QQQQ 960227 PINK
     File Reference Number: 4656-3 TT 960229
                                                                          1

                              ADMINISTRATIVE REPORT


                                                   Date:  February 27, 1996
                                                   Dept. File No. A701     


     TO:       Vancouver City Council

     FROM:     Manager  of Non-Market  Housing,  in  consultation with  the
               Director of Legal Services and
               the General Manager of Human Resource Services

     SUBJECT:  Transfer of the Operation of Taylor Manor to
               Little Mountain Residential Care & Housing Society



     RECOMMENDATION

          A.   THAT Council approve the transfer of the operation of Taylor
               Manor from  the City to  Little Mountain Residential  Care &
               Housing Society (Little Mountain) effective April 1, 1996 or
               as soon as possible  thereafter, on the following  terms and
               conditions:

               1.   the building  and lands  presently  occupied by  Taylor
                    Manor  and  to  be  occupied  by  the  new  replacement
                    facility   (the  "New  Building")   legally  known  and
                    described as Lot  3, Section 27  Plan 19386 THSL  ("Lot
                    3") be leased to Little Mountain on the following terms
                    and conditions:

                    a)   use:  continuing care facility;

                    b)   rent: (i) from the  commencement of the term until
                         the  occupancy  permit  is  issued  for   the  New
                         Building  and the  operation of  Taylor Manor  has
                         been  successfully transferred to the New Building
                         the rent shall be $76,300 per year plus a payment-
                         in-lieu of taxes and water charges (estimated 1995
                         rates are $17,699  for property  taxes and  $4,000
                         for water).  For the first  year of the  Term, the
                         City will  provide  a grant-in-lieu  of taxes  and
                         water charges so as to keep the budget at the same
                         level  as when  the  City operated  Taylor  Manor.
                         This  constitutes  a  grant  and   requires  eight
                         affirmative votes of Council.


                         (ii) after the occupancy  permit is issued for the
                         New Building and the operation of Taylor Manor has
                         been successfully transferred to the  New Building
                         the  rent shall be $1.00  per year plus a payment-
                         in-lieu of  taxes and  water charges (At  the 1995
                         rates, the payment would  be $76,247 based on one-
                         half the  present $2,823,000 assessed value of Lot
                         3 with an $11,200,000 building);

                    c)   day-to-day  repairs  and   maintenance:     Little
                         Mountain's responsibility;

                    d)   structural   repairs:    in  connection  with  the
                         existing Taylor Manor,  Little Mountain must first
                         make its  best efforts  to receive money  from the
                         Province for these repairs.  If the Province fails
                         to pay  for these repairs  the City shall  pay for
                         them provided  that the City shall  not be obliged
                         to repair if the cost of the repairs is excessive,
                         in  the sole  opinion  of the  General Manager  of
                         Corporate  Services.    Little  Mountain  shall be
                         solely responsible for structural repairs required
                         to the New Building;

                    e)   term:  the  term of the  Lease shall commence  the
                         effective date of the transfer and shall terminate
                         forty (40) years later;

                    f)   early termination  rights:  prior  to commencement
                         of  construction  of  the  New   Building,  Little
                         Mountain shall  be able to terminate  the Lease on
                         six (6)  months' prior  written notice if,  in the
                         sole discretion of Little Mountain,  the operation
                         of  Taylor   Manor  by  Little   Mountain  is  not
                         economically viable.   Throughout the term  of the
                         Lease  the  City shall  have  the City's  standard
                         termination rights (for  example, in the event  of
                         default by Little Mountain under the Lease);

                    g)   subdivision, sublease or licence:  the approximate
                         one  half of Lot 3 occupied  by the current Taylor
                         Manor,  access  and  recreation  areas,  shall  be
                         subdivided  from the remainder of Lot 3, subleased
                         or licenced back  to the City, at  the City's sole
                         option, once  the occupancy  permit is issued  for
                         the New Building and the operation of Taylor Manor
                         has  been  successfully  transferred  to  the  New
                         Building;

                    h)   notice in the Province's favour:  the Title to Lot
                         3 shall be  subject to a notice in  the Province's
                         favour providing  that all  persons who deal  with
                         Lot 3 shall know  of the Province's involvement in
                         the  funding  of  the   construction  of  the  New
                         Building  and the consequent obligations to obtain
                         the  Province's  approval  prior to  dealing  with
                         Little Mountain's leasehold interest;

                    i)   ownership of the building:   the City shall always
                         own  the existing Taylor Manor.   The New Building
                         shall be owned by  Little Mountain during the term
                         of the Lease and by the City thereafter (excluding
                         any hazardous substances);

