Minutes July 26, 2011 HS

Wabasha County Human Services Board

Meeting of July 26, 2011


The Human Services Board of Wabasha County, Minnesota, convened in Regular Session at the County Services Building, in the City of Wabasha, Minnesota at 9:00 a.m., July 26, 2011 in accordance with MS 402.01 to 402.10. The previous meeting was recessed to this time and place.


The following Board members were present: Hall, Harms, Norman, Roschen, and Wobbe.

Absent: None



BE IT RESOLVED, that the Wabasha County Human Services Board hereby approves the agenda, with one addition: Item 5.D. Beacon Grant Consortium Agreement

Adopted Unanimously.


WHEREAS, the Minutes of the June 28, 2011 meeting have been presented for review and that no changes have been made to the Minutes;

BE IT RESOLVED, the Human Services Board accepts the Minutes as an accurate reflection of the content and actions taken at its previous meetings.

Adopted Unanimously


WHEREAS, the Director of Social Services has advised that all Income Maintenance case actions are in conformance with State, Federal, and County laws, rule, regulations and policies;

BE IT RESOLVED, that all Income Maintenance case openings, closings, suspensions, grant changes and any other action affecting client eligibility and payments documented in the Department on listing of proposed case actions, (through MAXIS computerized client files and reports, and MMIS II), Director's Actions, abstracts of payment, and reports of refunds and cancellations for the period 6/28/11 through 7/25/11 are hereby approved.

WHEREAS, the Directors of Public Health and Social Services have advised that all Public Health and Social Services case actions are in conformance with State, Federal and County laws rules, regulations and policies;

BE IT RESOLVED, that all Public Health and Social Services case openings, closings, payments, placements and licensing actions as documented in the Department on Agency listing for Licensing actions, case records, record of Social Service plan, purchase of service abstracts, reports of refunds and cancellations, payment authorizations and computer printouts for 6/28/11 through 7/25/11 are hereby approved.

WHEREAS, the Directors of Public Health and Social Services have advised that all personnel actions are in conformance with State and Federal law, Merit System rules, existing labor agreements and personnel policies;

BE IT RESOLVED, that all personnel actions for 6/28/11 through 7/25/11 for employees of the Departments of Public Health and Social Services as documented in the Department on proposed personnel actions listing, personnel abstracts, payroll reports and personnel actions forms are hereby approved.

WHEREAS, the Directors of Public Health and Social Services have advised that all Public Health claims and, Social Services and Welfare claims against the County submitted for payment for 6/28/11 through 7/25/11 have been reviewed and are eligible for payment pursuant to all applicable rules, regulations, laws and policies;

BE IT RESOLVED, that all bills as listed on listing of warrants and claims against the Public Health, Social Services and Welfare funds and warrant registers shall be approved as valid claims against the County and are hereby approved for payment.

WHEREAS, the Directors of Public Health and Social Services have advised that employee requests to attend conferences and/or training have met approval of Administration, and are within the budgetary guidelines of the Agency;

NOW, THEREFORE BE IT RESOLVED, that all requests presented by the Directors of Public Health and Social Services are hereby approved.

Adopted Unanimously.


Whereas, Wabasha County Social Services had established a fee for service in accordance with existing policy; and

Whereas, the total fee for service amount that has been determined is $660.00 for 3 months of case management service; and

Whereas, the client receiving services has appealed the fee determination and wishes to have the fee waived; and

Whereas the Human Services Board has heard information in support of the fee assessment and concerns by the client, and

Whereas, the Director of Social Services has recommended no action on this matter, which results in the assessed fee remaining in place;

Now therefore be it resolved by the Wabasha County Human Services Board to adjust the fee of Ms. Mary Molle to $440.00, covering the months of October and November 2010. The fee must be paid within 60 days of notice or the case management fee for the month of December ($220.00) will also be required as payment.

Adopted Unanimously.


Whereas, the Wabasha County Human Services Board is the host for group residential housing (GRH) agreements to providers with facilities within Wabasha County; and

Whereas, Minnesota Statutes 256I.01 through 256I.06 set forward the "Group Residential Housing Act", which establishes a comprehensive system of rates and payments for persons who reside in the community and who meet the eligibility criteria set forward therein; and

Whereas, "Group residential housing rate" means a monthly rate set for shelter, fuel, food, utilities, household supplies, and other costs necessary to provide room and board for eligible individuals. Group residential housing rate does not include payments for foster care for children who are not blind, child welfare services, medical care, dental care, hospitalization, nursing care, drugs or medical supplies, program costs, or other social services, and

Whereas, the State of Minnesota has approved a rate of $846.00 for GRH facilities and host counties therefore need to establish agreements with the providers to meet the needs of our residents; and

Whereas, the Director of Social Services recommends approval of these contracts;

