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SR-0 (55)~ IJ' C'~i° F F ~.> ~.~~ , - ~`~ ~,~ ~o . ,~ s ~s 9 Decert~ber, 1997 Sarita Monica Plannmg Comm~ssion City of Santa Monica 1685 Ma~n Street Santa Monrea, CA 90401 Sub~ect Sairrt John's replacemer~t pro~ect De~elopmer~t Agreement and Environmental Impact Report Members of the Plannmg Comrn~ssuu~, Please accept my attached cornmen#s on the abo~e sub~ect I attended the 8 December e~em~g m~ti~g of the Commission, but had to feave before my name was called to present my rnews Sincereiy, ,~i,~~.,J~ ' ~ ' ~~~~ Robert C Twomey 3132 Purdue A~enue, Los Angeles, CA 9Q066-14a6 6~.~~ o~ ~ ~. ~~i~~~ ~ i °:~~ ~~ ;~.~1~ - ; ,:i . :.;-~~•. ~~ ~11~ ~.~ ~+r i 8 December, 7 99a Members of the Santa Monica Plannmg Comm~ssior~ Ladies and gen#lemen, N!y name rs Bob Twomey My w~fe, Glorra, arrd I have been resrdents o~ the service area of Saint John's smce 9 949 Our four children were born m Saint John's My wife has been a ~olunteer at Sai~# Johr~'s #or o~er forty years continuousty, with more than 2E,000 hours of service All of our children were volunteers at Saint Johr~'s f ha~e had thirteen operations and my wife has had fve operations, all at Sa~nt John's As you car~ see, we have de~eloped close t~es to this inst~tt~tion Reflectir~g back o~er these forty eight years, ours has been a good mutual relationship We strongly belie~e that the greater Santa Monica area has also had a mutually beneficial relat~onship wrtl~ Sa~nt John's Good relat~onships will wither a~d deter~orate if they are not invigorated and updated on a timeiy basis. Sa must the fac~l~ties of any viable institut~on such as Saint John's Health Center The Northr~dge ear#hquake and #he subsequen# changes to the se~smic buildmg codes ha~e placed a critical speed-up schedule on the facilitres upda#mg that must be a normal part of the Samt John's long range p~an Change, especially accelerated change, is frequently d~ff~cult for many #o accept Howe~er, carefully a~d thoughtfiully planned changes are necessary to mainta~n #he viab~l~ty of Samt John's ~f it ~s to corttinue its miss~on of care for the commu~ity Much thought has gone ~nta the long range piann~ng proposal that is before the Planning Commission today We request the Commission to appro~e the Sa~~t John's replacement pro~ect De~elopment Agreement and Environmental Impact Report as submitted t~~ . ~~ ~~ ~ ~ Robert C Twamey 3132 Purdue A~enue Los Angeles, CA 900fifi 310 397-0083 M'Fif ~~~ x `- McKINLEY PTA 2401 SANTA M4N~CA BLVD., S.ANTA M4NICA, CA PLANNi~i TG COM11rIISSION SANTA VIONICA CiTY HALL SA?VTA ~'fONICA, C,~LiFORNIA December 10, 1997 DEAR CQ!~~MISIONERS, THIS PAST MONDAY EVENI'~G ~rIR DAVID GOLE FROM OL~ PTA B~ARD OF DIRECTQRS SPOKE TO Y~U EXPRESSING OUR C~NCERNS OVER THE ST JOHN'S ItEBUILDING AND EXPANSION I WOULD LIKE TO, 1N W1uTING, GOMMLJ?~~ICATE OliR CONCERNS 1 "1"HE LOCATING OF THE EMERGENCY ROOM EN~'I~PiNCE ON ARjZQNA AVENUE W1LL CREATE A CLEr1R DANGER TO THE GHII.DREi~T OF'V[CK~LEY AND THIS C4Ni~~1L'NITY P~T SP1TE QF THE FACT THAT SEVERAL HUNDRED CAR TRIPS WTLL BE MOVED TO THE SA'VTA MONICA BLVD EN"I"RANCE Ir,T THE NTEW DESIG~i IT IS CLEAR THAT TI~ TYPE OF ARRIVALS WILL BE VERY DIFFERE?VT WITH ML.~CH MQRE URGE?VT REASONS IT IS TRUE T'H~T THE H~SPITAL FEELS THEY C AN REQUEST THE A:~BULANCE DRIVER5 TO ACCESS Tf~ E?~ITRANCE FROM 2Uth STREET T~IERE IS HOWEVER, NO WAY TO CONTROL TI~ FUBLIC'S ACGESS ROUTES "["E~ EIR I'~IDICATES ~PPROX 98 DAILY E~4ERGEI~CY ARRItiALS BY PRIVATE CITTZEhTS IN CARS AI`TD AMBULANCES WE FEEL Tf-IAT ?~]UMBER TO BE L~W AS IT DOES NOT I'_VCLUDE F:~.'VIILIES FOLLOV~'IlVG r1~~iBULA.~CES A.'VD IZEELATIVES FOLLOWIlVG EACH OTHER W1TH I1vJLrRED OR SICK LOVED OtiES CHILDREN FEEL THAT ARIZO'~A IS ?. NEIGHBERHO~D STREET ~ND NOT ~ MAJOR BOULEVARD A1vD THEY ACT ACCORDINGLY EACH SCHOOL DAY S~~~E FORT4' CHILDREN PASS BY THE PRQSPOSED EViEKGENCY E~I'TRA'VCE W11H BOTH PARE~IT AND OLDER SIBLI'VG ESCORTS TI~Y M~.Y OR MAY NOT HAVE THE PROPER SL°PERtiISIO` TQ RESPO`D TO THE ARRI~~AI: OF EI~iERGEVCY TRaFF1G IN ADDITION, WE HAVE SPOKE'~ TO A MEMBER OF THE LOCAL FIRE DEP.~RT'VIE~V'T AND IT IS CLEAR TH.~T THE ~ROPOSED P.aRKING :~REA FOR THE EI~iERGE\C~" ROO~i DOES NOT ALL~V4' ADEQUATE SPACE TO PARK THE ~IRE TRUCK'I'HAT VJ1LL COME WITH HALF QF ALL AMBiJLr1NCE t'~RRI~'AL.S THIS WILL NiEAN THAT THEY V~'ILL SIT Oti THE STREET AND THIS WILL CAUSE A CONSTRICTION 4~T ARIZONA "I"HAT WILL EI~'Dr'~tiGER PEDPLE I'ri :1DDITIO~i TO ~I"HE CHII,I]RE~ THAT W~Lk PAST THE E R O\ THE WAY TO SCHOOL WE HAVE A ~VIAJOK STL"DENT DROP-OFF ZO~E ON ARIZQNA THiS ZONE IS USED BY APPRdX 20°/a OF OL°R ~QO~ ST[;•DE\TS ? T'HE LOC~-TII~G OF THE LO~DING DOCK ~ND CENTR.aL FOVVER PL~NT CONCERN US ~~RY ?vIUCH AVD W`E HAVE SLviILAR CD'~TCERNS ABOUT INTRODUCI~G OR G~NTIN~I1vG TO ALLOW THIS liSE Q~T A RESIDE~;TI ~iL. STREET 1~LA~'~~" QF QUR P.~RE~TS H~ti E EYPRESSED C~NCER.'v ABOUT THE SC~I.E OF THE BUILDINGS ON 23~ STREET AS PROPOSED IN PH~SE 1 AND 2 TT SEEMS THAT THIS COMMUNITY HAS ESTABLISHED :~ POLICY OF REQUIRING DEVELOPERS TO STEP BACK THEIR BUILDINGS TO RED[;CE THE TOWERI!VG EFFECT AND W'ALLING ~~i OF A CITY T`HIS :~PLLIES TO E~'EN r~ GRE.ATER EXTEtiD VI~~IE~ THE BUILDINGS ARE ACRQSS THE STREET FRO'V[ FAMILY HOMES ~ ~~ i I " L -2- WE DID WRl'TE REQUESTiNG CONSIDERATION IN THE DR.AFT AND FiNAL E I R A.~TD DO NOT FEEL THAT THESE ISSUES WERE ADDRESSED I WOULD LIKE SAY TH~.T W'E DO SUPPORT ST JOHN'S WE DO HQWE~'ER, FEEL SADDEIv'ED Tf~AT THE HOSPITAL SPENT FOLIR YEARS ~~V'D 11 MILLIQIv' DOLLARS TO DESIG?~ THIS PROJECT AND NEVER CONSULTED'I"f~E Iib~YiEDIATE COMYIC~'~ITY SINCERELY, ~LC./1 Yrl V1Y l.oO11 PRESIDENT OF THE MCKIItiLEY PTA .1~~- ~'~ U' ,. ~~ FACSlMIL.E TRANSMISSiON C~VER SHEET ,,,. , , SA1NT JOHN'S HEALTH CENTER ENGINEERING FAX NQ.: 3101828-8454 DATE: Deceinber 10, '199T T0: , S uzan ne Frick 31 Q/5T6-4755 Amanda Schachter 3101458~380 FROM: Ed~ena Darden for Terry Muldoon TOTAL PAGES (lncfuding this co~er sheet): 4 MESSAQE: Letker from Terry Muldoon regarding Comparison of Existing and Proposed Loading Dock .` TiiE IP1F0lGM710N GONTAINEO IA! THIS F11C5~iN}LE TRAN51N~S3TQH 1S 1NTENDED SOLELY ~Qii THE AQDRESS~'E STA7E0 A80VE ANa M1AY BE AN ATTORNEY~uEN7 COIY~4UWICATION OR Iw1Y O71i~RwISE COHrAIFt INFOF~IATION TNAT IS CONflDEN7UIL, pIZNRE(iEC OR PRQT£CTED FROM DFSCLOSt1RE t1NDER APPIJCABIi LAW IF THE liFA0E1~ 0~ TFtIS TRAM~MlSS10N 1$ NpT 7F~ HITElIdEd R~CEPIENT OR AM A(iENT RE3POM518LE FbR QEI,IV~p1NO fT 70 Tl1E INTEND~p RECIPIENT. YOU ARE FIEREBY 1iQ71F1ED THIIT YOU FIAV£ A~CENED 71~E8 OOCINrIFI~lT IN ERRQRMIO THI1TMfY itE1AEMf. DISB~YITION A137R1lU730N. OR COP1iu~16 OF TFqS FACSAWLE ~10#1 IS STRICTLY PFlON191TE0 IK YOU 1W1f~ R~CFJV'FD TIN3 TRAMSA~SSION IN ERR4R, PtFASE HO~i1FY lJg YrAM£DIA1'LlY 9Y T~~EPMQI~E /1l~i0 RE€URN 7~IE ORIGINAL TRA~ISIW9910N TO U3 A7132e 42N0 STREET, $,AMTA MOMICA CA 9W0~. THANK YQU f'OR YqJR COOPEfiA7#ON ~.~~ ~ ;,+ •_ ' ~ L; i tfl' .J C~f1 DfiJ 17 • C7 ~~ ~1T `~'~fi rCrS2~7S2nTC• nr nni~ ~ ~iunf ~ AJTN ~ h Saint ~ohn~ Nealth Cent~r 10 Docembrr l997 I'lanning Commissian City of Sanr~ Monica t G85 M~in Strcct. Rt~am 2 l2 Santa Morilca, CA 9fl401-3295 Snb~cc~ Compac~an of Lxuti~g ~nd Pr~pa~od LoAding Dack Acar Cammiesiaaers: At t~c !'1a~ni~g Cnmmisaian He~,ri~g on flecember 8~ i 997, sovcra[ nraghhc~ss cxp~cssed cancvrn o~cr the propos~,d k~cetiori of the scrv~ce entry snd loading doc~C far tho R.epiaccmcnt Projec;t. Thcse concern~ fcx;~d on a~xrccivecl changc in c~rmmcrcial v~hictc traffic ~lcrng Arizana :Av~. Atso of c:oncern t~~ these neighbors was ~- percoiveci c.hauge of fut~ctioiE on this purtian ot lhC Ssiut John's ~mpus, However, the neighbors ~1sv bclicve thr Gurrent trat~c a~d activities ~ssofii~#~d with existing Scrrrice Fntry anc~ I.,aaading Dock arc nat a s~gnificsnt negativc impact to the ncig~borhaod. Saint Jahn's bclieves the proposeci location for thc Service F.ntry and Loaclinb Uock is c;onsistent with cuncnt activitics a2ang tHis portio~ of Arizona A~e. In additinn, thc rec:onfiguration o~' the area eliminates the r~eect for truck yu~uiE~g on public atre~G4. 't'hc fotldwing discus~ion coinpares t~~ oonf ~uration and uscs ot' the ~xisting ~nd propased cot~ditions. S~rvice Entry Lacatio~ 1'he ~exi~ting scrvice drive on Ari~.ona A~+e. iti lacatcd across from 2 ~ 51 Strcct. Currently, a anc 9tary service buiIding is lo~ted adjacent tv the entry and is set back agproximately, twa feet from the propcrry line. "Thi9 building hauscs ~everal maintcnance ~hups, incEudin~ cu~pcntry, painti~g ~nd tanclscape. Ha~ardous waste matcrials w~e stared ~n this area prior w pick-up for d~s}wsaf, Th~~ buildir~~ is nat vi~ibl~ from the streot due to the laeulsc.ape msl~riul ~ed fvr sc:rocning. The ~ervice F,ntry for the ncw t'aci~ity is in thc samc luc:atioi~. It ir~cludcs a o~ie story service building adj~ent to thc Service linEry ~nd is approximately four fcct fxom the properry line. Trees, shrub~ a~ vine~ wi11 screen t~tc abc~~e grounci portion of the building from the publio view. Lo~di~g Dock Lacatian The exisdng Loading l~ocks are Iuct-tcd north au~d south of the Main Wing. aPFroximate4y 300 fect sc~uth af Ar~~~~~a Ave. Tl~ cxisting [.o~iing Uoc~cs arc not r~isib~y~ from tho publtc vicw. 'i'he rropos~ f,oaciing I)ock is loc-atcd casE oFthc Setvice i~ntry an the v~t sid~ af th~ u~ ~tvry Sen+ice Buis~iing. The area ix scr~cned from puk~fic view by a vv~11 and Ianc3s~aping whicli iRCILI(~~3 ~x'CCS, s~rub9 and ~ines. The wall is approximately eiglit Fent above the ~jacent public s~dew~tk t 14'-3" above average natural gr~de). I l1$ ~~~tiyUy 5eukrl Sir~~l. S~m1a Akr~n ~, CA ~HHI(14 !() 9 t ~in.~t~~ ~5~~ Zc~' ~ ~nn' on~ ~t : ~t ~~ ~ nt ~~n r, ~ • 1~~, rc~~ti~Rnrc•Rr ~N~ c n~~nr in~T~c ~ ~ P~auning Commis~ian Ci~y of Sanb Monua [ o Dxanbcr ! 997 Pi~C 2 W~stc MQn~gcatent Was#c mgnagcm~nt consists aFre~ular snlid w~.~t~, mcdica] waste, rand rogulated wa.s~te. The serv-c~ ~res c~urent{y scr~es as tt-c hc~Iding ar~ for a11 uf t1~cs~ wastc slreams tsrtil tliey cuc praxssed ar r~move~ by vendors. So~id waxtr is com~wcted a~ui pickcd up twicc wcxkly by c~ar vondor. Medic~~ w$ste is ia{iccted s~td r.~ndCred hamnt~ss by sto~n sterifiz,ation. Q~c~ sterelizod, it bccome.~ reb~Iar solid waste and cnters tl~at waste strcam. ~Ia~ardous wast~ is ~oid uz. e sec:~ ~ for monthiy pick up, Tl~c wast~ msr~agement progr~m results in nin~ lruck vi~i~.~ ~r month to existit~g do~lcs. It ES S11C1C[~EitC(~ t}~L t}fi9 ~CV~~ Of vCEl1CU~~lr trR~C WIII COIIL1tIl1C ~4C [hC pM~70SC~ ~~CI~ItyI. Thc r~yc~i~g progr~m currently u~:s the existi~ ~,o~ding T)ocks as u holdiag u~ for goodx to 6e r~c:yeled which consists af mixed papcr and card bvar~d, Th~se rccycl~bles are stored on the existing dock for remavaf. pur program is limit~d to the~e twa stro~ims due io tho space coristraiRts on fhe ex~ating ciacks. The t~ccyc~inb program curscnt[y ~ncratc~ ei~ht truck visits per month ro thc la~ciing dock area. Wilh the ~clditions~! h~lding space and ad~itiut~l streams which could be recyclad, thesc truclc visits may be rcduoed by one or two visits per month. Faod ~ervice 1he majarity of dcliverics rcceived by Fo~d Scrvic~ at tlte existiug Loading llac:lw occur on a regular schcdule. Onc large tra~ler! cklivcring thc bulk of supplies is rece~~ed on Mandays, Weclaesdays and Fridays. iltis truck arrives at approximately G:3U a.m, and is unlaadecf in 2-3 hours. Produce is ciei~vercd ~n a smaller trailer on thc samc days at b:00 a.m, This is ~nloadcd in appmximately one ~our. Additional deliverics on smaller teucks are reccive~i on a wcckly h~sis fQr coff~e~ batt~ed k~veragcs and pati~nt supplem~nts. `Thcse aee unlaadeci in approxirnately thirty minutes. Miscellaneous deliverics in step van~ ~re roceived daily for baked goocls, sushi, donuts and ncwspapers. Some of t4~ese truc:ks arr~v~ as e~uly as 5:00 a.m. Un~o~d~ng oa;urs i~ f ft~en ta twenty minutca. Small freight and lZvwers are delivereci occas~onally for spccial ~-eeds and cven~. 'ilte voltt~nc of activity f~r regulac at3d miscellaneous dcfi~crit~ is ex~et;ted to ~simiSar fur thc new facilily M~teri~la Managemeot Materials Ms~nagement c;~endy c~c:ci~es an avcrage of 17 detivcri+:~ per c~ay. Thc ~r~~cks rangc in si~ from lS~Q fcet. Thc majarity ofdclivcries vccur betwccn 7;00 a.m. and I2:04 p.m. Thc: rcmair~ing daliverics ure usually rcccived bcfore 3:00 p.m. Mat~als rocci~od primat`iIy consist aFmodicaUsurgical supplies w~ic~ are shipped on pallets and routcd ~mmcdiately to sto~age i~~ th~ baacenent. Clea~ ar~d sc~iled linces arc exct~angec! iq carts and deli~ercd to the ba.~emrnt for storagc and Foai distribudnn tv vari~us cl~partcnent~. Materials such as pharmaceuticals, stationary, forms, ctc., which .ue rccei~ec~ in ~maller quantides, arc cfelivered by dock st~f~ direcdy to the ap~vpriatv ckpartiment. No autside ~torage vEmatcrials is pern~ittcd. After hotus dctiv~~ies are {imiteci to supplics, lab spccimens and o~hcr items n~ssary to deliver 24 hour healtE~ care. 'Ihe volume af activity foc r~gular anct misceliaacous deliveries is expec:tcd to be similar for the a~cw tac:illty. '7 ~ ~ ~ ~ (~n' J rnn • n~l OT • rr i r nr ^»rt r r.l~r 7/~(1 T~+. ^T T f'1A11 /~ A111f1 ^ I/.1 T ~J ^ , P3xnning Commissian (:i~y of Santa Munica t0 De~ember 1997 naga 3 As srstod earlicr, the nefghbars sccm tc~ i+acl the c~crcnt tratfc ~nd acuvities assnciated with cxisti~g Scrvic;~ ~intry snd i.osding T)ack9 are not a si~~i~ie~t im~ct Go thc naighborhood. SainE Jo~n's betieves the prop~scd de~ign will bc an imgrovcment to the current cv~dst"sons ancl thcrefcsrc ha~~ no nogative impac;t on the rcsidences along Arizo~ Avc. Wc arc ~rrparcd to discuss tl~is issue wit~ you further at the Planning Commissio~ I Icaring this evening. Sincercly, T~rxance Mulduon Vice Aresidcnt cc: S~e Ftick A~ Schacl~tat Sistct IV(~rle Made[aiae Shoak~ M~chad Manatdo Chria tiard'ueg ~r-~'M~i~* ~~ri•••ndt+~:-o .N 1* i s yg C' ~ t ~ U ~ rcr~Q~TS~nTc • rT~ aW~ c~Iunl' 1 ~}i~C r~n•a ~nn•on~ ~r•~~ ~~ nr ~~n ~(Tr ~~ ~~ ;_~ ~ ;~~= HonorableNlembersofPlanningCominission ~jr~ ~E.~~~i'~~ ._ ~~~-~_ City of 5anta Moncia C~ty Half 1~ss ~ sc~t, Room 212 '97 I~C ~ 0 ~' 3.27 Santa Momca, eA9040I-3295 PLANNING CONIlVIISSIQN PUBLIC HEARING DECEMBER 10, '~997 Environmental lmpact Report af Developmer~t Agreemerit 96-0~1, 3t. John Hasp~l My name is Anoosh CY Askari and I hve at 12i7-22n° Street Und A I am also the presidenf of HomeOm~er Assocaat~on o6 our bc~dding compfex and Voiunteer B~ock Captain I am here loni~ht to raise our concem on two issues raise~ by the praposed development by S# John Hosp~tal. My f~rst concem is about the proposed emergency eritrance opposite to a residential street and my proposed m~tGgatinn pians Eor tessenmg the danger io the res~dents of this street rf tF~~s proposed enErance is ever appro~ed. My son and dau~hter m law INe on the same streel across our home They exped to ha~e a ch4fd in three months and I am happy but womed My worry is abaut the emergency sntrance of proposed plan on Anzona Ave nght in ~r-ont at 22i° Street lmagine ihis scenario I ar my wife is on one slde of the street and my grar:d child see us on the other sEde of the street and pull off her ar Fus hand from her parents a~d run towand us. At the same time ar~ ambulance or a pri~ate car, wh~ch is carrymg a seriously ~II or i~jured pe~'son, enters this street ~rom Wilshire Bl~d wh~ch is less than 50 yards fram our horeies Assume that there w~ll be enough t~me for the dnver to use his s~ren or hom within this short d~stance. Assume tt~at ihe dn~er of Ambulance is a professional dn~er Also assurr~e Ehat the dn~er o~ the car ~s carry~ng a senou5ly ~ll or ~nJured person, who may be h~s or her little child or brother or sister or mother ar fat~er, is ~ery cool and does not dn~e erratic under these circumsiances Accardin~ to the proposed St John plan the Ambuiance dnver sees my grand chdd but he is not permitted to sound the siren to wam my grand chdd On the other hand the dnver of the prnate car sees my chdd, but smce he has no ma#~ve of kee~ng the neighborhood noise down, he or she sound his or her hom as loud and as long as possible If everything goes right, accordEng to St John Study dated Feb 10, 1997, the resident on this sireet should here the sound of horn af pn~ate cars 90 times a day at present le~el af emergency pat~ent. In either case, under these most conservat~~e assumptions, there is, on one hand a nsk of Ambulance hi~ting my ~rand chdd by not being able to warn her or him, and on the olher hand, there is increase in nuisance by some 9(1 pnvaie dn~ers ta sousxi the car horn every day ~n that street But ~ any o# the above assumpiion goes wrong, and god fo~d, my grand child ~s hit by any oF these veh~cle both the aty and the 5t John should expeet to see me in the court for their negligence in appro~ing such an entrance This scenar~o is nof ~ust for my grand child It is #or all those chEEdren of neighborhood who come to aur current safe street to do bicycle ndmg or skating You are gomg fo take away their fun Please da nat gei me wrong 1 am not agairtst expansion of St John Hospital I have se~en brothers and f~e of them are ~n medical profession t along wifh so many people who because of ~~ ~~J their asscyciat~on with St. John Hos~tal, t~ad co~ne here either by the~r own, or were brouQM in by bus loads fr~n dif#erent part 8f greater Los Angeles , to testi6y for th~s pro}ed know the rrierrt of ha~infl a~irs# raEe hospital ~n this caty I like my ~rand chi~dren ta be bom in sach a hospital ~~ I fike to gei ser~ices offered ta sen~ar catizen. It ~s true that thrs de~elopment wi~ also brir~ ioeal arrd intematianal prest~ge ar~ money far aur aty along w~th a lo# a~ traff~c. There were also a number of ~olunteers test~tied on behalf of St. Ja~n proposed de~eiapment pro~ed Although 1 command ihe noble cause of their voluntarism but #hat shaul~ not be a neason to infiuence the Plar~n~ng Commiss4on to m~ke a wrong dec~sion which affect the safeiy af the people li~ing next to this pra~ed. Many of us do voluntary sernce in differer~# capaaty for our commun~iy because we enjoy dang tl~at No one exped to get rewanded for such a service If there was a reward for voluntarism you, the member of Plarmf ng Commission wha spend countless hours each week gang o~er projed by pro~ect, should be ent~tled for tttie most. 'The Planning Comm~ss~on sh~uld look irE#o th~s de~elopment with lhe same eyes as ~t k~oks ta o#her de~elopment m the c,+ty. It is Ironic tha1 this same Plar~ninp Commiss~on rejecied tha use af ewsting street dnveway for a fi~e un~t cor~amini~m vrf~rch was submitted under Cand~~onal Use Permit 96-002, even thaugh no ob~edion was ralsed by the any ne~ghborhood arganizat~on, ~s now canfronted ta appro~e an emergency en#rance o~ a haspitai vvith De~elopment Rewew No. 96-D01 in a residential streef with all the neigh6ors opposed If after hearin~ ali the sides, the Planning Comm~ssion do decide to allow the emergency entrar-ce to be piaced acras~ 22nd street, ! sug~est the fd~owing md~gatian to be cansidered A traffic light is snstalled at the cross sect~on of Wilsh~re and 22nd Street. Ai present d~s almost impossible ta make a left tun from 22"° street mto Wdsh~re Blvd. without takir~g a nsk There is always a continuas flow of iraffic ~ither m narth baund of Wilshire Blvd when the stop light qf the intersection between 23`~ and WiEtshire BI-id is g[~een, or in south bond of VIlilshire 81vd , when the stnp light of the [Mersection af 1Mlsh~re Blvd and 20~' s~~'eet tums green. I cl'raiienge anyone who can take a left tum on this intersect4an fram 2Zed street to Wilshire blvcf between the hours of 8 00 A M. to 6 00 P M withaut violating a traific Isw lmagtne what would be the case when the emer~ency traffic is added on to all ather commercia~ iraffics such as deli~ery, city utility and refuse disposal trucks of using 22"'~ sireet for their access to res#aurants on the south s~de of WiIslhFre Blvd 2 Speed hump to be placed at frequent inte~vals and shorter spacing than noimal to reduce the speed to a max~murr4 of 15 m~les per hour in 22"d Street between Vl~lsh~re Blvd and Anzona Ave The second issue concerns the iertgth af the time requested by the St Ja~n Hosp~#al for developmen# of the 2nd phase of pro~ed 1 unrferstartd lhe sta~f is recommend~ng 13 ysars mawmum t~me span vs 30 yesrs reques#ed by St. Johr~ St. John ~nmary reason for requesting such a long t~me ~ stated #o be mamly the tirne requ~red for fund ra~sing This seems to be a val~d reason but may not be the only reason Lookin~ at the budget for the frs phase, we see that FFEMA is pro~id~ng $133 miUions, St Jahn is pro~iding $119 rn~llian and the grant and r,[3~tnbution cor~s~st of $11 millions #or t~e 9 years period sEnce January i 994 earthquake ! wonder how they are expected to raise such lump surr: money from contnbution wrthout the similar aid from FEMA or other govemment agency The Distr~ct map of the City approved by the c~ty Councd ir~ Feb~ary 22, 1960 indicates that the 22n° street was exter~ded from Anzona Ave, to Santa Monica Bf~d and that the ~irst t50 feet of the west side of 23`~ between Anzona A~e and Santa Momca Place was zaned R-2 pnor to th~s date ~9 K * ~~ r. i ~ ~ A 1989 C~ty of Santa Man4ca Distnct Map, page 26, indicates that the 22"~ Stree# runn~ng though Santa Mon~ca Hospital was vaca#ed and that ihe R-2 area meritioned aba~e was chan~ed to GP- 3. Howe~ar there was still a 20 feet area was remained as 22"d CauR The final Offiaal D~stncEing Map a~o~ted 4/14i92 indicates that the 22"a Court had become vacated m favar of St John Hospital It seems St jahn gradualty gobbf~np afl the public lands dedicated for the street and gets Cdy appm~al for change in the zonFn~ in fheir favor as the time passes. Thrs may be necessary for an expanding institution, wh~ch ~s non-profit o~pan~zat~on that offers services to the commun~y and the C~ly. But What I am afraid is that St John ~eEs a~ these concess~on from the a!y f~e ar~d then a~rge HMO corporat~on comes alorig and buy this hospital for profd The ones who suffer mast ar~e residentia~ neighbors, the City and ather tax payers I Ihink ths City shouid provide a I~en c~ause in any der-elopment agreement that ~s finalized far the first ar~d seco~d phase of this projed. Ttus Nen agreement may be s~mdar to which ~s required by s develaper w#w ~s required ta provide indusianary hausang. Sl. John Hasp~tai should also be obl~gated #o pay a suhstantial amount of money far o~ainin~ Ehese free pn~~leges if and when they decide to transfer or rent their fac~ldy to another ant~ty in the nead 99 years fo~ prof~t I~rrt sure for those who have the interes# af the commun+#y in heart and mind the inclus~on of th~s oand~t#~n would nat ~eapardize the developrr~ent of tt~s pro~ect. Sincerely, ~ ~~_ ~ Anao Cy Askan, PE , PHD 1217-22"d St #A Santa Mon~ca, CA 9a408 Copy Greg & Eileen Gamson 125f - 22`~ Street _, ~ ~ ~, r RDIV~tL~? ~t. YL~K~LSOIV 1304 Berkeley St. No. 1 ~-,c3 Santa Monica, CA 90404 '~,° -=f ~ ~ (310) 828-2622 ~ -~a ~ ~~~ ~ December 9, 1997 0 = Chair ~ ~ ~ ---, Planning Comrnission ~,,; -, City of Santa Maruca "' T 1685 Main Street Santa Monica, CA 90401 TO WHOM IT MAY CONCERN• As a neighbor of St. John's Hea~th Cemer it saddens me that aur communrty ~s placing t}~s fine hea~th care institution in the same categary as a toxic waste durn~ or a halfway house for ~ophiles Those are the tyges of establishments you legislate against, no# one of the finest haspitals in Los Angeles County. To the hest of my recollection, I have not set foot in St. John's Health Center m more than 10 years Nor have I ever called upon our fine fire department However, it comforts rne to know the fire department is there 1f' I need rt, much as it does S~. John's just seven blocks fram my house It rnakes me uncomfortable to think what rmght happen if the fire department wasn't there, much as it does if we, as citizens of Santa Monica, dnn't do everytlung wit~un ow power to make it a viable instrtution. Ta have St John's available to my fa~ruly and me, I will ~ladly put up with a brt of inconvenience in my neighborhood The reahty is that more than SO percent af ambulance n~ns aze without siren and movulg the ernergency roorn entrance to Arizona Avenue w-~11 ease traffic on a ma~or thoroughfare such as Santa Momca Boulevard and not add that much to the surrounding neighborhood, zf at a11 I'm znare than willing to put up w~th being awakened a couple of times a month by an ambulance siren rather thar~ the alternative of not hati-uig St John's ava~able And, that's the reahty If we don't work wrth S# Ja~n's to appmve the plans in its praject, we znay be faced with a day when we no ionger have St John's Health Center, the emplayment, busmess vpportunitkes and commuruty prestige that goes wrth it. As a resident whose front door opens onta Ar~zona A~enue ~ust seven blacks away, I urge the Planning Commission to appmve the St. Jahn's Health Center plan as ~t is cunently proposed dially, ;'~ '~ "~t~ . ~r ^ 1 ~ ` Ron Y n ,> r , ~ .., ~ ~ ~ ~° Saint ~ohn's Health Center Decemher 1 Z, 1997 Santa Monica Planning Comm~ssian Cyty of Santa Monica 1685 Main Stree#, Room 212 Santa Monica, CA 90401-3295 I7ear Cemmissioners• During the hearings on Saint Jottn's reptacernent pro~ect, some speakers expressed concem regardmg Satnt John's effor#s to address the needs of the Latmo Communaty. We aze currentty m the process of rev~ew~ng our programs from tlte v~ewpoint of the Latmo Community and identifying opportumties to improve services to th~s group. We have created a task force, ~c[udmg employees fro~ atl parts of #he health center, matry of whom are bilingual, to coardinate these pla~s. We tta~e conducted a s:te vtsit at St Franc~s Haspital m Lynwaod, a facility with a high percentage of Spanish-speakuYg ~atients, ta learn from them. We have met with Dr. Juan Vi1laGomez and Dr. Marcelo Koppel, two physicians who see many Spamsh-speaking pat~ents, to obtain the~r input and sugge~ans. Ste~s already ~mQlemented or in Qrogress inctude• We matce a~atiab~e Spanish/EngIis~ speaking staff who act as translators far both inpat~ents and outpatients, for aur Shots for Tots Itnrnun~zation Clinic, and for any employee who needs this support We are m the process of trans~ating all adrr-ission forms, consents and patfent informahon packets into Spantsh We ar~ preparing maps to fac~litate wayfind~ng m both Englis~ and Spanish We plan to expand employee educat~on to add a class on culturai d~~~ers~ty, to make staff more sens~tive to the d~ffenng needs of people from ma~y cultures Th~s class wtll not be speci~c ta the Lat~no CommUnity, but wiil acidress these issues from a mult~-cultural v-ewpoint. We plan to offer ciasses in Span~sh and ~n English as a second language to emgloyees For ~osihans dealing w~th the public, we try to actt~ely recruit staff w~o are b~ltngual These plans are based upon feedback we l~ave received to date regarding desired changes We will contmue to ~ pursue thts issue and look for additiona! opportumtaes to improve our s~rv~ces I hope th~s information is helpfitl to you Smcerely, ~,, / , ~ ;, LL~. ,. 1L.~ i'f/ •~~~:z~ Maura Winesburg ~ Vice Pr~esident, AncilIary/Support Sennces and Qual-ty Improvement 1328 Twe~tti-Second 5treet ~anta •bionica C?~ 90~(1:}-2032 `. ~ ~,`.,, 310 $24 s~l l t] ~; ~ ~ cc Suzanne Fnck Amanda Schachter Sister Marie Madeleine Snonka Michaei Monaldo Chris Hazding Plannmg Comcrossion, City of Santa Maaica December 11, 1997 Page 2 "~ ~ .~ ~ ~ ~ t-•a ~^ ~~ Thrnkiny of irnprowng yotal' personp! hr~aRh~ The new Lrfecl yle Cerater, a dlv~sior7 ot KpwPnh [)elin Nenlf.li Car~~ Drstrid, awa~ts you This bea~lilul, ~rrr~drea!!y based facdity houses stare-of rhe-art E~qu+prrur~t nnd rs staffed by cert~tred health care professronals ded~cated to givrnq ynt~ rr~divrduol atten[ron i ~`,3 l Gettrng Sta~ted ... As par~ of yot~r enrollment, your current health srati~s wr!! be revlewed !'ou wrll recerve a f~trtess ussessrnent frara whicll a persorza! health and f+tness plan wi11 be develo~fed Your plan wr11 prescnbe s~ec~l~c ti~eps ya~ can toke to mee( your frtness r+eeds and imerests To !~elp you ulony the way, professrona!!y rrarned certifred htness speeialrsts wrlf show yo~ each p~ece of E~qurprr~ent you?I us~ ar+d ure always avmlable for supervrsron prid enco~rnyc mer~t Aerobic/cond~tioning classes ... Classe~ are of(ered in the two new exeruse siuc~ios, ec~u~pped w~Lh sl~te-of-the-art aerobic flaar & siereo equ~pmenl Classes ai beginnmy, ~nlennediate dnd aciv~~nced levels are ~ncluded in your mernbership ajld ~re tauyht by cerlified, professiona! instructuri Classes offered include • Low-~mpad aerobics • 5tep aerobics • Slicfe trammg • C~rcu~t trairnng • Ac~ua aerobics • Body stulpting • Power step • Senior fitness • Materri~ry • Aqua step • ArthriGs aquatics • blympic c+rcuit • Country-western hne danung • Kara#e • Self-defense • Sanchin brealhmg • Month~y speaaEty classes and more~ Personal training ... • Work one-on-one with our professaonai fitness canditionmg staff to achieve your F~tness goals • AppoinEments are sche- cfuled at times lhat are co ~ ~ ~+, ~~~,,, . ~~':. nvenient {or you Educat~onal programs ... • Nutr~t~onal cou¢isehng ~~'° • Smoking cessatioil ` ,` • Weight. management • 5emmars on vdnDus heallh topics ~ ~~~~ • Cholesteral • Blnod pressure Cl~ild Care ... Servicc~s are avadal~te by a~poEntr7ieitt A hon~eworic rocsrr:, cquipped with personal tomputers, is avadable for sclioo6ayed children who cion'E need ihe close supervision af child care Physician-referred program5 .. • Physical lherapy far in~ury ireatment and rehahihtaUOn ~ Pul~rionary rehabilitation • Cardiac rehabililal~on Fitness is easy year-raund at The ~~festyEe Center ... • Indoot fap pool • Indoor warr» water exerose pool ~" ~r ~ • Indqor walk/~og track (1110 m~le) Y,N~ '~ • Two ac~robic exerc:i~e stuciios W~ ;~•, "~ ~ Gyrnitiasium tor basketbdll, valleyball and ' bddminlon • Wide variety of c~rcwt weight training equipment and cardio- ~` vascular cond~~~on~ng equipment ~ Free waiglots • Computenzed exeruse logging , • Outdoor wa~k/~og trad • Shower aE~d iocker rooms with spas To meet all your needs The Lifestyle Center at5o offers .. ~ Co~lference raom facdikies • Cafe • Cc~mplimentary coHee and tea • Towel srrvi[e • Pro Shop . ~ ~; ,',~~. ~ ~ How does a membership at The Lifestyle Center benefit you? • kndividual attentiorti from our fnendly, profcssiatial s~af4 ~ • An mlproved persnnal appearance ~'' ~ • Increasecf energy ai7d molivauo+~ ~ - "~ • Stress reciuct~ori , • E.xpert guidance, assistance asid encotaragemcnt • Fun • Soci~l activitiPs • Im~roved #~callh ar7d seli-esteem • Proyrarns t~adoreci to your htestylc • Cross trauunq The r ~ A drvision oi Naweah UeNa Hedlth Gare Di'slncl 204 731 3455 ~ 5105 W Cypress • VISdIId~ CA 93277 For irsformation on lhe membcrship packay4~s offe-ed by The Ufestyle Center, call 732-3455 ~ ~ ,~... .I~r „~,~/ M R ~ u 4, ' , ~ ~ "i~Jw~;4 ~ ~:.. The r ~ A divisron of Kaweah pelta Healih Care ~istncl F ~.. L^ t• ~ ~ T~ie .~~ es ~e ~'e~~`e~~ ~ ~ FITNESS FACILITIES ~ ~2 Aervbic / Exercise C~asses per week ~ 5b Aquatic Classes per week V 130 Pieces vf Cardio~ascular Equipment ~ 32 B~kes ~ 21 Spi~nrng Brkes 7k 36 Treadmrlls ~ 4 Urf~derwater Treadmrlls * 15 Steppers '~' 22 1Llr.sc 11~fachines ~ 14,455 Pounds of Free V~'eights ~ 15 Stations of Plate Loaded Strength Equipment y 1 z Free Weight Benches y 4~ Stations of Cybex V~'eight Resistance Eqwpment ~ S Ab Rollers .,s- .IuJ ~- ~'Ire Li~'estyle ~'e~~te~ ~ PROJECT Sti MMARY BUILDING AREA Lower Level Floor Area Unner Lev~l Floor Area . Total Gross Floor Area PRDGRAM AREAS Ctimcal Conference Rooms Ch~ld Care Mulh-Purpose G~n Men's Locker Room ~'omei~'s Locker Room Family Locker Rooin Logo 5hop Lap Pool Therapy Pool Faod and Beverage Staff Lounge Ii~door Track Aerobics Room A AerQb~cs Room B anen Frtness Net Program Floor Area Net to Gross Ratio Construct~on Cost STATS ~Zy~~~ S[~ ~ 22_60d sa ft 54,90~ sq ft STATS 6,800 sq ft 1,50~ sq ft 92Q sq ft 3,500 sq ft 2,100 sq ft 2,280 sq ft 500 sq ft 1 SO sq ft 4,560 sq ft ] ,800 sq ft 1,170 sq ft 1,36Q sq ft 4,120 sq ft 3,050 sq ft 1,52a sq f} 9.95~ sa ft 44,830 sq ft 816 $1Q6/ sq ft $5,820,040 ~_ _ ~ c . U ~f N T~i e L i es ~e Ce~ ~e~ ~ MEMBERSHIP RATES :~1E1[BEItSHiP CATEGORI~' {tiiTtaT[O~i rEE Single $ 150 Cvupfe $ 200 Family $ 250 Student $ 50 5enivr * ~ 50 Senear Couple ~ $ 100 ACtl~~e Adult - limited uae ~ 25 ~1IQ~THLl` UUES $ 37 ~ 55 $ 70 ~ 35 S 3Z $ 5U $ 25 C~u~~t~~T~ F~~ : $ 5 per empfoyee per year - minimum ~ I00 per carporation - maximum S 2Q00 per corporation CORPOR-~TE EIIPLQ4-EE FEE : Single ~ 25 Couple ~ 50 Familv $ 75 h.~« E~H DELT,~ ~iEALTH C:~RE D1STRlC`I' E1il'LQ1'EE : Single $ 50 Couple $ 75 Family $ 125 '~ Senior = 6~ years or older ~ 37 $ S5 ~ 70 "pa~~rol1 Uet~uct" $ 25 ~ 44 $ 55 ~~ ~~~ ~ Tlt e~ ifesty~le C'er~ ter ~ ME111BERSHIP Regional Draw ~ Visalia . . . . . . . . . . . . . . . . . . . . . . . . 88 % 93z77 56 % 93291 2~ % 9329Z 19 % ~ Tulare . . . . . . . . . . . . . . . . . . . . . . . . 4 % ~ Exeter . . . . . . . . . . . . . . . . . . . . . . . . 3 % ~ Farmersri~le . . . . . . . . . . . . . . . . . . . 1 % ~ Hanford . . . . . . . . . . . . . . . . . . . . . . . 1 % ~ ~i~'oodfake . . . . . . . . . . . . . . . . . . . . . . 1 % ~ Din~ba, Ivanhoe, Kingsburg, Lemoare, Lindsay, Portervi~le . . . . . . . . . . . . . . 2 % ~., r ~ {. r 3 .1 ~J ' The Lifest ie ~enter ~ y 1.40D 1 ~~Q 1,QOD ~ ~ ~ 800 m ~ 'S ~ ~ ~ ~ z 400 200 D Membership - August 22, ~ 996 Legend [~ Single ~ Coupls ~ FBm~y ~ KDHCp ~ Sr. Single ~ Sr. Couple ~ Student Mem6erst~p ~ypes ~ Total Memberships = 4,049 V Additional Members (spouse ~ children} = 3.065 ~ Totai Members = 7,114 G~ z: ~ J J Age Comparison Between TLC and #he Fitness Endustry ~~~ ~ rna lmaty4~ cen~~r ~ The Fitr,oss r,auetry E09L 509i a ~ ~ ~ ~ ~ 0 ~ c ~ ~ m a zo~ o~ ~S The Lifesty~e Center - Membership by Age August, 1996 Under 18 yrs - 1,106 19 to 30 - 1,414 31 to 44 - 1,549 41 to Sd - 1,6D5 51 to 60 - 822 61 to ?0 - 630 71 to 80 - 378 Over 80 - 72 -., ~~~ < iB 18-3+4 35-54 55 > a4,ooo ~s,ooa 30,000 25,000 ~ ~ 20~pqQ ~ 15,Op4 1(f,ODp 5,000 0 ~ The L~festy~e Center Attendance by Month '~ Average monthly visits = 36,697 '~ Monday's average for July = 1,703. 4 (~ ~ k; ~ S ~J .i March Apt~l May Juue 3uly The Lifes#yIe C~nter Methods of Payment esx ^ ~ ^ ~ ~ ~ Ls~td EF.T. ~a~ Peyrail Deduc~itln Arxx~aAy Monti~ly 14'Yo E.F.T. 65 % 10-Month l~4 °1a Payroll Deductivn ~3 % Annua~ly 4 % Quarterly 3 % Monthly 1 °10 L. ~. r7 - .. ~.L,; ~Vovember Aquatic Class ~chedule ao Pool . ~~~ s ~rw ~ n~.~v~, c~ s~rr ~~c~~~ r~,d~y-~~;a~r ~:~ - ~~:ooan s~y a s~ s.~oo~ - e oo~ ~ _.. T~IESDAY ' '• .'~:.~-+ ~ ~ AquaF~t i ~ : ~i 1+.~ ' A uaFd • q HydraTone AquaFn --- --+ , ~ '1 ~'.'••r~• AquaFd i _ ~ Aqt~a~d ~ C ~.! ~~+; ~ HydroTone AquaFR i. _~ ~. .~.... : ..~~a~ __ ~ AquaF~t Hydro7one ~ :~J~:• ~ AquaFit I - - --~ HydraStep Aqua~R ~ ' !L•^:n ~ Aqu~F~t ;tass duraf~on 45 m~nutes unless athermnse spepfied Warm Water Pqol 1 {me , ..... .. ..._ MONDAY Tl1ES~AY WEDNESDAY . ' ~.:Ofuin~ 5pec~al¢ed Speciaf¢ed Aq~adc Aqushc , , _... .. .. . ... Exerase , Exercise t~ ~Aain Spsc~al¢ed Special~ed Speaai¢ed , Aquatic AquabC AquaUc .._ .... Exerc~se Exerase Exercrse . 1q o~1rm ; . ... . .. , . . Spec~al~zed 11:i1i~.~r~ SpepaNzed Spec~al¢ed I : Aqua~c Aquatic Aqua~c ~ Exerase . . . .. Eacerase F cercise . ?.Oll~~n~ I 5peciak¢ed ~ Aquatic ~ ~ .. Exer~ise . . .... , 5 Df~E~ni Speciel¢ed Aquabc . { , ~xer~rse I 5peaal¢ed , ;+..7Apm Speeial¢ed ; 1 Aqua~c Aquabc t Exercise ~xercrse ----• i , 6.10~m Matern~ty-m- ~ Mot~on i 7:Ol~a~rn + A~ ~c ~ A~ b¢ed a ~ Exercise ' Exerase Class Durabon 4~ minutes u~fess otherwise specfied C~ress Poo! ~ ~~- AqUaF~t HydroSte~ AquaF~t A~uaFR AquaF~t Aqua~rt HydraTor~e AquaF~t tHURSDAY Speciai¢ed Aquatic ExerCSe Special¢ed Aquadc Exerase Special~zed Aquahc Exercise 5pec~al¢ed Aquatic Exerccse MaterRity-~n- Ma~on ~~ FRIDAY Spec~alized Aquabc Exerc~se Speraal¢ed AquaUc ExercEse Matemityan- Motion 5pecial¢ed AquaGc Exercise ~ ~i~ Center ~ a~ o~ K.,~r, o.n. ~n„ cx. ~i~t ' ~ ;~^ SATl1RDAY Sl1~V€}QY - --- -•- • • ~ 3C~.~R~ Aqua~rt . .. - ~ ~ '.~rm ~ FamEly Swim Famfly *:• ' Stiv~rr~ ~. :Y ~1~1 I ilmi: . ' SATURDAY ~ I1 ~IQam Water Ta+-ChE ... .. _..~ ~ .1~•c1fJPm i Family Svinm lo ~ ;~.na~,R, ~ ~ i ~ ~ ~ I I ~I ~ ~ ~ + Special¢ed AquaLc I I Exerctse I 4 ~ ~_ . .. .... .. ..I Tnm^ M~NDAY TUESDAY INEDIVESDAY THURSOAY FRIDAY ~. _.. . .__.. ~ A:Oi1pm ~ 5pec~al¢ed Speaal¢ed 5peaal¢ed • ._ . I Qpen Aqua~cs Open Aqua~cs Dpen Aqual~cs ~lass duraUon 45 m~nutes unless a#l~erv+nse spec~Tied ~ Wvp6~~q~c.acn MONDAY W~QI~ESDAY I TH~IRSDAY I Fi2~QAY 6 SUNRAY Fam~ly S+mm A ~ s •. _ ~ ~ .~ Aquatic C~asses The lifes#y~e Center w~ll be offermg the followmg aquat~c exercESe c~asses Specia~ized Aquatic Exercise ^ For sen~ors and those persons wrt#~ ~imfing physical eondfions Specially desrgned h~gher ~ntensity exerases tt~at ca~ help ~m~rove fle~n6~lity and funcGon, wh~le c~ec~eas~ng pam and stiffness Conducted ~n a warm water en~ronrr~ent AquaFit ~ Low rcnpact general aquatic aerobrc class Great #or improving cardiovascuEar fdness and o~erall tone Alf fitr~ess levets, €ntensity rs ~ndiv~ual Maternity-in-Motion ^ 5pecial~xed exercise group for expectant mothers Physicians release reqwred HydroTane ^ Bady SculpLng class, ~EEZes aquatic reststance eq~s~pment for strengthening and toning A!I fitness le~els, intensity ~.s ~ndrndual No srnnmming skills necessary Poo~ Rules Personal Conduct ^ Horseplay, such as runn~ng, splashing, shov~ng, or drink-ng, is not permittec~ ~ ^, Dnnng is not allowed. ^ Glass carrttainers or metal ob~ects are not alfowed in the pool area ^ PfofanEty, ~mproper behav~or, En#ax~ca~on, and ~ulgar remarks are prohib~ted ^ Disrabing is allowed only m the locker raoms Use of Equipment ^ Use of ar#ific~al flota~on dewces such as mflatable air mattresses, rubber balls, inner tubes, or water v~nngs is proh~b~ted ~ a No s~tting or hanging on f~feltnes andlor laneiines ^ Emergency equipment to be used by qualit~ed (authonzed) perso~nel only ^ Only one person an underrnrater treadmdls at a bme ^ Use of underwater treadrndis canno# exceed 30 mr~utes ~nrhen there ~s a wafing list The A 6visl0.n ol }(aweM t)etu F~ie~hn Grs D~slnel HydroStep ~ Law ~mpact class tn~olves stepptng up and dav~m an ad~usted platform m the poo] Far all fitness levels, inten~ty ~s mdiv~dual Great for cardio-vasc~lar fitness ar~d overa~l tornng. Family Swim ^ Open s~nnmm~ng Lme for famii~es ParhapaMs tnust be at least 5 years ofd CHILDREN AGES 5-'15 MUST BE DIRFCTLY SUPERVISED BY AN ADULT [adult must be in the poaf area.} Stretch-N-Float ~ 30 minute stretch and relaxabon class conducted in warm water env~ranmerrt Great for increas~ng tlexEbtlity and relaxabor~ 0 - R~ l.ocal Ordinances ^ Showers are to be taken before ente~[ng the pool ar~d/or spa ^ Persons with open sQres nr rashes are nat allawed in ~ool area ^ Spdhng, spou~ng water, or blownng nose in the water ~s prohib~4ed ^ Chev~nng gum m the water is prah~bited ^ Food, dnnks, and smok~ng are prof~itxted ~n the pool , area {Water bottles are perm~tted ) ^ Approprrate bath~rrg affire mt~st be wvrn ^ Sv+nm sud, or shorts wdhout rppers or r~etal, and t-sh~rt ^ Aqua Socks, or tenn~s shoes thai are onty wom m th~ paol area L ^ Hair shoulder ~ength or longer shauld be secured with a s~nnm cap ar puileci up ^ Aqua Socks must be warn by all bathers m and around the pool (lap sv+nmmers are exempt} , ~ -w~s~~~~.aes :~ r~ ~ ~ ~. ; ~~ c= U~ November Aerobic Class Schedule A•Larq~ a~roble rown e•Small ~~whia eoom (249~ 792 3455 5105 W Cypress Ave • Visalia, CA 93277 7he Lrfestyle Center is open AAondayFnday 4 30am - 11 OOpm Saturday ~ Sunday 8 OOam - 8 OOpm TIME I RQQM MONbAY TUESDAY WEDNESDAY THURS~AY FRIbAY ' • 5:30am ~ i A Circuit Step ~ Advance Law Im}~act Fat Bumer Advance Low Impact J Step I ; ~ ~ 7:OOem ~---------- B ~ Spinning I A Low Impacl - ~ 5prnning Yoga Power Step/Slide Low Impact Spinnmg Yoga ~ , 5panning Low ~mpact ~ i 8:3Dam A~ 5tep Step E~ Flex C~rcurt Step _.~ Step N F'lex Step _ I ' ; B ~ i : Power Board Circuit Power 6oard Circuit ^~~~ ~ 9:30am E A Low Impact Fai Burner Law Impact Fat Burner Low Impaci ~ I B Maternrty-m- Motion Country Western L~ne bancing Matemity-m- Motion Sernor CW ~~ne bancing Lite Sp+nrnng ! ~ 10~Dam ~ A ~ Fun & F~tness Stretch &~ane Fun & Fitness Sfreich & Tone ~ _ Fun & Fitness ! '~ ~~~~ g ~ ~ntro to SenEOrs Intro to Sernors j~ ! iZOQpm _ A { _ I Step Step Step , 3:30pm A ; Low Impact Bas~c Step Low lmpact Basic 5tep Lov~~ Impact 4:SOprr~ A Power Step , ~~ Reebok B , , 5:ODpm Minl~ Sports Specific ~ Gym ~xercise Tra+rnng S:30pm ; A Olympic Circuit ~ ~ r8 ~ Advance Step Advance Step Spmrnng Step N F1ex Hdl.aw Power 5tep Reebok 5ports Specrfic ~xercise Traming Grcuit Step Specialry Circud Step Spinning H~/Low Power 8oard Circwt ~ , ~ ~ Step N Flex SJide , T"' I Advance Step ~ , Spinning I 8:30ptr4 A SpoHs Specific I~--~ Exercise Trainmg Fat Bumer Step Fat Burner~~~ ~ ; ' e i Step ~ ~ ' ,T Segi~ning Karate Step/Sl~de Onentatian Beginrnn Karate g ~~y ; ~ 7:OOpm A , AbdommaEs 4nly ~ - -- • - --- ~ ...._ . _._ -'-~~ ' i 7:30pnt A 1 Basic Strp , ' _.. __.___~ .. ..... _ __ _ .. . _-- Step SpRnning Step ~~~ , B Yoga ~__1 ~____ __. Advanced Karate Yoga Atl~anced Karate ~ ~ The • i ~~"ij Center R divis~on ol Kawoah ~e41a Health Care DisSr~ci ---- ------ -- + TEME RDDM SATURDAY 6:30am ~ A j Step 7:30arn A Step N Flex i . B:30a~t ~ i A ~ ~ Fat Burner ' ~ 8 Spmn~ng ~ 9:30~m , A ~ ---- Olymp~c C+rcwt B ! Materrnty-in- ~ _ Mat~on _ _ __ _ 2:Q~pm ~ . _ A ~ _ ~ Kids Karate ; _ ~QOpm ~ A _... . _ g _ ...T 3:OQpm ' A J I 4:OOpm '_ A-~ I ~ I ~ i SUNDAIC Sp~nrnng HdLow StQp Abdom~nals O~ly fiEV IOV31l96 ~ ,~ r~ r ~,, Aerobic C~asses The Lifestyle Center is currently offering the foiRowing exercise classes: Instructors C~rtilted by AFAA • ACE or CpS Abdotninals Only ^ This class ~s des~gned Ro concentrate on the upper and fower abdommal wall, emphasizit~g the wa~stline This class accammodates most levels of f~tness However, it ~s not recommended for tndrwduals w~th pnor lawer back mjunes Country Westerrs Line Oancing ^ Senivr Country Westem Lina Danc#ng ^ Hi1L.ow ^ A 35-40 mir~ute workout which mcorporales high and low impact aerobics Guarar~teed to keep your workout intense ~ Intro to Seniors ^ A 40 minute very low impack aerobic class for seniors and those with hmit~ng physECal conditions Low Impact ^ 45-50 m~nute lower mtensity aerobic class for the ma~or~ty af those starting en aerob~cs program Advanoe Low Impact ^ Maur-long advanced low-impact class using weights for extra body contouring Fat Burner ^ Lower mtensity, ianger aerobics to maximize fat burrnng potential Fun 8~ ~Itness ^ Lower iRtensity 55 min~te aerobic class for seniors and those with Eimiting phys~cal conditians Karate ^ ltenbudokan Go~u Ka~, a tradiiional marlial art that stresses body conditionmg, sel! conf~dence, and self disc~plme Kids Karate ^ The k~d's program teaches fundamental selt-cfetense techrnques m a game-onented atmosphere Materstity-in•Motion s A one-hour pre-nataf class far wamen m all stages of ~regnancy, whether they've been exercismg or not Educational discussion session follows Olympie Circui~ ^ T~is advanced class Ericorporates step and resistance trairnng inter~als, enhancing overafl muscular de~elopment and cardiovascular endurance Powe~ Board Cirewit ^ 1 hour class 3 minutes af power baardrng with 1 mmuke mtervals of weight resistance trainmg The • ~ A drvisian of Kaweah petfa Health Care l?istncl Spinning ~ A 40 m~nuke cardio~ascular and endurance class, using a stationary bike Appropnate for ali fiMess levets - intensity is set indivEdually SSET Sports Specific Exercise Training ^ A one hour intense interval workout usmg sport specific exercises, calistherncs and plyometncs Stretch & Tane ^ 45 mmuie class emphasizing slretchmg and body toning exercises SteplSlide Orientation ^ Orientation class for beginners who wish to learn the basic Step ancf or Sl~de moves Slide Training ^ Contlittons the lower body musculoskeletal system and cardio-respiratory system usmg a side-to-side gliding motian Ind~~iduals partici- pating in this ciass shoulc~ be at a higher level of fitness withnut any history of knee or back problems Good cross-trainmg shoes with Iaterat suppart are recommended Step ^ This class is taughS at an intermediate level Attendance at a step orlentaUon class is sirongly recornmended beiore steppmg For all fitness Isvels - intensrty is individual Ad~ance Step ^ A faster-paced step class incarpor tting advanced combi- nations Recommended tor those m top cardio~ascu4ar ~ondition Basia Step ^ This class is designed for begmning fitness levefs, using ~ust the bas~c step moves However, we strongly recammend attending a step orientation class first to learn the bastc steps Cireuit Step ^ A one-hour class 3 mmutes ot stepping with 1 rn~nute interva~s of weight resistance trammg Step N Flex ^ A slower paced step class concentratrng on musc~e conditron- ing to ~ncrease muscular tone through the use ot correct form and techn~que Power Step Reebak ~ A high ~ntensrty step class which rncorporates pflly- meiric and power moves m tfi~e cardio~ascular section This ciass offers basic, yet challenging routirres Yoga ~ This one-hour Hatha style af yoga wil! i~carporate different poses to explore the inner structures of the body, mmd and ihe spirit The ~ ~..~~ ~.~` ~,~,.,..