Board of Legislators County Office Building, Room 201 7 Court Street Belmont, New York 14813 Phone: 585-268-9222

HUMAN SERVICES COMMITTEE AGENDA

April 3, 2019

1. Approval of Minutes - A request has been made to amend the February 6, 2019, minutes to reflect that a

resolution is not required for VNA Homecare Options (Nascentia) contract.

- March 6, 2019, with the following amendment: Please add that the part-time Senior Caseworker position in the Department of Social Services is not eligible for benefits.

- March 25, 2019

2. Lori Ballengee, Public Health Director

- Monthly Report - Appointment of Coroner’s Physician - Approval of Medical Director Contract - Approval of Iowa State University of Science and Technology Dietetic Internship - Approval of Andover Central School Pre-School Contract - Approval of Pre-School Transportation Contracts

3. Madeleine Gasdik, Office for the Aging Director

- Monthly Report - Approval of LifeStation, Inc. Contract - Notice of Retirement

4. Vicki Grant, Social Services Commissioner

- Monthly Report - Request to fill senior Social Welfare Examiner position

5. Old Business

6. New Business

7. Questions from the Media

8. Good of the Order

 9. Adjournment 

ALLEGANY COUNTY DEPT. OF HEALTH MONTHLY REPORT – FEBRUARY 2019

ENVIRONMENTAL HEALTH

JAN. 2018 JAN. 2019 FEB. 2018 FEB. 2019 2018 Total 2019 Total

Permits Processed 4 5 2 3 322 8

Septic Permits Issued 3 2 0 0 121 2

Sanitary Surveys Completed/Apps Rec’d

22 9 6 8 210 17

Inspections Completed 11 7 27 9 379 16

Complaints Received 1 2 3 3 39 5

Rabies Investigations 6 17 7 7 157 24

Animals Vaccinated 2018 (Total)

Animals Vaccinated 2019 (Total)

Positive Rabies Specimens 2019

Species Township

709 0 1 1 – Horse Horse-Birdsall

*Permits for certain regulated facilities to include: Agricultural Fairgrounds, Campgrounds, Mobile Home Parks, Temporary

Residences, Children’s Camps, Swimming Pools, Food Service, Mobile Food Service, Temporary Food Service, Bathing

Beaches, Tattoo/Body Piercing, Tanning, Vending Machines*

Total # of Staff in Environmental Health/Emergency Preparedness: 7

EMERGENCY PREPAREDNESS

February 2019

Number of Deliverables Due 3rd Quarter (January - March): 4 NUMBER COMPLETED: 2

Number of Annual Deliverables for Grant Year Completed: 13/16

Current Grant Cycle Runs from July 1, 2018 – June 30, 2019 **There were no staff changes in Environmental Health/Emergency Preparedness in February**

HEALTH EDUCATION

January 2019: ppl reached

January 2019 # of events

February 2019: ppl reached

February 2019 # of events

Total 2019: people reached

Total 2019 # of events

Family Planning Educational Events 1, 2 476 43 595 46 1071 89

Lead poisoning prevention and Immunization Educational Events 1 0 0 0 0 0 0 General Health Topic Educational Events 1 0 0 0 1 0 1

Women’s Health Initiative 3 0 0 320 2 320 2

1-Educational events include presentations, one on one instruction, outreach, marketing and recruitment. Marketing includes news releases, flyers, display boards at libraries, etc. The number of people reached for these marketing events is not available. 2-Majority of Family Planning educational events are during school/college sessions (January-June & September-December). Due to holidays November, December, February for winter break and April for spring recess, we have fewer presentations scheduled. 3-Women’s Health Initiative Grant ends March 31, 2019.

