Summit County Combined General Health DistrictBoard of Health Meeting - Thursday, July 11,20195:00 p.m.Keck Boardroom - Building A

MINU TES

A. Welcome of Persons Present — No Public Health Nurse representative

B. Call to Order — Ms. Billow called the meeting to order at 5:03 p.m.

C Board Member Roll Call: Dr. Amy Arnold, Patricia Billow, Dr. James Boex, Todd Burdette, AlisonCapoun, Lynn Clark, Dr. Roberta DePompei, Dr. Kristine Gill, Dan Karant, Dr. Gayleen Kolazcewski, LeonRicks, Jeffrey Snell, Marco Sommerville, Dr. Richard Stephens, Karen Talbott, and Sheila Williams. Dr.Alexsandra Mamonis and Sheila Williams arrived after roll calL Absent: Dominic Cugini and Leon Ricks.Others present: Leanne Beavers, Tonya Block, Tonia Burford, Angela Burgess, Dan Davis, Derek Davis,JulieDavis, Cory Ken drick, Brenda Pickle, Heather Pierce, Julie Ries, Eric Seachrist, Donna Skoda StephenTricamo and Kelsey Wilson.

D. Approval of the Minutes of the Regular Board Meeting

Motion by Ms. Talbott, seconded by Dr. Stephens to approve the Board of Health meetingminutes from June 13, 2019.

Approved by voice vote.

E. Public and Staff Comments (three minutemaximum.) - None.

F. Reading of Schedule E - Late Filings - None.

G. Motion by Mr. Karant, seconded by Ms. Clark, to adopt Resolution No. 024-19, entitled”Approval of the Consent Agenda, Schedules and all matters on the ConsentAgenda”

Schedule A PersonnelSchedule B Employee Training and Travel ExpensesSchedule C ContractsSchedule D FinanceSchedule E Late Filings

Approved by voice vote.

Page 1 of4

Summit County Combined General Health DistrictBoard of Health Meeting - Thursday, July 11, 20195:00 p.m.Keck Boardroom - Building A

MINUTES

H. Health Commissioner’s Report

1. Motion by Dr. Stephens, seconded by Dr. Gill, to adopt Resolution No. 02 5-19commending Derek Davis, Boy Scouts of America Troop 282, for his assistance with theexpansion of the Springfield Community Garden through the Creating HealthyCommunities Program and earning his Eagle Scout. Derek Davis was presented with aResolution ofAppreciation and celebratory cake.

Approved by voice vote.

2. Motion by Ms. Clark, seconded by Mr. Karant, to support the All Staff Meeting in anamount not to exceed $5,000.00 (2019 All Staffscheduled for Friday, December 13, 2019 atGuy’s Party Center, Akron; lunch served.)

Approved by voice vote.

3. SCPH Street Card — distributed to each Board member.

4. Strategic Plan Quarterly Report (See Enclosure.) Heather Pierce provided a status update.

5. Second Quarter 2019 Non-Board Contract Report (See Enclosure.)

6. Second Quarter 2019 Full-Time Equivalency Reports (See Enclosure.)

7. Fiscal Report.

a. Motion by Mr. Karant, seconded by Dr. Boex, adopting Second Quarter, 2019 Policyand Procedure Manual updates/revisions (See Enclosure.)

Approved by voice vote.

b. Fairway Facility — Debt payment of$1.4 million was made. Expected debt payoff is March,2020.

8. Policy and Legislation - No Report

Page 2o14

Summit County Combined General Health DistrictBoard of Health Meeting - Thursday, July 11, 20195:00 p.m.Keck Boardroom - Building A

MINY TES

9. The Ethics Committee will meet at 2:30p.m. in Command Control (Building A) prior to theAugust 8, 2019 Board Meeting

10. The Finance and Personnel Committee will meet immediately after the August 8, 2019Board Meeting.

11 State of the County 2019— Thursday, August29 2019 at the]ohn S Knight Center; doors openat 11 am, lunch served at 11:30a.m.; program begins at 12noon. Eight seats available

12. Township Association ofSummit County Dinner Meeting - Tuesday, September 3 at 6:00p.m. in the Summit Auditorium (Building A.)