~... Center • ~WI1 MIiflliMh ~~N IMaRL C~M ~Itl~iOf ~ ~ ~ Newsletter 3 . November/December 1996 6 • ~ I was recently hor~ored to speak at the Assc~cEaGon of Haspitai Heatth & F~t- R~UNDIN' UP OUR ness Anr~ual CanferencE and 1 was amared to see the number of hospitais ,r~~~~~ bu~ld~ng we!lness cer~ters 3t really made me rea~ize how luck~r we are in Visal~a to be on the crest of t#~~s new wave that ~s crashing against heatth- One of our largesf expenses at care's shore~ We are fortunafe to t~a~e #he leadersh~p m this healthcare d~s- The ~ifestyle Center is the tawel tnct to see the vision of tF~e futu~e and to make thir~gs happen to r~eet the service we provide to our members chalienges ot the futura ~ Supp~ying fresh, clean tawels here What is thFS new wave anyway'~ For the first time, we #~ave scientifc evi- ~ j~-C ~nakes rt more con~er~~eni dence to suppoR what +ys ha~e always known to be true, the shaR-term bene- ~~an hav~ng youPour members, f~t of fitness for weil-k~ing and ~app~ness and the long-term henefit af dis- ~~n9 a totinrel from hame and the~ ease pre~ention Aithough e~erya~e agrees ihat physical activrty ~s good for ha~ing ta carry a wet towel back ~n your heatth, onfy 7°~ io 20~ (depending on wh~ch survey you wani to be- YQUr gym bag Howevsr, +nnth the I~e~e} af people are physically active enough to recei~e ihe health benefds ~~ff~ ~s~ng the facaldy each day Medical ~oumais are flooded wtth proven e~idence ttrat . (~RProximatefy 4,80(#) it is qttite +~ phys~cai inactivdy doubles yaur r~sic af heart disease expens~ve and labor irttensive to ~ regular exerc~se ra~ses the perceniage of HDL (the good choles- keep fresh, ciean towels m supply ~ terol) and ~owers LDL (the bad stuff~) We share this wrth you so that : o~er 60 m~Hion Americans ha~e hypertens~an --- regular exerc~se you can be sensitFVe to th~s issue r~educes high blood pressure and reduces your ehance of ever getting and use the towels spanngty Also, ~t by 509~ - many towels'disap~ear~ and 'v regular exerc~se reduces your chance of diabetes by 6fl9~ p'~~~~5~~9 ~P~$~~~~~ 3s After sta[t~ng th~s ~~st, I real~ze ~ cauld go on and on to teli you how regular ex- expensrye !Ys easy to walk out of e~cise reduces the IEkehhoad of cancer, ostaoparosis, ~nfert~l~#y, ~ancose the #aciiity with a towel in hand, veins, arthntis, stress, constipation, extreme PMS, etc And I cauld tell you tdrgetting ~Ys there and sometimes that the k~er~efits af regular exerc~se incEude strength, flexibihty, muscular en- embaRassing to bnng it back I duraRCe, we~g#~t loss, increase in IQ, t~ealthy skin, self esteem, increased en- t~~~k we'r-e all dane d---- at least ergy, rnore restful sleep, ir~jury pre~ent~on, psychotherapy for depression, the once~ Please check your cars and abd~ty to rrzeet the c#~allen~es of daffy life, etc , etc , etc homes for our towels and bnng theRr back as soon as you can~ No So, what is the defin~tian of fftness, anyway~ There are so many, but the questions asked~~# one 1~ike the most is, "Learning ta love yourself' If you ~a~e sameone, don't ~oSt faci4dies c~arge ~heir you want the ~ery best for ihem so that they can be the very best they can ~embers ar~ extra fee fo~ towels be~ Why ~s ~t that we don't lave oursel~es that much~ Thanks so much for your cooperattio~ so that was~'t be You see, physical sckivify nat anly makes you feel better, ,f makes you necessary at The Lifestyle Center feel better abouf yqurself~ Kaep at ~t~~ Yours m health & fitness, ' .#ayne K Presnell DireCtor e -,~~~~r ~~ ~~~ Page 2 TLC TDDAY A The Do's as~d Dan'ts of the Weight Roam The weighi room is a greai place to socialize and meet peopie For some, this is rndre irn~ortant thar~ the exercrse dsetf; but for athers ~t causes frustrat~an and anger That's wt~y the nrles af "We~ght Room Etiquette" have been establfshed To ensure the enjoyment and safsty of all our members 1. Don"t s~t on the weight equipment between sets. Allow others to work in with you. Some ind~~tdua~s are on lim~ted t~me sc~edules and must rr~ake tha most of every minute; so when sor~neone is s~tting on a piece of equ~pment a~d resti~g, they gat frustrateci !f you not~ce sarr~eone ~s wa~ting for a piece of equ~pment that ~ you are using, ask if they would ~ike to wor~c rn ur~th you (usrng t~e equipmertt between ', sets, wh~le you are restir~g) Don`~ be afraid that you ar~ gamg to lase the use of that I equiprneni, you are meraly a1low~ng them to use the mach~ne dunng your rest pen- ods Most a# the eqwpment has simple ad~ustments thai make re-sett~ng the equrp- rr~ent easy Th~s hefps reduce the amount of tcme people are waitjng for equipment, enabtin~ thern to get thr~ugh the~r workout mare qu~ckiy 2. Unload we~ght equipment and return weights ta racks when fr~ished This ~s yQUt werglti roort~, it's as snuC~ your responsrbrlity to keQp tt prcked up as it rs ours Wher~ weight p~ates are left an t~e e~~~pment, others are forced to da what should ha~e been done by someone else For some, the werg#~t ~s too hea~y to take off with- out assistance Please refum e~erything to its proper location when you're frnEShed 3. Dan't slam the weights. This incEudes ihe plates on the mach~nes, as wei! as dumbbeils and weight plates The p~ates on ihe machines can actualiy break from being slamr~ed aga~nst each oiher, damagmg khe equ~pment Phys~ologically, it can a~so be harmf~l to your jo~r~ts, tencfar~s and ligamer~ts, s~ar~nr~ir~g the plates car~ cae~se une~en amounts of force to these areas The muscie is workec# much more effec- tF~ely when confrolled through the range of mot~an, rather.than ~erkmg and sfamm~ng ihe we~ght ~. Refrain frorr~ us~ng faul or offensi~e languaga. This is a famtly facthty Please canduct yaurself accardEngly Remember, beha~EOr thaYs acceptable to you m~ght be affensr~e to someane else 5. Na oper~ beverage coettatrrers, SpEl~ed cat~ee a~d sports dranks ear~ stair~ it~e car- pet creat~ng a wet sticky mess, as wefl as ir~~Eting arrts and other insects Please use water bottles, re-5ealable beverage corrtai~ers and sealed coffee cups 6. No children under age 12. 7here have been ma~y ser~ous ~n}ur~es reparted na- tianally #rom children us~ng exerc~se equipment Besides, weight #ramGng for children under'S2 is not recammended, except for rare instances under a physician`s referraf 7. 5hirts and ctose-toe shoes required. ShirEs must tae worn out of respecf and cor~s~deratior~ far all of o~r patrons Sandals and oper~-toe shoes pose a sa€~ty pr~b- lem, as your toss can be much more senously in~ured when unprotected 8. No denim jeans on the weight equip~ne~t. MetaE n~ets, belt buckles, and the seams on denim shr~rts and leans can tear the uphalstery damaging the we~ght equip- ment Please wear appropnate clothir~g whe~ exerc~sEng 9. Pfease wipe perspiration from the equipment when finished. No one likes to get an a wet an~ sweaty piece of equi~ment, nar do ihey want to clea~ up someone else's perspirat~on The equ~~rnent ~s c~ear~ed da~ly by our staff, b~t ~s c~sed repeat- edly thro~gh~nut the day W~pEng up after yourseEf with disinfecta~# and a cleanmg rag or a towel benef~ts everyone ` '[~. Piease da not lea~e personaE belang~ngs behind the Fitness Desk. We can not be responsrbEe for kost, ~tofen or damaged belongings left ~n aur care at the ~d- ness Desk 7'o pre~ent any pofentia! problems, v+re ask thai you leave tttese befor~~- ~ ~ngs locked ~n a focker The most important t~ir~g to remember when ~r~ the weigM room ~s "Please Be Cour- teous and Cor-siderate" to ~rthers E~eryone ~s here for ihe same reason, ta exer- cise and be healthy EDUCATIONAL CLASSE3 TUESDAY HEALTH TALKS Tuesday Health Talk brow~ #~ag ser~es on No~emher 12,m the TLC conference room wdl feature the topic "New Trends m Managmg Dtabetes" This Tuesday Health '~atk an aiabetes rs bemg presented by Dr James Mohs, Ef1dOCnf~410~15~, and Ch~ryl Smith, Diabetic E~ucator The cfass w~ti be hefd in the TLC conference room at noon Bnng your awn lunch Dnnks w~ll be provided This class is free and is opefi 1o the public Seating ~s limited so yo~ must RSVP by calling 825- 7sa2 In December the educat-onal class wall be "How ta Pre~rent Ho~rclay O~er-Esti~g° and wrli ~e presented by B~an Rowe, ~xercise Pfi~ysiologist ~'he class is in the TLC conference room , Thursday, Decernber 5, at 5 3Q PM ~'h~s is a free ciass and open to the public ~, wa ~A ~ U c_ TLC TODAY Page 3 ~ ~ ~ ~ ~ ~ ~ ~ ~ 12 FACTS ABOUT YDUR ~vsc~.ES ~rrn ~ - ~ . STRENGTH TRAINING ~ ~ ~~ ~ ~ . ~ ACfiI~TITIES ~ ~ The human body has aver 650 muscles ~ ""The Lifestyle Ce~ter's second ~ 2 S~cefetaf muscle is the body's largest tissue, accourrting for basketball league uvill end No~ember approximately 45°~ of body we~ght ~n men and 369'o in women ~ 25th O~er 100 players are ~ campet~ng Bath the Open and 3 By the age of ~5, mdE~~duals who haven't engaged in exer- ~ Recreatiorr leagues are well ~ cise oR a regular bas~s may Encur a decrease ~n muscufar balanced and we look forward to s~fength by as mueh as 8U9~ ~ ~ seeing a great tum-out for the ne~dt ~ basketball ieague f~at will staR miQ• 4 Approximately 75q6 0~ ske[eial muscle is water, 2U°~ is pro- ~ Jant~ary There ~nnll also be a weekend basketbalt toumamer~t at ~ te~n, and the remainir~g 5°~ is made up of mor~ganic salfs and other substances ~ the end of Jan~ary so start arrang~ng your tesm ~ 5 The optimaE exerc~se prograrn for eonfrolting your weight ~s ~ *`Polar Bea~ Camp for wds ages 3- ~ one that combines aerobic conditior~~ng and sfrength training Bui~d~ng {ean muscle rnass ir~creases your resting metaboiic ~ 12 will be held December 30 through January 3 from 1-4 PM, Monday ~ {caiane buming) rate . ~ thro~gh Fnday {except Wed , January 1} Polar Bear Camp is a ~ 6 Breath~ng properiy ~s a basEC safety considera#~on whde strength trairnng Ne~er hold your breath The pressure pro- ~ weeic of physical educatron that helps rmpro~e your chdd's set~- ~ duced ins~de your nb cage campresses the nght side af ynur heart, WI11CI3 117 1UI'I'i i'eStil(~5 th~ ~EUW Qf ~]IflOf~ 8~1(I flXy~QR t0 ]fOll~ ~ estesm, ir~terpersonal reiationships ar~d errthus~asm for leaming ~ entire body ~ ~ Activrties rnGude fur~ in the pool and gym, karate and more Regrstratian ~ 7 Extra proteir~ w~ll not enhance your efforts to bu~ld larger muscfes IF you consume profein m excess of your calanc artd fs at The Customer Service desk protein needs, any extra wdf e~ther he excreted or conv~rted to '• ~ ~ and stored as fat '*FCid's Club dady ac~~vtties are std# ! ~ happernng from 4-5 PM, Monday ~ 8 By ihe age of 8Q, sedeniary ind~~~duals will lose about half of j through Fnday Acti~rt~es inctude fheir muscle mass flaor hockey, scooter boar~s, indoor ~ soccer, parachute, baseball, foothall, 9 Max~murr~ strength of inen a~d women is generally ach~eved ~ swimm~ng and much more ~ betwesn the age~ of 20 a~d 30 years ~'The first indoor soccer league F~ad 'T 10 #t's a myth that when you stop strength trainmg your muscles 40 players parttcipating' aTeam wdl ium to fat MusGe and fat are two separate and distind tis- ~ Misf~t" won the championship No~ernber 15th Nn~l t~e the staR of ~ suss vsrh~cFr da not ha~e the capabdfity to change from one type ; to anofher ~ ~ fhe next league ai TLC This feague wi~i be open ta rt~e-nbers and nan- ~ 11 Strength training can have a pos~tiWe effect on osteoporos~s ~ members wh~cfi~ wdi introdur,~ mare competiiion into the league ~ Load-beanng exercise, performed over an extended penod of time mcreases bone density ~ For mora informatwn, catl Mark ~ 12 For iEnpro~err3ent to occur m your strength le~el, you must ~ Charr~berlm at fi35-3416. ~ place a dernand on your musculac systerr} No demanti, no im- provement ~ ~ ~ Source Fitness Managemer~t Magaz~n~ `9B ~ ~ ~ ~ ~ ~ ~ ~ ~ • c . ~ , . .-, ~cI ~, [. ~J ! Page 4 TLC TODAY HEALTHY HABITS FUR THE HOLIDAYS The hohday seasor~ is here and yau are beginning io wor~der if you're ever going to make it Part~es and famdy celebrations are a part of your schedule and e~ery yea~' you wind up feeling gwlty for eating too much of tne v~trong t~~ng Triis year is go- +ng tv be different You are ~omg ta be prepared and ha~e a plan of ac~ tion 'Chere is no need to dn~e yourself crazy w~th gudi The secret to swr- ~wal ~s to reach a balance over several days 7hink about how your diet has heen the ~ast few days if you find that youwe been eating a lot of high-fat, high calone foods, make up far these cho~ces by chaos- ti~g I~griter,lgwer fat foods ior the next couple of days !f you witl be attend~ng a celebrat~on where you might o~er-eat, try to plan a#~ead Try to eat foods that are on the lighter side for a couple of days pr~or io #he celebration This anli help you reac~ a balance Ehat wnll help keep thase extra hohday pour~ds off Before you lea~e home to attend a celebration, try eating a salad, fru~t or a light soup This will help you from bingerng when you se~ those tempt~ng foorfs T~tink about your food choices and ask yourself `Do I reaAy want this~° If ~t is somethEng that you rarely eat, treat yourself Don"t feel guilty+ If you are prepanng food for a party, choose recipes from light cook baoks and amaze your fnends af haw tasty I~ght cookmg ~d bakmg can be Try being d~fferent by set- t~ng exarr~ples of lower fat, ~ighter cooic~ng Be sure to try your new r~c~pes i~ advance to be sure that your food ~s acceptable 7raditional fam~Ey #avorrfes are nat foods that you shauid sacrifice Allow yaurs~lf and your fam~ly ta en~oy the wo~der- ful foods that are a paet of the hah- days The key to holiday success ~s to be wise in your faod choices and stay true ta your exerc~se routine I AQUA~TICS ~ WINTER WIMMIN S G Yes~ Sw~mrr~ing is a year round sport Most peopie assoc~ate sw#mmmg ~nnth warm summer days A cool sp~ash ~n the pool is an exceUerrt way to escape the k~eat of a summer aftemaon When ifie cald, foggy, and sorr~et~mes rainy days of winte~ are upon us, a drp m the pool ~ust doesr~'# seem as mvitmg With cl~mate controlled indoor pools ava~labie at Ttie Lifestyle Cerrter, there is na reason for a svnmming enthusiasi to gef dry around the g~lls Lap swimming is an effecti~e low impad exercise program that can be practicec! year-round Workouts combme rivo condninn~rtg oomponerrts, rr~usc~Ear and carc~iovascular The water provides res~sta~ce to movemerit much hke res~stance tra~mng w~th weights Woricmg wi4#~ water resisiance results in muscular canditioning that increases muscle strength and tone Cardiovascular cand~tioning is also a result of lap sw~rt~ming The rt~ythmic breathinq coupled ~nntt~ the mcreased ~ heart rate {dus to the corrtinual movement of fhe body) results ~ ~n very effect~~e carcliovascular condition~r~g Come in and splash away some of the gloarri of wrrrter You'll ~ get an effect~~e workout and m~ght even mistake the co~d winter months for the hot sunny days of summer AQUATIC ACTIV~TY QF THE MONTH Look fa~ the Qoo[ act~v~ty of the manth Osre even~ng each month a special activity wili be offered Current ideas include shallow water polo, single's night and fami#y sw~m on a week night Watch for more information ppsted aroun~ TLC announc~ng the Aq~,atic Actrvrty of the Mont~ If you ha~e any suggesf~on5 for act~~~ties, please contact l.eana Rasmussen at 635-3421 HOW LONG HAVE YOU BEEN TRYiNG TO REACH Y4UR G~ALS? Whatever your personaf tifness goals are, The Lifes#yie Center persona! irainers can help you to aftam fhose goals As a me+r~ber, you can be cnnf~dent fhat all of our persona! tratners are nat~onally ceRified an~ have ~a combined 43 years of expenence We can assist wrth any of your ~ ; spec~al fitness r~esds and heip you reach your desrred itness level If you ~ wauld I+ke more information, please contact the TLC FitRess Desk ~upsta~rs at 635-3441 ~ r ' 1 f+ G ~ V TLC TODAY ~~g~ 5 HFALTHY RECIPE3 FOR THE HOLIDAYS BY ANGIE TAZIO, I~UTRITIONAL EDUCATOR The Nutr~tional Educatjon staff would like to share some healihy low-fat rec~pes #or the hal~days with alf The L4festyle Center members Tfie cou~try-style sausage is a good altemat~ve fos ~he tradit~ona4 porlc sausage and yields onEy 7% of the calor~es from fat For those of you wha I~ke pumpkin, the pumpkm bran muffins are an exceflent source of V~tamm A and are high ~n Fiber The oatmeaE raisin caokies subsf~tufes appiesauce for the 2/3 of the fat ihat was originally in the recipe and they faste great 1 wouldn't say that if I didn'f already bake them myseEf For all af you laoking for some health alternatives this holiday sea- son, g~ve t~ese recipes a try The nutr~tional mfarmation is at the bqt- tarn of each recipe zhe Nutrrtional Educafars would fike to w~sh a happy and safe hohday season to a}I the members of The L~festyle Center and their fam~lies Country~tyle Sausage Nonst~ck pan spray 1 slightly beaten egg wh~#e 914 cup finely chopped onion 7/2 cup fine~y chopped fresh appfe 3 tablespoons qu~ck-cooking aats 2 tablespoor~s snEpped fresh parsEey 7/2 teaspoon salt 112 teaspoon ground sage 1/4 teaspoon ground nutmeg 114 teaspofln pepper Dash of ground red pepper (cayenne) 112 Ib aean graund turkey breast Spray a cokd ~ 0-mci~ skillet wjth nan-siick pan spray, set aside fn a medium mixing bowl, combine t#~e egg whrte. onior~, apples, quick- coflkrng aats, pars4ey, salt, sage, nutmeg, pepper, and ground red pepper Add the ground turkey, mix well. 5hape the m~xture inio eight 2-inch- w~de patties Pfeheat the prepared sk~llet over med~um heat Place patties in the skilEet Cook over rnedium heat unti! meat is na la~ger pmk and ~uices run clear, turning flnce, about 10 ta 92 m~€~utes ' Dram off fat Nulrit~onal ~n~ormat~os~ per rec~pe 457 calories, 75 grams prote~n, 29 gra~s carbohydrate, 3 grams fat {7°~ caiones fram fat), 189 mii- ligrams cholesferol, 1244 rnrll~grams sodium, 4 grams dietary fiber Pumpkin Bran M~ffins 1-1/2 cups all purpose flaur 1/2 cup sugar 2 teaspoons bakmg pawder 1121Easpoon baiang soda 112 teaspoon sait 1 teaspoon ci~r~amon 2 egg whites 1 cup high-fiber bran cereal shreds 1 cup canned pumpk~n 3!a cup ~onfaf mzlk 1J2 cup lig~t or dark corn syrup <_ In a mediurr~ bowl, stir together flour, sugar, l~ak~ng powdef, bakmg sada, salt, and ctnnamon fn a farge bowi, using a French wh~p, beat egg whites iightly Stir m cereaf, purnpkin, milk and com syrup Add flour mixt~~e, stir until weli-blended Spoon into muffin cups that haWe been coated with non-strck pan spray Bake af 4QOo F u~tEl tightly browned a~d firm to the touch, abaut 18-2a minutes Cooi ~n pan 5 mmutes Remove, cool on v~nre ~ack_ Nutnt~o~ ar~f~rmat~an pe~ rectipa 1935 calories, 48 grams protetn, 455 grarns carbohydrate, 4 grams fat (2% caiones frnm fat), 4 mil- I~grams cholesterol, 58177 IU ~~ta- min A, 3458 milligrart~s sodtum, 31 grams dketary fiber Datmeal Raisin Coolctes Mott's Applesauce published this recipe, which substitutes apple- sauce for 213 of the fat in bakrng 7 c~p a!f-purpose flour 1 teaspo~n baking powder 1/2 teaspoon bakjng soda 1 f2 teaspaon salt 2 tablespoons shQrten~r~g 1I4 cup un5weetened applesauce 1/4 teaspoon cir~namon 1/2 cup granula#ed sugar 1/2 cup fight brown sugar 1 who~e e9g 1 teas~aon ~aniifa 7-~/3 c~ps rolled oats 1/2 cup raisins In a rnedwm bowl, mix tageit~er f~our, baking pawder, bak~ng soda, and sait In a separate large bawl, whisk to- gether shorten~ng, applesauce, c~n- namon, granulated sugar, brow~ sugar, egg, and vaniila untd shart- ernng breaks ~r~to pea-size pteces Add flour mixture to appkesauce mixture Mix wa!! Fold m oats and then raisms Spray coak~e sheets with a pan spray Drap raunded teaspoonfuls o~ta caoKre s~eet two inches apart Bake in a preheated 3750 F oven untd I~ght goVder~ brown, about 10-12 minutes Rerr~ove from a~en a~d cool an cookie sheei for 5 mrnutes Re- rnove and place on caoling rack Nutrition mformation per rectpe 2Q93 calones, 39 grams pfoie~n, 405 grams carbo~ydrate, 39 grams fat (10°/Q calones fram fat), 22i mEl- I~grams chalesterol, 2277 m~lligrams sodrum, 19 grams dietary fiber .~~.,, ~ " Cr IJ .i Page 6 TLC TODAY DETERMI11j~NG EXERCISE INTENSITY The Amer~car~ College a~ Sports Medic~ne (ACSM) recommends an exercise intensE#y of 60-9D°~ of maximal heart rate or 50-8D% af rr~ax~murr~ hear! rafe reserve Specif~c intensrty of exerc~se must be c~osen an the basis of the indi~id~al's fitness le~el and the selected exercise modalify For example, an intens~ty le~ef o~ 85°~ may be safe far a well-conditioned indi~idual but patentially dangeraus for one who ~s de-cond~tconed S~m~karly, ihis rr~tensrty fsuel may be safe for a non- ~rr~pact act~vity such as cy~Ung but unsafe for irnpact activities such as ~~gg~ng and aerab~e dance GeneraNy 65-80% of maximal heaA rate or 60-75% of heart rate reserve is considered an appropn- ate ave~age cond~tion~ng mtens~ty To cafculate appropnate exercise intensGty, first determine restmg heart rata (preferably ~pon wak~ng m the mom- ~ng} by lightly plaeing fhe middle and index finger on eitfier the carottd pulse {neck) or fhe rad~a! pulse (wr+st} Count each beat for 60 sECOnds Targei heaR rate zone ~s #hen calcuEated by us~ng Karvonen's formula Z20 MINUS YQUR AGE, MiNUS YOUR RESTiNG HEART RATE (RHR), MIJ~TIP~Y THES NLlM6ER BY TRAIN- ING PERCENTAGE AND ADD RHR. DIViDE BY 6~UR A tD SECOND HEART RATE. For those Er~d~~iduais whose pnmary ob~ectE~e rs to rmprove health, exer~rs~ng ~ an intens~fy of 60% to 75~0 of hearf rate reserve is ~deal The table below pro~Gdes easy reference for part~c~pants w~sh~ng to determ~ne a target h~arf rate zone between 6{)-i596 To use the tar~et heart rate ~hart, find the r.o~umr~ fhat is closest to yaur age and locate the raw that corresponds to your resting heart rate Where #he cakumn and row interseei, you will fnd your 10-second targe# heart rate zone TARGE~ HEART RA7E ZONES [NUMBERS IN B~XES ARE PULSE COUNTS PER 10 SECONDS} RESTING HEART RATES ~' ~ AG~ . °/a QF HEART RATE 50 55 60 65 70 75 Sd 85 90 15 F428 24-27 25-28 25-28 25-29 25-29 26-29 26-29 27-29 20 2~27 23-27 2428 25-2$ 25-28 25-28 25-28 26-29 21'r23 25 23-"26 23-27 2427 2427 24-27 25-28 25-28 25-28 26-28 30f 22-25 22-25 23-26 23-25 ~ 23-26 24-27 2427 25-27 25-28 35 22-23 22-25 23-c'~ 23-2fi 23-2fi 2426 24-26 24-27 2~-28 40 21-25 21-24 22-25 22-25 23-25 23-26 23-26 2426 2426 45 2~-24 21-24 23-24 21-24 22-25 2~25 2325 23-25 23-26 5(1 2(}-23 21-24 21-24 21-24 22-24 22-25 22-25 23-25 23-25 55 2Q-23 2~23 20-23 29-23 2t-24 21-24 22-24 22-24 22-24 BD t3-22 24-22 2D-22 20-23 21-24 21-23 21-23 22-24 22-24 65 ~9-2t 19-22 19-22 2C~22 20-22 24-23 21-23 21-23 21-23 70 18-21 19-21 19-21 1 g-21 2o-22 24-22 20.22 21-22 21-22 75 18-21 1~20 18-21 19-21 19-2t 19-21 20-21 20-22 2(}-22 8D ! J 20 7 8-2a i 8-2Q 7&-20 ~ 9-20 19-2D 7 9-20 2f~27 ZO-21 .a y ~ ? ~r ~ L/ TLC TQDAY Page 7 FLU SH~TS Flu shots will be offered for members of The Ltfestyle Center on Monday, November 4 and ~,Wednesday, Navember 6, 9 00 a m to naon and 3 00 p m to 6 a0 p m each day You must show your cu~rent TLC membership card Shots are $5 or we can bs~f Medicare -- yau must bring your Medicare card Vaccir~e ~s lim~ted First come - first serve Please no Kaweah Delra employees, vaccrne must be rece~ved through Employee Heal~h Services af the hosp~taJ ~ Not everyone nesds the flu ~accine! Here are some quidel~nes far people who rnay need ane: 1. Persons o~er 63 years af age , 2 Adufts 8 c~ifdren wrth chronic d~sc~riders o# tt~e pulmortary ~r carrlio~asc~lar systems ar other chronic condittans 3 Physic~ans, nurses, and ather personne! m bait~ hosprtaf 8 autpat~ent settrngs Pro~rclers of home care to high-nsk ~persons, as well as all household rnembers whet~er or not they actuaEly pro~ide care ' '4 any perscan who v~nshes to reduce hisJher chances of acqwr~ng influenza ~nfection "*Fiu shots should NOT be taken by individua~s with a histary of hypersens~#i~ity to chicken egg or to those wi#h acute illnesslfever, EMPLOYEE HIGHLIGHT Jackie Alberti ~s an Exercise Phys~o~ogist at The Lifestyle Center 5he holds her E3achelor's of Science degree in We[Ir~ess/F~cercise Sr~ence from Wayr~e State College in Wayne, Nebraska Onginally frorn lowa, .lack~e has I~ved ~n Cahfomfa for ane year Jackie's husband, Todd Alberti, w4rks side-by-side wdh Jackie as an Exercise Physioingist here at The Lifestyle Center Todd as~d Jackie moved back cfose to Todd's home tawn of Tutare;after rneet~ng at Wayne State ,lackiawas a track and cross country athlste at Wayne Staie She became intereste~ in the exerc~se sc~ence field when her coach had ihe crass country team 4ake part in lhe exercase testing at Wayne State's Human PerfoRnance Lab The Ltfestyie Center ~as been lucky enough to have ,fack~e as an Exercise Physiologist since January 1996 She perfo~ms exercise testmg o~ rnembers afld hefps them get sta~ed on an exerc.~se program ihat is safe an~ appropr~afe Jack~e says, "My ~ob is often sim~lar to work~ng on a~uzzle because no two peapie are exactiy al~ke and finding the pragrasn t#~at bes# suits thEm is an exciting chalienge." Jack~e aiso th~nks that fhe members and #he staff at The Litestyle Center make her ~ob en~oyable. ,She has had the npportunEty to mest so many new and ca~ing peaple, which ha5 mada her transdion to Cal~forrna I~~e much eas~er. When not at The L~festyle Cerrter, Jackie enjoys r~nn~ng, spendmg time wrth her husba~d and working on craft pro~ects Say h~ ta .iac~c~e TLC CAFE The Llfestyle Ceroter Cafe and Cousteau's Cafe at Cypress Rehabil~ta#ton Center wd! be ha~ing a"P~e To Go" hol~day promotfon 7his promotion wd! ru~ through the Thanksgiving and ChrEStmas holidays Delicious pies can be taken ho~e for a sweet ending io any dinner They also make the pertect host g~ft when ~is~ting fnends a~d reiati~es or w~en attending holiday parEEes A con~enieni solut~on for you durtng this busy tirrte of the year Qrders w~il be accepted starting November'!, so lookfor further details at '~LC Cafe or Cousteau's Cafe !:r_ ~y j ~~ 1 ~ Page S ~ TLC TQDAY STEP REEBOK fiECHI~IQUE BODY ALIGNMENT AND ST~P ~RAINING Gaod t;ody aligriment is very ir-ipartarrt in the prs~entto~t of SpoR and exerc~se-relaied fnju~es ~r~siructors should coni~nually remir~d participar~ts to ma~r~ta[n appropnate posture dunng a#1 step traaning moverr~ents The faklowing are gu~dexines for proper stepP~~9 P~ure- 1. Shouldsrs back, chest up, twttock5 tucked uncler the hips, and knees soft 2 Ayoid locking the knee joints. 3 Avoid hyper-extendmg the back 4 Use a fult bocly lear~ when ste~ping Qo nat lear~ or bend forvva~xi frGm the h~~s ` 5 Wt~en fift~ng or lowenng a platform, always use safe hft~r~g techR~que Face the platfonn and lift leg ~s~ng the legs, not the back When carrying the platform, keep ~i close to the body S7EP TRAIN~NG 7ECHNIQUE Praper pody rnechanics enhances sfep tra~ning performance and can also reduce the nsk of deve#opmg overuse injunes The following are guidel~nes for appropnate step tra~n~ng technique 1 5tep to the center of the platfarm 2 Contaci the platform with the er~tire sole of the fool when steppmg up When stepp~ng dawn, ~and on the ball of fhe foa#, lowe~ng the heels ta fhe floor before tak~ng the nex# step 3 The knee should never flex beyond 90 degrees when it is we~ght bear~ng Ghoose plstform height accord~rigiy . 4 Keep your ~yss on the platform 5 Stay fa~rly close to the plalfarrn as you step down Step no farther than one faot length away frorn the platform 6. Da not add arm mo~ements unt~l proficient with the faot work 7 Do not step up qr down wdh your baclc toward tfi~e platfflrm 8_ Step gently Do not pound your feet ~~ the platform i~vsP~Tiox~u. ~ ~ ~ ~ •~ . MEI~BERB _~ . Vi Palmer is one of our fwa ~' "Inspirafronal Members" whose names .:*~+ ~ were submEtted for this issue of TLC ~ ~^~. ~~~' Toaay Patty D~rdley, a co-wonricer of V~'s ~~., .. at Wdlow Glen Schoot, wntes thES abaut ~ ^ ~ •_+ '. ~_ Vi 1_.. t. ' "She's a ~ery youthful 77-year-old Her name is Vi Palmer an~ yau can see her often arounci the aqua-s~zer and the poo! Vi has worked up to one mr~e in one ho~r on the aqua-sizer, somethmg she is very proud of She first started eoming ta The Lifestyie Center after she mcurred some ~n~unes in a r,ar accident She works a# Vlhklow Glen School She is in exceffer~t shape and does rr~any thir~gs around the campus from office wark to yard duty Her'Sunshiny Ai#~tude' Es a bless~ng to a!I who know her Say hr w#~en yo~ see her next t~me at The ~~fesiy~e Center Yoe~'~! know it's her by her youthfu! zest, contagiaus laugh, a wjnlc and a 'Tha~ks Doll' " Marilyn Errotatrere ~s our second ~Inspirational Member" Manlyn ~s 62 years of age Last Navemtfer, she had a stroke one day whde on her Eunct~ hour Manlyn has used The Lifestyie Center ta assist in ga~ning her sirength and balance back She works out f~ve momings a week an the treadm~Il, stair stepper, I~fts we~ghts, and attends June McClean's (Groa~y Granny) aerobics classes Manlyn has advanced from tfte introduction to aero~~rs class to the low impact for sernors class She t~inks the aErobics Gasses help improve her movement of her hands and feet tagett~er Kee~ up the goo~ work, Manfyr~ \9 ~t ~ r. ~.+ (~„ TLC TODAY Page 9 TI~E LIFESfiYLE CENTER CHitISTMAS GIFT PACKS Grve the gift of h~alth to your frrer~ds ~nd Ioved or~es Ho~iday members~ip grft pacic2ges are ' ar~a~lable at Tt~e L~festyle Cen~er Membersi~Ep gift pac~CS Enc~ude the ~nrtEat fee and at least the f~rst montY~ of inembersh~p dves Each gift cer#~f~cate w~l! be pkaced ~n a decarat~ve C~r~stmas bag that ~ncludes a 7LC water bottle ar~d T-sh~rt fndiuiduals redeeming membership gift certif~cates must sign the stanc~ard TLC 10-month membersF~~p agreement Chris#mas ~s a wonderfu! time to get somebody yo~ care about on the way to a healthy lifestyle TF~e fallowing membership package pr~ces incfude the reguiar in~tial fee and first month's dues Single Caup~e Fami[y $187 $2~5 $320 Get#ing a massage can help you sieep, improrre yaur body ~mage and e~en fight off calds No wonder ~t feels so good Recerr# studres sho~nr t~at massage foroes m~scles to relax, wh~ch ser+ds a r~essage to tt~e bra~r~ to produce fewer stress hormones The result is a feeiing of relaxed alertness ,lust one sess~on can temporanly reduce s#ress and tmpra~e sleep Regular rr~assage can baost the ~mmune systerrz, improve mental functi4n and a ease chronic paEn, as weif as speed recor~ery from o~er-use fn~unes o~ ~ ~ ~~ ~ ~ ~ ~' ~ COUPON ~ ~ SARAH REES CMT/PTA ~ Emphas~s on Accu-pressure, ~ Swed~sh-deep tjssue massage, tr~gge~ ~ poini release, neck an~ shou[ders and ~regrrancy massage $5 c~ESCO~rn off a ~ full body massage, regu~arly v~40 ~ Available to men'~bers and nan- ~ r~embers Gift certiTicates a~a~lab[e ~ Offer ex~ires January ~5, 3997 Ca!! far an appomtment, 635-3470 Located ~ at TLC ~ ! 1 ~~~~~~~~ ~ ~ ~ ~ ~ ~ ~~ ~~ r~r , ~ - COUPaN ~ ~ MASSAGE BY PAULtNE ~ Buy that "spsc~al someone" in your 1~fe ~ a fu11 bady massage for t~e hol+day ~ season or a hirthday gift for $40, and get a haif-hour body rnassage ~REE ~ Gift certificates make wondertui g~tis~ ~ Paul~ne Medrano, CMT special~zes in ~ Sweq~sh and deep tissue massage ~ Call 635-34i0 fQr an appo~r~tment or to purchase a gift ce~tificate Offer ~ exp~res December 31, 1996 Located at ' TtC ~ ~ . ~~~~~~~~ ~~ ~, ~ ~ a Page 10 TLC TODAY I r. _ L'=1 _ .. :_'~~~<-~ ~1.:~~ '~%~ ':i.-.,~I .-:~~:- .... ., '-:: .~ .~~.~J.. .::~:'; ~. '..... ... ''-~~'~-~- . .;-~~:~~ I . i~''- ..... L"~ . -- ~/:'.. ~ . ..,.~::..;:--- . ," .-". -J ~ '-. -~f~i=' ~~~.~l;-- ..../i~t .<=;;: -~:=:."7; ...-I. ~ .~, JX~-'- ~ --=~_ - o.=."r -}~ :...:( ~{~:.~~:=='. 1"';- I ~J :,) -::.\:~ r -~S~= ~:'-~ ---'~_l" ~i' .:-.=-~~~~: (. ,~ ~~~~} ; ., ~ THE LIFESTYLE CENTER GIFT CERTIFICATES i~:.-- (:.r" -;. g. ~G :'-'~dr~ cJO;;'c~]:) !?\ ;.--" .. ~:::.;:. ,:--i t:.:.. 0...("""': --.r~-i~'Jr. "-~J~~-- t"1AJ -"r) 0.-'2 GIFT CERTIFICATES CAN BE PURCHASED IN ANY DENOMINATION ~t~ AND CAN BE REDEEMED FOR ANY OF THE FOLLOWING PRODUCTS ~"~ OR SERVICES AT THE LIFESTYLE CENTER: J;8K )i>NEW MEMBER INITIAL FEE ,.CAFE 7~r "-'MONTHLY DUES "PERSONAL TRAINING ~"'~ )Po MEAL TICKETS 'yCHILD CARE ~~f ;;"NUTRITIONAL EDUCATION J..-PRO SHOP ~ ~SWlM LESSONS "LEAGUES I ACTIVITIES C{~~sx' l~(, GIFT CERTIFICATES CAN BE PURCHASED AT THE CUSTOMER Jolt SERVICE DESK. ...;..r:.,\-.'S......-v P'o THE PERFECT GIFT FOR ANY OCCASION H! , , ... ~ .-~'" "-: ._:_~i) ."-r~ I" .. I - " , ..~.:.~~-Jj I~ I ~ ~;.S:.~=~ -;,....... 1 .,,' ..~;;o "_.: i ~.'"!3~ ~..) ~.. : = ;J _- r:.....- ~~l.~ ~:?;~1: ~~8~ ~.%~t -.!%iL. ~~~~~.. X~L ____~~~\.. _........_.._L~'"--" --.n..,;P-:[L-:() ___....,..J~..___ '_"'L:!C~_'f) --'L........CI' 0:=...,.- -r..... ~~-L.,..J" -:..-:-.......... pt~ enD :5N"1-j) C..F~O 6~~~0 5f':~ ::-.~.~ ~~~ .:..~. ~.;'; i { Ej.. i." ~ I . '-"J~~Y :{~r~;-. r4~:~>: ~~1g;' -~~,~~: .j~~:;~ I ..""",. .. -.- - '-'.- ..::~ ~~) ... ;'l.~~~ ... ~ ...;iF.~~ ~.... TLC TODAY .,. THE LIFESTYLE CENTER 5105 \V. CYPRESS AVE VISALIA~ 93277 Bulk Rate U S Postage PAID VIS:Jha. CA Pennlt No ,3] ,. -- '""'-==<.~----~ ::....--".~=.':. ---=- ~=-..~ ~,",,~-===..,,=...~ ~ = ....~--=-..".. -=-&="~ =-~~-=.." ~...~ ........===- rl'c =--? =- ~~...'-,;, =-.':.,=--=-.....-= 'J~=-- ~J --=-...~ -=--.....- --- :I:. --.r ~ --:.-=--....-----~...--,l ~ :11 i~ ij' THE GIFT OF HEALTH ~" PURCHASE YOUR TLC HOLIDAY GIFT CERTIFICATES AND " CHRISTMAS MEMBERSHIP PACKAGES ... ..Ii .~! -" II ~ ~ ~-.~-~=::=...:: --:I" ='_< -"-: =-. =-~ ~:==.!: ~:=-"; -==-.--:=--: =:.2~ =-.... ~~-- \, _t.1...=..'" = 'i", _-':t~:', _~__e-: --=.....; -'"'.i'=:=::=-~ ~:_(~ -=-.-:_ ~"--=::. ~~ ~ :2 1 4 Sponsored b~. '~~ ~~ 1~~~~ ~~~~~ 7h! L~+~er R7 ARpN~blr Mart~ . rer :..1v.. Membershtp Camposition and Activ:ty Survey, 299b r~_ ~ - -- °~ ~ ~• ~~• ~. , ~ : ~~~i7~~~, „~ i:; ~ ~/' .t- ~/ Assocsanon af Haspital Health and F~tness ~s,~a ~n tisn ~ ~ ~ ~ , ~ .~--_ ~;: -~~ ~, , 1996 Hospi~al Fitness ~~ ~ ~.~,. ;;~:~~~ , . . ~ _ ~~ ~~,-~~ Membership C~mposlt~on The Assoczation of Hospital Health and Frtness contracted ~n-1th Kent Research Inc., in Februar~r 1996 to sun-e~~ member institutians regarding thetr indi~~idual members' demograph~cs, actit-i~ies and attztudes Kent Resear~h specializes ~n custom marketing research and has completed numerous studies in the health care, telecom- munications, financial, retaii and ser~~ice industries. Urban Decision Sy~stems Inc. in i~~arina Del Rey, Calif , and Fa~rfax, Va., sponsored the 1996 survey METHODOLOGY Que~t~onnaires ~~~ere sent ta 21 member centers, ~~~hich represented small, medium and large fac~l~ties nat~or~ti~•ide Tiventy centers part~c~pated, and a total of 2,755 compieted c~uestionnaires ~~Tere returned. The quest~or~naires ~vere carnpleted b~.~ members of eaeh center «Tzth~n a specified time frame to ensure that each ~enter`s haurs of oper~t~on ~4~ere represented ~ti rthin the study ~ti'hen appl~cable, results af thrs stud~- are compared ~ti-ith those of a similar membersh~p s~ar~-ey' conducted in 1993 Results from a 199~ sur~•ey comp2led ~~~ A~ner~can SForts Data Inc for Interna#ional Health ar~d Racc~uet Spnrtsclub Association, "Healtli Club Trend Report," also are used FINDINGS Recency af Membership ~l~nost l~alf (-~~°~,) c~f the rnembers ha~-e bel~r~ged to their centers t~r more than t«~o ~~e~rs, ~~-hile 16"~~ ha~'e ~c~~ned l~-itllin the past three mant~~s ~n the pre~•~ous sur~~eti; the cenfers had retained ai~ equal proport~on of long-time me~~bers {~7°~~ had been members for at ~east t~~-n t•earG) l~ut a srnaller pmportio» z~Tere ~~e«~ ~nem~+ers (12".-~, had ~azned «~xthin the p~~st three n~~nths) Center and Activity Exercise Frequency Members vvere asked hoi~~ frequen#ly thev exercised before ~oining the eurrent ~enter, three manths after ~o~ntr~g and therr current exercise levels Exhibrt 2 shows that a significant segment of these rriembers had exerased prior to joining Hoti~ever, s~nce ~oining, the frequencp of exercise has mcreased dramatically for many members Before jo~ning fhe~r centers, these members exercised an average of six times a month Currentl~~, they exercise an aE~erage of 15 times per month Mast ~mportant Reasans for Joining Studv partinpants vt°ere asked ta rank order five possible reasons far ~otnfng a center They used a fi~~e-poznt scale, where the h~gher the number, the more important the attribute The reasons that ~tiere ranked the highest are to improve the~r health (3 72), to maintafn their health (3.64} and to ~mprot~e or mainta~n their appearanCe (3 49). Doctor referral (2 37) anc~ because friends and/or fam~l~- belong {2 58) i4•ere not canszdered as ~mportant by most members {Exhibit 3) Impor~ar~ce of CentEr At~ributes Members ~~,•ere asked ho«- important each of 16 c~nter attributes tivere in the~r decision to join The~- used a three-po~nt scale ~~°here 3 indicated essential and 1 inc~icated not ~mportant Exhibit ~ sho~~-s the attr~butes zn descending order of importanee The t~~ o rr-ost innportant attributes, as m 19R3, contrnue to be cardioE=ascuIar and resistance equipment Basketball and ~roll~vball courts and racquet sports are less important features Medical super~~~sion and haspital affil~ation had lo~~v a~-erage ~cores, but approx~matel~~ one-third ot members older than 55 cansidered them essent~al Importance of Health Attributes Exhibit 5 displays the a~~erage responses to the ~mportance of faur health-related attr~butes c~inically trained staff, med~cal ~;~~ ,, „ C- lJ supervisson, hospxtal affiliation and doctor referral. Of these four attributes, a ~l~nx~ally trained staff vvas most important ~~hrle do~tor referral ~.~as least important AlI four af these attr~butes increased in ~mportance as the age of inembers ~ncreased Travel Time The a~~erage time spent bet~veen home and the center is 14 mznutes. Exhibit b sha«•s that 21% tra~~el ~ mxnutes ar less, 31°/a - b~0 10 minutes, 24% --- ll to 15 minutes; and 24°io more than 15 minutes. Prior Mernbership As found rn the eaxlier surt~~y; approximately four out af 10 (41°a) had ne~ er been rnembers af a health club before ~o;r~~ng their current club Alsa as before, 14°%o rEported s«itching from a competit~ve club to their current centers (Exhabjt 7) Type of Membership Df these members, 40°o currentl~~ have indi~~idual memberships at thetr centers. 2~°ro have couple memberships while 13°'0 maintain fam~lti= or sEn~or memberships Corporate (11°~~s} and ernployee (7°~0) memberships are less common Exh~bit 8 sho«•s more thaal 100°% due to multiple response Frequency of Spouse's Use of Center Approximatel~° half of the members ~~~ith couple or famil~~ memberships hati~e spouses that use the centers as frequen#ly as they~ da (Exhib~t 9). Perhaps surprisingll~, ~2 •~o rnainta~ned cnUple membershxps e~-en through the spouse rarel~r used the center Overall Satisfaction As found in I993, the overa~l sat~sfa~tion tivfth these centers is ver~~ hlgh On a 10-point scale where 10 indicated "very satisfied° and 1~vas "not at all sat~sfied", the a~~erage response ~vas 8 b8 - sl~ghtly higher than the 8 5 faund zn 1993 Again, only 1°io ind~~ated that they are not ~>ery sahsfied. Demographics Exhibits 11 through 19 show the demograph~cs of the populatian surveped • The average ag~ of this population is 4~ years. While 2b% of the hospitai members are older than 55, American Sports Data reported 12°i~ of health ctub members are older than 55 • Educat~on leE~els remain high Of those sun%e}7ed, Sb°~o hati~e had some callege educatian The same proportion ivas found in 1993 • Approxima~ely haIf of these ~nembers are male {5~°0), half are fernaie (49°/0) • As found fn 1993, about ti~~o-thirds (54°0) are married and three-four~hs (72°0) ha~-e no minor children living at home. • The a~-erage annual household in~ame is ~~3,400 ~ti ith sl~ghtly more than one-faurth (28°,0) having annual househoid incomes ot $7~,000 or mare. + Exhib~t 17 shoti~~s a~~erage household ~ncome frorn the 1995 "Health Club Trend Report," prepared b~~ Azner~can Sports Data Inc for IHRSA R~embers of hospital fitness centers are slightly- more affluent fhan members of commercial cl~bs ~ Par#ieipants ha~~e resided at their current addresses far an a~cTerage of six }•ears • Approx~mately~ 6 out of 10 {bl°~fl) ~4-orlc full time ~ti~hile 17° o are retzred ~_ '_ ~ ~ ~ _ Exh~brt 1 Length of Memhersh~p 54~ ~ ~ / , , 1 a ~ 40 ; ~ ~ i ~ ~ , _. 34 ' ~ c ! ~' ~ I a~ ~ ~ ' ~ ~ 46 a 2Q ~ ~; ~ ~ ~• ~ r ~ ~ , ~ ~ I i ~ ~ 9 4 ' , 22 ; i6 I ' , 1f~ , ; . ~ i , 0~. !~ +~ ' . ' . ~''~ . ~ 3 or Less 4 to12 73 ta 24 More than 24 Months Exhih~t 2 Exercise Frequency Per Mon#h ~o./ aa 30 _ a~ U •.. ~ ~ L~ ~Q 0 t, Z' r ` l J ~I <1 1 to 7 8 to 14 1510 21 22 plus ~ J Before Joining ~ ist 3 Months ~ CurreMly Exh~b~E 3 Reasons for JoininglA~erage Ranking ~ i ~ ~ ~ ~ a~ , ; lmprove Health ~ :~ 7~~ I ~~~-- ~ ~ ~ , ~ i Ma~ntain HeaEth .3 GA I , ~ ~ ~ ~ ~ ~ ~ Appearance :~ 4'~ . , ~ , ~ ' ~ ~ ~- :~ ~ ~ Friends/Famtly ? r+Fi ~ ; ~ ~ ;~ r ' : Doctor/Re#erral ~ 2 37 , ~ ~' ~ ~ ~~ , r ~ r / 1 15 2 25 3 35 4 45 5 ~~ ~~~ , Exhib~t 4 Average importance of Center AttrEbutes Cardiovascular Equrpment ~ : i ~ T~t _ Resistance Equipment ~ ? (,r~ _ Convernence ta Home r ~ = fr ~ . ' . .. . . . ' 1 Cttnrcally Trar~ed Staf~ 2 3~ . ' ~ r ~ ~ ~ I~door ~rack 2 24 ~ ~ Competiti~e Price _ ~ 2 24 ' _ • Swimming Pool 2 13 - 1 , 1 - - . . .-~ C~nvenience to Work , 2 12 ~ ' Aerob~cs Classes 2A1 Educat~on Pragrams i 1 92 ~ FriendslFamdy Belong i i 1 S , .~ Medicaf Supervfsion i i . ...... .. ~ '77 s ~ ~ ~ ~ •' f. H4s}~ital Affdiat~on ~ 1.75 ~ Racquet Sports i ~ ~ t~~ ~' ~ _ f BasketbaliNolleyball Ct ~ .' 1 55 , ~ I Doctor Referral 1 42 ~ ~ ; . i f5 2 '3 = Essent~al, 1 = Not Imporlant ~ 25 ~' 3 / 1 l r, ~- ~ U Exhibd 5 tmportance oi Health Attribute' By Age o~ Member 3-f , , 2 1 - -- a ~. I I ~ / f , ~ ~ ~ . .~ ~ ~ ~ ` • •~ ~ ~~. ' F~~.r. i I R~ y ' ~^ .'~ ~ ..^ ~ ~ . ~ I •• ^ ~~:.:. ~~ i ~ ` 1 ! [ , ' ^ ,~- ~ ~ -~ 4 : ' 0 ~ , f , - ~ :~.+~ ~ ~ ~ ~ ~ • € ~ i ` i F ~ Under 35 35 to 54 55 plus '3 = Essential, i = Not Important ._._ Doctor Referral ~ Medical Super~ESion ~ Hosp~tal AifEfiatron ~ C1~nically Tramed Statf Exh~b~t 6 Tra~el Time from Home #o Genter 35 ~ i - ~- 3Q~ ~ { ~ 25~ f_ . ~ '~~- ~ ~~, ~ / ~ 20 ~ _ } ~ I . _ ~ i 5 -~ . 31 ~ I ~ ~ ~ ~ i , -, ~ !-- ~ 24 ' ~ ~ ! ~ ~ ~ ~a-~ 21 _I f ~ _ _ ~ ..,,~ J ~-1 I I . , 5~ I ~ ~ S3 ~ I ~ 11 I ` ~-- ~• - -~ --~ ~ o f -- -~ ------~' _ !~J _ _ I ~'_' ~~ 0 to 5 614 1 f~ 11 to 15 1 fi t0 20 21 + In Mmutes Mean =1 U M~nc~tes ' ~: w ~ ~ ~, ~~1 Exhibrt 7 Prior Health Club Membership ~ ~ 14+ Years Pr~ar ~ 7 ' ~ , .f - ~~ . ~f 6-10 Years Prwr 9 i~ L_ . / ~ ~ f~ - - • r~ 3-5 Years Pnor 12 - ~--------- - _ _- - i - -- ~, ~ 0-2 Years Pr~ar T --?? _ _ _ - ---'~ ~--- - •- T-:~ ~ When Janed ' ----- - - 14 _ _ ~ , f---T __~_-- -- -- - ~.. . . ------ Never 41 ~ -- - - r -- - - r ~ o ~a 2a 30 Exhib~t 8 Type o# Membership~ 50 ~ ~ I : , 40~~ ~ i = I - 3a~E # ~ ~ ~ i ~ i . . -... . ~ -- -~ ~o ~ ~o a 20 ~ 4G ~ l~ ~ ~ ~ ~ , ; ~ ~ ~ ~ ~ ' .~ .- ~ __ ~ ~ ' - /' ~ ~ ~ ~- -~% 10 f '~ ' ' ~~ ' ' ' ~ ~~ I , : f ~ 1~ ~ 13 ~ ~ I t1 ' G ~ ~ j ` ~ --- ~- .--- E ~- r ~ ~ ; ~±• / . -- - --- ~ , - - - ~ • , - - - - ~ Q r !~ •~ . / ~~ 1/~ / ~ Indiv~dual C~upfe Famdy 5enior Corporate Employee `Totals to more than 1 D4°/o due to muft~le responses ~. r `' ~ ~: N Exh~b~t 9 Frequency/Spouse's Use af Center so~ I . - ~ ~ _ ~ ~' ~ ------- ~ ~ ; aof .~ . ~ . ~ so : ° ~ ~ ~ a ~ ~2 i'' • 20~ . { - ~ r , . 10 ~~ ~I ~ f ' i4 i , i I pf ; i ~ , I l More Often Same Exhibn 1 Q ~ ~- _~ ;~ a ~ ~~ ~ ~' ~. ~ ~ ~~ •~ ~ 12 • , Less Qfter Rarely O~eraEl 5atisfaction with Center; ~ery {~s-i u~ 83°k '10 = Very Satisf~ed, 1= Not Sat~sf~ed ~~: ~~~ J Not (1-3) 1 % Somewhat (4-7} 4 F% Exh~bit 11 A 30 ; I i 25-~ 2~ I ' c I F f ~ ~ ~~ a ~ ~ i 10 i ------ _ --- ~T ~ ~ ~ ~ ~ ..~ ' ~- , o~ ~ .~, ~---. , unaer 1 e ~ s to ~a Mean = 44 Years ~xhibd 11 B Age of Membership , . , r ~" ~ - ." . ~ w ~ ~ ~ '- - ~ i ' ° ~ , ~ ~ ,_ -- ; . - I ~ ~ ~ Y 1 _ I tr ' ~ _ ?E ~3 i . ° _~ • 18 _ ~ t . ~' ~ . - ..... . ' ~ . ~ , , , 25 to 34 35 to 44 45 to 54 55+ Age of Hea~th Club Membership j~~ % ~ ~ + I 50 I- -- ~. / ~ 44 ~~ ~ ~ , ~ - i ' 30~ , ~ ~ I ~ m 5~ i i ~ I ~ 20 I ~ ~~ i ~ , i ZO ~ ~ ~ ~ / ~ /~ ~ Q , . _ ~ ----~f ~ ~ ~ 18 to 34 35 to 54 1995 [HRSA/Amer~can Sparts Data, "Health Club Trend Report " _ ~ -- 12 5~+ ~ I i ~-i / ' I ~ `+~ . , . , t-. ~2~ Ex#~ibit 12 Education ~ ~ .~ Na H S. Degree ;s r~ I w' ~, i High School Grad , 11 ~ ~ I ~ ! / ' ~ ~ ~ i Some College ?7 ` ~ ~ , . i ~ = ~- - --- - -- - - - ------- - - - - i~ •--- ---- - -- - - - - -- - - - • •- -- - - - Coffege Graduate ~ ---- ---- ~ -- - - - ---- - ---- ~ ~ -~ i f .. . .. _._ ~_....._.. _ _ . .. ~ _ __ __ - -- -- ~ Grad IProf School 25 ; ~ ~ -- - - ------- ~•--- ----~---- - - fi _y , ~ 10 2tJ ~ Percent Exhibd 13 Gender .-~ - '.s' - : , . . ~ . . .~ ... Female . . . - ~- 49% . . . ' .' ~,,~~~ ~~;; •~~ ~'. • `~.; +, .~ • ,R~'~•~ ~:l ~ .~~.. ~,~. , ~ , ~~ ... •. .. ~ ~ ,. . . •. _- . ~ ..~ 'r . ~ ^ . .. . ^ ~ ~•~ ~ -- ~ ~ ~ .~ Male 51% ~ 4a k~~ ~~- J ~.....v~a IT MBrtte! Stetll3 Single 7~ o• W,doweci 4°.~ Divorceal/Se~arate ~°f4 EX~71~7f~ 1 ~ Minar Chi~dren Presen~ in Home ~er~'t Have CI 7~°/a Rl~ ~o~ Children B°fo s= . ~ ~ ~} -, Exhib~t ~ fi Annua! House~old Income $75K or ~.!-<< . _ . . 2~ . - !~_. l . ; -- - - - •-- ~ , ' .` $50K to $74K 25% Exh~brt 17 Annual Househofd lncome Health Club Membership so.ooo- 26% ~ 9951HASA/Amencan Sparts Data, "Health Club Trend Report " "25K to ~34K 13% $49K cz ~/o -as,sss 32% ~ r _ ~^ r) ~w ~- ~ r Under$25K 13% ~~ ~xhibd 1 B Tirne at Current Address 16 ta 20 Yrs ~ ~4% ~ 11 to i 5 Yrs "- 10°/a fi to 10 Yrs 18% Exh~b~t 19 Employmen# Status ~~_. / to 5 Yrs 31% Ret~red 17% ~ ~• ~ \ . ~ -~ \ - - _ _.- - - • - ---~'~ I Work FuEI-Tim•• ~ I 61°Ia ~~-, 4.~rK Part-TGme ' - ~.~~j I 9% _ . o.....~- S •~ {l f1 ~ { W 5tudent 5% EJnamployed ~4~ 21+ Yrs 1 Yr ar Less ~~J'% ~ V~~O ~ -----=- - ~---.-.._. _. a ~ ~ ~ -.--~--~-- _._._...-, Membership ~ist r c e r~~, ~: c:•~ + n Assocxation of Hospita~ Hea~th and Fitness ~vanston, I11ino~s February 1997 Assaciation Members 02/04/97 ~ t Kinsmen Reh-Fit Center Mr bon Fletcher Executrve Director 13~30 Tayior Ave Winn~peg, MarnGoba, R3M 3V8 20dl488~Q23 Fax 204l48FSd819 Seven Oaks General Haspital !Ns 5ue Boreskie ~zecutive Director, Weflness Inslitute 230o McPhi1lips St. Winrnpeg, Marntoba, R2V 3M3 204l~.92~541 Fa: 2O4lG97-2412 Southwark Gnuncd Ms Ca~ol Roberis 15 Spa Road Lorxbn, Erx,~land, SE163~W 01 i 4A i71 525 3.409 F+ut Oi 1 44171 5~251567 YMCA ot Greater Vancouver Ms Cdlsen Keenan V P Commurncations 404-1045 Howe St Vancower, ~C, VfiZ 2As 604/681 ~96?2 ~ax 6041588~220 Aiaba~na Alaisama P.T. Assxiates P A Ms De6ra Pow~ll vice Pres~dent, Physical Therapist Monioe County Hospit3l P Q Box 36 Jack.qon, AL 36545~0037 3341246~5761 PAx 33~F12463779 Coasa Valley 6MC - SparFs First Mr David Clsveland Director 395 West Fi3ckory Sylacauga, AL 35150 20Fi1249-5728 Fiut N!a Huntsvrlle Hosp Therapy d~ Fitr~esa Ctr Ms SusEe Mickle Program Manager S01 5ivlsy Road Huntsvdle, A~ 35@01 2051r17-7100 FAX ZO$Ir.u7•'LOB3 Ke~ler Welicare Center Ms Pam Jamigan Wellness Coordinator P O 8ox 610 Sheffield, AL 35660 20513$9-9270 ~nx 2Q51386-4(l67 5t. Vmcent's Ftness d~ We~lness Cenler Ms Stepharne Halderby Qirector 8-uno Reha6ditabon Csnter 833 St Yncent's pnve, Suite 10Q &rrmngham, AL 35205 20~/'9.'