**There were no staff changes in Health Education in February.

CHILDREN’S SERVICES

Early

Intervention

YTD Preschool YTD Children

With Special

Health Care Needs

YTD Child Find YTD

New Referrals 4 11 5 10 0 0 1 1

# Receiving Service Coordination 74 74 N/A N/A 11 11 N/A N/A

Total Children Served 74 78 125 125 12 12 25 25

# of Services Provided 383 857* 2293 4554 N/A N/A N/A N/A

# of Evaluations Performed 15 22 15 48 N/A N/A N/A N/A

*= Number includes services from previous month(s) not billed in the month(s) they occurred. February is Children’s Dental Health Month. Check us out on Facebook! Allegany County Department of Health - Children’s Services.

CLINICAL/MEDICAL SERVICES

February, 2018 February, 2019

Number of Clinics 9 4 full days

Number of Visits 41 (F=28; M=13) *(A=18;B=11; W=12) 47 (F=36; M=11) *(A=28;B=19; W=0)

Total Services Provided 751 1,121

Counseling Services 315 469

Medical Services 313 465

STD Services 62 91

HIV/HCV Services 61 (12 HIV/12 HCV) 96 (23 HIV/23 HCV)

Family Planning Benefit Program Applications 15 *(A=10; B=2; W=3) 29 *(A=25; B=2; W=2)

Number of Physicals NB=18 SD=1

Communicable Disease Investigations 67 27

Meal Site Blood Pressure/Education 9 9

# of Lead Cases Reviewed 131 56

Elevated Lead Level Patients Case Managed 9 6

# of Immunization Patients/# of Immunizations 67/95 46/73

Influenza Clinics Held NA NA

* = Belmont; Alfred; Wellsville Clinic visit breakdown.

Explanations: Note the # of clients seen in Feb. 2019 were accommodated in ½ FP clinic day in Belmont packing up and having the other ½ day

in Wellsville and 3 full clinic days in Alfred, and in 2018 we held 9 full FP clinic dates. This is accomplished by an increase in mandatory

documenting, lab surveillance, FPBP PE application completion and patient follow-up on non-clinic days. With the retirement of Nancy

Brinkwart, FNP (providing physicals during her last 6 months of employment), and the Family Planning clinics being booked, until the FT position

is filled this service will be referred out for job track and DOT physicals. If in house for employment with the county and availability in a

Thursday Family Planning Clinic - we will try our best to accommodate with Susan Dougherty, NP (hence the 1 physical this month).

WOMEN, INFANTS, CHILDREN PROGRAM (WIC)

JAN FEB MAR APR MAY JUNE JULY AUG SEP OCT NOV DEC TOTAL

2019 AVG.

MONTHLY CASELOAD

972 949

BREASTFEED-ING

INITIATION RATES

74.0% 72.0%

PEER COUNSELORS

CASELOAD

67 78

NEW MOMS VISITED AT

JMH

8 6

FARMERS MARKET

CHECK SETS

0 0

FARMERS MARKET CHECK VALUE

$0 0

NUTRITION EDUCATION CONTACTS

396 326

TRANSFERS OUT

2 9

TRANSFERS IN

17 8

TERMINATED*

46 56

NEW FAMILIES

21

All active participants have been converted to the WIC EBT card now. There is no report yet to determine the value of EBT benefits. *56 participants did not recertify of were terminated from the WIC program in December (13 turned 5 years old, 13 non breastfeeding at 6 months postpartum, 19 did not re-certify, 5 moved out of state, AND 6 WERE OVER INCOME. Deliveries were down in February but pregnancies are up

CORONER/MEDICAL EXAMINER

FEBRUARY 2018 YTD 2018 FEBRUARY 2019 YTD 2019 CORONER CASES 8 23 4 10

CORONER CALL COSTS $2,550 $7,800 $1,200 $3,600

OLEAN GENERAL (OGH) AUTOPSIES 0 4 0 2

OGH CONSULTATIONS ($200 EACH) 1 2 0 2

OGH COSTS $200 $6,780 $0 $4,090

MONROE MEDICAL EXAMINER (MME) AUTOPSIES

1 1 0 2

MME COSTS $2,500 $2,500 No bill until April No bill until April

Mileage for February, 2018 totaled $143.88 while February, 2019 mileage was $148.02.

