Health and Human Services Committee MeetingChenango County Office Building – Board Room

Monday, January 31, 2022 – 10:00 am

Present Were: Chairperson Grace Nucero-Alger, Supervisor James J. McNeil, SupervisorRaymond E. Wakefield Jr*, Supervisor Jeremiah J. Micklas, Supervisor Robert Wansor,Executive Director of The Place Sharon Vesely, Commissioner of Social Services Dan Auwarter,Director of Area Agency on Aging Nicole Ross, Director of Public Health Marc Flindt,Administrative Services Officer Eric Depperman, Director of Community Services Ruth Robertsand Corporate Compliance and Quality Control Officer Craig Cashman.

*Supervisor Raymond E. Wakefield Jr. left the meeting at 12:10 p.m.

Absent: Supervisor Wayne C. Outwater

Chairperson Grace Nucero-Alger called the meeting to order at 10:00 am.

Sharon Vesely, Executive Director, The PlaceDay Care:A discussion occurred about the lack of daycare in Chenango County, particularly for infants andtoddlers (ages 6 weeks-3 years old).

Ms. Vesely stated 6-7 months ago the Board of Directors at The Place asked her to investigatethe need for childcare in Chenango County. Ms. Vesely stated she works with the FamilyEnrichment Network and the need for childcare is great. In the Southern Tier there are 32,000children under the age of 5 and there are 17,000 childcare slots available. Ms. Vesely stated lackof childcare is a barrier to returning to work. Ms. Vesely stated additional funding for daycare isavailable due to the pandemic. Ms. Vesely stated a successful childcare center would require amulti-funding stream.

Chenango County meets the qualifications to be considered a childcare desert. Ms. Vesely statedthe benefits of an early childhood program would include parents being able to return to work,increased early intervention services, and socialization for youth.

Dr. Wansor asked if The Place receives a lot of phone calls looking for available slots. Ms.Vesely stated yes, they refer those calls to the Family Enrichment Network since they are theresource and referral agency for Chenango County. Ms. Vesely stated The Place receives at least3 phone calls per week, especially for infant care and half day programming. Dr. Wansor askedif the calls come from all over the county. Ms. Vesely stated, the Family Enrichment Networkwould have this information.

Ms. Nucero-Alger asked if Ms. Vesely reached out to Greater Opportunities for Chenango to seeif they can help. Ms. Vesely stated she has not. Dr. Wansor recommended speaking with KarenRandall. Dr. Wansor stated the Head Start programs don’t provide infant care, but it might beworth talking to her.

Ms. Vesely stated she wants to address the greatest need which is infant and toddler care (ages 6weeks - 3 years old).

Ms. Nucero-Alger asked if Ms. Vesely had recommendations for the county to consider. Ms.Vesely stated not at this time, she is simply trying to start a conversation about a collaborativeeffort. Ms. Vesely stated the county used to have The Children’s Center, but they closed severalyears ago due to fiscal issues.

Ms. Nucero-Alger asked Mr. Auwarter if he had additional information. Mr. Auwarter statedyears ago we had a licensed childcare center in Chenango County, but it closed around 2007 or2008 due to fiscal issues. Mr. Auwarter stated it was one of the few if not the only licensed daycare centers in the county.

Mr. Auwarter stated the Department of Social Services is primarily involved with childcareblock grant subsidies which come from the state. This funding is available for those with lowincome or who are seeking employment and need temporary assistance. Mr. Auwarter statedsignificant funding is available and we are not spending it as fast as it is accumulating becausethere are no childcare slots available. Mr. Auwarter stated in most cases legally exempt daycareis used such as a family member or friend. Mr. Auwarter stated large classroom settings aremore expensive, but it is a vastly different resource than in home daycare.

Mr. Auwarter stated in terms of the day care deserts previously mentioned, most of the state is inthis situation. Mr. Auwarter stated information was released from OCFS showing most of thestate has a lack of affordable and available daycare. Mr. Auwarter stated Chenango County is900 square miles of predominantly rural farmland and someone may have to drive 30 miles to adaycare provider they feel comfortable with and then commute to work.

Mr. Auwarter stated the Department of Social Services currently has over $1 million that must bespent on subsidized daycare, but there are not enough providers to use the funding. Therefore,these funds are rolled over into the next fiscal year. Mr. Auwarter stated it used to be set up sothat any funds left over were to be transferred to another county in need, but this is nothappening because there is a daycare shortage across the state. Mr. Auwarter stated there is asurplus of funding simply due to a lack of providers.

Mr. Auwarter indicated the statistics over the last few years show a significant decrease in theavailability of professional childcare workers. Mr. Auwarter stated the Department of SocialServices deals with situations where individuals are on public assistance and are seekingemployment, but they have a child which adds challenges. Mr. Auwarter stated they offersubsidized daycare, but if they are unable to find available daycare it is a reason for them to notwork.

Mr. Auwarter stated funding is just being released by the state for organizations interested increating daycare centers. Mr. Auwarter stated childcare and affordable housing are two of thebiggest issues in Chenango County. Mr. Auwarter stated the Department of Social Services isinterested in supporting the establishment of daycare centers.

Dr. Wansor asked if The Place is at full capacity. Ms. Vesely stated their highest enrollment isduring the summer. Ms. Vesely stated they are licensed to care for up to 75 school agedchildren. Ms. Vesely stated she would be pursuing a different age group though for an EarlyChildhood Program.

Ms. Vesely stated in the City of Norwich The Place and the YMCA both have school ageprograms which operate year-round. Ms. Vesely stated the Norwich School District has an after-school program as well. Ms. Vesely stated while school age programming is needed, it is beingaddressed as best as it can in Norwich at least. Ms. Vesely stated the need for childcare forinfants and toddlers however, is great.

Ms. Vesely stated The Place has several foster parents who bring school aged children, but sheknows some foster parents are unable to take younger foster children into their homes becausethey work full time and don’t have available childcare. Ms. Vesely stated an Early ChildhoodProgram would address this need as well.

Dr. Wansor stated there must be some licensed daycare providers for toddlers. Mr. Auwarterconfirmed, but stated they are in short supply. Dr. Wansor asked if this is something the $1million of childcare subsidies could help with. Mr. Auwarter stated yes, it is 100% state funding.Mr. Auwarter stated the Department of Social Services writes an annual plan and increases ordecreases eligibility standards based on the number of individuals applying to try to make thefunding last the entire year. Mr. Auwarter stated we are at the highest we can raise eligibilitystandards to currently which is an income of about $50,000 for a family of 4. Mr. Auwarterstated this tells him either individuals don’t have the resource to apply it to, or it is too much of abarrier.

Mr. Auwarter stated there are multiple support structures necessary for center-based daycare.Mr. Auwarter stated the operational overhead is different for licensed in-home daycare settingsversus center-based daycares. Mr. Auwarter stated Ms. Vesely is interested in opening up acenter-based daycare, but the overhead costs are much greater. Mr. Auwarter stated this wouldutilize the daycare subsidy quickly. Dr. Wansor stated a daycare center in Norwich may notnecessarily help people in areas such as Greene or Sherburne.

Dr. Wansor asked why the previous daycare center closed in Norwich. Mr. Auwarter stated itwas due to fiscal issues mostly related to payment structures. Mr. Auwarter stated years ago thestate sent out frightening legal interpretations and determined counties shouldn’t pay providersdirectly, otherwise they would be considered a county employee. Mr. Auwarter stated this wasnot accurate. Mr. Auwarter stated he looked into this, and they can pay center-based daycareproviders and not run into this IRS issue. Mr. Auwarter stated money was not always getting tothe center for care provided and they had fiscal issues as a result. Mr. Auwarter stated he doesnot think this climate exists today, and it is very different now.

