1 00:00:00,000 --> 00:00:10,000 Cognition under God, indivisible, with liberty and justice for all. 2 00:00:10,000 --> 00:00:16,000 Welcome everybody. Public portion? 3 00:00:16,000 --> 00:00:20,000 Together. Yeah. 4 00:00:20,000 --> 00:00:26,000 That's true. Okay, we have approval on agenda on agenda. 5 00:00:26,000 --> 00:00:30,000 So moved. Second. 6 00:00:30,000 --> 00:00:34,000 All in motion and second. All those in favor? Aye. 7 00:00:34,000 --> 00:00:42,000 Motion carried. Proof of the Board of Health in minutes from the November 20, 2019 meeting. 8 00:00:42,000 --> 00:00:46,000 Move to approve. All in motion and second. Second. 9 00:00:46,000 --> 00:00:48,000 All those in favor? Aye. 10 00:00:48,000 --> 00:00:52,000 Motion carries. 11 00:00:52,000 --> 00:00:58,000 Okay, we're on page 11 of the packet. Bottom right is page 11. 12 00:00:58,000 --> 00:01:04,000 I just want to share with you some community groups that I've been communicating with for collaboration and partnership. 13 00:01:04,000 --> 00:01:18,000 I was invited to the Kendall, I'll never say it right, Kendall, Grundy, Community Action, December Board Meeting, and they asked for a presentation of our current eye plan, which was 2016 to 2021. 14 00:01:18,000 --> 00:01:34,000 So it was really great conversation, really friendly group, and I guess they have Kendall come every once in a while, but they had never invited Grundy, and so I was really honored to be able to go and just talk with them about what we're doing here. 15 00:01:34,000 --> 00:01:42,000 Ian and I met with Morris Hospital leadership to discuss some areas of cooperation, some behavioral health. 16 00:01:42,000 --> 00:01:54,000 Just the one, but just other areas that were already naturally cooperating in terms of seniors and the social workers and TB and clinical disease and other things. 17 00:01:54,000 --> 00:01:58,000 It was really good meeting, I think. I don't know if you want to say anything about that. 18 00:01:58,000 --> 00:02:08,000 Get on the radar and discuss mutual opportunities. I think one thing Mark brought up was the Will Grundy medical clinic is on the verge of maybe collapse. 19 00:02:08,000 --> 00:02:18,000 So if that happens, then we'll probably have an impact on the health department, I'm sure, because they serve the indigent and other folks that are out there. 20 00:02:18,000 --> 00:02:24,000 I have a reputation, I guess they have a difficulty getting providers to serve it and stuff. 21 00:02:24,000 --> 00:02:27,000 So that was a concern that was brought up in the meeting. 22 00:02:27,000 --> 00:02:31,000 We also talked about seniors program and so good collaborative discussion. 23 00:02:32,000 --> 00:02:38,000 And that was the first I had met, Mark Studham or Kim Lander, so thank you for that introduction to them. 24 00:02:38,000 --> 00:02:48,000 I also met with Missy Durkin of the YMCA that was kind of initiated by Jim Wright, who's helping with their initiatives for a building. 25 00:02:48,000 --> 00:02:50,000 And he said, why don't you go talk to Missy? 26 00:02:50,000 --> 00:02:59,000 And so she kind of walked me through their current building, told me the plans of the upcoming building and kind of talked about, well, what are some of your needs? 27 00:02:59,000 --> 00:03:00,000 What are some of our needs? 28 00:03:00,000 --> 00:03:06,000 How might we work together, especially when they have their new space over there on the west side of town? 29 00:03:06,000 --> 00:03:08,000 So that was really nice. 30 00:03:08,000 --> 00:03:14,000 So there's a lot of chatter about the U.S. Census and the importance of it. 31 00:03:14,000 --> 00:03:23,000 The county, excuse me, the county is in receipt of some grant funding to help get people to participate in the census. 32 00:03:23,000 --> 00:03:33,000 And so I sat through something with a webinar with Matt Melvin and Heidi Miller talking about how we get people to do this. 33 00:03:33,000 --> 00:03:47,000 So libraries, village administrators, other kind of entities, We Care, Help for Hope, us, to try and reach all different people so that they participate in the census. 34 00:03:48,000 --> 00:03:51,000 The senior division also, I think you might have something about that, you know, report time. 35 00:03:51,000 --> 00:04:06,000 So I don't want to steal your thunder, but there's potential or pretty sure there's going to be grant funding from one of our current agencies to help us get out there outreach so that the senior population is participating too. 36 00:04:06,000 --> 00:04:09,000 So, oh, hi. 37 00:04:09,000 --> 00:04:11,000 That's okay. 38 00:04:11,000 --> 00:04:12,000 Hi. 39 00:04:12,000 --> 00:04:13,000 So that's good. 40 00:04:14,000 --> 00:04:20,000 We're participating and we have access to clients that maybe it's a hard to reach population. 