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2018-304-Minutes for Meeting May 21,2018 Recorded 7/24/2018BOARD OF COMMISSIONERS 1300 NW Wall Street, Bend, Oregon (541) 388-6570 10:00 AM Recorded in Deschutes County CJ2018-304 Nancy Blankenship, County Clerk commissioners' Journal 07/24/2018 7:19:27 AM 12101,1111111111111111111111111111 FOR RECORDING STAMP ONLY BUSINESS MEETING MINUTES ONDAY, May 21, 2018 BARNES & SAVVYER ROOMS Present were Commissioners Phil Henderson and Anthony DeBone. Commissioner Tammy Baney was absent, excused. Also present were Tom Anderson, County Administrator; Erik Kropp, Deputy County Administrator; David Doyle, County Counsel; and Sharon Keith, Board Executive Assistant. No representatives of the media were in attendance. CALL TO ORDER: Chair DeBone called the meeting to order at 10:00 a.m. PLEDGE OF ALLEGIANCE CITIZEN INPUT: Aleta Warren: asked to mention to the Board a letter she had submitted and reminds the Board of the duties of nominations and review of applications submitted to the historic landmarks commission. Ms. Warren asked Commissioner DeBone to recuse himself from this decision based on his involvement in public participation. Commissioner Henderson noted he received the letter and that it is an agenda item at the work session. Commissioner DeBone explained he has attended community meetings. Ms. Warren feels the Planning Commission has an agenda. BOCC BUSINESS MEETING MAY 21, 2018 PAGE 1 OF 8 CONSENT AGENDA: Before the Board was Consideration of Approval of the Consent Agenda. Commissioner Henderson requested to pull Item 2 and 3 for discussion. Commissioner Henderson requested to pull Item 6 for further review. HENDERSON: Move approval of Consent Agenda Items 1, 4, and 5. DEBONE: Second. VOTE: HENDERSON: Yes. BAN EY: Absent, Excused DEBONE: Chair votes yes. Motion Carried Consent Agenda Items: 1. Consideration of Board Signature of Document No. 2018-337, a Bargain and Sale Deed from Deschutes County to Ronald J. Emick and Catherine J. Emick 2. Consideration of Board Approval of Document No. 2018-344, a Bargain and Sale Deed from Deschutes County to La Pine Building and Supply Co. 3. Consideration of Board Signature of Documents No. 2018-255 and 2018-256, Easements Between Deschutes County and La Pine Building and Supply Co., and Conco Investments, and Deschutes County and La Pine Building and Supply Co., and Randy A. Soto Jr., Respectively 4. Consideration of Board Signature of Document No. 2018-338, a Bargain and Sale Deed from Deschutes County to David Abrassart 5. Approval of Minutes of the May 9, 2018 Business Meeting 6. Approval of Minutes of the May 9, 2018 Work Session ACTION ITEMS Consent Agenda Item 2 as pulled for discussion: Consideration of Board Approval of Document No. 2018-344, a Bargain and Sale Deed from Deschutes County to La Pine Building and Supply Co. BOCC BUSINESS MEETING MAY 21,2018 PAGE2OF8 County Administrator Anderson reviewed the property information; this parcel was previously on auction and didn't sell which allows the Property Manager to negotiate a direct sale if a request is made. HENDERSON: Move approval. DEBONE: Second. VOTE: HENDERSON: Yes. BAN EY: Absent, Excused DEBONE: Chair votes yes. Motion Carried Consent Agenda Item 3 as pulled for discussion: Consideration of Board Signature of Documents No. 2018-255 and 2018-256, Easements between Deschutes County and La Pine Building and Supply Co., and Conco Investments, and Deschutes County and La Pine Building and Supply Co., and Randy A. Soto Jr., Respectively HENDERSON: Move approval. DEBONE: Second. VOTE: HENDERSON: Yes. BAN EY: Absent, Excused DEBONE: Chair votes yes. Motion Carried 7. PRESENTATION: Government Finance Officers Association Awards (GFOA) for Both the FY 2017 CAFR and the FY 2018 Budget Wayne Lowry, Finance Director reviewed the awards. Tod Burton, Oregon GFOA representative and Financial Planning and Debt Project Manager for Tualatin Valley Water District presented the awards. BOCC BUSINESS MEETING MAY 21, 2018 PAGE 3 OF 8 8. Consideration of Approval of Resolution No. 2018-018, Room Tax Fund Wayne Lowry, Finance Director presented the resolution for budget adjustment for room tax funds. HENDERSON: Move approval. DEBONE: Second. VOTE: HENDERSON: Yes. BAN EY: Absent, Excused DEBONE: Chair votes yes. Motion Carried 9. PRESENTATION: Deschutes County 2018 Health Heroes Award Thomas Kuhn of Health Services and members of the Public Health Advisory Board presented acknowledgement of individuals that promote public health. Individual award was presented to Maria McClain -Madden. The organization award was presented to Programs of Evaluation, Development and Learning (PEDAL) of St. Charles Health System. 10.Support for Benevolent Organizations Food Services Licenses Dr. George Conway, Thomas Kuhn, and Eric Mone of Health Services presented this item. Mr. Mone reviewed the annual inspection process for food service licenses. There are 21 benevolent organizations that are licensed in Deschutes County that are inspected twice per year without charging them a fee. By waiving fees, it makes it a challenge since the program is operated on fee for service model. Mr. Kuhn noted they are requesting reimbursement for the current fiscal year and additional pre- authorization for fiscal year 2019. Commissioner Henderson commented BOCC BUSINESS MEETING MAY 21, 2018 PAGE 4 OF 8 that the Budget Hearings are next week and wonders why this request has to be separated out. Mr. Kuhn explained traditionally they are asked to present to the Board at a separate time. Commissioner DeBone noted this is an item where Board policy of community support is highlighted through a public discussion. HENDERSON: Move approval. DEBONE: Second. VOTE: HENDERSON: Yes. BANEY: Absent, Excused DEBONE: Chair votes yes. Motion Carried 11.Justice and Mental Health Collaboration Program Grant Application Dr. Conway, Holly Harris, and DeAnn Carr were present to ask for approval to apply for a grant to establish and expand programs to improve the crisis service array and add additional support to the Deschutes County Stabilization Center at such time as it becomes operational. Commissioner Henderson commented he never sees where this ends and assumes most people incarcerated have serious issues and hopes the County isn't the primary source of service. Dr. Conway noted there are high recurrent costs of imprisonment. HENDERSON: Move approval. DEBONE: Second. VOTE: HENDERSON: Yes. BANEY: Absent, Excused DEBONE: Chair votes yes. Motion Carried BOCC BUSINESS MEETING MAY 21, 2018 PAGE 5 OF 8 12.Consideration of Board Signature of Document No. 2018-241, Tri -County - Dr. Dean K. Brooks Respite and Recovery Center DeAnn Carr and Dr. Conway, Health Services presented this item regarding operation for a facility and program to provide an adult mental health crisis respite center and reviewed funding based on the tri -county agreement. Commissioner Henderson voiced concern on status/relationship of parties to the agreement and also regarding specific wording of a portion of the termination clause. The Board tabled this item for further review. 13.Third Quarter 2018 Performance Measure Update Judith Ure, Management Analyst presented the third quarter performance measures. The following departments were highlighted: Facilities, Natural Resources, Assessor's Office and Clerk's Office. Alison Green, Project Wildfire Coordinator presented Natural Resources updates on behalf of Ed Keith, County Forester noting the progress of funding projects for FEMA pre -disaster mitigation grant, community assistance grants through the Forest Service, and the joint chiefs projects in South County. Ms. Green gave an update on Firefree and this year's event collected 31,500 cubic yard in three counties with 24,000 cubic yards from Deschutes County alone. Lee Randal, Facilities Director gave an update on the replacement of sidewalks based on safety inspections. Mr. Randall reviewed the recent landscape projects on the various Deschutes County campuses. County Administrator Anderson presented on behalf of James Lewis, Property Manager regarding the efforts for the objective of addressing affordable housing concerns by noting the land donations for habitat housing. Mr. Anderson reported on several projects that will be coming before the Board. BOCC BUSINESS MEETING MAY 21, 2018 PAGE 6 OF 8 Judith Ure, Management Analyst presented on behalf of Judge Fadley regarding the evening court sessions held weekly in Redmond, La Pine, and Sisters. Scot Langton, County Assessor and Nancy Blankenship, County Clerk presented information regarding Board of Property Tax Appeals (BOPTA). Information was provided on market values verses appeals from the time period of 2007 to present. Commissioner DeBone reviewed the importance of the Goals and Objectives and the work and accomplishments of the Departments. RECESS: At the time of 11:41 a.m., a recess was taken and the meeting was reconvened in the Allen Conference Room at 11:47 a.m. 14.Public Safety Campus Master Plan: Project Update Lee Randall, Facilities Director introduced the project team that have worked on the master plan. Mr. Randall reviewed the background and history of the public safety campus (copy of the presentation is attached to the record). Plans for temporary and permanent facilities for the Stabilization Center for the crisis and sobering centers was reviewed. Stakeholders of the public safety campus are 9-1-1 Operations, Community Justice, Sheriff's Office, Health Services and the Oregon State Police. Challenges for the campus plan included needs for office and program space, parking, training and meeting space, security concerns, storage and additional needs. Commissioner Henderson inquired what portion of this plan will be a part of the budget hearings discussion. The concept of the stabilization center will be included. Discussion held on the building space needs of the various departments. One option for the midterm would be to construct a multi- purpose Core facility that would have a secure parking structure, physical training center, vehicle maintenance bay, and work center. The next steps would include refining the proposed options and creating financial planning. BOCC BUSINESS MEETING MAY 21, 2018 PAGE 7 OF 8 Commissioner DeBone likes the idea of adding capacity with our population growth. County Administrator Anderson commented on the discussions during the budget hearings will provide options for consideration and information will be provided for a long-term capital improvement plan. Commissioner Henderson is interested in hearing the budget and feels there has been great work done on this plan. OTHER ITEMS: None were offered. ADJa. URN Being no further items to come before the Board, the meeting was adjourned at 12:45 p.m. DATED this 2-7Day of Commissioners. ATTEST: NG SECR' TARP BOCC BUSINESS MEETING 2018 for the Deschutes County Board of ANTHONY DE ME, CH r IR PHIL P G. IMNDER O TAM S Y ANEY, CIM TONER MAY 21, 2018 PAGE 8 OF 8 E w a Deschutes County Board of Commissioners 1300 NW Wall St, Bend, OR 97703 (541) 388-6570 — www.deschutes.orq BUSINESS MEETING AGENDA DESCHUTES COUNTY BOARD OF COMMISSIONERS 10:00 AM, MONDAY, MAY 21, 2018 Barnes and Sawyer Rooms - Deschutes Services Center — 1300 NW Wall Street — Bend This meeting is open to the public. To watch it online, visit www.deschutes.ora/meetings. Business Meetings are usually streamed live online and video recorded. Pursuant to ORS 192.640, this agenda includes a list of the main topics that are anticipated to be considered or discussed. This notice does not limit the Board's ability to address other topics. Meetings are subject to cancellation without notice. CALL TO ORDER PLEDGE OF ALLEGIANCE CITIZEN INPUT This is the time provided for individuals wishing to address the Board, at the Board's discretion, regarding issues that are not already on the agenda. Please complete a sign-up card (provided), and give the card to the Recording Secretary. Use the microphone and clearly state your name when the Board Chair calls on you to speak. PLEASE NOTE: Citizen input regarding matters that are or have been the subject of a public hearing not being conducted as a part of this meeting will NOT be included in the official record of that hearing. If you offer or display to the Board any written documents, photographs or other printed matter as part of your testimony during a public hearing, please be advised that staff is required to retain those documents as part of the permanent record of that hearing. CONSENT AGENDA 1. Consideration of Board Signature of Document 2018-337, a Bargain and Sale Deed from Deschutes County to Ronald J. Emick and Catherine J. Emick 2. Consideration of Board Approval of Document 2018-344, a Bargain and Sale Deed from Deschutes County to La Pine Building and Supply Co. Board of Commissioners Business Meeting Agenda Monday, May 21, 2018 Page 1 of 3 3. Consideration of Board Signature of Documents 2018-255 and 2018-256, Easements Between Deschutes County and LaPine Building and Supply Co., and Conco Investments, and Deschutes County and LaPine Building and Supply Co., and Randy a Soto Jr., Respectively. 4. Consideration of Board Signature of Document 2018-338, a Bargain and Sale Deed from Deschutes County to David Abrassart. 5. Approval of Minutes of the May 9, 2018 Business Meeting 6. Approval of Minutes of the May 9, 2018 Work Session ACTION ITEMS 7. PRESENTATION: Government Finance Officers Association Awards for Both the FY 2017 CAFR and the FY 2018 Budget - Wayne Lowry, Finance Director/Treasurer 8. Consideration of Approval of Resolution 2018-018, Room Tax Fund - Wayne Lowry, Finance Director/Treasurer 9. PRESENTATION: Deschutes County 2018 Health Heroes Awards - Thomas Kuhn, Health Services 10. Support for Benevolent Organizations Food Services Licenses - Thomas Kuhn, Health Services 11. Justice and Mental Health Collaboration Program Grant Application - Holly Harris, 12. Consideration of Board Signature of Document #2018-241, Tri County - Dr. Dean K. Brooks Respite and Recovery Ctr. - DeAnn Carr, Health Services Deputy Director 13.Q3 2018 Performance Measure Update - Judith Ure, Management Analyst 14. Public Safety Campus Master Plan: Project Update - Lee Randall, Facilities Director OTHER ITEMS These can be any items not included on the agenda that the Commissioners wish to discuss as part of the meeting, pursuant to ORS 192.640. At any time during the meeting, an executive session could be called to address issues relating to ORS 192.660(2)(e), real property negotiations; ORS 192.660(2)(h), litigation; ORS 192.660(2)(d), labor negotiations; ORS 192.660(2)(b), personnel issues; or other executive session categories. Executive sessions are closed to the public; however, with few exceptions and under specific guidelines, are open to the media. Board of Commissioners Business Meeting Agenda Monday, May 21, 2018 Page 2 of 3 Executive sessions are closed to the public; however, with few exceptions and under specific guidelines, are open to the media. ADJOURN Deschutes County encourages persons with disabilities to participate in all programs and activities. To request this information in an alternate format please call (541) 617-4747. FUTURE MEETINGS: Additional meeting dates available at www.deschutes.orq/meetinacalendar Meeting dates and times are subject to change. All meetings take place in the Allen Room at 1300 NW Wall St. Bend unless otherwise indicated. If you have question, please call (541) 388-6572. Board of Commissioners Business Meeting Agenda Monday, May 21, 2018 Page 3 of 3 BOARD OF COMMISSIONERS' MEETING REQUEST TO SPEAK Citizen Input Testimony Subject: r � 5 r e_� �� 5 Date: 47,41$ Name i e� (IL. 1,0 { rr (-7 Address (a 174' 0 t% e_C <tc- - , 0R ) Phone #s 7 W I " �/' �► l �- L E-mail address a. V (,,, , In Favor Neutral/Undecided Opposed Submitting written documents as part of testimony? n'Yes No If so, please give a copy to the Recording Secretary for the record. tl� CM 5, y,I (--ori - �. A,-;4',"" T - _ LSCV SUBMIT COMPLETED REQUEST TO RECORDING SECRETARY BEFORE MEETING BEGINS To Deschutes Board of County Commissioners and Planning Department May 21, 2018 Subject: Recusal of Tony DeBone on items concerning irrigation canals, hydropower, and specifically the Central Oregon Canal—Ward Road to Gosney Road segment. Dear Commissioners and Planning Department It has come to my attention that Tony DeBone as the Chairman of the BOCC has repeatedly denied the citizens of Deschutes County the right to participate in Public Hearings on irrigation district plans, piping, or hydropower on multiple occasions. He has also been direcly responsible for blocking actual County landholders on discussions concerning their private property in direct violation of the State of Oregon Goal #1 which states that all those affected should be notified by any potential projects. It has been obvious that either preconceived bias on the part of this commissioner, or extensive ex parte discussion with the irrigation districts, Deschutes County Planning Department, or others has resulted in his personal opinion and he is therefore unable to neutrally evaluate the questions. He also participated in a private tour of the Central Oregon Canal -Ward Road to Gosney Road segment during the time of deliberation with only representatives from COID and the County Planning Department present, the opponents of the nomination. This ex parte tour without reciprocal time allocated to the proponents show his bias. Tony DeBone should recuse himself from all discussions and voting on any topics as listed above, but primarily on the Central Oregon Canal-Wared Road to Goasney Road segment nomination to the National Register. This request is for all discussions on the given topics from this day forward while he is still on a member of the BOCC. Printed name Signature --cE G ❑' c Deschutes County Board of Commissioners 1300 NW Wall St, Bend, OR 97703 (541) 388-6570 — Fax (541) 385-3202 — https://www.deschutes.org/ AGENDA REQUEST & STAFF REPORT For Board of Commissioners Business Meeting of May 21, 2018 DATE: May 1, 2018 FROM: Wayne Lowry, Finance, 541-388-6559 TITLE OF AGENDA ITEM: PRESENTATION: Government Finance Officers Association Awards for Both the FY 2017 CAFR and the FY 2018 Budget RECOMMENDATION & ACTION REQUESTED: We recommend that the Board of County Commissioners recognize Jeanine Faria, Accounting Manager and Loni Burk, Budget Analyst for their award winning efforts in financial reporting and budgeting for Deschutes County. CONTRACTOR: N/A AGREEMENT TIMEFRAME: N/A: INSURANCE: N/A BACKGROUND AND POLICY IMPLICATIONS: The County participates in two programs sponsored by the Government Finance Officers Association (GFOA). The first is the Certificate of Excellence in Financial Reporting. This program evaluates the annual financial report known as the CAFR against a set of national criteria for governmental financial reporting. The second is the Distinguished Budget Presentation Award. This program evaluates the County's budget document against a set of national criteria that includes content related to budget and financial policies, financial planning, operations and communications. Tod Burton, Financial Planning and Debt Project Manager for Tualatin Valley Water District and a recent OGFOA past President is here this morning to present both awards. Tod will present the CAFR award to Jeanine Faria and the Budget award to Loni Burk, both long time members of the County Finance Department. fig FISCAL IMPLICATIONS: Continued participation in these programs enhances our financial FISCAL IMPLICATIONS: Continued participation in these programs enhances our financial reporting and budgeting practices and aids in the maintenance of the County's bond ratings. ATTENDANCE: Wayne Lowry, Finance Director, Jeanine Faria, Accounting Manager, Loni Burk, Budget Analyst, Tod Burton, OGFOA representative. Government Finance Officers Association 203 North LaSalle Street, Suite 2700 Chicago, Illinois 60601-1210 312.977.9700 fox: 3 t 2.977.4806 March 27, 2018 Wayne Lowry Finance Director and Treasurer Deschutes County PO Box 6005 Bend, OR 97708-6005 Dear Mr. Lowry: We are pleased to notify you that your 2017 fiscal year end comprehensive annual financial report (CAFR) qualifies for GFOA's Certificate of Achievement for Excellence in Financial Reporting. The Certificate of Achievement is the highest form of recognition in governmental accounting and financial reporting, and its attainment represents a significant accomplishment. Congratulations for having satisfied the high standards of the program. We hope that your example will encourage others in their efforts to achieve and maintain an appropriate standard of excellence in financial reporting. A "Summary of Grading" form and a confidential list of comments and suggestions for possible improvements are enclosed. We want to strongly encourage the recommended improvements be made in the next report, and that the report be submitted to the program within six months of your next fiscal year end. Certificate of Achievement Program policy requires that written responses to the comments and suggestions for improvement accompany the next fiscal year's submission. The written responses should provide details about how each item is addressed within this report. These responses will be