low -paid, unskilled work force who are placed in difficult situations. "So what you have is a system where you have a recipe for disaster," Wruck said. GIFT CARD CONTEST You could Win up to $500 in GM C ENTER TODAY]. Murphy said she initially was told by ResCare that her son had red marks. Days later, the school her son attends told her Wardlow was crying and asking for help. Relatives took Wardlow to the hospital where he was treated for scratches, two black eyes, a swollen hand and bruises on his arms. Her son later told her, "Megan hit me, mom," while showing her his bruised arms. Murphy and her attorneys, Wruck and Keith Medved, question if Akers should have even been at work May 24. A neighbor told her that Akers was seen the day before pulling and hitting another resident. The neighbor reported the incident to ResCare officials. Murphy was furious to learn about what happened. She said Akers has worked with her son for a year. "My heart hurts," she said. "It hurts, because she did that to my son. I trusted her." Editor's Note: This story has been updated from a previous version to correct Megan C. Akers' age. Charges filed in stabbing at North St. Paul group home -- Twin Cities NEWS > CRIME & POLICE Charges filed in stabbing at North St,, Paul group home By TORY COOHEY I Pioneer Press PUBLISHED: August 24, 2016 at 2:17 pm I UPDATED: August 30, 2016 at 2:44 pm A North St. Paul woman was charged with second-degree assault Tuesday in connection with a stabbing at an adult group home in north 5t. Paul last week. Shade Jumoke Esho, 40, is listed in court documents as living at the home on 17th Avenue East. On Aug. 17, Esho stabbed another person 12 times in the chest, head, foot and arm, according to the criminal complaint. The victim, a 47 -year-old female, was struggling to breathe and beginningto lose consciousness when police arrived, the criminal complaint said. Sandy Rosbacka, executive director of ResCare Minnesota, which operates the group home, said that she could not confirm whether the victim was an employee or resident of the facility. "We're very concerned, clearly, and working with the police in any way that we can to help them in their investigation," Rosbacka said. A witness told police that Esho was "extremely angry" and yelled as she stabbed the victim. As the victim screamed for help and the witness called 911., Esho dropped the knife and went to the basement, according to the charges. 12/16/18, 3-21 PM https://www.twincities.com/2016/48/24/st-paul-charges-filed-in-stabbing--at-adult-group-home/ Page 1 of 3 Charges filed in stabbing at North St. Paul group home — Twin Cities Esho returned later and began stabbing the victim a second time before dropping the knife and returning to the basement, the witness said. Police found Esho in the basement with blood on her hands and shirt, the complaint said. When Esho was questioned by police, she said that she did not know the answers to all their questions. She latertold an officer that she didn't do anything wrong and that she wouldn't hurt anyone, the charges said. Esho is in custody at Regions Hospital for observation. Herfirst court appearance is scheduled for Wednesday afternoon. ResCare Minnesota serves more than 1,200 people across six service areas, including residential services, Rosbacka said. Tags: Crir e North St. Pau;,, Tory Cooney Tory Cooney covered local news for the Pioneer Press while on a Collegiate Network fellowship for 2016. As you comment, please be respectful of other commenters and other viewpoints. Our goal with article comments is to provide a space for civil, informative and constructive conversations. We reserve the right to remove any comment we deem to be defamatory, rude, insulting to others, hateful, off -topic or reckless to the community. See our full terms of use here. .4, 114 9-fkIotA E H T How This 22 -Year Got Her Life Back - After Near -Continuous Seizures 12/15118, 3:21 PM https://www.twincities.com/2016/06/24/st-paul-charges-filed-in-stabbing-at-adult-group-home/ Page 2 of 3 ji ` r .!0WILTMA ZW1 4WA Eff MALTREATMENT INVESTIGATION MEMORANDUM Office of Inspector General, Licensing Division Public Information Minnesota Statutes, section 626.557, subdivision 1 states, 'The legislature declares that the public policy of this state is to protect adults who, because of physical or mental disability or dependency on institutional services, are particularly vulnerable to maltreatment." Report Numbers: 201802057, 201802068, 201802084, 201802087,201802098 Name and Address of Facility Investigated and License Number and Program Type: Facilities A-E ResCare Minnesota, Inc. 1865 Old Hudson Road Saint Paul, MN 55119 1068391-HCBS (Home and Community -Based Services) Facili A• ResCare Minnesota, Inc. 1082 Lakewood Drive South Maplewood, MN 55119 Date Issued: June 26, 2018 Disposition: Substantiated as to financial exploitation of eight vulnerable adults with inconclusive responsibility. 1068420-H_CRS (Home and Community -Based Services -Community Residential Setting) Facility B: ResCare Minnesota, inc. 2248 Falcon Avenue Saint Paul, MN 55119 1068412-H_CRS (Home and Community -Based Services -Community Residential Setting) Facility C: ResCare Minnesota, Inc. 2946 McKnight Road Maplewood, MN 55109 1068423-H_CRS (Home and Community -Based Services -Community Residential Setting) ResCare Minnesota, Inc. Reports: 201802057, 201802068, 201802084, 201802087, 201802098 Page 2 Facility D: ResCare Minnesota, Inc. 1355 Barclay Street Saint Paul, MN 55106 1068400-H_CRS (Home and Community -Based Services -Community Residential Setting) Facility E: ResCare Minnesota, Inc. 749 Skillman Avenue East Maplewood, MN 55117 1068431-H_CRS (Home and Community -Based Services -Community Residential Setting) Investieator(s): Beth Virden Minnesota Department of Human Services Office of Inspector General Licensing Division PO Box 64242 Saint Paul, Minnesota 55164-0242 651-431-6572 Suspected Maltreatment Reported: It was reported that a staff person (SP) took money belonging to eight vulnerable adults (VAI -VA$) without the legal authority to do so. Date of Incident(s): March 16, 2018 Nature of Alleized Maltreatment Pursuant to Minnesota Statutes section 626.557 subdivision 9c, paragraph (b), and Minnesota Statutes, section 6263572, subdivision 15, and subdivision 9, paragraph (b). clause l): In the absence of legal authority a person willfully uses, withholds, or disposes of funds or property of a vulnerable adult. Summary of Findings: Pertinent information was obtained during a site visit conducted on April 12, 2018; from documentation at the facility; and through five interview conducted with VA5, VAT's guardian (G1), VA6's guardian (G6), and facility supervisory staff persons (P1 and 133). Attempts were made to contact by telephone, and letters were mailed to, VA2's guardian (G2), VA3's guardian (G3), VA4's guardian (G4), VA7's guardian (G7), and VA8's guardian (G8), but the attempts were unsuccessful. Attempts also were made by telephone and mail to contact an additional staff ResCare Minnesota, Inc. Reports: 201802057, 201802068, 201802084, 201802087, 201802098 Page 3 person (SP), including a certified letter which was received by the SP on April 21, 2018. However, at the time of this report, the SP had not responded to this investigator. In addition, at the time of the site visit, the facility was working to reimburse VA1-VA8 for their missing funds, and there was no information that VAI-VA4 and VA6-VA8 were aware of the incident, and as such, were not interviewed for this investigation. The allegations involved vulnerable adults who were receiving services at five different community residential settings (facilities A-E) operated by the same license holder. Each resident's petty cash was kept in a pouch with that resident's name on it and stored in a lockbox at their respective home. Although the residents lived at different homes, they all received services and/or assistance from the facility's central office where the SP worked. Regarding the vulnerable adults: • VAI lived at facility A with three other residents (R1 -R3). On a monthly basis the petty cash pouches belonging to VAI and R1 -R3 (four petty cash pouches altogether) were brought to the SP's office at the facility's central office to be audited and reconciled. • VA2, VA3, and VA4 lived at facility B with one other resident (114). On a monthly basis the petty cash pouches belonging to VA2, VA3, VA4, and R4 (four petty cash pouches altogether) were brought to the SP's office at the facility's central office to be audited and reconciled. • VA5 lived at facility C with three other residents (115-117). On a monthly basis the petty cash pouches belonging to VAS and R5 -R7 (four petty cash pouches altogether) were brought to the SP's office at the facility's central office to be audited and reconciled. • VA6 lived at facility D with three other residents (118-1110). On a monthly basis the petty cash pouches belonging to VA6 and R8 -R10 (four petty cash pouches altogether) were brought to the SP's office at the facility's central office to be audited and reconciled. • VA7 and VA8 lived at facility E with two other residents (1111-R12). On a monthly basis the petty cash pouches belonging to VA7, VA8, and R11 -R12 (four petty cash pouches altogether) were brought to the SP's office at the facility's central office to be audited and reconciled. The SP had his/her own office which was supposed to be locked when the SP was not there. Persons who had a key to the SP's office, included P1, the SP, and the maintenance department which had more than one staff persons. The SP's office also had an exterior door for deliveries and other access to the community. This door was also supposed to be locked. Deliveries were made during business hours and if the SP was not present, another staff person was able to open the exterior door and accept the delivery. The SP's office was "frequented by many [staff persons]" throughout the day. The facility's Person Served Profiles and Individual Abuse Prevention Plans for VA1-VA8 provided the following information: VA1's diagnoses included mild developmental disability. VA1 was unable to independently manage or recognize mismanagement of his/her finances. The facility ensured that staff persons assisted with VA1's finances, and audited or reconciled VA1's finances on a weekly and monthly basis. ResCare Minnesota, Inc. Reports: 201802057, 201802058, 201802084, 201802087, 201802098 Page 4 • VA2's diagnoses included severe intellectual and developmental disability. VA2 was unable to manage or recognize mismanagement of his/her finances. The facility ensured that staff persons assisted with VA2's finances, and audited or reconciled VA2's finances on a weekly and monthly basis. • VA3's diagnoses included schizoaffective disorder. VA3 was unable to manage or recognize mismanagement of his/her finances. The facility ensured that staff persons assisted VA3 with financial transactions, budgeting, banking, and reconciling his/her accounts. * VA4's diagnoses included moderate intellectual and developmental disability. VA4 was unable to manage or recognize mismanagement of his/her finances. The facility ensured that staff persons assisted with VA4's finances, and audited or reconciled VA4's finances on a weekly and monthly basis. • VA5's diagnoses included Asperger's syndrome. VA5 was unable to manage or recognize mismanagement of his/her finances. VA5 was his/her own guardian and had a representative payee to assist with his/her finances. Staff persons reported any concerns with VA5's finances to his/her representative payee. • VA6's diagnoses included severe intellectual and developmental disability. VA6 was unable to manage or recognize mismanagement of his/her finances. The facility ensured that staff persons assisted with VA6's finances and recorded all transactions on a ledger. • VA7's diagnoses included moderate intellectual and developmental disability. VA7 was unable to manage or recognize mismanagement of his/her finances. VA7 had a representative payee to assist with his/her finances. In addition, the facility ensured that staff persons assisted with VAT's finances and recorded all transactions of a ledger. • VA8's diagnoses included mild intellectual and developmental disability. VA8 was unable to manage or recognize mismanagement of his/her finances. VA8 had a representative payee to assist with his/her finances. In addition, the facility ensured that staff persons assisted with VA4's finances, and audited or reconciled VA8's finances on a weekly and monthly basis. The facility's Safekeeping of Funds Policy and Procedure stated that each facility's house supervisor was responsible, on a weekly basis, for reviewing that facility's residents' finances and ensuring the cash -on -hand matched the ledger. Then, once a month, each house supervisor gathered the petty cash pouches and ledgers for their respective residents, and brought the items to the SP at the central office for an audit. P1, P3, and the facility's Internal Review provided the following consistent information: On March 12, 2018, house supervisors (P2, P3, P4, and P5) counted their respective resident's petty cash pouches and ensured that the correct amount was documented and matched the amount in each pouch. 132, P3, P4, and P5 then transported the pouches and ledgers to the SP at the central office. Upon receiving all of the petty cash pouches from facilities A-E, the SP would have had 20 petty cash pouches altogether. (The petty cash pouches belonging to VA1-VA8, and R1 -R12.) The SP was supposed to keep all of the petty cash pouches in a locked file cabinet in his/her office. 0 On March 14, 2018, the SP contacted P2, P3, P4, and P5 and informed that the audit was completed and ResCare Minnesota, Inc. Reports: 201802057, 201802068, 201802084, 201802087, 201802098 Page 5 that the petty cash pouches were reconciled and contained accurate amounts, and that P2, P3, P4, and P5 could return to the central office to pick up their respective petty cash pouches. • Also on March 14, 2018, around 12 noon, the SP was informed that his/her employment at the facility was being ended for unrelated matters. Upon being notified, the SP was escorted to his/her office, and supervised while in his/her office to gather his/her belongings, before leaving. On March 15 and 16, 2018, P3 picked the petty cash pouches up for facility A and E, including those for VAI, R1 -R3, VA7, VA8, and 1111-1112, and delivered the pouches to their respective facility home. The petty cash pouches were not counted at that time; however, in the days that followed, various direct care staff persons notified P3 that money was missing for VAI, VA7, and VA8. However, there was no money missing from R1 -R3, and 1111-1312. P3 contacted a supervisory staff person at the facility's central office with his/her concerns. • On March 16, 2018, P4 picked the petty cash pouches up for facility B, including those for VA2, VA3, VA4, and R4. P4 delivered the pouches to facility B, and did not count the money at that time; however, in the days that followed, various direct care staff persons notified P4 that money was missing for VA2, VA3, and VA4. However, there was no money missing from R4. P4 contacted a supervisory staff person at the facility's central office with his/her concerns. Not all of the petty cash pouches had been picked up at this point and some remained in the SP's office, including those for facilities C and D (VAS, VA6, and 115-1110). Following receipt of 133's and 134's concerns of missing money in the petty cash pouches for facilities A, B, and E, P1 went to the SP's office and found the petty cash pouches for facilities C and D lying on the floor and not secured in the SP's file cabinet as they should have been. At that point, P1 requested that the petty cash pouches for facilities A, B, and E be returned to the central office so that all of the pouches could be audited again. In doing so, the following cash was determined missing: • $20 from VA1 • $80 from VA2 • $55 from VA3 • $25 from VA4 • $50 from VA5 • $71 from VA6 • $20 from VA7 • $61 from VA8 • The total missing from VA1-VA8 was $382. However, there was no money missing from 111-1112. P1 made more than one attempt to contact the SP; however, the SP did not respond to P1. PI searched the SP's office and did not find the missing funds. PI also interviewed each house supervisor who confirmed that they documented the amount in each pouch prior to dropping them off with the SP; that when they picked the pouches up after the audit, they did not count the cash in each pouch until they returned to the facility; and that the pouches were not left unattended during any of those times except when they were with the SP. Note: At the time of the incident, house supervisors were not required to count the cash in each pouch upon picking them up from the SP's office or prior to leaving the SP's office. ResCare Minnesota, Inc. Reports: 201802057, 201802068, 201802084, 201802087, 201802098 Page 6 • The SP had worked in his/her position for a period of time and had audited petty cash pouches before. The SP was trained on how to audit the petty cash pouches and was aware that the pouches and ledgers were supposed to be stored in the SP's locked file cabinet. • PI did not have concerns regarding the SP's contact with residents prior to this incident. Law enforcement was not investigating this case. Facility documentation showed that the SP received training on the facility's policies, including Individual Abuse, Neglect, Exploitation and Retaliation Statement of Policy and Employment Acknowledgement, and the Reporting of Maltreatment of Vulnerable Adults Act. Conclusion: A. Maltreatment: Between March 12 and 14, 2018, P2, P3, P4, and P5 gathered the petty cash pouches for the residents who lived at facilities A-E, including VAI-VA8, and R1-1112. P2, P3, P4, and P5 counted the money in each pouch and documented the totals on a ledger. P2, P3, P4, and P5 then delivered the pouches to the SP who was responsible for completing a routine monthly audit. The SP was supposed to keep the pouches locked in his/her office. On March 15 and 16, 2018, P3 and P4 picked up the pouches for facilities A, B, and E. Over the following days, direct care staff persons notified P3 and P4 that money was missing from some, not all, of the pouches. (There was money missing from VA1-VA4, VA7-VA8; however, there was no money missing from 111-114, and R11-1112.) Upon receipt of the concerns, all of the petty cash pouches were audited again, and in doing so, it was discovered that a total of $382 was missing from the pouches belonging to VAI -VAS. However, once again, there was no money missing from 111-1112. The SP did not respond to this investigator's request for an interview and therefore, did not provide information for this investigation. Given that VA1's-VA8's money was stored either at the facility and/or in the SP's office, and that although there was an exterior door in the SP's office, it was kept locked and only accessed by a staff person for deliveries during business hours, there was a preponderance of the evidence that a staff person took $382 belonging to VA1-VA8 without the legal authority to do so. It was determined that financial exploitation occurred (in the absence of legal authority a person willfully uses, withholds, or disposes of funds or property of a vulnerable adult). B. Responsibility pursuant to Minnesota Statutes, section 626.557, subdivision 9c, paragraph (c): When determining whether the facility or individual is the responsible party for substantiated maltreatment or whether both the facility and the individual are responsible for substantiated maltreatment, the lead agency shall consider at least the following mitigating factors: (1) whether the actions of the facility or the individual caregivers were in accordance with, and followed the terms of, an erroneous physician order, prescription, resident care plan, or directive. This is not a mitigating factor when the facility or caregiver is responsible for the ResCare Minnesota, Inc. Reports: 201802057, 201802068, 201802084, 201802087, 201802098 Page 7 issuance of the erroneous order, prescription, plan, or directive or knows or should have known of the errors and took no reasonable measures to correct the defect before administering care; (2) the comparative responsibility between the facility, other caregivers, and requirements placed upon the employee, including but not limited to, the facility's compliance with related regulatory standards and factors such as the adequacy of facility policies and procedures, the adequacy of facility training, the adequacy of an individual's participation in the training, the adequacy of caregiver supervision, the adequacy of facility staffing levels, and a consideration of the scope of the individual employee's authority; and {3} whether the facility or individual followed professional standards in exercising professional judgment. Although the petty cash pouches were stored in the SP's locked office, the pouches were not stored in a locked file cabinet as they should have been and more than one staff person had access to the SP's office and/or had access to a key to access the SP's office. Given that there was no direct evidence that the SP was responsible for taking the missing money, the responsibility for the financial exploitation of VAI-VA8 was inconclusive. Action Taken bv Facility. The facility completed an internal review, and determined that policies and procedures were not followed. The facility made changes so that any time money is transferred between parties, two staff persons are required to count the money and sign that they counted the money. All staff persons received training on this change. Action Taken by department of Human Services, Office of Inspector General: No further action taken. Investigation Shows Maltreatment of Vulnerable Adults at Residence Facilky Photo: Google Maps August 22, 2017 05:39 PM A Minnesota Department of Human Services investigation concluded four vulnerable adults at a residential facility were forced to use garbage cans after a toilet became plugged, and made to haul that human waste into the trash in the facility's garage. But though maltreatment was substantiated, the report found it was a result of a staff: person not following adequate policies and procedures already in place. And given immediate steps ere taken to address the situation, the report stated no corrective action is being ordered. The report alleges the conduct occurred from June 16-19 in a facility run by ResCare Minnesota, part of Louisville, Kentucky -based ResCare - a company described on its website as the "largest diversified health and human services provider in the U.S." "We deeply regret this situation," the company said in a statement, RI LLATED- Dila Home Health Puw dsrs ON Hot 7afte Ac don to Dave PaUgn� DSSPO�G OrdSr (http://kstp.com/news/home-health-providers-investigation- patient-death/4567398/?cat=1) "We are committed to ensuring the safety and well-being of our clients every day. We conducted an internal investigation as soon as we learned of this issue and immediately took immediate action to correct the plumbing situation. The employee has been separated from employment with ResCare. Our employees are trained to serve with compassion and respect. We do not tolerate behavior that does not comply with regulations or our mission." The report described the facility in question as a "split entry styled home. The facility had one `Sathroom on the main floor, and another bathroom was located in an apartment that was used for the live-in staff person." In this case, the investigation reported, the live-in staff person "was typically gone on weekends and usually returned to the facility on Sunday nights at 19 p.m." Which meant the live-in apartment on the louver level was locked, and the staff person working at the facility from 2 p.m. on June 16 to 10 p.m. on June 18 did not have access. RELATED' MEW RUQ 83, Ns&ct dnva0 sd on Death a� Qnnandds Nuraa ng Home (http://kstp.com/news/minnesota-department-of-health-investigation- finds-annandale-nursing-home-neglected-patient-/44943581?cat=12196) According to the investigation's findings, the staff person on duty said the remaining toilet �I became plugged on the morning of June 17. The staff person put tape on it and allegedly told the vulnerable adults "to have bowel movements in plastic bags that were put into garbage Lans in the bathroom and to run water in the shower when they had to urinate." 0 https://www.wvgazettemaii.com/business/teen-s-death-comes-amid-complaints-at-rescare-s-wv/article_59dO84fO-35c2- r,9cd-8890-d7bObfdd7b80. Mimi Teen's death comes amid complaints at ResCare's WV facilities Giuseppe Sabella Apr 15, 2017 Woodward Children's Home in Charleston, where Jeremy Bush, 13, lived before he stole a van, crashed soon after and died. GIUSEPPE SABELLA Gazette -Mail The death of a teenage ResCare client on March 15 followed dozens of complaints against the company's West Virginia facilities. From 2012 to 2016, the state Office of Health Facility Licensure and Certification confirmed 32 complaints among 10 West Virginia ResCare agencies. These included allegations of neglect, sexual abuse and issues with the training and staffing of employees. OHFLAC substantiated each complaint, including 10 from 2016, as part of its responsibility to uphold state licensure rules and federal certification regulations. ResCare's corporate office is located in Louisville, Kentucky. Among several other services, its residential facilities provide care for people with often extreme physical and mental disabilities. This is a list detailing some of the complaints filed against ResCare with OHFLAC: nnn Jeremy Bush, 13, took a Dodge Caravan from Woodward Children's Home, a ResCare facility in Charleston, and drove half a mile before he crashed into a stone wall. consumed the van, and Bush died at the scene. Though his death is still under investigation, state OHFLAC surveyors recently verified several cases of clients leaving other ResCare locations. A ResCare agency in Clarksburg discovered a neighbor of one facility returned its resident on Jan. 17, 2016. It was the client's fifth time leaving without anyone noticing. The client entered the neighbor's home and made himself a cup of coffee. When the neighbor brought him home, she found an unlocked gate, a faulty doorbell and a staff member asleep on the couch, according to OHFLAC A facility under the same agency lost a client in 2015 and found him in a company vehicle later that day. An employee reported the disappearance a day later after she overheard two nurses talking about the incident. An OHFLAC investigator discovered the facility never gave the client a proper medical assessment, nor did it pr^nerly train the employee assigned to care for him. Three other ResCare agencies temporarily lost clients or left them alone between 2015 and 2016. An agency in Logan had three incidents in one year. An employee allegedly left the first client alone in a car twice in one day: once to pay for gasoline and another time to drop clothing off to her son. The second client escaped from her bedroom window and the third client wglked out of his yard without an employee noticing. Neighbors returned the clients during two of the incidents. Complaint records do not show any recent escape incidents at the facility from which Bush stole the van he would eventually crash. They do reveal notes about a resident's known behavior in 2014. The resident, listed as "Client 2" in the report, was known to "flee from his home and out of staff's eyesight." The report goes on to classify the facility's residents as "severely and profoundly retarded clients who are aggressive, assaultive or security risks:' The facility, it said, failed to staff enough employees to care for each client. Sometimes one employee would take care of four clients for hours at a time. Records from Metro 911 of Kanawha County show emergency services responded to the facility about 35 times in the last two years. ;many as 10 calls were from people concerned about patients outside the facility, said Rick McElhaney, the deputy director of Metro 911. Most of the other calls were for triggered fire alarms, he said. nnn In 2016, an employee of the ResCare agency in Beckley put a girl, who was confined to a wheelchair, into a company van with low tire pressure, an expired registration card and an odometer that displayed nearly 7,000 miles more than the recommended number for an oil change. The employee grabbed two of four available straps to secure the wheelchair and hooked them to the wrong spots, the OHFLAC report shows. The girl fell over and hit her head during the trip. Instead of calling for help, the employee notified another staff member who then called for an ambulance. Emergency responders transported the girl to a hospital, and authorities then directed her to Charleston Area Medical Center 30 minutes later for a "brain bleed." The employee who failed to secure the wheelchair resigned at a company office. A hospital treated the girl's head injury for five days, and she returned to the hospital with a new injury just two days after being released. someone who suffered a stroke in 2007, the girl had trouble sitting in armless chairs or on a bed without falling out. Still, nobody attached rails to her bed. She foil to the floor before her second visit to the hospital, and an employee put her back in bed without notifying someone qualified to evaluate her possible injuries, OHFLAC noted. The employee tried to call a manager instead of 911, and the girl again fell and hit her head on a nightstand. She was later put on life support. As fluid gathered in her lungs and her kidneys shut down, the girl died after her guardian decided to have the ventilator removed. nnn A ResCare facility in Parkersburg waited two days to report an employee who sexually abused two clients in 5, OHFLAC found. Both clients had care plans that outlined the importance of giving them personal space. Even a hug would violate the plans. On Aug. 14, 2015, OHFLAC reported, an employee gyrated on a pool noodle and described her sex life. She also simulated sex on one of the clients and then told both clients to do the same to each other. Though a supervisor discovered the abuse three days later, she waited another two days to inform another manager It took another day for employees to report the abuse to Adult Protective Services. In a similar delay the year before, a client of the ResCare agency in Huntington reported sexual abuse and did not receive an investigation until days later, according to OHFLAC. In late February 2016, a client of the agency in Lewisburg said she performed oral sex on an employee. The facility waited several days before it reported the incident to Adult Protective Services, and the employee Pdmitted to the girl's allegation after her guardian called police, OHFLAC found. Management placed the employee on administrative leave several days after the girl reported him. nnn Marjorie Carpenter joined Kenova Group Home — a ResCare facility — as a registered nurse in 2003, later taking a job as the director of nursing in 2008, according to a lawsuit filed in Wayne County Circuit Court. Carpenter started to bring issues to the attention of management in 2011. She was concerned about abuse, patients' privacy rights and illegal drug use by employees, the suit states. Other employees accused her of harassment, and the investigation into their complaints led to Carpenter's concerns being labeled as "foolish and unfounded," the suit alleges. gave OHFLAC surveyors a disc of information regarding privacy violations on Sept. 13, 2011. On the same day, her supervisor said an employee resigned in April and claimed Carpenter created a hostile work environment, the suit states. According to OHFLAC records, a confidential informant gave surveyors a collection of photographs and videos exhibiting abuse. One video showed a client hiding her face and crying. She begged the person filming to turn off the camera, but the tape continued. Laughter can be heard in the background. Someone photographed another client with her jeans pulled lower than normal and her undergarments stretched "extremely high:' Some of the pictures appeared on Facebook, and surveyors later discovered the files came from a company computer. The center's executive director lost his job over the incident, and the facility placed Carpenter on administrative leave for "creating a hostile environment;' according to the suit. Though she had no ir,--ivement in the wrongdoing, the company apparently fired her about a month later. In 2015, a woman employed by a ResCare office in Buckhannon said she suffered from nightmares after a client tried to rape her at an understaffed residential facility. According to a lawsuit filed in Upshur County Circuit Court, the facility's two patients required one -on -ane supervision. However, the woman took care of both patients by herself several times, the suit states. e..e woman had just finished cleaning furniture in the living room when a client came out of his room and became angry. He followed her to the porch, where she tried to isolate herself while the client calmed down. Knowing he couldn't be reasoned with, the woman wanted to make a call. The patient then slapped and punched her as she struggled to get the phone. The woman tripped and fell along the way, and the patient reportedly groped her. The struggle escalated until — with her children in mind — the woman had to beg for her life, according to the suit. Police arrested the man, and ResCare officials posted his bail before they returned him to the home, the suit states. An employee with the company's human resources department soon met with the woman to discuss her well-being. She complained to the employee about being left alone at the home —15 minutes later, the company suspended her for allegations of misconduct, the complaint alleges, and a job ad for her position appeared the same day. The parties in each case settled the lawsuits out of court. nnn ResCare serves approximately 1,000 people and employs another 2,500 throughout West Virginia. The company's goal is to eliminate incidents related to safety and impropriety, Kristen Trenaman, the director of marketing communications for ResCare Inc., wrote in an email. "RPSCare's top priority is always to ensure the safety and well-being of the individuals we serve, our ertiployees and our caregivers;" she said. Trenaman said privacy concerns prevent ResCare from addressing individual complaints with the media. ResCare published a document in March that outlined challenges to caring for people with intellectual and developmental disabilities. oe report cites growing demand, shifting demographics, mounting regulations, and stagnant state and federal budgets for a workforce crisis in the health care industry. "Given current funding levels and restrictions, the industry struggles to retain the most qualified workers and is not rewarded for developing or implementing technologies to ease the demand on personnel." Despite the existence of challenges, Trenaman said ResCare is investing in technology, creating real-time care plans and utilizing emergency response solutions to better serve approximately 60,000 people throughout the U.S. "We are deeply saddened when harm comes to any of the individuals we serve or to any of our employees," Trenaman said. Reach Giuseppe Sabella at giuseppe.sabella@w vgazettemail.com, 304-348-5189 or follow @Gsabella on Twitter. West Carrollton group home death ruled a homicide 12/16/18, 12:07 PM West Carrollton group home death ruled homicide; state watchdog joins investigation Published: Monday, May 14, 2018 @ 8:54 AM By: Breaking News Staff (ion line/contacts/breaking-news-staff/fq3gjnQ4FHoEVbcxhtwh6N/), Nick Blizzard (Inews/local/nick-blizzard/6wjXfAiMDuUWxJA72VVVkAL/), Mike Campbell (/entertainmentlpersonalities/mike- ca mpbel I/Q h 18A71YSOBzjpW VAcdwO/) Montgomery County Coroner's Office rules that the March death of a man who lived in the home, was a hom'Fcide. WEST CARROLLTON —The death of a man who lived at a West Carrollton group home on RedbluffDrive in March has been ruled a homicide, the Montgomery County Coronet's Office said. West Carrollton police told our reporters they plan on ,presenting evidence in the death case to a three -prosecutor panel in Montgomery County in the next 24 hours. The panel will consider whether criminal charges are warranted. Jerrold Duskey, 65, of West Carrollton, died around 11:15 p.m. March 5 at Kettering Medical Center from complications of multiple blunt force injuries to his head, torso and left upper extremity, the coroners office said. The coroner's office said an acute intracranial hemorrhage was a significant contributor to his death. Content Continues Below RELATED: Police have suspects in West Carrollton group home death investigation (https://www.whio.com/news/local/west-carrollton-police-investigate-redbluff-d rive- death/4gNeJj pB2AALU2dPDjaBTL) An Ohio advocacy group also is investigating the West Carrollton group home where death happened. Disability Rights Ohio is looking into the group home on Redbluff Drive, where Duskey lived, said Michael Kirkman, executive director of DRO. https://www.whio.com/news/local/west-carrollton-group-home-death-ruled-homicide/z WJ7ThODc6TXSak4T5ERTN/ Page 1 of 5 West Carrollton group home death ruled a homicide 12/16/18, 12:07 PM West Carrollton police said they have suspects identified in connection to the case, however no charges have been filed. Police said they plan to pursue charges in the case once they receive the final autopsy report from the coroners office. Police said they have an active investigation at Duskeys Redbluff Drive residence involving an incident Feb. 14 - TRENDING: Meth makes deadly comeback in Dayton area (htLps:/fwwvv.mydaytondailynews.corn/news/crime- -law/meth-makes-ki Iler-comeback-dayton-area/STiaXGKzZSGYSOfd LvaRzj/) A residential manager at the group home reported to police possible physical abuse involving one of its residents on Feb. 14. "We have reason to believe a resident has been abused;'the manager told 911 operators, adding that it's not known how the resident sustained the reported injuries. ResCare, Inc. manages the group home on Redbluff. A spokeswoman for the organization said two caregivers, who were working at the time the incident occurred, have been removed from employment. "We continue to work closely and in cooperation with law enforcement and with external investigators. After conducting our own internal investigation, following our policy and protocol, we separated two caregivers from employment who were working during the time the incident occurred," said Kristen Trenaman, spokeswoman for ResCare. TRENDING: How four kids from Dayton ended pay toilets in America (https://www,daytonda ilynews.com/news/lost-history-how-fou r-ki ds-from-clayton-ended-pay-toilets- america/lt9zXTTOeVybTealN7rro0/) ResCare Residential Services provides support to adults and children who need assistance with daily living due to a developmental, cognitive or intellectual disability. Programs offered include a range of services, including: community living, behavioral health support, in-home pharmacy solutions, TeleCare and supported employment, said Trenaman. Trenaman said, "We are heartbroken to learn that one of the individuals we supported passed away while hospitalized." The injuries that led to Duskeys death were sustained at his residence on Redbluff, the coroners office said. Download the WHIG News app Get breaking news, weather, and traffic from WHIO-TV & AM 1290 and News 95.7 WHIO in one great app. Click a link below to get the app. 1290 M7 '' (http://apple.co/2rkGcea} (http://bit.ly/2rbgW4R) Trending - Most Read Stories https://www.whio.com/news/local/west-carrolJton-group-home-death-ruled-homicide/z WJ7ThODc6TXBak4T5ERTN/ Page 2 of 5 Homeowner shoots, kills man trying to enter his home 43Q Austin Homeowner shoots, kips man trying to enter his home By: Calily Bien (https://www.kxan.com/meet-the-team/calily-bien/882318310) u (mailto:calily.bien@kxan.com) Updated: Jan 05, 2015 07:40 AM CST (Interactive Media Not Supported by Print) 12/16/18, 12:38 PM AUSTIN (KXAN) -- A man who feared for his -- and his family's -- safety shot and killed a man who had run away from a South Austin group home Monday morning, according to Austin police. https://www.kxan.com/news/local/austin/apd-investigating-suspicious-death-in-south-austin/1049502362 Page 1 of 3 Homeowner shoots, kills man trying to enter his home 12/16/18, 12:38 PM Invesilgaiors say Tne snooiing nappenea Jusi DeTore ia:.3u a.m. In ine luzuu DIOCK OT branuey tSeno. A few minutes before the shooting, several 911 calls came in reporting a man who had been walking around the neighborhood banging on doors. When the man went to a home on Brantley Bend, he banged on the door and was able to force his way into the front entryway. "The homeowner was alerted to the previous banging by his wife," said Senior Police Officer Veneza Bremner. "At which point, he went to the front door and fired his weapon at the suspect, striking him in the front of his body." The man died at the scene. The husband and wife, along with their three kids, were home at the time of the incident. "The homeowner feared for his life and his family's life," said Bremner. The man who was killed had run away from a nearby group home after becoming agitated, a spokesperson for Rescare said. The company manages Educare Community Living Corp which is a home that provides services for people with intellectual and developmental disabilities. A staff member tried to follow the man, who is autistic, but could not convince him to come back. She then went back into the home to check on the other people living there. When she came back outside, police officers were outside and told her what had happened. "Right now our staff members are trying to deal with their grief and the family's," said spokesperson Nel Taylor in an email statement. "Right now our staff members are trying to deal with their grief and the family's." Neighbor Steve Roberts lives at the end of the street. "Well, I'm glad I'm not in that situation. He did what he thought he had to do; I probably would have done the same thing," said Roberts after first learning about the shooting. "I took the trash out, the can, and I heard three gun shots, 'Boom! Boom! Boom! ... I know they were gunshots and they weren't firecrackers because I shoot and hunt." Police are still trying to determine if officers were already on their way to the neighborhood for the initial disturbance when the shooting happened. Background Educare Community Living Corp Adult Protective Services is assisting law enforcement in the investigation. APS investigates alla¢atinnc of nhi ica noalart nnri/nr mvnlnitntinn nnri in Chic racy it Wni ilrl ho nntAntinl noaaloarrt https://www.kxan.com/news/locaJ/austin/apd-investigating-suspicious-death-in-south-austin/l049502362 Page 2 of 3 Homeowner shoots, kills man trying to enter his home 12/16116, 1238 PM ....,...amu.. v..v .... uv u....., ..