Now, therefore be it resolved the Wabasha County Human Services Board approves a new group residential housing agreement, effective July 1, 2011 through June 30, 2012. The monthly rate is $846.00, representing no rate increase from last year, as required by the Minnesota Department of Human Services. Providers include:

Monica Burrows, Lake City

Cheri & Ken Chaney, Lake City

Mary Fellows, Plainview

Fifth Street Elder Care, Plainview

Great River Homes, Wabasha & Lake City

Green Prairie Place, Plainview

Jacquelyn Hartzell, Wabasha

Legacies, Plainview

Lutheran Social Services, Lake City & Wabasha

Nurturing Hands Elder Care – Plainview

Nurturing Hand LLC – Kellogg

Parkside Elder Care, Plainview

Prestige Care, Lake City

River Oaks Health Care Center, Lake City

St. Elizabeth's Assisted Living, Wabasha

Janet Stock, Lake City

Adopted Unanimously.


Whereas, the Social Services Department has developed a departmental policy manual to articulate expectations of employees, and program guidelines for county residents; and

Whereas, the policy manual has been in place and was previously approved by the Human Services Board; and

Whereas, the policy in regard to out-of-home placements has been suggested to include additional language for clarification; and

Whereas, the Human Services Board previously advised to bring forward changes in policy that have fiscal implications/fees for clientele; and

Whereas, the Director Social Services recommends approval of the suggested update;

Now therefore be it resolved by the Wabasha County Human Services Board to accept the recommended out-of-home policy update that includes language to ensure a child in care for longer than 12 continuous months will have the parental fee assessed at least annually. This policy update will be effective August 1, 2011.

Adopted Unanimously.


Whereas Wabasha County Human Services Board has signed a letter of intent to participate in the Regional Wide Beacon Grant held by Mayo Health Systems to bring about electronic interoperability amongst the various electronic systems used by medical providers in the SE Minnesota Region; and

Whereas Wabasha County wishes to continue its involvement with the Beacon Grant; and

Whereas the contract for participation in this grant has been finalized and approved by the County Attorney's office to bring forward to the Board;

Now therefore be it resolved by the Wabasha County Human Services Board to approve signing of the Beacon Contract committing Wabasha County Public Health to be a participant in this project.

Adopted Unanimously.




Environmental Health Services Report

Darrin Thompson indicated the number of inspection reports and drawings has been lower in the recent weeks due to the high temperatures. He is working on a couple septic issues involving one complaint and another septic (less than 2 years old) that is not functioning correctly.

Suzie West has been informed the well survey from the State has been delayed at least 2 months, due to the recent State shutdown. She is working on mold cases in three residences and has also completed work to allow the opening of three food/beverage facilities in the County; Reads Landing Restaurant, the Hammond Bar, and a pizza/art/ice cream shop in Zumbro Falls.


Home Care Services

Judy Barton presented financial information to the Board on the various components of the Public Health Home Care program. She informed the Board that her concern about new regulatory requirements put in place in Feb 2011 costing more to provide home care with no increase in revenue appears to have been an accurate concern, based on the first six months of 2011 financial reports. She informed the Board of the Revenues and Expense of providing the mandated services that fall within homecare, the SCHA care coordination/case management, and those services a private home care agency would provide. There was discussion around the possibility of selling our home care business and how Goodhue County accomplished this. The Board directed Barton to research the potential value of selling the Home Care business and report back to the Board at our next meeting, with this item listed as an action item.


Social Services Monthly Reports

• Collections: Dawn Robinson shared detailed information from the 2nd Quarter of 2011, with comparisons to the previous quarter. Her work has produced enough return to cover the salary for her position in 2011. She also provided additional information on the court processes she uses to help collect fees due.

• Budget: Nicole Moline provided a comparative budget report for 2nd Quarter of 2011. Expenses and revenues are within 2% of expectations as we completed the first half of the year. Social Services reserves are approximately $3.5 million at the end of June.

• Social Services: Marci Hitz shared Unit information on intake and children in out-of-home placement. Intake numbers are lower in June, as expected with summer and no school in session. Overall caseload numbers have remained consistent at 535. About 1,200 individuals are being served by her staff. Board members should let her know if there are specific topics of interest in which they would like a presentation.

• Income Maintenance: Lisa McNally shared an update on Legislative activity that will impact our office/clients. She highlighted child care assistance and payments to providers. Board members also discussed the impact being felt of a vacancy in the Unit. Staff will be allowed to work an additional amount of time each week, not to exceed 40 hours per week. Further discussion on the filling of the Financial Worker vacancy will take place in August.



Being no further business to come before the Board, motion was made and duly carried at 10:59 a.m. to recess this meeting until 9:00 a.m. on August 23, 2011

Adopted Unanimously.


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