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Mounds View Planning Commission August 4, 1999 Regular Meeting Page 10 design of the building takes this into account, and they encourage independence and mobility as long as possible. Acting Chair Stevenson opened floor for public input at 7:50 p.m. Carol Golden,2749 Lake Court Drive, inquired if one person would cook and serve 48 residents three meals per day. Mr. Meier stated that there would be one cook, and the universal workers assist with meal service. Ms. Golden inquired what other functions the universal workers perform. Mr. Meier stated that they help with the care and activities. Ms. Golden requested clarification as to how many of these workers the facility would utilize. Mr. Meier stated the first floor assisted living would have two, and the upper floor would have six who would assist with food service and activities. Ms. Golden stated that she was concerned regarding the Alzheimer's resident's activities, and thought the facility should have someone on hand at all the times during the day to provide activities. Mr. Meier stated, during the daytime hours the administrator is very active in this regard, and there is an activity director who is in and out. He stated that the typical day includes a morning activity, lunch, and,after 3:00 p.m., there are more activities. He stated generally the residents are in bed by 7:30 to 8:00 p.m. Mrs. Golden stated, in her opinion, they would require more staff than they were contemplating for the Alzheimer's residents. She inquired if the existing facilities included an . Alzheimer's clientele. Mr.Meier stated they did. Mrs. Golden stated she found it hard to believe that someone would be able to cook the meals, serve the food, make the beds and do the dishes. Mr. Meier stated she was welcome to tour their facility, and added that it works well. Mrs. Golden inquired regarding the process of admission. Mr. Meier stated they utilized an admission agreement,and the family and family physician were involved in the process. Mrs. Golden inquired if the same process was utilized in determining discharge. Mr. Meier stated this was correct, the family or guardian was involved, and generally at the time of discharge, the facility has had much involvement with the family physician. Ms. Golden inquired if the care level at the facility would be increased, should the applicant find the residents required more care than they had previously considered. Mr. Meier stated,typically at that point,the resident would be transferred to a higher care facility, such as a nursing home. Ms. Golden stated that persons with Alzheimer's disease required a predictable routine,and should not be subjected to being"bounced around." Mr. Meier stated this was correct. He stated that the issues arise when the disease progresses to the point of violent behaviors, as a result of dementia. He stated, at this time, the facility would probably no longer be able to care for these residents, and they would be transferred to a locked-in type of facility. Ms. Golden requested clarification of the security features of the proposed facility. Mr. Meier explained that the upstairs would be alarmed and locked, and the downstairs would utilize a buzzer at the entrances. He stated this addressed the issues of wandering, as residents would have to get through three sets of security in order to exit the building. Acting Chair Stevenson closed the floor for public input at 8:00 p.m. • Ericson stated he believed they had gained some clear estimates of the staffing levels anticipated at the facility. He stated that, if they were to have a maximum of 12 staff at the facility, and 22 spaces