Mr. McNeil asked Ms. Vesely if she contacted SUNY Morrisville. Ms. Vesely stated yes, shespoke with Dr. Julie Burton about coursework to help with staff development. Ms. Vesely statedsome funding streams are available for certification to work in the early childcare field and itcould lead to an Associates or Bachelor’s degree. Mr. McNeil asked if the coursework wouldrequire a daycare facility. Ms. Vesely stated yes, coursework and hands-on training would berequired. Mr. McNeil stated perhaps SUNY Morrisville could open a daycare center for thosecourses, which he thought was the intent a few years ago. Ms. Vesely stated SUNY Morrisvillewas in the process of purchasing a place on South Broad Street, but the funding was withdrawnand she is not sure why.

Mr. McNeil asked what the cost is for one child in daycare. Ms. Vesely stated she is not surewhat the current market rate is but she has seen a cost of $220 per week for infant care up to 18months old. Ms. Nucero-Alger asked if this rate includes food. Ms. Vesely stated for somecenters it is inclusive if they choose to apply for reimbursement for food through CACFP.

Mr. McNeil asked if there are any surveys or needs assessments available. Ms. Vesely statedCCR&R and the Southern Tier Regional Economic Development Council completedassessments.

Mr. McNeil stated the Family Enrichment Center has a busy program and he thinks they need abigger place. Mr. McNeil asked if it would be economically viable for existing agencies such asthis to expand services. Ms. Vesely stated the number of children licensed programs can providedaycare for is based on square footage. Ms. Vesely stated she is confident the Director of theFamily Enrichment Network would have told her if they were looking to expand.

Mr. McNeil asked if The Place needs more room. Ms. Vesely stated yes, they could use morespace. Mr. McNeil asked if The Place would be able to provide expanded childcare programs ifthey had the space. Ms. Vesely stated she is always up for a challenge, and she would becomfortable with moving forward if it were approved by OCFA and with the necessaryresources.

Ms. Nucero-Alger asked how long it takes to get training to become a certified daycare provider.Ms. Vesely stated the minimum CDA certification takes about one year. Ms. Vesely stated thereare different qualifications for each modality of childcare. For center-based programs a leadteacher would need at least a Child Development associate degree, 1-2 years of experience andfirst aid and CPR certification. Ms. Vesely stated there are individuals with this training and shehas a good working relationship with SUNY Cobleskill, SUNY Morrisville, and SUNY Oneontawho all have early childhood programs. Ms. Vesely stated it may be a challenge, but she thinksthey could attract people to our area with these degrees.

Mr. Micklas asked how BOCES might tie in. Ms. Vesely stated BOCES has a preschool, but sheis not sure if it is a full-day or year-round program. Ms. Vesely stated she is looking at a year-round full-day daycare program that is open unless a state of emergency is declared. Ms. Veselystated she has not spoken with BOCES yet, but she will do that.

Dr. Wansor asked if Ms. Vesely is considering a centralized location or satellite locations. MsVesely stated there is a county-wide need, but she thinks it would be best to start with acentralized location and then expand.

Ms. Nucero-Alger asked Ms. Vesely to contact Greater Opportunities for Broome and ChenangoCounties and BOCES and then to return to the next committee meeting with an update andrecommendations. Ms. Nucero-Alger asked Ms. Vesely to share any ideas with her and Mr.Auwarter on what county support might look like. Ms. Nucero-Alger stated in the meantime shewill work with Mr. Auwarter.

Mr. Micklas asked for a comprehensive report on needs in the area. Mr. Auwarter stated NewYork State just released a very comprehensive study with an interactive map which he can sendout to the committee.

Mr. Wakefield asked if Ms. Vesely has investigated the cost of a building or rental fees as wellas operational costs. Ms. Vesely stated she looked at several facilities including the building TheChildren’s Center had been in which is for rent. Ms. Vesely stated she is looking at a budget justunder $1 million per year. Ms. Vesely stated it would require additional staff and they would beable to provide care for about 52 children under the age of 3.

Dan Auwarter, Commissioner, Social ServicesRefill – Caseworker – #A6010.1237:Mr. Auwarter stated this individual started in October 2021 and resigned suddenly to accept aposition with a local school district. Ms. Nucero-Alger asked if they have anyone in mind to fillthis position. Mr. Auwarter stated no, they are working off the available civil service list whichhas been basically exhausted. Mr. Auwarter stated he will likely ask for another test.

Mr. McNeil made a motion, seconded by Mr. Micklas, to refer to the Personnel Committee torefill Caseworker position A6010.1237. Motion carried.Refer to Personnel.

AUTHORIZING APPROPRIATION OF FUNDS FOR SAFE HARBOUR PROGRAM –DEPARTMENT OF SOCIAL SERVICES - $43,350:Mr. Auwarter stated the Safe Harbour plan was approved for 2022 and he is looking to allocatefunds and contract out these services. Mr. Auwarter stated this funding is entirely from the stateand there is no local share. Mr. Auwarter stated they are looking to contract with the Crime andVictims Unit to provide services.

Dr. Wansor made a motion, seconded by Mr. Wakefield, to refer to the Finance Committee toauthorize the appropriation of $43,350 for the Safe Harbour program. Motion carried.Refer to Finance.

AUTHORIZING APPROPRIATION OF ONE-TIME ADDITIONAL SUPERVISION &TREATMENT SERVICES FOR JUVENILE PROGRAMS GRANT FUNDS –DEPARTMENT OF SOCIAL SERVICES - $4,453:

Mr. Auwarter stated he was made aware of additional funds the county was eligible for throughNew York State. Mr. Auwarter stated we already have a contract for these services with ThePlace. Mr. Auwarter stated parts of the state didn’t utilize their full amount, so those funds wereredistributed. Mr. Auwarter stated he spoke with Ms. Vesely to see if The Place had the abilityto expand services with additional funds, and they can.

Mr. Auwarter stated this would be an additional $4,453 that would go into the current fundingalready provided by the state. Mr. Auwarter stated there is a local share component in acceptingthe funds. Mr. Auwarter stated the local share for this additional portion would be $2,729. Mr.Auwarter stated the total amount for the contract with The Place is $94,035.45. Dr. Wansorasked if funding is available in the budget to cover the additional local share. Mr. Auwarterconfirmed and stated this would bring the total local share to $35,733.49 for the entire project.

Mr. Wakefield made a motion, seconded by Dr. Wansor, to refer to the Finance Committee toauthorize the appropriation of one-time additional supervision and treatment services for juvenileprograms grant funds totaling $4,453.00. Motion carried.Refer to Finance.

Refill #A6010.135 -Social Welfare Examiner:Mr. Auwarter stated this individual started working in November last year and she resigned totake a position with a private business.

Mr. Wakefield made a motion, seconded by Dr. Wansor, to refer to the Personnel Committee torefill Social Welfare Examiner position A6010.135. Motion carried.Refer to Personnel.

Update on Non-Reimbursable cost savings Foster Care:Mr. Auwarter stated he brought the accounting supervisor Ms. Evelyn Kirkland with him today.Mr. Auwarter stated the Foster Care Program costs are tied to the number of children they areproviding services for. Mr. Auwarter stated it is a complicated fiscal system and gettingreimbursement for services from the state and federal government is difficult. Mr. Auwarterstated for several years the county’s non-reimbursable share of the Foster Care Program was wellover $100,000. Mr. Auwarter stated Ms. Kirkland did a great job working with the Director ofServices and she has been able to get our non-reimbursable share down to about $32,000 from$123,000. Mr. Auwarter stated he thought the committee would be interested in hearing aboutthe savings which can be credited to Ms. Kirkland and Ms. Beers.

Ms. Nucero-Alger asked how Ms. Kirkland was able to do that. Ms. Kirkland stated they madeit a priority every month to generate a report that she and Ms. Beers review. Ms. Kirkland statedthey investigated why things were initially marked as non-reimbursable. The Committeecommended Ms. Kirkland and Ms. Beers.