41 00:04:20,000 --> 00:04:29,000 And so as they're sitting in our waiting room waiting for WAC or for the psychiatrist, if we can have an iPad available and they can be completing things online, then we're happy to do that. 42 00:04:30,000 --> 00:04:50,000 So the county board, the finance committee has asked that I go monthly regularly, I should say, and so I'm offering to go monthly at the last meeting of every month to the finance committee and share some figures so that there's consistent communication throughout the year. 43 00:04:50,000 --> 00:05:08,000 Dean and I met with George and Matt and Eric Rasmussen and Chris Bulkma Monday afternoon and I just shared preliminary, here's what I think I'm bringing on the 27th and they said, great, just kind of what you'll see here, but a more condensed version, less narrative, more words in terms of where we are with the budget. 44 00:05:09,000 --> 00:05:24,000 Three vacancies currently, we have not yet posted for the outreach and education coordinator that was filled by Kelly Hitt and she left at the end of December to pursue other opportunities, kind of waiting for a little dust to settle with that. 45 00:05:24,000 --> 00:05:28,000 We have the other vacancies that maybe we want to focus our efforts on. 46 00:05:28,000 --> 00:05:38,000 I don't want to steal any attention away from these other two very high priority needs, which are the behavioral health psych nurse and then the senior program care coordinator. 47 00:05:38,000 --> 00:05:40,000 We have two vacancies with that. 48 00:05:42,000 --> 00:05:51,000 Below there are just the numbers. I wanted to show you the actuals of 18 and then 19 where we ended at the end of November with the subsidy of 553. 49 00:05:52,000 --> 00:06:03,000 One of the things we talked about Monday nights meeting that I think I saw some light bulbs for the first time maybe ever in terms of the grant funding. 50 00:06:03,000 --> 00:06:17,000 So I developed, I kind of calculated where were we in terms of the grant money owed to us at November 30th and what our receivables were expected with just grant funding because we were well past our subsidy for 19. 51 00:06:17,000 --> 00:06:21,000 We were over $200,000 owed to us in grant funds at the end of November. 52 00:06:21,000 --> 00:06:26,000 So if all of that had come in, we wouldn't have used all of our subsidy much less gone past it. 53 00:06:26,000 --> 00:06:31,000 So I think maybe the way I presented it was a really beneficial conversation. 54 00:06:31,000 --> 00:06:39,000 Matt's involvement, Dean's involvement certainly lends a lot of expertise in the area and so it went really good. 55 00:06:39,000 --> 00:06:42,000 And so anyway, that's where we are actual of 19. 56 00:06:42,000 --> 00:06:45,000 The budgeted for 20 is 496. 57 00:06:45,000 --> 00:06:53,000 So you can see December year to date where we are in terms of revenue expenses and subsidy and then obviously December is the first month. 58 00:06:53,000 --> 00:06:56,000 So year to date is the same. 59 00:06:56,000 --> 00:07:06,000 So I guess I'll just add to that that since we're on a cash basis and some of us are familiar with a cruel basis, the revenue gets recognized when it's received. 60 00:07:06,000 --> 00:07:16,000 So the timing issue really presents Matt made a comment that it will help him define the cash flow for the county based on this timing issue. 61 00:07:16,000 --> 00:07:18,000 So George was appreciative. 62 00:07:18,000 --> 00:07:21,000 He had a couple of comments to add to the report as well too. 63 00:07:21,000 --> 00:07:28,000 So I thought the report, I know the report that she put together was very, very helpful and is going to bridge a gap for that understanding. 64 00:07:28,000 --> 00:07:38,000 So when it looks like we're not reaching our revenues or the subsidies higher, it's because a lot of it's most of it's from the timing issue. 65 00:07:38,000 --> 00:07:42,000 It is not overspending and that's something year over year that we've really... 66 00:07:42,000 --> 00:07:45,000 So that report was an eye opener as you said. 67 00:07:45,000 --> 00:07:46,000 Yeah, I think so. 68 00:07:46,000 --> 00:07:47,000 I think so. 69 00:07:47,000 --> 00:07:51,000 So we'll be going to share that with the full finance committee on Monday, the 27th. 70 00:07:51,000 --> 00:07:58,000 And before we get to the divisions, I just want to point out that the figures at the top here are for the whole health department. 71 00:07:58,000 --> 00:08:02,000 And then we've modified this report a little bit to include per division. 72 00:08:02,000 --> 00:08:10,000 So you can see the activity at each division level in terms of revenue and expenses and with the program deliverables too. 73 00:08:10,000 --> 00:08:21,000 So some of the updates I had on here, the four bullet points for nursing. 74 00:08:21,000 --> 00:08:23,000 One of them I actually already need to update. 75 00:08:23,000 --> 00:08:28,000 Our health works program, which is a case management program we do with foster children. 76 00:08:28,000 --> 00:08:31,000 The lion eye care was planning to take over that program. 77 00:08:31,000 --> 00:08:37,000 We got an email this week that they will not be taking over as soon as we thought they would be. 78 00:08:37,000 --> 00:08:41,000 So the program will remain at the health department level. 79 00:08:41,000 --> 00:08:42,000 So just the delay? 80 00:08:42,000 --> 00:08:43,000 Yes. 81 00:08:43,000 --> 00:08:46,000 So they will, but they're not doing it. 82 00:08:46,000 --> 00:08:47,000 Right. 