?d ~23 FAx t0519 30-23 1 9 Arixona Chandler Regional Ftospital Mr Everett Taylor VP-Com Health 6 Human Res Dev 475 5 bobson Raad Cha~xNer, +4Z 85224 6Q'7J917-1183 Fut 60P18217634 Fit Center Plus Ms Shelley WhEtlatr.h 4756 E Gruit Rrx'ad Tucscxi, AZ 85712 5~'~Of326-38~1 FA% Ei20l32A-1057 JC lincoln Hospital Mr ~avid Feinng D~rector 9202 N 2nd St Phoen~x, AZ 65Q20 fi021543-2381 F-ut fiD2P997 93~5 Arkansas Baxter County Reg Hosp~tal Mr pon Wunl butre~ch Pro~ecl Cooidmator 624 Hosp~tal dv Mountarn Home. AR 72653 SQil424-1466 Fnx 504l424-1667 Conway Regiona! Health and Fitr~ess Ceni~er Mr Bdl &~Idvnn Director 700 5aiem Rd Canway, AR 72032 5dll454-9292 Fnx 5011450-9095 Mamn Altman Fitness Center Mr AAar4c Bliss p~rector 1311 S 1 SG P O Box 17006 ForlSmiifi, AR 72317 5tlilA45•5469 fax 5Q1l441-ra.~7 St Bernards Regional Med~cal Canter ~41r Andre Watson Fitness Center D~rector 22a E Matthaws Jonesboro, AFi 72401 5D11'972-0500 FAx 5011931~.G9~ St VmceM In6rmary Medical Center Ms Mary L Jackson Actmin AssUDirector Weliness Plus Two 5t Vincent Circle ~ttla Rock, AR 72205-5499 ~1/660~3*-J04 Fax 5011fi71~7'4i St Vince~t Infirmary Medical Gentar Mr Karl F Freeman Manager Wellness Plus Two 5t Vincent C~rcle ~ttle Rock AF172245-5499 501l660~.304 Fruc 501r571d741 White Ceunly Medical Center Ms Liz Howell Chractor of Markei~ng 3214 E Race Sear~y. AR 72143 S01f2Ge~9 Fnx 5dit268-749~4 Californ~a Alta Bates MedicaF Center Ms Alex Hardy Directorl~mergenc.y & Occup Heallh Services 2a50 Ashby Ave Berkeley, CA 94705 516f204-1663 FAx S10C20~1-1728 r~ Associalion of Hospilal Health and F~lness, ~vansion, IL t.~ ~ c:~ AssaCiation Members 02/04J97 Card~ac Rehab ac Mr Gary L Cox Nurse Manager, Cardiac Rehabditaflon Cladrmont He~ghts P O Box 496009 Redding, CA 96049~oos 916f225-7750 Fuc 916/225-729~ Centar for Health aind Ftness Ms Paula J Neubert Program Director 510 N Prospect Avs , Swfe 10t Fiedondo Beach, CA 902T7 3101318-4524 F,UC 3i0/374fa809 Lifestyla Gcnter Ms Jayne K Presnell Director 5105 W Gypress Ave Vsalia, CA 93277 209~6353407 f Ax 209I732~750 Queen of !!~e Valley Hospital Ms Liz Mdlar Cardiac Aehab Supernsor 100b Trancas SE Napa, CA 94558 7Q7/257~175 Fnx 707257~190 T#~e SporEs Club Company Mr Chns Curry Vice Pras~dent 11100 Santa Malrca Blvd It300 Los Arx,~eles, CA 9Dp25 310J479-520U F~x 310~A79-8879 Connec3icut Dand L Dmerman Mr Dawd L Dmsrman Consulk~nt 6325 Dennison St San Diego, CA 32122 619l625$.'380 Fnx 614/G25~380 HDG IntefGiFit Mr Steven Gumins CEQ i7575 Paclfic Coast Hwy Paafic Pahsades, CA 90272 310J~36~3.94 Fnx 310123a-3397 Health Spurces Mr Jarr-es Levasque Pras~dent 2930 S Sepuhred.~ 6Nd 2nd Floor Los MgBles, CA 90025 310J444,4934 F~uc 310J312-0084 . .~ i' . C~7 i- + Wall & Wdl lntl Mr kkichio Navui Fitness pireofor P O Box n63 Van Nuys, CA9t4o9 818+r.106-0803 Fi-1t 818/789-76B0 5an Joaqum Vaqey Rahabdila~or~ Hospdal Ws-llCare l1SA Mr W David Smdey Mr Fred R Young cnier Execuavs Oif~cer Pres~cienVCED 7173 N Sharon Ave 1776 Rubenstein Dnve Frssno, CA 93720 Cardiit, CA 92D07 2p91436-~3600 Fpx 209/43fiy3G06 fi19/942-1529 Fruc 8~9J'9~42-0430 Sports d Entertainment Haldmga l.td Mr John A Kalamaras PaRr~er 2333 E Co~st Hwy , #K Newport E3r~~ch, CA 92G25 714~6753200 F,ax 71ar1675~753 St. John's Hospttal FoundaGon Mr Robert Kiein VP Communiry/Publ4c Affairs t 32B 2~d ~. Santa NEornca, CA 90404 3iW829$424 Fnx 31Q/315fi167 Colorado Indrv~dual Membership Mr Ed Wdliams 1700 Broadway S4a 1900 Danver, CO 60290 303JBG6-0600 Fa~c 30.'i16f0-04t10 Portercare Hospital Mr Marble Jones Mar~ager, Benefits 2525 S Downing S1. Denvar, Cd 80210 3Q3~TT$'S~2T$ FA% 303/T/8-~p Association of Hospital Health and Fitness, Evanston, IL 1 Fitlan~ot Mr GeoN Alswarx~er Vice President of Busnsss Oevebpment 333 Ludbw Street Starrfo~d, CT Osso2 20Ci~3163t51 FAx 203/315~150 Groar~wich Hospdal Mr PeOsr LaMachia Managar, Haallhy Living Conter Greenw~ch Pavilion n lahayema Plaoa Graenwich, CT 06830 20Q1663~3751 F,vt 20C318633744 Gnffin Hospital Mr Jot~n Bustelos, Jr PrBSidantlCEQ 130 Drvison St Derby, C7 06418 2D3rl32 7500 Fax 20.'if732-7569 Fleslltttraz ~s Nanene Ferr~no Vice Presxfent, Development 115 New Landon Tumpike Glastonbury, CT 06003 2031~.'33~5572 Fwt 2~i/5,'i9-7472 HealtFrvrarks Ms Jannie M aavis Directar 100 N9ai ROad Walh~gford, CT 06492 20C~fi52861 F,nx 20Ci1265~9207 AssociatEOn Members 02/04/97 Samt Francis Mospital and Med~cal Centar Nir Paul Va3lone WeilnASS Coardmalor 114 Woodl~nd Si St~ 3201 - MS ao0 Haritard, CT Ofi105 FOCiI54Sr.,G8.9 FA7( 203l5~F3376a Betliesda Health ~ Fitness Center Mr Ciyde 5tretch Director 98R4 5outh iUliiitary TrAd Suite E2-2 6oynton Bea~t, FL 3343b 4071T38~1b9 Fnx 407A35-7918 Fitness Center Ms Dernse DAPra Director Deparlmenl of Reh~b SFirvices Boo Meacbws Road Boca R~+tan, FL 3.9486 407l395-7100 Fnx 407/395~0914 Cood Samaritan Healih de Wellness Cenier Ms Jan Wolf Director PO E3ox31ss West Palm Beach, FL 33402 561/650~248 Fuc Sfi1N650~104 650 D C Providenca Hospiial Ms Gathanna Miadel Director, Wellnass Insk~tute 1150 Vamum St , NE Washmgton, DC 20q17 207J269•7674, 269-7275 Fax 202f269-7p48 Delaware Llfasiyies Ftness Center Mr Paul S LeBlanc prrector 601 Soulh Govamors Avetnie pavar, p~ 19901 3~iG74 7171 FAx 3012f735~257 Madical Center nf aelsware Ms Lucy Siegel Director, Preventve ~4fed & Rehab Gnshtute 50! West 141h St P O Box 1668 Wilmmgton, D~ 19899 3~f429~272 F~x 3021428-2599 Florida BapUst Ouq~ahent Center Ma Ekza6eth Matalnn Asststant Di~cEor of Rehab 8950 N KendalE Dmre MEiami, FL 33176 r- 30L~279-5188 F~x 306/270,3696 Card~ac ~tr~ess Center Fitness Plus, Rockledge and 5untree Ms Terry F Ray Mr Bob M~chaels Program Dueclor, Card~ac Reha6 Departmsnt Director 1625 SE 3id Ava P O&~x 565002 Ft Laudertiale, FL 33316 Axkleclge, FL 3295&-5042. 305f355-08.~1 FA7( 30~35,5~,'i47 467/636•2211 FAIf 407/690~6~25 Geveland Chnic Hosprtal Ms Margaiet S McRae Sde Adminislrator 2835 North ~caan Blvd (A1A) Fnri Lr~uderck+le, FI 3330a 954Ir.a68-10~R Fax 95415S1rs183 FL Hasp Fitness Centers - Avon Park Ms Ahson Brown 5upemsor 2501 U527 N Avon Park, FL 33825 81 31453-1 367 F~ 8131453-f320 Columbia Blaka IVladical Center Ms Vugmia Mace Director, Company Caro and Wellness 2R20 59~h Sl. W Bradenlon, Ft 34209 9411~98~6050 Fuc 841I798~Q51 Commun~care Wellnass Cenrer' Ms Mary Waller Wallness Director 2626 CapffiI Medical 81vcE Tallahassee, FL 323oe 9d~,56~a0y7 FAx 904/656~5362 FL Hosp Ftness Centers - Lake Placid Ms Alison Brown Suparnsor 2501 U5 27 N t,~ke Plaad, FL 33852 9d1l~9-12Q0 FAx N/A Florxia Hospital Rehab Center Ms Lee A Johnson Adm mistrator 2250 Bedtord Road Driartdo, FL 32803 407l~95-7Fi0d Fnx 447l697-5783 !{ealth Frst Pro-Heallh ~ Fitneas Center Mr Sleve Dietz Dueclor fit i Shenclan Rd AAelboums, FL 32901 407l676•7149 Fnx 407R22~658 Indian River Memoria! Hospdal Mr Gara-r! J Koziel Senar VP, Pkannmg & Developrt-ent t00Q 361h 5t Vem Beach, FL 32960 4071567~4311 exl 1603 FAx 40715623628 Indmdual Maml~arship ~r Michael ~1 Fulton 257D InTemaDonal Speedway Bfvd. Daytona 9each, FL 32114 9D4t~S895[YL FAX 94'l~239-9751 Inbernational Flealth ~cchange Inc. Ms Paulette T Goldschmidt P~es~dent 18D1 UnNersdy Dnva, Swte 2D9 Coral Sp~ngs, FL 33071 30.51753,2600 Fuc 306f'.i44-24A3 ~~ Association of Hospital HeaHh and Filness, Evanston, IL G~ 2 I~ 7 Assuc~ation Members Q2/04197 Jupiter Medicaf Center Ms Ann M Smith Director, Rehab & WaNness Serwces 1210 S Old Doue Hghway Jup~tsr, FL 33458 sssrra72zsa F,~r 561r1a5~5747 Lee ilAemanal Wellr~ess Cer~tar Ms Janme Rust D~rectw 2TT6 qeveland Ave P O 6ox 221 B Ft Myers, FL 33902 941r334~152 FAx 941/33Ars120 l.eesburg i~e~~ana! #Asdical Center Mr Paul Johns Adminisirat~ve Director 600 E Diz~e Ave Leasburg, FL 34748 352/323~6~23 fnx 3.521',i23~5629 Lifetime Fitness 8 Reha6 Center Nlr po~g~s A Dr~mmo~d Fitness Director 1140 SW 1 st Ave OCala, FL 34474 904J'~GB-7099 Fuc 9041867-1886 Mem Hospiial Wsst F'itr~ess 8 Rehab Centar Ms Vll~a !N Stewart Admimstrah~e Director 703 N Framirx7o Road Pembroke Pmes, FL 33D28 3D5KJBfid~800 FAX 3p51567-'~J04 S~ ~ Morton Plant 6 Mease Health Care Well Ctr. Mr Jetl Fnadman Fitness Coardmator 401 Cort~ett St St8 100 Claarnatsr, Fl346f& 613l4G2-7658 FAJC 81314fi13341 Norlh Braward Medical Center Ms Bethann Siramagha-Ruditz Caidio Pulmonary ~ehab 201 E Sample Road Pompano $et~Ch, FL 33064 3051786~875 Fnx 305~786sa162 Norih Okaloosa Medioal Cantee' Ms Corn Casey pirector, 8us~ness Development 151 Redslaia Ave CresMaw, FL 32536 904~89-8139 Fax 904AG89~484 Patex lntl Incl7rackmasler Trsadmdls Mr Pater Btxison 4300 Bayou Btvd , Suitr~ 3e~ Pensaaok~, F~ 32503-2671 B13F375-1545 Fuc 904~JG.9-0633 Soutl~west Flonda Regional Medical Gentar Ms Pariy Turner Duector, Fdness Center 2727 Winlcler Avanue Fo,t Myers, FL asso~ s~of~sas~ao~ ~ax s4~~c~.e~sa Wellndas Cantar Mr W Gregory Camp ~i recto r 360 Goodletle Ro~d Soutl1 Naplas~ FL 33940 9131'~f'i3-8817 Fwt B13CcY3-032S Wamsn's Wellnese Canter Ms Cary Wing Duector 3000 Hunters Creek BEvd Orfando, FL 321337 4071439-1100 F~ 4D71483-0099 Georgia Bra~ey Wellness Center Ms Carne L Kelly Diractor Pp Box25t4 Dalfon, GA 30720 706/278-9355 FAx 706!'126~872 Gwinnelt Haspital 5ystpm inc. !Ns Lea J ~apsxie V~ce f~ras~dent 3805 Pleasant Hdl Road Duluth, GA 30138 r~aa~-saos ~~x rr~~~s53ooe G1r~nnnett Hospital System Inc. Ms BavaAy Mobley Nutnbon & ufesryle Qirecbor Glarxy Professanal Buddmg, Ste 130 3855 Pleasant Hdl Roaid puluth, GA 30136 770/813-134! Fax 770Ja95~.,006 Health Central Fitness d~ Wallness Centet Mr James P Ball Directar 945 Bmad 5t. August~ GA 309at 706l724-4408 FAX 706/724 2 S 55 Heallh Placa: Centsr tor Wellness Ms Lisa Crossman Directar 65 S Med~cal Dnve Manetta, Ga 3ooeo 77CV793-7300 F~x 770V793-~922 Peggy ~ Phdip B Crosby Wellness Centar Mr Fiobert J Brosmer Wellness Services, Wintsr Park Nealth Foundahon 2005 f4~ixell Rve Wintsr Park, FL 32792 447/84~4~3G06 Fa.c A07r5443876 Fit-for-Lrfa Ms Jenny Sweat Dueclor of Wallness 743 Spnrag St, Ga~nesvdla, GA 34501 no~s~es FAx na~aa~2~ ~~ ~'~ Association o# Hospital Health and Fitness, Evanston, IL G] 3 Highland Athletic Club Ms Rosanne Sala~frna F~fiess Managar Preven9ve Medrerne Cent~sr 303 PArkway Dr , Box 62 Atlanta, GA 30312 4A41265,3634 FAX 4041265-1535 Assoctiattion Members ozioais~ John ~ Archbold Memorial Hoap~tal Mr Gary Carter Director Ou~abent Cardiac Rehab Center P O Box 1018 Shomas~rdle, GA 3i799 912~28•2000 F~uc 9121228$594 ProMation Filness CU'. oi 5hepherd Ctr Tanner Medcal Center BroMenn Heallhcare Ms Stacy Green Ms Gma Brandenburg Ms donna Nabors Coorc6nator Wellness and Heallh PmmoOon Coorcfnator Manager, Healih Promatan 5emces ~p p~~~ R~ 705 pixia 5t 807 N Mam St A~anta, C,A 3p,9pg Carrolltan, GA 30117 Bloommgton, IL 617D2-2B50 A04ld5D 7767 F~tx 404t350-i773 77019.'36•9282 f~ut 7741836-9353 3061828-0744 f ~uc 309f829-07fiQ rlewrtan HoapHal Flealth ~ Fitness Center Souih Georgia Med. Center Ms Conrne Memgan Mr Jack Edwards O~rector V P PI3nr~mg & Ma~lcehng PO Brnc99~ 2501 N PattersonSl. Nawnan, GA 30264 Vaklos4~i, GA 31602 qpqJ25435.5D v,uc 404C2S43568 9t2r3,93•1497 PAx 912~33-1007 Phoebe Pu~ney Memor~ai Hospilal Mr Gregory 0 Brown pir+actor, Caidiac and Physical Rohab 417 3id Ave plbany, GA 31707 912/A89-2447 Fwt 912/889•7011 5t Joseph's Hosp~tal Ms Cindy Johnson Dirmctorof ~di~cabonal Services 11705 Merc.y 81vd 5av~ruah, GA 31a19 912l921-3331 ~Ax 9 i2lt321 ~3.3d pfioe6e PutnePy Memorial Hospital Ms Dee~ee 4ia1{ Program Caotd~n~tor 417 3rti Ave Wbany, GA 3i 7R7 9171889-4O4G FAx 91?l88~7857 piedmont Hosp~tal FieaHh and Fitrsess C1ub Mrs Jan~oe Carpantar Coordinatpr 20c11 Peacht~e Road NE 3~S 100 Atlanta, GA30309 4p31B05-1967 Fluc ~ S~ Joseph's 5pecialty Centar Ms 4an~se Crowe Manager, WaRlness & F~tness 1155 Mt Vemon Hwy SlRla 90A Atlanta, GA 30.338 rrarr~a~aoga F,uc non~o,aoaa St 1Nary's Wellness Cenlar Mr Ken hAclGnney qiractor 1230 Baxtar St Athens, GA 3oGO6 706~7~3700 Fut 706r3543092 Tha Winfield Groap Carlinv~lle Area klaapital HeaNh Prom Center Ms Pameia P GnHm Ms Lon Tigo Senaor Pm{ect Manager Drrector 1280 West Peachlree St i401 E Nbrgan Suita 210 Carlirrvtlla, IL 6262fi AUanta, GA 30309 2171854~141 Fax 217r854 7861 QOQ/$8$-0530 FAX 404/881-~J8G0 Watton Medical Fitness Center Centre Club Mr William Berry Mr Steve Aull D~rectnr Carporate ~ir+~ctor, Fttr~ess and Wellness 12D5 W Spnng St 200 West Gdf Road Monroe. GA 30655 LberiyvilVe,lt 600483199 4p4Cr67-0031 FAX 4041702-0183 708/g1f>~Ci100 ~lu( 70BJ'd62-1721 WeBnesa Center D~riaion of federat Occupational Healtfi Mr ^ave Terrell Mr 5am Gabuz~ buector Ragonal Fdness Menager 3797 Northside ~nve P H S, Regqn V Macon, GA 3i210 145 W Adams 5t, 13th Fkoor 912147i•2300 F+uc 9i2/757-7ffi1 Chirago, IL 60G03fi206 3t21g66-4215 Proc 31213.53~786 I I I i n o ~ s Edward Health 8 Fitr+ess Center Ms Betsy-Fa11on ~ ~ l, ~ , ~ ~ ' I ' Nir Brad Eiirkhead Managsr ~ 9 i 4 A Cram SL TI S 8rom br ~vansbn, I1.60¢02 Napennlle, IL 60540 $47328-9245 fuc NIA 6,90l717-0F,W Fiuc 8.30V117{1596 ~' % Assoc~atbn of Hosp~ta! Hea1t~ ar~d Fftness, Evanston, IL ~~ 4 ~_ ~ Associatian Members 02J04197 Evansian Hospiial - Physical Medicine IVIs Mary Baran D~iector of Aehap Sennces 2650 F~dgB A~e Evenston~ IL 60201 708PS7b-2461 Fnx 708J57o-2901 Ingalls Health Systam Mrs Karoi Kuchenbecker 6701 w 15Jit, street Tinley Park, IL 604T7 708hJ15•7385 FAx~ 70~429-7650 Northwest Csrd~ac Rahab Canter Dr Wdt HoHman director, Cardiac Technology Program 120o W Ak~anc~um F~+d Pa~2,hr~, IL 600f7-7398 S47I~i-~0 FAlf 7~C~H Rasurrecdon Meciical Canter Ms L~nda L Dean Diredor of CartCiac Rehab! Mealth Managamen! 7435 W Taloou Ch~cago, IL60631 312!!9l2f423 F+uc 31?1782-7400 Gal~er L.deCenter on tlte Green tnc. br ponald R Timm ~res+de+iVExec~t-va Dnector 5157 N Fr~ncisco Ch~cago, I L 60625 3121878-9936 Fuc 31218i8•1173 Lake Foresf HeaHh 3 Fitr~ess InsUWte Ms Mard Derieth ~ce Pres~dent I CDQ 1200 N Westmoreland Lake Forest, IL 60045 B47f735-1200 Fuc 7Q8J735-7129 Good 5amariTan Hosp~tal L~fe Filness Ms Laura Neiberg Mr Paul Nakafoor Director, Phywcal Med 8~ Occupational Health Assoc~ate Marlceting Manager 3815 H~Earid Aveix~a t0601 W Belmont Ave Dormers Grove, iL GQ515 Frank6n Park, IL 60i31 70Bd275~1035 Fauc 70Qr275-1219 7D6288~3494 Fax 7081288~792 GotUie6 Health ~ Ftrtess Candsr Loyola Unrversity MedicaE School Ms Glon~i f4turray Mr Y~nce Henehan pirectar Frlnass Center Cooidinator S51 W North Ava 2]fi0 S ~st Ave Melrose Park, IL 60160 Maywood.lE.6p153 70BJ450-4527, 450-5790 Fnx 748~681-5412 708I216~65t Fnx 708/216,4057 Hospdal Fitness Corpora~on Mr .fohn P Greene CEO PO Box 6175 Eva~ls0on, IL 60P02 847l47`r2332 F~uc &471475•2112 Lutheran General Finess Center Mr Scotl Chovanec D~rector • Fitness Serv+cas 1875 Oempster St. Sle Ca01 Park RKlge, IL 6ooCe 7D8~696~80.'~0 F~x 708~56~8175 Northwestam Memonal Has~tul Rush i~orth Shore Meci~cai Ca~ear Ms Donna Clark 1Gtchen Mr flon Zeigler Direc~or, ~fastyle Nlanaogernent Director Gaad Health Progra~m 2ao E O~tano, S~ aoo ssoo Gmss Po~nt Road Cf1~'~go, IL 6Q611 Skokie, IL 60078•1257 312M1~D8-73A6 F~,x 312/'9Q8-5444 847lg33~8B99 FAx 847l933~6012 OWPd~P Rush-Copley Healfhplex Mr Gary ColUns Mr If~rk Kn~se Director ot Healih Care Marke~ng buBClor 570 Lake Gook Rd 2000 Ogtlen Ava C1eePftefd, IL6d0i5 Au-t1~,1~60504 &17~'940-9600 FAx 8471544-9BD1 7'OBJS44-10Q0 F~uc 70B/SA4•1030 OWP~P Sam! Antltony's Hesltlt Cantar Mr Michael Stam Ms Tina Zumwalt 570 Lake Cook Rd Wellnass Coormnator ~eerfield, I~ 6D015 P O Box 3A0 8471540-~640 FAx 84y19~40•9601 Allon, It 62oD'2~340 8181465,3803 FAx 818146~2265 Phdl~ps Swager Associates kne 5aint Francis Healti~ Fitr~ess Cantet Mr J Thomas Seymour Ms Barbara Alhson Vrce Preadent Supervisor 3622 ~! KrioxwNe Ave 2285 UV Altorfer Dnve Paona, IL61fi03 Faeona, IL&1615 309lfi88-95} 1 FAx 309/688~4,90 309l692•1 i0c3 Fuc 3QBV691~9438 '~~ Association of Nospital Healih and ~itness, Evanston, IL G~ 5 C.~ t Assacaatran Mevrrbers a2ioa~s7 Sa~nt Joseph Mad~cal Center Ms Ju1~s Nehls M~nager, Fibess Center 333 N Madison St Joliet, IL fi4435 81S/725-7133 FAx 815f125~9459 5t~ James Hospitai Ms Ma~ne Ja~rell-Gracious Directorof Reht+bihtaGoro Senr~ces 1423 Chicago Road Chic~~go ~leights, IL 60411 708f156•1000 ~luc 7081709f90.3 Dasconass Naspital Inc Mr Bdl Bennett Fitness Cent~r Manager 600 N{ary 5l Evansv~lle, IN 47747 8121428-7281 Fiuc 8i71426+e069 Kakoma Sports Center Mr Kent W Weaver Executive Dtrector 11 I W Southway BNd Kokomo, IN 46902 3 f 7J455-O i67 F~ax 3 f 71453~4 f 54 Saint Joseph Medicaf Centisr St Josaph Hosp:tal 8 Health Gare Center Fbyd Memonal Hospital and Health Serwces Parkwde Fstr+ess CenEer Ms Jan McCombs Ms She~la Shaughnessy Mr Mark Truman Ms Edeen Brackett Strptegrc Plannrr~g Pmject.4ssoaate 2900 IV L~ke Shore Drnre D~recforof Rehab Serv~ces 3000 E S~te Bh+d 333 N Mad~son Ch~cac~o, IL 60657 1850 5fa4a S~ Fort Wayne, IN 46806 '~O~~k~ ~~- ~a~~ 312~G65,3453 F,ax 312~'i65~493 New AI6r{ny, In 47t5o 2191484~i6.36 ~ax 219l471 2196 815(773-7873 ~Ax 815J741-7579 812~3487446 FJUc Sherman Hospi~l Westlake Commurnty Hosp~tal Hancock Memona~ Hosprtal pra Fieaflh of 5a~nt Joseph's MadFCal Ceniar Mr Bnnsley Lew~s Mr ~ean Hobson Dr Robert Kaen Ms Latin Miro V P plannmc~ & Marketmg D~rector Pres~denVCEO Director 834 Cenisr St. 1225 W Lake 5t B01 North 5hate 5t 320 S 5L Josaph St E1~n,116012o Melrose Park, IL 60160 Greenfiakl, IN 4814o Sou~ Berxl, fN 46G01 7081lj88$702 F+uc 70BJ7d2-9627 7pgIGgl~ppq FA% 7081G81-0151 3171462~0457 FAx 317J462-022?. 219/232.30,'34 PAx 219123B-~aU75 SoUlham Illlrrols FfeaNhcaro IUs pecicy Ashton ooa 520 Fiushmg ~r Cartervdle, IL62918 6181y8,5s.'?88 Fruc 618l585~280 St Anifiony Health and Ftr~ass CenMr Mr Shawn VcntA Managar of Heal~ Fifiess 6122 Mulford ViNags Dnve Roddorcf, IL B1108 815/395~OOS Fxx 815l3973515 ~ a ind~ana Center for Fitness 8 Perform~ce Mr Alan tey Darector, Unron Hospital 1G06 N 71h SL Terre Haute, EH 47E04 8t21238-7311 F--x 61?1238-7113 Calumbus Rscpona! Hoapital N/A w~i~ r~ ~~~ 2400 E 171h St Columbus, IN 47201 8121376x,#B FAx 812l376~5916 Healtl~ 8 Lileslyle Center oi Meinor~al HospHal Rrverv~aw HospNal Wdlness Center Mr Greg Bennett Ms Knsta Caldwell Senar Exeroise Physiobgist Wellness Ass~stant 40i East Coilax 395 Wes~ield Hoad South Bend, IN 46617 Noblesvdie, IN 46060 219f233-7179 Fax 219v'Z34~558 317lT76-7235 FAx 317/776-7134 Jacfcson Caunty Schneck Memorial Hospital NEr Gary A Meyer Exec DirectarlCommunity Services P O 9ox 234$ Seymour, ~N 47274 812/a22-0i 12 F~uc 812J5~22-0544 WelMess Servic~fiess Canbpr Ms 5ua Weiget Program Director, F~tness 134a0 N Mendian CarmeE, EN 46D32 3i7/562-7428 FAx 3171582•7515 ~~' Assoc~atia~ of Hospital Health and Fitness, ~vanston, IL c,~ ~ c~ ~ Associatian Members 02/04/97 iowa Olatha Modical Center i4As Amy A Metcalf Wellnass Caordu~ator 20333 W 151 st Olathe, KS fi6061 913fl91-0398 FJUC 913l791-0393 Louisiana Covenant Med~cal Centar Ms Cindyr Beyer Wellnass and Fifiess 3421 W 91h SL Wacsrloo, IA 50707 319~J13,~J6 F~ac 319I236-0048 Fleardand Health Center Mr James 14! Evans ~xecuGve Diractor teos R Avencae Madnd, IA 50156 515r795-2105 FAx SZ5/432~281 Mercy Wallness 8 Sporta Mediune Center Highlands Weliness Centet Ms Susan Pearce Mr Scotl Richatilson Acfmtn Direc6or, Rehab Setv~cas Development Coordinator aoo Urnvera~ry 5~32 Ky Rt. 321 Des f~Aanes, IA 5D314 Pr6stalst~urg, KY 41653 51524730GG Fuc 5151248~696 6b61~386J6b2 Fnx 6oG1t~86-04.50 Dynamic O~mansron• Ms Rachel wlbum Health Promobons Supernsor P O 9ox 2269 5ulphur, LA 7066~4 226.9 3181527-4,'364 FAx 318/527,4182 Kantucky Ephraim Mcpowell Regional Med Ctr Mr Jamey Gay birector ~n s m~~d scree~ Danvdie, KY 40422 GOGI236-08G8 Fut 606~238-0171 Elmwood F4~ass Csnter Mr Ken Kachbk Manager t200 S Clearnew Parkway SOa 1200 New Orleans, LA 70123 50~4/7',33-160D Fnx 50~4J7'.33-1684 Health Ctr tor Ftnesa d~ Aahab Mr Stephen D Hudalc lie~llh Center Coordina~or ~ 121 Medical Center Btvd Marrero, LA 70072 5114J348-0065 Fuc 504!'.i47,4267 St Luke's Alive and Well Finnase Censer Haudlus Racquet 6 Swim CIu6 Ms Amy J Prewett Mr Rico Sutton Director Maneger 252 Bla~rs Ferry Raac~, NE 950 5tonebrvok L.ane C~edar Ro~ds, IA 52A02 Pad~icah, KY 42002r.,09Fi 319/377•1615 FAx 319/3733445 5~2l443•7529 F~uc 5021575~'a453 Kanaes Life ~ynam~cs Ms Les~a Madcey and Jenrne Egan Co-Coo~dinators of I~fe Dynamics 9100 W 741t1 St. Box 2923 Sham~ea M~ssan, KS 6620i 913/676-24R0 Flu~ 913l18932Q,9 SL Joseph Hospital Ms Mn Jonss Wellness Coordmator 1 St Joseph Onve Lswngton, KY 40504 sasrz~~a3s Fax sosrzn~aa~ t- 1 r ~ ,, G: -~ Health & Fitr~ass Center Mr Kenneth R Paubwch birector, Wellness & Cardiac Rehab 2600 Greanwood Aoad P O Box 32600 5hr~veport, i..A 79130-2fi00 3181&~2~4475 FAx 319l6.'i2-2517 Health Promotion Center Ms Jans d'Bnen 5uperv~sor 505 W St Mary Blvd lafaystts, LA 70506 aiarz3i-zeo~ F,u~ s~era~2ea4 Association of Hospital Health and Fdness, ~vanston, iL 7 Jo Ellen Smith Fitnesa Center Ms Kathanne A Haydal ~itaclor 4422 Ganerai MeyerAve SOa 206 New Odaens, LA 70131 5OAJ3fiB-2381 Fax 544J36,9-7599 l.ake Clwlas Memonal Hospd~l Mrs Jean Kamfa Outreach Chn~ca! Speaalist 1701 Oak Pmrk BIVd Lalce Chartes, LA 70601 3181494322fi Pluc 318l494•2Befi M~cal Centor of East New Orleans Mr Mark Rabito Director 5640 Fiead E3ivd SEe 20D New O~leans, LA 70~ 27 F~D4r244~540D FAx 50A1244 2747 S. Cameron Mem. Hosp~tal Wellness Program Ms Cathy Qenison-Wicke Diractor o( Special Pro~ects and TelemeciGr~e 5360 W Creole Hwy Cauneron, LA 7D631 318l5~42~239 Fwc 3181542-4692 Schumport Medical Center Ms ~ebbis !-lopoway RN, Managsr Cardiac ~iehab(WeAness One S~ lulary Place Shreveport, L.A 71 t 01 318~681 ~6641 F~uc 3181681 f 8~t Association Members o2loAJ97 Woman's Fttness Center Ms Dawn Braud d+recfor 8894 Aidina Hi~way, 5le P P O Box 95009 Baton Rouga, LA 70815 50A1924~.'~00 Fax 50~924-8233 Louisiann~ Massachusetts Charlton Weiiness Center Ms Chansse puroure Manager of Weltness Canter 250 Faunce Comer Road Nortt~ partmoud~, MA o2747 506,+9~J9-217t Fax 50B~-J90-2357 Cnitenton Hospital Marquette General Haspital Mr Mart~n Beaulac Ms Betty .fo LoCicero Director Frogram Diractor l~eh~b Serv~ces 420 W Magne6c 1101 W Unwers~iy Marquette, ME 49855 Rochesler, MI 48307-1831 gO6C?25-4800 Fuc 906~T25-4841 810l662-5315 F~x 810l652•5522 HealtF~care Equities Group I~hehfqan Athtat~c Clubs Mr Troy Schariow Mr Carl Porter Di~ctor ot Markedng pres~dent 2025 E BelUEne 5E 2500 Hannah Bh~d Ste 100 East Lans~ng, MI 48823 Grand Rapds, M! 49546 51N337-0002 FAx 5171337~3A0 616~357-1900 Fuc 616J285f735 Hurley Health 6 Fitr~ess Center Oaklavm Noaprtai Lafe Improvemar~t Genter Mr David Standndge Ms Nancy 5luiberg Manager Manager 45p0 S Sagnaw 13697 15 MIle Fioad Fhnt, Mi 48507 Marshall, M! 49068 81pC235~544 pA% 810/235,4629 616J7817585 FN( 616l7813859 Ylle PlaKe Medcai Center New ~ngland Baptist Hospital Ms Andrea V Fontenot Ms Sha~on Gaynor Dir of fVutntran Sbsc & Gommuniry wellnass Drrector f~ehab 5erv~ces 8~ Occ Med P O Box 349 125 Padcer Hdl Ave VAe Plat6s, LA 70566 9oston, MA 0¢120 31913fi3-9474 Fnx 318!',363~94i7 617/738ra830 paUC 617/232-1681 M~ry~end Central Maryland Reha6ihtatian Center Ms lulary C Wagner Executive Director 630o Woods~ds Coun Columbia, MD 2 i046 41[Y312-JDQO F~x 41GY312~3001 Winchaster Haspital Ms Marylou Sxdagyi Works~te Wallness Coorclinator 4d Hghk~nd Ave Dept CHI Winchester, MA 01890 617l9,'32~8200 Fluc 617l756-2996 Michigan Peninaula Regional Medeal Canl~er Ms .leanne Rufl Diractor 100 E Carrolf St Sa6sbury, Mp 21801 ato~aaao~ F,~x aia~asai~ Physiaans Ma~e~orial Hooprtal Ms Andrea Hun4er Cor~munity Wellnass Manager PO Box IU7D Ea ~, MD 20646 301l6A9-4Q14 Fruc 301~609d457 Y' S 8orges~ Me~icai Center Mr Gary R Wlson Direc~or, Fdness & Rehab Ssnrices 1521 Gup Road Kalamazoo, MI 49001 616t~6~5756 FAx fi16C22G$2C~q Bot~ford Generd Hospital Mr Steven B Fane A~nmistralor, i~rofess~ana! & Support Semces 29U5U Grand Rroer Fartnington FidEs, M149338-5933 81p1471~3U1 FAx S1Ul471~3896 lfelsey Memorial Hosp~tal 5parrow Communiiy HeaFth Educadon ~1s Bobbr 6tnnger Ms Beth Spyka Weliness Program Manager Physiologist Director 418 Washmgton Ave 1215 E M~hKpn Ave Lake~~ew, M1 48850 Lansmg, MI 48912 S i 71352-7211 Fuc S S 71352~435 317l683-270Q fNt 5 f 7f483 2273 LalePlus lnc. St John Hoalth System Mr Steve Sams Mr Daws B Sa6o 377o Plaza Dnve Director, C.ardiac Rehabdifation Ste 1 221ai MorossRoad Ann Arbor, MI 48108 petrod, M148238 3131768~9Ci9 FAx 313r76,9~81Bb 313r3433158 Fuc 31~34~9-T7~l3 Associahon of Hosp~tal Health ancf Fdness, Evanslon, IL r; 8 c~,, c:. ~ ~ Association Merr~bers D2/04/97 St Joseph Mercy Hospital Ms Susanne Haadce D+rector Carcliopulmanary Sewices 90a WoodwaRt Ave Pon4ac, MI 48341 810J85$3597 Fuc 81QI858~275 W~lteam Beaumont Hospiial Ms Teresa Serowoky MariagBr 3604 W 13 Mile Rcf Hoyai bak, MI 48073 81 W551-0785 Froc 8101551 ~4323 M i s s o u r i St Joseph Health Canter BJGSt Louis Chddran's Hospdal Ms Juiie Eckstein Mr pouglass Homev pirector, Comtnurnty Programs D~recEor, Commun4ty HeaEth Devel 3pp Fi~~ Gapdol Dnvs One Chddren's P1ace 5t Charles, MFQ6330i East Cam~s, Sts 240 ~1 ~7x~ Fuc 314!'947ra090 St Lou~s, MO 63110 314J454~175 ~~x 314l454-218i The Banheid Graup Cox Fleateh Syrsbems M~ Jeff Bensky Presdent Mr Chns Flouer Duector, Fitness Centers 8123 ~elmat ~Ivd 1423 N Jefferson Ave Unrvers~iy City, hIIQ 6313~ Spnngfield, iNf~ 65BO2 31qr862,d99D pn~c 31qlB62~09g 417183f'r3282 Fu~ 417299~.r80 Unrversal He~th 8 Fitr~ess Canyor Mr Wdl~am Logan Fre~man Fiospitai Wellness Coorcl~nator Mr Kevuti A Lampe $~i~t Franas MedicAl Center Duector, Phys~cal NEedicme 211 St Franas Dnve 1102 West 32nd Slreet Cape G,rardeau, Mp 63703 Jophn, MO s484a 573l339fB,'i8 Fwc 5731339~6.429 4171fa25-3753 Fnx 417I6~5-3747 W. Co. Sports IIRed ~ qeha6. Gtr Namrnons lieart InsRitute Mr 8d! Brown Ms 5usan Blackard f 1628 Qld Ballas Rd. Admin~strator St. Louis, MO fi3141 1235 E Cherokee 344r395~eBR Fuc 314J56.933p6 SpnngHald, MO 65804 4171885-5369 Fuc 417l888-T/'96 Montana St. Mthony's Medical Centa Banefis Healthworks Ms Jef+n Cam~rbel! Ma M Lynn Compton Vice Pres~cient Operations Manager i0090 Kennedy Flpad 1220 Centrak Aye St Louas, M~ fi3126 Lower Level sia~a2is F~x 3~a~s-aaai ~rea~ Falls, MT 5saoi 40fil455ra,~81 Fuc 4QB14551'a3B0 Three Rwers Fitness Centsr Mr ~avid A Fultz hAartiagar ~u~ahent P T and Fitness 112;i W Broadway Three Rivars, MI 49D93 61GI279-1145 F~uc 6161273~228 Univorsdy of Michigan Cantor M-Fit Mr Bn1t Mkichel Trainmg & Development Coordu~ator 24 Frank Uoyd Wrght Dr P O Box 435 Mn Art~or, MI 48106 3131~J~-38~fiG04 FAx 313XJJ8fi.'~Ot3 Wast Shora Heatlfi Connacdon Mr S~ven Dutton Directmg Manager West Shors Hosp~tal ia62 Ma~isiee Hghway ManlStee, MI 49GG0 81fiJ72',3~8282 Fax 6161723~.'i85 Wdliam Beaumont Hosp~tal Mr Dav~d E Corba Ass~stant Hospda4 Director 44201 Dac~umdn3 Roac1 Troy, MI 4~098-1198 810/8283458 F,u 810l828~580 r ~ Minnesota Medical Graphics Corpora6on Mr Chns Hutchison CansultAnt 35o Oak Grove Parkway 5t. PauE, MN 55127-85~9 6i21484~4874 FAx fi12J486-7509 NorcficEdge Ms L~sa Ros~ Opera4ons Managar 105 Peavey Road Chaska, MN 55318 612136d3144 Fnx 612.l3683768 Unrted Hospital - Minnesata Nts Kns 4rson Jones Dir~ctor, ~xerCare Sernces 340 Walnut St. St Paul, MN 55102 6121G20~8080 F/uc 612f2~7 t 1 B Missiasip~i SporCsCare at M~monal Hospital Mr .loe Bishop SpartsCare Rep - Athlet~c Mkig PO Box181a Gulfpari, MS3950Q 6011867Fa00Q FJUC 601~65-7207 `- AssocEation of Hosp~tal Healtf~ and Fitness, Evanston, IL i'`. 9 ~~ Associatian Members oz~aa~s7 Lee's Summit Haspitat Mr John Jxab:.on CE~ 530 NW Murray Rd Lee's 5ummit, MO 64a91 816/251 •753 i Fuc 816I251-7510 New Hampahire Exei$r Hospdal Ms Deb Cresta Vice President - Ambulatory 5ernces 10 Bu7_xiell Ave Exeter, NH 03833 fi03/775~690 FAX 603JT78b683 New Jersey Cardia~ascuiar ~ilness Cet~ter Dr Walter Hasbrouck Directar Mountams~de Hospdal Bay & H~land Avenus FAontclair, N.f 07042 201l429~199 Fluc 2011G~D-7922 Center !or Fleall~ and Ftnese Mr Bruce Willson D~rector 1a3o W Sherma~n Ave Vinaland, NJ 0&'j60 ~4 F-x 60BV596-0726 Center far Haalth Pramotwn iVls Shsron Fields Asst Director, Reha6 Serv~cas Community Medical Cenler 3fi8 lakehurst Fioad Tama RNer, NJ 48756 5~F181'2440393 FIU( 9081341•725d Health 5outh Rehab Hosprtal oi NJ Ms Jan Ta6or Dir Business Development 14 Hospatal Dnve Toms River, N.1 08755 90BISD5-5229 FAX ~OBI24O-T7JO Hunterdon AAedical Center Ms Tamra Campanella Directar, Health and W9llness 2i00 Wescott Dme ~lemington, IVJ o8822 908IT88~443 FAx 90B(T88f I t i Omni(it . Mr Charles Pnce General Manager 130 Ga~lher Drrvs Ste l36 ~41L I.~urel. NJ 08054 G091~'22-1001 FAx 6D91'722fi759 Overlook Fkallh Systems Ms Connie Wilhams Director, HeaEth Prnmohon P O Box 220 Summ~, NJ 0790Q-0220 908~.,22-2836 F-uc 9081~.~22-2324 New Mexico PhDx Systems !nc Dr Wanefa C Tuttie President 23D9 Renard Place SE Ste 2a4 Alhuquerque, NM 87106 505r164-0174 FAx 505r164-0D74 Presbytenan H~allhplex Mr ~homas A MacLean Admmistratrve Q~rector 6301 Forest Hills N E Albuquerqu~, N M f471 os 505/923~83C12 Fnx 5051623~32d New York Fit~ness ~o-um Mr James H 5mith PresKlent 327 W Fayette St , Ste 405 Syracuse, NY 13202 315J471-0228 F,ax 315l474-1144 Indiv~dual Member Dr Gerald L Muehlberger ONlC, Urni 649U1 Box 29 APb AE, NY 09B39-4901 F ut N!A Mt 5inai Sporia Therapy Center Ms Mariha broiper 625 Macisai Ave 2nd Floor New York, NY 10022 ~~x Narthern ~uichess Hospiial Mr Dava Seaman Fitriess Center Mnnager P O Box 5002 Rhmeback, NY 12572 9141876~300i FAx 914J87fr7195 Samaritan Hospilal Mr Jeffr~y T Stewa~t phys~cal Therap~st 22i5 Bu~elelt Averwe Troy, NY 12180 5t81271~407 F~x 518r27]3442 Uni4ed WospHal Medlcal Center Ms Sandra Schoen 406 Bos~an Post Aoad Port Ghestar, NY 1Q573 g1b19343250 Fnx 914/'939-7D00 North Car~lina A16emarae Hospital !Ns Kathy Cestellow Director of flehab Semces Pp Box 1587 E4z~heth C~ty. NG 27906•1587 3191331 ~632 FAx 919C331 rl5$9 Athlet~c Club Inc Mr Ric Zirnmerman Vics Pres~deM 4420 W Chase Bl~d Sixte 425 ~e~q,, Nc 2~eos 9191$28~961 f ax 919l828-7910 Somerset Ntedical CenUsr Ms l+lancy Reger Admirnstratnre D~rector, ~ishab ~ 10 Reh~1 Ave Sorrrsrnlle, NJ 08678 90BrGB5-2944 F~Uc r' J Associaiion of Hos ~1a1 Health and Fitness, ~vanston, IL ,r~.. ~ ~ a ca Assoc~atian Members 02/04/97 Duke Center for uving Mr Steven Crouch Program pirector Duke Urnvers~ty Medical Center Box 3022 Dult~am, NC 277 ~ 0 9i94~660fi709 FAx Bt9/681~8376 Haywood County Hospital Ms. Edeen Lipham Occupat~onal Heallh Director 2a Hospital Service Road Cyde, NC 28721 7Dd1452~354 Fnx 704145~2~371 Memo:ial Mi~swn Hosp~tal Ms Patsy Ne~1 Wellness Coo~d~nator 509 Bdtrnore Ave AsheviNe, NC 288ot 744/258-9~59 Fax 7oA1255~292 Ou~aUent Rehab Center SL Luke's Hospqal br Raymond H Stane, Jr Mr Char4es Dunn Manager, Department o# Health Promotans Executrve direc4or of Hosptai Faunclatan 5301 WnghRsvihe Ave 22Q HospEtat Dnve Wdm~ngton, NC 2&403~599 Columbus, NC 28722 91N45o2~.'38B F,nx lV/A 7P41~4 331 ~ f~tx 7P4Ja44 2l55 Pdt Caunry Mernonal Hosp~tal Mr WalliAm 5heplay Administrator P ~ Box 6028 Graartvdle, NC 27835-6028 919816-7856 F~uc 9191916~ UNC Fiospitals Mr Chris Wdsman Manager, Employea Rec & Wellness 101 Mannmg Drrv~ Chapel Hdl, NC 27514 91~V5G6-4833 F~u( 919/966-1888 Racqueia Health snd ~itr~ess Center Ms Lmda Keisler Directar 414 E Parker Road Morgarrton, NC 28655 7 0414 3 8-2 69 8 Fnx NIA Moore Reg~anal Haalth 3 Fitness Cenmr Fiale~gh Community Hospltal Mr Bab 5ledman Ms Mana Grar~ory Admmistrative Director Director, HeaHh P1us 3o Memonal Dnve 340o Wake Forest Aoad Pinehurst, NC 28374 Rale~gh, NC 27609 910r215-1800 FAx 91Q~215•1850 9191554~3174 Fuc 9191554~570 Moorehoad Memarial Hospdal Mrs Julie MAIt-Barrow Cootd , Commundy Heakh 117 E Kings Hwy Eden, NC27288 91Q~B23~J711 F~uc 91QlG23fi192 Rex Weilness CeMer AIEr Ned Byrd Diractor 4200 Lalca Boona Tra~! Ralegh, NC 27607 919V781-1371 FAx 9191781-7192 Y ~ 5 Narth Dalcat~ Medcenter One Ms Mary Ann Meidinyor Vice Prasident - Marke~ng 300 N 7th 5t f3ismarck, ND 585p1 7Uit224~123 Fn1c 7011224~8~4$ Mafcenter One Bone Spne Sports CBrnc Mr poug Schwe~geR 225 N 71h St. P O Box 5525 Bismardc, Nd 58.50&-5525 70~,1224fi837 F~-x 7011~4f8q8 MaritCare 5ports Medic~ae Mr Mark Waldera Exerase Phys~ologist 736 8roadway Fars~o, ND 58122 7D1~234s.,066 ~nx 701l234•7098 ~~ '~ Associ~tion of Hospital Health and Fitness, Evanstan, IL f` ' 1 1 Oh+o Akron Ganeral Health and Wellness Mr poug Ribley Director 23t SpnngsKle Dr S6a 201 Akron, OH 44333 33D~384~'x318 Fut 33p1376d935 Akran Gsneral Medicsl Center ~ Mr Richard O Moore Senior V~ce President Regional Devalopment 400 Wr~6ash Ave Akron, OH 4k307 330V384fi319 FAx 33Q7376-q&'~.5 8elhesda Flealth b Fitr~ess Center Ms Beth Chapman QuectoC 362o Court Dr 7aneswlle, OM 43701 s~a~asa~~sT F,,x wA Card~ac pehabil~tapon, ~mployee Fitnesa Mr JosBph Savoca Director, Cardiavascular io E Washirx~aon St Pariesville, OH 44077 216135Q-4.509 FAx 21fi13a~-0514 Christ Hospital Mr Steva Schreclc Assl V~ce President 2139 Aubum Ave C~ncirrnah, OH 45219 513V'.i69 2J10 Fnx 513l629~200 Association Members 02l04/97 Cfevefand Clirnc Foundation Wellness Center Ms Margarat F Savercool Director, Wellnass Center 9500 Eud~d Ave P-27 Fitr~ess Center Clsveland, OH 44195 216l444~87fi6 Fax 216/445fi287 LEFE Csnter Ms Mary Peach director, Membership 5ervices 1246 iGnneys Lane Portsmouih, OH a5662 6141354-765Q F,~x 614r353-1238 5t Elixabeth Sporffi Med~cine Center Ms Cathy Walls Manager, 5pr~ds Med~cine 601 Edwin C Moses 61vd OaySon, OH 45408 513/?24-7189 F~,x 51317~9-7425 Coronary Preven4on d~ Rehab Center Samantan Norfh HeaEth Cenmr Mr M~ke Larsan Ms Anne McNedl I]irector Admmistrator 19i t E Hgh SL 90001V Man SL Spnngfield, OH 45505 Daytan, OH 45415 513f325-1155 F~1x 513l325-66i 1 513I~78-2612 FAx 513127fi-7&17 ~asi Lrverpoal Hnspital Mr Gregg Bodden Director, Ct+rdiao Aehabdita6on 4625 W 51h St. East ~nretpool, ~H 43920 216l386-2045 F~x 2161'd88-2680 SportsWest - SWGHG Ms Cara Paan Manager 18697 Bagley ROAd Middeburg Heghts, OH 4413v 2161b~26~015 Fuc 216/826$020 Grady Life Center i1As 7en Morgan Managar 5G1 W Central Ave palaware, OH 43015 614C368~065 Fax 614!'~683114 Knax Community Hospitat Ms Debb~e l~nk Duec~or oE Physical Therapy 1330 Cosl~octbn Road MouM Vsmon, OH 4.'i050 614/393~873 FAZ B14r393~U800 w ~ St Charka Centdt ~or Rehabddaban Ms G2ul E ,lohnson Coordmator, Healtli Promotan Network 1001 lsaac Streets Dr Qr~ayun, QH 43616 4 {9J 698-787a F~x 419J ~8-763.9 St Chatles Center for Rehaialita6on Ms Gaul E Johnson Coordmator, Health Promohon Network i0ot Isaac Stt~ets Dr O~ec~on. ~H 43616 4 1 91 698-7870 Fuc 419/698-7639 St Yncent Med~ca{ Center Mr Steve J Gygan D~rector, Deptmenl of PM & R 2213 Cherry 51 Toledo, OH 43608-2691 419/321-A261 F,nx 419/321-4275 TnHealth Fitness ~ Hcalih Pavdwn NEs Deb Riggs Ger~arel Manager 6200 P(eiffer Rd Cinanna6, OH 45?.42 513/985-0J00 FAx 5131585~0918 T~umbull Memonal Hospital Mr Kar1 J Kuppler Vice Preadent 1354 E Market St Warren, ON 44482 21fiJ841-9121 F~z 2iG1841•9281 llpper Valley Medical Centers Ms Pamela Lee Comett Physical TherapylSports Medicme NEanager 920 Summit Ave Troy. OFi 45373 9371332~880 FAx 937C332-H885 WeE4ness Center Ms Libby Donathan Manager One VYyommg St ~ayton, OH 454E19 513l496~'a342 ~nx NIA Oklahorna Columbia Presbytenan Fbsp~tal Nealih Club Dr Kalley Spelman o~~e~to- 3201~ l~ncdn Old~thoma Ci1y, QK 7310A 4061271-1G50 Fnx 40S1`~71~63.3 FtealRh Zone Mr Scott Powers Dmector 5353 ~ 581h St S 'Culsa, dK 74136 9181494-1671 FAx 918l494~'2t7 Jane Phdlips Madical Center Mr Bart Dick Directar, CardiologylPulm Services/Welinas 3500 E Frank Phdl~ps 61vd Bartlesvdle, OK 74006 9i8J3.'~3-7373 Fl1x 918/335-0457 16ngfiaher Regional Hospital Mr Steven Dan~el CEO P O Bax 59 tGngfisher, OK 7375p 405~375~144 F~x 405r375~187 ,,,c, Association of Hospital Healt~ and Fitness, Evans9on, !~ ~,,~ 1 2 Association Merr~bers 02l04/S7 McAlester Regional Healih Canter Mr Ed Ma~ors CEO P O Box 1228 McWaster, OK 74502 918Jq21 ~000 F-uc 9181421 ~OGG PACER Ftnass CanLer Mr pon Schneider Adm~n~strc~tor PACER Heallh Servaces r 5520 N IntleQendenoe Ava 0ldahoma Cdy, ~K 73112 AO6J549~891 Piui 405+tJ493A75 Sportsmith Mr Brad 5chupp Pras~dent 816-D N Date 5t Jenks, OI( 74037 9181'298-2880 Fruc St Anihony Norlh Spart Seiences Ms Pam Troup Execuuva Director 6201 N Santa Fe Oldahoma C~ty, OK 731 ti 8 4tl6J879•7970 Fnx 40ra/879-7983 St Franas Hospita) Ms Barbara Reynoids Vica ~resident, Ambulatory Serveees 61fi1 S Yale Tulsa, OK 74136 9181494~98a F~-x 918/494~979 ~ ~ Pennsylvania Allentown Sports NtedMuman Peri Center Mr ,iohn Graham Human Performance puector 1243 S Cedar Crest Blvd i.ower Leve~ Allerrtown, PA 18103 610J43360W5 ~~uc 610/433-7476 Allentawn Sports NietlMuman Pai CV Dr Thomas D Meade, Orlhopedic 5urgeai - Sports Mecicine 1243 S Cedar Crest Blvd Sis 25U0 Allentown, PA 1 B 103 siaaa~~oas Fax siaaa3~~o Altoona Hospital Ms Jan Sennem Wellness Coordinator 8ia~r Mec~ca! Center, 5u~te 2U 1-C 501 Howard Ave Altoona, PA 16601 814xJ47~751 Flut 814~.i46-7~J5A Centet for Fiealih Prom/D~sease Prevenbon Ms Jane Nes~er D~rector 1243 S Ceclar Crest 81vd Sude 3209 Allentown, PA 1s1o3 s101442~960 Fnx 215J402~966 Hanover Mosp~tal fuls Margaret McKinnrsh Communiry Health Goo~dmator 300 Hghland Avanue Hanover, PA 1733i 71TI533-2248 Fruc 717~37•1963 HealthPlex 5parts Ciub Mr Staphen A Ropbins Pres~dent 190 W Sproul Road Spnrx,~field, PA 19064 61QV32&8783 Piuc 61W328~727 Mercy Regwnal Heaith Systam Ms Jaan SalyarcJs Carciology Manager 2500 7th Ave Altoona, PA 166or2-2o99 814/949,4385 F,ax 814K.~49-5~8 St Joseph Raha6 6 Fitness Center Mr Denrus Ganc Fitness Coordinator 78D N Church St Hazletan, PA 18201 717I459-3Afi7 Fuc 717l454-2754 South Carol~na Conway Hospital Ms Pa~ga MclGnley Director Pd Box 829 300 5mgleton Ridge Rd Conway, SG 29526 80.'~1347-8112 f+uc B03J347~.ip6G Finess Forum Ms Karen Lealhemiai~ V P Mc~Aary Serv~cas 120 E Elm St Fbronce, SC 29506 80RdG2g689S Fuc 8~33Jfi61.9870 Gsorgetown Msmonal HospiFal Ms lNary Ann Tesma C3irgcDor, Staff Development 606 Black Wver Road Geort~hown, SC 294A0 803~46-.'~224 P~uc 80Ci1527•7Q00 GHS Life CenterMesrtlife Dr Wdlwm A Webster Director 87S W Fans Road Cx~eenvdle, SC 2~3fi05 esa~as ,-n26 F.x asa~as~eaa~ Flealth Plus INs Knsty Wnght Director of WaUness and Cardrac Rehab 300o St AAattleews Fioad bran~abulg, SC 29115 803I539~4072 Fnx 90;il53.3-2844 Hamot Wellrtess Center Ms Ka~thy lono Managar 300 5~te St Sle 107 E ne, PA 16507 8141~77-7030 Fnx 814l877-7006 Lfe Center Mr Jon Tnck Administrabve Director 875 W Fans Road Greanvlle, SC 29605 $6414554004 ~~X $64/4$5$447 r; ,~a AssociaUori of Hospdal Health and ~itness, Evanston, IL G,~ } ~ Associat~or~ Members az~oa~s7 ~AcLeod Reg3onal Med~cal Center Mr J Bnfce $arragan Pies~denl Pl7 6oz 100551 Fb~ence, SC 29501-0551 803~G67-2B49 FAx 6ail662~q208 Newberry County Memoriai Ho~pitai Mrs Oir~ne C Ddlingham Carcliac l~ahab Prcx,~ram Director, P O Box as7 Newberry, 5C 29a08 ~OC3Y276-7574 FAx 803J276,6885 RFcl~larrdlYle~arial Hospital Ms Susan 8evenmg Coorthnator Cardtec Fiehabditation 3 Richland Macical Park 5te 250 Cdum6~a, SC 292q9 803J434~6966 Fax 80c~1434.~127 Riohland Memodal Hospital Ms Donna Graenwold director Car~ac Anallary Services 5 Med~31 Padc Cdumbia, SC 29`,zU3 sa~la:~~sass F,~x eo~a3aaiz7 VitaRty Cenler atop St Francis Hospifal Ms Cindy K~ess Director 1 St Fra~s dreve Greerrvtle, 5C 29601 864~255-1843 FAx 6G41255-1989 'A' 5outh Dafcota McKennah Hosp~tal Ms Mary bressing Wallness Sarvices 800 ~ 21 s1 St. P O 6ox 504~ Sioux Falla, SD 571 i7•5045 60~'.~1332-7950 Fuc 60'Sr.i22-7822 Sio~x Valley Hospital WeElness Center Mr Cal +iansort D~rector 4Z01 S Qxbaw Ave Sioun F~lls. Sb 57108 6051333-i600 FAx 605~3:~3-1639 Tennessee Baptist HeaNl~ and Fitness Canter Mr Bruce LeFew Duector 2000 Chuxh St Nashvdie, TN 37236 61SC329ra0fG Fax 6151d40d606 Ba~se~st Metnonal Hospital - Union Gdy fiAs Oernse R ,lohn~on P T D~rector Box 310 Unian Ci1y, TN 38261 9011g$s~$583 Fuc 9d1!$84~6Q3 Bbunt Memonal HospHal Ms. Jana ~lennessy Naison Ass~stant Admirnstrator 9a7 ~ l,amar Alexander Parkvuay Mal~Mlle, 7fV 37804 4P3r971~a547 ~~x 423KJ812333 Health Qusst Ms Lorrame Gossett 707 East Reeltoot Ave Union City, ~N 38216 ~JQ11884-8583 FAx 90116$~4-BG0.3 Healthplex Fdnoss Center Ms Tharesa Merc..~do Phdhps Director 1111 llniprt Ave Memphis, TN 38104 9011227•7U54 Fruc 901I227-4888 Jaclcson • Madrson Ca Gerteral Hosp Ms Joan Nowell Director Cardiolrsgy 708 W Forast Ave Jackson, TN 38301 . 90114?,5~533~J Fax 9011425fi2r.~4 JCMCH Wellness Center Ms Debbw Fogle airector, Community & Wellness 5atvices y ~z~ w ~a~e~ sr Johnson City, TN 376Q4 4231A61fGG8 pAU 4231461~D57 K~m Dayani Human Pertormance Center Dr Les Hukchmson Da rectar 154022ndAve 5oulh Nashv311e, TN 37232-8285 61.~322-4751 FA7c 615J343-7671 Nash~~lle Mem, Hosp H~alth d~ Wefl Ctr Mr Jeffrey A 6arg~iol~ ~irector 115o Gallaton Pike S Madison, TN 37115 615/8G0-0952 Fnx 6151~6Q-Q98G Sumner Healt3~p#ex Mr Grag Palevo ~uactar 270 E Ma~n 5t Gallahn, TN 37056 615J452-0619 Kpx 6151452$726 Texas AeraTit Mr Steve Cnspar d~rectar St, Joseph's Ffasp~tal 8 Healfh Center 950 Aus4n St Pans, TX 75461 943/737~678 Fuc 90C~f737~B48 All 5ainls G~rbdr RehaWFtness Center Ms Pamela E GiHord Wellstyls Program Coordinator 1400 Sth Ave P D 6oX 31 Fort Worth, TX 7fii04 et71522-1856 FAx 917I922-2535 BayrlotWonc Ms Kim Austm Dnecbr 507 N Hghway 77 Su~te 700 Waxahachte, TX 751fi5 2141'938~11 Fhx 214J937-1711 ~.a Assoc~atron of Hospdal Healtt~ and Fiiness, Evanston, IL ~~ 14 Association Members 02/04/97 Brownfield Reg~onal Medwal Center Harns Fitr~esa Cenler Marshail Memonal Hpsp~W 5t IlAichael Fbalifi t~ Rfiess Center Mr Wesley A Staffor~d Mr Dan Van Ms Mittie Hutchins Mr Mika Rdey Director, Cardiac RehablF~trieas Manager Vice Presxlant Community Heallfi Services Manager 70.5 E Fell 1301 Pennsylvan~a 62Q S Grove, STe 102 2223 AAoms L~ne Brownfieid, TX 79316 Fort Worth, TX 76104 Marshall, TX 75670 Texarkana, TX 755~3 80G1637~3551 F~x BO6l637~083 8171878~050 Fuc 817/882 2753 903R.~7-6743 FJ-lc 9031'9P7-6116 90C~1792-73~0 F+uc 90c~1614-4444 Columbia lafeCare Cenber Harris Ftnass Center Northwest Texas Healthcaro 3ystem The Fba[th 3~tnses ConnecGon Ms Dons Archer Mr Ray Delk Ms Angeia Phill~ps ilAr Daron Allen Director Administrahve Director ~uector, Phys~cal MediGne Execut~ve D~rector 3333 N Masa 1616 Hosp~tal Parkway 1501 S Coulter 6242 Hulen Bend 81vd EI Paso, TX 7990~ Bedlord, TX 76022 P O 6ox 1110 Fort Warth, TX 76132 915J53S-2217 Fax 9151533-2d95 917f267~J191 {uc 8171fi85~549 Amanllo, TX 79175 g17/3~i6~G161 Fuc 817/3~16~101 8061354-1770 FJ~,x Bp6~354-i636 Columbia Medical Center af Lewiswlle Health Club of San Angelo BanLa Rosa Health Care Tom Landry Sporis Med 8 Researeh Ctr Mrs Wexis Penn hAr Qavid Hendncks Mr Walter Armstrong Mr Davxl Evans Director, Busmess Development ~irector Vics President, New Se~vices Development Manaying Diroclor 500 West Man St 3336 I..oop 306 519 W Houston St. 411 N Washington Levnsville, TX 75057 San Arx~ab, TX 76904 5an Mtorno, TX 78207 Ste 2000 21W420-1~a31 fn~c 214/A2~1805 915J9~i7-2fi82 Fax 915r549-59G8 210f704-2082 Fax 2101704-3532 Dallas,TX7'5246 2141826-7800 Fruc 21A/ER2o-7B44 Fnley Ewmg CardidFtttass Ctr Nuguiey's Fih~ess Center Scotl 8 WhHe Hosp~lal OpLons Center Wallneas Center Ms Tracey L Gox Mr Kant Tucker Dr D~ane Wanrey Mr Mike $emo Director D~rector DFreclor, Optans for Healih Depariment AAanager 5721 Phoena Drnre 1i801 S Freeway 2401 S 31st 8300 Waterbury Dailas, TX 75231 Fort Worlh, TX 7fi115 Temple, TX 76508 StaiOe 155 2i41345~46.56 F~uc 214r987 2150 81715683131 Fax 8S7l~66-2818 817fTT4-45p3 Fnx Moustan, l7C 77055 713J9,323A15 FAx 713KJ.92~477 Getterman Wellnsss Centsr - HBMC LdeSryle Centre Sparts SaluLons Inc West Park Ftness Ceneer Ms Weridy Deacan Mr Ray Irvi~ Ms k~neAclae 1Nr ~fram Jackson Wellness Center Managsr birector DFractor of Marketing Fitness Center D~rector 7300 Bascµa Rd 3615191h SL 2536 Manana Rd. 12o S Cantral F~cPwy Waco, T!( 767t0 iubbock TX 79410-1201 DaNas, TX 75220 McKinney, 7x 75p70 817lT41-1P10 FNC 847l1412802 80G/793-0.386 Fax 806f793-0384 2141351-29.'i4 Fnx 214/556-1571 214/~48~a326 p~uc 214lr.~48ra303 r'~ Association af Nas{~ital Health and Fitness, Evanstor7, IL ~+ 1 5 G~~ Associat~on Members 02/04/97 Virg i n ia Ldasiyle Fitnesa Center Rrverside Health Systcm Roanoka Athieiie Glub Ms Beth Reitr Ms Caroline Mart~n Mr 8ud Grey Nexandna Hospilal Manager ExecuOve Vice PresEdenl Vice Pres~dent Mr Bob Howell ~~~field Blvd N &O6 Denb~i BhrcJ , Ste 609 4508 Starkey Road Director of F4a~+flh promoton P Q~~ Newport News, VA 23606 Roanoke, VA 24414 A32Q Semmary Road Chesapet~lce, VA 23320 757~7S-75o0 F~x 757l875-7520 540K389-5758 Fnx 54Q?76~8623 Alexandna, VA 22304 8041482~132 Fnx 8b4l482~i245 7Q31504369i FnX 703/50~4 3204 Martha Jefterson Hospital Rrverside We~UFt Cente~ - 8narvrood Sentara Hampton Health d~ Ftnass Canter Ms Bartiara ~l~as Ms LaVonne A Joy~ Dr pon L Jones AugusRa Medical Cenber Direclorol Cardiopulmnnary 5erv~ces D~rector Diracto- Mr Enc Good a59 Locust Ave P D Box 35796 300 Butler Farrn Road Coorclmator of ~dn~ss 96 Medical Center Dnve Charlottesv~lle, VA 229Q1 R~chmand, VA 23235 Hampton, VA 23666 Fishersvdle, VA22939 ~2'~~g~ FAZ 8041982-7324 804l378-162fl fax Bb4l7'94-8160 ~4l766-2658 FAx 80~Jf766-2642 5~tD/932~5935 fAX 540~332sa945 MWH MediCo~p Firvers~de Wel~t Center ~ Peronsula The Virgmis HeArt Center Nis Mary pe Pietro Mr Charlie I(night Ms Joan Michaels Ftr~ess Connecbpn Du of Sr Serwces 8 Program Develop director Director, Non~nvesive Cardiolpgy Ms Colleen ~ Hawkms Tompwns Marbn Med Plaza 12650 JeHerson Ave Fairfa~c Hospital ~~r 1101 N Mau~ St ~redencksbwg, VA 22401 Navupurt News, VA 23642 330o Galbws Road VA 240F0 BEaCkSbUrg `.~~74~107 Fuc 540~371-1485 604/875-7525 Pax B04J875-7801 Falls ChurGh, VA 22Q4B ' , 7Q3/698~026 Fax 70Ci1698., 257 5401~.