agenda clark county combined health district board … · d. update to temporary leave buyout...

AGENDA CLARK COUNTY COMBINED HEALTH DISTRICT

BOARD OF HEALTH September 17, 2020

6:00 p.m.

1. Call Meeting to Order

2. Roll Call

3. Approval of Meeting Minutes

4. Activity Reports: A. Nursing Division (Christina Conover) B. Environmental Division (Larry Shaffer) C. Early Childhood (Lori Lambert) D. Women, Infants, & Children (Emily Hawke) E. Vital Statistics (Shannon Hackathorne) F. Financial Report (Charles Patterson) G. Legislative Update (Charles Patterson)

5. Monthly Vouchers (Charles Patterson) A. Payment Approval B. Transfers/Advances, if necessary

6. Special Report

7. Old Business

8. New Business A. 2021 Tax Rates/Amounts Acceptance (Charles Patterson) B. University of Pittsburgh RODS/NRDM Agreement (Charles Patterson) C. HDIS Maintenance Contract Renewal (Charles Patterson) D. Update to Temporary Leave Buyout Policy (Charles Patterson) E. Appropriations (Charles Patterson) F. New Fund Creation – Care Resource Coordination (Charles Patterson) G. Sewage Variance Requests (Larry Shaffer)

(1) 2900 Dogwood Drive (2) 3690 Randee Lane

9. Health Commissioner’s Comments

10. Executive Session – if necessary

11. Additional Business – if necessary

12. Next Meeting Date – Thursday, October 15, 2020

Adjournment

Clark County Combined Health District Board of Health Minutes

August 20, 2020 President Catherine Crompton called the August 20, 2020 Clark County Combined Health District Board of Health meeting to order at 6:01p.m. Board members present: Catherine Crompton, Marianne Potina, Dala DeWitt, William Scarff, Dana King, Valerie Moore and Bernadette deGuzman. Board members absent: none. Staff present: Charles Patterson, Health Commissioner; Larry Shaffer, Director of Environmental Health; Christina Conover, Director of Nursing; Emily Hawke, WIC Director; Shannon Hackathorne, Administrative Assistant to the Health Commissioner; Lindsey Hardacre, Fiscal Officer; Rick Holbrook, IT Technician and Kyle Trout, Communications Coordinator. Others present: none. Minutes: The minutes of the July 16, 2020 Board of Health meeting were approved as submitted. Activity Reports: Nursing: Ms. Conover said July was marked by department wide efforts for testing. She said there was a press release issued on August 5, 2020 to share results of the pop up testing clinics. She said over the three (3) clinics held at Hayward, Perrin Woods and Burnett Plaza we tested 2,278 people for COVID-19 with a positivity rate of 2.67%. She said we learned a lot and were able to partner with the Ohio National Guard, which gave us some different ideas. She said we were able to practice one as a drive thru and through the experiences we will continue to tweak our plans and plan for other opportunities to test or provide vaccines. She said we made a conscious effort to step back from testing because of the delay we were getting in turnaround time from the lab, however, since then there has been some other efforts puts in place by the Ohio Department of Health with a little faster turnaround time so we are assessing the testing available in the community to decide where it is best to use our resources. She said our resources are being asked of in a number of other areas with schools going back and that heightens us with concerns about being able to keep up with case investigating and contact tracing. She said a lot of time is being spent throughout the agency on readiness polls which will be helpful moving forward. She said there has been some effort with the Substance Abuse Coalition which helps employ some of our Health Planners through a grant from the Ohio Department of Health, on a campaign for alternative medicine with billboards through town, brochures and information sharing on social media. Environmental Health: Mr. Shaffer said we remain second in the state behind Franklin County to find West Nile Virus (WNV) in the mosquito population. He advised we found WNV in Park Layne, South Charleston, Northridge, North Hampton and several areas of Springfield. He said fortunately there are no human cases in Ohio this year. He said we have had five (5) human cases of Lyme disease in Clark County with 124 total cases across the state. He said Lyme disease is carried by the black legged tick which is relatively new to Clark County. He advised that four (4) out of the five (5) cases have not traveled out of the county this year and are confirmed to have contracted Lyme disease here in Clark County. He said we work diligently advising the public to take precaution for mosquito and tick borne diseases with news stories, going door to door with education flyers and we continue to apply larvicide in ponds to control mosquitos as well as adult control products when we find WNV. Mr. Shaffer commended Ms. Elizabeth DeWitt and Megan Davis as they have stepped up to begin a CQI project to reduce the incidence of sewage aerator failures installed in homes on Eva Circle. He said Eva Circle has a large number of aerators and aerator failures. He said the project will include an emphasis on consumer education as it is believed that most consumers do not understand what an aerator is, how it works or the consequences when it fails. He said if successful, we will reach out with these efforts to all homes with aerators and share our tactics with other health departments as a model for improvement. Mr. Shaffer said the Environmental staff have managed to keep up with their regular work despite responding to approximately 1,600 complaints and requests for assistance and fit testing related to the COVID-19 response. He advised that 1845 people have been fit tested for n95 masks. He said we have resumed nuisance investigations

Clark County Combined Health District Board of Health Minutes August 20, 2020 2

in homes and food service inspections in nursing homes with health precautions in place. He said that he is proud to work with this group and we are lucky to have a better group of sanitarians than anywhere in the state and we should consider this in our payroll budget. Mr. Shaffer said we were scheduled to receive our sewage program survey from the Ohio Department of Health in July, however, they have put all program surveys on hold. He said the majority of Ohio Department of Health and Ohio Environmental Protection Agency employees are working from home during the pandemic. He said many health departments are doing the same. Dr. Crompton asked if all counties are pursing WNV testing due to the pandemic. Mr. Shaffer said only a fraction of the counties are testing. He said it looks like about 25% are testing from the numbers he has seen. He said Franklin County has been doing their own testing which is not as accurate as what the Center for Disease Control (CDC) is doing for the Ohio Department of Health so the thought is that they are getting some false positives. Mr. Scarff asked if the mosquito spraying program is as expansive this year as it was last year. Mr. Shaffer said we go out every time we find WNV and spray the area within a quarter to half mile radius from where we set the traps. He said we hope this is effective, but it is hard to tell. He said putting larvicide in the ponds has been proven to be very effective. He said we monitor the results of trapping every time we trap. He said we count the number of mosquitos and the Ohio Department of Health counts the number of mosquitos so the results are confirmed. He said they will produce charts and graphs at the end of mosquito season which we will share with the Board. Early Childhood: Mr. Patterson said we continue to explore what it looks like when go back into the homes. He said our Early Childhood supervisors are working to figure out the most effective way to return to the homes. He said we are waiting on guidance from the Ohio Department of Health on when returning to the home might happen and what that will look like as well. He said our staff want to get back into the homes because they know the relationships are more effective with families when in person. He said we know there is some risk associated with that so we have to balance that much like the schools are doing now with balancing the risk vs. reward of having the kids back in school vs. virtual education. He said we know in person is best, but there is some risk with that. WIC: Ms. Hawke said there is a new enrollment initiative the WIC program is involved in called the WIC SNAP TANIF cross enrollment initiative. She said through the innovate Ohio platform data sets from the Ohio Department of Health are matched from the Ohio Department of Medicaid and Jobs & Family Services to identify WIC eligible participants currently enrolled in Medicaid, Snap and Tanif. She said this generates a referral list that is sent out to state WIC projects for eligible participants in their areas. She said we received our first list last week which identified 87 eligible individuals who consented to be contacted by our program. She advised that our staff have started the outreach effort by phone and mail. She said we will document and report our outreach attempts to secure enrollment in our program to the Ohio Department of Health. She said that we hope this collaboration of efforts will help us get families we are missing enrolled in our program. She advised that we are also working on our Breastfeeding Awareness Month event scheduled for next Friday. Vital Statistics: Ms. Hackathorne said there is nothing new or unusual with the report this month. Financial Report: Ms. Hardacre referred to the financial report in the Board packet. She said we had to fix the MIECHV fund as there was an advance that had not been completed by the auditor’s office. She said our external auditors are beginning to wrap our annual audit report and we hope to review that at the meeting next month. Legislative Update: Mr. Patterson said a majority of the conversation this month was surrounding the copy of Senator Shaffer’s bill that has now been introduced and is in committee at the Senate. He said they are not in session and are unlikely to return until after the election, however, we are told things will move quickly in a lame duck session. He said we have analyzed the bill again and applied it to our Board of Health members and do not believe it will have much affect for Clark County. He said it may put constraints on us in the future on how we fill the roles, but we have the perfect Board compliment as Senator Shaffer wants to put out. He said we have businessmen, nurses, nurse practitioner, doctor, dentist and a veterinarian which is everything they are asking including a hospital representative which puts us above most. He said the bill does potentially put the Board of Health in a position of ability to override a Director of Health’s orders, however, since we are not a big or small county it is not likely we would ever be in a situation where we would be willing to over the Director or his or her orders.


Dr. Crompton said it puts some restrictions on us, but our Board of Health already fulfills some of the requirements and asked what it will do for the smaller counties without a physician or nurse practitioner. Mr. Patterson said some counties do not have a doctor residing in the county and it will be difficult for those counties. He said we are not going to waste much of our Clark County political capital on this particular bill, but it is one that has attention of most counties as most are rural and have a different take than us. He said there are pieces in the bill that we have yet to understand and the most effect on our Board of Health is the fact that we have a contract between the District Advisory Council (DAC) and City of Springfield for who appoints whom and it may negate some of that contract. He said we are asking them how they pass a law that makes our contract null and void, however, we have not received a response from the associations’ legal counsel. Vouchers: Ms. Hardacre presented the bills. She said our COVID-19 expenses were a little higher, however, they have slowed down for the month of August on the financial side. Ms. Hardacre advised that we received additional funding from the COVID-19 grant of $116,000.00 and another $25,000 to be used for enforcement only. She said we hope to put some additional staff in that grant to spend it down by December.

