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RES 2020-0925 - Special Use Permit - 7215 Omaha Holdings, LLC for Large group living in a CC District - 7215 Ontario Street18"18"18"18"30"WWWWWWWWWWWWWWWWWWWWWWWWGGGGGGGGGGGGGGGGGGGGGGXXXXSSSSS SSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSTSTSTSTSTSTST STSTSTSTSTSTSTSTSTST STSTSTXXXXXXX X X X X XXXXXXXXXXXXXXXX18"30"30"12"GGGGGGGGOHPOHPOHPOHPOHPOHPOHPOHP6"18"12"12"21"18"GTVTT18"6"24"20.00'ONTARIO STREETITEM 17PERMANENT SEWERAND DRAINAGEBOOK 440, PAGE 572ITEM 24-AACCESS EASEMENTBOOK 1183, PAGE 77ITEM 24-BACCESS EASEMENTINSTRUMENT NO. 2008075583AZ SUTTON PLACE LLC7215 ONTARIO STREETAZ SUTTON PLACE LLC7205 ONTARIO STREETLOT 2SUTTON PLACE REPLATLOT 1SUTTON PLACE REPLATLOT 4SUTTON PLACELOT 2SUTTON PLACE REPLAT 3LOT 2SUTTON PLACELOT 1SUTTON PLACE45.5'38.1'59.8'59.9'2.5'56.8'18"XXXXXXX X Revisions Date Description E & A CONSULTING GROUP, INC. Engineering · Planning · Environmental & Field Services 10909 Mill Valley Road, Suite 100 · Omaha, NE 68154 Phone: 402.895.4700 · Fax: 402.895.3599 www.eacg.com No K:\Projects\2020\079\p01\Planning & Platting\Planning\SUP\SUP-000.dwg9/9/2020 11:53 AMNicole Napierala 01 inch = ft.303030SPECIAL USE PERMIT SITE PLAN NORTHPOINT RECOVERY OMAHA, NEBRASKA of Drawn By: Designed By: Date: Proj No: Sheet: Scale: P2020.079.001 09/09/2020 KJH/MAT MAT AS SHOWN 21 know what's below.ne1call.comCall before you dig.Dial: 811Proposed 2'-3' TallRetaining/Seat WallBOUNDARY LINEEASEMENTRIGHT OF WAY LINELOT LINEPROPOSED PRIVACY FENCESETBACKLEGENDXPROPOSED PATIO & SIDEWALKSPROPOSED RIVER ROCKEXISTING BUILDINGTO REMAIN 18"18"18"18"30"WWWWWWWWWWWWWWWWWWWWWWWWGGGGGGGGGGGGGGGGGGGGGGXXXXSSSSS SSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSTSTSTSTSTSTST STSTSTSTSTSTSTSTSTST STSTSTXXXXXXX X X X X XXXXXXXXXXXXXXXX18"30"30"12"GGGGGGGGOHPOHPOHPOHPOHPOHPOHPOHP6"18"12"12"21"18"GTVTT18"6"24"20.00'ONTARIO STREETITEM 17PERMANENT SEWERAND DRAINAGEBOOK 440, PAGE 572ITEM 24-AACCESS EASEMENTBOOK 1183, PAGE 77ITEM 24-BACCESS EASEMENTINSTRUMENT NO. 2008075583AZ SUTTON PLACE LLC7215 ONTARIO STREETAZ SUTTON PLACE LLC7205 ONTARIO STREETLOT 2SUTTON PLACE REPLATLOT 1SUTTON PLACE REPLATLOT 4SUTTON PLACELOT 2SUTTON PLACE REPLAT 3LOT 2SUTTON PLACELOT 1SUTTON PLACE45.5'38.1'59.8'59.9'2.5'56.8'18"XXXXXXX X Revisions Date Description E & A CONSULTING GROUP, INC. Engineering · Planning · Environmental & Field Services 10909 Mill Valley Road, Suite 100 · Omaha, NE 68154 Phone: 402.895.4700 · Fax: 402.895.3599 www.eacg.com No K:\Projects\2020\079\p01\Planning & Platting\Planning\SUP\SUP-000.dwg9/9/2020 11:56 AMNicole Napierala 01 inch = ft.303030SPECIAL USE PERMIT LANDSCAPE PLAN NORTHPOINT RECOVERY OMAHA, NEBRASKA of Drawn By: Designed By: Date: Proj No: Sheet: Scale: P2020.079.001 09/09/2020 KJH/MAT MAT AS SHOWN 22 know what's below.ne1call.comCall before you dig.Dial: 811EXISTING BUILDINGTO REMAINTREE NOTES:1.All existing site trees and interior parking trees to remain.LANDSCAPE NOTES:1.Locate and verify the location of all underground utilities prior to the start of any construction.Care should be taken not to disturb any existing utilities during construction. Any damage toutilities or other improvements caused by the Contractor will be repaired at no cost to theOwner.2.All plant material shall be of good quality and sizes shall meet required size specifications.3.All plants are to be watered in immediately after planting and then watered and maintainedonce a week for a period of one month from time of planting.4.All plant material shall be guaranteed to be in a live and healthy growing condition for two fullgrowing seasons (trees) and one full growing season (perennials & shrubs) after final projectacceptance or shall be replaced free of charge with the same grade and species includinglabor.5.Verify all dimensions and conditions prior to starting construction. The location of plantmaterial is critical and shall be installed as indicated on plans. Field adjustments may benecessary based on field conditions (i.e., root ball and drop inlet conflict). All adjustmentsmust be approved by the landscape architect.6.The Landscape Contractor shall remove all construction debris and materials injurious toplant growth from planting pits and beds prior to backfilling with planting mix. All plantingareas shall be free of weeds and debris prior to any work.7.Provide locally available shredded hardwood mulch on all trees and in all planting beds to a3-4 inch minimum depth unless otherwise noted. Mulch ring to extend 1'-0" minimum beyondplanting pit. Minor site grading to be included if needed.8.All trees are to be staked for a period of not less than one year from time of planting.9.Contractor to coordinate work with other amenities contractors.Do not heavily prune the tree at planting. Prune onlycrossover limbs, co-dominant leaders, and broken ordead branches. Some interior twigs and lateral branchesmay be pruned; however, do not remove the terminalbuds of branches that extend to the edge of the crownTREE PLANTING DETAIL - B & B TREENOT TO SCALE8"Each tree must be planted such that the trunk flare isvisible at the top of the root ball. Trees where the trunkflare is not visible shall be rejected.Do not cover the top of the root ball with soil.