Optional Rental Assistance Program:Mr. Auwarter stated he is seeking approval from the committee to pursue available state fundingfor counties for a rent supplement program. Mr. Auwarter stated this would assist individualswith rent costs outside of the historic venues. Mr. Auwarter stated he is not sure how many

counties are accepting the funds. Chenango County’s allocation for 2022 is about $140,000.Mr. Auwarter stated this funding is available to individuals based on eligibility criteria set by thestate. Mr. Auwarter stated counties can choose to operate a program to provide that assistance orcontract out the services. Mr. Auwarter stated he acquired a copy of a plan submitted by anothercounty for review. Mr. Auwarter stated there is an administrative claw back counties can use toadminister the program which is about $20,000 based on that allocation. Mr. Auwarter stated itwould involve more work on his department’s behalf if they chose to do it ourselves. Mr.Auwarter stated there is no local share involved as with other programs.

Dr. Wansor asked if Mr. Auwarter sees a need for this optional rental assistance. Mr. Auwarterstated yes that temporary assistance is nowhere near the costs of rent for an apartment. Mr.Auwarter stated affordable is a significant issue. Mr. Auwarter stated rental costs are well over$1,000 per month and temporary assistance typically provides $400-$500 per month. Mr.Auwarter stated this money is geared towards the working poor. Mr. Auwarter stated this is abuffer program the state intends to continue several years. Mr. Auwarter stated if funding existshe would recommend pursuing it for Chenango County otherwise it will go to another county.

Mr. Wakefield made a motion, seconded by Dr. Wansor, to approve the submission of a plan toNew York State for Optional Rental Assistance Program funding. Motion carried.

Discussion: Mr. Auwarter stated the plan is due in February, and with the committee’spermission he will submit one. Dr. Wansor asked if this should go through the full board. Mr.Auwarter stated he can bring the plan back to the committee once it is approved and it can besent to the full board if they so choose.

Nicole Ross, Director, Area Agency on AgingUpdate:Ms. Ross stated their office is busy and there are many changes coming from the state. Ms. Rossstated they hired a Nutrition Coordinator who is doing well. Ms. Ross stated they are startinginterviews for the Administrative Assistant position soon and her former position in the next fewweeks. Ms. Ross stated they have a few really good applicants.

AUTHORIZING APPROPRIATION OF FAMILIES FIRST CORONAVIRUSRESPONSE ACT (FFCRA) FUNDS – AREA AGENCY ON AGING - $4,000 for officefurniture.:Ms. Ross stated with the staff and program changes they had to restructure the office and theyneed some office furniture.

Mr. Wakefield made a motion, seconded by Mr. Micklas, to refer to the Finance Committee toincrease revenue account A4824-Federal Aid COVID by $4,000 and appropriate those funds toA7610.21-Equipment for the purchase of office furniture.Refer to Finance.

Authorizing Appropriation of Federal Aid for Aging For Volunteer Incentive Program –Area Agency On Aging - $4,500 for Volunteer Incentive Program:

Ms. Ross stated they made an error when this was sent to Mr. Woodford and the draft resolutionshould say state aid. Ms. Ross stated this funding is for the Volunteer Incentive Program for theHealth Insurance Counseling program.Mr. Micklas made a motion, seconded by Dr. Wansor, to refer to the Finance Committee toauthorize the appropriation of state aid for aging totaling $4,500 for a volunteer incentiveprogram. Motion carried.Refer to Finance.

Marc Flindt, Director, Public HealthEarly Intervention Service Coordinator – Refill (A4054.160):Mr. Flindt stated this individual is retiring after 30 years with the county. Mr. Flindt stated thisperson started in 1992. Mr. Flindt stated the last day of work will be March 18, 2022 and the lastdate of pay will be May 6, 2022.

Mr. Depperman stated they are requesting to refill the position effective February 28, 2022, fortraining purposes. Mr. Depperman stated the incumbent makes $10,000 more than the startingrate so mathematically a new person can start March 21, 2022, with the funding available in thatbudget line. Mr. Depperman stated he is requesting to move $2,500 from the travel line to atemporary position for additional training. Mr. Flindt stated the State Early InterventionProgram is one of the most complex programs they have. Mr. Depperman stated everything isentered into a database and it is scrutinized by Albany. Mr. Depperman requested to createaccount A4054.160A and transfer $2,500 into it from A4054.41-Day to Day Travel.

Mr. Wakefield asked if anyone is interested in the position. Mr. Depperman stated a couplepeople expressed cursory interest, but they will need to advertise the position. Mr. Deppermanstated he is not sure if they can get someone by February 28th, but that would be ideal.

Dr. Wansor made a motion, seconded by Mr. Wakefield, to refer to the Personnel Committee tocreate a temporary Early Intervention Service Coordinator training position effective February28, 2022, due to an upcoming retirement, and transfer $2,500 from A4054.41-Day to Day Travelto A4054.160A-Early Intervention Service Coordinator Trainee.Refer to Personnel.

Performance Incentive Award:Mr. Flindt stated the County Health Department met set requirements by the state to receive aPerformance Incentive Award. Mr. Depperman stated the total award is $20,000, but today theyare only requesting to accept $5,000 of this because they don’t know what they want to use theadditional $15,000 on. Mr. Depperman stated Mr. Woodford did not want to accept anything theCounty has not yet defined a purchase for. Mr. Depperman stated the nurses chose to purchasean immunization chair costing $3,000 and a portable electronic patient information sign costing$2,000. Mr. Depperman stated they intended to purchase both of these items last year, but thedepartment was overwhelmed, and the purchases were not made.

Mr. Wakefield made a motion, seconded by Dr. Wansor, to refer to the Finance Committee toincrease revenue account A3401-State Aid Public Health by $5,000 with New York State

Department of Health Performance Incentive Funds and appropriate it to A4010.213-Equipmentto purchase an immunization chair and portable electronic patient information sign. Motioncarried.Refer to Finance.

Bioterrorism Preparedness Grant - $2,000 transfer:Mr. Depperman stated the county was awarded this grant last year. Mr. Depperman stated thegrant starts July 1st and runs through June 30th. Mr. Depperman stated in the fall they werenotified that the state was increasing the grant by $2,000. Mr. Depperman stated they raised thebudget, but once again didn’t spend the funds because they were too busy. Mr. Deppermanstated the grant transcends both calendar years so is requesting to increase the account by $2,000.

Mr. Depperman stated they want to purchase some Adobe software costing $500 and the rest willbe used as they see fit through June 30th.

Mr. Wakefield made a motion, seconded by Mr. Micklas, to refer to the Finance Committee toauthorize the increase of revenue account A4492-Federal Aid Bioterrorism by $2,000 withFederal Aid and appropriating the funds to A4050.43-Other Expense. Motion carried.Refer to Finance.

COVID-19 Grant #6303 – End:Mr. Depperman stated this grant is ending. Mr. Depperman stated when he prepared the budgetin August, he thought there was a good possibility this COVID-19 funding would be extended,but that did not happen. Mr. Depperman stated there are accounts in the 2022 budget that needto be wiped clean as a result.

Dr. Wansor made a motion, seconded by Mr. Wakefield, to refer to the Finance Committee toauthorize the following reduction of appropriations due to program expiration of Federal Aidrelated to COVID-19 response: Revenue account A4495-Federal Aid COVID ($25,000),A4050.131-Extra-Hire COVID ($5,000), A4050.191-Overtime COVID ($20,000). Motioncarried.Refer to Finance.

COVID-19 Case Investigation Grant #141 – Equipment Purchases:Mr. Depperman stated in August we were awarded a $166,000 grant. Mr. Depperman stated 4-5months later they have figured out what to do with this funding. Mr. Depperman stated there are5 accounts being affected, some of which are going up and some are going down.

