HUMAN SERVICES March 1, 2017 AMENDED

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HUMAN SERVICES AMENDED Members Present: K. LaForge, D. Pullen, D. Decker, J. Hopkins, C. Jessup, D. Root, T. O Grady, C. Crandall (Absent: S. Burt) Others Present: B. Budinger, L. Ballengee, T. Boyde, M. Gasdik, K. Graves, V. Grant, M. Healy, K. Hollis, R. Hollis, C. Knapp, R. Lynch, T. Miner, T. Moore, V. Pettit, N. Pullen, B. Riehle, T. Ross, T. Shaw, M. Thornton, M. Washer, C. Whitwood Media Present: B. Quinn Wellsville Daily Reporter Call to Order: The meeting was called to order by Human Services Committee Chairman Kevin LaForge at 3:12 p.m. Approval of Minutes A motion was made by Legislator Jessup, seconded by Legislator Root, and carried to approve the Human Services Committee minutes of February 2, 2017. HEALTH DEPARTMENT Public Health Director Lori Ballengee attended the meeting and noted to the committee that the flu is still rampant. As of last week, there has been one pediatric death, and five or six adult deaths, and if you haven t gotten your flu shot they are still available at the Health Department. Legislator Hopkins stated she has heard that people who got the flu shot are still getting hit with the flu. Ms. Ballengee stated there are different strains of the flu shot so there is the possibility of still getting it; however, getting your flu shot will help with the severity of it, and will cut down on the length of time it takes to recover. Corporate Compliance Public Health Director Lori Ballengee distributed to the committee their annual Corporate Compliance training, and stated that due to the demands and requirements of their Corporate Compliance, they are in need of a Corporate Compliance Quality Assurance Officer so they can keep better track of everything, and Ms. Ballengee hopes to bring a formal request to the committee in April. Legislator Decker expressed concern about adding another employee to County payroll, stating we are continuously adding positions, but never taking any away. Legislator Decker asked if the work is something we can share with another county. Ms. Ballengee stated she did look into the Bonadio Group, but they wanted to be paid a lot of money, and she feels the County can do it cheaper. Legislator Decker then stated there are no legacy costs with the Bonadio Group. Ms. Ballengee stated she will look into it more and ask surrounding counties how they are handling their Corporate Compliance. Acceptance of New Building Lease Public Health Director Lori Ballengee requested a resolution to accept the renewal of the building lease between SanzoGT, LLC and the Allegany County Department of Health for the Cancer Services Program of Allegany and Cattaraugus Counties (CSPACC) office located at 24 Water Street, Suite 201, Cuba, New York, 14727. The new lease beginning June 1, 2017,

Page 2 of 5 remains the same as the previous lease which will expire on May 31, 2017. The annual rent amount of $6,498 remains the same and includes all electrical, gas, and cleaning charges. This request was approved on a motion made by Legislator Root, seconded by Legislator Hopkins, and carried. Prepare Resolution SOCIAL SERVICES Social Services Commissioner Vicki Grant attended the meeting and submitted her monthly report to the committee for review. Ms. Grant stated they recently brought forth the video Hungry Heart and had quite a few staff members and individuals attend the viewing. Ms. Grant continued that her staff recently had a fundraiser to raise money for Allegany County Cancer Services. Director of Administrative Services Don Horan recently graduated from Leadership Allegany. Ms. Grant stated they have been asked to be on a permanency panel on March 28, 2017, in Geneva, NY. Ms. Grant stated this request is kudos to their department for how well they have done with their permanency for children and care. Heroin & Opioid Ad Hoc Committee Update Heroin & Opioid Ad Hoc Committee Chairman Judith Hopkins stated the Hungry Heart video is a tremendously compelling story of opioid users in Vermont, and reiterated that you could easily transport that story to Allegany County. Legislator Hopkins continued that a number of staff came to view the movie, and they are hoping to have another showing in March. Legislator Hopkins encouraged everyone to try and attend. Legislator Hopkins continued that they have been working with Ardent Solutions and a coalition is being formed. There are four workgroups; Prevention, Treatment, Recovery, and Law Enforcement, with Advocacy being worked on as well. Legislator Hopkins went on to say they are starting to look for funding so they can keep this process going, and continue to work with Ardent Solutions. The group is also beginning to research other aspects; one being how to increase the number of treatment beds as there are currently no female treatment beds available in the County. Legislator Root asked where the male treatment beds are located. Legislator Hopkins stated they are located at Trapping Brook Halfway House in Wellsville, NY. Human Services Committee Chairman Kevin LaForge stated he recently suggested in a previous Budget meeting that they find funding in the amount of $25,000 to be used to further supplement the work Ardent Solutions has been doing for the committee. They ve done an excellent job up to this point, and it s time to take it to a higher level. Committee Chairman LaForge continued the most important thing that needs to happen is to coordinate and put the whole process together so everyone is on the same page and moving in the same direction. Committee Chairman LaForge is amazed at the program PPAC (Partners for Prevention in Allegany County) has in place, and stated the Heroin and Opioid Ad Hoc Committee can also bring some real strength to the table. Legislator O Grady asked if the money was going to come from contingency. Committee Chairman LaForge stated he isn t sure, but would ultimately like to see it come from there. Legislator O Grady stated he isn t opposed to the funding, but would be more comfortable if the committee had something to look at, know what s involved and then vote, rather than just pass it on for approval. Legislator Root stated she would like to see an outline of how the money is going to be used as well as anticipated outcomes. Ardent Solutions Executive Director Carrie Whitwood stated when she met with Legislator Hopkins one of her main focuses was how we can be more effective and efficient, but also not duplicate efforts that are already out there, adding they are at the point where they need to find funding, get their feet on the ground, and start to get the work done.