�.�... �.� w,...r v, vi. p......eu uv.. u..0 ... �. .......�....,. .� .... a..v vv q..v w........ ..._.b..-..-. �. According to a spokesperson for the Department of Aging and Disability Services, Educare Community Living Corp. is a licensed ICS (intermediate care facility) for individuals who have intellectual and developmental disability. In the past three years, DADS said the facility had some minor deficiencies but all of the issues were addressed. DADS said Educare has operated since November 1, 2011. The license allows them to operate a six - bed facility. Anytime there are facilities such as these in a neighborhood, residents can reach out to DADS at 1- 800-458-9858 in case they have any concerns. • When you're allowed to shoot in Texas Copyright by KXAN - All rights reserved https://www.kxan.com/news/local/austin/apd-investigating-suspicious-death-in-south-austln/l0495D2362 Page 3 of 3 State to investigate special needs home after fatal shooting 12/16118, 12;48 PM tatesmaia State to investigate special needs home after fatal shooting By Nicole Chavez Posted Sep 24, 2016 at 12:01 AM Updated Sep 25, 2018 at 5:25 PM In the wake of the fatal shooting of an autistic man after he ran away from his special needs home, the state agency overseeing such facilities has opened an investigation into its operations. Jared James, 24, was killed Monday morning in South Austin after police say he broke into a house near the facility and the homeowner shot him. James was pronounced dead at the scene. Police found his body within the threshold of the shooter's home, police said. " 11thorities are not pursuing charges against the shooter, who KVUE-TV identified as John Daub. The Travis County district attorney's office will review the case. A police spokeswoman said it is standard procedure. A resident who lives near the special needs home said on Tuesday it is not the first time someone ran away from the facility. Joan Inbody, 84, said that a few weeks ago she was sitting inside her home on Brantley Cove when she saw a man running from the special needs home while several staff members chased him. "They were outside looking for him for about two hours until they found him," Inbody said. "I don't know where he was for so long." Even though the home has been operating for years near her home, Inbody said doesn't feel the facility fits in the neighborhood. https://www.statesman.com/NEWS/20160924/State-to-investigate-special-needs-home-after-fatal-shooting Page 1 of 2 State to investigate special needs home after fatal shooting 12/16/18, 12:48 PAA The special needs home at 10202 Brantley Cove — where James lived — is operated by ResCare, a Ventucky-based company running 20 similar facilities in Travis County, according to state records. lvlost have an overall rating below the state average, according to the state department that oversees such facilities. The ResCare home appeared to be operating on Tuesday after Austin police and the Texas Department of Aging and Disabilities Services launched their investigations. At least six people live at the home under the supervision of ResCare staff, officials said. Although the Brantley Cove home is privately owned and the state does not fund it, the facility is certified to accept Medicaid funding. "If our investigation finds deficiencies that we believe warrant law enforcement action, we might recommend that the federal Centers for Medicare and Medicaid Services revoke that certification," said Cecilia Cavuto, a spokeswoman with the Texas Department of Aging and Disabilities Services. Last July, the state found 27 health and safety deficiencies to federal standards during an annual spection at the Brantley Cove facility, which included the lack of qualified staff to attend clients with mental retardation, according to state records. ResCare has corrected most of them since then, records showed. The Brantley Cove home is due to pay an administrative penalty of $4,000 from 2013, according to state records. A spokeswoman for ResCare said James ran from the home after becoming agitated. A staff member chased after him but could not persuade him to return, the spokeswoman said. The staffer went inside the home to check on the other residents there and when she returned she was told by police that James was dead, Taylor said. Staff did not call 911. Authorities first learned of the shooting at 6:26 a.m., when a resident at the home where the shooting occurred called the police. Following the shooting, police learned from neighbors that James had banged the doors of several nearby homes. https://www.statesman.com/NEWS/20160424/State-to-investigate-special-needs-home-after-fatal-shooting Page 2 of 2 Records: ResCare Agency facilities struggling with staffing shortages Qecords: ResCare Agency facilities struggling i.rith staffing shortages v" m C 6s. wig By AP I Posted: Mon 10:26 PM, Sep 10, 2018 1 Updated: Man 10:43 PM, Sep 10, 2018 CHARLESTON, W.Va. (AP) - Complaints filed with a West Virginia state agency say ResCare Agency facilities are struggling with -ffing shortages, causing problems such as missed doctors' appointments and incorrectly administered medication. , company provides care for people with extreme physical and mental disabilities, among other services. Most of the nine substantiated complaints filed with the state Office of Health Facility Licensure and Certification since last year lay out the problems due to staff shortages. One says a lack of supervision allowed a patient to run away. Another says patients are commonly told that their doctors' appointments have been "cancelled due to staffing issues:' The state agency confirmed 32 ResCare facility complaints from 2012 to 2016. Some also included allegations of neglect and sexual abuse. A ResCare spokesperson says the company is working to identify recruitment and retention solutions to ensure staffing needs are met. (Copyright 2018 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.) a PETS ART0000 . «. 50%OPP iN AMP1.4 ti Hover for Circular Hover for Circular Powered by 12/16/18, 2:05 PM O https://www.thenewscenter.tvlcontent/news/Records-Behavioral-health-centers-deal-with-staff-shortages-492914341.htmi Page 1 of 2 .r.mr t+ rwe. ®,ro r.�n Ja" Lena't Garatte Show & Shute Kit re�rr ms 24^ f -zggil - 26"=� 33"= -:. 34"=a Hover for Circular Hover for Circular Powered by 12/16/18, 2:05 PM O https://www.thenewscenter.tvlcontent/news/Records-Behavioral-health-centers-deal-with-staff-shortages-492914341.htmi Page 1 of 2 Major problems found at group home after special needs resident allegedly beaten, sexually assaulted .July 09, 2018 4:34 PM in The Investigative Unit Source: WBRZ By: Chris Nakamoto BATON ROUGE - The Louisiana Department of Health launched an investigation into a local group home after a Livingston Parish resident was left with a broken nose and urinated on by another resident. The investigation revealed at least 13 deficiencies that needed an immediate correction, according to the 67 -page report the WBRZ Investigative Unit obtained. Caleb Sharp, 22, has a chromosomal anomaly which requires him to depend on adults for care. Sharp was staying in a group home in Ponchatoula when things went wrong this year, according to his mother. "Caleb was lying in his bed, and [another resident] was instructed by another worker to urinate on Caleb while he was lying in his bed," Jessica Mitchell said. Mitchell took Caleb home and immediately called a meeting with administrators. "After that meeting, Caleb came home and lived with me for about a week," Mitchell recalled. "He went back to the group home. When he went back, that's when the horror story began." The horror Mitchell refers to is documented in pictures that show her son beaten and bloodied. "First we called the police," Mitchell said. "A deputy came out and said because of the circumstances he was not able to do anything at that point. He took my husband's statement and left." Mitchell also filed complaints with the State Department of Health, which launched an investigation into the group home and found 13 major problems. The 67 -page report notes the facility failed to protect clients from physical and psychological abuse, neglected to seek medical treatment after the incidents, and found the facility couldn't provide evidence that the abuse was thoroughly investigated. "I gave them my child to take care of, and the opposite happened," Mitchell said. "This needs to stop. They need to be held accountable for what they've done and what they've allowed to happen." http://www.wbrz.com/news/major-problems-found-at-group-home-after-special- needs-resident-allegedly-beaten-sexually-assaulted/ Last month, Mitchell sued Rescare and the workers responsible for what happened to Caleb alleging Rescare employees directed people in the house to physically beat, sexually assault, taunt and psychologically abuse him, as well as urinate on him and his belongings. "This instance has set Caleb back and his family back," Mitchell's attorney Scott Mansfield said. "It has thrown their world off and thrown a wrench in their daily lives, and it needs to be addressed by Rescare. " Mansfield said Rescare has a history of doing this across the country which results in big problems for residents. "Rescare is responsible for hiring qualified employees and training them to care for people with special needs," Mansfield said. "Rescare hires unqualified workers and families trust these people to care for their loved ones with special needs and Rescare has failed them." Attempts to reach people at the group home were unsuccessful. Knocks at the door went unanswered. A spokesperson for Rescare released the following statement, "It is Rescare's policy not to comment on pending litigation." Meanwhile, Mitchell said Caleb is back at home. She wants her fun -loving son back. "I don't want another family or another special needs adult to have to go through what Caleb's gone through and what our family has gone through," Mitchell said. The WBRZ Investigative Unit obtained job listings for Rescare and the listings indicate applicants need no formal skills or training. According to Rescare, it operates in 42 states, Canada, and Puerto Rico. http://www.wbrz.com/news/major-prob]ems-found-at-group-home-after-special- needs -resident-all egedly-b eaten -sexually-assaulted/ Elizabethtown man arrested after ResCare worker found stabbed to death I Crime Reports I wdrb.com Elk River, MN: This Unbelievable, Tiny Company Is Disrupting A $200 Billion Industry 0 EVER OT -c https://www.wdrb.com/news/crime-reports/elizabethtown-man-arrested-after-rescare-worker-found-stabbed-to-death/artic[e_5b7g28ed-699f 534b 8280-e5ad8a627d1c.html Elizabethtown roan arrested after ResCare worker found stabbed to death Jan 4, 2017 LUZABETHTOWN, Ky. (WDRB) --A Hardin County man is charged with murder after an employee at a home care facility was found stabbed to death early Wednesday. Authorities say the victim, now identified as 66 -year-old Sally Berry of Radcliff, was dead when deputies arrived at Community Alternatives of Kentucky, a division of ResCare. ResCare has multiple facilities in Kentucky and across the country. This one in the 200 block of Bryan Street in Elizabethtown cares for adults with developmental disabilities. Hardin County Sheriff John Ward said another employee discovered Berry's body in a pool of blood when she came for a shift change. Sheriff Ward said that employee called 911 just before 11:00 p.m. Tuesday. Ward says a patient at the facility, 32 -year-old Lindale Cunningham, admitted stabbing Berry. Two other male patients were in the home at the time. Cunningham was arrested Wednesday at 3:46 a.m. Ward says investigators are trying to determine what led to the stabbing. 12/16/18, 2:14 PM https://www.wdrb.com/news/crime-reports/eliza bethtown- man- arreste...tabbed-to-death/article_5b782Bed-699f-534b-8280-e5ad8a627dlc.htmI Page 1 of 3 Elizabethtown man arrested after ResCare worker found stabbed to death l Crime Reports I wdrb.com "We didn't receive a call prior to the call last night, we didn't receive a call of a fight or anything like that, we just received a call from the worker coming into relieve the victim and that's when she found the victim laying on the ° )r," Ward said. ResCare released the following statement Wednesday afternoon: ResCare is deeply saddened by this very tragic loss of one of our own employees with years of dedicated service as a care giver and we extend our sympathy to the family for the loss of their loved one. Our number one priority is to ensure the safety and well-being of each and every one of our clients and staff members at all times. We are cooperating fully with the police investigation and are unable to comment further on this matter due to the investigation. Cunningham is being held at the Hardin County Detention Center. Harry Baxter has lived across the street from the facility since 1996. He said police were called to the home multiple times in the past. He said the victim, Berry, was also hurt while working at that home last summer. "She had gotten roughed up," explained Baxter. "And she wants to know, because I was a retired deputy sheriff, she wanted to know what to do about it. And I said, 'Ma'am don't play around. Call the police' I said, 'If you need to get out of there, come straight across the street, and we'll take care of you until the cops get here."' Baxter said he didn't know much more about Berry or her family. But he said he worried for her and he feels terrible for her family. "She was somebody I spoke to in passing every time she showed up," said Baxter, holding back tears. "And when she got ready to leave, i said,'Well, how did it go last night?' And she said, 'Well, I made it.' Well, last night she didn't." Copyright20171NDRB Media. All rights reserved. 12/16118, 2:14 PM https://www.wdrb.com/news/crime-reports/elizabethtown-man-arreste...tabbed-to-death/article_5b782Bed-699f-534b-8280-e5ad8a627dlc_html Page 2 of 3 Bristol, Virginia Man Pleads Guilty to Conspiracy to Commit Healthcare Fraud I USAO-WDVA 1 Department of Justice I'HE t:N E'1 LD STATES ATTORNEYS OFFICE WESTERN ERN DIST RICH' of }V IR(;INIA F HOME ABOUT MEET THE U.S. ATTORNEY PROGRAMS JOBS CONTACT U.S. Attorneys ?, Western District of Virginia » News Department of Justice U.S. Attorney's Office Western District of Virginia FOR IMMEDIATE RELEASE Search it 'Sri NEWS DIVISIONS 12/16/1$, 19:36 AM Wednesday, April 12, 2017 Bristol, Virginia Man Pleads Guilty to Conspiracy to Commit Healthcare Fraud ABINGDON, VIRGINIA — A Bristol man, who along with his wife and another woman, was accused of healthcare fraud charges, has pled guilty to related federal charges, Acting United States Attorney Rick A. Mountcastle, Virginia Attorney General Mark R. Herring and Nick DiGiulio, Special Agent in Charge, Philadelphia Regional Office for U.S. Health and Human Services - Office of Inspector General announced today. Bryan Harr Sr., 41, of Bristol, Va., pled guilty yesterday in the United States District Court for the Western District of Virginia in Abingdon to one count of conspiracy to commit healthcare fraud. Melissa Harr previously pled guilty to one count conspiracy to commit healthcare fraud. Deborah Branch, 64, is also charged as part of the conspiracy. Bryan Harr Sr. admitted yesterday that he and his wife, Melissa Harr, hired Branch to work with one of their children, who suffers from intellectual and physical disabilities and who qualifies for services paid for by Virginia Medicaid, including personal assistance, respite and residential support services. These services are available to qualified individuals pursuant to Virginia Medicaid's Intellectual Disability (ID) waiver program. The ID waiver program is designed to provide critical services that enable a recipient to remain at home instead of being placed in an institution. Recipients or their guardians are permitted to hire workers of their own choosing to provide these services which are paid for by Virginia Medicaid. https://www.justice.gov/usao-wdva/pr/bristol-virginia-man-pleads-guilty-conspiracy-commit-healthcare-fraud Page 1 of 2 Bristol, Virginia Man Pleads Guilty to Conspiracy to Commit Healthcare Fraud I USAO-WDVA I Department of Justice 12/16/16, 11:36 AM Branch was paid through two different Virginia Medicaid contractors: Public Partnerships, LLC and ResCare (formerly known as Creative Family Solutions). From January 2010 until September 2015, Branch, with the knowledge of Melissa Harr and Bryan Harr Sr., submitted time sheets claiming Branch was providing services for Harr's disabled son when she was not. In exchange for assisting Branch in getting paid for work she did not do, Branch paid the Harrs approximately $200 every two weeks. Virginia Medicaid's Department of Medical Assistance Services (DMAS) paid out $350,641.02 to the contractors based on these time sheets, of which $207,854.43 was paid to Branch. More importantly, the Harr's disabled son did not receive the services he legitimately needed pursuant to the ID waiver program, The investigation of the case was conducted by the Medicaid Fraud Control Unit of the Virginia Attorney General's Office, the U.S. Department of Health and Human Services Office of inspector General, and the Bristol Virginia Police Department. Special Assistant United States Attorney Janine M. Myatt, a Virginia Assistant Attorney General, is prosecuting the case for the United States. Topic(s): Health Care Fraud Component(s): USAO - Virginia, Western Updated April 12, 2017 https://www.justice.gov/usao-wdva/pr/bristol-virginia-man-pleads-guilty-conspiracy-commit-healthcare-fraud Page 2 of 2 ResCare Whistleblowers - Have Evidence of Res -Care Misconduct? nP_aS0II@bIP_ DC-Ubt Bln,�ir TULLY&WEv , 1 3 a 12/16118,11:37 AM forma Criminal Defense Attorneys Experienced & Aggressive Lawyers Focused on your Liberty All Courts 925.229.9700 530.776.0840 Contra Costa I Alameda Northern California July 15th 2017 https://www.tully-weiss.corn/b log. php?a rticle=rescare -whist leblowers-have -evide nce-of-res-care-misco ndu ct_76 Page 1 of 11 ResCare Whistleblowers — Have Evidence of Res -Care Misconduct? 12116/18,11:37 AM The Law Office of Tully & Weiss wants to speak with insiders who work or once worked at ResCare (also known as Res -Care, Inc). We are investigating claims of Medicare and Medicaid fraud. Under the federal False Claims Act and the laws of dozens of states, people with inside information who are brave enough to step forward and disclose what they know about healthcare fraud involving government funded healthcare (Medicaid, Medicare &TriCare) can help save taxpayers their hard-earned money and may be eligible for large cash awards. In California, insiders with information about fraud involving Medi -Cal may be eligible for awards from the California False Claims Act. Who Is ResCare (Res -Care)? ResCare bills itself as "the largest diversified health and human services provider in the U.S" Their website says they are also: ► The biggest provider of healthcare services to people with disabilities, https:j/www.tufly-weiss.com/blog.php?article=rescare-whistleblowers-have-evidence-of-res-care-misconduct_76 Page 2 of 11 ResCare Whistleblowers - Have Evidence of Res -Care Misconduct? 12/16/18, 11:37 AM • The biggest privately -owned home care company, • The biggest community provider of high -acuity neuro -rehab, and • "The largest career center workforce contractor in the U.S" Before being taken over by a private equity firm five years ago, ResCare annual reports were filed with the SEC and public. In its 2012 annual report, the company claimed that it provided services to 61,000 people per day in 44 states plus Washington DC and Puerto Rico. That report also claimed the company employed 46,000 people. Much of the community and in home services provided by Res Care include professional nursing, personal care, Alzheimer's care, dementia care, homemaking and companionship. Services are offered in patients' homes, nursing facilities, assisted living facilities and even hospitals. Services may just be for 1 or 2 hours per week or for patients with more needs, up to 24 hours per day. Home care is offered in 34 states (as of December 31, 2012). In some states, Res -Care provides telemedicine services and emergency call button response, Investigation into ResCare's Billing Practices (Possible Medicaid Fraud) We are investigating claims that Res -Care does not properly bill for home and community based attendant services. 3tients receiving home care services through Medicaid (Medi -Cal) must have those services approved by a physician. Thereafter, those services must be recertified every year and revaluations done every 6 months. The purpose of the annual certification process is to ensure that patients require the services they are receiving and to see if the patients may require additional or different services. As patients recover or as their conditions worsen, their needs change. Medicaid doesn't want to pay for services that are not medically necessary. When Medicaid overpays, taxpayers pick up the tab. Because there are often wait lists for certain services, providers that falsely certify or fail to properly certify home care visits may be causing truly needy patients to go without needed care. Recertification visits generally must be done in the patient's home or wherever the patient is receiving care. The process is quite involved and requires an experienced nurse supervisor to review patients' records, patient concerns and progress notes. That supervisor must also evaluate a patient's need for continued services and establish a treatment or care plan for the next period if services are stil I needed. Physicians must approve those services. These recertifications insure the patient is getting the right services from the proper professionals. ey also insure that taxpayers and Medicaid are not getting ripped off for services that may no https://www.tully-weiss.com/biog.php?article=rescare-whistleblowers-have-evidence-of-res-care-misconduct_76 Page 3 of 11 ResCare Whistleblowers — Have Evidence of Res -Care Misconduct? 12/16/18, 11=37 AM longer be necessary. We are concerned that some home visits may not be taking place. To hide that these visits and .valuations are not being properly performed, we believe that non -supervisory staff is perhaps simplyfilling in the review forms with fictional progress notes. Prior Frauds and Major Litigation involving Res -Care Res -Care is no stranger to allegations of fraud and scams. In November 2009, a jury returned a verdict of approximately $53.9 million in damages against the company for violations of the New Mexico Resident Abuse and Neglect Act. Approximately $4.7 million of that award was for actual damages. The remaining $49.2 million was for punitive damages. The trial judge later trimmed the punitive damage award to $10.8 million. The New Mexico jury award didn't involve fraud but the case was so serious that jurors felt compelled to impose huge punitive damages against the company. Texas Res -Care Medicaid Fraud In 2005, ResCare settled Medicaid fraud billing claims brought by the State of Texas and the U.S. Department of Justice. The agencies claimed that the company's affiliate in Fort Worth, The ;itadel Group, back -dated documents and made false billings. In other words, patients were receiving less care than they should have received. The complaint said that workers would hold parties on Fridays but bill Medicaid as if they were seeing patients. Although denying any wrongdoing, Res -Care paid $2.15 million to settle the charges and closed its Ft. Worth facility. The case was originally filed by a whistleblower, a former ResCare mental health provider. In her complaint, she said the company: 1. Billed for mental health services that were medically unnecessary or never even provided, 2. Doctored patient records to hide their illegal activities, 3. Backdated records to insure Medicaid coverage wouldn't lapse, 4. Billed pizza parties as if actual mental health services were being provided, and 5. Billed for services while patients were sleeping! Did Res -Care learn? Apparently not. https://www.tully-weiss.com/blog.php?article=rescare-whistleblowers-have-evidence-of-res-care-misconduct_76 Page 4 of 11 ResCare whistleblowers - Have Evidence of Res -Care Misconduct? 12/76/18, 11:37 AM Iowa Res Care Medicaid Fraud 'n 2015, Res -Care and ResCare Iowa paid $5.63 million to settle Medicaid fraud charges brought Icy the Justice Department and Iowa. Prosecutors say that physicians were not completing the annual assessments needed for patients receiving homecare. According to the Justice Department,'The rules of both Medicare and the state of Iowa's Medicaid program require an independent physician to certify that home healthcare services are medically necessary and to order the specific type and amount of healthcare services to be provided by the home health agency. Additionally, since 2011, Medicare and Iowa Medicaid rules require these independent physicians to perform an in-person "face-to-face" assessment of each patient before the home health agency can bill the government for any home healthcare services. The settlement resolves allegations that between 2009 and 2014, ResCare Iowa billed the government for services provided to Medicare and Medicaid patients in Iowa without documenting compliance with these requirements' Res Care and West Virginia (Neglect, Sexual Abuse) Allegations West Virginia authorities are reportedly investigating the company after a patient recently died while in ResCare's care. Media reports say the facility where the death occurred has received "dozens" of complaints including claims of neglect, sexual abuse and training deficiencies. eroviding improper or grossly deficient care can be a violation of Medicaid rules. When we entrust a loved one to the care of a professional healthcare company, we assume that they will be protected, receive adequate care and be safe. Improper staffing, patient abuse or improper training can all be violations of Medicaid guidelines. Indiana Medicaid Fraud We are also aware of yet another Medicaid fraud case currently making its way through the courts in Indiana. A former ResCare Qualified Intellectual Disabilities Professional (QIDP) filed suit in 2015 claiming that a manager told her that the company did not have enough staff to provide required services needed by patient. She claims that the manager "advised the QIDPs to begin recording their time spent on preparing developmental and behavioral plans as direct care hours [and] directed the QIDPs to backdatethis time to reflect direct care in their progress notes forthe month of February." Medicaid regulations do not allow these services to be billed as direct care. Her Medicaid fraud case was tossed on technical grounds earlier this year although the judge said she could refile her claim. https://www.tuIly-weiss.com/blog.php?article=rescare-whistleblowers-have-evidence-of-res-care-misconduct-76 Page 5 of 11 ResCare Whistleblowers - Have Evidence of Res -Care Misconduct? 12/16/18,11:37 AM ResCare Whistleblowers May be Entitled to Cash Awards 'Vhistleblowers are the best defense against Medicaid fraud. Government auditors can't be everywhere, all the time. In fact, auditors can only audit a small fraction of 1% of all providers each year. Even with an audit, fraud often goes undetected without the help of whistleblowers. This is especially true when companies use phony records and create false documentation. Under the state and California False Claims Acts, whistleblowers with inside information about Medicaid and Medicare fraud are eligible for large cash awards. Those awards are generally between 15% and 30% of whatever the wrongdoer must pay the government. The State of California also has a whistleblower award program for insiders with information about fraud involving private insurance carriers. To qualify for an award, one must have original source ("inside") knowledge of wrongdoing involving Medicare, Medi -Cal or Medicaid. Failingto provide properannual and semi-annual recertifi cations for homecare, billingfor ineligible services, over billing, billing for pizza parties and creatingfalse health records are all indicia of Medicaid fraud. Do you have information about patient abuse or patients being sexually assaulted? We may be able to directly assist patients and their families. Cali us today. Cali for ResCare Whistleblowers If you work or once worked for ResCare, or any of their many affiliates, and have knowledge of fraud or wrongdoing, please give us a call. Cheating Medicaid is a crime, hurts patients and hurts taxpayers. All inquiries are kept confidential and are subject to the attorney client privilege. Talk to the experienced California whistleblower legal team at Tully Weiss to learn your rights and to see if you could be entitled to a whistleblower's cash award. Contra Costa 925.229.97001 Alameda 510.269.92271 North Cal 530.776.0840 e< 0log list https://www.tully-weiss.com/blog.php?article=rescare-whistleblowers-have-evidence-of-res-care-misconduct-76 Page 6 of 11 ResCare employee killed in grisly group home murder I whasll.com 12116/18, 11:43 AM MENU WHAS�'r* WATCH LIVE 45° ON YOVR SIOF On Air 62UpM Louisville, KY L omi an murdered Oat a group horne in I~"i,ow n ResCare employee killed in grisly group home murder Harry Braxton had just settled in for the night Tuesday evening when he noticed the blue flicker of police lights pouring through the front window of his home. ELIZABETHTOWN, Ky. (WHAS11) -- Harry Braxton had just settled in for the night Tuesday evening when he noticed the blue flicker of police fights pouring through the front window of his home. It was a sight the retired Hardin County deputy once knew all too well. Deputies unrolling crime scene tape. interviewing witnesses and collecting evidence. Cheddar Awards: What Millennials Killed in 2018 FEATURED BY O But standing in front of his Bryan Street home Wednesday morning, Braxton appeared saddened and deeply troubled as he recalled the previous night's disturbing events. "Nothing like that has ever happened on this street before," Braxton said, as he looked at the used crime scene tape piled in a driveway across the street. The home, which is owned by ResCare, houses men with special needs. Hardin Co. Sheriff John Ward said a ResCare employee called 911 just before 11 p.m. Tuesday to report the co-worker that she was relieving had been attacked. Deputies found Sally Berry's lifeless body lying in a pool of blood. She had been brutally stabbed multiple https://www.whasll.com/articie/news/crime/rescare-employee-killed-in-grisly-group-home-murder/382221484 Page 1 of 4 ResCare employee killed in grisly group home murder I whasll.com 12/16/18, 11:43 AM times, Ward said. The 66 -year-old Radcliff woman was a ResCare employee who worked as a caretaker at the home. "In this situation, you know, we have a 66 -year-old woman who was out doing herjob and I'm sure she didn't go to work yesterday thinking about even the slight possibility of being harmed much less murdered; said Ward. "It's a sad situation." According to an arrest citation, Lindale Cunningham, a 32 -year-old resident of the group home, confessed to crime. He was one of three men being cared for at the home. Cunningham was taken into custody at the scene and later charged with murder. He was booked into the Hardin County Jail early Wednesday morning. "It's a shame something like that happened to her," said Braxton, who knew Berry and some of the challenges she faced. He said Berry once expressed concerns about being "roughed up" by one of the residents, but continued her work despite her fears. He said he hopes there will be changes to ensure others don't suffer the same grisly fate. "I just hope somehow they straighten it out and somebody looks at how these operations are run and have somebody devise some better safety protections for the workers here because they don't get paid enough for this," said Cunningham. "It's something somebody's gonna have to think about for a long time." ResCare issued a statement Wednesday in response to the incident. "ResCare is deeply saddened by this very tragic loss of one of our own employees with years of dedicated service as a caregiver and we extend our sympathy to the family for the loss of their loved one. Our number one priority is to ensure the safety and well -tieing of each and every one of our clients and staff members at all times," the company said in the statement, adding that ResCare was fully cooperating with authorities as they continue the investigation. You May Like Why Are Women Ditching Their Yoga Pants for These Amazing Bottoms? 