               2.   the City transfer the non-fixed capital assets situated
                    at Taylor Manor valued  at $126,549 (depreciated  value
                    at December 31, 1995, as shown in Appendix "A" attached
                    hereto),   plus other physical assets  not on inventory
                    but  in  the  facility,  excluding  residents' personal
                    belongings, be  transferred to Little Mountain  for the
                    nominal fee of $1.00;

               3.   accumulated  operating surplus  to cover  100%  of real
                    liabilities   (vacation,    gratuity,   statutory   and
                    compensating  time) and  50% of  contingent liabilities
                    (sick  leave)  for  employees  who  transfer  to Little
                    Mountain estimated as $95,083 as at February 1, 1995 be
                    transferred to  Little Mountain. Source of  funds to be

                    from combined accumulated surpluses of Taylor Manor and
                    Cordova House

               4.   Little Mountain offer employment to  all City employees
                    whose  worksite  is  Taylor  Manor  under  the  1996/97
                    revised budget and staffing levels.

               5.   the  City  give  notice  to  the  Ministry  of  Health,
                    Vancouver  Health Board and  Continuing Care Facilities
                    Licensing  that the  City  of Vancouver  will cease  to
                    operate Taylor Manor, effective the transfer date.

               6.   the City assign, convey  or transfer to Little Mountain
                    such  other  interests,  obligations and  documentation
                    including the food service contract,  personnel records
                    and  residents   files  and  trust  funds,   as  deemed
                    appropriate  by   the  General  Manager   of  Community
                    Services, effective the transfer date;

               7.   Little  Mountain enter into  a new  operating agreement
                    with the Ministry of  Health, Continuing Care Division;
                    and  apply  for  a  new  license  from  Community  Care
                    Facilities Licensing; 

               8.   the City indemnify Little Mountain  for any liabilities
                    which might  arise from  events occurring prior  to the
                    transfer date.   When  the City operated  Taylor Manor,
                    liabilities were covered  by the City's  self-insurance
                    program.  Accordingly, the City would cover liabilities
                    incurred prior to the transfer date and would indemnify
                    Little  Mountain  for these  liabilities.   (Staff  are
                    unaware  of  any  potential  claims which  predate  the
                    transfer date.)

               9.   the City  pay for the exceptional audit of the facility
                    for the three months January 1  to March 31, 1996 at  a
                    fee not to exceed  $3,000 with funds to be  provided in
                    the 1996 Operating Budget;

               10.  such further and other arrangements as seem appropriate
                    to the  General Manager  of Community Services  and the
                    Director of Legal Services.

          B.   THAT  Council authorize  the  General  Manager of  Community
               Services and/or the  Director of  Legal  Services to execute
               the    necessary   documentation   to   effect   the   above
               recommendations.  No legal  obligation shall arise until the
               documentation is fully executed.

          C.   THAT  Council  instruct  the  General  Manager  of Community
               Services  to  report  back  on  options  to  deal  with  the
               shortfall in administrative fees.


     GENERAL MANAGER'S COMMENTS 

          The General Manager of  Community Services RECOMMENDS approval of
          A, B and C.


     COUNCIL POLICY

     There  is no applicable Council  policy, except that  a grant requires
     eight affirmative votes of Council.

     PURPOSE

     This  report  recommends that  Council  approve  the  transfer of  the
     operation of the 58-bed  City-operated continuing care facility Taylor
     Manor  to the  Little Mountain  Residential Care  and Housing  Society
     effective April  1, 1996, or  as soon as  possible thereafter,  on the
     terms  and conditions negotiated   to the satisfaction  of the General
     Manager of Community Services and the Director of Legal Services.