Mr. Depperman stated the main thing is account A4011.211-Equipment - COVID, which willhave $52,500. Mr. Depperman stated they plan to purchase a ultra-low freezer for COVID-19vaccines costing $12,500. Mr. Depperman stated $40,000 is for an electric sign like the one infront of Greater Opportunities for Broome and Chenango. Mr. Depperman stated they wouldlike to place this in front of the county office building on Court Street at the corner of the DSSwing and the parking lot. Mr. Depperman stated they will use it to show information aboutupcoming clinics and open it to other departments for use as well. Mr. Depperman stated the$40,000 includes installation and they had preliminary discussions with Ms. Gates about this.

Mr. Depperman stated they have $12,500 for the freezer but he thinks they have sourced afreezer for around $8,000 that will meet our needs.

Dr. Wansor asked for an explanation of the accounts that would be decreased. Mr. Deppermanstated A4011.43-Clinic Supplies has $28,134.51 and they are requesting to zero it out because itis somewhat redundant. Mr. Depperman stated account A4011.43-COVID Vaccine Response isbudgeted at $108,527 and is going down $31,000 which will bring it to $77,414. Mr.Depperman stated the whole budget will decrease by $44,090 because they spent that much of itin 2021 that they hadn’t planned to spend.

Mr. McNeil asked if Ms. Gates has all the details for the sign. Mr. Depperman stated they hadpreliminary discussions, but she does not have all the details yet because they wanted approvalfirst before putting a lot of work into it. Mr. Depperman stated Mr. Woodford indicated theyshould address the Agriculture, Buildings and Grounds Committee with this as well.

COVID-19 Update:Mr. Flindt stated Chenango County has started to see a decline in COVID-19 cases like the restof the state. Mr. Flindt stated the surge started in November and we are now seeing a steepdecline. Mr. Flindt stated on January 19, 2022, there was a 16.8% positivity rate and a 7-dayrolling average of 14%. On January 29, 2022, the positivity rate went down to 14.2% and the 7-day rolling average was 10.5%.

Mr. Flindt stated during the surge the prevalence of disease within the community and state wasso high, the New York State Health Commissioner gave permission to local health departmentsto stop contact tracing. Mr. Flindt stated the Health Department instead is focusing on testing,vaccination pods, and education.

Mr. Flindt stated 2,000 people per day in the nation are dying of COVID-19. Mr. Flindt statedthe school COVID-19 grant has been in place and they distributed 22,000 masks to schools and6,000 rapid test kits. Mr. Flindt stated they provided vaccine clinics at the schools, and they aregetting ready to go back through again. Mr. Flindt stated they have administered 1,705 boostersand 275 doses to the 5-11-year-old population at clinics. The Chenango County Public HealthDepartment has administered a total of 9,871 vaccines since the start of the pandemic. Mr.Flindt stated they have 4 vaccine pods this week mostly at the former Label Shopper location.

Mr. Flindt stated they want herd immunity to be at least 80% but 90% would be great. Mr.Flindt stated currently in Chenango County 74% of the 18+ population has at least one dose ofvaccine. Mr. Flindt stated Tioga County has similar demographics and their herd immunity is59.5%. Mr. Flindt stated he would like to have higher herd immunity, but we are doing prettywell. Mr. Flindt stated since the pandemic started 2 years ago, we are better off than we werethen. Mr. Flindt stated the risks of hospitalization and death are virtually eliminated for thosewith the initial vaccine and booster.

Mr. Flindt stated they are watching new variants again. Mr. Flindt stated these variants areprevalent in Asia and are becoming prevalent in Europe. Mr. Flindt stated initial findingsindicate the current vaccines should be effective against them, but more information is needed.

Mr. Flindt stated Pfizer is trialing a Omicron specific vaccine.

Mr. Flindt stated in the future they will need to get into vaccines for those 5-years-old and under.Mr. Flindt stated a booster interval schedule needs to be set by CDC and the New York StateHealth Department. Mr. Flindt stated because we have not achieved anywhere near herdimmunity COVID-19 will be with us for many years. Mr. Flindt stated he hopes we will get toan endemic phase within the year. Mr. Flindt stated there will likely be permanent changesincluding masking and for mass gatherings.

Mr. Flindt provided a handout of current vaccination rates broken down by township inChenango County.

Succession Planning:Mr. McNeil made a motion, seconded by Mr. Micklas, to enter into an executive session at 11:28am to discuss personnel and a succession plan in the Chenango County Public HealthDepartment.

Mr. McNeil made a motion, seconded by Dr. Wansor, to end the executive session at 11:53 am.

Ruth Roberts, Director, Community ServicesCorporate Compliance Presentation:Ms. Roberts introduced Corporate Compliance and Quality Control Officer Craig Cashman whois employed with CCSI. Ms. Roberts stated he continually considers the department's internalprocesses and regulatory compliance and makes recommendations for changes in policy orpractices as needed.

Mr. Cashman provided a brief presentation to the board titled “Annual Compliance Review andTraining”. Mr. Cashman stated this is really about the legal and ethical responsibilities of theboard and employees. Mr. Cashman stated a compliance culture starts with the board.

Mr. Cashman stated government programs require corporate compliance officers especially forprograms such as Medicaid. The New York State Medicaid program is $46 billion and 10% iswasted through fraud and abuse. Mr. Cashman stated part of his role with CCSI is make surethings are in place to monitor this. Mr. Cashman stated the eight elements of corporatecompliance include: policies and procedures, a compliance officer committee, training andeducation, a reporting hotline, internal monitoring, employee protection, investigation andremediation, and disciplinary guidelines. Mr. Cashman stated a reporting hotline is in place foremployees, board members, and others who suspect fraud, can place an anonymous tip.

Mr. McNeil asked if Mr. Cashman is the Corporate Compliance Director for the county. Mr.Cashman stated just for the Behavioral Health Department. Dr. Wansor asked if the Department

of Social Services has a Corporate Compliance Officer. Ms. Roberts stated she is not sure as thisis done by department.

COVID Emergency Relief Funding Block Grant Program:Ms. Roberts stated the next three draft resolutions involve federal funds from the COVID-19Emergency Relief Funding Block Grant Program.

a. OASAS Workforce Development - $31,861Ms. Roberts stated $31,861 was made available because OASAS recognized the challenges inrecruiting and retaining a qualified workforce. Ms. Roberts stated there are federal guidelines forthese funds and suggested uses include sign-on bonuses, performance bonuses, retention bonusesand training. Ms. Roberts stated she spoke with Ms. Kerr and they agreed that spending some ofthese funds on training is ideal. Ms. Roberts stated she is also wondering if the funds could beused to purchase local gift cards. Ms. Roberts stated this is a valid use of the funds per thefederal guidelines. Ms. Roberts stated however, Ms. Kerr suggested the idea should be referredto the Personnel Committee for further discussion since this would only be for the Mental HealthDepartment. Ms. Roberts stated the funding has to be used in one year. Ms. Roberts statedwhile training is excellent, too much training would take employees away from their other workand generating revenue.

Mr. McNeil made a motion, seconded by Mr. Micklas, to refer to the Finance Committee toincrease revenue account A44834-Federal Aid OASAS Workforce by $31,861 with New YorkState Office of Addiction Services and Supports (OASAS) Supplemental Substance AbusePrevention and Treatment Block Grant-Workforce Development Initiative funds and allocatesaid funds to appropriation account A4150.41A-Conferences & Training. Motion carried.Refer to Finance.