provided to those Special Review Committee members participating in the review. If a comment is unclear or there appears to be a discrepancy, please contact the Technical Services Center at (312) 977-9700 and ask to speak with a Certificate of Achievement Program in-house reviewer. When a Certificate of Achievement is awarded to a government, an Award of Financial Reporting Achievement (AFRA) is also presented to the individual(s) or department designated by the government as primarily responsible for its having earned the Certificate. An AFRA is enclosed for the preparer as designated on the application. Continuing participants will find a Certificate and brass medallion enclosed with these results. First-time recipients will find a Certificate enclosed with these results and will receive a plaque in about 10 weeks. You may arrange for a formal presentation of the Certificate and Award of Financial Reporting Achievement, and we hope that appropriate publicity will be given to this notable achievement. A sample news release has been enclosed. A current holder of a Certificate of Achievement may include a reproduction of the Certificate in its immediately subsequent CAFR. A camera-ready copy of your Certificate is enclosed for that purpose. If you reproduce your Certificate in your next report, please refer to the enclosed instructions. A Certificate of Achievement is valid for a period of one year. A Certificate of Achievement Program application is posted on GFOA's website. This application must be completed and accompany your next submission. See sections III and IV of the application for instructions. The entity's GFOA membership number appears on the attached comments and must be listed on the application. Your continued interest in and support of the Certificate of Achievement Program is most appreciated. If we may be of any further assistance, please contact the Technical Services Center at (312) 977-9700. Sincerely, Michele Mark Levine Director, Technical Services Center Government Finance Officers Association Certificate of Achievement for Excellence in Financial Reporting Presented to Deschutes County Oregon For its Comprehensive Annual Financial Report for the Fiscal Year Ended June 30, 2017 P Executive Director/CEO Government Finance Officers Association 203 North LaSalle Street, Suite 2700 Chicago, Illinois 60601-1210 312.977.9700 fax: 312.977.4806 December 7, 2017 Wayne Lowry Finance Director and County Treasurer Deschutes County 1300 Northwest Wall St. Ste. 200 Bend, OR 97701 Dear Mr. Lowry: We are pleased to inform you, based on the examination of your budget document by a panel of independent reviewers, that your budget document has been awarded the Distinguished Budget Presentation Award from Government Finance Officers Association (GFOA) for the current fiscal period. This award is the highest form of recognition in governmental budgeting. Its attainment represents a significant achievement by your organization. The Distinguished Budget Presentation Award is valid for one year. To continue your participation in the program, it will be necessary to submit your next annual budget document to GFOA within 90 days of the proposed budget's submission to the legislature or within 90 days of the budget's final adoption. A Distinguished Budget Program application is posted on GFOA's website. This application must be completed and accompany your next submission. (See numbers 12 and 13 on page 2 of the application for fee information and submission instructions.) Each program participant is provided with confidential comments and suggestions for possible improvements to the budget document. Your comments are enclosed. We urge you to carefully consider the suggestions offered by our reviewers as you prepare your next budget. When a Distinguished Budget Presentation Award is granted to an entity, a Certificate of Recognition for Budget Presentation is also presented to the individual(s) or department designated as being primarily responsible for its having achieved the award. Enclosed is a Certificate of Recognition for Budget Preparation for: Finance Department Continuing participants will find a brass medallion enclosed with these results. First-time recipients will receive an award plaque that will be mailed separately and should arrive within eight to ten weeks. Also enclosed is a camera-ready reproduction of the award for inclusion in your next budget. If you reproduce the camera-ready image in your next budget, it should be accompanied by a statement indicating continued compliance with program criteria. The following standardized text should be used: Washington, DC Office Federal Liaison Center, 660 North Capitol Street, NW, Suite 410 • Washington, DC 20001 • 202.393.8020 fax: 202.393.0780 www.gfoa.org Government Finance Officers Association 203 North LaSalle Street, Suite 2700 Chicago, Illinois 60601-1210 312.977.9700 fax: 312.977.4806 Wayne Lowry December 7, 2017 Page 2 Government Finance Officers Association of the United States and Canada (GFOA) presented a Distinguished Budget Presentation Award to Deschutes County, Oregon, for its Annual Budget for the fiscal year beginning July 1, 2017. In order to receive this award, a governmental unit must publish a budget document that meets program criteria as a policy document, as a financial plan, as an operations guide, and as a communications device. This award is valid for a period of one year only. We believe our current budget continues to conform to program requirements, and we are submitting it to GFOA to determine its eligibility for another award. A press release is enclosed. GFOA encourages you to make arrangements for a formal presentation of the award. If you would like the award to be presented by a member of your state or provincial finance officers association,' We can provide the name of a contact person for that group. We appreciate your participation in this program, and we sincerely hope that your example will encourage others in their efforts to achieve and maintain excellence in governmental budgeting. The most current list of award recipients can be found on GFOA's website at www.gfoa.org. If we can be of further assistance, please contact the Technical Services Center at (312) 977-9700. Sincerely, afezzAzie;_, Michele Mark Levine Technical Services Center Enclosure Washington, DC Office Federal Liaison Center, 660 North Capitol Street, NW, Suite 410 • Washington, DC 20001 • 202.393.8020 ftx: 202.393.0780 www.gfoa.org IN. I.. 0 ri 6 fj. • '''' ,Lo ic:'' 'Q ts '•-4! ., 42( El — Ll •, 4 cv • A A a.) NE J GOVERNMENT FINANCE OFFICERS ASSOCIATION Distinguished Budget Presentation Award PRESENTED TO Deschutes County Oregon For the Fiscal Year Beginning July 1, 2017 P. , Executive Director (ES (Li Deschutes County Board of Commissioners 1300 NW WaII St, Bend, OR 97703 (541) 388-6570 — Fax (541) 385-3202 — https://www.deschutes.org/ AGENDA REQUEST & STAFF REPORT For Board of Commissioners Business Meeting of May 21, 2018 DATE: FROM: Thomas Kuhn, Health Services, TITLE OF AGENDA ITEM: PRESENTATION: Deschutes County 2018 Health Heroes Awards RECOMMENDATION & ACTION REQUESTED: At the Deschutes County Commissioners' suggestion, the Public Health Advisory Board is requesting that the awards be presented to the winners during a Board of County Commissioners' Business Meeting. Health Services staff will supply the Commissioners with the award plaques which the Commissioners will present to the award winners, along with an opportunity for photographs. Staff, or the nominators themselves, will also be present to read the nomination forms which describe why the winners deserve to be recognized as Health Heroes. ATTENDANCE: Tom Kuhn, Community Health Program Manager; Kate Wells, Public Health Advisory Board Chair; Keith Winsor, Public Health Advisory Board Vice -Chair; Maria McClain - Madden, Assistant Principal, Juniper Elementary School (Individual Award Winner); Sondra Marshall, PEDAL Clinic representative, St. Charles Health System (Organization Award Winner); various Public Health Advisory Committee representatives and colleagues of the award winners SUMMARY: Every year, the Deschutes County Public Health Advisory Board (PHAB) recognizes an individual and an organization/group as community leaders in health and well- being including mental, physical, spiritual, and social health. These Health Heroes have demonstrated excellence in health promotion and care and have made Deschutes County a healthier place to live. Through an extensive nomination process, PHAB determined the 2018 Health Heroes Award recipients. This year's winners are: Individual Award: Maria McClain -Madden, Assistant Principal, Juniper Elementary Organization Award: Programs of Evaluation, Development And Learning (PEDAL), St. Charles Health System -('ES (Uq� o -< Deschutes County Board of Commissioners 1300 NW Wall St, Bend, OR 97703 (541) 388-6570 — Fax (541) 385-3202 — https://www.deschutes.org/ AGENDA REQUEST & STAFF REPORT For Board of Commissioners Business Meeting of Mav 21. 2018 DATE: May 11, 2018 FROM: Thomas Kuhn, Health Services, TITLE OF AGENDA ITEM: Support for Benevolent Organizations Food Services Licenses RECOMMENDATION & ACTION REQUESTED: Approve a general fund transfer of $15,341 in FY 2018 and $15,341* in FY 2019 to Environmental Health to subsidize food service licensure administration and two inspections per year for benevolent organizations. The general fund transfer for FY 2019 would occur in FY 2019; requesting advance approval. *Fee amounts for FY 2019 have not been determined at this time. ATTENDANCE: Health Services Staff: Eric Mone, Environmental Health Supervisor; Tom Kuhn, Community Health Program Manager; Hillary Saraceno, Deputy Director SUMMARY: Deschutes County Environmental Health licenses and inspects 21 benevolent organizations twice each year. A list of these benevolent organizations is attached. Oregon law requires local jurisdictions to charge a reduced fee for food service licenses for benevolent organizations. The practice in Deschutes County has been to waive the fees entirely. MEMORANDUM DATE: May 11, 2018 TO: Board of County Commissioners FROM: Eric Mone, Environmental Health Supervisor SUBJECT: Support for Benevolent Organization Food Service Licenses Background: Deschutes County Environmental Health licenses and inspects 21 Benevolent Organizations (BO), waiving licensure fees. Inspections are performed twice a year on BOs. State law requires local jurisdictions to charge a reduced fee for food service licenses for BOs. The practice in Deschutes County has been to waive the fees entirely for BOs (see attached list), in accordance with Oregon Revised Statute 624.490 (3), License fees; exemptions. Issue: Environmental Health licenses and inspects these food service organizations charging no fees in order to assist them in the great work they do in our communities. By waiving the fees to BOs it is difficult to balance the Environmental Health budget given our fee-for-service budget model. Requested Action: Approve a general fund transfer of $15,341 in FY 2018 and $15,341* in FY 2019 to Environmental Health to subsidize food service licensure administration and two inspections per year for BOs. The general fund transfer for FY 2019 will occur in FY 2019; requesting advance approval. *Fee amounts for FY 2019 have not been determined at this time. EH:kh Attachment H:\My Documents \ ADMINISTRATION \Board of County Commissioners\BoCC Agenda Requests\EH Benevolent Organizations 2018\Staff Report Support for Benevolent Organization Food Service Licenses April 2018.docx ')7; N; Cnw(r.,y I..)rivl , Bo J. C?rpt olt ) ."i.:% i}(; £tR}rG :)1Wst�r;,.: r ,liiirii'.''fll.l'.....ofy_`, i- V•.%':V'd•;.(ir'°: i1.Jlr^ .OI';�/rIC�_�IC. FY 2018 & 2019 EXEMPT FACILITIES EXEMPT NUMBER FEE FY 2018 FEE FY 2019 FEE NAME OF BENEVOLENT FACILITY OF SEATS CHARGED REQUESTED REQUESTED* Back Door Cafe 147 $0.00 $880.00 $880.00 Bend's Community Center 250 $0.00 $986.00 $986.00 Bend Elks Lodge No. 1371 110 $0.00 $880.00 $880.00 Bethlehem Inn 50 $0.00 $742.00 $742.00 City Center Foursquare Church 25 $0.00 $742.00 $742.00 Jericho Table 50 $0.00 $742.00 $742.00 La Pine Community Kitchen 75 $0.00 $880.00 $880.00 La Pine Event Center 350 $0.00 $986.00 $986.00 La Pine Lions Club (Mobile) 0 $0.00 $366.00 $366.00 La Pine Lions Club (Commissary) 0 $0.00 $265.00 $265.00 La Pine Senior Center 140 $0.00 $880.00 $880.00 Lagniappe Cafe (Mobile) 0 $0.00 $318.00 $318.00 Lavender Thrift - Hope's Nutri Stop 25 $0.00 $742.00 $742.00 Redmond Council for Senior Citizens 170 $0.00 $986.00 $986.00 Salvation Army 80 $0.00 $880.00 $880.00 Sheperd's House 50 $0.00 $742.00 $742.00 Sisters Senior Center 80 $0.00 $880.00 $880.00 St. Helens Center - Family Kitchen 72 $0.00 $880.00 $880.00 St. Thomas Parish Center 400 $0.00 $986.00 $986.00 Tag It Forward Coffee (Mobile) 0 $0.00 $366.00 $366.00 Tag It Forward Coffee (Warehouse) 0 $0.00 $212.00 $212.00 TOTAL EXEMPT AMOUNT $15,341.00 $15,34t00 *Pending fee increase request, and payment to be made in FY 2019. TES 0Deschutes County Board of Commissioners 1300 NW WaII St, Bend, OR 97703 (541) 388-6570 — Fax (541) 385-3202 — https://www.deschutes.org/ AGENDA REQUEST & STAFF REPORT For Board of Commissioners Business Meeting of Mav 21. 2018 DATE: May 16, 2018 FROM: Holly Harris, Health Services, TITLE OF AGENDA ITEM: Justice and Mental Health Collaboration Program Grant Application RECOMMENDATION & ACTION REQUESTED: Staff recommend approval to apply for the Justice and Mental Health Collaboration Program grant. BACKGROUND AND POLICY IMPLICATIONS: The purpose of this program is to establish and expand programs that divert adults with a serious mental illness or substance use disorder from the criminal justice system to community-based services prior to arrest or booking. Programming associated with this grant is intended to improve the crisis service array and add additional support to the Deschutes County Stabilization Center at such time as it becomes operational. This grant meets the following priorities in the Health Services Strategic Plan: Goal 1.B. Implement evidence -based programs and/or best practices in health promotion and prevention, and Goal 2. A. Coordinate and integrate services through collaborative community partnerships Data indicates that a significant number of individuals that come into contact with law enforcement have a mental health disorder. The USDOJ reported that 1 in 7 state and federal prisoners (14%) and 1 in 4 jail inmates (26%) reported experiences that met the threshold for serious psychological distress. Approximately one quarter of a million individuals with serious mental illness are incarcerated at any given moment - about half arrested for non-violent offenses such as trespassing or disorderly conduct. In addition, Deschutes County has been experiencing increases in both opioid overdose related hospitalizations and opioid related deaths since 2001. According to Oregon Health Authority data, opioid overdose rates have more than doubled, increasing from 3.7 per 100,000 residents in 2002 to 9.9 per 100,000 residents in 2014. More alarming is that opioid related deaths have nearly tripled since 2001. Deschutes County is also experiencing a sizeable increase in Fentanyl related deaths since 2016. This program would support core activities of Deschutes County's 24/7 crisis services program, which include supporting law enforcement when managing a mental health crisis situation, decreasing recidivism, as well as keeping those with mental health conditions out of the criminal justice system when appropriate. No additional funding is needed as the grant will cover associated costs. If awarded, this funding will improve the crisis services continuum by adding contracted psychiatric services (telepsych) for provision of emergent psychiatric services and a case manager (Behavioral Health Specialist I) who will be dually certified for mental health and substance use disorder services. FISCAL IMPLICATIONS: Please see attached Fiscal Impact Analysis. ATTENDANCE: Holly Harris, DCHS Crisis Services Program Manager Official Grant Title: Source of Grant Funds: Funding Amount (include amount per year if multiple years): Required Matching Funds (if applicable): 1 Application Due Date and Submission Method: 1 FTE Required and Cost of FTE: 1 Staff Responsible: 1 Grant Administrator (if awarded): Deschutes County Health Services GRANT APPLICATION REQUEST Justice and Mental Health Collaboration Program Department of Justice, Bureau of Justice Assistance $330,000 each year for up to three years 20% in-kind matching, which would be addressed through Deschutes County Health Services (DCHS) and Sheriff's Office staffing and materials/services contributions. ;May 29, 2018 1 FTE/ $90,250, which would be fully funded by this grant Holly Harris, Crisis Services Program Manager Holly Harris Please answer the following questions: 1. Briefly summarize what work the grant is intended to accomplish: The purpose of this program is to establish and expand programs that divert adults with a serious mental illness or substance use disorder from the criminal justice system to community-based services prior to arrest or booking. Programming associated with this grant is intended to improve the crisis service array and add additional support to the Deschutes County Stabilization Center at such time as it becomes operational. 2. What priorities in the Health Services Strategic Plan would this grant activity support? Provide data to describe a documented health need that would be addressed and that is consistent with the Strategic Plan. This grant meets the following priorities in the Health Services Strategic Plan: Goal 1.B. Implement evidence -based programs and/or best practices in health promotion and prevention, and Goal 2. A. Coordinate and integrate services through collaborative community partnerships Data indicates that a significant number of individuals that come into contact with law enforcement have a mental health disorder. The USDOJ reported that 1 in 7 state and federal prisoners (14%) and 1 in 4 jail inmates (26%) reported experiences that met the threshold for serious psychological distress. Approximately one quarter of a million individuals with serious mental illness are incarcerated at any given moment—about half arrested for non-violent offenses such as trespassing or disorderly conduct. In addition, Deschutes County, Oregon, has been experiencing increases in both opioid overdose related hospitalizations and opioid related deaths since 2001. According to Oregon Health Authority data, opioid overdose rates have more than doubled, increasing from 3.7 per 100,000 residents in 2002 to 9.9 per 100,000 residents in 2014. More alarming is that opioid related deaths have nearly tripled since 2001. Deschutes County Rev. 9/18/2015 is also experiencing a sizeable increase in Fentanyl related deaths since 2016, matched only by Multnomah County rates. The increases are most notable in the population of adults 45 years and older which provides us some guidance regarding whom to target for outreach and prevention efforts. 3. Would this support core program activities and, if so, which one(s)? Are additional funds needed to support these activities? ;This program would support core activities of the 24/7 Crisis Services program, which include supporting law enforcement when managing a mental health crisis situation, decreasing recidivism, as well as keeping those with mental health conditions out of the criminal justice system when appropriate. No additional funding is needed as the grant would cover associated costs. 4. Does this funding add new program activities? If so, what are the activities? Is it appropriate to add these new activities at this time? ........................................................... funding would improve the crisis services continuum by adding contracted psychiatric services (telepsychiatry) for provision of emergent psychiatric services and a Behavioral Health Specialist I who will be dually certified for mental health and substance use disorder services for case management. Given the County's commitment to The Stepping Up initiative and the increase in mental health and substance use disorder calls to law enforcement, it is appropriate to add these new activities at this time. 5. Is there a science base to support delivering the activities and services listed? Please describe that science base. ............................................. The Bureau of Justice Assistance recognizes Stabilization Centers as a best practice in diverting those with mental illness and substance use disorders from the criminal justice system. Embedding psychiatric services in conjunction with case management is a nationally recognized best practice. 6. How long would the funding be available? If the funding is for less than three years, what is the plan to transition the work, staffing and expenses after the funding ends? [Funding is available for up to three years. 7. What is the application deadline? Do you anticipate any problems meeting this deadline? May 29, 2018. We do not anticipate trouble meeting this deadline. 8. Do you have the staffing to write a competitive proposal? If not, how will you contract for these services? !Current staffing in combination with a contracted grant writer are adequate to write a competitive proposal. 