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20 <br /> water system planning. The primary fire company (White Cross) and secondary companies <br /> (Carrboro and Hillsborough) have been identified. Water for fire fighting will be brought onsite <br /> in tanker fire trucks filled from area ponds that have been designated and equipped for such <br /> use. Internal roads are being designed with accommodation for required widths, maneuvering <br /> room, weight capacity, fire lanes, and setup for aerial service as needed. <br /> The social and health care components of H41D are fundamental to the mission of the <br /> community. However, the precise implementation of these functions has been under <br /> continuing discussion and revision, due to the host of issues surrounding licensure, <br /> reimbursement, management, space, staffing and so on. At the time of this application, H4D <br /> is working with experts in the field of care provision to find solutions that meet the <br /> community's needs and at the same time are practical. <br /> The current model under consideration consists of a continuum of care, from volunteer care <br /> teams, to onsite care facilities, to partnerships with area healthcare systems. The first of these <br /> starts with organizing and providing volunteer care among friends who provide informal <br /> support addressing social and physical needs, as 2T members have been doing for 15 years. <br /> Organizational tools to support this work include online sites (e.g., Caring Bridge, Lotsa <br /> Helping Hands). Examples of care team tasks include providing rides to appointments, meals, <br /> grocery pick-up, visits, social outings, and assistance during restricted mobility. Orange <br /> County senior resources will be considered and used based on need. <br /> The next level of care - and the one specifically related to this application - is provision for up <br /> to two onsite "eldercare" facilities. One could be for members who have developed physical <br /> impairments that prevent independent living and necessitate assistance with activities of daily <br /> living. The other could be for those who have developed cognitive impairment and must be <br /> supervised for their protection. The facilities would be licensed Family Care Facilities that can <br /> qualify for coverage by long-term care insurance payors. They would provide social care for <br /> community members in situations that would otherwise result in transfer offsite. <br /> We are working with experts to create specifications for these facilities that harmonize with <br /> the applicable county and state rules and regulations. We are aware that current provisions of <br /> the UDO do not allow for Family Care Facilities, as defined in the UDO, in MPD-CD. <br /> Accordingly, we will design and build the buildings intended for this purpose to the <br /> specifications for Family Care Facilities but may put them into service as conventional <br /> multifamily residences. We have submitted a formal application for a LIDO text amendment to <br /> permit licensed Family Care Facilities in MPD-CD. <br /> For the final level of care, healthcare services, we anticipate developing partnerships with <br /> area healthcare systems and providers for more extensive healthcare options. These options <br /> include on-site physical and mental health care, telehealth services, home hospital <br /> (hospital-at-home), and hospice/death doula services. Providing space in our community for <br /> visiting healthcare providers on an interval basis (i.e., weekly, monthly basis) can be an <br /> effective and cost saving strategy for delivery of healthcare services. <br /> H4D Narrative, Pg 7 <br />