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2020-115-Minutes for Meeting March 04,2020 Recorded 3/26/2020• BOARD OF COMMISSIONER-14 1300 NW Wall Street, Bend, Oregon (541) 388-6570 10:00 AM Recorded in Deschutes County Nancy Blankenship, County Clerk CJ2020-1 15 Commissioners, Journal 03/26/2020 3:20:46 PM 40 y�SES„�� II'IIIIIII'IIIII��IIII�I�III'll a 2020-115 FOR RECORDING STAMP ONLY EDESDAY, March 40 2020 BARNES & SAWYER ROOMS Present were Commissioners Patti Adair, Anthony DeBone, and Phil Henderson. Also present �n/ere Tom Anderson, County Administrator; Erik Kropp, Deputy County Administrator; David Doyle, County Counsel; and Sharon Keith, Board Executive Assistant. Several citizens and identified representatives of the media were in attendance. This meeting was audio and video recorded and can be accessed at the Deschutes County Meeting Portal website http://deschutescountyor.igm2 com/Citizens/Default.aspx CALL TO ORDER: Chair Adair called the meeting to order at 10:00 am PLEDGE OF ALLEGIANCE: CITIZEN INPUT: Ron "Rondo" Boozell presented concerns on exploding trains in Central Oregon. He commented the danger of explosive materials being transported on trains traveling through Central Oregon. BOCC MEETING MARCH 4, 2020 PAGE 1 OF 6 CONSENT AGENDA: Before the Board was Consideration of Approval of the Consent Agenda. DEBONE: Move Approval of Consent Agenda HENDERSON: Second VOTE: DEBONE: Yes HENDERSON: Yes ADAIR: Chair votes yes. Motion Carried Consent Agenda Items: 1. Consideration of Board Signature of Resolution No. 2020-011, Adding Limited Duration FTE in Clerk's Office 2. Consideration of Board Signature of Order No. 2020-007, Setting a Temporary Speed Limit of 25 MPH on Knott Road from MP 2.97 to MP 3.25 3. Consideration of Board Signature of Order No. 2020-008, Setting a Temporary Speed Limit of 35 MPH on SW Canal Boulevard from MP 4.55 to MP 5.15 4. Consideration of Board signature to thank Ashley Mooney for serving on the Cascade View Special Road District 5. Consideration of Board signature to appoint Catherine Banning to the Cascade View Special Road District 6. Consideration of Board signature to appoint Tanya Nason to the Deschutes County Public Health Advisory Board 7. Approval of the Minutes of the February 12, 2020 BOCC Meeting ACTION ITEMS: 8. Consideration of Deschutes County Stabilization Center FTE Request Sheriff Shane Nelson, Health Services Dr. George Conway, Holly Harris, and Cheryl Smallman requested approval to accept Central Oregon Health Council (COHC) funds to provide extended service hours at the stabilization center. Commissioner Henderson inquired on the process to determine the level of BOCC MEETING MARCH 4, 2020 PAGE 2 OF 6 staffing needed. Ms. Harris acknowledged the staffing levels will be regularly assessed. Commissioner Adair stressed the importance of providing services to people at our stabilization center instead of sending them to the emergency room. Sheriff Nelson expressed gratitude on the partnership with the Commissioners and commented this is the right path to maintain the livability of our community. Commissioner DeBone acknowledged this service is a tri-county effort. The Board expressed support to accept the COHC grant funds and proceed with staff recruitment. Dr. Conway reported the projected construction completion date of the stabilization center is April 30. 9. Health Services Coronavirus Update Health Services Director Hilary Saraceno and Dr. George Conway presented an update on the COVID-19 Coronavirus cases in the United States. The department's first challenge is with community messaging. Information is posted on the Central Oregon Emergency Information Network and a joint information center is staffed by agencies in the tri-county. Materials regarding the virus were presented to the Board. Health Services can under certain circumstances request swab test kits from the Oregon Health Authority; these may also be requested by health care providers. No cases of the virus have been reported in Deschutes County. Ms. Saraceno commented on the partnerships working to address the needs of the community. An executive leadership council will be formed today and Dr. Conway invited participation of a member of the Board of Commissioners. COMMISSIONER UPDATES: • Commissioner DeBone reported