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Commission backs Saint Francis PACE adult day care conditional use permit

City of Titusville Planning & Zoning Commission
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Summary

The Planning & Zoning Commission unanimously recommended approval of a conditional use permit for Saint Francis to operate an adult day care (PACE) program in an existing building at 1250 Grama Place, approving a concept plan that would use about 19,950 sq ft of a 43,940 sq ft structure and bind several staff-recommended conditions.

The Titusville Planning & Zoning Commission recommended approval, by unanimous roll-call vote, of a conditional use permit for Saint Francis to operate an adult day care center under the PACE (Program of All-Inclusive Care for the Elderly) model at 1250 Grama Place. Staff said the existing building is approximately 43,940 square feet and the applicant requests to use about 19,950 square feet for the day-care facility; proposed hours are 8 a.m. to 5 p.m. and a site development permit will be required for code compliance.

Joe Killian, CEO of Saint Francis hospice, explained the PACE model and its local intent: "we're taking care of people that live in our community that are elderly ... nursing home appropriate," he said, describing center-based clinical services, recreation and transport for participants and noting many services are funded through Medicaid/Medicare arrangements. Killian and staff estimated daily center capacity at about 80 participants and said the program aims to keep frail older adults safely in the community rather than in nursing homes.

Commissioners asked about safety measures for dementia patients and site circulation. The applicant described locked/alarmed egress doors, internal fencing between the building and a covered porch, and staff monitoring; staff confirmed that the four conditions listed in the staff report (landscape buffers, setbacks for active recreation, passenger drop-off zones, and water/sewer improvements) would be binding with a CUP issuance.

A commissioner questioned the parking calculation in the concept plan and noted the transcript shows a discrepancy between the plan’s reserved 10 spaces for clients and a larger math-based total; staff said the project uses current standards applicable to existing facilities. After discussion, the commission moved and recorded a unanimous roll-call vote to recommend approval; staff will forward the recommendation to City Council for its Sept. 9 meeting.