R 71-20 A resolution approving payment of the bills from July 1, 2020 through July 30, 2020. Motioned by: Ms. Potina Seconded by: Ms. Moore Dr. deGuzman Yes Mr. Scarff Yes Ms. Potina Yes Ms. Moore Yes Dr. Crompton Yes Ms. DeWitt Yes Dr. King Yes Motion carried. Special Report: none Old Business: none New Business: Water Pollution Control Loan Fund Request to OEPA: Mr. Shaffer said for the past three (3) years we have acquired loan funding from the Ohio Environmental Protection Agency to repair or replace homeowner septic systems. He said it is truly loan funding, but the requirement to pay it back is based upon income and some homeowners can qualify for 100% non-pay back. He said there are three (3) tiers 50%, 85% and 100% all based on income. He said in the three (3) years we have been participating we have acquired $500,000.00 in loan funding which has allowed us to install or replace 29 septic systems. He said we currently have eight (8) systems or connections to sewer in progress with loan funding in place. He said we have more prequalified on the waiting list for funding. Dr. Crompton said it is nice to have this available for the community. R 72-20 A resolution authorizing the Health Commissioner to apply for, accept, and enter into a Water Pollution Control Loan Fund Agreement on behalf of the Board of Health of the Clark Country Combined Health District for the repair and replacement of household sewage treatment systems. Whereas, the Clark County Combined Health District seeks to repair and/or replace failing home sewage treatment systems; and Whereas, the Clark County Combined Health District intends to apply to the Water Pollution Control Loan Fund (WPCLF) for the repair and/or replacement of failing home sewage treatment systems; and


Whereas, the Ohio Water Pollution Control Loan Fund requires the government authority to pass legislation for application of a loan and the execution of a WPCLF assistance agreement; now therefore, BE IT RESOLVED by the Board of Health of the Clark County Combined Health District of Springfield, Ohio: SECTION 1. That the Health Commissioner be and is hereby authorized to apply for a WPCLF assistance agreement for the year 2021, sign all documents for and enter into a Water Pollution Control Loan Fund with the Ohio Environmental Protection Agency for the repair and/or replacement of failing home sewage treatment systems on behalf of the Board of Health of the Clark County Combined Health District of Springfield, Ohio SECTION 2. That is resolution shall take effect and be in force from and after the earliest period allowed by law. Motioned by: Mr. Scarff Seconded by: Dr. deGuzman Ms. Moore Yes Ms. Potina Yes Dr. Crompton Yes Dr. deGuzman Yes Mr. Scarff Yes Dr. King Yes Ms. DeWitt Yes Motion carried. Sewage Treatment Systems Permit Fees Certification: Mr. Shaffer said we have 681 aerators in the county with operation permits issued to them. He said as a condition for the operations permit the homeowner has to have an annual inspection. He said in lieu of an inspection they can have a contract with a service provider to do the inspection and service work on their aerator. He said if they do not have a service contract it us up to the local health department to provide the annual inspection to ensure the aerator is operating adequately. He said the rules and laws allow us to do the inspection for those who do not have a private provider and assess the cost to their taxes. He said out of the 681 aerators in the county 103 do not have a service contract. He said completed the inspections and the good news is there are only 13 on the list who have not paid for the inspection. He said when we first started doing this several years ago there were close to 100 so we are getting better. Dr. Crompton said it does not pertain to this, however, asked if we will be able to take the information from Eva Circle to segue into teaching people that they need the operating permit for any system. Mr. Shaffer said the goal for Eva Circle is to get people to take care of their aerators and believes this would be a different project, however, we are still continuing outreach by speaking with realtors every day, sharing information on the website and providing literature. R 73-20 WHEREAS, the owners of the following list of properties have not paid their fee for an Operation Inspection for Sewage Treatment System, as required by division (A) of section 3709.09 of the Ohio Revised Code; Paragraph (B) of rule 3701-29-05 of the Ohio Administrative Code; and the Board of Health Resolution 105-11; and WHEREAS, the owners of the properties on the following list of properties have not paid the late fee for their Operation Inspection for Sewage Treatment System, as required by division (D) of section 3709.09 of the Ohio Revised Code and Board of Health Resolution 11-15; and, WHEREAS, the owners of the properties on the following list of properties have been properly notified of the amount of the fee and the late fee, as required by division (B) of Ohio Revised Code section 3709.091 and have not objected to the amount in the manner provided by division (C) of Ohio Revised Code section 3709.091; and, NOW, THEREFORE, be it resolved that the itemized costs in the following list be certified to the county auditor, in accordance with division (E) of Ohio Revised Code section 3709.091, as follows:


Name Address City, State, Zip Parcel number Amount

Kim & Belinda Adkins 68 Carlisle Avenue Springfield, OH 45504

3000600022203002 $56.25

Jason & Tina Harris 2011 Granada Drive Springfield, OH 45503

2200300019309001 $56.25

Scott A. Ryon 752 Lawnview Ave Springfield, OH 45505

3100700022413015 $56.25

Penny Kay Messenger

530 Lawnview Avenue

Springfield, OH 45505

3100700022413001 $56.25

Paul & Nichole Printz 3654 Lawrenceville Drive


0500200020207001 $56.25

Joel W & Janet I Ilges 110 E Main St Tremont City, OH 45372

0700200010207010 $56.25

Rocky Griffith 2550 Marinette Drive Springfield, OH 45503

2200300019303008 $56.25

James R. & Shannon K. Berner

7225 Milton Carlisle Rd


0100500004101004 $56.25

Chad K. Miller 2430 Myers Road Springfield, OH 45502

2500100001000051 $56.25

Cathy Ernst 1496 Parkridge Drive


1800600015305027 $56.25

John W. Siders 2319 Shrine Rd Springfield, OH 45502

0500200025000049 $56.25

Marie A. Meadows 13480 Urbana-London Road

Mechanicsburg, OH 43044

2801506151000026 $56.25

Jeff Burns 13610 Urbana-London Road

Mechanicsburg, OH 43044

2801506151000028 $56.25

$731.25

These costs shall be accompanied by the certificate of the president of the board and attested by the clerk of the board that the cost amount is correct. FURTHER resolved is that the auditor has no discretion, but shall place such sum against the property upon which the fees for an Operation Inspection for Sewage Treatment System entry be placed on the general tax lists and duplicate, as provided in section 319.281 of the Revised Code. Motioned by: Ms. Potina Seconded by: Ms. DeWitt Ms. Moore Yes Ms. Potina Yes Dr. King Yes Dr. deGuzman Yes Dr. Crompton Yes Ms. DeWitt Yes Mr. Scarff Yes Motion carried. Sewage Variance Request – 2373 Old Selma Road: Mr. Shaffer said 2373 Old Selma Road is in Springfield Township just south of the City of Springfield between I-70 and Leffel Lane. He said the property had been heavily wooded for many years, which is usually cause to believe that soils are wet because if they were better the property would most likely have been developed long ago. He said the property changed ownership a few years ago and was cleared to make room as a storage place for a roofing company. He said the company now wants to build a small office with sewage treatment onsite. He said public sewer is over 1,800 fee and two (2) roads away and due to poor soil quality they have submitted plans for mound type sewage treatment instead of


traditional leaching trenches. He said as most of the soil on the property has been heavily disturbed when the forest was cleared, there is no place for a replacement septic system. He said they are asking for a variance from rule which requires that a replacement area is designated now and if the system fails, they would install an aerator. He said the Board approved the same variance for a homeowner a few years ago. He advised there is a diagram and public health ethics review included in the Board packet. He said the Springfield Township Trustees have been advised of the request for variance and have not offered any comment. R 74-20 A resolution approving a household sewage treatment system rules variance at 2373 Old Selma

Road, Springfield, Ohio (Parcel #3000700026201069) allowing a small-flow sewage treatment system to be installed to service a new dwelling without designating an area for complete relocation and replacement of a small-flow sewage treatment system with the responsible party

signing a Hold Harmless Agreement. Motioned by: Dr. deGuzman Seconded by: Dr. King Dr. deGuzman Yes Ms. Moore Yes Ms. Potina Yes Dr. King Yes Dr. Crompton Yes Mr. Scarff Yes Ms. DeWitt Yes Motion carried. Low Income Birth Certificates: Ms. Hackathorne said for many years Ms. Sheila Rice has paid the state portion of the fee for certified birth certificates for the Opportunities for Individual Change (OIC) and Project Woman programs while the Health District has covered the remainder of the fee. She said as Ms. Rice retires she will no longer be able to continue this service. She said we are asking permission to cover the state fee which is currently $13.50 as well up to $1,000.00 per year to be able to continue this service. R 75-20 A resolution authorizing the Health Commissioner to cover the state fee for birth certificates up to

$1,000.00 annually for participants in the Opportunities for Individual Change (OIC) and Project Woman programs for assistance with obtaining certified birth certificates.