(4 in.) high Earth Saucer beyond edge of root ballMulch Ring (6 ft.) dia. min.(8ft.) Dia. PreferredRemove all twine, rope and wire, andburlap from top half of root ballPlace root ball on unexcavated or tamped soilto support root ball and reduce settlingTamp soil around root ball base firmly with foot pressureto eliminate air pockets and settlementDig hole 2' wider indiameter than root ballWater thoroughly to eliminateair pockets, settling and to soakroot ball and surrounding soilMinimum 4 inches of shredded wood mulch.Do not place mulch in contact with tree trunk.Maintain the mulch weed-free for a minimumof two years after plantingTop of root ball shall be slightly higherthan the surrounding finish gradeStake and wrap all trees forstabilization and protectionExisting Treesto Remain; (Typ.)A1Gleditsia triacanthos 'Shademaster'Shademaster Honeylocust2"B&BPLANT SCHEDULEBOTANICAL NAMEQTYSYMCOMMON NAMETYPESIZE1-ATREE NOTES:1.Landscape contractor must coordinate with all utilities and general contractor to field verify all utility locations that may conflict with allproposed tree planting locations on the project site. Program Description Northpoint Nebraska Proposed Location: 7215 Ontario Street, Omaha, NE 68124 Who We Are Northpoint Recovery Holdings, LLC is based out of Meridian, Idaho and is the parent company to Northpoint Nebraska, Northpoint Recovery, Ashwood Recovery, The Evergreen at Northpoint and Northpoint Nebraska. This functional program description is for Northpoint Nebraska. Northpoint Nebraska, LLC (“Northpoint”) will provide residential treatment for individuals with Substance Use Disorders. Recognizing that substance use disorders are also often accompanied by mental health disorders, Northpoint will provide mental health services as well. Northpoint offers acute detoxification and intensive inpatient treatment to males and females, age 18 and up. Northpoint Nebraska will have capacity for 44 patients (22 bedrooms). Northpoint facilities are Joint Commission accredited and in good standing with the state licensing board. The application for Joint Commission accreditation for the Omaha facility (Northpoint Nebraska) will be submitted prior to opening, and a survey is expected to occur approximately 45-60 days after opening. Northpoint Nebraska is a 24 hour a day, 7 days a week treatment facility offering detoxification and intensive inpatient treatment services. Detoxification is provided with full medical oversight supervised by the Medical Director. Northpoint Nebraska has a physician, mid-level providers, RN’s, recovery technicians, and counselors who provide direct care to patients. Patients of Northpoint Nebraska are privately funded (self-pay or private insurance). No state or federal funding is accepted. Northpoint has strict policies and guidelines in place to ensure patient safety and wellbeing. Safety items are referenced throughout this document, as well as in the attached plans and policy/procedure manual, Infection Control Plan, Performance Improvement Plan, Emergency Management Plan, Utility Management Plan and detoxification protocols. Northpoint Nebraska provides a restrictive environment to prevent the use of abused substances and provides highly structured and comprehensive substance abuse treatment. Northpoint Nebraska promotes abstinence from substance use and promotes pro-social behaviors to effect a global change in a patient’s lifestyle, attitude, and values. As patients heal physically, they become more deeply involved in their own choice to recover and change their life. Northpoint is dedicated to providing a safe, therapeutic environment where those struggling with addiction can build a foundation for their recovery and gain a clear vision of hope. Northpoint’s business definition is: “We deliver a safe, supportive environment for abstinence-based treatment of addiction and improved mental health.” Northpoint behaves by living the core values of: humble, heart, conviction, inspired. Scope of Project Northpoint Nebraska is submitting floor plans, and policies for a 19,228 square foot building, which will be remodeled into a residential and detoxification treatment facility. This construction project will not affect patients or staff, as the facility will open upon completion of the construction. Clientele Served Northpoint Recovery will serve adult (18 and older) male and female chemically dependent clients, as defined by the DSM-5 criteria, and based on patient placement criteria. Patients often have a mental health diagnosis to accompany their substance use disorder diagnosis. The primary diagnosis treated at Northpoint is substance use disorders, however mental health professionals will be on staff to provide services for those patients with a mental health diagnosis. Clients will reside in the facility from the time of admission until their discharge date. Family will be allowed to visit patients during designated visiting hours. Family may come to the facility on non-visitation days for scheduled family therapy sessions. Family visits will be allowed in designated areas of the facility. As discussed in the Emergency Management Plan (EMP), Northpoint