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HomeMy WebLinkAboutAttachment 7.g.iii. - Public Comments No 3-PUBLIC COMMENT LETTERS NO.3 Caroline Young Subject: FW; City of Chula Vista: City Manager Contact Us - Web Notification From: Webmaster<VPLi aster achulavfstaca.Roy> Sent: Thursday, August 29, 20191:31 PM To: CltyManager <CityManaaer@chulavistaca.gov> Subject: City of Chula Vista: City Manager Contact Us- Web Notification A new entry to a form/survey has been submitted. Form Name: City Manager Date &Time: 09/29/2019130 PM Response k: 546 Submitter ID: 65900 IP address: 174.66.136.75 Time to complete: 1 min., 26 sea Survey Details Page f Please feel free to contact us with any comments or questions by filling out the form below. First Name Bibi Last Name Luka Email Address Comments Dear Mayor Sales and City Manager Halbert, I amwriting this letter on behalf of Chula Vista Safe and the 4,000 people who signed a petition noting an objection to Acadia health building a 120 bed mental hospital in their residential community. On May 13, 2019 the San Diego Uniondribune wrote an article about the Acadia Healthcare facility In which it noted that on May 6, 2019 Acadia Healthcare entered Into a $17 million dollar Medicaid fraud settlement with the United States Attorney's Office, the largest healthcare fraud settlementin the history of West Virginia. Nonetheless on May 17, 2019 the City of Chula Vista accepted an application from Acadia Healthcare In which they failed to complete their Disclosure Statement . Appendix 8 to the Condition Use Permit application filed by the Eastlake Behavior Health , LLC CUP, and in the Disclosure Statement In questions 3 and 4 require If any person listed In question 1 is a corporation , the applicant is required to list the names of individuals with an Investment of over $2000. The purpose of the disclosure statement is to provide transparency In the process. Eastlake Behavior Health , LLC; , Acadia San Diego 1V Holdings , LLC and Scripps Behavior Health Venture, LLC are all listed as corporate entitles with an Interest In the project and the disclosure statement requires them to list any person who has an Investment In these entities of $2,000 or more dollars. The City should not be processing any project that has an Incomplete disclosure statement and we are asking you to direct the planning staff to stop any work on the project until the Disclosure Statement is properly filled out and made available to the public, including the undersigned. I also understand the Issues list has not been completed yet the project Is still being processed. Recently over 50 peopie from our community attended an HDA meeting in which our District Councllmember was supposed to attend to address new projects in our neighborhood. His council aid appeared on his behalf and knew almost nothing about the projector how It was being processed by the City. After our meeting we received an email from her announcing a community meeting on September 26.1 do not see how the City can have a community meeting without consulting the community about the format, date, and who will be allowed to address the meeting and If the will be subject matter experts to answer questions. Is this just a check the box requirement or do you really want to hear from the community ?Is this just a meeting In which Acadia Healthcare and Scripps Is thereto lecture us on how we do not know anything about what they are proposing? If you are truly Interested In the health and welfare of our community you should cancel this meeting until the application is complete and then consult us on a date that is not a school holiday when many of the parents who are concerned cannot make it. Please respect your constituents who pay the taxes for the salaries of the people who are thereto serve Chula Vista and our community and respect our concerns and do not give speclaI treatment to a corporation that commits welfare fraud and has a track record like Acadia Healthcare that you are not willing to extend to us. Thanks, CVSAFE Leadership Thank you, City of Chu [a Vista This Is an automated message generated by the Vision Content Management System". Please do not reply directly to this emall. Caroline Young From: Denise Montero Sent: Wednesday, August 28, 2019 138 PM To: Mary Salas; John McCann; Jill Galvez; Steve C. Padilla; Mike Diaz; Kelly Broughton; Patricia Salvadon; Caroline Young; montano.mcnica@scrlppshealth.org Subject: I oppose the proposed Eastlake Psychiatric Hospital location! Warning: E'ternel Email I am writing you regarding the proposed Eastlake Psychiatric Hospital. I have been actively researching facilities such as these and am concerned about the currently proposed location. Psychiatric hospitals are needed In San Diego but it is of utmost Importance that the proper site be selected to ensure the preservation of current neighborhood character, patient safety, community safety and facility success. Building a regional hospital far from mass transit, most easily accessible by toll road needs better vetting. As you know it's nestled within a neighborhood and surrounded by a vulnerable population comprised of families with children. My concerns are directly connected to the fact that elopements (escapes) are an expected event within hospitals. Both for involuntary patients and voluntary. Because of the wide range of mental illnesses being treated at this facility, elopement in a heavily concentrated area with vulnerable populations significantly Increases the chances of a dangerous event occurring. Can Acadia please share the number of elopements they had per facility from 2016 - 2018? Having 24 hour security will not completely guarantee the surrounding communities the safety we deserve, In fact Acadia Healthcare Division President Jeffrey Woods guarantees that it will happen, which is one of the reasons the Acadia Louisville facility is going to be moved to a more remote part of town. Concerned community member, Denise Montero Caroline Young From: Brandon McClintock - —1- -11-- - Sent: Sunday, August 25, 2019 1239 PM To: Caroline Young Subject: Proposed Eastlake Psychiatric Hospital WarninL: En nminf Dear Caroline, Email I oppose the proposed location of the Eastlake Psychiatric Hospital. There are better locations for a county hospital that will make the services more accessible to all. I support the idea of a mental health facility but not In the proposed location. Would a spot along Main Street near the car dealerships better serve the community for the proposed site? I am concerned about some of the problems on my street (Esperanza Place) having the hospital very close to our homes. I am also concerned about the kids In the neighboring schools and the history of incidences of similar facilities. The street this hospital Is being proposed on is on a street that Is mostly made up of business geared for children. You are drastically increasing the possibility of a dangerous event happening by approving this facility in such close proximity to children's schools/activities and residential homes. This site is basically just on the other side of backyards where families on our street have watched fireworks on the 4th of July for many years. It would be nice to a have a facility/business that would bring us together rather than us be scared of what might be or what might happen. Just because the operator is touting this as a lock down facility does not mean patients won't escape or be released onto the neighborhood streets. Patients can decline care once they are stable and walk out into the neighborhood, Please do not approve the permits for this hospital at this location. Thank you for your time. Brandon McClintock Chula Vista 91914 Caroline Young From: bchrisopoulos� , _.... Sent: Saturday, August 24, 2019 7:50 AM To: Caroline Young Subject: Arcadia Scripps inch Hospital Warning: External Email Dear Ms Young, I am a long time Eastlake resident and I strongly oppose the proposed psychiatric hospital. Acadia does not have the best record or I believe the best interest in our neighborhoods. We don't have the police force to keep our neighborhoods safe if this hospital get built. Brenda Chrisopoulos Sent from my Verizon LG Smartphone Caroline Young From: Isaias Gardea _. Sent: Saturday, August 24, 2019 7:42 PM To: Caroline Young; Kelly Broughton; Patricia Salvacion; Mary Salas; John McCann; ill Galvez; Steve C, Padilla; Mike Diaz; montano.monlca@scrlppshealth.org Cc: relocatehospitaltiDgmail.com Subject: Proposed Eastlake Psychiatric Hospital V(larning: EMt2rnal' Email Greetings, I oppose the proposed location of the Eastlake Psychiatric Hospital. There are better locations for a county hospital that will make the services more accessible to all. This hospital may increase police response times for neighbors. I am also concerned about the kids in the neighboring schools. The street this hospital is being proposed on is on a street that is mostly made up of business geared for children. You are drastically increasing the possibility of a dangerous event happening by approving this facility in such close proximity to children's schools/activities. Just because the operator is touting this as a lock down facility does not mean patients won't escape or be released onto the neighborhood streets. Patients can decline care once they are stable and walk out into the neighborhood. Please do not approve the permits for this hospital at this location. Please consider the future drain in resource that this place will create on emergency services. Thank you. Caroline Yount From: John McCann Sent: Friday, August 23, 2079 5:21 PM To: Caroline young Subject: FW; Psychiatric hospital From: Miss N I Sent: Tuesday, June 04, 2019 7:12 PM 7oilohn McCann Subject: Psychiatric hospital Wareieg- External I am writing to you regarding the proposed Eastlake Psychiatric Hospital. I oppose the building of E=U this hospital in the currently proposed location and ask that the city critically consider the repercussions of allowing a Regional Hospital that will service high acuity patients in close proximity to vulnerable populations comprised of elderly and families with children. Make no mistakes about it, this is not a neighborhood hospital it is a Regional Psychiatric Hub 20 miles from many of the patients it currently services. The Issue with having this Regional Hospital so far from Scripps Mercy Hillcrest is that continued coordinated care will be more difficult. Most of these patients will have an ongoing struggle with mental illness thatrequire an additional support infrastructure that Eastlake floes not have. If this for-profit hospital is truly meant to help people aixl nertjust make money from their suffering, why not build it in a more easily accessible location and in close proximity to the main hospital hub'? Most people with mental illness are not homeless but many homeless are mentally ill. They should not have to struggle to get to their Outpatient appointments because of the poorly selected location. A bus ride from La Mesa to the proposed site is 3 has and a I mile walk up -hill. Is this facility only meant for those who can afford a tort road and a vehicle? Although this facility is For-profit, they accept medicaid and Scripps has a charitable ctause. Sparking of Medicaid, In early May 2019 Acadia reached a "$17 million settlement in a fraud scheme, the largest health care fraud settlement in West Virginia's history, U.S. Attorney Mike Stuart announced..." .re-pays- ntiliion-to-settle-medicaid-fraud/article 886e9fc8-0573-5282-9c7b-58e7382ffe39.htm1 Additionally, according to researchgate.net "On discharge, 27% of the homeless patients were discharged to no fixed abode status..." [Article: Homelessness and the Length of Stay in Psychiatric Wards, August 20171 By approving the Conditional Use Permit you will be allowing a business to be built that will increase homeless in the area and with it the risk of homeless related crimes in an area predominantly inhabited by families with children. This is not in the best 'interesi . of the community that you presently scree, For all the reason mentioned above and all the ores you will be entailed about by other community members, I ask you to deny the Conditional Use Permit. Thank you, Monica Sent from Yahoo Mail on Android Caroline Young From: John McCann Sent: Friday, August 23, 2019 5:22 PM To: Caroline Young Subject: FW: PSYCHIATRIC HOSPITAL PLANNED FOR EASTLAKE From: Amy Rodriguez Sent: Saturday, May 11, 2019 7:47 PM To: John McCann Subject: PSYCHIATRIC HOSPITAL PLANNED FOR EASTLAKE Warning: External : Dear Mr. McCann: Email Re: Psychiatric Hospital Planned for the community of Eastlake My name is Amy Rodriguez. I have been a resident of the peaceful community of Rolling Hills Ranch for 16 years. With three school -aged children, we settled here 16 years ago because it is a femily-oriented, safe and serene community where the children can safely play outside and walk home from school without any worries. We now have a grandson who attends Thurgood Marshall Elementary. The school bus stop is only steps away from the proposed site for the psychiatric facility. With the construction of the psychiatric facility on Showroom Place, you will strip us of our sense of safety for our children and community. This proposed location is less than a half mile away from Thurgood Marshall Elementary, Eastlake Middle School, preschools, community parks, kids -oriented businesses, and STEPS from the school bus stop. Showroom Place is is not easily accessible to traffic or public transportation. It is six miles away from the 805 freeway, 14 miles from Scripps Mercy Hillcrest, and 8 miles from Scripps Mercy Chula Vista. There are other sites much more conducive to accommodate a psychiatric facility without putting children and families in harm's way. The Chula Vista City Council and Mayor were elected by the people to serve and protect the Interests of its residents. We, the quiet community of Rolling Hills Ranch, ask the City of Chula Vista to deny Acadia Healthcare to construct a 120 -bed psychiatric hospital on Showroom Place. Sincerely yours, Amy Rodriguez Sent from my Whone Caroline Young From: John McCann Sent: Friday, August 23, 2019 5:16 PM To: Caroline Young Subject: FW; Please Read From: Miss M Sent: Friday, May 10, 2019 7:23 PM To: John McCann Subject: Please Read �Varringi &cterosl `: Coodevemng, Email 9 After 12 years of searching, I finally found the home of my dreams last year in Chula Vista and became a homeowner. I used my lite savings as a down payment and am just so disheartened to hear about this proposed construction. It is one thing to build a small outpatient facility to help individuals with PTSD, eating disorders and depression and quite another to build a large 120 bed facility with a lockdown ward housing violent and dangerous individuals near schools and families, Please do NOT approve this project It's bad for our community, it's bad for our children, and it's bad for Chula Vista! Scar on lily Bros¢ Mobilc samsung Galaxy S8. Caroline Young From: John McCann Sent: Friday, August 23, 2019 5:16 PM To: Caroline Young Subject: FW: Proposed Eastlake Psychiatric Hospital From: Jennifer Villa': ._. _ sent: Monday, June 03, 2019 12:50 PM To: John McCann Subject: Proposed Eastlake Psychiatric Hospital li'aroirg: Esta' al Good afternoon Mr. McCann, Email I wanted to reach out to you regarding the proposed Eastlake Psychiatric Hospital. I own a home Inclose proximity to the location of the proposed psychiatric facility. The currently proposed site is lacking major characteristics of a Regional Hospital site. It's most easily accessible via a for pay toll road, the nearest bus stop is 1 mile from the facility and the facility Itself will take 30mins (without traffic) to transfer patients via ambulance. In addition to the accessibility and proximity issues, the currently proposed site on Showroom PI is surrounded by children's activities, schools and single family residences, including my own. This Regional Hospital will not only change the character of the neighborhood but it also poses a danger to this community. The risks of Elopement (leaving premises without permission) are very real and unfortunately "It has been identified as a significant issue by the psychiatric nursing community (MuirCochrane, Mosel, Gerace, Esterman, & Bowers, 2011)" .,."Psychiatric patients who elope are more likely to engage in suicidal and homicidal behavior. Elopements can have serious consequences, with one study reporting a 2G-30% suicide rate, as well as harm to others "Bowers, L., Jarrett, M., Clark, M., Kiylmba, F., & McFarlane, L, (2000). Determinants of absconding by patients on acute psychiatric wards. Journal of Advanced Nursing, 32(3),644-649. httos://www.psych iatricn ursinp,org/o rticle/50883-9417(12)00129-X/p df A segment of patients who will be treated are more likely to be violent. "The National Institute of Mental Health (NIMH) estimates that people with serious mental illness are three times more likely to be violent than the general population. When substance abuse, a previous history ofviolence or nonadherence to medication is involved, the risk becomes much higher."https://www.treatmetitadvocacycentecorg/key-Issues/violence. Although the hospital will have policies in place the negligence the Applicant (Acadia) has displayed at other facilities Is well documented, alarming and does not instill any confidence that they will run this facility with proper attention to following policies. Please see this list of Abuse/Negligence Reported as well as Facility closures and fraud lawsuits outline here: https://docs.googlecorn/document/d/leSGCjd7KscgclAJ_KxbT_-JpPm4FzLH Ku M EhGt8c.uPCY/edit?usp=slia ring (we have a box full of major violations from a few of their facilities). If the City Council approves the Conditional Use Permit for the applicant, knowing that elopements occur and violence is prevalent In facilities like these, the city will knowingly be allowing a business that will endanger a vulnerable population comprised of families with children to be built. To grant a Conditional Use Permit ALL municipal code sections withlnl9.40.080 must be met. This business does not meet municipal codes 19.40.080 (A)(B).A. That the proposed use at the particular location 1 is necessary or desirable to provide aservlce or facility which will contribute to the general well-being of the neighborhood or thecommunity; B. That such use will not, under the circumstances of the particular case, bedetrimental to the health, safety or general welfare of persons residing or working In the vicinity,or injurious to property or improvements In the vicinity; On March 26, 2019 the SD Board voted in favor of changing the land use to create a "Regional Behavioral Health Services Hub" on 4307 Third Ave. It is a 7.24 acre parcel of land, less than a mile North of Scripps Mercy Hillcrest. According to Nathan Fletcher's office, County staff are currently doing an analysis to determine what the need is in the Central Region area and what the mix of services should be. This land Is available now and the county is "looking for partners." I can't imagine a better situated parcel of land exists In the county. It would alleviate the need for long distance transfers, improve the success of coordinated care and is centrally located with access to mass transit. This Psychiatric hospital will serve a segment of patients that need the most acute care but the proposed location for this compromises the safety of our community. The community implores you to deny the permits being requested. Respectfully, Jennifer Villa Caroline Young From: John McGann Sent: Friday, Aug ust23, 2019 5:17 PM To: Caroline Young Subject: FW: Proposed Eastlake Psychiatric Hospital Importance: High From: Laura Ballard Sent: Wednesday, June 05, 2019 1:16 PM To:John McCann Subject: Proposed Eastlake Psychiatric Hospital Importance: High Warning: External: Dear Jim McCann, Email I am writing to you regarding the proposed Eastlake Psychiatric Hospital. I oppose the building of this hospital in the currently proposed location and ask that the city critically consider the repercussions of allowing a Regional Hospital that will service high acuity patients in close proximity to vulnerable populations comprised of elderly and families with children. I am a long time resident of Rolling Hills Ranch with three children still in high school. Due to the location of the community schools and our home, this is not a logical location for such a hospital. Make no mistakes about it, this Is not a neighborhood hospital it is a Regional Psychiatric Hub 20 miles from many of the patients It currently services. The issue with having this Regional Hospital so far from Scripps Mercy Hillcrest is that continued coordinated care will be more difficult. Most of these patients will have an ongoing struggle with mental illness that require an additional support infrastructure that Eastlake does not have. If this for profit hospital is truly meant to help people and not just make money from their suffering, why not build it in a more easily accessible location and in close proximity to the main hospital hub? Most people with mental Illness are not homeless but many homeless are mentally ill. They should not have to struggle to get to their outpatient appointments because of the poorly selected location. A bus ride from La Mesa to the proposed site is 8 firs, and a 1 mile walk up hill. Is this facility only meant for those who can afford a toll road and a vehicle? Although this facility is for profit, they accept Medicaid and Scripps has a charitable clause. Speaking of Medicaid, In early May 2019 Acadia reached a" ILT million settlement in a fraud scheme, the largest health care fraud settlement In West Virginia's history, U.S. Attorney Mike Stuart announced..." Additionally, according to researchgate.net "On discharge, 27% of the homeless patients were discharged to no fixed abode status..." [Article: j3ome1essness andjhe Lenoth of Stav in Psychietrio Wards August 2017] By approving the Conditional Use Permit you will be allowing a business to be built that will Increase homeless In the area and with it the risk of homeless related crimes in an area predominantly inhabited by families with children. Which is not in the best interest of the community that you presently serve. For all the reason mentioned above and all the ones you will be emailed about by other community members, I ask you to deny the Conditional Use Permit. Thank you, Laura Ballard LAURA BALLARD Ballard Bookkeeping Services unuia Vista, CA 91914 Caroline Youn From: Karen ekroden717@gmail.com> Sent: Friday, August 23, 2019 2:57 PM To: Caroline Young; Patricia Salvation; Kelly Broughton; Mary Salas; John McCann; Jill Galvez; Steve C. Padilla; Mike Diaz; montano.monica@scrippshealth.org Subject: Proposed Eastlake Psychiatric Hospital Warning: External Email - I oppose the proposed location of the Eastlake Psychiatric Hospital. There are better locations far a county hospital that will make the services more accessible to all. This hospital may increase police response times for neighbors. I am also concerned about the kids in the neighboring schools. The street this hospital is being proposed on Is on a street that is mostly made up of business geared for children. You are drastically increasing the possibility of a dangerous event happening by approving this facility In such close proximity to children's schools/activities. Just because the operator Is touting this as a lock down facility does not mean patients won't escape or be released onto the neighborhood streets. Patients can decline care once they are stable and walk out into the neighborhood. Please do not approve the permits for this hospital at this location. Thank you for your consideration, Karen Roden Chula Vista resident Caroline Young From: Gabriela Stone Sent: Thursday, August 22, 2019 5:20 PM To: Caroline Young; Kelly Broughton; Patricia Salvation; Mary Sales; John McCann; Jill Galvez; Steve C. Padilla; Mike Diaz; montano,monica@scrippshealth.org Subject: Proposed Psychiatric Hospital in Eastlake Warning: External Email Dear Chula Vista Planning Committee and Council Members, I oppose the proposed location of the Eastlake Psychiatric Hospital. There are better locations for a county hospital that will make the services more accessible for everyone and keep residents safe. This hospital may increase police response times for neighbors and therefore reduce security and safety levels. I am also concerned about the children in the neighboring schools and establishments. The street this hospital is being proposed on is made up of business geared for children and families. You are drastically increasing the possibility of a dangerous event happening by approving this facility in such close proximity to children's schools/activities. Even if the proposed facility is set out to be a locked facility, that does not mean patients won't escape or be released onto the neighborhood streets. I work at a Sharp hospital and know firsthand how patients with a mental health diagnosis, substance abuse disorder, or a combination of the two, can elope swiftly from a facility even with a safety observer present 24/7 for the patient, Patients can also decline care and walk out into the neighborhood. Please do not approve the permits for this hospital at this location, Thank you, Gabriela Stone Caroline Young From: bib! lake Sent: Thursday, August 22, 2019 2:44 PM To: Caroline Young Subject: Eastlake Psych Hospital: issues List / Luke Bergmann Attachments: LukeBergmannQUOTE.pdf M Hi Caroline, Can you let me know when Acadia sends the written response to the Issues List? One of the questions you sent from us was asking whether they had considered other sites or not so I wanted to send this along... Here's an excerpt from the article quoting Luke Bergmann (see article linked below and attached): "Luke Bergmann, director of behavioral health for San Diego County, applauded the deal for its ability to increase inpatient capacity. However, he said he is concerned when a stand-alone facility, is built many miles away from it hospital, that such a facility be connected to the "integrated" system of care that includes outpatient re_souices. The county, he noted, believes that many hospitalizations can be prevented if residents with mental health needs receive coordinated treatment and regular contact with care coordinators in a more proactive fashion than [ins been used in the past.." He goes on to say: ""We need a service that can stay connected to people regardless of where they're seen," Bergmann said. "Ultimately, the goal is to care for folks in their neighborhoods, i ndwe are eager to partner with Scripps in creating this kind of model" The thing to remember is that this is NOT a neighborhood hospital. It's a regional hospital that will service the county so If patient care Is supposed to be moving In the direction of neighborhood care this facility (due to it's location) does the complete opposite of that. It will be in an area with limited public transportation, most quickly accessible via loll road in one of the counties most southern neighborhoods. SDUT ARTICLE: httos://www.sandiegouniontribune.com/news/health/sd-no-scriuos-mental-health-20190212-stor ,hthtml Bibi Luke Lead Organizer CV SAFE x Chula Vista Safety and Fellowship Establishment. Let Our CltyAlways Live Safely. �I(�l901ff0 {I�IOb SEE[ 1W8 y 141N1. Of FFR 1 4 weeks tar 9R AMUIItl EMENT PMT. New Scripps partnership to build i2o-bed psychiatric hospital in Chula Vista by im'ro _ta,,aJ +ern+ Ton ns of 5ervioeand Pnva POIIq Yw sail t •asabor .poL• by I —,),r PrivWy POIbY U -s SI Macy Hospital in Hillcrest topped a list of local troepllais that will see their Medicare Weeparsemeate wt due to high readmission rete. (Hosasd Liphe By PAUL SISSON FEB. 12, 20t9 4:5) PM Scripps Health will partner with a Tennessee -based company to replace its 36 -bed psyehlatric unit in Whereat with a stand -Moro, leo-bad behavioral health hospital in Chula Vista by 2023, the health system announced Tuesday. Plans now nnderwaywould more than triple the number of iapatlent heds available trader an agreement with Acadia Healtheure Company Inc., a for-profit provider of it) patina I and outpatient mental health treatment that operates 586 nullities containing about 18,000 beds In qa states, the United Kingdom and puerto Rieo, The move comes as yindpps begins the process of rebuilding Scripps Mercy fb apiLai, it $1 billion endeavor given urgencyby state seismic laws that require significant repair or replacement of the aging medical center by 2080. Scripps plans to build Mercy's replacementJust south of the existing hospital's trauma and emergency department, and the need to build a new hospital tower while keeping die existing fault ity epen taipatients will require Scripps to demolish its "Isting behavioral health unit. Ry rt,1 ,.. /,,�a t- nu,n Tunas of Servba al I P,IvaoyPull,. Y's, 'nn a .ani .cn... I - yI nP'vacy PoIIcW CiI There was simply no room to create a new unit on the light Hilleeest campus and remain out of the hospital construction footprint, said Scripps Chief Executive Officer Chris Van Corder. "We would have loved to do it in the downtown area, hilt therejust ism 1land to do it there," Van Corder said. Sall Diego County faces a potential psychiatric bed crisis with the recent closure of a unit atTri-City Medical Center in North Canary and construction projects set to displace resources at Mercy and UCSD Medical Center in Hillcrest.. The Scripps announcement, coupled with word from the university in December thatltlYJil.cl+pl&ceit�exlSClt1g,39s�eiLlS4lttntha. 