Motioned by: Dr. deGuzman Seconded by: Ms. Potina Ms. DeWitt Yes Ms. Potina Yes Dr. Crompton Yes Dr. deGuzman Yes Mr. Scarff Yes Dr. King Yes Ms. Moore Yes Motion carried. Substance Abuse Coalition Mini Grant Submission: Ms. Conover said we are requesting permission to apply for a mini grant with the Community Health Foundation. She said the Community Health Foundation continues to be a supportive partner, they stay in touch with the work on the Community Health Assessment and Community Health Improvement Plan and try to look at priorities and relationships, which we are thankful for. She said this grant will be for additional support with campaign materials for the Substance Abuse Coalition. R 76-20 A resolution authorizing the Health Commissioner to do all things necessary including submitting

the grant and negotiating and executing all related contracts to the Community Health Foundation on behalf of the Substance Abuse Coalition.

Motioned by: Ms. Potina Seconded by: Ms. DeWitt Mr. Scarff Yes Dr. deGuzman Yes Ms. Potina Yes Ms. Moore Yes


Dr. Crompton Yes Ms. DeWitt Yes Dr. King Yes Motion carried. Springfield Foundation Grant Submission: Ms. Conover said we are requesting permission to submit a grant application to the Springfield Foundation for funding to assist with increase need from the community at food banks. She said there are multiple high volume pantries that could use additional refrigeration, especially as we are pushing the fresh fruit and vegetables. She said Ms. Ashley Shearer with our Creating Health Communities Coalition has been in contact with a number of partners through the coalition who are aware of the need and asked us to put in the request for funding to see if we can assist with any refrigeration costs for these high volume pantries. R 77-20 A resolution authorizing the Health Commissioner to do all things necessary including submitting

the grant and negotiation and executing all related contracts to the Springfield Foundation for the Creating Healthy Communities grant.

Motioned by: Mr. Scarff Seconded by: Dr. King Ms. Potina Yes Ms. DeWitt Yes Dr. King Yes Ms. Moore Yes Mr. Scarff Yes Dr. Crompton Yes Dr. deGuzman Yes Motion carried. Appropriations: Ms. Hardacre referred to the budget in the Board packet. She said the main focus is the contract tracing grant. She said we received an additional $465,000.00 from the state to cover the contact tracing costs. She said we have added a few additional lines under this grant as a portion of the grant can be used for COVID-19 related items. She said we decided to take some of the cost paid from the health fund to include in this grant so we will basically doing a reimbursement. R 78-20 A resolution approving the budget appropriations submitted at the August 20, 2020 Clark County Combined Health District Board of Health meeting. Motioned by: Dr. deGuzman Seconded by: Ms. Potina Dr. deGuzman Yes Mr. Scarff Yes Ms. Potina Yes Ms. Moore Yes Dr. Crompton Yes Ms. DeWitt Yes Dr. King Yes Motion carried. Update to Emergency Preparedness Coordinator Job Description: Mr. Patterson said we made a couple tweaks to this job description brought to us by our current Emergency Preparedness Coordinator who is the new Emergency Management Agency (EMA) Director for Clark County. He said she gave us notice last week and will start in her new position in a couple weeks. He said we are asking for approval of the updated job description so we can post and fill the position as soon as possible. He said even when we bring someone in that positon we will not be able to have them do the whole gamut of what Ms. Clements-Pitstick is doing now and will need to piece that out among other staff until he or she is up to speed. R 79-20 A resolution approving the updated Emergency Preparedness Coordinator 1 and Emergency

Preparedness Coordinator 2 job descriptions as submitted at the August 20, 2020 Clark County Combined Health District Board of Health meeting.

Motioned by: Ms. DeWitt Seconded by: Dr. King


Ms. Potina Yes Ms. DeWitt Yes Dr. King Yes Ms. Moore Yes Mr. Scarff Yes Dr. deGuzman Yes Dr. Crompton Yes Motion carried. Southern Village Signage: Mr. Patterson said late today we received an additional quote we were waiting on for the signage at Southern Village. He said there is a sign on the front glass, but there is also a lighted sign and another above that with a sign on the pole that we can install. He advised the quote is just under $3,000.00 and if we are able to approve that tonight we would be able to continue working on that project. He said the interior is done and we are ready to begin on the inside, but want to get those signs up and ready so the public knows where we are and how to reach us. Dr. Crompton said it seems straight forward and does not see any reason we cannot move forward tonight for approval. R 80-20 A resolution approving new signage for the Southern Village location not to exceed $3,000.00

paid from the MAC fund. Motioned by: Dr. deGuzman Seconded by: Dr. King Ms. Potina Yes Dr. King Yes Ms. DeWitt Yes Ms. Moore Yes Mr. Scarff Yes Dr. deGuzman Yes Dr. Crompton Yes Motion carried. Health Commissioner’s Comments: Mr. Patterson said staff continue to do an outstanding job under not ideal conditions. He said we have staff in many areas with two (2) working in the annex to the conference room. He said we have some departures going back to school which will change the mix of our contact tracing, but we are bringing additional people on to ensure we can continue that effort at the same level. He said we also have trying to figure out how to get some of top tier staff some time off high on our agenda as everyone is getting tired. He said it is a priority for us, but difficult with so many outbreaks and things to do making it hard to catch up. He referred to the chart in the Board packet and said Clark County moved to red this week. He said there are nine (9) counties that are red across the state at this time. He said Clark County hit four (4) of the indicators and the fourth (4th) is what pushed us to red. He said the indicator this time was the percentage of outpatient visits for COVID-19, which more than tripled over the two (2) week period from 3-4 weeks ago to the last 2 weeks. He said we have seen a lot more seeking care on the outpatient side. He said Clark County is now a high incidence county and it is not surprising we went to red by what we are feeling and what the hospital tells us they are seeing. Ms. Potina said they are seeing many who were not coming to the hospital from fear of COVID-19 and the acuity in these patients is much higher. Mr. Patterson said there is another indicator we thought would push us to red so we will not be surprised if we have a 5th indicator next week along with high incidence. He said many have asked if we are close to purple and his response is that we just moved to red so we are not close to purple at this time. He said many including the Board president have expressed disappointment because we are wearing masks and social distancing. He said our response is that more people are wearing masks, but not enough people are wearing masks. He said people who tend to be the most at risk for spreading the virus and most at risk for being exposed to the virus are not wearing masks. He said most people are doing a great job wearing masks, but we still have some work to do to get this better under control. He said we hoped to have the virus under better control by next week as schools return to class. He said most are going back on a hybrid schedule which allows them to social distance and have more intensive educational opportunities for kids while there. He said special classes such as gym, art and music are being held online for the most part on days they are not in class. Mr. Patterson said we had two (2) incidents yesterday where clients did not want to wear a mask. He said we are asking the Board’s permission to have our employees protected. He said if a client does not want to wear a mask


or has a medical condition that does not allow them to wear a mask we would like to look at the situation and provide services in the car. He said we do not want an outbreak here and already have enough risk going home every day and do not want additional risk in the office if clients do not want to wear a mask. Ms. Potina asked how it works when providing service in the car. Mr. Patterson said if they come inside and do not to wear a mask we will ask them to return to their car and will send a staff member out to provide services. He said if we cannot provide service in the car such as reproductive health services we will ask them to wait in their car while our staff suits up in protective gear. Ms. Moore asked what happens in the winter or in adverse weather conditions. She suggested a designated room off the lobby if possible for those who do not wish to wear a mask. Dr. deGuzman said she does not believe they should be brought in without a mask risking exposure and contamination of the building. Ms. Potina asked if we can give them the option to put on the mask and receive services or reschedule at the end of the day so we can have staff suited in protective gear only at the end of the day. Mr. Patterson said providing services in the car for those who do not want to wear a mask will reduce the amount of personal protective equipment (PPE) used, however, if there is adverse weather we can offer the option to schedule them at the end of the day. Ms. DeWitt asked how effective shields are. Mr. Patterson said the state health department came out Saturday and said “no face shields” except for the exceptions in the rule, such as foreign language, younger children with sound words or those with a disability. He said we know masks are effective, we do not know how effective shields are, but we know they are not nearly as effective as masks. Mr. Patterson thanked for the Board and said we will take the discussion back to formulate a policy moving forward. Dr. Crompton called for Executive Session. Ms. DeWitt moved to enter Executive Session at 6:55 p.m. to discuss a personnel matter. Seconded by Ms. Potina. Dr. King Yes Ms. DeWitt Yes Dr. Crompton Yes Ms. Moore Yes Ms. Potina Yes Dr. deGuzman Yes Mr. Scarff Yes Motion carried. The Board of Health returned from Executive Session at 7:20 p.m. The next regular Board of Health meeting will be held Thursday, September 17, 2020 at 6:00 p.m. at 529 E. Home Road, Springfield, Ohio. With no further business to come before the Board, meeting adjourned at 7:20 p.m. _______________________________ _______________________________ Charles A. Patterson, Secretary Catherine Crompton, President Clark County Combined Health District Clark County Combined Health District Board of Health Board of Health

ENVIRONMENTAL HEALTH MONTHLY REPORT 41

PROGRAM: Aug'20 YTD '20 PROGRAM: Aug'20 YTD '20 Aug'20 YTD '20

C&DD-Active: DOMESTIC PREPAREDNESS: FOOD-MOBILE:

Consultations 0 12 Complaints/Consultations 12 53 Consultations 3 11

Enforcement 0 0 Field Activity Hours (Clinics, Etc.) 118.25 2827.5 Licenses Issued:

Licenses, Permits, Orders Issued 0 0 Inspections/Re-Inspections 0 0 Food Establishment 0 3

Inspections &/or Re-Inspections 1 6 Sample/Re-Sample 0 0 Food Service 0 66

C&DD-Closed: Sample or Specimen Pick-Up/Delivery 0 2 Inspections-Standard 1 89

Consultations 0 0 Training-Given 0 0 Notices of Critical Viol.-Standard Insp. 0 0