Mr. McNeil made a motion, seconded by Mr. Micklas, to refer to the Personnel Committee todiscuss the potential use of New York State Office of Addiction Services and Supports (OASAS)Supplemental Substance Abuse Prevention and Treatment Block Grant-Workforce DevelopmentInitiative funds in part for items such as sign-on bonuses, performance bonuses and retentionbonuses.Refer to Personnel.

b. OASAS Stabilization - $38,234Ms. Roberts requested to accept and allocate $38,234 of New York State OASAS StabilizationInitiative funds. Ms. Robert stated OASAS recognized challenges due to COVID-19. Mr.Roberts stated they are requesting to appropriate funds for training and supplies and materials.

Dr. Wansor made a motion, seconded by Mr. Micklas, to refer to the Finance Committee, toincrease revenue account A44833 by $38,234 with New York State Office of Addiction Servicesand Supports (OASAS) Supplemental Substance Abuse Prevention and Treatment Block Grant-Stabilization Initiative funds and to appropriate those funds as follows: $20,000 to accountA4150.131-Stabilization Grant Training and $18,234 to account A4150.42-Supplies andMaterials. Motion carried.Refer to Finance.

c. OMH Workforce - $52,000Ms. Roberts stated she is also requesting to accept Office of Mental Health WorkforceDevelopment funding similar to the funds received for OASAS. Ms. Roberts stated once againthey want to use some of the funds for training, but they also would like to explore the possibilityof purchasing gift cards as well.

Dr. Wansor made a motion, seconded by Mr. McNeil, to refer to the Finance Committee toauthorize the increase of revenue account A44832-Federal Aid OMH Workforce by $52,000with New York State Office of Mental Health (OMH) Federal Supplemental Community MentalHealth Services Block Grant Funding-Workforce Development Initiative Funds. Motion carried.Refer to Finance.

Dr. Wansor made a motion, seconded by Mr. McNeil, to refer to the Personnel Committee todiscuss the potential use of New York State Office of Mental Health (OMH) FederalSupplemental Community Mental Health Services Block Grant Funding-WorkforceDevelopment Initiative funds in part for items such as sign-on bonuses, performance bonuses andretention bonuses.

OASAS Jail-Based MAT Funding Added to 2022 State Aid - $41,250:Ms. Roberts stated she is requesting to add OASAS jail-based Medication Assisted Treatment(MAT) state aid funding to the 2022 budget. Ms. Roberts stated MAT includes the prescriberstime and the purchase of medications. Ms. Roberts stated typically this is entirely a county cost,and while $41,250 is not a lot it would help decrease the county’s local share.

Mr. McNeil asked what happens to the inmates who have been receiving medication and arereleased. Ms. Roberts stated this responsibility falls on the Social Worker in the jail and thetransitional services as the jail.

Authorizing Budget Modifications to Reflect State Aid Allocations – Community MentalHygiene Services:Ms. Roberts stated these are adjustments in state aid for additional revenues they are bringing in.Ms. Roberts stated they don’t receive a state aid letter until late December or early January.

Dr. Wansor asked about decreases in certain accounts which are also included. Ms. Robertsstated without Ms. Empett, she cannot provide an explanation, but she will investigate this beforeThursday.

Dr. Wansor made a motion, seconded by Mr. McNeil, to refer to the Finance Committee toauthorize budget modifications to reflect state aid allocations in the Community Mental HygieneServices budget. Motion carried.Refer to Finance.

Create a Temporary Principal Account Clerk Position for Training Purposes (PlannedRetirement in March):Ms. Roberts stated there is a planned retirement in March so they are requesting to create a

temporary training position and to refill any subsequent vacancies that may occur. Ms. Robertsstated she does not have the account transfers required for the temporary training position as Ms.Rebecca Empett is out sick, but she will provide this to the Personnel Committee.

Dr. Wansor made a motion, seconded by Mr. Micklas, to refer to the Personnel Committee tocreate a temporary Principal Account Clerk position for training purposes and to approve anysubsequent vacancies that may occur. Motion carried.Refer to Personnel.

Update: Chenango County Community Services Board Plan to Fill Anticipated DCSVacancy Due To Retirement:Ms. Roberts stated the Community Services Board created a search committee to considerapplicants for the Director of Community Services (DCS) position. Ms. Roberts stated permental hygiene law it is the responsibility of the Community Services Board to choose a DCSand forward their decision to the Board of Supervisors to set the salary. Ms. Roberts stated thesearch committee would like to post the position internally for 2 weeks and if no qualifiedcandidates apply then they will consider external candidates. Ms. Roberts stated she and Ms.Kerr expressed their hope that this process will be as transparent as possible so that it is acoordinated effort. Ms. Roberts stated there is an additional step to consider. Ms. Roberts statedthe candidate must be approved by a state level IOCC which is a group of state level officialsthat represents the 3 state offices concerned. This process can take 30 days or more. Ms.Roberts stated this is another step that needs to be considered between now and the end of May.

Mr. McNeil asked if the Community Services Board is at full capacity. Ms. Roberts stated it ispretty full and the recently added some new members. Ms. Roberts stated she does not know thefull capacity without the bylaws.

Dr. Wansor asked if Ms. Roberts provided a recommendation to the Community Services Board.Ms. Roberts stated she was invited to meet with the search committee. Ms. Roberts stated article41 of the Mental Hygiene Law is very specific about the qualifications required for the position.Ms. Roberts stated she provided this information for their review, and they discussed how tomove forward. Ms. Roberts stated the search committee hopes to have a decision by the end ofFebruary or early March.

Ms. Roberts stated Ms. Nucero-Alger is on the Community Services Board. Ms. Nucero-Algerstated she is not on the search committee though. Ms. Roberts stated there is room for anotherSupervisor on the Community Services Board.

Request a Referral to Personnel to Establish the Salary Range For the DCS:Ms. Roberts stated Ms. Kerr recommended a referral be made to the Personnel Committee to seta salary range before they go to the next step of considering applicants.

Mr. Micklas made a motion, seconded by Dr. Wansor, to refer to the Personnel Committee toestablish a salary range for the Director of Community Services.Refer to Personnel.

Discussion: Dr. Wansor asked Ms. Roberts for a salary recommendation. Ms. Roberts stated shecould provide this at the Personnel Committee meeting.

Adjournment:

Ms. Nucero-Alger adjourned the meeting at 12:28 p.m.

mld

Health and Human Services Committee MeetingChenango County Office Building – Board Room

Monday, February 28, 2022 – 10:00 am

Present Were: Chairperson Grace Nucero-Alger, Supervisor James J. McNeil, SupervisorRaymond E. Wakefield Jr, Supervisor Jeremiah J. Micklas, Supervisor Robert Wansor, Directorof Area Agency on Aging Nicole Ross, Veterans Services Officer Joe Coe, Commissioner ofSocial Services Dan Auwarter, Executive Director of Catholic Charities of Chenango CountyRobin Cotter, Director of Operations of Catholic Charities of Chenango County Jeff Chesebro,Director of Community Services Ruth Roberts, CCSI Representative Rebecca Pecka, Director ofPublic Health Marc Flindt, Administrative Services Officer Eric Depperman, Director ofEnvironmental Health Services Isaiah Sutton and Chairman of the Board George Seneck.

Absent: Supervisor Wayne C. Outwater

Chairperson Grace Nucero-Alger called the meeting to order at 10:00 am.

Nicole Ross, Director of Area Agency on AgingRefill – Sherburne Site Manager Position:Ms. Ross stated this individual retired at the beginning of last month. Ms. Ross stated a currentvolunteer’s son will hopefully interview for the position next week. The pay rate is $13.82 perhour.

Mr. Wakefield made a motion, seconded by Dr. Wansor, to refer to the Personnel Committee torefill the Sherburne Site Manager Position. Motion carried.Refer to Personnel.

Ms. Ross stated they had their annual review by the state, which went well. Ms. Ross statedthere are many changes coming through in terms of what services individuals want as they areaging. Ms. Ross stated she will probably bring different ideas to the committee.