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HAMILTON COUNTY, Ind. -Police say two disabled men were beaten, bruised and attacked inside of their Hamilton County home by their caretaker. "He has cerebral palsy and he is non-verbal and cannot walk. He wears a diaper. He cannot get up and walk and he cannot tell someone that he has to go to the bathroom. That is theirjob to take care of him and change him," said Barbara Greathouse, a mother of one of the victims. The man who was supposed to be helping the men, 23 -year-old Michael Anderson, is now facing felony charges. According to court documents, Anderson beat the two disabled roommates so badly that he broke their bones. Before the men were beaten, one of the victims reportedly had an accident in bed. Court documents say Anderson went to change the sheets and had a meltdown. https://fox59.com/2017/08/30/police-say-caretaker-beat-two-disabled-men-inside-their-hamilton-county-home) Page 1 of 4 Police say caretaker beat two disabled men inside their Hamilton County home I FOX59 "He wet himself and he just blew up and started hitting my son. He slugged him in the chest with his fist and when he got done with him, he went into his roommate's room and st�­fedhitting him; said Greathouse. Greathouse is the mother of 49 -year-old Anthony Harris. She is sick over the fact that her son and his roommate were left helpless. "They were being tortured by him systematically, said Scott Benkie of the Law office of Benkie & Crawford. Benkie is the family's attorney. He says that while investigating they discovered that this was not the first time that Anthony was hurt by Anderson. "Anthony's fingers had been broken. The way they had to be broken is bent backward;' said Benkie. Both men are now recovering from their physical injuries but are afraid to go bath into their bedrooms. "I want him to go to prison for a long time; said Greathouse. A lasting effect that Barbara says she just cannot forgive. "I will not accept his apology. He asked the police to tell me that he was sorry and I will nt sept his apology. I cannot and I will not," said Greathouse. Anderson remains behind bars while the family works to file a civil lawsuit against Res - Care, the company that hired Anderson as a caretaker. Res -care sent FOX59 the following response to the incident: "We were deeply saddened to learn about this situation. We immediately contacted law enforcement as soon as this incident was reported. As a result, the employee has been separated from employment with ResCare." 12/16/18, 11:57 AM https://fox59.com/2017/08/30/Police-say-caretaker-beat-two-disabled-men-inside-their-hamilton-county-home/ Page 2 of 4 Employees at ResCare claim lack of training for prescription errors, says more is needed I KFOR.com We'd like to send you notifications for the latest news and updates. NO THANKS 0 - POSTED 232 PM, OCTOBER 19, 2017, BY LILI ZHENG, UPDATEDAT 07.i4PM, OCT08ER 7-9,2077 This is art archived article and the information in the article maybe outdated. Please look at the time stamp on the storyto see when it was last updated. Employees at ResCare claim lack of training for prescription err... ENID, Okla. -Employees, past and present, of a ResCare center in Enid are speaking out against the company's training protocols. ResCare is a Louisville -based company with several locations in Oklahoma. They serve the elderly, children, job seekers, and people with disabilities. Cynthia Stevens, a former employee, said she served as a program coordinator before leaving the company in September. According to Stevens, she left because she felt "the company didn't care" and added there were mistakes made with medications for their clients due to a lack of training. "I think they need to have a house manager from the time they get there, from the time they arrive and I think they need to have 40 hours of training," Stevens said. "I've written a couple of incident reports on myself absolutely, because I have missed one or I have 12/16/16, 11:45 AM https://kfor.com/2017/10/19/empioyees-at-researe-claim-lack-of-training-for-prescription-errors-says-more-is-needed/ Page 1 of 5 Employees at ResCare claim lack of training for prescription errors, says more is needed I KFOR.com accidentally... when one came in... I was doing another one and I hadn't realized the other hadn't finished all the pills so, yes, that person took another person's pill" ee Powell, communications director of Oklahoma Department of Human Services, said ResCare contracts with DHS. Training, according to Powell, is regulated through DHS. When it comes to medication administration training, there are six residential training modules employees are trained on including communication, skill building, connections, ethical and legal issues. According to Powell, there are at least eight to 12 hours of additional annual training required. "The training requirements we have are very, very detailed and very specific to caringfor people with intellectual disabilities. It's a very difficu It job, and we know that but we provide a vast array of trainingfor all of these provider agencies," she said. However, Stevens tells News 4 she doesn't think the current training practices in place are enough for staff members to properly care for their clients. "People are precious, whether they can think for themselves or not," she said. "In my field and how i've seen it, are some of these clients in danger? In my opinion, yes, personally." The most recent quality assurance survey on ResCare, completed by a division of DHS, f i no outstanding deficiencies or complaints. "One of the main things they are looking for is to make sure that staff are trained. They look individually at staff records, do a random sample of the staff, see if any are not trained or don't have all of their required trainingfor that year," Powell said. Kristen Trenaman, director of marketing communications for ResCare, said their employees and caregivers are trained in accordance to state licensing rules and regulations: "in addition to meeting training standards from a regulatory and compliance standpoint, we're committed to going above and beyond - to delivering best -in -class training for our employees. We strive for continuous improvement to advance the level of quality care we provide for the individuals we serve. We're proud of the personalized, quality care ResCare provides, and we know our employees take great pride in that care. ResCare has been helping people live their best lives and achieving quality outcomes for more than 40 years. Today, we employ and train more than 500 employees in Oklahoma - part of our 45,000 compassionate workforce across the country who help people live their b-st lives every day." 12/16/18, 11:45 AM https://kfor.com/2017/10/19/employees-at-rescare-claim-lack-of-training-for-prescription-errors-says-more-is-needed/ Page 2 of 5 Caregiver hired despite failing background check 12)16/18, 11:50 AM Subscribe Today (http://offers.freep.com/ gps- source-BEMBUtm_mec exchange&utm_campaq Caregiver hired despite failing background check Pa__W Fgm Detroit Free Press Published 11:47 p.m. Er Sept. 6, 2015 (Photo: Kimberly P. MrtcheIVDebmit Free Press) A caregiver accused of stealing more than $1 million from an Oakland County man was hired by a home care company despite lying on her employment application and failing a background check, which showed she had a criminal record, the man's family alleges in a court filing. Frank Calcaterra's family is suing ResCare in Oakland County Circuit Court, alleging the company placed a thief inside the Waterford home of the elderly man in 2008 when he was looking for someone to help him take care of his wife, Jonnie, who had Alzheimer's disease. After Calcaterra's wife died in 2012, home care worker Tangie Coleman took him to Ohio and married him. At the time, he was 86 and she was 35. By the time the daughters of the wealthy former funeral home owner, who lived out of state, got him out of his lakefront home in 2014, Calcaterra was broke, malnourished and living in the basement; Coleman and her mother were living upstairs, the Free Press reported in August 2014. A judge later annulled the marriage. Based largely on banking and credit card records, his daughters and Jonnie's daughter estimate Coleman bilked the couple of between $1 million and $1.5 milfion in cash and valuables. ADVERTISEMENT https://www.freep.com/story/news/local)michigan/oakland/2o15/O9/O6/caregiver-hired-despite-failing-background-check/7l578820/ Page 1 of 3 Caregiver hired despite failing background check 12/16/18, 11:50 AM The case highlights what experts say is a significant and growing problem in the U.S. — financial exploitation of elderly people by caregivers. Many cases go unreported and accurate estimates are hard to pin down, but studies suggest there are at least tens of thousands of such cases each year. July 22, Judge Colleen O'Brien dismissed the family's claims against ResCare, that included counts of breach of contract and fraud. The judge ruled that the signed contract between the parties, not any verbal assurances that might have been given, is what's legally binding. The written contract included a clause that said it "contains the entire understanding of the parties," and it didn't say anything about a background check. But in dismissing the family's claims under the Consumer Protection Act, O'Brien said the lawsuit had not included which sections of the act ResCare allegedly violated and did not spell out sufficient details to support the claim. Now, the family has filed a motion seeking to amend their complaint with respect to the Consumer Protection Act, setting out details to support what they say are seven violations of that law by ResCare, a huge national firm with a Rochester office that the Calcaterra family dealt with. The claims mostly relate to allegedly false or misleading claims by ResCare about the quality of their background checks and employees and failure to disclose important information. "After Tangie finished stealing all of Frank and Jonnie's money and possessions, the family was stunned to learn that at the time of her hiring Tangie was wanted on two felony charges and had been convicted of two misdemeanors," the family said in an Aug. 26 court filing, "ResCare's failure to do a thorough background check ... resulted in a predator being placed into Frank and Jonnie's home." ResCare has yet to respond to the motion in advance of a hearing set for Sept. 16, but the company has argued Tangie Coleman (Photo. Southfield in court that Calcaterra breached the contract with ResCare when he hired Coleman on a personal contract — Police Department) cutting out ResCare --- about three months after she was sent to his home. "All of the complained of conduct occurred well after ResCare was terminated," ResCare attomey Scott Murphy of Grand Rapids argued at a July 22 hearing, according to a transcript. https://www.freep.com/storylnews/local/michigan/oakland/2015/09/06/caregiver-hired-despite-failing-background-check/71578820/ Page 2 of 3 Caregiver hired despite failing background check 12/16/18, 11:50 AM Mark Hafeli, a Sylvan Lake attorney representing Calcaterra's family, said the family was verbally assured ResCare conducted a thorough background check and "would have never accepted Tangie into their home if they knew she had been convicted and put in jail." iI Taylor, a spokeswoman for ResCare, declined to comment on the latest allegations. "I'm sorry, but we cannot discuss pending litigation," Taylor said an e-mail to the Free Press. According to the lawsuit, the background check ResCare performed missed two felony warrants for Coleman, who used several aliases. One was from 2002 for auto theft, which was later dismissed; the other from 2006 for check fraud, which resulted in a conviction, the parties agree. But what's more, the background check did tern up two misdemeanor convictions, including a second offense for driving on a suspended license which resulted in a seven-day jail sentence, the complaint alleges. That means Coleman lied on her employment application when she said she had no misdemeanor convictions, but ResCare hired her anyway, and didn't inform the family, the complaint says. Further, records obtained by the family as a result of the lawsuit show Coleman had been reprimanded and had her pay docked for charging a large number of personal phone calls to the account of another elderly client before she was sent to help Calcaterra, the complaint alleges. That problem was never disclosed to the family, The family says ResCare officials also assured them Coleman was licensed, which she was not. Contact Pau! Egan: 517-372-8680 or pegan@freepress.com. Follow him on Twitter @paulegan4. Read or Share this story: http://on.freep.com/lELLaof https://www.freep.com/story/news/local/michigan/oakland/2015/09/06/caregiver-hired-despite-failing-background-check/71578820/ Page 3 of 3 Two ResCare employees charged with spraying wheelchair-bound man with garden hose I News I timeswv.com 12/16/18, 11:50 AM https://www.Eimeswv.cominews/two-rescare-employees-charged-with-spraying-wheelchair-bound-man-withlarticle fa47ea7c-1b54-11e5-a95c-9ff403a74995.htm1 FEATURE© TOP STORY 'o ResCare employees charged with spraying wheelchair -Bound man with garden hose By Emily Gallagher Times West Virginian Jun 25, 2015 From left Courtney R. Mundell, Melissa D. Shone COURTESY OF THE FAIRMONT PODCE DEPARTMENT I y G+ inn 0 @ FAIRMONT — Police have arrested two individuals for allegedly spraying a wheelchair-bound elderly man with a hose at a local home health care service. Courtney R. Mundell, 20, and Melissa D. Shonce, 33, both of Fairmont, were arrested Wednesday by officers with the Fairmont Police Department. The two are being charged with abuse or neglect of an incapacitated adult, which is a misdemeanor. Sgt. David Wolford with the Fairmont Police Department said a video was brought to the attention of Patrolman Kenny Carder that showed two individuals at ResCare Homecare in Fairmont spraying a 65 - year -old man in a wheelchair with a water hose while, Wolford, who watched the video, said it went on for a "couple minutes.` Wolford said the video was taped by a neighbor of Rescare Homecare on June 10 on Mary Lou Retton Drive. Wolford said patrolman Carder was called to the businesses last week by the executive director who then reported the incident. Wolford said Mundell and Shonce were reported to be on administrative leave at the time of the officer's A call to ResCare executive director Jackie Canfield has not yet been returned. https://www.timeswv.com/news/two-rescare-err ployees-charged-with-s...- bound -man-with/article-fa 47ea7c-1b54-1le5-a95c-9ff403a74995.html Page 1 of 7 Civil suit seeks $750K in damages from business, caregiver accused ...World: news, information, headlines and events in Lawrence, Kansas 12/96/18, 11:48 AM LjW0RLDA'_',',.,'.I0-\. LAWRENCE JOURNAL -WORLD Civil suit seeks $75�X/7 ire damages from business, caregiver accused of abusing Lawrence mere with mental challenges photo by: Mike Yoder http://www2.ljworld.cam/news/2016/ju1/25/civil-suit-seeks-750000-damages-caregiver-accused/ Page 9 of 5 Civil suit seeks $750K in damages from business, caregiver accused ...World: news, information, headlines and events in Lawrence, Kansas 12/16/18, 11:48 AM The Douglas County Judicial and Law Enforcement Center, 111 E. 11th St. One of two mentally challenged men accusing his former caregiver of beating, confining and forcing him to fight others is suing in civil court, saying not only was he injured, but the medical company responsible for his care played a negligent role in his abuse. Tia .,, -a I'S hinn, 20, of .-ipe i , ie' 3s i';- s adA�ori -2,6 at,,d fac two ie;'�r�I;y a;";o :R mild.-' eanor coo ?lt of c,,I ? roll Throughout 2015 Shinn was one of two caregivers, employed by ResCare, responsible for looking after the two men living in a home in the 2700 block of Crestline Drive, according to an arrest affidavit filed in Douglas County District Court. She is accused of beating the two men, mishandling their money, locking them in rooms or a closet and forcing them to fight each other. photo by: Mike Yoder Brooke Tiara Shinn. http://www2.ljworld_com/newsl2016ljuII251civii-suit-seeks-750000-damages-caregiver-accusedl Page 2 of 5 Civil suit seeks $750K in damages from business, caregiver accused ...World: news, information, headlines and events in Lawrence, Kansas 12/16/18, 11:48 AM Before Shinn's arrest, one of the two men, Joseph Schaefer and his guardian filed a civil suit against Shinn, ResCare and one of the company's supervisors. Schaefer's civil suit was filed in Douglas County District Court in January 2016, seeking at least $750,000 in damages. The lawsuit is requesting a jury trial. The lawsuit lists Shinn ResCare Kansas Inc., ResCare Inc. and Kattie Johnson as defendants. ResCare is a national company and the largest private, in-home service provider for the disabled, Kristen Trenamen, the company's director of communications, said in May. The company has more than 900 employees in Kansas and 50,000 across the country. Trenamen said neither Shinn nor Johnson currently works for ResCare. The lawsuit argues that not only did Shinn abuse Schaefer, but she, her supervisor and the company neglected his safety in favor of maximizing company profits. In addition, not only did Shinn fail to act as a caregiver, but her supervisor and her employer failed to provide adequate training and to ensure she was fulfilling her responsibilities, the lawsuit says. ResCare was "aware of this pattern of negligence, gross negligence, wantonness, and reckless disregard and indifference to consequences and have failed to correct it, knowing that residents like Schaefer could be harmed or are harmed," the lawsuit says. The failure to properly care for Schaefer stems from ResCare's decisions as a company to cut costs through hiring unqualified employees, understaffing the facilities, improperly training employees, paying low wages and leaving residents unsupervised, the lawsuit continues. Attorneys for the defendants did not return multiple calls seeking comment for this story. However, answers filed by the defendants as a response to the lawsuit deny allegations of wrongdoing. http://www2.ljworld.com/news/2016/jul/25/civil-suit-seeks-750000-damages-caregiver-accused/ Page 3 of 5 Civil suit seeks $750K in damages from business, caregiver accused ...World: news, information, headlines and events in Lawrence, Kansas 12/16/18, 11:48 AM In total, the lawsuit claims numerous points where the defendants are at fault, including: • Breach of contract • Negligence • Civil conspiracy • Battery - Assault • Outrageous conduct causing severe emotional distress • Kansas Consumer Protection Act • False imprisonment Throughout Jan. 1 and Feb. 28, 2015, Shinn allegedly abused Schaefer and the second man, according to a criminal complaint filed in Douglas County District Court. On June 3, 2015, police were called by the Kansas Department for Children and Families in Lawrence, who reported the abuse, the affidavit says. A sister of one of the men and another caregiver provided information. An arrest affidavit is a document filed by police explaining why a suspect was arrested. Allegations in an arrest affidavit must still be proved in court. Shinn is still awaiting a preliminary hearing where she can respond to the accusations. The lawsuit argues Shinn forced Schaefer and other disabled residents to fight each other, "running what amounted to a `fight club."' Shinn would also use the men's money — allotted for activities — for food and supplies instead, the affidavit says. Under her care the two men were sharing basic toiletries such as a razor. http://www2.ijworld.com/news/2016/jul/25/civil-suit-seeks-750000-damages-caregiver-accused/ Page 4 of 5 Civil suit seeks $750K in damages from business, caregiver accused ...World: news, information, headlines and events in Lawrence, Kansas 12/16/18, 11:48 AM The second man — who was initially afraid to speak with police — said during one incident that Shinn forced Schaefer to put his nose on a hot stove coil and another where he was beaten with a fly swatter, the affidavit says. Other times she would beat the two men with her fists, he claimed. Sometimes, for days on end, Shinn would lock both men in their rooms without food or medication, the affidavit says; other times she would lock Schaefer into a small, dark closet with no handle on the inside of the door. When approached by police Shinn initially denied abusing the two men, but later admitted she "lost control" during one incident and continued to hit one of the men while he was on the floor, the affidavit says. She then filed a false incident report claiming the man was injured in a fall. However, one Department for Children and Families employee said ResCare had no incident reports filed regarding the Crestline Drive home in 2015. Shinn was released from the Douglas County jail after posting a $5,000 bond. She is scheduled to appear in court on Aug. 1 at 1.30 p.m. Shinn has no prior criminal convictions in Douglas County District Court. However, if she is convicted in the criminal case she could face more than 25 years in prison for the felony charges and up to a year in jail for the misdemeanor charge. In June, Shinn filed a motion to stay the civil case until her criminal case is resolved. Schaefer's attorney, J. Phillip Gragson, said Douglas County District Court Judge Paula Martin ordered the case stayed until further notice. http://www2.ljworid.com/news/2016/ju1/25/civiI-suit-seeks-750000-damages-caregiver-accused/ Page 5 of 5 Injured Employee Featured In Workers' Comp Investigation Settles Her Case : IPPR 12/16/18, 11:45 AM Pick Your NPR Station There is at least one station nearby INEWSWTE LIVE RADIO SHOWS Insult To Injury: Americas Vanishing Worker Protections Injured Employee Featured In Workers' Comp Investigation Settles Her Case April 14, 2016 • 4:18 PM ET HOWARD BERKE5 Rachel Jenkins outside her home in Boley, Okla. Jenkins settled her case with ResCare, who denied her medical benefits and lost pay after she injured her shoulder at work. Oxford https://www.npr.org/2016/04/14/474215047/injured-employee-featured-in-workers-comp-investigation-settles-her-case Page 1 of 12 Injured Employee Featured In Workers' Comp Investigation Settles Her Case : NPR 12/16/18, 11:45 AM An injured worker featured in an NPRJProPublica investigation of the opt -out alternative to workers' compensation has settled with the company that denied her medical care and wage -replacement payments after an incident at work. Rachel Jenkins, 33, was injured last March while protecting a mentally disabled man who was attacked by another client at an Oklahoma City shelter operated by ResCare, which claims to be the nation's largest provider of services to people with disabilities. ResCare had opted out of state -regulated workers' compensation in Oklahoma by developing its own workplace injury plan. The company initially denied Jenkins any benefits for her painful and persistent shoulder injury because she had missed a 24- hour reporting deadline by just three hours. Jenkins said she reported late because she had been heavily medicated after emergency treatment. The 24-hour reporting rule is one of the most contentious elements of opt -out plans in Oklahoma and Texas. Critics say the rule gives employers the ability to deny benefits it legitimate workplace injuries that they would otherwise have to provide if they hadn't opted out of workers' camp. Article continues below Sign Up For The NPR Daily Newsletter Catch up on the latest headlines and unique NPR stories, sent every weekday. What's your email? SUBSCRIBE By subscribing, you agree to NPR's terms of use and privacy policy. Mkins and other workers in Oklahoma sued their employers and state regulators https://www.npr.org/20l6/04/l4/474215041/injured-employee-featured-in-workers-comp-investigation-settles-her-case Page 2 of 12 Injured Employee Featured In Workers' Comp Investigation Settles Her Case : NAR 12/16/18, 11:45 AM over that provision and others in the state's opt -out law. :esCare and Jenkins agreed not to disclose the details of this week's settlement, but Bob Burke, Jenkins' attorney, says the monetary settlement gives Jenkins enough money to get her shoulder treated, recover lost wages and provide the same type of disability payments Jenkins would have received if ResCare had remained in the workers' comp system. "ResCare was reasonable in providing monetary compensation for medical care and for permanent disability," Burke says. He adds that Jenkins is planning to get treatment and find another job. Jenkins says the settlement negotiations "went great." But she noted that she expects to be "dealing with my shoulder the rest of my life." A, spokeswoman for ResCare says the company does not comment on pending or past Litigation. Burke says the settlement resolves the Jenkins lawsuit but other clients still have ongoing cases. ResCare initially denied benefits for the injury despite the fact that her supervisor witnessed the incident. Jenkins endured 16 days of pain while unable to afford treatment and worried about getting back to work. "I went through hell, a whole lot of pain where I was in tears," Jenkins told NPR and ProPublica last year. "I was just thinking ... 'How am I going to take care of my kids? " ResCare reversed the denial after pressure from Jenkins' colleagues. The settlement follows a recent ruling by the Oklahoma Workers' Compensation https://www.npr.org/2016 /04/14/474215041/injured-employee-featured-in-workers-comp-investigation-settles-her-case Page 3 of 12 Injured Employee Featured In Workers' Comp Investigation Settles Her Case : NPR 12/16/18, 11:45 AM Commission that declared the state's opt --out system unconstitutional. The issue is now headed to the state Supreme Court. U.S. Labor Secretary Thomas Perez told NPR last month that the agency is investigating opt -out plans. Agency investigators are trying to determine whether the plans violate workplace benefits provisions required by federal law. Perez said the opt - out alternative to workers' comp creates "a pathway to poverty" for injured workers. ProPublica's Michael Grabell contributed to this report. More Stories From NPR ` ..f .. 01, L � 1 co 7 P, i 10- STIGATIONS https://www.npr.org/20l6/04/l4/474215041/injured-employee-featured-in-workers-comp-investigation-settles-her-case Page 4 of 12 ResCare in WV Ordered to Pay Nearly $280,000 in Back Wages and Damages 12116/18, 11:37 AM 1,12WBOY' Archives ResCare in WV ordered to Pay Hsayly $200,000'u Back Wages and Damages By: Bethany Butler () Updated: Sep 10, 201510:54 AM EDT https://www.wboy.com/archives/-rescare-in-wv-ordered-to-pay-nearly-280-000-in-back-wages-and-damages/864514816 Page 1 of 2 RosCare in WV Ordered to Pay Nearly $280,000 in Back Wages and Damages 12/16/18,11:37 AM PResCan After an investigation by the U.S. Labor Department, ResCare has been ordered to pay nearly $280,000 in back wages and damages. According to the U.S. Labor Department, RSCR West Virginia Inc., doing business as Community Alternatives WV, is subsidiary of ResCare Inc. Its services provide home health care to people with disabilities. The investigation took place at the Stonewood, Clarksburg, Keyser, Parkersburg, Buckhannon, Huntington and Charleston locations. During the investigation, it was found that Community Alternatives WV incorrectly classified 55 employees, who worked as salaried service coordinators and therapeutic consultants, as exempt from overtime. The employees had worked over 40 hours per week but did not receive overtime, which violated the Fair Labor Standards Act. "It is an employer's responsibility to know and implement the labor laws that apply to them and to ensure that these laws are followed throughout their organizations," said John DuMont, director of the division's Pittsburgh District Office. "Employer's should not assume that simply paying a worker a salary or calling them a manager or coordinator means that they are not entitled to overtime. There are very specific criteria that must be met for an employee to be exempt from those requirements. We are committed, through both enforcement and education, to ensuring a level playing field for businesses and a fair day's pay for a fair day's work for all employees." The investigation also revealed that the employer did not keep accurate time and attendance records. RSCR was ordered to pay $279,919 in back wages and damages. Copyright by WBOY- All rights reserved https://www,wboy.com/archives/-rescare-in-wv-ordered-to-pay-nearly-280-000-in-back-wages-and-damages/864514816 Page 2 of 2 Iowa Nome Care Company to Pay $5.83 Million to Settle False Claims Act Allegations I OPA j Department of Justice 12/16/18, 11:38 AM JUSTICE NEWS Department of Justice Office of Public Affairs FOR IMMEDIATE RELEASE Tuesday, February 10, 2015 Iowa Home Care Company to Pay $5.63 Million to Settle False Claims Act Allegations ResCare Iowa Inc. has agreed to pay $5.63 million to the United States and the state of Iowa to resolve allegations that it violated the False Claims Act by submitting false home healthcare billings to the Medicare and Medicaid programs, the Department of Justice announced today. ResCare Iowa — a subsidiary of Louisville, Kentucky, based ResCare Inc. — provides home healthcare services to patients in the state of Iowa. "Home health agencies that bill Medicare and Medicaid must follow the rules," said Acting Assistant Attorney General Joyce R. Branda of the Justice Department's Civil Division. "This settlement demonstrates the Department's commitment to safeguarding taxpayer dollars and ensuring that they are used to provide medically necessary services to federal health care beneficiaries." The rules of both Medicare and the state of Iowa's Medicaid program require an independent physician to certify that home healthcare services are medically necessary and to order the specific type and amount of healthcare services to be provided by the home health agency. Additionally, since 2011, Medicare and Iowa Medicaid rules require these independent physicians to perform an in-person "face-to-face" assessment of each patient before the home health agency can bill the government for any home healthcare services. The settlement resolves allegations that between 2009 and 2014, ResCare Iowa billed the government for services provided to Medicare and Medicaid patients in Iowa without documenting compliance with these requirements. "We commenced this investigation due to concerns that this provider was not complying with the rules and was not submitting accurate claims for payment," said U.S. Attorney Kevin W. Techau of the Northern District of Iowa. "When the government pays for home-based medical services, we are dedicated to ensuring the money is well spent and medically deserving patients receive the care to which they are entitled." "Home health care providers that receive Medicare and Medicaid funds must abide by rules designed to ensure taxpayer funds are spent properly and that patients receive the appropriate care," said Special Agent in Charge Gerald T. Roy of the U.S. Department of Health and Human Services Office of Inspector General (HHS -OIG). "We will continue to hold health care providers accountable for submitting improper claims." Medicaid is jointly funded by the states and the federal government. The state of Iowa, which paid part of the Medicaid funds at issue, will receive $2.32 million of the settlement amount. This settlement illustrates the government's emphasis on combating health care fraud and marks another achievement for the Health Care Fraud Prevention and Enforcement Action Team (HEAT) initiative, which was announced in May 2009 by the Attorney General and the Secretary of Health and Human Services. The partnership https://www.justice.govlopalprliowa-home-care-company-pay-563-million-settle-false-claims-act-allegations Page 1 of 2 Iowa Home Care Company to Pay $5.63 Million to Settle False Claims Act Allegations I OPA I Department of Justice 12/16/1$, 11:38 AM between the two departments has focused efforts to reduce and prevent Medicare and Medicaid financial fraud through enhanced cooperation. One of the most powerful tools in this effort is the False Claims Act. Since January 2009, the Justice Department has recovered a total of more than $23.6 billion through False Claims Act cases, with more than $15.1 billion of that amount recovered in cases involving fraud against federal health care programs. This settlement was the result of a coordinated effort by the Civil Division, the U.S. Attorney's Office for the Northern District of Iowa, HHS -OIG and the Iowa Attorney General's Office. The claims settled by this agreement are allegations only, and there has been no determination of liability. Topic(s): False Claims Act Health Care Fraud Component(s): Civil Division Press Release Number: 15-161 https://www.justice.gov/0pa/pr/iowa-home-care-company-pay-563-million-settle-false-claims-act-allegations Page 2 of 2 Rescare Corporation will pay $2.15 million to settle claims that it de -..d the United States and the state of Texas - False Claim Act Law Firm 12/16/18, 12:25 PM rtact Us at (215) 320-6200 • Home • ♦ Our Practice • Overview • Attorneys o News & Events o Links • ♦ Federal False Claims Act o Overview o How Does it Work? o FCA Statute a FCA StatLtics • ♦ States & Munici�alities_FCAs • States' FCAs o Municipalities' FCAs • ♦ IRS Whistleblower Law o Overview o IRS Law • ♦ SEC Whistleblower Law • Overview o SEC Law • ♦ Common Frauds o Health Care • Pharmaceutical • Defense Contractor o Energy_ o Disaster Relicf 0 onstruction o Research o Financial Industry_ a Medicare Part D Search Search Rescare Corporation will pay $2.15 million to settle claims that it defrauded the United States and the state of Texas The Attorney General of the State of Texas announced today that ResCare Corporation agreed to pay $2.15 million to settle a whistleblower Iawsuit alleging that it defrauded the State of Texas and the United States in connection with a contract for the provision of mental health services to Medicaid recipients. United States of America ex rel. Jennifer Hudnall, and the State of Texas v. RF -"are, Inc., et al., U.S.D.C. N.D. Tex., Civil Case No. 3:01cv1154H. https://www.faIseclaimsact.com/case/researe-corporation-will-pay-2-15-,..tt$e-claims-that-it-defrauded-the-united-states-and-the-state-of-texas Page 1 of 4 Rescare Corporation will pay $2.15 million to settle claims that it de...d the United States and the state of Texas - False Claim Act Law Firm 12/16/18, 12:25 FM The whistleblower lawsuit was initially filed on June 18, 2001, by Ms. Jennifer Hudnall, a former Mental Health Provider who worked at Rescare facilities in the State of Texas, on behalf of the United States government and the State of Texas. The Complaint alleged that Ms. Hudnall's responsibilities with Rescare included evaluating patients and developing an individualized plan of care. TM "�z. Hudnall was terminated in July 2000, allegedly in retaliation for attempting to correct fraudulent practices by Rescare and adel. In its lawsuit, the State of Texas and Ms. Hudnall alleged that, since on or before June 2000, ResCare and Citadel, defrauded and continued to defraud, state and federal governments out of millions of dollars through various false or fraudulent schemes emphasizing profits over patient health and welfare. These practices included: 1. BILLING FOR MENTAL HEALTH SERVICES THAT WERE UNNECESSARY, ILLEGAL, OR WERE NEVER ACTUALLY PROVIDED; 2. FALSIFYING PATIENT RECORDS TO JUSTIFY CONTINUED BILLING FOR TREATMENTS AND SERVICES WHICH WERE OF NO HELP TO PATIENTS; 3. BACKDATING AND FALSIFYING TREATMENT PLANS AND PATIENT RECORDS TO ENSURE THAT MEDICAID ELIGIBILITY WOULD NOT LAPSE, SO THAT BILLING FOR UNNECESSARY SERVICES COULD CONTINUE; 4. BILLING FOR UNNECESSARY AND NON -REIMBURSABLE RECREATIONAL ACTIVITIES SUCH AS PIZZA PARTIES AND CAR RIDES; AND 5. BILLING FOR THERAPY SERVICES WHILE PATIENTS WERE ACTUALLY ASLEEP. The "qui tam" lawsuit was filed under the Texas Medicaid Fraud Prevention Act, Tex. Hum. Res. Code Ann. Section 36.001 et seq., as well as the Federal False Claims Act. Medicaid is funded both by the State of Texas and the Federal Government. The Texas Medicaid Fraud Prevention Act allows private individuals to sue companies that are defrauding the government and recover damages and penalties on the government's behalf. Those found liable can be required to pay as much as two times damages plus a penalty of up to $10,000 for each false claim submitted to the State. Similarly, those found liable under the Federal False Claims Acts are required to pay treble damages plus a penalty of up to $10,000 for each false claim. In the late 1970's, Medicaid and disability funding was expanded to include care of the mentally ill. As a result of this expansion, government spending on care for the disabled has risen from $4.3 billion in 1977 to more than $22 billion in 2000. The Texas Department of Mental Health/Mental Retardation currently administers Medicaid services for approximately 550,000 Texans with form of mental illness and/or functional impairment. Since the 140 -year old statute was strengthened significantly by Congress in 1986, the Federal False Claims Act has resulted in the recovery by the federal government of almost $12 billion. More than sixty percent of all recoveries obtained under the Federal False Claims Act have come as a direct result of actions initiated by whistleblowers and their counsel. In recent years, a growing number of states across the country have passed their own False Claims Acts. Presently, twenty states and the District of Columbia have their own False Claims or Qui Tam Acts. False Claims Iegislation is also pending in a number of other states. The State of Texas passed its own False Claims Act in 1995. The whistleblowers are represented by Marc S. Raspanti, Esquire, Michael A. Morse, Esquire, and John H. Cochran, Esquire. Ms. Hudnall's counsel, Marc S. Raspanti, Esquire, commented that: "My client is extremely gratified because this settlement returns millions of dollars back into the Texas Medicaid program, where it can properly be used to provide treatment to some of our most vulnerable citizens. This settlement could not have been possible without the sacrifices of my client and the unprecedented teamwork between the whistleblower, the Texas Attorney General's Office and the United States Department of Justice. This case also demonstrates that the growing number of State False Claims Acts can and will play an active and prominent role in future efforts to combat fraud against taxpayers. Those who seek to defraud state taxpayers should now be on notice that they will face serious repercussions for their actions." For more information about the False Claims Act and whistleblower cases, we invite you to visit the False Claims Act Resource Center at www.falseclaimsact.corn. For more information about this case, we invite you to visit the internet site for the Texas Attorney General's office, located at www.oag.state.tx.us. F You Can https://www.falseclaimsact_com/case/re scare-corporation-will-pay-2-15-...tie-claims-that- it-defrauded-the-united-states-and-the- stat e -of -texas Page 2 of 4 Wrongful death case of 12 -year-old disabled girl to go to trial i The Goldman Firm 12/16/18, 2:17 PM FTC)Palitlr {✓1JvT U 7! =j,�F g�,r"lRVIE 1j TSETT'.T'r€ i�l ! L D ! R FLi C T S _ 'L0 G ^t Quaf LCI Premises IIAT 3zkPers` no uC Medical Nursinor ! is flr'f +_ o -_c pensab':fl J,-Ib7fltv iy { ?reg+ 1C.gry s of E Wrongful death case of 12 - year -old disabled girl to go to trial Search our site - CATEGORIES https://www.goldManlawatlanta.corn/blog/2017/02/wrongful-death-case-of-12-year-old-disabled-girl-to-go-to-trial.shtml Page 1 of 6 "tv'r 0 1-1,1 'Li i Premises IIAT 3zkPers` no uC Medical Nursinor ! is flr'f +_ o -_c pensab':fl J,-Ib7fltv iy { ?reg+ 1C.gry s of E Wrongful death case of 12 - year -old disabled girl to go to trial Search our site - CATEGORIES https://www.goldManlawatlanta.corn/blog/2017/02/wrongful-death-case-of-12-year-old-disabled-girl-to-go-to-trial.shtml Page 1 of 6 Wrongful death case of 12-year-oid disabled girl to go to trial j The Goldman Firm 12/16/18, 2:17 PM On behalf of The Goldman Firm posted in wrongful RI -0 -9 -MO). death on Friday, February 10, 2017. Medical Malpractice (12) The case of a disabled 12 -year-old girl who died in Motor Vehicle Accidents (47) August 2013 after being transferred from a state Personal Injury_(2) institution to its community-based contractor October 2018 (5) appears to be slated to soon go to trial. With Premises Liability_(11) depositions currently. being scheduled, attorneys Workers' Compens�( 5) have announced the case should be heard either later this year or early in 2018. Wrongful Death The girl's death was one of 72 that resulted from a ARCHIVES 2010 settlement with the Department of Justice. December 2018 (3) That agreement called for transferring a number of patients from out of state facilities into private ones November 2018 (� run by state contractors. October 2018 (5) Their daughter was one of among 500 patients September 2018 (5) bc' i cared for in a community setting at the time August 2018 (6). Df her death. That program was being Rdministered under the supervision of Georgia July 2018 (S) Department of Behavioral Health and June 2018 (5) )evelopmental Disabilities. May 2018 (6} -he parents of the Augusta girl filed a lawsuit in April 2018 (�). )ctober 2015 after reviewing the discovery in the March 2018 (� ase. Their filing not only accused the Macon- ased husband and wife team responsible for February 2018 (5) wring for her of wrongful death, but the Georgia January 2_018 (5) 'ate disability care contractor ResCare as well. Complete Archives the parent's lawsuit, they claim that their tughter, born with severe birth defects, received RECENT POSTS ,b par care once transferred. They maintain that, Should Cellphones Be Banned In The file her care plan called for her to receive Operating Room? )u, '-the-clock care, she received something Common Myths About Bicycle s://www.gaidmanlawatlanta_corn/blog/2017/02/wrongful-death-case-of-12-year-old-disabled-girl-to-go-to-triaf.shtml Paga 2 of 6 Wrongful death case of 12 -year-old disabled girl to go to trial I The Goldman Firm much less than that. .T"ey also assert that the care she did receive was rendered by improperly trained individuals lacking familiarity in caring for people with her type of disabilities. Preliminary statements made by both defendants have allegedly backed up claims they failed to provide the proper level of care for the girl The husband, an RN at the time, worked outside the home. His his wife, an LPN, was left alone to take care of the girl on a daily basis. The couple alleges they requested additional support from ResCare to provide 24-hour support to the young girl. Their requests went unanswered. Furthermore, the parents allege that their daughter suffered significant discomfort in advance of her caretakers ultimately deciding to seek emergency c � for her. No specific amount has been sought for the girl's wrongful death or pain and suffering as of yet. If someone you know is suspected of having received inferior quality care resulting in a wrongful death, the advice of an Atlanta attorney can help ensure that your rights are protected. Source: The Augusta Chronicle, "Lawsuit over the death of 12 -year-old girl transferred out of a state institution into community care could be headed to trial," Tom Corwin, Feb. 03, 2017 Tags: Wrongful Death Related Posts: What damages can I pursue in a vu _gful death action?, Federal drug regulator 12/16/18, 2=17 PM Accidents What Should You Do If You ]Encounter An Aggressive Driver? Follow These Tips When Driving On The Highway Subscribe To This Blog's Feed Fii dLa'.