     BACKGROUND

     Taylor Manor was built in 1915 as a senior's home  and later converted
     to  a 58-bed  continuing  care facility  for  people with  mental  and
     behavioural problems.  The City operates this facility with Provincial
     Ministry of Health funding for "hard-to-house" seniors.  The residents
     live  in rooms  with up  to 10  beds sharing  toilets and  showers and
     inadequate  or inappropriate interior space.  While Taylor Manor is an
     accredited facility delivering quality care and programs to residents,
     the building is recognised as being below intermediate care standards.
     A replacement 72-bed multi-level care building is designed and waiting
     approval in the  Provincial Ministry of Health's 1996/97 Capital Plan.
     The  new building  includes secure  wing(s) to  house the  cognitively
     impaired.

     On November 14, 1995,  Council approved the transfer of  the Vancouver
     Health Department to the Vancouver  Health Board, effective January 1,
     1996.  As a result, the City decided to withdraw  from health services
     and an  alternative operator for  the   City-operated continuing  care
     facilities, Taylor Manor and Cordova House, had to be identified.


     DISCUSSION

     1.   Transfer to a Non-profit Society 

          Options considered  were transfer to the  Vancouver Health Board;
          creation  of a new non-profit society; or transfer to an existing
          non-profit  society.  The Vancouver Health Board was not prepared
          to  manage any  care  facilities.   Creating  a new  society  was
          contrary  to  the  objectives  of  health  regionalization  which
          includes  integration, consolidation and  mergers.  Consequently,
          transfer  to  an  existing  non-profit  society  experienced with
          continuing  care was deemed  to be the best  solution and was the
          preferred option of the Vancouver Health Board.  As the  City has
          not incurred costs  in building  or operating  Taylor Manor,  the
          City would not expect to receive compensation for the transfer of
          the facility and its assets.


     2.   The Little Mountain Residential Care & Housing Society

          Interest in assuming responsibility for Taylor Manor was explored
          initially with a society operating a facility located  within the
          same  Community  Health Committee  area as  Taylor Manor.   After
          several  months of negotiations, concerns about  the "fit" led to
          termination  of   those  discussions and  a  search for  a better
          "fit".    While  located   in  a  neighbouring  Community  Health
          Committee area,  Little Mountain shares the  City's resident care
          focus and is training  all their staff in "gentle care".   Little
          Mountain operates  a 121-bed continuing care  facility located at
          330 East 36th Avenue  and a 96 apartment seniors  housing project
          next  door.   Little  Mountain's Board  is  experienced and  very
          involved in ensuring that the facility  provides quality care for
          the  residents.      Their  draft  Mission,  Vision,  Values  and
          Commitment are attached for  Council's information as Appendix B.

          Little Mountain is  planning to  renovate 330 E.  36th Avenue  to
          include a 26-bed unit for cognitively impaired residents.  Little
          Mountain  is  financially healthy  and  confident  that they  can
          manage Taylor Manor's finances effectively.

          Little Mountain  has agreed to include  representation for Taylor
          Manor residents on its Board.  Little Mountain's Board  presently
          provides  for representation  from Little  Mountain Neighbourhood
          House  Society, Little Mountain Senior Live Wires, CNIB and up to
          three Provincial Government appointees.  Due  to aging and waning
          interest  on the part  of the  societies, only  two of  their six
          possible  representatives   have  been  appointed  and  only  one
          government  appointee.    Little  Mountain  is therefore  seeking
          approval from the Ministry of  Health to amend their Constitution
          and By-laws to reduce representation from the three societies and
          increase the number of members-at-large. Little Mountain plans to
          request that the government fill their two vacancies with persons
          who have knowledge and  expertise in mental health and  the hard-
          to-house and are receptive to City recommendations.


     3.   Lease of City-owned Land and Building

          The  Taylor Manor site  located on Lot  3 of the  map attached as
          Appendix "C" on  the corner of Boundary  and Adanac, is  owned by
          the City. In a letter dated  December 8, 1977 the Province agreed
          to accept financial responsibility for the City to operate Taylor
          Manor under the Long  Term Care program.  Taylor  Manor currently
          pays the City market rent of $76,300 with rental review every two
          and one-half years.