10•trcd'facility, fn the first phase of its $2 billion reconstruction project, helps address bed capacity concerns, especially alongside tentative plans for a psychiatric hospital with up to 120 beds being discussed for Palomar Medical Center property in Escondido. -yq tae 5roKsnneo COlM,l aka Save on Clothing, Travel and More: Find Out How L �. By Reinter D Luke Bergmann, director of behavioral health for San Diego County, applauded the deal for its ability to increase inpatient capacity. However, he said he is emmerned when a stand-alone facility is built many miles away from a hospital, that such a f lenity be connected to [he "integrated" system of care dintincludes outpatient resources. The county, he noted, believ=es that many hospitalizations can be prevented if residents with mental health needs receive coedlnated treatment and regular cannot with care coordinators iu a more proactive bastion than has been used in the pas t. "We need a service that can stay counseled to people regardless of where they're seen,` Bergmann said. "Ultimately, the goal is to care for folks in their neighborhoods, and ave are eager to pioneer with Scripps in creating this kind of model" Van Corder laid the expectation is Indeed it holistic mental healIh spina b. Ilesdd Acadia, which has recently faced media and Political art o irly of snore of Its operatfoms, is in escrow On undeveloped land at the end of Showroom Place in Chula Vista's Eastlake Business Park. B „mings .,)t.l see.yo,, ,,,. cue Terme of ServasSM Privacy POMC}' V'.e^nn rn.eaon ti.saeanr i - agmaPl e yPOI,Oy Gus. After obtaining approval troll) the oil its] with a lacked unit able to accept Involuntary holds for patients deemed to be it danger to themselves or others. Emergency psychiatric cases would AM he transported bylaw enforcement to the emergency rooms at Scripps' main hospitals with those loused of additional treatment then transported south to Chula Vista. Traded on the Nasdaq stock exchange, Acadia is among a handful of large private psychiatric services companies with an international footprint. The company already operates outpatient drug treatment centers in EI Caton, Fashion Valley, Chula Vista and San Marcos and runs the female -only Montecatoo Eating Disorder Treatment Center in Carlsbad. Van Corder said that Scripps will have a 20 percent stake in the facility which has not yet been named, adding that this will not be a hands off operation. Scripps, he said, has made sure that it will be able to participate in decision-making and ease reviews. The company has also agreed to follow Scripps' charity enre policies, meaning that they will accept patients with Medi -Cal health insurance coverage, he said, "We have a significant my in who the chief executive will be, who the clinical leaden will be, and on the day-to-day policies affecting transfers and admissions,"Van Gorder said. Founded in 2005 and trading on the NASDAQ stock exchange under the symbol ACHC,Anadia mcently saw its stock price fail amid a string of market difficulties. As reported by the online finance journal Seeking Alpha, Acadia has run into trouble with the U.K Parliament over allegations of"wamhousing" children with autism and other disorders in facilities operated by the company. Hack at home, the company ousted its former chairman and CEO and fess scrutiny in Oklahoma after anjpygypgatim bythe The Oklahoman newspaper that detailed severe patient cam pmblems at Rolling Hills Hospital, a ioS-bed facility which Acadia purchased in 2012. Acadia did not renu as request to discuss the Scripps deal Tuesday afternoon. Van Gender said in an email that Scripps did Its homework, including doing its own site visits at Acadia facilities, before signing the partnership deal. "We did due diligence and are aware of Nese cases and discussed (Nem) with the company," Van Corder said "I think you could google all of the top-rated hospitals and health systems In the country and could find issues with all of them. We are satisfied with our due diligence and the working relationship with the leaders of the company in place today." Health Videos HEALTH PLAYLIV ny connncag hae ac, alta,youaWas w run Terms of S lm soul Priva,%i,. Ypc pan learn muco about how cup use anpaiaa by reviewing as RWaoy Pdby� Cbee, The Latest Challenge in Addressing the County's Mental Health Crisis, Neighborhood Op... Page I of 8 All Stories o Ne'otslCcer5 About Us, Border housing NEWS Sign In , DONATE UNVEILING THE UNSEEN Podcasts , Events Partner Voices Support USS School Sexual Misconduct North County *11,11 @ MD The Latest Challenge in Addressing the County's Mental Health Crisis: Neighborhood Opposition Residents- and community leaders are already raising concerns about plans to open facilities to treat mental health patients, hinting at the likelihood of similar scenarios as proposals move forward countywide. Lisa H.nlverstadc f V in e 44 s n„urs oga Acadia Healthcare and Scripps Health hope to bu ld a 120 -bed psychiatric hospital In Chula Vista's Eastlake neighborhood, / Photo by Adrinna Heldiz STAY UP TO DATE Subscribe to our doll roundup o San Diego most important stories (Monday - Friday) Entt https:llwww,voiceofvandiego.orgltopics/news/the-latest-challenge-in-addressing-the-county... 9/9!2019 The Latest Challenge in Addressing the County's Mental Health Crisis: Neighborhood Op... Page 2 of 8 There's a looming hurdle to county leaders' plans to open new TRENDING STORIES psychiatric facilities across the region: their own constituents. - - - In Chula Vista's Eastlake neighborhood has amassed more � WeekMonth Year than 3,960 signatures since residents became aware of the How San This summer, count supervisors signed off on a Ian to Y P g P Diego's ea h_Gguptywide network of walk crrias units for Housing Shortage patients who need urgent psychiatric care and also signaled Became so Dire they'd like to opgnTegiunal_befiavora! Meanwhile, a handful of hospitals hope to build new facilities Morning from Oceanside to Chula Vista, proposals likely to trigger Report: Susan Davis, out public review processes. Two Small Residents and community leaders are already raising Agencies want a Divorce From concerns as initial details on two projects emerge, hinting at the Water the likelihood of similar scenarios as proposals move forward Authority. it could Get countywide. Messy. A 0aW,org.petltion opposing a 120 -bed psychiatric hospital PoliticsReport: What avis In Chula Vista's Eastlake neighborhood has amassed more Hath Wrought than 3,960 signatures since residents became aware of the new facility being pushed by Tennessee -based for-profit The Roadblocks Acadia Healthcare and San Diego -based Scripps Health. to a cross - Border Trolley Acadia and Scripps are holding a community meeting later this month to brief residents on their plans and try to ease concerns. In Vista, where county officials hope to add 24-hour crisis stabilization services to an existing 4,gyntycfnllsie�r WaIK-4p faci-lity operated by Exodus Recovery, the city's elected leaders are proceeding cautiously and asking lots of questions. "I think the county knows they have some challenges to ..RBpA]IR, overcome to win the city's approval for this," Vista Deputy -. MayorJohn Franklin said.' Waal do you want to n know about how San Diego government works? Help us find y and Investigate https:/lwww.voiceorszndiego.org/topics/news/the-latest-challenge-in-addressing-the-county... 9/9/2019 'Phe Latest Challenge in Addressing the County's Mental I lealth Crisis: Neighborhood Op... Page 3 of A In recent weeks, County Supervisor Jim Desmond has 01250 accompanied Vista City Council members on tours of the Your contact into existingExodus facility and has looped in Sheriff Bill Gore to Y p we look �'° he i0 question into your question. help tackle public safety questions. help Name Desmond Is also pledging to ensure the Vista facility isn't the Email address only one like it in North County. 21P Code "It's gonna take some assurances from law enforcement and M sign me up for the the county on how it's gonia be operated, Desmond said. Moming Report! "We're not there yet, but we're getting closer every time we Submit talk," pewered by He rX n Desmond and other county officials are bracing for more tough conversations with community leaders across the region. Fellow North County Supervisor Kristin Gaspar made a call to action to elected officials before voting to approve the plan to establish crisis units. "If we are to truly evolve the entire system, it suggests that all communities need these services because in every community, there are people in need of these services. We can manage their chronic Illness, or we can wait In all of these cities for them to hit that point of vulnerability or crisis, Choose," Gaspar said at theJune 25 hearing. "So, to our City Council members that are in charge of the very municipalities where these services need to be located, we need you on our team." Underscoring the potential challenges to come, the opposition to a Scripps -backed partnership to deliver Inpatient psychiatric beds in Chula Vista mushroomed ffor a fang l py,p,pgsal was even submitted to the city. trttps:Ilwww,voiceofseitdiego,orgltopics/oewslthe-latest-challottgc-in-addressing-the-county._ 9!912019 The Latest Challenge in Addressing the County's Mental Health Crisis: Neighborhood Op... Page 4 of 8 Scripps has said Scripps Mercy Hospital in Hillcrest Is one of several hospitals in the region that nyus[_hg replaced in coming years to comply with state seismic regulations. Rather than committo another 36 -bed psychiatric unit In Hillcrest, Scripps announced in February that it would partner with Acadia to build a larger 120 -bed facility In an Eastlake cul- de-sac flanked by a business center that houses a Montessori academy and a trampoline park. Scripps and Acadia hope to open their new facility in 2023 and plan to serve teens, adults and seniors. Acadia, which is poised to hold an 80 percent share in the partnership, Is now under contract to purchase the 10.5 -acre plot in Chula Vista and the partnership group known as Eastlake Behavioral Health LLC has submitted a permit application to the city. Scripps has described the arrangement as a win for the region and South Bay. "It adds capacity to the San Diego region that has a 1111111f-ld msaid Dr, Jerry Gold, administrator of behavioral health for Scripps. But when nearby residents learned about the project, they immediately pushed back. "I think it's well -Intentioned and poorly planned," Eastlake resident Ian Burgar said. Burgar and others have since spent flours researching Acadia, digging up news reports uncovering aHg rost.S,T? clhus and �a_jy 1de5, Those news stories and the group's concerns about howthe project might impact nearby schools and hltpsa/www.voiceofsandiego.org/topics/news!the-Itttest-ishallenge-in-addrasshrg-tJia-ooumty... 919/2019 The Latest Challenge In Addressing [lie County's Mental Health Crisis: Neighborhood Op..- ;?age 5 of $ businesses now feature prominently in the petition against the proposed Eastlake hospital. They have also seized on county behavioral health director Lu ke Bergma an's�,gfnr an gsl]g.ShcO.pjg *q,U io-,tLbune that a stand-alone hospital miles awayfrom other care options is not ideal. "It's not accessible. There's not continuing care. It's not co - located," Burgar said. 'There's not police presence a facility like this will probably require and (Acadia) is a nightmare." Gold said Scripps opted to pursue the partnership due to Acadia's experience operating hundreds of other behavioral health facilities across the world, and its work with other providers. "Scripps took the Initiative to Investigate the concerns and felt they were a partner with the expertise that would make It a positive partnership," Gold said. Gold said Scripps' 20 percent stake ensures it will have oversight over the facility's operations and that the hospital will collaborate with other health care providers- in the region. In a statement, Acadia defended Its track record, noting that Its "aggregate rate of grave and serious Incidents is extremely small" and that Its Facilities strictly adhere to federal and accreditation standards. The company said it is planning to incorporate a number of security measures In the Chula Vista project, Including 24-hour security and perimeter fencing and landscaping to provide an additional barrier between the facility and the neighborhood. htt7rs://wws�avoiceofsandiegu.otg/topioshtewslthe-latest-challenge-in-addressing-the-county... 9/90019 The Latest Challenge in Addressing the County°s Mental Ilea lih Crisis: Neighborhood Op... Page 6 of 8 Acadia said It may also consider minor adjustments to the project as it gathers Input from residents and city offldals. Chula Vista City Councilman John McCann, who represents the Eastlake area, said he encouraged Acadia and Scripps to host the community meeting later this month to explain their plans and get residents' Input. "I'm hoping that we can all work together to find solutions that the community can be in favor of," McCann said. Tags: rneNal health mental health eaMces Show Comments W rn1, 8, Lisa Halverstadt Lisa Halverstadt writes about San Diego city and county governments. She welcomes story tips and questions. Contact her directly at iJa-aLX2SfL9.t$ or 619.325.0528. MORE IN NEWS Morning Retort: Potential Neighbors Oppose New Mental Heahh Facilities What We Learned This Week VOSD Podeasb The Race for the 53rd Is Wide Open (for Democrats) haps://www.voiceofsandiego.org/topicslnevvs/the-latesthehallenge-in-addrossing-the-county... 9/9/2019 Caroline Young From: Linda Yocom -- Sent: Thursday, August 22, 2019 3;29 PM To: Caroline Young; Kelly Broughton; Patricia Salvation; Mary Salas; John McCann; Jill Galvez; Steve C. Padilla; Mike Diaz Cc: montano.monica@scrlppshealth,org Subject: Proposed Eastlake Psychiatric Hospital Waning: External. dear Sir/Madam: Email I oppose the proposed location of the Eastlake Psychiatric Hospital. There are better locations for a county hospital that will make the services more accessible to all. This hospital may increase response times for neighbors. I am also concerned about the kids in the neighboring schools. The street this hospital is being proposed on is on a street that is mostly made up of businesses geared for children. You are drastically increasing the possibility of a dangerous event happening by approving this facility in such close proximity to children's schools/activities. Just because the operator is touting this as a lock down facility does not mean patients won't escape or be released onto the neighborhood street. Patients can decline care once they are stable and walk out into the neighborhood. Please do not approve the permits for this hospital at this location. Sincerely, Linda Jonkers-Yocom Caroline Young From: Mike Williams Sent: Thursday, August 22, 2019 T17 RM To: Caroline Young Subject: My opposition to the Acadia Health Psyc Hospital M I live in Rolling Hills Ranch and I would like to add my name to the list against the hospital. I think a good spot might be near the prison. Others have suggested elsewhere closer to other medical facilities that can be better suited when the patient Is released. If we get this hospital and there ends up a population of damaged souls wandering our East Chula Vista neighborhood, there will be big problems from nonstop calls to police, and Vat forbid anything happens to our children, the mob of vigilante justice will pale in comparison to calls at the ballot box to replace everyone who did not stop this. Thank You, Mike Williams Caroline Youn From: Danielle MacAdams Sent: Wednesday, August 21, 2019 4:55 PM To: Kelly Broughton; Patricia Salvation; Caroline Young Subject: Opposition to Eastlake Psychiatric Hospital Warning: External ***Received receipt requested*** Email Dear Members of the Chula Vista Planning Commission, We are residents of Rolling Hills Ranch and we oppose the building of the Psychiatric Hospital at the currently proposed site 830 & 831 Showroom Place. We would like the following questions answered: 1. Does this hospital plan on verifying whether employees and patients are registered sex offenders? 2. Was a feasibility study conducted on 830 & 831 Showroom Place to understand what services would be needed? If so, please send it so we can review it. If not, why not? 3. Can Acadia provide a document showing the number of elopements per facility in 2018? 4. Why isn't Scripps/Acadia moving forward with the parcel of (and on 4307 Third Avenue that Is 0.5 miles away from Scripps Mercy and has been designated by the city to be used as a behavioral health facility? S. Why did they select a site 20 miles from Scripps Mercy Hillcrest and at the southern edge of San Diego County as a location for a regional psychiatric hospital? 6. Will they have ambulances transporting patients to or from the facility? If so, will the sirens be on? 7. How will outpatients without vehicles or a social worker get to their appointment at Showroom Place? The closest bus stop is 1 mile away. 8. Will Scripps/Acadia fund the additional Police, Firefighters and First Responders necessary to deal with an influx of calls to the facility that will take away resources from our community? Police reports from other San Diego County psychiatric facilities suggest a high call number and your proposed hospital will be almost double other county facilities. It must be noted that adding a new facility of this scale will cause an increase in call volume resulting In an increase in response time from ambulances, fire, and police. Chula Vista currently does not have enough police and Eastlake has the fewest patrols assigned to handle Issues arising from the proposed facility or from those released, How will this be addressed? Police reports related to similar facilities in San Diego County indicate a high volume of calls to those facilities. Given that this facility will have a substantially larger bed count, data shows that the police call volume will likely also increase significantly. Asa result, If this deal were to move forward, any plans should Include the construction of a fully fun ctlonal police substation in eastern Chula Vista which has already been sorely needed. The costs for this facility should be funded solely by Acadla/Scripps to illustrate their investment in Chula Vista public safety. The ideal location for this substation would be on a portion of the Showroom Place site. If not, it should be in immediate proximity (within a mile).of this hospital facility as a maximum accepted radius. Acadia/Scripps should also be required to fully fund (at their sole expense) an additional 5.10 police officers and staff annually for an indefinite period of time until local safety concerns have stabilized post -opening of the facility. Finally, an application for this facility at 830 & 831 Showroom Place was officially submitted by Acadia on 5/20/19. Apparently, the city will only be notifying residents that live 500 feet or less from the proposed site's property line unless you contact the city with your physical address. This email serves as my request to be notified in the future on this project by email (preferred) or mail. I would like to firmly state that the 500 foot threshold is unacceptable and should be expanded to a 3 mile radius since this facility can and will have a significant impact on the safety of area residents well outside 500 feet. Thank you for considering our comments. Concerned for our community, Arthur & Danielle MacAdams Chula Vista CA 91914 Caroline Young From: Kelly Broughton Sent: Tuesday, August 20, 2019 10:02 PM To: Caroline Young Subject: FW: Opposition or Eastlake Psychiatric Hospital FYI -----Original Message ----- From: Leah Hurtado Received: Tuesday, 20 Aug 2019, 9,24PM 7a: Kelly Broughton Ikbroughton@chulavistaca.gov] Subject: Opposition or Eastlake Psychiatric Hospital M Hello, I am an Eastlake resident. I have a number of safety concerns that I would like to have addressed regarding the Psychiatric Hospital Proposed for 830 & 831 Showroom Place. This facility will be 20 miles away from Scripps Mercy Hospital in Hillcrest, far removed from much of the population it currently serves. How will patients get to this location with limited public transportation and quick accessibility only available via toll road? What will happen to patients when they are released and refuse help from a social worker? What happens when patients lack housing, access to additional medical care, or a family/support system to assist them? Patients who refuse treatment and walk out of the facility and those who are discharged without a ride pose risks for the many schools, parks, and daycares centers that are in the neighborhoods surrounding the facility. How will this be addressed? What about Jessica's Law? This hospital may violate Jessica's Law given the close proximity to the Montessori Preschool. Does this hospital plan on verifying whether employees and patients are registered sex offenders? Adding a new facility of this scale will cause an increase in call volume resulting in an increase in response time from ambulances, fire, and police. Chula Vista currently does not have enough police and Eastlake has the fewest patrols assigned to handle issues arising from the facility or from those released. How will this be addressed? We have acquired police reports to many psych facilities In San Diego County and noted the high volume of calls to those facilities. Given that your facility will have a substantially larger bed count data shows that the police call volume will likely also be double. 830 & 831 Showroom Place is NOT an appropriate site for this facility. Acadia Healthcare's track record speaks for itself and cements the communities concerns that negligence will lead to unfortunate situations for patients, employees, and the surrounding community. Leah Hurtado Sent from my Phone Caroline Young From: Briana Wyatt Sent: Tuesday, August 20, 2019 11:50 PM To: Caroline Young; Patricia Salvation Subject: Opposition to Eastlake Psychiatric Hospital Warning: External Caroline and Patricia, Email I read a recent article where a Louisville Acadia run facility decided to relocate to a more remote part of town due to the assaults and neighborhood concerns. When a neighbor stated "Acadia should strive for zero patient elopements, and that anything else was unacceptable." Acadia Healthcare Division President Jeffrey Woods replied: "This is the real world and the reality is it's going to happen on any campus" So, why is this campus being built surrounded by residences, 400 feet away from a preschool, 700 feet away from a K-12 school and 1 mile from Eastlake Middle School and Salt Creek Elementary School? We are all living in the real world and you have a division president telling people on record that elopement is an expected event. All these issues happened at a low to mid acuity facility. What possible events could happen In a facility for high acuity patients? Does Scripps really feel 100% confident that a sentinel event won't occur? Knowing that elopements are expected, why build this hospital at a site where the likelihood for a harmful event to occur for both patients and community members Is hlgh? I oppose the building of this hospital on 830 & 831 Showroom Place. This psychiatric hospital should be built in a different location. Article: httos:/lwww.thedailvtimes.com/news/louisville-behavior-health-center-to-relocate-after-assaults- 2. Pacific Coast Christian K-12 700ft 3. Green Hills Bilingual Learning Academy 0.5 Miles 4. Eastlake Klnderoare 0.7 Mlles 5. Salt Creek Elementary 1 Mile 8. Learning Choice Academy 1 Mile T Eastlake Church Preschool 1.1 Miles B. Thurgood Marshall 1.2 Miles 9. Eastlake Middle School 1.4 Miles 10. Arroyo Vista Charter 1.4 Miles 11. Eastlake High School 1.5 Miles Respectfully, Briana R. Wyatt, MBA, RYT Coach, Consultant, Speaker Inspiring coaching and holistic mind -body tools to create personalized sacred rituals that help you live with more JOY, CREATIVITY, & PURPOSE! Let's Collaborate! Visit me at WwN- fjEmaWy_att.com Caroline Young From: maria hernandez Sent: Tuesday, August 20, 2019 9:34 PM To: Caroline Young Subject: Mental Health Facility In Chula Vista Warning: External Email Hello, My name is Maria Hernandez-Palafox. 