Nebraska has taken appropriate measures to handle potential emergencies or disasters. Evacuation route maps will be placed conspicuously throughout the facility with exits clearly marked; in the event an evacuation is necessary. All staff receive ongoing training on emergency management training policies, evacuation procedures, emergency techniques, disaster drills, fire drills, emergency supplies and communication during an emergency. Emergency supplies (food, water and other supplies) are maintained on site, in the event of an emergency. Northpoint Nebraska will have transfer agreements in place with nearby hospitals, in the event patients need to be sent to a hospital due to an emergency prohibiting patients to be at the facility. Clientele Risk Factors Patients will be closely monitored for worsening detoxification symptoms and will be sent to a higher level of care if symptoms become too acute to handle in-house. Patients will have ongoing contact with nursing and counseling staff to ensure no suicidal ideation is present, or that the patient has not had a drastic shift in mood or behavior. Patients typically experience varying moods and multiple family and interpersonal stressors. Staff is acutely aware of this and remains actively involved to assist clients in time of stress and anxiousness, to prevent a client from wanting to leave AMA/ACA, which would typically result in resuming drug/alcohol use. Patients will be educated on ADL’s, proper handwashing techniques, medication and any other infection control or individualized issue that directly pertains to them. Regular cleaning and disinfecting of the building will occur. The facility will have a monthly inspection to look for any areas of risk, potential infection control issues, test egress lighting and look for other routine maintenance needs. Equipment Northpoint Nebraska will have minimal medical equipment. The nursing staff will draw blood for testing from patients, which will be adequately and properly stored in a designated medical refrigerator. A centrifuge will be used to prepare blood samples prior to going to the lab. The blood draw equipment will be maintained in the nursing station, as will the medical refrigerator and centrifuge. The facility will have vitals machines, which will receive routine maintenance, and staff will be adequately trained on its use. The vital machines will be housed in both the nursing station and medical room. The machines will be on wheels, allowing for easy movement throughout the facility, when needed. Machines will be disinfected after each use. The facility will have biohazard bags, and a contracted company for pick up. Biohazard bags will be stored in the nursing station, and bag with contaminated items will be in the dirty linen room until picked up. Dirty linens will also be stored in the dirty linen room, which will be only accessible to staff. No clean items will be in the dirty linen room. Services Offered Northpoint offers a variety of addiction therapy methods to provide patients with the help they need to fully recover. Northpoint utilizes a holistic approach to allow patients to heal mentally, physically, and spiritually. Supportive emotional, cognitive, psychological services and around the clock supervision are offered. Daily therapeutic and activity groups are offered (sample schedule attached). Groups provided to patients include:  Morning Goal Group start the day with inspirational readings paired with a check- in discussion focused on daily goals and ways patients can assist in holding each other accountable.  Psychoeducational Group uses techniques to remove barriers to comprehending and digesting complex and emotionally loaded information to assist patients in the recovery process. Education groups embrace several complementary theories and models of clinical practice and include topics such as: relapse prevention, discharge planning, coping skills, identifying/understanding triggers, communication techniques, family dynamics, setting boundaries, relapse prevention, early recovery skills, codependency and goal setting.  Process Group provides positive peer support and pressure to abstain from negative thought patterns, behaviors, and plans. Process group members provide feedback concerning values and abilities of themselves and other group members, helping individuals to improve their conceptions of beliefs, intentions and self- worth.  Cognitive Behavioral Therapy educates patients on the way they think, and how it affects how they feel. Therapy focuses on present thinking, behavior, and communication rather than on past experiences, focusing on problem solving.  Activity Therapy provides patients an opportunity to express themselves through different mediums of art. The purpose of art therapy is to allow the mind to create and express itself without the use of words and to bring into balance the emotional and creative side of individuals.  Recreation is a weather-permitting opportunity to have the patients experience activities outside of the walls of treatment. This may include picnics, games in the park, nature walks, or visiting local museums. This gives the patient a break from the intensity of treatment and enhances recovery through peer interaction and engaging in healthy sober activities.  