he attended the Bend Economic Advisory Group meeting on Monday. Eastern Oregon Counties has sent an intergovernmental agreement for BOCC MEETING MARCH 4, 2020 PAGE 3 OF 6 review and input. County Counsel Doyle is reviewing the document and will suggest redline edits. Commissioner Adair was in Sunriver area on Thursday to look at a vacant building that includes 30 apartments that may be used for a housing option. Commissioner DeBone noted the building is vacant and is for sale and was originally built by the Catholic Church as an apartment for aging adults. • Commissioner Henderson reported on the Veteran's Village housing concept and noted the concerns of the neighboring property owners. County Administrator Anderson reported on an upcoming meeting to be held with the Heroes Foundation and the City of Bend regarding a potential veteran's housing development. • Commissioner DeBone will attend the Association of Oregon Counties meeting on Monday, March 9. OTHER ITEMS: • County Administrator Anderson presented the Community Development Department staff of Peter Gutowsky, Nick Lelack, and Cynthia Smidt to report on a request to ask the Board to issue an order if the golf course site plan was appealed regarding the Thornburgh resort. Staff reviewed the upcoming process and potential outcomes based on the decision that will be issued next week. • The Joint Meeting with the City of Sisters is Wednesday, March 11 at 5:00pm. County Counsel Dave Doyle reported on an option for centralized contract tracking within the County Legal department. The department is researching a new process for tracking through a currently owned software system. A beta test will be conducted with select departments and then if determined to be beneficial, a county -wide process will begin on a date certain. The Board expressed support. BOCC MEETING MARCH 4, 2020 PAGE 4 OF 6 RECESS: At the time of 11:57 a.m. the Board went into recess and re -adjourned the meeting at 1:30 p.m. in the Allen Conference Room. EXECUTIVE SESSION: At the time of 1:34 p.m. the Board went into Executive Session under ORS 192.660 (2) (h) Litigation. The Board came out of Executive Session at 2:02 p.m. and directed staff to proceed as discussed. OTHER ITEMS: County Administrator Anderson presented letters for the Association of Oregon Counties (AOC) regarding the 2020 annual dues. Two draft letters were presented. One would be submitted with the membership dues payment and one to be submitted expressing the concern that AOC is not properly representing Deschutes County's interests. The information will be combined into one letter and will be sent with the annual dues payment. Commissioners Henderson and Adair are in support of signatures on the letter and Commissioner DeBone abstains from signature. EXECUTIVE SESSION: At the time of 2:13 p.m. the Board went into Executive Session under ORS 192.660 (2) (h) Litigation. The Board came out of Executive Session at 3:18 p.m. Informational only. BOCC MEETING MARCH 4, 202.0 PAGE 5 OF 6 At the time of 3:19 p.m. the Board went into Executive Session under ORS 192.660 (2) (e) Real Property Negotiations. The Board came out of Executive Session at 3:39 p.m. Informational only. Being no further items to come before the Board, the meeting was adjourned at 3:4-2 p.m. DATED this ' Day of ( (, 2020 for the Deschutes County Board of Commissioners. PATTI A AIR, CHAP LATTEST: iRECOR&NG SECRETAR BOCC MEETING MARCH 4, 2020 PAGE 6 OF 6 Deschutes County Board of Commissioners 1300 NW Wall St, Bend, OR 97703 (541) 388-6570 - www.deschutes.org BOCC MEETING AGENDA DESCHUTES COUNTY BOARD OF COMMISSIONERS 10:00 AM, WEDNESDAY, MARCH 4, 2020 Barnes Sawyer Rooms - Deschutes Services Center - 1300 NW Wall Street - Bend This meeting is open to the public, usually streamed live online and video recorded. To watch it online, visit www.deschutes.org/meefts. 