1 was here in Chula Vista. I am a resident of the Eastlake area. I am wrlttto you to advice you that I am against the building of a new psychiatric facility in Chila Vista. We have seen the influx of homeless people Into the west Chula Vista area since the social service facility opened on West oxford street. The crime has skyrocketed since that facility opened Its doors. Placing a psychiatric facility in our area will also change our neighborhood These psychiatric patients will be discharged Into our neighborhood without resources. These patients are not only mentally unstable, but many of them do not have any family support or resources to fall back on. They will become residents on our neighborhood streets. I am opposed to this facility. Maria Hernandez-Palafox RN, MSN Sent from Yahoo Mail for iPhone Caroline Young From: Briana Wyatt Sent: Tuesday, August 20, 2019 11:47 PM To: John McCann Subject: Opposition to Eastlake Psychiatric Hospital Follow Up Flag: Flag for follow up Flag Status: Completed Warning: €Marmot Councilman McCann, Email I read a recent article where a Louisville Acadia run facility decided to relocate to a more remote part of town due to the assaults and neighborhood concerns. When a neighbor stated "Acadia should strive for zero patient elopements, and that anything else was unacceptable." Acadia Healthcare Division President Jeffrey Woods replied: "This is the real world and the reality is it's going to happen on any campus" So, why is this campus being built surrounded by residences, 400 feet away from a preschool, 700 feet away from a K-12 school and 1 mile from Eastlake Middle School and Salt Creek Elementary School? We are all living in the real world and you have a division president telling people on record that elopement Is an expected event. All these issues happened at a low to mid acuity facility. What possible events could happen in a facility for high acuity patients? Does Scripps really feel 100% confident that a sentinel event won't occur? Knowing that elopements are expected, why build this hospital at a site where the likelihood for a harmful event to occur for both patients and community members is high? I oppose the building of this hospital on 830 & 831 Showroom Place. This psychiatric hospital should be built in a different location, 2. Pacific Coast Christian K-12 700ft 3. Green Hills Bilingual Learning Academy 0.5 Miles 4, Eastlake Kindercare 0.7 Mlles 5. Salt Creek Elementary 1 Mile 6, Learning Choice Academy 1 Mile 7, Eastlake Church Preschool 1 A Miles 8, Thurgood Marshall 1.2 Miles 9. Eastlake Middle School 1A Miles 10, Arroyo Vista Charter 1.4 Miles 11. Eastlake High School 1.5 Miles Respectfully,. Briana R. Wyatt, MBA, RYT Coach, Consultant, Speaker Inspiring coaching and holistic mind -body tools to create personalized sacred rituals that help you live with more JOY, CREATIVITY, & PURPOSE! Let's collaborate! Visit me at www BrianaWyett.com Caroline Young From: saraheochoa, _.. Sent: Friday, August 16, 2019 9:16 PM To: Mary Salas; John McCann; Jill Galvez; Steve C. Padilla; Mike Diaz; Kelly Broughton; Patricia Salvation; Caroline Young; montano.monica@scrippshealth.org Subject: Opposition to Eastlake Psychiatric Hospital Warning: Eat ernal Mayor Solas Email- I read a recent article where a Louisville Acadia run facility decided to relocate to a more remote part of town due to the assaults and neighborhood concerns. When a neighbor stated "Acadia should strive for zero patient elopements, and that anything else was unacceptable." Acadia Healthcare Division President Jeffrey Woods replied: "This is the real world and the reality is it's going to happen on any campus" So, why is this campus being built surrounded by residences, 400 feet away from a preschool, 700 feet away from a K-12 school and 1 mile from Eastlake Middle School and Salt Creek Elementary School? We are all living In the real world and you have a division president telling people on record that elopement is an expected event. All these Issues happened at a low to mid acuity facility. What possible events could happen in a facility for high acuity patients? Does Scripps really feel 100% confident that a sentinel event won't occur? Knowing that elopements are expected, why build this hospital at a site where the likelihood for a harmful event to occur for both patients and community members Is high? 1 oppose the building of this hospital on 830 & 831 Showroom Place. This psychiatric hospital should be built In a different location. Article: htt s; www,tliedailytimes.com nevillouisvlile,behavior-health-center-to-relocate-after-assaults-neichborhood- concerns/article 523be3b2-98ce-5ea6-afdf- 028e94103b9e.html?fbclid=lwAR300X3Qx 1AkGfsDKd8vbJASyIco51Dg700TiX UUSD$2ivd4Noods02u4 1, Montessori Preschool 400ft 2, Pacific Coast Christian K-12 700ft 3, Green Hills Bilingual Learning Academy 0.5 Miles 4, Eastlake Kindercare 0.7 Miles S. Salt Creek Elementary 1 Mile 6, Learning Choice Academy 1 Mile 7. Eastlake Church Preschool 1.1 Miles S. Thurgood Marshall 1.2 Miles 9. Eastlake Middle School 1.4 Miles 10. Arroyo Vista Charter 1.4 Miles 11. Eastlake High School 1.5 Mlles Respectfully, Sarah Rathe Caroline Young From: John Teevan Sent: Friday, August 16, 2019 11:29 AM To: Mary Salas; John McCann; Jill Galvez; Steve C. Padilla; Mike Diaz; Kelly Broughton; Patricia Salvadom Caroline Young Cc: montano.monica@scrippshealth.org Subject: Eastlake Psychiatric Hospital - Proposed at 830 & 831 Showroom Place Warning: EX, temal Dear Mayor Salas, Members of Chula Vista City Council and Members of the Chula Vista Planning Commission: Email My wife and 1 are residents of Rolling Hills Ranch and we oppose the building of the Psychiatric Hospital at the currently proposed site 830 & 831 Showroom Place. I would like the following questions answered: 1. Does this hospital plan on verifying whether employees and patients are registered sex offenders? 2. Was a feasibility study conducted on 830 & 831 Showroom Place to understand what services would be needed? If so, please send it so we can review it. If not, why not? 3. What will unit 3A and unit 3B as listed in the conditional use permit application be used for? Currently, it states "patient mix to be determined." 4. Can Acadia provide a document showing the number of elopements per facility in 2018? 5. Why isn't Scripps/Acadia moving forward with the parcel of land on 4307 Third Avenue that is 0.5 miles away from Scripps Mercy and has been designated by the city to be used as a behavioral health facility? & Why Isn't Scripps/Acadia building this at the Chula Vista Scripps location? 7. Can Acadia/Scripps provide readmission rates/statistics for all Acadia facilities from 2014 through 2019? & How many sites did Awdla consider before selecting Showroom Place? 9. Why did they select a site 20 miles from Scripps Mercy Hillcrest and at the southern edge of San Diego County as a location for a regional psychiatric hospital? 10. Will they have ambulances transporting patients to or from the facility? If so, will the sirens be on? 11. What routes will transfers from Scripps Mercy Hillcrest take to Showroom Place take? What routes will transfer from Scripps Mercy Chula Vista to Showroom Place take? 12. How will outpatients without vehicles or a social worker get to their appointment at Showroom Place? The closest bus stop is 1 mile away. 13. What does the planned coordinated care for patients look like? 14. What is the ratio of social workers to patients? 15. Are Scripps/Acadia working with the city to create bus routes to this hospital? 16. Will Scripps/Acadia fund the additional Police, Firefighters and First Responders necessary to deal with an influx of calls to the facility that will take away resources from our community? Police reports from other San Diego County psychiatric facilities suggest a high call number and your proposed hospital will be almost double other county facilities. 17. What Is the detailed evacuation plan should an earthquake or fire occur? It must be noted that adding a new facility of this scale will cause an increase in call volume resulting in an Increase in response time from ambulances, fire, and police, Chula Vista currently does not have enough police and Eastlake has the fewest patrols assigned to handle issues arising from the proposed facility or from those released, How will this be addressed? Police reports related to similar facilities in San Diego County indicate a high volume of calls to those facilities. Given that this facility will have a substantially larger bed count, data shows that the police call volume will likely also Increase significantly. Asa result, If this deal were to move forward, any plans should include the construction of a fully functlonaI police substation in eastern Chula Vlsta which has already been sorely needed. The costs for this facilltyshould be funded solely by Acadla/Scripps to Illustrate their investment in Chula Vista public safety. The ideal location for this substation would be on a portion of the Showroom Place site, If not, it should be in Immediate proximlty (within a mlle) of this hospital facility as a maximum accepted radius. Acadla/Scripps should also be required to fully fund (at their sole expense) an additional 5-30 police officers and staff annually for an indefinite period of time until local safety concerns have stabilized posbopening of the facility. Finally, an application for this facility at 830 & 831 Showroom Place was officially submitted by Acadia on 5/20/19, Apparently, the city will only be notifying residents that live 500 feet or less from the proposed site's property line unless you contact the city with your physical address. This email serves as my request to be notified in the future on this project by email (preferred) or mall. I would like to firmly state that the 500 foot threshold Is unacceptable and should be expanded to a 3 mile radius since this facility can and will have a significant impact on the safety of area residents well outside 500 feet. Thank you for considering my comments. Concerned for our community, John P Teevan III & krlsten Loupassakis Chula Vista, CA 91914 Caroline Young From: kat cal, Sent: Friday, August 16, 2019 1:28 PM To: Mary Sales Cc: relocatehospital@gmail.com; Mike Diaz; Kelly Broughton; Patricia Salvaclon; Caroline Young; montano.monica@scrippshealth.org Subject: Eastlake Psychiatric Hospital Warning: W mint ;Hello, Email I oppose the building of the Psychiatric Hospital at the currently proposed site at 830 & 831 Showroom Place. I would like the following questions answered: 1. Does this hospital plan on verifying whether employees and patients are registered sex offenders? 2: Was a feasibility study conducted on 830 & 831 Showroom Place to understand what services would be needed? If so, please send it so we can review it. If not, why not? 3. What will unit 3A and unit 3B as listed in the conditional use permit application be used for? Currently, it states "patient mix to be determined:' 4. Can Acadia provide a document showing the number of elopements per facility in 2018? 5. Why Isn't Scripps/Acadia moving forward with the parcel of land on 4307 Third Avenue that is 0.5 miles away from Scripps Mercy Chula Vista and has been designated by the city to be used as a behavioral health facility? 6. Why isn't Scripps/Acadia building this at the Scripps Mercy Chula Vista location? 7. Can Acadia/Scripps provide readmission rates/statistics for all Acadia facilities from 2014.2019? 8. How many sites did Acadia consider before selecting Showroom Place? 9. Why did they select a site 20 miles from Scripps Mercy Hillcrest and at the southern edge of San Diego County as a location for a regional psychiatric hospital? 10. Will they have ambulances transporting patients to or from the facility? If so, will the sirens be on? 11. What routes will transfers from Scripps Mercy Hillcrest take to Showroom Place take? What routes will transfer from Scripps Mercy Chula Vista to Showroom Place take? 12. How will outpatients without vehicles or a social worker get to their appointment at Showroom Place? The closest bus stop is 1 miles away. 13. What does the planned coordinated care for patients look like? 14. What Is the ratio of social workers to patients? 15. Are Scripps/Acadia working with the city to create bus routes to this hospital? 16. Will Scripps/Acadia fund the additional Police, Firefighters and First Responders necessary to deal with an influx of calls to the facility that will take away resources from our community? Police reports from other San Diego County psychiatric Facilities suggest a high call number and your proposed hospital will be almost double other county facilities. 17. What is the detailed evacuation plan should an earthquake or fire occur? Concerned for our community, Best regards, Mark Callahan Dear Caroline Young, 1 am writing to inform you that as an Eastlake resident I oppose the proposed psychiatric hospital for 850 and 851 showroom pl. I would like for you to know that the community opposes this hospital for concerns that you are well aware, and some are expressed below Please know that the community is organized and we have legal representation. As an Eastlake resident I have a number of safety concems that I would like to have addressed as soon as possible regarding the Psychiatric Hospital Proposed for 850 $ 851 Showroom PI. This facility will be 20 miles away from Scripps Mercy Hospital in Hillcrest, far removed from much of the population it currently serves. How will patients get to this location with limited public transportation and quick accessibility only available via toll road? What will happen to patients when they are released and refuse help from a social worker? What happens when patients lack housing, access to additional medical care, or a family/support system to assist them? Patients who refuse treatment and walk out of the facility and those who are discharged without a ride pose risks for the many schools, parks, and daycares centers that are in the neighborhoods surrounding the facility. How will this be addressed? What about Jessica's Law? This hospital may violate Jessica's Law given the close proximity to Montessori Preschool. Does this hospital plan on verifying whether employees and patients are registered sex offenders? Adding a new facility of this scale will cause an increase in call volume resulting in an increase In response time from ambulances, fire, and police. Chula Vista currently does not have enough police and Eastlake has the fewest patrols assigned to handle issues arising from the facility or from those released. How will this be addressed? We have acquired police reports to many psych facilities in San Diego County and noted the high volume of calls to those facilities. Given that your facility will have a substantially larger bed count data shows that the police call volume will likely also be double. 830 $ 831 Showroom PI is NOT an appropriate site for this facility. Acadia Healthcare's track record speaks for itself and cements the communities concerns that negligence will lead to unfortunate situations for patients, employees, and the surrounding community. In addition I would like for you to provide me with answers to my following questions 1. Does this hospital plan on verifying whether employees and patients are registered sex offenders? 2: was a feasibility study conducted on 830 $ 831 Showroom PI to understand what services would be needed? If so, please send it so we can review it. If not, why not? 3. What will unit 3A and unit 35 as listed In the conditional use permit application be used for? Currently, it states "patient mix to be determine." 4. Can Acadia provide a document showing the number of elopements per facility in 2018? 5. Why isn't Scripps/Acadia moving forward with the parcel of land on 4307 Third Ave. that Is .5 miles away from Scripps Mercy and has been designated by the city to be used as a behavioral health facility? 8. Why isn't Scripps/Acadia building this at the Chula Vista Scripps location? 7. Can Acadia/Scripps provide readmission rates/statistics for all Acadia facilities from 2014 - 2019? 6. How many sites did Acadia consider before selecting Showroom PI.? 9. Why did they select a site 20 miles from Hlllcrest Mercy and at the southern edge of San Diego County as a location for a regional psychiatric hospital? 10. WIII they have ambulances transporting patients to or from the facility? If so, will the sirens be on? 11. What routes will transfers from Scripps Mercy Hillcrest take to Showroom PI take? What routes will transfer from Scripps Mercy Chula Vista to Showroom PI take? 12. How will outpatients without vehicles or a social worker get to their appointment at Showroom PI? The closest bus slop is 1 miles away. 13. Whet does the planned coordinated care for patients look like? 14. What is the ratio of social workers to patients? 15. Are Scripps/Acadia working with the city to create bus routes to this hospital? 16. Will Scripps/Acadia fund the additional Police, Firefighters and First Responders necessary to deal with an influx of calls to the facility that will take away resources from our community? Police reports from other San Diego County psychiatric Facilities suggest a high call number and your proposed hospital will be almost double other county facilities. 17. What is the detailed evacuation plan should an earthquake or fire occur? I appreciate your response. Diana Alvarez, MSW Chula vista CA 91914 Caroline Young From Patricia Salvacion Sent Monday, August 12, 2019 8:12 AM To: Caroline Young Subject FW: Belinda Rojas -Garcia fyi -----Original Message ----- From: BELINDA ROTAS-GARCIA • _ Sent: Saturday, August 10, 2019 2:11 PM To: Patricia Salvacion <psalvacion@chulavistaca.gov> Subject: Belinda Rojas -Garcia Warning: External Email We are against the construction of the hospital. Please consider a new location to be build A ! 1!! Sent from my iPhone Caroline Young From: BELINDA ROJAS-GARCIA _........_.__.. Sent Saturday, August 10, 2019 3:45 PM To: John McCann Subject; Opposition to Proposed Eastlake Psych Hospital Fellow Up Flag: Follow up Flag Status: Completed Warning: External Email John McCaan, "I am writing because I oppose the proposed psychiatric hospital in Eastlake. The operator of this facility is a danger to our community. Jessica's law should be observed as this facility is next to schools!" Concerned Resident, Belinda Rojas Sent from my Whone Caroline Young From: lizbeth Ramos Sent: Wednesday, August 7, 2019 9:07 AM To: msalas@chulavistaca.org; jmccann@chulavistaca.org; jmgalvez@chulavistaca.org; Steve C. Padilla; Mike Diaz; Caroline young Subject: Proposed Eastlake Psychiatric Hospital Warning: Ezteroal Hello, I am an Eastlake resident . I have a number of safety concerns that I would like to Emah. have addressed regarding the Psychiatric Hospital Proposed for 850 & 851 Showroom Pi. This facility will be 20 miles away from Scripps Mercy Hospital in Hillcrest, far removed from much of the population it currently serves. How will patients get to this location with limited public transportation and quick accessibility only available via loll road? What will happen to patients when they are released and refuse help from a social worker? What happens when patients lack housing, access to additional medical care, or a family/support system to assist them? Patients who refuse treatment and walk out of the facility and those who are discharged without a ride pose risks for the many schools, parks, and daycares centers that are in the neighborhoods surrounding the facility. How will this be addressed? What about Jessica's Law? This hospital may violate Jessica's Law given the close proximity to Montessori Preschool. Does this hospital plan on verifying whether employees and patients are registered sex offenders? Adding a new facility of this scale will cause an increase in call volume resulting in an increase in response time from ambulances, fire, and police. Chula Vista currently does not have enough police and Eastlake has the fewest patrols assigned to handle issues arising from the facility or from those released. How will this be addressed? We have acquired police reports to many psych facilities in San Diego County and noted the high volume of calls to those facilities. Given that your facility will have a substantially larger bed count data shows that the police call volume will likely also be double. 830 & 831 Showroom PI is NOT an appropriate site for this facility. Acadia Healthcare's track record speaks for itself and cements the communities concerns that negligence will lead to unfortunate situations for patients, employees, and the surrounding community. Sincerely, Lizbeth Crespo Caroline Young From Claudia Aguller Ros Sant: Wednesday, August 7, 2019 9:00 AM To: Caroline Young Subject Chula Vista Psychiatric Hospital Warning: External Email Ms. Caroline Young I oppose the Eastlake hospital location due to safety concerns, Our city lacks of infrastructure and is not ready to have such service. Claudia Torres Coto Chula Vista resident. Sent from my Whone Caroline Young From: Claudia Aguilar Ros ____ Sent: Wednesday, August 7, 2019 9:03 AM To; Caroline Young Subject: Concerned Chula Vista resident M Ms, Caroline Young, I'm a Chula Vista resident concerned of how disproportionate and disorganized our city is growing on the east side lately. We are growing but the needed Infrastructure Is lacking. Not enough police to attend the city's needs, no libraries for the new areas and not enough schools. And even though the schools are not the city's responsibility, the city of Chula Vista is not doing anything to make sure our kids have access to a quality education. It's been already ten years that we should've had anew middle and high schools. But the Sweetwater District has proven this Job is too big for them, they have a financial crisis and they will not be able to comply with the needs of the City in the years to come. The City of Chula Vista has the duty of providing their citizens what is needed to live with dignity and schools are a key in a well rounded society. But, It's been a while we are lacking of enough middle and high schools. Schools are already well Impacted for the huge growth In the east side of Chula Vista. I ask you, as a constituent, do what is necessary to either stop building these massive house complex in the east side of the city or make sure there is enough schools and Infrastructure to serve to the citizens needs. Thanks for your attention, Claudia Torres Sent from my !Phone Caroline Young From: Monica Guerrero Sent Wednesday, July 31, 2019 1020 AM Tot Caroline Young Subject: Eastlake Behavioral health hospital Warning: External Email I strongly oppose the location of the behavioral health hospital near elementary schools and businesses. Not only is their poor public transportation at this site, there is no medical hospital. You are putting various families at risk due to the medical needs people seeking services at this future site will be denied once discharge. Please reconsider location to benefit not only community here in casdake but the patients themselves. Patients needing care not only during admission but post. Patients that will most likely lack funds for public transportation and unable to access hospitals due to distance. Monica Sent from my iPhone Caroline Youn From: Claudia Espinoza - Sam. Sunday, July 14, 2019 11:19 AM To: Steve C. Padilla; Kelly Broughton; Mary Sales; John McCann; Jill Galvez; Caroline Young; Mike Diaz Subject: Proposed Eastlake Psychiatric Hospital Location Warning: External Email Hello, I am writing to you regarding the proposed Eastlake Psychiatric Hospital. I OPPOSE this hospital because of it's proximity to schools, children's activities and family restaurants. The building of this hospital in the currently proposed location is a safety hazard for the community, especially for young children and teens attending schools and extra curricular activities in the surrounding area. The proposed Hospital would have an alarming close proximity to the following schools; 1.400ft Monstessori preshool 4008 2. Pacific Coast Christian k-12 700ft 3. Green Hills Bilingual Learning Academy .5 Miles 4. Eastlake Kindercare .7Miles 5. Salt Creek Elementary 1 Mile 6. Learning Choice Academy 1 Miles 7. Eastlake Church Preschool 1.1 Miles 8. Thurgood Marshall 1.2 Miles 9, Eastlake Middle School 1.4 Miles 10. Arroyo Vista Charter 1.4 Miles 11, Eastlake High School 1.5 Miles This is highly of concern because this hospital will be a safety risk for all the schools in the area. In addition I ask that the city critically consider the repercussions of allowing a Regional Hospital that will service high acuity patients. If this for profit hospital is truly meant to help people and not just make money from their suffering, why not build it in a more easily accessible location and in close proximity to the main hospital hub? Most people with mental illness are not homeless but many homeless are mentally ill. They should not have to struggle to get to their outpatient appointments because of the poorly selected location. Thank you, Claudia Espinoza Caroline Young From: Kim Lepre • _.. Sent: Monday, July 1, 2019 928 AM To: John McCann Subject Proposed psychiatric hospital Follow Up Flag: Follow up Flag Status: Completed WMml.nHello Councilman McCannl My name is Kim Lepre, and I am a resident in the Eastlake/Otay Ranch area. I'm also a parent and teacher in the Sweetwater Union High School District. I'm writing about my concern regarding the proposed psychiatric hospital In Showroom Place. I and other concerned residents have been actively researching facilities such as these and am concerned about the currently proposed location. Psychiatric hospitals are needed in San Diego, but it is of utmost importance that the proper site Is selected to ensure the preservation of current neighborhood character, patient safely, community safety and facility success. Building a regional hospital far from mass transit, most easily accessible by toll road needs better vetting. As you know it's nestled within a neighborhood and surrounded by a vulnerable population comprised of families with children. In fact, right outside Its doorstep is a large taekwondo facility, a swimming pool for private lessons for young children, Skyzona, and two indoor play canter for kids - Kldventures and Ninla Factor, which obviously have large numbers of children. My concerns are directly connected to the fact that elopements (escapes) are an expected event within hospitals. Both for involuntary patients and voluntary. Because of the wide range of mental illnesses being treated at this facility, elopement in a heavily concentrated area with vulnerable populations significantly increases the chances of a dangerous event occurring. Can you imagine one of these patients wandering in or hiding in a facility full of children and their parents? It's unthinkable. Can Acadia please share the number of elopements they had per facility in 2018? I'd like to share this article with you regarding elopement: httDs://www.rsvchiatrionursing.or,q/artiole/$0883-9417(12lQ01 ZaA/iod Having 24-hour security will not completely guarantee the surrounding communities the safety we deserve. I definitely think that we need more space and compassion for the types of patients admitted to these hospitals. However, the location Itself Is impractical, It would be 20 miles away from Scripps Mercy Hospital in Hillcrest. Luke Bergmann, director of behavioral health for San Diego County, stated "he is concerned when a stand-alone facility is built many miles away from a hospital, that such a facility be connected to the "integrated" system of care that includes outpatient resources." Such an inaccessible location could not be successful in fully treating patients. I understand that having such a hospital in Eastlake would provide more jobs and revenue for the city. But with this area expanding at such a rapid rate and the growing population of families, it's unconscionable to put such a facility in a community such as this. There HAS to be a better location that benefits all parties at stake. Thank you so much for your time and kind consideration. Sincerely, Kim Lepre Caroline Young From: Webmaster Sent: Sunday, lune 23, 2019 1:47 PM To: John McCann Subject: City of Chula Vista: Contact Us- Web Notification for Council Member McCann A new entry to a form/survey has been submitted. Form Name: Council Member McCann Date & Time: 06/23/20191:47 PM Response g: 240 Submitter ID: 63985 IP address: 172.24.96.110 Time to complete: 3 min., 52 sec. Survey DetalIs Page 1 Please feel free to contact us with any comments or questions by filing out the form below. First Name Jody Last Name Ochoa Email Address Comments Mr, McCann, What can we do to prevent the mental facility from being built so close to homes In the Eastlake, Rolling Hills area? It seems to me and others, there is plenty of room toward the prison. Please let me know what to do about this. Our property value will go down. Thank you for your time, Jody Ochoa Thank you, City of Chula Vista This is an automated message generated by the Vlslon Content Management System^'. Please do not reply directly to this email, 1 Caroline Youn From: b luko Sent: Monday, June 10, 2019 2:49 PM To: John McCann Cc: Samantha Trickey Subject: Re: IMPORTANT, EASTLAKE PSYCHIATRIC HOSPITAL Warning: EMemal Hi Councilmember McCann, Email This Is another email that has gone unanswered. It was sent nearly 2 weeks ago. Concerned community member, Bibi Luke On Thu, May 30, 2019 at 10:48 AM b luko <.