Enforcement 0 0 Training-Received 0 8 Follow-Up Inspections 0 3

Inspections &/or Re-Inspections 0 2 FOOD-RISK (144): Complaints Rec'd./Investigated/FU/Pend. 0 0

CAMPGROUNDS (182): PLAN REVIEW 4 43 FOOD-TEMPORARY:

Consultations 1 6 Consultations 4 60 Consultations 0 0

Licenses Issued 0 7 Licenses Issued: Licenses Issued:

Inspections-Standand 5 13 Food Establishment 1 197 Food Establishment 6 33

Licenses Issued-Temporary 0 2 Food Service 3 404 Food Service 2 40

Inspections-Temporary 0 1 Inspections-Food Establishment: Inspections-Standard 9 54

Notices of Critical Viol.-Standard Insp. 0 0 Standard Inspections 15 214 Notices of Critical Viol.-Standard Insp. 0 0

Re-Inspections 0 0 PR Inspections 1 13 Follow-Up Inspections 0 0

Complaints Pending-Beg. Of Month 1 Notices of Critical Viol.-Stand./PR 0 0 Complaints Rec'd./Investigated/FU/Pend. 0 0

Complaints Rec'd.-Current Month 2 2 Follow-Up Inspections 6 55 FOOD-VENDING:

Complaints Investigated: Outbreak Investigations: 0 0 Consultations 0 1

Valid Complaints 1 1 Sample or Specimen Pick-Up/Delivery 0 0 Licenses Issued 0 63

Notices of Violation Sent 0 0 Inspection/Sample 0 0 0 5

Summary Compliance Abated 0 0 Inspections-Food Service: Inspections - Misc 0 0

Non-Valid Abated 1 1 Standard Inspections 64 467 Notices of Critical Viol.-Standard Insp. 0 0

Complaint Re-Inspections 2 2 CCP Inspections 29 220 Follow-Up Inspections 0 0

Complaints Pending-End of Month 2 Notices of Critical Viol.-Stand./CCP 0 1 Complaints Rec'd./Investigated/FU/Pend. 0 0

Outbreak Investigations 0 0 Follow-Up Inspections 3 86 INDOOR AIR QUALITY:

Orders to Appear before CCCHD 0 0 Outbreak Investigations: 0 0 Consultations 15 120

BOH Orders Issued 0 0 Sample or Specimen Pick-Up/Delivery 0 0 Inspections &/or Re-Inspections 1 17

Citations to Appear before BOH 0 0 Inspection/Sample 0 0 INFECTIOUS WASTE:

Plan Review 0 0 Complaints Pending-Beg. Of Month 5 Consultations 0 6

CLEAN FILL OPERATION: Complaints Rec'd.-Current Month 10 94 Enforcement 0 0

Complaints 0 2 Complaints Investigated: Inspections &/or Re-Inspections 0 1

Consultations 0 22 Valid Complaints 2 17 INSECT/RODENT (146):

Enforcement 0 0 Notices of Violation Sent 0 1 Bed Bugs:

NOITF, Orders Issued 0 1 Summary Compliance Abated 1 11 Consultations 0 13

Inspections &/or Re-Inspections 0 15 Non-Valid Abated 7 66 Inspections &/or Re-Inspections 0 1

COMPOSTING FACILITY: Complaint Re-Inspections 0 6 Consultations-Insect/Rodent 0 0

Consultations 0 11 Complaints Pending-End of Month 2 Complaints Pending-Beg. Of Month 2

Enforcement 0 0 Orders to Appear before CCCHD 0 0 Complaints Rec'd.-Current Month 1 6

Licenses, Permits, Orders Issued 0 0 BOH Orders Issued 0 0 Complaints Investigated:

Inspections &/or Re-Inspections 1 17 Citations to Appear before BOH 0 0 Valid Complaints 1 5

Citations into Court 0 0 Notices of Violation Sent 0 4

PROGRAM:

Inspections-Standard



INSECT/RODENT (cont'd.): MERCURY (199):

Summary Compliance Abated 0 0 Consultations 5 13 Complaint Re-Inspections 0 0

Non-Valid Abated 0 1 Enforcement/NOV 0 1 Complaints Pending-End of Month 0

Complaint Re-Inspections 1 3 Inspections/Re-Inspections 3 12 Orders to Appear before CCCHD 0 0

Complaints Pending-End of Month Complaints Rec'd 0 1 BOH Orders Issued 0 0

Orders to Appear before CCCHD 0 0 MOLD: Citations to Appear before BOH 0 0

BOH Orders Issued 0 0 Consultations 10 84 Citations into Court 0 0

Citations to Appear before BOH 0 0 Inspections &/or Re-Inspections 2 2 NUISANCES-WATER/UTILITIES (160):

Citations into Court 0 0 MOTORCYCLE OHIO: Consultations 0 0

JAIL: # of Classes Conducted 2 11 Complaints Pending-Beg. Of Month 13

Complaints Rec'd./Investigated/FU/Pend. 0 0 # SUCCESSFULLY COMPLETED: MALE 10 53 Complaints Rec'd.-Current Month 1 19

Consultations 0 0 FEMALE 5 29 Complaints Investigated:

Enforcement 0 0 MINORS 0 1 Valid Complaints 1 16

Inspections 0 2 # DID NOT PASS: MALE 0 0 Notices of Violation Sent 1 13

Inspection/Sample 0 0 FEMALE 0 1 Summary Compliance Abated 0 0

Re-Inspections 0 0 MINORS 0 0 Non-Valid Abated 0 3

Sample or Specimen Pick-Up/Delivery 0 0 # DROPPED OUT: MALE 0 1 Complaint Re-Inspections 0 10

Outbreak Investigations 0 0 FEMALE 0 2 Complaints Pending-End of Month 13

LANDFILLS-CLOSED: MINORS 0 0 Orders to Appear before CCCHD 0 0

Consultations 0 4 NUISANCES-GENERAL ANIMAL (147): BOH Orders Issued 0 0

Enforcement 0 0 Consultations 1 1 Citations to Appear before BOH 0 0

Inspections &/or Re-Inspections 2 17 Complaints Pending-Beg. Of Month 4 Citations into Court 0 0

LEAD: Complaints Rec'd.-Current Month 2 20 PLUMBING (141):

Consultations 2 53 Complaints Investigated: PLAN REVIEW 5 41

MAN. HOME PARK (180): Valid Complaints 2 15 Inspections 45 276

Consultations 0 0 Notices of Violation Sent 2 8 Finals 44 271

Inspections-Standard 0 30 Summary Compliance Abated 0 0 Permits 75 504

Notices of Critical Viol.-Standard Insp. 0 0 Non-Valid Abated 0 5 Registrations 9 243

Re-Inspections 0 3 Complaint Re-Inspections 5 15 Backflow Certifications 102 1250

Complaints Pending-Beg. Of Month 1 Complaints Pending-End of Month 2 Consultations 3 27

Complaints Rec'd.-Current Month 0 5 Orders to Appear before CCCHD 0 0 Complaints Pending-Beg. Of Month 7

Complaints Investigated: BOH Orders Issued 0 0 Complaints Rec'd.-Current Month 5 7

Valid Complaints 0 3 Citations to Appear before BOH 0 0 Complaints Investigated:

Notices of Violation Sent 0 0 Citations into Court 0 0 Valid Complaints 3 4

Summary Compliance Abated 0 0 NUISANCES-OTHER (149): Notices of Violation Sent 0 0

Non-Valid Abated 0 2 Consultations 0 0 Summary Compliance Abated 1 1

Complaint Re-Inspections 0 1 Complaints Pending-Beg. Of Month 0 Non-Valid Abated 1 2

Complaints Pending-End of Month 1 Complaints Rec'd.-Current Month 0 1 Complaint Re-Inspections 0 0

Orders to Appear before CCCHD 0 0 Complaints Investigated: Complaints Pending-End of Month 7

BOH Orders Issued 0 0 Valid Complaints 0 0 Orders to Appear before CCCHD 0 0

Citations to Appear before BOH 0 0 Notices of Violation Sent 0 0 BOH Orders Issued 0 0

Citations into Court 0 0 Summary Compliance Abated 0 0 Citations to Appear before BOH 0 0

Non-Valid Abated 0 1 Citations into Court 0 0

PROGRAM:

NUISANCES-OTHER (cont'd.):



RABIES CONTROL: Mercury Spills 0 0 SMOKING:

Animal Bite Investigation 15 109 Orders to Appear before CCCHD 0 0 Administrative Review 0 0

Re-Inspections 0 0 BOH Orders Issued 0 0 Complaints 0 15

Consultations 3 4 Citations to Appear before BOH 0 0 Consultations 0 0

Sample or Specimen Pick-Up 10 40 Citations into Court 0 0 Fines 0 0

Sample or Specimen Delivery 0 11 SCRAP TIRE ADDRESS: 0 12

Citations into Court 0 0 Consultations 8 16 0 15

RADON: Enforcement 0 0 1 5

Consultations 0 24 Inspections 17 23 Letters Sent - Misc 0 0

REAL ESTATE: SEWAGE (143): SOLID WASTE (142):

Consultations 0 0 Consultations 27 147 Hauler Registrations 0 9

Inspections - Well Only 0 16 Inspections: Truck Registrations-w/Registration Fee 0 0

Inspections - Septic Only 1 29 Aerator Inspections 80 114 Truck Registrations-Additional Trucks 0 101

Inspections - Well & Septic 13 107 Dye Tests/Sampling 0 1 Truck Inspections 0 144