~3-1044 FRx 54al~a3~52~5 Northampton-Accamack Mcmonaf Hogpital Rivarside WeiUFt Ctr - M~d Pernnsuta Val{ey Weilness Center Ine HSMM Wellness N1s Carrdy Fadow iNr ~iob Car~ Mr Joe Boitin Mr Timm Jamiesan Commundy Reiatrons Director pirector Director ' P O Box t7 Rpute 17 411 Stone SQnng Fload V ~ca President ~~ ~~~ ave $ox 1516 Hamsonburg, VA22801 1315 Franklm Road Nassarnaadooc, VA 23413 Gbucaster, VA 23061 540l434f>224 Fut 54W434~470 Raandca, VA 24016 ~~'~'16 Fuc 8CWl4A2~082 8041~3~888 Fax 804/6'~3-9F~30 5AQ+857~117 Fax 5A0l8573180 Obici Hosp~tal Rrveraida Wellness Associates Yirgirna Beach Gen Card~ac ~U~ess Ctr ~~~~~ ~~ ~~~ Mrs. Sandra Lana Ms Karen Frye Mr Allen M 8ostian Mr Uawd A~aynes ~+~~ar, Human Resources Pro~ecl Coordinator Director P O Box 1 ~Oo 606 Denbgh Btud 2f2S Fust Coio-ual Road D~rectAr, Ou~atent Rehab Suffolk VA 23434 Sh~ 504 ~n~a Beach, VA 23454 Urc 19oP Braebum Dmre . ~'4BOD Fuc 904~~34~896 i3ewport News, VA 23fi08 , 804l481 7656 Fuc 8041481 ~23 Salem, VA 241 S3 8041875-78i5 FAx 804/875-7816 5Ad1772-2815 FAx ~ f~~ '~ Association oi Hospdal Health and Fdness, ~vanston, IL ~~ ~ 1 6 Associatian Members 02/04/97 Winchaster Madical Center Ms bonna Fitrwater ^irector, ComprehensNe Meallh Bo7 E Jubal Eady Dnve Winchesler, VA 22601 703~6653291 F~uc 703+CG7-9167 Indiwdual AAembership Dr Jamas Ac1am Shapiro 7229 Thud Ave ICenoshA, WI 53143 4141G56~297 Pr-x 414~56~50Fi Wyatraing Winchestar Medical Cenler Ms Dena Kik~ore Kent Director, Rahah~htaUon Sernces P O Box 3340 Winchester, VA 22601 540N6653134 Fnx 54D1G65~139 Washington Totem Sparts Clinie Mr aavid ~ddell Prss~dent 11821 NE 128, Swte C IGrklsnd, WA 99Q34-7207 206J823-1776 Fuc 246J820•2639 WesS Virginia Pleasant Vailey Hospital Well d~ Rahab Ctr Mr Kevin Baiiey Oirectorol Rehab Sernces 2520 Va9ay Dnve Pt PIea52u~t. UV1! 25550 304Ma75-0340 Fax 3D4/fi75-13~28 Wiaconsin Gundersen Sports Medicusn Climc Dr Dabra A Zilimer Medical Director 505 Kirx,} SUeat LaCrosse, WI 54601 60BJ7~1 ~1444 Fa~( i r~ ,ta. ~~ Liteslyle ~ Fitr~ess Centet Mr Michael R Larson F~tness CenterlSecunry CaoRlinator 63oB 9th Ave Kenasha, WI 53143 41M556•2fi28 FuC 494~56-2124 Healih 8 Fitness CIuWCheyenne Mr Todd Wdliams Director tE~O E Pershing Blvd Cheyerxie, WY 8~200i 3WlT78•5500 Fiur 307l778-5513 Mercy ~lealth System of Janesvd{e Ms Barb 6artner MarkeUng/Comrr~unicahons Director looo Mmeral Po~nl Ave Janes+nlle, WI 53545 G08l756~000 F~ 608f756f ~fi8 MerHer Haspitai Mr Kev~n Shores M~nager, Csnter for Haaith Promoton 202 S Park Str~aet Madison, WI 53715 609r267fi164 Fnx 608T167fi198 5outhern Lakes Tharapautice Ms Tracy Short A~ninisirabve Director 317 E Jefferson SL Burkington, WI53to5 444/763-0&30 Fuc a14J763-0830 Assockation of Hospdal Healt~ and Fitness, Evanskon, I~ 17 Members of the P3anning Ccam~ssion City of Sar:ta Monica Dec~snber 13, 199~i I want ta thank t1~ m~nbers af the P~anning Cu~.~+~ssian far a~launng so many pec~pie ta speak regarding 5t. Jo~hn's a~lication for renovation and expansion. My name ~s Evelyn De Poister and I iiv+e in Santa Mo~zi.ca. I am nat h~se as an ~ti4z~loy~ o~ St, Jahn's . I~n r~ot ~ recipient af ~x~eptional care ar largesse from St. John's. I am not a fear£ul neighhar of St. John's. I p~hably will r~ot e~ren be araund to en3oy the h~c~hly inryovative Phase II ~7ans. I think the residents of Soutt~rn Californ~.a are v~ery fortunate tA he ~.n the oe~ter of the fir~est h~ea3th care and medical technology in th~ w~rld. Fa~ the most ;~rt my fa~nily has used "t~'~at other hospit~l." I have no aon~ plaints abo~~ the care we receiv~ed there. Next x"hursday I will hav~e outpatient suxy~y p~aced~re at 5t. John's and I am 100~ sure rny care arld outca~e v~nll be excel].ent. I am simply an intesested ci~izen and r~sident of Santa Monica since 1951 I ha~+e been touched a~l unnense].y ~ressed by ail the s~ak~ers nQ matter what their position. I don't ~u?~rstand the opposltian, ~t I th~nk y~u for allowing everyone ta exp~ess an op~ruon or concern. I am awed by the careful, thoughtful, inn~ovative, highly skilled professianal expert~.se that has b~ought this state-of-tl~e-art dream for the future of St. John's E~~lth Center and Santa Monica to this po~nt. I respectfully ~sge you in the best inter~st of the res~c~ents of Sant~ ~bnica and stncro~ng oormmmities to "C~D F0R IT~'~ ~~~ E~elyn ister 817 - Seoand Street # 202 Santa Nbnica~ CA 90403 Ph. 39~3023 ~: , ' ~~ A r. i~ ~} ~, - ~ - , ~ -r ~. ~t-~ .~ Lt-,~ ' ~ ~ d b~` !7 Cy ~ ~ , 'd ¢ °~ b Santa Moaica C~hild Care Task Force DATE• December ~ 2, 1997 TO: Members o# the Santa Monrca Planning Comm~ssion FROM: Santa Monrca Child Care Task Force Joanne Leavitt & Karen Kaye, Co-Chairs RE: Child Care Prv~osal tor the ~roposed De~elopmer~t Agreemer~t-- St. John's Health Csnter Rec4nstruction Pro~ect We are aware that the comm~ss~on has cont~nued deliberat~ons an tt~e redevelapment pro~ect for St. John's Hosp~ta#. Due io the ~ery short t~me fine, meet~ng witE~ staff from St. John`s before Saturday was not possible for members of the Child Care Task Force. We will contact St. John's Hospital affECials after December 17 #o continue o~sr dialogue. Members af ihe Task Force rema~n comm~tted to assist and support St. John's in ~rrEplementmg our proposed recomrnendatrons. cc: Karen Ginsberg, City Planning DivisionManager Julie Rusk, Human Services Dr~rsion Manag~r ~.a •5 R ^ 2714 W P~co Bl~d , Suite 310 • Santa Monica. Califarnia 904~5 '~ 4" STAND FOR CHILDREN CHILD CARE PRQPOSAL FQR ST. rQHN'S The Santa Monica Child Care Task Force asks St. John's to be a responsible leader in the Santa ~-~onica Community by providing the follvwing services: PHASE I 1. Prior to implementing Phase I, retain a Child Care Consultant with expertise in work and family beneftts planning to conduct a child care needs assessment of its employees. 2. Establish a sliding €ee scaie for its current child care ser~ices to subsidize its employees or community members. 3. Maintain aIl existing child care services and create full day child care options for the chi~dren with special needs currently served through St. John's Therapeutic Preschool. 4. Create chiid tare optio~s £or ali employees incIuding evening and non- traditional haurs. 5. Employ a"Work and Fami~y Benefits Coordinator" at St. ~ohn's or an outside company to: a) Assist employees in securing child care and elder care services; b) Develop additional ~hi1d care resources in the community; c} Develop a network af fainily child care provxders tu meet the needs of families with infants and toddlers; 6. Establish a Child Care Advisory Committee to provide oversight and approval of all child care plans de~eloped by St. john's, to remain in place throughout the development of Phase I and Phase II. Appointments to the Advisory Com~nittee would be in collaboration with the Santa Monica Child Care Task Force. PHASE II: Prior to i~xplementing Phase II, retain a Child Care Consultant to condu~t a child care needs assessment of its employees. 2. Expand Child Care Services to an additiona195 spaces to meet the growing number of St. John's employees. 3. Establish a mildly ill sick child care pragram for St. ~ohn's employees and community members by praviding training to health care professionals to provide care in the child's home. St. Jahn's to subsidize the prograrn. 4 Provide annual cost-free health, safety and nutrition education, training and inser~ice to the staff of Santa Monica child eare centers and child care hames. The training shall include, but not be limited to, first aid and CPR classes. t:- '~r ^ ! ~1 v ~~f~ j ~" for ~ ~ chilcfren 2714 WEST pIC4 BOl1LEVAR~ SUiTE 3t0 December ~! 1, 1997 SANTA MONICA, CA 904U5 To Whom !t Ma~Cancem, ata~452-3325 The intent vf this letter is to comment on the St John's Hospital and Heal#h Centers proposed developmer~t agreement My name is Karen Kaye, and I am the `A" 3'a~as2~ssa Executive ~irector for Connectians ~or Chtldren. Cvnnectior~s is a federaf, state and c~ty funded nvn-profit agency that prov~des chdci care referrals and s€absidies to #amilies on the west side We work ~ery clasely w~th San#a Monica Fam~lies as well as the City of Santa Manica. Qne aspect of aur da~ly aperat~ons inctudes the tracking of the suppfy and demand of child care, both center based programs and famity child care There are c~.irrently 52 child care centers in the C~ty of Santa Monica, only 8 affer subsidies to needy fam#lies and anly 5 offer infant care This definitEly c~oes r~at meet the r~eed of the commurnty Currently 22 to 25 Santa Mon~ca fam-I~es rece~ve child care through the assistance of Connect~ons f~~ Ch~ldren via the City o€ Santa Monica, and apprax~mately 66 Santa Monrca children are subsided through other public money Howe~er, 222 5anta Monica famd~es remain on aur waitmg list for ch~ld care There is a great need for addit~onal and affardable chdd eare in the community Dur~ng the past three montF~s aver 7Q Santa Manica parents have called our agency in need of ch~ld care The staff at Connections asks that you include subsidized child care far employees of St John's and the community ~n your expansion plan, in arder to better servs the children and families We bel~eve that St John's has ~t w~thm the~r capab~l~ty to budd a state af the art ch~ld care center and off~r young famiEies the h~ghest quaGty chdd care Thank You~ ~~ Karen Kaye ~ ~ Executi~e Director ~ ~ Connect~ons ~ar Chcldren ,~o ~`~ a~ ~ ~ ~, b ~ ~ w ~ ~ ~`; ` ~.. J ~ f2/ 10/ 9T (,J Santa Monica f'lann~nq Commission ~ Sar~a Mon,ca Crt~.{ Nal1 . 1685 Ma~n SFxee~ ~ 5ar~a Mon~ca, CA 9~~01 V ~a nea- Commis5ianers, r~ n ~ I wculd l~ke to vo~ce my opinlons on the St, .lohn's I-io~prtal develapment prapo5al that ya~ are N cons~der~r~, E am an archr~ect. I am a 5anta Monica residerr~ a~d have lived ~out 6 blocks fran ~ tl~re hasprt~ fcr ~he last !6 ~ears 1 haue ~tertdec~ rumer~us hos,prt~ Preset~ta~~ans in #~ ~ . canmun~~{ and I'm famd~ar w~th the developmerr~ proposa~ ar~ the phase I pre5entation5, i spoke o be~a-e ya, at WedneSday nic~'s he2rinq, altha-qh m~ 2 mir,a{~es allawed me ta present ordy % of ~..~ • ~ m4 thp~'r~5. ~.. ~ r~rst, i wwld hke to express m~{ appreaa~or for tl~e difficul~ of your decESEon~ s) , I under5tand }..he mae4strom of canflicts that th~s prapo5al enc~ender5. 5ecorrd, at~er hearinq ~u,{ hosprt~ empfa~ees talk at #~ hear3nq, ~ re~lized they were m~ssinq the poinE, U4ha~ is best for f,he crF~.{ of' SarrEa Monsca as a whale shauld be aar r,~nd3nq {ic~rE, whi(e what ~s best fcr t,~e hosp~t~ 5hould be yecand~y T~e C~ty 5haald qive the deveioper e~eryth~nq it rec~s'ty, as ionq ~ rt also i5 qood for the re5icierrs af the C~ Third, I r~lr~ve th~ ~~'hase I& I'hase 2 pa'tra~s s~a.rld be sePa-a'tea , pr-ovicied that St John's fundraisinq impacts can be mirnmized, I bel~eve in the rrt.~` s oversiqht in plar~~nq, zoninq. and buddmq ~,d safe#,y ks5ues, ~ Io~re wa-k~nq wrth developers, haavever, even a ref~qious 4nst~tui~or w:ll de~;e~o~ f,o ~,s aran maxrmum advantaqe ,r constrairrts ar~d o~rers~ are not established ~? fun~raisinq a` eEher impacts are 5everel~{ neG~'tive to St John` y, and ai ~s dec~ded +~..~at phases I & 2 sncuid ~~ cons~aprpd ~et~sr w be fa:- u 5t ~ann' G, my arly area of canc~rn ~s w~th ~hay~ F~ bel ieve ;,ha; ~has~ I ~s wel' aes~ned ard thp ~~ location, k~rarfic pa~terns, setbactis, bu.ldinq, ae~t.~etics, na-~~east co-ner par~c ^~ierta~ior ~~ic~^t, a~o s'~!~c+avir-a p~}.,errs are :~~el!-~~a,al~t oui ar~ suff~c,err,l:~ 5ensit~ve *.r~ x,~he ~mmed~ar.e neic~bors, d~sp;~. prote~tat~ons to t~e ~'~Y~:1 r~%~ase 2, ho~,vca~e-, ;s no~ a~iy ~ebuildFnq ~ Jon~'s, but expar,dinq 5i Jonn's I'm nct sure ~hat ~s tx~e ~e5t u5e =a- tr~at scut,h of :ar~a ~v1on~ca ~3ou,pvard p~a~~r+,~ I'm aubicu: a6ouW the imm~d~ate ~r-e~ be~r~ ~le ~ nandle rk~ aadrt~onai t~affic ~,:neraY~ed ~u ~hase 2~"raffic mitiqat=or- c~~' ~~ ~-~ ~~ ~~ ~.• ~ - _ ~. tl','.c~5l:l'ES nG ICYI?~'~ 4r~Y. I~` OUf C.I~ ;~~{!'lu L~~°i1~1~ d1d Z0~'I~YIq G~1.7G5~10~15 Gar C7E rE50IVGG~ 13I$ .~ Hanud S~ree~ ~~a~yeiy then ~,,~e nat~re ~ ihe bo~~ics~ard must bp ca~s;dered Sarr~a ,Mon~ca 61vd, Fs one of rnf~ 3 m~iv' C~S~"W~St Cfi1R11'+r~°,rClc~~'I~"OI,~YI'ares, aar~ wif,F 4"ril~irp and ~ico, ~'~c~ naw these s~~ ~ion~~a, c.~ 9oso-~ =ew block, ~' tr~e ba,levar-d are d~yoia-.,e and need :~'~e commerciallu revGtalized, no~ T~ 3I0--~53-486b ~nstr~..~tior~,zea '~l~l~ss constra~rits a~e in er~ect ~hase 2 r~~d~~~ ~u;id=no.s w~~l be 5u~i+ u~ tc the Fax 310-4~3-498t3 s~dewalk5 a~ bo~~h s~des of ;r~e bwl~vard and a pedpstrian hndqe w~ll be huiit ever in~ str-ee%, Of ~ 5econdaru sf,r~et ~~s m;r~rt b~ accepY.,~bfe ~:x not 5arr~a Mon~ca i3a~lpv~-d, Not onl.~ wauld th~: E~~~r~~~~„k~e~ be a barrpn d~ss~;ate st~retch cf svreet. ~ut ~~ u;oulo he v~sual~~ arid pst{Gholoa,,ail~l Gut of~, ~ ~ c~ L Cec~ars-5mai in West Hollywo~d ha5 buift y~ to arrc~ wer a seca~ar-y ~treet and the re~~4t ~s tha~ it la~ks I~ke there is no stxeet there at a!I Canrnercial/ retail C~5ibly ~ncludir~ a caivenience ma-t) and especially restaurartts need ta be mar~latec~ Fn #~ c~a.~d flUOr spaces faanq onEo 5anta Monica f3a,~eva-d, r~ot ;4 ~aa- up, V~~uall~ accessible short-term park~r~{ C I-ha.rr max.) mrst be provided and ~~uunan scafe rnust be des~qned in 7l~ere are some re~a~f space5 that are c~renEly lanc~ishinq on the saath s~de af t}~e street because they ~e lack~r~ these qualit~es. An addrtronai 5tre~t set-back w~th ~#5 deq'ee pa-fcinq and !-ha.~' meter5 ma.{ help the reta~l/ re~aurant pa~kinq. LandSCape requ~-err~ents and an ArchrEectu~al ~ev~ew (~oard rr~ay help wrt~ the character and i~urnan scaie, The Archr~ec+axal ~eview C~oard pracess rna~{ need ~a be exped~d rf ~~MA and state deadlines are i~nperlled, Medic.al offaces and suppch-t faal~EEes cald be above and beh~rd tl,ese uses, possEbf~ free-market a- low-,ncome ha~sinq cald a15o be ~thro~nm into tl~ mix ta tiuiy make thi5 a mized-use ixban de~eiopmEnt tha~ doesn't becane de5erted aE 6~00 p.m, e~en,{ eveninq, To Summarize, ~hi5 developrr~r~ is far-qe ena~~ and facaF,ed so cr~t~caff~{ ~haE separat~r~q f'Fhase 2 fran ti~,e dev~lopment aqr-eemenE would be tl~re ic~a~ safution. ff #,h~y ~s not uour dea5ion, I hope #.hat ~{ou wald mandaEe restr-ict~or~s on phase 2 ta ensure t,he cammerual vrtalit,~.{ & aesthe~c aualitr.~ oF 5a~ta Monica ~vd. Sincerely, .J~ Cipr~no ~~~. _ ~:~.~ ~ r~' A( Q~,j~,:; . ~M- _ .-ti _ ; 9 ~ecember Z997 City of Santa Monica Planning Cammission City Hall Santa Monica, Californ~a. La~ie~ and 6ent~emen: ~ ~ ~ ~ ~Z ,36 I would li~e to write this letter ta you on behal~ of Saint John,s Hos~~ta7 and Health Center regard~ng its planned expansion program now before the Commfssion. I have enclosed a brief resume to describe my backgraund. ~y association wi~h Saint John,s began 45 years aga with the birt~ of our first child, a girl whom we named Chery~, fallowed in 1954 by the birth of our second ~hiid, Debbie. ~uring the following y~ars bo~fi~ Mrs. Britton and 1 had occasian to have use of the Hosp~tal several times for surgery and other medical purposes. Since ].984 my wife, Ellie, has been a vo~unteer at Saint Jahn „s, work~ing at t~e Registration Desk in Ambu?atory Care Services. As a result of all these years observation of the Haspital and its adminis~ratian and management, both I and my wife have aequired a trer~endous respe~t for the carTng and farsighted professionalism that ~s the hallmarlc of Saint John,s. The need for the continued operatian af the hospital in the Sar~ta Mon~ca Community is self-evident. The efficacy artd goad judgement of its plan~zng for pro~er expanszon, given the lim~tatians of space ar~d function, are, it seems to us, also self-evident. History tells us that such a Christian, caring and civic minded organizati4n will a3ways continue to aperate keeping the we7fare of ~he community and the immediate neigF~borhood in the forefront of its cor~cerns. Mrs. Britton and I urge the Commissian to use its best judgement zn a~proving the Saint John,s p~an. Thank you all very much on behalf of a couple of o3d folks who care. Kindes regar~ds ~ ~ ~~„~;-~.. " '- c: ~ ' ~ ~a~~i ~, ~r3~~~~t Int~rs~ationa~ Consultant 57~1~ I~Y~ ti7~FQEt, ~! 5anta ~Zoni~a, ~e-~t~ ~fl~~~ ~~ 2 ~) ~~9-~ F9~~: (3~fl) ~95-5G5~ John M. Britton ~tas been in the Fnter~rtatior~al Cansul#i~tg fie~d s~nce his retiremen~ from Hug~es Aircraft Company in November af 1986, Nis Clients have inc]uded bus~nesses in Australia, Saudi Arabia,t~e Unitec~ States, E~rope and Sauth America. At h7s retirement Brttton, as Regianal ~irector Far East and Latin Amer~ca, ~ughes Internatiflnal, had respons~bility for overseeir~g Hughes Aircratt Company international marketing operations in the Far East and Latin Ame~ica far the last ten years of his nearly thirty year career at Hughes. The Far East included Ja~an, Korea, ~aiwar~, Australia and New Zealand. Lat~n America included aT~ coun~ries ~elaw the U.S/I~exican barder. Britton ,~oined Hughes in 1955, doing most of his wor~ in Government Contracts and ~lark~ting as Manager of various aperations. In ].958-19b9 Britton served as Manager o~ Sa~es and Contracts in the Rirport Operations Division, Hughes Taol Ca., Las Vegas, Nevada, where he dire~ted same ura~ects for Howard liughes personal~y. ~uring World I~ar II Brittan served in the [f.S.Marine Corps as an infantry commander (Ca~tair~) w~th combat operatians in the Western Pac~fic. Pr~ncipa] commands were C.O. A Company, lst Bn. 28th Reg~ment, and C.O. D~vision Reconna~ssance Gompany, 5th Marine D~vision. In the mid-Seventies Br3tton was appointed a member of the Presidential Advisory Cvmmission to the ll.S.Department of Interior, Office of Territor~a~ Rffairs, assisting the ~epartment of Interior in its program of economic development for the PacifiG Trust Territory, Guam, Amer~can Sa~naa and the Virgin Islands. Britton was barn in Urbana, Illinois 1Q l~ovembe~^ 19~.9. Ne ha7ds the Bachelor af Arts degree in Ecanomics from the University of I1linois (194~); and the Juris Ooctor degree in Law from the Ur~ivers~ty of Sauthern CaTifornia (~94$). He resides in Santa Monica. California with his wife, Ellie. of ~g years. 7ne Br~ttons hav~ two grown daughters and a granddaug!~ter of 2~ years, ~~a otiF ~~ee~+4~- Grta~vDSa~ , "~" - 4~ `.r1 ~ ~~~ Saint John's ~ Health Center January 7, i998 Santa Monica Plann~ng Commission C~t~~ of Santa Momca 1685 Main Street, Room 212 Santa Momca. CA 90401-~295 Re: Proposed Saint Jahn's Develop~nent Agreement Dear Commissioners I~~ant to express m~~ appreciation for the considerable tfine and effort that has been spent by Planning staff and each of the Commissioners m re~ie«n~ Samt John~s Development Agreement ~~'e recogmze the complexrt~° af this project and the difficult~- of understanding the rationale that has drn~en a host of des~gn and de~~elopment decisians ~'~~ile ~~~e have alread~- made a eonsiderable effart to engage a ~~anet~ of commurut~~ ~roups dunn~ ti~e plann~n~ process. ~ve will continue to ~~~arl~ «~ith interested groups to address issues as the~- anse Since the Plamm~g Commission meetings, Samt John's has had additional dzscussions ~.~~ith Plamm~~ staff dunng which ~~~e reviev~~ed specific queshons raised b~• Comm~ssioners and staff re~arding ~~arious aspects of the pians As a result of those djscussions, we modified a number of elernents in our proposai ta address many of the issues raised Specifically +~~'e will be revising plans for access to the I`orth La~~~n area, ~ The architects ~~711 provide enhanced ~~~alkways and seatmg areas in the Entr~~ Plaza. • Vi~'e are propasin~ an incremental vesting of Phase II and a reduction m the praposed vestin~ term, • A rel~~sed site and massing study for Phase I and I~ has heen coinpleted This inc~udes a significant reduction of planned total square footaQe and huildmg ~~olume far Phase II de~~elopment, and • We have neld addit~onal meetings v~~ith Geneva Towers representatives and are near resolution on all outstandang issues Follo«7ng is a more camplete list of questions that have been asked by staff and Commissioners during the hearings and a bnef summar~~ of the status of Saint Jahn's efforts to resol~~e the issues raised For those questions that require a more detailed explanation, additional data is attached ta thrs su~nman~ 1,?~ Tr v~'•.-Spce~d ~treet tiarta ~ionica C~ y0~3Q-1-~~,3Z h. ~ ti ~ 37 0 829 ~~11 `~ ~ J Santa Moruca Planrung Commission January 7, 199$ Page 2 1 Emer~ency Roam• a) Constder a~ternati~~e Prelimmar~~ site plamm~g studies examined severa~ lacations alternatn~e locations for the Emergency Department However. the plaauied location is considered essential to meet patient care requirements. The ER must have clear and direet access, on grade. wrth ad~acent parking Essential funct~onal relaTianships that facil~tats patient diagnosis, treatment, nursmg care and ~nternal transport govern bath the location and configuration af this ser~~ice In additian, the American Hospital Associatian recommends the separation of the ER access from other hospital access points All other patient and visitor access is planned at the Santa Momca Boule~ard entry plaza to reduce traffic along ad~acent residential streets (See attached report, "A Study Concerning Vehicular Access to Emer~enc~~ Ser~ ices," dated 2/10/97.} ~} Analysis of other ER's Attached is information descnbing representative hosprtals in nei~hborhood sett~ngs. ~~~th ER's lacated adjacent to residential areas c) Potential desi~r~ation of Saint John~s is not now and does nat ~ntenc~ to become a Samt John's as a Le~~el I Le~~el I Trauma Center If there u~ould ever be a need to Trauma Center change our designation as a Level II Traw~na Center, we ~~ould expect such a change to be subJected to the full revie«~ of Crty agencies However, a Development Agreement restrfction that would prevent Saint Jalu~'s from becoming a Le~~el I Center ~r°ill not be in the interests of either the communrtv or Saint John's d) Subm~t a noise stud~ on Attached is a cop~ of a recent noise study preparec~ b~ the ER~loading area far aco~stica~ consultants staff re~-iew 2. ~iarth Law-n We haz°e ~rected the a.rchitects ta re~~ise the plans to include Add a thard path frorn 23rd impro~~ed commurfrt}• access to the Narth La~~~n area The Street rev~sed design v~~ill be presented at the Planning Cominission hearing on January I4, 1998 ~ Entr~- Plaza The current entry has been designed to be pedestrian- Prov~de options that will friendl~~ Ho«-ever, we have directed the archrtects to modifi~ make the plaza more the plans to include enhanced walkways and seatin~ areas pedestrian-friendlv ~mmediatel~- ad~acent to the proposed fountain, v~~h~le maintaimng safe separation of pedestrian and vehicular traffic w'S ~ Santa Monica Plamm~g Commissian Januar4 7. 1998 Page 3 4 Vacation of 21 st Street The Development Agreement c}oes not propase vacatxan of 21 st street 5 Transfer of Ou~nership. Tlze Isenberg Bill (AB3101) severel~~ resmcts the transfer of The Cit~~ is concerned assets of a non-profit hospital to for-profit entit~es. requinng about the potent~al af that an}~ funds resulting fram such a transactson continue ta piecemeal development b~~ support the delivery of acute care sen•ices m the communit~ for-profit en#~ties Even in the absence of this legislation, the key elements proposed in Phase II cannot be operated as stand alone entit~es, and the Development Agreemer~t req~.ures that they be mtegrated ti~~ith other campus facilrties The primary puipase of the programs and ser~~ces proposed for Phase II development is for communit~- health care. The Development A~reement requires Saint John~s to maintain its current le~~el of communit~ benefits. ~n light of the increasing competrti~~e health care market, tYus is a significant commitment to the City of Santa Monica This approach is consistent w~th the Cedars-S~nai de~~elapment agreement (Crty of Las Angeles) that also contains a required minim~m le~~el of commumtv benefits Saint John's can not forego rts firture right to develop rts campus to respand to changes m health care demands That ma~' require us to form partnerships and/or joint t~~entures to carn~ oui specific programs and services A clause in the De~~elopment Agreement that would restrict our ovvnership ri~hts «•ould be inappropnate Our legal council also advises us that such a condrtion mati not be le~al 6 Prepare massin~ modeI to demonstrate use af Phase II designated areas and their relationship to Phase I development The attached axonometric diagram illustrates the amount of development proposed for Phases I and II The square footage allowances have been significantly reduced from those proposed earlier. In addition, Samt .Tohn's is el~minating ti~est~ng prote~tion far above-grade park~ng to facilitate Crty review~ af pro~ect plans as they are de~~eloped 7 ~~~oul~ Saint .1ohn's be Samt ]ohn's intends to engage m incremental plamm~g for the further develapment of its propert~es Sufficient time ~.~ear tern~ proposed far must be permitted for plamling, fund-raising, and Phase II develapment~ constructxon, v~~hich also minimizes the impact an existing on-gaing c~perations We suggesr, houever, an alternati~Te to the 30-year vesting period origanally proposed ta permit a phased de~~elopment- :: .- = ~ ~' ~ Santa Monica Planning Commission Januan= 7. 1998 Page 4 • Phase 1 All projects proposed as part of Phase I development would be vested for 10 years. • Phase IIA: These pro~ects wouid include facilities to hause the Jol~n Wavne Cancer Institute, the V4%ellness Center, Cammunrty Health Education facilities, and addrtional hospital/health care space required to support Phase I de~elopment We are requesting an additional seven years to permit development ofthese pra~ects. for a total of 17 years • Phase IIB Projects developed during this phase would include all af the remaining uses outlined in the De~~elopment Agreement. These include the Child and Family De~~elopment Center, assisted living, day care, medical office, visitor housin~, eongregate care. and senior housing Also included are hospitai/health care uses that may be needed ~o reflect changes in demand for specif c inpatient ar outpatient services We are requesting an additionai 5 years for development o~' this phase, for a total of 22 vears 8 Pra~tide add~tional The definitians af each of the propased uses are provided in information on the basis for the Development Agreement The amaunt of space square footage designated designated for eaeh pmgram is based on an ana~yTsis of for non-tradit~onal hosprtal models for those facilrties in other communit~es, coupled uses w~th an assessment of the need for those programs and services m the area served by Saint John~s {See attached report, "The Pro~ected Space l~ieeds for Phase II Uses.~' dated 10/34/97 ) 9 Saint Jahn's should meet Meetings ha~~e been held wrth Geneva Towers u-ith representatives of representatit~es. and ue anticipate resolutton of all issues at Geneva Towers to address their January 20. 1998 board meeting their issues. 10 Ho~~ ~ill Samt John's Our continuing comm~tment to child de~~elopment is carried address the need for out in our Child and Familv Development Center, and we are addrtianal child care`' currentlv pro~~iding alternatives for emplo}Jee cluld care as ~~~ell Vve will undertaice continued discussions with the Child Care Task Farce and City staff to assess the need for addrtional programs, and wiil prepare appropriate proposals based on thase discussions Our evaluation of the need for addrt;onal child care programs ~-~11 also address the desirabi~it}~ of locatin~ them on our ca~npus or in colla~oration ~r7~i other providers to encowag~ child care . . ~~~ ~ ~ Santa Monica Planning Commission 3anuary 7, 1998 Page 5 center de~:elopment closer to the neighborhoods they ser4re. 11 Provide a desi~rt ophon A tat lot an the North Law~ is inconsfstent with pat~ent arfd far a tot lot on the North cornmunit~~ uses of the area, and would subject Saint Jahn~s Lav~~n to unreasonable Iegal ~iabilities. There are existin~ chilciren's playgrounds v«thin several blocks af the campus u~hich are accessibie ta the public 12 Inpatient Surtes a} Evaluate options far A number of options have been evaluated by the design stepbacks team, wrth the paramount facus on prar•idin~ required program area, requisite seFVices and efficient block~n~ and stacking of the patient units Maintaining the seismic integrity of the Inpatient Center rn a base-~solated buildin~ makes xt difficult to design any configuration other than a re~ularly-based, verticallv-stackec~ structure A configuration that wauld V contain stepbacks that also responds to seismic bracing requirements «~auld seriouslv ampact operatianal and ~unctianal relationships on the patient flaors. b} Provide infarmation on A consultant stud~- of the xmpact of the proposed b~uldings the impact of shadous an shadaws is included m an attachment to this letter on neighbors and court~°ards 13 A~~re~ation of Electrical Saint Jahn's ~~ill «~ork u~rth the Cit;~ to develap cost- ?~"°eeds effectrve. reliable saurces af enerby 14 Construction Miti~ation Saxm John's shall pro~-Fde construction mitigation plans set Plans forth in Eahibrt `K~ of the De~~elapment Agreement (See attached report. "Canstruct~on Period Mrtigation Plan'".) 1 ~ Cor~sider roof o~~er the V4'e w711 consider this aption if it v~ ill asszst the Crt~• in loading dock resalving issues; hawever, the addrtion of a roof vti; ould requ~re sufficient height to permrt large truck access ta the docks A hi~her wall ta screen the roof may result in a more intrus~ve vzsual impact an nearby residents than the currently- designed apen-a~r schem~ In add~tion to the above questions. Commissianers requested more infarmatian regarding the e~tent of Saint John's existin~ pragram of corr~mututy ser~-ices R~e ha~~e tried to emphas~ze in a number of documents the extent to which the pro~~fsion of comprehensive community health ~~v Santa Monica 1'lann~n~ Commission 3anuarv 7. 1998 Page 6+ senrices is an integral part of Saint John~s mission To ~nderscare the importance of this commrtment. I have included as an attachment ta tl~s letter a list of specific cornmumty programs pro~rided during f sca~ year 1947. In additian, the De~el~pment A~reement language has followed the Cedars-Sinai Medical Centez approach, which also pro~ides a continuing commrtment to a mirumum 1e~e1 af community-sezving programs Saint John's believes that this commitment is especially si~mficant because the changing nature of health care econom~cs is mak~n~ ~t increasingly diffcult for hospitals to pre~ict how to fund such services We tivill consuit on a regular basis u~th ~c~arious constrtuent groups va~thm the commumty as well as the Git~- to evaluate existin~ programs and the need for expanding them I hope you ~~~ill agree, howe~~er, that it is appropriate to engage in thts on-going process outside the framev~~ork of a land use agreement If further clarification xs needed, or additional questions are raised. o~r staff and/or consultants v4z11 continue to v~~ork with C~t~~ staff to address them Vw'e ha~~e engaged ~n an extensz~~e planning process o~er the past four years to de~~elop a plan that v~~ould permrt Saint John's Health Center to contin~e to deliver the hi~hest qualrty of health care possible to the Santa Monica cammuni#~~ At the same time, the plan must respond to sigruficant and on-gomg changes 1n the health care env~ronment that will impact our abil~ty to remaun ecanomicall~- vlable into the 21 st centurv Thank you agazn for ~~our thoughtful questions 5incerel~~. Terrance A Vluldoon ti ice President Enclosures (8) cc John ]a1i1~ Suzanne Frick Karen Ginsburg Amanda Schachter lblarsha Jones Moutr~e Barrv Rosenbaum Sister Marie I~'Iadeleme Shonka Saint John's De~~elopment Committee ~. t ~ ~ • c:bl ~ . , SAINT JOHN~S NEW CAMPUS MASTER PLAN: A STIIDY CONCERNING VE~iICULAA ACCESS TD EMERGENCY SERVICES February 10~ 1997 Prepa~-ed by: Terrance A. Mu~doon ~'ice President Saint Jahn's Health Center .- , ~ -, c. ~, ~ TABLE OF CONTENTS E ~ Paqe I. INTRdDUCTIDN . . . . . . . . . . . . . . . . . . . . . . ~ II. BACKGROUND . . . . . . . . . . . . . . . . . . . . . . . 1 III. THE SAINT JOHN'S EMERGENCX ROOM: THE NEED FDR CONTINUED EMERGENCY SERVICES . . . . . . . . . . . . . . . . . . . 2 IV. EMERGENCY ROOM uEHTCULAR ACCESS FROM SANTA MdNICA BOULEVARD . . . . . . . . . . . . . . . . . . . . . . . 4 A. Separate Entrance . . . . . . . . . . . . . . . . . 4 B. Cambined Entrance . . . . . . . . . . . . . . . . . 5 V. SA~NT J~HN'S NEW CAMPUS MASTER PLAPd: EM£RGENCY RDOP~ ACCESS FRdM ARIZOPdA AVENUE. . . . . . . . . . . . . . . 6 A. Sa~ht 3ahn's Plan for Er:ergency Services ..... 6 B. Neighborhnad Safety Concerns . . , . . . . . , , . 7 VI. CONCLI752DN . . . . . . . . . . . . . . . . . . . . . . . 8 _1_ ~ ~ ~ ~ J ~ E i x. INTROD~CTION Th~s study examines the proposed location of the Saint John's Hea~th Center's eme~gency room vehic~~ access as prop~s~d in the Saint John's New Campus Master P~an. The Master Plan contemplates vehxcular access ta the Saint John's emergency raom from Arizana Avenue. This proposed access point has been questioned by resid~nts af the neighbarhood surrounding Saint Jahn's, who have asked Saint John's to cansxder r~locating emergency roam vehicular access ta Santa Monica Boulevard. In response, Saint ~ohn's has s~udied this issue further. Based upon this further review, Saint John's has concluded that vehicular access to emergency serv~ces from Arizona Avenue is the anly praetical option. The need to optimize the q~ality of emergency medical services and sound reasons af traffic planning compel this approach. This study was prepared in collabora~.ion w~th menbers of Saint Jahn's master planning team. This team includes members with expertise in hospital and health care site planning, medical aperations, emergency medicaz services, and traffac planning. The members of Saint John's mast~r p].anning team are listed in Exhibit A. I2. BACKGROUND In the a~tErmath of the IvTarthridge ear~hquake on January 17, 1994, Saint Jahn's commenced a master planrting process to create a new Saint John's Master P1an. The purpos~ o~ this master planning process is to create a health center designed to meet the health care needs of Santa Monica and neighboring co~r~uni~ies in the 21st century, and to addxess the se~smic safety problems accentuated by the earthquake. As part of this master planning process, Saint~3ohn's reviewed a variety of opt~ons for vehicular acc~ss ta the Sain~ John's campus. Presently, the main veh~cular access ta the campus is from Arizona Avenue (at 22nd StXeet) and from 23rd Street (between Santa Mon~ca Boulevard and Arizona Avenue). These access points generate substantlal traff~.c in the res~dent.~al neighborhood noxth af Santa Monica Boulevard. As part af its master plann~ng process, Saint John's resolved to minimi.ze traffic intrus~on into the residentzal neighb4rhoQd north of Santa Manica Boulevard. The Master Plan accamplzshes this in three ways. F~rst, the main vehicular access ta the I3arth Cartpus will be tror~ Santa Monica Baulevard, rather ~han 23rd Street or Arizona Avenue. Seeond, suffYeient parking will be provided on- s~te ta accammodate all future paxking needs, el~minating the exist~ng parking deficit Grh~ch curren~l~T ~auses so:~e of Saint _~_ .g T ~ ~ ~ ~ ~ ~: ~ =~ . . John's patients and visitors to park on-street. Third, mt~ch of the new parking contemplated in the Master Plan will be located south of Santa Monica Baulevard (the South Campus) and accessed ~rom either Broadway Avenue ar Santa Monica Baulevard. As a result, after construct~on o~ Phase One af the new Saint Jahn's campus, more than 88% of the overall traff~c generated by Saint John's will access the campus from eYther Santa Monica Botxlevard or Broadway Avenue (as compared to on~y abaut 50~ at present},~ Additionally, all Phase Two traffzc will~ access the St. Jahn's campus from either santa Monica Boulevard or Broadway Av~nue; there wiZZ be no vehicular access to Phase ~'wo fro~ ei'~her Arizona Avenue ar 23rd Street. In this context, Saint John's has addressed thE related issue of vehicular access to emergency raom services, which are iocated on the North Campus, Saint John's considered various options, including (1) combining emergency room vehicular access wlth access for c~~her vehac].es ~n a s~ng~e entrance an Santa Mon~ca B~ulevard that services a11 vehicles accessing ~he Narth Campus, and (2) establishing a separate vehicular access driveway on Santa Monica Baulevard that wauld service exclusively emergency room-genera~ed vehicles. During ats master p~.ann~.ng process, 5aint John's re~ected these opt~ons because they are unworkable in some respects, and because they are substantially anferior to Arizona Avenue access with respect to the goal of optimizing the quality of emergency medical care. These opt~ons are aga~n considered in this repprt. zxz. THE SAINT JOHN~S EMERGENCY RDOM: THE NEED FOR_CONTINUED EMERGENCY SERVICES Saint John's has provYded emergency medical s~rvices in Santa Monica since I980. These services are provided 24 ho~rs p~r day, 355 days pEr year. Saint John's is designated as a Level I~ Trauma Center according to the guidelines estabiished by the Los Angeles Caunty Department af H~alth Serv~ces. Th~s des~gnation is assigned to facilities wh~ch provide 24 haur servic~ and requires that physlclan sub-specza~ties sucn as surgeons and anesthes3o~aglsts be available within 30 minutes. Typically~ public use o~ the term "Trauma Center" refers gener~cally to LevQl I centers. These facilities ha.ve sub-spec~.a~~.y serv~.ces available within the 1 Kaku Associates pro~ects that the pro~ect w~~l result in a net declane ln Sa~nt John's-generated trafflc on Ariz~na Avenue of approximately 480 daily trips, or a reductian of 400. Kaku Associates further pYO~ects that Saint John's-generated traffie on 23rd Stree~ :.~11 dec~.~ne by ~cre than 75%. _2_ ~~ ~~ ~ ~ ~ C ~ department at all times and deal with the mast critical patients requiring immediate surgical att~ntion. i.e. gun shot wounds to the chest, near ~atal automobile accidents, etc. These types of pat~ents are nQrmally nat directed to Saint John's, but rather they are transported by the responding ambulance to the nearest Level I Trauma Center. On the Westside, this zs the UCLA Med~cal Center in Westwood. Saint John's emergency roa~n presently averages approximate~.y 64 patient vi.sits per day. This translates ~.nto about 128 vehicle trips daily. Appraximately 30~, of these trips are via ambuZances. The baZance are via private vehic~es. Saint John's antic~pates a patential increase in emergency room patients in its new facility. By 2005, Saint John's prajects an av~rage of 96 daily emergency room patients. As part of its master planning pracess, Saint 3ohn's considered the continuing need to provid~ the communzty with emergency medical services. Sa1nt John's has concluded that emergency sErvices are a cr~tical part of its overall health care missian and are essential to its l.ong term viab~lity. Specifically~ Saint John's has found: 1. Provision of emergency serv~.ces fulfills the missian of the 5isters of Charity of Lea~enworth, which ~ncludes providing medical services to the less fortunat~ wha often rely upon hospital emexgency departments as their primary means of abtaining health care treatment. 2. Emergency services are a key camponent in supportzng other primary services prov~.ded by Saint Jahn's, including cardiac care, cancer, and acute care. These areas are central elements of Saint Jahn's strategic di.rectian and often involve patients who require immediate/emergency ~nterven~ion on a 24-hours per day basis. 3. Emerg~ncy servzces ar~ zmpor~ant as a source of patient admissions to Saint ,7ohn's. Fully 25~ to 3Do of all adr~issioris to Saint John's originate in the emergency department. Thus, the continued viab~lity of Sa~nt J~ohn's ~s d~~rectly linked to the existence of a fu11 service, 24-hours per day emergency serv2ces pragram. 4. Emergency serv~ces are crit~cal to ~r~aintaa~ning commun~'ty pe~cept~on of Saint John's as an inst~tution whiCh ~s truly ful]. s~rvice and capable of ineeting the populatian's comprehensive health needs. The ability to provlde care ~or the community on a 24-haurs per day basis, particularly in an emergent s~tuation, is essential to maintain Sain4 John's stature and reputatian as a lead~ng health care inst~tution on the 4aestside. 5. Emergency services prov~.de an imp4rtant apportun~~y to establish a relatlonsh~p between Saint ,7ohn's and members o~ the com:,~unity. For riany, pa~ticulail}~ the younger segr~ent of the -3- k~r Y~~ ^ ~ ~! L' l area's populat~on, the emergency department is often the primary point of contact with a hosp~tal. Thus, the existence of the e~ergency department offers a point of introduction to the high qualit~ of inedi~a~ care provided by Saint John's, and creates the potentiaZ to establish long term allegiance to Saint John's and its affiliated physicians. IV. EMERGENCY ROOM VEHICULAR ACCESS FROM SANTA MONICA B~ULEVARD In preparing this report, 5aint John's has reconsidered the v~ability af providing vehi~uiar access to the emergency room from Santa Monica Boulevard. Upon ~urther r~view, the Saint ~3ohn's ~aster planning team has again concluded that veh~cular access to emergency ser~ices from Santa Monica Bou~evard is unworkable. A. Separate Entrance. Creatinc} a separate entrance for emergency vehicles an Santa Monica Baulevard ~s nat viable, either in terms of inedical aperations or vehicular circulation. The problems with such an approach include: 1. Even with praper signage, constructing two Santa Monica Boulevard entrances in close proxim~ty to each other wauld be confusing, particularly to drivers af private vehicles seeking emergency services. A driver seeki.ng emergency services who mistake~ily chooses the ma~n entrance ~rou~d be d~layed ln reaching the emergency raom by several minutes at least, and possibly longer. According to the American Society for Healthcare Engineering af the American Hospital Association: "Emergency room access shau~d be the easlest and most clear of all the hospital access points, since life often depends upon ambulanc~s anc~ private vehicles finding the ER and entering quickly." Barbara Chance, Ph.D, "Managing Hosp2tal Access", HEalthcarE Facilities Manaqement S~ries, American Society for Healthcare Eng~neer~ng~ a55135 (November 1996), at page 6. 2. Drivers seeking to enter emergency ser~ices from 5anta Mon~ca Boulevard would face greater traffic sa~ety risks. This ~s ~specially true for vehicles traveling in an easterly direction on Santa Manica Bou~evard durzng peak traff~c p~rzods, which wou~d need to make a left turn across ~~0 lanes of traffic under potential~y s~ressful c~rcumstances. In contrast, d~recting the flow af emergency vehicles to l~sser used streets would help ta alle~iate th~s probler~. 3. For medical pZanr~ing reasons, the emergency r~om must be located an the nvrth-side af the new Diagnostic & Treatment Facility ta ensure proper ad3acencies b~tween various medical care functians. Saint Johr~'s rlaster p~anninq team considered and re~ected as ~n~~asible the idea of relocating the emergency room ta -4- k . . ~ ~ ~, ! ~. - ~ the south-s~de of the Diagnostic & Treatment Facility.~ G~.ven this, vehicu~ar entrance from Santa Monica Boulevard would require vehicles seeking emergeney servzces to travel acrass the entire campus (beneath at least one bui~ding}. Emergency patients would then need to utilize an el~vator to reach the emerqency department. 4, The combined effects of these problems--the patent~al delays imposed by the ambiguity of entrances, ~ehicles queuing to accommodate a variety of competing access requirements, and iengthening of travel rautes to the ultimate point of care--are unnecessary, avoidable, and p~t~ntially dangerous to emerqency patients. 5. Praject phas~ng requires construction af the building which includes the emergency department to precede demolition of the existing emergency services facility and construct~.on of the new maYn entrance on Santa Monica Boulevard. Given the existing location of the Saint John's emergency services facility, the new vehicular entrance to emergeney services must be c~nstructed off Arizona Avenue ta ensure continuous aperation of em~rgency serviaes at Saint John's. In sum, a separate entrance for emergency vehicles on Santa Monica Boulevard is ser~ously inferior to the available alternati~e on Arizana Avenue, wh~ch is th~ only aJ.ternative that satisfies the basic medical cr~teria for lacat~nq the emergency raam and ensures that Saint John's can prov~.de emergency services without interruption. B. Combined Entrance. Combining emergency room--related traffic with gen~ral Saint John's traffic in a single, Santa Monica Boulevard entx-ance would create the same traff~c and medical operations problems as would a separate 5anta Monica Boule~ard entrance for emerg~ncy room-related v~hicles. A combined entrance wouZd create ane additzanal probZem as well. The main vehicular entrance to the North Campus has been design~d to accor~modate all non--emergency traffic, includ~.ng all 2 The er~ergency roar~ is where the pa~~ent's cand~tian ~s stabilized and the ful~ diagnostic resources of Saint John's must be available to determine the best caurse ~f treatment. For th~.s reason, direct access to radiology, with its comprehenslve medical imaging capabilities, and laboratary services, with its ability to analyze bl~od and tissue specimerls (and the root cause a€ ~llness) , are essential. It surgery or any oth~r emergency pracedure is warranted~ the shortest and most direct route to these faci~itYes is ~s$~ntial. If critzca]. care ].