83 00:08:47,000 --> 00:08:48,000 They're not currently. 84 00:08:48,000 --> 00:08:55,000 The plan is for a lion eye care to be doing the case management services for foster children in the state of Illinois. 85 00:08:55,000 --> 00:08:56,000 But... 86 00:08:56,000 --> 00:08:58,000 Just the lion eye care. 87 00:08:58,000 --> 00:09:01,000 That's all we've heard as a lion eye care. 88 00:09:01,000 --> 00:09:10,000 So currently with health works, we do case management for all children in the county who are foster kids and they're under six. 89 00:09:10,000 --> 00:09:18,000 So after a lion eye care takes this program from us, it's about, currently we have about 25 children in the program. 90 00:09:18,000 --> 00:09:30,000 So it's not a huge, it won't be a huge funding loss, but they're just trying to get the program together so the transition will be smooth. 91 00:09:30,000 --> 00:09:43,000 And then next, well this summer, WIC, I don't know if any of you have seen the WIC checks, but currently we offer the WIC program, which is paper WIC checks, which have food printed on them for our participants. 92 00:09:43,000 --> 00:09:48,000 In the summer, it's switching over to like a snap card, an EBT type card. 93 00:09:48,000 --> 00:09:49,000 So that'll be better. 94 00:09:49,000 --> 00:09:58,000 We're hoping it'll be easier for participants and again, it's families who are in need financially and they need help with food. 95 00:09:58,000 --> 00:10:03,000 So those are kind of some of the bigger changes. 96 00:10:03,000 --> 00:10:06,000 Otherwise it's just a kind of status quo. 97 00:10:06,000 --> 00:10:10,000 We haven't had any, really anything new. 98 00:10:10,000 --> 00:10:15,000 I do also have my case management review, family case management review tomorrow. 99 00:10:15,000 --> 00:10:19,000 So DHS will come in and audit our case management program. 100 00:10:19,000 --> 00:10:21,000 That'll be all day tomorrow. 101 00:10:21,000 --> 00:10:24,000 I can't wait. 102 00:10:24,000 --> 00:10:29,000 Any underlying issues on some of the drops and stats from 18 and 19? 103 00:10:29,000 --> 00:10:41,000 WIC is always, always kind of an issue and I just statewide, as far as the decrease in participants with that. 104 00:10:41,000 --> 00:10:43,000 We think the need is still there. 105 00:10:43,000 --> 00:10:47,000 I don't think financially people are making more, you know, more money overall. 106 00:10:47,000 --> 00:10:53,000 It would be nice, but you know, we know some of it as due to the paper checks. 107 00:10:53,000 --> 00:10:54,000 People won't like them. 108 00:10:54,000 --> 00:10:55,000 They're easy to identify. 109 00:10:55,000 --> 00:10:56,000 Oh, you're on WIC. 110 00:10:56,000 --> 00:10:57,000 You're on WIC. 111 00:10:57,000 --> 00:11:00,000 So we have seen a decrease in that aspect. 112 00:11:00,000 --> 00:11:03,000 People don't like that so much. 113 00:11:03,000 --> 00:11:05,000 So then maybe with the cards. 114 00:11:05,000 --> 00:11:06,000 Right. 115 00:11:06,000 --> 00:11:07,000 So we're hoping with the cards maybe. 116 00:11:07,000 --> 00:11:08,000 Yeah. 117 00:11:08,000 --> 00:11:11,000 So we're hoping maybe that'll help a little bit. 118 00:11:11,000 --> 00:11:14,000 So the immunizations dropped quite a bit? 119 00:11:14,000 --> 00:11:20,000 The children's immunizations did and the adults, the private increased. 120 00:11:20,000 --> 00:11:22,000 So it kind of balanced out. 121 00:11:22,000 --> 00:11:28,000 And I think with the kids stuff, there are more CHIP kids, which now we're doing CHIP vaccine. 122 00:11:28,000 --> 00:11:30,000 We weren't for all of 2019. 123 00:11:30,000 --> 00:11:35,000 So I'm anticipating it'll probably be bumped up again for 2020. 124 00:11:35,000 --> 00:11:40,000 Thank you. 125 00:11:40,000 --> 00:11:48,000 And the TB test at one point in the summer, the manufacturer actually had run out of the 126 00:11:48,000 --> 00:11:50,000 tuberculin that we used. 127 00:11:50,000 --> 00:11:54,000 So we weren't able to give our TB test for a little bit there. 128 00:11:54,000 --> 00:12:02,000 So we were doing some paper assessments to see who truly needed to have that skin assessment done. 129 00:12:02,000 --> 00:12:04,000 But then the manufacturer came back and stopped. 130 00:12:04,000 --> 00:12:10,000 We were able to do it. 131 00:12:10,000 --> 00:12:11,000 Any questions? 132 00:12:11,000 --> 00:12:15,000 Katie? 133 00:12:15,000 --> 00:12:19,000 Same programs? 134 00:12:19,000 --> 00:12:23,000 Our grantee agency, the agency on aging, has repriended their name. 135 00:12:23,000 --> 00:12:25,000 They're now age guides. 136 00:12:25,000 --> 00:12:29,000 So if you see that moving forward, know that's the same grantee agency. 137 00:12:29,000 --> 00:12:37,000 As Michelle had mentioned, it looks like we will be receiving some form of funds to participate and help out with the 2020 census. 138 00:12:37,000 --> 00:12:43,000 We're still waiting on service standards to try to figure out what exactly the expectation from our algorithm. 139 00:12:43,000 --> 00:12:45,000 So we'll keep you updated. 