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. Item start times are estimated and subject to change 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 Resolution No. 2020-011 Adding Limited Duration FTE in Clerk's Office Board of Commissioners BOCC Meeting Agenda Wednesday, March 4, 2020 Page 1 of 3 2. Consideration of Board Signature of Order No. 2020-007, Setting a Temporary Speed Limit of 25 MPH on Knott Road from MP 2.97 to MP 3.25 3. Consideration of Board Order No. 2020-008, Setting a Temporary Speed Limit of 35 MPH on SW Canal Boulevard from MP 4.55 to MP 5.15 4. Consideration of Board signature to thank Ashley Mooney for serving on the Cascade View Special Road District 5. Consideration of Board signature to appoint Catherine Banning to the Cascade View Special Road District 6. Consideration of Board signature to appoint Tanya Nason to the Deschutes County Public Health Advisory Board 7. Approval of Minutes of February 12, 2020 BOCC Meeting ACTION ITEMS 8. 10:05 AM Consideration of Deschutes County Stabilization Center FTE Request - Holly Harris, LUNCH RECESS EXECUTIVE SESSION 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. Executive Session under ORS 192.660 (2) (h) Litigation 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. Board of Commissioners BOCC Meeting Agenda Wednesday, March 4, 2020 Page 2 of 3 ADJOURN To watch this meeting on line, go to: www,deschutes.org/meetings Please note that the video will not show up until recording begins. You can also view past meetings on video by selecting the date shown on the website calendar. Deschutes County encourages persons with disabilities to participate in all programs and activities. This event/location is accessible to people with disabilities. If you need accommodations to make participation possible, please call (541) 617-4747. FUTURE MEETINGS: Additional meeting dates available at www.deschutes.org/meetingcalendar (Please note: Meeting dates and times are subject to change. All meetings take place in the Board of Commissioners' meeting rooms at 1300 NW Wall St., Bend, unless otherwise indicated. If you have questions regarding a meeting, please call 388-6572.) Board of Commissioners BOCC Meeting Agenda Wednesday, March 4, 2020 Page 3 of 3 0A E S C0G 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 BOCC Wednesday Meeting of March 4, 2020 DATE: February 21, 2020 FROM: Holly Harris, Health Services, TITLE OF AGENDA ITEM: Consideration of Deschutes County Stabilization Center FTE Request RECOMMENDATION & ACTION REQUESTED: Staff requests approval to accept the Central Oregon Health Council one-year grant funds and, with the addition of Deschutes County Sheriffs Office (DCSO) funds, to add 7.5 FTE described below in order to begin staffing the Deschutes County Stabilization Center (DCSC) seven days a week with expanded hours. BACKGROUND AND POLICY IMPLICATIONS: On August 7, 2019, Deschutes County Health Services (DCHS) requested approval to apply for $6,390,837 through the Central Oregon Health Council (COHC) to enhance the hours of operations for the Deschutes County Stabilization Center (DCSC). The request included the potential to fund thirteen limited duration FTE for three years. On January 9, 2020, COHC awarded Deschutes County Health Services $581,000 for one year. This funding will provide for 4.5 FTE one-year limited duration positions, associated equipment, materials and services and security costs for the DCSC and expand our operations to include weekend hours. In addition, the Sheriffs Office has expressed the intent to commit $570,000 annually to help expand the DCSC hours further. With these funds, DCHS requests approval to add three regular FTE. These funds will also cover additional program expenses and administrative costs. Our request is the approval to accept COHC grant funds of $581,000 and to hire 7.5 FTE as delineated below in order to begin staffing the DCSC seven days a week with expanded hours: 4.5 FTE one-year limited duration--COHC grant funds (5/1 /2020 - 4/30/2021) 3.0 FTE ongoing --Sheriff's Office funds (begin 5/1/2020) FISCAL IMPLICATIONS: • Total of $581,000 in additional funds to Deschutes County $570,000 FY 2020 appropriation for Deschutes County Sheriff's Office for Stabilization Center. Request for interfund transfer of approximately $55,000 to Deschutes County Health Services for FY 2020 and $570,000 annually thereafter. ATTENDANCE: Health Services staff: Holly Harris, Crisis Services Program Manager; Cheryl Smallman, Business Manager Funds for Stabilization Center Staffing 7:00 am 8:00 am 9:00 am 10:00 am 11:00 am 12:00 pm 1:00 pm 2:00 pm 3:00 pm 4:00 pm 5:00 pm 6:00 pm 7:00 pm 8:00 pm 9:00pm Sunday Monday Tuesday Wednesday Thursday Friday Sheriff's