__.. _.._. ..._ •wrote: HI John, I wanted to reach out to you again regarding the proposed Eastlake Psychiatric Hospital. According to the union tribune Chief Executive Officer Chris Van Gander said "We would have loved to do it [build the psychiatric hospital] in the downtown area, but there Just isn't land to do it there." htt s://www.sandle ouniontribune.com/news/healthtsd-no-scri s-mental-health-20190212-sto .html As you may already know on March 26, 2019 the SD Board voted in favor of changing the land use to create a "Regional Behavioral Health Services Hub" on 4307 Third Ave.. It is a 7.24 acre parcel of land, less than a mile North of Scripps Mercy Hillcrest. [map attached] According to Nathan Fletcher's office, County staff are currently doing an analysis to determine what the need is in the Central Region area and what the mix of services should be. (see attached approved proposal from Nathan Fletcher's Office) This land is available now and the county is "looking for partners." Do you know if there has been any communication with Scripps about partnering with the county? I can't imagine a better situated parcel of land exists in the county. It would alleviate the need for long distance transfers, improve the success of coordinated care and is centrally located with access to mass transit. The currently proposed site has none of those things. It's most easily accessible via a for pay tall road, The nearest bus stop is 1 mile from the facility, the facility Itself will take 3Qrnms (without traffic) to transfer patients via ambulance. How much will that end up costing the city for those who are uninsured? [map attached] In addition to the accessibility and proximity issues, the currently proposed site on Showroom PI Is surrounded by children's activities, schools and single family residences. This Regional Hospital will not only change the character of the neighborhood but Italso poses a danger to this community. The risks of Elopement (leaving premiss without permission) are very real and unfortunately "It has been identified as a significant Issue by the psychiatric nursing community (MulrCochrane, Mosel, Gerace, Esterman, & Bowers, 2011)" ..."Psychiatric patients who elope are more likely to engage in suicidal and homicidal behavior. Elopements can have serious consequences, with one study reporting a 20-30% suicide rate, as well as harm to others" Bowers, L„ Jarrett, M., Clark, M., Kiyimba, F., & McFarlane, L (2000). Determinants of absconding by patients on acute psychiatric wards. Journal of Advanced Nursing, 32(3), 644- 649, https:/Iwww.psychistricnursing.oro/article/SO883-9417(12100129-X/pdf A segment of patients who will be treated are more likely to be violent. "The National Institute of Mental Health (NIMH) estimates that people with serious mental illness are three times more likely to be violent than the general population. When substance abuse, a previous history of violence or nonadherence to medication is Involved, the risk becomes much higher." https,//www.treatmentadvocagycenter.org/kev- issues/violence Although the hospital will have policies in place the negligence the Applicant (Acadia) has displayed at other facilities is well documented, alarming and does not instill any confidence that they will run this facility with proper attention to following policies. Please see this list of Abuse/Negligence Reported as well as Facility closures an fraud lawsuits outline here: https:/Idocs,g000le.com/documenUd/loSGCid7KscggAJ I loPm4FzLHKuMEhGt8cuPCY/edit?uso=sherin g (we have a box full of major violations from a few of their facilities) If the city approves the Conditional Use Permit for the applicant, knowing that elopements occur and violence is prevalent in facilities like these, the city will knowingly be allowing a business that will endanger a vulnerable population comprised of families with children to be built. To grant a Condition Use Permit ALL municipal code sections within 19.40.080 must be met. This business does not meet municipal codes 19.40.080 (A)(B). A. That the proposed use at the particular location is necessary or desirable to provide a service or facility which will contribute to the general well-being of the neighborhood or the community; B. That such use will not under the circumstances of the particular case, be detrimental to the health, safety or general welfare of persons residing or working in the vicinity, or injurious to Propert or improvements in the vicinity; This Psychiatric hospital will serve a segment of patients that need the most acute care and the proposed location for their care compromises the safety of our community. Our neighbors have sent countless smalls to Caroline Young opposing the proposed hospital site. Here Is a quick link of some information I have gathered on this matter: httos://docs.c000le.com/documenUd/153VaoiTfmoAeZoEzVfDY03keZdXLkRG 1 ABABeaXOW 7s/edit?uso=sharin g Thank you, Bibi [PI Caroline Young From: Edgar Reyes Sent: Friday, June 7, 2019 9:15 AM To: John McCann Subject: Eastlake Psychiatric Hospital Fallow Up Flag: Flag for follow up Flag Status: Completed Warning:: External Email To Whom It May Concern. Re: Psychiatric hospital in Rolling Hills June, 7 2019 I'm writing to you in regards of the proposed location for the psychiatric hospital from Scripps/Acadia. I'm a resident of Rolling Hills in Chula Vista, as well I'm a mental health provider. I have concerns of the location of this proposed hospital as a resident but also as a provider. 1 live in close proximity to the proposed location, as a resident from the area, I'm concern due to the proximity to several businesses geared towards children and families. Within walking distance we have about 4 dance studios, play city, sky zone, mala factory, aqua tots, floaties, pride martial arts, speed circuit and many other more. We also have elementary schools and middle schools within walking distance from the proposed location. As a resident I am concern due to the population this hospital is going to serve and about the safety and possible risks children in this community could be exposed. Patients at a psychiatric hospital are usually there due to "imminent" danger to themselves or others and/or due to complex psychiatric needs. Reading about Acadia, seems is not suitable to guarantee to maintain a safe community due to the amount of irregularities and violations. As a mental health provider, this is one of the worst locations I've seen proposed for a psychiatric hospital for multiple reasons. I often work with patients that have to be transported in a 5150 (Involuntary hold) and others voluntary. When family members are contacted one of their major challenge Is their transportation, financial hardships and very little family support. Having this hospital at a location where there is no easy city transportation (bus, Volley) where the closest freeway access is a toll road could make It difficult for families to get there and be able to pick up family members when getting discharged. There's no other hospital or mental health agencies to provide the acute services nearby oncethe patients are discharge. My other concern as a provider Is how often a patient has learn to say in order to get discharge before they are actually stable. What this means is that patients who are not mentally stable but refused to remain at a hospital learned to deny any thoughts/feelings or action plans to hurt themselves or others and get released too early possessing a danger to themselves and/or others. This Is concerning due to the proximity to many children's businesses, schools and the walking distance of a gun practice/shooting business in where they can have access to guns (less than 1 mile from proposed location). My other concern as a provider and resident is the limited police personnel that Is in the east side of Chula Vista. There is no police station nearby and their presence Is very limited. I understand the need for such services in our county and city, however I'm asking you to really reconsider if this is the only and best location for this proposed hospital. I'm asking you to please reconsider the relocation of this hospital and may be considering a location such as the current available location on 450 41n Avenue Chula Vista, 91910. The Chula Vista Medical Arts 11 is currently available with a building size of 36,586 sq. feel, 4 stories, walking distance to their own Scripps hospital and centrally located in Chula Vista. This location is already set up as a hospital with easy access (2 freeways), parking, many public transportation (busses and trolley) and close to our police station for emergencies. Thank you for your time, Edgar Reyes Caroline Young From: Howeth, Elizabeth ._..., _._._r<Elizabeth.Howeth� Sent: friday, June 7, 2019 2:02 PM To: John McCann Subject: FW: Psychiatric Hospital Concerns Follow Up Flag: Flag for follow up Flag Status: Completed Warning: xternal Email From: Howeth, Elizabeth. Sent: Friday, June 7, 20191:57 PM To: jmccann@chulavistaca.cov Subject: Psychiatric Hospital Concerns I write this email as a concerned citizen of Chula Vista regarding the proposed Psychiatric Hospital location In Eastlake. I have no doubt that these facilities and services are needed, however, the location is worrisome. It Is close proximity to homes and businesses geared towards children. I ask that the city reconsider this location. I can say with great certainty that I will avoid all of those businesses In the area to ensure I don't have a run In with a mentally ill/disturbed individual who can harm me or my children. I know many other mothers who will do the same. In doing so, businesses will suffer and so will our city. Thank you for your time. Elizabeth Howeth Chula Vista CA 91913 Caroline Young From: CS < Sent: Friday, June 7, 2019 3:34 PM To: John McCann Subject: Proposed Eastlake Psychiatrk, Hospital Fallow Up Flag: Flag for follow up Flag Status: Completed Warning: External I wanted to reach out toyou regardingthe proposed Eastlake Psychiatric Hospital. Email The currently proposed site is lacking major characteristics of a Regional Hospital site. It's most easily accessible via a for pay toll road, The nearest bus stop is 1 mile from the facility and the facility itself will take 30mins (without traffic) to transfer patients via ambulance. In addition to the accessibility and proximity issues, the currently proposed site on Showroom PI is surrounded by children's activities, schools and single family residences. This Regional Hospital will not only change the character of the neighborhood but it also posesa dangerto this community, The dsksof Elopement (leaving premises without permission) are very real and unfortunately "It has been identified as a significant issue by the psychiatric nursing community (MuirCochrane, Mosel, Gerace, €sterman, & Bowers, 2011)" ..."Psychiatric patients who elope are more Ilkelyto engage in suicidal and homicidal behavior. Elopements can have serious consequences, with one study reporting a 20-30% suicide rate, as well as harm to others" Bowers, L., Jarrett, M., Clark, M., Kiylmba, F., & McFarlane, L. (2000). Determinants of absconding by patients on acute psychiatric wards. Journal of Advanced Nursing, 32(3), 644- 649, https:/Zwww,psychiatricnursir)k.org/article/50883-941IL12J00129-X/pdf A segment of patients who will be treated are more likely to be violent. "The National Institute of Mental Health (NIMH) estimates that people with serious mental Illness are three times more likely to be violent than the general population. When substance abuse, a previous history of violence or nonadherence to medication is involved, the risk becomes much higher." httos://www.treatmentadvocacycenter,orglkeV-issues/violence Although the hospital will have policies In place the negligence the Applicant (Acadia) has displayed at other facilities Is well documented, alarming and does not Instill any confidence that they will run this facility with proper attention to following policies. Please see this IIsi of Abuse/Negligence Reported as well as Facility closures an fraud lawsuits outline here: https://docs.aooale.com/docum nt d/leSGCid7KscggAl KxbT ipPm4FZLHKUMEhGt$cuPCY/edit?usp-sharin (we have a box full of major violations from a few of their facilities) If the City Council approves the Conditional Use Permit for the applicant, knowing that elopements occur and violence is prevalent in facilities like these, the city will knowingly be allowing a business that will endanger a vulnerable population comprised of families with children to be built. To grant a Conditional Use Permit ALL municipal code sections within 19.40.080 must be met. This business does not meet municipal codes 19.40.080 (A)(B). A. That the proposed use at the particular location is necessary or desirable to provide a service or facility which will contribute to the general well-being of the neighborhood or the Community; B. That such use will not, under the circumstances of the particular case, be detrimental to the health, safety or general welfare of persons residing or working in the vicinity, or injurious to property or improvements in the vicinity; On March 26, 2019 the SO Board voted in favor of changing the land use to create a "Regional Behavioral Health Services Hub" on 4307 Third Ave. It is a 7.24 acre parcel of land, less than a mile North of Scripps Mercy Hillcrest. According to Nathan Fletcher's office, County staff are currently doing an analysis to determine what the need is in the Central Region area and what the mix of services should be. (see attached approved proposal from Nathan Fletcher's Office) This land is available now and the county is "looking for partners." I can't imagine a better situated parcel of land exists In the county. It would alleviate the need for long distance transfers, Improve the success of coordinated care and Is centrally located with access to mass transit. This Psychiatric hospital will serve a segment of patients that need the most acute care but the proposed location for this compromises the safety of our community. The community implores you to deny the permits being requested. Respectfully, Claudia Steinburg Sent from my Whore Caroline Young From: CS _ _ _ __. Sent: Friday, June 7, 2019 3:41 PM To: John McCann Subject Proposed Eastlake Psychiatric Hospital Poor Choice Location Follow Up Flag: Follow up Flag Status: Completed gR I am writing to you regarding the proposed Eastlake Psychiatric Hospital. I oppose the building of this hospital In the currently proposed location and ask that the city critically consider the repercussions of allowing a Regional Hospital that will service high acuity patients in close proximity to vulnerable populations comprised of elderly and families with children. Make no mistakes about it, this is not a neighborhood hospital It Is a Regional Psychiatric Hub 20 miles from many of the patients it currently services. The issue with having this Regional Hospital so far from Scripps Mercy Hillcrest is that continued coordinated care will be more difficult. Most of these patients will have an ongoing struggle with mental illness that require an additional support infrastructure that Eastlake does not have. If this for profit hospital is truly meant to help people and not just make money from their suffering, why not build it in a more easily accessible location and in close proximity to the main hospital hub? Most people with mental illness are not homeless but many homeless are mentally B. They should not have to struggle to get to their outpatient appointments because of the poorly selected location. A bus ride from La Mesa to the proposed site is 3 ms and a 1 mile walk up hill. Is this facility only meant forthose who can afford a toll road and a vehicle? Although this facility is for profit, they accept medicaid and Scripps has a charitable clause. Speaking of Medicaid, In early May 2019 Acadia reached a "$17 million settlement in a fraud scheme, the largest health care fraud settlement In West Virginia's history, U.S. Attorney Mike Stuart announced.." .re-pays-million-to-settle- medicaid-fraud/article_886e9fc8-0573-5282-9c7b-58e7382ffe39.html Additionally, according to researcheate.net "On discharge, 27% of the homeless patients were discharged to no fixed abode status..." [Article: Homelessness and the Length of Stay In Psychiatric Wards, August 20171 By approving the Conditional Use Permit you will be allowing a business to be built that will increase homeless in the area and with it the risk of homeless related crines in an area predominantly inhabited by families with children. Which is not in the best interest of the community that you presently serve. For all the reason mentioned above and all the ones you will be emailed about by other community members, I ask you to deny the Conditional Use Permit. Thank you, claudia steinburg Sent from my Whone Caroline Young From: Lala Abdo , Sent: Friday, June 7, 2019 2:43 PM To: John McCann Subject: Fw: proposed psychiatric hospital at Rolling Hills Follow Up Flag: Flag for follow up Flag Status: Completed Wammg: External Email Eiet;in forwarded mess: ;r• On Prlday,June 7, 2019, 2:37 PM, lailayabdo77@yahoo.com wrote: June 7, 2019 Dear Mrs. Salas and Mr. McCann: My name is Latta Abdo and I'm a resident of Rolling Hills Ranch. I'm a born and raised citizen from Chula Vista and this is where 1 have chosen to also raised my children. As you know, this is a beautiful city. I'm emalling you with plenty of concerns in regards of the proposed site for the Scripps/Acadia psychiatric hospital, here in Rolling Hills, As you are familiar with our neighborhood, Rolling Hills is one of the "new" communities In Chula Vista established in the east side of our city. All of the communities established in the east side of Chula Vista were developed for family housing/residential communities, Schools and parks were built within walking distances and beautiful paths for easy access. Establishments in the Rolling Hills Ranch area have been catering to families and their children. As a resident from this community I'm extremely concern and oppose to the construction of the Scripps/Acadia psychiatric hospital. The proposed location is extremely close to establishments geared towards children such as: swim schools, dance studios, play city, ninja factory, speed circuit, flyers, Christian school, Montessori Preschools, and so on. Houses are right next to the proposed location. In addition, we have a middle school and elementary school at walking distance, Many of those trails next to the proposed psychiatric hospital are used by children who are walking alone after school to get home. Both of my children have used those trails to walk home. Also, trails in Montevalle Park, right next to Eastlake Middle School, which are at a close proximity to the proposed location, are used by the students of Eastlake Middle School for their physical education class and do their mile runs. So, is this really the best AND only location that this Scripps could locate to build a psychiatric hospital? Why not building it right next to their actual location in Hillcrest? If the purpose is to bring this acute service of mental health to the southbay, why not building it next to their already existing location on Broadway by 4th avenue? The Chula Vista Medical Center site has been available. Did they even considered this location? It doesn't make sense to establish a psychiatric hospital in a residential area in where there's not sufficient public transportation, not enough first responder personnel, and the only freeway closes is a toll road! Why not establishing in a location that already has existing bus routes, close to a trolley station, with easy freeway access? What is going to happen when patients get discharge or refuse treatment? Where are they going to go if they do not have the financial needs to navigate public transportation? According to the chy's 2018 Annual Residential Growth Forecast, it states that "the forecast period (September 2018 through December 2023) the total number of units to be permitted citywide Is estimated at 7,780." "The majority of permit activity is projected in eastern Chula Vista with approximately 7,349 housing permitted." It also states about the development of hotel rooms In the area. In fact, one of those hotels will be right next to the propose psychiatric hospital location. According to this document, the east side of Chula Vista is projected to continue to grow with housing and hotels, One out the three assumptions predicated in this report is "housing market remain stable." Well, how Is this psychiatric hospital will impact the sells on all these housing? Are you aware that these type of hospitals (psychiatric/behavioral health) bring a decrease on home values? Who would like to buy a house next or near a psychiatric hospital were dual diagnosis people will be release to the community? How is that going to impact to the growth of that hotel been built near this proposed site? Once again, who would like to stay at a hotel next to a psychiatric hospital? People will opt out for other locations. If the city of Chula Vista is projecting such a housing growth and more development in the east side of Chula Vista, why would you agree to establish a psychiatric hospital in a community that has been developed mostly for housing and that It will continue to be developed with the same purpose; Family Housing. How is this psychiatric hospital going to impact the development that the city has projected to the east side of Chula Vista? Can someone please provide me with an answer? I am a licensed mental health provider and I have worked in this field for more than 15 years. If I wouldn't have first-hand experience with people with mental health illness, with psychiatric hospitals, discharges and clients refusing services; I don't think I would be opposing to this construction. However, that is not the case. I have worked with people been suicidal, attempting to kill themselves on site/at schools, been transported to psychiatric hospitals and then refusing services or denying incidents. What happens next? They don't get admitted. They are released posing a danger to themselves in the same community in where they are released as they try to run into incoming traffic orjumping out from the closest bridge. According to application submitted by Scripps, ECT, also known as Electro -shock therapy will be offered in this hospital. This form of therapy is for the severely mentally III that are no longer responding to conventional therapy or psychotropic medication. So, this hospital Is not only treating people who feels extremely depressed and suicidal. This hospital will be serving severely mentally iii people with dual diagnosis who could be not only a danger to themselves but also to others, Also, let's be realistic, not all the people with mental health needs that need to be hospitalized are coming from a very supportive, financially well establish family that would be there to support the patient and pick them up when released. unfortunately, this Is not the case for all the adults and the elderly. Some of these people don't have a support system that will be there during the discharge time. These people are left out in the community with no support. Also, it is the reality that human error happens in any Jab, including psychiatric hospitals. Do you know how many times I had clients return to me or been early discharge because the person who did It was new? Or - bemuse the clinician was an Intern with not that much clinical experience? Or just simply by miscommunication? Well it does happen and patients are wrongfully discharged exposing a danger to themselves and to the people in that community. Not only that, Scripps has partner with one of the worst managements for behavioral health services, Acadia. There are plenty of articles in regards of their wrongful managements including the most recent in May for Medicaid fraud. Are you telling me that this type of management would not have errors while discharging patients? As a resident from this community, I urged to really examine this proposed location for the psychiatric hospital. Is this type of establishment really is what the community from Rolling Hills are needing? Will this type of hospital have an impact with the projected developments for east Chula Vista? Is this psychiatric hospital will be able to maintain the safety among ALL the children who are been raised in this community? Thank you for your time, Lalla Abdo, resident from Rolling Hills Caroline Youn From: Sylvia Rosenberg Sent: Friday, lune 7, 2019 9:52 AM To: John McCann Subject: Evict Psychiatric Facility Eastlake (Acadia/Sciipps) Warning: External .Email- Sent from my Pad Begin forwarded message: From: Sylvia Rosenberg Date: June 7, 2019 at 9:36:13 AM MDT To: msalas@chulavistaca.Rov Cc: "me <svlvia,rosenbered Subject: Psychiatric Facility Eastlake (Acadia/Scripps) Dear Ms. Salas: I am an Eastlake resident and am very much opposed to the building of the above -referenced facility in our community. I do not consider Eastlake area to be an appropriate location for it because Eastlake and adjacent neighborhoods are residential areas with several schools, daycares, churches, and parks and we the residents are very concerned about the patients of this facility when they are released on the streets of our commuoity(ies). You have probably received comments from other concerned residents regarding Acadia's business patient history. I would appreciate your consideration to this matter and to consider the crime that we might have In our community(ies) which is been known to be a safe one for our residents, children.. Respectfully, Sylvia Rosenberg Sent from my Pad Caroline Young From: Amadeo Quinto , Sent: Friday, June 7, 201910:51 AM To: John McCann Subject: They can do better than Eastlake for the Acadia/Scripps Psychiatric Hospital Follow Up Flag: Flag for follow up Flag Status: Completed Warning: External Dear John, Email I am pan of a growing group of people that object to the building of the planned construction of a Psychiatric hospital at Showroom PI in Eastlake. We have now gathered over 3100 signatures In opposition. The explosive growth of our petition has garnered media attention from major news outlets, Including Fox, ABC, NBC, KUSI, and the Union Tribune. While we understood and fully agree with the need for such a facility, after examining all the facts, this seems to be one of the poorest choices to place the facility. It does not At at all with the surrounding businesses and community. Several houses will literally share a property line with the facility. The front of the facility would literally open out to businesses that entirely eater to families and children. The risk of effects to the community from discharged patients and patient elopements (escape, leave without discharge) is far loo great. The location is inconvenient for the patients that the facility is meant to serve, taking an average of 2-3 bra each way by mass transit to most parts of the city and tolls by freeway. If this Is meant to serve all of San Diego and you want to encourage people of all means to seek help, it needs to be in a lowtlan that is convenient to everyone, similar to the one it replaces, especially those that only have mass transit as a means to get there or leave. Seeking help is difficult enough without having a 4-6 hr round trip travel time as a potential obstacle. High on the list of our concerns, is that while there have been claims and promises of a safe environment for the patients and surrounding community, the partner chosen, Acadia, understood to be 8D% owner of the facility, does not appear to have a good enough track record to give us confidence in the credibility of these claims. It Is well known amongst Eastlake residents that law enforcement patrols in the surrounding area are Insufficient to mitigate that risk. Public records show that Chula Vista police have not been meeting response time standards for many years, an Issue that is worse