M E M O R A N D U M O F E X P L A N A T I O N Introduction No: __________________ (clerk’s use only) COMMITTEE: Human Services DATE: February 6, 2019 The Health Department requests approval to renew a contract with Dr. Christopher Depner to provide Medical Director services for the Allegany County Department of Health commencing on January 1, 2019 through December 31, 2019. This is a contract renewal with no financial changes. I will be happy to answer any questions you have regarding this contract. Feel free to call me at x9247 or send me an e-mail. The County Attorney has approved this contract. Thank you for your consideration of my request. Respectfully submitted, Lori Ballengee, MS Public Health Director FISCAL IMPACT: No effect at this time. For further information regarding this matter, contact: Lori Ballengee, Public Health Director x9247

M E M O R A N D U M O F E X P L A N A T I O N Introduction No: __________________ (clerk’s use only) COMMITTEE: Human Services DATE: April 3, 2019 The Health Department requests approval to enter into an agreement with Iowa State University to allow their students to shadow and/or complete an internship for their curriculum studies. I will be happy to answer any questions you have. Feel free to call me at x9247 or send me an e-mail. The County Attorney has approved this agreement. Thank you for your consideration of my request. Respectfully submitted, Lori Ballengee, MS Public Health Director FISCAL IMPACT: No effect. For further information regarding this matter, contact: Lori Ballengee, Public Health Director x9247

M E M O R A N D U M O F E X P L A N A T I O N Introduction No: __________________ (clerk’s use only) COMMITTEE: Human Services DATE: April 3, 2018 The Health Department requests approval to enter into a contract with Andover Central School to provide Evaluation services to our Pre-School Program recipients. Providers are difficult to find in rural areas, so this is an excellent partnership for the children we serve in Allegany County. We have had an excellent and ongoing relationship with Andover School for these services. We bill Medicaid for these services and also recoup 59.5% of what Medicaid will not cover, from the state. I will be happy to answer any questions you have regarding this contract. Feel free to call me at x9247 or send me an e-mail. Thank you for your consideration of my request. Respectfully submitted, Lori Ballengee, MS Public Health Director FISCAL IMPACT: No effect at this time. For further information regarding this matter, contact: Josh, Schultz, Children’s Services Director x9767 Lori Ballengee, Public Health Director x9247

M E M O R A N D U M O F E X P L A N A T I O N Introduction No: __________________ (clerk’s use only) COMMITTEE: Human Services DATE: April 3, 2018 The Health Department requests approval to enter into a contract with Alfred-Almond, Andover, Arkport, Belfast, Bolivar-Richburg, Canaseraga, Canisteo-Greenwood, Cuba, Fillmore, Friendship, Genesee Valley, Keshequa, Portville, Scio, Wellsville, and Whitesville Central School Districts to provide transportation services to our Pre-School Program recipients. Transportation is a required service and these school partnerships keep Allegany County from having to contract with private bus companies, which results in significant savings to the County. Since there is no reimbursement mechanism for these services, it is critical that we maintain these cost saving contracts. I will be happy to answer any questions you have regarding this contract. Feel free to call me at x9247 or send me an e-mail. Thank you for your consideration of my request. Respectfully submitted, Lori Ballengee, MS Public Health Director FISCAL IMPACT: No effect at this time. For further information regarding this matter, contact: Josh, Schultz, Children’s Services Director x9767 Lori Ballengee, Public Health Director x9247