Ms. Ross stated the new Administrative Assistant starts today, the Nutrition Coordinator startedlast month, and they just filled the Coordinator of Services for the Aging position.

Joe Coe, Veterans Services OfficerData to Share with Committee:A discussion occurred about Veterans Services provided in Chenango County over the lastcouple of years.

Mr. Coe thanked the committee and Board of Supervisors for raising his salary effective January1, 2022. Mr. Coe stated last year he worked 1,161 hours of overtime.

Mr. Coe stated the New York State projected budget includes an increase from $10,000 to$25,000 for reimbursement of veteran’s services. Mr. Coe stated if it is passed the county will bereimbursed $25,000 for every $50,000 spent in operating costs.

Mr. Coe expressed gratitude to the Office of Area Agency on Aging for their support in hiseveryday duties. Mr. Coe stated Ms. Cleveland assists with his budget.

Mr. Coe provided information about activities in his office for the last 2 years.

Mr. Coe stated based on 2019, they lost 7 veterans. Mr. Coe stated some veterans have neverreached out to apply for benefits though.

Mr. Coe stated he works with mostly Vietnam War veterans, 24 WWII veterans (some nowdeceased), 6 Saudi veterans, 17 Iraq veterans, 16 Gulf War veterans, and other peacetimeveterans. Mr. Coe stated in all he has worked with 115 veterans.

Mr. Coe stated last year he filed 403 documents requesting benefits for veterans. Mr. Coe statedawarded funds are paid retroactively to the date that documents are filed. Mr. Coe stated thespouses of veterans who pass away from service-connected disabilities are eligible for asurvivor’s benefit.

Mr. Coe stated he would like to put Chenango County on the map for having a quality VeteransServices Office.

Mr. Coe stated in 2020, 38 veterans were awarded benefits through his office. These fundsamounted to $205,000. Mr. Coe stated in 2021 there were 35 awards totaling $258,000. Mr.Coe stated currently for 2022, $126,000 was awarded.

Mr. Coe stated his position could easily be full time.

Mr. Coe stated he receives several requests for healthcare, and he refers them to an individual inBinghamton who sends them the applications. Mr. Coe stated he encourages these veterans tobring the completed paperwork to his office to be faxed, since it is faster than mail.

Mr. Coe stated he has 195 veterans who are receiving direct compensation for disabilities. Mr.Coe stated he works with 26 veterans with presumptive conditions and 53 veterans withsecondary conditions.

Ms. Nucero-Alger asked about education and advertising efforts to notify veterans that thecounty has a Veterans Services Office. Mr. Coe stated he attends the monthly Chenango CountyAmerican Legion meetings, and he asks commanders of each post to share information about hisoffice and the activities they have performed

Ms. Nucero-Alger asked if we can assist veterans from other counties who reach out to ouroffice. Mr. Coe stated he doesn’t turn individuals away, but he will connect them with theappropriate contact for their county agency if it would be easier to correspond with them.

Dr. Wansor asked if Mr. Coe connects with the VFW as well. Mr. Coe confirmed. Mr. Coestated the VFW only has one DAV van driver who is going to Syracuse and Binghamton fivedays per week. Mr. Coe stated they need more volunteer drivers. Mr. Coe stated the other direneed is for CNAs to provide in home care.

Dr. Wansor asked if the Department of Social Services coordinates with veterans. Mr. Auwarterstated his office does occasionally work with veterans. Mr. Auwarter stated they mostly assistwith burial services, but they do occasionally help with Medicaid or Medicare.

Ms. Nucero-Alger asked what percent of veterans were not in combat. Mr. Coe stated veterans,including peacetime veterans who sustained an injury while on active duty that is recorded intheir medical record can file a claim.

Dan Auwarter, Commissioner, Social ServicesChildcare Update:Mr. Auwarter stated last month Ms. Vesely (Executive Director of The Place) came to thecommittee to discuss options for childcare and daycare in the county. Mr. Auwarter stated Ms.Vesely was exploring options for funds and possible sites for daycare centers. Mr. Auwarterstated to the best of his knowledge Ms. Vesely is still researching those areas. Mr. Auwarterstated Ms. Vesely is examining the application for RFP funds through the state for the creation ofdaycare centers. Mr. Auwarter stated his office provided supporting data.

Mr. Auwarter stated he had a conference call with the state about strategies specific to ChenangoCounty to utilize leftover Childcare Block Grant funds. Mr. Auwarter stated New York State istrying to find strategies for counties to use this money, so it does not go unspent.

Refill - A6010.142 - Senior Social Welfare Examiner:Mr. Auwarter stated this position is vacant due to promotion and he requested to refill theposition effective February 28, 2022.

Dr. Wansor made a motion, seconded by Mr. Wakefield, to refer to the Personnel Committee torefill Senior Social Welfare Examiner position A6010.142 and any subsequent vacancies thatmay occur. Motion carried.Refer to Personnel.

Refill - A6010.119 – Caseworker:Mr. Auwarter stated this individual was with their department for 5 years and has accepted aposition with another county department. The last date of work will be March 1, 2022 and therequested date of refill is March 2, 2022.

Mr. Wakefield made a motion, seconded by Mr. McNeil, to refer to the Personnel Committee torefill Caseworker position A6010.119. Motion carried.Refer to Personnel.

NYS OCFS Stipulation of Settlement:Mr. Auwarter stated there was a long-standing lawsuit between an advocacy group and the state

alleging the state’s compensation scheme for foster care reimbursement was not appropriatecompared to federal laws. The state signed a stipulation of agreement acknowledgingwrongdoing. To rectify this, the state will pass these costs on to counties. Mr. Auwarter stated ifsettled, costs of $400 million will be passed on to counties to rectify. Mr. Auwarter stated $80million of this will be passed on to upstate counties who were not paying the maximum state aidrate for foster care. Mr. Auwarter stated counties will be required to bring their payments up therate over the course of 2-3 years. Mr. Auwarter stated in addition, they expect the maximumstate aid levels to increase overtime, so they will likely be chasing this for several years to come.

Mr. Auwarter stated he spoke with Mr. Craine about the potential impacts to the budget. Mr.Auwarter stated based on projected calculations it looks like Chenango County could haveadditional costs of $300,000 per year, for which the state will reimburse 62%.

Leadership Course Curriculum SUNY Morrisville:Mr. Auwarter stated he previously spoke about leadership training for management staff in hisdepartment. Mr. Auwarter stated there are not many management training opportunitiesprovided by the state, so he is working with Dr. Burton at SUNY Morrisville to develop acurriculum for our staff. Mr. Auwarter stated he is also working with an individual who wasaffiliated with SUNY Binghamton but is now affiliated with Penn State who wants to do a studyon our workforce development and practices over the course of the next 3-5 years.

Mr. Auwarter stated this Friday is the first focus group with management staff at SUNYMorrisville. Mr. Auwarter stated about 15 staff will spend time with Dr. Burton to developcurriculum. Mr. Seneck suggested having a committee member attend these meetings ifpossible.

Homeless Planning:A discussion occurred about addressing homelessness in Chenango County.

Mr. Auwarter stated they had a meeting with several stakeholders including Catholic Charities totalk about local strategies to address homelessness. Mr. Auwarter stated state representativeSarah Watson was involved with the process and has been very helpful. Mr. Auwarter stated allcounties participate in a Continuum of Care, which is a multi-county group that leveragesfunding from the federal and state government to provide homeless services. Mr. Auwarterstated during discussions they found the Continuum of Care Chenango County participates indoes not represent or meet our needs.