Nightly Wrap Up provides each patient an opportunity to debrief about their day, how they are feeling and how they progressed with personal goals. Other activities offered to clients: going to the gym, yoga, AA/NA meetings and activities (picnics, conventions), and other recreational activities (bowling, movies, etc.) In addition to therapeutic groups, individual and family therapy, each patient will receive 24/7 care by the medical staff. A nursing care plan will be created upon admission and updated by the nursing staff. While a patient is on detoxification protocols, vitals and a focused withdrawal scale assessment will be obtained every four (4) hours; more frequently as needed. Detox patients will have full assessments and vital signs completed twice a day for the entirety of their stay. Those patients at the residential level of care will receive a full assessment once a day. Any medications prescribed by the medical director or mid-level providers will be closely monitored by the medical staff, and all medications administered by a RN or LPN and logged appropriately in the medical record. Additionally, patients will have ongoing access to mid-level providers for all medical issues/concerns, as well as a psychiatrist for ongoing psychiatric and/or detox needs. Medical Care Each patient will meet with the Northpoint psychiatrist for a complete psychiatric evaluation within the first three days of admission. Additionally, within the first 24 hours each patient will meet with a mid-level provider who will complete a history and physical. Medical conditions will be evaluated on a case by case basis. Those issues which can be handled in house, will. On occasion, a patient may need to be sent to a hospital for additional care/clearance before returning to Northpoint. Non-invasive procedures may be handled in house but will be carefully evaluated by the mid-level providers to determine the best course of action. Mid-level providers will be present in the facility seven days a week, times will vary from day to day. The Medical Director will be in facility Monday through Friday but will be accessible as needed. Nursing staff will be present in the facility 24/7. A mid-level provider or physician will be on-call and available 24/7. Nursing staff will complete an assessment and take vitals on patients throughout the day. The frequency is determined by the level of the care the patient is receiving and what the medical provider requests, based on detoxification symptoms, and what medical conditions/issues the patient is experiencing. Nursing will carefully document all assessments into the medical record and will contact a mid-level provider or psychiatrist with any abnormal vitals, symptoms or with any immediate needs or concerns. Northpoint will have designated rooms for initial assessments/intakes, medical exams, and any medically related care provided to clients. This room will provide adequate privacy, and have a medical exam table, sink and other medical necessities. Patients will receive medical care in the doctor’s office and nursing station area. Medications will be dispersed from the nursing station. On occasion, and at the discretion of the staff member, the patient may receive services (such as an assessment or vitals) in their bedroom, or common area, provided there is ample privacy and the patient agrees to receive service in that location. Medication Storage and Use All medications will be securely stored in the nursing station which will be double locked, and not accessible to any patients. Nurses (RN or LPN) will be the only authorized staff members to administer scheduled, PRN or over the counter medications. Medications will be logged in the electronic medical record. Medications will be delivered from the pharmacy daily and recorded by a RN/LPN. The nursing station will contain a refrigerator for medications, which will be locked. The nursing station will also contain a mediation cabinet, which will be locked, that contains emergency medications, and medications for patient use, in the event the pharmacy has not yet delivered medication. Sharps containers will be in the nursing station and doctor’s office. The nursing station will have a hand washing station and be fully stocked with soap, paper towels and a garbage can. Northpoint Nebraska’s policy and procedure manual outlines all medication policies in the MM section. Detoxification medications will be administered under the close supervision of the medical team and will cease when detox symptoms have stopped. Northpoint Nebraska will not prescribe on an ongoing basis any controlled substances. A copy of the detox protocols is attached. Medications ordered by the Medical Director or mid-level provider will be obtained from the off-site pharmacy and stored in the locked medication cabinet in the nursing station. Medications will be delivered from the pharmacy. Upon receipt, nursing staff will inventory medications to ensure the order is accurate. Medications will vary, however standard practice and company philosophy is not to prescribe habit-forming medications (with the exception of