`,i Network .i K C' L � l ?9��.''g�kk` �Zyy rights .f, Georgia 1. 198 6 https:l/www.goldrnanlawatlanta.com/blog/2017/02/wrongful-death-case-of-12-year-old-disabted-girl-to-go-to-trial.shtmI Page 3 of 6 Backgrounds Online Slog - Care Giver Hired Despite Failed Background Check Background Screening Solutions VV' hy U < Blog Home l_; o Log i3 4 �tCi�l_ �„�� 41���1•�*i,ij �i f,,,� Care Giver Hired Despite Failed Background Check Monday, September 21, 2015 10:24:36 AM Backgrounds Online September 21, 2015 12/16/18, 2:43 PM ResCare, a home care company, is being sued after hiring a woman who failed her background check and lied on her application. Frank Calcaterra's family alleges ResCare placed Tangie Coleman into the home of the elderly man who was looking for someone to help take care of his wife, Jonnie. V ;n Jonnie passed away in 2012, Coleman took Calcaterra to Ohio and married him. After his daughters finally removed him from his home in 2014, he was broke, malnourished, and living in a basement while Coleman and her mother lived upstairs. Calcaterra's family estimates Coleman obtained between $1 million and $1.5 million in cash and valuables from Calcaterra, who is a wealthy former funeral home owner. +- 'Calcaterra's family alleges ResCare's claims about the quality of their background checks and employees is false. "After Tangle finished stealing all of Frank and Jonnie's money and possessions, the family was stunned to learn that at the time of her hiring Tangle was wanted on two felony charges and had been convicted of two misdemeanors," the family said in a court filing. "ResCare's failure to do a thorough background check... resulted in a predator being placed into Frank and Jonnie's home." https://www.backgroundsonline.com/blog/2015/09/care-giver-hired-despite-failed-background-check/ Page 1 of 4 Backgrounds Online Blog - Care Giver Hired despite Failed Background Check 12/16/18, 2:43 PM According to the lawsuit, the background check obtained by ResCare was not thorough enough and supposedly missed two felony warrants for Coleman relating to auto theft and check fraud. Even though the background check did reveal two misdemeanor convictions, which proved she lied on employment application where she claimed she had no convictions, ResCare hired her anyway and failed to inform the family. In addition, Coleman had been reprimanded and had her pay docked for charging a large number of personal calls to the account of another elderly client she was caring for before being placed with Calcaterra. ResCare failed to report that incident. ResCare also assured the family Coleman was licensed which was also found to be false. A spokeswoman for ResCare, Nel Taylor, declined to comment on the allegations, saying "I'm sorry, but we cannot discuss pending litigation." When hiring people to care for those in vulnerable state, Backgrounds Online recommends a thorough background check which includes criminal records searches, as well as drug screening, and employment and reference verifications. Give us a call today to get started! Source 1 Recent Posts Hiring And Background Screening In New York o Chicago Public Schools Part Ways With Hundreds Of Workers Uber May Not Be Allowed To Operate In London * PA School Closed Due To Lack Of Background Checks a New Orleans Passed A Ban The Box Law a San Francisco Updated Their Fair Chance Ordinance * California Is Changing Rules For The Sex Offender Registry ® The Importance Of A Proper Adverse Action Policy ® A Convicted Murderer Got A Job Working With Children * Omnicare Sued For $1.3116 For A Background Screening Violation * A Hampton City Employee's Shocking Criminal History A CA Supreme Court Decision Regarding Background Checks Hiring The Wrong Person; What's At Stake Lyft Will Run Comprehensive Background Checks htips://www.backgroundsonl€no.com/blog/2015/09/care-giver-hired-despite-failed-background-check/ Page 2 of 4 Hamecare giant ResCare faces lawsuit after caretaker with a criminal...d autistic man j News I San Luis Obispo I New Times San Luis Obispo 12/16/18, 2:04 PM SUBSCRIBE SEARCH NT ARCHIVES LOGIN Email Favorite Share News December 23, 2015 Homecare giant ResCare faces lawsuit after caretaker with a criminal past allegedly attacked autistic man BY CHRIS MCGUINNESS The video is disturbing. It's July 20 and the alleged victim, a severely autistic man in his early 20s, sits at a table playing with a puzzle in a living room. After arguing about what appears to be a -ssible trip to the beach, the man's caretaker, identified as Scott Allen Rogers of . iCare HomeCare, walks behind the man, grabs him, and violently lifts him out of the seat. A struggle ensues. The two fall behind a table, and the view is obscured. Rogers can be heard grunting. The man yells and calls out to an otherwise empty home, a yurt in Cayucos. The sounds continue as the young man is dragged by the arm outside a door and out of view. The sounds of the struggle continue. At some point a man, presumably Rogers, can be heard saying, "God, I can't believe you did that." That video and at least one other, taken by a hidden camera, are the basis for a lawsuit brought by the man's mother against Rogers and ResCare, the company who employed him. The suit was filed in SLO Superior Court Dec. 8 by local attorney Jeffery Stulberg. It claims that Rogers willingly battered the young man, who is described as "wholly dependent on others" in order to engage in the activities of daily life. The lawsuit claims that click to enlarge I4 - 7 PHOTO BY DYLAN HOIN A-BACIMANN SEARCH FIND, ENJOY EVENTS Musk DINING All Dates - •All Categories - All Neighhorhoods- Find Events SUBMIT AN EVENT Rogers restrained the young man, twisted his arm, DISTURBING ALLEGATIONS: Arecent MORE BY CHRIS pushed him to the floor, and also kicked him. lawsuit accuses homecare giant ResCare of M CG U I N N ESS failing to conduct a proper background check on an employee who allegedly Addiction "[Rogers'] misconduct was egregious and attacked an autistic man. videotaped," the suit states. treatmentadvocates worry cos claim to show the aftermath of the alleged incident. The young man appeared about the impact https://www.newtimesslo.com/sanfuisobispo/homecare-giant-rescare-fac...a-criminal-past-allegedly-attacked-autistic-man/Content?oid=2946977 Page 1 of 5 Homecare giant Res Care faces lawsuit after caretaker with a criminal...d autistic man I News I San Luis Obispo J New Times San Luis Obispo 12116/18, 2:04 PM to have a large, circular mark on his arm, as well as what appear to be other abrasions on his arms and forehead. Rogers can be seen later on the tape showing the marks to the man's mother, who is his guardian. He tells her that marks occurred when the in was sitting in his truck and began "kicking and grabbing" at him. Rogers says uie man fell down near his truck, but doesn't mention the struggle inside the house. The young man can be heard saying, "watch it" as Rogers moves close to show his mother the marks. According to documents obtained by New Times the man's mother later text messaged Rogers and asked him not to return to the home. "I know today was rough with [the victim] and that he tries your patience, but you crossed the line in trying to get him to the beach," she wrote. .s isn't the first time that Rogers was accused of such behavior. According to the lawsuit, he's been charged two times before with assault -related offenses in San Luis Obispo County. The first incident occurred in 2008. During his employment at Atascadero state Hospital, Rogers reportedly groped the breast of a female coworker. According to a 2013 filing by the California Board of Vocational Nursing and Psychiatric Technicians, Rogers was initially charged with sexual battery in connection with the incident, but later took a plea deal and was placed on probation after he pleaded "no contest" to a misdemeanor assault charge. The second incident occurred in 2011, when Rogers, according to Atascadero police, grabbed his then 19 -year-old son by the throat and threatened him with a hunting knife. He was initially charged with assault with a deadly weapon, but again the charge was dropped to a misdemeanor assault charge after he pleaded "no contest" in SLO County court. In 2013, the state board revoked his psychiatric technician license because it said Rogers failed to disclose those convictions and failed to cooperate with the board's investigation. The board's documents did note that Rogers was trying to improve his situation, had complied with the terms of his probation, worked to mend the relationship with his son, and rebuild his life. "However, his crimes are serious and relatively recent.... At present, the order that iws is necessary for the protection of the public," the board wrote. of SLO County strike on Drug and Alcohol Services Dec 13, 2018 Man accused of killing his father sued for wrongful death Dec 13, 2018 Man who threatened Women's March members sentenced Dec 13, 2018 More o NEWEST SUDESHOWS Engulfed in flames: The historic Pozo Ignite Fire Dance of Saloon returns Santa Maria MORE 5LIDESHOWS...» https://www.newtimesslo,com/sanluisobispo/homecare-giant-rescare-fac..,a-criminal-past-allegedly-attacked-autistic-man/Content?oid=2946977 Page 2 of 5 Homecare giant ResCare faces lawsuit after caretaker with a criminal...d autistic man I News I San Luis Obispo I New Times San Luis Obispo 12/16/18, 2:44 PM New Times was unable to reach Rogers for comment on the matter. The lawsuit alleges that ResCare failed in its duty to conduct a proper background eck on Rogers. "Had ResCare performed even the most rudimentary of such background checks, it would have discovered that [Rogers] had been convicted of violent assaults in 2009 and 2011 in SLO County," the suit states. ResCare Inc. is a massive corporation that runs residential and in-home care services in locations across the United States, including a branch in SLO. While the company's website does state that ResCare conducts criminal background checks on employees, it does not specify what crimes are considered. Robert Bradshaw, regional manager for ResCare's SLO location, declined to state whether or not the company knew about Rogers' past. However, the 2013 filing by the California Board of Vocational Nursing and Psychiatric Technicians stated that Bradshaw wrote them a letter stating that Rogers had been working part-time with the company since 2010 and described him as caring, compassionate, and competent" ResCare's corporate headquarters also declined to answer questions from New Times about the case and the specifics of criminal background checks on employees. 'I apologize, but after looking into this, since it is pending litigation, we are unable to comment about this situation at this time based on our organization's policy; ResCare's director of communications, Kristen Trenaman, wrote in an email response *w New Times. T'he allegations are far from the first time the company has faced accusations of mismanagement. In September, a family in Detroit sued the company, claiming it failed to conduct a proper background check on one of its homecare workers, who they say tricked an elderly widower into marrying her and bilked him out of $1 million. According to the Detroit Free Press, that caretaker was wanted for two felony charges and was convicted of two misdemeanors. The case was dismissed in October. In October, police in Greenville, Ind., arrested a ResCare employee who allegedly left three severely disabled people in a van for hours while he went shopping at a local mall. In April, a group home for the developmentally disabled located in Austin, Texas, run by ResCare lost its license to operate after a severely autistic man escaped the facility and was shot and killed after an Austin resident thought he was trying to break into his home. As of Dec. 21, neither ResCare nor Rogers had responded to the lawsuit. According to the SLD County District Attorney's office, Rogers hasn't been charged with any crime in connection to the incident. An incident report from the SLO County Sheriffs Office indicated that an incident of dependant adult abuse was reported July 20 at a residence in Cayucos. Sta„tf'Writer Chris McGuinness can he reached at cmcguinness@newtimesslo.com, or on Twitter at @CWMcGuinness. Taqs: News Dec 14 SLO New Times: Glen and Anna Starkey review'At Eternity's Gate' in this... Dec 14 SLO New Times: Glen and Anna Starkey reVew'At Eternity's Gate' in this... { ) Dec 44 TRENDING NOW https://www.newtimesslo.com/sanluisobispo/homecare-giant-rescare-fa...a-criminal-past-allegedly-attacked-autistic-man/Content?oid=2946977 Page 3 of 5 Georgia outsources care for the disabled to for-profit companies 12116/18, 2:02 PM myAJC I The Atlanta Journal -Constitution Georgia outsources care for the disabled to for-profit companies Thh _ - I AprO 10, 2017 By <; The Watchdog blog Georgia and other states are increasingly relying on for-profit companies to care for people with developmental disabilities — 3�Ifie $.n-ie,S v,/ 11 Ci_ _7_t'ct!_ C�`� ! . Advertisement https://www.myajc.com/blog/investigations/georgla-outsources-care-for-the-disabled-for-profit-companies/cUBeEg5rPYc6yRMN027nkN/ Page 1 of 4 Georgia outsources care for the disabled to for-profit companies An investigation by The Atlanta Journal - Constitution found that inadequate staffing, poor training and incessant cost-cutting measures in for-profit group homes put residents at risk. In Georgia alone, 53 people died under the care of two of the nation's biggest for-profit companies between 2014 and 2016, the Journal - Constitution found. At least 46 of the deaths were unexpected and may have been preventable, state reports suggest. Georgia contracts with about 200 companies to care for disabled people, many of whom formerly lived in state psychiatric hospitals. The largest of the providers is :?-,Cars based in Louisville, Kentucky. It operates in 42 states, where it serves 60,000 clients with 45,000 employees. Georgia paid the 12/16/18, 2:02 PM https://www.myajc.com/blog/investigations/georgia-outsources-care-for-the-disabled-for-profit-companies/cUBeEg5rPYc6yRMN027nkN/ Page 2 of 4 Georgia outsources care for the disabled to for-profit companies company more than $79 million during the 2016 fiscal year. In 2012, Georgia outsourced the care of Christen Gordon, a profoundly disabled child who had spent most of her life in a nursing home unit at - . I -Ij)spital „1 il NC1e'."! l . Fifteen months later, she was dead. ADVERTISEMENT SCROLL TO CONTINUE READING Read about what happened to Christen at About the Author 12/16/18, 2:02 PM https://www.myajc.com/blog/investigations/georgia-outsources-care-for-the-disabled-for-profit--companies/cUBeEg5rPYc6yRMN027nkN/ Page 3 of 4 Creative Networks to pay $57,500 to Settle EEOC Disability Discrimination Suit c, Px tq� r a 12/16/18, 11:41 AM EsPa^oi I Cti er La3�c� r qrs Enter search terms... Search Fsd''-aral A,,-aind s Contact 3U About "'`"k C Home > About EEOC > Newsroom > Press Releases Overview L: • . ,:_.• ii PRESS RELEASE The Commission & 9-23-13 the General Counsel Meetings of the Commission Creative Networks to Pay $57,500 to Settle EECIC Disability Discrimination Suit Open Government Newsroom Disability Services Company Refused to Provide Deaf Applicants With Sign Language Laws, Regulations, During Training, Federal Agency Charged Guidance & MOUs Budget & PHOENIX - Creative Networks, LLC, will pay $57,500 and furnish other relief to settle a Performance disability discrimination lawsuit filed by the U.S. Equal Employment Opportunity Commission Enforcement & (EEOC), the agency announced today Creative Networks provides services to disabled Litigation clients and is a Phoenix -based subsidiary of ResCare, Inc. Initiatives In its suit, the EEOC charged that Creative Networks violated federal law by adhering to a Task Forces rigid policy of denying deaf and hearing-impaired applicants' requests for American Sign Interagency Language (ASL) interpreting services costing more than $200 to complete its pre - Programs employment orientation and training. The EEOC accused Creative Networks of Publications discriminating against Rochelle Duran, a deaf applicant, by denying her request for ASL Statistics interpreting services necessary to complete the company's mandatory 24-hour pre - employment orientation and training program. Outreach & Education Instead, the EEOC said, Creative Networks offered Duran a mere $200 towards the cost of Legislative Affairs 24 hours of ASL interpreting services, even though the company knew that the actual cost FOIA would far exceed this arbitrary limit. Creative Networks admitted it had sufficient resources to Privacy afford the interpretation services. When Duran was unable to attend the training due to Creative Networks' refusal to provide her with a reasonable accommodation, the company EEOCBusiness with EEO then declined to hire her. Jobs & Internships Last year, Judge David Alan Ezra of the U.S. District Court for the District of Arizona held as EEOC History a matter of law that Creative Networks failed to accommodate and failed to hire Duran because of her disability in violation of the ADA. (EEOC v. Creative Networks L.L.C., 09 -CV - Office of Inspector 02023, D. Ariz.). ) . Title I of the Americans with Disabilities Act (ADA) prohibits employers from discriminating against qualified individuals in job application procedures, hiring, and job training because of https://www.eeoc.gov/eeoc/newsroom/release/9-23-13a.c€m Page 1 of 2 Creative Networks to Pay $57,500 to Settle EEOC Disability Discrimination Suit 12/16/98, 19:41 AM disabilities, and also mandates that employers provide reasonable accommodations to people with disabilities absent undue hardship. At the time of settlement, the case was scheduled for trial on monetary damages and injunctive relief. "I am thrilled with this settlement and sincerely hope this is a lesson for Creative Networks and other employers that do not know about or understand the necessity of providing reasonable accommodations without impediments," said Duran, who initially filed the discrimination charge against Creative Networks with the EEOC. "What means the most to me is that this is a win for the deaf community and future deaf applicants." EEOC Trial Attorney Hillary Valderrama said, "it is vital that employers' policies reflect the importance of providing equal employment opportunities for applicants and employees with disabilities. I am pleased that Creative Networks has agreed to inform applicants and employees of their rights and to change its policies in order to provide these individuals with reasonable accommodations under the ADA." EEOC Regional Attorney Mary Jo O'Neill added, "One would expect that a disability services company would be the last place to commit disability discrimination. For over 20 years, it has been a violation of federal law for employers to refuse reasonable accommodations to qualified applicants and employees with disabilities. One size does not fit all - any policy that imposes an absolute limit on an accommodation risks violating the ADA. Employers must take the time to individually assess the accommodations that qualified applicants and employees with disabilities need and to engage them in a dialogue aimed at enabling them to do the job. It's what the law requires, and it's just good business." District Director Rayford O. Irvin, of the EEOC's Phoenix District Office, added, "Employers must take the time to learn what reasonable accommodations qualified applicants and employees with disabilities need and evaluate the employer's ability to meet those needs rather than creating rigid policies that limit the availability of reasonable accommodations." The EEOC enforces federal laws prohibiting employment discrimination. Further information about the EEOC is available on its web site at www.eeoc.gov. CONNECT WITH US r Privacy Policy j Disclaimer I USA.Oov https://www.eeoc.gov/eeoc/newsroom/release/9-23-13a.cfm Page 2 of 2 Care facility disputes OSHA findings JOUPML-NEM News Community Sports Entertainment Life More 12/16/18, 2:10 PM Q 45° Search Subscribe Now Log in Care facility disputes OSHA findings Updated Oct 10, 2012 By Eric Robinette, z.www.fairfield-echo.com FAIRFI ELD — A nursing home fined by OSHA is disputing allegations that it failed to protect employees from workplace violence. ResCare Ohio Inc. was cited by the Occupational Safety and Health Administration for exposing employees to workplace violence at the facility, which operates as Camelot Lake. OSHA claimed workers have been exposed to physical assaults during routine interaction with residents who have a history of violent behavior. The agency last week proposed penalties of $8,700. Felicia Hall, the executive director of ResCare Ohio Inc., said in an email to the JournalNews, Monday, "We have scheduled a conference with OSHA to discuss and resolve the issues. We provide care for individuals with developmental, intellectual and physical disabilities, many of whom are unable to move without assistance. We disagree with the proposed findings and look forward to the opportunity to meet with OSHA regarding them." Bill Wilkerson, OSHA's area director in Cincinnati, had said in a statement, "These citations reflect a clear and pressing need for )mployers operating residential care facilities to develop Advertisement Most read Car crashes into Butler County gas station F-7 High School Football: How Worn https://www.journal-news.com/news/care-facility-disputes-osha-findings/alors14KV8fOvl4BibG4TN/ Page 1 of 4 Care facility disputes OSHA findings %_VIIIVI",I ICI ISI VC drlu CIIGI:uvC I.IILIVI01115 LIIGL PILJCII:LIYCIy auuleaa workplace violence situations' ADVERTONG Camelot Lake accumulated a total of 20 workplace violence cases from 2009-12, resulting in 53 days away from work and 37 days of restricted duty, according to OSHA. A serious violation of OSHA's "general duty clause" involves failing to provide a workplace free from recognized hazards likely to cause serious injury or death. A serious violation occurs when there is substantial probability that death or serious physical harm could result from a hazard about which the employer knew or should have known, the agency states. An investigation was initiated March 26 under OSHA's Site - Specific Targeting Program and a national emphasis program targeting nursing home facilities. Download the Journal -News app Get the latest Butler County news you want, when you want, in this free app from Journal -News. Click a link below to get the app. Hall, who has been the executive director of ResCare since March of this year, would not comment further on the investigation. She said the facility, which has been operating ,ince 1985, currently has 36 residents. 12/16/18, 2:10 PM 2_1Bolden Found His Way "ro Dakota West 3] Fake credit card used to charge $2,500 at West Chester hotel Advertisement https://www.journal-news.corrinews/care-facility-disputes-osha-findingslalors14KV8fOvl4BibG4TNI Page 2 of 4 Shooting death lawsuit settled I News I kpcnews.com CLICK HERE! https://www.kpcnews.com/news/latest/article_93b46cgg-ob97-548c-83od-93t623e3686.html Shooting death lawsuit settled BY KATHRYN BASSETTkathrynb@kpcnews.net Jun 6, 2012 AUBURN —The employer of a woman who was murdered on New Year's Day 20 t o in Auburn has agreed to pay her estate $30o,000, according to documents filed Friday in DeKalb Superior Court II. Melissa Kay Patrick, 32, was fatally shot in a group home where she cared for four adults. Ronnie R Jones of Fort Wayne was convicted of her murder and other offenses committed on the same day and is serving 103 years behind bars. In September 2010, Patrick's mother, Yvonne Griffith of LaGrange County, sued Patrick's employer, Res - Care Inc. and Voca of Indiana. Acting as the personal representative of Patrick's estate, Griffith was represented by attorneys Allen Stout of Angola and John Theisen of Fort Wayne. According to the suit, Patrick worked for Res -Care as a certified nursing assistant at 2125 Lorraine Drive, on the north side of Auburn. The suit said Patrick was home with her three minor children on Jan. 1. 2010. Before going to work at Res -Care later that day, Patrick called the management of Res -Care. Patrick said she did not want to report to work because she was afraid for her life, since she had received about 400 text messages from Jones in the prior 24 hours, the suit said. According to the suit, Res -Care ordered Patrick to work and did not have anyone working with her. The suit said Res -Care and/or Voca had a duty to use reasonable care to protect Patrick from harm while at work and had a duty to provide a safe place to work. The suit said Patrick's estate has suffered damages including, but not limited to, $11,gog in funeral and burial expenses, $1o,569 to open and administer the estate and $5,855 in legal fees. The suit asked for damages to compensate the estate for its losses under Indiana's wrongful death suit, special damages including, but not limited to, ambulance and funeral bills, the cost of administering the estate, pre judgment interest, costs of the actions and all other appropriate relief. 12/16/18, 2:16 PM https://www.kpcnews.cominews/Iatestlarticle_93b46c99-0b97-548c-830d-93f3623e3686.html Page 1 of 2 Shooting death lawsuit settled I News i kpcnews.com A motion for consent to settle filed by Stout said the parties reached a settlement May 29, contingent upon approval by the court. Res -Care Inc. and Vaca of Indiana have offered to pay Patrick's estate $300,000. Griffith, the personal representative of the estate, has agreed to accept the amount, the motion added. ne court will consider the motion to settle Monday at 2 p.m, In a separate case, Patrick's family sued Jones for damages. In August 2010, Judge Monte Brown of DeKalb Superior Court II ordered Jones to pay $2.29 million in damages. This Week's Circulars ownlo 5fl' Today - amartSpins i. _ 99 } 6769 __ a. AL 6� 7729 6448 Hover for Circular JCPenney I ua TO id - I _ _ iaasg. spiw9�. Hover for Circular 12/16/18, 2:16 PM STAPH FS Hover for Circular r https://www.kpcnews.com/news/latest/article_93b46c99-ob97-548c-830d-93f3623e3686.html Page 2 of 2 US Labor Department's OSHA fines ResCare Ohio for inadequate workpl...in Fairfield, Ohio j Occupational Safety and Health Administration 12/16/18, 11:54 AM News Releases / US Labor Department's OSHA fines ResCare Ohio for inadequate workplace violence safeguarc OOS : HA News Release -Region 5 U.S. Department of Labor Please note: Information in some news releases may be out of date or may no longer reflect OSHA policy. Region 5 News Release: 12 -1922 -CHI Oct. 3, 2012 Contact: Scott Allen Rhonda Burke Phone: 312-353-6976 Email: allen.scott@dol.gov burke.rhonda@dol.gov US Labor Department's OSHA fines ResCare Ohio for inat workplace violence safeguards at residential care facility in Fe F" IRF1ELD, Ohio - The U.S. Department of Labor's Occupational Safety and Health Administration has cited Res( L. . company's Fairfield residential care facility, which operates as Camelot Lake. OSHA has proposed penalties of "These citations reflect a clear and pressing need for employers operating residential care facilities to develop corn workplace violence situations," said Bill Wilkerson, OSHA's area director in Cincinnati. "Prevention, protection, con caregivers against possible injury in the workplace." An investigation was initiated March 26 under OSHA's Site -Specific Targeting Program and a national emphasis pn restricted, transfer, or "DART," rate of 10 or higher per 100 full-time workers. Camelot Lake accumulated a total of s days away from work and 37 days of restricted duty. Employees have been exposed to physical assaults during roi behavior. A serious violation of OSHA's "general duty clause" involves failing to provide a workplace free from recognized ha occurs when there is substantial probability that death or serious physical harm could result from a hazard about w Three other -than -serious violations involve failing to post a SUMMARY for lost or restricted work days due to injury injury and illness logs upon request for 2009 and 2010, and conduct annual reviews and updates of the company's is one that has a direct relationship to job safety and health, but probably would not cause death or serious physici OSHA established the National Emphasis Program for Nursing and Residential Care Facilities to provide guidance 1 targeting and conducting inspections focused on the hazards associated with nursing and residential care. In 2010 n, �ng and residential care facilities experienced one of the highest rates of lost workdays due to injuries and ilinei https://www.osha.gov/news/newsreleases/region5/10032012-0 Page 1 of 2 U5 Labor Department's OSHA fines ResCare Ohio for inadequate workpl._in Fairfield, Ohio I Occupational Safety and Health Administration 12/16/18, 11:54 AM OSHA's "Guidelines for Preventing Workplace Violence for Health Care & Social Service Workers" resource is avail< http://www.osha.gov/Publications/OSHA3148/osha3148.html. Additional information on workplace violence is avai ;-"o://www.osha.gov/SLTC/workplaceviolence/index.html. Information for employers and employees in nursing hor aonomics and workplace violence, is also available at http://www.osha.gov/SLTC/nursinghome/index.html. The company has 15 business days from receipt of its citations and proposed penalties to comply, meet informally independent Occupational Safety and Health Review Commission. This inspection was OSHA's fourth of the facilit, workplace violence- ResCare Ohio employs more than 270 workers, including 50 at the Camelot Lake facility who provide daily care for provides residential, therapeutic, job training and educational support to people with developmental and other disa special needs. Based in Louisville, Ky., ResCare and its nearly 45,000 employees serve some 57,000 people daily ii To ask questions, obtain compliance assistance, file a complaint, or report workplace hospitalizations, fatalities or, call OSHA's toll-free hotline at 800 -321 -OSHA (6742) or the agency's Cincinnati Area Office at 513-841-4132. Under the Occupational Safety and Health Act of 1970, employers are responsible for providing safe and healthful conditions for America's working men and women by setting and enforcing standards, and providing training, educ http://www.osha.gov. Department of Labor news materials are accessible at http://www.dol.gov. The information above is available by calling 202-693-7828 or TTY 202-693-7755. UNITED STATES DEPARTMENT OF LABOR Occupational Safety & Health Administration 200 Constitution Ave NW Washington, DC 20210 800-321-6742 (OSHA) TTY www.OSHA.gov FEDERAL GOVERNMENT White House Affordable Care Act Disaster Recovery Assistance USA.gov Recovery Act No Fear Act No Fear Act Data U.S. Office of Special Counsel OCCUPATIONAL SAFETY Frequently Asked Questic A - Z Index Freedom of Information A Read the OSHA Newslett Subscribe to the OSHA N OSHA Publications Office of Inspector Gener https://www_osha.gov/news/newsreleases/region5110032012-0 Page 2 of 2 Man Charged With Rape Of Disabled Woman In Penryn « CBS Sacramento 12/16/18, 12:19 PM FuQTAL'R�',j1CBS Sacramento = MENU NEWS WEATHER SPORTS BESTOF Man Charged With Rape Of Disabled Woman In Penryn By Derek Shore December 13, 2012 at 10:16 am Filed tinder: Penryn, Placer County Sheriff's Office PEN RYN (CBS13) - A man has been arrested and charged with the rape of a disabled woman who was living in a Penryn care facility. CBS13 reported Dec. 6, 2011 that the 34 -year-old woman was six months pregnant and that Placer County Sheriff's Office detectives were investigating the circumstances of her pregnancy. "He can stay there and rot for al I we care;' said Patricia. Patricia, as she wanted to be known, says she had no clue what her son's friend was accused of - a brutal rape. Marquis X. Montgomery, 22, was arrested in Sacramento County on Wednesday and booked into the Placer County Jail on $150,000 bail. According to Lt. Mark Reed, the Sheriff's office has been looking for Montgomery for more than a Marquis Montgomery month and tracked him down in the Elverta area on Wednesday night. Patricia says that Montgomery stayed at her home for about two weeks. "We couldn't get rid of him" she said. The victim, described as severely disabled and blind, was living at the Casa del Mar care facility on Butler Road. it's operated by FOLLOW US OUR NEWSLETTER Sign up and get our latest headlines delivered right to your inbox! Email address MOST VIEWED 0 An Extra $500 A Month? 