Mr. Auwarter stated they decided to pursue a different approach to address. Normally, homelessindividuals are referred to a Coordinator of Entry Services in Broome County to exploreopportunities. Mr. Auwarter stated he participated in a Coordinator of Entry process in anotherContinuum of Care a couple weeks ago to audit their services. Mr. Auwarter stated he was veryimpressed with their process. All the local stakeholders get together to look at these individualsand go through all the situations they are experiencing. They follow them and do warm handoffsto other agencies to continue services. Mr. Auwarter stated they went through about 50 people in45 minutes. Mr. Auwarter stated he is looking at emulating this process in Chenango County.

Ms. Nucero-Alger asked what committee support is needed. Mr. Auwarter stated right nowsimply understanding the concern and allowing him to come back with updates.

Dr. Wansor asked how many homeless individuals there are in the county. Mr. Chesebro statedbased on their agency data, since March of 2020 they have served 227 homeless individuals. Mr.Chesebro stated $82,494 of funds not specifically allocated to homelessness was expended bytheir agency to address issues in the last 1 ½ years.

Ms. Nucero-Alger asked if there is an increase in homelessness due to the pandemic. Mr.Chesebro stated it is hard to say if their increase in provided services can be contributed to this.Mr. Chesebro stated they had more donations which allowed them to advertise services more.

Mr. Auwarter stated from the DSS perspective they found homelessness decreased slightly dueto additional funds flowing through the states for emergency assistance. Mr. Auwarter statedcode blue night numbers have increased. Code blue nights are 100% state reimbursed currently.Mr. Auwarter stated the Department of Social Services saw 171 individuals who presented ashomeless last year. Mr. Auwarter stated associated costs were between $150,000- $200,000 with71% coming from local share.

Mr. Auwarter asked if they are transient or if they are members of our community. Mr.Auwarter stated it is a combination of things. Mr. Auwarter stated there are migratoryhomelessness individuals who circulate in a region of the state. Sometimes this is due to cold orwarm weather months. Mr. Auwarter stated others moved on from other counties where they aresanctioned. Mr. Auwarter stated there are others known to their department as recurring clients.Mr. Auwarter stated this is one of the things they are trying to address in their focus group. Mr.Auwarter stated it is expensive to continuously revisit a client and it is better to prevent a crisissituation from occurring again.

Mr. Seneck asked how many individuals in the county are sanctioned. Mr. Auwarter stated hewould guess 10-12% of those who apply are probably sanctioned. Mr. Auwarter stated theseindividuals avail themselves to other programs that don’t have the same stringent stateregulations attached to them.

Ms. Nucero-Alger asked Mr. Auwarter to share his conversation with Mr. Phillips. Mr.Auwarter stated he had a conversation with an individual who has done missionary work and hasinterest in creating a program in Norwich. Mr. Auwarter stated he asked what population he waspursuing, and it shifted from homelessness and domestic violence to victims of child trafficking.Mr. Auwarter encouraged him to reach out to the state and other programs with experienceproviding these services. Mr. Auwarter stated the Department of Social Services cannot have arelationship with an organization that is not vetted.

Ruth Roberts, Director, Community Services

Refill A4150.111 Account Clerk/Typist:

Ms. Roberts stated this position was filled in November of 2021 after being vacant for over 9

months. Ms. Roberts stated this individual accepted a position at the Chamber. Ms. Roberts

requested to refill this position and any subsequent vacancies that may occur. The last date of

work will be March 4, 2022 and the requested date for refill is March 10, 2022.

Mr. Wakefield made a motion, seconded by Mr. Micklas, to refer to the Personnel Committee to

refill Account Clerk/Typist position A4150.111 and any subsequent vacancies that may occur.

Motion carried.

Refer to Personnel.

Refill ADAS Coordinator - A4150.11 and Any Backfills:

Ms. Roberts stated this individual accepted a position in Cortland County where they can further

develop professional and leadership skills. The last date of work will be March 18, 2022 and the

requested date for refill is April 22, 2022.

Mr. Micklas made a motion, seconded by Mr. McNeil, to refer to the Personnel Committee to

refill ADAS Coordinator position A4150.11 and any subsequent vacancies that may occur.

Motion carried.

Refer to Personnel.

Create a Staff Social Worker Position for School-Based Mental Health:

Ms. Roberts stated they have been providing school-based mental health services since

September of 2014. The program started in the Oxford school district and has expanded. Ms.

Roberts stated they expanded their presence at the Afton School District from 1 day per week to

5 days per week. Ms. Roberts stated they were able to cover this with their current staff. Ms.

Roberts stated the Greene School District is requesting an additional full-time clinician to work

with primary school students. Ms. Roberts stated their focus in the past has mostly been on

middle and high school students. Ms. Roberts stated this would provide them with the

opportunity to engage with younger children and their families to focus on early identification

and prevention. Ms. Roberts stated the Superintendent Tim Calice hopes to have someone start

in June of 2022 and provide 12-month services. Ms. Roberts stated there is every indication that

there will be enough referrals to support it. Ms. Roberts stated these positions have generated

enough revenue to remain stable. Ms. Roberts stated the schools contribute $15,000 for each

full-time clinician. If it is part time it is prorated. Ms. Roberts stated the revenue generated pays

for the remaining balance of supporting those positions. Ms. Roberts stated there is no local

share involved.

Dr. Wansor asked if Greene has the funds to sustain this program long-term. Ms. Roberts stated

schools received a lot of funds which must be spent within 2 years. Ms. Roberts stated she

questioned whether this was sustainable or if it would disappear in 2 years. Ms. Roberts stated

Mr. Calice assured her that they are committed long term.

Ms. Roberts stated there will be some additional expenses to get set up such as a laptop, supplies,

and children’s toys.

Ms. Roberts stated during the pandemic school based mental health services were busier than

ever, even when the schools were shut down and in the summer months. Mr. McNeil asked if

the revenue generated also covers fringe benefits. Ms. Pecka confirmed. Ms. Roberts stated she

believes these positions are marked with an asterisk in the budget, so that the positions would

end if they did not have the revenue to support them.

Dr. Wansor made a motion, seconded by Mr. Wakefield, to refer to the Personnel Committee to

create a Staff Social Worker position for school-based mental health services. Motion carried.

Refer to Personnel.

Transfer for Temp Sr. Account Clerk Typist #A4320.196A from #A4320.1951 – $3,000

Ms. Roberts stated she spoke with Mr. Craine, and they would like to move $3,000 from a vacant

line to fill a shortage for a temporary position created due to an upcoming retirement.

Dr. Wansor made a motion, seconded by Mr. Wakefield, to refer to the Finance Committee to

transfer $3,000 from vacant line A4320.1951 to Temporary Senior Account Clerk Typist account

A4320.196A. Motion carried.

Refer to Finance.

Other:

Dr. Wansor asked about the progression of a succession plan for Ms. Robert’s position. Ms.

Roberts stated they have an interview this afternoon for one candidate. Ms. Roberts stated the

other potential candidate was not interested in applying.

Marc Flindt, Director, Public Health

Isaiah Sutton, Director, Environmental Health

Eric Depperman, Administrative Services Officer

Division Director for Special Children’s Services – Create:

Mr. Flindt stated they are looking at succession plans with Mr. Depperman in mind. Mr. Flindt

stated Mr. Depperman indicated he has a few more years left of work. Mr. Flindt stated Mr.

Depperman’s caseload has exploded. Mr. Depperman has additional COVID-19 grants, his

regular budget and voucher duties, and he is doing the Preschool Special Education Program.

Mr. Flindt stated Mr. Depperman has been doing the Preschool Special Education Program

duties for 8 years now, but this was supposed to be a temporary solution. Mr. Flindt stated it is

time to look at making a new Special Children’s Services Division, which would include the

Preschool Special Education Program, the Early Intervention Program, and Child Find. Mr.

Flindt stated there is enough work there to create a division and deferred to Mr. Depperman to

explain how they would cover this within the budget.