~fe support is requ~red, the shortest and nost d~rect raute to the crit~cal care nursing unit ~s essent~al. These factors dlctate the proper ~aca~ian for the emergenc~• roor;. -5- :- 4 ~ ~ ~ ~ -- 1 ~ parking access {420 parking spaces nat inc].uding emergency-re~ated parking), and pat~ent/~isitor drop-off and pick-up. Sharxng of this entrance with emergency vehicles is nat passible because the traffic from the drop-off and pick-up act~vities will, accasinnally at least, impede vehicles seek~ng ta access emergency services. V. SAINT JOHN~S NEW CAMPUS MASTER PLAN: EMERGENCY RD~M ACCESS FROM ARIZONA AVENUE Saint John's master planning team continues to be~~eve that emergency services vehicular access from Arizana Avenue is essential to satisfy impartant medical service and traffic circul.atxon needs. Saint John's master planning team f~rther believes the concerns expressed by residents ~n the surrounding neighbarhaod may be addressed by mitigation measures designed to minimize any potent~al adverse effects of placing emergency access on Arizona Avenue. A. 5aint John's Plan For Emerqency Services. Saint John's has designed its emergency services plan to maximize the qual~ty of emergency medical care whi~e mini~izing any potential adverse effects in the surrounding residential neighborhood. Key features of this plan include: 1. The ~mergency room veh~cular access will be dedicated exclusive~.y far emergency raom use; no ather hospital personnel ar functions wi11 be allowed to use thls access. 2. To ensure efficient access, a c~early max'ked ambulance drop-off area will be provided ~.m~ediately adjacent to the entrance ~f the emergency roor~~ and another area w~ll be provided to drop off emErgency patients tha~ arri~e by private vehicz~. Both areas wiZZ be accessed by one, cambined entrance off of Arizona Avenue. 3. A vehicu~ar turnaround area and temporary parking for private vehicles in which emergency raor^ patients arrive will be provided within the emergency drop-off area. 4. Saint John's will provide persannel at the emerqency entrance at all times ta monitor and d~.rect the acti~~ty at the emex~gency drop-ofF. Dri~ers of private vehicles which are used ta transp~rt a patient to the emergency raom will b~ required to move their vehacles ta Saint John's public park~ng areas after dropping aff their pat~ents. Ambulances will deliver patients to the emergency room, restock their ambulances with suppli~s and 1ea~e. No ambulances wi].1 be pernanently based at Saint John's. 5. Sair~t ,7ohn's 4:~11 institute a"no siren" zone in the area baunded by Wilsh~.re Boulevard on the nortri, 26th Street on the east, Santa Nonica Boulevard or. ~he south and 20tr Street an the -6- r~ x ~' b i ~ C i west. All ambulance companies s~rvicing Saint John's will be required to turn off their sirens when entering residential streets within the no siren zone. Ambu~ances will uta.~~ze emergency warning lights when traveling on residential streets, as appropriate. 6. Ta protect against potential conflicts between the emergency services entrance and the service veh~.cle entrance (which will remain at its current lacation on Arizona Avenue), the emergency services entrance will be ~ocated approximately ane block east af the ser~ice vehicle entrance. In addition, the l~ading dock area accessed fram the service vehicle entrance will be reconfigured to allow service vehicles to turn araund on the 5aint Jahn's campus. This will eliminate the undesirable need for trucks to back into the site from Arizana Aver-ue, as is currently done, and will eliminate the po~ential for conflict between sarvice vehYCles access3ng the loading dock and emergency vehicles seeking access to the emergency roam. 7. Saint John's will work wath emergency transport providers and ambulance services to establish pre-planned routes to the emergency room which minimize conflicts wath neighborhood traffie and pedestrians. B. Neiqhborhoad Safety Concerns. Saint John's has investigated the concerns expressed by neighhors that emergency vehicul.ar access on Arizana Avenue will create a dangeraus situation in the neighborhood immediately surrounding Saint John's, and has faund no evidence to support these cancerns. To the contrary, the available information indicates this concern is genera~ly un~ounded. In studying this issue, Iiaku Assoc~ates has analyzec~ the available data concern~ng accidents ~n the v~cinity of Saint John's and Santa Monica/UCLA hospitals dur~ng the past 11 years. Based upon this ana~ysis, Kaku Assvc~ates has concluded that relocation of the Saint John's emergency raom ta Arizona Avenue would not be expected to ~ncrease emergency vehicle collisions or collisians with pedestrians in ~he ad~acent residential area. A copy of the Kaku Associates study is included with this report as Exhibit B. Add~tionally, the City o~ Santa Monica maintains fire stations with parar.ledic services at four locations tnroughout the C~ty, including three such stations in dist~nctly res~dential neighborhoods. (See C~ty of Santa Mon~ca Master Env~ronmental Assessment (Apri~ 1996J, at page 15-1.) These statians are lacated at 222 Holl~ster Avenue, 1302 19th Str~et, and 2~5D Ashland Avenue. City emergency vehicles respond to a substantiai number af emezgencies fram these locations, ranging from 4,504 ~0 5,125 annual respons~s between 1989 and 199~. (See Santa Monica Master Enviranmenta~ Assessment (ApriZ 1995), Table 15-2a at page 15-5.} Kaku Assoc~ates has found no e~idence suggesting that the City, by operating zts emergency ser~.~ices in these ~hree residential -7- '~ t.;lv ~ r ~ neighbarhoods, has created a significant risk to the safety of neighboring reside~ts. vI. C~NCLUSION Saint John's continues to believe that placing emergency room vehicular access on Arizona Avenue constitutes the best solution far pr~viding emergency services to the community. In this regard, Saint John's suggests that this issue should be evaluated ~n the larger context of Saint John's averall master planning process and not in isolation. ey re~ocating its main vehicu~ar entranee to Santa Monica Bou~evard, Saint John's is dramatically lessening its traffic impacts ~n the residential neighborhoad north of Santa Monica Baul~vard. Emergency raom traffic constitutes a very small percentage (less than 3~) of the overall traffic generated by Saint John's. The benef~ts of ~he fundamental shift in traffic contemplated by the Saint John's Master Plan to those residing north of Santa Monica Boulevard are, therefore, quite substantial. As this report ~ndicates~ placing vehicular access to emergency serv~ces an Arizona Avenue is essential to optimize the quality of Saint John's emergency medical serv~ces to tihe community. Given th~ location of the emergency room, placin~ emergency room veh~cular access on Santa Monica Boulevard wauld unduly impede access to emergency services, potentially delay treatment, and unnecessarily compromise the qual~ty of emergency care available at Saint Jahn's. Finally~ our lnvestigation indicates that placing the vehicular access to emergency servzces an Arizona Avenue wil~ not create a risk ta pedestrians and vehicles in the neighborhood north of Arizona Avenue. Saint John's wi~l implement a"no s~ren" zone, pre-planned routes far emergency vehicles, and other reasonable mit~gatzan measures designed to protect ne~ghborhood safety. _g_ .r r ~^ ~ (1 ~ E%HIBIT A ~ t ~{~ ~~~ ~ ~ i ~ Saint John's Master Planning Tea*~ Below is a raster af the Saint John's master planning team: Jefferson W. Asher Structura~ Engin~er KPFF Cansulting Engineers Robert Campion Development ~versYght Committee Saint Jahn's Health C~nter John Canley Architectural Principal Hellmuth, Ohata & Kassabaum, ~nc. Jerry Epste~n Chairman, Development Oversight Committee Saint John's Health Genter Dr. Kevin Erhart Saint John's Nedical Staff Santa Monica Orthopaedic Group Tom Gaul Parking & Traffic Consultant Kaku Associates, Tnc. Craig Hamilton Architectural Pro~ect Directar Stone, Marraccini, Patterson Dr. Alan Heilpern Director of Emergency Serv~ces Saint John's Health Center Stea~en Jones, Jr. Development Overs~ght Committee Saint John's Health Center Christopher A. Joseph Environmental Consultant Christapher A. Joseph & ~,ssac~ates Bruce Lamoureux Chief Operating Off~cer Saint John's Health Center Jain Malkin Interior Des~gn Principa~ Jain Malk~n, Inc. (r+l~dical Planning Consultants) -1- ~ ~~j ~ John H. Michel Chairman af th~ Board 5aint ~Tohn's Health Center Dr. Mark Needham Saint John's Medica3. Staff Santa Monica Bay Physicians Leonard Pick General Counsel Saint John's Health Center Dr. John Robertson Saint John's Medical Staff Sister Marie Madeleine Shonka Chief Executive Officer Saint John's Health Center Alan Strauss Chief Financial Officer Saint John's H~alth Center Tim Vreeland Histaric Archi~ectural Consu~tant Thomas R. Vreeland & Assaciates Robert York Construction Management JCM Group Nabih Youss~f Structural Review Nabih Youseff Associates f ! -2- c: . ~ s ~ - ~r4 : ~?~~IBIT B t ~ r' ~ ~ ! _ H[ST~RICAL. EMERGENCY ACCiDENT ANAL.YSIS tN THE VICINlTY OF SAINT .10HN'S AND SANTA MONICAIUCLA H~SPITALS January, 1997 Prepared far SAINT JOHN'S HEALTH CENTER Pre~ared by KAKU ASSOCIATES, INC. i 453 Th~rd Street, S~ite 400 Santa Monica, Califarnia 9D401 ~31 fl) 458-9916 Ref 886 02 t~. ~,~7~ ti f c> C ~ HISTORICAL EMERGENCY ACCIDENT ANALYStS IN THE VICINITY OF SAINT JOHN'S AND SANTA MON[CAIUCLA HOSPITALS I. INTRODUCTlON Th~s report documents an ana[ysis conducted by Kaku Associates, Inc. o# histar~cal accidents m the vicinity of Saint John's and Sarrta Mornca/UCLA Hospitais. The analysrs consisted of mternews with the Fire Department and ambUlance pra~iders and review af historical acc9dent data The purpose of the analysis was to determine whether h~storicaE data supports the cancems vaiced by neighbors of Saint John's Hosp~tal that the relacation ofi the emergency room (ER) to Arizona Avenue would increase the risk of accider~ts on ~esidential streets 11. ~NTERVIEWS WiTH FiRE DEPARTtVIENT AND MEDTRANS The Santa Mon~ca ~ire Departrnent currently operates two amb~lances and approximately 99% of the City's ambuEance ser~ices are contracted out ta a private firm (Mecf~rans Amb~lance Sernce, former~y knawn as Goadhew Am~ulance Sernce). The D~~ision ChEef for the Santa Monica Fire Qepartment, Craig Colher, was contacted and stated that he does no# recap any Fire Department ambulance accidents around Samt John's Hos~ital or Santa MonicalUCLA Hosp~tal Medtrans Am~ulance Service was referred by Craig ColGer as a contact smcE almost alf of the ambulance service w~thrn tl~e City of Santa Mon~ca ~s pro~~ded by them Chr~s Smit of R~sk Management at Medtrans was contacted; howe~er, he cauld not pra~ide any quantctati~~ data due to campany palicy whrch pre~ents the release of acc~dent mformation He d~d merittia~ that he dsd r~ot recatil any Medtrans ambulance acctidents flccurring ara~~d Sa~n# John's Hos~ital or Santa Mon~ca/UCLA Hosprtal iil. REVIEW OF HISTDRICAL ACC[DENT STATISTICS Saurce and Methodoloqy The City of Santa Monica partic~pates m the Cafifornia 5ta#ewide Integrated Traffic Recards System (SW~TRS) mainta~ned by Caltrans Callis~an ciata vrnthin the C~ty af Santa Monica is documented in an annual report ColEision information was gathered for the years 1985 to 1995 The data re~iewed ~ncluded any call~sEOns cn~olving emergency vehicEes andlor pedestnans in the ~~cEn~ty of the two hospitals However, the collis~or~ information does not me~tion the destination or or~gin of vehccles that were fn~of~ed m col~~sions. Therefore, it can not be precisely determ~ned whe#her or nat the ~ehicles ~n~of~ed m a caal~siar~ were ~n fact destmed to the ER's In addition to not know~ng the destination of the ~ehccles, the data an colEisions in~olv~ng emergency vehicfes does not specify the type of emergency veh~cle (i e, police, ambulance, fir~) in~ol~ed m the coflis~on H~storical c~ata was reviewed m a study area cons~stmg of residential streets in the ~ECin~ty of Saint John's ar Sa~ta Mornca/UC~A Hospitaks For th~s purpose, residential streets were defined as }. • ~ ~~ "t ~ ~~ ~ ~ L ! feeder streets and local streets, as desxgnated by the City of Santa Monica The Santa MorncalllCLA Hosp~ta~ was mcludecf m the anakysis s[nce its ER is located on 16th Street which is a residenfial street Also note that an ex~stmg fire stat~on located on the southwest corner of 19th Street and Arizona Avenue is within the study area and could ~nfluence the data Figure 1~liustrates howthe co[lision data was grouped into three categones "imm~diate Hospita~ Area", "Secondary Area", and "Comparisar~ Area" The "Immediate Hospital Area" is defined as collisior~s occurring on the resident~al street system that is adJacent to eac~ hospital The residential streets analyzed in the "Immediate Hosp~taf Area" are Ar~zana Avenue at 15th Street, 16th 5treet, 21 st Street, and 22nc! Street The "Secondary Area" is defir~eci as collisions occurring on nearby rasident~al streets w~ic{~ are primary routes to the hospitals and are not cn the "Imrrted~ate Hosp~al Area" The residential streets anaiyzed in the "Secondary Area" a~e Arizona Avenue from 17th Street to 19th Street and Arizona A~enue from 2~4th Street to 25th Stree#. The "Tota1 St~dy Area" category on tf~e table, is the sum of the "Immed~a#e Hospital Area" and "Seconclary Area" A control area ("Comparison Area"~ that was similar in size and in traffic ~olume to the 'Total Study Area" was also selected which mcluded sections o~ Arizona Avenu~, 17th Street, and Was~ington Avenue outs~de the study area Tabte ~ presents the collision information far selected resider~tiaf streets an a year by year bas~s w~th the total for the 11 years at the bottom of the table, whde TaE~le 2 summar¢es the average annual number of coAisiorts for the 11 year per~od Collisions Inr-ol~inq Emerqency Vehicles As shown on Tables 1 and 2, wi#hin the `Totak Study Area", the a~erage annual number a# collisions occurring on res~dentia! streets in~olving emerge~cy vehicles was negligible m that there was only one calhs~o~t within an e[even year span TF~ere was also one collcs[on irtvolvmg an emergency vehicle m th~ 11 year penod ~n the "Companson Area" No emergency vehicle callisrons oceurced on residential streets withm the "Immediate HvsP~tal Area" The err~ergency ~eh~cle collisions in the study area die! not mvof~e pedestrians anct did not result in fatalities Collisions Involvinq Pedestrians As shawn on Table 2, the citywide a~erage annual number of auto CpIIISIOCIS in~olvmg pedestrians ts 114 The average annuaE number of a!I coll~sEans w~thin the C~iy ~s 1,940 Approx~matefy ~% af the average annual number of all auto colliscons oceurring with~n the crty in~ol~es pedestrians Emergency vehickes account for one percent of all collisions accurnng withm the City The a~erage annual number a# automobile callisEOns m~ol~~ng pedestr~ans m residential areas in the "Immediate Hosp~tal Area" is about one per year (0 7) For res~dent~al streets in the °Secandary Area", the a~erage annual num~er of automab~le collisiar~s m~al~mg pedestrians ~s less #han one per year {0 5} For 'Tota1 Study Area", the average annual number af col[isiorts mvoi~ing pedestnans ~s slightly o~er one The sverage annual nurnber of automobile colfis~ons ~nvaf~mg pedestnans #or the "Comparison Area" ~s fess than one (0 5) One signi#ica~t pa~nt is that there were no #atalities ir~ autom~bde col~~sions t~at invol~ed pedestnans in "Immediate 2 L+ P • ~ •'~ '-, l ! ~ ~ ~ - Hosp~tal Area" and that there was only one fata~fty over an eieven year period withm the "Secondary Area" The "Comparison Area" had na fatalities m automob~le coli~srons that mvolved pedestrEans The area of cancem is collisions in~olvmg pedestrians on residential streets relatetf #o emergency room access The data that was gatF~ered o~er the eleven year period on automobile caihsio~s ~nvalving pedestrians on resident~af streets shows that the 'Totai Study Ar~a" had f 3 aol~~sior~s whiie there were five withm the "Compar~son Area" Of the 13 collES~ons in~olving pedestrians, eight were within the "Imrnediate Hosp~tal Area" Upon claser inspection of those eight collisians on resident~af streets En the "Immediate Hospital Area", a higher mcidence of the co~4sions were ad~acent to Santa MonicalUCLA Hospital (six, or three fourths, o~ these collisions) The emergency raom access for Santa Mon~ca/UCLA HaspitaE is on a residential street, however, in look~ng at the cause of the collisions, urisafe speed was not reported as a contrib~ting factor to #he coliisions Thus, based ar~ this data, tt a~a~ears #hat the collESions mvolving pedestrians were nat a~esult of vehicles speedi~g to hosp~tal emergency rvoms T~e higher inc~dence of colhsians w~th ~edestrians eould paten#~ally be explair~ed by other factars such as a higher ~evel af ~edestrian acti~~ty in the ~icmity of San#a MonicalUCLA Has~~taf than m ather areas IV. CONC~USIONS As shown in the tables, the emergency vehicls collision numbers are negl~grble with only one co[lision in the 'Tatal St~dy Area" o~er eleven years Examination af call~sion informat~an within #he "Immed~ate Hospital Area" re~ealed that speecf was not reported as a contribut~ng factor in ~eh~cle collisions in~olrring pedestr~ans T~us, th~s data suggests that rekocat~on of the 5aint Johr~'s Hosprtal ER #o Arizana Avenue wauld not be expected ta not~c~ably mcrease emergency ~ehicle coll~sions or co[I~s~ons w~th pedestr~ans in the adjacent reside~tia~ area Also, note that the proposed placement of the mam entry for Saint John's Hospitaf an Santa Mon~ca Boulevard, along v~rrth the prov~s~or~ ot s~tf~cisnt on-srte park~rtg for a(! er~tployees, ~rsrtors and patients, should result in a reduc#ion tn pecfestnan acti~ity along reside~tial streets s~rrour~d~ng #he ~ospi#al This reductEOn in pedestnan actGV~ty has the potential ta reduce the n~mber of coll~sions involving p~destr~ans on residential streets around Saint ,1ohn's Hospital 3 r,~ ~ f J ~~~ "~ _., ...~ .,._, _"" ' -._,~., .. . _.~.. .`~_-~,...._~~.. ~ ~ ' ~ T ~ ~' _ ' 1 ~ f~' o T ~ t i o ~ ~ ~ ~ W _~ ~ t~ -.._....._._ ._ ._.- • w •rs~ ~ _ ~ ~ ~i ~f~ ~ ~ ~ ~ ~ ~ ~ ~ - _ LEGEND ` ~ - ~ - Sa~nl John's Hpsp~faf ~~ 5nnla Al H r~ -,Arttnal arrd CaJkclor Strrels onicq ospdal - Feeder and Locvi StreCta ~ ~ - r" Strerls 1Yrlhrrt ?rrrrrkdrale Nospilol Area ~~~ - O: r r Strcels Wilhm 5eeonCery lv~a ~ ~ - Strects Wrihrn Cpmpw~yon q~~a C.,~ ~ . --~-~~.. FIGURE ~ STU~Y AR~A ~ ~Y t~ "~ E t TA$LE 1 NUMBER QF COLL[SIONS BY YEAR,19B5 7'O 1995 IMMmiATE SECONDARY TOTAL COMPARIS~ON Hasarc~u rutEi~, utEn aruar ~te-, ut~e. MUM6ER OF NVM8ER Of NUMBER OF HVMBER OF MUFEBER OF 1lUM6ER OF NUTASEA OF NUMBER OF YEAR CI7YVYIQE COL1151DH5 FATALlTIES GOLLIStONS FATALITiE3 GOLUS~lIS FATAEIf1E5 COLLJSIONS ~ATAL[TIES YEAR 5895 Cailhbns Involvinq 19 0 0 7 0 1 0 0 0 Emerpenry Vehieies AulpCpllislons 167 1 0 1 1 2 1 1 D InroNfnp Psdastrlms AlfOtherCalllslans 1,519 6 WA i WA f2 WA 6 wA TOTAL 1645 9 H/A 5 WA 15 WA 6 NfA )'FAR 1l94 Co[Wslens Imrolvlnp 44 fl 6 6 D 0 q 0 0 ~me~gent7f 5fahfcles Avla Cdllsion~ 147 1 0 0 0 i 0 S 0 Involdrp P~deshtfns J41 Olher Co7H~tons 1 I53 1 WA 1 WA 6 WA 7 WA T07A,L 1,610 2 WA i WA 6 Wq b Wq YEAR 1B9] GoilYslans knvolWnp 11 0 D 0 0 0 0 4 0 Emei~at~cY Yshlc4es Auto CalElsfons 100 0 0 0 0 0 0 0 D fnvolrfnp PedesSrlans HlOiherCo[Ilslans 7,Z76 4 WA 3 WA 7 WA 2 WA TOTAL 1387 ~ FVA 3 NJA 7 WA 2 N!A YEAR t992 Calllslons Invo[vlnp 1~ 0 0 D ~ C 0 0 p Fanerqenry Vehieles Auto Co{Ilclons 114 t 0 7 0 2 0 0 0 ImolvEnQ Pedestdans All Dther Coilhlons 1 491 3 WA 3 WA 6 WA 3 WA 70TAL 1519 4 WA ~ WA 8 WA 3 WA YEAR 1991 Coillslans In+rolvlnfl 2q 0 ~ ~ 0 0 0 D 0 Emergency Vehlok~ Auio Collls[onf a9 0 p 4 9 0 Q 0 0 fnvalvlnp Psdertrlan~ MI04herCo[Ilsiom i329 2 WA 1 WA 6 WA 10 WA TOT 1642 2 HfA 4 !U0. 6 HI0. SO HIA YE4R 1i9a CalGSfoa~ lavalvlnp te o 0 0 0 0 0 D 0 Emeryenry Vehlcles Auto CaHislona 718 7 G 0 4 1 6 1 0 InvalvlnQ Pedestslans All O[h[f COIIhlOnS 7 752 i WA t WA 5 WA 70 WA TOTAL 7 866 ~ NIA 4 NfA fi N!A 1* WA YEAR 1989 CoEllslons invoivkng ~ 0 p 0 0 0 0 0 0 Emeryensy Vehicies Avlo Co1ti4a5oes 13 ~ 1 D 1 6 2 0 1 0 Inrolvin9 PetlcstAans NI Qther CaIE{pons 1 893 3 WA 6 WA 7+ WA 12 WA 70TAL 2049 4 hUq B WA 73 WA 73 Wk ~1 ~ , ~ + ~. ~- ~ ~ t E YEAR GRYYYIDE Y~+~ 1~ Colll~laaa MrolWrg 13 Ema[pency VshkEe~ Auto CaiENto~a 710 Invo[rlnp Pedeslrt~ns ulOtherGWluion~ 2.1Z6 roru x z+a v€n~ taer Collislon~ krtraivlnp 34 ~nay~ncy Vei~INas AuW Co1lkNans 12i Inralvlny PedestAans AIIOtherCOllhlonf 2,R16 TOTAL 2 ~03 YFAR 7iB6 CalNdons InraiWnp 2a Emerpaney Vahides A~oo Galllsions 1~ MvolrinQ PeAesdlans NlOtherCOillala~s Z+18a TOTAL Z 6~6 YEAR 4985 ColElsiom Involvlnp . Emeryency VehleYes Auto ColtlsEans 117 Imalvlnp PWqtrlms AIE Oeher CoHlslans 2,11 i I 1CSl• 7.- TABLE 1(Can~nued) ~[[IMBER OF COLI.[SIONS BY YEAR.1985 TO 7995 IMMmU1TE SECOHOAAY TOTAL HOSPITJU. AREA AREA STUDY ARFA MUMBER OF NUMBER OF NIJMBER OF NUIHBER OF RUMBER GF IiUMBER OF COLLISIdNS FATALITIES GOWSIONS FATALI'T1E5 COLLISIONS FATALfRES o a o o a a a a o o a a 5 WA 7 WA 12 WA 5 WA 7 HIR 12 N1A o a o 0 0 0 1 0 0 0 1 4 6 WA 4 WA 10 WF T WA 1 NIA 11 WA a v a a a a 1 0 y 0 3 0 ~ WA $ WA 12 FUA 5 lalA t0 NFA i5 YiIA 0 0 0 0 0 0 1 Q 9 0 1 0 4 WA 6 WA 72 WA ' . ~ Iti- . • ' F L' ` t4s COMPlIFtIS[QN IJtFJ1 !lUM6EROF ~ NUMfiEROF COLLISIOHS FA7ALRIES i a i o ~~ wa 54 WA 0 0 D 0 77 WA 57 WA o a 0 0 15 W~ ~s ws. o a 0 D 6 WA ti IMML~IA7C SECOk(yAF{Y TCSP. C611'P4R S 7r. ~ HOSPITAL AREA AREA ST4f0Y ARFA AR£A TOTAL FOR THE NUMBEFi OF NUMBER OF !lUM6ER OF NNMBdt OF NUkABER ~F NUMBER 6F NUM6ER OF NUMBER OF YEARS tYBS-1995 C1TYNfl~E COLLl514M5 FATALRIES [pLUSIOHS FATALR'1E5 GOLLt510H5 FATALITI@5 COLLISIORS FATALITIFS Colllslons Invalvlny 206 G 0 1 0 5 0 t D Emerpency Vehlcks Aulo Colllslom 7,252 8 0 5 1 13 1 5 0 InvalvlnQ Peaeslrlana Ali Olhef Collfalons 19 882 11 WA S7 WA 98 WA 101 WA TOTAL 27 340 19 WA 63 WA 112 N1A 107 h!A Source SNITRS Datz ~ ~ ~ t : TA6LE 2 AV~I2AGE ANNUAL NUMSER OF COLLISI0HS,1985 TO 1995 T07ALACCID~NTS iIWiAE0U1TE SECONUARY TOFAL COMPARISION YYITHIN THE CITY OF HOSPITAL AREA ARFA STU~Y RRSA AREA 514HTA I~IOHICA TOTAL PERCEHT NUMBER pF HUMBER OF NUMBER OF NUMBER OF HUMBER CF NUMBER OF NUMBER OF NUMeER OF TYPE OF ACCIDENT HUMBER OF TGTAl. GOLLIS[ONS FATALITIES COLLlSlQNS FATALITIES COLLSIONS FATALITIES COLLISIONS FATALITIES Goliisions Involviap 19 1'R 0 0 0 0 0 1 D 0 0 1 0 0 0 1 0 0 Emer'pehcy Yehkles Auto CallEslons ~ 14 6% 0 7 0 fl 0 5 01 1 2 01 0 5 0 Q ~votviny Pedtstrtans /UI Ofher CoqFsions 1,8~7 93% 3 7 N!A 5 2 WA B 9 WA 9 2 lVIA TOTAL 1 840 7p076 4 5 NIA 5 7 WA 70 2 WA 9 7 I+llA ~.- ~~~ EMERGENCY ROQM ACCESS FR4M NEIGHBQRH~~D STRFIETS ANALYSIS OF: ~LENDALE ADVENTIST MEDICAL CENTER LITTLE COMPANY OF MARY HQSPITAL NQRTHRIDGE HOSPITAL MED~CAL CENTER Preparec~ b~~: Terrance Muldoan Vice President Saint John's Health Center 6 Januarrr I99S ' S ( ; ~9 {-.~ ~+ `} Introduction The C~tti~ of Santa Monica Planrung Commission requested information regarding access to emergency rooms at other facilsties v~~hich is similar to that proposed for Saint John's Listed belo~~ are three area facihties that have the access to theu emergency rooms (ER) separated from the maui patient7visrtor entnes In adc~tion, the ER access is located on local streets, rather than feeder or artenai streets Samt John's staff contacted these facilit~es and the local crty staff regardmg the effects of the locatian of the ER access on traff`ic safety and neighborhoad compatibility Listed belo« is a summan- of the information obtained frarri these sources Glendale Ad~entisr Medicai Center (GAMC) Cit~ of Glendale The emergency roam at th~s facilrty is a Levei Two Trauma Center It is accessed fram Chevy Chase Drive Access fram the freewa~~ ta Che«~ Chase Drive occurs by travelmg along Vi~'ilsan Terrace and Rschland Dnve. both of wluch are locai streets Regardless af ~he direct~on from v~~hich tiraffic arn~~es at the entn~ to the ER, rt passes single and multi-family dv~~ellings along these streets In discussions v~~th staff from the City of Glendaie, the access to the ER has not caused traffic safety problems or complamts from residential neighbors The cit}- maintains a rotatmg month~~~ l~st af problem ~ntersections wluch are targeted by the police department for traffic lavti~ enforcement Intersections are added to the list based on the volume of #raffic accidents and~or compla~nts from the publxc The intersections associated v~~ith this ER entn~ ha~~e not been cited far mclusion in this program Hav~~ard Malis i Joe Fiss {$18) 548-32a0 Cit~- of Glendale, Zoning VG'avne Ko {81 S) ~48-3960 Cit~~ af Glendale, Traffic Paul ~T~'arner (81 S) 4Q9-8~06 Glendale Ad~-entist Vledical Center. Construction Little CompanF af'V~an- Hospital {LCHM} Cih~ of Torrance The emergenc~~ room at this facilit~~ is a Le~~el T«•o Trauma Center. It is accessed fram Earl Drive. a local street This street cantatns a mi~ of uses. mcludin~ multi-famil~~ restdential, con~~alescent housing, and commercial The ma~n entr~~ for patients and ~-isitors is located on Tarrance Boule~~ard _ a main artenal street C~t~~ staff are unav~-are of an~~ unusual volume or t~~pes of traffic accidents associated w•ith the locatjon of the ER access LCV~H is currentlti des~gr~ng a su~star~tial remodel and e~pans~on ~~:h~c}~ ~ncIudes the ER_ The traffi~ and police departments have been invol<<ed ~n the plamunQ pracess and the~~ do not a safet~~ Saint John s Health Center ~mer~ency Room Access from Ne~~hborhaod Streets Page 1 of 2 "~` c_~ J cancern re~ard~g the ER access pamt As part of the re<<iev~~ process. the Crty of Torrance has requested that the ER access remain on Eazl Dnve to mimmize the number of access paints along Torrance Baulevard Donna Richardson City of Torrance, Plann~ng (314) 618-~990 Glen Crabtree {310) 54~-7676 Lxttie Compan~- af Man Hospital, Faciliry Devejopment Northridge HospitaI Medical Center {NHMC) Citv of Los Angeles The emerger~cy room at this facilit~~ is a Level Twa Trauma Center It is accessed fram Cantara Street. a local street. The buildmgs along Cantara Street are substantrally s~ng~e familv resident~al The main entx~~ for patients and visitors is located on Etiwanda Avenue, a feeder street. A second hospital entry is accessed from Roscoe Boulevazd , a main arterial street The location of the ER has not generated an~~ traffic safety problems or ne~ghbor camplaints along the residential streets The onl~~ problem crted by the adjacent residentia~ neighbars is the parkmg of visitors and staff on the street ac~jacent to the main entr~~ This problem was resol~~ed se~~eral ~~ears ago w~th the use af permrt parking fpr residents on1~- Bob Ornens {$18)238-6132 Northndge Hosprtal I1~Iedical Center, Facilit}• Deveiopment Ken Bernstem Counc~lperson Laura Ch~ck's Qffice, Planning Shellv Dritz Counci~person Hal Bernson's Office, Plamm~g ~r•~r-_~^2+re~ I~s~hcv^~ldee~~95~lCriw~c~ Sa~nt John's Health Center (213)4~85-348b {213)48~-3343 Emergenc~~ Aoom Access from Neighborhoad Streets Page 2 of 2 ~~ ~~~ ~j~ ~ fi} Arup Acaustics ~l~ L" Consultants in Acoustics • Noise • Vibradon Facsimile 2440 S Sepulveda Boule~ard 5uite 180 Teiephone 3101312-5040 Los Angeles, CA 90064 USA Facs~miEe 3101312-5788 Fax to Samt John Hospital Date 12-~ 4-97 Fax no Speed Dial Pro~ect no 30687 Attentron M~chael Monaldo Copy Jacob Tsimanis - OAP-C~IL Fram Am~r Yazdannryaz Tota1 pages 2 Sub~ect Saint Jnh~ Hospitai Replacements (rncludrng th~s one) Message If you have nat received all 4he pages listed aho~e plesse phone the sender On Tuesday ~ecember 9, 1997, we measured the ambient noise fevels at residenttak sites near the hospital property lines. The measured noise data and our comments presented here far your use. Noise reading was ca~ducted at three different times of day (72:00 -1:OQp.m., 4:00 - 5:a0p.m. and micinight to 1:DOa.m.} and at four ofF site locatians; north, south, east and west of th~ hospital campus At each measurement locatian [receiver site] #he ambient sound le~el was recorded continuot~sty for a period of 15mints. Durir~g the measurements, the number of auto traffic passing by the retei~er site was also recorded. Table 7 below presents the sounci data (i.e., dBA naise ie~els averaged o~er a periad of 15mints) and fieid observation notes. Table -1 Summary of Measured Noise Leveis, dBA ; Recei~er 5ite ! 12:~0 -1:00 P.M. ~ 4:00 - 5:00 P.M. ~ 12:00 - 7:OOa.m. i Notes ~ North ~ 55 ' ~3 47 '- _- ~ -- ambient - ~ I I sound ievel , cantrolled b Saint y John Haspital Mech. ; System Noise South ' 6fl-73 62-72 56 ~ Traff~c ts the major ~ source af ambient , sound East 57 ~ 53-71 ~ 47 Saint John Mech. ; ~ Dominates nighttime I ~ ; ambient noise level I i system ~ Wpst ~7.R4 5R_7d S[I Traffir_ ic thp I dominant source of ~ i ambient noise ievels ' As indicated, the nighttur~e ambient noise ievels at receiver s~tes located n~rth and east of the hospital are ma~nly influe~ced by the ~urrent Saint Jotsn Hospital noise sources (i.e., cooling towers etc). It es also n~.ed that the current n4ghtt~me ambient noise levels at the resEde~tial ' ~ ~: ~ ~ Ar~p Acoustics Facsimi~e California Page 2 praperties immediately north and east of the haspital are below the City of Santa Monica Noise Standard af 50 dBA. Base on the results of the arnbient noise readings, we recommend that the hosp~tai operation naise ier~e! at #he nearest residential praperty t~ the hospltal pro~ect north and east property Imes not-ta-exceed 47 d6A. The 47dBA-design goal is more conservati~e than the City af Santa Monica Nighttime Noise Standard. ~ __ y ~~,~ ~ •~'~'-,,~~: -,.,~.--7,r, • a;e- • ~ ...~e._ _.._ .. . ,..v,_•,.m.~ .- : - e~ 4 _ ;" -- ,. ----- ------~-----ak~ ~v~ ~M~------ •~ ~ - ------ - --- --- ~ . ~ .. I ' ,`~ '+4 r ~i7y` ~b#i ~~~yrj.~~ • ~~ ~ N~ ' "~ ~~~ ~3~: ~ .. a~.~.,wr ~ ~ I M1r~ A ' ~ ' j ' ° ~.~'~ ; ~~' ~~rt'.~.;~+~~ a t ~~ r.. Y ~ ~~ a ! ~ rlrYlY ~ . } , e ti- . I I ~ ~` nr.- . t r.n a r y - i i~}a'~a i~k~ ~ Arizona A~enue 47 dBA ~1 Qpm - 7am) r Central Plant O~ening . ~ . _,... . . . .. , ~ _~__,_..,._ -- ---- . ~ . 'ti~ , r Gas Gompre~c,r ; ' ^ ~ ~~ ; {:entral ~nr ; , - N ^ ~L'BIJr'J ( ~Z:JC'~ ^ ~~~~~^ ~ ~ . ~..r.. 3 ~ ~ ^ ~ Cool~ng ~owers "~, ~ ~ (D (D r.. W Ui Q ~ ~ ~1 ~ 0 ~ ~ V ~ ~ D8~T Bu~lding ~ ~ 1~ ~ ~ ~ 5 ~ • ' y~~ „ ti~ ~ : • ~• r } •' Santa Monica Boule~ard City Noise Standard 50 dBA 10 pm - 7 am ~ ~ --. l., ~ ~ ,~~- ,^~, , - ~~~ -=;._ ~ - ~. - ~ J L'~^i I' ~~:a V~~ '` '~Lr ~~ ~~ ~~~~ ~_~ .'~L ~~ -.~ ..:~ ~ .. ~:~ Il Januan~ 6, 1998 ~; : ~.~ . < "~J N .:'~~'~~+~ '`- .s f. - - , • - ~} ` / j' / ` ~``~ Ly~~-'~;] ~, ~ / , ~~ t;'vi ~i ~ / ~ /~/~i4 `~ "SA,c~S ] ~ `j~ /~i?~ti~5 S -T / c"1'',. /~ t•4 r~~ t 1, /~~/ 5,y / j`'T'~'~, - Y L~] / ~L.xl~l~' .'1 ;~~ ~'~` '•L~ ~': r ~'~ ~~ ~;` ~~//~ ~~,~~ ~~ ~ o~, ',~" ~- ~~',, 'y~ 5 ~_ . ~,' ,~'/ "•~',f /' r, , . f `~ ~~~•1~ ~i, ~ -- ~ /~+ !/ ~ o~ ~. ~~`y ti~~!~;;. / ~ ~~} •~Y~ r ~~ ~ y ~~~' ~ ~ ~ '. ~~1 ~ . 1 ' / .+- / ~ y ~ ~ ~. ~ . .~:,1 . ~ `'-~ ~ r~ 5 _~ ~ ;i+`~+:`~ / '~; "'r ti ~! s. ti ~1 ~~l ~/ i s.?.`~'S ~~----- ~ + ~ ~ ~ : : ~ ~' ~ j~ \O V~ f~ ~ ~1 ~, il , j.~y~`' ° `? ~ ~ / / ' - ~~ l ~ ; /i '~ ~~ '; ~ `~ _ ;`±1 ~,.~°.- j~ /~ y ' ~~a .~ . / i~ i^ 1 1~~~,,[:~ (~~'. . ,~ ~ ~1 ,~~ .~' yi` ~ j: 4" / ~17 VJ /// ~: ,'1 t 'S 7 ~~'' 1 ~ ''._.,...-=} ~ ~ 5:l 1'4 -.~l ~ ~ ~ / 1 1~ ~.__ . 1 ~•~y' /,' A 1 i. 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Fi~ ~' : ] :1~,, ~`, - a4, '":''~ - / . ~ ~ ~O e0 o q n vi w o ~ ~ ' ~~' ` ~~ ' V ~~5 ~'~F ~~ ~ ~~ Ai~ , `/, /~r~ ~~ ~~ ' ` ~ ~. ~ ~ '.• ,` ;; ; ,~--. ~~ ~ ~ ~ ~ , , $ ~~~ ~~ ~, `~:` , ~ ~ ~ ~ ~ ~ ~ ,' ~`'-,/ ~ " i ~ i .wf i .1 i d i ~ ~~y . _ i' .•',~` , / -`,i ~.' ~~g~R~~~~~~~~~~ `~;~:"~`; .. i~.~ ~~~.. ~~ r ~ ~ n ~ ~~,~~~ ~ /~ '~ ~ g ~, ~, , ~ a [] x ~~~~~ ~ L, ~~ N f~`1 N ~ N N N FI ~ . e N ~:~'' . . ~:L: ~''' /~ _ //~ ,~^J ' . i ' -~- ~~ '/ ~ / 11 ~. '~ r~ ---• ~ ~ ~ 0.~ ~ ~ ~ ~n ~ W ~ U ~ ~ ~4 x~ ~ ~ a ti~ ..~ ~A ~ ., i .% ~ ~ ~~i ~ ~`, ~' •l, ,``G ~~~.3/ ~ '1 ,,itt1 ~,~ _ ~ ~' ~+ ` ~! ~'~~~ `/ ~~` 1 ~~/ ~~~`'.~l ~; ', ~'•: -~~ t, %F 5 ~t ~ ~ _ i 1, / 5.~ l~~;ll ~~;L1 "~ `~,.,~.,-9' ~ ~ ' 4; -~ ~ '' /~•,',,t~'~1 .V~~! / / ~~~.~ 'S'~! / ~• ; .~[f,; ~~ ,~~ ~ ~ ,.) ,y `~ :, - 1c_. ~ ';~ `` .i ~ 5`. j ~ ~~' ~1~':i;i~/ N r ~i , ~ ~ ;~ /~,: .~ ~ ;~ / y ~'4 , i~ /~ , ~, ~ ,.~ `~ ~'1 ~ ~t ~.~ %~ ' : ~. 1~`1 ~' n / . ~~ ~~- ~~i..'~ / , , ~ ~,. ,._ _ ~~ r r. ~, .. ~ t1 THE PR4JECTED SPACE NEEDS FOR PHASE TWO USES SAINT J4HN' S HEALTH CENTER Prepared b~-: Terrance Muldoon Vice President Saint ,Tohn's Health Center 30 Octoher 1997 ~ c-' ~ i INTRODUCTION In the aftermath of the Northndge earthq~aake, Saint John's undertook an e~ttensive strategic planning effort w~h2ch resulted 2n the c~rrent rrlaster g~an for the North and South Caznpuses. A report describmg the facus of this effort was prepared bv The JCM Crraup on August 1, 1997 It is entrtled, "Sa~nt 3ohn's Vis~on for Preservmg Non-Profit. Commuruty-Based Health Care In Sarita Momca In the 21 st Canturn ." The master plan develaped by Sa~nt John's was conceived as one fully uitegrated and ~nterdependent proaect Sased on a market analysis, available funds, srte utr~izatxan strategies and a thorough business plan, the pra~ect was divided into two phases to facilitate implementation The program restncrions of federal fund~ng received from the Federal Ernergency Management Agency {FEMA} were also a factor in the phasing decision were These funds only apply ta specific health care functions included in Phase One The current program for Phase One is approximately 475,~00 square feet The Phase Two uses aze a vitaI part of Saint John's vision far a fuIIv inteprated health care campus that v~~ll prov~de a continutu~ of care These uses represent funcnons ~hat are curren#ly provided bv Saint John's, reasonably projected based on market trends, or developed by Saint John's as part of aur ~ision for 21 st Century health care as a full contmuum of care far all patients. Listed belov~~ are descnptions of some of the core health care uses envisioned for Phase Two wrth an explanation of hou~ the proaected areas for these uses were determined The areas shown for specific funcuvns do not represent an actual program for each use Due ta the rapidly changing health care rnarket, these areas a.re for plann~ng purposes. Actual programs for each srte vyzll be de~~eloped based on updated market analyses, business plans, comgrehensrve meciical pianning, and site constraints The development of these uses is not ant~c~pated to commence for at least eight vears Projected Need for Phase Two Uses Satnt John's Health Center Page 1 of $ , < <5 r-~ ~ - ~ ~ ~ HOSI'[TAL 1 HEALTH CARE No [JSE DF,SCRIPTI4N AItFA NOTES 1 fiehaviaral Fle~lth 8U beds ~~8f1{~ hgtif*/bed 64,0()0 Currently, Saint John's Health C:enker (SJFiC) has 73 acule psychiatric beds 20 beds are su~- lice~~sed for chemical dependency, all nf which are focated in the Ro55 Center Th~s serv~ce ~s not provided m Phaec 1, t~ut Sain# John's belsevcs the necd for such services wi11 conhnue 'i'herefore, space fnr this service ~s contempl~ted for Pha~c Two *buildin~ groti5 Squarc fcci SHknt John's is cons~dermg pmvidmg th~s service by partnering with other c7rganizs~t~ons Based on the nalure nFthe parlnership created, Saint ]c~hn's may need to pravide for th~s serv~ce on- site The cur~ent average da~ly census for lh~s service is approxtmately 36 hcds I'he use is ~ery t~igh and may dictaie the need lo expand the capacity for these services L)evelnped as a sepfirate facility, RO beds wil] allow a reasonable patient volume to sustam the service 'The area pcr bed is based on current mdustry stancfards for sunrlar facf~rkres This mcludes therapy meetmg arcas, cuunselusg ofticea, mdoor & outdoor exercise areas, etc 2 I'rans~t~onal Carc 6~3 TC.'U beds {a~ 840 52,480 S1~IC currently has ~2 beds m the'1'ransrttonal Care llmt (TCIJ), which operates at nearly bgsf7hed 100% occupancy '!'hRS serv~ce is not provided ~n Phase 1 Partnerships with othcr providers are bcing explored to ensure the availabiLty of this service fnr Saint John's ~aticnts It is Idcely that th~s service rnay be prnv~dec~ m Phase Two in con~uncUOn w~th one of the partnerships hcu~g considered Ucveloped as a separatc facility, 64 heds will allow a reasonahle patier~l volume wrth 4 indiv~dual nurs~ng units consisting of 16 beds each Uue to the age profile of the tocal commiznity and the r~smg acu~ty level of ~npat~ents, the need for cast-eft'ective transitional care w~ll al5o rise The mcrease in the Factor for the grass buiiding arca for th~s service relative to med~cailsurgicai is due t.o the inereased mobtlity of the patients and the I~censmg requrrements for accessib~lity and therapy functions 3 C~eneral Acute Care 9fi medical/surg~cal ~eds (a~ 59,520 lrr~mediately pr~or to the esrtl~quake, S71~C had 501 ltcensed beds Phase ! mcludes a total of G20 bgsf/bed 150 beds, which ~s less than one third af the pre-eattltqualce bed5 7"hts figure is based on aggresstive assumptions about redaceci lengths of stay and mcreased outpat~ent surgery If the pro~ected patient census ~s higher than antici~ated, ar other consolidatzon occurs for loca] providers, acldit~onal beds may be needed to serve ihe commumty 96 beds ailows for creatian of four addrtional meclicai/surgical units each with 24 beds, if needed Tl~e fackor for the gross area per bcd ~s based on the raho currentiy used ro the design of the lnpatient'1'ower for Phase One fur medical/surgical beds r_ c^ W f'ro~ected Need for Phase 'Two Uses Sa~nt Jofi~~'S He~l~ll Center ~'~ge 2 or 8 ~l Women's Ile~llh 12 I,URP beds (I,ah<~r, 41,000 Thc Cal~fornia and federal governmenls 1~ave pas5ed legislation that requ~res a mimmum length L)eliver, Recovcry & af stay Por vagm~l b~rlhs, the mmimum stay w~ll ~ncrease fro~n the 24 hourrt currently covered Postpartuiti) by ~nsur~nce to 48 ~c~trrs The minimum stay fnr C-section cleltveries wl~~ be 72 ho~rc The ~ NICIJ bassinets (Nccmalal i~umber of heds needed for women's health will ~ncrease by up to 100% Smce lhe N...t, ~.., Iniensive Care tJmt) designed with rat~os for 1,DRPs, basamets, NICI] and mpatient beds, the entire unit witl need to 15 (~)hscrvation bass~nets increas~: ~aroportionately The area currently programmcd m~'hase One for the5e scr~~ces is 10 lnpatient raoms 4U,734 bgsf In addn~c~n to the regulatory changes, the existmg patient volumes at Satnk John'a have ~ncreased L~sled below are the ~ncreased volur~ies for the 3 month periods endmg Jan 1995 and Jan 1996 • UC~IVCI'ICS +ZZn/o • Pre-term day5 +61% • Pediatrics +48 io • GYN +5% 1'hese increases necess~tated the recent reallocat~on of 27 existing beds in the Main Wing to handle the overflow for this unit An expansion ofthe existing NICU From 2 to $ bassmets ~s a15o bcmg Studied Based on advancemenks ~n genetic screenmg for breast cancer, surgeons are anticipat~ng an ~ncrease m reconstruct~ve breast surgery r+c~~ume from 22 ta 100 proced,.«, ~~„~„ally This ~s almost a 4UU"/o increase S Admini5tr~tion Admini~tration, Foundal~on, 35,OU0 F'.xcept for a small portivn of the execut~ve team, these functions are not incfuded m Phase 1 f~uman Resources, and As the demolition of exisUng fac~lities proceeds for Phase I, Foundalion, Human ltesources Financc and part af Adminislration w~ll ~ie d~5placed (approximately 17,400 departmental grose square feet) While office space can be ...~~...: for these functions, khe goal is to provtde permanent space for these funct~ons in Phase 2 which ~s readdy accessible to Phase I 6 I lealthy Camrnun~ty Cnmmunrty Service C,ourt 60,000 The Saint John's Ongi~a! Replacement Fac~lity Prograrn tdent~fed services for ih~s use wh~ch Resource Center Sen~ar 1'I.C prugrarn requ~re an area ai' S7, I 19 bg~f For plannmg purposes the area For these scrvices was rounded Sacial Services tn 60,000 bgsf iVutr~trona! Servrces ~ lome Care 1 I~~spice Resource i.ibrary Volunteer 5.., .,.,.,s I'echnology Center I'elemedicine Ce~ter V~deo Produchon Center Infnrmat~on Systems Spintual Scrv~ces t. `r} ~"' Pra~ected Need for PhaSe Two [lses 5aint luhn's Healt.h C'enter ~'age 3 of 8 7 Im~tging 111trasound, Magr~etic I O,OUO Since m,..~..,~ technology changes rapidly, flex~biLty is one the ~mpartant factors ~n desigmng itesonance I-r3~g~~g (MRf}, imagmg fac~iities Th~s t~exib~l~ty is °°°^^imodated m two ways, i e internal canvers~on and Computer~zed Axial exter~al expansion ir-ternal convers~on is accomtnodated in the new facility througfi the use of I'omograp~y (CT), Nuclear ~niversaily des~gized imaging roams which provide the ah~lity to readily convert existing space Mcdic~nc, X-ray, ~'ositior~ for new or upgraded modalFt~es in a~dit~on, the technology dock mcluded in Phase One allows I:mission 'I'nmography ,,.,.. .,, Icss frequcntly uscd modal~lics to bc a~ailable to the community without expanciing or lN~ ~~} remadeling exishng facil~ties C;xternal cxpans~on w~ll be required far ncw or upgraded modalitics whtich can not be accommod~lcd in Phase 1 T'hcae modal~sies wil! not be surtable for Phase I, if they can not be physic~illy accommodatcd and/or have h~gl~ pahent volumes which ~o not make tlie'Cechno~ogy Dock a feas~ble location tu provide them I'he Imaging fac~lrties are bemg dasigned predicated on the implemenkat~on of a fully dzgrtai ['icti~re Arciiiv~ng and Communications System (AACS) hy 2004 T~is syttem wnu~d eiimmate the need for extens~ve capabilrties f'or on-aite film processing and storage If the mduatry does not soive the problems with regard to image resnlution and data storage, more space will be nccdecl ~or traditicmal fifm processmg and sloragc I'he ~m~g~ng serv~ccs ~n Phnse One Rre programmed for 31,453 bgsf I'he Phase'1'wo area shown for Imag~ng alfows approximatcly a 33% expansion of this service Wrthout the I'echnology Uock, this ~gure would need to be much higher R [,ahoralury FxpanS~on of c[inical 6,Q00 'I'he ex~sting lab at SJ[~C is 15,307 sf In Phase I, only 12,740 sf are be~ng constructed lahcrralory and patholcygy Additional lab services may be needed as part of Phase Z to accommod~te test~ng for the physECians' offices affil~ated wrth Saint ]ot~n's and other strategic allrances wrth health care providers Larger labs are able to reduce the per test casts through econnmies of scale and eflictency 1n addit~nn to the serv~ces currer~t~y p~anned for the Phase ~ne ~~boratory, the expanded lah services may include Space fnr new prncedures, genet~c teatmg and additaonal outreach volurne 9 Medical Records Stora~e for ncm-electrnmc 12,U00 Saint John's ~s movmg toward an all electronic medical record T'h~s may reduce the need for records expansive storage space The current des~gn is pred~cated on full implementat~o~ of the electronic record by 2001 Unfortunately, federal and state regulalians do not allow the electronic record ta serve as the requved documentation Far legaf and reim;,...,.,,..ent purposes If th~s ~ssue is not resolved promptly, SJi~C will need to add area #'or standard paper records Existing rnedical records aze stored at Saint Jahn's m approx~rnately i 1,350 bgsf The legal issues and cost effect~veness of scann~ng exist~ng records may also prampt the allocat~pn af additional space far record storage i J [ r; Cil Pro~ected Need for Phase I'wo Uses S~inl Jului's klea[th Center Page 4 nf S 10 Mccl~cal i)ffice Independent Yhysician and SO,OOQ Based orz the increa~e of clinical ~ses contemplated for Phase Twn, st is likely that add~tional grcfup mecitcal ofTites medic~l ot~ice tipace w~ll be needed tn support the added medical praetitioners that will need to utilizmg the I~e~lth acre be located proximate to the heaith cent.er service~ assoc~ated with Sa~nt luhn's Totai 390,OOQ ~f ~ll the zddatwn~l Phase 2 6eds hsted above are added tn the 150 beds in Phase I, the total numbcr of I~censed beds ES 412 Th~s t~ylal ~s 89 Eess than the pre-e~rthquake total of 501 beds (~Iospital / flealth Carc) ~,, Lr, C'. Pro~ected Need for Phase Two Uses Sa~nt. ]r~l~iti's I leallh C;enter ~age S of 8 Health & Wcllness Center r~= [r t~ No USF UF,SC1t1P!'ION AR~A NOTES ! I:xercESe Area F.xercise Equipment 39,120 T'he fiinctions fair the wellness center are based on the modcls seen m Cal~~ornia anc3 f'ree we~~hts Flonda Some }~reliminary programming ha5 been accomplished tn canJunctEOn wit.h seleetc~r~~ed equipme~it. several consultants c~rdio eqtii~menl Stur~ic~5 Acrohics/Spinnin~; Mulli-p~r~c~se I3a~kctb~ll/Volfeybalf C ~rd~c~vascular gym/rehabil~taEion i'I~e r~i~~y Ptrys:c:~ ~ I 1,200 r~,~~~s i'tierapy/ Swimm~ng Sup~crrt Scrvtces Locker root~i5 IG,7R0 ~ocker~/ wet ~rc~/to~lets (,'h~ldcare Offices Lobby Restrooms l.aundry Ancr~~~3ry Ret~~~ Del~/~u~c;c b~r 3,760 ~'t~is reta~l is mtended to service the ~mmediate needs of the patienUclients using the heqlth Uthcr and wellness center ~'his will not bc dest~n~tian rctail Exercise einthing Gxercise equipment £i~rrlding (iross CorrldorslSta~rs/~levalors I5,500 f3ased nn 72% bu~ld~ng effic~ency Mechanical Other Program Contmgency 3,b40 '~~~s 49b conttngency ~s necded ta ~ecarramne~ate the re~at~vely recent development of thas type of ~eath care fac~lity which has few modeks ta use for program compnrison 'Total 90,ODU The model fac~hty in Visalia, CA was ong~nally grogrammed For 72,Oa0 sf Uue to capital bucigek ccrostraints, the fac~lrty was cnnstructed witli 55,000 sf The reduct~ons forced the (I lealth & Weliness G~nEer) elimmation of ihe atrium and two exercise studros as wel! ~s t~e use nf a non-rcgul~tion baskctball court and pool Thc larger facility planned for Saint Johtt's ~s duc to its ]ocat~on cr~ a~arge t~rban arca relattve to V~sal~a Pro~ected Need fnr Phase Two Uses Saint fi~liri's flealth Center Page 6 of $ Medica~ Resea~ch No IJSF, UF..SCRI~'T[UN AREA l~lOTES lohn Wayne C'~ncer Medical Onccilogy 177,Q00 'I'!~e Orig~nal Saint John's Replacement Facility Progr~in identified serv~ces for this use lnstitute (JWC'I) Sur~ical c7ncc~logy which reqwre an area of ! 