100 Residents To Be Selected For Basic Income Pilot Program i`-l� Contractors Fired After Posting Offensive Photos From Camp Fire Burn Zone 0 https://sacramento.ebsiocal.com/2012/12/13/man-charged-with-rape-of-disabled-woman-in-penryn/ Page 1 of 4 Man Charged With Rape Of Disabled Woman In Penryn << CBS Sacramento ResCare California. "It's definitely a victim that can't, that doesn't have the ability to fight back; Reed said. Montgomery is a former worker at the facility but left before sheriff's investigators could get a DNA sample from him, Reed said. The sheriff's office had a DNA test done after the baby was born and connected Montgomery through family DNA, Reed said. A warrant will be issued to take a DNA sample from Montgomery, he said. ResCare contacted the sheriff's office about the woman's pregnancy last year and the state Department of Public Health also initiated an investigation of the facility. Results of that investigation weren't released. ADVERTISING inRead invented by Teads The care facility issued this statement in part: "From the beginning, we have cooperated fully with investigators by immediately reporting the crime and providing all necessary information to assist them throughout the course of the investigation. Our primary concern is and has always been the safety of the people we support:' Montgomery is scheduled to be arraigned on Friday at 1 p.m. Comments 12/16/18, 12:19 PM Police: Woman Threw Baby Twice During Argument Over Amazon Purchases n Towing Company Investigated After Stolen Truck Found Stripped in Yard 0 Vigil Field For Autistic Student Who Died After Being Restrained At School Q Business Owner Gives Employees Aff ected By Camp Fire t=ree Trailers 0 Woman Who Tried To Kill Herself By Driving Wrong Way On Freeway Sentenced To Life In Prison 5) Marysville Middle Schoolers Given Pot Brownies At School Woodland Business Owners Gives to Stranger in Need, Community Pushes To Support Her Business 0 Heart Left On Southwest Flight Makes ltTo Destination In Time To Save Lives J https://sacramento.cbsl(ical.cc)m/2012/12/13/man-charged-with-rape-of-disabled-woman-in-penryn/ Page 2 of 4 Tampa Bay Workforce Alliance squandering tax dollars (2011) 1 wtsp.com MENU NEWS V' i_ : -k ! I - G P. I T 4 Weaa ger Alerts WATCH LSVE On Afr 4.25AM 12/16/18, 2:07 PM 680 Tampa, rL CLOSE Tampa Bay Workforce Alliance squandering tax dollars (2011) Several WTSP viewers contacted the 10 News Investigators after a week-long training class from Tampa -based company Knowledge Quest Inc., arranged through the Tampa Bay Workforce Alliance. TAMPA, Florida (This story first appeared on WTSP.com in Sepi. 2011) — The 10 News Investigators have discovered a local agency gutted two years ago for outrageous spending practices has squandered tax dollars once again; this time, by allowing an unqualified company to claim limited federal Workforce Investment Act (WIA) funds. Several WTSP viewers contacted the 10 News Investigators after a week-long training class from Tampa - based company Knowledge Quest Inc., arranged through the Tampa Bay Workforce Alliance. The unemployed or under -employed workers all claimed they were promised full-time customer service jogs if they went through week-long training. https://www.wtsp.com/article/news/investigations/tampa-bay-workforce-alliance-squandering-tax-dollars-2011/67-511241398 Page 1 of 6 Tampa Bay Workforce Alliance squandering tax dollars (2011) 1 wtsp.com 12/16/18, 2:07 PM 201$: Tampa jobs chief under fire for fudging numbers and big_pay. Except not only were there no jobs for half the class, the "students" complained the expensive training was a waste of time, teaching them menial tasks like how to write a cover letter. Yet Knowledge Quest still collected $1,995 for each of the 15 students in the week-long April session. This email will be delivered to your inbox once a day in the morning. ENTER E&MIL HERE "I feel hurt, I feel deceived, and I feel cheated; said Opal Raglin, who says she was promised a job if she attended the training. "I started telling people in the class, 'something is just not right with this thing"' "What angers me," said unemployed veteran Mike Flanagan, 58, "is taking advantage of not only a veteran who served our nation but also other individuals that participated in my class." Knowledge Quest raked in nearly $30,000 for the class and because the Tampa Bay Workforce Alliance had just added the company to its approved vendors list, the entire training was paid for by WIA funds, which Workforce oversees. However, after speaking to more than a half-dozen people in the class and nearly 50 public records requests, the 10 News Investigators found Knowledge Quest's application to Workforce contained numerous falsehoods. And Workforce never bothered to verify them. Among the misrepresentations: • Knowledge Quest claimed accreditation through FLDOE's Commission for Independent Education • Knowledge Quest promised to report data to through the state's FETPIP system, which it was not registered with • Knowledge Quest's April training would last 72 hours, yet a course syllabus included less than 40 hours of training Tampa Bay Workforce CEO Ed Peachey, who took over the helm of the agency after the 2010 scandal over employee seen ing on of food &beverage, told 10 News that Workforce may not have fully vetted Knowledge Quest's qualifications earlier this year before recommending approval to the board in March. However, after 10 News started asking questions and Peachey spoke to Knowledge Quest, he said in August he was content with the company's explanation for why it wasn't accredited: it was teaching accredited classes. But the 10 News Investigators learned Knowledge Quest simply provided Peachey with old — and sometimes unfunded — contracts with USF, Pensacola Jr. College, and Florida Keys Community College, All three institutions told 10 News that the classes were non-credit, non -accredited classes — something Workforce could have found out with a simple phone call or email. Knowledge Quest has since removed claims of being "college -accredited" from its website, although archives of the claim from 2010 still exist. The archive also saved Knowledge Quest's boast of "15 Years of sound executive leadership experience entrenched within our current staff along with an additional 17 years of technical and telecommunications experience" Yet now, two years later, those numbers have jumped to 25 and 27 years, respectively. https:I/www.wtsp.com/article/news/invest'gations/tampa-bay-workforce-alliance-squandering-tax-dol€ars-2011/67-511241398 Page 2 of 6 Tampa Bay Workforce Alliance squandering tax dollars (2011) 1 wtsp.com 12/16/18, 2:07 PM Peachey blamed any oversights on Workforce's contract company, ResCare, which ran the agency from mid -2010 to mid -2012 after the spending scandal. Yet when Peachey started hiring employees back under the Workforce umbrella this summer, he says almost all of the ResCare employees were retained. Regional workforce boards like Tampa Say Workforce play pivotal roles in helping Floridians get back to work. They oversee Florida's One -Stop Career Centers, and are responsible for distributing federal funds designated for unemployed, under -employed, and displaced workers. New laws went into effect this summer to ensure more accountability among regional workforce agencies after multiple scandals around the state, Knowledge Quest's president, Cesar Ruiz, repeatedly declined formal interview requests with 10 News but said via phone that the reason the unhappy viewers contacted 10 News was not because of worthless training, but because background checks wound up costing them the jobs. Ruiz said jobs were lined up — but never promised. However, Ruiz later changed the story, saying leadership changes at the hiring company froze the positions they expected to fill. Knowledge Quest may also have exaggerated a number of its other relationships, including that it °partners with public school districts across the country." Among its claims, a relationship with the Hillsborough County School District in 2011, Knowledge Quest ran a STEM -themed summer program for students at Middleton High. But while Middleton's principal said it was a good experience for his students, public records requests to the district yielded no documents in connection to the course: the district has never paid Knowledge Quest nor have any Knowledge Quest grants gone through the school. The training may have been provided for free, allowing Knowledge Quest an opportunity to claim a relationship with the district. Knowledge Quest, while unsuccessfully chasing a $776,720 school "turnaround" contract in Monroe, La. claimed a history of working with schools across the country. However, the 10 News Investigators learned most — if not all — of the company's claimed "experience" in working with schools was from Vice President Jose Otero's tenure working with Rescare, prior to going to Knowledge Quest. School board members in Monroe, who narrowly voted down the lucrative proposal last year, said they had no faith in Knowledge Quest based on its lack of references. At this point in time, they have no track record of what they have turned around," Monroe Federation of Teachers and School Employees president Sandie Lollie told The News -Star at the time. "I can fond no documentation as to the validity of what they claim they can do." https://www.wtsp.com/articie/news/investigations/tampa-bay-workforce-alliance-squandering-tax-dollars-2011/67-511241398 Page 3 of 6 Tampa Bay Workforce Alliance squandering tax dollars (2011) 1 wtsp.com 12/16/18, 2:07 PM In its dealings with Tampa Bay Workforce, Knowledge Quest also claimed a relationship with USF, including the misrepresentations on page 4 of its application and an indication on its we bsite that USF professor Dr. Willie Moreno was the head of one of its division. USF officials tell 10 News there has never been any contractual relationship between the university or Moreno. While Moreno says he taught one class for Knowledge Quest in 2008, USF says its only proposed relationship - a 2011 youth program — was never funded. Public records requests paint a picture of Knowledge Quest's relentiess pursuit of public grants and contracts: . At least three training contracts through Suncoast Workforce (Sarasota/Manatee) paid Knowledge Quest more than $15,000 in WEA funds . At least 606 employed workers were trained (for an undetermined sum) through Pasco -Hernando Workforce from May 2010 to June 2011 using Employed Worker Training (EWT) funds. • Knowledge Quest received $10,470„cpntiact from the U.S. Navy in 2011 for computer training. • Knowledge Quest began an application to get on Texas Workforce's approved vendor list but has yet to complete it 110 Make it easy to keep up-to-date with more stories like this. Download the 10 dews app now. Have o news tip? Email tresP wisp, comvisit our Focehook pgge or Twiner feed, You May like Sponsored Links by Taboola Why Are Women Ditching Their Yoga Pants for These Amazing Bottoms? American Giant If Your Dog Eats Grass (Do This Everyday) Ultimate Pet Nutrition U.S. Cardiologist: Stop Taking Probiotics Immediately Gundry MD These Twins Were Named "Most Beautiful In The World,” Wait Till You See Them Today Post Fun Wardrobe Malfunctions That Somehow Made It Into Films KiwiReport U.S. Cardiologist: It's Like a Pressure Wash for Your Insides Health Headlines https://www.wtsp.com/article/news/investigations/tampa-bay-workforce-alliance-squandering-tax-dollars-2011/67-511241398 Page 4 of 6 (PRN) ResCare, Inc. Allegedly Violated Federal Labor Law, According to Workers' Law Firms - Houston Chronicle 72/16/18, 11:48 AM PRNewswire Published 11:10 am CDT, Wednesday, May 2, 2007 DALLAS and SAVANNAH, Ga., May 2 /PRNewswire/ -- ResCare, Inc. (Nasdaq: RSCR), a nationwide provider of in-home therapeutic, educational, and training services, violated federal labor law by not paying workers for travel time to and from job assignments, according to a federal lawsuit filed Tuesday. According to the law firms that filed the lawsuit in Georgia federal court alleging violations of the Fair Labor Standards Act ("FLSA"), the case could affect thousands of current and former employees of ResCare and its subsidiaries, including Southern Home Care Services, Inc. Recommended Video The workers are represented by Kevin E. Hooks & Associates, LLC, of Savannah, Ga., Lee & Braziel, LLP, of Peachtree City, Ga. The law firms will seek :o recover back wages for eligible current and ants' medically home -bound clients at the not compensate employees for travel time Plaintiffs were given specific instructions by le will do is difficult enough, but to have our rges may not seem like much, but add them news this way." https://www.chron.com/news/article/PRN-ResCare-Inc-Allegedly-Violated-Federal-1794615,php Page t of 2 (PRN) ResCare, Inc. Allegedly Violated Federal Labor Law, According to Workers' Law Firms - Houston Chronicle 12/16/18, 11:48 AM e, FROM OUR SPONSOR CONT�NUF FOR MORE CONTENT The other named plaintiffs are Yekether Barnes, of Manchester, Ga., Felicia Holt, of Concord, Ga., and Deborah Harris, of Gay, Ga. Attorney Kevin Hooks, of Kevin E. Hooks & Associates, LLC, of Savannah, Ga., said, "Many employees of ResCare and its subsidiaries work in rural areas, and some drive long distances from house to house to deliver services. The law is clear that workers must be paid for travel when it's an integral part of the job. Companies like ResCare rely on personnel who typically work out of their homes, and report to a regional or divisional offices periodically, generally to pick up schedules and paychecks. Employees who work on this basis too often are not informed of their rights when it comes to 'wage and hour' law." Attorney J. Derek Braziel, of Lee & Braziel, LLP, in Dallas, said, "Like other companies in this sector, ResCare and its subsidiaries have grown quickly, in part, r se managed care providers, such as [Medicare, have forced shorter hospital stays and increased funding of post -discharge, in-home services. ResCare a,-- ,las been an acquirer of smaller companies, and now has numerous subsidiaries. Rapid growth of this sort and the ramping up of staff can cause serious labor issues that lead to FLSA claims. We are Continuing our investigation of this matter." The case is "Geddis, et al., v. Southern Home Care Services, Inc., et al.," (No. 3 07-CV-036-JTC) in the U.S. District Court for the Northern District of Georgia, Newnan Division, A Web site with more information about the lawsuit can be accessed at http:liwww.homecareovertime.com. (The Geddis case is separate from recent or pending FLSA lawsuits filed against ResCare and/or its subsidiaries in Oklahoma and Indiana.) Attorney Contacts: Kevin Hooks of Kevin E. Hooks & Associates, LLC, (912) 233-8105; J. Derek Braziel of Lee & Braziel, LLP, (214) 749-1400, and Benjamin H. Terry of the Law Offices of Benjamin H. Terry, P.C., (770) 394-1502. Media Contact: Erin Powers, Powers MediaWorks LLC, for Lee & Braziel, LLP, (281) 362-1411 or (281) 703-6000. ® 2018 Hearst Communications, Inc. H H A R S T https://www.chron.com/nows/article/PRN-ResCare-Inc-Allegedly-Violated-Federal-1794615.php Page 2 of 2 Healthcare Company Facing Lawsuit In Death Of Columbus Woman 12/16/18, 11:49 AM HOME HEWS SPURTS WEATHER COMMUNITY VIDEO ABOUT US CON Healthcare Company Facing Lawsuit In Death Of Columbus Woman February 2, 2001 at 11:30 PM EST - Updated July 26 at 10:10 PM "Is she moving at all?" asks the 911 operator. Kentucky -based ResCare is facing a lawsuit in the death of Lisa Parker. The suit, filed in Muscogee County, claims Parker's caregiver wasn't properly trained. Just last week, another Columbus caregiver was arrested and charged with murdering her mentally - challenged client. Both worked for Columbus companies owned by ResCare. Parker suffered from multiple sclerosis, and required constant care. It was given by Catherine Durham, a caregiver employed by Southern Home Care Services. A 911 call details the final minutes of Lisa Parker's life. "Nuh-uh. Lisa please. I fed her breakfast this morning. She's foaming at the mouth," Durham said. The coroner says Lisa Parker choked to death. "We are wondering whether those caregivers, in fact, have the proper training to handle http://www.wtvm.com/story/GO31600/healthcare-company-facing-lawsuit-in-death-of-colurrbus-woman/ Page 1 of 8 Healthcare Company Facing lawsuit In Death Of Columbus Woman risks when they pop up, "said attorney Richard Dodelin. 12/16/18, 11:49 AM The lawsuit alleges that Durham didn't know how to treat someone who is choking, even though notes in Parker's file said Parker had difficulty swallowing and choked easily. Dodelin interviewed Durham in January. "Did you ever perform the heimlich maneuver on Lisa?" Dodelin asks. Durham says, "Repeat that." "Do you know what a heimlich maneuver is?" Dodelin says. "I don't recall what a heimlich manuever is," Durham responds. "We don't think she even understood Lisa was choking," Dodelin said. ResCare isn't commenting, but did release a statement. It says: We believe the allegations made in the lawsuit are not true. The information you received from the plaintiff's attorney is incomplete and taken out of context. We wish we could discuss this in more detail, but since it is in litigation we are restricted about what we can say at this time. http://www.wtvm.com/story/603l600/healthcare-company-facing-lawsuit-in-death-of-columbus-woman/ Page 2 of 8 Healthcare Company Facing Lawsuit In Death Of Columbus Woman We did talk to ResCare about employee training on Thursday. A spokesperson says caregivers are trained by the state, and also receive additional training. 12/16/18, 11:49 AM Meanwhile, Dodelin expects this case to go to trial in a year, where a jury will have the final say. Sponsored Stories [Pies] She Suspiciously Paid For Everything In Cash For Years, Then Ice Pop Old Maris Neighbor Blocks His Driveway With Cinder Blocks So He PostFun Try Not To Laugh At These Hilarious Kids Halloween Costumes giveitlove Are You Looking For Auto Loans For New and Used Vehicles? Auto Loansl Sponsored Listings http:/lwww.wtvm.com/story/603l6OD/healtheare-company-facing-lawsuit-in-death-of-columbus-woman/ Page 3 of 8 New Mexico Nursing Home Abuse - Rape Victim Awarded $54M 12/16/18,11:38 AM FreeAdvice has a new Terms of Service and Privacy Policy_, effective May 25, 2018. By continuing to use this site, you are consenting to our Terms of Service and use of cookies. Learn more rot Ask a Lawyer a Ask the Legal Community -. ! — 1--" AA..:..... FreeAdvice: Law Select a Legal Topic Ask a Lawyer Legal News Free Case Evaluation FREEAbVICE: FREEAbVICE: LAW ► INSURANCE b Ask a Lawyer Free Insurance Alt Legal Quotes Topics ay—um Topic► Accident LawBankrup�. LawBusiness LawCriminal LawEmployment Labor Law Estate PlanningFamilaa_wFinancia.LawGeneral PracticeGovernment Law Immigration Lawlnsmance LawLttellectual PropertyLi—gation alpractice Law Personaf InjuryReal Estate LawTax LawSmall ClaimsAviation Law Home > Law .Advice > MaJpLacfice Law > Nursing Home Abuse & Neglec> ARTICLE by FreeAdvice staff Developmentally Disabled New Mexico Rape Victim Awarded $54M LEE FreeAdvice staff O G+ ICt�ictrrrror-rttrrsnrg tmme abuse2 Get a FREE Case Evaluation From An Experienced Attorney. - A developmentally disabled New Mexico man who lived in a group home run by ResCare, Inc. was awarded $54 million after he was raped by one of the G+ home's employees. Nearly $50 million of the award constituted punitive damages as the home failed to run any background checks on the employee. N --ging home negligence _ New Mexico nursing home negligence case has garnered national attention. According to news reports, 48 year old Larry Selk was a resident of a group home in Roswell, New Mexico in May of 2004. Run by Louisville, Kentucky -based ResCare, Inc., the home had continual problems with under staffing, insufficient staffing, inadequately trained staff and inadequate documentation - and this case was no exception. ResCare hired a male caregiver without performing a background check first. The man had been fired from previous group homes for inappropriate behavior with residents. After only four days at ResCare, he raped Selk, who is unable to speak and could not call for help. When a nurse noticed that Selk was bleeding rectally, a sexual assault specialist was called and verified that Selk had been raped by the man -who has since disappeared. Itis family hired a New Mexico nursing home abuse attorna and filed a lawsuit against the home for negligence. Unorthodox strategy moves jury The family's personal injury attorney was able to prove to a jury that the company had a history of mis-management and that they failed to consider reasonable settlement offers. However, he also wanted to show the jury how helpless Selk must have felt during the ordeal because he could not speak, so he sang them a Sarah McLaughlin song with the lyrics, "We are screaming inside, but we cannot be beard" Although that might seem unorthodox, and even the attorney says that he's never done that in court, his strategy worked. The jury awarded Selk over $54 million - of which nearly $50 million constituted punitive damages. The money will be managed by his sister and used to take care of Selk for the rest of his life. Firing the right attorney This case shows how important it is to hire the right attomey. While not all lawyers sing to juries, good lawyers know how to get their points across and make juries truly understand what an injured victim has endured. if you or a loved one has been injured in a nursing home due to neglect, negligence or elder abuse, contact an experienced nursing home abuse lawyer in your state to discuss your situation and evaluate your options. The foregoing article has been prepared by an attorney who is a regular contributor to FreeAdvice, and is now undergoing review by the site's editorial staff. Pain/Suffering Calculator Iniur!— Estimate by a Real Lawyer. Auto Accidents, Slip/ Injuries. Get Free Eval. Free Legal Advice — Get Informed General OuestionsOaims and Lawsuits �rJmof nursing home abuse? Get a FREE Case Evaluation From An Experienced Attorney. 'c to NursingTom- ome, Abuse & Neglcsat https://Iaw.freeadvice,com/malpractice-law/nursing_home-abuselnew-mexico-nursing-home-abuse-lawsuit.htm Page 1 of 2 SAN MATEO COUNTY / Nursing home sued in scalding / Disabled woman allegedly left in 1311 -degree shower - SFGate 12/16/18, 11:55 AM .SFGATE https://www.sfgate.com/bayarea/article/SAN-MATEO-COUNTY-Nursing-home-sued-in-scalding-2543655.php .N MATEO COUNTY I Nursing home sued in scalding 1 Disabled woman allegedly left in 130 -degree shower Dave Murphy, Chronicle Staff Writer Published 4:00 am PST, Wednesday, January 11, 2006 San Mateo County is suing a Redwood City nursing home, alleging that workers accidentally scalded a 51 -year-old developmentally disabled woman, then waited more than three hours to call g1i. The suit against ResCare Inc. and several employees, filed Tuesday in San Mateo County Superior Court, says that an untrained caregiver put Theresa Rodriguez into a 13o -degree shower for 20 minutes on May 5, 2004, causing second- and third-degree burns on her genitals, thighs, stomach and lower back. 1 C C)�JiMN D V H r;; C' 6 --i When she was finally airlifted to Santa Clara Valley https://www.sfgate.com/bayarea/article/SAN-MATEO-COUNTY-Nursing-home-sued-in-scalding-2543655.php Page 1 of 2 SAN MATEO COUNTY / Nursing home sued in scalding / Disabled woman allegedly left in 130 -degree shower - SFGate 12/16/18, 11:55 AM g FROM OUR SPONSOR CONTINUE FOR MORE CONTENT T 'awsuit alleges that ResCare knew the water had been too hot for several days before Rodriguez was burned, and Ocansey waited about two hours to tell colleagues that Rodriguez had been burned, then there were more delays until workers could get a supervisor's permission to call gii. RCCA's statement says no such permission was necessary; it is company policy for employees to call gii first and then contact their supervisors. The statement also disputes that Ocansey was untrained, saying that RCCA's training meets and often exceeds state standards. It did not address any specifics about how long Rodriguez was left in the shower or how much time it took for workers to call gil. © 2018 Hearst Communications, Inc. `<V E P https://www.sfgate.com/bayarea/article/SAN-MATEO-COUNTY-Nursing-home-sued-in-scalding-2543655,php Page 2 of 2 West Sussex Care Homes under Investigation by Police and CQC i Rescare West Sussex Care Homes under Investigation by Police and CQC Some disturbing news from Sussex, reported by BBC local news: www. bbc. co. uklnewsluk-england-sussex-00991641 ppp a e= 'Police inquiries and unannounced inspections have been carried our at disability care homes in West Sussex. T They were in response to 'significant safeguarding concems" aftera number of repotted West Sussex disability care homes deaths. investigated The Care Quality Commission was alerted to Sussex Health Care services by West Sussex County Council..-" This story does not appear yet to have gcne'national', presumably pending the results of these initial investigations, and has only been re- reported by a few news agencies. M will menifor events- The COC has been the subject of recent criticisms with regard to its regime of regulation and inspection (which we have reported in our members' newsletter Resnews), so let us hope regulatory failure (on top of the operational and financial pressures currently affecting care homes generally) has not contributed to the problems in West Sussex. Regretably, we were alerted to this story by Rescare members (family carers) who have been affected by the 'investigations described in the news report Related CQC continues to reinvent itself., 2nd July 2014 In "Slog" CQC is a joke... But it's no laughing matter! 20th July 2012 !n "Editorial & Letters" CQC launches "Better Care In My Hands Report - A review of how people are involved in their care" 20th May 2016 In "News" 12/16/18, 12:46 PM http://www.rescare.org.uk/west-sussex-care-homes-under-investigation-by-police-and-cqc/ Page 1 of 1 'Dechoker' anti -choking device claims to save lives but has never been tested on humans -I� WFTS m. TAMPA BAY �.. ADVERTISEMENT MONEY > CGHSUMER ALERT'S > TAKING ACTION FOR 11(0'90 12/16/18, 3:54 PM r 'Dechoker' ants -choking device claims to save lives but has never been tested on humans Medical tool found on store shelf makes bold claim Posted: 10:45 PM, May 21, 2018 Updated: 10.26 PM, May 21, 2018 0, ­-` BY: Jackie Gallaway https://www.abcactionnews.com/money/consumer/taking-action-for-you/...ng-device-claims-to-save-lives-but-has-never-been-tested-on-humans Page 1 of 8 4 wreathes alerts r 'Dechoker' ants -choking device claims to save lives but has never been tested on humans Medical tool found on store shelf makes bold claim Posted: 10:45 PM, May 21, 2018 Updated: 10.26 PM, May 21, 2018 0, ­-` BY: Jackie Gallaway https://www.abcactionnews.com/money/consumer/taking-action-for-you/...ng-device-claims-to-save-lives-but-has-never-been-tested-on-humans Page 1 of 8 'Dechoker' anti -choking device claims to save lives but has never been tested on humans Video Player is loading. Play Unmute YffffQigtaWRA' Ondow. dialog window. Escape will cancel and close the window. 12/16/18, 3:54 PM A morning last August started out like any other -- until Ellen Fiss took her vitamins. One was lodged in her throat and cut off her air supply. Her 19 -year-old daughter Olivia ran into the room and could tell her Mom was in trouble. She patted her on the back and then began abdominal thrusts also known as the Heimlich maneuver. Fiss has no doubt her daughters' quick thinking saved her life. Abdominal thrusts remain the first life-saving approach for local first responders including Tampa Fire Rescue. The tried and true faces competition from an untested medical device for sale in stores and online. Dechoker inventor Alan Carver claims to have sold the anti -choking tool to three ResCare nursing homes in Florida and to more than Zoo doctors. 11 ADVERTISING 0".A.rW",WV https://www.abeactionnews.com/mDney/consumer/taking-action-for-you ng-device-clai ms -to -save- lives- but -has -neve r -been -tested -on -humans Page 2 of 8 'Dechoker' anti -choking device claims to save lives but has never been tested on humans Anyone can order the Dechoker from Amazon and Walmart. 12/16/18, 3:54 PM ResCare refused to comment on whether it uses the equipment on patients. The company admits the plunger -like product has never undergone a clinical trial on live humans. Emergency room doctor Andrew Thomas doesn't recommend medical professionals or anyone else use untested equipment in a life and death situation. We asked Tampa Fire Captain Mitch Spradlin try the device on a dummy. On first impression, he felt the device was easy enough to use but wonders if it will get the job done in a life or death situation. Dechoker posted surveillance video on its website to portray abdominal thrusts as violent and dangerous. According to news reports, abdominal thrusts saved the life of the Orlando woman in that video and she required no further medical treatment. Dr. Andrew Thomas says there are potential risks like broken ribs but they are worth it because of the potential benefit. The CEO, Alan Carver refused to answer our questions on camera. The company advertises that it's registered with the FDA as a class one levice. There's no oversight or regulation for class one medical equipment. https://www.abcactionnews.com/money/consumer/taking-action-for-you...ng-device-claims-to-save-lives-but- has- never -been -tested -on -humans Page 3 of 8 'Dechoker' anti -choking device claims to save lives but has never been tested on humans 12116/18, 3:54 PM Carver says this tool has saved 17 lives and is gg percent effective but the company did not provide information for any victims or doctors who would speak out in favor of the device's use. Carver says he's not trying to replace abdominal thrusts — rather he encourages people to use both as life-saving resources. CURAT ON BY 1 . r Want The Secret To'Celebrity White' Teeth? 5 Signs You're Being Cheated On - #2 Is ► 4 t r' All The Proof You Need https://www.abcactionnews.com/money/consumer/taking -action-for-you...ng-device-claims-to- save- lives - but- has- neve r -been -tested -on -humans Page 4 of 8 City Cound Minutes December 17, 2018 Page 4 Moved by Councilmember Wagner and seconded by Councilmember Olsen to approve the Interim Use Permit (lUP) for a temporary parking lot at 18790 Edison St NW with the following conditions: 1. The lUP will expire on December 17, 2021. 2. The parking, area must be removed and vegetation re-established prior to expiration of the lUP. 3. Upon removal of the parking area the base materials must be removed and the soils must be de -compacted in order to maintain compliance with approved stormwater plans. Motion carried 5-0. 7.4. Conditional Use Permit: Institutional Use, ResCare MN — 633 Uplall Ave Mr. Carlton presented the staff report. Mayor Dietz opened the public hearing. Patrick Kelly, attorney from Kelly and Lemmons, P.A., representing the applicant. Mt. Kelly stated ResCare has no issues with the proposed conditions. He explained ResCare's role is to provide a transitional facility for patients to return to the community after receiving hospital. treatment for mental illness. He responded to the Police Department's concern about the facility being located in a residential area by pointing out many of ResCare's facilities are located in residential areas with no problems. He added staff is medically trained and in the rare event emergency services are required, they would be contacted as they would for any other resident in the area. He stated there are multiple people in the audience to answer questions on behalf of ResCatc. Christina Monson, 1745'1'ipton Circle NW, expressed concern for neighborhood safety and questioned selection criteria for the facility. She added she did not receive notice of the hearing. Mr. Carlton indicated public hearing notices were mailed to all property owners within 350 feet of the proposed property per state requirements. Thomas Alf, 4440 Beard Avenue N., Robbinsdale, representing ResCarc, explained their mission is to serve people with serious mental illness. Donna Schierschmidt, 1733 Tipton Circle, stated she was a psychiatric homecare nurse for years and her heart goes out to people with mental illness but she doesn't feel this facility will be a good fit in a residential neighborhood. Randi Bentz, 578'.F'ipton Avenue NW, expressed concern for the safety of her children. IP 0 1 f R t I IV NATUREJ Citi, Council Minutes December 17, 2019 Page 5 Michael Chopskie, 1757Tipton Cir.cle NW, is against the facility being located in residential neighborhood. Jason Vahlenkamp, 1.738 Tipton Circle NW, handed out a binder of allegations against ResCarcand outlined sore of the articles in the binder. Andrew David, 551 Tipton Avenue NW, agrees with his neighbors and believes triore due diligence is needed on this project. Robert Owens, 1.790 Tipton Avenue NW, found multiple properties ill Sherburne County that would meet the company's requirements, He stated the facility should not be in a residential neighborhood. He expressed concerti over reduced real estate values and the safety of emergency personnel. Mr. Owens added many of his neighbors did not receive notice of the meeting. Councili-riember Ovall questioned the public hearing notification process. Mr. Carlton confirmed notices were mailed to all property owners within 350 feet of the facility. Attorney Beck noted this is a standard state requirement. Judy Jorgenson, 1634 Main Street NW, expressed concern for the safety of her grandson living on Tipton and the safety of all children in the neighborhood. Melissa Larson, 1720 5"' Street NW, agrees with concerns expressed by her neighbors. She indicated the road already has a lot of traffic and adding this facility would impact children walking to and from their bus stops. John Schierschmidt, 1733 Tipton Circle NW, stated nothing but problems come out of these types of facilities. He questioned if this is already a done deal as it appears work is already taking place at the facility. Mr. Carlton indicated nothing has been approved yet and he was unaware of what work is taking place on the property. Janet Nelson, 577 Tipton.Avenue NW, expressed concerns for safety with residents of the facility, being able to come and go as the), please. 1- Brad Thiel, 12600 195"' Court NW, also a member of the Planilling Coninussion, is in support of this project as a tax payer and an active citizen. fie explained he feels this facthty is a good fit for this location and is a needed service in Sherburne County. He noted just because someone has mental illness doesn't mean they are .1 danger to the community. Tammy Jorgenson, 1790 Tipton Circle NW, indicated notices :-should have been sent further than 350 feet due to the nature of the issue. She believes another location would be better stilted for this facility. Mr. Kelly explained the facility is zoned properly for this type of use and he feels the facility would be a benefit for the community. He stated ResCare is a professional. p 0 1 E R 1 0 0 V NATUREJ City Council Minvites Page 6 December 17, 2018 organization which can be verified with other municipalities in which ResCare facilities are located. Chris Jacobson, healthcare real estate advisor for CBRE, explained this type of facility is unique in that without it people go straight back in to the community without transition. He further explained a residential area is ideal. for this facility. He stated he has been searching for a property in Sherburne County for years and has already vetted many of the properties the residents mentioned this evening. He stated ResCare feels this location is perfect as it provides a residential setting while still allowi-tia residents to obtain the other services they need. Al Nadeau, 511 Tipton Avenue, questioned if residents of the facility would have felonies or gross misdemeanors. Melissa Whittaker, Richfield, works at residential facility, believes this is a good location for this facility. She explained she works with people with mental illness on medication inanagement, housing, and as case manager and none have been felons. She further explained many times the residents are grateful for the experience. There being no one else to speak to this issue, Mayor Dietz closed the public hearing. Mayor Dietz questioned if residents of the facility will be I illk River residents. Mary Jo Cobb, Sherburne County Director health and Human Services, explained county residents are currently being sent long distances to receive this type of assistance which doesn't allow patients to get well in their own community. She stated the mental health supervisors she deals with are happy with the care ResCare provides and feel this would be a. benefit to the cornt-nuitity. Councili-neiriber Westgaard 'indicated he would like additional. input from. the police and fire departments on their concerns. Mr. Carlton stated he will get this information to Council. Councilmember Olsen questioned recourse for the city if a conditional use perl"I'llit is approved and issues come up. Attorney Beck indicated a conditional use permit is only valid as long as the conditions are adhered to, and the Council could begin a revocation proceeding if conditions are violated. Councilmernbet Wagner addressed comments made about this project bringing Elk River money. She explained this is not a city initiative and the only money the city receives from this is the property taxes that are already being paid. Councilmeniber Wagner questioned if there is a curfew for the residents of the facility, Mr, Alf explained there is a curfew and patients are made aware of the expectations when they arrive. rp ` I [R t 1 0 T AT 'NURE City Council Minutes December 17, 2018 Page 7 Mayor Dietz questioned if patients can be Out, all day. Mt. Alf explained theN, call conic and go as they please but they must fulfill tica'tryient requirements in order to rerriairiat the facility= Councilmen nber Wagner indicated she doesn't feel she has enough information to) move forward with a decision and would like to continue this item. Councilmerriber Olsen asked if street lig),,hts could be installed in this .area.. Mayor Dietz indicated it is already on his list to ask Elk River Municipal Utilities, (louncilmernbet West acrd agreed there is not enough ififormation to approve or deny this request this evening. He shared some comrnents: 0 He is not convinced the applicant met the criteria of #1 (safety). Im Ile understands no one wants this in their neighborhood but there is a need for this facility in our community. He added this is not about money but rather about whether the facility fits with the zoning and if the criteria of a conditional use permit can be rnet, Fie would like transparency from, the applicant on criteria for the patient selection process. He doesn't want to work off extremes. He stated anybody can walk around .1 neighborhood and smoke and it isn't clear to him why this is an issue in this case. ("ouncilmernbet Westgaard explained the city has control over conditions for the conditional use permit so he would like to make sure all applicable conditions are listed. Ile noted if this request is denied sonicone else could purchase the property and if aconditional use permit is not required the city has no control over what becomes of the property. He added most people with mental illness who need help are not a threat. Attc)rney Beck explained the city' can statutoril57 continue this itern for 60 days. Councils ember Wagner asked f()r it to be added to the: January 7 work session. Attorney Beck indicated it may be difficult to pull the necessary information together by January 7 and sugg .gested January 22, Council consensus was for Mr. Carlton to send the applicant a letter notifying there of the continuation of this item to January 22, 2019. The residents in attendance were informed of the continuation. Attorney ' V Beck infortned residents they inay submit written con-iments to became.part of the Council review. He stated comments must be submitted to the Planning Department within the next week or two. Couricilmernber Wagner explained to the residents the public licaring has been closed and the Iterri is now for Council consideration. Councilmerriber 0 -,,all thanked resident,,, for attending. i IN City council Minutes December 17, 2018 Page 8 Moved by Councilmember Westgaard and seconded by Councilmember Olsen directing staff to send the applicant a letter extending the review period an additional 60 days and continuing Council discussion on this item until January 22, 2019. Motion carried 5-0. Councilmember Wagner noted she would also like to discuss the public hearing notice requirements. 