short-term detoxification medications). Patient Day Rooms / Common Area Northpoint Nebraska will provide ample space for patients to spend free time. Common area will provide comfortable seating and will serve as a social space. Patients may engage in personal activities (watching TV, playing games, or visiting indoors or outdoors in common areas). Because of the number of common areas, patients will have space to match their needs (desire for quite or social time). Activities such as yoga and art therapy will be offered to patients, facilitated in a group room. Rooms will be cleared appropriately for such activities and supplied with needed items for the extracurricular activity. Common area may also be used for visitation. Transportation Northpoint Nebraska will transfer patients in vans, owned by the organization. Staff members responsible for driving the vans will have their driving record checked (upon hire) and provide proof of insurance. All vehicles and staff will be insured by Northpoint Nebraska, and Human Resources will ensure all staff members are current with personal insurance policies. Staff members will receive initial and ongoing training on van safety, van transportation, basic rules of the road and company expectations. Northpoint will transport patients to off-site activities, and 12 step meetings. Northpoint vehicles will undergo required maintenance, as recommended by the dealer. Emergency vehicles will have access to the building through the front door, side door, or any emergency exit, if necessary. The parking lot will serve as the parking area for employees, visitors, and patient vehicles. The parking area will be well lit. Staffing Northpoint will have a variety of staff members in the facility at all times. A typically day shift, Monday-Friday (6am to 10pm) will have approximately 15-17 staff in house (RN, counselor, tech, administrative, leadership) and day shift on weekends 11-14 staff. Night shifts (10pm-6am) will have 5-6 staff (RN and techs). All staff members will complete orientation materials, and training and will have completed HR files prior to beginning work. Every employee will have a TB test, background check, and meet the minimum requirements of the job description for the position they are filing. All employees will receive CPR and HIV/AIDS training within the first 30 days of employment. There will be an employee breakroom area, in which staff can leave personal items and have a patient-free area for breaks/lunches. There will be no sleeping quarters for employees, and staff members will only be in the facility during their scheduled shift. Staff will have space to leave valuables (lockers), and the door will lock, requiring keypad access to enter the room. Staff will use the front or back door to enter/exit the building. During regular business hours, the front door will remain unlocked. During off hours, the staff member will use the doorbell to alert staff to let them in. Work shifts will be finalized as the opening date approaches. The Administrator will ensure there are contact phone numbers clearly posted for employees; this will include a phone number for leadership staff on call, Administrator, Nursing Director, and Clinical Supervisor as well as phone numbers for local emergency services. Northpoint Nebraska will utilize contract employees for some functions. Contracted companies will be asked to assign a team of individuals who will be responsible for the duties as outlined in the contract. Contracted staff who are consistently providing services will be required to have a background check, TB test and sign off on orientation forms (such as confidentiality, code of ethics and code of conduct). Authority Northpoint Nebraska will seek to obtain Joint Commission accreditation. Other authorities who will have jurisdiction over Northpoint Nebraska: Fire Marshal, and the State of Nebraska. Emergency and Disaster Planning Northpoint has a comprehensive Emergency Management Plan which all staff will be trained to and all patients oriented on. The plan outlines what to do in case of an emergency with both patient care, and facility management, as well as preventive measures. Plans are reviewed at the end of each calendar year by assigned committees as well as the Executive Team. The review will ensure effectiveness and feasibility of the plan. Recommendations for change will be presented to the Governing Board for approval, prior to making any changes or implementing any changes. If it is determined the loss of heat or power will go into the night, the Administrator will make a determination about the safety and wellbeing of the patients, and best possible outcomes. Northpoint will enter into agreements with a couple local hotels where patients and staff can go for the night. If the power and/or heat will be out for more than 24 hours, a determination will be made about discharge (if appropriate), or transfer to another facility. Patients who are not medically cleared to stay in a hotel in the event of an emergency will be discharged from Northpoint and transferred to a local hospital for observation and care. The patient may return to Northpoint once the power/heat is restored. Accommodations