76,837 bgsf For planning purposes this area was rounded to ftadEation C)nco[ogy 177,UU0 bgsf I'~irnor Registry Admini5trfitive Areas Clm~caVLab Researcfi J WC'I C'linic Medical 4ncoln~y AdministrZtion ( I5,000) Ph~~e On~ ~ncludes l4,255 bgsf fc~r these s~rvices on le~el 3 of the Diagnnstic & Tre~itmcr~t C'enter JWCI Radiatinn ~~'I~er~py Rad~ation (lnculugy (I'i,000) Phase One includes 12,$40 hgsf far Ihese services on Ievel B-I ofthe Uiagnost~c & ~dm~n~5lrat~on I'rcatrnent Center Tatal 144,000 {Med~cal Itesearch) n_ ~~ .:7 Pro~ected Need for Phase Two Uses 5aint ,i4yf ~~t's 1 iealth Center ~~~E ~~~ 8 Conferencc & Education Cente~- Na ZlSF DFSCl2lYT10N ARFA NOTES 1 C..'nnference & f:ducation Recention L.obby 54,5I1{) I~ospit~l funclion5 are the predom~nant u5er5 of this facilriy 1'hese mcludc the ct~rrent Audrtc~nums commwu .ty outreach and ed~cation programs Outside organi7at~ons w~ll be enco~raged to Cianque~ roorn5 u5c tlie facility ti~r heallh clated e~ents Mcct~ng Rooms (;las5rooms ~m~~lar confcrcnce facik~t~es ~t other hn~pnalti are between 25,400 - 4~,OOf) sf I'hese C'nnf'ererice piannm~; ~nclude f~i5~nhnwer Med~c~l Center, Ciuod Samarrtan }lospital, and I.cmg Beach }iosprtal WNh the heziElh industry's fcy.,t„ ~„ ,11ne55 prcvcnUon and wcllness, Samt Inhn's ~nticin~le, ~a ~„uch higi~cr de~nand fbr Such healtti rclatccl conference c~c educxtron f~cilities to serve tli~ ..,,~„~~~unity and regio~ial needy tiauit John'~ ~u~ ~ entky u5es o~er 3 2,UUU sf nf' conference s~ace for ongoing commamty oiltre,~ch, wztern~~ meet~r+~~, tra~~~ng ~nd c]~sses Ma~or meetln~s and med~c~l conferences ~t~ust he held at regional hotelti to accommodate the space and catering needs of the events 1'hese ~nclude medical staff rr~eet~ngs, post graduate medica~ asscmblies, and clin~cal training programs liro~dcast Shidio Audu~-~i~ual ~roc~uetion lil,(lU0 Satellite hroadcasl C~IDSI`{j CIiCUII ~~V lirochurc publicat~on, etc Fuod Service Full scrvice kiEchen 5,500 An on-s~te kitchen is needed tn support catenng needs fc~r the facility The Phase One hnsprtal k~tchen is not capable of handl~n~ the large intermitteni volumes needed for this use This kitclten wili he s~milar m c~pacity to the Phase [)ne kitchen on the [i-l l.,e~el of !he Ir~pat~er~t'1"ower Total 70,000 (Conference & F,ducation ) , m}m g 1prn~eclfkunsul~Uaw~nrAkarrcsS071R7!! u,Mf ~~ ~r ~'~ Pro~ected Need for Ahase'Cwo Uses Sauit .~ohn'ti 1 iealth C'enler Pa~e 8 c~t A August 31 5:45 pm i ~J'' ~ January 6, 1998 ~~ ;>~ ~ rJ~ ~~~J ~ ~ C~~ SAINT JUHN'S HEALTH CENTER •~ - ~ ~ ~ September 30 4:3Q pm ~C~I'°aC o ~v~~' ~~ ~~ J ] s~ SAINT JaHN'S HEALTH CENTER _a a January 6, 1998 ~C~ actober 31 2;30 pm ~~~~~ Jar~~ary fi, 1998 ~f;~~~~~~~~ ~~~~~~C~~ SAINT J~HllT` S HEALTH CENTER .~. jl.r_ No~ember 30 1:45 pm ~J~ ~ Jar~uary fi, 1998 ~~Q~~~ ~~~ ~ G C~~ SAINT JOHN' S HEALTH CENTER ~ '~ l/ a~ December 31 2:00 pm ~~~Jo~~ ~~~~~~~ SAINT J~HN'S HEALTH CENTER ~J:~~ January fi, 199B ti, ~; f ~ SAIl\'T JOH:~T'S HE~iLTH CENTER REPLACEME~"T PRO.TECT CD~ISTRUCTION PERIOD MITIGATIOl! PLAN 1.0 Introduct~on (ir~sert pro~ect narrative descr~pt~on jn appropr~ate de~ail, mclud~ng phas-ng and schedule informatio~) Z.U Project Directorr• (to be pro~=xied at a later date) 3.0 Demo[ition Plan All ex~stmg structures an the north S7HC campus ~v~ll be demolished ~n three separate phases ta facilitate ne~~ construction DemoIition acti~~ities .rill be perfarmed ` just m time'' to lessen the overall durat~on of the demol~uon and excavation part~on of each phase Con<<ent~onal demolrt~on techniques will be ut~l~zed to miually ~e~el the structures ta grade followed by e~cavat~an and ineremental rema~-al of e~isting foundations Specific demolttion operations pians tir•ill be developed for each phase and submitted to the Ctt4~ for approval pr~or to the start of demol~tian Industry and ~urisdictional asencv standarc~s {identifi~ as required) for c~ust control and no~se abatement will be maintamed throughout the demol-t~on partion of each phase S~ec-al cons~derat~on -v~li be given to the demolition af the ex~sting subterranean wails praximal to 5anta Monica Boulevard dunng Step 3 Demol~tian-related equipment standards and truck routes are identified ~n Sections 4 0 and 7 0 5pecific iandfill destmatiot~s for each phase of t~e pro~ect «~ill be identified prior to the cammencement of demoltt~on A pro~ect specifc plan includ~ng mon~toring measures for asbestos and other hazardous material abatement «°ill be deti°eloped and submjtted for appro~~al prior to the start of detnolrtion 4.0 Constre~ct~onEqui~mentDeplo~ment The ma~orit~• of the hotst~ng requ~red for canstruct~on i+~~il be perforrr-ed ~~~~t~ mobile cranes The potential e~ists for the use of a tow°er crane for construction of the Step 2 buildinQ Detailed logistics plans ~~~ill be de~~elaped and subm~tted for Cjty approral pnor to the start of construction Manl~fts for the Step 1 and Step 2 build~ngs ti~•~ll be erected on the north face af each structure Eart~work equiprnent ~ti~i~l be fueled and ma~ntamed ~n des~gnated areas «mhin the confines of each phase, and a~;~ater truck wlll be kept onsite at all ttmes for dust contral as necessary (add canstnict~on equipment standards for noise and pollution abatement) ~.0 Impacts to Public Ri~hf-of-Wav lt is t~e intent of SJHC to eiiminate aIl street parking from the south side af Arizona and the w-est side of 23rc~ Street for the ~uration of the pro~ect to affvrd the contractor suffcient area ad~acent to tl~e s~te from ~~~hich to stage Pedestr~an traffic ti~~ill be re-routed across the street at the in#ersections an~ b~~ blockin~ the side.~alks u-ith adequate barr~cades ta deter any foot traffic in r' i ; j ti~ e the desi~nated sta~ing areas Traffic control wi11 be provided on an as-needed basis durina all pro~ect-related aperations «•h~ch impact traffic and'or pedestr~an flo~v adJaCer~t to the pro~ect srte Extent of aff-site improvements is ~nder revie~;~ 6.0 Subsurface Considerations The depth and area af excavation required for the ne~r~ structures i~~ill requtre both temporan• and permanent shormg s~~stems Tieback locations as welf as soldzer pile layauts ~~~ill be per#'ormed b~- a licensed struct~sral engineer pr~or to the start of ca~structtian a~d submitted ta the C~ty far approval Dev4•atermg is not antictpated to be required Ut~lity plans are under development by~ ihe pro~ect en~il eng~neer 7.0 Construction Traffic All demolrtion and construct~on-related traffic for Steps 0, 1 and 2«~~ll be directed to and from the srte ~-ia a ro~te designated alon~ 20th Street and Arizona A~'enue Pnman' stte access far ail phases «-i11 be from Anzona Avenue ~~~ith the except~on of Step 3, ~~•h~ch can only be ac~essed fram Santa Mantica $ouler ard Onsite park~ng «•ill be rninimal due to the congest-on of the pro~ect site Arrangements ~r•~I1 be made to Eease a park~ng lot in the closest locatton a~~a~labie and to pro~~ide bus transportation to and fr~m the site for «~orkers for the duration of the pra~ect Excat~at~on operatto~-s and conerete placement for each step will require l~mzted curbside stagmg of trucks in des2gnated zones Frequent deln~er~es of construction materia~s as well as hospital supplies ~~~ill alsa necessitate the des~anation of interim stagmg locations ad~acent to the pro~ect site, the schedule ant! frequenc~' for ~;~htich ~~~~1! be determtned at a later date Spec~al cons~deratzon «~~tl be made for the deliven' and erectian of structural steel, precast cladd~ng, electrical gear and HVAC equipment Particular attention ~l~ill be d~rected to«~ards prer~enting the m~grauon of dust, mud or debris onto ad~acent streets All debris laden tr~cks leat~i~g the srte ~~~il! be covered pr~or to departure to ameLorate the spread of dust and de~iris Equipment and t3res ~~iIl be tharaugh~y «•ashed do~vn prior to entenn~ the ad~oinmg street Any spilla~e that may occur ~i•~Il be d~sposed of ~n a prompt manner S.0 Cons#ruct~on Period l~7iti~at~on Measares l~ormai ~r•ork hours for both demolrtion and constr~ct~on wili be from 8 OU a m to 4 30 p m A~1or~day through Friday Due to the nature of the pra~ect and the reqa~rement to min-mize dES~urbances ta the ongain~ operations of the hospital. it «~ili be necessar~' from time to t~me ta e~pand or alter ~~'orkin~ hours and~or days ~otificat~on protocals f-or the City and the neighborhood «~ili be de~eloped in advance of an~ such occurrence The entzre constr~act~on s~te for ea~h separate phase of the ti~~ork ~~~ili be demarcated through the use of a permanent perimeter securiry fence, constructed af either chain l~nk or pl}~vood Entrances will be gated and traffc contral ~}~ill be deployed ~n a manner commensurate wrth the vart~ina requirements af the pro~ect The pertnanent fence will be mstalled immedjatelv .~ ( ; ,- follo«'inQ installatton of soldier piles and removed only upon completaon of each phase of con structian The srte will be ~llum~nated to OSHA standards with spec~al cons~derat~on gi~~en to minimum~ the ~mpact to the surround~ng neighborhood SJHC's secur~ty staff ti~'~li be auamented as required for the protect~~n of person and propertr Phasina plans are u~der development b~~ the contractor to define all ~nterim gradmg condrtions and casstra! of site dfa-nage F~re departmeni access for all ~nter~m cos~d~tions ~}11l be 4denttified m con~unct~on ~~~tth the 5anta ~1ont~a F~re Department Deplo~~ment of mformat~onat s~~nage and rhe posting of the mrt~gation plan ~~•ill be defined in the formal submiss~an of the construction mitigation plan aceupartcv plans qurrntit~f/duration a. f excavatron ~~ ; , ~. ~~ ~ :~ Traff c Plan 1 Narmal construction traffic ti~~ill be fram the Santa Monica Free~~-ay Trucks will exit the free.~~ay at Clow~er~"ieId ar~d travel ~orth to either Broadway or Colorado The}~ ~}~~ll then turn left and proceed west to 20`" Street «~here the~~ s3~t11 turtt rtght and head north At Arizona the}~ tir~ill turn right and proceed east entermg the~ob-srte at otte of rivo locatians alang Ar~zona ~ L~pon dischargm~ their load, the ~~ehzcles titi~ill exit the site on Arizona, turn left and proceed ~~~est to 20'h Street The return to the Free~~~ay ~~ill be rerersed from the ~;=ay they entered 3 Traffic Cantrol w~~ll be pro~-ided at the ~ob-s2te to msure ease in ~veh-cles exrt~ng t~e site and to mmimtze inconvenience to the communitv ~ Job-srte hours ~ti~~l[ be from $ 40 a rtt to 6 04 p m No deli~•eries ~;~~ll be made before ~ 4~ a m and no trucks ~ti°~ll be allo~ved to queue on the local streets B Emplo~~ee Parkin~ 1 Off-srte parkmg ~;~ill be pro~~ided for i~~or~ers on the pro~ect They «~ill be bussed from the remote lot tt~ the aob-srte and back The ]ocation of the tot is st~ll to be determined C Construction Actz~~ities D~zrmC Off Hours 1 No construction actjti~~n~ is pianned durma offhours It is possible that there ma.~ be some limited clean up on Satarda~~s, bat no other o~~ertime hours are planned except for emergency car-dit~ons D De~nolition 1 Demolitton «~i~l occur in ti-ree steps a Step 0- Demol~tion of Ross Buildin~ This ~~~~I1 occur durm~ normai .~~ork haurs and ~~-i11 take approYimately four to s~~ «~eeks All debris removal trucks i~~~ll queue on the s~te and no t~nusua[ noise cond~tions should prerail b Step 2- Dernolrtion of ~1a~n Butld~n~ Th~s activ~t~~ ~v~ll occur dur~ng normal t~-ork l~ours and. because of its locat~on ~n tF~e m~ddle of the site, should pose no unusual noise problems All debr~s removal trucks ~~~ill queue on the stte This operation will take about t~.~~o months c Step 3- Demolzt~ott af South Vvin6 Buildin~ The demol-tion activ~t~ «•i!1 occur about the ~~ear 2004 and calls for the rema~~al of all the rema~nin~ hospital bmld~ngs frontma on 5anta ~:lonica Boulevard Th~s ti~till prababl~~ sequire the classn; af t~tia Ianes an t~e ~orth ssde af Santa ~Iontica ~o allo~~~ for a construc~ion erane and loaders to remove the debns V4~e estfmate tha# the operation tivill take three months to complete and ti<<~lt be performed d~r~ng normal ti~~ork hours It may be poss~ble that one of the n;-o lanes could be re-opened every• n~ght after work and on ~veekends E Cranes for Construct~on 1 At the present time, it ~s ant~cipated that no tower cranes w~ll be required for construction of an~~ of the buildings A mabile crane ~vill be used to erect the steel, ar~d the concrete will be pUmped .~ fl ~ F Closin~ of Sfde~;~alk 1 It is our tntent to close the side«~aik on the south side of Arizona for safety as «~ell as canatruct~on purpases ~'~'e intend to butld a I~' high fence alonQ the e~~stmg curb and con~~ert the ~ark~ng lane into a covered pedestnan side~~~alk Z `~'~~s wii~ ss~ean the removal of the parkmg meters to be remstalled at the compleuon of #~~ ~ro~sct after ~e ~s~+~ s~iiel~alk and curb are constructed It is ant~c~pated that w~e ti~~ill close the scde~valk on the 1}•est s~d~ of2ir~ SrrEet from Ar~zona to the Santa Momca Bank bu~lding Agam. tive z~~ill erect a 1?~ high fence along ti~e existrng curb l~ne and pro~~~de a co~~ered pedestrian i~~alkway «~here the park~ng lane ~s presently 3_ Dur~ne demolztion of the south buildir~~s on the north stde of Santa Vionica Boule~~ard, the s~de.~alk i~~ould have ~o be closed for safeh~~ reasons After demoI~tion ~s completed, a co~~ered te~porar~~ side~~•alk n~ould be constructed in the first traffic lane G Foundation and Shorin~ S~~stem ] T~here «~il] be no pile drr~'m; operations Ail the soldier beams required for the shor~na titi°ould be dr~lled and then set ~n concrete 2 Tie-backs «~iI! be required at e.~er~~ eiaht feet, ha~.eti~er, b~~ using a bell shaped des~~n at the end of the taes, the Iena h ti~~ill i~e shorter The exact des~Qn has not been determined H De«~aterine S~ stems 1 Bonna Reports do not indicate the presence of an~~ ground «•ater at the le~•els ~ve ~~~ill be exca~~atine Therefore. «~e are not planning on an}' de~i°ater~nQ svstem Helicopters ~Ve do not anticipate e~~en us~ng any~ helicopters to handle matenals on the pro~eet Securit~~ 1 Perimeter fencmg ~~~ill normalIy be 1?'-0" hi~h made out of 3~.; ~ pl~~~~ood far sound abateme~t as ~~~ell as securii~~ ?~on-mtrusive lighting m tE~e constructian site will be prav~ded .~ ~ =a 'w ~ ~ iJ :; N ly,_~• ' ~Fi e~~ ~` 7 ~ 1' ~~~ N ~~~ ~~~W n r¢r ~yy.,~,~e `~ ~ n ~ , }. . ' .$i ~ . . : ~'. ~J. ~_~ Ji • , ,'S".'' h,. ``; , '~, ~ ~ y i ~i 7 , < ~ ~: i' ~ r a ~ ~ • ` ' • i~ ~,~,' ~~ . n ~1~ ~ .' " ~ ' Y~ ~~~ ', i F . S'~`r, ~•~; ` • 1 ~; . " ~ ` ~ . ~}. ~' pi )~ + r '" ' & ~ ~'i • ~ ~ i , i~4 '•'.+• ~ , ', .' .'I j . , ~ •~'~aF' iv'` . 4 , , ~~~ 5y.. r} ~ ~`Y ' ~ 1 ' ~~~,' ~ Y~~,. , ' , ~`•' k,, + ' .. , . '' ri` ° , ~ ~ r~` ` , _ ` ' r ~' I ~ ~ ~ ' ~ yy~~~ ~ ~ • Y ~ '' 'i' ' - ~ , 4 . . . V .. - • ` 1 ~ s ~ `~ . ~ ~.M~ . ~ ii ~"' ' 1 ~ • n ~ . . S .~ ., ~.~. S a~., .. .. ...1.. ~ ~ , .,,.... ~.. . . . ~ ., i ~.. ,... ,. ~ 1 SAIIVT'JOHN'S H~ALTH CENTER Community Beneftt Pian - FY 97 d Y ;'!~+ y. ~~ .,i, , ~ ~ ~~,f >,~°, r Pro rams oas~r~ tions °:t::~e~~.:~>.. e :~,ka ~..::t~:aa ,: ~ •~~r.~ , .. , e, ,,.~: M,,..,iia:r~,,.a,..~,~ w. ~~ssrrea~,•>: ~~.,~z, :.~. + ~ 1 Unpad Cosl~ af Medicare u npaid cost of puhNc program 2 Cancer Researcx~ Suuswy FundFng for cancer rescarch for Ihe JWCI 3 Lln~a~d Cosls of MediCal Unpai(f cosl, of public program 4 General Chamtr _ Vanous chanty wnte aHa {indrgenla homeless) 5 Frae NFenlai Heallh Services _ _..., . . . . , _. . _..,_,._ Chanta6le wdte otfs (indigenls, homelessy .... ._ ,.- -° - . B Veruce Fami C4nw Free diagnasuc tosla in radiographic U15 C f~ Nuc Med 7 CommundY Education Physicaan volun[eer lime for commumly educalion B Frae Serv~eps lor Wests~Je HeaNh Coahtion Fn¢e health serv~ces ae part of tlie Weslside GoaliNan 8 Biasthus Propram Provida and support bioelhical etlucafional npporlunil~es far heallhcare professionals in So Cal 10 Heal[h GFwmpions day-lang health promallon evenl for lhe 1,000 leacherslstaN af Ihe SM1Malibu 5chool Dislnct _ ...., ---- -- .. _ f 1 Chtld 3 Famdy bevelopmen! Center Free dkagnosNc & lrealmenl services includmg deR palate lar palients who are unal~le lo pay 12 CFDC Counseltn4 Sprv~ces Mental healih services informellon 8 refertal and aduocacy lor chddren, adolascenla & famdies _ 13 Mammogrr~hhy.5erv~ces ___... _„ , . Free d~agnosqc & acreening mammographies for Sernar Heallh 8 Peer Counschng Venlce PamAy Clmie .., . . 14 Med~cal $u~~l~es & Eguipmenl Donation _ Donauons to Sakyauon Artny churchea achools Rmary Club YWCA 15 Heafth FauslEducation . Free scraenmg & wellnass mtormation at commuruly evenls 16 Praraled, Share of Auxdiary Voluntoar Hqurs Estimatad cos! af hospital uolunteera who asslst wilh deiivenng lbwers_ readmg matenals elc 17 Proralad Share of Fund Raismg Costs Est~mated cast of s[aH assoraated fund raisEng acdvrties .._.._, 1B Commun~r Need,Assessmanl fmprqvemenl _. _ Collaboraknre _e[forts with othcr local arg's to assoss Iha heallh neeJS of the Sanla Monica communily - -- .._... 19 Cammiw~r Haaflh EducaUon Foruma Frec prevenlrve, meciiGnelwellness promotion fonims 20 SmaH Siep Program (Westsida Womens~ Free dehyery.care lu'S~vurkmg poor" womcn or women who da nol quaLfy !or MediCal_ 2} Danabons ta,Local,Organi:aNona , _. . Donadons to Race_For Cure, AHA, Archd~ocese, "Aids" pro~ecl ARC ACS, Ocean Pk Comm Ctr Didi Hirech .,. __., 22 Lions Eye Sernces _ . Free medical & surQical sernces ro mdigent patierns 23 Spec~ally Clm~cslServices for Chddren Provrde w~de range of ch~W deuelopment 8 psych services w Ind~genls & 1li~;ir fam~hes 24 Commun~OrganiiaUan Supporr Serve on eommillees & hoards of yanous or~arnxaiions (Sr H&PC SMi Chamher, YMCA ACS Unilod Wey) 25 Heanng F~m~naiwn_ ,_ ,„ __ __ , Frce hearMg examg~alions a1 Vernt.e Family Ghrnc, Les Ifelley Clinic for mdigenls _ 26 Proraled ~are a_f Foundation Volunleer Hours . Volunteer hrs iw Exec Comm, Bd of ANnirs, Campagn F'lanning PR Mrralhon Comm, Golf Comm 27 Proacriptic~s d DruQ Informakwn Provde prescnptlon dru$a ta mdignm pahe~ts 2$ p9ren! Orlgnlauan Free Gasa !o onent new parents ("How Ip deal whns" 'What !u ask Mps" "4Vhat lo expac[ From SJ's atey") 2i Lase We~dl Inr Gaod Twelve-week weight menAgement coursea Y 30 Woment E{ateaeianel Volloyball Provida medical covnrago physicals d oducauon ~ 31 Free[lom~rnm Smok~a Smokmg cessapan progrem developed by Am Lung Assoc 32 I.,A La{~g_Ma Medical coverage 8 etlucauon !or community based gruup Slhroughoul 1he year) 33 Diabetes Mana~emenl Pragram Five pArl one on-one diabeles counselir~g t~y muilidiscapl~nary leam E certificd dlaGeles leschiri~ nurse ~,. ~ 34.Mnual Cktt Palale Symposwin Forum for professionals on "sl~le of-Ihe arE fechiuqueslialervenlinns for Clof[ PalalelCreruotacial Moma4es F- • 35 Gualemalan 8aby F'rovrdF,d fmc clefl palate ~~ 3G,Baby Tre~ic ; lounw up phone calls 1o all wnmen wl~o uehver at SJIlG tn enswe 1he baby rs vaccinateu on lime • . r~. • .~ ~ ~~rA CooMmating Fdn FY 9T ~ ~+~`Jti~ +~41 R ~ . ~ • + J Y } ~~ r i } + '~ ~ ~ ~, ,~i~ ~ t L ,~ ~j ti~=• ~~~ ~• ,r., . ~~d • •` .~~~ i . rtxr~strellon ~,227,894 Dd( pft relmh S cost °-- . 5,~70 d~scha~ges Adminisuetian ~_OOO,pOp 2,ppp,ppp ' Gonalion 1~OpOpatrems Admhaslration .,...-_ _ , _ 832 000 . _ ag W~ reunb & cast .._.... 340 dia es ..-_ . ~9...,.,.__. Admmistralwn . --- . 811,851 Casl of wnte-0Ha --- ._ 797 persons _. Margo Herman _ . 100.040 ~ 395 932 - _ Cost of mrie ofts - ..-----~ __ 100 pereons. .__ _ ._. , J Weslmacatt, .„ __ 253 985 . Cost of wnle offs -.. ~ 763 persoos _ ~--- WendY Lade . , __ .. 11 A I50 EsWnaled $751haur . . . .. 1,526 haus -. _._.. AnminislraUon _ .. 100 00p Cosl of wnteoffa , ,. _-_... 763 persons_ Grelchen Case 90 006 Conlraeled Fee _ 10a200 prolBSSlonals I Wend rLLade 84 4p6 CanVaeted Fee - -yA ., R Refuersa _ _. 35,000 . 77,342 ...,_ . Coat oi wrele orys ,-_.. .,__ . ., ---, _ 312 personn R Ftefuerso . , _. 15 000 . _ 7g 182 Gosl oi laborlsupphes ... .. , . 468 personn J Weslmacolt _ _ 7~,39d Gost of wnte oHs ..., _.,, , 27~rsons I' Hargrove _ _ 71,291 Vaiue of goods 8 o~~¢allons ' WendyLade _1g246 71,448, Costofla6orlsup~~s ---- _ 2,506pereons ... ...,., - Evie Conleas _ 68,821 Consull{tnl calculaled IJIA Eue Kush 64~BU0 ., 64,600, 1396, of fun6-raismg_ --N/q _ Lmdi Fu~slon __ 50,000 Conlrac[ed Fee N!A wenJy Lade ~8,330. .. 41,330 Cos1 o11~6wlsuppliep_ . 2 6pD persons Sue [3rovm ____ .. 38,966_ , Casl of wnle-oH9 .,_ i0 Aelivenes _ 5MM ._. _ 34,200 ., panations _ . ,._..-- _ 15 organ¢al~ons B Ceazan _ 3p,557, Cos! ai wnle-aHs_ 13 persons R ReFuerco ____ R8,80A Cpal of I~borlsupplies _ Z35 p~rspns Vanaus ___ 29 150 _ Est'd c:ost of Ume 12-15 arganaaNOns _ B Ceazan -- .__ . 21 320, __, Cosl of wMe-oHS ., 130 examinahons -, EveKush., _._ 26807,_ _Coneullanlcalwlaled_ ...,-... . , Wq Sr Cathenne -- - S9 pOp .Goat of labodsupplies 559 peraons ,, Sue Brown Wend Lada . 16 842 18 200 Cost ot Ia6orlsuppNes 276 parenla y , 16,892 Cosl aF laborlavpplies 164 persona 5398l12wk courso 12nher15h~clds _ 16 R00 Cvst of lahorls~pplies 200 women Wenrly L.adn 1A 818 14,815 Gosl of laharlsuppfies 480 Perspns $7r17 scssions Rot~erl Shialds . 1~ 120 G~I of IaboNeupplies 2 ODO persons Wcndy Lade 11,290 11,540 Gost o! laborlsupp~~s 375 parsans $5618hr senes F2 Refuerco 10,000 11 500 Cos! of laborlsupphns tOp part~capenta enrollment iees ft Refucrzo 1i,201 Cnsl alwnte uffs 1 baby Sue Hrown 1(1 440 Cost ul laborlsupp4es i,f]AO l~abies i ` ., ~ ~w~'~~~'~ti . , • r "~"eS~A ~ ,~ r5 ~ . ' ~ we4 ~• ~ ~ ~ ~ • ti 1 ~ ' i r I N, ,~5. ~ r r ~ , n R~!a ~_ ' , ; . , ~ ' , Ir ~ } _ ~;~ ` , ~ ~ •~~~, ,•,~e ~" ~ ~ ~ 1 + ' / y • 1• {i'~'{~ , ~ ~, , r ~ , l _ . : f 'j r .. , i . ~. ~ ~.•'-1•~i . _ ~ ~; ~ . ~~ ' , ~ r .~..',1.... SAINT JOHfV'5 HEALTH CENT~R Community Bene}It Plan - FY 97 Pro,~-ams f3oscrlpt~ons ~ ~ ~ ..~:Y~91 Ai:t'3~S~h.'~4w~k~'~.~i:i3kx..~.w..,ik'.~~ .~.r ".:.,,~w,.~~R.~.i,5. ~:i,h.a»,..~hk.:'3od s..~t~.~ ~~~..~c 't'~!7 "~' ~~rv~i1r~.4'W'~,...,cr:.,£kk~i'~~i~",~:~ u~n~i'+4~Ot~.3i'u.i..Rd&'t~: 3, Meolal I ieallh Services Physician volunleer hours Inr commundy services {Sr FI&PC LA Couaty haison Psych Souety~ 38 I Can Cope Cdiir,dlinnal suppurl yroup for canaer pis famil~es 39 Bereavement Granp Ten wcek seru:s uf classes and Iherapy groups 40 Guidance and F2eferral Informalion prov~ded about serncea & pubhc aesislance proJrams 41 Shota lor Tola Free immun¢ahon for children 42 In Kmd Danahons 8 Services (Best Buddies) Clonat~on oF spaca for community groupa olfice servir.es on a dady basis 43 "A1 R~ak" Youths 1 utor~n~ for "at nak" youlhe wiio cennot affuiU educalional Iherapy and7or lutonng lo enl~Hnce acad success 44 Senfor F'lu Climc Annual free flu aho[s for eeniors ~ Gimnicdlly d! 45 In Klnd ~onalions S Services (Olhers) ~onalion of space lor commun~ly groups fumilure olfiu: services (Child Trauma Councd 1lmo, AA 11wk) 4fi In Ku~d aon~t~ans 8 Services S5lutlerersy uunahon of ofliczl~roup room space, parFmr~ for'StuNere~s Group" 47 Paranl,Education L'kasses lo sunpad parenls lhrough pregnancy {l.amaze, 8reastfeeding InfanVChdd, CPR elc) 48 Group Therapy 10 frae yiuup [lierapy sessions afler Partial fiosp Program {if not covered 6y insurance~ 49 Sanla Monica EduCalian Coahhon E6ucaGOn lurums Tor seniors in collahoration wlSMlUGI,A Mod Ctr Senlor f 18PC, Wise Semor Servico 50 SFiANTIlAI~S Work Soaal work, trealment sernce, counsel+ng suppoA groups for AIUS pls 51 Walking Pro~~am • 5enior 7L,C 'Waiking pragram 2 dayslwk led by an exerase physiWog~st 52 HeaHh 8 WeAness EJutation Fducahan on heallh 8 wellness by a physual Iherapist Ihrough ihe Heal[h Champians Prograrn 53 Adopl a Family Help prouide tangihle assrst~nce 1o needx Famdies food, dothmy toya 5~ UCLA Pnnupals Conference 'Wellnessletlucahon evenl for 125 So Gal schnol pr~ncipals 55 Free Trnnsportalion YrovlJe reduce0 or Iree Eranepurlehun lium [R for md~gent, puw pupulahon 56 Peler Vidmar Invilalional Gymnaslics Gymnas[ica loumamenl !or youlh 57 Nalqnal C~epression Saeening aey Cammunity educalion & rJ~rncal screenmy 6y profe,sionals 58 Nutnhon EducalionlR~sk Screening vanous educahon sess~uns for rhi~dren un nulnhon Ihrotx~h 1P~e I~eallh Champions Progrem 59 Speclium~ub Leciures PhyB~cal q~erap~Sls SpCak to heallh Uui~ mEmhers & gencral communAy on heallhlwelln2ss lupics 60 Sanla Morl~ta ONober Run Prowde medical coverage & educallon on In~ury prevenlion 8 lrealmciol 61 Vls~ta~on Program V~s~ls to conualescent homes 62 &cttod Pro~ram I.edure ~Back care 8 exerGae IecLUre for school ch~ldren GRAND TOTAL CoordmaHng Fdn FY 97 r fp. i - 7:r`t ~1 r r ~ ~ ~;~ .~ • ~ ~ ~. rrr~ r . ~Wfr~' ~F*y; A• * N4 ~fi+ .. ~ i - ~'r~ 1 ~1"'~'"7.; #1 i Y '] '~~ 1 ~y ~. ~ ~. .. Team Load~r Su 1'otal Co~t Aas,s ~~~:~'~~~~'r~~i:~'~'v'~ ~y~ ~~~ : i~~iit '~ Numbers 5orvod ~ Fae.~har ' Nlaryo Hartnan _ 10,350 Egl-maEed ~751hour 138 haurs ~ . S Faber Brook 10,028 Casi ot labarlsupplws 18U persons l.owae West 9 354 Cpsi of IaGorlsupplias 9B parGcipaMa r nonana! Lowse West _ 7,800 Cost ot labodsuppi~es ._ _ S00 pereons .__ ._., J 6erc,er _ 7,325 Castolla6odaupp6es .-. ., 500~018 ~~eYenls _ R Reluerzo _ „ 7 206 -- f,pst oi supplbalspaoe - ~ 1 oroup ... ._.. .._.. _ . R Reiuerzo 5 000 5 n0~ Cost,of IabaNsupphes unavaHable J Goldsmilh 2,475 4 475 Cost of labprlsupplies 1,p00 immunizalwns R Re{uerro _ 3 75Q Cosi of suppireslspace 2 groups R Retu^rzo 3 700 Cosl of Suppl~eslspace 150 persons Sue Brawn ., 3,250 Cost ai lahorlsuppl~es 276 persons Var~es Lowse West _. 3 i6i Cqal oi la6orlsupplies _ _ 10 groupa _ J Goldsmrth 3 125 3 125 Cost o! laborlsupplles 306 seinoi s Margo Herman _ 3 t20 Qaet of IabpNsupplles ._ ~p6 persnns _ J Goldemilh ,__ 3,084 ~ Cost of lahorlsuppl~es - - 180 seniars - Rahert Shields 2,55U 2,850 Coet of lahorlsupplles .. . _.-, , 1 fl00 persons Vanous ._ 2,100 Cosl al suppl~es 60 famiWes Wently Eada 1 5p0 2 305 Cost of lahorlsuppl~es 125 school principals,_ B Ceszan 2 000 Caal o! cablpus farea 100 pereans Rober151~~elds 1 746 Casl of laborlsupphoa 800 pereona Margo fierman 1 ~40 Casl of IaGorlsuppqoe 200 persons Sandy Andrews 94fi Cosl of lehorlsupp4ies 680 perspns Rohed Shields 750 Cost of lehorlsuppliee 5D0 per9ons Nobert 5l~lelds 700 Cos! at Inbodsupphes 85p porsons J Goldami[n 43B Cos! of lahorlsuppl~es 30.t00 persons RoAert 5hlelds 150 Cost of laborlsupplies 700 persons ~2,936,620 ~71,959,013 ~ NOTES i) BAU ~E871S ;5 S INILLI~N, or 4'~ OF 5133 0 MI{,LION ~NET RHVENUES~ r ~ 2) SOCIAL AGCOUkTABiLITY RANKING AMONG CA~IFORNIA CATHOLIC HOSPITALS USING 3-YR AYG OF 94-98 • 5A113T JOHN'S WAS RANKEO BTH O117 OF 40 HO5PITAi.S {8EE AYTACHED~ ~= F~ ~1 ' * ~~~, t~ Calif'ornia Caiholic Hosp~ials' Chanty Costs Per Ad~usted Paueni Day Three-Year Avefa e (14~4 - 144fi] Califorma Cathol~c Hospital Chanty Costs per Ad usted Patsent D Merev Ha ital and Medical Center 5an D~e o S38 46 St Franc~s Medscal Cenier vnwoai 26 24 Daniel Freeman Manna Ha ital 23 69 Mercv Medical Center din ) 21_31 Si Marv's Meci~cal Center San Francisca 1b.91 St 3ohn's HeaIth Center 5anta Manica 16 14 Merc,~ San Juan Ho ital Carmictiael I~ 78 St Man Medical Center [L.on Beach 13 ~2 Saint A nes Medicai Center resno} 13 55 Donu[uc.~z~ Santa Cruz Ho ital i3."sl St Eluabeth Commuru Ha ital (Red Ble~ ~3 07 h4ercF Amencan Rtver Ho ital i i 54 Dazuel Freema~ Memanal Ha stal In ler~•ood} 11 54 Q'Cannor Hos itaI (San Jose) 10 48 Ale~uan Brothers Ho ital {San Jose) 9 9~ Mer~~ Ho -tal (Sakersficld) 9 74 Holr• Cross Medical Genter San ~'ernanda} 8 92 Sc Rase Hos ~tal (Ha~~~rd) S 44 Mer~ General Ho ital (Sacsam~nto) 8 18 ueen of the Valle~~ Ho ztai (West Covina 7 80 Seton Medical Ce~ter {Dal ~ Ci ~ 7 68 St Jt~de Med~ra5 Center (Ful~erton} 7.54 St Iose h's T~iedical Ce~ter Stoci~-ton 7 43 een of the Vall - Hos ttai {Na 7 30 lv~ercv Hos rta3 snd Health Sen~sces Serc~d) 7 28 St Louise Health Ceater (Mar an I~II 7 22 5t Jose h Ho ital (Oran c 6 45 Saint Jose h Iviedical Center {B~rbank 6 9i? h4anan Med~caI Center (Santa Mana 6 70 Mer~- Ha ~tal of Fol.;om 6 64 xeati~•ooa i~4emor~ai Ho itai artuna) 6.35 St V~ncent Medicai Center (L,os An ele5 6.22 Santa hiarta Hos ital s An eIes) 6.17 5t Jose h Ho ital (Eureka 5 O1 ~anta Tcresita Ho ital (Duarte) 4 4~ Santa Rose Memonal Hos ~tal 4.38 San Pedra Peninsvla Ha ital 4 OS St Mar4 Re tona2 Med~cal Center A ie V~il 4 44 Litt~e Com v af Ma Ho ital arrance 3 53 St Iohn's Re~ionaI Medical Center (Oxnard) 2 75 r~ ~r k • J L ~ rL ~ ~ ~~. ~ ~~ Saata Monica Chi1d Care ~'ask Force REVISED TO Members of the Santa MonECa Plannmg Cammission FROM Sar~ta Monica Chrid Care Task Force Subco~nmittee on St. John's Pro~ect- Linda Gordon, Be~sy Hiteshew, Ellen Khokha, Irer~e Zi~a ~ATE: January 14, 1998 Th~s ~s #o ~nfarm you ~hat Linda Gordon, Betsy Hiteshew and ~Ilen Khokha met w~th ~.~ndi ~unston, Director of Human Resources at St Jahn's Hospital on Tuesday, January 13 to discuss the attached proposals of the Task Force for rncreased commitment to meet~ng employee a~d commcanity chikd care needs. We reviewed each point af ti~e proposal witF~ Ms. Funston, who respnn~ed positively to our recommendations. Ms. Funston ~nd~catec! that St. John's would l~ke us tc~ recommenci a l~st a~ child care consuitants who co~ld be retamed to conduct an employee needs assessment for the hosp~tal. We are faxmg her a list of se~eral such consultants who ha~e bean doing consult~ng in the area for some time She indicated that the hasprtal was eager to begrn addressir~g the issues raised m our proposal cc• Suzanne Frick, Director of Planning Jul~e Taren, Human Serv~ces Drv~s~on ri 4 ri Ea 1: t) l u STAND FOR CHILDREN CHILD CARE PROPOSAL FQR ST. JOHN'S The Santa Monica Child Care Task Force asks St. John's to be a responsible leader in the Santa Monica Community by providing the following services: PHASE I 1. Prior to implementing PhaSe i, retain a Child Care Consultant with expertise in work and family benefits p~anning from o~tside St. John's Hospital and Medical Center and approved by the City of Santa Monica ta conduct a chi~d care needs assessment of its employees. 2. In accordance with the Sa~ta Monica Child Care M~ter Plan, maintain existing child care and early childhood services. 3. Expand child care to a minimum of 125 spaces with the majarity of new spaces allocated €or infants and toddlers, and create full day child care options for the children currently served through St. John's Therapeutic Preschool. AlI child care programs will be quality child care, meet NAEYC accreditation standards, and provide wages and benefits that are offered to all St. John's emp~oyees. 4. Subsidize costs to employees and 1ow income community families so that this ~enter meets the criti~al needs in the community for affordable, licensed physical space, and infant and toddler care. a. Establish a sliding fee scale for its current child care services to subsidize its employees ar community members. b. Provide space withaut cost, include maintenance and children's meals as req~ired. 5. Create child care aptions for aIl employees including evening and non- traditianal hours. 6. Employ a"Work and Family Benefits Coordinator" at St. John's or an outside company to: a} Assist employees in securing child care; b) Develop additional child care resources in the cornmunity; c) De~e~op a network of family child care providers to meet the needs of at least 50 families with infants and toddlers. The first priority wi11 be to St. john's employees and second priority to residents af Santa MoniCa. 7. Establish a Child Care Advisory Committee to provide oversight and appro~al of all child care plans developed by St. john's, to remain in place thrvughout the development of Phase I and Phase II. Appointments to the Advisory Cammittee would be in collaboration with the Santa Monica Child Care Task Farce. ~~ ~ ~~ ~ . ~HILD CARE CUNSULTANTS (L~st forwarded to Lindi Funston, St. John'ss Burud & Associa~es, Inc. 5andra Burud 880 Apollo Street., Ste 315 EI Segundo, CA 90245 (310) 640-0300 Ch~ld Care Consuftant Services Chora~ Brown ~ 800 Century Park East, Ste. 600 Los Angetes, CA 90067 (370? 216-6100 Karen H~II Scott & Company 6175 Woaster A~enue Los Angeles, CA 90056 {314y 216-2928 Child De~elopment Consart~um - LA Barbara Schutte (213f 221-8791 ~' ~i ~ J ~ WIiS~IIRE ~ MONI'ANA NEIGHF3C~RHt7aD CQALiT`f0[v Board of Dir~ctors Ke~t~ McKeown Chair Ron Fong v~~-c~ Betty Mueller .ar-t.~~ Lu Artz '~redsurer Marcja Carter s~eca~y '~yke Caraveiii ~,arrS~ Tsaacs Sasan Mars~all Peter Sheridan Curt Spiegel Robin ~•'Vaner P O Bnx 607 5anta ~fomca, CA 9D4D6 f3l.Q) 45~-5578 etnaii kevinmckC~capncacom Decen~ber ~0,1997 Planning Commzsszon Citv of Sartta Nioruca C~tv Hall 1685 I1~iain Streek Santa Mo~uca, CA 9E}401 Re: St )Qhn's Expanslon Dear Comm~ssioners: C(~Y ~r : _ , : C1~Y p~. ~~~~ .. ~w~ ~ '9~ t~EC 15 A 9 :45 On December 3rd, the Board of Directars of ~he W~sh~re / IViontana ~VTeighborhood Coalirion approved the follow~ng. "The ~'ilshire/Montana Neighborhood Coalitian {W/MNC} supports the effc3rts of Mid-Gi~r ~eighbors as they seek ta have their voice heard on the proposed pian by St. John's Hospital ta expand their fa~.ty. L~e speci£ically support the suggest~ans affered by Mid-Cily ~Teighbors on the praposed expansion, as we concur that the praposed expansion ~~ill negat~vely in~pact the unmed~ate neighborhoad "W /~INC ~ecogniz~s that ~he expansion of St. Johr~`s do~s not dxr~ctiy impaet the ti1+'ilshire/hiontana neighborhood. Hvwever, we s~rongty bel~eve tha~ the considerahon o~ neighborhood input is of great importance and shauid ~nform the decisions inade by the Planni.ng Cammission on neighbarhood land use ~ssues Therefore, we support the recommen.dations rnade by the ?Viid-City Neighbo~s on St. john's expans~or~ " Sincerely, ~ ~~ Kevin 14~fcKeo~~~n Chairpersor~ cc: Susan Henderson, Mid-City Neighbnrs ~ ' :~ 1 ~ DEC 15 '97 11~~1 3108290839__~_ ____ P.lil ~t~r ~~ ~ ' i. , -. December 11th, 1997 C~TY pE.,~~?~ .° r,~ .°~~ '97 ~E~ 15 R10:25 Dr. Nei~ Schmidt and mesnbers of the SMMUSi7, I am a parent in the McKinley School neighborhood. Although my child ~vi~l be in high school, by the time phase I is comp~eted, 1 feet compelled to adc~ress the issue of using Arizona as an emergency room route. Arizona, as you well know, is the thomughfaze of many childre~,, and their famities, in the McKinley SchooI neighborhood. Small childr~een witl always be in the irrunediate area of a school. I believe we need Lo remember t~at. ~f ST. Johns truly has the best interest of the McKinley community in tnind, then they wil! find a way to relocate their emergency room. They present:ed the cammunity w~th a design plaz~ that ~rorks for them, not the commanity. ~t is not to late for St. J~~n~ to change a dravving, and at this point thats all it is. ~f this plan is not opposed now, future criricism will be considered "hindsight". Traff'ic in that area is already very oongested and many use Arizona to avoid Santa Monica Blvd. novv. $y the ame phase II is in p}ace, Arizona will be a very ~?ngerous raute for McKinley children and there families. Not only dunng the the~x commute to aad from schovl will they be effeeted, it wi~l also ha~e an irn~ct on those hours after school, ev~nings and weekends. Disregarding the "ob,~ecrive scudy" of traffe hazards due to xhe placement of the emergency room on Arizona, comman sense will tell us that they w'i~l be significant. i don't think we ha~e to rely vn St. ~ohns experts to determine whether or not this plan will have an adv~rse effect oa the McKintey comm~nity. It wi~l, without a doubt, ad~ersely effect ~ wge aur Superintendent and Schooi Board to reeonsider their posiaon that this rede~velopment pian wi11 ha~e "no signifcaot impact" on our school district, pariicuiarly, Mc~intey F,lementary. Your interventi.on now is necessary, you are the gate keepers inmusted to foresee aad protect the futt~re of our schools and their commuaities. I7onna Block Parent, McKinley Elementary cc: P12~ru~ing Commission Wendy Wax, McKin~ey Principat ~, ~, ~' ~ ~ ~ ~ Edward Muzika, Ph.D. ~j ~~i ~~:: -`'"'~s°r Deoember~5, Tss7 Suzanne Frick Director Planning and CQmmunity ~evelopment C~ty of Santa Monica 1685 Mair~ Street Santa Monica, CA 90401 '97 ~~ 1$ P4:lb 1312 Harvard St Santa Monica, CA 90404 310-828-2953 Six months ago Mid-City Ne~ghbors and the other neighborhood associat~ons were defunded by Ci#y Gouncil because they represented no one but themsel~es In the cas~ of MCN, palicy was set by the Executive Committee--a group of f~~e people They ne~er polled mid-city res~dents, r~or their own mernbership about the St Johns pro~ect I know, because I was a Board member from June, 1996 un#~I February, 1997 It appears that these nefghborhood associations have chosen St John's as a target of o~portunity to make a name for themsel~es, and to become a#orce to be reckoned with in the future, perhaps to regain city fund~ng Publ~cly they state tf~at they support #he rebuilding {~ro~ect, but they oppose cnt~cal desjgn f~atures that would make rebuilding ~ery d~ifcult if nat imposs~ble They opposed Santa Monica Gollege's Academy of Arts and Enterta~nment They oppose Dreamworks They oppose Santa Monica Stud~os' Pro~ect By their actions, th~y appear to be the ~isEble front of a larger slaw-growth coaht~on that wants to turn Santa Monica mto pasture land, and St John's into a park I too would like to see 1970 t~affic and noise le~els m Santa Mon~ca, bu~ not at the price of ending resportsible growth There a~e develo~ment ~ro~ects that benefit the ::~!~~le v;ty a~d e~~er: ~!~:e ;:lhoip ~eJ~on, ~:~+hc~: r,:^ss~~l4 ~etr~rnenta! r~e~~hb~rh~od effects These should be supported, while further tourist-oriented de~efopment, large- scale condo conversions and large o~ce b~ild~ng pro~ects rightfully meet neighborhood opposit~on I would totally support ne~ghborhood opposition to irresponsible growth that would tum Santa MonECa mto a Cent~ry City Sincerely, ~_ Edward Muzika a~ ~, ~~ r, J ~ ~rry~~a-i~. r~ai~~~iy•..unuiuea~nc~~ ~~~ ~ ~ Janaan~ ] 5. ] 998 Citti~ Plarinin~ Di~ i~~un 1 b85 ~Ia~n Street PO Bax 2200 Santa ~,~ion-ca, Cr~ 9~~307-~20G ~~~ _ i~~~~ iimY ~ ~o [~ r ~~1C~IdC~ ~~OII[~C~Ft1GY} 1 ~a5 23" ~r ~~ Sanra 1tr~ u~a C a~3! F3~ a Dear PEanning Commission~rs I fn[lo«ed the commissian s proceedirt~s that occurred on 1 1-~ 9S -_ ~?~hlke I understand and suppo~ the ne~d for rehuild~ng the ddmaged Satnt John s facilit}•, I am deepl~• troubled b}• the proposal that is hefore thz ca~nmission and «hieh has been the tog~c of }'aur meetin~s recentl}~ l~e follou 3ng list m~- concerna • ICen Breisch concemed that the u5e of 2E" street as a uaf~c outle[ for the 5aint John~s pla~ ~ ehicular traffic and the impact it «auld hare an pedesman traff c Lsing the same logic ~tihat impac[ ~~•ould the ?mpact be en pedestnan traffic be irt l~ght of the increases in trat~ic or trafffc flo~s on 23`d street .~nzona ~.~e and the surrounding area~ I th~nlc the unpact on t~e pedestrian f~o~t to the nearb} school ma}' need the sam~ t~~pes of stud~es as requireci b} t}~e pedestnan traff'ic on 21-t street • Frank Gruber felt that the flon• of traffic ~n and out of the plaza ma~- be controlled by addit~onal traffic lights «~ha[ ~rauid the impact of these lights be on the surrounding neighbor streets a5 a result of the o~ ert7o~r and throu~h trafFc duc to dela}~s causcd b} t}sese additiona! lights~ • I do not hear atn concems s o~ced h~ the contmiss~on regarding the traffic unpacta on these surroundsn~. streets nor ant- attempt to prot ide solut~ons due to the ~mpenduig ` market failure that ~i euld occur if th~ proposal ~5 accepted b~ the comm~ssion • h,iant• of the nef~bors ti oiced the~r conc~ms during the publ~c heanng phase of this process 6ui are not ~nciuded ~n ~ our dtseussion The toad dnck noise arid emergency room entrance are not the onl}• concerns brought befare the comm~ssion Traffic, sunli~ht, buildu~g height ~anances, excended construction ttme frames aza other tssua af impartance to thts netghbor hood • l~htle the suggest~on to include pla}•~nund Ltems for youf]gsters in the park area ~s cammenda6le_ I can t help but feel that more important an3 fundamental ~ssues tlzat affect the quattty of ltfe for these ~•oung5ters is o~-erlooked ~~1"ill truck ambulance, poi-ce car. and hea~ti traffic af all l:inds create the kind of attractne par1: en~•ironment that «•ill draz4• u+ers^ Pass~ble commisston aetions ~•ouid inckude • The rezonLng of the east s~de of 23`d street to commercial professianal • I'he ciosure of 23'd street to through traffic • Possiblti limit the height of the inpat~ent su~te planned for the ~~-est s~de of 23rd and allotis traffic to access 23'd sireet from Santa'~~fontca bl~d onl~- Create a ne~i entrance• pat~ent drop off at the in~atient buildin~ that ~~ould mclude a tum around for traffic to be redirectzd ta~i~ard 5anta :~4on~ca Bl~ c~ after cirop uff • :~llo~c traff~c to enter the plaza Irom Santa A1on~ca Blyd and extt onto 20~` street ~d'~c i i i ~ r 3 ~ f+ -` J . % a ~p ~] ~p~5 5aint ~nhn ~ to rebuild -n the current een~igurauon nn9~ Santa ?~1on~ca Bl~~d and the surraunding neighbarhood street~ are Ell-eq~~pped to handle an} ~ncrease in traFfic I respectfull}' reyuest the comm3s~~on postpone am act~on m allo« roere hme to cons~der altemat~~ es to the plart F~naih th~ commiss~en aould sen e the pubi~c hest ~f the}' recommend that 5aint )ohn ~ u arl; clo5el}• «tth the cnmmunit~ tn resoh e~he neighhnrh~nd ~s~ues Thfs area ~C planned corcectlt _ hati the po[ential tn h~ heauuful and the enr, of e~en c~t~ that has efiort; ta mtegrate pri~ate and puhl~c land u5es _ 5incerel~ '.i~chael ~iontgomery -~ ~I~ , i ~ i ~ _ ~ ~; ~- r ~ ~ ~ ~ ~ ~i~~~ ~JF ;.~~[~ ~; ~"1~`~''~~ l ~ CfTYP~~~41NGI~ -~~~ ~~r~-~ ~3~~, ~3~-! ~ ~~,~s ,qT t z-a ,.r~ ~4-t. ~ '9~6 JAN 21 P3 :~ 3 Sr~~v ~h ~ra,v~ ~~ GF~ . ~tc~y-~4~-- r 3~/ - J~/f1~ r `~ f y °• ~ _ G I Y j' PL f'rivN. ~vc~ ~r v~ s i o~J~ ----- --- -- -- -- - ~,~~ ~~2 IG ~' S n~-r,~. sT - - - --- 5,~,~ ; ~ _ rro,~.~ c_~- -{ C F4L~ r o!'.~.~~~ ~o~to1 - ---- - -------- - f3 rr ti; ~-K finr » s crf-r5- c_ +-rr~~ , s~ ic.i o2 PF 9-ti ".'c~2 --- ---- -- - , _- ~_ ____ -- ----- - - - - -- -- -- - - r--- ---- - ~~.-' FEn-~=Nt c % ~E (li=L~~17~NT` ~G-l~~~~-i~~ ; `~,~ -- Gb/ -~ fLczvrvTls:.vc7»n~ !~'7 ~~PrrNS~o~v l~r= ST ~vl~ d+-+~sf~i rrf~ - -~ l.c~rfc7 r`'t ~ ~ ~?~ y Civ.vr_G ~ ~1.~~ - -- ~virFS ~9Gc~ .~vE 2c~S~~c-~ w~ iu~~vL~ G.KC :o sval~.~ - - ----------- __ -- f _ _-_~-___ - ~4' 2~'i T~-Q N C- d IPi -rrrG ~ 1~J a -r'4 r+Y'~ /~-EGO ~J~T~=v wT/ q.V ~J7~ /4'f=l Z~/~ - - - - ~,4v~ NU4 -f~ f} c ~~ /~ a ,~ ~-r~ A rVGw c=~~-i c~ ~_ C G ~ ~'~ ~ ~ ~ - -- EN -`~~1~ C'.~~'i l'~~L ~r~ •! 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LT !5 c~r CrfLG~1 ~- - - ~V'`JCrE~ `~'c__t15 , -- - - - - -- ---`- t~ s ~~ u~ En~ ~ 2~ N ~.E _ Lv~v~~__- ~~-~sv~r _ _ inr ~ ~vc:r~I~ c = ~ ~~ c S _ -- - ~F~ ~'~ Z U /`l~' -~iJE/VG/ L -' - - - - -- ___ - ---~NG2-~{~'~E~ _ I/~fFtGU~-9'~L _ TJ'-~=F~G l~ILL ~/4-v5G f'tc7k-C::~ -- -- G*J NG-GS ~" ~ o~---`~'S/ 'q'~ i 7~e, n.ry ~"h-T~._..~-~t S i v~ r3 f n/ ~ _ ~ESr~~R~T~ ~ ~~_ ~,9-~~~~.v~ f~ Sn---~~ Ty 1~C9?~}-~.~ _ -•- - . s- .~2i ~ ~~ c~ ~~A-~.- c= .s7 v~ ,~-~ G c~ ~~9--~ ~'r"4-7-= ci ~ Lv~G L E's ~`- ~4 : c~ No~sC_ R~.~__~~z_ P~c-~v ~,~~v _ ~ssvc,s . --- - ----- ---- - - - - - - GJG ~ ~ f3 L ~- ~ C{~'f~CrT~ 2 / ~(~-L L~/ p/~O r7 S L:r _ T-v _ - -- - T~t-~ -- 13v~~_~r ~v G- Oi- -- Tft~-- crl~2C~nr~~-- ~voy -- ~Ni ~'.-,l~ rvc-ti - D~tJ A'fz ~ Z ~!~/"~ ~v~ Ivf/G ~ - -- - - -- _ ~0_v ~ S ~r i-r c-t°_ t-~° ~ -- ~ -- ___ _ Hf~ II-~ ^ J~ Lr4N ~7f} vI Diit~ S ~- -~_~ ~~ ' ~ vc4~~-T Gu ~ Ta~vE S ti~ G-G L-` C L- ~NGS _G~ /~-G~ G ~v av ~~ -3~tiE ~ ~ ~ Tv ~v~ ~~ G~-~L o Gi~~- ~v Ncv ~~~~,~ ! - ~ ~ ~~~ ~ ~~r_,~ ,~.~ .1.,~' . ~,~ ,~.~~ I v 1./ ~ •• U ~./ ~~~ ~-~o '~lc.~-~ ~~ ~-~-~..~ -~ _ _ ~-~ ~2~ ~an~a 1Vlanic~-1VIalibu U~~~i~d ~chool Disfric~ 1b51 Szxteez~th Stree#, S~n~a Monica, Calxformxa 90~0~-3891 ~ 4310) 43~-8338 3anu~i'y ~4, i99$ S3ster :Viane i~~-d~leine Shonlta. Pz~esyd~nt SE~v? ~lIA~ FAX Samt 3ahn's ~ieai~ Cc~nt~r 3i0/315-6134 1.32H ~2nd ~u~et Sa~ta Moni~a, CA 9p44~# i~ear S;s'_ex M~e Madele~,ze Oa; ~aa~u a~ Educat~on, s`.a.ff and the co~imunrt~es ~f Sa~*.a'_viont~ ~n~ M~libu have iustoneall~ ard COr.si5teiltlY demons~ated their cor.csr:~ fvr ar~d support o2 tY:C wCl~ree55 ~f ~ur 5tudents. Xaur hospttal has bcCr~ a corrzxAZEted partnex in that :e~ard a.rtd ~~~e truly opprec~ate al1 t,'iat vou #~ave dane ~d contir.ue ta da on our stu3en.#s' bei~al~ ~ As we look towar~ t~e fut~re for ~i,tr distnct and its shxden.ts, we ~~e iz~c~rased oppor~mties ~d pnssi~~~ities to a.ddtess our ~~e~zt;fi;.d needs an~ our current ]~ve~ of care Pezhapa mare import~nt. we 5~e opport~mtt~es and pqsstoa~ittes for ~r~4iding proacttv~, prcvcmiat~~c ~cr~~ccs that wal~ u~t~matciy result :n heaiu~;cr stt~dc:nt~. Ii is ~vcl?-kx~pwn tl~t~u~,hoe: ~hc medical and eciucahonal cvrr~~un~t:es that hcai:i~y srudent; are better gre~are; for learnm~ ~'4'e ~.116enc~it &o~ havi.t~ such studcnts in our ccmmun*.ty. Gpec~~icaily we a;e loaki~sg at ~'our nta~or areas of racus for our fixture work. 1. Health services support ta aur schoc~is. (Appro~imate cost: ~313fl,D0~ -~404,OU0lyr.1 ti'4 i ~LLYLC:~If1v EiaS~e ~.b ~ciiaul nurses cavenn~ i~ sY~xool sites. azad ~Q child:en's eenter programs L•i al:, our ne~rscs art x:.~p~ns~blc xor sert ~r.g over 11,~~44 student5 drstrict w~de, from prgschool S''7xQ11~11 ~1~~ 5~.n00~, ~nc;u3:ng teen par~nts and ihrir u~ants. i~cait;,~ scrv~ces staf~'sho~ld not only ~e res~onsible for immediate and ctn~rgcrac~ healtlx ca~re ±ssues. ~ut al;a for health educat~on, assessmen~, Cbn5u113tiOC1 ~Ttd GOtttri7-,~,tilty plltreaCh The :.ncreased heal#h care nuds af Gur SLUder~t5 and [he cornplexity Of LhClr CaS~B, leads us to 3oQk for w-ays ~o pro~ds mcreascd hea?th ser~ires support a: cach szte Such suppor: xs an essentaai caz~pone~t of a~ ovGral~ prugxam an~ ~s t~~tai to *.~e coE~tinuat~on of our d~s~~t's geals Uu~ m.ost presss~tg needs are wt~h our eietnenta:V sc?~ools Z. Infa~t ~nd f~mil~ o~ttreacb~ (~ppr~ac~mate cost: a90,000/yr.} The ivc~s of our ~or~C ~n thzs arca is ta m.ake a strong, mcan~ngful and last:ng car:necton w~ti~ ne•.~~ parents, yvhosc ba~ies ~~li ultamately becoane students in ewr ~xstz~ct and community V~'e lanaw #hat rnakir:g early cannections ~,~~i~~ ~arcnts czrates exceptiona! opportur~ines to beg2n a col~aborat~ve ~ffor* that hclps ~h:ldrr: ~~d adult5learn and grow in a posi:ive and suc~essf~l manncr $o~ oF ~ovc~,rio:~ oxr^ ?-ad• lul~a .E-oh~nln FJr.z~oth, C?~.:~r^.an ;em L Cohen Bre~a Gvtdnod iedd ~ess 11uga.