9. Are there any matching requirements? 20% in-kind matching requirement which will be addressed through Deschutes County Health Services (DCHS) and Sheriff's Office staffing and materials/services contributions. Rev. 9/18/2015 10. What other partner organizations could potentially be applying? What is the plan to work with them? No other partner organizations are applying. Eligible applicants are limited to government and tribal entities. The projects are required to be a joint initiative between the mental health entity and a law enforcement entity, The Sheriff's Office and DCHS are collaboratingLwith DCHS as the applicant, 11. What are the potential political issues that could arise as a result of this application, funding, and/or activity? This funding would provide the opportunity for additional collaboration with key community partners and divert individuals from the legal system, reducing demand upon other system partners. Partnering with law enforcement to reduce the number of individuals who end up in the criminatjustice system benefits the entire community. 12. What is the fiscal impact to the department if we are awarded this grant? ATTACH fiscal impact analysis completed with Business Manager approval. 1 Please see attached fiscal impact analysis. 13. Will a contract be required if we are awarded this grant? If yes, is there sufficient time to complete the contract process (estimated timeline: 4-6 weeks) prior to starting the work? DCHS has an existing contract for telepsychiatry. Amendment of this contract would be required to add additional hours. There is sufficient time for the processi Department Dir ctor Signature ik11- 2V1 Date Director to Attend Board Meeting? (check one) El Yes Z No Contract Specialist Review: Board Meeting Date: Time: Grant Application Number: Rev. 9/18/2015 o 0 0 0 0 0 0 0 0 0 0 O 0 0 0 0 0 0 0 0 0 0 0 0 00 of o 0 0 0 0 0 N 4 N O O O O O O Ol 00 0 0 0 0 0 IJ ri tD tD tD a-+ Q r-1 d' lD m O O O d' m N N N 00 r-1 Ln 0o m lD m m m w O r -i r 1 ri ri N N N 1 (0 0. 0 a iJ O 0n .O c 4 - N m v) a (0 E .E E UJ O ri (0 a c O U (0 vi V) 0 E in i/} to ih to in• in in t/} i/} 0 0 0 0 0 0 0 0 0 O O O O O O O O 0 ri d' O O O O N N Ni ,-1 to N O O O 0 d- N N ei (y N N 0 0 OLfl N N N N O d` 14 N 14 O r-1 to'LD t0 O N lD d' LID r -I 00 00 ry 00 00 0 1.1. M p0 1.4t/} ini•V)-/} - i1J 14 f4 f4O CO�ai o 0 0 0 O O O O O C C 0000 O 0 O O O 0 N N NI O O O O O O O tJ 15 0 o� m N k ri �N-i N .c O u. OA (0 O = L i/- 4.4 i/- i/} i/} in- i/? in- i/� (0 TIS 'n'' 0 0 0 0 0 0 0 0 0 0 4-• `^ 0 0 0 0 0 0 0 0 0 0 y.4rn rv'i N 00 00 00 -4 -i N r -i N 00 0 0 0 0 0 0 4 III N O O m 0 0 0 0 0 V1 m N CU • u}.. (n m N Ul l.0 CY1 CO r I O O r -i O m v r1 73 N to t/} th t/� in t/} t/? t/} in i/} = L tn. i/} VI- 4.4 ih v y1-+ a N V 4-, taj j c@ Q. c c a a E a c U V > vi 'c_ CD In c0 to E CU " -7:3 , v, a i a -O ..c Q 0 E vii cu .., — Q. U oz5 a 73 a iJ cto 1D = 'E o (0 N ro °- v I-- .0sU a i/} $ 366,251.00 in- Total Costs Total grant funds, per year Total Grant Request for 3 -Year Project O Q V a i .O 4- O O O O (0 0 CO a U _ (0 = a 0 a a _ ri N O N >- U- 9- 0 LL9- O a 0 O (0 0. = increases Deschutes County Board of Commissioners 1300 NW Wall St, Bend, OR 97703 (541) 388-6570 — Fax (541) 385-3202 — https://www.deschutes.org/ AGENDA REQUEST & STAFF REPORT For Board of Commissioners Business Meeting of May 21, 2018 DATE: May 10, 2018 FROM: DeAnn Carr, Health Services, 541-322-7633 TITLE OF AGENDA ITEM: Consideration of Board Signature of Document #2018-241, Tri County - Dr. Dean K. Brooks Respite and Recovery Ctr. RECOMMENDATION & ACTION REQUESTED: Request signature and execution CONTRACTOR: LCSNW, BestCare Treatment & Dr. Dean K. Brooks Respite & Recovery Ctr. AGREEMENT TIMEFRAME: Starting Date: 01/01/2018 Ending Date: Until Terminated INSURANCE: Insurance Certificate Required: No Insurance Review Required by Risk Management: No BACKGROUND AND POLICY IMPLICATIONS: This agreement sets forth the terms and understanding between all parties to more formally outline roles and responsibilities that support the operation of a facility and program to provide adult mental health crisis respite services. The contracted provider is Dr. Dean K. Brooks Respite and Recovery Center, LLC (BestCare Treatment Services) is a drug rehabilitation treatment facility located in Redmond, Oregon. The facility provides treatment to people with drug addiction and other substance abuse problems in addition to twenty-four (24) hour therapeutically planned living and rehabilitative intervention environment. Through this agreement, the contracted provider will provide services to clients referred by the county (as applicable) on a first -referred, first-come basis. Each county shall pay a monthly fee of $25,000. FISCAL IMPLICATIONS: Each County pays $25,000 per month until agreement is terminated. ATTENDANCE: DeAnn Carr, Deputy Director DESCHUTES COUNTY DOCUMENT SUMMARY (NOTE: This form is required to be submitted with ALL contracts and other agreements, regardless of whether the document is to be on a Board agenda or can be signed by the County Administrator or Department Director. If the document is to be on a Board agenda, the Agenda Request Form is also required. If this form is not included with the document, the document will be returned to the Department. Please submit documents to the Board Secretary for tracking purposes, and not directly to Legal Counsel, the County Administrator or the Commissioners. In addition to submitting this form with your documents, please submit this form electronically to the Board Secretary.) Please complete all sections above the Official Review line. Date: 1 April 19, 2018 1 Department: 1 Health Services, Behavioral Health Division Parties: 1 Lutheran Community Services Northwest, BestCare Treatment Services i Contact: 1 DeAnn Carr l Phone Number: 1 541-322-7633 1 Type of Document: Provider Agreement — MH Crisis Respite Services Goods and/or Services: This agreement sets forth the terms and understanding between all parties to more formally outline roles and responsibilities that support the operation of a facility and program to provide adult mental health crisis respite services. Background & History: The contracted provider is Dr. Dean K. Brooks Respite and Recovery Center, LLC (BestCare Treatment Services) is a drug rehabilitation treatment facility located in Redmond, Oregon. The facility provides treatment to people with drug addiction and other substance abuse problems in addition to twenty-four (24) hour therapeutically planned living and rehabilitative intervention environment. Through this agreement, the contracted provider will provide services to clients referred by the county (as applicable) on a first -referred, first-come basis. Each county shall pay a monthly fee of $25,000. Agreement Starting Date: 1 January 1, 2018 I End Date: 1 Until Terminated 1 Annual Value or Total Payment: 1 Each county pays $25,000 per month until agreement is1 'terminated. 1 ® Insurance Certificate Received (check box) Insurance Expiration Date: I Described in "Schedule B", written evidence by request peri 'agreement. 1 Check all that apply: ❑ RFP, Solicitation or Bid Process ❑ Informal quotes (<$150K) Exempt from RFP, Solicitation or Bid Process (specify — see DCC §2.37) Funding Source: (Included in current budget? ® Yes ❑ No If No, has budget amendment been submitted? ❑ Yes ❑ No 4/20/2018 Is this a Grant Agreement providing revenue to the County? ❑ Yes ® No Special conditions attached to this grant: Deadlines for reporting to the grantor: If a new FTE will be hired with grant funds, confirm that Personnel has been notified that it is a grant -funded position so that this will be noted in the offer letter: ❑ Yes ❑ No Contact information for the person responsible for grant compliance: Name: Phone #: Departmental Contact and Title: DeAnn Carr, Deputy Director Phone #: 541-3227633 1 Deputy Director Approval: nn .\.._ R(x.AJ._ 5 ' (' 1g Signature Date Department Director Approval: „-. '' 1_ 4.7 /l Signature Date Distribution of Document: Justice Evans, Health Services Department Official Review: County Signature Required (check one)g1 BOCC ❑ Department Director (if <$50K) ❑ Administrator (if >$50. _ut <$150K; if >$150K, BOCC 0 Legal Review Document Number 2018-2J41 Date 4/20/2018 LEGAL COUNSEL HEALTH SERVICES PROVIDER AGREEMENT FOR MENTAL HEALTH CRISIS RESPITE SERVICES PARTIES: Deschutes County Health Services, Lutheran Community Services North West, and BestCare Treatment Services (each, a Community Mental Health Program ("a CMHP") and together, "the CMHPs") AND Dr. Dean K. Brooks Respite and Recovery Center, LLC ("Provider") RECITALS A. Provider operates a Facility and a program to provide Adult Mental Health Crisis Respite Services and each CMHP desires to have access to those services and the Facility for the benefit of Clients; and B. The CMHPs and Provider desire to enter into this Agreement (the "Agreement") whereby Provider will provide Mental Health Crisis Respite Services on behalf of the CMHPs to Clients. AGREEMENT 1. Definitions. 1.1 Affiliated Entity. Any Entity through which Provider provides Health Services and which is controlled by, or under common control with, Provider. 1.2 Associated Health Care Professional,. Any individual who participates in the provision of Health Services at the direction of Provider. 1.3 Client. A person who is Referred to Provider by a CMHP to receive Health Services and who meets the qualifications as established by Provider from time to time to receive Health Services. 1.4 Conavment or Deductible. Those charges for Health Services which Provider may collect directly from Client as payment. 1.5 Mental Health Crisis Respite Services. Residential mental health services for adults with mental or emotional disturbances, for up to 30 days, as defined in OAR 309-035- 0105(15). Mental Health Crisis Respite Health Services Agreement 2018 11 1' it 1.6 Effective Date. The date described on Schedule B, which is the commencement date of this Agreement. 1.7 Entity. A corporation, partnership, limited corporation, trust or other person that is not an individual. 1.8 Facility. The location at which Provider contemplated by this Agreement. liability company, cooperative provides the Health Services 1.9 Fraud and Abuse. Fraud is defined as any intentional deception or misrepresentation made by a person with the knowledge that the deception could result in some unauthorized benefit to himself or some other person, as defined in 42 CFR § 455.2. Abuse is defined as any Provider practice that is inconsistent with sound fiscal, business or medical practices, and results in an unnecessary cost to the Oregon Health Plan or the federal Medicaid program, or in reimbursement for services that are not medically necessary or that fail to meet professionally recognized standards for health care, including practices described in 42 CFR § 455.2. 1.10 Health Services. Those services described in the attached Schedule A, which Provider is obligated to provide to the CMHPs for the benefit of Clients pursuant to this Agreement. 1.11 Medically Appropriate Services. Services required for prevention, diagnosis or treatment of a health condition and (a) consistent with the symptoms of an a health condition or injury; (b) appropriate with regard to standards of good medical treatment practices and generally recognized by the relevant scientific community and professional standards of care as effective; (c) not solely for the convenience of the Client or a provider of the service; and (d) the most cost effective of the alternative levels of Health Services that can be safely provided to a Client. 1.12 Oregon Health Authority ("OHA"). The State agency that administers the Oregon Health Plan ("OHP"). 1.13 Policies and Procedures. Those policies and procedures adopted and promulgated from time to time by Provider governing Referrals, screening, intake, and other matters relating to the Health Services. 1.14 Referral. The process by which a CMHP directs a person to seek Health Services from Provider, in accordance with the Policies and Procedures. A CMHP "Refers" persons to Provider to be considered for the provision of Health Services, and a "Referring CMHP" is the CMHP who makes a Referral. 2. Health Services. 2.1 Health Services. Provider agrees to provide the Health Services described on Schedule A to the CMHPs for the benefit of Clients during the term of this Agreement. Mental Health Crisis Respite Health Services Agreement 2018 2 1 P a,! c 2.1.1 Each CMHP may Refer persons to Provider for the provision of Health Services, and shall do so in accordance with the Policies and Procedures. There is no guarantee of any Referrals to Provider. 2.1.2 Provider will use its best efforts to provide the Health Services to Clients Referred by each CMHP, on a first -Referred, first-come basis. Provider shall determine, in its sole discretion, whether a person Referred by a CMHP meets the criteria for receiving Health Services and shall inform the Referring CMHP of its determination for each Referral. Provider shall use its best efforts to accommodate Referrals by the CMHPs, but there is no guarantee that Provider will be able to accept any particular person as a Client. 2.1.3 Nothing in this Agreement shall prohibit Provider from providing services to persons who are not Clients, on such terms and conditions as Provider and such persons may agree upon from time to time. Each CMHP acknowledges that there may not be a bed available when such CMHP wishes to Refer a potential Client to Provider for Health Services. 2.2 Performance. Provider shall devote the time, attention and energy necessary for the competent and effective performance of the Health Services under this Agreement. Provider shall be available to provide Health Services twenty-four hours per day, seven days per week, and three hundred sixty-five days per year. 2.3 Non-Deleaation; Coverage. Provider may not, without the written approval of each CMHP, generally delegate the duties of Provider under this Agreement. 2.4 Performance. Subject to the specific requirements of this Agreement with respect to administrative and procedural matters, Provider will determine the method, details, and means of performing Health Services pursuant to this Agreement. 2.5 Assistants. Provider shall, at Provider's sole cost and expense, employ (directly or indirectly through an Affiliated Entity), such Associated Health Care Professionals and nonprofessional assistants or employees as Provider deems necessary to perform the Health Services and associated administrative duties required under this Agreement. No CMHP may control, direct, or supervise Provider's assistants or employees in the performance of those Health Services. Provider or an Affiliated Entity shall be the sole employer of such employees, and shall be responsible for the terms and conditions of their employment, their wages, salaries, and benefits as well as all taxes associated with such employment. 2.6 Facility, Equipment and Supplies. Provider shall at its expense provide the Facility at which the Health Services will be provided, along with all the usual and customary office personnel, equipment, instruments and supplies required to perform Health Services. 2.7 Emergency Treatment; Hospital Admission Authorization. If Provider determines that a Client requires emergency treatment or should be admitted to a hospital, Provider may, in its discretion, access emergency medical services, including but not limited to law enforcement or the Deschutes County Mobile Crisis Team if the Client poses an imminent risk of harm to him or herself or others. Provider will coordinate care and responses with the referring CMHP, including hospital admissions. Mental Health Crisis Respite Health Services Agreement 2018 31 Pogc 2.8 Insurance. Provider shall obtain and carry throughout the term of this Agreement the insurance coverage of the type and in at least the amounts described on Schedule B. Provider shall, at the reasonable request of any CMHP, furnish to such CMHP written evidence that the policies of insurance are in full force and effect. 2.9 Compliance with Oreaon and Federal Statutes and Reaulations. Provider shall, and shall cause all Affiliated Entities and Associated Health Care Professionals providing Health Services in accordance with this Agreement to: 2.9.1 comply with the Oregon statutes and Administrative Rules relating to residential treatment facilities for mentally and emotionally disturbed persons, specifically as they relate to Mental Health Crisis Respite Services; 2.9.2 comply with all other applicable federal, state and municipal statutes or ordinances and all applicable rules and regulations of applicable licensing authorities, including but not limited to respecting the rights of managed care enrollees as described in 42 C.F.R. §438. 2.9.3 cooperate with each CMHP so that such CMI -IP may meet any requirements imposed on it by state and federal law, as well as all contractual obligations relating to health plans; and 2.9.4 cooperate with each CMHP, OHA and other regulatory agencies at all reasonable times and to give any of them reasonable access upon request to Provider's (or any Affiliated Entity's) books, records and other papers relating to Health Services rendered by Provider. 3. Administrative Matters. 3.1 Mental Health Care Intearation. Provider shall confer regularly with the CMHPs with respect to the integration of the Health Services in the overall mental health care system of Clients. 3.2 Information to the CMHPs. Provider shall within three business days inform each CMHP in writing of any of the following events relating to Provider, any Associated Health Care Professional, or any Affiliated Entity: 3.2.1 loss of or threatened loss of credentials, licensing, or other qualification to provide Health Services; 3.2.2 any inquiry from any regulatory or certification agency or organization that raises an issue of a material violation of any law, regulation, or order relating to Health Services; 3.2.3 having (i) a director, officer, partner, or person with beneficial ownership of more than 5% of such Entity's equity, or (ii) an employee, consultant, or vendor or service provider with respect to items or services that are significant and material to Provider's obligations under this Agreement, who is (x) suspended, debarred, or otherwise excluded from participating in procurement activities under federal regulations or from participating in non - procurement activities under regulations issued pursuant to Executive Order number 12549 or Mental Health Crisis Respite Health Services Agreement 2018 4age guidelines implementing such order; (y) suspended or terminated from the medical assistance program or excluded from participation in the Medicare program; or (z) convicted of a felony or misdemeanor related to a crime or violation of Title XVIII, XIX, or XX of the Social Security Act or related laws (or entered a plea of nolo contendere); 3.2.4 any instance of Fraud or Abuse; 3.2.5 any unauthorized disclosure of personal health information or other confidential information relating to the Health Services or Clients; or 3.2.6 any event or situation that would trigger the requirement to file Form LLL, "Disclosure Form to Report Lobbying," or any state equivalent thereof. 3.3 Clinical Records. 3.3.1 Provider shall develop and maintain a record-keeping system that (a) includes sufficient detail and clarity to permit internal and external review and to assure that Health Services are provided in a manner consistent with this Agreement, and (b) in conformity with accepted professional practices. 3.3.1.1 Provider shall have written policies and procedures in place that ensure maintenance of a record-keeping system that includes maintaining the security of records as required by the Health Insurance Portability and Accountability Act and federal regulations implementing that Act. 3.3.1.2 Provider shall cooperate, and shall cause each Associated Health Care Professional to cooperate, with the Division of Medical Assistance Programs, the Department of Justice Medicaid Fraud Unit, and the Center for Medicare and Medicaid Services, or any other authorized state or federal reviewers, for the purposes of audit, inspection and examination of Clients' clinical records, whether those records are maintained electronically or in physical files. Documentation must be sufficiently complete and accurate to permit evaluation and confirmation that Health Services were authorized and provided, that Referrals were made, and the outcomes of care and Referrals that are sufficient to meet professional standards applicable to healthcare professionals and to meet the requirements for health oversight in applicable law. 3.3.1.3 Provider shall retain clinical records for seven years after the date of services for which claims are made. If an audit, litigation, research and evaluation, or other action involving the records is started before the end of the seven- year period, Provider shall retain the clinical records until all issues arising out of the action are resolved. If any Affiliated Entity retains the clinical records, Provider shall ensure access to them for purposes of compliance with this Agreement during and after the term of Provider's relationship with each Affiliated Entity. 