on the East side because of the time to traverse the large area, and this will only worsen that problem. Even recent efforbObilis to improve law enforcement have been not been fulfilled due to budget and workforce skill gaps as has been reported on in recent news. We understand that the building of the facility will bring lobs and much needed Income to the city of Chula Vista, but surely you could find a more suitable location within the city that Is: • more central, closer to a major freeway that doesn't require a tall • In a region with stronger law enforcement and emergency services presenw/response • more accessible by public transportation, especially the trolley system `closer to the main Scripps hospital and other supporting serviceslfacililies "In an area away from famlly-orarned businesses and residences Our concerns are not just speculation and have been validated and confirmed by people with personal experience such as EMTs, people that have lived around such facilities, samples of public reports on Acadia facilities, and people that have worked In these kinds of facilities, Including the Scripps Mercy that this will replace. In speaking with residents and businesses, many have expressed plans to relocate should this came to pass. Surely such negative pressure on many of the most highly appraised properties in Chula Vista would not be to the benefit of the city. Eastlake and Rolling Hills 1s the gem of Chula Vista, do we really want to risk Irreversibly changing that? We have collected references for our research and posted them to our petition next to each of our concerns. Please take the time to look at them and you'll see why our concerns are founded in facts and not just baseless paranoia. References 1. httpsf//www,change,orR/p/plannlnR-Wntm 15510n-bpafd-member-Orl-Milburn-relocate-proposed-Ig atP lent_ psych iatric-hospita I-away-from-schooIs-pa rks-homes 2. h>tps//foxSsanOiego.com/2019/05/01/proposed-behavioral-health-facility-concerns-some-eastlake-residents/ 3. htt s: wwwLbcsandleggcom]news/local/Petition—Started-bwNeiuhbors-to-Slop-Construction-of-New- Piylaatrlc-HosphaI-50941948Lhhni 4, jjtAs: www. on v cornnes bcaJ_news/chula-visea-residents-flRht-back-aea Inst-or000sed-psvchlatric- Caroline Young From: Briana Wyatt _ - Sent: Thursday, June 6, 2019 7:11 PM To: John McCann Subject: Deny Conditional Use Permit: Proposed Eastlake Psychiatric Hospital Follow Up Flag: Flag for follow up Flag Status: Completed Watning; oxternal Councilman John, Em2ff I am writing to you regarding the proposed Eastlake Psychiatric Hospital. I oppose the building of this hospital in the currently proposed location and ask that the city critically consider the repercussions of allowing a Regional Hospital that will service high acuity patients In close proximity to vulnerable populations comprised of elderly and families with children. Make no mistakes about It, this is not a neighborhood hospital It is a Regional Psychiatric Hub 20 miles from many of the patients it currently services. The issue with having this Regional Hospital so far from Scripps Mercy Hillcrest is that continued coordinated care will be more difficult. Most of these patients will have an ongoing struggle with mental Illness that require an additional support infrastructure that Eastlake does not have. If this for profit hospital is truly meant to help people and not just make money from their suffering, why not build it in a more easily accessible location and In close proximity to the main hospital hub? Most people with mental Illness are not homeless but many homeless are mentally It, They should not have to struggle to get to their outpatient appointments because of the poorly selected location. A bus ride from La Mesa to the proposed site is 3 hrs and a 1 mile walk up hill. Is this facility only meant for those who can afford a. toll road and a vehicle? Although this facility is for profit, they accept medicaid and Scripps has acharitable clause. Speaking of Medicaid, In early May 2019 Acadia reached a "$17 million settlement in a fraud scheme, the largest health care fraud settlement In West Virginia's history, U.S. Attorney Mike Stuart announced..." .re-pays-million-to-settle- medicald-fraud/article 886e9fc8.0573-5282-9c7b-58e7382ffe39 htmI Additionally, according to researchgate.net "On discharge, 271Y of the homeless patients were discharged to no fixed abode status„" [Article: Homelessness and the Length of Stay in Psychiatric Wards August 20171 By approving the Conditional Use Permit you will be allowing a business to be built that will increase homeless in the area and with it the risk of homeless related crimes in an area predominantly inhabited by families with children, Which is not in the best interest of the community that you presently serve. For all the reason mentioned above and all the ones you will be emalied about by other community members, I ask you to deny the Conditional Use Permit. Thankyoul Concerned resident, Briana R. Wyatt, MBA Coach, Consultant Speaker Discover your JOY, CREATIVITY & PURPOSE I Let's collaborate! Visit meat www.eriana attcom Caroline Young From: Paul Virgin Sent: Thursday, June 6, 20191:54 PM To: Mary Salas; John McCann Cc Patricia Salvaclon; Kelly Broughton; Caroline Young Subject: Fw: Eastlake Psychiatric Hospital Follow Up Flag: Flag for follow up Flag Status: Completed Warning: Ewternal Good afternoon Mayor Sales and Councilmember McCann, Email I'm writing to you in regards to the proposed psychiatric hospital, This is not an appropriate location for a regional hospital and I oppose it being built in Showroom PI. This facility is being built within a residential neighborhood and immediately adjacent to a commercial center with many businesses oriented toward children. Personally, we often take our children to both Play City and Skyzone trampoline park. Escapes/discharges Into the community are a major cause for concern. The proposed facility Is also 20 miles away from Scripps Mercy Hospital In Hillcrest, far removed from much of the population It currently serves, with limited access to public transportation and only quickly accessible via toll road, which equates to limited access for patients. Luke Bergmann, director of behavioral health for San Diego County, stated "he is concerned when a stand-alone facility is built many miles away from a hospital, that such a facility be connected to the "Integrated" system of care that includes outpatient resources." Such an inaccessible location will not be successful in properly treating patients. My understanding Is that you are only required to notify people within 500ft of the site, so please make sure to include me in the notification sent by the city. Thank you, Paul Virgin Chula Vista, 91914 Caroline Young From: Ana Alvarado a Sent: Wednesday, June 5, 2019 12:14 PM To: John McCann Subject: Police Shortage - Eastlake Psychiatric Hospital M Good afternoon Mr. McCann, I'm writing to you regarding my concerns about how Chula Vista's police shortage will impact the city if this proposed hospital is granted a conditional use permit. It is well documented that the City of Chula Vista's Police Department has the lowest sworn officer -to -population ratio in the county at .87 sworn officers per 1,000 residents, [Source: Public Safety Staffing Report City of Chula Vista. 20171 The understaffing contributes to slower than optimal response times. "...Eastern [police response territories in Chula Vista) are very large, have increasing public safety demands and take longer times to traverse." Eastlake In particular has the fewest patrols assigned to handle issues arising from the facility or from those released. In 2017,The Indianapolis Metropolitan Police Department received almost 100 phone calls regarding run away patients from one of Acadia's Residential Treatment Facilities, many of which lead to burglaries and home break-ins In the surrounding neighborhood. Does the city have an updated plan to prevent home break ins In our community when patients at the proposed facility escape? Does the city have a plan to address the additional Increase of police needed? If so, what is it? Thank you for your time and consideration in this matter, Ana Alvarado Sent from my !Phone Caroline Young From: Laura Ballard <. _ Sent: Wednesday, June 5, 2019 1:18 PM To: John McCann Subject: Proposed Eastlake Psychiatric Hospital Importance: High Warning: Eztemal Dear Jim McCann, BmaitG. I am writing to you regarding the proposed Eastlake Psychiatric Hospital. I oppose the building of this hospital in the currently proposed location and ask that the city critically consider the repercussions of allowing a Regional Hospital that will service high acuity patients in close proximity to vulnerable populations comprised of elderly and families with children. I am a long time resident of Rolling Hills Ranch with three children still in high school. Due to the location of the community schools and our home, this is not a logical location for such a hospital. Make no mistakes about it, this Is not a neighborhood hospital it is a Regional Psychiatric Hub 20 miles from many of the patients it currently services. The issue with having this Regional Hospital so far from Scripps Mercy Hillcrest is that continued coordinated care will be more difficult. Most of these patients will have an ongoing struggle with mental illness that require an additional support infrastructure that Eastlake does not. have. If this for profit hospital Is truly meant to help people and not just make money from their suffering, why not build it in a more easily accessible location and In close proximity to the main hospital hub? Most people with mental Illness are not homeless but many homeless are mentally ill. They should not have to struggle to get to their outpatient appointments because of the poorly selected location. A bus ride from La Mesa to the proposed site is 3 hrs. and a 1 mile walk up hill. Is this facility only meant for those who can afford a toll road and a vehicle? Although this facility is for profit, they accept Medicaid and Scripps has a charitable clause. Speaking of Medicaid, In early May 2019 Acadia reached a"17_million settlement in a fraud scheme, the largest health care fraud settlement in West Virginia's history, U.S. Attorney Mike Stuart announced..." .re-pays-million-to-settle-medicaid-fraudlarticle 886e9fc8-0573-5282-907b-58e7382ffe39.html Additionally, according to researchgate.net "On discharge, 27% of the homeless patients were discharged to no fixed abode status.." [Article: Homelessness and the Length of Stay in Psychiatric Wards August 2017] By approving the Conditional Use Permit you will be allowing a business to be built that will increase homeless in the area and with It the risk of homeless related crimes In an area predominantly inhabited by families with children. Which is not In the best interest of the community that you presently serve. For all the reason mentioned above and all the ones you will be emailed about by other community members, I ask you to deny the Conditional Use Permit. Thank you, Laura Ballard LAURA 9ALLARp Ballard Bookkooping $aNfcos I Chula Vista, CA 91914 Caroline Young From: Ana Nosal Sent: Wednesday, June 5,206 2:44 PM To: John McCann Subject: Eastlake Psychiatric Hospital Follow Up Flag: Flag for follow up Flag Status: Completed Warning. Eztefnal , Mr. McCann, Email I am writing to you to express my opposition to the proposed location for the psychiatric hospital. While it is very close to several residential areas, my biggest concerns are that Is right across the streetfrom an area that Is known to be "family friendly" and I am also concerned about the negative Impact twill have on ourcommunity. My husband and I moved to Eastlake because of itsgreat schools and because it was a fairly safe area. Since the rapid transit has opened crime and graffiti have increased and I don't feel as safe as I once did. The opening of this facility would only increase these insecurities, especially since my children have activities they attend in Showroom Place. I am speaking to you as a parent, would you ever want your children to be in danger? Would you ever willingly expose them to danger? By opening this facility in the chosen location you are asking me to purposefully risk my children's safety simply because they go to art class, or because they have a birthday party at Play City. While I value the Importance of offering more mental health services, there are more appropriate locations to place this hospital. There has been mention of a facility that Is already available in downtown Chula Vista where it could be placed. Recently, a homeless woman with mental health issues attacked a man at a drive through here in San Diego. I am sure you heard this story, She stuck him with a needle and now his life is filled with uncertainty as to what the future may hold for him. He has an Infant son, and not his future Is uncertain. These are the types of people that these hospitals try to help and cater to. Do you feel it appropriate to risk having one of them wander into Showroom Place and suffer a psychotic episode? To become volatile and attack someone? Worst yet, to attack a child? You have now opened the city and yourself to a slew of lawsuits for knowingly placing and supporting the building of this facility. I ask you again, please do not allow this to go through. I ask you as a citizen, but most Importantly I ask you from one parent to another. Thank you for your time and attention. Sincerely, Ana Nasal Caroline Young From: Fidel Cardoso Sent: Wednesday, June 5, 2019 12:19 PM To: John McCann Subject: Proposed Eastlake Psychiatric Hospital Poor Location Choice Warning: External Hi Email I am writing to you regarding the proposed Eastlake Psychiatric Hospital, i oppose the building of this hospital in the currently proposed location and ask that the city critically consider the repercussions of allowing a Regional Hospital that will service high acuity patients in close proximity to vulnerable populations comprised of elderly and families with children. Make no mistakes about it, this is not a neighborhood hospital it is a Regional Psychiatric Hub 20 miles from many of the patients it currently services. The issue with having this Regional Hospital so far from Scripps Mercy Hillcrest Is that continued coordinated care will be more difficult. Most of these patients will have an ongoing struggle with mental illness that require an additional support infrastructure that Eastlake does not have. If this for profit hospital Is truly meant to help people and not just make money from their suffering, why not build it in a more easily accessible location and In close proximity to the main hospital hub? Most people with mental illness are not homeless but many homeless are mentally ill. They should not have to struggle to get to their outpatient appointments because of the poorly selected location. A bus ride from La Mesa to the proposed site is 3 ms and a 1 mile walk up hill. Is this facility only meant for those who can afford a toll road and a vehicle? Although this facility Is for profit, they accept medicaid and Scripps has a charitable clause. Speaking of Medicaid, In early May 2019 Acadia reached a"517 million settlement in a fraud scheme, the largest health care fraud settlement in West Virginia's history, U.S. Attorney Mike Stuart announced..." .re-pays-million-to-settle- medicaid-fraud/article 886e9fc8-0573-5282-9c7b-58e7382ffe39 html Additionally, according to researchgate.net "On discharge, 27% of the homeless patients were discharged to no fixed abode status.,." [Article: Homelessness and the Length of Stay In Psychiatric Wards August 20171 By approving the Conditional Use Permit you will be allowing a business to be built that will increase homeless in the area and with it the risk of homeless related crimes In an area predominantly Inhabited by families with children. Which is not In the best interest of the community that you presently serve. For all the reason mentioned above and all the ones you will be emailed about by other community members, I ask you to deny the Conditional Use Permit. Thank you, Fidel Cardoso Eastlake Resident Caroline Young From: Leah Hurtado , Sent: Wednesday, June 5, 2019 8:28 AM To: John McCann subject: Psychiatric hospital Follow Up Flag; Follow up Flag status: Completed M Mr. McCann i am writing you regarding the proposed Eastlake Psychiatric Hospital. I have been actively researching facilities such as these and am concerned about the currently proposed location. Psychiatric hospitals are needed in San Diego but itis of utmost importance that the proper site be selected to ensure the preservation of current neighborhood character, patient safety, communitysafety and facility success. Building a regional hospital far from mass transit, most easily accessible by toll road needs better vetting. As you know it's nestled within a neighborhood and surrounded by a vulnerable population comprised of families with children. My concerns are directly connected to the fact that elopements (escapes) are an expected event within hospitals, Both for involuntary patients and voluntary. Because of the wide range of mental illnesses being treated atthis facility, elopement In a heavily concentrated area with vulnerable populations significantly ocreasesthe chances of a dangerous event occurring. Can Acadia please share the number of elopementsthey had per facility in 20184 I'd like to share this article with you regarding elopement https://www.psychiatriCnursing.orx/articie/50883-9417(12)00129-K df Having 24 hour security wlll not completely guarantee the surrounding communities the safety we deserve. My understanding is that you are only required to notify people within 500ft of the site please make sure to Include me in the notification sent by the city. You may do so via email. Thankyoul Leah Hurtado Sent from my phone Caroline Young From: Fidel Cardoso < Sent: Wednesday, June 5, 2019 12:21 PM To: John McCann Subject: Proposed Eastlake Psychiatric Hospital Poor Location Choice Follow Up Flag: Flag for follow up Flag Status: Completed WatMng: External Hi Email I am writing to you regarding the proposed Eastlake Psychiatric Hospital. I oppose the building of this hospital in the currently proposed location and ask that the city critically consider the repercussions of allowing a Regional Hospital that will service high acuity patients in close proximity to vulnerable populations comprised of elderly and families with children. Make no mistakes about it, this is not a neighborhood hospital it is a Regional Psychiatric Hub 20 miles from many of the patients it currently services. The issue with having this Regional Hospital so far from Scripps Mercy Hillcrest Is that continued coordinated care will be more difficult. Most of these patients will have an ongoing struggle with mental illness that require an additional support infrastructure that Eastlake does not have. If this for profit hospital is truly meant to help people and not just make money from their suffering, why not build it in a more easily accessible location and in close proximity to the main hospital hub? Most people with mental illness are not homeless but many homeless are mentally III. They should not have to struggle to get to their outpatient appointments because of the poorly selected location. A bus ride from La Mesa to the proposed site is 3 hrs and a 1 mile walk up hill, Is this facility only meant for those who can afford a toll road and a vehicle? Although this facility is for profit, they accept medicald and Scripps has a charitable clause. Speaking of Medicaid, In early May 2019 Acadia reached a "$17 million settlement in a fraud scheme, the largest health care fraud settlement in West Virginia's history, U.S. Attorney Mike Stuart announced..." .re-pays-million-to-settle- medicaid-fraud/article 886e9fe8-0573.5282-9c7b-58e7382ffe39.html Additionally, according to researchgate.nef "On discharge, 27% of the homeless patients were discharged to no fixed abode status..." [Article: Homelessness and the Length of Stay in Psychiatric Wards August 20171 by approving the Conditional Use Permit you will be allowing a business to be built that will increase homeless In the area and with it the risk of homeless related crimes in an area predominantly Inhabited by families with children. Which Is not In the best interest of the community that you presently serve. For all the reason mentioned above and all the ones you will be emailed about by other community members, I ask you to deny the Conditional Use Permit. Thank You, Fidel Cardoso Eastlake Resident Caroline Young From; Monica Guerrero Sent; Wednesday, June 5, 2019 1:44 PM To: John McCann Subject Concerns 2019 Follow Up Flag: Flag for follow up Flag Status: Completed V Iwanted to reach out to you regarding the proposed Eastlake Psychiatric Hospital. The currently proposed site is lacking major characteristics of a Regional Hospital site. It's most easily accessible via a for pay toll road, The nearest bus stop is 1 mile from the facility and the facility Itself will take 30mins (without traffic) to transfer patients via ambulance, In addition to the accessibility and proximity Issues, the currently proposed site on Showroom PI is surrounded by children's activities, schools and single family residences. This Regional Hospital will not only change the character of the neighborhood but it also poses a danger to this community. The risks of Elopement (leaving premises without permission) are very real. Acadia Division President Jeffrey Woods agrees, "This is the real world and the reality is it's going to happen on any campus," Woods said, https://www.thedallytlmes.com/news/loulsville-behavior-health-center-to-relocate-after-assaults-nelghborhood- concerns/article 523be3b2-98ce-Sea6-afdf-028e94103b9e.html, Additionally "It has been identified as a significant issue by the psychiatric nursing community(MulrCochrane, Mosel, Gerace, Esterman, & Bowers, 2011)" ..,"Psychiatric patients who elope are more likely to engage in suicidal and homicidal behavior. Flopements can have serious consequences, with one study reporting a 20-30% suicide rate, as well as harm to others" Bowers, L., Jarrett, M, Clark, M., Kiylmba, F., & McFarlane, L. (2000). Determinants of absconding by patients on acute psychiatric wards. Journal of Advanced Nursing, 32(3), 644-549. httos://Www.psychiatricnursing.org/article/50883-9417(12)00129-X/pdf A segment of patients who will be treated are more likely to be violent, "The National Institute of Mental Health (NIMH) estimates that people with serious mental illness are three times more likely to be violent than the general population. When substance abuse, a previous history of violence or nonadherence to medication is involved, the risk becomes much higher." https://www.treatmentadvocacycenter.ors/key-issues/violence Although the hospital will have policies in place the negligence the Applicant (Acadia) has displayed at other facilities is well documented, alarming and does not Instill any confidence that they will run this facility with proper attention to following policies. Please see this list of Abuse/Negligence Reported as well as Facility closures an fraud lawsuits outline here: haps://docs.googlecom/document/d/SeSGcid7KscnaAJ KxbT ipPm4FxLHKuMEhGtgcuPCY/edit?usp=sharing(we have a box full of major violations from a few of their facilities) If the City Council approves the Conditional Use Permit for the applicant, knowing that elopements occur and violence is prevalent in facilities like these, the city will knowingly be allowing a business that will endanger a vulnerable population comprised of families with children to be built. To grant a Conditional Use Permit ALL municipal code sections within 19.40.080 must be met. This business does not meet municipal codes 19.40080 (A)(B). A. That the proposed use at particular location is necessary or desirable to provide a service or facility which will contribute to the general well-being of the neighborhood or the community; B. That such use will not, under the circumstances of the particular case, be detrimental to the health, safety or general welfare of persons residing or working in the vicinity, or injurious to property or improvements In the vicinity; On March 26, 2019 the SO Board voted in favor of changing the land use to create a "Regional Behavioral Health Services Hub" on 4307 Third Ave. It is a 7.24 acre parcel of land, less than a mile North of Scripps Mercy Hillcrest. According to Nathan fletcher's office, County staff are currently doing an anatysis to determine what the need is in the Central Region area and what the mix of services should be. (see attached approved proposal from Nathan Fletcher's office) This land is available now and the county is "looking for partners." I can't imagine abetter situated parcel of land exists in the county. It would allevlate the need for long distance transfers, improve the success of coordinated care and is centrally located with access to mass transit. This Psychiatric hospital will serve a segment of patients that need the most acute care but the proposed location forth Is compromises the safety of our community, The community implores you to deny the permits being requested. Respectfully, Monica De la Vega Eastlake Woods resident, Venture Commerce business owner and heath care provider Sent from my (Phone Caroline Young From: Miss M Sent: Wednesday, lune 5, 2019 8:27 PM To: John McCann Subject: Eastlake psychiatric facility Follow Up Flag: Flag for follow up Flag Status: Completed M I'm writing to express my concerns about how Chula Vista's police shortage will impact the city It this proposed hospital is granted a conditional use permit. It Is well documented that the Chula Vista Police Department has the lowest sworn officer-to-populatlon ratio in the county at_87 sworn officers per 1,000 residents. (Source: Public Safely Staffing Report City of Chula Vista, 20171 The understaffing contributes to slower than optimal response times, '...Eastern {police response territories in Chula Vista] are very large, have increasing public safety demands and lake longer limes to traverse." Eastlake in particular has the fewest patrols assigned to handle issues arising from the facility or from those released. In 2017, the Indianapolis Metropolitan Police Department received almost 100 phone calls regarding run away patients from one of Acadia's Residential Treatment Facilities, many of which lead to burglaries and home break -Ins In the surrounding neighborhood. Does the city have an updated plan to prevent home break-ins In our community when patients at the proposed facility escape? Does the city have a plan to address the additional Increase of police needed? if so, what Is it? Concerned resident, Monica Nelson Sent on my BOOS Mobile Samsung Galaxy SS. Caroline Young From: Leah Hurtado < Sent: Wednesday, June 5, 2019 822 AM To: John McCann Subject: Eastlake Psychiatric Hospital Follow Up Flag: Flag for follow up Flag Status: Completed e ng:alMr McCann, I am writing you regarding the proposed Eastlake Psychiatric Hospital. I have been actively researching facilities such as these and am concerned about the currently proposed location. Psychiatric hospitals are needed in San Diego but it Is of utmost importance that the proper site be selected to ensure the preservation of current neighborhood character, patient safety, community safety and facility success. Building a regional hospital far from mass transit, most easily accessible by toll road needs better vetting. As you know it's nestled within a neighborhood and surrounded by a vulnerable population comprised of families with children, My concerns are directly connected to the fact that elopements (escapes) are an expected event within hospitals, Both for involuntary patients and voluntary. Because of the wide range of