QQQQ 960227 PINK
     File Reference Number: 4652-3 TT 960229
                                                                          2

                              ADMINISTRATIVE REPORT


                                                   Date:  February 27, 1996
                                                   Dept. File No. C611     


     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 Cordova House Continuing Care Facility
               to The Wilberforce Cooper Care Society



     RECOMMENDATION

          A.   THAT  Council  approve  the  transfer of  the  operation  of
               Cordova House from the  City to The Wilberforce Cooper  Care
               Society  (WCCS)  effective  April  1, 1996  or  as  soon  as
               possible thereafter on the following terms and conditions:

               1.   The City transfer the non-fixed capital assets situated
                    at  Cordova House valued at $153,940 (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  the WCCS for the nominal
                    fee of $1.00.

               2.   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  WCCS
                    estimated  as  $118,097  as  at  February  1,  1995  be
                    transferred  to WCCS.    Source  of  funds to  be  from
                    combined  accumulated  surpluses  of Taylor  Manor  and
                    Cordova House.

               3.   WCCS  offer employment  to  all  City  employees  whose
                    worksite is Cordova House (except the Administrator for
                    whose services WCCS proposes  to contract with the City
                    for 12 months).

               4.   The  City   contract  to  WCCS  the   services  of  the
                    Administrator for 12  months, subject to his  continued
                    availability.

               5.   The City  assign to WCCS obligations  for administering
                    the Operating  Agreement dated April 25,  1975, with BC
                    Housing  and  Canada  Mortgage  and  Housing,  and  the
                    General  Manager of Community Services be authorized to
                    sign the Amending Agreement.

               6.   The  City  give  notice  to  the  Ministry  of  Health,
                    Vancouver  Health Board  and Community  Care Facilities
                    Licensing  that the  City  of Vancouver  will cease  to
                    operate Cordova House, effective the transfer date.

               7.   The City assign,  convey or transfer  to the WCCS  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.

               8.   The WCCS  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.

               9.   The City indemnify WCCS for any liabilities which might
                    arise from events occuring  prior to the transfer date.
                    When the City operated Cordova house, 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 WCCS for
                    these liabilities.  (Staff are unaware of any potential
                    claims which predate the transfer date.)

               10.  Such  further   and  other  arrangements   as  seen  on
                    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, Community Services RECOMMENDS approval of A,
          B and C.


     COUNCIL POLICY

     There is no applicable Council policy.


     PURPOSE

     This  report  recommends that  Council approve  the  transfer of   the
     sixty-six-bed City-operated continuing care facility  Cordova House to
     The  Wilberforce Cooper Care 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

     On  April 25, 1975,  the City signed  an agreement with  the Province,
     CMHC  and  GVRD  to  develop and  operate  housing  for  hard-to-house
     residents of the Downtown Eastside. Since 1978, Cordova House has been
     operated  by the  City  and  is  licensed  under  the  Community  Care
     Facilities Licensing Act.  Cordova  House is owned by the Federal  and

     Provincial Governments (CMHC and BCHMC).  Cordova House operates at no
     cost to  the  City  with funding  from  the Ministry  of  Health,  the
     Federal/Provincial Housing Partnership and resident user fees.

     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 assets
          were purchased from  Provincial and Federal  funds, the City  has
          not  incurred costs  in building  or operating Cordova  House and
          would  not expect to receive compensation for the transfer of the
          facility and its assets.


     2.   The Wilberforce Cooper Care Society 

          Interest  in   assuming  responsibility  for  Cordova  House  was
          explored with several facilities within the same Community Health
          Committee  region.   WCCS seems  to be the  best "fit"  since its
          facility, Cooper Place, is an accredited continuing care facility
          for seniors located on the same City block as Cordova House.  The
          geographic  proximity   would  be   an   advantage  for   service
          integration.  The WCCS is experienced and dedicated with a strong
          focus on the importance of quality care for the residents.  Their
          Mission, Process, Purpose and Philosophy are attached as Appendix
          B,  for Council's information.  WCCS is also an equal opportunity
          employer  that   provides  training  and   development  for   its
          employees.    The  WCCS is financially healthy  with a Board that
          takes its responsibilities seriously.

          WCCS  has agreed  to  include on  its  Board, representation  for
          Cordova House.  The WCCS Board presently has representatives from
          St. James Social  Services, First United Church, and a Provincial
          Government  appointee.     They  propose  to   request  two  more
          government appointments for which  their Constitution and By-laws
          provide.    They  would  recommend  that  these  appointees  have
          knowledge  and experience  with  problems common  to the  Cordova
          House  clientele such  as alcohol  and drugs,  mental health  and
          complex behavioural problems, and will instruct  their Nominating
          Committee accordingly.  It is expected that these appointees will
          be confirmed at their Annual General Meeting in June.