3.4 Protective Services. Provider shall comply with all protective services, investigation and reporting requirements of applicable law. Mental Health Crisis Respite Health Services Agreement 2018 51P a g e 3.5 Grievance Procedure. Provider shall establish and implement a grievance procedure for the processing of any Client complaint regarding Health Services furnished by Provider. Provider shall confer with the Referring CMHP with respect to any grievance made by a Client of that Referring CMHP, and shall cooperate with such CMHP's grievance staff in resolving such complaint. 3.6 Business Associate Agreement. Provider shall upon written request by any CMHP execute a Business Associate Agreement with that CMHP in a form reasonably requested by the CMHP. 4. Compensation. 4.1 Compensation to Provider for Health Services. The CMHPs shall pay Provider the monthly fee set forth on Schedule B during the Term of this Agreement. This monthly fee shall be full payment for the Health Services for PacificSource Community Solutions (OHP) members, regardless of Provider's costs of providing Health Services or the number of Referrals made each month by the CMHPs. Each CMHP shall pay its proportionate share of the monthly fee. Failure by any CMHP to make timely payment shall be a breach of this Agreement for all CMHPs. 4.2 Client Billing. Provider shall look only to the CMHPs for compensation for Health Services for PacificSource Community Solutions (OHP) members and shall at no time seek compensation from Clients for Health Services, without the written approval of PacificSource Community Solutions and the Referring CMHP. 5. Term of Agreement. 5.1 Term. This Agreement shall be effective on the date specified on Schedule B and shall continue until terminated in accordance with its terms, but shall not be for less than one year, subject to termination in accordance with this Section 5. 5.2 Immediate Termination. Notwithstanding any other provision of this Agreement, the CMHPs shall have the right to terminate this Agreement immediately upon written notice to Provider in the event a majority of them reasonably determine that Provider is in violation of any of the requirements of this Agreement in a manner that endangers the health or safety of Clients or violates federal, state or local law. 5.3 Termination with Notice. After the initial term of one year, (a) Provider may terminate this Agreement upon the giving of 90 days written notice to each CMHP; and (b) a majority of the CMHPs may terminate this Agreement upon the giving of written notice to Provider and any CMHP that has not jointed in the notice of termination this Agreement. 5.4 Termination upon Loss of CMHP Status. Each CMHP shall promptly inform Provider in writing of any anticipated change in its status as a CMHP, which notice shall include reasonable detail as to the anticipated date of the change and the plan for transitioning Clients of such CMHP to another CMHP (the "successor CMHP"). A CMHP losing its status as a CMHP shall have the right to assign this Agreement to a successor CMHP that (a) is reasonably acceptable to Provider and the other CMHPs and (b) agrees to assume all of the previous CMHPs' obligations under this Agreement. Provider shall cooperate in facilitating such Mental Health Crisis Respite Health Services Agreement 2018 611' a 1,, c assignment. However, if the assignment is not accomplished prior to loss of CMHP status, Provider shall give each remaining CMHP written notice of termination of this Agreement as of the date of that change. Nothing in this paragraph shall prevent the remaining Parties from amending this Agreement on such terms and conditions as they may agree. 5.5 Remedial Action. If a majority of the CMHPs reasonably determines that Provider's performance under this Agreement is unsatisfactory, whether in the provision of Health Services or with respect to administrative or managerial matters relating to this Agreement, but such underperformance does not constitute a breach of this Agreement (or, if a breach, such CMHPs determine that it is in the best interests of Clients to waive the breach) the CMHPs shall give written notice to Provider of such determination. The notice shall include a description in reasonable detail of the changes necessary in Provider's performance and a proposed time frame for making the required improvements. 5.5.1 Within 10 days of the date of the notice, the Parties shall confer and reach agreement as to the necessary steps and time frame for making the changes to improve Provider's performance. If they cannot reach an agreement on a remediation plan, a majority of CMHPs may give written notice to terminate this Agreement, which termination will be effective 90 days after notice. 5.5.2 If the Parties agree on a plan for performance improvement, they shall confer regularly during the remediation period. If a majority of the CMHPs reasonably determines that insufficient progress has been made at the end of the remediation period, they may upon written notice terminate the Agreement or, at their option, propose a revised remediation plan, which Provider must either (i) accept, or (ii) reject, which rejection shall constitute a termination of this Agreement. This process may be repeated any number of times for the same round of performance issues. 5.6 Responsibility for Clients at Termination. Unless otherwise instructed by a Referring CMHP, Provider shall continue to provide Health Services to a Client who is receiving Health Services from Provider on the termination date of this Agreement until the Health Services being rendered to the Client by Provider are completed (consistent with existing medical ethical/legal requirements for providing continuity of care to a Client), unless the referring CHMP or a Plan makes Medically Appropriate provisions for the assumption of such Health Services by another provider. Each Referring CHMP shall compensate Provider for those Health Services provided to a Client in accordance with a reasonable compensation methodology developed by the Parties. 6. Representations and Warranties. 6.1 Representations and Warranties of Both Parties. Each Party represents and warrants to the every other Party that: 6.1.1 Such Party has not, in establishing the terms of this Agreement, given or received remuneration in return for or to induce the provision or acceptance of business (other than business covered by this Agreement) for which payment may be made in whole or in part by a Federal health care program on a fee -for- service or cost or other basis; 6.1.2 Such Party has complied with the Truth -in -Lobbying laws; Mental Health Crisis Respite Health Services Agreement 2018 7 1 P a g c 6.1.3 Such Party has the authority to enter into this Agreement; 6.1.4 Such Party has obtained the requisite approvals necessary to enter into this Agreement, and that it is a valid obligation binding on such Party; and 6.1.5 This Agreement does not constitute a breach of, and does not conflict with such Party's obligations under, any other agreement to which such Party is bound. 6.2 Additional Reuresentations by Provider. Provider warrants and represents that it is duly licensed to provide the Health Services and Level III.7 Detoxification Services at the Facility in the State of Oregon and is in good standing with all applicable licensing authorities. 7. Indemnification. 7.1 Indemnification. Provider shall indemnify and hold the CMHPs and each of them harmless for any and all third party claims, losses, expenses, demands, judgments, and/or costs (including without limitation reasonable attorneys' fees) incurred by the CMHPs arising out of or in relation to the acts or omissions of Provider and those of its agents and employees, contractors, officers and directors or Affiliated Entities in connection with the performance or nonperformance by Provider of its duties pursuant to this Agreement, or arising out of a breach any of representation or warranty of Provider contained in this Agreement. The CMHPs and each of them shall indemnify and hold harmless Provider for any and all third party claims, losses, expenses, demands, judgments, and/or costs (including without limitation reasonable attorneys' fees) incurred by Provider arising out of or in relation to the acts or omissions of any CMHP and its directors, officers, employees and agents in connection with the performance or nonperformance by a CMHP of its duties pursuant to this Agreement or arising out of a breach any of representation or warranty of such CMHP contained in this Agreement. 7.2 Indemnification Procedure. In the case of a claim arising under Section 7.1, (a) the indemnitee shall notify the indemnitor in writing within ten days of receipt of written notice of any such claim, provided however, failure to do so notify shall not relieve the indemnitor of its indemnity obligations hereunder unless prejudiced by such delay and then only to the extent of the prejudice, (b) the indemnitor shall have the control of the defense and all related negotiations, including settlement negotiations and (c) the indemnitee shall provide the indemnitor with reasonable assistance, information and authority necessary to perform the above obligations unless parties interests are or should become adverse; provided, however, that neither party shall enter into any settlement agreement without the prior written consent of the other party, which consent shall not be unreasonably withheld. 8. General Provisions. 8.1 Amendment. This Agreement or its Schedules may be amended by a writing signed by all Parties. 8.2 Notices. Any notices required or permitted to be given hereunder by either party to the other may be given by personal delivery or by email, or first class mail, postage prepaid. Notices shall be addressed to the parties at the addresses appearing on the signature page of this Agreement, but each party may change such party's address by written notice given in accordance with this Section. Notices delivered personally or by email will be deemed received Mental Health Crisis Respite Health Services Agreement 2018 8 1 P a g c on the date of transmission; mailed notices will be deemed communicated as of three days after mailing. 8.3 Entire Agreement of the Parties. This Agreement supersedes any and all prior agreements, either written or oral, between the parties hereto with respect to the subject matter contained herein and contains all of the covenants and agreements between the parties with respect to the rendering of Health Services. Each party to this Agreement acknowledges that no representation, inducements, promises, or agreements, oral or otherwise, have been made by either party, or anyone acting on behalf of either party, or anyone acting on behalf of either party, which are not embodied herein, and that no other agreement, statement, or promise not contained in this Agreement shall be valid or binding. 8.4 Severabilitv. If any provision of this Agreement is held by a court of competent jurisdiction or applicable state or federal law and their implementing regulations to be invalid, void or unenforceable, the remaining provisions will nevertheless continue in full force and effect. 8.5 Survival. The provisions of Sections 2.9, 2.10, 3.3, 3.5, 5.5, 6, 7, 8.5, 8.5, 8.6, 8.7, and 8.11, and all relating definitions, shall survive termination of this Agreement. 8.6 Disnute Resolution. 8.6.1 Informal Dispute Resolution. The parties will seek to resolve all disputes between them at the lowest level whenever possible. Provider and each CMHP's employees and supervisors will attempt to resolve all disputes. 8.6.2 Mandatory Arbitration. If a dispute is not resolved pursuant to Section 8.6.1 it shall be submitted to ASP, or its successor, for final and binding arbitration pursuant to the rules of commercial arbitration for ASP, provided, however, nothing in this Section 8.6.2 shall prohibit any Party from using the dispute resolution process adopted by OHA under ORS 414.635 (7). Any Party may initiate the arbitration matter submitted to by filing a written demand for arbitration with the ASP, with a copy to all Parties, at any time. The dispute will be settled by a single arbitrator. The parties will cooperate with ASP and with one another in selecting an arbitrator and in scheduling arbitration proceedings. Arbitration will occur in Bend, Oregon, unless the parties otherwise agree. The parties will be entitled to conduct discovery in accordance with the Federal Rules of Civil Procedure, subject to limitation by the arbitrator to secure the just and efficient resolution of the dispute. If the amount in controversy exceeds $100,000, the arbitrator's decision shall include a statement specifying in reasonable detail the basis for and computation of the amount of the award, if any. The decision of the arbitrator will be final and binding. The party prevailing in the arbitration will also be entitled to recover any amount for his or her costs and attorney fees incurred in connection with the arbitration as determined by the arbitrator. Judgment upon the arbitration award may be entered in any court having jurisdiction. 8.7 Governing Law. This Agreement shall be governed by and construed in accordance with the laws of the state of Oregon. 8.8 Assignment. This Agreement shall be binding upon, and shall inure to the benefit of, the parties to it, and their respective heirs, legal representatives, successors and assigns. Mental Health Crisis Respite Health Services Agreement 2018 Notwithstanding the foregoing, except as provided in Section 5.4, neither Provider nor any CMHP may assign any of their respective rights or delegate any of their respective duties hereunder without receiving the prior written consent of the other Parties to this Agreement. 8.9 Waiver. The waiver of any provision, or of the breach of any provision, of this Agreement must be set forth specifically in writing and signed by the waiving party. Any such waiver shall not operate or be deemed to be a waiver of any prior or future breach of such provision. 8.10 Headirms. The subject headings of the Sections of this Agreement are included for purposes of convenience only and shall not affect the construction or interpretation of any of its provisions. 8.11 No Third Party Beneficiary. Nothing in this Agreement, is intended or shall be construed to confer upon any person, firm or corporation other than the parties hereto and their respective successors or assigns, any remedy or claim under or by reason of this Agreement or any term, covenant or condition hereof, as third party beneficiaries or otherwise, and all of the terms, covenants and conditions hereof shall be for the sole and exclusive benefit of the parties hereto and their successors and assigns. For avoidance of doubt, notwithstanding any reference in this Agreement to services for the benefit of Clients, no Client shall be treated as a third party beneficiary of this Agreement. Dr. Dean K. Brooks Respite and Recovery Center, LLC (Provider): Signature Printed Name Title Lutheran Community Services North West Signature Printed Name Title Mental Health Crisis Respite Health Services Agreement 2018 101 I' p, Deschutes County Health Services BestCare Treatment Services, Inc. Signature Signature Printed Name Printed Name Title Title Mental Health Crisis Respite Health Services Agreement 2018 11 1 I' a kr c Schedule A Provider shall provide the following Health Services to Clients (collectively, the "Health Services"): Mental Health Crisis Respite Services in a residential setting at the Facility operated by Provider. Provider will operate a Facility that will accommodate up to ten Clients at the Facility. SPECIFIC DESCRIPTION OF HEALTH SERVICES The Health Services are aimed at assessment, intervention, and immediate stabilization of behavioral health emergencies, for individuals 18 years of age and over. The Health Services provides integrated treatment services, with an emphasis on providing interventions and skills necessary for crisis stabilization. The goal of the Health Services will be to stabilize acute symptoms of mental illness or emotional distress in a less intensive, clinically appropriate, and more cost-effective specialty setting. The Health Services will be available 24 hours a day, seven days a week to respond to and assist individuals in a mental health crisis lasting no more than 30 days. Services will include: Rapid intake screening and access Medication monitoring and management • Stabilization services that assist individual in returning to their pre -crisis level of functioning and maintain the lowest level of care by: o Increasing their level of functioning that may otherwise result in hospitalization or incarceration o Increasing or improving their network of supports, as well as their skillset to utilize their supports for crisis prevention and stabilization o Developing coping skills to manage symptoms and stressors related to crisis o Establishing, re-engaging, or increasing their involvement with available behavioral health and medical services provided in their region o Development of a Wellness Plan to promote whole health recovery, prevent future crisis, and enhance long-term stability. In addition, the Health Services will: • Provide appropriate linkages and arrangements that alleviate the use of law enforcement as the primary responder to individuals in crisis, thus, minimizing the criminalization of persons with behavioral health issues; + Provide services that are adequate for individuals with multiple service needs, including individuals with co-occurring substance use and medical disorders. • Be designed to divert people from inpatient psychiatric hospitalization, local emergency rooms, or incarceration to a less costly service alternative • Coordinate transportation for individuals to attend established treatment appointments • Coordinate appropriate medical and behavioral health treatment, including by not limited to detoxification, primary care, specialty services, and outpatient behavioral health. + Develop post -crisis discharge plans that include the Client's primary care provider, outpatient behavioral health providers, community supports, and other treatment providers; and Schedule A 11Pag • Incorporate evaluation protocols and outcome measures to determine the effectiveness of the crisis respite services. Service Modalities Include: • Trauma -informed treatment approaches • Individualized treatment plans, specific to the strengths and needs of the Client • Using appropriate symptom scales and standardized tools to support continued stay decisions • Daily Nursing supports • Case management/coordination of care • Individual counseling • Community Resources education and coordination • Illness Management and Recovery (IMR) groups • Wellness and Recovery Action Plan (WRAP) • Seeking Safety, trauma -focused treatment groups • Self-assessment exercises and groups • Skills development groups • Introduction to Twelve Step Support Groups Qualified Counselors, Case Managers, Respite and Recovery staff, Medical and Nursing staff will be trained to provide professional care appropriate to their positions. All Clinical staff will be licensed or certified as required, trained in evidence -based treatment approaches, and receive ongoing competency -based training that allows them to stay current in the field. Ongoing supervision will be provided to guide staff to follow clinical practice guidelines and enhance the skills they need to provide responsive, engaging, and meaningful care based on accepted practices in the field and professional consensus. ADMISSION CRITERIA Clients must meet the following admission criteria: • Be at least 18 years of age • Presenting in a mental health crisis at the time of referral. The crisis is primarily the result of psychiatric symptoms linked to a mental health disorder • Be assessed by a Qualified Mental Health Professional (QMHP) to have a mental health disorder, or suspected mental health disorder • Must be agreeable to placement and voluntarily consent to treatment • Medically stable, in that the client does not have acute medical conditions requiring inpatient hospitalization • Must be ambulatory and able to evacuate within 3 -minutes with minimal assistance • Individuals under civil commitment or other legal mandates must be approved by the County of Commitment. A Trial Visit must be completed prior to admission for all individuals under civil commitment. Schedule A 2 1 P a c However, potential Clients with the following characteristics (and others, as established by the Provider from time to time in consultation with the CMHPs) will not be suitable for the Health Services, as the Mental Health Crisis Respite Facility would not be a safe and appropriate setting to manage individuals that are: • Currently meeting criteria for mental health hold or other involuntary status • Presenting as an imminent risk to self, others, property, or other risk of dangerousness. • Medical condition requiring secured, inpatient treatment • Recent history of violent or person-to-person crimes or acts • Current risk of withdrawal requiring medical monitoring • Currently refusing treatment, not agreeable to placement, or those that do not require psychiatric stabilization. • Symptoms are primarily a result of other than psychiatric conditions, including but not limited to: o Intellectual/Development Disabilities o Neurocognitive Disorders (Dementia, Alzheimer's) o Substance Use Disorder only (e.g. symptoms only present while intoxicated) o Resistant to treatment (Personality Disorders) • Crisis is primarily a result of non -psychiatric factors, to include: o Lack of housing/shelter options (Homelessness) o Antisocial conduct and criminal behavior • Repeated pattern of frequent fire starting, or other arson activities • Predatory sexual offenders SCREENING AND DETERMINATION The Program Administrator or Designee will screen all referrals to ensure the individual meets the program and admission criteria. All admission decisions are made by the Facility. All referrals are accepted for review, regardless of payer or ability to pay. Notwithstanding the previous sentences, each CMHP shall be responsible for determining that a Client is eligible to receive Health Services under the PacificSource Community Solutions plan, and Provider shall be entitled to rely in all events on such CMHP's determination. Schedule A 31Pagc Schedule B Effective Date, Compensation and Insurance 1. Effective Date: January 1, 2018. 