-c: R'~u~doncs ~_ .. ~J~ ti~ l Sciu-md~. S~E-enntendent nr 5choeis J ~ r ~i Jar~uarv 20, 199$ j7SgG Z 3. Aistrict ~~ysiei~ (A.gproxi~ate cost. $b0,000 - $~,ODUI}~.} aver thc pas# ~ccad~.a, w~ have scen, Ca.lifom~a's sc~QO]s became rnore diverse than anywhere ~lsa in the wor~~i. 5uch 3ivcrsity brings grcai g'sfts, bu~ }~aa aiso brought some hard chailengcs. Q:~e vf the5e cha~~enges 1. the in~reased cornplexity ~f the health :~e+eds af our studcr~t populat~on. 1 fus tncreased complexity has hei~tcned our ~w~t'cncss of thc faCt ihat pmfcss~ona~ and ex~ert Y:-edical co~ulUatian ~s ne~ded s~ our schoaL~. A part ar full-time disttiet physician would ereat~y assist ~s in met•tir_g 4ha5fi riCCdS dS ~vCll &5 ~Clpix:g t13 ~F~ii f0t' the ~LitilYC X~O~~S 4~ our studcnts. ~. H4l~~ CLAil~pi01-S i?~B~XAl10 At aU SC~OO~ S~~S ~A~7ZJraRi~late ePgk~ S~OO;fl~Olyr-) Oi.r "I~calth Charrr~xaas" pmgr~nY, which is curr~at!}' ~eing pravidcd ~# six etcme~,tnry schook sites, has prov~n ta be a pro~ct~ve 2nd e;fectivc tovl :~i'~c~ng studCi3[s ~baut thC $C~tCf ts of health} l~vtng. We have seen the suCCefs 4f th1S pi4~i~in fiT&t17Rtid ~IId kri4w [hCT~ iS ~ SixOrig dem~ud f~s ~l to bC prov~d~:c3 ~! ~11 d~yl,riCt s~teS S~.~cb. au exp~s~an wauld allaw us to ~naiz~ra~~ a s~rc~ag az~d vlsib]c ~nacssagc for al~ shide~t~ at al~ $lrade ~evels, :hat encozu'ffge5, facilitates snd support~s pasit~ve he~xi#h habzts The above ase rkam~ies of i~ur are~s that ue need t~ cantnce o~u disussian nrit~ you, ~s we T+espa~d to changuig needs of aar students ~.~d sc~uQIs. Each has the ~,biiily u- play an csscntia3 rolc it~ our work W~th st~~en+.~ and fam~lics. Gollcci-~cly, ~nd togcthcr wlt~. aur cx~scu~x~ c;Eforts, wC {CC~ thCY ~fO~t~G ~ comprehcn$ivc progratn for mcsnng thc hcalth ~en^~ces aced~ o~' ow students ' I wClc~z~ne an~d ap~Zecxate yow :deas, ~uggestFans ar~d feedbac3c re~ar~g th. r.eed to ident~fy additianal resources. As I stated eatlier in t~s letter, ya•ar haspit-a] has aiwa}~s be~a a valued partner ~n our woric w~th s~ude~ts and farn~[ies. As sucr-. ;ve v~i~;c vour ccr~tnnued and. hopcfullu, cxvaaa~ suppart as we ~ov~C ~nd move a~ea~ to~$rd s r~~v~- century Sincerely, ~~~ ~ ~ Dr. i~teil SCtamidt Superixitez~de*y.t cc• Mr B~I; Parante Sama Ivlon;ca'LCLA Med:cal Center ~rn~nwslhe~a.th ,~+rio . ~ J~~4 ?CTA~ ? ~3 ~ ~ ~ Januc~r"y ~2, 1998 TO; THE SANTA MIOI~A Rl._AhfIV~iG COMfV~SSI~N FR~M: A~ENE ~R~~k+~ORD - 2~13 Ar~ona Avenue 828-9147 RE; ST. ~HI~S I have nQt been able to attend the past two meetir~gs m per5~n, but harfe watcherl thern on televrs~on ar~l I am deep~3~ saddened that s+~rhatever ie~rQl of ~CCOmpl~shrr~ent and ur~star~ng we had reac#~Qd w~th the Gty and ~'ectly w~ St. J~ du-rbg tf~e open meet~gs is now moot. tt apRears the Plan~-mg Comrnission intends ~o gree.~r Nght St, ~n's pians to b~d ~he emergency room on our residen#~at street, and once ac~an, we the neryhbors feel were mere4y put ti~r'ou~ the paces, Tr:S leave~ me with the same issues, i~l~r I~fe savmgs are ~vested ~ a propert~ that I w~ nat be able to seN for the next ten years due to the coristant ca~t~ uction thak w~ be taking pface on my front dQQr-step. If and wh~ ! do m~age tv sell my house and rec~anm some semblence of a good, c~~.uet, peacefui "5anta I~lonica way Qf bfe" I wiq be lucky if I break e~en for what I paid fQr the hQUSe fve ~rears ago, It w~l be r r~,ossiake to buy a comparable home north of Santa Montca Boulevard fvr what I paid then, I stand to bse Qrwrmous~y as soon as you approve the devetapment plans, Fifty years agQ, my c~randfather was cha~rman of the Freeholders comrrutt~e m Sarrta Ilrlanica and wrote the charter that ~reated the present system af gorrernment m this c€ty. I wonder how he a~d I~s peers would have resRonded t4 the audymg and self-serv~ng tact~cs of St . Johns b~ldozmg the qualil~~r of hfe far residents who have crea~ed and sustamed the world wide repuata~ian for tl~s 4reat town, Before yau approve the plans and they proceed tQ pla~e the 24hour emergency center across ~he street, co~d you re-address the foAow~ng issues; V~hat rt anyth~ng, has been done about encouagng St, JQhns to buy out the neic~hbors who are mos~ sev~rl~r impac~~d b~ thQ pro~ect? ~ would l~ke to have a discuss~on with them about this, h~ly home was buit in 192D, and has been pa~t of thES ne~ghborhood Icx~g before 1/23/98 1/22/98 Page 1 ~,~~ , 5t, Johns. Stnce it is an old house, it has ~ettled over the years and therefore ~s not ar-tight hke mast new hQrrres. I do not have a~r condition~ng and hatre always apened my windQws and garden door fQr Fresh a~r and cross-~ent~iation, 1 urif not be able to do th~s durnc~ the construction years due t4 nase and d~t, in addit~on, my home requires mamtenance and attent~on that wdi be magnified by 1~0 otxe constructron begms. I wot~d like to have the followm~ mi~igations perfQrmed on my house by St. John's BEFORE the frrst shovel o~dirt is krfted, d~uble c~laang of a~E wmdQws. have all wndow and door frames fitted w~th seais ta p~-e~ent dust and dirt ~nfiltratien when cbsed. brarinual repaint~ng of house durmg constr~tion to protect and repair any damage. I expect there wilf ae a lot of airborne dust and drrt that wil drs~olor and degrade the new pain~ I har~e on the house, Considem4 how we have been screwed ay ~t. ~QY,ns ~ring th~s entire procQSS, I feel it is the least the hospital can do ta make a lang overdue ges~ure of goodw~N toward their neighbors, ~e aA Feek the ~i~ters of Chairty hawQ not been chantaale in the~r reg~d for their own backyard, and if the~r werQ ev~r in a posrt~on tQ ask far ~he suppQrt and cans~deratian of the~r n~rghbors, that we wdi have the ~€tity to be more grac~vus, chankable and thQUghtfui, Th~~C you For ~our hefp ar~d ccxisideration. 1/23/98 ~/22J98 Page Z ~~ r JC.i; .~ ^ ^~ . s ^ Saala Moafca C1~id G:s Yas~k Ftorce ~u~~~~,~ TO Members of che Santa Mor~~c~ C~ty Councii d~`~ ''^-~? FROM: The Santa Mvrnca Chi1c~ Care Task F~rce DATE: March 6, ~ 99B Attached is a summary of our recommendatFvns for the 4ncl~sGan of child care in tt~e development ~greement wrth St Ja~n's Hospital A subcommittee of the Chi1d Care Task Force consistin~ o~ ~inda Gordon, Director of Parent Inf~nt Care Services infant program, Betsy Hiteshew, Professar Emerrt~s of Child Development at Sa~nta Mon~~~ College, Ellen Khokha, p~rector of The Growing Pla~e preschool and Irene Zi~~, commun~ty chifd ca~e advocate has worked with other members of tt~e Task For~e in de~eloping ihe recammendations wh~ch we pr~sented to the Plann~ng Comm~ssion dur~ng the recent pu61~c hearings on St. Jahn's Hospital rede~elopment proposal. , Subsequent~y, we have met three Umes w~th Lind~ Funston, Qirector afi Human Resources at St. John's ta d~scuss aur praposa~s and the~r ratfonale. From our experi~nce ove~ the yea~s in wo~king on atfier ~evelopment projecis ~n 5anta Monica, we have fearned that such agreements mvst be specific and that ctear compkianc~ ~a~gt~age +s assent~al. One of us w~ll be contacUng you ~n a tew days ta d~scuss our recommendations. We hope that tirve car~ count on your support far the ~nclus~on af a substantive child care ~amponent in the development agreement w~th 5t. John's Hospital. If you have questians a~out our recommendat~ons, please call Joanne Leavitt, Task Force Co-Chair 310:828-7925 OR Eltie~ Khokha 310~399-7760 2714 W. plca B~+d., SuNe 310 • Santa Manica, Catlfamia 904U5 v ;~ ~ ~ The Santa Monica Child Care Task Fotce subm~ts the fol~owing recommendat~ons to the Santa Monrca C~ty Council for ~nclus~or~ ~n the deve[opment agreement w~th St. Johr~'s. 1 St John's wil~ maintam all existing ch~ld care aRd early ch~ldhood services,and create full day an site chiCd care opt~ons for the chitdren currentiy served half days En the St. John's Therapeut~c Preschool 2. St John's w~ll retain a chFld care cansuitant wrth expertise in empioyef related ch~ld care to conduct an employee child care needs assessment and draft recommendat~ons for devefopment of a camprehens~ve child care plan to be ` approved by the Director of Communlty and Cuttural Affairs of the City of 5anta Monica as part of the deveiopment agreement. The plan will be t~pdated ev~ry three years. Vanous chlld care options, tncluding evening and non- tradit~onal hours of care will be ~ncluded rn the ch~ld care pfan. Prioraty wiil ~e given to the pto~~sron o# services ta infants and toddters 3. In ~iew of tfie sCDpe of the developrnent, the length of its implerner~t~t~on timetable, and in light of the many mitigations afforded St. John's by the City af Santa Monica, St. John's will be required to pravide new child care spaees equ~~alent to 8°Yo of its employees. All child care settings, whether center based ar family ~hild care, wilt be l,cer~sed and meei accredltation s#andards set by the National Association for the Education of Young Chrldren or t~e Nat~onal Famiiy Child Care Assac~at~on. AEI St. John's child care empiayees will recei~e wages and benefits compa~able to ather St Jo#~n's employees wi;h similar le~ets vf education ~nd experience. 4. St. John's wrll establish and fund a s~ldmg fee scale for all ~is c~Eld care senrices which makes care a~a~lable anC accassible to aii employees. b. When child care spaces developed by 5t John's are not being utilized by St. JQhn's, they wil~ be offered to members of the community who I~ve or work in Santa Marnca On the same basis as emplOyees' farrtilies, with priority g~ven to iow income families. fi. St John's w~ll provide space, maintenance and chi~dren's meals to the child ch~ld care program w~thout cast to t1~e program. 7. St. .~ohn's w~ll establish a child care adv~sory committee to provide ongamg overs~ght, ad~~ce and app~oval oF all ch~id care pfans developed by St. John's 8 Compliance wrth these requirements will be requ~red in the development agreement. Campl~an~e reports w~ll be ma~e twice a year to the C~ty's D~rector of Commun~ty and Cultural A#fa~rs ._. ~ ^ C' JL~, ATTACHMENT . ~, .-. J ~ ;_ .. . ~ ~~ r < <~ 4~ ATTACH~ENT J ATTACHMENT A ~ ~ ~ . ~, r ~; f ~ ~, MITlGAT10N MONITORING Effect~ve January 'i, 1989, #hs Cal~fomia Er~v~ronmenta~ Qual~ty Act (CEQA) w~s amended to add Section 21081 6, implement~ng Assembly Bill (AB) 3180 As park of CEQA (state- mandated) en~ironmental re~iew procedures, AB 318~ requires a pub~ic agency to adopt a monitor~ng and report~ng program for assessing and ensurGng efficacy of any rec~u~red mitigat~on measures a~plied to proposed de~elopments As stated ~n Section 2~081 6 of the P~bl~c Resaurces Code " the public agericy shall adopt a reporting or monitor~ng program for the changes to the ~ro~ect which it has adopted, or made a condit~on of pro~ect approval, in order to mif~gate or avaid significant afFects an the er~v~ronment ° AB 3180 pro~ides genera! gu~delmes for ~m~lementmg mor~itormg and reporting programs Specific reportEng andlor mon~toring req~irements, to be enforced during pro~ect rmplemer~tat~on, shall be def~n~d prror to firial approval of the pro~ect proposal by #he responsible decision maker(s) ln respanse to establ~s~ed CEQA requirements and those of AB 3'k SQ (Public Resources Cocie 5ection 21 a0Q et seq ), the praposed mittgation mor~~to~~ng program shall ~e s~abmitte~ for considerat~on prior to completion of the environmental review process to enable decis~an-maker's ap~rapriate response to the propasals The propased program should be included in the draft ~nv~ranmental document to allow pufol~c circulat~or~ ar~d review of the proposal, a m~tigat~on monitoring program must be pro~ided as part of the Final EIR The draft Mitigat~on Monitonng pragram as presented herefollowing Each required mitigatior~ measure is l~sted and categonzed by impact area, w~th accompanying discuss~on of • Th~ party or parfies responsibfe for impiementat~on, • The phase af the pro~ect dunng which the m~asure should be monitored. -- Pre-constructio~ (Pr~or to rssuance of a bur~d~ng perm~t~ -- Construction (Prior to cert~ficate of occupancy} -- Post-occupancy • ThE enforcement agency, and, • The monitaring agency The pro~ect appl~cant shall demonstrate compliance with each mitigation measure in a written report submitted to the applicable enforcement agency prior ta the issuance of a ~3< ii ~:t Build+ng Permit or Certificate of Occupancy, and, as applicable, provEde ~eriodic reports regarding compliance with such conciitians Table 1 shows the Mitigation and Monitor~r~~ Report~ng Checkl~st f lplanlsharelst~ohnslmitigat mon ~:- ~l~ MITiGATION NO 1(a)(1) ~{a}(2) 1(a)(3) s- r EIR REFER~NCE EARTM Phacp II Imnart 5 1_7 TABtE 7 MITIGA710N MONITORING AND REPpF MITIGA710N iNEASURE MONITORING PHASE 1 Concurren! with submiss~on of a pevelopmein Review permrt (or any Phase H buddirg, detaded geotechnical investigations shall t~e submitted to the ~ppropriate plan review and cocle enforcement agenaes, ~ncluding the C~ty of Santa Monica, 8udding and SaFety Divisian, the Office of Statewide Heafth Planning and Development (OSHPD~, and the Slate of Cal~tornia Onnsion of Mmes and Geology (CDMG), Tor review and approval , 2 Phase II development shall comply vnth all recommendations of the geotechnical ~„~~~<<igation, engineeri~g geolagi~:, a~ ~u structural engmeer, as approved 6y the Crty of 5anla Monica, 8uilding and Satety Qrvision, 05HP~, a~d the CpMG 3 All cnhcal Phase II structures shall comply w~th the requirements of QSHPD and the CDMG Development Review Sudding Permd Bwlding Permit CHECKLIST EHFaRCEMEN~ AGENCY C~ty of Santa Marnca Cdy Plannmg Div~sion C~ty o( Santa Monica 8uilding and 5afety Division or 05HPD City of 5anta Monica Budding and Safety ~iwsion or OSHPp MONITdRING AGENCY I C~ty of 5anta Monica Cdy Planning bivksion Crty oF Sanla Monlca Buiiding and Safety Dlvisbn or OSHPD City of 5anta MonFCa Bwldmg and Safety Division or 05HPD C _' 1.j C;i TABLE 1 ~ MITIC3ATION MONI~ORING AND REPORTING CHECKLI5T MlTIGATION EiR MITIGATION MEASURE NEONITORING ENFORCEMENl' MONITORING VERIFICA TION OF C OMPLIANCE NO REFERENGE PFiASE AGENCY AGENCY INITIALS DATE REMARKS LIC3MT AND GLARE Phase i! Impact 5 41 1(b)(1) 1 Exlenor hghting in Phase II shall be Architectural Cdyof SaMa Monica City City of Santa Mon~ca desiyned to direct light and glare away from Rewew Plannang Di+nsbn City Planning Diviswn neighbonng propert~es 2 Ta minim¢e excessive light and glare, Architectural C~ty of Santa Manica Cdy City of Sanla Monica 1(b)(2} bu~ldmg exterars shall utilize law reflectance Rewew Planning Divrsion Crty Pianning ~rvFS~on makerials Mirrored glass and other highly reflective buddmg matenals shall not be utii¢ed on the exter~or ot the buildings 1(b)(3) 3 Saint John's shali submit extenar lighimg Arohitectural C~tyof 5anta Monica City City of Santa Mon~ca plans (or Phase II to the City's Architeclural Review Planning Dmsion City Plannmg ~iv~sion Review Board to ensure that sp~llover dlumination to ad~acent areas and direck viewing of light sources have been appropnately minimized 1(la)(4) 4 All autdoor lighting other than identification Architectural Cdy of 5anta Monica C~ty City o( Santa Monica signage shall be d~rected from the penmeter Rewew Plannmg Diwsion City Planning D~vision o( the property toward bu~ld~ng entrances and parking areas util¢ing cut-off fixtures to prevent nighttime dlummation from sp~lling oMo properties and residential uses on-sde 1(b)(5) 5 IlluminaEion of e~erior bu~lding courts and ArchitecluraE City of 5anta Mornca City City ot Santa Monica corndors shall be designed to m~~~~~~~~~ Rewew Planning Oivision City Plannmg Drvision intrusave glare cn residential bualdings and on ad~acent land uses Low lever secunty lights shall qe used along dnveway entrances 1(b){8) 6 PIaM matenafs, shade structures, and other Architectural City of Santa Mornca Cdy City ot 5anta Monica arch~tectural desrgn features shall be used, Review Plannmg ~tvision City Planning D~vision where apfxqxiate, to clecrease reflectivdy of landscape and light and glare toward ad~acent land uses C.J ~3 C. ] TABLE 1 MITIGATION MONITOFtINf3 AND REPOR71NC3 CHECKLIST MITIGATI4N EIR MITlGATION MEASURE MONITORING ~NFORCEMENT MONITORING VERfFICATION OF COMPLIANCE N4 REFERENCE PHASE AGENCY AGENCY ifJlTIALS DATE REMARKS RISK OF UPSET Ph~ccr I imnarl F 9_9 1(c~(1 } 1 To determme the present conddion of ~emoldion City of 5anta INonica City City o# Santa Monlca asbestos conkaining materials ("ACMs") in Planrnng ~ivis~on City Planning Dwisron the ews~ng factldy, Seirn John's shall update the asbestos survey previously canducted for SaEnt John's (March, i 986} These ACMs shaA be property removed pnor to demol~tion andlor renovation actrv~ties 5afnt John's shafl tollow mandaled pracedures tor a5~5~os removal under State law A copy of the evaluatron shall be provided to the C~ty pnor to demolition of exist~ng ~mprovements 1{c)(4) Phase II 1 Pr~or ta issuance of a demolition permd for ~emoldion Cfij oF Santa Monica Cdy Ciiy of Santa Monica each buildFng m Phase I I, Saint John's shall Planrnng Division C~ty Planning Division conduct an asbestos sunrey for that building to identify and quantify the amount oF ACMs m the existing structures These ACMs shalf be properly removed prior to the buddmg's demoiitian 1(c)(2) 2 5aint John's shall follow mandated ~emolition Giiy of Sania Monica City of Santa AAonica procedures far asbestos removal under Bwldmg and Safety Bwlding and 5afety 5tate law Div~sion division C. . ~f ~~ 7ABLE 1 MITIGATloN MONI~ORING AN~ REPdRTING CHECIflIST MITIGATIDN EER MITIGATION MEASURE MONE~ORING ENFORCEMENT MQNITORING VERIFICA TION OF C OMPLIANCE NO REFERENCE PHASE AGENCY AGENCY INITIAI S C}ATF RFMARKS PARKING Imeact 5 B-5 1(d)(1) ~hase I 1 A parkmg management plan shall 6e Bwld~ng Permd City of Santa Monica City City of Santa Monica cievebped and implemented lo assist wsltors ior Suhterranean Planning Drvision City Plannmg Dmsion in finding +racent avadable spaces !n the Ga-age garage This could mclude an autamated tracking system or attendant parking program or other mechanism wli~ch would reduce visrtors' need to search (or a vacanl space at peak times SaiM John's shall submd the partang plan fo the City for revlew and approval, ~ndicating fhe allocation of spaoes to user groups (~T areas wdhm the garagellots are to be reserved}, location of tFCket dispensers, gates, autamatic card ,~a.:~~~, cashier booths, plans for valet sernce {if appl~cable), short-term dro~ offlp~ck-up areas, locations ofland assignment of any tandem spaces, ancf other appi~cable elements of the parking operations plan, including fees by user group A contingency plan shall also be provided as to how the applicanl would handle peak demand l~me periods, if the garage becomes full (e g, valel operators would be avadable ta stack oars in aisles, or v~sitors would be tumed away by a"Garage Full' s~gn} The management plan shall also include plans to encourage stafflemployee parking Eo be localed in the mast ~emole spaces in the garage or lots, so as to mawm¢e the avadabddy of conven~ent visdor parking ~_ ~_ O:~ TABLE 1 MITIGATIOA~ MONITdRING AND REPORTING CHECKLI5T MITIGATION EIR MITIGATION MEASURE MONITORING ENF0~2CEMENT MONITORING VERtFICATION dF COMPLIANC~ NO REFERENCE PHASE AGENCY AGENCY lNITIALS DATE REMAfiKS 1(d)(1) Phase II 1 A parkmg management plan ahal~ he Builcfing Permft Crty of Santa Monica City City o( 5anta Monica ~_.-'-~-' and imple~nented to assisk v~s~kars Planning d~vision Cd}I Planning Division Fn finding vacanl available spaces in the garage This could include an automated trackmg system or attendant parking program or other mechanism which would reduce vrsilors' need ko search for a vacant space at peak t~mes Saint John's shall subm~t the parkmg plan ta the Cdy for review and approval, indicatmg the al4ocation of spaces to users graups (d areas ~nnlhm the garagellots are to be reservedl. iocation of ticket dispensers, gates, aulomatic card readers, cashier booths, pians for valet serwce {rf applicab~e}, short-term drop- ofF/pick-up areas, locations ofland assignment of any tandem spaces, and other applicable elements of the parking operations plan, including fees try user group A contmgency plan shall also be provided as to how the applicant would handle peak demand t3me penods, rf the garage becomes full (e g, valet operators woukl be avadable ta stack oars in aisles, or v~sitars would be turned away by a"Garage Full" s~gn) The managemerot plan shall also mclude plans to encourage stafTlemployee parkmg to be localed in the mast remote spaoes in the garage or lots, so as to maaamize the avadabddy of convernent visdor parking ~' c _~ ~? c; z TABLE 1 MITIGATION MONITORENG ANp RFPARTING CFIFCKLIS7' MITIGATION i EIR ~ MITIGATION MEASURE I MQNITORING I ENFORCEMENT NO ~ REFERENCE PHASE AGENCY PUBtIC SERVICES AND UTILITIES F1RE 1{e){1) Im~act 5 9-1 ~ Dunng the plan check phase for each Phase D e m o i i t i o n! Phase li II bu~lding, construction plans shall be Construction suhmitted to the agency (or agencies) with ~urisdiction over fire satety issues (e g Cdy Fire Department, 5tate Fire Marshall, or 05HPD F«~ ~a-shall) for approvai The pro~eci shalf be required ta meet all tMe applicable codes, including street widtfi, water supply, and alarm systems 1(e)(2) 2 5urrounding streets shall 6e kept clear and Construct~on unobstructed dunng the demoldion and constn~on M Phase I I budd+ngs, except as approved by the Planning D+rector All construction equipment and matenals shafl he kept on the pro~ect site to avoid o6structfon of lraffic circulation, espeaally dunng fraffic peak hours ti(e)(3} 3 As required by the City o( 5anla Mornca Fire Constructian Department, access for fire equipment sha!! be maurtained durmg Phase II co~struction 1(e){4) 4 Samt John's shaA provide adequate traming Demol~tian to theu staf( to ensure awareness of changing conditions 5 5amt John's shall exercise precauUons D e m o I a f i o n 1 t(e)(S) necessary to ensure that a tire dces not start ConstrucUon dunng "hat cutting" operations m demoldion of ~~~~~,~,y structures For Phase II development fi b~nng Phase II demol~tion and conskructwn, D e m o I i t i o n 1 a(e}(6} adequate water supplies must be Fdentdied Construction and immediately avadahle for fire protectwn MONITORING 1 VERIFICATION OF COMPLIANC~ ] AGENCY INITIALS DATE REMAR#CS Ciiy of Santa Monica I City of 5anta AAonica Bwlding and 5afety Bwld~ng and Satety City o# 5anta Mornca F~re City af 5anta NFonica Departmenf/Planning and Fire DepaHment Community Development Department City of Sanla Monica Fire ~ City of Santa Monica Department Fire Oepartmen# C~ty of Santa Mornca Fire I City of Santa Monica Qepartment Fire Department Cdy of Santa Monica F~re Cdy of 5anta Mornca pepartment Fue Department C+ty of Santa Mon~ca Fire I City of 5anta Mornca pepartment Fire Department s ~• - rY~ c~ 6 MtTIGATI~N EIR MITIGATI~N MONlITO MITIGATION MEASURE TABLE 1 RIMG AN~ R~POR MONITORING TING CHECKLIST ENFORC~MENT MaNITORING VERIFICA TION OF C OMPLIRNCE NO REFERENCE PHASE AGENCY AGENCY ~~~TIALS DATE REMARKS WA7ER 5ERVICES 1(~(1) Phase II ~~'^^~^+ ~~F t To reduce exoessnre water consumption ciue Archttectural Clty of 5anta Mornca City C~ty of Ssnta Monioa to loss by evaporation, auSomalic spnnl~lers Review Planrnng Diwsion Budding and Safety for Phase II shaN be set to water Drvision landacapmg dunng evening and early moming hours 1(F}(2) 2 Phase !I shall hae su6~ect to all of She Cdy's 8uddmg Permat Cify of Santa Mon~ca Ciiy of Santa Manica water coroservalion ordinances requ~rang Envi,..~~,,.~,,:o; Publ~c Enviran,,,~„~a; Pubhc instailat~on of water efficient plumb~ng Works Management Works Management fixtures, payment of a water demand mdgat~on fee to offset the pro~ect's increase demand, and landscape regulat~ons This reqwrement shall not appfy ta Hospital Buddmgs So the exteM ~t conflicts with OSHPD's requiremenls 1(f)(3) 3 Saint John's shakl submit ils develapment Bw4dmg Perm~t Cdy of Santa Monioa Ctty of Santa Monica plans for each Phase il buddmg to the Gdy's Envuonmental Publ~c Enviranmenial Public Water Division to determine any additional Works Management Works Management mfrastructure reasonably related to adverse impacts caused by ihe Phase II development then being approved that ~s reqwred on- and off-site 1{O(4) 4 Pnar to issuance of a ~~~~~„ ~y permit, Buddittg Permrt City af 5anta Monica Ciiy of Santa Monica hydrant flow test~ng af all hydranls in lhe Environmental Public EnviranmeMal Public pro~ect ar~ shall be done to determine if the Works Management Works Management waterlme can meet the necessary fire flow Alsa, hydraulac pipe modeling may be required to evaluate impacts on the waler sysEem Adddionally, 5aint John's may be required to pay its proportionate share of the cost lo inskall a waterlme rn Santa Monica Boulevard, depending on the pro~ect Flow and .,~,..,.~ reqwrements t(Q(5) 5 Water-savmg flush valves shall be prov~ded Bwldmg PermR CRy of Santa Mornca City of 5anta Monica for tai4et ~xtures E~vlronmental Pu61ic Enwronmental PublEo Works Managemenl Warks Management 1(f~(6) 6 Plumbmg fixtures shall be selected which Bwldmg Perm~t Cify of 5anta Mon~ca City of Santa Monica reduce pater~al water loss from leakage due Environmental Pt~blic Env~ronmental Public to excessive wcar of washers Works Management Worics Management t., .~ ~J y~ a 7 TABLE 1 Mirir,nTioN MnNITQRING o~~ RFVQRTING CHECKLIST _ .._.. _ - - --- - MITIGATION I EIR I AhITIGATION MEASURE I MOf+IITORIN~ ENF4RCENIENT + MONITORIi+lG Nd REFERENCE PHASE AGENCY I ACENCY 1(q(7) 7 Effic~errt irngatan systems shall be installed Architectural Cdy of 5anta Mon~ca City Crty of 5anta Morsica to minEmixe runoff and evaporation and Review Board Planrnng ~wision and Cdy Plannmg D~vislon maximize the propartion of water avadable Enwronmenlal Pub4ic and Environmenlal for use by plaM materials in landscaped Works Managemerit Public Works areas Oepartment M a n a g e,,, ~., ; Department 1{f~(8} B Drmking fountains shall be equipped w~th Budding Permd Crty of 5anta Monica City o( Santa Manica self-closing values Enwronmental Public Environmental PubllC Works Managemer~t Works Managemern 1(q(9) 9 Water conservatwn landscapmg util~zing Architectura4 C~ty of 5anta Monica City Clty of SaMa Monica drip irngat~on and appropriate mulchmg ko Rewew Board Pianrnng Divisian Building & Safety retam sal moisture to the soil shall be used Dlvision in alf common areas and encouraged elsewhere within the proiect 1{f}(10) 10 I( avadable to the s~te, reclaimed water shall Budding Perm~t City ot SanEa Mornca City of Santa Monica 6e utd¢ed as a o.......e to irngate large Enviranmentai Public Env~ron,~~~~~;a~ Public landscaped o~~o~ Works Management Works Management 1(f~(3~) 11 Drought-tolerant, iowwalerconsuming planl Arch~tectural C~ty of Santa Mornca City Crty of Santa Monica variefies shafl be used on-site to reduce Review BoarA Pianning Dwisian 8uifding 8 Safety irrigation water consumption 1{f}(12) 12 Sain1 John's shall pay water demand Buddmg Perm~t City of Santa Monica C~ty ot 5anta MonECa mrtFgation fees to lhe City to mdigate the Envi,,.,,,,,~,,:~; PublFC Environmental Pubhc estimated daily water consumption rate Works {Nanagemer~t Works Managerrtent pro~ected for the Phase II development YfRIFICRTiON OF COMPLIANCE lNItIAI S f1ATF REMARKS ~ $ G, ~ "~ i TABLE 1 MI'I'IGATI~N MONITORING ANI] RFP[]RTING CHECKLIST MITlGATIQN I EIR I MITIGATION MEASIJRE I MOPHASENG NO REFERENCE f EIVFORCEMEN'~ AGENCY MONITORING AGENCY VERIFICA710N QF COMPLIANCE INITIALS I ~ATF ! RFMAF2KS Storm and 5anitary Sewers 1(g)(1) Phase I Imi?~ct 5 45 1 SaiM John's shall provide a storage system Bwlding Perm~t tor the on-sde relerrtion of up ta 3,947 cubic 4eet oi runotf, as defined in the llrban Runoff Mdigation Plan To the exlent possible, the detained stormwater +nnlt be distnbutetl to landscaped areas, wdh any remainder eventuaily released mto the exrst~ng Crry storm drarn connectrons AA detained runoff, released mto the C~ty's facllftles, wdl be released after passage of the system's peak flow 1{g}(2) 2 5a~nt John's will implement Best 8widing Permit Mattiagemerrt Pract~ces (BMP)to improve the quaEdy of runoff M~tigation measures anticipated for this sde inciude potential physical improvements such as an on- or o(f-sde storm water filtenng system, the des~gn and implemantation of nafural biofdters such as grass swales and landsoape areas, and certain key non- physical streiegres such as good housekeeptng practices 1(g)(3) 3 A starm water filtering system sub~ect to the Pre- approval of the City's Enwronmental and Construction Public Works Management ~epartment shall b~ ~~~~~aled for large paved areas to reduce runoff contammated by vehicle o~l and debns from entenng the storm dram system 1(g)(4) 4 Dram mlefs at or ad~acent ko the sate shafl be C o n st r u c t i o n c:onsiructed with od, debr~s, and sik traps to and post reduce the level af paliutarrts such as od construction debris, and siR m stormwafer after runoff Those traps shall be cleaned of dehr~s annually or more frequently Cdy oi SaMa Mornca Environmental and Pu~lic Wo-ks AAanagemer~t pepartment Cdy of 5anta Monica Enviranmental and Public Works Management Department City of Santa Monica Environmental and Public Works Management Department Cdy of Santa Monica Enwronmental an.: ~ ,.:.;~,. Works Management pepartment Cdy of Santa Mornca En+nronrrter~al and Public Works Management DepaRmeM C~ty of Sanla Mor~ica Environmental and Pui~lic Works Management flepaRmerrt City of Santa Monica Enwron.......:..; and Pubhc Works Management Department City of Santa Monica Enwron~~~~~~;o~ and Public Works Manageme~t DeQartment 4~ C^l' ~r 9 MITIGATiQN NO ~ I9?($) ~ (9)(61 ~I9J(~f ~ (s)i21 ~ (9)(31 ; , TABLE 1 MITIGATION MQIUITARING AND R~P[]RTING C_HFCKLIST EIR MfTIGATION MEASUR£ MO~itTORING ElJFORCEMENT REFERENCE ~ ~ PHASE ~ AGENCY Phase [f 5 5aint John's ahall comply with the Construciwn re~urerr~ts of an NPDES permd for storm water discharge and with gwdance and pohcfes of the Regional Water Qualily Cor~trol 8oard, ~PA, and locai agencies 6 The prqect shall be buaft in conformance Pre- with established Urban Runoff Pollution Construction Ordinances 1 Ss~nt John's shalf provide a storage system Bw~ng Permd m Phase II for the on-site detention of up to lweniy percer~t of the average runotf otherwise prgected as defined in the Urban RunoFf Mdigation Plan Th+s requirement shaN be calculated upon the approval of each Indiv~dual budding in Phase II 7o the e~dent possible, #he detained stormwater +mll 6e distnbuted to iandscaped areas, wdh any remainder evehtually released into the ewsting Cdy storm dram connections All delained runoff, reieased into the City's faciid~es, wdl be released after passage of the system's peak (low 2 Saint John's will implement Best Budding Permit Nfanagement Prdc6ces (BMP)io improve Ihe qualdy of runofF MiUgation measures ant~cipated for this site include potential phystcal improvements such as an Dn- ar of(-site storm water filler~ng system, the design and implementation of natural bio(ilters such as a, ~„ swales and landscape areas, and certain key non- physicai strategies such as good housekeeping praCtlaes 3 A storm water 5ltenng system sub~ect to the Butlding Permd appraval of ;he City's Environmental and Publ~c Works AAanagement Department shall be installed for large paved areas to reduce runoff contaminated by vehicle al and debris from entenng the storm dram system City of 5anta Monica Enwronmental Puhlic Works Management Cdy of 5anta Monica EnvironmeMal and Public Works Management ~epartment Crty of Santa Monica Env~ronmentat and Public Y.~~~~ Management Department City o{ Santa Monica Env~.,.,,,.,,..,tal and Pubiic Works Managemenk Deparlment City of Santa Monica Enw~..~~~~~6,~;a~ an.; ~,.;; Works Management Department MOAfITORiNG AGENCY City of Santa Mornca EnwronmentaE Publ~c Works Managemer~t City oi Santa Monica Environmental and Puhlic Works Manage~~~~~~~ pepartmeM C~ty of Santa AAanica Envlronmental and Puhllc Works Managemen# Department C~ty of 5anta Monica Env~ron,,,",;~; and Public Works Management ~epartment City of 5anta Monica Environ~„~„~q; and Pubhc Works Managetnent ~epartmerrt VERlFiC,4~iOf~1 OF COMPLiAIVCE INITIALS ^ATE RFMARlCS ~ ` iQ G~ ~~ TABLE 1 MITIGAI'ION MDNITDRINC3 AND REPORTINC3 CHECKLIST MITIGATION EIR MITIGATION MEA54JRE MONITORING ENFORCEMENT MONI70RING VERiFICATION QF COMPLIANCE NO REFERENCE PHASE AGENCY AGENCY INITIALS DAT~ REMARKS 1(g}{4) 4 Dra~ inlels at or ad~acent to the sRe shall be Buildmg Permk C~ty of Santa Monica Cily ot Santa Monica corutructed wdh od, debns, and siR traps 1o Environmental and Public Et-vlronmenlal and reduce the level of pollulants such as od Works Management Public Works debris, and silt in storrrtwater after runoff pepartment M a n a g e m e n t Those traps shall be oieaned of debris Department annuaNy or more frequently 1(g)(5) 5 5amt Jonn's shall comply with the Budding Permd CRy of 5anta Mornca City of Santa Monica requiremertits of an NPDES permd for storm Environmental and Pubhc Environmental and water discharge and with guldance and Works N4anageme~ Pudlic Works polic~es of the Regional Water Qualrty Departmenl M a n a g e m e n t Contro~ Board, EPA, and bcal agencies Oepartment 1{g}(6) B 7he pro~ect shall be buiK in coniarmance B~rlding Permft C~ty of Sanka Mor~ica Cdy of 5anta Mon~ca with estabiished Urban Runotf Pollution Environmental anu ~.,w„y Environmenkal and Ordinances Works Management Public Works Department M a n a g e m e n! Department t(g)(7} 7 Pnor lo Phase Two development, a flow Bwlding Permd City of 5anta IYlVIIRrG CFty of Santa Monica analysis must be periormed 6y Saint John's Enwronmental and Public Envuonmentaf and on all stormwater lines in the pralect area to Works Management Public Works determine the avadable capacdy for the Department M a n a g e m e n t pro~ect If capacity is not available in the DepaRment ewstmg stomiwater system, 5aint Jahn's wdl be required to pay the cost to upgrade the system in the pro~ect area to handle the adddianal pro~ect related (kow to meet minimum Cdy desagn standards kiowever, if tt~e City determines that d is necessary to upgrade the existing stormwaler Nne capacity io a higher design standard, Saint John's sMall only be res~onsible for its pro- rafa share oF th~s upgrade ~' ~'~' 11 c. i TABLE 1 MI~lGATION MOMfTORING AND REPORTIMG CH~CKLiS7 MITIGATION EIR MITlGATIdN NEEASURE MONITORlNG ENFORCEMENT MONITORING VERIFICATION DF COMPLIANCE NO REFERENCE PHASE AG~NCY AGENCY INITIALS OATE REMARKS 1(g)($) 9 Pnor to Phase !I development, flow anaiys~s Bwkding Permd C~ty of 5anta Mon~ca City of Santa Monica must be perfortned on aA sevvcr hnes in the DeQarkment of Department of pro~ect area to determine the avadatle Enwranmental and Public Enwronmental and capacity for the pro~ect If capacity is not Work Manaqement Public Work available in the exisdng sewer system, 5aint Management John's wnfl be requ~red to pay the cost to upgrade the system ~n the pro~ect area to handle the addd~onal pro~ecl relffied flow to meet minimum City design standards Nowever, if the City determines that d is neoessary to upgrade lhe existing sewer I~ne capac~ty to a higher design standard, Saint Jahn's shall only be responsible (or ~ts pra rata share of tMis upgrade 1(g)(9) 10 Saint John's shall be required to pay sewer Building Permit C~ty of 5anta Monica CRy of Santa Mornca capitalfacdityexpansionfeesconsislentwdh aepartment of Department of the requirements of Sanla MonECa Murncipal Environmental and Public Env~rnnmental and Code Section 704460, or in accordance WorkManagement Public Work with the sewer cap~tal faciiity fee ordmance Management ~n eifect at the time of 4u~lding permd issuance c~ cr. ~. 3 12 TABLE 1 MITIGATION MONITDRIfdG AND REPORTINC CHECKLIST MITIGATI~N EIR MITIGATkQN M~ASUR~ M~NITORING ElJFORCEMENT MONITORING VERIFICA 710N OF C OMPLIANCE NO RE~ERENCE PHASE AGENCY AGENCY fNITIALS DATE REMARKS SOLID WASTE 4(h){1) aha~p ii iR+^aM S Q_~ 1 Prior to issuarice 6y the Cdy of a Certificate Certificate af Cdy of 5anta Mornca Cdy of 5anta Montca of 4ccupancy for the first budding m each Ocoupancy DeparEment of DeparRmenR o} stage of Phase Twn (or, if the Trrst bwldFngs En+nronmental and Public Environmerrtaf and in a parflcuiar stage is a Hospda~ Budd~ng for Worics Management Public Works which approval is recenred from OSHPD Managemenf pursuani ta the OSHPD regulatian, then prlor to occupartcy of that fiosprtal budd~ng Samt John's shall submR a recycling p{an to Environmentai Public Works Management The recyclmg plan shall incfude lists of materials such as wh~te paper, computer paper, metal cans, and glass recycled, location of recvclfnp bins, designated recycling coordmalor, the nature and extent of interna! and extemaE pick-up services, pick-up schedule, and a plan to mform tenantsloccupa-~ts af recycling ~~~ „~..~, 1(h)(2) 2 Information shafl be prov~ded to residents CeRificate of Crty of Santa Mon~ca Crty of Santa Monica and ampfoyees of Phase ff about the ~ccupancy Department of department of recychng serv~ce~ ~~~ ~~~~ a~~a Buy back Environmental and Public Enwronmental and centers and posaible markets (or Works Management Public Works recyclables In the area shall be identified Management Recyc4ing glass, metal, paper, cardhaard, and ather matenals ko the maximum extent feasrble shall be suggested to residents and business of Phase II 3 SaiM John's shall pro+nde adequate space in Developmenl Cdy of Santa IVlan~ca City City of Santa Monica Phase II d~velopmer~t to satisfy City Review Planrnng Division City Planning Division 1{h)(3) specifcations for on-sde trash and recycla#~ie collection/separation When submdt~ng Qlans far Phase fl development to the Archdectural Review Board, Saint John's shall pay pa~t~cuVar attention to the screening of such areas and eqwpment C, ' Cf: ~f 13 TABLE 7 MITIGA~ION MONITORING AN~ REPORTING CHECKLIST MITIGATIQN EIR MITIGATION MEASURE MONITORING ENFORCEMENT MONITORENG VERIFICATION QF CONlPLIANCE NQ R~FERENCE PHASE AGENCY AGENCY INITIALS DATE f~EMARKS AESTHETiCS 1(i)(1 } PFIACP. I Imnar.t 5 11.! 1 Any street trees to be removed shall be Construcbon C~ty of Sama Monica City of SaMa Mornca replaced on a one-to-one bas~ The s¢e, Communily and CuRurai Commundy and locatlon, and type 0f Ceplacemer~t trees vudl 5ervices Department Cultural Sernces be sub~ec! to the approval af the Cfly's ~epartment Commun~ty and CuRurai Servbces DepaHment 1(i}(2) 2 All tree transpk~rdaEion shall be performed by Canstruction City of Sanla Monica Cdy oi Santa Monica a qualified arborist, landscape architeCt, ar CommunRy and Cuftural Commurnty and tree experS, to the City's satisfaction Trees Services Departmenk Cultural Semces that are to be reused on~site shall be boxed Departmer~t in appropriately-sized containers and temporardy reEocated to proEect them from physical infury 1(i)(3} 3 Pawng matenals, as approved by the City for A rc hitectu ra I Crty of 5anta Monica City City of 5anta Monica the pedestrian/vehicular corndors, shafl be Review 9oard Plannrng bivision City Planrnng ~Nision of materials, color, and destgn lo cleariy denoke the separation, merging, andlar iniersection of pedestnan and vehicular lraffic 1(i)(4) 4 A landscsping plan shall be prepared, Arohitectural Citya[Santa Mornca City City of Santa Monica includmg a street tree plan, by a hcensed Review Board Plannmg Diwsion C~ty Plannmg Dnnsion Cahforn~a landscape archdect All landscaped areas shail ~~~~ai~~~a~~~~, in a first class conddion at all times Any planls that die shall be replaced on a one for ane basis 1{i)(5) 5 The proposed water feature to pe iacated at A rc hitectu ra I City of Santa iVlonica Gty City of Sanka Monica the new entrance on Santa Monica l2eview 9oard Planning Div~sion Gity Plann~ng Divis~on Boulevard shall be designed to be aesthetically attractive and to meet the pro~ect ob~ectrves (or appropnate urGan design, enhanced entries fo the campus, preservai~on of open space, and implemenfation of resource oonservation C, ~ b~ ; .~ 14 f TABLE 1 I ~ MITIGATION MONITORff~G ANU REPORTING CHECKLIST MITiGATION ~IR MITIGATION MEASURE MONITORING ENFORCEMEN7 MONITORING VERfFiCAT10N OF COMPLIANCE NO REFERENCE PHASE AGENCY AGENCY INITIALS DATE REMARICS C U L T U R A L RE50URCES '~~{~ ~ Phaen 1 Imnerh r. 1'2_4 9 If hw~~~ ~a~bins of native Amencan or~gins Construct~o~ City of Sarita Monica Cfiy of Santa Monica areencourrtereddunng development, pro~ect Planning and Communlty Planning and construction shall be immediately Develapment Department C o m m u n i k y suspendetl, and the county Coroners o(fice D e V e I o p m e n t and the Native Amencan Herdage bepartment Comm~ss~on shall be conta~P~ t~ determine necessary procedures For protection and preservahon of ~~~~~a~~~~, including reburral at 5au~t Jahn's expense 1U)(2) 2 In lhe event that culture~larchaeologicsi Construct~on City of Santa Monica GHy of 5anta Mon~oa res~w~..~~ are encountered on the pro~ect Planning a~~., ..o,~~~~~unity Planning and site during the aourse of constructwn, all Devel_~-ent Department C o m m u n i t y eaRhmoving acUvfty in the area of the D e v e I o p m e n t resource shall cease until the Findjngs are Department examined their significance assessed, the 5tale Histonc Preservat~on Office is consutted pursuant to Slipulation VII of the 1994 Northndge Earthquake Programmatic Agreerrient, and recommendaUons are made for any appropriale procedures to eilher furlher investigate or mitigate impacis to lhose culturallarchaeological resources which have been encountered, including Saint John's payment af excavating costs 4(~)(3) 3 In the evenE that fossds are encountered ConstrucUon Cdy nf Santa Monica City of Santa Monica dunng excavalwn, all earthmowng activ~ty in Planning and Commurnty Plann~ng and the area o( impact shall cease untd Sa~nt Develapment Department C o r~ m u n i t y John's retains the services ot a qual~fied D e v e I o p m e n t paleontologist, who shall examine ihe Department findmgs, assess their significance, and offer recommendations for any further invesqgaUon or mitigation measures C~ ' ~ CSJ 15 TABLE 1 MITIGATI0~1 MONITORING AND FtEPORTINC3 CHECKLIS7 MITIGATION EIR MiTtGATION MEASURE MONITORING ENFORCEM~NT MQNITORING VERIFICA TION ~F C QM~LIANCE N~ REFERENCE PMASE AGENCY AGENCY tNITIALS DATE REMARKS ti ~~~~ ~ Ph9co u ~ If human remains of native Amerkcan origins Construction Cdy of Santa Monica Crty of SaMa Monica areencamtereddurtng devNapment, pro~ect Planrnng and Community Planning and construction shall be immediately Development DepaRment C a m m u n i t y suspended, and the county Coroners office D e v e I o p m e n t and the NatNe American Herdage bepartment Commissan shall he contacted to delermine necessary prxedures for protection and preservationaf,~,.,,.,,.