Re-Inspections 4 26 Finals (New/Repair) 18 61 Consultations 0 2

Sampling 14 145 1 Year Operation Inspections 3 117 Complaints Pending-Beg. Of Month 25

Resampling 2 21 Site Approvals 5 29 Complaints Rec'd.-Current Month 19 119

RECYCLING/TRANSFER STATION: Site Review Inspections 13 92 Complaints Investigated:

Inspections 2 3 Subdivision Review Inspections 4 15 Valid Complaints 14 80

ROUTINE WATER: Truck Inspections/Re-inspections 0 2 Notices of Violation Sent 9 73

Consultations 0 0 Licenses, Permits, Orders Issued: Summary Compliance Abated 0 1

Sampling by CCCHD Staff 3 133 Site Review Applications 13 101 Non-Valid Abated 5 37

Sampling by Owner (Self) 15 92 Subdivision Review Applications 4 15 Complaint Re-Inspections 20 162

Inspections 2 2 Installation (New, Replace or Alter Permits) 19 94 Complaints Pending-End of Month 31

Dye Tests 0 0 Operation Permits/Inspection Fees 62 382 Orders to Appear before CCCHD 0 0

SALVAGE YARD: Site Approval Applications 5 30 BOH Orders Issued 0 0

Consultations 0 8 Sewage Installer Registrations 0 14 Citations to Appear before BOH 0 0

Enforcement 0 0 Service Provider Registrations 0 10 Citations into Court 0 0

Inspections 6 9 Septage Hauler Registrations/Trucks 0 9 SWIMMING POOLS/SPAS (181):

SCHOOL/PLAYGROUND (145): Variance Applications 1 10 Consultations 1 7

Consultations 4 14 Complaints Pending-Beg. Of Month 20 Licenses Issued 0 37

Inspections-Standard 0 49 Complaints Rec'd.-Current Month 22 57 Inspections-Standard 25 152

Re-Inspections 0 0 Complaints Investigated: Notices of Critical Viol.-Standard Insp. 1 9

Complaints Pending-Beg. Of Month 0 Valid Complaints 22 38 Re-Inspections 1 11

Complaints Rec'd.-Current Month 1 1 Notices of Violation Sent 28 47 Complaints Pending-Beg. Of Month 0

Complaints Investigated: Summary Compliance Abated 0 4 Complaints Rec'd.-Current Month 0 0

Valid Complaints 1 1 Non-Valid Abated 0 15 Complaints Investigated:

Notices of Violation Sent 0 0 Complaint Re-Inspections 0 1 Valid Complaints 0 0

Summary Compliance Abated 0 0 Complaints Pending-End of Month 22 Notices of Violation Sent 0 0

Non-Valid Abated 0 0 Orders to Appear before CCCHD 0 0 Summary Compliance Abated 0 0

Complaint Re-Inspections 0 0 BOH Orders Issued 0 0 Non-Valid Abated 0 0

Complaints Pending-End of Month 0 Citations to Appear before BOH 0 0 Complaint Re-Inspections 0 0

Outbreak Investigations 0 0 Citations into Court 0 0 Complaints Pending-End of Month 0

Letters Sent - Notice of Report

Letters Sent - Violation Warning

PROGRAM:

Investigations



SWIMMING POOLS/SPAS (cont'd.): WEST NILE VIRUS (198): WEST NILE VIRUS (cont'd.):

Outbreak Investigations 0 0 Consultations 0 34 Orders to Appear before CCCHD 0 0

Orders to Appear before CCCHD 0 0 Complaints Pending-Beg. Of Month 4 BOH Orders Issued 0 0

BOH Orders Issued 0 0 Complaints Rec'd.-Current Month 3 20 Flyer/Information Distribution 188 188

Citations to Appear before BOH 0 0 Complaints Investigated: Treatments Applied 3 3

Citations into Court 0 0 Valid Complaints 0 8 MEETINGS/TRAINING:

TATTOO/BODY PIERCING (171): Notices of Violation Sent 2 7 Meetings 25 314

Consultations 0 0 Summary Compliance Abated 0 0 Training-Given 7 104

Licenses Issued/*Temporary 0 11 Non-Valid Abated 3 12 Training-Received 5 367

Inspections-Standand/*Temporary 0 12 Complaint Re-Inspections 1 4

Notices of Critical Viol.-Standard Insp. 0 0 Complaints Pending-End of Month 0

Re-Inspections 0 0 REPORTED ANIMAL BITES/ Aug'20 June'19 June'19

Complaints Pending-Beg. Of Month 1 RABIES EXPOSURE: OWNED UNOWNED YTD 2020 OWNED UNOWNED YTD 2019

Complaints Rec'd.-Current Month 1 4 DOG: Bite/Non-Bite/Other Events 18 3 156 27 0 27

Complaints Investigated: Total Persons Exposed 28 146 27 27

Valid Complaints 1 3 # People Rec. Post-Exposure 0 0 0 0

Notices of Violation Sent 1 1 # Vaccinated at Time of Incident 8 42 8 8

Summary Compliance Abated 0 1 # Sent to ODH-Negative 2 9 5 5

Non-Valid Abated 0 0 # Sent to ODH-Positive/*Unsat. 0 0 0 0

Complaint Re-Inspections 0 0 CAT: Bite/Non-Bite/Other Events 0 20 5 5

Complaints Pending-End of Month 1 Total Persons Exposed 0 21 3 3

Outbreak Investigations 0 0 # People Rec. Post-Exposure 0 0 0 0

Orders to Appear before CCCHD 0 0 # Vaccinated at Time of Incident 0 4 2 2

BOH Orders Issued 0 0 # Sent to ODH-Negative 0 4 1 1

Citations to Appear before BOH 0 0 # Sent to ODH-Positive/*Unsat. 0 0 0 0

Citations into Court (*Search Warr.) 0 0 RACCOON:

VECTOR-BORNE (TICKS): Bite/Non-Bite/Other Events 1 14 0 0

Consultations 0 2 Total Persons Exposed 1 9 0 0

# Ticks Received 0 2 # People Rec. Post-Exposure 1 3 0 0

# Ticks Identified 0 0 # Sent to ODH-Negative 0 8 0 0

# Ticks Sent to ODH 0 2 # Sent to ODH-Positive/*Unsat. 0 0 0 0

# Ticks Ident. by ODH/Pending 0 3 BAT: Bite/Non-Bite/Other Events 10 20 0 0

WELLS (PWS): Total Persons Exposed 9 16 0 0

Consultations 0 0 # People Rec. Post-Exposure 0 0 0 0

Licenses/Permits/Orders Issued: # Sent to ODH-Negative 8 15 0 0

Alterations 1 11 # Sent to ODH-Positive/*Unsat. 1 1 0 0

New 9 59 OTHER:

Sealing Permits 0 7 Bite/Non-Bite/Other Events 1 5 1 1

Inspections 9 59 Total Persons Exposed 1 4 1 1

PWS Contractor Inspections 0 0 # People Rec. Post-Exposure 0 0 1 1

Re-Inspections 0 0 # Sent to ODH-Negative 1 3 0 0

New Well Sampling 11 65 # Sent to ODH-Positive/*Unsat. 0 0 0 0

Dye Tests 0 0 Cases Pending: Dogs: 16 Cats: 0

PROGRAM:

Type of Referral Current FYTD Referral Sources Current

Help Me Grow-Home Visiting FY: July 1, 2020 - June 30, 2021

10 16 Health District 5

Federal Home Visiting (MIECHV) FY: October 1, 2019 - September 30, 2020

10 122 Primary Caregiver 4

Moms & Babies First FY: October 1, 2019 - September 30, 2020

3 43 9

Total Referrals For August 23 181 5

23

ProgramTotal

Served Target %

Home Visits

Current FYTD

Help Me Grow 99 91 109% HMG-HV 190 371

Federal (MIECHV) 140 132 106% MIECHV 221 2184

Moms & Babies First 31 65 48% MBF 30 216

Total 441 2771

Moms Quit For Two:

Activity Served Activity Enrolled

Safe Sleep Initiative 12 Baby & Me Tobacco Free 32

Activity Served

Safety items distributed this year 300

Division Programs:

Moms Quit For Two grant funds Baby & Me Tobacco Free: mom enrolls prenatally and can be served up to 1 year after birth of baby

Cribs For Kids: prenatal (last trimester) up to 1 year

WIC

Help Me Grow-Ohio Healthy Families: prenatal to age 3

Moms & Babies First: funded by Ohio's Black Infant Vitality Program: prenatal to age 1

Safety Initiative:

Clark County Combined Health DistrictEarly Childhood Division

August 2020

Cribs For Kids:

Referrals

Families Served in Home Visiting

Other

Total

mk 05/07/2020

Ohio Department of Health - Bureau of Health ServicesInitial Participation Report - Part B (Charts) - ODHWIC0407

Reporting Month - AUG 2020

Agency Monthly Initial Caseload Trend

600

700

800

900

1,000

1,100

1,200

SEP

2018

OC

T 20

18N

OV

2018

DEC

201

8JA

N 2

019

FEB

2019

MAR

201

9AP

R 2

019

MAY

201

9JU

N 2

019

JUL

2019

AUG

201

9SE

P 20

19O

CT

2019

NO

V 20

19D

EC 2

019

JAN

202

0FE

B 20

20M

AR 2

020

APR

202

0M

AY 2

020

JUN

202

0JU

L 20

20AU

G 2

020

Category CodeWomenInfantsChildren

CLARK COUNTY WIC PROGRAM

Sep 8, 2020 - 2 - 10:55:30 AM

4D



WIC Distribution of Women, Infants and Children Charts

Agency Distribution of Women, Infants and Children

Children41%

Infants36%

Women24%

Children41%

Infants36%

Women24%

CLARK COUNTY WIC PROGRAM

Sep 8, 2020 - 3 - 10:55:30 AM

4D



WIC Initial Participation by Participant Type Charts

Clinic Initial Participation by Participant Type

Children40%

Exclusively Bre...3%

Exclusively B...3%

Other Infants31%

Partially Breast Fed Infants2% Partially Breastfeedin...