2. The CMHPs shall pay Provider a monthly fee of $25,000 per month (or portion thereof, prorated on a daily basis) during the Term of this Agreement. Each CMHP shall pay to Provider its proportionate share of the monthly fee, as described below. A. At the execution of this Agreement, each CMHP shall pay to Provider the sum equal to the amount due from the Effective Date through the date of execution of this Agreement, which amount Provider will invoice to each CMHP. B. Thereafter, Provider shall send an invoice by the 10th day of each month to each CMHP, which shall state each CMHP's share of the previous month's fee, which share shall be based on the Provider's census of Clients that were Referred by each CMHP. The invoice shall show in reasonable detail the Provider's method of allocating the monthly fee among the CMHPs. C. In the event that more than 150 bed days are utilized in one month by clients who are not PacificSource Community Solutions members from Crook, Deschutes, or Jefferson counties, then the CMHPs shall pay a pro -rated amount, proportional to their total utilization that month, taking into consideration the use by non-members. 3. Insurance Requirements A. Workers' Compensation Insurance. Provider agrees to provide, at Provider's sole cost and expense, workers' compensation insurance for Provider's agents, servants, and employees throughout the entire term of this Agreement, in accordance with the laws of the State of Oregon as the same may from time to time be amended. B. Malpractice Insurance. Provider shall provide, unless otherwise agreed to by Provider and the CMHPs, at Provider's sole cost and expense, throughout the entire term of this Agreement, a policy of professional malpractice liability insurance with a licensed insurance company admitted to do business in the State of Oregon in a minimum amount of $1,000,000 per claim and $3,000,000 in the annual aggregate, to cover any loss, liability or damage alleged to have been committed by Provider, or Provider's agents, servants or employees. C. Comprehensive Insurance. Provider shall provide, at Provider's sole cost and expense, throughout the entire term of this Agreement, a policy or policies of insurance covering Provider's principal place of business insuring Provider against any claim of loss, liability or damage committed or arising out of the alleged condition of the premises, or the furniture, fixtures, appliances or equipment located therein, together with standard liability protection against any loss, liability or damage as a result of Provider's, Provider's agent's, servant's or employee's operation of a motor vehicle for business purposes, both in a minimum amount of $100,000 per claim and $300,000 in the annual aggregate. Schedule B 1 I ilF Grace Evans From: Grace Evans Sent: Friday, April 13, 2018 6:13 PM To: David Doyle; DeAnn Carr Subject: 2018 CMHPs for Crisis -Respite Services - A Couple edits, observations Attachments: Tri County for Crisis Respite Services - Final Draft (appoved by Dave Do....docx Importance: High Hello, I had just a couple thoughts and 1 included them in the attached draft in track changes. It looks like there is an incorrect OAR Reference. Question about insurance - a certificate is to be submitted only upon request? Not prior to execution of the contract? What about the additional insured endorsement? Observations a Suggestions: I didn't realize BestCare was a CMHP. 8.6.2 - Mandatory Arbitration - County doesn't usually agree to pay attorney fees for the prevailing party. Should there be any mention of credentialing or background check? The Provider isn't being required to submit insurance prior to contract execution nor licensure and there isn't any discussion in requiring the Provider to credential or perform background checks of staff or contracted providers prior to client interaction. Do we want to include something like: "Provider shall assure that staff and/or other contracted providers will have documentation of an approved criminal history/background check in accordance with OAR 407-007-0200 through 407-007-0640. CMHP's may evaluate and verify information regarding criminal history/background check upon presentation by provider of identification of staff and/or other contracted providers upon CMHP request." The OAR is a reference I use for our residential treatment providers. I looked it up and I'm not sure if this is the best reference for this situation but this is just a suggestion. I can research it further if you'd like me to. Justice Evans Contract Specialist Deschutes County Health Services Phone: (541) 322-7516 1 Fax: (541) 322-7565 Grace.Evans@deschutes.org Business Hours: Monday - Friday: 8AM to 5PM Grace Evans %NtftikeL)( 0 From: DeAnn Carr Sent: Thursday, April 12, 2018 2:05 PM To: David Doyle Cc: Grace Evans Subject: 2018 Contract with CMHPs for Crisis -Respite Services - Final (002) Attachments: 2018 Contract with CMHPs for Crisis -Respite Services - Final (002).docx This is the contract between us, Lutheran (Crook CMHP) and BestCare (Jefferson CMHP) for crisis respite services to be provided by BestCare. It will be a flat monthly rate that is supplementing a grant that BestCare has with the State (much cheaper than fee for service). This is the 99.9% final version. Can you give it a quick look over to make sure there is nothing I have missed Thanks 1 Deschutes County Board of Commissioners 1300 NW Wall St, Bend, OR 97703 (541) 388-6570 — Fax (541) 385-3202 — https://www.deschutes.org/ AGENDA REQUEST & STAFF REPORT For Board of Commissioners Business Meeting of May 21, 2018 DATE: May 16, 2018 FROM: Judith Ure, Administrative Services, 541-330-4627 TITLE OF AGENDA ITEM: Q3 2018 Performance Measure Update RECOMMENDATION & ACTION REQUESTED: None. Informational only. CONTRACTOR: Contractor/Supplier/Consultant Name: N/A AGREEMENT TIMEFRAME: N/A INSURANCE: Insurance Certificate Required: N/A Insurance Review Required by Risk Management: N/A BACKGROUND AND POLICY IMPLICATIONS: Selected departments will provide updates on progress made toward Board of Commissioners goals and objectives during the third quarter of FY 2018. Written documentation of the highlighted measurements and of all department reports submitted is attached. FISCAL IMPLICATIONS: N/A ATTENDANCE: Judith Ure and representatives of the Administrative Services, Facilities, and Natural Resources Departments and Assessor's and Clerk's Offices. cd 0 4-, 1-• 4-* 0) ek 0 cn Cd 0 0 *-, 0 ti) 0 cd 0, sr -A, Ot S •Til 0 ,0 .1.-2,1) '''''' 0 1.7▪ 4 '..„ p I.. .,.., cn tal,? 0 0 -0• 4 0 • 7-,' 0-' s-, 9-, ..-' 0 tP ,:t Yo 0 t.) •••` 0 .,.. 4) A 4,1, •,-, -,E, ,..c‘,., 't5 4.0 ... 0 ott 4, Go, 0 •,-. ,. S C) 0 Cn 0 0 0 di • • 0 eP a t) o) 0 .0 4) et ct,y,,k -red 4, 0 t,r,) cri ttn ril 0 0 tn c'l 0 tn 0 0 0 o • ca oo • '''' t• -t 0 ''.. %•-' 4-' tn 01) 0 o -0 •-d PA tr. .1 0 0 0 • ''' ,_j-,.,' 0 ....., 0 " 0 • 4-4 '-0 A •O ."' • •••( t)l) 1%-, S' -., . •••• 4... 1.-, • r'' Citt Ca ''' t•If.' 0 4.... C1) r ) -oe bi) • ,•-' -4- ril 1,.., •-• 0 r° • 1.0 C•0 i}:-4.' ,°Q V)Cd .CCIe.) , 41) ._:, 6 4... 0 ',76 '•-•'-' "'",-,. —6 • ''' 1 6 0 •-•-r,, - 4.-, — .6 0 ..-• 0 '•,.`..', 0 .1(a• ,-Grz:)) a ,C) tf) .4...' Q4 6 • 0 0 44 ,••••••, ' 0 0 cl 0 0 3 °. 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Safe Communities: Protect the community through planning, preparedness and delivery of coordinated services. • Provide safe and secure communities through coordinated public safety services. • Reduce crime and recidivism through prevention, intervention, supervision and enforcement. • Collaborate with partners to prepare for and respond to emergencies and disasters. Healthy People: Enhance and protect the health and well-being of communities and their residents. • Support and advance the health and safety of Deschutes County's diverse populations. • Promote well-being through behavioral health and community support programs. • Help to sustain natural resources in balance with other community needs. Economic Vitality: Promote policies and actions that sustain and stimulate economic vitality. • Support affordable housing options through availability of lands and appropriate regulation. • Administer land use programs that promote livability and sustainability. • Maintain a safe, efficient and sustainable transportation system. • Partner with organizations and manage County assets to attract business development, tourism and recreation. Service Delivery: Provide solution -oriented service that is cost-effective and efficient. • Ensure quality service delivery through the use of innovative technology and systems. • Support and promote Deschutes County Customer Service "Every Time" standards. • Promote community participation and engagement with County government. • Preserve and enhance capital assets and strengthen fiscal security. • Provide collaborative internal support for County operations. Deschutes County Performance Measures Q3 Report 01/01/2018 - 03/31/2018 9-1-1 Service District County Goal: Safe Communities Objective: Provide safe and secure communities through coordinated public safety services. 1. Meet the 9-1-1 call answering standard established by the National Emergency Number Association by answering all 9-1-1 calls within 10 seconds, 90% of the time during the average busiest hour. Q1: Goal met at 90.6%. Q2: Goal met at 90.3%. Q3: Goal met at 92.48% 2. Make high priority calls ready for dispatch with location information within 12 seconds. Ql: Goal met at 10 seconds. Q2: Goal met at 10 seconds. Q3: Goal met at 10 seconds 3. Staff two fire dispatchers 24 hours per day, seven days per week, 365 days per year. Q1: Goal met. Q2: No new progress reported. Q3: No new progress reported. 4. Staff supervisory positions for 24 hours per day, seven days per week, 365 days per year. Q 1: Goal met through expansion of the Acting in Charge (AIC) program. Q2: No new progress reported. Q3: No new progress reported. 1 5. Staff a law enforcement data channel 12 hours per day. Q1: Goal dependent on full staffing. Only 2 of the District's 44 line positions remain unfilled. Q2: No change. 2 positions are still unfilled. Q3: No change. 2 positions are still unfilled. County Goal: Service Delivery Objective: Ensure quality service delivery through the use of innovative technology and systems. 6. Complete the Computer Aided Dispatch system replacement project. Ql: This goal has slipped to FY19 because the vendor was unable to meet the original March 2018 target date. Deployment is now scheduled for October 2018.' Q2: No progress reported. Q3: No progress reported. 7. Complete the digital trunked radio system replacement project. Q1: Goal met for law enforcement. The fire service has begun deployment. Q2: No progress reported. Q3: No progress reported. 8. Secure agreements with government agencies interested in receiving service from the new radio system. Ql: In progress. Q2: No progress reported. Q3: These are being revised now and will be sent to the agencies for review by June ls` 9. Achieve Oregon Accreditation Alliance accreditation. Ql: In progress. Q2: No progress reported. Q3: On site completed by OAA waiting on final review and certification. 2 10. Improve the retention rate for new line employees. Q1: In progress. Q2: No progress reported. Q3: No progress reported. Administrative Services Department County Goal: Service Delivery Objective: Ensure quality service delivery through the use of innovative technology and systems. 1. 10 -day or fewer wait time for an appointment at the Veterans' Service Office. Q1: The veteran's service office is maintaining a less than 10 -day waiting period for client appointments. Q2: The veteran's service office is maintaining a less than 10 -day waiting period for client appointments, and in some cases, we are able to take walk in clients. Q3: The veteran's service office is maintaining a less than 10 -day waiting period for client appointments, and in some cases, we are able to take walk in clients. 2. Work with IT to update the County's website, making information easy to access and navigate. Ql: No progress to report (due to leave). Project will resume in October. Q2: The website is complete and will be presented to the Board of Commissioners in early January. Veteran's Services project will begin within Q3. Q3: The veterans' page has been changed to reflect more distinct separation of services, and provide and updated look. This project is complete. County Goal: Service Delivery Objective: Provide collaborative internal support of County operations. 3. Achieve 95% rating of overall quality of internal audit reports as compared to national average for association of local government auditors. Q1: No progress to report during Q1 as no new performance audits were issued. Q2: No progress to report during Q2. 3 Q3: Survey responses from the Solid Waste audit report released rated the report at 93% (4.6/5). The benchmark average is currently 85%. 4. Number of workplace accidents that require days away from work, restricted, or transferred workers per 100 employees (DART Rate). Q 1: No progress to report during Q1. Q2: No progress to report during Q2. Q3: FY 2017-18 year-to-date DART Rate: 2.12 County Goal: Service Delivery Objective: Preserve and enhance capital assets and strengthen fiscal security. 5. Maintain Risk reserve at the 80% confidence level of adequacy, based on actuarial study. Q1: No progress to report during Q1. Q2: At the end of FY 2016-17, the Risk reserve was funded at 85% confidence level of adequacy. County Goal: Economic Vitality Objective: Support affordable housing options through availability of lands and appropriate regulation. 6. Work with non-profit agencies to increase the supply of affordable housing. Q1: Continuing to monitor on-going affordable projects (Housing Works and Habitat for Humanity) which are being planned and underway (the land use planning application review process has begun) on properties donated by the County in La Pine during the previous year. Q2: Housing Works has received their land use approvals for their affordable housing project in La Pine. Deschutes County conveyed ownership (deed) to HW in December. Q3: Housing Works has broken ground on the subdivision (water, sewer and street improvements). Housing will follow when all improvements complete. 7. Continue to identify asset or foreclosure properties that may be appropriate for housing and/or social services and assist the developer in bringing projects to fruition. Q1: No progress — such property review occurs in Q2 (November) following the acquisition of tax foreclosure properties through the recordation of the annual Tax Deed. Q2: Only 6 properties were acquired through the 2017 tax deed. Of the properties acquired, none 4 were appropriate for consideration for affordable housing consideration due to their inability to be developed with housing projects. Q3: Two properties (single family residential lots) were identified for donation to Redmond Area Habitat for Humanity — located on Reservoir Drive and Volcano Avenue, in the City of Redmond. 8. Seek opportunities to partner with other jurisdictions to stimulate affordable housing projects. Ql : In discussions with the City of Redmond regarding their interest in County property on the east side of the Redmond City Limits for possible UGB expansion for affordable housing as authorized under HB 4079. A formal request for participation via support and/or land from the City would be expected in Q2. Q2: Deschutes County issued a letter to the City of Redmond supporting their application to the State for the affordable housing pilot program under HB4019. County agreed to consider utilizing 40 acres on Redmond's east side for the project in some manner. Q3: Continuing to work with the City of Redmond regarding their request for donation of 40 acres of County owned property and their application process to the State of Oregon. The City was notified of the County desire for greater detail about the project development to be provided. County Goal: Economic Vitality Objective: Maintain a safe, efficient and sustainable transportation system. 9. State and federal funds secured on behalf of local public transit providers from Oregon Department of Transportation (ODOT) and Federal Transit Agency (FTA) for the purpose of providing transportation services to seniors and people with disabilities. Q1: No progress to report during Ql. Q2: $916,721 approved by ODOT for the 2017-19 biennium in Special Transportation Formula and Discretionary grants to support transit services to seniors and people with disabilities. Services will be provided by Abilitree, Opportunity Foundation of Central Oregon, and Cascades East Transit through sub -agreements. Q3: This project is complete for FY 2018. County Goal: Economic Vitality Objective: Partner with organizations and manage County assets to attract business development, tourism and recreation. 10. Contribute to economic stability and growth by leveraging funds for job creation and business recruitment, support and diversification. Q1: Worked with the City of La Pine and Sunriver La Pine Economic Development to amend 5 and repeal covenants, conditions and restrictions (CCR's) in the La Pine Industrial Park to remove redundant and superfluous regulations affecting industrial/economic development therein. Q2: No specific update. Working with City of La Pine and SLED as they entertain offers for use/purchase of County owned Industrial land. Assessor's Office County Goal: Service Delivery Objective: Ensure quality service delivery through the use of innovative technology and systems. 1. Accounts managed per FTE compared to other Oregon counties. Q1: Yearly measurement which won't be able until sometime this Spring. Q2: Yearly measurement which won't be able until sometime this Spring. Q3: Deschutes County 7 County Average ..are r jai... r:so'T Cr C ani<.a�,;s `.6Jn: Co'vg as �...'..ur Jia, o ' Corr:. Lin CJJn: ben:vr CsJn FY 2012 FY 2013 FY 2014 2,569 2,591 2,711 2,545 2,742 2,795 3.006 3.850 3,850 2,723 2.853 2.986 L..'""v 2"'49 2,758 I 2,815 2.48C G.ti LY 2,471 2354 1 2,30 2,042 2,162 I 2.331 FY 2015 2,709 2,784 3,739 2,988 2,715 2,81. 2,499 2,270 2,463 FY 2016 2,835 2,924 3735 G We d 58 3 1142, 2 8E- 2 355 2395 FY 2017 FY 2018 2,624 2,901 2,919 3,061 3 808 3,831 3 055 3,052 2,828 3,673 4,559 2,6' 2 2.654 2,207 ...3rG 2.249 ry .340 2. Written approval by the Department of Revenue for the Assessor's Certified Ratio Study. Q1: Received full approval for FY17/18 tax year. Q2: Received full approval for FY17/18 tax year. Q3: Received full approval for FY17/18 tax year. 3. Percentage of tax statements mailed by October 25. Q1: Progress will be reported during the second quarter. 6 Q2: 100% of tax statements mailed on or before October 25 Q3: 100% of tax statements mailed on or before October 25 4. Written certification from the Department of Revenue approving the County Assessment Function Assistance (CAFFA) program. Ql: Yearly process that occurs in May, so won't have until May 2018. Q2: Yearly process that occurs in May, so won't have until May 2018. Q3: Yearly process that occurs in May, so won't have until May 2018. County Goal: Service Delivery Objective: Preserve and enhance capital assets and strengthen fiscal security. 5. Cost per account managed compared to other Oregon counties. Ql: Yearly measurement which won't be able until sometime this Spring. Q2: Yearly measurement which won't be able until sometime this Spring. Q3: FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017 FY 2018 Deschutes County 543.04 544.46 542.58 546.48 551.23 551.15 551.71 7 County Average 543.91 542.69 543.53 543.11 S43.42 542.27 543.15 �.^.0 84 Co.1528.94 528.96 523.55 530.20 529 3' 525.09 523 46 La -,e Cour:1 337 95 529 91 537.88 533.08 335 `5 533.85 335 -3 jacksor CoL,r,y 539.67 5'3 99 539.95 539.54 540.._ 538.61 340 62 ack.amas CcL.r, 511.88 542.68 54' .52 545.08 346 35 545.85 I 3=c 51 L r^, Coy 553 `.c 9.18 55 .21 552.35 $5 34 555.35 I 557. . .; a' or Court] 548 01 553.57 549.24 545.82 $47 95 543.12 I 541 98 e , Co- , 557 75 355.57 556.26 550.85 55142 553.29 I 55323 6. Administrative expenses as a percentage of taxes imposed compared to other Oregon Counties. Ql: Yearly measurement which won't be able until sometime this Spring. Q2: Yearly measurement which won't be able until sometime this Spring. Q3: 7 Deschutes County 7 County Average C ac!arras Count/ Lane Co./r:r ar sor GD-Io:y w or Co./ :y Berton Court rr. Cour: Doug as CoLrt FY 2012 1.70% 2.02% .0 1 18E:: t/8:. 