Page 3 of 5 Legislator Hopkins added when Ardent Solutions volunteered to work with us it didn t cost the County anything, and the amount of work they have done to help this group get started and build this structure has been tremendous, adding that we re so close to the finish line. Chairman Crandall stated he is aware of the amount of the work Ardent has done on the committee s behalf, and with this agreement being contractual, Chairman Crandall asked if it has been looked at by our attorney. County Attorney Tom Miner stated he has gone through the report, and if he were to write up a contract, he would suggest a one year agreement that will focus on phase three of the report which is what the committee wants to do, and pay out $25,000 in installments. Legislator Graves stated he understands this is a huge issue in our County, and asked for confirmation that this agreement will lay out what the $25,000 will be used for because we need to make sure we aren t duplicating any efforts already out there. Legislator Graves continued that because it s not just a local County issue, we need to tap into the Federal and State levels as well. Committee Chairman LaForge stated his initial comments were to try and get everything ironed out so they can begin moving forward, and while he didn t use the word duplicate, it is his intent not to overlap other efforts or try to reinvent the wheel. A motion was made by Legislator Root, seconded by Legislator O Grady, and carried to have County Attorney Tom Miner draft a contractual agreement between Allegany County and Ardent Solutions. Refer to County Attorney Tom Miner OFFICE FOR THE AGING Office for the Aging Director Madeleine Gasdik attended the meeting and submitted her monthly report to the committee for review. Legislator Jessup asked if they have found any volunteers yet to assist with enforcing the new regulations that are causing the home delivered meal routes to get behind. Ms. Gasdik stated they are continuously advertising, but she would be surprised if they found even two volunteers. Federal BIP Caregivers Grant Office for the Aging Director Madeleine Gasdik requested a resolution to re-appropriate unspent funds in the amount of $15,129 from the 2016 Federal BIP Caregivers grant. The Office for the Aging will use these funds to cover part of salary and fringe benefits for existing Office for the Aging staff working to help caregivers, home care, assistive devices/equipment, education/training, and other services that would help a caregiver keep a loved one safely at home. The funds should be re-appropriated as follows: Appropriation: A6790.101 OFA Balancing Incentive Program Regular Pay $4,936 A6790.210 OFA Balancing Incentive Program Equipment/Other $1,250 A6790.401 OFA Balancing Incentive Program Postage $ 700 A6790.402 OFA Balancing Incentive Program Mileage $ 800 A6790.405 OFA Balancing Incentive Program Conference/Training $3,000 A6790.416 OFA Balancing Incentive Program Telephone $ 628 A6790.419 OFA Balancing Incentive Program Printing $ 600 A6790.474 OFA Balancing Incentive Program Home Care $2,000 A6790.802 OFA Balancing Incentive Program Retirement $ 697 A6790.803 OFA Balancing Incentive Program F.I.C.A $ 378