4%Post-Partum Wo...8%

Pregnant Wo...9%

Children40%

Exclusively Bre...3%

Exclusively B...3%

Other Infants31%

Partially Breast Fed Infants2% Partially Breastfeedin...

4%Post-Partum Wo...8%

Pregnant Wo...9%

Clinic 01200

Children44%

Exclusively B...5%

Exclusively ...3%

Other Infants27%

Partially Breast Fed Infants2%

Partially Breastfee...4%

Post-Partum W...6%

Pregnant Wo...9%

Children44%

Exclusively B...5%

Exclusively ...3%

Other Infants27%

Partially Breast Fed Infants2%

Partially Breastfee...4%

Post-Partum W...6%

Pregnant Wo...9%

Clinic 01231

Sep 8, 2020 - 5 - 10:57:26 AM

4D

FY20

: Ju

ne c

lose

out

/ Jul

y &

Augu

st in

itial

Oct

-19

Nov

-19

Dec

-19

Jan-

20Fe

b-20

Mar

-20

Apr-2

0M

ay-2

0Ju

n-20

Jul-2

0Au

g-20

Sep-

20Av

erag

eW

omen

Tota

l74

574

873

674

071

969

366

365

166

866

866

369

9Pr

egna

nt31

130

529

629

029

128

126

924

426

327

026

528

0Ex

clus

ive

BF10

310

295

8989

9490

8783

7775

89Pa

rtial

ly B

F96

101

111

120

111

104

9910

111

111

511

610

8N

on-B

F23

524

023

424

122

821

420

521

921

120

620

722

2

Infa

ntTo

tal

1,04

31,

019

998

1,01

199

198

897

997

496

998

999

999

6Ex

clus

ive

BF12

912

411

811

710

510

610

610

198

9790

108

Parti

ally

BF

5053

5559

4946

4643

3645

4648

Non

-BF

864

842

825

835

837

836

827

830

835

847

863

840

Chi

ldre

nTo

tal

1,17

71,

169

1,14

41,

166

1,16

71,

170

1,16

41,

164

1,16

31,

138

1,14

51,

161

WIC

Tot

al C

asel

oad

2,96

52,

936

2,87

82,

917

2,87

72,

851

2,80

62,

789

2,80

02,

795

2,80

72,

856

% T

otal

Cas

eloa

d D

iffer

ence

Fisc

al Y

ear

Clar

k-Av

erag

e16

46.1

%17

47.7

%18

52.1

%19

52.2

%20

50.7

%(J

une

2020

50.

6%)

Dis

trib

utio

n &

Cas

eloa

d of

Wom

en, I

nfan

t, an

d C

hild

ren

Act

ive

in C

CC

HD

WIC

Pro

gram

CC B

reas

tfee

ding

Initi

atio

nAs

sign

ed F

Y20

Cas

eloa

d2,

786

Stat

e-Av

erag

e58

.2%

59.2

%

7.87

%

2.53

%

60.6

%

60.0

%

Aver

age

Chi

ldre

n FY

201,

161

Chi

ldre

n 15

-Feb

1,40

8C

hild

ren

16-F

eb61

.3%

Chi

ldre

n 19

-Feb

1,07

6

% C

hild

ren

Cas

eloa

d D

iffer

ence

-3.6

0%

-4.0

8%

0.75

%

-17.

57%

1,20

4C

hild

ren

17-F

eb1,

210

Chi

ldre

n 18

-Feb

1,15

2

4D

Total Births Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec

Y-T-D

Total Previous 12

Month Avg

2020 84 91 103 93 81 97 99 98 746 94

2019 98 76 101 87 93 99 122 119 96 96 93 97 1,177 96

2018 83 88 104 91 116 85 108 80 89 84 95 85 1,108 97

No. of LBW Newborns

2020 11 13 9 4 5 12 9 7 70 9

2019 11 6 7 4 3 13 10 13 8 9 10 9 103 8

2018 2 14 9 7 7 7 11 4 6 7 13 5 92 8

2020 13.10% 14.29% 8.74% 4.30% 6.17% 12.37% 9.09% 7.14% 9.38% 9.40%

2019 11.22% 7.89% 6.93% 4.60% 3.23% 13.13% 8.20% 10.92% 8.33% 9.38% 10.75% 9.28% 8.75% 8.54%

2018 2.41% 15.91% 8.65% 7.69% 6.03% 8.24% 10.19% 5.00% 6.74% 8.33% 13.68% 5.88% 8.30% 8.09%

Mothers' Ages

Age 0-14

2020 0 1 0 0 0 0 0 0 1 0.2

2019 0 0 0 0 0 0 0 0 0 0 1 0 1 -

2018 0 0 0 0 0 0 1 0 0 0 0 0 1 0.3

Age 15-19

2020 12 11 12 7 7 8 6 10 73 9

2019 8 10 7 10 9 6 8 10 8 8 13 11 108 9

2018 11 9 11 12 10 7 13 7 8 10 10 9 117 10

Age 20-24

2020 30 30 35 35 24 30 30 22 236 29

2019 39 18 33 27 32 37 37 47 30 27 27 27 381 31

2018 25 20 39 24 37 19 29 24 32 21 30 16 316 30

Age 25+

2020 42 47 56 51 50 59 63 66 434 55

2019 51 48 61 50 52 55 77 62 58 55 52 59 680 56

2018 47 48 54 55 69 59 65 48 49 53 55 58 660 55

Aug

3 YEAR COMPARATIVE

BIRTH DATABirth Certificates Issued In August - 930 4E

4E

Cause of Death - 2020 Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec

Y-T-D

Total

Heart Disease 40 38 45 33 44 32 38 35 305

Cancer 19 19 25 25 21 24 26 29 188

Chronic Lower

Respiratory Disease 15 13 13 10 10 7 15 3 86

Accidents 6 3 3 4 7 5 3 0 31

Cerebrovascular Disease 12 9 10 7 6 11 10 6 71

Alzheimer's Disease 11 14 14 13 9 9 11 11 92

Drug Intoxication 4 3 4 6 7 4 2 0 30

Diabetes 2 2 1 0 0 0 1 0 6

Influenza/Pneumonia 12 5 7 15 6 3 7 7 62

Kidney Related Disease 4 2 3 3 1 5 4 4 26

Septicemia 3 6 3 5 6 1 8 9 41

Suicide 3 0 1 4 3 3 0 0 14

Liver Disease/Cirrhosis 5 2 2 2 0 2 4 4 21

Hypertension 4 4 0 2 0 0 1 1 12

Parkinson's Disease 3 0 2 1 3 5 3 1 18

Other 12 8 14 11 18 14 13 22 112

Pending 0 0 2 1 1 2 6 15 27

Totals 155 128 149 142 142 127 152 147 0 0 0 0 1,142

Causes of Death - 2019 Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec

Y-T-D

Total

Heart Disease 38 46 29 31 40 30 34 28 27 28 27 45 403

Cancer 27 22 23 25 28 17 29 30 25 21 24 27 298

Chronic Lower

Respiratory Disease 15 4 13 15 9 15 14 6 8 7 8 7 121

Accidents 0 1 0 2 3 0 4 2 4 2 3 6 27

Cerebrovascular Disease 5 3 4 9 6 5 7 4 1 6 4 8 62

Alzheimer's Disease 18 7 5 6 9 3 9 4 6 5 9 12 93

Drug Intoxication 6 4 5 2 3 3 4 5 3 6 9 4 54

Diabetes 6 4 2 0 2 2 7 3 1 2 3 0 32

Influenza/Pneumonia 7 7 12 9 7 8 6 10 4 8 8 5 91

Kidney Related Disease 11 5 5 9 4 5 4 7 3 5 5 6 69

Septicemia 3 3 4 3 1 3 5 2 4 4 4 3 39

Suicide 5 1 1 0 4 1 1 2 2 1 5 1 24

Liver Disease/Cirrhosis 3 2 4 1 2 3 5 0 4 3 2 2 31

Hypertension 7 6 5 3 7 2 3 1 3 7 2 4 50

Parkinson's Disease 2 3 0 0 1 1 0 1 2 3 2 1 16

Other 20 15 12 12 11 5 9 9 15 9 19 11 147

Pending 0 0 0 0 0 0 0 0 0 0 0 0 0

Totals 173 133 124 127 137 103 141 114 112 117 134 142 1,557

"Other" Causes of Death - August - 2020

Aneurysm 1Aspiration 1Covid 19 11Failure to Thrive 4Fetal 1Infected Decubitus Ulcer 1Multi-System Organ Failure 1Respiratory Failure 1Tension Pneumothorax 1