2OS=: 238: 3 03:: FY 2013 1.76% 1.96% 1 ' 8: 1 32-: GCC;;; 2C : I t/9 I FY 2014 1.62% 1.94% 1 S3=. 1 98 L 3' 2 89,^. 8 FY 2015 FY 2016 FY 2017 1.66% 1.71% 1.65% 1.87% 1.78% 1.66% 1"3:.-5 '. i '3';,: 1 0 1 VT.. '.31'-: 1 24:: 1 72,: `. '1'^L 1.38": 1 68:. 00{x: I 1.59 22 2.174. I 216:: I 2 99:: 2.8SC,_: I 2 39:: I FY 2018 1.57% 1.62% .25;: Sart: 2 C7,5 2.22. Clerk's Office 1. Monitor the volume of voter registrations, adjusting workflow accordingly. a • ri 01 m 1� 00 m O ri V1 00 in en O 01 01 61 a -i N O 00 CI N O O N t� 00 V1 m m to ci O 01 a co S. M to u1 N M t0 00 01 I� O 1l1 t0 N tp t� 1l1 .-1 M M t0 01 top LD 0011 00 .-I N a a N t0 0o 00 1n O1 t0 00 t 1 .-i N lD M 01 N 00 N t0 tp N i-1 1� N M u1 u1 .-1 to N N CO 01 N t0 N N O1 t0 01 t0 ci et t0 tp 00 t0 N 00 rl P O1 N N 01 O N O CO O N aco 1n op a ONO O N N M l7 CO n Oat N 00 M N 00 O u1 O to 00 m a tap n N O r. O1 01 01 N M 01 O O an M ai 00 01 OM1 N N 00 O 1.0 co 000 O M M M 01to v O ill to v V1 t0 Mr. O rl N 0 N OW 00 01 O V1 u1 t0 00 01 N. N M N in m 00 N ri 01 O N 01 d' N M d eNi ,-1 01 M 1- 00 CP m of u1 O rl t0 1- 1f100 1f1 m 00 01 01 01 rl N O 00N O rl O N N 00 M M N M Above is the 1St & 2°d Q's data. Staff accommodated Q2 workflow activity without adjustment. M a rl N Lei M r- N 01 1. 01 N r! N M M M01 N N M 01 m N 00 M N N N 1-1 01 If1 1� N LA M V1 1. t0 e4 M d R U JJN J .,-, O N ,d ell 00 on 0 7 v cal v en rD 0 an r 2 0 v 2 .r U t trl cal U 0, c',1-, P' :-C-4.21 O .� N Q 0 C4 0 0 0 z 2 z 0 o z o 0 el'.2 u. 0 0 0. 0 ...". o re. o t4 O 0 ).- CC ° W 0 >0 0 EXCELLENT 3 Itl NO OPINION • • CC 0 0 e elections. See Ta cost comparison per 1,000 ba 3. Election personn Q1: No progress to report during Q Q2: No progress to report during Q2. Q3: No progress to report during Q3. Community Development Department County Goal: Safe Communities Objective: Provide safe and secure communities through coordinated public safety services. 1. Achieve 85% voluntary compliance in code enforcement cases. Q1: During the 1St quarter, 85% of code enforcement cases were voluntary compliance. Q2: During the 2nd quarter, 86% of code enforcement cases were voluntary compliance. Q3: During the 3'd quarter, 76% of code enforcement cases were voluntary compliance. 2. Resolve 75% of code enforcement cases within 12 months. Q1: During the 1 t quarter, 86% of cases were closed within 12 months. Q2: During the 2nd quarter, 85% of cases were closed within 12 months. Q3: During the 3'd quarter, 89% of cases were closed within 12 months. County Goal: Healthy People Objective: Help to sustain natural resources in balance with other community needs. 3. Coordinate with cities for growth management. Q1: Preliminary discussions with Bend, Redmond and Sisters regarding implementing HB 4079 Pilot Program for Affordable Housing Q2: Bend, Redmond and Sisters all submitting applications to the state to implement HB 4079 Pilot Program for Affordable Housing. However, Sisters notified the CDD that the city has withdrawn its application due to the property owner deciding against participation. CDD continues to coordinate with Bend and Redmond on their applications. In addition, CDD is closely coordinating with Redmond on two UGB amendments and corresponding Comprehensive Plan amendments, both involving County -owned lands (see the large lot industrial site update below). Redmond expects to submit one or both amendment packages over the next month. CDD is also coordinating with Bend staff on the pending "Transect" application on Bend's west side. The application is currently incomplete. While the lands are completely under County jurisdiction, the proximity to the City, infrastructure impacts, and more, are leading to close City -County coordination on this proposal. Q3: Bend and Redmond have active applications to the state to implement HB 4079 Pilot Program for Affordable Housing. CDD continues to coordinate with Bend and Redmond on their applications. In addition, CDD is closely coordinating with Redmond on two UGB amendments and corresponding Comprehensive Plan amendments, both involving County -owned lands (see the large lot industrial site update below). Redmond expects to submit one or both amendment 15 packages in FY 2018-2019. CDD is also coordinating with Bend staff on the "Transect" application on Bend's west side. The application remains incomplete as the applicants continue to coordinate with Paul Dewey. County Goal: Economic Vitality Objective: Administer land use programs that promote livability and sustainability. 4. Coordinate with the City of Bend to implement the Bend Airport Master Plan. Q1: The City of Bend has not applied for the proposed amendments. It is unknown if/when the City will initiate such amendments at this time. Q2: City and CDD staff have been meeting regularly on this project as the City's interest in moving this project forward has increased significantly over the past few months. CDD staff reviewed and submitted comments to the City on its initial draft text amendments (a new zoning district to consolidate three zoning districts into one). The conversations will continue over the next couple of months. In addition, the FAA and City have been in conversations about updating the BAMP to address economic development, the airport, and potential FAA grants. Q3: Conversations between CDD and City staff are continuing. The FAA and City remain in conversations about updating the BAMP to address economic development, the airport, and potential FAA grants. 5. Coordinate with City of Redmond to entitle large lot industrial site. Q1: The City of Redmond has not initiated a UGB amendment. The City continues to proceed with evaluating transportation impacts with ODOT and County transportation staff. Q2: CDD and Redmond staff have been meeting regularly as the City is anticipating submitting this application by March. CDD is coordinating with County Legal Counsel to determine whether the application(s) will be quasi-judicial or legislative; legislative amendments provide the opportunity for the City and County Planning Commissions to conduct joint hearings to expedite the process. Q3: CDD and Redmond staff continue to coordinate as the City is anticipating submitting this application in FY 2018-2019. 6. Staff is engaged in conversations with the City of Bend regarding Regional Problem Solving. Q1: County staff is waiting for a response from the City on whether or not it will be a partner in this effort. Q2: The Board directed CDD to begin a local non -resource lands program in spring 2018. The project will include lands around the City of Bend, but it is unclear if the City will participate in this effort. CDD is also tracking SB 1502 in the short session to address non -resource lands in Eastern Oregon; while the bill is not expected to move forward in the short session, it is expected 16 to serve as a springboard to an interim work group to draft non -resource lands legislation for the 2019 Legislative Session. Q3: The Board directed CDD to begin a local non -resource lands program in spring 2018. The project will include lands around the City of Bend, but it is unclear if the City will participate in this effort. CDD is also tracking SB 1502 in the short session to address non -resource lands in Eastern Oregon; while the bill is not expected to move forward in the short session, it is expected to serve as a springboard to an interim work group to draft non -resource lands legislation for the 2019 Legislative Session. County Goal: Service Delivery Objective: Support and promote Deschutes County Customer Service "Every Time" standards. 7. Achieve 6-10 inspection stops per day. Q1: During the 1st quarter, CDD achieved 10 inspection stops per day. Q2: During the 2nd quarter, CDD achieved 11 inspection stops per day. Q3: During the 3'd quarter, CDD achieved 9 inspection stops per day. The Building Safety Division's new field inspector will start 5/1/2018 8. Achieve an average turnaround time on building plan reviews of 8-10 days. Q 1: During the 1st quarter, the average turnaround time on building plan reviews was 12.8 days. The Building Safety Division is recruiting for 1 approved (unfilled) FTE and 1 on-call staff. Q2: During the 2nd quarter, the average turnaround time on building plan reviews was 20 days. The Building Safety Division is recruiting for 1 approved (unfilled) FTE and 1 on-call staff. Q3: During the 3`d quarter, the average turnaround time on building plan reviews was 23 days. The Building Safety Division's new residential plans examiner will start 6/4/2018 9. Issue land use administrative decisions with notice within 45 days and without notice within 21 days of completed application. Ql: During the 1St quarter, land use administrative decisions with notice were issued within 42 days and land use decisions without notice were issued within 28 days. Q2: During the 2nd quarter, land use administrative decisions with notice were issued within 30 days and land use decisions without notice were issued within 29 days. Q3: During the 3`d quarter, land use administrative decisions with notice were issued within 35 days and land use decisions without notice were issued within 27 days. 10. Issue onsite septic system permits within 15 days of complete application. 17 Q1: During the 1St quarter, onsite septic permits were issued within 10 days of completed application. Q2 Status: During the 2nd quarter, onsite septic permits were issued within 11 days of completed application. Q3 Status: During the 3'd quarter, onsite septic permits were issued within 13 days of completed application. Community Justice County Goal: Safe Communities Objective: Reduce crime and recidivism through prevention, intervention, supervision and enforcement. 1. No more than 10% of low-risk youth referred for first-time alcohol and other drug violation recidivate within one year of initial referral. Q1: Will be measured in quarter four. Last measurement reported in quarter 4 of FY17 was 9%. Q2: Will be measured in quarter four. Last measurement reported in quarter 4 of FY17 was 9%. Q3: Will be measured in quarter four. Last measurement reported in quarter 4 of FY17 was 9%. 2. 75% of supervised adult offenders have up to date criminogenic risk assessments that drive case plans. Q1: Baseline level established in first quarter is 52.2%. The division has begun planning for a 2/1/18 implementation of an intake/assessment process that utilizes additional staff to conduct assessments in order to meet the goal of timely and accurate risk assessment that guides offender case management. Q2: 57.6%, compared to 52.2% in the first quarter. The division has begun planning for implementation of an intake/assessment process that utilizes additional staff to conduct assessments in order to meet the goal of timely and accurate risk assessment that guides offender case management. Estimated implementation by July 1, 2018. Q3: 66%, compared to 57.6% in the first quarter. The division has begun training additional staff for implementation of an intake/assessment process to conduct assessments in order to meet the goal of timely and accurate risk assessment that guides offender case management. Staff were trained in the effective method of interviewing called Motivational Interviewing. They will be trained in the state's risk assessment tool in June and will begin implementation by July 1, 2018. County Goal: Safe Communities Objective: Provide safe and secure communities through coordinated public safety services. 18 3. Identify and work with criminal justice and substance abuse partners to provide effective treatment for supervised medium and high-risk offenders. Q1: Progress was made on this front during the first quarter. In the Juvenile division, administrative staff work regularly with substance abuse treatment providers to obtain, track and analyze participation and completion of juveniles involved in treatment. In the Adult division, recruitment is underway for a Parole & Probation Specialist to conduct quality assurance activities with substance abuse treatment providers to ensure compliance with state standards of care and effective practices. Q2: Progress continues on this performance measure. The Juvenile division continues to work with providers to receive monthly attendance and service reports for clients. It implemented and continues to utilize the Juvenile Justice Information System to track numbers of youth and service hours occurring. By the end of the second quarter, tracking procedures in place indicated that 78% youth ordered to drug and alcohol treatment successfully completed. Treatment attendance/no-show data is also now available. The Parole & Probation division has progressed on its priority to institute quality assurance protocols for treatment providers it contracts with. A fourth Specialist was hired and will begin work in January 2018, allowing .5-.75 FTE to be repurposed to review case plans, attendance, group sessions and treatment outcomes. Q3: Progress continues on this performance measure. The Juvenile division continues to work with providers to receive monthly attendance and service reports for clients. It implemented and continues to utilize the Juvenile Justice Information System to track numbers of youth and service hours occurring. By the end of the second quarter, tracking procedures in place indicated that 78% youth ordered to drug and alcohol treatment successfully completed. Treatment attendance/no-show data is also now available. The Parole & Probation division has progressed on its priority to institute quality assurance protocols for treatment providers it contracts with. A fourth Specialist was hired and began work in January, 2018, allowing .5-.75 FTE to be repurposed to review case plans, attendance, group sessions and treatment outcomes. County Goal: Service Delivery Objective: Ensure quality service delivery through the use of innovative technology and systems and provide collaborative internal support for county operations. 4. Complete initial implementation of Community Justice Dashboard by June 30, 2018. Q1: Progress made during the first quarter includes continuing investigation of the most cost- effective and useful dashboard platform to utilize. Activities were attending training provided by county IT on BI, a new dashboard / data management platform being investigated, continuing talks with other state community corrections divisions utilizing the Tableau platform, and a meeting with the SCRAM company, which has a new digital case management platform with potential capability of providing dashboard performance measurement assistance. Q2: Progress made during the first quarter includes continuing investigation of the most cost- effective and useful dashboard platform to utilize. Activities were attending training provided by county IT on BI, a new dashboard / data management platform being investigated, continuing 19 talks with other state community corrections divisions utilizing the Tableau platform, and a meeting with the SCRAM company, which has a new digital case management platfottit with potential capability of providing dashboard performance measurement assistance. Q3: After continuing delay with the statewide dashboard process, county IT has made progress with by automating two weekly reports that provide caseload numbers for all adult parole and probation officers, and the LSCMI status of all offenders. We are in the process of working with IT to create a pilot dashboard based on just these two reports that can be drilled down to the offender level. Once we find the most efficient and successful manner to automate and provide these dashboards we will expand the data elements available in this type of platform. District Attorney's Office County Goal: Safe Communities Objective: Provide safe and secure communities through coordinated public safety services. 1. Participate in Local Public Safety Coordinating Council (LPSCC), Central Oregon Law Enforcement Services (COLES), Multiple Disciplinary Teams (MDTs), and other public safety organizations. Q1: • LPSCC- Aug 1St • COLES- Jul 13th, Sept 14th • MDT's- Jul 19th, Aug 2nd, Aug 9th, Aug 16th, Sept 6th, Sept 13th, Sept 14th, Sept 20th, Sept 27th Q2 • LPSCC- Oct 11th • COLES- Dec 14th • MDT's- Oct 4th, Oct 11th, Oct 18th, Nov 1St, Nov 8th, Nov 9th, Nov 15th, Nov 22nd, Nov 29th, Dec 6th Q3: • LPSCC- Feb 6th • COLES- Jan 11th', Feb 8th • MDT's- Jan 10th Jan 11 ffi, Jan 24th, Feb 7th, Feb 21St, Mar 7th Mar 8th March 21st County Goal: Safe Communities Objective: Reduce crime and recidivism through prevention, intervention, supervision and enforcement. 2. Implement Goldilocks drug recidivism reduction program Q1: Over the last 3 months (Jul 1 — Sep 30) related to implementing the Goldilocks project we have: 20 • Hosted numerous group and individual program meetings with partner sites to discuss program plans and to establish specific program responsibilities for each organization. • Established program workflows. • Worked with Pacific Source to receive approval and determine process to direct program participants to primary care providers at Mosaic or La Pine Community Health Center only. • Contacted other OHP primary care providers within the community to inform them of the program. • Researched substantial compliance and measurement tools. • Received approval to adjust our grant budget to hire a substance use disorder counselor and rent space. • Identified and secured rental space at Central Oregon Collective. • Ordered program materials (i.e. laptops, bus passes). • Drafted the position description and posted the position opening for the substance use disorder counselor. • Developed a training plan, and began training law enforcement. • Finalized partner MOUs for signatures. • Developed program materials to be used during the orientation meetings. • Worked with a graphic design firm to develop the program materials that will be used by law enforcement to promote the program. • Hosted focus groups to help refine those materials. • Finalized and printed the Clean Slate information cards. • Scheduled presentations to inform local city councils about the program. • Conducted bi-weekly grant progress meetings with the Urban Institute. • Submitted a quarterly grant report to the Urban Institute/MacArthur Foundation. Q2: Between Oct 1— Dec 31 through the Goldilocks project, we: • Conducted 17 Goldilocks trainings for our law enforcement partners. • Executed our partner MOUs. • Developed webpages on the DA's website for DeschutesSafe, Goldilocks and Clean Slate. • Launched the Goldilocks program on November 10, with law enforcement identifying individuals that would be eligible for Clean Slate, and held our first Clean Slate meeting on November 17. • Promoted the program through four city council meeting presentations, a press release, multiple interviews with local media sources and a live media event where both the DA's Office and partners presented. • Hired the substance use disorder counselor. • Conducted trainings for the healthcare and drug treatment partners. • Held seven Clean Slate program orientation meetings: o 20 people have attended the orientation meetings - nine at Level 1 and 10 at Level II. • One was moving out of state and decided not to participate. o 17 (89%) of the meeting attendees are officially enrolled in Clean Slate. • One individual's medical appointment was still pending as of January 1. • One participant chose to miss his appointment and not reschedule, so was not enrolled in Clean Slate. 21 • Delivered all the needed program materials (Clean Slate cards and bus passes) to our law enforcement partners. • Continued to research additional funding opportunities. • Finalized our substantial compliance and assessment tools. • Hosted Goldilocks Partner meetings. • Met with Goldilocks partners individually to address and solve new program challenges. • Conducted monthly grant progress meetings with the Urban Institute. • Submitted a quarterly grant report to the Urban Institute/MacArthur Foundation. • Participated in the MacArthur Foundation bi-annual convening. Q3: Between Jan 1 — March 31, 2018 • Hosted an additional 10 Goldilocks Clean Slate Orientation meetings (18 meetings to date from program start) • Held seven Clean Slate program orientation meetings: o 38 individuals have attended the Clean Slate meetings. • 79 individuals were considered eligible for Clean Slate during this time - period. o Since the program started - 27 individuals have participated at Level 1, and 31 individuals at Level II. • Worked with our internal team to expand the ways individuals can appropriately enter the program. • Conducted follow-up trainings for our Goldilocks medical and law enforcement partners • Hosted Urban Institute staff for a funder site visit o Coordinated meeting with the team and program partners • Managed all program participant files and forward appropriate materials to program partners. • Enter potential participants in to the DA's data management system and into a program spreadsheet to track additional measures. • Conducted initial analysis to determine program progress. • Coordinated and facilitated Goldilocks partner meetings. • Sent regular emails to partners to keep them abreast of program activities. • Hired a new Substance Use Disorder Counselor. o Secured volunteers to facilitate half of the meetings during the transition o Developed detailed protocols for program activities and responsibilities during the meetings and in the office for new team members. • Purchased additional program materials • Applied for a local grant to continue the program for an additional 12 months. • Submitted and received approval to extend the current grant on a no -cost extension until early June 2018. • Continued to research additional funding opportunities. • Met with Goldilocks partners individually to address and solve new program challenges. • Participated in monthly grant progress meetings with the Urban Institute. • Submitted quarterly grant report. • Managed the program budget. 