mental illnesses being treated at this facility, elopement in a heavily concentrated area with vulnerable populations significantly increases the chances of a dangerous event occurring. Can Acadia please share the number of elopements they had per facility In 2018? I'd like to share this article with you regarding elopement: https://www psychiatricnursin¢ 0rg/article/SO883-9417(12)00129-X/pdf Having 24 hour security will not completely guarantee the surrounding communities the safety we deserve. My understanding is that you are only required to notify people within 500ft of the site please make sure to include me in the notification sent by the city. you may do so via email. Thankyoul Alex Hurtado Sent from my Phone Caroline Young From: Jennifer Villa Sent: Monday, June 3, 2019 12:50 PM To: John McGann Subject: Proposed Eastlake Psychiatric Hospital M Good afternoon Mr. McCann, I wanted to reach out to you regarding the proposed Eastlake Psychiatric Hospital. I own a home inclose proximity to the location of the proposed psychiatric facility. The currently proposed site is lacking major characteristics of a Regional Hospital site. It's most easily accessible via a for pay toll road, the nearest bus stop is 1 mile from the facility and the facility itself will take 30mins (without traffic) to transfer patients via ambulance. In addition to the accessibility and proximity issues, the currently proposed site on Showroom PI is surrounded by children's activities, schools and single family residences, including my own. This Regional Hospital will not only change the character of the neighborhood but it also poses a danger to this community. The risks of Elopement (leaving premises without permission) are very real and unfortunately "It has been Identified as a significant Issue by the psychiatric nursing community (MuirCochrane, Mosel, Gerace, Esterman, & Bowers, 2011)" ..."Psychiatric patients who elope are more likely to engage in suicidal and homicidal behavior. Elopements can have serious consequences, with one study reporting a 20-30% suicide rate, as well as harm to others "Bowers, L., Jarrett, M., Clark, Ni Kiyimba, F., & McFarlane, L. (2000). Determinants of absconding by patients on acute psychiatric wards. Journal of Advanced Nursing, 32(3),644-649. https://www.psvchiatricnursina.ora/article/SD883-9417(12)00129-X/pdf A segment of patients who will be treated are more likely to be violent. "The National Institute of Mental Health (NIMH) estimates that people with serious mental illness are three times more likely to be violent than the general population. When substance abuse, a previous history ofviolence or nonadherence to medication is involved, the risk becomes much higher."https://www.treatmentadvocacycenter.org/keydssues/violence. Although the hospital will have policies in place the negligence the Applicant (Acadia) has displayed at other facilities is well documented, alarming and does not Instill any confidence that they will run this facility with proper attention to following policies. Please see this list of Abuse/Negligence Reported as well as Facility closures and fraud lawsuits outline here: https://docs.google,corn/document/d/'leSGCjd7KscggAJ_KxbT_)pPm4FzLHKUMEhGtBcu PCY/edit?usp--sl1 aring (we have a box full of major violations from a few of their facilities). If the City Council approves the Conditional Use Permit for the applicant, knowing that elopements occur and violence is prevalent In facilities like these, the city will knowingly be allowing a business that will endanger a vulnerable population comprised of families with children to be built. To grant a Conditional Use Permit ALL municipal code sections within19.40.080 must be met. This business does not meet municipal codes 19.40.080 (A)(B).A. That the proposed use at the particular location Is necessary or desirable to provide aservice or facility which will contribute to the general well-being of the neighborhood or thecommunity; B. That such use will not, under the circumstances of the particular case, bedetrlmentai to the health, safety or general welfare of persons residing or working in the vicinity,or injurious to property or improvements in the vicinity; On March 26, 2019 the 50 Board voted in favor of changing the land use to create a "Regional Behavioral Health Services Hub" on 4307 Third Ave. It is a 7.24 acre parcel of land, less than a mile North of Scripps Mercy Hillcrest. According to Nathan Fletcher's office, County staff are currently doing an analysis to determine what the need Is In the Central Region area and what the mix of services should be. This land Is available now and the county is "looking for partners." I can't Imagine a better situated parcel of land exists in the county. it would alleviate the need for long distance transfers, improve the success of coordinated care and is centrally located with access to mass transit. This Psychiatric hospital will serve a segment of patients that need the most acute care but the proposed location for this compromises the safety of our community. The community implores you to deny the permits being requested. Respectfully, Jennifer Villa Caroline Young From: Aileen Andal< _ Sent: Monday, June 3, 2019 9:11 PM To: John McCann; Mary Salas Subject: Please uphold to your promise to keep us safe Follow Up Flag: Flag for follow up Flag Status: Completed Warning: External Email H I I I would like to thank you first for your service to our community. I am one of the many residents of Eastlake area who are very concerned aboutthe planned construction of the 120 -bed Psychiatric Hospital here in Eastlake. I think that I can speak for the many who believe that this specialty hospital is very much needed BUT also believe that it needs to be built in an appropriate location. As from what I have read, this facility serves as part of the relocation and expansion of the 36 bed behavioral health facility of Scripps in Hillcrest. I was also told that this would be the 2"°largest mental facility in San Diego. If I understand It right, this hospital then should serve the central and north areas as well. I do find it hard to believe that they find the middle of Eastlake accessible for patients coming from central and north areas. Also, 1 know that this is a specialty hospital that will be designed to address the mild and the extreme cases of mental Illness and drug dependence. I think that we all realize the obvious and known dangers that may come from such a facility. As a mother I would like to appeal to the City planning committee to please make a VERY RESPONSIBLE decision on this. As for any matter, I think that SAFETY should always be priority. I think that the neighborhood's safety Is much more Important than the 100 jobs that this facility will create. And far more Important than the profit that the company or owner will make from it. I think that In many eases, there are risks that may be avoidable and there are those that are not. I believe that the potential risk of danger from having this facility in Eastlake or in any family community is one that may be avoidable. I would hate for anyone to have to say" I knew it, I knew this would happen." It is not hard at all to foresee the consequences and imminent dangers of having such facility in any community of growing families with children. It is hard to believe that they have even considered that location. Please do not sub'e t our families our children o these avoidable dangers. Please do not approve the bulliding of this favolity and lust assist with finding a more suitable location for this facility Also if I may share. The moment my family learned about this, we were all very shocked. My 12 year old daughter's reaction was, "Mommy, you know I don't like moving but if they build the hospital I think we need to move." I wanted to share my daughter's reaction because I am sure that you have heard mostly from adults or parents. I think that kids know more than what we think they do. I just think that If a 12 year old child can immediately realize the potential risks from this facility, then I could expect more from the City Planning Committee, a Council Memeber and from the Mayor. As a mother, I have taught my children to never exclude and I would never want to add to the stigma on mental illness. It is real and it needs to be addressed, BUT I also would like to be true to myself, speak out my concerns and do what I can do to keep my family and my community safe. Again. I am not against the building of this facility, but like many I would Just like for It to be built in a place where it would yield the least risk for both the patients and the people around it. Thank you so much for hearing all our concerns Aileen Jarina Homeowner, Mother, Community member Caroline Young From: Katrina Gaviola Sent: Monday, June 3, 4Q19 11:15 AM To: John McCann Subject: Psychiatric Hospital Eastlake Follow Up Flag: Flag for follow up Flag Status: Completed Warning:: External Email Hello Mr. McCann, I am an Eastlake resident . I am writing to you to respectfully oppose the building of a Psychiatric hospital in Eastlake Chula Vista. I am a Registered Nurse who work first hand with these type of patients. This location In Eastlake is one of the worse locations you can put this hospital in. It will be about a mile away from many schools, about 0.9 miles away from Salt Creek Elementary school. The release of patients and risk of elopement will pose risk to the children. I have seen patients discharged on the streets or leave against medical advice because they are refusing proper discharge placement and treatment. I have seen them refuse transportation and seek to live on the streets and continue the very harmful addictions that have brought them to the hospital. This Includes abuse of alcohol, drugs and other harmful addictions. This potentially risks the safety of children nearby in homes, schools, parks, businesses that are for chlldrens activities where you are planning to build this hospital. Please ask yourself if you have children, grandchildren, nieces or nephews, would you want a pyschiatric hospital less than a mile of their school) There are many alternatives to this location that would be more appropriate. Alternatives that are away from schools, parks and homes. Alternatives that have better public transportation to discharge these patients. We have seen the detrimental actions of mental disease on people, including children. Please do not risk their safety by building this hospital in this location. Please consider different location. Thank you for your time. Concerned Resident, Katrina Gaviola Caroline Young From: Miss M Sent: Monday, lune 3, 2019 6A2 PM To: John McCann Subject: Objection to eastlake psychiatric facility Follow Up Flag: Flag for follow up Flag Status: Completed WEianng: %Cerna Email t I am writing to you regarding the proposed Eastlake Psychiatric Nos itaI, I oppose the building of this hos ItaI In the currently proposed location and ask that the city critically consider the repercussions of allowing a Regional Hospital that will service high acuity patients in close proximity to vulnerable populations comprised of elderly and families with children. Make no mistakes about It, this Is not a neighborhood hospital it is a Regional Psychiatric Hub 20 miles from many of the patients it currently services. The Issue with having this Regional Hospital so far from Scripps Mercy Hillcrestis that continued coordinated care will be more difficult. Most of these patients will have an ongoing struggle with mental Illness that require an additional support infrastructure that Eastlake does not have. If this for-profit hospital is truly meant to help people and not just make money from their suffering, why not build it in a more easily accessible location and In close proximity to the main hospital hub? Most people with mental illness are not homeless but many homeless are mentally ill. They should not have to struggle to get to their outpatlent appointments because of the poorly selected location. A bus ride from La Mesa to the proposed site is 3 ms and a 1 mile walk up -hill. Is this facility only meant for those who can afford a toll road and a vehicle? Although this facility is for-profit, they accept medicaid and Scripps has a charitable clause. Speaking of Medicaid, In early May 2019 Acadia reached a "$17 million settlement in a fraud scheme, the largest health care fraud settlement in West Virginia's history, U.S. Attorney Mike Stuart announced.." .re-pays-million-to-settie- medicaid-fraud/article 886e9fc8-05735282-9c7b-58e7382ffe39.html Additionally, according to researchgate.net "On discharge, 27% of the homeless patients were discharged to no fixed abode status..." [Article: Homelessness and the Length of Stay In Psychiatric Wards, August 20171 By approving the Conditional Use Permit you will be allowing a business to be built that will increase homeless In the area and with It the risk of homeless related crimes in an area predominantly inhabited by families with children. Thisis not In the best interest of the community that you presently serve. For all the reason mentioned above and all the ones you will be emalled about by other community members, I ask you to deny the Conditional Use Permit. Thank you, Monica Nelson Sent on my Boost Mobile Samsun® Galaxy S3. Caroline Young From: Misa Dowling Sent: Monday, June 3, 2019 12:56 PM To: John McCann Subject: Objection to Proposed Psychiatric Hospital in Eastlake Follow Up Flag: follow up Flag Status: Completed Warning; Email Dear Councilmember McCann, l As a resident of the Eastlake neighborhood of Chula Vista I am writing to voice my concerns over the proposal to build a psychiatric healthcare facility operated by Acadia in our neighborhood. The currently proposed site is lacking major characteristics of a Regional Hospital site. It is not near the freeway. The closest highway is a toll road. Additionally it is not easily accessible to public transport; the nearest bus stop is I mile from the facility. The facility will be working closely with a hospital in Hillcrest, but it will take 30mins (without traffic) to transfer patients via ambulance. In addition to the accessibility and proximity issues, the currently proposed site on Showroom PI is surroundedby children's activities, schools and single family residences. This Regional Hospital will not only change the character of the neighborhood but it also poses a danger to this community. The risks of Elopement (leaving premises without permission) are very real and unfortunately "it has been identified as a significant issue by the psychiatric nursing community (MuirCochrane, Mosel, Gerace, Esterman, & Bowers, 2011)° ..."Psychiatric patients who elope are more likely to engage in suicidal and homicidal behavior. Elopements can have serious consequences, with one study reporting a 20-30% suicide rate, as well as harm to others" Bowers, L., Jarrett, M., Clark, M., Kiyimba, F., & McFarlane, L. (2000). Determinants of absconding by patients on acute psychiatric wards. Journal of Advanced Nursing, 32(3), 644--649, tittl)s://wvw.psychiatricaui�sitig,org/article/SO883-94t7(12)00129- X/pdf A segment of patients who will be treated are more likely to be violent. "The National Institute of Mental Health (NIMH) estimates that people with serious mental illness are three times more likely to be violent than the general population. When substance abuse, a previous history of violence or nonadherence to medication is involved, the risk becomes much higher."littps: / /www. troatnteiitadvocLicyce:nter,org/ key -issues/ violetice Although the hospital will have policies in place the negligence the Applicant (Acadia) has displayed at other facilities is well documented, alarming and does not instill any confidence that they will run this facility with proper attention to following policies. Please see this list of Abuse/Negligence Reported as well as Facility closures an fraud lawsuits outline here: j, G'doos�oogle.uomfdocumeni dge5GGa17KacgqN Ks69'__. pPm4fztfl KuMEliGL cuPCY<ht ..sp=sharing (concerned residents have collected a list of major violations from a few of their facilities) If the City Council approves the Conditional Use Permit for the applicant, knowing that elopements occur and violence is prevalent in facilities like these, the city will knowingly be allowing a business that will endanger a vulnerable population comprised of families with children to be built. To grant a Conditional Use Permit ALL municipal code sections within 19.40.080 must be met. This business does not meet municipal codes 19.40.080 (A)(B). A.That the proposed use at the particular location is necessary or desirable to provide a service or facility which will contribute to the general well-being of the neighborhood or the community; B.That such use will not, under the circumstances of the particular case, be detrimental to the health, safety or general welfare of persons residing or working in the vicinity, or injurious to property or improvements in the vicinity; On March 26, 2019 the SD Board voted in favor of changing the land use to create a "Regional Behavioral Health Services Hub" on 4307 Third Ave. It is a 7,24 acre parcel of land, less than a mile North of Scripps Mercy Hillcrest. According to Nathan Fletcher's office, County staff are currently doing an analysis to determine what the need is in the Central Region area and what the mix of services should be. This land is available now and the county is "looking for partners." I can't imagine a better situated parcel of land exists in the county. It would alleviate the need for long distance transfers, improve the success of coordinatedcare and is centrally located withaccess to mass transit. This Psychiatric hospital will serve a segment of patients that need the most acute care but the proposed location for this compromises the safety of our community. The community implores you to deny the permits being requested. Respectfully, Miss Dowling Via Facabook Messenger W/19 7:63 am John, Thank -you for all you have done for Chula Vista, Eastlake and Rolling Hills Ranch. As a long-time resident and former Naval Officer. I like you, chose to Ilve In this beautiful comer of Chula Vista because it offered a safe & wondedullocatlon to raise my family. Because I am so proud to call this part of San Diego my home, I write to you to MOST STRONGLY OPPOSE the development of the Psychiatric Hospital in our neighborhood. -This high-risk facility will negatively change the dynamic of our community foreved Without a police station or proper manta) health inhashucture nearby, placing a large psychiatric hospital, Mich will house the counties mostdangerous patients, pito a quiet cul-de-sac adjacent to two nelghbphoods is grossly misplaced. If approved, this facility will yield an unacceptable level of risk for the community and will compromise the safety and well-being of ALL residents. Please protect our community and DO NOT support the approval of the Psychiatric Hospital. Bmd Davis Caroline Young From: Miss N Sent: Monday, June 3, 2019 8:17 AM To: John McCann Subject: Eastlake psychiatric facility Follow Up Flag: Flag for follow up Flag Status: Completed Warning•.. External I'm writing to express my concerns about how Chula Vista's police shortage will impact the city If this proposed Emall hospital Is granted a conditional use permit. It Is well documented that the Chula Vista Police Department has the lowest sworn officer•to-populatlon ratio in the county at .87 sworn officers per 1,000 residents. [Source: Public Safety Staffing Report City of Chula Vista, 2017] The understating contributes to slower than optimal response times. "...Eastern [police response territories In Chula Vista] are very large, have increasing public safety demands and take longer times to traverse." Eastlake in particular has the fewest patrols assigned to handle Issues arising from the facility or from those released. In 2017, the Indianapolis Metropolitan Police Department received almost 100 phone calls regarding run away patients from one of Acadia's Residential Treatment Facilities, many of which lead to burglaries and home th eak4ns In the surrounding neighborhood. Does the city have an updated plan to prevent home break-ins in our community when patients at the proposed facility escape? Does the city have a plan to address the additional Increase of police needed? If so, what is it? Concerned resident, Monica N Sent from Yahoo Mail on Android Caroline Young From: Nora La Salle Sent: Sunday, June 2, 2019 1'.37 PM To: John McCann Subject: Relocate Fasti-ace Psychiatric Hospital Follow Up Flag: Flag for follow up Flag Status: Completed M Hi John. I am writing to you regarding the proposed Eastlake Psychiatric Hospital. I oppose the building of this hospital In the currently proposed location and ask that the city critically consider the repercussions of allowing a Regional Hospital that will service high acuity patients in close proximity to vulnerable populations comprised of elderly and families with children. Make no mistakes about it, this is not a neighborhood hospital it is a Regional Psychiatric Hub 20 miles from many of the patients it currently services The issue with having this Regional Hospital so far from Scripps Mercy Hillcrest is that continued coordinated care will be more difficult, Most of these patients will have an ongoing struggle with mental illness that require an additional support infrastructure that Eastlake does not have. If this for profit hospital Is truly meant to help people and notjust make money from their suffering, why not build It In a more easily accessible location and In close proximity to the main hospital hub? Most people with mental Illness are not homeless but many homeless are mentally ill. They should not have to struggle to get to their outpatient appointments because of the poorly selected location. A bus ride from La Mesa to the proposed site Is 3 hrs and a 1 mile walk up hill. Is this facility only meant for those who can afford a toll road and a vehicle? Although this facility is for profit, they accept medicaid and Scripps has a charitable clause. Speaking of Medicaid, In early May 2019 Acadla reached a " $17 million settlement in a fraud scheme, the largest health care fraud settlement In West Virginia's history, U.S. Attorney Mike Stuart announced..." .re-pays-million-to- settle-medicaid-fraud/article 888e9fc8-0573.5282-gc7b-58e7382ffe39.html Additionally, according to researc�ate.net "On discharge, 27% of the homeless patients were discharged to no fixed abode status—" [Article: Homelessness and the Length of Stay in Psychiatric Wards, August 2017] By approving the Conditional Use Permit you will be allowing a business to be built that will increase homeless in the area and with it the risk of homeless related crimes in an area predominantly Inhabited by families with children. Which is not in the best interest of the community that you presently serve. For all the reason mentioned above and all the ones you will be smelled about by other community members, I ask you to deny the Conditional Use Permit. Thank you, Nora Lasalle Caroline Youn From: Maria Isabel Dominguez � t Sent: Sunday, June 2, 2019 9:01 AM To: John McCann Subject: - Police Shortage - Eastlake Psychiatric Hospital Warning: External Email Hello Mr. McCann: I'm writing to you regarding my concerns about how Chula Vista's police shortage will impact the city if this proposed hospital is granted a conditional use permit. It is well documented that the City of Chula Vista's Police Department has the lowest sworn officer -to -population ratio in the county at .87 swom officers per 1,000 residents. [Source: Public Safety Staffing Report City of Chula Vista, 2017] The understaffing contributes to slower than optimal response times. "..,Eastern [police response territories in Chula Vista] are very large, have increasing public safety demands and take longer times to traverse." Eastlake in particular has the fewest patrols assigned to handle issues arising from the facility or from those released. In 2017,The Indianapolis Metropolitan Police Department received almost 100 phone calls regarding run away patients from one of Acadia's Residential Treatment Facilities, many of which lead to burglaries and home break-ins in the surrounding neighborhood. Does the city have an updated plan to prevent home break ins in our community when patients at the proposed facility escape? Does the city have a plan to address the additional increase of police needed? If so, what is it? Humberto Peraza Sr. Chula Vista, CA 91914 Caroline Young From: Ian Burgar __... sent Sunday, June 2, 2019 9:29 AM 7o: John McCann Subject: Proposed Eastlake Psychiatric Hospital Follow Up Flag: Flag for follow up Flag status: Completed Warning: External Email Councilman McCann, I wanted to reach out to you regarding the proposed Eastlake Psychiatric Hospital. The currently proposed site is lacking major characteristics of a Regional Hospital site. It's most easily accessible via a for pay toll road, The nearest bus stop is 1 mile from the facility and the facility itself will take 30mins (without traffic) to transfer patients via ambulance. In addition to the accessibility and proximity issues, the currently proposed site on Showroom PI is surrounded by children's activities, schools and single family residences. This Regional Hospital will not only change the character of the neighborhood but it also poses a danger to this community. The risks of Elopement (leaving premises without permission) are very real and unfortunately "It has been identified as a significant issue by the psychiatric nursing community (MuirCochrane, Mosel, Geraee, Esterman, & Bowers, 2011)" ..."Psychiatric patients who elope are more likely to engage in suicidal and homicidal behavior. Elopements can have serious consequences, with one study reporting a 20-30% suicide rate, as well as harm to others" Bowers, L., Jarrett, M., Clark, M., Kiyimba, F., & McFarlane, L. (2000). Determinants of absconding by patients on acute psychiatric wards. Journal of Advanced Nursing, 32(3), 644-649. https://www.psychiatrienursing.org/article/SO883-941.7(12)00129-x/pdf A segment of patients who will be treated are more likely to be violent. "The National Institute of Mental Health (NIMH) estimates that people with serious mental illness are three times more likely to be violent than the general population. When substance abuse, a previous history of violence or nonadherence to medication is involved, the risk becomes much higher." https://www.treatmentadvocacycenter.org/key-issues/violence Although the hospital will have policies in place the negligence the Applicant (Acadia) has displayed at other facilities is well documented, alarming and does not instill any confidence that they will run this facility with proper attention to following policies. Please see this list of Abuse/Negligence Reported as well as Facility closures an fraud lawsuits outline here: https://does.google,conVdocument/d/leSGgd7KscgqALKxbT_ jpPm4FzLHKuMEhGt8coPCY/ edit7usp=sharing (we have a box full of major violations from a few of their facilities), If the City Council approves the Conditional Use Permit for the applicant, knowing that elopements occur and violence is prevalent in facilities like these, the city will knowingly be allowing a business that will endanger a vulnerable population comprised of families with children to be built. To grant a Conditional Use Permit ALL municipal code sections within 19.40.080 must be met. This business does not meet municipal coders 19.40.080 (A)(B). A. That the proposed use at the particular location is necessary or desirable to provide a service or facility which will contribute to the general well-being of the neighborhood or the community; B. That such use will not, under the circumstances of the particular case, be detrimental to the health, safety or general welfare of persons residing or working in the vicinity, or injurious to property or improvements in the vicinity; On March 26, 2019 the SD Board voted in favor of changing the land use to create a "Regional Behavioral Health Services Hub" on 4307 Third Ave. It is a 7.24 acre parcel of land, less than a mile North of Scripps Mercy Hillerest. According to Nathan Fletcher's office, County staff are currently doing an analysis to determine what the need is in the Central Region area and what the mix of services should be. (see attached approved proposal from Nathan Fletcher's Office) This land is available now and the county is "looking for partners." 