140 00:12:45,000 --> 00:12:50,000 And lastly, age guide is providing free internet-connected tablets. 141 00:12:50,000 --> 00:13:01,000 So if you know of any seniors who might be undergoing isolation or could use some social media skills, friendship, whatnot, 142 00:13:01,000 --> 00:13:06,000 age guides collaborating with the Morris Library to provide these free tablets. 143 00:13:06,000 --> 00:13:10,000 And they're being allotted two years of internet service, free of charge. 144 00:13:10,000 --> 00:13:19,000 So they just ask that they participate in three workshops and that they be age 60 and over, no financial status limit. 145 00:13:19,000 --> 00:13:22,000 So, pretty interesting. 146 00:13:22,000 --> 00:13:34,000 There below you'll see the number of assessments we completed in 2018 along with INA units, service units, and what our progress was in 2019. 147 00:13:34,000 --> 00:13:45,000 Keeping in mind that we didn't have two full-time employees, but we did onboard two contractors to help with the influx of clients in service. 148 00:13:45,000 --> 00:13:51,000 So your service unit declined? Any major issue that impacted that? 149 00:13:51,000 --> 00:13:52,000 Service activity minutes. 150 00:13:52,000 --> 00:13:53,000 Yeah. 151 00:13:53,000 --> 00:13:55,000 Is that what you're referring to? 152 00:13:55,000 --> 00:13:56,000 Right. 153 00:13:56,000 --> 00:13:59,000 Yes, but the total number of clients increased. 154 00:13:59,000 --> 00:14:06,000 So you're doing less activities? 155 00:14:06,000 --> 00:14:12,000 With less staff, there was a time when we didn't have contractors. 156 00:14:12,000 --> 00:14:14,000 And so we were hoping to onboard people. 157 00:14:14,000 --> 00:14:21,000 And then we did onboard people and they off-boarded because they didn't want to stick around. 158 00:14:21,000 --> 00:14:27,000 So it's evolving, but we're hopeful for this new 2020. 159 00:14:27,000 --> 00:14:30,000 What's considered a service activity unit? 160 00:14:30,000 --> 00:14:31,000 A service activity unit. 161 00:14:31,000 --> 00:14:38,000 It consists of, it can be, so one unit can be one person that has been serviced. 162 00:14:38,000 --> 00:14:40,000 It depends because we have so many service activities. 163 00:14:40,000 --> 00:14:42,000 So I think of respite. 164 00:14:42,000 --> 00:14:46,000 I think of information and assistance provided over the phone, answering the questions. 165 00:14:46,000 --> 00:14:49,000 Someone can be recorded as a unit. 166 00:14:49,000 --> 00:14:55,000 And per the grant, we have grant deliverables that say, okay, well, if you receive this X amount of funds, 167 00:14:55,000 --> 00:14:58,000 we're hoping that you can service X amount of units. 168 00:15:00,000 --> 00:15:08,000 Any questions for time? Thank you. 169 00:15:08,000 --> 00:15:18,000 Well, interestingly, on Friday, I went over and met with Sean Marconi at Wolverine Medical 170 00:15:18,000 --> 00:15:23,000 tonight, and I was not aware at the time that I wrote this of the kind of dire straits that 171 00:15:23,000 --> 00:15:28,000 they are in. She talked more about wanting to get more services for clients because she 172 00:15:28,000 --> 00:15:32,000 feels like there are a lot more people in Grundy that could benefit from their 173 00:15:32,000 --> 00:15:36,000 services than are getting the services. So we kind of talked about how we could spread 174 00:15:36,000 --> 00:15:40,000 the word here with the health department and try to get them some more people 175 00:15:40,000 --> 00:15:45,000 coming in, but maybe that's not such a good idea. I don't know. 176 00:15:45,000 --> 00:15:48,000 Anyway, it was a good meeting, and she's supposed to be sending over some brochures 177 00:15:48,000 --> 00:15:52,000 and things so that we can let people know that they're there, and she may be 178 00:15:52,000 --> 00:15:56,000 coming to our all staff meeting in March as well. I haven't heard back from 179 00:15:56,000 --> 00:16:01,000 that on that. This is something on the radio, like talking over a show or 180 00:16:01,000 --> 00:16:06,000 something. The Morris radio station with her, I think, and she talked about the clinic. 181 00:16:06,000 --> 00:16:11,000 It's only open one day in Grundy. One day a month. Yeah, one day a month. 182 00:16:11,000 --> 00:16:18,000 So, you know, that might be a problem too. Yeah, yeah, you know. 183 00:16:18,000 --> 00:16:23,000 We're continuing to partner with NAMI to bring more 184 00:16:23,000 --> 00:16:27,000 lead mental health services to the county. They just started today. 185 00:16:27,000 --> 00:16:32,000 We have a list of 10 people that are participating in that, and that's, again, 186 00:16:32,000 --> 00:16:37,000 it's the WRAP group, Wellness Recovery Action Plan for people who are 187 00:16:37,000 --> 00:16:41,000 recovering from a mental illness or a substance use disorder. 188 00:16:41,000 --> 00:16:45,000 And it's been really popular with our clients. They've gotten a lot out of it. 189 00:16:45,000 --> 00:16:49,000 There's something about being led by a peer as opposed to a professional, 190 00:16:49,000 --> 00:16:54,000 you know, somebody that's been through it, that's been really helpful. 