13. Board ofHealth Retreat - Thursday, September12, 2019 from 2:00p.m. - 5:00p.m. in theSummit Auditorium (Building A) prior to the Board Meeting. A light dinner will be served.Retreat will be videotapedfor members unable to attend. Please RSVP tobpickle@scn .ora by Thursday. Sentember 5.2019— Mr. Karant voiced a complaint that theretreat is scheduled during a weekday before the Board meeting. This is an extended Boardmeeting. A retreat by definition is offsite with a facilitator. A retreat is meant to be asocial/educational tool in an informal atmosphere. Perhaps send a survey to cover the purposebehind a retreat This is an important tool to use and build on. Ms. Skoda replied perhaps thesurvey didn’t cover the intent We saw it as a way to deliver educational information and vote onpriorities. Perhaps we will send another survey with a different intent Mr. Snell advised heagreed in part; remarked perhaps schedule every so manyyears but not an annual event If it isa social event; perhaps staffdoesn’t need to be included. Perhaps go to dinner after a Boardmeeting. Ms. Skoda recommended scheduling a retreat when Cl-IA/CHIP data is available forreview.

Ms. Skoda passed around the thankyou cardfrom retiree Louise McMinn to the Board.

J. Environmental Report

1. Motion by Ms. Clark, seconded by Dr. DePompei, to adopt Resolution No. 026-19, grantingand approving the final plat for the Kemppel Cove Subdivision, City of New Franklin,Summit County, Ohio, Parcel l.D. 23-01871 (See Enclosures.) — Karen Talbott thanked the stafffor the presentations; always well prepared and well presented.

Approved by voice vote.

Page 3 of 4

Summit County Combined General Health DistrictBoard of Health Meeting - Thursday, July 11,20195:00 p.m.Keck Boardroom - Building A

MINUTES

K. Clinical Health/Medical Director’s Report

1. Communicable Disease Report (See Enclosure.) Ms. Beavers reported Ohio is one of the topfour states with 3,000 Hepatitis A cases. Kentucky is the leader. Over 500 high-risk individualswere inoculated. Mr. Karant questioned ifHepatitis A vaccines are available for travelers. Ms.Beavers advisedyes.

2. Vector Borne Disease Surveillance Report (See Enclosure.) Dr. Stephens questioned theseriousness ofvector borne disease in Coventry Township. Ms. Burford reported there is an influxofflood water mosquitoes that do not carry West Nile Virus. They are aggressive, swarmingdaytime biters. Extra spraying has been done in New Franklin due to flooding. Normally, 350mosquitoes are collected; 1,700 record-breaking mosquitoes were collected. Seven hundred tireshave been collected to date.

L Miscellaneous BusinessMs. Williams reported a good article in the Twinsburg and Hudson Hub papers regarding vaping andchildren and Tobacco 21.

Ms. Billows asked about paramedicine. Dr. Boex has not heard any updates.

M. The meeting of the Board of Health adjourned at 5:42 p.m.

Secretary PresidentI

Page 4 of 4

Summit County Combined General Health District( Board of Health Meeting--Thursday, July 11, 2019

5:00p.m.Keck Boardroom - Building A

1. Rescind the appointment of Mark Misencik, Student/ TemporaryMosquito and Water Quality Programs, $12.01 per hour effective

2. Approve the resignation of Ken Countryman, Peer Support Specialist effectiveJune 13, 2019. (Ken has been with SCPH since October 30, 2017 and has worked inthe Counseling Department).

3. Approve the change of status for Stephen Gronow from Sanitarian, full time toProgram Coordinator full-time, with a pay increase from $27.21 to $31.77 perhour effective July 22, 2019. (Stephen currently works for Environmental Healthand will coordinate data, databases and processes in the division.)

4. Approve the change of status for Jill Easterling from AdministrativeProfessional, full-time to Executive Assistant, full-time, with no change in payeffective July 22,2019.

5. Approve the change of status for Kathleen Coleman from Training/MarketingSpecialist full-time to Executive Assistant, full-time, with no change in payeffective July 22, 2019.