Northpoint Nebraska has decided to utilize the services of a cleaning company. Northpoint Nebraska will be cleaned daily. At the time of the Functional Program Description the cleaning shifts have not yet been determined. Cleaning will include all restrooms (sinks, showers, toilets, floors, empty trash, wipe down walls), bedrooms (dust, empty trash, clean floors) and common areas (dust, wipe walls and surfaces, empty trash, dust), and dining room (empty trash, wipe down and disinfect walls, tables and all surfaces, clean floors). Northpoint Nebraska will have a comprehensive contract with a cleaning services, follow which will specifically outline the scope of cleaning services to be completed, and the methods to spot check completeness. In addition, patients will be required to keep their personal areas free from trash, debris, and clutter free (to allow for adequate cleaning and to provide a clean space). Patients will also have rotating daily duties to help maintain the cleanliness of the common areas. The Administrator and the leadership team will routinely check the facility for cleanliness and provide ongoing, regular feedback to the cleaning company. Patients will share a bedroom with another patient (of the same sex). Bedrooms will have two beds per room with ample space to store personal belongings. Beds will be built in structures, as will side tables and closet space. Bedroom doors will not lock. Hallways and bedrooms will be gender specific, allowing for added privacy for patients. Bathrooms will be in each bedroom and shared with the patient’s roommate. All bathrooms will have a sink, and toilet, as well as soap, garbage can and paper towels. All restrooms will be ADA compliant. Common areas will provide space for the clients to relax, socialize, have quiet time, or visit with guests during visitation time. Each gender hallway will have a lounge area with seating and a television. The dining area and group rooms will be co-ed. Patients will have all valuables (wallet, cell phone, laptops, etc.) checked in upon admission, and placed into a locked area in the facility, in which only the staff will have access to. All checked items will be recorded into the patient’s electronic health record, and in most instances, photographed. Patients will be encouraged by the admission team to leave valuables at home. Personal valuables will not be kept on the patient. Bedrooms will store a patient’s clothing and hygiene items, along with a few personal items (such as photos, or books). All bedroom doors will have a small window, which allows for staff to have a visual of the room for safety reasons. Staff members will be required to knock before entering, and facility rules mandate that only patients residing in a bedroom may enter that bedroom. Patients may not enter rooms they are not occupying, even if invited in. Any exterior window looking into a client treatment space or bedroom will have tinting to provide privacy. Patients will be afforded privacy by means of private restrooms, and space within their bedroom that is not directly in front of the door-window. No patients may enter the bedroom of any other patient that they are not currently residing in. No visitors will be allowed in patient bedrooms. Staff is required to knock before entering any bedroom. Staff will attempt to minimize disruptions to the patients while they are spending time in their bedrooms. All patients will be oriented to facility rules and advised that patient safety is the top priority of Northpoint. Patients will be made aware that staff is allowed to enter bedrooms and restrooms when deemed necessary, but that the privacy of the patients is of the utmost importance to the staff. Patients will be encouraged to get dressed in restrooms for additional privacy. Group rooms will be used for both education and process group (chairs will be in the group rooms), or other activities such as yoga or art therapy. The dining area will be used for eating and can also double as a lecture hall space for education groups for more than 12 patients. Counselor offices will be used for counselors to meet with patients individually, and for family sessions. Counselor office space may be shared with multiple counselors. The doors will have keypads as a locking system, to prevent patients from entering. Doors will have a small window, allowing for staff to look in for safety and observation checks. There will be an intake office for new admissions, and a doctor office, which will be used for nursing assessments/admissions and for the providers to see patients. The doctor office will have necessary medical supplies. A staff member will accompany a patient to the intake room, or doctor’s office, when necessary. Patients will be allowed visitors, in accordance to the schedule. Visitors are allowed in all approved common areas. Visitors are not allowed in patient bathrooms or in bedrooms, and may only use designated restrooms off the lobby. Visitors and other guests will enter through the main doors and will be asked to remain in the lobby until they can be accompanied to the approved destination. All visitors will be required to sign a confidentiality statement and wear a visitor