191 00:16:54,000 --> 00:16:59,000 Yeah. And whether they don't call that money, they sure... 192 00:16:59,000 --> 00:17:04,000 Excuse me. You know, do they have those funds with the principal? 193 00:17:04,000 --> 00:17:09,000 I think everything's okay. Yeah. 194 00:17:09,000 --> 00:17:13,000 Yeah, okay. 195 00:17:13,000 --> 00:17:16,000 Did you get, are we good? 196 00:17:16,000 --> 00:17:21,000 Yeah, I don't know. Did you catch that, or should I say it again? 197 00:17:21,000 --> 00:17:26,000 You're the only man here, maybe you should go. 198 00:17:26,000 --> 00:17:30,000 No, she gave it back to me. 199 00:17:30,000 --> 00:17:34,000 Yeah. 200 00:17:34,000 --> 00:17:39,000 Yeah, I'm good. 201 00:17:39,000 --> 00:17:43,000 Yeah, there wasn't one tonight. 202 00:17:43,000 --> 00:17:47,000 You know there wasn't, because they're usually not clear during our meeting. 203 00:17:47,000 --> 00:17:51,000 What? They're usually not clear during our meeting. 204 00:17:51,000 --> 00:17:55,000 She'd apologize for talking so long. 205 00:17:55,000 --> 00:17:59,000 Are we unworthy? 206 00:17:59,000 --> 00:18:03,000 No, of the Morris Hospital. 207 00:18:03,000 --> 00:18:07,000 Oh. 208 00:18:07,000 --> 00:18:12,000 Did you catch on that? No, I probably need to start with a no. 209 00:18:12,000 --> 00:18:18,000 We started today actually with our third RAP session. 210 00:18:18,000 --> 00:18:23,000 RAP stands for Wellness Recovery Action Plan, and that's a peer led support program 211 00:18:23,000 --> 00:18:28,000 for people recovering from mental illnesses and substance use disorders. 212 00:18:28,000 --> 00:18:31,000 It's been really popular with our clients and other community members that have come to it, 213 00:18:31,000 --> 00:18:36,000 and we're just really glad to have them back again. 214 00:18:36,000 --> 00:18:42,000 And then with our nurse leaving, we have that nurse, 215 00:18:42,000 --> 00:18:47,000 the person in the nurse's position is part of the treatment alternative court, 216 00:18:47,000 --> 00:18:50,000 which in other words is mental health court. 217 00:18:50,000 --> 00:18:55,000 She's part of that team, so we've talked with them and informed them of what has happened, 218 00:18:55,000 --> 00:18:59,000 and that we're not going to have any disruption of services because our nurse is no longer here, 219 00:18:59,000 --> 00:19:05,000 because Katie and her team have been very helpful with filling in those gaps. 220 00:19:05,000 --> 00:19:09,000 Other than our nurse not being present at court, 221 00:19:09,000 --> 00:19:13,000 they'll be getting all the other services that they've always gotten, 222 00:19:13,000 --> 00:19:16,000 and once we have a new nurse, that nurse will be going to court again, 223 00:19:16,000 --> 00:19:20,000 and they're fine with that. 224 00:19:20,000 --> 00:19:25,000 And then you can see the stats from Behavioral Health, our new CIS system. 225 00:19:25,000 --> 00:19:31,000 There's no 2018 stats provided because we didn't start with CIS until October, 226 00:19:31,000 --> 00:19:35,000 so really it wouldn't be much for us to see and compare. 227 00:19:35,000 --> 00:19:39,000 2019 stats so far are listed there, 228 00:19:39,000 --> 00:19:43,000 or actually all of 2019, because 2019's over, isn't it? 229 00:19:43,000 --> 00:19:49,000 So you can kind of see where we're at with those things. 230 00:19:49,000 --> 00:19:51,000 System working okay? 231 00:19:51,000 --> 00:19:53,000 Working really well. We're very happy with it. 232 00:19:53,000 --> 00:19:54,000 Good. 233 00:19:54,000 --> 00:19:56,000 And the developers are very accessible. 234 00:19:56,000 --> 00:20:00,000 We talked to them regularly, which is nice. 235 00:20:00,000 --> 00:20:04,000 And usually we would have that relationship, but we do. 236 00:20:04,000 --> 00:20:08,000 Good to hear. 237 00:20:08,000 --> 00:20:10,000 Any other questions for Dice? 238 00:20:10,000 --> 00:20:12,000 Thank you. 239 00:20:12,000 --> 00:20:19,000 So as of January 1st, our staff is now doing their inspections on a phone. 240 00:20:19,000 --> 00:20:23,000 So we're using a face program, so still with CVPs, still the same program. 241 00:20:23,000 --> 00:20:26,000 They're just no longer taking their surface pros or their tablets out in the field. 242 00:20:27,000 --> 00:20:30,000 Because they had their tablets and a Wi-Fi, so they could connect to the internet. 243 00:20:30,000 --> 00:20:33,000 Now we have upgraded them to phones. 244 00:20:33,000 --> 00:20:37,000 So they're out there on their phones about this size doing their inspections. 245 00:20:37,000 --> 00:20:40,000 And when we're all set and done, when we upload the report, 246 00:20:40,000 --> 00:20:44,000 it looks just like the paper report that we've been handing out. 247 00:20:44,000 --> 00:20:47,000 So it's nice. They liked it. We have good feedback from them. 248 00:20:47,000 --> 00:20:50,000 It makes them a little bit more mobile. 249 00:20:50,000 --> 00:20:53,000 And we've also eliminated one more step from their daily process. 