22

VITAL STATISTICS

2020 DEATH REPORT Death Certificates Issued in Aug. - 560

09/11/2020 CASH SUMMARY BY FUND FOR CLARK COUNTY

FROM 08/01/2020 TO 08/31/2020

FUND: ALL FUNDS

CASH AND INVESTMENT ACCOUNTS

Beginning Ending

Balance Total Total Balance

Fund Description 08/01/2020 Revenues Expenditures 08/31/2020

8201 HEALTH DISTRICT 1,627,192.20 998,375.05 262,006.90 2,363,560.35

8202 FOOD SERVICE 107,127.69 2,841.50 19,186.68 90,782.51

8203 SOLID WASTE 42,380.77 0.00 11,259.81 31,120.96

8204 RECREATION PARKS & CAMPS 10,202.27 0.00 0.00 10,202.27

8205 WATER SYSTEMS 7,557.74 7,109.25 8,805.29 5,861.70

8206 SWIMMING POOL 13,873.01 0.00 2,034.38 11,838.63

8207 MOSQUITO CONTROL GRANT 15,568.97 0.00 2,357.96 13,211.01

8208 MEDICAID ADMIN CLAIM 75,519.99 26,015.50 5,825.90 95,709.59

8209 HIV GRANT 3,892.05 4,082.57 3,166.46 4,808.16

8211 DRUG OVERDOSE PREVENTION 16,191.45 0.00 8,278.77 7,912.68

8212 EARLY START GRANT 501,021.37 48,600.74 45,024.69 504,597.42

8213 CRIBS FOR KIDS 10,922.52 0.00 2,760.48 8,162.04

8214 IMMUNIZATION GRANT 48,815.58 0.00 3,480.80 45,334.78

8216 SICK/VACATION LEAVE TRUST 0.00 0.00 0.00 0.00

8217 PLUMBING 56,332.87 12,352.00 12,483.11 56,201.76

8220 WIC 40,288.64 71,138.02 57,383.96 54,042.70

8223 COVID-19 8,770.14 113,305.71 0.00 122,075.85

8224 OIMRI GRANT 37,589.57 0.00 15,571.49 22,018.08

8225 WATER POLLUTION CONTROL GRANT 42,478.26 41,359.03 41,958.00 41,879.29

8226 MOM QUIT FOR TWO 7,909.11 0.00 2,741.84 5,167.27

8227 SAFE COMMUNITIES GRANT 15,499.24 0.00 1,064.02 14,435.22

8228 TOBACCO USE PREVENTION 25,650.35 0.00 7,342.26 18,308.09

8229 CONTINGENCY 400,000.00 0.00 0.00 400,000.00

8230 STIR GRANT 0.00 0.00 0.00 0.00

8233 HL PREVENTION GRANT 8,095.15 72.19 796.80 7,370.54

8237 PUBLIC INFRASTRUCTURE 42,689.39 1,163.75 10,851.34 33,001.80

8238 SW NON DIST 17,412.45 5.00 0.00 17,417.45

8239 LEAVE ACCRUAL 135,935.08 0.00 0.00 135,935.08

8240 ENVIRONMENTAL SERVICES 21,110.68 1,109.00 6,086.96 16,132.72

8244 ANTHEM DENTAL GRANT 0.00 0.00 0.00 0.00

8246 CD&D FUND 24,752.19 7,364.00 5,893.82 26,222.37

8247 SPRINGFIELD FOUNDATION GRANT 0.00 0.00 0.00 0.00

8248 SEWAGE TREATMENT SYSTEMS 22,623.62 9,017.07 9,845.26 21,795.43

8250 CCHD CAPITAL PROJECT 0.00 0.00 0.00 0.00

8251 PHER GRANT 0.00 0.00 0.00 0.00

8252 CONTACT TRACING 27,932.31 329,074.00 34,724.49 322,281.82

8253 OVI GRANT 0.00 0.00 0.00 0.00

8257 FHV 19,998.05 58,245.17 36,611.30 41,631.92

8259 MSG GRANT 42,251.48 0.00 1,496.00 40,755.48

8260 HEALTH - CHC 51,232.51 0.00 16,033.23 35,199.28

8261 REPRODUCTIVE HEALTH AND WELLNESS (RHW) 116,966.71 6,209.64 40,523.78 82,652.57

8262 MATERNAL & CHILD HEALTH PROGRAM (MCHP) 22,873.85 0.00 6,686.77 16,187.08

TOTAL - ALL FUNDS 3,668,657.26 1,737,439.19 682,282.55 4,723,813.90

09/11/2020 REVENUE AND EXPENDITURE REPORT FOR CLARK COUNTY

PERIOD ENDING 08/31/2020

*NOTE: Available Balance / Pct Budget Used does not reflect amounts encumbered.

ACTIVITY FOR

2020 YTD BALANCE MONTH

GL NUMBER DESCRIPTION AMENDED BUDGET 08/31/2020 08/31/2020

Fund 8201 - HEALTH DISTRICT

Revenues

Dept 810 - CCCHD

8201-810-411100 TAXES - REAL ESTATE 2,010,478.00 2,010,477.17 909,805.48

8201-810-411300 TAXES - MANUFACTURED HOMES 4,136.00 4,135.55 1,512.98

8201-810-421000 INTERGOVERNMENTAL 80,000.00 35,871.84 0.00

8201-810-422110 INTERGOVERNMENTAL - H/R 278,000.00 135,034.61 0.00

8201-810-431000 CHARGES FOR SERVICES 513,644.00 221,285.33 30,629.75

8201-810-481000 OTHER REVENUE 444,000.00 335,754.94 53,112.24

8201-810-520000 ADVANCES IN 376,000.00 255,096.00 0.00

Total Dept 810 - CCCHD 3,706,258.00 2,997,655.44 995,060.45

TOTAL REVENUES 3,706,258.00 2,997,655.44 995,060.45

Expenditures

Dept 810 - CCCHD

8201-810-702000 SALARIES - EMPLOYEES 1,485,938.00 1,066,327.17 126,565.06

8201-810-711000 PERS 208,031.00 155,158.95 18,520.54

8201-810-712000 WORKERS COMPENSATION 29,719.00 0.00 0.00

8201-810-714000 MEDICARE 21,546.00 14,945.37 1,765.60

8201-810-715000 DENTAL INSURANCE 5,247.00 2,810.92 370.91

8201-810-716000 LIFE INSURANCE 1,190.00 597.93 81.72

8201-810-717000 HEALTH INSURANCE 400,000.00 262,979.65 32,557.04

8201-810-718100 TRAINING & DEVELOPMENT 18,000.00 4,984.27 898.36

8201-810-718400 TRAVEL 13,000.00 9,070.58 3,025.00

8201-810-721000 OFFICE SUPPLIES 348,022.00 215,075.34 23,069.33

8201-810-740000 CONTRACT SERVICES - REPAIRS 5,000.00 635.00 0.00

8201-810-744000 CONTRACT SERVICES 121,565.00 80,283.69 6,271.29

8201-810-745000 MAINTENANCE 45,000.00 26,748.80 5,141.31

8201-810-746200 UTILITIES 65,000.00 40,694.37 4,595.78

8201-810-751000 SMALL EQUIPMENT 15,000.00 10,556.23 9,293.62

8201-810-790000 OTHER EXPENSES 2,000.00 1,663.00 0.00

8201-810-797100 FEES - STATE 190,000.00 141,052.70 157.50

8201-810-798000 COVID-19 EXPENDITURES 171,000.00 111,712.04 26,307.04

8201-810-830000 ADVANCES OUT 376,000.00 224,000.00 0.00

8201-810-850000 TRANSFERS OUT 185,000.00 240,000.00 0.00

Total Dept 810 - CCCHD 3,706,258.00 2,611,152.50 258,692.30

TOTAL EXPENDITURES 3,706,258.00 2,611,152.50 258,692.30

Fund 8201 - HEALTH DISTRICT:

TOTAL REVENUES 3,706,258.00 2,997,655.44 995,060.45

TOTAL EXPENDITURES 3,706,258.00 2,611,152.50 258,692.30

NET OF REVENUES & EXPENDITURES 0.00 386,502.94 736,368.15

% BDGT

USED

100%

100%

45%

49%

43%

76%

68%

81%

81%

72%

75%

0%

69%

54%

50%

66%

28%

70%

62%

13%

66%

59%

63%

70%

83%

74%

65%

60%

130%

70%

70%

09/11/2020 INVOICE GL DISTRIBUTION REPORT FOR CLARK COUNTY

INVOICE ENTRY DATES 08/01/2020 - 08/31/2020

BOTH JOURNALIZED AND UNJOURNALIZED

PAID

GL Number Invoice Line Desc Vendor Amount

Fund 8201 HEALTH DISTRICT

Dept 810 CCCHD

8201-810-717000 EAP BILLINGS - JULY 2020 CCCHD POSITIVE PERSPECTIVES INC 595.00

8201-810-718100 OHIO GFOA TRAINING CARDMEMBER SERVICES 287.26

8201-810-718100 OHIO GFOA TRAINING CARDMEMBER SERVICES 574.52

8201-810-718100 OHIO GFOA TAX CREDIT CARDMEMBER SERVICES (48.42)

