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<br />later date after review with Continuing Life Communities and the Housing <br />Commission. <br /> <br />Honorable Mayor and Members of the City Council: <br /> <br />BACKGROUND <br /> <br />The American Association of Homes and Services for the Aging (AAHSA) defines a <br />community care retirement community (CCRC) as "an organization that offers a full range of <br />housing, residential services, and health care in order to serve its older residents as their needs <br />change over time." These facilities offer multiple levels of care (semi-independent or <br />"residential living," assisted living, skilled nursing care) and housing types within one <br />community or campus giving residents the opportunity to remain in the same community as <br />their personal health needs change. Residents are required to enter into a continuing care <br />contract stipulating that in exchange for an entrance fee and the payment of periodic charges, the <br />provider will provide various levels of care for the duration of a resident's life. Typical <br />residential services include regular meals, housekeeping, laundry, social and recreational <br />services, transportation, health care services, personal care and nursing care. Developments are <br />typically designed so that there is a physical separation between the semi-independent living and <br />the assisted living/skilled nursing care. <br /> <br />The California Department of Social Services oversees CCRCs which are regulated in <br />accordance with the State's Health and Safety Code. The Department of Social Services <br />responsibilities include approving facilities, monitoring facility financial conditions, regulating <br />the providers, and providing monitoring to ensure that the providers comply with Community <br />Care licensing laws and regulations regarding buildings and grounds, accommodations, care and <br />supervision, and quality of service. A CCRC must be licensed either as a residential care <br />facility for the elderly (RCFE) or as a skilled nursing facility. As indicated, the development <br />proposed for Staples Ranch will have both a RCFE and skilled nursing component. The skilled <br />nursing facility is required to provide 24-hour nursing and limited medical care. <br /> <br />A summary of the number of units, types or units and types of services proposed for this project <br />on the Staples Ranch is as follows: <br /> <br />SR 06:034 <br />Page 2 of8 <br />