~, mcluding rebunal at Salnt John's expense t~)(2) 2 In the event lhat culturallarchaealogical Construclion City of 5anta M...,..,a City of 5anta Monica resources are encountered on the pro~ect Planning and Co~~~~~~undy Planning and site dunng the cou-se of c~~~~~~~~~~~~,, all ~evelopment Department C o m m u n i t y earlhmov~ng activity in the area of the D e v e I o p m e n t resource shall cease unld the tindmgs are Oepartment examined their signiticance assessed, the 5tate Histonc Preservation Office is consulted pursuant to Stipulation VII of the 1994 Northridge Earthquake ProgrammaE~c Agreemenk, and recommendat~ons are made for any approoriate nrocedures ~~ ~~~~,~~ further investigate or mdigate impacts #o those culturallarchaeological resources which heve been encountered, includmg 5amt John's payment of excavating casts t(~)(3) 3 In the event that (ossds are encouniered Construclwn City of Santa Manica Cdy of Santa Monica dunng exaavation, all earthmoving activdy in Plannmg and Community Planning and the area of impact shail cease until Saint Development Department C o m m u n i t y John's retains !he sernces of a qualdied D e v e I o p m e n t paleontologist, who shall examine the Department findings, assess theEr sigrnficance, and of(er recommendations fer any further mvestigation or miUgation measures C.. : C, f ) C7 16 TABLE 4 MITIGATIbN ArIONITORING AAfD REPORT#NG CHECKLIST MITIGATION EIR MITIGATION MEASURE MONIT~RING ENFORCEMEN7 MONITOR4NG VERiFICA TiON OF C OMPLIANCE NO REFERENCE PHASE AGENCY pGENCY INITIALS DATE REMARKS TR,4FFIC Phase I Imuact 5 &1 2(a)(1) 1 W+thin one year after compleiion qt the Occupancy oi City of Santa Monica City of Santa Monica Phase One pro~ect, Saint John's shall Phase One Planning and Comm~nrty Planning and reimburse the City for the cost of bevelopmerrt Departmerrt C o m m u n i t y ~mplementing the followFng mdigation D e v e I o p m e n t measures Deparlment 20th StreetlColorado Avenue IAM.PMI - Eastbound and westbound approach - prande protected left tum phase ~: ,._ .., ..n operatior~al improvement and wdl not reqwre restnping or roadway widenmg but wEll reqwre traffic signal modifications 23'd StreeVOcean Park Boulevard (PM1 - Eastbound and westbound approach - Sair~t John's shall prowde spld phasmg ta the eastbound and westbound lraffic movements This is an aperatwn amprovement and wdl not reqwre raadway restriping or widenmg Parking is already prohihded along the narlh side of Ocean Park Boulevard approaching 23rd Street, thus, no parkmg wdl be removed as a result of this measure Santa Monrca BouievardlHospital lUain Entrv-Er~t - A new traffic signal shall be located at the entrance dnveway af the Hospdal Entry Piaza A left-tum pocket shall be prov~ded on the eastbound Santa Mornca Boulevard approach to the entrance dnve~w~ay The exist~~g mid-block signal¢ed crosswalk shall be removed and replaced w~th a new crosswalk across Santa Monica Bpulevard Left lums from westbound 5anta Nbroca Boulevard to southbound 21" Street shall be prohibded c'.. L~: ~- + 17 M IT1GAtl0 N NO TABLE 1 MITIGATIdN MONITORING AN~ REPORtING CHECKUST REFERENCE i MITIGATIAN MEASl1RE i MapHA ElNG ~ ENFOR~N~MENT MONITORING AGENCY 710N OF COMP~IANCE TE I REMARICS Within one year after complet~on o{ khe Phase One pro~ect, khe Crty shall determine d the following mrtigaiwn measures are ngcassary based at the Cdy's analysis of pedestnan flow, demand for on-street paricing, and a determmation that actual traffic volumes warrant these im~rovements At tfie time the C~ty determines such improvements are necessary, Sair~t John's shall reimburse the Crty for the cost of imp4ementmg these measures 2i7th StreetlV4ldshire Bouleward fPMI - Eastbound - add a nght turn onfy lane This is an operat~onal imQrovement, ~t would require resfip~ng but no road widening The curb fane which now serves as a bus stop wauld be converted to a right turn lane, and a~ u~~~ ihe nght turns would be blceked by :......... ..lopped at the bus stop Centinela Avenue (EastlNVdshire fPMI - Eastbound - add a nght turn only lane This is an oQerational improveme~t, it would require restnpmg but na road wtdernng This maasure would resuft in the lass of three on street parking spaces along Wtlshire Boulevard, west of Centinela Avenue SanEa Monica Baulevardl26th 5treet fAFA1PM1- Eastbound - add a r~ght turn oniy ~ane This rs an operational improvement, it would require restriping but no road widening This measure would result m the ioss of three on-street parking spaces along 5anta Mornca Boulevard, west ot 26th Street ,~ Cloverfield 8oulevardlOcean Park FSnulevard rannrana- _ Wpstbaund approach - 5aint John's shall prav~de a right-turn only lane This is an operation impravement and vtinll requrre restnpmg, but no roadway wndening Park~ng ~s already prohihited along the north side of Ocean Park Boulevard approachirrg Cbverfield, thus, no paricmg wdl be femoved as a result of khis measure Qccupancy of Cdy of 5anta Mon~ca Phase One Planrnng and Community pevelopment DepartmeM Cdy ot Sar~ta Nbnir,a Plamm~g and C o m m u n i t y Develapment bepartment r _~ c,-; 1$ r• ~ TABLE 1 MITIGATlON MONITORING AND REPORTING CHECKLIST MITIGATION EIR MITIGATIflN MEASURE MONfTORING ENFORC~M~NT MONITORING VERIFICA TI~N OF COMPLiANCE NO REFERENCE PHASE AG~NCY AGENCY INITIALS DATE REMARtCS For purpases of confirming the scope of this work, the CRy currently esfimates that the cost of performmg these improvements at all seven mtersect~ons taday would be approximately y332,00D This is a currer~t estimate only, and Sau~ John's expressly recogn¢es lhat the actual cast of pertormFng such work may be higher when it is actually performed 2(a}(2) 2 Veh~cular access ta the North Campus from Occupancy of Cdy of Santa Monica Crty of Sanla Monica Twenty-Third Street shafl be allowed only for inpatient Suites Pianning and Community Planning and employees working at, and visdors to, the Development Deparlment C o m m u n i t y 2221 Build~ng Upon expuation or earlier Q e v e I o p m e n t terminaGon of the 2221 Lease, there shall be Qepartment no vehicular access lo the North Csmpus from Twenty Thi-d Street 2(a}(3) 3 PreferenUai park~ng locations and reduced Certrficate of Cdy of Sar~ta Monica City C~ty of Santa Mornca parking (ees shall 6e prowded for oarpool Occupancy for Planning brvisaon City Planning Drvision park~ng in Phase One 5ubterratsean GaragelEntry Plaza 2(a}(4) 4 If requested by the C~ty of Santa MonECa Certdicate of Cdy af Santa ~/lonica City of Santa Monioa Transponation ~apartment, Saint John's Occupa~cy for T~ a n s p o r t a t i a n Planning and shall prowde and mainlain a bus she~«~ .,~~« Subterranean Department C o m m u n i t y t o CAy specificatio~s located along ihe north Garage/Entry p e v e I o p m e n t side of Santa Monica Boulevard The bus Plaza pepartment shefler shall include, at a minimum, sufticient area to accommodate a shelEer structure, bench, trash receptacle, IighUng and signage The shefter shall be anstalled prior lo Cert~ficate of Occupancy for the s~~~~~~a~~Ca~~ garage and ~ntry Plaza 2(a)(5) For purpases af conFirm~ng the scope of this work, the C~iy currently estimates that ihe cost of constructing such a bus shelter today wouid be approximately $10,pp0 This is a current estimate only, and Saint John's expressly 2(a)(6) recogn~zes that the actual cost of perfarmmg such work may 6e h+gher when it is act~ally performed Occupancy City of Santa Mornca City of 5anta Mornca 5 Ta the extent possi6~e, employee shift Planning and Commundy Planning and changes shall be scheduled outside the Developmerit Department C o m m u n~ t y V normal mommg and aftemoon peak hours to ~ e v e I o p m e n t r~duce peak hour trip generation pepartment ~- -' I 9 ~ ~. :~? TABLE 1 MITIGATION MONITORINC3 AND itEPORTINC3 CWECK~IS1' MITIGATION EIR MITIGATION MEASUR~ MONITORING ENFORCEINE~iT MONITORING VERIFICATION OF COMPLIANCE NO REFERfNCE PHASE AGENCY AGENCY INITIALS DATE REMARKS 6 Convenienl and secure qicycla Ixkers and Occupancy Cdy of 5anta Monica Cdy of 5ar~ ~Aor~ica showers/changing rooms shall be provided Planning and Commurnty Planning and tor employees who choose to ride bicycles to ~evelopmer~ pepartment C o m m u n i t y work Development Department 2(a)(7) 7 With+n 6 mortths following commencement Commencement C~ty of Santa Mornca City of Santa Monlca of Emergency Room operations, Saint oi Emergency Planning and Comtnunity Planning and ,fohn's shalf prepare a 5tudy of traffic R o o m Development Deparlment C o m m u n ~ t y vo[umes, traffic speed, and accicEent Operat~ons D e v e I o p m e n t informatlon on 21 m Street and 2~° Sireet Department between Wikshire Boulevard and Ar~ona Averx-e m accordance with the methodology and standards provided by the City Saint John's shaEl provFde the City with the compleled 5tudy for review and comment prior to final¢mg the 5tudy Once a 5tudy has been final¢ed, St John's and the Cdy shall together conduct a neighborhood workshop The purpose of !he workshop uwll be to rewew the Study and determme if traffic control measures are requtred lo address ne~ghborhood traffic impacks causea by veh~cles accessing the emerdencY room If it is delermined neighborfiood traffic measures are reqwred, 5t John's shall work with the City and neighborhood to idenl~fy the ..rr,,,~riate traffic calmirg measures on these resident~al streets 5uch Uaffic calming measures shall be installed on a temporary basis {or at Isast six months Followmg the six month tnal period, ~n cooperation with the City, 5aint John's shall prepare anolher Study to determme the effectiveness of the measures an[i conduct a neighborhood meetmg to review the resulis and determme iT alleitiatrve measures shall be mslalled or if the temporary measures shall become permanent Sairit John's shall be respansib6e for tunding alI studies, meetings, and costs associated with evaluabng, desigrnng and implemerst~ng the temporary .w and pe~manent traffic calinmg measures for ~ 21" Street and 22"" Street Ls: `'f7 20 ,1:'~. TABLE 1 MI7IGATI~N idIONITORING AND REPOR71NC3 CHECKLIST MITIGATI~N EIR METIGATION MEASURE MONITdRING ENFORCEMENT MQNITORING VERIFlCA TION QF C OMP~IANCE NO REFERENCE PHASE AGENCY AGENCY INI7IALS dA7E REMARKS 2(a)(1) Phase.~~ ~^^^~^~ ~ p~ 1 P~ior lo approval of t~uilding permds for Development Cdy of Santa Mon~a Cdy of Santa Mornaa mdividual Phase II bwldings, adddwnai Review Plannmg and Community Planning and focused traffic analyses shal! be canducted pevelopment Department C a m m u n ~ t y fo~ ~ch 6udding proposed at that time This D e v e I a p m e n 1 analysks shaEl iderrtdy appropriale mdigatron ^-;~-~'merrt measures to be implemeMed concurrently wRh each bullding in Phase II The types of m~igation measures which could polent~ally be reqwred of the projact applicant pnor to approvai o( indiv~duai Phase II budd~ngs include, but are not limited to the following - Transporiation Demand Management programs (e g , ndeshanng suQport, preferer~t~al parking (or carlvanpools, flexible v~rork hours, teiecanmut~ng) - Transd a,,,.~~~ enhancemenls (e g, transd slop amendies, but pass subsidies, increased trans~t service) - Pedestnan o...,~.~., improvements (e g bicy~cle storage facdities, showers and Ixker rooms, on-slreet bicycle lanes) - Intersection capacity impravements (e g , approach wndernngs, restnpmg to prov~de add~tional lanes, turn restricUons or addition ot dual turn lanes, s~gnal mod~ficat~ons) - Pariang strategies {e g, mcreased supply of oarkin9. off-site parking, redesignadon of users of spaces, park~ng priang, parking management) - Neighborhood tra(fic mitigation {e g, speed bumps, turn restrictions, islands, chokers} - 5ite plan revisions (e g, access plan modifications, parktng redistr~bution) c~ c.~ ; c,; 21 MITIGATION NO 2(b){1} 2(b)(2} 2(b)(3} 2(b)t4? z(b)t5~ 2(6)(6) 2~b)~7) TABLE 1 u~fTIGATION MONITORING AND REPORTING CHECKLIST - ---_ .. ... . ... ..... ........ _ ... ... _. .. . _ -f REFERElJCE I MITIGATION MEASURE I MOPHAS~NG I EN AGENCYENT I MONITORING AGENCY VERIFICATION OF COMPLIANCE I INITIALS DATE REMARKS AIR QUALiTY Ahsco II Imrvnr# S'7 7 1 Commufer transd incentives for employees Certdicate in Phase 7wo buddings shall 6~ prrnnded, Occ~~~~v sucfi as reimbursement for public transR 2 A program oi altemative work schedules Certificate shall be estabhshed for Phase Two uses Occupancy 3 The movert~ent of goads via pubhc roadways CerUficate for Phase Two development shafl be Occupancy scheduled durmg off-peak traffic hours ta the greatest extent feasible 4 Dedicated turn lanes shall be prov~ded as Certificate appropriate at impacted intersections to Occupancy reduce queuing and idling of vehicles at lhese IxaUons 5 In coordmatian w~th the C~ty's Transporlation Cerlificate ~epartment, transrt shelters shail be Occupancy provided in front ot the pro~ect site along transd routes to encourage pu6fic lrans~l use to and from Phase Two uses 6 Bicycle storage areas and other amendies, Certifica#e such as sha~ers and locker rooms, shall be Occupancy prowded in Phase Two 7 Phase Twa shall comply w~th SCAQMD Certdicate 2202 and the CRy's Transportation Demand Occupancy Management Ordinance, which apphes to any employer wha emplays 54 or mare and provides employers mnth a menu of options that tl~ey can choose from to implement and meet the emission reduction target for their work-s~te of City of Santa Monica CRy of Sarita Monica Plann~ng a~d Community Planning and DevelopmeM C o m m u n i t y bevelopment ot Ciky of Santa Monica City oi Santa Monica Plamm~g and CamrnunRy Plannmg and DevelopmenS C o m m u n i t y ~evelopment o# Cdy of 9anta Monica Cky of 5anta Monica Planning and Cammundy Planning ar~d Development C o m m u n i t y Development of City of Santa Monica City of Santa Monica Pianning and Co~~~~~~,.~,~:7 Planni~g and Oevelopment C o m m u n i t y Development af Cdy of 5anta Manica Cd7r of Santa Mon~ca Planning and Commundy Planning and pevelopmeni C o m m u n~ t y Development of Cdy of Sanfa Mornca Ciry of 5anta Mornca Planning and Co.,,.,,,.,,,:, Planning and Development C o m m u r~ i t y Deveiopment of C~ty of Santa Monica City of Santa Monica Planrnng and Commurnty Planning and Development C o m m u n i t y bevelopment T r 5 ~ tiJ - 4r: C) ) 22 TABLE 1 MITIGATIOM MONlTDRINC3 AMD REPORTING CFfECKLIS7 MIl'IGA710N EIR MITIGATION MEASUfiE MONITQRING ENFORCElulENT MONITORING VERIFICATION OF COMPLIANCE NO REFERENCE PHASE AGENCY AGENCY INITIALS QATE REMARKS SHADQWS Phase II Imqact 5 42 2(c)(1) 1 Dunng the review af specific bwlding p~ans Developmen# City of 5anta Mon~ca Cfty C~ty oT SaMa Monica for Phase II, shadow diagrems nf the Re+new Planrnng Diwswn CRy Ptanrnng Division proposed buald~ng shall be prepared to demonstrate that the budding would not result m sigrnficar~t ~ncreased shading on sensiUve surrounding uses, including res~dences and public open spaces in the event significant impacts would occur, the des~gn af the bwlding shall be revised to mirnm~ze shadows cast on surrounding properties, and consideratian shall be given to the reduction in building heights, arttculation of bwldings Tacades, andlor stepbacks at upper leve;~ ,,, w manner cons~sier~t wdh 5aim Jahn's vested nahts for Phase II C,: f_~ ~~ 23 TABLE 1 MITIGATION MOMfTORING AND RfPORTINC3 CHECKLIST MITEGATION EIR MITIGATION MEASU#~E MONITORING ENFORCEH4ENT MQNITQRING VERIFICA TION OF C OMPLIANCE NO REFERENCE PHASE AGENCY AGENCY 1lYITIALS QAT~ REMARKS NEIGHBORHOOD 2(d)(1) EFFECTS Phase I imoact 5 12-5 1 The Emergency Access shall be dedfcated Completion of C~ty of 5anta Manica City of Santa Mon~ca exclusively for use of Ehe emergency E m e r g e n c y Plann-ng and Commundy Planning and department Ho other Samt John's Access Development Department C o m m u n i t y persannH or funcf~ons w~ll be allowed to use Development the emergency access except as allawed in Section 2 8-1 of the Development Agreement 2(d)(2) 2 The EmergencyAccess shall consist of one Architectural Crty of 5anta Monica City C~ty of Santa Mornca seperate ambulance entrance driveway, and Review Board Planning Diwsion City Planning E7msbn an enh}rlexd dnveway that v~nll accommodate entry by norrambulance vehicles and ernting by aiE vehicles The Emergency Access Nnli contain a m~ntmum oi flrteen parking spaces (inciuding handicapped parkmg) In addRioro, the Emergency Access wdl contain an ambulance drop-o(f area whach wil! accommodate four ambulances m lwo fandem ~a~ ~~~ YYl lll~l l v~nll be covered by a canopy and screened from lhe public parking area The visibdity ot the pub~ic parking area will be ~~,G=„ed from Ar~zona Avenue by a landscape puffer and low screen wall 3 5aint John's shell provide personnei at lhe Commencement City of Santa Monica C~ty af Santa Monica 2(d}(3) entrence to the emergency departmant at ail of Emergency Planning and Community Planning and times to a)rnanitor and direct the activity at R o o m Development Department C o m m u n i t y the Emergency Access and b) monitor the Operatwns pevelopment parking area for the Emergency Access to ensure that pnvate vehicles iransporlmg palients to the Emergency Access do not park in the surrounding residenlial neighborhoad 2(d)(4) 4 5aint John's shall develop a plan to ensure Prior to City of Santa Marnca Cdy of Santa Marnca that pr+vate vehicles w#uch are used to Commencement Planning and Commurnty Planning and transport a paUent to the emergency of Emergency Qevelopmenk Department C o m m u n i t y department are moved to other parking R o o m D e v e I o p m e n t facilities on the Samt John's campus aRer Qperations deparlmetst dropping af{ their patients G_ ~~ 24 c ~a MITiGATION ~IR MITIGA710N MOfVlTD MITIGATION MEASURE TABLE 4 RING AND REPOR MONITORING TING CHECKLIST ENFORCEMENT MONITORING VERIFICATION ~F C~MPLIANCE NO REFERENCE PHASE ACaENCY AGENCY INITIALS dATE REMARKS 2(d}(5} 5 Ambulances shall leave the emergency room Cammencement City ai Santa ,Mornca CRy of 5anta ,Monica entrance after deiivenng their patients and oi Emergency Planrnna and Communfty Plann~ng and restocking their amhulances mih supplies 3~ o o m Development C o m m u n i t y operations DevalopmenR flcNa~ u~ icl7~ 2(d)(6) B No ambulances shall be permanently based Cammencement City of SanLa Monica Cdy of 5anta Monica at the err~ergency raom errtrance oi Emergency Plamm~g and Commurnty Plamm~g and Room Oevelopment Department C o m m u n i t y Operations ~evelopment OepaRmer~ 2(dJ(7) 7 Sa~nt Jahn's shall acfwse ambulance CommencemeM City of Santa Monica Gtty of 5anta Monica companies in wrking that (a) unless use of of Emergency Plamm~g and Commundy Plannmg and another route is campelled by mecfical Room Development Department C a m m u n i t y emergency, ambulances shall aocess the Operations 0 e v e I o p m e n t Emergency Access via i wenaeth Street and ~epartmerrt shall avoid using Twenty-First 5treet or using Ar¢ona Avenue east af the Emergency Access and {b) unless the use of a siren is necessary ta ensure the safe :~a,~.,~,ort of patients to the Emergency Access, ambulances shall turn aff sirens on Ar~zona Avenue beiween Twentieth Street and 7wenty Third 5treet 2(d)(8) 8 The emergency room m the D 8 T Cenler Commencement Cdy af Santa Mornca City of Santa Monica shall be aperaled as a Level II Trauma of Emergency Plannir~g and Commurnty Planning and facil~ty during the Term of lhe Development Room Development Departmerit C o m m u n i t y Agreemenl In the event lhat Saint John's Operat~ons D e v e I o p m e n t des~res to operate the emergency room as a Department Level I Trauma facddy, Saint John's shall be requEred io obtam a Conditionaf Use Permd from the City (or such operation !n any application for such a Cond3tionai Use Permd, Saint John's must demonstrate the raUottale and need for a Level I Trauma faality ,~ U~ :~ Ll~ ~5 TABLE 1 MITIGATION MONIT0121NG A1VD REPORTING CHECKLIST MI~IGATION E!R MITIGA7IQN MEASURE MONITORING ENFORCEMENT MONITORING VERIFICA TIQN O~ C OMPLIANCE NQ REfERENCE PFiASE AGENCY AGENCY INITIALS DATE R~MARKS CONSTRUCTIQN IMPACTS 2(e)(1y Phasellmnar:t5141 1 A pubhc Information program shall be Prior to City of Santa Moroca Cdy of Santa Monica estahlished by Saint John's to advise Cammencemenk Planrnng and Commundy Planning and motonsts of the ~mpending construction o( Constructbn ~evebpment Department C o m m u n i t y activrties This program may include media p e v e I o p m e n t caverage, por#able message signs and Department mformational signs at the job s~te Pnor lo ~~~~~~~«~~cement of construction, the appUcant shal{ submd the p~bhc m(ormation program to the Planning and Commun~ty ~evelopment Director }or rewew and ap~rovai 2(e)(2) Prior to Cdy of 5anta Mon~ca Cdy of 5anta Monica 2 Saint John's shall obta~rs a~praval frpm lhe Commencement ~nvironmental and Pubfic Env~ron,,,..,.:..: and City Engineer and all affected agencies for o( Constructron Works Management PubVrc Warks any construction detours, construction work pepartment (Cily M a n a g e m e n t requinng encroachment into pubhc nghts-0f- Engineermg) Department {Cdy way, or any other streeE use activity {e g, Engfneering} haul roules) dunng Phase I construction Prior to City of Santa Monica CiEy of 5anta Manica 2(e)(3) 3 5aint John's shall coordEnate the Phase I Gommencement Planrnng and Community Planning and canslruation work with all affected agencies o( Construction Development Department C o m m u n i t y (e g, Pahoe Depa~tment, Fire Department, D e v e I o p m e n t Reparlmer~t of Publtc Works, ^-; -y-nent of Department Planrnng and Communrty Development, and transd agenc~es} approx~malely (ive to ten days prior ta start of work 2(e)(4) Prior to City af Santa Monica Cdy af Santa Mornca 4 A traf(ic conirol plan for the streets Commencement Parking and Traffic Par~cmg and Traffic surrounding the work area shall be prepared o( Construction Division Div~sion wrth specific mformatian regarding the prolect's construct~on and aclivities that Hnll disrupt normal traftic Fiow 2(e)(5) Construction Gity oF Santa Monica City of Santa Monica 5 The hauling oF dirl and demofition material Env~ronmental and Public Enwronmental and and delwery of construction material shall Works Management Public Works be prohibited during th~ afternoon peak Depariment M a n a g e m e n t lraffic penods, 5aint John's shall clean Department ad~acent Cdy streets affected by Phase I construction, as necessary ,~' . C' ' ~_, 26 TABLE 1 MITIGATION MONITQRIIrIG ANd REPORTINlG CFIECKLIST MITIGATION EIR MITIGATION MEASIfRE MONITQRING ENFORCEMENT MONITORING VERIFICATfON OF COMPLIANCE NO REFERENCE PHA9E AGENCY AGENCY INITIALS pATE REMARKS 2(e)(6) 6 Work shall be scheduled and expedded to Construction City of 5anta Monica City af Santa Monica cause the ieas# amaunt of d~sruption and Planning and Commurnty Planning and interference to the adjacent vehicular and ~evelopment Department C o m m u n~ t y pedestnan traffic tEow Except as approved D e v e f o p m e n 1 by the Plann~ng Duector, off-sde pubhc Department infrastructure work by SaiM John's dunng weekday daytime work on City artenal and cdlector streets shall be pertormed between the hours of 9 00 AM and 3 00 PM 2(eJ(7) 7 Phase Qne construction vehFCle and Prior to Cdy of Santa M..~~~.,a City of Santa Mornca equapm~~~~ a:oging may occur edher on the Commencement Planrnng and Co,~„~~unrty Plannmg ar~d Saint John's campus or on other nearby of Construction Development Department C o m m u n i t y prnlate properties leased 6y Saint John's for ~ e v e I o p m e n t caistruction purposes Any off-sde staging Department located m the publ~c nght-of-way shall re4wre the review and approval of the Planning Dvector Pnor to commencement of any oTi-site construction staging acl~vd~es located ~n the public right-of-way, Sa~nt John's shall notify ad~acent properiy owners and resider~ts of the consiruotion staging actrvdy, descnbing the location, type of acUwty, and duration, and praviding the name and telephone number oF the Sarnt John's re~resentative responsible (or coordmaUng the construct~on stagmg actrvdies 2(e}(8) 8 5aint John's shall hold pre~onstruction Prior to City ot Santa M.,.,...a City of 5anta Manica rneetmgs wnlh affected agenaes lo properly Commencement Planning and Co~~~~~~urnty Plann~ng and plan methods of controlling traffic lhrough of Construction Development Department C o m m u n a t y workareas tievelopment D..r...:,.,ent 2(e)(9) 9 Except as provided by the Plann+ng Directar, Construction City of Santa Mornca Crty of Santa Monica Saint John's construction material and Planning and Communi#y Planning and equipment shall he stored withiro the DevelopmeM ~epartment C o m m u n~ t y des~gnated wark a-ea and shall not be visible ~ e v e I o p m e n t ko the publtc Oepartment 2(e)(10) 10 5aint John's shal! provide off-sfreet parking CanstrucUon City of Sanla M,..,..... City of Santa Mornca on the 5outh Campus if Saml John's Planning and Co~~~~~~unity Plann~ng and demonstrates that excess parking ex~xts on ~evelopment Department C o m m u n i E y the 5auth Campus or at a remote location, ^ e v e I o p m e n t with bus transport to the work site, shaal be Department pravided for all construction employees ~~ ~, 27 ~~ MITIGATION N4 TABLE 1 fu~Tic;arinn~ MnNITORING AN~ REPORTINc3 CtiECiCLIST REFE ENCE f MITIGATkON MEASURE I MOPHA EING I EN AGENCYENT MDNlTORING AGENCY VERIFICATION QF INI7EAI S I 17ATF I RFMARKR 2(e}(11) 11 Samt,iofv~'s shal4 prepare and submd toihe Prior to Crty a constnrctwn penod parking plan for Canmenc~ment Phase One The plan shall designate the of Canstruclion users of available parking and demonstrate to the sat+sfaction pf the City that all parkmq can be accommodaled m ex~sting lots and garages around the Sain~ John's campus dunng the aonstruction penod for Phase One Th~s ~lan shall demonstrate that Samk John's has access to and control over the targeted spaces so that they can be assigned to the users designated in the inte~m parking plan If all of the pariang cannot be obtained wdh~n nearby pariang (acd~ties, 5aint John's shall be reqwred to secure off-sde parking and ta commd ko shutthng of empioyees ta the hospdal sde dunng the duration o( cor~struction actrv~ty City of Sar~ta Nbn~ca Pfanrnng and CommunAy ~evelopment Department City of Sanie Manica Planning ~nd C o m m u n i 1 y Development Departmerrt h !F ~ ~ ~O ~ 1 7ABLE 1 MITIGATIpN MONITORIN(3 AND R~PORTING CHECKLIST MITIGATION I EIR l MITIGATION MEASEJR~ ~ MOPHA R~ING I ~N G~NCY NT NO REFERENCE f MQNlTORING AGENCY INITIAI S~ nATF 1_REMARKS ~ 2~e~~~ Z~ PFIARN I imnarf !S 1 d.7 ~ General co~ractors shall mafntain Constructan CRy of 5anta Monica Crty of Santa Momca equipmeM engines in proper tune and Plenning and Communrty P~a~~~~,~~a and operate construction ~qwpment so as to ~evelopmerat Deparlment C o m m u n i# y minimize exhaust em~ss~ons Such D e v e I a p m e n 1 equipmeM shall not be operated during first Department or secand stage smog aleris 2(e)(13) 2 During constructian, trucks and vehicles m Constn~ction City of Santa M.,.....a City of Santa Monica loading or unloading queues would be kept Plannmg and Co~~~~~~urnty Planning and with their engines otf, when not in use, to Development Deparlment C o m m u n i t y reduce vehicle emissions Constructran D e v e I o p m e n t acUwties shall be phased and schaduled to Department avoid emiss~ons peaks, and discontinued during second-stage smog alerts ExcavaUon shaN be discontinued during periods of high Hnnds 2(e)(14) 3 vc~ic~ai contractors shall use reasonable Consiructian City of 5anta Monica Cdy of 5anta Monrca and typ~cal watering techniques ta reduce Planning and Community Plannmg and (ugitive dust em~ssians All unpaved Development pepartment C o m m u n i t y demolition and cor~struction aress shall be D e v e I o p m e n t w~eried at least twice a day during excavation Department and constructron, and temporary dust cavers shall be used ta reduoe dust emissio.,.. ~...; meet SCAQM~ Qistnct Rule 403 2(e)(15) 4 5od b~nders shall be spread on sde, unpaved Construct~on roads, and parking areas 2(e)(1B) 5 Cround caver sha~l he re-established on Construct3an construct~an sde through seeding and ..u:" . ~y 2(e)(17) 6 Dunng Phase I development, trucks leawng Construction the sde shall be washed off 2(e}(18) 7 Phase One construction and demol~t~on activdies shall take place only dunng the hours and at the levels specified for Nase Zone III (InstduUonal) ir~ the 5anta Mornca Murncipal Code Chapler 412 ("tJa~se Ordmanoe") or dunng the hours specified in any subsequent ordmance or applicable mterim ordinance Ciiy of Santa Mornca City of Santa Monica Plann~ng and Co,,,,,.,.~~~;~ Planning and Deveiopment department C o m m u n I t y Cdy of Santa Monica D e v e I o p m e n t Planning and Community Department Development Department City of Santa Mornca C~ty of Santa Monica Planrnng and Community Planning and Development Department C o m m u n i t y Devela~-ment Department ~r~ c: 29 t, ~ MITIGATION NO 2(e)(19) 2(e}{2a) 2(e)(21 } 2(e)(22y TABLE 1 MfT~GATiON MONITORING AND REPORTING CHECKLIST EIR MITIGATION ME,4SURE MONITORING ENFORGEMENT MONITORING R~fERENCE ~ ~ PFlAS~ ~ AGENCY J AGENCY Phaca I Imnar.t 5 147 1 Except as provxled by Ehe P4anning Director, Construction the pro~ect contractor shali schedu~e construction activit~es to avoid the simuttaneous operation of eqwpment such as air compressors, backhces, concrete pumps, vibrators or t~reakers, truck crenes, dozers, generators, laaders, pavers, pneumatac tools, water pumps, power hand sav~ls, sFpvels, ancf brucks, so as #o minrmize nase levels resulk~ng from operatmg several pieces of high noise level-emitting eqwpment 2 Construction eqwpment shall be titted -vith Construction state-of-the-art noise shielding and mufAmg devices ta reduce noise levels to the ~~~fl,.~~„u~~~ ~~:~nt feasible 3 Every reasonable effort will be made to Consiructian creafe the greatest practicable distance between noise sources and a ~a,;~ve receptors dunng Phase i ConstruCtlotl operetions 4 On completion, the pro~ect shall comply wdh Prior lhe Noise Insulation 5tandards of Title 24 of Occupancy ihe Calrfomia Code ot Regulations which wdl ensure an adequate mtenor noise enviranment for ihe praposed uses 1 _.. 1 INITIALS Cdy of Santa Mornca Cdy of Santa Monica Planning and Cammurnty Planning and Development ~epe~tment C o m m u n i t y Development ~spartment City of Santa Mornca City ot SaMa Monica Planning and Commundy Planning dnd Developme~rt Department C o m m u n i t y Development Qepartment City ot 5anta Monica C~ty of Santa Monica Plannmg and Cammunrty Plannrng and DevelopmeM department C o m m u n ~ t y Qevelopmenl Department to I OSHPD I OSHPO DATE I REMARKS ! r ~. C:' ~L- . ~Q TABLE 7 ~ MI7IGATION MONITORING AND REPORTING CHECKLIST MITIGATION EIR MITiGATION MEASURE MONITORING ENF4RCEMENT MONITORING VERIFICATfON OF COMPLIANCE NO REFERENCE PHASE AGENCY AGENCY INETIALS DATE i2EMARKS 2(e)(23) Ph~~~J._lm~~_~.'~4-4 1 Prior to the commencement of constrticUon P riar to OSHPR OSHPD activdies, tfie proje~.M apphcant ahall file a Constructian Notice of Intent with the SWRCe in Sacramer~o, along with a filmg lee, notiiynng the state that the applicant intends to qegm canstruction, and that they vrnlE comply w-th the pravisions o{ the GCASP The I~OI shall remain m force untd construct~on is completed 2(e){24) 2 Pnor lo the commencement of construction Prior ta Ci#y of Santa Monica City of 5anta Monica act~es, a Starmwater Pollution Prevention CansEruction Envi~„„~~~~~~:a; and Public Enwronmental and Plan (SWPPP) shaN be prepared, Works Managemer~t Public Works descri6ing the pro~ect sde, ident~tying Department M a n a g e m e n t pofenlial sources of pollution and potential Department receptors, and descnbmg the Best Managemer~l Prac4ces which HnA be used to control pollulants, botfi dunng construction and post-construction The SWPPP shall be submitted to the City and must be avad-"- °_"~e construction s~te at all t~mes, and construcGon activities shall follow the plan The SWPPP shall mcorporate, as Feasible, the following measures - Rartine safety precautions for handE~ng and storing to~uc and hazardous matenals to mdigate tfie potentiak pollution of starmwater by these matenals wdl be used These same types of p~,.,.~.:,.~~o should be e~erded ta non-hazardous stormwater pollutants such as sawdust and other solyd wastes - To mdigale erosion, the amoUnt of exposed sod should be I~m~ted, and exposed areas shauld be watered or tarped Trenching or grading achvd~es should be phased so that trenches are backfilted and graded areas are landscaped as quickly as possi~ie ~. - ~Z 3i TABLE 1 _. _ MfTIGATI~N MONITORINt3 AND REPORTINC3 CHECKLIST MITIGATION I EIR I MITIGATION MEASURE ~ MOPHA R~ING I ~N GENCY~NT I M AGENCY G NO REFERENCE - To min~m~ze fugitn~e dust emissions, vehrcles exiting the sfte shoukl b~ washed, and all loads should ~e covered w~th tarps As necessary, roadways should he swept or washed, and sediment fllters slwukl be constnided at or near the entrances to the storm dram system - To mmim¢e long-term impacts, permeable pa~nng materials should !~e used wherever feasible, on~sde drainage should be designed :,. ,,,,.,~ water mto landscaped areas, and landscaped areas should be graded to maxim¢e the retention of runoit 2(e)(25} 3 Saint John's shall file a Notice of Prior to OSHP~ OSHP~ Termanat~on with SWRCB in 5acramerdo at Occupar~cy the completion of construction VERIFICATiaN OF COMPLIANCE INITlAI S IIATF RFiUARKS ~ ~ ~r~ 32 ~ MITIGATION EIR _ MITIe;qTfON M~NITO MITIGATION MEASl1RE TABLE ! RING AMD REPOR MONITORING TING CliECKLIST ENFORCEMENT MONITORI[~G VERi~ICA TION ~F C OMPLiANCE NO REFERENCE PHASE AGENCY AGENCY INITIALS UAl'~ REMARKS CONStRl1CTI0N IMPACTS 2(e)(1) Phase II Imaact 5.141 1 A public ~nformation program shall he Prior to City of Santa Monica City of Santa Monica estabhshed by Samt John's to ad+rise Commencemerrt Planrnng and Commurnty Plann~ng and motonsts of the impending cons#ruclion of Construction DevelaQment ~epartmeM C a m m u n i t y activ~ties (e g, media coverage, portable D e v e I o p m e n t message signs and anformat~onal signs at Departmer~ the ~ob site} Prior ta commencement of construction, the a~plicant shall submd the public infarmat~on plan to the Plann~ng and Cammunity Deveiopment Director for approval 2(e)(2) 2 Saint John's shall obtain approval from the Prior to C~ty of Santa Monica Cdy of Santa Monica Gty ~ngineer and all affected agencies for Cammencement Environmental and Pubhc Enaronmerttal and anycanstruction detours, construction work vF Construction Works Management Public Works requinng encroachment mto pubhc nghts-of- pepartment M a n a g e m e n t way, or any other street use act~wty (e g, bepartment haul routes) 2(e)(3) 3 5amt John's shall pravide timely notificat~on Prior to City ot Santa Monica C~ty oF Santa Monica of canstruction schedules to all a~~~~~C., Canmencement Plann~ng and Community Planning and agencies (e g, Police Denartment, Fire of Construction Deveiapment Depariment C a m m u n i t y Department, Qepartment af Public Works, p e v e I o p m e n t Department of Planni,.y o,,,: Commurnty Department Development, and iransit agenaes} approbmately five to ten days pnor to start of wark 2(e)(4) 4 A traffic contral plan for the streets Prior l0 8widing Cdy of Santa AAornca City af Santa Mionica surrounding the work area shall be prepared Permtt Parking and Tra(fic Parking and 7raffic with spec~fic rnformatron regarding the Drvision ~,,.,a,,,,, profecYs construction and activities that wdE disrupt normaG traffic flow 2(e)(5) 5 The hauling of cE~rt and demoliUon matenaE Conslruction City of Santa Monica City of 5anta Manica and delivery of construct~on matenal shall Environmental and Public Environmental and be prohibited during khe afternoon peak Works Management Puhlic Works traffic periads, Saint John's shall clean Department M a n a g e m e n t ad~acent City streets affected by Phase II Department construct~on, as necessary .y , ~ c~ ^~ I 33 TABLE 1 MITIGATION MONITORING ANp REPORTING CHECKL.IST MITlGATION EiR MI7IGATION MEASURE MONITORING ENFORCEMENT MONITORlNG VERIFICA TION OP C OMPLIANCE NO REFERENCE PHASE AGENCY AGENCY INITIALS ~ATE REMARKS 2(e)(B) 6 Work shall he acheduled and expedded fo Constructwn Crty of Sama Monica City of SaMa Monica cause the least amount of disruption and Planning and Commurnfy P:o.,.,,,~„ and inierfe-ence io tha adfacent vehicular snd Development Department C a m m u n i t y pedestnan traff-c flow Except as approved D e ~ e I a p m e n f py the Planrnnq DEreckor, of{-site pubhc Department rnfrastructure work by 5aim John's dunng weekdays an the Cfty's arieria! ancE collector streets shall be performed hetween the ;,..,., d,.f 9 00 AM and 3 00 PM 2{e){7) 7 Phase Two conslruction vehicle and Pnor to CRy o( Santa Mon~ca City of Santa Mon~ca equipment staging may occur e~#her on the Commencement Planning and Community Plannmg and Saint John's campus or on olher nearhy of Construction Development DepaRment C o m m u n i t y pnvate propert~es leased hy Saint John's for D e v e I o p m e n t construction purposes Any aff-sde stagmg Oepartment located in the public nght-of-way shall reqwre Ehe rewew and approval of the Plannina Dir~..~~~ ~~~u~ ~~ commen~~~~~~~~~ of arry off-sde constructFOn staging actiwties located in the publFC nghl-of-way, 5a~nt John's shall notify ad~acent property owners and residenis oF the consiruc#ion stag~ng actwity, describing the location, type of activily, and duration, and prav~ding the name and lelephone number ot Ehe 5aint John's representative respansible for coordinating !he construction staging acGvfties 2(e)(8) 8 Saint .iohn's shall hold pre~onstruction Prior to Cdy of Santa Mornca City af Santa Mornca meetings w~th affected agenaes to properly Canmencement Planrnng and Commun~ty Planrnng and plan methods af wntrolhng traific Ehrough of Construction aevelopment Department C o m m u n F t y workareas Development 2(e)(9) Deparlment 9 Except as prov~decf by fhe Plann~ng director, Constructian Cdy of 5anta Monica City of 5anta Mornca Saint Jahn's construction materlal and Plann~ng and Commun~ty Planning and equ~pment shall be stored wdhin the Development Department C o m m u n i t y desgnated vwrk area and shall not be visible ~ e v e I o p m e n t to the public Department +A. ~' 34 r _7 TABLE 1 NfITIGATIOiV MONITORING AND REPORTIfVG CHECKLIST MITIGATIQN EIR MITIGATION MEASURE MONITORING ENFORCEMENT MONITORING VERIFICA TIQN OF C OMPLIANCE NO REFERENCE PHASE AGENCY AGENCY INITIALS CfATE RFMARKS 2{e){10) 10 5aink John's shali provide off-street parking Construction Ckty of 5anta Monica Cdy of 5arrta Mon~ca on lhe 5outh Campus ii 5aint John's Plamm~g and Commurnty ~lanning and demonstrates that excess parking exists on ~evelopment Deparlment C o m m u n i t y the South Campus or ak a remote location, 0 e v e I o p m e n t with bus transport lo the work s~te, shaEl be Department provided for all construction em~loyees 2(e}(11) 11 Saink John's shall prepare and subm~t a Prior to 8u~ldmg City oi SaMa M.......a City af 5anta Monica construct~on period parking plan for Phase Permd Plamm~g and Co~~~~~~urniy Planning and 11 The pian shall designate the users o( ~evelopment Deparlment C o m m u n i t y avalla6le parkmg, lo demonstrate to the D e v e I o p m e n t sat~sTacxion af the CRy that all parking can be ~epartment ~^^^~'^modated In existing lats and qarages around the Saink John's HospRal campus dur~ng lhe construction period This plan shall demonstrate that Samt John's has o...,~~a to and control over the targeted spaces so that they can be assigned to the users desgnated in the intenm parking plan If a~ o( the parlang cannot be obtamed wRhin nearby parking facFl~t~es, Saint John's shall be required to secure off-site oarkina and to cammd to shuttling of employees to ihe sfte dunng ihe duration of construction activd}r ~~ ~~. c c, 35 TABLE 1 MITIGATION MONITQRING ANU REPORTlNG CHECKLIST MiTIGATION ~IR MITIGATION MEASURE MOMITORING ENFORCEMENT MONI70RING VEftlFICATION OF COMPLIANCE NO REFERENCE PHA5E AGENCY AGENCY INITIALS DATE REMARKS 2(e)(12) f~hase II 1 General contractors shall maintain Buddmg Permd C~ty af Santa Monica C~ty af Santa Monica eqwpment engines ~n proper tune and Planrnng and Commurnty Planning and aperate construction equipment so as to Development ~epartment C o m m u n i t y ,,,,,,,,,,~~ exhaust emissions 5uch (Bwldmg and Safety D e v e! o p m e n t equ~pment ~~ ~a~~ ~~~~ be operated dunng first Div~sian) Depa~tme~t (Building or secand stage smog alerts and Satety Div~sion) 2(e)(13y 2 punng construction, Erucks and vehicles in Buddang Perm~t Cdy of Santa Marnca Cdy of 5anta Monica loadmg or unloadmg queues wauld be kept Planning and Commurnty Plamm~g and wdf~ theu engines oft, when not in use, to Development Department C o m m u n i t y reduce vehicle em~ss~ons Construction (Buikding and Safety D e v e I o p m e n t actrvities sha11 be phased and scheduled to Divrsion) Deparlment (6wldmg avoid emiss~ons peaks, and discontinued and Sa[eiy Div~sion} dunng second-stage smog alerts Excsvation shall be discontinued dunng penods of h~gh winds 2{e)(14) 3 General cantractors shall use reasonable Pnor to City of Santa Monica City of Sanla Mornca and typical watenng techrnques to reduce Commencement PEanning and Communrty Plannmg and FugiUve dust emissions All unpaved of ConstrucGon DevelopmeM Department C o m m u n i t y demolition and construction areas shalR be {Buiiding and Safety D e v e I o p m e n t wetted at least lmce a day durmg excavation Division) Department (Budding and construction, and temporary dust cavers and 5atety ~ivision) shall be used to reduce dust emissions and meet SCAQMD ~istnct Rule 403 2(e)(55) 4 5al b~nders shall he spread on srte, unpaved Bu~lding Permd Cdy oF 5anta Monica Cify of 5anta Monica roads, and parking areas Plamm~g and Community Planning and Oevelopmenl ~epartment C o m m u n i t y (Bwlding and Safety D e v e I o p m e n t ~iviswn) ~epartment (Budding and 5afely ~ivisian) 2(e)(16) 5 Ground cover shall be re-estabhshed on Constructwn City ot 5anla Monica City o( 5anta Monica canstruction site through seedmg and Planning and Cotnmunity Planning and watenng Development Deparlment C o m m u n i t y (8uildmg and 5atety Development Dkvis~on) Department (Building and Safety Diwsion) 2(e)(17) 6 trucks leavmg the site shall be washed off Consirucrion Cdy of 5anta Monica C~ty of Santa IVlonica ~ Pianning and Commun~ty Planning and Development Department C o m m u n i t y Development Department (Budding and 5afety Division) r~a ~- 36 c~ TABLE 1 MITIGATION MOf~11TORING ANQ REPORTING CHECKLIST MITIGATION EIR MITIGATION MEASURE MONITQRING ENFORCEMENT MONI70RING VERIFICATION OF COMPLiANCE NO REFERENCE PNASE AGENCY AGENCY INITIALS DATE REMAiiKS 2(e)(18) 7 Phase 7wo co~struction and demolition Budd~ng Permd City of Santa Mon~ca City of Sarfta Monica actiwt~es shall take piace only dunng the a n d Plannmg and Commundy Planning and hours and at the levels specFfed for Noise Constructian Developmenl Department C o m m u n i t y ~one III {mstduUanal) in the Santa Moniaa D e v e I o p m e n t Murnapal Code Chapter 412 ("Noise Department Ordinance") or dunng the hours spec~fied in any subsequent ordinance or applicable mterim ordmance 2(e)(19) Phase Ik 1 Except as prowded by the Planning Director, Constrs~ction Ciky of 5anta Mornca City oi 5anta Monica the pro~ect cantractor shall schedule Planning and Co~nmurnty Plannmg and construction act~v~ties to avoid the pevelapment Department C o m m u n i t y stmultaneous operation of eqwpment such D e v e I o p m e n t as aFr compressors, backhoes, cancrete Department pumps, wbrators, or breakers, truck cranes, dozers, generators, loaders, pavers, pneumatic tools, waler pumps, power hand saws, shovels, and trucks, so as to minimize noise Ievels resuEiing from operating several pieces oF hrgh noise level-emitting eqwpment 2(e)(20) 2 Construction equipment shall be fitted w~th Constructron C~ty of 5anla Monica City ot Santa Monica state-of-the-art noise sh~eldmg and mufflmg Plannmg and Commundy Planning and dewces to ~~~~,.~ noise levels to the Development Department C o m m u n i t y maximum extent feasible D e v e I o p m e n t Department 3 On canpletion, the pro~ect shall comply with Certificate ot C~ty of 5anla Monica City of Santa Monica 2(e)(21) the Noise Insulation 5tandards af Title 24 af Occupancy Plannmg and Community Planning and the Califomia Code o( Regulations which wdl Development Department C o m m u n i t y ensure an adequate ~ntenar naise d e v e I o p m e n t enwronment [or the praposed uses Department City of 5anta Monica 2(e)(22) 4 Every reasonable eNoft v~np be made to ConstrucUon City ot Santa Monica Plannmg and create lhe greatest prac6cable distance Planning and Co~~„~~..~~,:r C o m m u n i t y between noise saurces and sensit~ve ~evelopment Depa~tment D e v e I o p m e n t receptors dunng conslrucUon operadons Department ~~ '"` 3 7 ... , TABLE 1 MI7FGA710N MONITORING AND REPORTING CHECKLIST MITIGATIdN EIR MITIGA~ION MEASURE MONITORING ENFORCEMENT MONITORING VERIFIGATION OF COMPLlANCE f~0 REFERENCE PHASE AGENCY AGENCY INITIALS DA7E REh4HRK5 2(e)(23) hase 1 Prior to the commencement o} construction Bwldmg PermR City of Santa Mornca Cily ot 5arrta Mon~ca actlvR~es, the pro}ect applicar~t shall file a En+nronmeMal Public Enwronmental Public Notice of Intent wrth the SWRCB in Works Management Works Managemer~ Sacramento, along wtth a filing fee, noEdying Department Depanmer~t the state that the applicant intends lo begin construclion, and that they nnll comply wdh the provis~ons of the GCASP the NQI shall remain in force untd construction is campleled 2(e)(24} 2 Pnor to the commencement af canstructEan Buddmg Permit City oi Santa Monica C~ty of Sar~ta Monica act~vities, a Stormwater Pollutian Prevention Enwr~,~~~~„~a~ Public En+nron~~~~~~:a~ Public Plan (SWPPP) shall be prepared, Works Management Works Managemem descn6ing the pro~ect site, IdentityErrg Department Departmerit potential souroes of paliutlon a~1d poteMial receptors, and descnbmg the Best N4anagement Practices which wili be used to control pollutants, both dunng construct+on and post-construction The SWPPP shall be submitted to the City snd must be availa6le at the construction s~te at all times, snd construcGan activdies shali follow the plan The SWPPP shall ,....,,,porate, as feasible, the followmg ~~~~a~ures - Routine sa(ety precautions for handhng and stonng loxic and hazardous materEals lo m~tigate the potential pallution of sEormwater by these materials wdl be used Fhese same iypes of procedures shauld be exlended to non-hazardous stormwater pollutants such as sawdust and olher solid wastes - Ta mdigate C~~~~~~,, the amount o[ exposed sod should be Nmded, and exposed areas should be watered or tarped Trenchmg or ~radins7 actmdies should be phased so that trenches are backfilled and graded areas are landscaped as quickly as possible ~ _.. 3 S r•? TABLE 1 NEITIGATION MONITORING AND REPDRTING CHECKLIST MITlGATI~N EIR METIGATION MEASURE MONITORING ENF~RCEMENT MONITORING VERlFICATION OF COM?LIANCE ND REFERENCE PHA5E AGENCY AGENCY INfTIAE.S DATE REMARKS - To minim~ze fug~Gve dust em~ssions, vehicles ex~tmg the sde shauld be washed, and all loads shauld be covered wdh tarps As necessary, rfledways should be swept or washed, and sed~ment fi~ters a;,....;.: be constructed at or near the entrances ta the storm drain system - To mirnm¢e long-lerm impacts, permeable pav~ng matenals shou~d be used wherever feasible, on-sde dramage should be designed :., ........ water mto landscaped areas, and landscaped areas should be graded ta maximire the retantion o( runoff 2(e)(25) 3 A Notice of Terminat~on shall be filed w~th Prior to City o( Santa Monica City of Santa Monica SWRCB in 5acramento at the oompletion of Certificate of Env~ronmental Public Envuanmental Pubfic construction Occupancy Works Mana9_,.,_,.: Works Mana~_..,_.,: Departmenf Depariment R~CREATION 2(f)(1) Phasp I~ Im~act 5 tn_~ 5aintJohn's shall comply timth Part 9 04 40 12 of Budding Permd Cdy of 5anta Monica Cdy C~ty of 5anta Monica the Zoning Drdinance regarding Hous~ng and Planning Division Crty Plannmg Division Parks miEigation measures {or Phase 11 development 2(g)(1} POLICE SERVICES t Saint John's shall consuR with the Pohce DeveEopment C~ty of Santa Manica Cdy of Santa Monica Phase II Impact 59-2 and Fire Qepartments of the Cdy on Review Plann~ng and Commundy Plo„„~~~y and buildinglcomplex d~~~y~~ to assist wdh the Development Department, C o m m u n i t y emergency access to the sde as well as on Police Department, Fire D e v e I o p m e n t facility design lo assist wdh emergency Department pepartrrEent, access to the site and on-s~te facildy design in terms af "target hardening" against criminal act~vity (or both residential and ,,..,.,,,,.,,cial design 2 Entryways, elevatars, lobb~es, and parking Deveiopment City of Sanka Monica areasshallbewell-dlummatedandciesigned Review Crty af Sanka Monaca Planning and wrth mmimum dead space to eliminate areas Planrnng and Commun~ty C o m m u n i t y af concealment ~evebpment Department, ~ e v e I a p m e n t Departmenf, f 1planLshareLst~ohnsltable wpd .C: ~ ~ ~ C. )