Mr. Depperman stated he will probably stay with the county for 3 more years. Mr. Depperman

stated the duties of the Preschool Education Program and accounting are very different and

should be separated. Mr. Depperman stated they propose funding a Director of Special

Children’s Services position primarily with an unused Registered Nurse line (which has slightly

less than $59,000) that was created in 2020. Mr. Depperman stated they originally thought the

lead level caseload would require an RN, but they now think they can cover this with existing

staff. Mr. Depperman stated in 2015 he was awarded $4,000 to do the Preschool Special

Education Program and this increased to $4,600 over the years. Mr. Depperman stated he

proposes also putting this $4,600 towards the new Director of Special Children's Services

position. Mr. Depperman stated the Director of Patient Services took over some of the duties last

year as well and received $1,000. Mr. Depperman stated they proposed placing this $1,000

towards the new position in addition to the other funding sources. Mr. Depperman stated with

the three funding streams combined the maximum they could provide a Director of Children’s

Special Services is $64,544. Mr. Depperman stated these changes would be budget neutral.

Mr. Flindt stated the $1,000 and $4,000 salaries weren’t a fair price for the knowledge, expertise,

and work. Mr. Flindt stated it was supposed to be a temporary solution and they really have

gotten a bargain for the last 8 years.

Mr. McNeil suggested sharing this with the Treasurer’s Office prior to the Finance Committee

meeting to have a second set of eyes review this.

Dr. Wansor asked if they spoke with Ms. Kerr about creating a new division. Mr. Flindt

confirmed and stated the Personnel Office has a position duties statement that he put together.

Dr. Wansor asked if this position will have supervisory responsibilities. Mr. Depperman

confirmed and stated they would supervise four employees (2 full-time Early Intervention

Services Coordinators, a part-time Early Intervention Services Coordinator, and possibly a

position which oversees the financial aspects of this program).

Mr. Wakefield made a motion, seconded by Mr. McNeil, to refer to the Personnel Committee to

create a division Director for Special Children’s Services position. Motion carried.

Refer to Personnel.

Lead Grant – Increase by $13,000:

The New York State Health Department provided an additional $13,000 in funds for the Lead

Grant. Mr. Sutton stated the Lead Coordinator and supplies are already covered, so they would

like to provide supplies to affected families. Mr. Sutton stated there is not a lot of funding for

remediation. Mr. Sutton stated they hope to purchase high quality vacuums, cleaning supplies,

and vouchers to purchase paint.

Dr. Wansor asked if this is for homeowners. Mr. Sutton stated they can provide these sources to

both homeowners and renters. Mr. Sutton stated they usually support about 35 families per year.

Mr. Sutton stated they will use the funding for these supplies until it is gone.

Dr. Wansor made a motion, seconded by Mr. McNeil, to refer to the Finance Committee to

accept a $13,000 Lead Grant, increase revenue account A3441 by $13,000, and appropriate the

funds to account A4010.46. Motion carried.

Refer to Finance.

Public Health Corps Fellowship Grant – Accept

Mr. Flindt stated this is the program he plans to manage effective May 3, 2022 when he steps

down as the Public Health Director on April 29, 2022. Mr. Flindt stated the grant is for $849,912

to hire two fellows. Mr. Flindt stated the mission of the grant is to build public health capacity

and increase preparedness to respond to future public health emergencies. Mr. Flindt stated he

envisions hiring 2 individuals to complete projects in the Health Department and with agencies

in the community that have a public health function. Mr. Flindt stated the grant ends in July of

2023. Mr. Flindt stated they had a virtual meeting last Friday with the New York State

Department of Health to learn more about the grant. Mr. Flindt stated they anticipate the grant

would be refunded after 2023, but there is no guarantee.

Mr. Depperman stated they will not spend the full grant amount in 1 ½ years. Mr. Depperman

stated he will prepare a budget and bring it to the committee in March. Mr. Depperman

estimated the budget will likely be around $250,000. Mr. Depperman stated the remaining funds

will go into a restricted line which can be used if more things come up. Mr. Depperman stated

this was supposed to start on September 1, 2020. Mr. Flindt stated they had no capacity to do

anything with this grant last year due to COVID-19. Mr. Depperman stated the grant funds are

provided through reimbursement.

Dr. Wansor made a motion, seconded by Mr. Wakefield, to refer to the Board of Supervisors to

accept a $849,912 Public Health Corps Fellowship Grant. Motion carried.

Resolution to Follow.

Performance Award - $15,000:

Mr. Flindt stated they are asking permission to spend $15,000 out of the performance award.

Mr. Flindt stated Mr. Woodford wanted them to come to the committee when they have a need.

Mr. Depperman stated last month they appropriated $5,000 for an immunization chair that he

picked out and some computer signs. Mr. Depperman stated this was all approved. Mr.

Depperman stated the Nursing Supervisor did not approve of the immunization chair that he

picked out. The Nursing Supervisor selected a new chair that will cost $12,000 with shipping.

Mr. Depperman stated therefore they are requesting to appropriate an additional $9,000 for the

chair.

Mr. Depperman stated with the new staff and changes in the department they would like to

appropriate $3,500 for office furniture.

Mr. Depperman stated the staff also requested air filters to have throughout the division which

will cost $2,500. Mr. Sutton stated due to the many suites, the best way to manage this was to

purchase a small unit for each suite. Mr. Sutton stated he selected small units which are energy

efficient.

Mr. Micklas made a motion, seconded by Mr. McNeil, to refer to the Finance Committee to

appropriate $15,000 of performance incentive award funds for the following purchases: an

additional $9,000 for the purchase of an immunization chair, $3,500 for office furniture, and

$2,500 for air filters. Motion carried.

Refer to Finance.

COVID-19 Update:

Mr. Flindt stated Department Heads will receive a memo later today. Mr. Flindt stated himself,

Mr. Seneck, and Mr. Beckwith worked on this memo together to rescind the mandatory mask

mandate in the county office building effective March 1, 2022. Mr. Flindt stated the

reconstitution plan will stay in place. Mr. Flindt stated there is a slight risk to this and we may

have another surge. Mr. Flindt stated therefore the plexiglass will remain in place for public

facing offices. Mr. Flindt stated they will still encourage safe practices such as handwashing.

Mr. Flindt stated in the event of another surge, they may require the use of masks again.

Ms. Nucero-Alger asked for clarification about mask mandates being lifted for schools. Mr.

Seneck stated more information will be sent out later today. Mr. Seneck stated if there has been

exposure in a classroom those students will have to remain masked. Mr. Seneck stated students

who test positive must isolate for 5 days and wear a mask for an additional five days upon

returning to school. Mr. Sutton stated there have been many announcements, but not a lot of

details. Mr. Sutton stated the concern with requiring students to wear a mask for 5 days upon

returning to school, is that it identifies which student was sick. Mr. Sutton stated they may have

some issues with that. Mr. Seneck stated the schools have plenty of test kits. Mr. Sutton

confirmed and stated the schools have that no further test kits are shipped because they have

plenty. Mr. Sutton stated he has about 1,000 test kits left in his office. Mr. Sutton stated their

office does not have capacity to be a distribution point so they have sent them out to locations

within the community where they can be more easily distributed.

Succession Planning:

Mr. Wakefield made a motion, seconded by Mr. Micklas, to go into an executive session at 11:37

am to discuss succession planning within the Public Health Department. Motion carried.

Mr. Micklas made a motion, seconded by Dr. Wansor, to end the executive session at 11:57 am.

Motion carried.

Dr. Wansor made a motion, seconded by Mr. Wakefield, to refer to the Personnel Committee to

discuss succession planning with the Public Health Department. Motion carried.

Refer to Personnel.

Adjournment:

Ms. Nucero-Alger adjourned the meeting at 11:58 a.m.

mld