          Because the building is obsolete,  residents who can climb stairs
          and are willing to  sleep in shared rooms with up to 10 beds have
          become increasingly scarce.  Empty beds has reduced revenues  and
          Taylor Manor has had an operating deficit for the last two years.
          Little Mountain  is not willing  to assume an  on-going liability
          and  asked the City to agree to  rent the building to the Society
          at a nominal  rent for up to five years or until they relocate to
          the  New Building. In turn, Little Mountain would make a payment-
          in-lieu of property taxes  and water charges (the 1995  rates for
          these are $17,669 property taxes and $4,000 water charges).

          The  Ministry of Health, however, has advised that they will fund
          the $76,300 rent  only if it is  paid. Since a nominal  rent or a
          market rent will make no net difference to Little Mountain, it is
          recommended  that  Little  Mountain  pay $76,300  yearly  plus  a
          payment-in-lieu of taxes and  water charges from the commencement
          of the term of the lease until the occupancy permit is issued for
          the  New  Building and  the operation  of  Taylor Manor  has been
          successfully transferred to the New Building.  In addition, it is
          recommended Council  provide a  grant-in-lieu for  property taxes
          and  water charges  in the first  year of  the Term,  to keep the
          budget at the same level as if the City operated Taylor Manor.

          Little Mountain has requested the City pay for structural repairs
          to  the present  building   should requests  to the  Province for
          Minor Capital Project funding prove futile.  Little Mountain does
          not view  the present building as suitable for the  long term and
          expects  to relocate  to the  New Building  within the  next five
          years or serve the required 12 month notice to Continuing Care of
          their intention to cease to operate.

          On  relocation, Little  Mountain expects  to return  the heritage
          building and approximately half  Lot 3 to the City to decide what
          new use might  be appropriate.  Little Mountain will  lease Lot 3
          for the balance of  the Term at a nominal  fee of $1.00 per  year

          and make a payment-in-lieu of taxes  and water charges (estimated
          at $76,247 1995  rate based on half of the  present land value of
          Lot 3 of  $2,823,000 and new building value of $11.2 million) and
          sub-lease or  licence half back  to the  City at a  nominal rate.
          Alternatively, the City  may elect  to subdivide Lot  3 in  which
          case Little Mountain would lease only that portion of  Lot 3 with
          the New Building constructed thereon, access and recreation areas
          (probably 1/2 of Lot 3).


     4.   Transfer of  Capital Assets

          The  physical  assets  of   Taylor  Manor  including  a  vehicle,
          computers, beds, dishes and  floor polishers, were purchased with
          funds from the Provincial Ministry of Health  and should transfer
          with the facility.   The inventory of capital assets  appended is
          not comprehensive and only includes items with a capital value of
          $500 or more.   The December 31, 1995  depreciated value of these
          items  are  $126,549.   The remaining  physical assets  while not
          listed  on the inventory and not valued, were also purchased with
          Provincial   funds  and   should   remain   with  the   facility.
          Accordingly, Little Mountain  shall pay the  City only a  nominal
          fee for the transfer of all capital assets.


     5.   Transfer of Accumulated Surplus

          In 1993, Taylor Manor  had an operating surplus of  $226,594 from
          which approved  purchases of computers and  a paratransit vehicle
          were made.   In 1994 and  1995, ongoing two to  three vacant beds
          resulted in lost  revenue and deficits  of $204,435 and  $44,784.
          The  accumulated surplus for Taylor Manor as at December 31, 1995
          is $29,301.

          Cordova House,  which also spent large amounts of its accumulated
          surplus in the last two years on a paratransit vehicle, computers
          and  a  sprinkler system,  still  has $176,891  remaining  in its
          surplus as at December 31, 1995.

          In  the City's  negotiations with  the two  non-profit societies,
          both   societies   sought   indemnification    from   liabilities
          accumulated by the City.   The City has accumulated both real and
          contingent liabilities  for which  no  accruals were  made.   The
          value of the total vacation, sick and other leave accumulated for
          Taylor Manor  as at February 1,  1995 is $226,222.   The value of
          owed  time for employees who  are expected to  transfer to Little
          Mountain is $139,189.