250 00:20:53,000 --> 00:20:57,000 So because we had to, once they uploaded the inspection the old way, 251 00:20:57,000 --> 00:21:01,000 then they had to come back in the office, open it, and then email it. 252 00:21:01,000 --> 00:21:05,000 Now with the phone, it's all kind of included in this program. 253 00:21:05,000 --> 00:21:08,000 And when we finish it, it automatically emails it, 254 00:21:08,000 --> 00:21:10,000 as long as we have an email on file. 255 00:21:10,000 --> 00:21:12,000 So we're just becoming a little bit more efficient. 256 00:21:12,000 --> 00:21:15,000 And so far I've heard good things, so happy about that. 257 00:21:15,000 --> 00:21:19,000 I think we're all used to using an app, so it's just a little bit easier. 258 00:21:19,000 --> 00:21:21,000 It's normal for them. 259 00:21:22,000 --> 00:21:25,000 Also invoices went out in the middle of December at this time. 260 00:21:25,000 --> 00:21:28,000 So I think I wrote this last week. 261 00:21:28,000 --> 00:21:31,000 So we had about 38% of the annual permit payments in. 262 00:21:31,000 --> 00:21:33,000 Payments are due by January 31st. 263 00:21:33,000 --> 00:21:36,000 And if they were not received by then, then we sent out a late invoice 264 00:21:36,000 --> 00:21:39,000 and it's a 25% late fee. 265 00:21:39,000 --> 00:21:42,000 We also sent out private sewage disposal contractors 266 00:21:42,000 --> 00:21:44,000 and body art technician reminders. 267 00:21:44,000 --> 00:21:48,000 Those are an annual fee that they pay. 268 00:21:49,000 --> 00:21:51,000 They're typically supposed to pay by December 31st, 269 00:21:51,000 --> 00:21:53,000 but if you're a private sewage disposal contractor 270 00:21:53,000 --> 00:21:55,000 and you're not doing work until April, 271 00:21:55,000 --> 00:21:58,000 you'll probably pay in April when you want to get a permit. 272 00:21:58,000 --> 00:22:02,000 So there's our program numbers for the year 18 and 19. 273 00:22:02,000 --> 00:22:04,000 We're relatively comparable. 274 00:22:04,000 --> 00:22:06,000 Just starting off, and then December, 275 00:22:06,000 --> 00:22:08,000 our numbers are always a little bit lower. 276 00:22:08,000 --> 00:22:10,000 It's kind of, we purposely do that with our inspection 277 00:22:10,000 --> 00:22:12,000 so that if we are missing something, 278 00:22:12,000 --> 00:22:14,000 we still have the time to catch up on everything. 279 00:22:14,000 --> 00:22:17,000 And then we're just, because of state year, 280 00:22:17,000 --> 00:22:20,000 we still do our inspections on this calendar year, 281 00:22:20,000 --> 00:22:21,000 January through December. 282 00:22:21,000 --> 00:22:23,000 That's how we keep track of them. 283 00:22:23,000 --> 00:22:25,000 So we just want to make sure everything's completed 284 00:22:25,000 --> 00:22:26,000 by the end of December. 285 00:22:26,000 --> 00:22:28,000 So that's why our numbers are a little bit on the lower side. 286 00:22:28,000 --> 00:22:29,000 So if we've missed something, 287 00:22:29,000 --> 00:22:31,000 we have time to catch it off. 288 00:22:31,000 --> 00:22:34,000 And then just for January, just a little FYI, 289 00:22:34,000 --> 00:22:36,000 I've been here 11 January. 290 00:22:36,000 --> 00:22:39,000 Now I think I have sat here and it's been March 291 00:22:39,000 --> 00:22:41,000 before we've issued a well accepted permit. 292 00:22:41,000 --> 00:22:43,000 I think we've issued eight so far this year. 293 00:22:43,000 --> 00:22:45,000 So numbers are looking good for that. 294 00:22:45,000 --> 00:22:46,000 It's not frozen. 295 00:22:46,000 --> 00:22:49,000 Yeah, it's not frozen, people wanted to work. 296 00:22:49,000 --> 00:22:51,000 So that's it for environmental health. 297 00:22:51,000 --> 00:22:53,000 So I'll quickly talk about public health 298 00:22:53,000 --> 00:22:55,000 and emergency preparedness. 299 00:22:55,000 --> 00:22:58,000 There's a statewide full scale exercise scheduled 300 00:22:58,000 --> 00:23:01,000 for October 26th through the 30th. 301 00:23:01,000 --> 00:23:03,000 The scenario is pandemic flu. 302 00:23:03,000 --> 00:23:06,000 We're still determining our level of participation in this 303 00:23:06,000 --> 00:23:09,000 and extent of play agreements will be sent out in the January. 304 00:23:09,000 --> 00:23:11,000 I still do not have that. 305 00:23:11,000 --> 00:23:13,000 So we're just waiting. 306 00:23:13,000 --> 00:23:16,000 So I point out that it's supposed to be a pandemic clue. 307 00:23:16,000 --> 00:23:19,000 It's a scenario because we're a CRI jurisdiction. 308 00:23:19,000 --> 00:23:22,000 We're required to do an anthrax based scenario. 309 00:23:22,000 --> 00:23:24,000 So we're still trying to figure out 310 00:23:24,000 --> 00:23:26,000 how we're going to participate in this full scale exercise 311 00:23:26,000 --> 00:23:28,000 and still meet one of our grant deliverables. 312 00:23:28,000 --> 00:23:30,000 So more to come. 313 00:23:30,000 --> 00:23:32,000 It's just the organization at the state, right? 314 00:23:32,000 --> 00:23:34,000 The direction from them. 315 00:23:34,000 --> 00:23:36,000 And the extent of play agreement 316 00:23:36,000 --> 00:23:38,000 is supposed to be signed by us 317 00:23:38,000 --> 00:23:40,000 return to the state by January 31st. 318 00:23:40,000 --> 00:23:42,000 But we don't have it yet. 319 00:23:43,000 --> 00:23:46,000 We're still trying to figure out the cannibals. 