7.5 River Walk Apartments — 17354 Zane Street NI," A. Right -of -Way Vacation: Zane Street NW B. Simple Plat: River Walk Mr. Carlton presented the staff report. Mayor Dietz opened the public hearing. There being no one to speak to this issue, Mayor Dietz closed the public hearing. Moved by Councilmember Westgaard and seconded by Counciltnembcr Wagner to continue the request to vacate a portion of the Zane Street Right - of -Way to the January 22, 2019, City Council meeting. Motion carried 5-0. Moved by Councilmember Westgaard and seconded by Councilmember Ovall to continue the request for approval of a Simple Plat to the January 22, 2019, City Council meeting. Motion carried 5-0. 71007 - There was no general business. Council recessed at 7:59 p.m. in order to go into work session. Council reconvened at 8:00 p.m, I I I I I I I! I plijillp 11111lig I I I I I IlIgg I! � I I! I � 11111 Mr. Portner presented the staff report. He distributed a handout outlining three options. Councilincrnber Ovall questioned if the options have been shared with the district superintendent. Mr. Portner stated he shared the information with Dr. Bitti-nan last week and Dr. Bittinan didn't see issues with any of the options as long as we continue to include the district in discussions. Councilmember Westgaard explained he would be in favor of option 2 as he believes it is the most favorable by keeping the design movilig but not spending money on securing ing materials which could get expensive. N=�P 0 W I R t I I I A�T, U6 R E Request for Action To Item Number Mayor and City Council 7.1 Agenda Section Meeting Date Prepared by General Business January 22, 2019 Zack Carlton, Planning Manager Item Description Reviewed by Conditional Use Permit: ResCare Minnesota, Peter Beck, City Attorney Institutional Use at 633 Upland Ave NW Reviewed by Cal Portner, City Administrator Action Requested Approve, by motion, a Conditional Use Permit (CUP) to establish an Institutional Use at 633 Upland Ave NW, as the criteria required for approval are met with the following conditions: 1. A copy of the Intensive Residential Treatment Services (IRTS) License from the State of Minnesota must be submitted to the city. 2. Records of state compliance inspections must be submitted to the city upon receipt by ResCare. 3. The SAC/WAC Units will be reviewed to decide if additional fees will need to be paid based on the change in use. Fees will be due before issuance of a building permit. 4. A designated smoking area outside of the building must be identified on the site plans. Alternatively, if the City Council does not believe the criteria for approval of a CUP are satisfied, the Council should make findings of fact regarding the criteria which are not met and direct staff to prepare a resolution of denial setting forth the Findings of Fact and denying the CUP, for action on February 4, 2019. Specific reasons for denial must be included. Background/Discussion On December 17, 2018, the City Council discussed the request by ResCare Minnesota to establish a 16 - bed Intensive Residential Treatment with Services (IRTS) facility at 633 Upland Ave NW. During public hearing the residents asked a number of questions regarding ResCare's operation and noted a number of concerns about potential impacts to public safety. After the public hearing was closed, City Council directed staff to consult with the police chief regarding potential safety concerns. Council also asked ResCare to provide written responses to the questions provided during the public hearing. After the meeting, staff gathered questions about ResCare and their operation from residents, City Council, and other staff. Responses to these questions are included as an attachment. Additional attachments include location maps for other ResCare Minnesota facilities, statements from the applicant, information on the assessment for admission to an IRTS facility, and emails, letters, or articles submitted for inclusion in record. Patient Admission Process Prior to admission to the facility, each potential patient first receives a Level of Care Utilization System The Elk River Vision A welcoming community with revolutionary and spirited resourcefulness, exceptional,` 01 e service, and community engagement that encourages and inspires pi ospei ly INAWRE1 (LOCUS) Assessment. The assessment is completed by a mental health professional and helps determine the care needs of an individual. In order for a patient to be admitted to an IRTS facility they must qualify as a level 5. Additional admission criteria include: ■ A primary diagnosis of mental illness as determined by a diagnostic assessment ■ A completed functional assessment using the domains specified in statute and have three or more areas of significant impairment in functioning ■ A completed LOCUS assessment where a Level 5 is indicated ■ Reasonably expected to commence or resume illness management and recovery skills or strategies at this level of service ■ Needs a 24-hour supervised, monitored and focused treatment approach to improve functioning and avoid relapse that would require a higher level of treatment ■ Is not responsive to an adequate trial of active treatment at a less intensive level of care ■ Is at risk of significant functional deterioration if IRTS are not received ■ Has one or more of the following: o History of two or more inpatient hospitalizations in the past year o Significant independent living instability o Homelessness o Frequent use of mental health and related services yielding poor outcomes in outpatient or community support treatment Registered Sex Offenders During the public hearing, the applicant stated they would not accept sex offenders to their facility. In the response received from ResCare they stated that their facility would accept level 1 and level 2 registered sex offenders if they believe the person would benefit from the program and have a history of functioning well in the community. ResCare states that they will not accept a level 3 sex offender. There are three levels of registration for sex offenders. The individual's level is related to their likelihood to re -offend and is established after completion of a risk assessment. The risk assessment is completed prior to their release into the general public. Additionally, a sex offender that is admitted into an IRTS facility, like the one proposed by ResCare, will also need to have a diagnosed mental health condition that meets the criteria for care at the location. • Level I offenders have a risk assessment score that indicates a low risk of re -offense. • Level II offenders have a risk assessment score that indicates a moderate risk of re -offense. • Level III offenders have a risk assessment score that indicates a high risk of re -offense. All levels must register with the Elk River PD, but only level 3 offenders trigger a public meeting. Locations and identities of level 1 and 2 offenders are not made public. In the time the police chief has been with the city there has been two level 3 offenders move to Elk River, neither of which are still located here. As of January 16, 2019, there are 41 level 1 and 2 registered sex offenders in the city. Generally, a patient at the ResCare facility who is required to register with the city as a sex offender will have served their criminal sentence, been monitored/ treated in a clinical setting, before admittance to this facility after meeting the admission criteria. N:APublic Bodies\Agenda Packets\01-22-2019\Final\7.1 SR ResCaie.docx Applicable Regulation In approving a CUP, the Council may impose such specific conditions with regard to the development or operation of the proposed use as it considers necessary to satisfy the seven standards set forth in Section 30-654 and the requirements contained in this article and to promote compatibility with and minimize any potentially adverse effects upon adjacent properties, the neighborhood or the city. The issuance of a CUP can be ordered only if the use at the proposed location: 7. 1Vill not endanger•, injure or - detrimentally affect the use and enjoyment of othe-pi operty in the immediate vicinity or - the public health, safety, moials, comfort, convenience orgeneial welfare of the neighborhood or the city. The proposed use is self-contained, regulated by the State of Minnesota, and does not generate significant traffic. After discussion with the police department, staff determined the proposed use does not pose a security threat to the city. The site is adjacent to Highway 10 and has access to a signalized intersection. Most traffic generated by the use will utilize this intersection. For these reasons, along with the extensive visual screening, the use is not expected to detrimentally affect the use and enjoyment of the other properties in the area. Staff does not see a need to impose specific conditions to satisfy this standard. 2. Vi// be consistent with the comprehensive plan. The parcel and surrounding area are guided for residential uses. City ordinances allow Institutional Uses with a CUP in all residential districts. The use is consistent with our residential zoning ordinance and is consistent with the Comprehensive Plan. Staff does not see a need to impose specific conditions to satisfy this standard. 3. Vi// not impede the normal and orderly development and improvement of survounding vacantproperty. Surrounding properties are fully developed and use will not impede the normal and orderly development and improvement of surrounding properties. Staff does not see a need to impose specific conditions to satisfy this standard. 4. Vi// be served adequately by and will not adversely affect essential public facilities and services including streets, police and fire protection, drainage, refuse disposal, water and server systems, parks and schools; and will not, in particular•, create trafc congestion or interference with trafc on adjacent and neighboring public thoroughfares. The police department reviewed the proposed use and police records from other cities with IRTS facilities operated by ResCare. Staff does not believe the facility will adversely impact police protection. The use may increase the sewer and water use of the property and the SAC/WAC units will be re- evaluated at the time of building permit review. Any increase in the number of units will need to be paid prior to issuance of the building permit. Staff included a condition addressing changes to the SAC/WAC calculations. 5. Vi// not involve uses, activities, processes, materials, equ pment and conditions of operation that will be detrimental to any persons orpi operty because of excessive trnffic, noise, smoke, fumes, glare, odors, dust or vibrations. N:APublic Bodies\Agenda Packets\01-22-2019\Final\7.1 SR ResCaie.docx Due to the proximity to residential areas, smoking by staff and patients may become an issue. Beyond smoking, the use does not involve any activities that would detrimentally impact any persons or property due to traffic, noise, smoke, fumes, glare, odors, dust, or vibrations. Staff included a condition to work with the applicant on placement of a designated smoking area. 6. Vi// not result in the destniction, loss or damage of a natural, scenic or historic feature of major importance. The proposed use and changes to the interior of the building will not result in the destruction, loss or damage of natural, scenic or historic features of major importance. Staff does not see a need to impose specific conditions to satisfy this standard. 7. LVill fully comply with all other requirements of this Code, including any applicable requirements and standards for the issuance of a license orpeimit to establish and operate the proposed use in the city. The use will fully comply with all other requirements of this code, including any applicable requirements and standards for the issuance of a license or permit to establish and operate the proposed use in the city. Staff does not see a need to impose specific conditions to satisfy this standard. If denial of such a permit should occur, it shall accompany recommendations or determinations by findings or a report stating how the proposed use does not comply with the standards set forth in Section 30-654. Financial Impact None Attachments ■ City Council packet dated December 17, 2018 ■ Introduction to ResCare ■ Open Letter to the Residents of Elk River ■ Questions and Answers ■ Admission Criteria ■ Interviews with Neighbors of ResCare Facilities ■ ResCare IRTS Location Maps ■ Sherburne County Memo dated December 24, 2018 ■ Star News Article dated January 3, 2019 ■ IRTS Program Overview ■ LOCUS Recording Form ■ Police Reports from Brooklyn Center ■ Police Reports from Fridley ■ Police Reports from Robbinsdale ■ Group Home Location Map ■ Emails and Letters from Residents N:APublic Bodies\Agenda Packets\01-22-2019\Final\7.1 SR ResCaie.docx City of Elk River` Request for Action To Item Number Mayor and City Council 7.4 Agenda Section Meeting Date Prepared by Public Hearin s December 17, 2018 Zack Carlton, Planning Manager Item Description Reviewed by Conditional Use Permit: Institutional Use, ResCare Chris Leeseberg, Senior Planner MN — 633 Upland Ave Reviewed by Cal Portner, City Administrator Action Requested Approve, by motion, the Conditional Use Permit authorizing establishment of an Institutional Use at 633 Upland Ave NW, with the following conditions: 1. A copy of the Intensive Residential Treatment Services (IRTS) License from the State of Minnesota must be submitted to the city. 2. The SAC/WAC Units will be reviewed to decide if additional fees will need to be paid based on the change in use. Fees will be due before issuance of a building permit. 3. A designated smoking area outside of the building must be identified on the site plans. Background/Discussion ResCare Minnesota is proposing to convert the former Masonic Lodge building at 633 Upland Ave NW to an Intensive Residential Treatment Services (IRTS) facility. The Minnesota Department of Human Services defines IRTS facilities as: time-limited mental health services provided in a residential setting. Recipients of IRTS are in need of more restrictive settings (versus community settings and are at risk of significant functional deterioration if they do not receive these services. IRTS are designed to develop and enhance: psychiatric stability, personal and emotional adjustment, self-sufciency, and skills to live in a more independent setting. The use complies with the ordinance definition of an Institutional Use as it is a health care facility offering principally inpatient care. The applicant's narrative states the average stay at the facility will range from 60 to 90 days. The property is located in the R -1c zoning district which allows Institutional Uses as a Conditional Use. Planning Commission The Commission asked the applicant and their representatives about frequency of emergency responses, the types of patients being treated, and whether or not patients are required to remain at the CR 33 . — a RR Hwy 10 CR 12 facility. Figure I The Elk River Vision A nvkoming community nith revolutionary and spirited resourcefulness, exceptional service, and community engagement that encourages and inspires prosperity iAWR� The applicant and their representatives addressed the Commission's concerns and provided the following additional information regarding ResCare's background, operations, and the patients: ■ ResCare is a transitional care facility for patients returning to the community after having received hospital-based treatment. ■ Staff are trained as first responders and equipped to handle emergency situations. ■ Calls for emergency responses vary, but according to ResCare representatives it has not been an issue in the past. Patients are continually monitored and evaluated for concerns that may need to be addressed in a hospital setting. ■ Patients are treated for a variety of emotional conditions and psychiatric disorders regarding their thoughts, which may include suicidal or confused thinking, which can prevent them from functioning in the community in a positive way. The patient's goal is to regain skills and receive support to return to independent living. ■ Patients can come and go as they please from the facility, but they typically stay on site because of a lack of public transportation services. Mary Jo Cobb, Sherburne County Director of Health and Human Services spoke in support of the project. She described the need for this type of facility in Elk River and noted that patients in need of this type of care sometimes have to travel long distances for a facility to help them get well. Public Comments One resident spoke during the public hearing. She is concerned about safety in her neighborhood as a result of this facility. She stated that her children regularly bike past the facility and is concerned about their safety. She is opposed to the proposed facility in her neighborhood. Staff has also received two phone calls from residents with concerns about safety in the neighborhood if this facility is approved. Recommendation The Commission unanimously recommended approval of the Conditional Use Permit to operate an Institutional Use at 633 Upland Ave. Financial Impact None Attachments ■ Planning Commission Packet dated November 27, 2018 N:\Departments\Community Development\Planning\Case Files\CUP\CU 18-19 ResCafeMN\5-City Council\7.4 sz ResCare CC Memo 12-17- 2018.docx Request for Action ver To Item Number Planning Commission 4.3 Agenda Section Meeting Date Prepared by Public Hearings November 27, 2018 Zack Carlton, Planning Manager Item Description Reviewed by ResCare Minnesota — 633 Upland Avenue NW, Chris Leeseberg, Senior Planner Case No. Cu 18-19 ■ Conditional Use Permit to operate an Reviewed by Institutional Use Action Requested Recommend, by motion, approval of the Conditional Use Permit (CUP) to operate an Institutional Use at 633 Upland Avenue, with the following condition: 1. A copy of the Intensive Residential Treatment Services (IRTS) License from the State of MN must be submitted to the city. 2. The SAC/WAC Units will be reassessed in order to decide if an additional WAC Fee will need to be paid based on the change in use. 3. Smoking shall not be allowed in the building, and a designated smoking area outside of the building must be identified on the site plans. Background/Discussion The applicant, ResCare Minnesota, is proposing to convert the former masonic lodge building at 633 Upland Ave NW to an intensive residential treatment services (IRTS) facility. The MN Department of Human Services defines IRTS facilities as: "time- limited mental health services provided in a residential setting. Recipients of IRTS are in need of more restrictive settings (versus community settings) and at risk of significant functional deterioration if they do not receive these services. IRTS are designed to develop and enhance: psychiatric stability, personal and emotional adjustment, self-sufficiency, and skills to live in a more independent setting." The use complies with the ordinance definition of an Institutional Use as it is a health care facility offering principally inpatient care. The applicant's narrative states the average stay at the facility will range from sixty to ninety days. The property is located in the R -1c zoning district which allows Institutional Uses as a Conditional Use. Proposed Facility/ Operation The proposal shows a complete interior remodel of the existing building. The facility will allow for 16 residents (patients) at a time — The Elk River Vision RR — - Hwy 10 Figure I A welcoming community with revolutionary and spirited resourcefulness, exceptional service, and community engagement that encourages and inspires prosperity CR 33 4 CR 12 P 0 W E R I D B Y NATUR plans show additional beds, but these will be used for transitions between patients. No exterior changes are proposed at this time. The facility will operate 24/7 year round. The facility is expected to employ 20 full-time employees and coverage typically includes 3-7 employees per shift. Comprehensive Plan The site is guided for urban residential uses and the proposed use is consistent with the residential uses identified in the zoning code. The project is consistent with the Comprehensive Plan. Site Plan Plans show one entrance/exit on the east side of the parking lot with access to Upland Ave NW. There are 26 parking stalls identified, and 15 are required per city ordinance — one per two beds (8) and one for each employee on the major shift (7). The parking plan should be modified to account for the tight angle in the southeast corner of the parking lot. Additional impervious surfaces are not proposed. Landscaping The property includes mature trees on the three sides abutting residential properties. Credit given for existing trees satisfies the landscape ordinance. Applicable Regulation In approving a Conditional Use Permit, the council may impose such specific conditions with regard to the development or operation of the proposed use as it considers necessary to satisfy the seven standards set forth in Section 30-654 and the requirements contained in this article and to promote compatibility with and minimize any potentially adverse effects upon adjacent properties, the neighborhood or the city. The issuance of a Conditional Use Permit can be ordered only if the use at the proposed location: 1. Vill not endanger, injure or detrimentally affect the use and enjoyment of otherproperty in the immediate vicinity or the public health, safety, morals, comfort, convenience orgeneral welfare of the neighborhood or the city. The proposed use is self-contained, regulated by the State of MN, does not generate significant traffic, and does not appear to pose a security threat to nearby residents. The site is adjacent to Highway 10 with access to a signalized intersection and any traffic generated by the use will likely utilize this intersection. For these reasons, along with the extensive screening, the use is not expected to detrimentally affect the use and enjoyment of the other properties in the area. Staff does not see a need to impose specific conditions to satisfy this standard. 2. WIN be consistent with the comprehensive plan. The parcel and surrounding area are guided for residential uses. The use is consistent with our residential zoning ordinance and is consistent with the Comprehensive Plan. Staff does not see a need to impose specific conditions to satisfy this standard. N:\Departments\Community Development\Planning\Case FUes\CUP\CU 18-19 ResCareMN\4-Planning Commission\4.3 sr Res Care 11-27- 2018.docx 3. 1V711 not impede the normal and orderly development and improvement of surrounding vacantproperty. Surrounding properties are fully developed and use will not impede the normal and orderly development and improvement of surrounding properties. Staff does not see a need to impose specific conditions to satisfy this standard. 4. Will be served adequately by and will not adversely affect essential public facilities and services including streets, police and fire protection, drainage, refuse disposal, water and sewer gstems, parks and schools; and will not, in particular, create traffic congestion or interference with traffic on adjacent and neighboring public thoroughfares. The use may increase the sewer and water use of the property and the SAC/WAC units will be re- evaluated at the time of building permit review. Any increase in the number of units will need to be paid prior to issuance of the building permit. The police department also expressed concerns regarding police and emergency medical services, specifically overnight responses in a residential area where lights and sirens could wake the neighbors. Staff added a condition addressing the SAC/WAC calculations and the Commission should discuss the concerns regarding emergency response. 5. fVill not involve uses, activities, processes, materials, equipment and conditions of operation that will be detrimental to any persons orproperty because of excessive traffic, noise, smoke, fumes, glare, odors, dust or vibrations. Due to the proximity to residential areas, smoking by staff and patients could become an issue. Beyond smoking, the use does not involve any activities that would detrimentally impact any persons or property due to traffic, noise, smoke, fumes, glare, odors, dust, or vibrations. Staff added a condition noting the facility must be non-smoking to ensure compliance with this condition. 6. 1V711 not result in the destruction, loss or damage of a natural, scenic or historic feature of major importance. The proposed changes to the interior of the building will not result in the destruction, loss or damage of natural, scenic or historic features of major importance. Staff does not see a need to impose specific conditions to satisfy this standard. 7. W1ill fully comply with all other requirements of this Code, including any applicable requirements and standards for the issuance of a license or permit to establish and operate the proposed use in the city. The use will fully comply with all other requirements of this Code, including any applicable requirements and standards for the issuance of a license or permit to establish and operate the proposed use in the city. Staff does not see a need to impose specific conditions to satisfy this standard. N:\Departments\Community Development\Planning\Case FUes\CUP\CU 18-19 ResCareMN\4-Planning Commission\4.3 sr Res Care 11-27- 2018.docx If denial of such a permit should occur, it shall accompany recommendations or determinations by findings or a report stating how the proposed use does not comply with the standards set forth in Section 30-654. Statutory Review Period The 60 -day statutory review period for this application is set to expire on December 28, 2018. Council Meeting With a recommendation from the Planning Commission the item will be reviewed on December 17, 2018 Attachments ■ Location Map ■ Applicant's Narrative ■ Building Plans ■ Site Plan N:\Departments\Community Development\Planning\Case FUes\CUP\CU 18-19 ResCareMN\4-Planning Commission\4.3 sr Res Care 11-27- 2018.docx ON 1Jti/ 4- C PROJECT NARRATIVE ResCare Minnesota, Inc. is proposing to use the property located at 633 Upland Avenue Northwest, Elk River, Minnesota for operation of an intensive residential treatment services facility (IRTS). The name of the facility will be "ResCare Recovery Residence". The treatment facility will accommodate up to sixteen (16) residents at a time, but will most likely have an 81 % capacity for the year. The duration of stay for the resident will typically range from a period of sixty to ninety (60-90) days as they prepare to transition into a longer-term, community-based setting. The IRTS program uses an inter -disciplinary team to provide recovery -focused, evidence -based services and support to individuals with a primary diagnosis of mental illness. These services are designed to achieve psychiatric stability, personal and emotional adjustment, self-sufficiency, and skills to live in more independent settings. While the individuals reside in the IRTS facility, they receive services such as assessment and planning; illness management and recovery; independent living skills and vocational support; mental health treatment services; family education; nurse monitoring and supervision; and peer support groups. ResCare Minnesota, Inc. has been a leading provider of IRTS residential programs in Minnesota since 1982 through the operation of four other IRTS programs: Northwest Residence (Brooklyn Center); Community Options (St. Paul); Livingston Residence (St. Paul); Community Options (Fridley); Transitions on Broadway (Robbinsdale); and Transfer Home (St. Paul). • The Applicant's proposed use meets all of the general standards as listed in the City of Elk River's Comprehensive Plan and Zoning: (a) The extent, location and intensity of the use will be in substantial compliance with the Elk River Comprehensive Plan and Zoning for a conditional use and any applicable subarea plans which were approved by the city council. (b) The use will provide adequate ingress and egress to minimize traffic congestion in the public streets. (c) The use will not be detrimental to the existing character of the development in the immediate neighborhood or endanger the public health, safety and general welfare. (d) The use will not impede the normal and orderly development and improvement of the surrounding property for uses permitted in the district. (e) The use shall, in all other respects, conform to the applicable regulations of the district in which it is located. • Hours of Operation. The facility will operate 24/7 with three (3) awake, overnight staff coverage. During the day, coverage may vary from three to seven (3-7) employees depending on the time of day. This includes weekends. • Employees. There will be a total of about twenty (20) full-time staff. • Parking. There will be 26 stalls, as indicated on the Site Plan included with the application. Note: ResCare will stripe the parking lot. • Proposed screening. There is no proposed screening. Trees and bushes are in place. • Proposed building materials. The building materials will be maintained internally, pursuant to Elk River building code. No exterior work will be performed, as indicated on the Floor Plans included with the application. • Signage. None. • Outdoor Storage. None. u8mS3 d'F-W Z OZ _ O n K II II II II II o II II II II II II II II II o II a U 0 W O II II II w II II II II II II II II II V 11 II II V II II II II II U I I li I a� m It a„ $ w Z NOI omiSNOO 2:J0J lON - o II II II II II II II o II II II II II II II II II o II II II II II w II II II II II II II II II V 11 II II V II II II II II U I I li I w II I I rT X 11 ®v I I a I� III -ill --�---_-_-�- n El n II II II a NOuomiSNOO 2:J0J iON -mimillialmill IM a a 2 LU > LLI Lu� Cw Itn- <!Z� 0 0 Lu 2P NOuomiSNOO 2:J0J iON -mimillialmill IM a a u8 JZ W� Z Z. �Ow J Q;£9 M W W > W H - 71 Of Of U) • i 3 NOI omiSNOO 2:J0J lON LN r Introduction to ResCare We are the nation's largest private provider of services to people with disabilities; the largest one-stop workforce contractor and the largest privately -owned home care company. ResCare offers residential and support services, education, vocational training and job placement for people of all ages and skill levels. ResCare Residential Services focuses on people with disabilities and youth with special needs and ResCare HomeCare helps seniors who want to age in place. ResCare Workforce Services and ResCare Education and Training Services provide counseling, training, and job placement to people of all ages with barriers to employment. ResCare also has a pharmacy called Pharmacy Alternatives that serves people who have an intellectual and developmental disabilities. Pharmacy Alternatives is in 31 states, including Minnesota. ResCare Assured is a home monitoring service to help seniors and individuals with intellectual or developmental disabilities remain safely in their homes and gain more independence. This is another company owned by ResCare and its services are used in Minnesota. ResCare Minnesota. Inc. St. Paul The St. Paul operation primarily serves people who have intellectual and developmental disabilities though they do also serve some people who have a mental illness. This is often co-occurring with the intellectual and developmental disabilities. The St. Paul operations manage about 40 small group homes throughout the east and south metro area. ResCare Minnesota, Inc. Brooklyn Center Out specific operation works exclusively with persons who have a mental illness. We are the only operation in all of ResCare to exclusively serve this population. ResCare Minnesota, Inc. Brooklyn Center was purchased from a private provider in 2013. The company included Northwest Residence in Brooklyn Center (started in 1982), Community Options Fridley (started in 1986), Community Options St. Paul (started in 1996). In 1990, Supportive Living Services was started in Anoka County to provide Case Management, but by the time of the purchase, the program was an Assertive Community Treatment (ACT) in Hennepin County. Since the purchase, we have added three more Intensive Residential Treatment Programs (IRTS) located in Hennepin County, Ramsey County, and Dakota County. In addition, we have added another ACT team for Hennepin County and a program that helps clients find housing. To hire and keep good quality staff it is important to pay a good wage. Due to the program type, we can pay a higher wage than most types of social service programs. This allows us to hire more qualified staff. We also have a consulting psychiatrist who provides consultation for difficult cases. He is currently an educator at the U of M department of psychiatry and consults throughout Minnesota. We have verbal agreement to work with Nystrom and Associates to provide on location psychiatric consultation on a regular basis for the potential program located at 633 Upland Avenue. We would call the location ResCare Recovery Residence. We provide 30 hours of training prior to anyone starting at the location. In addition, we provide a great deal of ongoing continuing education for clinical staff. Open Letter to the residents of Upland Av and Tipton Circle and Av neighborhood One of the great things about our country is that people get to speak their minds in a public way and we had that opportunity at the last hearing. I imagine if it was my neighborhood I would have some of the same questions you have and would have wanted my voice heard as well. If we were to be honored to be in your neighborhood I would like to make some commitments to you. While construction is being done I can meet with you as a group or individually to discuss your concerns and if there are any further accommodations we might make to the property. I will be in Elk River a couple days per week to see how the construction is going. My daughter her husband and my grandchildren live in Elk River and it will give me a chance to see them and take them out to eat. I should be available. Prior to the opening we will send out an invitation to our open house which will be the day prior to the start. This will give you an opportunity to meet the staff including the Clinical Director, who I hope we can hire from the community of Elk River. By then we will have a phone number, so you will have a number to call with any questions. It will also give you an opportunity to see the changes we have made to the inside of the building and get some refreshment. We are not anticipating any problems but if there are you can call the Clinical Director and if you do not believe your concerns are being addressed you can call the Operations Manager for this location and then you can always call me. We will keep the property up and the lawn mowed so we can make sure we blend into the community. We will be speaking to the police and emergency response people as to how use of emergency vehicles can be the least disruptive to the community. We will set up protocols based on those discussions. It is my hope we can work together and move forward. Thomas R. Alf Executive Director ResCare Minnesota — Brooklyn Center Office: 763-277-1026 Cell Phone: 612-490-8018 CU 18-19: Request for a Conditional Use Permit to Operate an Institutional Use at 633 Upland Ave NW — Questions and Responses City staff compiled questions received during the public hearing on December 17, 2018, and those from members of the public and City Council received after the meeting. The questions were forwarded to the appropriate party for their response. How many facilities do they have nationwide? How man312atients nationwide? ResCare — Nationwide, we have only 6 IRTS facility and only in the Brooklyn Center Operation. This is strictly a Minnesota funded program. City Staff— ResCare's website states they have over 45,000 employees and serve nearly 60,000 people daily in 42 states, Canada, and Puerto Rico. 2. Will sex offenders be allowed in the Elk River facilijc,? ResCare — We will not take level 3 sex offenders. We may take a level 1 or 2 if we believe the person will benefit from the program and have a history of functioning well in the community. We consider the current mix of clients, community they live in and staff concerns. It is important to note that mental Illness needs to be the primary reason for their presence in the facility. To mitigate any potential concerns, we are will develop a facility abuse and prevention plan. In addition, we will need to develop an individual abuse and prevention plan for person's susceptibility to abuse by other individuals, including other vulnerable adults and the clients at risk of abusing other vulnerable adults. We develop specific and ongoing measures to minimize the risk of abuse to our clients. 3. What are the qualifications needed to be a patient at the Elk River facilites ResCare — Admission requirements/process described on separate attachment. City Staff— A LOCUS Assessment (Level of Care Utilization System) is required for all IRTS recipients prior to admission. The state provides the following LOCUS description: Level of Care Utilization S,Tstem OCUS� — Effective October 1, 2010, a level of care assessment of the recipient using the LOCUS must be completed by a mental health professional or a mental health practitioner with clinical supervision, within ten days of the recipient's admission. If the recipient is assessed through LOCUS as needing "medically monitored level of service" (level 5), this supports the recipient's need for IRTS. If the recipient is assessed to have needs that are not at this level, the clinical supervisor must evaluate and document how the recipient's admission to and continued services in IRTS is medically necessary. The LOCUS assessment must be completed at least every 30 days and within five calendar days prior to discharge. The LOCUS assessment must include the date the assessment was completed and the signature and title of the mental health professional who completed it. If the LOCUS assessment was completed by a mental health practitioner, it must be signed and dated by the mental health practitioner who completed it and co- signed and dated by the clinical supervisor. 