22 • Met with community members to provide them with more information on the program • Called potential participants each week to remind them to attend the meetings on Friday. • Updated our data collection procedures to not only track arrest drug, but also drug of choice. 3. Total cases filed, broken down by felony, misdemeanor, juvenile delinquency, juvenile dependency, and civil commitment. Average of annual cases filed per Deputy District Attorney (DDA) will be documented each quarter on a chart. Q1: Cases Filed Qtr. 1 July 1, 2017 — September 30, 2017 Total Cases Filed Felony 375 Misdemeanor 776 Juvenile Delinquency 50 Juvenile Dependency 27 Civil Commitment Hearings 4 Total: 1232 Per DDA: 65* Q2: Cases Filed Qtr. 2 September 1, 2017 — December 30, 2017 Total Cases Filed Felony 281 Misdemeanor 710 Juvenile Delinquency 35 Juvenile Dependency 24 Civil Commitment Hearings 0 Total: 1050 Per DDA: 55* Q3: Cases Filed Qtr. 3 January 1, 2018 — March 31, 2018 Total Cases Filed Felony 365 Misdemeanor 1037 Juvenile Delinquency 52 Juvenile Dependency 29 Civil Commitment Hearings 0 23 *Accounts for 3 Deputy District Attorney's being out on TML and leave. *Accounts for 3 Deputy District Attorney's being out on TML and leave. Total: Per DDA: 1483 67* 4. Driving under the influence of intoxicants trial conviction rate. Q1: Our conviction rate is 100% for this quarter. We have had 18 trials with 0 acquittals. Q2: Our conviction rate is 81.5% for this quarter. We have had 27 trials and 5 acquittals. Q3: Our conviction rate is 78% for this quarter. We have had 9 trials and 2 acquittals. 5. Average elapsed time to final disposition (in days) for adult misdemeanor cases. Q1: The average elapsed time to final disposition in adult misdemeanor cases is 37 days. Q2: The average elapsed time to final disposition in adult misdemeanor cases is 37.5 days. Q3: Data unavailable this quarter due to case management software transition. County Goal: Healthy People Objective: Promote well-being through behavioral health and community support programs. 6. Support Sheriff and Behavioral Health with implementation of crisis receiving center program. Q1: Project is on hold as Sheriff and Director of Behavioral Health work on funding issues. Have had three informal discussions with the Sheriff about the project, I continue to speak out publicly in support of the project, and I stand ready to assist with next steps when the Sheriff and the Director of Behavioral Health are ready. Q2: The Director of Behavioral Health and the Sheriff have advanced this project to the next phase of development and we continue to be supportive of their efforts. Q3: We stand ready to assist the Sheriff and the Health Services Director as needed. County Goal: Service Delivery Objective: Provide collaborative internal support for county operations. 24 7. Provide Civil Commitment legal representation to behavioral health and provide administrative oversight of the Medical Examiner program. Q 1 : Q2: 0Y 3: Mental Hold, Civil Commitment & ME Cases Qtr. 1 July 1, 2017 — September 30, 2017 Type Total Cases Mental Hold 65 Civil Commitment 4 ME Cases 62 Mental Hold, Civil Commitment & ME Cases Qtr. 2 October 1, 2017 — December 31, 2017 Type Total Cases Mental Hold 62 Civil Commitment 8 ME Cases 58 Mental Civil Commitment & ME Cases JQ.2 jai -wary 1„ 2018- March 31., 2010 Type Total Cases 121cnta1 Ho)d 40 Civil Commitment ME Caws 1.35 Facilities Department County Goal: Safe Communities Objective: Collaborate with partners to prepare for and respond to emergencies and disasters. 1. Participate in the update of the County Emergency Operations Plan. Ql: No progress to report during Ql. Q2: Participated in table top exercise with Emergency Services on Friday, December 8. Q3: No progress to report. 25 2. Continue to improve the resiliency of County facilities through the retrofit and installation of seismic restraints and shutoff valves. Q1: Staff are currently evaluating additional facilities for the installation of seismic restraints and shutoff valves in FY 2018. Q2: Staff have identified (2) buildings for further review of fire sprinkler pipe seismic restraints and (4) buildings for installation of seismic gas shutoff valves. Staff will solicit and review proposals in Q3 with work to be performed in Q3 and Q4. Q3: Upgrades to the fire sprinkler system seismic restraints were completed on the Facilities/Information Technology Warehouse. Additional seismic and gas shutoff projects are under consideration for Q4. County Goal: Healthy People Objective: Support and advance the health and safety of Deschutes County's diverse populations. 3. Provide improved pedestrian access to County facilities and services through the repair, replacement and construction of new sidewalks (DSB, WSSB, NOCO, and Courthouse). Q1: Paver reset and tree well removal was completed in August 2017 along Bond Street at the Courthouse complex. Minor sidewalk repairs were completed at various locations throughout the downtown campus. Q2: Construction on two additional projects has been postponed for the winter. Both projects are anticipated to be underway in Q3 and Q4. Q3: Two sidewalk replacement projects were completed at the downtown campus along Lafayette Street and on the west side of the Deschutes Services Building. Additional projects are under consideration for Q4. County Goal: Service Delivery Objective: Preserve and enhance capital assets and strengthen fiscal security. 4. Develop and implement a County -wide facility asset management and replacement plan. Q1: Staff anticipate that facility condition assessments for Phase II of the Facilities Master Plan will take place during Q2. Q2: Facility condition assessments for Phase II have been completed. Consultant and staff are preparing reports. Final Phase II assessment reports are expected to be completed in Q3. Q3: No progress to report during Q3. 26 Fair & Expo Center County Goal: Safe Communities Objective: Collaborate with County and community partners in preparing for and responding to natural and man-made disasters. 1. Continue working with law enforcement and community partners on the Emergency Operations Plan (EOP) and Memorandum of Understanding (MOU) with the Federal Emergency Management Agency (FEMA). Q1: Worked very closely with all emergency groups including law enforcement, FEMA, and Forest Service during Eclipse/Milli Fire. Showed how facility can handle situations. Q2: No new progress to report. Q3: Met with FEMA, due to sign new MOU. County Goal: Economic Vitality Objective: Partner with organizations and manage County assets to attract business development, tourism, and recreation. 2. Achieve $45 million in economic impact generated from Fair & Expo events and facilities. This measure utilizes economic multipliers established by Travel Oregon and updated with Travel Industries of America travel index. Q 1: $17,217,000 economic impact. Q2: $2,297,903 Total - $19,514,903. Q3: $11,376,840 Total - $30,891,743 3. Have more than 283,000 visitors attend this year's Fair. Q1: Due to excessive heat/smoke goal not reached — 245,000. Q2: No new progress to report. Q3: No new progress to report. County Goal: Service Delivery Objective: Support and promote Deschutes County Customer Service "Every Time" standards. 4. Achieve 90 percent customer satisfaction (or greater). Q1: 93%. 27 Q2: 96%. Q3: 100% County Goal: Service Delivery Objective: Preserve and enhance capital assets and strengthen fiscal security. 5. Work closely with Property & Facilities to develop a long-term replacement program for Fair & Expo facilities. Q 1: Ongoing. Q2: No new progress to report. Q3: No new progress to report. 6. Increase business with use of TRT funding and development of overall strategic marketing plan. Q1: Feasibility study almost complete with plan moving forward. Q2: Feasibility study should be done in Q3. Q3: Final phase due 4/30/18. Finance Department County Goal: Service Delivery Objective: Ensure quality service delivery through the use of innovative technology and systems. 1. Complete financial system implementation by June 30, 2017. The Financials Phase of the project was substantially completed and went live on July 1, 2017. Ql : There are several functions that will be implemented when time allows including purchasing cards and employee reimbursements. 2. Complete HR/payroll systems implementation by January 1, 2018. Q2: No new progress reported. Q1: This project will not go live in January 2018. The new go -live date will be established once several implementation issues are worked out. Q2: No new progress reported. 28 County Goal: Service Delivery Objective: Preserve and enhance capital assets and strengthen fiscal security. 3. Complete the transition to the MUNIS budget module for use in the FY 2019 budget process beginning in January 2018. Q1: This project is on track. We expect that departments will use the new budget entry functionality in the upcoming FY 2019 budget process. Q2: No new progress reported. County Goal: Service Delivery Objective: Ensure quality service delivery through the use of innovative technology and systems. 4. Implement new software for use by County staff and lodging operators to report and collect room taxes online by December 31, 2017. Q1: This project will move forward as time allows but will not be implemented by December 31, 2017. Q2: No new progress reported. Health Services Department County Goal: Safe Communities Objective: Reduce crime and recidivism through prevention, intervention, supervision and enforcement. 1. Report semi-annually on implementation of forensic diversion program including numbers and types of individuals served. Ql: The forensic diversion program has served 35 individuals since its inception. Thirty-two of those individuals had a total of 161 arrests in the 18 months prior to their first contact with the forensic diversion program. Post forensic diversion, the same 32 individuals have only accounted for 31 arrests and the total recidivism has reduced to 80.74%. A few highlighted individuals from the program: Jane Doe #1 was homeless and arrested 7 times in the year prior to entering the forensic diversion program. She is now a year out from her initial engagement with forensic diversion and she is housed with a foundations grant, attending school, and has had no arrests. Jane Doe #2 was arrested a total of 15 times over a two year period, since forensic diversion she has had no arrests. 29 John Smith #1 was arrested a total of 16 times over a two year period, post forensic diversion he has had no arrests. Q2: This is a semi-annual measure that was reported during Q1 and will again be reported in Q3. No information to report. Q3: The forensic diversion team has served 48 individuals since its inception. Those 48 individuals had a total of 217 arrests prior to their first contact with the forensic diversion program. Post forensic diversion, those same individuals have had a total of 58 arrests and the total reduction of recidivism within those 48 people is 58.67% County Goal: Safe Communities Objective: Collaborate with partners to prepare for and respond to emergencies and disasters. 2. Collaborate with partners to prepare for and respond to emergencies and disasters. Ql: This is a fiscal year annual measure, no information to report. Q2: This is a fiscal year annual measure, no information to report. Q3: This is a fiscal year annual measure, no information to report. 3. 80% of preparedness partners responding to a customer survey report satisfaction with the Public Health Emergency Preparedness Program. Q1: This is a fiscal year annual measure, no information to report. Q2: This is a fiscal year annual measure, no information to report. Q3: This is a fiscal year annual measure, no information to report. County Goal: Healthy People Objective: Support and advance the health and safety of Deschutes County's diverse populations. 4. 61% of the 94 new National Public Health Reaccreditation standards will be achieved by June 30, 2018. Q1: This is a fiscal year annual measure, no information to report. Q2: Mid -Point Update - We have completed 34% of the National Public Health Reaccreditation standards. Q3: This is a fiscal year annual measure, no information to report. 5. 58% Foundational Capability Score will be achieved by June 30, 2018. 30 Ql: This is a fiscal year annual measure, no information to report. Q2: Capacity increased from 54.31% (277/510) during the initial assessment to 58.43% (298/510) for FY 18. Q3: This is a fiscal year annual measure, no information to report. 6. 72% Foundational Expertise Score will be achieved by June 30, 2018. Q1: This is a fiscal year annual measure, no information to report. Q2: Expertise increased from 70.39% (359/510) during the initial assessment to 71.76% (366/510) for FY 18. Q3: This is a fiscal year annual measure, no information to report. 7. Reduce outbreaks and spread of disease by completing 95% of communicable disease investigations within 10 days, as defined by the Oregon Health Authority. Q1: This measure is reported at the end of the calendar year, no information to report. Q2: 98% of communicable disease investigations were completed within 10 days. FY18 Quarter 2 FY18 Quarter 2 FY18 Q2 Outcome Numerator Denominator 89 91 98% Q3: This measure was reported at the end of the calendar year, no information to report. 8. Reduce outbreaks and foodborne illness by inspecting a minimum of 95% of licensed facilities (e.g. restaurants, pools/spas/hotels, etc.) per state requirements. Q1: This measure is reported at the end of the calendar year, no information to report. Q2: 96% of licenses facilities were inspected. Q3: This measure was reported at the end of the calendar year, no information to report. 9. Achieve measurable progress toward state aspirational goal of zero suicides. Q1: This measure is reported at the end of the calendar year, no information to report. 31 Q2: Deschutes County has facilitated two public presentations from statewide resource experts on zero suicide through the Central Oregon Suicide Prevention Alliance (COSPA). A result of the presentations produced a verbal commitment from St. Charles Medical Center to pilot zero suicide in one division for the upcoming year. At this time, St. Charles is awaiting funding, to hire a trainer, to implement the model of zero suicide focusing on the element of training staff of the pilot division. Additionally, future meetings have been set up for the upcoming year to mobilize medical organizations and school based health center representations to create a team to attend a state-wide sponsored zero suicide academy in 2018. Q3: This measure was reported at the end of the calendar year, no information to report. 10. Reduce teen pregnancy rates to < 3.5 per 1,000 women 10-17 years of age. Q1: This is a fiscal year annual measure, no information to report. Q2: This is a fiscal year annual measure, no information to report. Q3: This is a fiscal year annual measure, no information to report. 11. 90% of participants in the Nurse Family Support Services (NFSS) program report having a patient -centered primary care home. Q1: This is a fiscal year annual measure, no information to report. Q2: This is a fiscal year annual measure, no information to report. Q3: This is a fiscal year annual measure, no inforivation to report. 12. 90% of the pregnant women in Central Oregon receive prenatal care beginning in their first trimester. Q1: This is a fiscal year annual measure, no information to report. Q2: This is a fiscal year annual measure, no information to report. Q3: This is a fiscal year annual measure, no information to report. 13. 60% or more of eligible pregnant women are enrolled in WIC within their first trimester. Q1: This is a fiscal year annual measure, no information to report. Q2: This is a fiscal year annual measure, no information to report. Q3: This is a fiscal year annual measure, no information to report. County Goal: Healthy People 32 Objective: Promote well-being through behavioral health and community support programs. 14. 82.7% of individuals discharged from a psychiatric hospital receive an outpatient behavioral health visit within 7 calendar days of discharge. Q 1: 91% of individuals discharged from a psychiatric hospital received an outpatient behavioral health visit within 7 calendar days of discharge. FY18 Quarter 1 FY18 Quarter 1 FY18 Q1 Outcome Numerator Denominator 58 64 91% Q2: 96% of individuals discharged from a psychiatric hospital received an outpatient behavioral health visit within 7 calendar days of discharge. FY18 Quarter 2 FY18 Quarter 2 Numerator Denominator 24 FY18 Q2 Outcome 25 96% Q3: This metric is on hold due to a change in reporting practices. A three-month lag will be implemented within the reporting cycle to account for the change in reporting practices. Performance for January to March will be reported with Q4 data. 15. Behavioral Health Oregon Health Plan clients seen within state timelines as specified in the following categories: 1) Emergent/Urgent: Within 24-48 hours and 2) Routine: Within 2 weeks. Q1: 100% of Behavioral Health Oregon Health Plan clients were seen within state timelines as specified in the following category: 1) Emergent/Urgent: Within 24-48 hours. FY18 Quarter 1 FY18 Quarter 1 Numerator Denominator 52 FY18 Q1 Outcome 52 100% Q2: 100% of Behavioral Health Oregon Health Plan clients were seen within state timelines as specified in the following category: 1) Emergent/Urgent: Within 24-48 hours. 33 FY18 Quarter 2 FY18 Quarter 2 Numerator Denominator 26 FY18 Q2 Outcome 26 100% Q3: 100% of Behavioral Health Oregon Health Plan clients were seen within state timelines as specified in the following category: 1) Emergent/Urgent: Within 24-48 hours. FY18 Quarter 3 FY18 Quarter 3 Numerator Denominator 15 FY18 Q3 Outcome 15 100% Q1: 99.5% of Behavioral Health Oregon Health Plan clients were seen within state timelines as specified in the following category: 2) Routine: Within 2 weeks. FY18 Quarter 1 FY18 Quarter 1 FY18 Q1 Outcome Numerator Denominator 398 400 99.5% Q2: 100% of Behavioral Health Oregon Health Plan clients were seen within state timelines as specified in the following category: 2) Routine: Within 2 weeks. FY18 Quarter 2 FY18 Quarter 2 FY18 Q2 Outcome Numerator Denominator 460 460 100% Q3: 99.8% of Behavioral Health Oregon Health Plan clients were seen within state timelines as specified in the following category: 2) Routine: Within 2 weeks. FY18 Quarter 3 FY18 Quarter 3 FY18 Q3 Outcome Numerator Denominator 548 549 99.8% 16. 90% of children and adolescents referred by the Department of Human Services (DHS) 34 receive a behavioral health assessment within 60 calendar days of notification*. Q1: 71.4% of children and adolescents referred by the Department of Human Services (DHS) received a behavioral health assessment within 60 calendar days of notification*. *"Notification" is a Department of Human Services (DHS) related concept and does not reflect the timeline between DHS requesting a Behavioral Health assessment appointment and the provided appointment. Q2: FY18 Quarter 1 FY18 Quarter 1 Numerator Denominator 5 FY18 Q1 Outcome 7 71.4% FY18 Quarter 2 FY18 Quarter 2 Numerator Denominator 5 FY18 Q2 Outcome 5 100% Q3: 91% of children and adolescents referred by the Department of Human Services (DHS) received a behavioral health assessment within 60 calendar days of notification. FY18 Quarter 3 FY18 Quarter 3 Numerator Denominator FY18 Q3 Outcome *"Notification" is a Department of Human Services (DHS) related concept and does not reflect the timeline between DHS requesting a Behavioral Health assessment appointment and the provided appointment. 17. Provide semi-annual update on Behavioral Health System Transformation (mental health/substance use disorders and intellectual and developmental disabilities), including implementation of Certified Community Behavioral Health Clinic. Q1: This is a semi-annual measure that will be reported during Q2 and Q4. No information to report. Q2: Health Services — Behavioral Health Division's system transformation efforts have included 35 both local and State level contributions. The Intellectual and Developmental Disabilities (I/DD) program has supported State level system improvement efforts including providing needed program data, providing subject matter experts for workgroups, and advocacy to increase I/DD Encounter Rates. These rates are critical to Deschutes Counties' ability to pursue Federal Match dollars, which support services to the community. Funding for the Regional Program, which facilitates access to higher levels of care for I/DD individuals, was discontinued leaving local programs to absorb the workload. Deschutes County's I/DD program has successfully implemented this change. Despite funding challenges, the I/DD program continues to provide services across our communities and meet State required deliverables. • 567 enrolled clients, including 286 clients in Redmond and 51 clients in La Pine • 100% of service plans have been renewed on time • 100% of protective service screening reports have been submitted within required timeframes Q3: This is a semi-annual measure that will be reported during Q2 and Q4. No information to report. 