1 can't imagine a better situated parcel of land exists in the county. It would alleviate the need for long distance transfers, improve the success of coordinated care and is centrally located with access to mass transit. This Psychiatric hospital will serve a segment of patients that need the most acute care but the proposed location for this compromises the safety of our community. The community implores you to deny the permits being requested. Respectfully, Ian Burgar Sent from my iPhone Caroline Young From: Maria Isabel Dominguez <i Sent: Sunday, June 4 2019 8:43 AM To: John McCann Subject Proposed Eastlake Psychiatric Hospital Poor Location Choice Warning: External Email Hi Mr, John McCann: I am writing to you regarding the proposed Eastlake Psychiatric Hospital. I oppose the building of this hospital in the currently proposed location and ask that the city critically consider the repercussions of allowing a Regional Hospital that will service high acuity patients in close proximity to vulnerable populations comprised of elderly and families with children. Make no mistakes about it, this is not a neighborhood hospital it is a Regional Psychiatric Hub 20 miles from many of the patients it currently services. The issue with having this Regional Hospital so far from Scripps Mercy Hillcrest is that continued coordinated care will be more difficult. Most of these patients will have an ongoing struggle with mental illness that require an additional support infrastructure that Eastlake does not have. If this for profit hospital is truly meant to help people and not just make money from their suffering, why not build it in a more easily accessible location and in close proximity to the main hospital hub? Most people with mental illness are not homeless but many homeless are mentally ill. They should not have to struggle to get to their outpatient appointments because of the poorly selected location. A bus ride from La Mesa to the proposed site is 3 bra and a 1 mile walk up hill. Is this facility only meant for those who can afford a toll road and a vehicle? Although this facility is for profit, they accept medicaid and Scripps has a charitable clause. Speaking of Medicaid, In early May 2019 Acadia reached a " S 17 million settlement in a fraud scheme, the largest health care fraud settlement in West Virginia's history, U.S. Attorney Mike Stuart announced..." .re-pays-million-to-settle-medicaid-fraud/article_886e9fc8-0573-5282-9c7b- 58e7382ffe39.htm1 Additionally, according to researchgate.net "On discharge, 27% of the homeless patients were discharged to no fixed abode status..." [Article: Homelessness and the Length of Stay in Psychiatric Wards, August 2017] By approving the Conditional Use Permit you will be allowing a business to be built that will increase homeless in the area and with it the risk of homeless related crimes in an area predominantly inhabited by families with children. Which is not in the best interest of the community that you presently serve. For all the reason mentioned above and all the ones you will be emailed about by other community members, I ask you to deny the Conditional Use Permit. Thank you, Isabel Peraza Chula Vista, CA 91914 Caroline Youn From: Manuelito Jarina Sent: Sunday, June 2, 2019 10:44 PM To: John McCann Subject: Opposing the proposed Psyhiatric hospital Follow Up Flag: flag for follow up Flag Status: Completed M Clear Council member McCann, My name Is Marinelli Jarina, 1 am an Eastlake resident, particularly in Rolling Hills Ranch. Father of a 13yr old girl who goes to Eastlake Middle School & a 9yr old boy who goes to Thurgood Marshall Elementary school. I have a number of safely concerns (hat I would like to have addressed regarding the Psychiatric Hospital Proposed for 350 Showroom PI First, relating to safety of our kids is the proximity to elementary schools, middle school & High school. Looking up the distance from schools: Thurgood Marshall Elementary -4 mins - 1.3 miles Salt creek Elementary- 3 mins -.9 miles Arroyo Vista Charter school - 5 mins - 1,5 miles Eastlake Middle School- 5 min 1.4 miles Eastlake High School - 6 mins -1.6 miles Isn'tihere a particular distanoe/radius that Is required for the patients that this faculty, will cater should be away from kids? Kids from these schools walk to & from school to their homes & relating to this kind offacility's release policies, I dont think It will be a safe environment for the kids. Considering that the location of the proposed facility is not easily accessible not having any close bus stops & It Is as well for from the freeway. In addition to the accessibility and proximity Issues, the currently proposed site on Showroom PI is surrounded by children's activities, schools and single family residences. This Regional Hospital will not only change the character of the neighborhood but it also poses a danger to this community. The risks of Elopement (leaving premises without ponnesion) are very real and unfortunately "It has been Identified as a significant Issue by the psychiatric nursing community (MulrCochrane, Mosel, Gerace, Esterman, & Bowers, 2011)" ..."Psychloric patients who elope are more likely to engage In suicidal and homicidal behavior. Elopements can have serious consequences, with one study tapering a 20-30% suicide rate, as well as harm to others" Bowers, L, Jarrett, M., Clark, M., Kiyhnbe, F„ & McFarlane, L. (2000). Determinants of absconding by patients on acute psychiatric wards. Journal of Advanced Nursing, 32(3), 644-649. https://www.psychiatricnursing.org/article/50883-9417(12)00129-Xtpdf Relating to this concern, increase In traffic, loitering, and homelessness create safety concerns for the many schools, parks, and day care centers that are In the neighborhoods immediately adjacent. What will happen to patients when they are released and refuse help from a social worker? What happens to patients who lack housing, access to additional medical care, or a family/support system to assist them? The currently proposed site Is lacking major characonatics of a Regional Hospital site. The closest freeway access Is via the 125 pay toll road, The nearest boa stop Is i mile from the facility and the facility Itself will take 30mins (without traffic) to transfer patients via ambulance. This facility will be 20 miles away from Scripps Mercy Hospital in Hillcrest, far removed from much of the population It currently serves, How will patients get to this location with limited public transportation and quick accessibility only available via toll road? Also, with limited Police & Resources Is a fact here In our area, adding a new facility of this scale wl11 likely cause an Increase In call volume resulting in an Increase In response time from ambulances,. 11re, and police. Chula Vista currently does not have enough police and Eastlake has the fewest patrols assigned to handle issues arising from the facility or from these released. CVPD has the lowest swom officer-to-populalion ratio in the county at less than 1 sworn officers per 1,000 residents. How will this be addressed? The facility will be directly located in our neighborhood and we are all conoemed regazding the safety of our kids & our own safety & the safety of our wmmunity, Thank you! Concerned Resident, Manuelitc Jenna Chula Vista, CA 01914 Caroline Youn From: Ginger A, Sent: Sunday, June 2, 2019 8:21 AM To: John McCann Subject: Eastlake psychiatric facility opposition Follow Op Flag: Flag for follow up Flag Status: Completed Warning: Eil Email I am writing to you regarding the proposed Eastlake Psychiatric Hospital, I oppose the buildingof this hospital in the currently proposed location and ask that the city critically consider the repercussions of allowing a Regional Hospital that will service high acuity patients In close proximity to vulnerable populations comprised of elderly and families with children. Make no mistakes about it, this Is not a neighborhood hospital it is a Regional Psychiatric Hub 20 miles from many of the patients It currently services. The issue with having this Regional Hospital so far from Scripps Mercy Hillcrest Is that continued coordinated care will be more difficult. Most of these patients will have an ongoing struggle with mental Illness that require an additional support infrastructure that Eastlake does not have, If this for-profit hospital is truly meant to help people and notiust make money from their suffering, why not build it in a more easily accessible location and in close proximity to the main hospital hub? Most people with mental illness are not homeless but many homeless are mentally ill. They should not have to struggle to get to their outpatient appointments because of the poorly selected location. A bus ride from la Mesa to the proposed site is 3 hrs and a 1 mile walk up -hill. Is this facility only meant for those who can afford a toll road and a vehicle? Although this facility is for-profit, they accept medicaid and Scripps has a charitable clause. Speaking of Medicaid, In early May 2019 Acadia reached a "$17 million settlement in a fraud scheme, the largest health care fraud settlement in West Virginia's history, U.S. Attorney Mike Stuart announced.. ".re -pays -million -to -settle. medicald-fraud/article_886e9fc8-0573-5282-9c7b-58e7382ffe39.htm I Additionally, according to researchgate.net "On discharge, 27% of the homeless patients were discharged to no fixed abode status..." [Article: Homelessness and the Length of Stay in Psychiatric Wards, August 20171 By approving the Conditional Use Permit you will be allowing a business to be built that will Increase homeless in the area and with it the risk of homeless related crimes In an area predominantly inhabited by families with children. This is not in the best interest of the community that you presently serve. For all the reason mentioned above and all the ones you will be emailed about by other community members, J ask you to deny the Conditional Use Permit Thank you Caroline Youn From: Miss M Sent: Saturday, June 1, 2019 8:28 PM To: John McCann Subject: Re: eastiake behavioral health Follow Up Flag: Flag for fallow up Flag Status: Completed 6Yarningf Ektgrnal. Good evening, Email I wanted to reach out to you regarding the proposed Eastlake Psychiatric Hospital. The currently site Is lacking major characteristics of a Regional Hospital site. It's most accessible via a for pay toll road, The nearest bus stop Is 1 mile from the facility. It will take 30rnins (without traffic) to transfer patients via ambulance from Scripps Hillcrest. In addition to the accessibility and proximity issues, the currently proposed site on Showroom PI Is surrounded by children's activities, schools and single family residences. This Regional Hospital will not only change the character of the neighborhood but it also poses a danger to this community. The risks of Elopement (leaving premises without permission) are very real and unfortunately "It has been identified as a significant issue by the psychiatric nursing community (MuirCochrane, Mosel, Gerace, Esterman, & Bowers, 2011)" ._"Psychiatric patients who elope are more likely to engage in suicidal and homicidal behavior. Elopements can have serious consequences, with one study reporting a 20-30% suicide rate, as well as harm to others" Bowers, L., Jarrett, M., Clark, M., Kiyimba, F., & McFarlane, L. (2000). Determinants of absconding by patients an acute psychiatric wards. Journal of Advanced Nursing, 32(3), 644-649, https://www. psych ietricnursing.org/article/50883-9417 (12)00129-X/pdf A segment of patients who will be treated are more likely to be violent. "The National Institute of Mental Health (NIMH) estimates that people with serious mental Illness are three times more likely to be violent than the general population. When substance abuse, a previous history of violence or nonadherence to medication is Involved, the risk becomes much higher" https://www.treatmentadvocacycenter,org/key-issues/violence Although the hospital will have policies In place, the negligence the Applicant (Acadia) has displayed at other facilities is well documented, alarming and does not instill any confidence that they will run this facility with proper attention to following policies. Please see this list of Abuse/Negligence Reported as well as Facility closures an fraud lawsuits outline here: https://docs.google.com/document/d/le$GCjd7KscggAJ_KxbT_jpPm4FzLH KuM EhGt8cu PCV/edit?usp=sharing (we have a box full of major violations from a few of their facilities) If the City Council approves the Conditional Use Permit for the applicant, knowing that elopements occur and violence is prevalent in facilities like these, the city will knowingly be allowing a business that will endanger a vulnerable population comprised of families with children to be built. To grant a Conditional Use Permit ALL municipal code sections within 19.40.080 must be met, This business does not meet municipal codes 19.40.080 (A)(B). A. That the proposed use at the particular location is necessary or desirable to provide a service or facility which will contribute to the general well-being of the neighborhood or the community; B. That such use will not, under the circumstances of the particular case, be detrimental to the health, safety or general welfare of persons residing or working in the vicinity, or Injurious to property or improvements in the vicinity; On March 26, 2019 the SD Board voted In favor of changing the land use to create a "Regional Behavioral Health Services Hub" on 4307 Third Ave, It is a 7.24 acre parcel of land, less than am Ile North of Scripps Mercy Hillcrest. According to Nathan Fletcher's office, County staff are currently doing an analysis to determine what the need is in the Central Region area and what the mix of services should be. (see attached approved proposal from Nathan Fletcher's Office) This land is available now and the county is "looking for partners." I can't imagine abetter situated parcel of land exists in the county. It would alleviate the need for long distance transfers, improve the success of coordinated care and is centrally located with access to mass transit. This Psych latric hospital will serve a segment of patients that need the most acute care but the pro posed.locatlon forth Is compromises the safety of our community, The community Implores you to deny the permits being requested. Respectfully, Monica Nelson Sent on my Boost Mobile Samsung Galaxy S8. Caroline Young From: Virginia Oro Sent: Saturday, June 1, 2019 8:01 AM To: Jahn McCann Subject; Proposed Eastlake psychiatric hospital Follow Up Flag: Follow up Flag Status: Completed M Mr. McCann - I wanted to reach out to you regarding the proposed Eastlake Psychiatric Hospital. The currently proposed site is lacking major characteristics of a Regional Hospital site. It's most easily accessible via a for pay toll road, The nearest bus stop is 1 mile from the facility and the facility itself will take 30mins (without traffic) to transfer patients via ambulance. In addition to the accessibility and proximity Issues, the currently proposed site on Showroom PI is surrounded by children's activities, schools and single family residences. This Regional Hospital will not only change the character of the neighborhood but it also poses a danger to this community. The risks of Elopement (leaving premises without permission) are very real and unfortunately "It has been identified as a significant issue by the psychiatric nursing community (MuirCochrane, Mosel, Gerace, Esterman, & Bowers, 2011)" ..."Psychiatric patients who elope are more likely to engage In suicidal and homicidal behavior. Elopements can have serious consequences, with one study reporting a 20-30% suicide rate, as well as harm to others" Bowers, L., Jarrett, M., Clark, M., Kiyimba, F., & McFarlane, L. (2000). Determinants of absconding by patients on acute psychiatric wards. Journal of Advanced Nursing, 321644-649. https://www.psychiatHonursin,q.org/article/50883.9417(12)00129-X/odf A segment of patients who will be treated are more likely to be violent. 'The National Institute of Mental Health (NIMH) estimates that people with serous mental illness are three times more likely to be violent than the general population. When substance abuse, a previous history of violence or nonadherence to medication Is involved, the risk becomes much higher." httos://www.treatmentadvocacvicenter org/key-issues/violence Although the hospital will have policies in place the negligence the Applicant (Acadia) has displayed at other facilities Is well documented, alarming and does not instill any confidence that they will run this facility with proper attention to following policies. Please see this list of Abuse/Negligence Reported as well as Facility closures an fraud lawsuits outline here: =sharing (we have a box full of major violations from a few of their facilities) If the City Council approves the Conditional Use Permit for the applicant, knowing that elopements occur and violence is prevalent in facilities like these, the city will knowingly be allowing a business that will endanger a vulnerable population comprised of families with children to be built. To grant a Conditional Use Permit ALL municipal code sections within 19.40.080 must be met, This business does not meet municipal codes 19.40.080 (A)(B). A. That the proposed use at the particular location is necessary or desirable to provide a service or facility which will contribute to the general well-being of the neighborhood or the community; B. That such use will not, under the circumstances of the particular case, be detrimental to the health, safety or general welfare of persons residing or working in the vicinity, or injurious to property or Improvements In the vicinity; On March 26, 2019 the SD Board voted in favor of changing the land use to create a "Regional Behavioral Health Services Hub" on 4307 Third Ave. It is a 7.24 acre parcel of land, less than a mile North of Scripps Mercy Hillcrest. According to Nathan Fletcher's office, County staff are currently doing an analysis to determine what the need is in the Central Region area and what the mix of services should be. (see attached approved proposal from Nathan Fletcher's Office) This land Is available now and the county is "looking for partners." I can't Imagine a better situated parcel of land exists In the county. It would alleviate the need for long distance transfers, improve the success of coordinated care and is centrally located with access to mass transit. This Psychiatric hospital will serve a segment of patients that need the most acute care but the proposed location for this compromises the safety of our community. The community implores you to deny the permits being requested. Respectfully, Virginia Gutierrez Rolling Hills Resident GV Educator Sent from Vlrglnia'sM Whore Caroline Young From: Ruben Guilloty Sent: Saturday, June 1, 2019 1:40 PM To: John McCann Subject: Fw: Psychiatric Hospital Eastlake Follow Up Flag: Flag for follow up Flag Status: Completed MWarningHello Mr. John McCann, I am an Eastlake resident, This letter is regarding the proposed Psychiatric Hospital for 350 Showroom Place in Eastlake Chula Vista. I have a number of safety and other related concerns that I would like to have considered and addressed before this project is supported or approved. Although I believe that increased Psychiatric services are in fact necessary to address the healthcare needs of San Diego, I also believe that the location in which the facilities are built and located must provide adequate access to the majority of those who need it and should ultimately be integrated with other related healthcare services/ providers that support the needs of physicians, nurses and other healthcare personnel. Building a facility far away and isolated from those who provide healthcare services or the mass of its users would be counterproductive for both healthcare providers and users of these Psychiatric services, not to mention the impact this will have in the existing highly residential area. Residential Community: The proposed location Is In close proximity to a residential area that Includes primary, middle and secondary Schools, passive recreational parks, secluded walking trails, limited private transportation (no mass transportation facilities), children daycare facilities, children dance classes, children religlous/ecumenical classes and overall passive environmental facilities for the enjoyment of the community. This community was designed and developed with resident safety and security in mind. The construction of the Psychiatric hospital will definitely increase risks by adding a high amount of unknown individuals pouring into the community Distance from Integrated Healthcare and limited accessibility: This facility will be 20 miles away from Scripps Mercy Hospital in Hillcrest, far removed from much of the population it currently serves. How will patients get to this location with limited public transportation and quick accessibility only available via toll road? Also, how will Emergency situations be addressed when the nearest emergency room is several miles away? Currently the facility for these patients is located right next to a major hospital with emergency capabilities. Release Concerns and Escape Risk: What will happen to patients when they are released and refuse help from a social worker? What happens when patients lack housing, access to additional medical care, or a family/support system to assist them? Also, the reputation of the managing company (Acadia) that will be managing this facility, is extremely poor and they have many lawsuits pending against them In multiple states. There Is a significant amount of evidence of Acadla's lack of controls in the public domain and press releases. Proximity to Children: Increase in traffic, loitering, and potentially affected individuals have the potential to create safety concerns for the many schools, parks, and day care centers that are in the neighborhoods immediately adjacent. Although some controls could be implemented, there is no question that the community's risks with be increased, as anything can go wrong that puts the population at risk. Limited Police & Resources: Adding a new facility of this scale will likely cause an increase in call volume resulting in an increase in response time from ambulances, fire, and police. Chula Vista currently does not have enough police and Eastlake has the fewest patrols assigned to handle issues arising from the facility or from those released. CVPD has the lowest swom officer -to -population ratio in the county at less than 1 sworn officers per 1,000 residents. How will this be addressed? My understanding is that you are only required to notify people within 500ft of the site. Please make sure to include me In the notification sent by the city. You may do so via email. Ruben Guilloty Chula Vista, CA 91914 Caroline Young From: Keni Crampton sent; Sunday, May 12, 2019 10:47 AM To: Mary Sales; John McCann; Jill Galvez; Steve C. Padilla; Mike Diaz Subject: PSYCHIATRIC HOSPITAL IN CHULA VISTA Fallow Up Flag: Flag for follow up Flag Status: Completed Warning: External Email Dear Sir/Madam I am writing to express my concern regarding the proposed land sale to Acadia Healthcare to build a psychiatric hospital. My research finds that Acadia Healthcare has a poor reputation and your support of this sale is appalling to me. Please do not support this sale in our area. Besides being in a residential area, any building servicing psychiatric in -patients should be located at a hospital. Scripps Mercy should be including a psychiatric ward in their new hospital plans. I hope that you are willing to reconsider your approval of this sale. Your support of current residents in Chula Vista is more important that bringing in a new business that is not in the best interest of the Eastlake area, specifically Rolling Hills Ranch residents. Sincerely, Kerri Crampton Chula Vista, CA 91914 Caroline Young Subject: PW; proposed Inpatient psych facility in Eastlake From: India cularusso Sent: Monday, May 13, 2019 6:44 AM To: Kelly Broughton; Patricia Salvation; Mary Sales; Jill Galvez; Steve C. Padilla; Mike Diaz; caroowich stenhen@scr'ooshealth ora; mlhg@iredevelopment com• John McCann Subject: proposed inpatient psych facility in Eastlake Hello. I am writing regarding the proposed inpatient psych facility in Eastlake, Chula Vista. I am a social worker with 25 years of experience with discharge planning, Including discharge of inpatient psychiatric patients. I worked at Bayview Hospital for 2 years and on occasion at Scripps Mercy San Diego's behavioral health unit. I have worked at Scripps Chula Vista for 11 years. Here are my concerns: Community Concerns: Community members (including some who actively work with psychiatric patients) have the following concerns: 1. Poor Partner: Acadia, who will be an 80% owner of this facility, is riddled with lawsuits and allegations regarding fraud, elder abuse, and child abuse. 2. Poor Release policy: Patients driven in will be released with limited options to get back home. Residents are concerned with loitering and an increase in homelessness. The idea that careful discharge planning will mitigate the community's concerns is naive. There is a dire lack of resources for the mentally ill, dually diagnosed, homeless population. We struggle with this every day at the hospital. 3. Location: This hospital would service a large region but is planned for an area with very limited public transportation. It is miles away from the Scripps Hillcrest hospital and only quickly accessible via toll road, which equates to limited access for patients. Luke Bergmann, director of behavioral health for San Diego County stated "he is concerned when a stand-alone facility is built many miles away from a hospital, that such a facility be connected to the "integrated" system of care that includes outpatient resources." - San Diego Union -Tribune 4. Proximity to Children: Increase in traffic, loitering, and homelessness create safety concerns for the many schools, parks, and children in the area. S. Limited Police: Chula Vista does not have enough police and Eastlake has the fewest,. patrols assigned to handle issues arising from the facility or those released. 6. Increase In traffic; Increase in sirens 'ens in an otherwise,quiet neighborhood. 