Office Health Services COHC Sunday 10:00 AM — 9:00 PM Monday 7:00 AM — 9:00 PM Tuesday 7:00 AM — 9:00 PM Wednesday 7:00 AM — 9:00 PM Thursday 7:00 AM — 9:00 PM Friday 7:00 AM — 9:00 PM Saturday 10:00 AM — 9:00 PM Saturday Board of County Commissioners Meeting: Item 8 March 4, 2020 Exhibit 1: FY 2021 Cost to Operate Stabilization Center by Proposed Days of the Week and Hour Compared to Source of FY 2021 Resources. $4.50 $4.00 $3.50 c $3.00 $2.50 $2.00 $1.50 $1.00 $0.50 FY21 Proposed Hours of Operation FY215ource of Funds ® Central Oregon Health Council one-time funds Various Crisis Grant Funds* Deschutes County Sheriff's Office N3 Ongoing Funding" * Various Crisis Grant Funds include: SAMHSA Co -responder through September 2023 and Bend Police Department one- time funds. ** Ongoing Funding includes: Oregon Health Authority State Intergovernmental Agreement Funds, Oregon Health Plan capitation, County General Funds, and patient fees. *** Central Oregon Health Council awarded Deschutes County Health Services $581,431 in one-time funds, to be spent over one year. DCHS is requesting $75,343 of the award be utilized prior to FY 2021 in order to offer weekend hours upon the opening of the Stabilization Center. LKq i[OTI-T!, kvig Coronaviruses are common throughout the world and mostly cause mild to moderate illness. They are one cause of common colds. In Oregon, ,ommon co ronaviruses in the fall and winter. This is a new coronavirus that can cause more serious respiratory illness in people. This virus was first identified during an investigation into an outbreak in Wuhan, China. Cases in the U.S. are associated with travel to China, especially Hubei Province, or with close contact with a known case. Illness has ranged from mild to severe respiratory illness including pneumonia with symptoms of fever, cough and shortness, of breath. Jefferson County oOv HEALTH SERVICES PUBLIC HEALTH M W • Central Oregon Emergency Information Network COVID-19 (NOVEL CORONAVIRUS) What is COVID-19? Novel coronavirus (2019-nCoV) is a new virus strain that was first identified in 2019. Health experts are concerned because little is known about this new virus. It has the potential to cause severe illness and pneumonia in some people and there is not a treatment. How does COVID-19 spread? Health experts are still learning the details. Currently, it is thought to spread: • through coughing and sneezing • close personal contact, such as touching or shaking hands • touching an object or surface with the virus on it, then touching your mouth, nose, or eyes tiR�ID���3+ Breath cough Contact How severe is COVID-19? Experts are still learning about the range of illness from novel coronavirus. Reported cases have ranged from mild illness (similar to a common cold) to severe pneumonia that requires hospitalization. So far, deaths have been reported mainly in older adults who had other health conditions. What are the symptoms? People who have been diagnosed with novel coronavirus have reported symptoms that may appear in as few as 2 days or as long as 14 days after exposure to the virus: Fever Difficulty breathing W V%) L 0^ ��I../L� \/.: /...: 1 1 L.I.J I I IJ I I Q ], I J 1 U fo Y I Y I Q LL C U I 1 o O 3 1 I U I z co I (y l 1 bA t 1 I z 0 U I W ;..: I ) 1 w i c) 1 _ I,.... X 1 O 0 i I 1 Q L V W I O I I 0 I ' - I N Q Y z.�� I —2 I .CC � I a) 0 Q C N �u=u� U , " u o — I I Q I I I I r v E t LU z ri vi au c a � J W -p (D _ Q (1 Z CO ro U E Q a) Iv ,_ ,_ to Z) E Q v O a1 v E O LU O ro W cO 2 G A a) C s e � I i W M W W z Q Z L G N O C U � W Y . Y OU z iN 0 _ Z li p O N f— N a) co Z — Z Fv Inv O a; Z co Co —_ LL Q E- W a) z Z (N W m U O v � U J .� a=o z U c c/ U I �y N � L1J = H o � z Prevent the spread of communicable diseases and emerging public health threats through investigation, intervention, and 517 outbreak control What this r r r community Communicable diseases e Receive and investigate reports of communicable diseases, (not including STDs) outbreaks, or epidemics, from healthcare providers 24/7, as reported in 2019 required by Oregon law a Provide technical assistance to facilities (ex: long term care facilities and schools) experiencing an outbreak Conduct STD partner notification services, including education, 17 6AA#j%F testing and treatment ® Provide consultations to healthcare