18. 75% of Foundations Rental Assistance program housed clients will remain housed for 6 months or more. Q1: 100% of Foundations Rental Assistance program housed clients remained housed for 6 months or more. FY18 Quarter 1 FY18 Quarter 1 FY18 Q1 Outcome Numerator Denominator 16 16 100% Q2: 100% of Foundations Rental Assistance program housed clients remained housed for 6 months or more. FY18 Quarter 2 FY18 Quarter 2 Numerator Denominator 16 FY18 Q1 Outcome 16 100% *5 clients were excluded from this metric because they have not been housed for 6 months yet. Q3: 95% of Foundations Rental Assistance program housed clients remained housed for 6 36 months or more. FY18 Quarter 3 FY18 Quarter 3 Numerator Denominator 18 19 FY18 Q3 Outcome 95% County Goal: Service Delivery Objective: Support and promote Deschutes County Customer Service "Every Time" standards. 19. > 99% of WIC clients responding to a customer survey report satisfaction with the services they received. Ql : This is a semi-annual measure that will be reported during Q2 and Q4. No information to report. Q2: 100% of WIC clients reported they were satisfied with the services they received FY18 Quarter 2 FY18 Quarter 2 FY18 Q2 Outcome Numerator Denominator 42 42 100% Q3: This is a semi-annual measure that will be reported during Q2 and Q4. No information to report. 20. > 95% of Environmental Health inspection services customers responding to a customer survey report satisfaction with the services they received. Ql : This is a semi-annual measure that will be reported during Q2 and Q4. No information to report. Q2: 93% of Environmental Health inspection services customers reported they were satisfied with the services they received. FY18 Quarter 2 FY18 Quarter 2 FY18 Q2 Outcome Numerator Denominator 68 73 93% 37 Q3: This is a semi-annual measure that will be reported during Q2 and Q4. No information to report. 21. 100% of reproductive and public health clinical services customers responding to a customer survey report satisfaction with the services they received. Q1: This is a semi-annual measure that will be reported during Q2 and Q4. No information to report. Q2: 95% of reproductive and public health clinical services customers reported they were satisfied with the services they received. Q3: This is a semi-annual measure that will be reported during Q2 and Q4. No information to report. 22. > 93% of respondents to a Behavioral Health client survey are satisfied with their experience. Q1: This is a semi-annual measure that will be reported during Q2 and Q4. No information to report. Q2: 92% of Behavioral Health client respondents reported they are satisfied with their experience. FY18 Quarter 2 FY18 Quarter 2 FY18 Q2 Outcome Numerator Denominator 398 433 92% Q3: This is a semi-annual measure that will be reported during Q2 and Q4. No information to report. 23. 85% of Intellectual/Developmental Disabilities surveys reflect an answer of "yes" to the question "Does your Service Coordinator give you the help you need?" 38 Q1: This is a fiscal year annual measure, no information to report. Q2: This is a fiscal year annual measure, no information to report. Q3: This is a fiscal year annual measure, no information to report. County Goal: Service Delivery Objective: Promote community participation and engagement with County government. 24. Increase the number of site visits to the external webpage, "Health Statistics and Information" (Baseline: 50, quarterly measure). Q1: There were 288 site visits to the external webpage, "Health Statistics and Information." Q2: There were 547 site visits to the external webpage, "Health Statistics and Information." Q3: There were 369 site visits to the external webpage, "Health Statistics and Information." 25. DCHS will disseminate accurate, timely and culturally appropriate public health information on at least four seasonal health topics via Epidemiology newsletter, media release and/or website. Q1: DCHS is currently disseminating a weekly flu report which can be viewed at https://www.deschutes.orp/health/page/local-flu-surveillance. This report is a comprehensive look at the influenza virus within our region, including regional influenza statistics and demographics. Q2: DCHS disseminated the Regional Health Assessment (RHA) midpoint report, which can be found online at the following URL link. https://www.deschutes.org/sites/default/files/fileattachments/health services/page/11305/rha mi dpoint update final.pdf Q3: DCHS disseminated the Central Oregon Public Health Quarterly, which provided a communicable disease year in review for 2017. The issue can be found online at the following URL link. https://www. deschutes. org/health/page/central-oregon-public-health-quarterly Human Resources Department County Goal: Service Delivery Objective: Ensure quality service delivery through the use of innovative technology and systems. 1. Continue to partner with all stakeholders to ensure that the finance/HR project is progressing according to the project plan. 39 Q1: HR staff have been meeting regularly with software implementation team to design foundation of the new HR system. HR staff identified a few County Departments/Offices to provide input on existing processes as well as upcoming needs and will continue to partner with more stakeholders as the process evolves. Q2: No new progress reported. Q3: No new progress reported. County Goal: Service Delivery Objective: Preserve and enhance capital assets and strengthen fiscal security. 2. Evaluate and re -design the existing classification and compensation structure. Q1: HR staff received the final reports and recommendations from classification and compensation project consultant. HR staff reviewed recommendations with steering committee, drafted new pay grade structure, classification structure, and compensation philosophy. HR staff met with all County Department/Office leadership to review recommended outcomes and impact of the project. Q2: No new progress reported. Q3: The classification and compensation changes for AFSCME and non -represented employees was adopted by the Board and implemented January 2018. HR is working with departments to now update job descriptions for the classifications involved in the study. County Goal: Service Delivery Objective: Provide collaborative internal support for County operations. 3. Provide training to department supervisors and managers on human resource policies and procedures. Q1: HR staff drafted updates to County practices to comply with two legislative changes; Oregon Paid Sick Time Law, and the Oregon Equal Pay Act of 2017. Q2: No new progress reported. Q3: HR staff attended a webinar on the Oregon Equal Pay Act of 2017. HR staff will develop a work plan for implementing the Oregon Equal Pay Act of 2017. Information Technology County Goal: Service Delivery Objective: Ensure quality service delivery through the use of innovative technology and systems. 40 1. Complete the modernization of the County's finance, human resources and payroll systems. Ql : The financial portion of the project went into production on July 1st. Electronic time collection has been released for use, however it not completely implemented. Q2: No new progress reported. Q3: The Time and Attendance software "NovaTime" has been implemented for all departments. It is in production (actively collecting time records) for all departments except Road, Solid Waste and 9-1-1 as of April 2018. County Goal: Service Delivery Objective: Provide collaborative internal support for County operations. 2. Promote the expansion of the use of the County's Open Data effort by enlisting the participation of Health Services, Public Safety or Finance. Q1: No progress to report during Q1. Q2: No new progress reported. Q3: The IT Department published a new data reporting software application for the creation of interactive reports. Health Services and Adult Corrections are actively creating reports for internal use. This same platform will be used to publish reports to the public and is a step towards growing our Open Data effort. County Goal: Service Delivery Objective: Promote community participation and engagement with County government. 3. Complete the redesign of the DIAL website user interface. Q 1: No progress to report during Q1. Q2: No new progress reported. Q3: No new progress reported. County Goal: Service Delivery Objective: Provide collaborative internal support for County operations. 4. Develop a restitution tracking application for Community Justice — Juvenile. Ql : This application went into production for Community Justice on October 30th Q2: No new progress reported. 41 Q3: No new progress reported. County Goal: Safe Communities Objective: Reduce crime and recidivism through prevention, intervention, supervision and enforcement. 5. Develop informational dashboards for Adult Parole and Probation with data from the State and County systems to assist service providers in delivering services adjusted to appropriate levels. Q1: No progress to report during Q1. Community Justice has decided not to pursue completion of this project in its original form. Information Technology continues to assist the department with determining appropriate tools for tracking and reporting on service data. Q2: No new progress reported. Q3: No new progress reported. County Goal: Economic Vitality Objective: Partner with organizations and manage County assets to attract business development, tourism, and recreation. 6. Provide GIS supportt for the 2020 Census Local Update of Census Addresses Operation (LUCA). Q1: The required registration paperwork to participate in LUCA has been completed. Internal personnel resource to perform the work has been identified. Q2: No new progress reported. Q3: Requisite materials have been received from the Census Bureau. Staff is currently analyzing the data to determine if submitting an update would be a beneficial effort. Justice Court County Goal: Safe Communities Objective: Provide safe and secure communities through coordinated public safety services. 1. Increase compliance with traffic laws and ordinance codes. Q 1: No progress to report. Q2: No progress to report. Q3: No progress to report. County Goal: Service Delivery 42 Objective: Promote community participation and engagement with County government. 2. Conduct evening court sessions in Redmond, La Pine and Sisters. Ql: No progress to report. Q2: Evening court is held in each location. Q3: Evening court is held in each location. Legal Counsel County Goal: Service Delivery Objective: Ensure quality service delivery through the use of innovative technology and systems. 1. Increase department capacity by achieving 50% electronic case file creation/maintenance. Ql : The Legal Department now creates/maintains approximately 70% of its case files in an electronic format. This reduces paper usage and file storage needs. Q2: Legal is now opening 100% of new case files electronically; legal is now maintaining approximately 90% of all open files electronically. Q3: No new progress to report. 2. Increase staff efficiency by fully implementing new case management system. Q1: The Legal Department (as of 10/1/17) has implemented the Legal Files case management system. The system is complex, and we all continue to learn and work out some of the bugs. The system affords all of the attorneys with 24/7 real-time access to all case file materials. The increase in efficiency will be gradual due to the steep learning curve associated with the case management system. Q2: Legal continues to implement Legal Files. We are a little behind schedule due to Connie's retirement at the end of October; her replacement began working on 1/2/18. Q3: Implementation continues. All staff are becoming more proficient which increases department productivity and capacity. Natural Resources County Goal: Safe Communities Objective: Collaborate with partners to prepare for and respond to emergencies and disasters. 43 1. Continue implementation of the FEMA pre -disaster mitigation grant treating approximately 1300 acres of hazardous fuels over a three year period. Q1: 517 total acres treated to date. 5 other projects are under contract or are in the planning stages. Q2: 550 total acres treated to date. 4 other projects are under contract and another two are in the planning stages. Q3: 733 total acres treated to date. 3 other projects are under contract and one more is in the planning stages. County Goal: Healthy People Objective: Help to sustain natural resources in balance with other community needs. 2. Maintain or increase public participation in Fire Free events as measured by yard debris collected. Q 1: No update, fall Fire Free will be in Q2. Q2: Fall FireFree collected 14,857 cubic yards. Q3: No update, spring FireFree is scheduled for Q4. 3. Maintain or increase the number of communities participating in the Firewise Communities Program. Q1: Two new Firewise communities were added in the last quarter, Sage Meadow in the Sisters area and Hillside Park in Bend. The total number Firewise communities is 21. Q2: One new Firewise community was added in the last quarter, Oregon Water Wonderland #1 in the greater La Pine area was added bringing the total number to 23. Q3: No Firewise communities were added, total remains at 23. Road Department County Goal: Economic Vitality Objective: Maintain a safe, efficient and sustainable transportation system. 1. Sustain the Pavement Condition Index at 80. Q1: The maintenance treatments and overlay program delivered in 2017 resulted in an overall Pavement Condition Index of 82 — which is an increase of one point from 2016 and two points from 2015. 44 Q2: No update, the PM reporting is complete for FY 18. Q3: No update, the PM reporting is complete for FY 18. 2. Achieve 96% of roads rated good or better (Pavement Condition Index above 70). Q1: Approximately 96.1 % of the County's paved network is rated "good" or better. This is a 0.1% increase from 2016. Q2: No update, the PM reporting is complete for FY 18. Q3: No update, the PM reporting is complete for FY 18. 3. PCI Sustainability Ratio at 100%. (Reports the ratio of pavement maintenance investment divided by systems needs per the Pavement Management Program.) Q1: The County's Pavement Management and Budget Options report identifies a 5 -year need of approximately $19.0M on pavement maintenance and preservation projects. The current program budget estimates approximately $20.9M in expenditures such that the ratio of budgeted investment versus the estimated requirement exceeds 100% (110%). This will allow the County to sustain the PCI at the existing, optimal level (low to mid 80s). Q2: No update, the PM reporting is complete for FY 18. Q3: No update, the PM reporting is complete for FY 18. County Goal: Service Delivery Objective: Preserve and enhance capital assets and strengthen fiscal security. 4. Provide a maintenance treatment or resurface 14% of the County's road pavement asset. Ql : To be calculated in upcoming quarters. Q2: In the calendar year 2017 maintenance program, approximately 8.8 miles of new pavement was placed (new, overlay, inlay) and 90.7 miles of chip seal was performed. This combined mileage equates to a treatment delivered on approximately 14.3% of the County's pavement asset — which meets the goal/measure of 14%. Q3: No update, the PM reporting is complete for FY 18. Sheriff's Office County Goal: Safe Communities Objective: Collaborate with partners to prepare for and respond to emergencies and disasters. 1. Participate in multi -agency coordination activities (meetings, plans and trainings). 45 Q1: No progress to report in Q1. Q2: No new progress reported. Q3: No new progress reported. 2. Number of emergency preparedness activities. Q1: Participated in two events — the Eclipse and the Milli fire. Q2: No new progress reported. Q3: No new progress reported. County Goal: Safe Communities Objective: Provide safe and secure communities through coordinated public safety services. 3. Respond to 35,500 patrol calls for service. Q1: Responded to 10,491 calls. Q2: No new progress reported. Q3: No new progress reported. 4. Initiate 39,000 patrol calls for service. Q1: Initiated 11,575 calls. Q2: No new progress reported. Q3: No new progress reported. County Goal: Service Delivery Objective: Preserve and enhance capital assets and strengthen fiscal security. 5. Replace 10 existing HVAC units in the older section of the jail. Q1: No progress to report. Q2: No new progress reported. Q3: No new progress reported. Department of Solid Waste 46 County Goal: Service Delivery Objective: Preserve and enhance capital assets and strengthen fiscal security. 1. Develop a Solid Waste Management Plan to determine disposal method to be developed as Knott Landfill reaches capacity. Plan will identify capital needs for new disposal method as well as needed modification to other system facilities to ensure effective integration with new disposal method. Ql: No new progress reported. Q2: A consultant finn has been contracted to develop the solid waste management plan. A Solid Waste Advisory Committee has been seated. Our first meeting of the SWAC will be held in January, 2018. Drafts of the first two chapters of the plan have been produced. 47 Mkt Value vs. Appeals 40,000,000,000 35,000,000,000 30,000,000,000 25,000,000,000 20,000,000,000 15,000,000,000 c) c) e) 0 Q 0 0 CD 0 0 0 0 0 Lf) 0 Ln c) Ln cri e 1. c\i‘ d Oc , < 2 , 92 , Oc , 9 4 0( . 4> ., Oc N . 6 46 N2 , 0& 2 •2 , Oc , 2 s, 0/ Oc , 1 s, 60 , 6 boc , 0 , > 2 cc tr) CD CL) a. 0 < source: Deschutes County Clerk and Assessor 5-16-2018 Deschutes County Board of Commissioners 1300 NW Wall St, Bend, OR 97703 (541) 388-6570 — Fax (541) 385-3202 — https://www.deschutes.org/ AGENDA REQUEST & STAFF REPORT For Board of Commissioners Business Meeting of Mav 21. 2018 DATE: May 16, 2018 FROM: Lee Randall, Facilities, 541-617-4711 TITLE OF AGENDA ITEM: Public Safety Campus Master Plan: Project Update RECOMMENDATION & ACTION REQUESTED: Requesting feedback for continued development of the plan BACKGROUND AND POLICY IMPLICATIONS: Efforts to site the proposed Deschutes County Stabilization Center on the public safety campus brought to the forefront the need to create a master plan for the campus in order to make efficient use of remaining undeveloped space. Today's presentation outlines the steps that have been taken to this point in time, and identifies opportunities for continued development of a master plan. FISCAL IMPLICATIONS: The plan identifies potential future campus development opportunities to meet current and projected department space needs which would have fiscal implications for the future. ATTENDANCE: Lee Randall, Facilities Director; Lee Georgeton, BLRB Architects; Henry Alaman, Gabayan, LLC. , E 0 G ROMMI (0 SOSOM 0 ..0 ro -5 u b.0 c 0 ERZMIIM E E ro a. L.... a) (A ro 2 < bb #6,•6666 Property Management t j 0 am 0 1 0 0 ma „64My oQ Area: 27.9 Acres in • • •,tt SITE VICINITY MAP 1 1994 - 2000 kJ C 0 CO VI OJ(Y w', ® t s3Q 0 0 1 O O O in 0° ..�45 Rgss�3L+ NtN 0 2005 - 2012 VI ati C 1,J ea et ® e ® a o LW a LESIO VI VI U 0 1 0 N '7 tcla at e • z 1.3 6'62 .-- Egg§ 1?; •13.. r. Y.--'''-- I , z, .! o , ! : I tia 1 / . 1 _P--,! 1 . • . • z t. Z 0 uJ ce 1- w 0 N 1c7i rn e. 3 0 -Li g 0 \ i 0 ! 2 \ \ , ce a. >- ! ‘§ --:-S' Z 5 o ,. 'c=2:4 — v.., ! 0 rn rn —J o a) Move Adult P&P to modular office 2Fa w ; - -ss.3 a z o ; ,75 o — [-L2 z z 0 „ 16' Z Q2 N = w Public Safety Campus Stakeholders Deschutes County 9®1-1 lao o Ca VI u 5 4-4 m 8® Oessma o U w aa) TO e EXISTING CONDITIONS Parole & Probation Juvenile Justice E0 Let O 0 v 0 v) V) 111 CU C C0 ® 6 2 y- 4J cu ro ®E 0 ® o ei E w Health Services u 0 CO 43-, N 00 = — —0 , a) to •E RI > a) in tri4a U ,(1) m c.a.' _ .... ......, ..... ...., _ (1) 4L 0 U0 Lfl 1• ot V) a) u =0 a_ro co 0.... 0 s... a)0 u u(.1.) o 4— tIO O vi 46 C 4d (1:5 a) = a) c cu LJ (11 ul >li 0— > S— Ull 0 vi' tx c r0 L.. liZ a) a_ n rti E --c -4-- --0 c 0 a) a) CU 4--i 73 E CU rt5 P X > > CO a) cp (0 4--- C C D O WD u u a) (1) ro s.... ..0 0=r 4.--J 4-->P L... C ---' .— 0 Lu txo f: • , , a. < 0 STABILIZATION CENTER tao o 0 LJ LI u00 nro 7 al > >5 4-j 0 2 CU 0 uv, Q Da. U PUBLIC SAFETY CAMPUS (ALL) Opportunity to develop shared training and meeting spaces Near-Term m -J til a41 0 V OD ®.5 c o 0 0 el 0 0 �Yt Z. 7 0 c 0 O Near-Term z 0 - W m L. (1)v~iU 'PM\5„AA 50;1 6RITTA STREET O N Z W d o 0 000 et W 0 LIEr Q • O E For • 0 • • 0 c 0 a 0 E L. 4J H bA C O J fC i w 0 a a 0 E bA C BRITTA STREET ro MEMroco GJ O ro 0 4., ro 0. co E 0 ro GJ ro 0 GJ tgg 4.0 4- 42J Grz GJ ra t7) GJ 0 GJ u P. °5- dates and solicit additional n• VI C 0 H a