badge. Visitors who have proven to be disruptive or are a source of stress for the patient may be denied access by the staff. Visitors who appear to be under the influence will be asked to leave the patient area immediately and remain in the lobby until the visitor is able to secure a ride. Patients will be allowed to move freely among the facility, in the designated and allowed areas. Staff will be present and will monitor patient activity to ensure rules are followed, and that patients are in the space they are allowed. All doors which lead into “staff” space (doctor office, nursing station, staff breakroom, counselor offices, storage areas), will have a keypad or card reader access to enter. Door codes will frequently be changed by the administrative staff. When codes change, affected staff members will receive an email with the new code. Patients will not be allowed unaccompanied in any staff room. All other vendors will use the front door to enter/exit the building, unless otherwise directed by authorized personnel. Vendors may include pharmacy, laboratory, cleaning services, landscape maintenance or contracts completing work. Outdoor Space Northpoint Nebraska will provide private, outdoor space. A smoking area will be designated (at least 25 feet from the door), with tables, chairs, garbage can, and shade umbrellas. This area will be surrounded by a privacy fence. Outdoor patio furniture will be used, which can withstand weather conditions, and be easily cleaned. The area will be modestly and neatly landscaped, with large trees and bushes to provide additional privacy. All shrubs, flowers and trees will be safe to have around humans (non-poisonous). Laundry Service Residents will do their own laundry in the patient laundry room. Laundry rooms will have a fan, and appropriate lighting. Each laundry room will have a utility sink, washer, dryer, and table. Patients will be provided laundry soap. Washers and dryers will be maintained on a regular schedule, which will include cleaning vents, pulling the washer/dryer out to clean behind it and any other maintenance as deemed necessary. Patients will be encouraged to do their own laundry, separate from others (not mixing laundry with other patients). Facility laundry will be sent out to a local company to wash/dry and fold linens. This company will ensure no soiled laundry is in contact with clean linens, and that they meet all OSHA, CDC and federal guidelines. Laundry service will pick up/delivery linens from Northpoint Nebraska and Northpoint will ensure a clean and dirty linen room is utilized correctly. Food Service Northpoint Nebraska will hire a caterer to bring in three meals a day, seven days a week. The caterer staff will be responsible for ordering food, preparing menus (and healthy menu choices), serving meals and cleaning up after meals. Northpoint will require strict adherence to state policies in regard to food handling and safety and the cleanliness of the dining and kitchen area. Menus will be planned 30 days in advance, and include a variety of food groups, to be served in portions that are in line with FDA food portion requirements/recommendations. Food will be served to clients to manage portion control, and food handling/safety. Northpoint will maintain all required state licenses for food handling and comply with all food safety and handling laws and regulations. Communication Phones will be located in common areas for patient use, on the second floor. Internal phones will be throughout the facility, in staff areas (offices, nursing station, reception desk) and internal paging systems will be available. Psych Techs will have walkie-talkie radios as well as cell phones to reach staff in other areas of the building in case of emergency. In the event of an emergency, staff will call 911 and respond to the emergency as trained, and appropriate. Security All doors will be locked from the outside, except for the front door which will remain unlocked during established business hours and the door entering the building from the patient outdoor common area. The door from the front lobby into the patient area will have a card reader access lock. Patient Records All patient records will be maintained electronically in the EMR system. All laptops will be passcode protected, and staff will be routinely required to change their passwords in the EMR, and email. Staff will only have access in the EMR to those records/details which are pertinent to their position. Both laptop and desktop computers will be in the facility, for staff use. HIPAA & Electronic Health Record Northpoint Nebraska takes HIPAA and 43 C.F.R., Part 2 compliance very seriously. All staff will undergo a HIPAA compliance training course through HIPAATrainig.com upon hire and every two years thereafter, as well as 42 C.F.R., Part 2 training, and records will be maintained by the Director of Compliance. Northpoint has very clear and direct policies regarding HIPAA protections and patient rights. All staff will read and understand internal policies and procedures as well as complete the HIPAA training. All medical records will be maintained in a secure electronic health record system. Staff will have a user ID and