ALLEGANY COUNTY OFFICE FOR THE AGING

MONTHLY REPORT - FEBRUARY 2019

Year-to-date 01/01/2019 – 02/28/2019

TOTAL PEOPLE SERVED AGE 60+

990 PERCENT OF

TOTAL

LOW INCOME 530 53%

LOW INCOME MINORITY 81 8%

FRAIL/DISABLED 440 44%

AGE 75-84 302 30%

AGE 85+ 246 24%

LIVES ALONE 485 48%

VETERANS 143 14%

UNITS OF SERVICE

SERVICES PROVIDED # OF

PEOPLE

SERVICE THIS

MONTH

PREVIOUS MONTH

SAME MONTH

LAST YEAR 2019 TOTAL

Telephone Calls At Front Desk 1,980 1,765 1,301 3,745

Health Insurance Counseling 105 107 163 108.75 270

Homemaking/Personal Care (PC II) 35 289 307.25 287 569.25

Housekeeping/Chore (PC I) 40 406.25 434 396.5 840.25

Case Management 84 136.25 138.5 125.5 274.75

Nutrition Counseling/Education 77 450 468 0 918

Transportation 31 122 152 169 274

Information and Assistance 554 1,686 1,576.2 1,340.25 3,262.2

Outreach 0 0 0 30 0

In-Home Contact & Support 7 26 24 29 50

Personal Emergency Response 101 101 100 105 201

Caregiver Services 30 51 51 71 102

Legal Services 1 3.5 2.25 3.85 5.75

Health Promotion 90 587 618 0 1,205

Other (HEAP, Home Repair) 65 157 177 204 334

Home Delivered Meals 373 6,578 7,068 6,950 13,646

Luncheon Center Meals 157 982 978 940 1,960

TOTAL MEALS 15,606

Alzheimer’s Respite Program This Month 2019 Total

Care Consultations

25 Total 17 Phone 1 Office 3 Home

64 Consultations

Respite (Hours)

9 In-Home Care 0 Social Adult Day

0 Consumer Directed 0 Nursing Home

55 In-Home Care 0 Social Adult Day

0 Consumer Directed 0 Nursing Home

Technology (Units)

6 Continued PERS 2 New GPS PERS

1 Door Alarm 1 Grab Bar

1 Night Light

10 PERS 2 Door Alarm 2 Grab Bar

2 Night Light

ADDITIONAL INFORMATION HDM Clients 18 New

12 Restarts 13 Ended

New Hires 2/1 2/1

HDM Driver: Daniel Gates, Scio Intern: Sheila Young, Alfred State College

Public Presentations 2/1 OFA Presentation to Cuba Grange, Cuba (AM)

2/4 Medicare Savings Program Presentation, Wellsville Luncheon Center (AM)

2/20 ADCSI Grant, TRIAD Participants, PSB (LO)

2/21 Medicare Basics, 16 Registered, 12 Attended, OFA (SL)

2/22 OFA Presentation to Physiology Class, Heiko, Heisermann, Alfred University (AM)

Nutrition Education 2/7, 11, 12, 13, 14, 19, 21, 26

Love Your Brain, Here’s What You Can Do to Protect It, Luncheon Center Participant Education, Belmont, Bolivar, Alfred, Cuba, Canaseraga, Friendship, Fillmore, Whitesville (CM)

Nutrition Monitoring 2/4 Good Times Kitchen Monitoring and Staff Training: Regulation, Portion, Sanitation Adherence, Good Times Staff Training (CM)

2/7, 11, 12, 13, 14, 19, 21, 26

Luncheon Center Monitoring and Training: Policies, Procedure, Sanitation Adherence, Belmont, Bolivar, Alfred, Cuba, Canaseraga, Friendship, Fillmore, Whitesville (CM)

Staff Training 2/12 Advanced Planning Documents, National Legal Training Curriculum Webinar (ID)

2/13 Staff In-Service: LDSS and Medicaid, Kristin Kinnicutt, Jaimie Haas, ACDSS (AM, CO, CW, DM, ECN, EB, ID, KC, LB, LO, Sl,

2/15 Legal and Financial Planning, Alzheimer’s Association, OFA (EB)

2/20 Recognizing & Addressing Elder Abuse on legal Helplines and Hotlines, National Legal Training Curriculum Webinar (ID)

2/27 Matter of Balance Coach Training and Certification, Jose Soto, Ardent Solutions, Belmont Parish Hall (ECN)