4. What is the selection criteria for resident admittance? ResCare - Most of the information can be found in our admission criteria but If you are asking if there is a process to determine who will come in next and if we discriminate then I can answer this briefly. Assuming the client is clinically ready to come we usually take the next person on the list but depending on the current mix of clients we may hold off on admitting some clients. 5. Could the patients be restricted so that they could not leave the ResCare propernT in Elk River? ResCare — It is our practice to ask clients to stay on the property for one week, so they can get accustomed to the location, staff, other clients and our culture. The clients have many groups to attend and one to one meetings with staff, so they are kept busy. Some clients will participate in meal preparation and clean up. When they leave the building, they need to sign out, so we know where they are going during the free time and when they will be back. It is important to note we are not a locked facility, but we will have security cameras at the exits and will lock the doors at night just like everyone else does. From experience this has not been an issue. 6. Will all the patients at the Elk River facility be from Elk River and the rest of Sherburne County? ResCare — No, but a majority will probably come from the area. Some will come from other counties such as Benton Sterns, Wright and Anoka. Due to this being a primarily Medicaid funded program we are under federal rules and those rules dictate who we should accept. According to the agreement between Minnesota and the US government we must take people from anywhere in the state of Minnesota. 7. What are the legal ramifications for the Cite if the ResCare CUP is turned down? City Staff— As we have discussed with the City Council in the past, conditional uses are uses that are permitted, subject to conditions. A CUP for a conditional use can only be denied if there is a legally sufficient reason for the denial, and there is a factual basis to support that reason. Failure to meet the standards set forth in the City Code for approval of a CUP is a legally sufficient reason for denial of the CUP. However, there must be a factual basis for the determination that the standard is not met, and the determination must be made based upon the record before the City Council — the testimony and evidence presented — and not on matters from outside the record. In every instance when the City Council is contemplating the denial of a CUP city staff s recommendation is that the Council make specific findings of fact, based on the record of testimony and evidence submitted and presented to the Council at the public hearing, as to the standards that are not met, and the factual basis for the determination that they are not met, and direct staff to put those findings of fact in a formal resolution of denial of the CUP, for action by the Council at a future meeting. Denial of a CUP application for reasons that are not legally sufficient and/or not supported by the record before the Council would subject the city to potential legal liability for the denial. The most likely legal remedy for the applicant would be approval of the CUP through the courts, potentially without conditions. 8. Would it be legal to place the ResCare facilinT in the 2.5 acre residential zone in Elk River? City Staff— All residential zoning districts, including the R -1a zone (2.5 acre minimum), allow Institutional Uses with a CUP. 2 9. Would it be legal to place the ResCare facility in the commercial or industrial in Elk River? City Staff— Institutional Uses are allowed with a CUP in the C-1, C-2, and C-3 zoning districts. The Downtown zoning district is limited to religious based Institutional uses. Institutional Uses are not permitted in any of the Industrial zoning districts. 10. Does the cijc, have to allow smoking on the ResCare facilityr property City Staff— Unless the City attaches a condition to a CUP prohibiting smoking on the property, smoking would be allowed on this property just as it is on other non-governmental properties, including the single family properties that surround the property. To impose such a condition, the City would have to make a finding that without a condition prohibiting smoking, the application does not meet the standards for approval of a CUP. 11. Isn't it true that the City of Elk River was not excited about seeing ResCare land in the old school district building? City Staff— The city was notified of ResCare's interest in opening an IRTS facility in the former school district office building in downtown Elk River in the spring/summer of 2017. On July 17, 2017, the City Council discussed a possible moratorium on new CUPs and zone changes for the downtown zoning district, the location of the old school district building. The Council expressed concerns about establishment of new uses that may not be a good fit for downtown as a result of the building being on the market, but did not move forward with a moratorium. 12. Is the Elk River Police Department satisfied that ResCare will not put any extra pressure or calls on the department? City Staff— That is impossible to answer. Looking at call statistics from other facilities will only give a snapshot of what that facility has required for police intervention, but does not adequately predict what future needs will be. 13. Does the police department have any concerns about the safety of the neighborhood considering the type of patients that might occupy the ResCare facilites City Staff— That is impossible to answer. We cannot predict what types of calls we will encounter. 14. It was mentioned several times in the public hearing that the city will make a lot of money from the ResCare facility. Is this true? City Staff— The city is not aware of a mechanism in which the City would make any money from a ResCare facility, other than a possible property tax increase if the building is improved and the assessed value goes up. 15. If the CUP is approved does ResCare propose to buy the facili ,T and property from the current owner? ResCare — Yes, that is ResCare's plan. A purchase agreement has been signed. 16. How many violent instances have taken place in the other Minnesota ResCare facilities in the last three ,Tem ResCare — The 6 facilities operated by ResCare Minnesota — Brooklyn Center have not had any alleged or actual acts of violence or harassment against anyone in the community. 17. What about street lights? ERMU stated that there is a street light at Tipton and Upland and one on Tipton Circle. That is all the3T are allowed according to ERMU policyr. ERMU — ERMU typically spaces street lights no closer than 300 feet. The current lights are approximately 530 feet apart and a third light on the street would deviate from ERMU's midblock street light policy. 18. Will the ResCare facility adversely affect property values in the neighborhood? Sberhurne County — Since this would be a unique facility within Sherburne County, there is no historical data to help Sherburne County determine a valuation impact. County Assessors follow trends and if future sales were to indicate that a change in value is warranted in this neighborhood (either up or down) we would react accordingly. 19. What is the frequenc3T/likelihood of patients to return to a hospital setting after admittance to an IRTS facility? ResCare — 70% to 80 % of those that are discharged positively are still living in a less restrictive setting after 3 months. In other words, they are not in the hospital, jail or some equally structured program. 20. Are there ap3T mental illnesses that ResCare is not equipped to assist people with? ResCare — We do refuse people admission into our facilities. The usual reason is that the hospitals are trying to get them discharged too soon. Our ultimate concern is to make sure the clients, staff and community are safe and if the potential client can gain from the program. We also pay attention to client mix. By this I mean we need to make sure we have a positive milieu for treatment and there are some personalities and disorders that can create problems for the milieu if there are too many in the facility. This is not a safety issue for the community as much as a treatment issue. Overall, I think we can work with about anyone but may choose not to in some certain circumstances. 21. What tvoe of initial and recurring training does onsite staff receive in handling crisis situations? ResCare — We have a national certified trainer in CPI on staff CPI stands for the Crisis Prevention Institute. All staff get trained prior to hire and every year of employment. The trainer will also go out to a resident if there is a need for further training and to work through any problem situations that might have occurred. 22. What is the curfew for patients staving at a ResCare facility? ResCare — Please note that these are adults, so we try to treat them as adults and still maintain a positive milieu. On weekdays it is 11 and on weekends it is midnight. Many of the clients are in bed prior to this time so we have more of a quiet time starting an hour prior to curfew. Our program runs 7 days per week so there are always groups or individual sessions 23. What are the certifications and training requirements for Staff at this FacilitcT? ResCare — This is our plan is for staffing: • 3.3 FTE Licensed staff • 2 RNs • 1 master's level non -licensed staff • 1 Licensed Alcohol and Drug Counselor • 1 Certified Peer Specialist I • 13 bachelor's degrees with enough experience to be considered a practitioner or people without a degree who have many years of adult mental health experience and who can meet the requirements of a mental health practitioner. We may hire some awake night staff with limited experience to work alongside of the others with more experience. • .8 FTE Cook • All the programs share a maintenance person for repairs • There will be additional oversite by the Executive Director and the Residential Clinical Operations Manager who are both licensed • We plan to contract with Nystrom and Associates for a .04 FTE psychiatrist. They have agreed in principal to set up a contract 24. What zoning districts are other ResCare Minnesota facility located in? City Staff— ResCare operates six IRTS facilities in Minnesota. Robbinsdale — B3 (Highway Commercial) Brooklyn Center — R4 (Multiple Family Residence) Fridley — R3 (General Residential Multiple Units) West St. Paul — R2 (Two Family Residential) St. Paul (Old Hudson Road) — T2 (Traditional Neighborhood) St. Paul (Rice Street) — RM2 (Multiple Family) The proposed Elk River site is zoned R -1c (Single -Family Residential) 25. How man312olice calls have other ResCare IRTS facilities had in 2018? City Staff— Police calls for four of the six IRTS facilities during 2018: Robbinsdale — 86 (-1.6 per week) Brooklyn Center — 81 (-1.6 per week) Fridley — 61 (-1.2 per week) West St. Paul — 23 (-0.4 per week) Comparatively, WalMart in Elk River had 626 calls to the PD in 2018 (-12 per week) 26. What activities do the residents participate in during the dam City Staff— The facility will include programing for residents seven days per week. Programming typically includes eight hours Monday — Friday and four hours per day Saturday and Sunday. 27. What does Sherburne Count3�pa per day when an IRTS bed is not available for a patient that has met the qualifications? What did Sherburne Count pay: in 2018 for this charge? Sberhurne County - Sherburne County's charged $1,400/day when a person no longer meets criteria for hospital level of care and there are not any IRTS beds/facilities available. Generally speaking, people who no longer meet criteria for hospital level of care go to IRTS facilities. In 2018, Sherburne County paid $141,685.00 for situations where a person no longer met the criteria to stay in a hospital but was not able to be transferred an IRTS facility. Additional ResCare provided questions and answers 28. There was a question about the number of police calls and the frequency,. ResCare — While there are some at each location we try to keep them limited and will work with the police department to come up with a plan to limit the disruption to the community. 29. AWOLs Absent Without Leave ResCare — We are required to call police if there is a missing person after 24 hours because they are vulnerable adults under the law. I think most people will not be gone from the facility since there is limited transportation. When they do leave it will be purposeful in that it will be to see family or friends and family or go for a walk with staff and return. 30. There was another question about ResCare's smokingj2oRc: . ResCare — We do not allow smoking in the building but do not ban smoking on the property. We will provide a designated smoking area and will build a shelter for them with a fence. We do work with the clients on smoking cessation with the use of patches and other helpful medications available if the person wants to quit. For clients who have a mental illness it is a way to cope with symptoms and we have chosen not to take that away from them. I spoke with one client who said he is working on sobriety and struggling with that and to take on smoking cessation too would be more that he could manage. m Admission Criteria Admission Criteria: Individuals considered for placement must have a diagnosis of a serious and persistent mental illness by a Mental Health Professional. No individual is discriminated against in admission, provision of services, or termination because of race, color, national origin, religion, gender, physical handicap, sexual preference, marital status, or public assistance status. Applicants seeking admission to the residential treatment/rehabilitation program will meet some or all the following criteria: 1) Individual has a mental illness as defined in comprehensive mental health act MINN. Statues 245.461. Subd.20. (a): 2) Those on a provisional discharge or stay of commitment who have the potential of self -harm may be appropriate for this level of service if the program determines this service provides adequate structure and there are sufficient support systems in place in the community and safety of others is considered; 3) Individual can reasonably be expected to commence or resume illness management and recovery skills/strategies at this level of service and needs 24-hour supervised and monitored and focused treatment approach to accomplish this improvement in functioning and avoid relapse requiring a higher level of care; 5) Individual symptoms are difficult to manage, or clearly inappropriate for, active treatments at a lesser level of care; 6) Individual needs a restrictive setting and is at risk of significant functional deterioration if intensive residential treatment services are not received. 7) Individual has one or more of the following: • A history reoccurring or prolonged inpatient hospitalizations in the past year Significant independent living instability • Homelessness • Very frequent use of mental health and related services yielding poor outcomes in outpatient community support treatment 8) Individual, in the written opinion of a licensed mental health professional and in consultation with the mental health case manager, has the need for mental health services that cannot be met with other available community-based services or the individual is likely to experience a mental health crisis or require a more restrictive setting if intensive rehabilitative mental health services are not provided 9) Applicants must not need specialized diet and/or nursing care. 10) Review of staffing patterns and competencies of staff result in a determination that the program can meet the needs of a person seeking admission Other Diaanostic Cateaories and Classifications we Will Acceot that are Secondary to Mental Illness 1) We will take clients who have a secondary diagnosis of chemical dependency as long as they are appropriate to the program. 2) We have taken people who have a secondary diagnosis of different personality disorders depending on the client mix and our ability to work with them 3) We may take some people who have a mild TBI secondary to mental illness depending the client's ability to gain from the program. 4) According to policy at the Minnesota Department of Human Services we cannot take level 3 sex offenders. We may take a level 1 or 2 if we believe the person will benefit from the program and have a history of functioning well in the community. We try to consider the current mix of clients and the community they live in. It is important to note that mental Illness needs to be the primary reason for their presence in the facility Clients with Felonies and Gross Misdemeanors It would be impossible to say we will never take a person with a felony or Gross Misdemeanor since they may not tell us, and the criminal charges could be in a different state. The records may not show what happened in another state or even in Minnesota. It is safe to say we will from time to time take a client who has a Felony or Gross Misdemeanor Clients criminal pasts of the clients we serve is secondary mental illness If records and interview indicate this person is a current threat to our staff or community, we will not take that client. This is the case if the person has a felony or not. We have worked with hundreds of clients over the years we have been a part of ResCare and at no time was someone from the community hurt or harassed. Who we will not take We will not take clients who are classified as Mentally III and Dangerous Interviews with Neighbors Page 1 of 2 We have provided you with aerial photographs of the 5 IRTS locations located in partial or fully residential neighborhoods. As you can see the properties are much denser than the Upland neighborhood. Some of the building are less than 25 feet apart. We decided to complete a canvas of the neighborhood focusing on the properties closest to the treatment centers. The neighbors were asked if there were any problems or comments they would like to make related to our presence in the neighborhood. Some of the neighbors were not there so we did go back but still could not reach them. Below is a summary of their responses Northwest Residence started in 1982 The property to the west is a rental property and no one living there now. The property to the east is a business and they have no problems with Northwest Residence or the clients we serve. They have seen fit to hire one of our clients knowing the individual came from our location (6901 Brooklyn Blvd Brooklyn Center) Transitions on Broadway in Robbinsdale started in 2015 The people in the single-family home to the East of the location covered by trees said there have been no problems with the clients (3755 Bottineau Av Robbinsdale) The people in the home across the street did not even know it was a group home but have had no problems (3761 W Broadway, Robbinsdale) We contact 2 business, one to the north and one to the south and neither one had negative or concerning comment to say. The owner of one of the business said he had been invited to see the place and was given a tour. The staff and clients were polite (3810 West Broadway and 3755 West Broadway) Community Options Fridley in Fridley started in 1986 Jackie -next door side of house stated it's not too bad ... The individual was in a hurry so we will call back in the future (5307 5t" Street NE Fridley, Minnesota 55421) Ron behind COF across the alley side by fourth street stated "I think it has been ok, I lived here for 7 years now and only had one break in into my car once. But it is like that in any neighborhood you just need to remember to lock your car". (No resident of ours was accused of the break in) (5347 4ti, St NE Fridley, Minnesota 55421) Warren -the apartment across 54th and 5th street stated, "I am fine, I haven't had any problems or concerns with anybody" (5400 5t" Street NE apartment 2 Fridley, Minnesota 55421) Deb from the neighborhood -across 53 d stated "honestly I would rather live near the program like that where there is supervision than with one of my other neighbors who does not have mental health and thinks he can do whatever he wants (5320 4t" Street NE Fridley, Minnesota 55421) Community Options St Paul 1995 Emily the manager of the apartment next door stated that she has no problems with us and thinks it is great to be next door to a facility with 24/hr support and our staff have been great (1595 Rice St St. Paul MN) A restaurant nearby said there was a problem about 2 to 3 years ago but nothing before or after and the problem was resolved (1535 Rice St St. Paul) Visited single family home behind the program and was told there were no problems (1585 Albemarle St St. Paul) Visited a single-family home also behind the program at (1577 Albemarle, St Paul MN) Interviews with Neighbors Page 2 of 2 Livingston Residence 1985 Neighbor 1: This was a couple, when asked if they had any feedback about the clients in our program the neighbor stated there were no issues and that the client's stick to themselves (65 Amelia Ave, West St. Paul, MN 55118) Neighbor 2: Stated that she has lived in the neighborhood for 25 years and that the only issue she's noticed was that in the past clients parked on her street (side street) and didn't move their cars often enough. The problem was that if there were too many cars parked on the street the plows can't clear the snow in the winter. She has interreacted with clients when they went on walks in the neighborhood and stated that have been ,'very friendly" (61 Amelia Ave, West St. Paul, MN 55118) Neighbor 3: Stated that he had no concerns and nothing negative to say. Stated he had no other feedback (60 Amelia Ave, West St. Paul, MN 55118) Neighbor 4: Concern mentioned: Clients have sat on the retaining wall of the neighbor across the street. They were making phone calls and waiting for rides. This neighbor also stated that they don't like when people park on the Livingston street itself because there is a no parking sign posted. (Note: Case managers, utility companies, visitors, and staff have made this mistake before, rarely would this be a client parking on Livingston Ave since very few have cars and we do not allow them since parking is so limited) (1303 Livingston Ave, West St. Paul, MN 55118) Tl J cc .. _} M hX Ir r LU ±i H w � _ IT, ryr Ln l^ 0 1Lo iC W Z .SIJ .. cc W ":_r'If ri�•.- ,_a���..�frsa, r' •r v� ,. v+sf7 T - a � - v 9 ;y t J H t IL W�4 Y. u T All a -' vh rli! sll l� 4 w w ❑ �.. = w w ,� ❑ Fn J o m o❑+� w '- � � a lr] w ❑ E tom+: Ij w R z � � loo �cpi s cc Z m V i w M1 rr , Z Q � � • y;'A`: � 3e "� � � w lz7 ;°� . -�'{ � ,��� -�, r - - • '+*ggt1i�3�jlr {,i}r' s.. �t ., 3„'A� cc cc mi ;LO .ssF 74 LJ ID f dl uj slia m ..i i +...I Y.N �E_.l�li f 1�.,J� ��444i, r#'GaF+'*'. It i' }�+�'•:. 4illy111` A :Aft la's ,�� z:' .�,`-��'3s���i 1 awr o, rw idol AM VNY CD rw 4, LULU C,4 f— W L Z LU uj V uj co {rl YAR: Yom' s y � 13J i < moi* _ 6 zi t y aF �I 'Ln ai co r164 -0 5 n i Lee Avr-2 N 1. €?e A'ae N LE?e Ave N Lee Ave N mm,i ft- • ° # ai Major Ave N MajOr Ave N Major Ave N im P-,. p1 4e M2 71h t NE 7!h N 1 ®gym ,. M+�I 7kf'i St NE 6t'h Sl NE 6th St N€ F Y . � a ' ai 0- '3 Lo _ 0.4 +j h St NF •i 44 LL h St NE 4th 5t NE A. Kip C3 'M t�. � Ld�l ri q, ■ L. td acAfftjr Avp Ez zi (u Qn f silt c lid a16 0 Kiu%,r' ;A N ru se St Krupo St CiYL ch r- - Iw c En D e, > 'ic o M �mm on < IE Ip ,k. Fal M =1 7- u LI) E < Livingston Ave �A 7. C LLJ ow, C- 4. E 4-j 4 mar -dye 1s 'L. All1111 MOW JjA Rqy V) r -L —0 CL ai LU JjA Rqy V) SHERBURNE C 0 U N T Y December 24, 2018 Zach Carlton, Planning Manager Elk River City Offices 13077 Orono Parkway Elk River, MN 55330 Re: ResCare Intensive Residential Treatment Services (IRTS) Mr. Carlton, Health & Human Services MaryJo Cobb, Director Sherburne County Government Center 13880 Business Center Drive, Suite 100 Elk River, MN 55330-1692 (763)765-4000 1-800-433-5239 fax(763)765-4096 Public Health fax (763) 765-4004 I attended the December 17, 2018 Council meeting and spoke in support of the ResCare IRTS. I would like to reiterate the reasons for this support. Minnesota is sadly lacking in mental health services, specifically in-patient services. Before the closing of the state hospitals, there were 10,000 mental health. hospital beds. Today there are only 2000 state and privately operated beds. The State of Minnesota Department of Human Services operates the facilities at Anoka and St. Peter as well as 7 Community Behavioral Health Hospitals (CBHHs). Medical Assistance pays for hospital care as long as the patient meets medical criteria for hospitalization. As soon as a patient does not meet those criteria, the counties are billed $1400 per day until a step-down service can be found. Some patients are able to return to family and community, but others require housing with services such as in an IRTS. There are currently 48 IRTS in the state of Minnesota. Waiting lists are 2 to 8 weeks long. In the past year, Sherburne County Health & Human Services has referred 13 Sherburne County residents to IRTS facilities. These facilities were located in St. Cloud, Brooklyn Center, Minneapolis, Robbinsdale, Maplewood, Austin, Marshall and Rochester. The goal of services is to assist the patient to master skills that will allow them to live independently in their community of choice. Skills needed include accessing medical and psychiatric care, medication management, finding appropriate housing, managing finances, etc. A person may live in an IRTS up to 90 days in order to master these skills. Everyone living in an IRTS facility has a County case manager. The case manager attempts to establish a supportive relationship with their client. This is more easily done if the patient is living nearby. An IRTS facility in Elk River would allow mental health case managers to drop in frequently and work collaboratively with their clients. It is far more difficult to establish and maintain relationships with clients who are 50-200 miles away. Having an IRTS facility in Elk River would also allow for the development of strong working relationships with the IRTS staff. Monitoring of the facility would occur very naturally in the course of working with clients residing there. County staff would have a good sense of the operation and whether there are any concerns. Equal Opportunity Employer Web Site: PublicFYealth There are two reasons that Health & Human Services supports the creation of an IRTS facility in Elk River. One reason is financial. In 2017, Sherburne County paid $71,000 for patients who no longer met hospitalization criteria at a state hospital but had nowhere to go. In 2018, that number grew to $149,000. Having an IRTS facility in Elk River would reduce or eliminate these payments. Without an IRTS in Elk River, Sherburne County is very likely to spend more in this category. There are also costs in time and money for case managers to drive to distant locations to visit their clients. All of these costs are supported by County levy dollars. A local IRTS facility would bring new jobs to the community. Money would be spent on food and services. A remodel of the Masonic Lodge would increase its value and taxes paid. The other reason to support an IRTS facility in Elk River is the "human" reason. All people deserve to receive treatment in or near their home community. An IRTS placement lasts a maximum of 90 days. The client has to establish relationships with medical and treatment providers near where they live. When they return to their home community, they will need to start over with new medical and treatment providers. It is also difficult to find housing in a community if the person is living far away. The people who would live in an IRTS in Elk River are Sherburne County residents or residents of nearby counties. They are our children, family members, neighbors and friends. The stigma surrounding mental health has lessened over the past 10-20 years, but it has not disappeared. Having an IRTS facility in Elk River would, over time, help to educate the community about mental health. Finally, I would like to reiterate that my staff has only heard good things about ResCare IRTS facilities from the staff of other counties. We have been more than satisfied with the services provided when one of our clients has been placed in a ResCare facility. Since the December 17 meeting, I have suggested to ResCare that they consider establishing a neighborhood council, should the facility be approved. Sherburne County Health & Human Services could send a representative to this council. This would provide another level of monitoring. If you have any questions, please feel free to contact me at _ or 763-765- 4055. Sincerely, -tet.& L)� MaryJo C«bb, MSW Director https://www. hometownsource.com/el k_river_star_news/mental-health-system-not-broke-but-construction-of-it- needs/article_c0045c3c-Of8a-11 e9-bf87-bb3391 a09dd4.html Mental health system not broke but construction of it needs to be finished with proposals like ResCare's Jan 3, 2019 Updated Jan 3, 2019 Mental health system not broke but construction of it needs to be finished with proposals like ResCare's It's no secret that our mental health system is not meeting people's needs. People wait months to see a mental health professional, wait hours in an emergency room for an inpatient bed, or wait days in the hospital for a residential facility. The reality is that our mental health system isn't broken — we haven't finished building it. And while we build the services we know work — people wait. And the waiting takes its toll on the person and their family both financially and emotionally. The ResCare proposal would address some of these wait times and reduce the anguish faced by too many. NAMI Minnesota has been involved many times where a community was concerned when a new small mental health facility or program was being proposed in a town or city. We understand that some residents of Elk River are concerned about the ResCare proposal. Our experience is that the fears are unfounded. Our experience is that these facilities are good neighbors and don't cause problems. Please remember that they aren't "those" people — they are members of your community. One in five people will experience a mental illness in any given year. A small percentage will need more intensive treatment in a hospital or residential setting. People go to residential treatment to continue to work on regaining good mental health. There are people in Elk River and in surrounding communities that need this level of care. Being able to receive treatment close to friends and family speeds recovery. We hope that the residents and city council of Elk River will view this development favorably. It's about helping your family or that of a neighbor. We can't build our mental health system if every community rejects its development. — Sue Abderholden, MPH (Editor's note: Abderholden is the executive director for the National Alliance on Mental Illness in Minnesota.) Intensive Residential Treatment Service (IRTS) Overview— MN Department of Human Services Intensive residential treatment services (IRTS) are time-limited mental health services provided in a residential setting. Recipients of IRTS are in need of structure and assistance from 24-hour mental health staff and at risk of significant functional deterioration if they do not receive these services. IRTS are designed to develop and enhance the following: ■ Psychiatric stability ■ Personal and emotional adjustment ■ Self-sufficiency ■ Skills to live in a more independent setting IRTS must be: ■ Directed to a targeted discharge date with specified recipient outcomes ■ Consistent with evidence -based practices Eligible IRTS Providers An IRTS facility must comply with the following: ■ Be licensed with the Rule 36 Variance (PDF ■ Not exceed 16 beds ■ Have a contract with the host county agency, which approves the IRTS service ■ Have a rate approved by DHS IRTS treatment team members must be qualified in one of the following mental health professional roles: ■ Mental health practitioner ■ Certified peer specialist ■ Mental health rehabilitation worker ■ Registered nurse who is also qualified as a mental health practitioner IRTS providers must have: ■ Sufficient staff for 24-hour delivery of mental health services, as described in the recipient's individual treatment plan (ITP) ■ Staff available to safely monitor and assist with activities of recipients ■ The capacity to respond to emergent needs and make staffing adjustments to assure the health and safety of recipients. This includes providing medical services directly (through its own medical staff) or indirectly (through referral to medical professionals) Treatment staff must have prompt access, in person or by telephone, to a mental health professional or a qualified mental health practitioner. An IRTS provider must ensure that the program meets the following minimum requirements: ■ Staff are available to provide guidance and monitoring whenever recipients are present in the facility ■ Staff remain awake during all work hours ■ A staffing ratio of at least one staff to nine recipients each day and evening shift ■ At least one staff member is a mental health professional or practitioner if more than nine recipients are present Eligible Recipients An eligible IRTS recipient must meet the following: ■ Be 18 years old or older ■ Be eligible for MA ■ Meet the IRTS admission criteria Individuals who are 17 years old and transitioning to adult mental health services may be considered for IRTS if the service is determined to best meet their needs. IRTS providers must secure a licensing variance in this situation. Recipients may receive IRTS instead of hospitalization, if appropriate. IRTS Admission Criteria Admit a recipient to IRTS when a mental health professional determines the recipient meets the following: ■ Has a primary diagnosis of mental illness as determined by a diagnostic assessment ■ Has a completed functional assessment using the domains specified in statute and have three or more areas of significant impairment in functioning ■ Has a completed LOCUS assessment where a Level 5 is indicated ■ Is reasonably expected to commence or resume illness management and recovery skills or strategies at this level of service ■ Needs a 24-hour supervised, monitored and focused treatment approach to improve functioning and avoid relapse that would require a higher level of treatment ■ Is not responsive to an adequate trial of active treatment at a less intensive level of care ■ Is at risk of significant functional deterioration if IRTS are not received ■ Has one or more of the following: ■ History of two or more inpatient hospitalizations in the past year ■ Significant independent living instability ■ Homelessness ■ Frequent use of mental health and related services yielding poor outcomes in outpatient or community support treatment The professional may consult with the recipient's: ■ Mental health case manager ■ County advocate ■ Spouse, family member or significant other (with recipient's consent) IRTS Continuing Stay Criteria Continue the recipient's stay in IRTS when a mental health professional determines the recipient meets all of the following criteria: ■ The recipient's mental health needs cannot be met by other less intensive community-based services ■ The recipient continues to meet admission criteria as evidenced by active psychiatric symptoms and continued functional impairment ■ Documentation indicates that symptoms are reduced, but discharge criteria have not been met ■ The essential goals are expected to be accomplished within the requested time frame ■ Attempts to coordinate care and transition the recipient to other services have been documented IRTS Discharge Criteria Discharge a recipient from IRTS when the recipient meets at least one of the following: ■ No longer meets continuing stay criteria ■ Has met ITP goals and objectives ■ Shows evidence of decreased impairment and appropriate, less restrictive community-based alternatives exist ■ Has symptoms and needs that permit a lesser level of service and adequate supports and services are in place ■ Is voluntarily involved in his or her ITP and no longer agrees to participate in the IRTS services ■ Exhibits severe exacerbation of symptoms, decreased functioning, disruptive or dangerous behaviors and requires a more intensive level of service ■ Has medical or physical health needs that exceed what can be brought into the residential treatment setting ■ Does not participate in the program despite multiple attempts to engage him or her and to address nonparticipation issues ■ Does not make progress toward treatment goals and there is no reasonable expectation that progress will be made ■ Leaves against medical advice for an extended period (determined by written procedures of provider agency) Covered Services Plan and coordinate IRTS with the local mental health service delivery system. Recipients may access and receive services from the program outside of the facility when it would benefit the continuity of treatment and transition to the community. The following services must be available and offered as part of the program design: ■ Supervision and direction ■ Individualized assessment and treatment planning ■ Crisis assistance, development of health care directives and crisis prevention plans ■ Nursing services ■ Interagency case coordination ■ Transition and discharge planning ■ Living skills development, including: ■ Medication self -administration 0 Healthy living ■ Household management ■ Cooking and nutrition ■ Budgeting and shopping ■ Using transportation ■ Employment-related skills ■ Integrated dual diagnosis treatment (mental health and substance abuse screening and assessment, with a team approach. Assesses treatment readiness, uses motivational interviewing and a non -confrontational approach) ■ Illness management and recovery (educating about mental illness and treatment including characteristic symptoms and early warning signs of relapse, managing stress and developing relapse prevention plans, developing coping skills and strategies for coping with symptoms, developing social skills to improve effectiveness in interactions across a range of settings and situations, and identifying therapeutic and rehabilitative approaches available to recipients, such as DBT or treatment for OCD) ■ Family education (services to educate, inform, assist and support family members in mental health illness and treatment, coping mechanisms, medication, community resources) Authorization Providers must request authorization for services exceeding the 90 -day limit. If a recipient is readmitted to an IRTS within 15 days of discharge, the readmission counts toward the 90 -day limit. To request authorization, submit the following: ■ MHCP Authorization Form QHS -4695) XD (except when using MN—ITS) ■ Adult Mental Health Rehabilitative Services Authorization Form (DHS -4159A) (L)DQ ■ Most current diagnostic assessment ■ Current functional assessment Current interpretive summary LOCUS lf�� Minnesota Department of Human Services LOCUS Recording Form DHS -6249 -ENG 6-16 DATE OF ASSESSMENT DIAGNOSIS RECIPIENT DATE OF BIRTH RECIPIENT GENDER RECIPIENT PMI or SOCIAL SECURITY NUMBER Q Male Q Female PROVIDER NAME PROVIDER NPI SERVICE TYPE ACTUAL LEVEL OF CARE PROVIDED SERVICE(S) RECIPIENT IS RECEIVING OR REFERRED TO REASON FOR VARIANCE (if applicable) I. Risk of Harm IV -B. Recovery Environment - Level of support ❑ 1. Minimal ❑ 1. Highly Supportive ❑ 2. Low ❑ 2. Supportive ❑ 3. Moderate ❑ 3. Limited Support ❑ 4. Serious ❑ 4. Minimal Support ❑ 5. Extreme ❑ 5. No Support II. Functional Status V. Treatment and Recovery History ❑ 1. Minimal ❑ 1. Full Response ❑ 2. Mild ❑ 2. Significant Response ❑ 3. Moderate ❑ 3. Moderate or Equivocal Response ❑ 4. Serious ❑ 4. Poor Response ❑ 5. Severe ❑ 5. Negligible Response III. Co -Morbidity VI. Engagement ❑ 1. None ❑ 1. Optimal ❑ 2. Minor ❑ 2. Positive ❑ 3. Significant ❑ 3. Limited ❑ 4. Major ❑ 4. Minimal ❑ 5. Severe ❑ 5. Unengaged IV -A. Recovery Environment - Level of Stress COMPOSITE SCORE ❑ 1. Low ❑ 2. Mildly LEVEL OF CARE RECOMMENDATION ❑ 3. Moderately ❑ 4. Highly ❑ 5. Extremely NAME AND CREDENTIALS OF WHO COMPLETED SIGNATURE DATE NAME OF CLINICAL SUPERVISOR (MH PROFESSIONAL) SIGNATURE DATE As a mental health provider in the State of Minnesota, Deerfield Behavioral Health, Inc. is granting you permission to scan this completed LOCUS Recording Form, where the dimensional scores, criteria, composite score and level of care recommendation have been documented, into your electronic medical record. Instructions for completing the LOCUS Recording Form Date of Assessment The date the LOCUS assessment was completed. Date of Birth Month/Day/Year (MM/DD/YYYY) Gender Male or Female Recipient PMI or Social Security number PMI number is preferred over the social security number. Diagnosis Primary (Write in the full diagnostic name of the primary diagnosis or use the ICD code). Provider Name, NPI and Service Type NPI number and the name of the organization completing the LOCUS and what type of service is being provided by the staff completing the LOCUS assessment. Actual Level of Care What is the actual Level of Care the recipient is receiving? Write the actual name of the level (i.e. Medically Monitored Non -Residential). It may not necessarily be the same as the `Level of Care Recommendation' if a variance is being made. Service/Program Referred to Write the current program(s) recipient is in or what program(s) recipient has been referred to (example: ARMHS, Day Treatment, Case Management, Psychiatry, housing programs, etc.). Please keep in mind that there may be multiple services used to reach an individual's resource intensity needs. Reason for Variance (if applicable) If the service provided is at a different level of care from the level of care recommendation, provide the brief clinical justification as to why the variance was made. Clinical justification also needs to be documented in more detail as a separate document from the recording form. 4 In the dimension being evaluated please check which rating was given. On the line following the rating please indicate the letter(s) of the criteria that was used to determine the score. This information can be located in the AMHD LOCUS Questionnaire Booklet or in the training manual. Composite Score Add up the score from each dimension to determine the composite score. Level of Care Recommendation From the score and use of the decision tree, what is the Level of Care recommended. Write the actual name of the level (i.e. Medically Monitored Non -Residential) NOTE: the Level of Care recommendation maybe different from the composite score if Independent Criteria is indicated that requires admission to a Level 5 or Level 6 service. It may also be different if clinical judgment is used in determining that a different level of care is more appropriate than what the completed LOCUS assessment recommends. Signature spaces Signature spaces are located at the bottom of the page on the LOCUS Recording Form. If a Mental Health (Rehab) Professional is completing the LOCUS assessment, there does not need to be a signature by a clinical supervisor. As a mental health provider in the State of Minnesota, Deerfield Behavioral Health, Inc. is granting you permission to scan this completed LOCUS Recording Form, where the dimensional scores, criteria, composite score and level of care recommendation have been documented, into your electronic medical record. 