providers regarding complex communicable disease cases Sexually transmitted diseases reported in 2019 How This ProgramCommunity ® Protect the health of the community by reducing spread of communicable diseases ® Responding to communicable disease reports is a core function of 20 public health ® Minimize disease outbreaks through investigations, after action reports, and education Communicable disease ® Reduce the burden of communicable diseases among vulnerable outbreaks investigated and controlled in 2019 populations CD-Epi :-health Care Program Provider Investigates disease ••- Diagnoses disease 5;'m ash 4 cases and outbreaks to „ in individuals prevent spread Ensures health care facilities practice Treats diseases in Staff hours to respond to infection control health care facilities one measles exposure in Deschutes County Provides guidance and Provides advice and information to health care0 providers and the public information to patients Monitors p-cr Monitors disease trends patient status Public Health Contact Tracing Can Stop Q`G< HEALTH SERVICES PUBUCHEALTH & Slow Infectious Disease Outbreaks If you are diagnosed with certain diseases, you will be asked by a public health communicable disease nurse about everyone with whom you have had contact. The nurse will talk to each person and ask them about their health.This is called contact tracing, and is a core public health function. • Communicable disease nurses work to communicate with everyone that has been in contact with the patient. • Contacts are taught how to watch for symptoms for a certain number of days (the disease's incubation period). Contact shows symptoms & is isolated, tested & provided care. ient asked about their contacts. W W Contacts will Y Missed contact Contact shows no symptoms may spread disease after a certain to new contacts. number of days. Patient asked about contacts. n, be watched blorsymptoms for a certain number of da s. Contact not at risk of developing the disease. Public health regularly manages communicable disease outbreaks, and is prepared to investigate and respond if we have a COVID-19 case or outbreak in Deschutes County. Central Oregon Public Health Departments coordinate to plan for and respond to emerging health threats and will continue working together As of March 2, 2020 there to provide a coordinated and timely response to COVID-19. are no confirmed cases of COVID-19 in Deschutes Deschutes County Health Services Response County • DCHS Communicable Disease team began preparing for local impacts of COVID-19 and regularly meeting with healthcare partners, Oregon Health Authority, and CDC in January. • We are using our Deschutes County Health Alert Network to regularly send 3 COVID-19 clinical guidance and updates to over 230 healthcare providers in Central Oregon. • Public Health nurses conduct monitoring for individuals who may have As of March 2, 2020 there been exposed to COVI D-19. are 3 confirmed cases of . We are working closely with local schools, healthcare providers, emergency COVID-19 in Oregon services, cities, businesses, and others to assure that they have the most up-to-date guidance. • We helped implement and serve as the subject matter expert in the joint Information Center UIC), to provide the public with timely and accurate F information via Central Oregon Emergency Information Network (COEIN). . _ d- • Initiated a COVID-19 daily situational update email for the general public As of March 2, 2020 there and providers. are 108 confirmed cases of e If a Deschutes County resident tests positive for COVID-19, public health COVID-19 in the United communicable disease nurses will begin contact tracing. This is a core States public health function. o The PH nurse will ask the patient about everyone they have had contact with. o The PH nurse will then talk to exposed persons and help them monitor " 9`0 8 71' their health for the incubation period (14 days). If an individual develops 0' symptoms, PH nurses can help them arrange to be treated and tested without exposing others. As of March 2, 2020 there are 90,870 confirmed cases COVID-19 Resources of COVID-19 globally DCHS: www.deschutes.org/covidl 9 COEIN: http://coemergencyinfo.blogspot.com/ Oregon Health Authority: www.healthoregon.org/coronavirus CDC: https://www.cdc.gov/covid-19