6. Approve the change of status for Joy Gidley from Secretary, full-time toAdministrative Assistant, full-time, with no change in pay effective July 22,2019.

7. Approve the change of status for Laura Hoff from Secretary, full-time toAdministrative Assistant, full-time, with no change in pay effective July 22,2019.

8. Approve the change of status for Annamarie Caruso from Secretary, full-timeto Administrative Assistant, full-time, with no change in pay effective July 22,2019.

9. Approve the change of status for Julia Sykes from Secretary, full-time toAdministrative Assistant, full-time, with no change in pay effective July 22,2019.

SCHEDULE A PERSONNEL

Help/May 13,2019

I”Zmit czntyz~~;::~:erai Health D1sZN\

( Board of Health Meeting--Thursday, July 11,20195:00p.m.

\lCecl~Boardroom - Building A

SCHEDULE A - PERSONNEL

10. Approve the change of status for Elizabeth Frame from Secretary, full-time toAdministrative Assistant, full-time, with no change in pay effective July 22,2019.

11. Approve the change of status for Tonia O’Connor from Secretary, full-time toAdministrative Assistant, full-time, with no change in pay effective July 22,2019.

12. Approve the change of status for Renee Thompson from Secretary, full-time toAdministrative Assistant, full-time, with no change in pay effective July 22,2019.

13. Approve the change of status for Etoyal Murkins from Secretary, full-time toAdministrative Assistant, full-time, with no change in pay effective July 22,2019.

14. Approve the change of status for Laurie Kern from Secretary, full-time toAdministrative Assistant, full-time, with no change in pay effective July 22,2019.

15. Approve the change of status for Cassandra Torrence-Clayton from Secretary,full-time to Administrative Assistant, full-time, with no change in pay effectiveJuly 22, 2019.

16. Approve the change of status for Charlet Riffle from Secretary, full-time toAdministrative Assistant, full-time, with no change in pay effective July 22,2019.

17. Approve the change of status for Deborah Bugg from Outreach Specialist, fulltime, to Clerical Specialist, full-time, with no change in pay effective July 22,2019.

18. Approve the change of status for Ashley Hanley from Secretary, full-time, toPublic Health Aide, full-time, with no change in pay effective July 22, 2019.

CSummit County Combined General Health DistrictBoard of Health Meeting-- Thursday, July 11,20195:00 p.m.Keck Boardroom - Building A DSCHEDULE B EMPL 0 VEE TRA IN/NC A ND TRA VEL

JULY TRAVEL REPORT 2019

Name of Conference/Training: Medicaid MeetingSponsor: 0DMDate Attending: 6/25/2019City: Columbus or Cincinnatti

Staff Attending: Patrice Sirmons, Shaleeta Smith Grant or General Fund: GrantAirfare: Shuttle: Parking: $20 Lodging;

Meals: Registration: Mileage: $232 Total Cost of Expenses:$252

Name of Conference/Training: ODH Tobacco Grantee TrainingSponsor: ODF-IDate Attending: 7/9/2019 Date Returning: 7/10/2019City: Columbus State: OH

Staff Attending: Jessie Wingert Grant or General Fund: GrantAirfare; Shuttle: Parking: Lodging: $150

Meals: $53 Registration: Mileage: $150.80 Total Cost of Expenses:$353.80

Name of Conference/Training: BMTF TrainingSponsor: ODHDate Attending: 7/11/2019 Date Returning: 7/11/2019City: Columbus State: OH

Staff Attending: Tameka Austin and Jessica Drake Grant or General Fund: GrantAirfare: Shuttle: Parking: Lodging:

Meals: Registration: Mileage: $168.20 Total Cost of Expenses:$168.20

Date Returning: 6/25/2019State: OH

1

Name of Conference/Training: Breastfeedirig Champions Course 2019Sponsor: OWl WICDate Attending: 7/17/2019 Date Returning: 7/18/2019City: Columbus State; Ohio 43215

Staff Attending: Denaye Black Grantor General Fund: GrantAirfare: Shuttle: Parking: $30.00 Lodging: $244.00

