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In response to an inquiry by Commissioner Fox regarding whether the company was a licensed residential care provider for seniors, Mr. Rockwood replied that, yes, this was the type of license they have in the State of California. He noted that the distinction between continuing care and a residential care community is that there was no insurance element for a residential care provider or promise to provide continuing care. He added that the proposed plan did not include an insurance element. Commissioner Fox inquired whether the current proposal had more employees than the initial proposal and requested a description of the makeup of the employees. She further asked why the number of employees had doubled. Mr. Rockwood replied that they had employees related to providing the congregate services such as three meals a day, transportation, extensive programs and activities, and care services such as assistance with dressing, bathing, medication reminders and the like. He noted that there may be fewer drivers than the original program had contemplated. Commissioner Fox inquired whether the residents, as envisioned by the 1985 plan, were more independent than the current proposal. Mr. Rockwood replied that they had learned a lot as an industry about who wanted this service and that people generally did not move into this type of community, even if they were independent, until they were close to needing some level of care. He noted that if this community had been built in 1985 exactly as proposed, it would have evolved into the type of residential facility that they envisioned and that the services would have evolved as well. Commissioner Olson inquired whether Alzheimer's patients were generally included in these facilities. Mr. Rockwood confirmed that they would be included. Commissioner Olson inquired whether the Alzheimer's patients would generally require skilled nursing care. Mr. Rockwood confirmed that someone with Alzheimer's may or may not required skilled nursing care, depending on his or her condition, and that it was determined by the State of California that it did not create a special licensing category for Alzheimer's dementia. He noted that cognitive impairment was a common part of the aging process. He noted that they would not necessarily change the environment in the presence of cognitively impaired residents and that they would be outside, enjoying life with the rest of the residents. He added that they strongly believed in the integrity of life in every phase of life. In response to an inquiry by Commissioner Olson regarding whether there was a certain stage at which an Alzheimer's patient must leave the facility, Mr. Rockwood stated that generally, Alzheimer's patients could be physically able and that they would have to leave the community if they were bedbound, were a danger to themselves or others, or they were in an acute state. He noted that they had higher staffing levels than originally proposed and that the interaction PLANNING COMMISSION MINUTES June 11, 2008 Page 14 of 28