2019-08-01 Hearing Transcript - Kinesis HI Inc USE 42

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Just some brief history on the permit. In 1986, the Planning Commission granted Use Permit No. 42 to approve the use of a physical therapist office in a portion of an existing single-family dwelling. Shortly after it was granted, the applicant at the time received Final Plan Approval and got a change of use permit at the Department of Public Works to change the entire structure from a single-family dwelling to a medical clinic use. In 1998, it was amended to change the type of medical professionals who could work at the facility, and at the time, it was requested that the entire building be used for a medical facility. So, the Applicant is requesting to amend Condition No. 4 of Use Permit 42 which currently reads, "The number of employees for this facility shall be limited to two full time doctors/therapists and three clerical employees." The Applicant is requesting to amend this condition to allow one additional therapist/doctor for a total of three full-time therapists or doctors, and to increase the number of clerical employees from three to six. The Applicant is also requesting to expand the medical facility by constructing an approximately 860 -square foot single -story addition to the westerly back side of the existing building, which would include three additional treatment rooms, an office, and a hallway. The Applicant is also proposing to increase the number of on-site parking stalls from 10 to 14 to accommodate the increase in patients and staff. The Applicant intends to retain the second story of the building and basement for residential uses. Upon completion of the expansion, the medical office would occupy about 2,693 square feet, and the residential uses would occupy about 2,784 square feet. The stated reasons for a request is despite an increased demand for physical therapy and medical services in the area, the clinic can only currently accommodate one medical practitioner working at a time due to the HIPAA Act of 1996 privacy laws which require that patients be attended to in private sound insulated rooms so the doctor -patient conversations cannot be overhead. These HIPAA requirements were not in place back in 1986 when the practice was first opened. At the time, there were three treatment cubicles in the main room that were separated by movable room dividers which did not provide any consultation privacy. The facility has since been upgraded to include three such private treatment rooms, and the requested building addition would also for three additional private treatment rooms which would help facilitate the expansion of the practice to meet service demand. And, finally, to accommodate a smooth patient flow, one medical practitioner requires two clerical staff. Therefore, the requested increase in clerical employees are necessary to accommodate the total number of medical practitioners including the additional therapist/doctor in this request. The County zoning for the subject parcel and much of the surrounding area is Single -Family Residential — 7,500 square feet as indicated in the yellow color. Again, the other zonings we see on this are Neighborhood Commercial to be consistent with the 7-11, and then some Single - Family Residential — 10,000 square feet. The State Land Use designation for the subject parcel and surrounding area is Urban, and the General Plan Land Use Pattern Allocation Guide Map designation for the subject parcel and much of the surrounding area is Medium Density Urban. EXHIBIT A 2