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Home My WebLink AboutSFPR-05-2022-41095.tif ENVIRONMENTAL HEALTH Catawba County Government Center 25 Government Drive I P.O.Box 389 I Newton,NC 28658 Catawba county Phone:(828)465-8270 I Fax:(828)465-8276 public health Email: EHAdrnin@CatawbaCountyNC.gov ...,............*Milt.IIWM4./ill l....,..... Environmental Health General Application CAS= » Case# 4675 HickoryLinc /� 0206 Ic 1 Property Location: olnton HWY Street Address: 4675 Hickory Lincolnton Hwy city; Newton State: NC Zip: 28658 Contact Person: Valerie Stanback Contact Phone Number: 828-228-7309 Contact Email Address: valariestanback@yahoo.com Establishment Name: Luca's Haven (Luca's Hope LLC) Architect Name(if applicable): Email Address: Architect Address: City: State: Zip: Phone: Please Note: Plans drawn to scale and specifications shall be submitted to the local health department for review and approval prior to initiating construction.Plans drawn to scale and specifications for changes to building dimensions,kitchen specifications,or other modifications to existing establishments shall also be submitted to the local health department for review and approval prior to construction.The local health department shall visit or inspect an existing or proposed center,within 30 days of the request,to determine compliance. Establishment Type Child Day Care Lodging Bed and Breakfast Home Residential Care 7 g Swimming Rest NursinBed and Breakfast Inn &Wading Pools,Spas, ._, ammo Splash Pads Water Supply Type Individual Well ❑ Community Well ❑✓ Public Water ❑ Unknown ❑ Sewer Supply Type Individual Septic 0 Public Sewer ❑ El Unknown All applicable information must be provided prior to submission. Contact Environmental Health for applicable fees. Applicant Signature / - // .2a •'` �..r- Date 5/ PARTNERS Behavioral health Management November 5,2021 Luca's Hope LLC 4675 Hickory Lincolnton Hwy, Newton NC 28658 Re:Letter of Support for Residential Level III Adolescent Males .0019 located at 4675 Hickory Lincolnton Hwy Newton,NC 28658 To Whom It May Concern: On August 13,2005,Governor Easley signed the"Current Operations and Capital Improvements Appropriations Act of 2005"into law. Included in this act was a revision of General Statute 122C-23: Licensure. This revision requires prospective providers of residential services,pending and current,to submit a letter of support from their Local Management Entity with their license application to the Division of Facility Services. The purpose of the provision is to protect the general welfare and lives,health,and property of the people of the State of North Carolina,to ensure that unnecessary costs to the State do not result,that residential treatment facility beds are available where needed,and that individuals who need care in residential treatment facilities may have access to quality care. In accordance with G.S. 122C-23.1: Licensure of Residential Treatment Facilities,this LME concludes the following: Number of Existing Beds for Same Type of o beds in Catawba County Facility:o beds in Catawba County Projected Need for Additional Beds of Same 5 beds requested Type:5 Based on data available on this date,there is a need for five residential licensed beds in the Partners Behavioral Health Management in Gaston County. This letter is not intended as an endorsement of the quality of the service,nor is it to be interpreted as a guarantee of business or occupancy of the beds for the provider.Data utilized is current as of the date of the letter and subject to change. Should you have any questions,please call: Skylar Floyd,Provider Network Specialist at(704)214-1695 or via email: flo d _guartnersbhm or Sincerely, Skylar Floyd Skylar Floyd Provider Network Specialist CORPORATE ELKIN REGIONAL OFFICE: HICKORY REGIONAL 901 South New HopeOFFICE: OFFICE: 200 Elkin Business Park 1985 Tate Blvd.SE,Suite Rd.Gastonia,NC Dr. 529 28054 Elkin,NC Hickory,NC 28621 2862 PHONE: 1-877-864-1454 • ACCESS TO CARE: 1-888-235-HOPE(4673) • WEBSITE: Planning&Parks Department PO Box 389 25 Government Drive Newton,NC 28658 catawba C t)u n t 828-465-8384 Fax: 828-465-8484 planning & parks www.catawbacountync.gov/ October 25, 2021 To Whom It May Concern: The parcel 3617-01-19-4614 is located within the Residential R-40 zoning jurisdiction and allows for Family Care Home Use under the Catawba County Unified Development Ordinance with the provision that persons being treated are diagnosed with a certain physical, mental, or emotional disability as a part of the admissions process. The use cannot exceed 6 residents staying overnight at one time. Sincerely, Vedreedoey Wed414/4 Madison Whisnant Planner � �� Z�1 Keshia Parris From: Valarie Stanback <valariestanback@yahoo.com> Sent: Thursday, May 12, 2022 4:35 AM To: Keshia Parris Subject: Re: Environmental Health App Attachments: Sanitation Application completed.pdf Hi Keshia, I am attaching the completed application that you sent me along with the letter of support and the zoning approval letter that we received. If you could let me know the next step towards getting an appointment/inspection scheduled, that would be great. Blessings!! Valarie Stanback / Executive Director Luca's Hope 828-228-7309 valariestanback@yahoo.com "If you care for your own children, you must take an interest in all, for your children must go on living in the world made by all children" Eleanor Roosevelt HIPAA Privacy Notification: This message and accompanying documents are covered by the Electronic Communications Privacy Act, 18 U.S.C. 2510-2521, and contain information intended for the specified individual(s) only. This information is confidential. If you are not the intended recipient or an agent responsible for delivering it to the intended recipient, you are hereby notified that you have received this document in error and that any review, dissemination, copying, or the taking of any action based on the contents of this information is strictly prohibited. If you have received this communication in error, please notify us immediately by e-mail, and delete the original message On Wednesday, May 11, 2022, 09:45:53 AM EDT, Keshia Parris <kparris@catawbacountync.gov> wrote: Valarie, I have attached the application we talked about over the phone. Thanks, Keshia Parris Administrative Assistant I PO Box 389 125 Government Drive, Newton, NC 28658 (828) 465-8270 office (828) 465-8276 fax https://www.catawbacountync.gov/county-services/environmental-health/ We want to hear from you. Please take a minute to take our customer service survey. English Queremos escuchar de usted. Tc mese un minuto para realizar nuestra encuesta de servicio al cliente. Espanol catawba county MAKING. LIVING. 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