320 00:23:46,000 --> 00:23:48,000 That's what they're trying to do. 321 00:23:48,000 --> 00:23:50,000 Fill the inventory. 322 00:23:50,000 --> 00:23:52,000 Inventory, sure. 323 00:23:56,000 --> 00:23:59,000 Beneath that is just some outreach and education events 324 00:23:59,000 --> 00:24:01,000 just to keep you informed of kind of what we're doing 325 00:24:01,000 --> 00:24:03,000 and where we are. 326 00:24:03,000 --> 00:24:06,000 Narcan, the dental clinic from Well County 327 00:24:06,000 --> 00:24:08,000 is coming to Cold City and then Manuka 328 00:24:08,000 --> 00:24:10,000 in the coming month. 329 00:24:10,000 --> 00:24:13,000 And then the family, that's your family's office. 330 00:24:18,000 --> 00:24:21,000 Any questions regarding the operation report? 331 00:24:21,000 --> 00:24:23,000 Any motions to accept that? 332 00:24:23,000 --> 00:24:24,000 Yeah. 333 00:24:24,000 --> 00:24:26,000 Entertain a motion? 334 00:24:26,000 --> 00:24:27,000 Second? 335 00:24:27,000 --> 00:24:28,000 Second. 336 00:24:30,000 --> 00:24:32,000 All those in favor? 337 00:24:32,000 --> 00:24:33,000 Aye. 338 00:24:33,000 --> 00:24:35,000 All those in carries? 339 00:24:35,000 --> 00:24:37,000 Move on to the financial report. 340 00:24:37,000 --> 00:24:39,000 So this is all of the detail. 341 00:24:39,000 --> 00:24:41,000 This is the summary that kind of highlights the revenue 342 00:24:41,000 --> 00:24:43,000 and the expenses that we went through 343 00:24:43,000 --> 00:24:45,000 before the operation report. 344 00:24:45,000 --> 00:24:47,000 The bottom biggest figure there shows 345 00:24:47,000 --> 00:24:51,000 that the total year to date subsidy is 55,000. 346 00:24:51,000 --> 00:24:56,000 And then behind that is all of the detail 347 00:24:56,000 --> 00:24:58,000 in terms of how we're spending the money 348 00:24:58,000 --> 00:25:03,000 and what kind of revenue we're receiving. 349 00:25:03,000 --> 00:25:05,000 This is as of December 31st. 350 00:25:05,000 --> 00:25:07,000 I don't feel like anything is unusual 351 00:25:07,000 --> 00:25:09,000 and worth pointing out here. 352 00:25:09,000 --> 00:25:11,000 But please let me know if you have any questions. 353 00:25:17,000 --> 00:25:19,000 The first couple of pages are the fund restricted 354 00:25:19,000 --> 00:25:22,000 or what comes out of the general fund, 083. 355 00:25:22,000 --> 00:25:26,000 And then the last few pages here are out of fund 500, 356 00:25:26,000 --> 00:25:28,000 which is the grant money. 357 00:25:37,000 --> 00:25:47,000 Any questions regarding the financial report for Michelle? 358 00:25:47,000 --> 00:25:52,000 Entertain a motion to approve finance report? 359 00:25:52,000 --> 00:25:53,000 Bada? 360 00:25:53,000 --> 00:25:54,000 Second. 361 00:25:54,000 --> 00:25:56,000 All those in favor? 362 00:25:56,000 --> 00:25:57,000 Aye. 363 00:25:57,000 --> 00:26:00,000 All those in carries? 364 00:26:00,000 --> 00:26:02,000 Claims. 365 00:26:03,000 --> 00:26:04,000 Claims. 366 00:26:17,000 --> 00:26:19,000 You're signing on the left. 367 00:26:19,000 --> 00:26:20,000 I got it. 368 00:26:20,000 --> 00:26:21,000 I saw you. 369 00:26:21,000 --> 00:26:22,000 Left-handed, left-sided. 370 00:26:22,000 --> 00:26:23,000 That's right. 371 00:26:23,000 --> 00:26:25,000 Anyone have an answer? 372 00:26:25,000 --> 00:26:26,000 15. 373 00:26:28,000 --> 00:26:29,000 I do. 374 00:26:33,000 --> 00:26:35,000 Wow, I understand. 375 00:26:35,000 --> 00:26:37,000 Yeah, I'll take one. 376 00:26:37,000 --> 00:26:39,000 I'll take two. 377 00:26:39,000 --> 00:26:41,000 Take two, they're small. 378 00:27:02,000 --> 00:27:04,000 One, two, three. 379 00:27:12,000 --> 00:27:14,000 One, two, three. 380 00:27:14,000 --> 00:27:15,000 Okay, great. 381 00:27:16,000 --> 00:27:18,000 Two, three. 382 00:27:18,000 --> 00:27:20,000 I'll sign for the resolution next month. 383 00:27:25,000 --> 00:27:26,000 Okay. 384 00:27:26,000 --> 00:27:27,000 Okay. 385 00:27:27,000 --> 00:27:29,000 I'll sign for resolution next month. 386 00:27:29,000 --> 00:27:31,000 What do I do? 387 00:27:31,000 --> 00:27:32,000 I don't know. 388 00:27:32,000 --> 00:27:33,000 I don't know. 389 00:27:33,000 --> 00:27:34,000 Good. 390 00:27:34,000 --> 00:27:55,000 Behavioral Health Alliance is a group kind of organized under areas of community foundation, 391 00:27:55,000 --> 00:28:00,000 but there's probably 30 or more different provider groups in Behavioral Health and Grundy 392 00:28:00,000 --> 00:28:05,000 that need time off the basis to talk about issues especially about lack of news. 393 00:28:05,000 --> 00:28:06,000 Mm-hmm. 394 00:28:16,000 --> 00:28:18,000 Are you collecting them or are they coming again? 395 00:28:18,000 --> 00:28:19,000 Soon. 396 00:28:19,000 --> 00:28:20,000 Soon. 397 00:28:28,000 --> 00:28:29,000 They're all signed. 398 00:28:49,000 --> 00:29:03,000 I just want to point out that Tanya jumped through several hoops to make that happen. 399 00:29:03,000 --> 00:29:07,000 We were contacted that there was a person in the community who needed a roof repair and 400 00:29:07,000 --> 00:29:09,000 didn't have the funding. 