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From: Kathy Forbes <kathyforbes52(_,umai1.com> Date: January 2, 2019 at 9:58:54 AM CST To: <iohn.dietzkelkrivermn.gov>,<garrett.christiansonkelkrivermn.gov>, <nate.ovall&elkrivermn.gov>, <jennifer.wagner&elkrivermn.gov>, <matt.westgaard&elkrivermn.gov> Subject: Proposed ResCare Facility on Tipton Circle Dear Mayor Dietz, and Members of the City Council My name is Kathy Forbes and I am a property owner at 1797 Tipton Circle Unit 105 in Elk River. I attended the December 17, 2018 City Council meeting. I appreciate very much that at the conclusion of the meeting, the decision to extend the timeline for a vote to allow the establishment of a ResCare facility on Tipton Circle was extended. I bought my town home and moved to Elk River in August 2017. One of the main reasons I bought here is because it appeared and has proven to be a safe, quiet, and well established residential neighborhood. Being a widowed senior, those attributes are important to me. At the council meeting, I listened to several concerned neighbors who spoke about, and expressed a high level of concern regarding the safety and integrity of our neighborhood being compromised by allowing the facility to open here. I did not speak at the meeting because, as I did agree with their concerns, I wanted to gather some additional information about ResCare. One of the speakers promoting establishment of the facility, who also indicated that he is an employee of the ResCare facility in Robbinsdale, stated that these facilities are located in primarily residential areas. In my research, I found that the facility in Robbinsdale is in, what appears on Google maps, a neighborhood of businesses and rental apartment properties. I did not see any single family homes in the immediate area. Also on Google maps, the facility in Brooklyn Center appears to be in a neighborhood surrounded by businesses in strip malls. The facility in Fridley does appear to be in a residential area. In addition, I reached out to the police departments who serve the ResCare facilities in Brooklyn Center, Fridley and Robbinsdale. I simply asked each department if they could provide me data on the number of calls they have received from these respective ResCare locations since the beginning of 2018. After hearing from the ResCare representatives at the meeting that the integrity of our neighborhood would not be compromised by the facility, I was quite astounded at the results I received from the respective police departments. The number of calls range from 61 calls from the facility in Fridley, to 81 calls from the Brooklyn Center location, to 86 calls from the Robbinsdale facility. I am also attaching the documents I received from these Police departments supporting the data. Is the Elk River Police Department staffed to take on this additional volume? The point I am trying to convey to all of you in this letter, is that with the establishment of this facility in my neighborhood, I would no longer feel safe and actually feel threatened. I am in agreement that there is a need for this type of facility however, as many of my neighbors have expressed, better suited for another area of the city/county. Thank you for your time and consideration, Kathy Forbes 1797 Tipton circle NW Unit 105, Elk River From: Sue Hebeisen <smh3265(a�Pmail.com> Date: January 4, 2019 at 12:51:03 PM CST To: <john.dietz&elkrivermn.gov>, <garrett.christianson(c)elkrivermn.gov>, <nate.ovall(kelkrivermn.gov>,<iennifer.wamerkelkrivermn.2ov>, <matt.westgaardL&elkrivermn.gov> Subject: Proposed ResCare Facility on Tipton Circle We apologize for this 2nd email, but we hope you will read it to completion as our 1 st email was somehow sent automatically before we had finished it. Our names are Doug & Sue Hebeisen and we currently are property owners at 1797 Tipton Circle, Unit 107 in Elk River. We both attended the December 17, 2018 City Council meeting. We appreciated your willingness to extend the timeline for your vote so that you could research and obtain more information regarding this proposal for the ResCare Facility on Tipton Circle. We have been residents at this location for 19 years. We have always felt SAFE in this single family neighborhood. One of the criteria for occupancy for this business was that it would NOT CHANGE THE SAFETY OF OUR NEIGHBORHOOD, which we think it WILL. We wish to reference our neighbors investigation, who has already emailed you with all of the data she obtained from the police departments located in other existing ResCare facilities in Minnesota for 2018. THESE NUMBERS WERE SHOCKING TO US! There were 61 Police calls just in 2018 from the Fridley facility, also 81 calls from the Brooklyn Center facility, and another 86 calls from the Robbinsdale facility. It clearly demonstrates the lack of control ResCare has regarding their facilities. During the December meeting the representatives had a difficult time explaining how & If they can manage their patients. As members of the City Council you were also given folders that documented the quality if this corporation. As senior citizens living in this neighborhood we are concerned that this is an inappropriate facility for this location! In listening at the meeting to Mary Jo Cobb, the director of Health and Human Services for Sherburne County we clearly can see a need for this type of facility. However, exposing young children, school bus stops, vulnerable senior citizens, ect. lead us to the conclusion that this location is INAPPROPRIATE! There MUST BE A BETTER FIT for this facility within the City of Elk River or Sherburne County. We thank you for your consideration in this matter. Doug & Sue Hebeisen 1797 Tipton Circle, Unit 107 Elk River, MN City Council Members, We are writing in protest of a Conditional Use Permit, by a company called ResCare, to open a 16 bed transitional facility in the old Masonic Lodge building at the corner of Tipton Circle. According to a ResCare representative, patients at this facility would be diagnosed with Severe and Persistent Mental Illnesses. Serious and persistent mental illness, (SPMI), is a group of severe mental health disorders as defined in the Diagnostic and Statistical Manual used by mental health professionals to diagnose clients. The SPMI category includes Major Depression, Bipolar Disorders, Schizophrenia and Borderline Personality Disorder. These disorders tend to be disabling and therapy involves a team. This population is very unpredictable and will pose a threat to our families, neighbors, and community. In order to be granted a Conditional Use Permit, there are several conditions that must be met. We feel very strongly that ResCare cannot meet condition 1: "Will not endanger, injure or detrimentally affect the use and enjoyment of other property in the immediate vicinity or the public health, safety, morals, comfort, convenience or general welfare of the neighborhood or the city" At a recent City Council meeting, many neighbors attended and voiced their concerns about this facility operating within our residential area. A ResCare representative stated they currently have a facility in Robbinsdale, in a similar residential area. This facility is not in a comparable residential area. My husband drove to this facility and noted it was in a much busier, urban area. A simple Google Earth search shows it is not a residential area with single family homes like ours. This facility, at 3766 W Broadway Ave, is surrounded by rental apartments, commercial buildings, and busy streets. https://earth.google.com/web/@45.02410136,- 93.3307709,279.37964683x,168.80713801d,35V,73.11175708h,44.99649196t,Or/data =CI caVRJ NCiQweDUyYIMzM2UxYTFiYTIlYzk6MHg1ZTM5Y2UwMmNmNzUxMDIZACZfvxaDRkAh8WWiCCI VV8AaEzM3NiY2VvBCcm9hZHdheSBBdmUYAiABKAI Concerns were also raised about ResCare. ResCare is, or has been, involved in lawsuits in several states. Many neighbors spoke of these concerns. We feel the concerns raised, and the serious occurrences at ResCare facilities, demonstrate —without a doubt- that this facility does not belong in this neighborhood. Other neighbors and community members have done considerable research and found that emergency calls to these facilities happen frequently and would clearly disrupt the lives of nearby neighbors and families. Emergency services were called to three different ResCare facilities, in Minnesota, 61-86 times in a year. The facility in Robbinsdale (the ResCare representative kept referring to) had 86 calls in 2018; that's a call every 4 days. We thank you for taking our concerns under consideration and hope you will move to NOT grant the conditional use permit to ResCare for this facility. Please imagine if it was your family, children, or loved ones living next door to this establishment. We strongly feel there must be a better location for this institution. This area is strictly residential with no public transportation nearby, or easily available, for these people to re -integrate into society. On a personal note, we have lived in this neighborhood for 15 years. We purchased our home not long before the housing crash and it has taken us this long to regain our property values. Putting this facility in our neighborhood could have a drastic impact on our home values and we stand to lose all the value we have only recently gotten back. While many people were foreclosing and selling, we stuck it out knowing property values would rise again if we waited. Now we are in fear of losing everything we have worked so hard to keep. We already know of several neighbors who are ready to sell, or have already listed. We have also spoken with a realtor and are strongly considering listing our home because of this issue. We would have happily lived in this house until retirement and feel we are being forced to make this decision based on the possibility this permit could be approved. While I'm sure our neighbors have provided you with much more information, below you will find some excerpts of complaints, crimes, and issues occurring at ResCare facilities much like the one they will put in our neighborhood. Please consider these carefully when deciding whether they should be allowed in this family-oriented, residential area. The neighborhoods surrounding this building consist of families and senior citizens. The school bus stop is right at the end of the block next to this facility. Within a mile radius, there is an early childhood center, a park, and a senior activity center. These are vulnerable places and we must consider the safety of the children and people in this area. Again, we strongly urge you to vote NO to the conditional use permit. The safety and financial stability of our neighborhood is at stake. We feel the evidence that has been gathered by our concerned neighbors and community members is overwhelming and supports our request to NOT give ResCare a conditional use permit. Thank you again for taking the time to listen and consider our concerns. Respectfully, Michael and Robin Chopskie 1757 Tipton Circle Excerpts: -From 2012 to 2016, the state Office of Health Facility Licensure and Certification confirmed 32 complaints among 10 West Virginia ResCare agencies. These included allegations of neglect, sexual abuse and issues with the training and staffing of employees. -Jeremy Bush, 13, took a Dodge Caravan from Woodward Children's Home, a ResCare facility in Charleston, and drove half a mile before he crashed into a stone wall. Fire consumed the van, and Bush died at the scene. Though his death is still under investigation, state OHFLAC surveyors recently verified several cases of clients leaving other ResCare locations. -A ResCare agency in Clarksburg discovered a neighbor of one facility returned its resident on Jan. 17, 2016. It was the client's fifth time leaving without anyone noticing. The client entered the neighbor's home and made himself a cup of coffee. When the neighbor brought him home, she found an unlocked gate, a faulty doorbell and a staff member asleep on the couch, according to OHFLAC. -A facility under the some agency lost a client in 2015 and found him in a company vehicle later that day. An employee reported the disappearance a day later after she overheard two nurses talking about the incident. -A ResCare facility in Parkersburg waited two days to report an employee who sexually abused two clients in 2015, OHFLAC found. -In 2015, a woman employed by a ResCare office in Buckhannon said she suffered from nightmares after a client tried to rape her at an understaffed residential facility. -In its lawsuit, the State of Texas and Ms. Hudnall alleged that, since on or before June 2000, ResCare and Citadel, defrauded and continued to defraud, state and federal governments out of millions of dollars through various false or fraudulent schemes emphasizing profits over patient health and welfare. These practices included: 1. BILLING FOR MENTAL HEALTH SERVICES THAT WERE UNNECESSARY, ILLEGAL, OR WERE NEVER ACTUALLY PROVIDED, 2. FALSIFYING PATIENT RECORDS TO JUSTIFY CONTINUED BILLING FOR TREATMENTS AND SERVICES WHICH WERE OF NO HELP TO PATIENTS, 3. BACKDATING AND FALSIFYING TREATMENT PLANS AND PATIENT RECORDS TO ENSURE THAT MEDICAID ELIGIBILITY WOULD NOT LAPSE, SO THAT BILLING FOR UNNECESSARY SERVICES COULD CONTINUE, C111!f i 11el�Il:ZI ► 1LJa'/_� ►T�/It 08 ILII'��1_�1c��� � � »�r7CIm����[�1P ff[.%SYII�a AS PIZZA PARTIES AND CAR RIDES, AND 5. BILLING FOR THERAPY SERVICES WHILE PATIENTS WERE ACTUALLY ASLEEP. -In Kentucky: The lawsuit was filed in Lake Circuit/Superior Court after Megan Catherine Akers, 33, a Chesterton resident and employee of ResCare Inc., was charged in Lake Superior Court with battery and neglect of a dependent in the alleged assault. Akers was one of five ResCare employees to be charged with battery and neglect of a dependent in three separate incidents at two Hobart group homes that occurred in April and May. In one of the other instances, the victim suffered three broken ribs. -BATON ROUGE - The Louisiana Department of Health launched an investigation into a local group home after a Livingston Parish resident was left with a broken nose and urinated on by another resident. The investigation revealed at least 13 deficiencies that needed an immediate correction, according to the 67 -page report the WBRZ Investigative Unit obtained. -[Kentucky] The home, which is owned by ResCare, houses men with special needs. Hardin Co. Sheriff John Ward said a ResCare employee called 911 just before 11 p.m. Tuesday to report the co-worker that she was relieving had been attacked. Deputies found Sally Berry's lifeless body lying in a pool of blood. She had been brutally stabbed multiple times, Ward said. The 66 -year- old Radcliff woman was a ResCare employee who worked as a caretaker at the home. According to an arrest citation, Lindale Cunningham, a 32 -year-old resident of the group home, confessed to crime. He was one of three men being cared for at the home. -[Red Bluff] We're continuing to seek answers as the March 5 death of a West Carrollton group home resident has been ruled a homicide and an Ohio disabilities advocacy group said it is investigating the facility. Jerrold Duskey, 65, died from complications of multiple blunt force injuries to his head, torso and left upper extremity, the Montgomery County Coroner's Office said Monday. The company that manages the ResCare Red Bluff facility – ResCare Inc. — has said it dismissed two employees who were working during the incident and it is cooperating with law enforcement. From: michael chopskie To: Carlton, Zachary; Dietz, John; Christianson, Garrett; Ovall, Nate; Wagner, ennifer; Westgaard, Matt; Police- Civic Plus Emails Cc: michael chopskie; Robin chopskie Subject: Notes for city council regarding ResCare"s responses Date: Tuesday, January 15, 2019 10:20:06 AM Dear Elk River city council members & Mr. Mayor — Below are some comments based on ResCare's less than comforting responses to our neighbors questions. In short, this facility is exactly what we think it is and will be a detriment to our community if placed in a peaceful Single Family neighborhood. I urge you to take 5 minutes and read my responses and more importantly I need you to understand that we will NEVER FEEL SAFE IN OUR HOMES IF THIS FACILITY IS ALLOWED. I'm also requesting that my responses be entered into the public record regarding this proposal. Thanks to all of the city council members and the mayor for hearing our voices on this issues. You've all been generous with your time in listening to the neighborhood fears and frustrations regarding this proposal. Bullet #2 — ResCare response to question of whether Sex Offenders will be allowed in facility. ResCare response - We may take a level 1 or 2 sex offender. They clearly lied or were not informed of their own policy during the public hearing, we WILL NOT ACCEPT THIS AND WILL FEEL UNSAFE IN OUR NEIGHBORHOOD. Bullet #6 — Legal ramifications for the city if ResCare CUP is turned down. This is clearly a veiled threat to the city council that ResCare will sue if you don't see things their way. It is another case of a large company with deep pockets pushing around the little guy. The losers in this proposal are the city and my neighborhood and the winner is ResCare and their bottom line. They cannot fulfill condition #1 and we'll never feel safe again in our neighborhood if this facility is put in. We've provided more than enough evidence that my neighborhood will be unsafe due to this facility and the very nature of the patients that they would be taking in. Would a counter proposal to allow them into a different building that isn't nestled in a landlocked single family neighborhood be a last minute possibility? Can we re -open the possibility or the old ISD building or is their a better compromise elsewhere? Bullet #10 — The city council put a moratorium on the CUP and zone changes in the downtown area to block ResCare from putting this facility into the School District office in the Summer of 2017. Why does this facility seem more appropriate in the middle of a Single Family neighborhood where families live rather than in the middle of a city space. What was the detail surrounding these events that led to ResCare threatening my neighborhood. More importantly why does the CUP allow any sort of institutional use of any sort? These were clearly designed for people who want to run a daycare out of their house or put a church in a neighborhood. RESCARE is exploiting a loophole in the CUP that it was never meant for to put a facility in our neighborhood. Bullet #11 — Is the Elk river Police department Satisfied that ResCare will put extra pressure on their department — ResCare says that is impossible to answer. Did anyone ask them, and if so what was their response? If they didn't then I would say that the city council has dropped the ball because this is an enormous safety issue. Bullet #12 — Does the Elk River Police department has any concerns about the safety of the neighborhood considering the types of patients that will occupy this facility? — ResCare says that is impossible to answer. Did anyone ask them, and if so what was their response? If they didn't then I would say that the city council has dropped the ball because this is an enormous safety issue. Bullet #17 — Will the ResCare Facility adversely affect property values in the neighborhood. They claim they would "react accordingly" if the home values within the neighborhood were to be adversely affected. This means literally nothing. Zero detail is given. Would ResCare like to buy all of the single family homes that will be adversely affected by this facility at current market rate right now prior to them dropping all of the values? This facility will not help the home values and is more than likely to adversely affect them. It certainly doesn't make it an attractive neighborhood to live in. They will claim tax value will dictate the value of the homes but that is not a correct indicator when something like this comes into the neighborhood. My home is worth what someone is willing to pay me for it and I stand to lose all of my equity if this is allowed. So I as a resident please don't allow this company, which couldput their facility anywhere, to destroy what little equity I have in my home and set my retirement back another 5 years. Bullet #23 — What zoning districts are the rest of these facilities located in. Please take notice that this is the only Facility that would truly be located in a SINGLE FAMILY RESIDENCE. The rest are located in zones where there are apartment buildings and commercial businesses. This isn't an apple to apples comparison so for all intents and purposes my single family neighborhood full of children will become a testing ground of sorts. We WILL NOT ACCEPT THIS AND WILL FEEL UNSAFE IN OUR NEIGHBORHOOD Bullet #26 — Question of sheer number of police calls. We expect to see a police cruiser and possible ambulance every 4.2 days in our neighborhood. That is the average in the Robinsdale MN facility. ResCare claims that they will "come up with a plan to limit disruption to the community" Do they have anything in writing? They clearly haven't talked with the local police and fire departments? What is that plan exactly, because what they've written here isn't legally binding. My guess is their plan is to do nothing, absolutely nothing. Once again, I ask, has the Elk River Police department and Fire department been contacted about any of this? ADMISSION CRITERIA #6 — individual needs a "restrictive setting" and is at risk of significant functional deterioration if intensive residential treatment services are not received. This isn't a "restrictive setting" that ResCare is proposing, By their own words patients are allowed to come and go and be treated like adults. These two statements are contradictory. OTHER DIAGNOSTIC CATEGORIES AND CLASSIFICATIONS #1 — We will take clients who have a secondary diagnosis of chemical dependency. In the public hearing ResCare went out of their way to state that this wasn't a "treatment facility" but chemical dependency is a concern with these patients, if they go off of their meds and self -medicate these people can be dangerous. #4 —just to reiterate - We may take a level 1 or 2 sex offender. They clearly lied or were not informed of their own policy during the public hearing, we WILL NOT ACCEPT THIS AND WILL FEEL UNSAFE IN OUR NEIGHBORHOOD. CLIENTS WITH FELONIES AND GROSS MISDEMEANORS ResCare response — It would be impossible to say we will never take a person with a Felony or Gross Misdemeanor. It is safe to say we will from time to time take a client who has a Felony of Gross Misdemeanor. This speaks for itself - we WILL NOT ACCEPT THIS AND WILL FEEL UNSAFE IN OUR NEIGHBORHOOD. ResCare ended their statement with this: "We will not take clients who are classified as Mentally Ill and Dangerous." They cannot guarantee this. Their clients are suffering from Severe and Persistent Mental Health Issues (SPMI). This is a very unpredictable population of people to introduce into a single family neighborhood. If you vote YES, we will be allowing the below into a vulnerable neighborhood, can we afford as a city to take this risk. What is my family's and my neighbors safety worth to the council? Severe and Persistent Mental Illnesses • Schizophrenia, a serious mental illness that interferes with a person's ability to think clearly, manage emotions, make decisions, and relate to others. • Schizoaffective disorder, a chronic mental health condition characterized primarily by symptoms of schizophrenia, such as hallucinations or delusions, and symptoms of a mood disorder, such as mania and depression. • Delusional disorder, a serious mental illness called a "psychosis," in which a person cannot tell what is real from what is imagined. The main feature of this disorder is the presence of delusions, unshakable beliefs in something untrue or not based on reality. • Bipolar disorder or manic depression, a chronic and recurring condition that involves severe moods swings that go back and forth from the highs of mania to the lows of depression. • Severe depression, a mood disorder that causes a persistent feeling of sadness and loss of interest that affects how someone feels, thinks, and behaves, and can lead to a variety of emotional and physical problems. • Personality disorder, a deeply ingrained pattern of behavior that typically manifests during adolescence and then carries into adulthood, that causes long-term difficulties in personal relationships or in functioning in society. Thanks for your consideration - Michael & Robin Chopskie �2 am V r 0 TAT OMMJW-l-jr) AME 11 tl 7 M e4 &4 ;�4 CPI OD ;-4 V cz r-4 0 4 cuz LA u 7 M e4 &4 ;�4 (U ;-4 ct u cz r-4 4 7 M From: noreplly@civicplus.com [ma iIto: norepllyC�civicplus. com] Sent: Tuesday, December 18, 2018 11:19 AM To: Allard, Tina Subject: Online Form Submittal: Send Tina Allard an Email Send Tina Allard an Email TO: Tina Allard First Name John Last Name Schierschmidt Reply Email Address iohn55schierschmidtCc)gmail.com Subject city council meeting of December 17, 2018 (Section Break) Comments in reference to: discussion on rescare being allowed into the old masonic lodge to house mentally disabled patients in our residential neighborhood. Please inform city council that I felt that and the other neighbors felt that our words did not matter and that the city council would approve this business into our neighborhood. I also feel that the city council should listen to the residents, simply put it doesn't matter whatever facts that is out there, the fact that all the residents do not want the kind of business into our neighborhood. first of which I asked the City Council if this approval was already a "done deal" when I told the council that surveyers and utility finders were out and measuring the ground and painting the ground the one guy told me that they were expanding the sewer system and I was told that they "the Council" knew nothing about this is a BS statement someone knew about this because the person doing the survey was from the city of Elk River. John Disclaimer Information submitted is considered public data. Email not displaying correctly? View it in your browser. From: <noreplykcivicplus.com> Date: December 31, 2018 at 2:26:22 PM CST To: <nate.oval Ikelkrivermn.gov> Subject: Online Form Submittal: Send Nate Ovall an Email Reply -To: <paulsheetsAcharter.net> Send Nate Ovall an Email TO: Nate Ovall First Name Paul Last Name Sheets Reply Email Address Pau lsheets(cDcharter.net Subject Proposed Residential Care Facility (Cn�tinn Rrr�a�\ Comments Mr Ovall: Concerning the proposed Residential Care Facility on the corner of Tipton and Upland Avenue. I live in that neighborhood. We do not want that facility located here. It is not a good fit for this area: The building or property location were never designed for such a purpose. Upland Ave and Hwy 10 are very high traffic areas - what about the safety of the patients? Many children and school bus stops in the area. Many elderly residents in the townhouse development 1 block away. This will drop our property values. Our personal security and safety becomes a new major concern. I have zero confidence in ResCare. We don't need any more stress in our lives. Please Vote No. Disclaimer Information submitted is considered public data. Email not displaying correctly? View it in your browser. From: john schierschmidt <john55schierschmidtkgmail.com> Date: January 15, 2019 at 1:30:21 AM CST To: <nate.ovallkelkrivermn.gov> Subject: Res Care I'm asking that you vote no on ResCare it is unreal to think that a yes vote will bring level 1 and 2 sex offenders into residential neighborhood. Please vote no before before you read it in the news please John Schierschmidt From: Deborah Weston <dweston@ a er.org> Date: January 20, 2019 at 1:49:12 PM CST To: "john.dietzgelkrivermn.gov" <john.dietzgelkrivermn.gov>, "garrett.christiansonkelkrivermn.org"<garrett.christianson(c�elkrivermn.org>, "nate.ovallgelkrivermn.gov" <nate.ovallgelkrivermn.gov>, "jennifer.wagner(a elkrivermn.gov" <jennifer.wagner(cr�,elkrivermn.gov>, "matt.wst ag ardgelkrivermn._og_v" <matt.wstgaardnelkrivermn. gov> Subject: ResCare Facility Dear Mayor Dietz and Elk River City Council Members, I am writing to you with great concern regarding ResCare Facility possibly moving to my neighborhood. Please vote against ResCare moving into our residential neighborhood thus keeping families and individuals safe and out of harm's way. YOU have the power to keep us safe! I am a single senior who just moved to my beautiful townhome, 1797 Tipton Circle, last year from my Maple Grove home where I raised my children and lived 43 years. I moved to Elk River because I've worked and volunteered in this wonderful city for the past 11 years and found a beautiful townhome in a small senior community on Lake Orono. It is very safe, quiet, and close to work, friends, and the organizations in which I volunteer. I was out of town on December 17th when the Council met regarding ResCare moving into the Masonic Temple building. I was so relieved to learn that you extended the timeline to make a decision to conduct more research on this company. Thank you. Initially, when I heard that ResCare applied to move into our neighborhood, I was concerned but felt it might work. After my neighbors provided me with the police records from the ResCare facilities in Brooklyn Center, Fridley and Robbinsdale I became fearful that my safety and safety of my neighbors would be at risk. Many of the police records stated missing persons and drug issues. Where are clients going to go? Highway 10 is on the North side of the building so most likely our residential community would be the most likely exit route. Please know that I am very pro treatment centers/facilities, but feel strongly that the proper location of a center, such as ResCare, is very important to the well-being of the clients being served along with those residing in the surrounding area. The proposed location of ResCare, on the corner of Hwy 10, Upland Ave and Tipton Circle, a is the only non-residential building. There is minimal outdoor space for clients to explore and enjoy. As I mentioned above, our neighborhood is basically the only other option which could put all who reside here at risk. ResCare should look at a more functional location, not in a residential community, that is better suited for this type of treatment center. In the last several weeks, a number of my neighbors have their homes up for sale. Panic has set in. We are all concerned for our safety. Also, our property value will most likely be decreased. What would your reaction be if this facility was going to be located in your neighborhood? For me, if ResCare is allowed to move here, my safety will be in jeopardy. Thank you again for your continued fact finding on this company. I'm praying that our City Council will make the correct decision and veto this request and keep our neighborhood safe. Sincerely. Deborah Weston 1797 Tipton Circle NW, #110 763-360-4696 Deborah Weston Director of Fund Development Guardian Angels Senior Services 508 Freeport Ave. NW, Suite A Elk River, MN 55330 Direct: 763-635-4485 Main: 763-241-4428 Cell: 763-360-4696 www.GuardianAngelsMN.org From: Martha Travis <mgtravisgaol.com> Subject: Proposed Facility for 633 Upland Avenue Date: January 21, 2019 at 5:11:41 PM CST To: john.dietz&elkrivermn.gov, jerr, .olsen(kelkrivermn.gov, matt.west ag ard(kelkrivermn.gov, nate.oval(ab,elkrivermn.gov, jennifer.wagner(a),elkrivermn.gov Dear Mayor Dietz and Council members Olsen, Westgaard, Oval, and Wagner I live on Tipton Circle in Elk River and am writing to urge you to vote against the conditional use permit for the proposed facility at 633 Upland Avenue. Please see the attached letter for more details on why I object to this facility. Thank you for listening to my concerns, Martha Travis 1797 Tipton Circle Elk River, MN 55330 763-441-2211 January 21, 2019 Dear Mayor Dietz and Council Members, Re: Proposed Facility for 633 Upland Avenue I am writing as a concerned citizen and neighbor regarding the proposed residential treatment center for 633 Upland Avenue. I believe this is not a good location for this facility and I urge you to vote against the conditional use permit that would allow this facility. I have lived on Tipton Circle for twenty-one years and it has been a safe and peaceful place to live. I believe that the proposed residential treatment center is not a safe or suitable activity to have within a residential area of single-family homes and townhomes. Testimony included in previous hearings and documented in city records show examples of serious incidents at other ResCare facilities, involving both patients and ResCare employees. While we would all hope this would never happen, these incidents should not be ignored when considering this facility. My objection to this facility should not be taken to mean that I think this type of facility is not necessary in our society. On the contrary, I understand that mental health treatment is necessary for comprehensive medical care. However, the placement of this facility should not be in a neighborhood setting. To reiterate, I urge you to vote against the conditional use permit that would allow this facility. I believe it will create an undue safety risk in the neighborhood, and further, will diminish the value of real estate in the neighborhood. Thank you for listening to my concerns. Sincerely, Martha Travis 1797 Tipton Circle Elk River, MN 55330