          The  combined Ministry  of Housing  surpluses of  $206,192  as at
          December  31,  1995  are not  sufficient  to  cover  100% of  the
          combined Ministry of Housing liabilities of $297,694,  there is a
          shortfall  of   $6,988  required  to  cover  100%   of  the  real
          liabilities and  50% of the contingent  liabilities for employees
          expected  to transfer.   Furthermore,  having  implemented budget
          reduction measures in the latter part of 1995 and early 1996, the
          surplus for the first  three months of 1996 should  be sufficient
          to cover this shortfall.

          With the approval of  Continuing Care, the City will  combine the
          surpluses  of both Cordova  House and  Taylor Manor  and transfer
          with  each facility,  sufficient  funds  to  cover all  the  real
          liabilities and half the  contingent liabilities. This amounts to
          $118,097  for  Cordova  House   and  $95,083  for  Taylor  Manor.
          Indications are that the  MOH will fund any  exceptional expenses
          such  as severance or extended sick leave which the societies may
          be unable to pay.


     6.   Employees

          Little Mountain has worked with the  City to develop a budget and
          staffing  plan for 1996/97.   They intend to  offer employment to
          all City employees who work at Taylor Manor in  this new staffing
          plan.    Once Council  and  Little Mountain's  Board  approve the
          transfer of Taylor Manor to Little Mountain, the City will notify
          its employees of the decision to cease operating Taylor Manor and
          Little  Mountain  will  send  offers  of  employment.    Not  all
          employees are  expected to accept  the offer.   Rather, employees
          with qualifications that  are likely to find alternate  work with
          the City  may choose  to remain  with  the City.   Employees  who
          choose not to accept the offer of employment with Little Mountain
          will remain the responsibility of the  City.  It is expected that
          those  who  choose  to  remain  with  the  City  will  be  easily
          relocated.


     7.   Notice of Transfer

          The  City should  notify the  Ministry of  Health,  the Vancouver
          Health Board and the Community Care Facilities Licensing that the
          City  intends  to cease  operating  Cordova  House effective  the
          transfer date and  that Little  Mountain will be  applying for  a
          license, an operating agreement and funding.


     8.   Other Obligations

          To provide for the transfer of personnel records, resident files,
          trust funds, insurance, warranties, and contracts, Council should
          authorise the General Manager of Community Services  to convey or
          transfer to Little Mountain such other interests, obligations and
          documentation as he deems appropriate.


     9.   Exceptional Audit

          Little Mountain has agreed to pay for the December 31, 1995  year
          end  audit from  the  Taylor Manor  annual  operating budget  but
          requests  the  City  pay for  the  January  1 to  March  31, 1996
          exceptional  audit.  A maximum fee of $3,000 for this exceptional
          audit  is considered a  reasonable cost  for the  City to  pay in
          achieving the transfer,  with funds  to be provided  in the  1996
          Operating Budget.


     10.  Other Terms and Conditions

          Council  should  authorize  the   General  Manager  of  Community
          Services  and the Director of Legal Services to make such further
          and other arrangements  as seem  appropriate and one  or both  to
          execute the necessary documentation to effect the transfer of the
          operation of Taylor Manor.


     11.  Administrative Fee Charged to Taylor Manor

          In 1995 the City received $61,800 from  the Provincial Government
          for the administration  of Taylor  Manor.  With  the transfer  to
          Little Mountain, this income  will no longer be available  to the
          City.  The General Manager of Community Services will report back
          on options to deal with this shortfall in April.

     CONCLUSION

     With  the transfer of the two City-operated continuing care facilities
     (Cordova House and  Taylor Manor) the  City will effectively  complete
     the  withdrawal  as  a  provider  of  health  services.    The  City's
     obligations for  operating  Taylor Manor  can  be transferred  to  the
     Little Mountain  Residential Care & Housing Society  which is prepared
     to  assume these  responsibilities provided  the terms  and conditions
     they require to continue  operating the facility are met.  This report
     recommends  that  Council approve  the  transfer of  the  operation of
     Taylor  Manor to Little Mountain Residential Care & Housing Society on
     the above terms and conditions.


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