401 00:29:09,000 --> 00:29:15,000 We were getting contacted by several agencies and so she went to our funding agency and 402 00:29:15,000 --> 00:29:21,000 asked to do extra paperwork and go above and beyond kind of to secure 8,000? 403 00:29:21,000 --> 00:29:22,000 6,800? 404 00:29:22,000 --> 00:29:23,000 Something like that. 405 00:29:23,000 --> 00:29:24,000 Very nice. 406 00:29:24,000 --> 00:29:25,000 To do that. 407 00:29:25,000 --> 00:29:26,000 Team effort. 408 00:29:26,000 --> 00:29:27,000 Team effort. 409 00:29:27,000 --> 00:29:29,000 Was that the first time we've done that? 410 00:29:29,000 --> 00:29:30,000 That amount. 411 00:29:30,000 --> 00:29:31,000 Was that? 412 00:29:31,000 --> 00:29:33,000 And not all 6,800 came from us. 413 00:29:33,000 --> 00:29:35,000 No, $500 did come from WeCare. 414 00:29:35,000 --> 00:29:36,000 WeCare. 415 00:29:36,000 --> 00:29:37,000 We'll see. 416 00:29:37,000 --> 00:29:38,000 Yeah. 417 00:29:38,000 --> 00:29:39,000 I'm sorry. 418 00:29:39,000 --> 00:29:45,000 And $400 from anybody, but okay. 419 00:29:45,000 --> 00:29:46,000 All right. 420 00:29:46,000 --> 00:29:47,000 Anybody 5K Pat? 421 00:29:47,000 --> 00:29:48,000 And then the rest was from Grant. 422 00:29:48,000 --> 00:29:49,000 Sure. 423 00:29:49,000 --> 00:29:50,000 Mm-hmm. 424 00:29:53,000 --> 00:29:54,000 Good work. 425 00:29:57,000 --> 00:29:58,000 Okay. 426 00:29:58,000 --> 00:29:59,000 Got them all in? 427 00:29:59,000 --> 00:30:00,000 Yeah. 428 00:30:00,000 --> 00:30:05,000 Bill's in the amount of $2,202.60. 429 00:30:05,000 --> 00:30:07,000 Make a motion, second. 430 00:30:07,000 --> 00:30:09,000 We need a roll on that. 431 00:30:09,000 --> 00:30:11,000 No, fine. 432 00:30:11,000 --> 00:30:12,000 All in favor? 433 00:30:12,000 --> 00:30:13,000 Aye. 434 00:30:13,000 --> 00:30:15,000 Same sign, nay. 435 00:30:15,000 --> 00:30:17,000 Motion carries. 436 00:30:17,000 --> 00:30:21,000 Okay, no business. 437 00:30:21,000 --> 00:30:23,000 Neal business. 438 00:30:23,000 --> 00:30:25,000 No number? No? Okay. 439 00:30:25,000 --> 00:30:29,000 New business, policy 5.12. 440 00:30:29,000 --> 00:30:34,000 Policy 5.12a is management's benefit parallel union contract. 441 00:30:34,000 --> 00:30:40,000 So I've just added it to this policy. 442 00:30:40,000 --> 00:30:43,000 Union contract states that they get eight personal days. 443 00:30:43,000 --> 00:30:46,000 Currently nonunion people get five personal days. 444 00:30:46,000 --> 00:30:48,000 Personal days aren't anything extra. 445 00:30:48,000 --> 00:30:50,000 It's not extra time to get anything. 446 00:30:50,000 --> 00:30:55,000 It's just that you can use eight of your sick time for personal business 447 00:30:55,000 --> 00:30:58,000 versus what we have right now is five of our sick time for personal business. 448 00:30:58,000 --> 00:31:06,000 So we'd like to match the union contract and you and of ours to eight personal days 449 00:31:06,000 --> 00:31:08,000 for nonunion employees also. 450 00:31:08,000 --> 00:31:11,000 So that's basically what I've done on here. 451 00:31:11,000 --> 00:31:15,000 Just underline what's exactly the union contract. 452 00:31:15,000 --> 00:31:16,000 Doesn't increase any time. 453 00:31:16,000 --> 00:31:17,000 Doesn't increase any time. 454 00:31:17,000 --> 00:31:19,000 That's just classification when they take that data. 455 00:31:19,000 --> 00:31:21,000 Yeah, because six months for sickness. 456 00:31:21,000 --> 00:31:24,000 Personal time you can use for Cubs games. 457 00:31:24,000 --> 00:31:26,000 Cubs games. 458 00:31:27,000 --> 00:31:29,000 Personal. 459 00:31:29,000 --> 00:31:33,000 And I don't know if Joan or anybody that's been on the board 460 00:31:33,000 --> 00:31:36,000 longer can kind of lend to some history. 461 00:31:36,000 --> 00:31:42,000 I think it's kind of typical that a lot of the benefits are adopted then for management. 462 00:31:42,000 --> 00:31:45,000 And maybe we think this one just kind of slipped through the cracks. 463 00:31:45,000 --> 00:31:46,000 Yeah, it did. 464 00:31:46,000 --> 00:31:47,000 In terms of vacation. 465 00:31:47,000 --> 00:31:51,000 Try to keep everyone sort of equal. 466 00:31:51,000 --> 00:31:52,000 Right. 467 00:31:52,000 --> 00:31:53,000 Right. 468 00:31:53,000 --> 00:31:57,000 So now I believe all of the benefits mirror the union contract. 469 00:31:57,000 --> 00:31:58,000 Right. 470 00:31:58,000 --> 00:31:59,000 For union. 471 00:31:59,000 --> 00:32:00,000 The time off. 472 00:32:00,000 --> 00:32:02,000 Okay. 473 00:32:05,000 --> 00:32:07,000 Entertain a motion to approve. 474 00:32:07,000 --> 00:32:10,000 It is presented with change policy 5.12. 475 00:32:10,000 --> 00:32:11,000 The moved. 476 00:32:11,000 --> 00:32:12,000 Second. 477 00:32:12,000 --> 00:32:13,000 Second. 478 00:32:13,000 --> 00:32:14,000 Those in favor? 479 00:32:14,000 --> 00:32:15,000 Aye. 480 00:32:15,000 --> 00:32:18,000 Motion carries. 481 00:32:18,000 --> 00:32:21,000 Any need to multi-execute the session? 482 00:32:21,000 --> 00:32:22,000 No. 483 00:32:22,000 --> 00:32:25,000 Motion to adjourn.