be required to change their password frequently. Staff can document on forms in the medical record, or scan documents into the medical record. Staff members will have access to laptops and desktop computers, and iPads will be utilized for patients to sign documents within their medical record. Use of Restraints Northpoint Nebraska is a voluntary treatment program. Northpoint will not use any physical restraint to manage a patient’s behavior. In the event of an emergency, staff will follow policy pertaining to patient outbursts. Staff will call 911 if dangerous situations present. Visitors Individuals receiving care at Northpoint will be allowed a limited number of visitors on a weekly basis. Visitation day is each Sunday. Multiple visitor blocks will be established to allow for visitors to comfortably flow in and out of the building. An example of visitation blocks may include: Block A 10:00am-12:00pm, Block B 1:00pm-3:00pm, Block C 3:30pm-5:30pm. Patients will be evenly split between visitation times to ensure an even flow of visitors. It can be estimated that 44 patients spread between three visitation times (14 assigned patients per time slot). Patients will be asked to limit the number of visitors to 4 individuals and are also asked to (if possible) arrive in one vehicle. It is important to note that not all patients have visitors and patients may not receive visitors until day three of their treatment. Counselors will schedule family therapy sessions at times convenient for the patient’s family and staff. This may be done via telehealth or in person. It is uncommon to have more than one patient with a scheduled family therapy session at the same time. Families arriving for family therapy will be asked to park in the visitor parking area. Parking Staff parking will be in the rear of the building (south side). Staff are encouraged to carpool when available. Monday through Friday are peak staff hours and it is estimated there will be approximately 23-26 vehicles on site. From 6pm-6am and on weekends this number is estimated to be closer to 13-17. It is rare that individuals drive themselves to treatment, but if they do, they will be encouraged to park in the front (north) of the building in the visitor parking area. Our Washington facility (44 bed facility) on average has one patient vehicle in the parking lot at a time. Accreditation Northpoint will apply for state licensure and Joint Commission accreditation. A state license will not be issued until all required documentation is received by the state (which will be submitted early on and received/approved before the end of construction) and the Fire Marshal has completed their final walk through. A copy of this license will be maintained onsite and available as needed. All Northpoint facilities are Joint Commission accredited, and the facility in Omaha will be as well. The accreditation application cannot be submitted until the day the facility opens. Typically, a survey occurs within 45-75 days from opening which will grant accreditation. COVID may affect this timeline. Resident Bedroom Area Each bedroom will include roughly 275 -300 square feet of area including restroom and bedroom space. The minimum requirement of 200 square feet of building area per resident will not be exceeded. H H I I J J K K L L M M N N O O P P Q Q R R S S T T U U V V W W MEN WOMEN ELECT JANITOR 160' - 0"120' - 0"ENTRYJANITOR LOBBYRECEPTION GROUP ROOM 1 COUNSELOR 1 COUNSELOR 2 COUNSELOR 3 COUNSELOR 4 PATIENT ROOM DBL OCCUPANT 2 PATIENT ROOM DBL OCCUPANT 1 PATIENT ROOM DBL OCCUPANT 3 PATIENT ROOM DBL OCCUPANT 4 PATIENT ROOM DBL OCCUPANT 5 PATIENT ROOM DBL OCCUPANT 7 PATIENT ROOM DBL OCCUPANT 8 PATIENT ROOM DBL OCCUPANT 6 PATIENT ROOM DBL OCCUPANT 9 PATIENT ROOM DBL OCCUPANT 10 PATIENT ROOM DBL OCCUPANT 12 PATIENT ROOM DBL OCCUPANT 13 PATIENT ROOM DBL OCCUPANT 14 PATIENT ROOM DBL OCCUPANT 15 PATIENT ROOM DBL OCCUPANT 16 PATIENT ROOM DBL OCCUPANT 17 PATIENT ROOM DBL OCCUPANT 18 PATIENT ROOM DBL OCCUPANT 19 PATIENT ROOM DBL OCCUPANT 20 PATIENT ROOM DBL OCCUPANT 11 GROUP ROOM 2 INTAKE PUBLIC RR STAFF MEETING INTAKE EXAM EXAMSTAFF LOUNGE LEADERSHIP SHARED COUNSELOR STORAGE MECH SOILED LINEN CLEAN LINEN LAUNDRY DINE NURSE STATION CONCEPT FLOOR PLAN OMAHA NEBRASKA N Exhibit “B” 1. Provide sidewalks along the length of the Ontario Street frontage. 2. Prior to forwarding to City Council, provide a revised operations plan identifying the following: a. The square footage of bedroom provided per resident. A minimum 200 square feet per resident must be provided. b. Provide guidelines for the number of visitors expected and the hours of visitation. c. Provide guidelines for parking, including resident driving privileges and expected parking counts. d. Submit copies of licensing and accreditations. e. Submit a new primary contact for the facility, if necessary. 3. Prior to forwarding the request to City Council, provide an acceptable landscaping plan. 4. Compliance with the revised site plan. 5. Compliance with the revised operations plan. 6. Compliance with the approved landscaping plan. 7. Compliance with all applicable signage regulations. 8. Compliance with all applicable stormwater ordinances and policies. Pln0921rf