7. Decrease in local home values: Data reports indicate that homes near similar sites had a decrease in value. Please explore other locations such as the area south of chula vista near the 125 fwy and the 905. There is.:a lot of open land/commercial development in this area that is not as close to neighborhoods. Thankyou., Linda Colarusso z Caroline Youn From: Miss M , Sent: Friday, May 10, 2019 7:23 PM To: John McCann Subject: Please Read Mwalng:Good evening,After 12 years of searching, I finally found the home of my dreams last year in Chula Vista and became a homeowner. I used my life savings as a down payment and am Just so disheartened to hear about this proposed construction. It is one thing to build a small outpatient facility to help individuals with PTSD, eating disorders and depression and quite another to build a large 120 bed facility with a lockdown ward housing violent and dangerous Individuals near schools and families. Please do NOT approve this project. It's bad for our community, it's bad for our children, and It's bad for Chula Vista! Sinton my Boost Mobile Samswsg Galaxy S8. Caroline Youn Subject FW: Opposition to new proposed Behavioral Health Center in the District at Eastlake commercial area From: kyle meaux [mailto:. _ Sent: Tuesday, May 07, 2019 10:53 AM To: John McCann Subject: Opposition to new proposed Behavioral Health Center in the District at Eastlake commercial area Warning: External Email Hello, My name is Kyle Meaux and I'm a home owner in the Rolling Hills Ranch community of Chula Vista. I'm writing you to notify you of my severe opposition to the new proposed Behavioral Health Center in the District at Eastlake commercial area, This is an absolutely improper location for this facility: It is close to many kid friendly business and schools. The Communities of Eastlake and Rolling Hills are known as family oriented communities. It's safe to say, most people in these communities moved here for this reason. I'm one of those people. I have two small children and the main reason I moved to Rolling Hills Ranch is to raise my children in a family oriented community surrounded by good schools and family friendly atmosphere. This new proposed facility will attract the exact opposite of why I moved here. The release of patients near my neighborhood, potential escape of patients, lack of mass transit, response times for fire and police to the area, and potentially lowered property values are all significant concerns I would like to raise to you as my Council Member that I voted for. I hope you will strongly oppose this proposed facility and keep the Rolling Hills Ranch and Eastlake Communities the great family oriented communities they are. Sincerely, Kyle Meaux Caroline Young From: Al Torres Sent: Monday, May 6, 2019 2:24 PM To: John McCann Subject: NO TO PSYCHIATRIC HOSPITAL IN EASTLAKE Follow Up Flag: Flag for follow up Flag Status: Completed Vllarnini: Ekternal Email Dear John McCann, First of all I hope you and your family are doing well, my daughter Rebecca was on the same soccer team with your daughter years ago. I am very concerned about the idea of a psychiatric hospital built only 10-12 homes away from my residence. I have lived here since 2004 and had I known the possibility of this event, I would have never purchased a home here. I work in the medical Industry and am familiar with the challenges facing neighborhoods surrounding psychiatric hospitals. How can your agency even consider this possibility in an area surrounded by homes, schools, parks, swimming pools... literally a block away? I urge you to please reconsider this location. if you need further input please contact me with the information listed below, thank you. Respectfully, Alberto Torres Chula Vista, CA 91914 Caroline Youn Subject: FW: OPPOSITION TO PSYCH HOSPITAL IN ROLLING HILLS RANCH On May 6, 2019, at 11:06 AM, AmberJordan Hendren wrote: M Good morning, Councilman, I am a resident, and home -owner in Rolling Hills Ranch, Eastlake, Chula Vista, CA, 91914. It has come to my attention in recent news stories about a proposed psychiatric hospital being brought to a residential area, namely MY residential area where I live with my husband and young son...in Rolling Hills Ranch. I am vehemently against such a facility in the center of a residential neighborhood, near schools and parks ... and especially a school bus stop! IRE Development is the land owner, Acadia Healthcare (a for-profit company based out of Tennessee), the Chula Vista Planning Commission and the Chula Vista City Council are all involved In bringing the Scripps Psychiatric Ward to Showroom Place, at the end of the cul-de-sac..from a martial arts school, swim school, Kid Ventures, and other family friendly businesses. There are a plethora of concerns that should be obvious about why such a facility should not be in this area: Namely, proximity to children, increase in sirens with police drop-offs at all hours of the night; traffic, loitering and homelessness as patients driven in will be released with limited options to get back home. Residents are concerned with the mental state of these patients... many of whom could pose a threat to themselves or others. Why would the City of Chula Vista city Council and Planning Commission even consider such a terrible proposal? I hope and pray that you will use all of your political power and energy to put stop to this proposal, and help to keep our neighborhood safe for all of it's residents; young and old. There must be other, more suitable areas that are away from schools and residential neighborhoods for this kind of facility. I am In support of a hospital, and the Jobs It brings, but this Is simply not the appropriate location for a facility like this. Respectfully, Concerned citizen and registered voter Amber Hendren Roiling Hills Ranch, Eastlake, Chula Vista, California Caroline Young Subject: FW: No way on Psychiatric hospital >>> On May 5, 2019, at 9:01 AM, Tim _ _ _ _ wrote: >> Warning: External Email >>John, >> This will be horrible for the community. San Diego, national city and all of chula will be dropping all the 5150 commits off in Eastlake. >> Horrible idea. The Walmart and home -depot lot on EastLake parkway have already begun to increase in popularity. Transients with Motor homes are coming to the area. This is the last thing we need. >> Sent from my Iphone Caroline Young From: Amber Jordan Hendren _ Sent; Monday, May 6, 2019 11:07 AM To: John McCann Subject: OPPOSITION TO PSYCH HOSPITAL IN ROLLING HILLS RANCH Follow Up Flag: Flag for follow up Flag Status: Completed M Good morning, Councilman, I am a resident, and home -owner in Roiling Hills Ranch, Eastlake, Chula Vista, CA, 91914. it has come to my attention in recent news stories about a proposed psychiatric hospital being brought to a residential area. -namely MY residential area where I live with my husband and young son._In Rolling Hills Ranch. I am vehemently against such a facility In the center of a residential neighborhood, near schools and parks -and especially a school bus stop) IRE Development is the land owner, Acadia Healthcare (a for-profit company based out of Tennessee), the Chula Vista Planning Commission and the Chula Vista City Council are all involved in bringing the Scripps Psychiatric Ward to Showroom Place, at the end of the cul -de -sac -from a martial arts school, swim school, Kid Ventures, and other family friendly businesses. There are a plethora of concerns that should be obvious about why such a facility should not be in this area: Namely, proximity to children, Increase In sirens with police drop-offs at all hours of the night; traffic, loitering and homelessness as patients driven in will be released with limited options to get back home. Residents are concerned with the mental state of these patients...many of whom could pose a threat to themselves or others. Why would the City of Chula Vista city Council and Planning Commission even consider such a terrible proposal? I hope and pray that you will use all of your political power and energy to put a stop to this proposal, and help to keep our neighborhood safe for all of it's residents; young and old. There must be other, more suitable areas that areaway from schools and residential neighborhoods for this kind of facility. I am in support of a hospital, and the jobs it brings, but this is simply not the appropriate location for a facility like this. Respectfully, Concerned citizen and registered voter Amber Hendren Rolling Hills Ranch, Eastlake, Chula Vista, California Caroline Young From: Rick Worts Sent: Thursday, May 2, 2019 7:57 AM To: John McCann Subject: Proposed Psychiatric Hospital Follow Up Flag: Flag for follow up Flag Status: Completed Warning: External Ercall Dear Council Member McCann, I'm writing to express my great concerns over the proposed building of an inpatient psychiatric hospital at Showroom Place In the Eastlake Design District. From what I've read in news stories, Scripps is planning to place a 120 bed facility, including a "lockdown" unit for holding patients who are a danger to themselves or others. This area is Immediately adjacent to large residential neighborhoods and extremely close to elementary schools, ajunior high school as well as a high school. Allowing such a facility to be built in this area would be Irresponsible. I am requesting you oppose this project at this location. I am also requesting a meeting with you at your office to discuss this further. Thankyou Rick Worts Caroline Youn From: hortencia Sent Wednesday, May 1, 2019 3;26 PM To: John McCann Subject: Mental health facility Follow Up Flog: Follow up Flag Status: Completed Warning: External Email Sent from my iPhone. To whom it may concerns. We've been living in Melling Hills ranch community for more than 10 years, and I heard that are planning to build a mental health facility around this area. I'm very concerned about it, because my daughter always go out to take her dog for a walking . I would appreciate it if would be reconsider it. We live an a great community, and we don't want to move out. Thank you. Caroline Young From: bill stellln - Sent: Wednesday, May 1, 2019 4:14 PM To: Mary Sales; John McCann; Jill Galvez; Steve C. Padilla; Mike Diaz Subject: Showroom Place Psychiatnc Hospital Follow Up Flag: Flag for follow up Flag Status: Completed Warning: E>heiEmail l Dear Council Members, 1 am are idenI of Rolling Ilius Ranch and I live approximately one -handled yards away from Showroom Place, the proposed location for it now psychiatric hospital. i ani just one ofmany local residents who have learned of the proposed building of this facility. I am one of the five original members of my neighborhood that have created a community awareness movement regarding the building of this facility. Our community is extremely concerned regarding the building of this hospital. Over the past three days, we have grown from five concerned neighbors to over two hundred actively involved neighbors. We are just getting started, and by the end of the weekend we estimate that over a thousand will have lea med of tine building of this facility. Owr community is comprised of journalists, paramedics, police officers, firefighters, teachors, nurses, and lawyers, till actively involved in fighting the construction of this facility, many ofwhom have first hand knowledge of the impact these facilities can have on a neighborhood. We arc organized, and have already gained the attention of nudtipie news stations, radio stations, and local newspapers. The overwhelmingly majority of community members we have spoken with are highly against the building of this facility. Our voices will be heard regarding this, and explanations as to why John McCann has not responded to any of owemails, and why tie has deleted our presence from social media outlets must be addressed. We are not tyrants, or anti -mental health. We are a simple collection of families who moved into this area with the idea that massive hospitals such as this were NOT in our backyards; that our children could play safely oa their streets and in their parks. The primary partner, Acadia Healthcare, has it laundry list of complaints against them, and have been involved in some extremely concerning lawsuits. ']'has is not the type of company our community would trust to be associated with a 120 bed psychiatric facility. The facility is being built directly in the middle of our neighborhood, a few feet away from a community park, a school has stop, multiple schools, and businesses that eater to young families and children. Our backyards, where our children play are located less than 100 yards from the proposed site. We have done a walk through of the businesses in Showroom Place, and have been ill contact with owners, and regional managers of the businesses and churches located in that area. Every single person we spoke to has expressed deep concern ovet'tire location of this facility, They have become active members in our fight. Our numbers continue to grow daily. The irresponsible partnership with Acadia Healthcare is something that our community can not tolerate. The proximity of Showroom Place to our neighborhood and local businesses is extremely unsettling to our community members and local business owners. There are other avallablo locations that are literally just at few blocks away, and would be a more appropriate location to build it psychiatric hospital. A company such ars Acadia, who has a long history of safety violations, law suits, allegations of rape, sexual misconduct, child endangerment, and elder abuse does not seem like the type of company we want ill the middle of our neighborhood, directly next to where our children play. The history of this company, and the imminent dangers they pose to our community will be brought to light, and reported by multiple media outlets. The history of this company is well documented, and it doesn't take much research to identify that this company is dangerous for our community. We will be attending city council meetings, doing neighborhood walks, and distributing informational fliers to all of Rolling Hills Ranch and Eastlake. We are an active, educated, and extremely organized movement. We are asking for your assistance in preventing the building of this hospital on its currently proposed location. Your participation in this movement would be appreciated, and I'm sure that come election time, your support, or lack thereof, will be remembered by the voters of this community. I look forward to seeing you at the next few city council meetings. Pay attention the news this week, as well as local newspapers. You will see that we are taking situation this seriously, and that the voices of an entire community will be heard! This is an issue that is going to demand your attention. Sincerely, William Stettin Caroline Young From: 6111 stellin e Sent: Wednesday, May 1, 2019 4114 PM To: Mary Sanas; John McCann; )III Galvez; Steve C. Padilla; Mike Diaz Subject: Showroom Place Psychiatric Hospital Follow Up Flag: Flag for follow up Flag Status: Completed Warning:.. W11011 ` Email Dear Cormeil Members, I am a resident ofRofiing Hills Ranch and I live approximately one -hundred yards away from Showroom Place, the proposed location for a new psyehiahic hospital, I am just one ofinany local residents who have learned of the proposed building of this facility. I am one of the five original members of my neighborhood that have created a community awareness movement regarding the building of this facility. Our community is extremely concerned regarding the building of this hospital. Over the past three days, we have grown from five concerned neighbors to over two hundred actively involved neighbors. We arejust getting started, mrd by the end of the weekend we estimate that over athousand will have learned of the building of this facility. Our community is comprised of journalists, paramedics, police officers, firefighters, teachers, nurses, and lawyers, all actively involved in fighting (lie construction of this facility, many of whom have first hand knowledge of lire impact these facilities can have on a neighborhood. We are organized, and have already gained the attention of multiple news stations, radio stations, and local newspapers. The overwhelmingly majority of community members we have spoken with are highly against the building of this facility. Our voices will be heard regarding this, and explanations as to wily Joint McCann has not responded to any of our emails, and why Ire has deleted our presence from social media outlets must be addressed. We are not tyrants, or anti -mental health. We are it simple collection of families who moved into this area with the idea that massive hospitals such as this were NOT in out backyards; that our children could play safely on their streets and in their parks. The primary partner, Acadia Hoaltlicare, has a laundry list of complaints against there, and have been involved in some extremely coneeming lawsuits, rPhis is not the type of company our community would trust to be associated with a t20 bed psychiatric facility. The facility is being built directly In the middle of our neighborhood, a few feet away from a community park, a school bus stop, multiple schools, land businesses that carter to young families mrd children. Our backyards, where our children play are located less than 100 yards from the proposed site. We have done a walk through of the businesses in Showroom Place, and have been in contact with owners, and regional managers of (lie businesses and cimrches located in that area, Every single person we spoke to has expressed deep concern over the location of this facility. They have become active members in our fight. Our numbers continue to grow daily. The irresponsible partnership with Acadia Healthcare is something that our community can not tolerate. The proximity of Showroom Place to our neighborhood and local businesses is extremely unsettling to our community members and local business owners. There are other available locations that are litcrallyjust a few blocks away, and would be a more appropriate location to build a psychiatric hospital. A company such as Acadia, who has a long history of safety violations, taw suits, allegations of rape, sexual misconduct, child endangerment, and elder abuse does not seem like the type of company we want in the middle of our neighborhood, directly next to where our children play. The history of this company, and the imminent dangers they pose to our community will be brought to light, and reported by multiple media outlets. The history of this company is well documented, and it doesn't take much research to identify that this company is dangerous for our community. We will be attending city council meetings, doing neighborhood walks, and distributing informational fliers to all of Rolling Hills Ranch and Eastlake. Weare an active, educated, and extremely organized movement. Weare asking for your assistance in preventing the building of this hospital on its currently proposed location. Your participation in this movement would be appreciated, and I'm sure that come election time, your support, or lack thereof, will be remembered by the voters of this community. I look forward to seeing you at the next few city council meetings. Pay attention the news this week, as well as local newspapers. You will see that we are taking situation this seriously, and that the voices of an entire community will be heard I This is an issue that is going to demand your attention. Sincerely, William Stellin Caroline Youn From: Nmavis Sent: Tuesday, April 30, 2019 8:28 AM To: John McCann Subject: Fwd: New Scripps partnership to build 120bedpsychiatric hospital in Chula Vista - The San Diego Union -Tribune Follow Up Flag: Flag for follow up Flag Status: Completed Warning: External` Email Subject: New Scripps partnership to build 120 -bed psychiatric hospital in Chula Vista -The San Diego Union -Tribune SHAME ON YOU FOR ALLOWING THIS IN A RESIDENTIAL AREA! II hitps://www sandiegouniontribune coir/news/health/sd-no-sUipps-mental-health- 20190212-storyhbnl Caroline Young From: Webmaster Sent: Tuesday, April 30,20194:35 PM To: John McCann Subject - City of Chula Vista: Contact Us -Web Notification for Council Member McCann Follow Up Flag: Follow up Flag Status: Completed A new entry to a form/Survey has been submitted. Form Name: Council Member McCann Date & Time: 04/30/20194:35 PM Response g: 226 Submitter ID: 62373 IP address: 172.24,96.110 Time to complete: 15 min., 59 sec. Survey Oetails Please feel free to contact us with any comments or questions by Rllmgout the form below. First Name Richard Last Name Stark Email Address Comments What Is being done to stop Scripps from building. Psych hospital In our neighborhood? And, why hasn't the residents been Informed of this imminent danger that faces our neighborhood? I Just learned of this today and read an article that states the facility will house "involuntary holds for patients deemed to be a danger to themselves or others." I am a retired police officer (32 years) and I know the danger posed by those placed on 72 hr holds (5150 WI). This facility will also bring unfathomable numbers of homeless to the area either seeking mental health assistance or by just letting them walk out the door upon their release from the facility. (Have you seen the Sports Arena area near the County Mental Health facility?) The back of that property sits on River Rock Rd, a residential area, right where an elementary school bus stop sits. Reside the safety aspect, the building of this facility will gravely affect our property resale values. I hope that as our representative you are highly opposed to and strongly fighting against the building of this facility in this area of Chula Vista, Thankyou, City of Chula Vista This is an automated message generated by the Vision Content Management System"'. Please do not reply directly to this email. Caroline Young Subject: FW: City of Chula Vista: Contact Us - Web Notification for Council Member McCann From: Webmaster Sent: Tuesday, April 30, 2019 11:13 AM To: John McCann Subject: City of Chula Vista: Contact Us - Web Notification for Council Member McCann A new entry to a form/survey has been submitted. Form Name: Council Member McCann Date & Time: 04/30/2019 11:13 AM Response #: 225 Submitter ID: 62357 IP address: 17224,96.110 Time to complete: 4 min. , 47 sec. Survey Details Page i Please feel free to contact us with any comments or questions by filling out the form below. First Name Bibi Last Name Luko Email Address Comments Hi Councilmember McCann, I'm writing regarding recent news of a Psychiatric Hospital to be built on Showroom PI. 1 am a resident that live 150 yards from where this hospital is planned and I am against it. This is a multi-dimenaional issue that has nothing to do with being pro -mental healthcare or anti -mental healthcare. Building a psychiatric hospital in a residential neighborhood will impact. residents in the following ways: 1. Increase in traffic: increase in sirens, disturbing residences 2. Poor release policy: patients driven in will be released with limited options to get back home. Residents concerned with loitering and increase In homelessness 3. Location; hospital servicing a large region planned for an area with very limited public transportation, miles away from Hillcrest hospital hub, only quickly accessible via toll road which equates to limited access for outpatients. 4. Limited police in the area: people loitering etc may not get addressed simply because of lack of officers assigned to Eastlake 5. Proximity to children: increase in traffic, loitering and homeless create safety concerns for the many schools and children in the area. 6. Failure to coordinate care: Luke Bergmann, director of behavioral health for San Diego County stated °...he is concerned when a standalone facility is built many miles away from a hospital, that such a facility be connected to the "integrated" system of care that includes outpatient resources." (San Diego union - tribune) 7. Decrease in home values: due to items outlined in points 1 & 2 8. Poor partnership choice: Acadia who will be 80% owner of this facility is riddled with lawsuits and allegations regarding fraud, elder abuse and child abuse. I moved to Eastlake specifically because it was a bedroom community. I would have never intentionally moved into a neighborhood with a large inpatient capacity hospital in the middle of it. The concerns the neighborhood has are valid. There is a petition already circulating to oppose this. We hope that you will stand with the community. Thank you for your time. i look forward to hearing from you. Bibi Luko Thank you, City of Chula Vista This is an automated message generated by the Vision Content Management SyetemT". Please do not reply directly to this email. Caroline Young To: John McCann Subject: RE: Web Contact form/mental health facility in wast Chula vista From: contra palacios Sent: Monday, April 29, 2019 1:51 PM To: John McCann Subject: Web Contact Form/mental health facility in west chula vista Wonting: Entemat Dear councilman, my name is Eunice Palacios. I am a resident of Chula Vista and recently I heard Emil through social media and through neighbors that a psychiatric hospital is going to be build in the east side of chute vista. I called your office and said they did not know about this. I am smailing you with this info as they said they had not heard about this developments. https://www.sandlegouniontribune com/news/health/sd-no-scripps-mental-health-20190212-story html? amo=true I heard that this facility will be steps away from Rolling Hills Ranch, where I live. I am attaching a map that one of my neighbors sent me. This Is where I understand is the facility. I am all for mental health but I am also for safety of our neighborhood. I have concerns about this facility. My concern is If patients are going to be discharged and wonder in the neighborhood as often happen with mental health hospitals. My daughter arrives from school at the bus stop on river rock and N Valley Dr. Many kids walk alone there. This facility will be steps away from the bus stop. I am concerned about my kid safety. I go several times a day for walks on the trail next to the border patrol office, this trail is very alone. I worry about my safety if people who are discharged wonder there. In addition there is already lots of traffic and noise on lane ave. Our house back faces lane ave and there is always noise from cars and trucks all day. I worry about more ambulances in the middle of the night. I am not the only person concerned in my neighborhood. Could we enlist your help to give voice to our concerns? Thanks for your attention Eunice Gel Outlook for Android Caroline Young From: Ian Burger Sent: Saturday, April 27, 2019 7.22 AM To: John McCann Subject: Mental Hospital Rolling Hills Follow Up Flag: Flag for follow up Flag Status: Completed WarninE: E1Aem;l John, [mail Nice to see you again last night. Sorry to reach out about this so quickly. Are you aware of this? littps://www.sandiegouniontribune.com/news/health/sd-no-scripps-mental-health-20190212-story html? amo=true "is In escrow on undeveloped land at the end or Showroom Place in Chula Vista's Eastlake Business Park, would build what Van Gunder described as a "state of the art" hospital with a locked unit able to accept Involuntary holds for patients deemed to be a danger to themselves or others," Is the City going to allow,a mental hospital in the middle of a residential area close to several schools, parks, and homes? My house is directly behind that land. This is seriously concerning and if approved we would move immediately, Thanks, len Sent from my Whone Caroline Young From: bill stellin Sent: Saturday, April 27, 2019 8:18 AM To: John McCann Subject: Showroom Place Hospital Follow Up Flag: Flag forfollow up Flag Status: Completed N(dCn(ngo EtFtemal Hello John, Email I've recently learned that there will possibly be a Psychiatric hospital built at the end of Showroom Place in Chula Vista. As a resident of Rolling Hills Ranch, and as somebody who lives roughly 100 yards away from this location, I am extremely concerned about this project. I have two small children, and bought my home in this area to raise them in a safe environment, away from hospitals that have frequent police transports. Not only am I concerned about the safety of our community, I'm also concerned about the detrimental impact this will have on my property value. I'd like to get involved in anyway possible towards fighting against the building of this hospital, if this hospital does indeed get built, I will have no choice but to sell my home and move elsewhere, which is something I'd like to avoid. I look forward to hearing from you, Bill Stellin Sent from Yahoo Mail on Android