Meals: $80 Registration: Mileage: $127.60 Total Cost of Expenses:$451.60

Name of Conference/Training: ODH Sealant Sharing Day 2019Sponsor: Ohio Department of AgricultureDate Attending: 8/6/2019 Date Returning: 8/6/2019City: Reynoldsburg State: OH

Staff Attending: Darlene Theodus and Jennifer Wallace Grant or General Fund: General FundAirfare: Shuttle: Parking: Lodging:

Meals: Registration: Mileage: Total Cost of Expenses:TIME ONLY

Name of Conference/Training: Local Tobacco Grants (TU2O) TrainingSponsor: Ohio Department of HealthDate Attending: 8/12/2019 Date Returning: 8/14/2019City: Columbus State: OH

Staff Attending: Kristi Kato and Jessica Wingert Grant or General Fund: GrantAirfare: Shuttle: Parking: $40 Lodging: $500.00

Meals: $198 Registration: Mileage: $145 Total Cost of Expenses:$883.00

Name of Conference/Training: Ohio WIC 2019 Breastfeeding ConferenceSponsor: Ohio Department of Health WIC ProgramDate Attending: 8/27/2019 Date Returning: 8/28/2019City: Columbus State: Ohio Number of Multiple Meetings: Yes/No:Total 4 of Meetings:

Staff Attending: Nikki Maffei, Deborah Flack, Madeline Delino, Jessica Miller, and Denaye BlackGrant or General Fund: Grant

rA~are Shuttle: Parking: Lodging: $366.00Meals: $200 Registration: Mileage: $255.20 Total Cost of Expenses:

$821.20

2

Name of Conference/Training: Zoonotic Disease Outbreak TrainingSponsor: Cleveland Public HealthDate Attending: 9/5/2019 Date Returning: 9/5/2019City: State:

Staff Attending: Tracy RodriguezAirfare: Shuttle:

Grant or General Fund: General Fund~ Parking: Lodging:

Meals: Registration: Mileage: $41.71 Total Cost of Expenses:$41.71

Name of Conference/Training: Asbestos Contractor/Supervisor Refresher CourseSponsor: TSlDate Attending: 9/24/2019 Date Returning; 9/24/2019City: Canton State: Ohio

Staff Attending: Debbie Wallen Grant or General Fund: GrantAirfare: Shuttle: Parking: Lodging:

Meals: Registration: $199 Mileage: Total Cost of Expenses:$199.00

Name of Conference/Training: Safe Routes Partnership National ConferenceSponsor: Safe Routes PartnershipDate Attending: 11/12/2019 Date Returning: 11/15/2019City: Tampa State: FL

Staff Attending: Kristi Kato Grant or General Fund: GrantAirfare: $600 Shuttle:$100 Parking: Lodging: $800

Meals: $240 Registration: $545 Mileage: $58 Total Cost of Expenses:$2,343.00

3

MULTIIPLE MEETDNGS

Name of Conference/Training: Lake County General Health DistrictSponsor: Lake County General Health DistrictDate Attending: 6/25/2019 Date Returning: 6/25/2019City: Mentor State: OH Number of Multiple Meetings: 3

Staff Attending: Julie Brown, Nicole Bradley, or Brian Ng Grant or General Fund: GrantAirfare: Shuttle: Parking: Lodging:

Meals: Registration: Mileage: Total Cost of Expenses:TIME ONLY

Name of Conference/Training: MeetingsSponsor: DYS grant responsibilitiesDate Attending: 8/1/2019 Date Returning: 7/31/2020City: State: OH Number of Multiple Meetings: 12

Staff Attending: Sandra Waino, k’atelyn Manda Grant or General Fund: GrantAirfare: Shuttle: Parking: Lodging:

Meals: Registration: Mileage:$1,160.00 Total Cost of Expenses:$1,160

4

/‘i’lmit County Combined General Health DiSt~’\( Board of Health Meeting - Thursday, July 11, 2019

5:00 p.m.\l(ecl~Boardroom - Building A

SCHEDULE C CONTRACTS

A. Office of the Health Commissioner

1. Adopt Contract No. 138566 authorizing an agreement between Summit CountyCombined General Health District and Spectrum Business for Fiber InternetServices (pending Prosecutor approval for the period ofJuly 15,2019 through July 15,2023 in an amount not to exceed $38,544.00 payable to Spectrum Business.)