Page 4 of 5 A6790.804 OFA Balancing Incentive Program Worker s Comp $ 140 Total: $15,129 Revenue: A6790.4772.6790 OFA Balancing Incentive Program Federal Aid $15,129 This request was approved on a motion made by Legislator Hopkins, seconded by Legislator O Grady, and carried. Refer to Ways and Means Expanded In-Home Services for the Elderly (EISEP) Grant Office for the Aging Director Madeleine Gasdik requested a resolution to accept supplemental funding from the Expanded In-Home Services for the Elderly (EISEP) grant in the amount of $3,126. The funds should be appropriated as follows: Appropriation: A6778.409 OFA Expanded In-Home Services for Elderly Personal $ 216 A6778.474 OFA Expanded In-Home Services for Elderly Home Care $3,000 Revenue: A10.3772.00 OFA Expanded In-Home Services for Elderly State Aid $3,216 This request was approved on a motion made by Legislator Pullen, seconded by Legislator Jessup, and carried. Refer to Ways and Means Executive Session A motion was made by Legislator Root, seconded by Legislator Decker, and carried to enter into executive session at 3:46 p.m. to discuss the employment history of a particular person. Immediately following discussion at 4:13 p.m., a motion was made by Legislator Root, seconded by Legislator Decker, and carried to end the executive session and return to the regular meeting. Request to Create Full-Time Account Clerk Typist Position Office for the Aging Director Madeleine Gasdik requested permission to create a new position of full-time Account Clerk Typist (AFSCME Grade 7, Step: 4) effective April 3, 2017. With the increased workload in the Accounting and Home Delivered Meals departments, the Office for the Aging needs to re-align the responsibilities of the Senior Account Clerk Typist. The Senior Account Clerk Typist will begin to assist with accounting duties, allowing the new position of Account Clerk Typist to assume duties and responsibilities of the Office Manager position that is currently filled by the Senior Account Clerk Typist. The annual cost of this position is $32,126.09 with benefits estimated at $7,649.23. This position is funded 43 percent County, 33 percent State, 22 percent Federal, and 2 percent Other. This request was approved on a motion made by Legislator Root, seconded by Legislator Jessup, and carried. Prepare Resolution

Page 5 of 5 Request to Fill Account Clerk Typist Position Office for the Aging Director Madeleine Gasdik requested permission to fill one full-time Account Clerk Typist (AFSCME Grade 7, Step: 4) contingent on the above position being created. This request was approved on a motion made by Legislator Root, seconded by Legislator Decker, and carried. Refer to Ways and Means Request to Create Part-Time Typist Positions Office for the Aging Director Madeleine Gasdik requested permission to create up to three part-time positions at approximately 10 hours, but no more than 17 hours per week per position (non-union, Grade 4, Step: Base) effective. The current full-time Typist position will be filled on a part-time basis. With the increased workload in the Accounting and Home Delivered Meals departments, the Office for the Aging needs to re-align the duties and responsibilities of the Senior Account Clerk Typist. The Senior Account Clerk Typist will begin to assist with accounting duties such as payroll, accounts receivable, accounts payable, deposits, contributions, MLTC billing, and time studies. The new position of Account Clerk Typist will assume the duties and responsibilities of the Office Manager that is currently filled by the Senior Account Clerk Typist. Furthermore, the current full-time Typist position will be split into four parttime positions at 10 hours per shift totaling 40 hours per week. This will save the County money in fringe benefits, as well as allow the Office for the Aging to have a Typist sitting at the front desk from 8:00 a.m. to 4:00 p.m. The annual cost of these positions is $23,511 with benefits estimated at $4,620. These positions are funded 20 percent County, 57 percent State, 10 percent Federal, and 13 percent Other. This request was approved on a motion made by Legislator Jessup, seconded by Legislator Pullen, and carried. Prepare Resolution Request to Fill Part-time Typist Positions Office for the Aging Director Madeleine Gasdik requested permission to fill up to three part-time Typists (non-union, Grade 4, Step: Base) contingent on the above positions being created. This request was approved on a motion made by Legislator Decker, seconded by Legislator Pullen, and carried. Refer to Ways and Means Adjournment There being no further business to come before the committee the meeting was adjourned at 4:17 p.m. following a motion made by Legislator Decker, seconded by Legislator Root, and carried. Respectfully submitted, Meghan Washer, Secretary to Clerk of the Board Allegany County Board of Legislators