2/27 Using Consumer Law to Protect Nursing Facility Residents, National Legal Training Curriculum Webinar (ID)

Tax Assistance Tax Returns Completed: 65 Total Refunds: $56,847

Support Groups 2/19 Legal and Financial Planning, 5 Attended (LO)

WAITING LISTS FOR SERVICES

Program # of People Change from Last Month

WAITING LIST 86 +1 EISEP and Caregiver’s Respite 66 +1 EISEP Only 19 0 Caregiver’s Respite Only 1 0

WAITING LIST ON HOLD 16 0 EISEP and Caregiver’s Respite 12 0 EISEP Only 3 0 Caregiver’s Only 1 0

Personal Emergency Response (MercyLine) 3 0

Meals 0 0

Insurance Counseling 0 0

M E M O R A N D U M O F E X P L A N A T I O N Intro. No.____________

(Clerk’s use only)

Committee of Jurisdiction: Human Services Date: 04/03/2019____

The Allegany County Office for the Aging requests permission to enter into a

contract with LifeStation, Inc., 2 Stauber Avenue, Union, NJ 07083 for PERS

(Personal Emergency Response System) services.

Services will be paid at the following rates:

Landline Compatible $13.50 per calendar month per individual

In-Home Cellular $13.50 per calendar month per individual

Mobile/GPS Compatible $15.50 per calendar month per individual

Fall Detection (Optional) Additional $5.00 per calendar month per

individual

This pricing includes free installation, tech support, and training.

FISCAL IMPACT:

This expense has been included in the 2019 budget.

For further information regarding this matter, contact:

Madeleine M. Gasdik, Director

Allegany County Office for the Aging

(585) 268-9390

Monthly Report Apr., 2019

MONTHLY REPORT TO THE HUMAN SERVICES COMMITTEE

Submitted Apr. 3, 2019

Feb.,

2017 Jan.,

2019

Feb.,

2019

Temporary Assistance Cases 401 361 366

TANF 201 172 171

Safety Net Singles 168 164 170

Safety Net Families 32 25 25

Non-FA Medicaid 3801 3302 3287

Food Stamps Only 2876 2762 2740

Child Care Only 73 46 46

Child Protective Services

Hotline Calls 57 79 56

Total Active Cases 118 133 136

Foster Care & Adoption Services

Number children in DSS care 59 47 52

Number of children in OCFS 0 0 0

Relative Placement 6 15 19

PINS Reform 9 12 11

Preventive Services

Total number receiving services 52 37 31

Adult Protective/Preventive Services

Protective Open Cases 21 16 14

Preventive Open Cases 1 0 0

Home Care & Related Services

Personal Care Cases 33 27 27

Other (Care at Home/Private Duty) 2 3 3

CDPAP Cases 26 29 28

Respectfully Submitted,

Vicki L. Grant, MSW

Commissioner

Monthly Report Apr., 2019

PROGRAM INTEGRITY UNIT

MONTHLY REPORT

Feb., 2019

Feb., 2019 Year to Date

2019

Year to Date

2018

Number of Investigation Referrals 10 24 16

Number of Investigations Completed 8 23 24

Substantiated 3 6 5

Unsubstantiated 5 16 19

No Determination 0 1 0

Number of Referrals for Criminal Action 2 3 0

Number of Food Stamp Disqualifications 2 3 1

FEDS Applications Referred for Investigation: 42 95 101

Applications approved 42 75 69

Applications Denied/Withdrawn due to investigation 1 3 6

Applications Denied/Withdrawn for other then FEDS 12 21 29

Collections as a Result of Investigations $8,790.76 $14,247.18 $19,355.53

Bond and Mortgage Satisfactions $11,475.81 $11,525.81 $100.00

Estate Liens Satisfied $0 $0 $1,902.40

Accident Liens Satisfied $0 $0 $0

SSI Interim Repayment $0 $4,758.23 $7,565.57

TANF Grant Savings $0 $0 $0

Total Savings $20,266.57 $10,264.65 $28,923.60