2. Adopt Contract No. 138569 authorizing an agreement between Summit CountyCombined General Health District and Spectrum Business for SIP Phone Service(pending Prosecutor approval for the period ofJuly 15, 2019 through July 15, 2023 inan amount not to exceed $38,016.00 payable to Spectrum Business.)

3. Adopt Contract No. 138571 authorizing an agreement between the County ofSummit and the Summit County Combined General Health District forconsulting services for the Health and Human Services Plan (pending Prosecutorapproval for the period July11, 2019 through December 31, 2019 in an amount not toexceed $25,000.00 payable to SCPH.)

B. Clinical Health

1. Adopt Contract No. 138556 authorizing an agreement between Summit CountyCombined General Health District, serving as administrative agent for SummitCounty Family and Children First Council and Summit County DevelopmentalDisabilities Board for Ohio Part C Early Intervention Service Coordination inaccordance with the fees, services and conditions stipulated in thecontract (pending Prosecutor appro val for the period ofJuly 1, 2019 through June 30,2020 in an amount not to exceed $810,062.00 payable to Summit County DevelopmentalDisabilities Board.)

2. Adopt Contract No. 138559 authorizing an agreement between the County ofSummit Alcohol, Drug Addiction and Mental Health Services Board and SummitCounty Combined General Health District, serving as the Administrative Agentto Summit County Family and Children First Council to administer theChildren’s Community Behavior Health (CCBH) programming from the OhioDepartment of Mental Health and Addiction Services (pending Prosecutorapprovalfor the period ofJuly 1,2019 through June 30,2020 in an amount not to exceed$32,899.00 payable to Summit County Family and Children First Council.)

1~~t’init County Combined General Health

( Board of Health Meeting - Thursday, July 11, 20195:00 p.m.

\l(ecl~Boardrooin - Building A

SCHEDLILEC - CONTRACTS

3. Adopt Contract No. 138565 authorizing an agreement between SummitCounty Alcohol and Drug Addiction and Mental Health Board and SummitCounty Combined General Health District to provide outreach services as partof a Quick Response Team (pending Prosecutor approval for the period ofJuly 1,2019 through June 30, 2020 in an amount not to exceed $26,291.00 payable to SCPH.)

4. Adopt Contract No. 138568 authorizing an agreement between the OhioDepartment of Health and Summit County Combined General Health Districtto support and build the infrastructure for Project DAWN (pending Prosecutorapprovalfor the period July 1, 2019 through September 28, 2019 in an amount not toexceed $30,000.00 payable to SCPH.)

5. Adopt Contract No. 138567 authorizing an agreement between Summit CountyAlcohol and Drug Addiction and Mental Health Board and Summit CountyCombined General Health District to provide AoD prevention, AoD treatmentand Project DAWN naloxone distribution services (pending Prosecutor approvalfor the period ofJuly 1, 2019 through June 30,2020 in an amount not to exceed$458,533.00 payable to SCPH.)

B. Environmental Health

1. Adopt Contract No. 138560 authorizing an amended agreement between theCounty of Summit Department of Community and Economic Development and theSummit County Combined General Health District for the Lead Based Paint HazardControl and Healthy Homes Intervention grants awarded by the U.S. Department ofHousing and Urban Development (“HUD”), Office of Healthy Homes and LeadHazard Control (pending Prosecutor approval for the period October 17, 2016 throughOctober 31, 2019 in an amount not to exceed $2,424,640.00 payable to the County ofSummit)

County Combined General Health

/ District Board of Health MeetingI’

SCHEDULE U -FINANCE

Thursday, July 11, 2019 5:00p.m. KeckBoard Room, Building A

N

State Subsidy

Environmental Health Fees

Vital Statistics

Personal Health Services

Miscellaneous Receipts

Federal Funds Reimbursement

Local Contracts (Including Akron)