     3.   Transfer of Operating Agreement 

          At  the City's request, BCHMC  and CMHC will  amend the Operating
          Agreement  to transfer  the  administration of  Cordova House  to
          WCCS.  The City  must agree to assign responsibility to WCCS, and
          the General Manager of Community Services should be authorised by
          Council to sign the  Amending Agreement.  The land  and buildings

          are owned by the BCHMC and CMHC partnership, which subsidizes the
          building and maintenance costs of the operations.




     4.   Transfer of  Capital Assets

          The physical assets located at Cordova House including a vehicle,
          computers, beds, dishes and  floor polishers, were purchased with
          funds  from BCHMC or the  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 1995 depreciated value of these items
          are  $153,940.  The remaining physical assets while not listed on
          the  inventory  and not  valued,  have also  been  purchased with
          Federal  and  Provincial  monies   and  should  remain  with  the
          facility.    Accordingly, WCCS shall pay the  City only a nominal
          fee for the transfer of all capital assets.


     5.   Transfer of Accumulated Surplus

          During  the  years  of  operating  Cordova  House, the  City  had
          accumulated  a  healthy surplus.    Funds  from this  accumulated
          surplus were approved in 1993 and 1994 to sprinkler the building,
          purchase  a paratransit  vehicle and  computers.   At the  end of
          1995, there were $176,891 remaining in the surplus.

          Taylor Manor,  the other  City-operated continuing  care facility
          which  is being  transferred to  a different  non-profit society,
          also has an  accumulated surplus  but has been  drawing down  its
          surplus due to a sustained  vacancy of two to three beds  for the
          last  two  years  because  of  the  building's  inadequacies  for
          increasingly frail  intermediate care clients.   Taylor Manor has
          only $29,301 remaining in its accumulated surplus as at  December
          31, 1995.

          In  the City's negotiations with the two non-profit societies, it
          has become clear that  the societies require 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  Cordova  House  as  at  December  31,  1995  is
          $276,507.   The value  of  the owed  time for  employees who  are
          expected  to transfer  to  WCCS is  $201,087.   The  Ministry  of
          Health's share  is $176,795.  The B.C.H.M.C.'s share  is $24,292.
          As  B.C.H.M.C.   has  indicated  they  are   prepared  to  assume
          responsibility for their share, the $24,292 is not a concern.

          While the combined Ministry of Health's surpluses  of $206,192 as
          at  December 31,  1995, are not  sufficient to cover  100% of the
          combined Ministry  of Health's liabilities of  $297,694, there is
          only a shortfall of $6,988 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
          the $6,988 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  Ministry  of  Health  will  fund  any

          exceptional expense such as severance or  extended sick leave for
          employees who  have transferred to  the societies  for which  the
          societies may be unable to pay.


     6.   Employees

          The  WCCS   has  advised   that  with   the   exception  of   the
          Administrator,  they  intend  to  offer  employment  to  all  the
          employees  of  Cordova House.    Once the  Transfer  Agreement is
          signed, the City  will notify  its employees of  the decision  to
          cease  operating  Cordova House  and  WCCS  will  send offers  of
          employment.   Not all employees are expected to accept the offer.
          Rather, employees  with qualifica-tions  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
          WCCS will remain the responsibility of the City.   It is expected
          that those  who choose  to remain with  the City  will be  easily
          relocated.

          During  the transition, The WCCS  would like to  contract for the
          Administrator's  services from the City.   It is recommended that
          Council  approve a 12-month contract with The WCCS subject to the
          continued availability of the Administrator.


     7.   Formal Notice of Transfer

          The  City should  notify  the Ministry  of Health,  the Vancouver
          Health  Board and  Community Care  Facilities Licensing  that the
          City  intends  to cease  operating  Cordova  House effective  the
          transfer date and  that The WCCS 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
          authorize the General Manager of  Community Services to convey or
          transfer  to  The  WCCS  such other  interests,  obligations  and
          documentation as he deems appropriate.


     9.   Other Terms and Conditions

          Council should authorize the General Manger 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 Cordova House.


     10.  Administrative Fee Charged to Cordova House

          In 1995, the City received $59,400 from the Provincial Government
          for  the administration of Cordova  House.  With  the transfer to
          WCCS 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
     their  withdrawal  as  a provider  of  health  services.   The  City's
     obligations  for Cordova House  can be transferred  to The Wilberforce
     Cooper  Care Society  which is  prepared to  assume  these obligations
     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 Cordova House to The  Wilberforce Cooper
     Care Society on the above terms and conditions.



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