Rental of Property

Sale - Real Property

Local Taxation

TOTAL CASH RECEIPTS

Total$0 $124,661

$8,230 $1,901,548

$0 $302,996

$211,545 $599,242

$359 $124,954

$5,375,407 $5,403,893

$622,403 $2,749,373

$0 $562,004

$0 $65,764

$0 $1,414,837

$0 $1,615,338

$14,864,610

Cash DisbursementsPERSIWorkers ComplMedicare

Health BenefitsTravel

SuppliesContracts Services/Repairs

Building RentalAdvertising and Printing

Other ExpensesEquipment

Remittance to StateDebt Service-Building

Client ServicesSalaries

TOTAL CASH DISBURSEMENTSRECEIPTS LESS DISBURSEMENTS

TransferslAdvances-lnTransfers/Advances-Out

Reserve for Encumbrances

FUND BALANCE

General Fund$478,255

$552,487

$63,385

$215,902

$839,143$13,167

$3,317

$17,174

$80,408$548,924

$1,568,341

$7,068

$2,955,097$7,342,668

$1,303,998

$0$17,360

$6,310,704

$7,597,342

Special Revenue$427,718

$510,234

$36,732

$402,227

$1,897,500

$51,742

$19,477

$271,120

$44,309

$0$0

$43,814

$2,639,058

$6,343,931

($125,987)

($293,767)

$276,407

$4,566,686

$4,458,059

Total$905,973

$1,062,721

$100,117

$618,129

$2,736,643

$64,909

$22,794

$288,294

$124,717

$548,924

$1,568,341

$50,882

$5,594,155

$13,686,599$1,178,011

($293,767)$293,767

$10,877,390

$12,055,401

SUMMIT COUNTY PUBLIC HEALTH

Cash Receipts

Monthly Cash StatementAs of June 2019

General Fund Succial Revenue$124,661

$1,893,318

$302,996

$387,697

$124,595

$28,486

$2,126,970

State Fees $562,004$65,764

$1,414,837

$1,615,338

$8,646,666 $6,217,944

PAGE 1 of 1 Pages 7/2/2019

Cash Receipts

Summit County Public Health

General Fund Executive Summary

June 2019 Financial Report

Local Taxation

State Subsidy

Environmental Health Fees

Vital Statistics

1,615,338

271,841

1,822,733

283,749

389,101

95,147

11,274

1,529,499

572,900

67,814

0

1,615,338

124,661

1,893,318

302,996

387,697

124,595

28,486

2,126,970

562,004

65,764

1,414,837

(0)

(147,181)

70,585

19,247

(1,403)

29,448

17,212

597,471

(10,897)

(2,050)

1,414,837

TOTAL CASH RECEIPTS

Cash DisbursementsSalaries

PERSIWorkers ComptMedicare

Health Benefits

Travel

Supplies

Contracts Services/Repairs

Building Rental

Advertising and Printing

Other Expenses

Equipment

Remittance to StateNuisance Abatement Expense

2OI8YTD 2OI9YTD 2018vs2019Actual Actual YTD Variance

Personal Health Seivices

Miscellaneous Receipts

Federal Funds Reimbursement

Local Contracts (Including Akron)

State Fees

Rental of Property

Sale - Real Property

6,659,396 8,646,665

3,044,006 2,955,097

499,542 478,255

563,092 552,487

61,868 63,385

233,421 215,902

688,176 839,143

0 13,167

4,405 3,317

14,278 17,174

63,794 80,408

554,264 548,924

0 0

206,378 1,568,341

0 7,068

5,933,225 7,342,667

726,171 1,303,999

0 0

0 17,360

6,215,917 6,310,704

1,987,269

(88,909)

(21,287)

(10,605)

1,517

(17,519)

150,967

13,167

(1,088)

2,896

16,614

(5,340)

0

1,361,963

7,068

1,409,442

577,828

17,360

94,787

Debt Service-Building

Client Services

TOTAL CASH DISBURSEMENTS

RECEIPTS LESS DISBURSEMENTS

Transfers/Advances-In (Receipts)

Transfers/Advances-Out

Reserve for Encumbrances

FUND BALANCE 6,942,088 7,597,343 655,255