8201-810-718100 S. MILLER MEMBERSHIP DUES OHIO PUBLIC HEALTH ASSOCIATION 75.00

8201-810-718100 K. SMITH 2020 ODH SUMMER CAMP TREASURER STATE OF OHIO 10.00

8201-810-718400.CCHD8100008 ADMIN MILEAGE - JUNE/JULY CELL REIMB KYLE TROUT 50.00

8201-810-718400.CCHD8100008 ADMIN MILEAGE - JULY CELL REIMB KYLE TROUT 25.00

8201-810-718400.CCHD8100008 ADMIN MILEAGE - AUGUST LAB LISA A ODAFE 26.50

8201-810-718400.CCHD8100008 MILEAGE - JULY & CELL REIMB DOROTHY TOADVINE 111.50

8201-810-718400.CCHD8100008 ADMIN MILEAGE - CONF MILEAGE LINDSEY HARDACRE 236.00

8201-810-718400.CCHD8100008 APR - JULY MILEAGE & CELL REIMB RICHARD HOLBROOK 403.50

8201-810-718400.CCHD8100009 NURSING MILEAGE - JULY BETH DORSEY 240.50

8201-810-718400.CCHD8100009 NURSING MILEAGE - JULY & CELL REIMB JO WINDON 59.00

8201-810-718400.CCHD8100009 NURSING MILEAGE - JULY CELL ALICIA SEHEN 30.00

8201-810-718400.CCHD8100009 NURSING MILEAGE - JULY BETH DORSEY 81.00

8201-810-718400.CCHD8100009 NURSING MILEAGE- JULY AND JUNE/JULY CELL BRENNA HEINLE 75.50

8201-810-718400.CCHD8100009 NURSING MILEAGE - JULY JAMIE DETLING 38.50

8201-810-718400.CCHD8100009 NURSING MILEAGE - JUL - AUG KRISTEN LYBURTUS 92.50

8201-810-718400.CCHD8100009 NURSING MILEAGE - JULY SANDRA L MILLER 157.50

8201-810-718400.CCHD8100009 NURSING MILEAGE - JULY CELL TINA FISHER 25.00

8201-810-718400.CCHD8100009 NURSING MILEAGE - AUGUST BETH DORSEY 54.00

8201-810-718400.CCHD8100009 NURSING MILEAGE - JAN - APR KELLIE ADAMS 24.00

8201-810-718400.CCHD8100009 NURSING MILEAGE - JULY LEXEE TRAINER 7.50

8201-810-718400.CCHD8100009 NURSING MILEAGE - CELL REIMB PATRICIA FREE 175.00

8201-810-718400.CCHD8100009 NURSING MILEAGE - APR - JULY PATRICIA FREE 310.00

8201-810-718400.CCHD8100009 NURSING MILEAGE - MAY - JULY VINCE CARTER 438.00

8201-810-718400.CCHD8100009 NURSING MILEAGE - AUGUST BETH DORSEY 135.00

1

8201-810-718400.CCHD8100009 NURSING MILEAGE - JUNE - JULY DANIEL KUDER 102.00

8201-810-718400.CCHD8100009 NURSING MILEAGE - COVID MARY KOPP 14.00

8201-810-718400.CCHD8100009 GAS REIMBURSEMENT MICHAEL A SCHULSINGER 40.00

8201-810-718400.CCHD8100009 GAS PURCHASES- SUPERFLEET MASTERCARD PROGRAM 100.00

8201-810-721000.CCHD8100008 ADMIN SUPPLIES CARDMEMBER SERVICES 8.90

8201-810-721000.CCHD8100008 INK JET CARTRIDGE CARDMEMBER SERVICES 64.99

8201-810-721000.CCHD8100008 PTOUCH LABELS CARDMEMBER SERVICES 18.38

8201-810-721000.CCHD8100008 LEXJET TOUGHCOAT ROLL CARDMEMBER SERVICES 119.00

8201-810-721000.CCHD8100008 POSTAGE METER INK CARTRIDGE CARDMEMBER SERVICES 414.99

8201-810-721000.CCHD8100008 FRONT DESK SNEEZE GUARD CARDMEMBER SERVICES 39.99


8201-810-721000.CCHD8100008 QUARTERLY METER CHARGES QUADIENT LEASING USA INC 171.54

8201-810-721000.CCHD8100008 APPLES/PEACHES W R HACKETT INC 72.40



8201-810-721000.CCHD8100008 ACCT 3905600 CC COMBINED HEALTH GARRIGAN'S INC 244.90

8201-810-721000.CCHD8100008 SURVEY MONKEY - AUGUST CARDMEMBER SERVICES 39.69

8201-810-721000.CCHD8100008 CRV REPAIRS - DEDUCTIBLE 5-STAR COLLISION CENTRE LTD 500.00

8201-810-721000.CCHD8100008 REFUND OF POOL/SPA LICENSE SHIVAM MANPAR LLC 14.56

8201-810-721000.CCHD8100009 COVID TESTING COMPUNET CLINICAL LABORATORIES 207.00

8201-810-721000.CCHD8100009 TB TESTING CHARGES PATHOLOGY LABORTORIES INC 585.00

8201-810-721000.CCHD8100009 INFECTIOUS WASTE PICKUP STERICYCLE INC 426.96

8201-810-721000.CCHD8100009 BATTERIES CARDMEMBER SERVICES 17.95

8201-810-721000.CCHD8100009 SOUTHERN VILLAGE SUPPLIES CARDMEMBER SERVICES 272.31

8201-810-721000.CCHD8100009 LEAD TEST KITS CARDMEMBER SERVICES 483.78

8201-810-721000.CCHD8100009 ADHESIVE LABELS CARDMEMBER SERVICES 58.34

8201-810-721000.CCHD8100009 SPEEDWAY GAS CARDMEMBER SERVICES 23.24

8201-810-721000.CCHD8100009 ONE2ONE - SYRINGES DAVE PURCHASE PROJECT/NASEN 689.94

8201-810-721000.CCHD8100009 DIABETES SUPPLIES DIABETES DAYTON 348.95

8201-810-721000.CCHD8100009 BCMH WALMART GIFT CARDS CARDMEMBER SERVICES 110.00



8201-810-721000.CCHD8100009 GAS CARDS FOR NURSING VEHICLES CARDMEMBER SERVICES 300.00

8201-810-721000.CCHD8100009 LEASE - ACCT 443480036 CC COMBINED HEAL HONDA FINANCIAL SERVICES 397.65

8201-810-721000.CCHD8100009 NSG SUPPLIES - ONE2ONE DAVE PURCHASE PROJECT/NASEN 195.74

8201-810-721000.CCHD8100009 JEEP REPAIR KOI ENTERPRISES INC 336.88

8201-810-721000.CCHD8100009 LEADCARE TEST KITS RYAN DIAGNOSTICS OF FLORIDA INC 1,730.00

2

8201-810-721000.CCHD8100027 OCTF SUPPLIES - ACCT # 4798510060079981 CARDMEMBER SERVICES 605.76

8201-810-721000.CCHD8100036 VACCINE - CREDIT MEMO SANOFI PASTEUR INC (2,866.18)

8201-810-721000.CCHD8100036 VACCINE - SANOFI PASTEUR INC 5,634.81

8201-810-744000 CONTRACT SERVICES - AUG OFFICE 365 BLUEPRINT CYBER ENGINEERING 771.29

8201-810-744000 CONTRACT SERVICES - AUGUST IT BLUEPRINT CYBER ENGINEERING 3,800.00

8201-810-744000.CCHD8100077 CONTRACT SERVICES - AUGUST LAURA THOMPSON 600.00

8201-810-744000.CCHD8100077 CONTRACT SERVICES - AUGUST SHAHID BASHIR SPFLD PULMONARY 1,100.00

8201-810-745000 MAINTENANCE RUMPKE 131.88

8201-810-745000 MAINTENANCE - HAUCK BROS INC 770.63

8201-810-745000 MAINTENANCE -LANDSCAPE CLEANUP GILLAM LANDSCAPING 641.00

8201-810-745000 MAINTENANCE MILLER'S TEXTILE SERVICE 33.36

8201-810-746200 UTILITIES A T & T 77.00

8201-810-746200 UTILITIES COLUMBIA GAS OF OHIO 38.37

8201-810-746200 UTILITIES OHIO EDISON 2,852.01

8201-810-746200 UTILITIES CITY OF SPRINGFIELD 399.37

8201-810-746200 UTILITIES TIME WARNER CABLE 651.03

8201-810-746200 UTILITIES TIME WARNER CABLE 578.00

8201-810-751000 MICS AND CABLES CARDMEMBER SERVICES 1,007.92

8201-810-751000 USB MIXER CARDMEMBER SERVICES 537.32

8201-810-751000 IT PURCHASES - NEW EGG CARDMEMBER SERVICES 742.86

8201-810-797100 BURIAL PERMIT FEES - JULY OHIO DIVISION OF REAL ESTATE 157.50

8201-810-798000 COVID EXPENSES - QUARANTINE UTILITIES CARDMEMBER SERVICES 55.08





8201-810-798000 HAND SANITIZER INDIAN CREEK DISTILLERY LLC 160.00

8201-810-798000 COVID EXPENSES- QUARANTINE ITEMS KROGER 59.95

8201-810-798000 COVID EXPENSES - QUARANTINE MEDS HARDING ROAD PHARMACY 251.20

8201-810-798000 QUARANTINE SUPPLIES CARDMEMBER SERVICES 121.81

8201-810-798000 COVID EXPENSES - CLIENT AC CARDMEMBER SERVICES 329.00

8201-810-798000 COVID EXPENSES CARDMEMBER SERVICES 24.95






3

8201-810-798000 QUARANTINE MEDS CARDMEMBER SERVICES 24.79

8201-810-798000 QUARANTINE EXPENSES CARDMEMBER SERVICES 4.97


8201-810-798000 QUARANTINE SUPPLIES - MEDS CARDMEMBER SERVICES 103.78

8201-810-798000 QUARANTINE EXPENSES - MEDS CARDMEMBER SERVICES 27.00


8201-810-798000 COVID 19 - FACE MASKS CARDMEMBER SERVICES 1,079.76

8201-810-798000 QUARANTINE WALMART SUPPORT CARDS CARDMEMBER SERVICES 300.00

8201-810-798000 GENERATOR GAS - MASS TESTING CARDMEMBER SERVICES 4.02

8201-810-798000 ICE - MASS TESTING CARDMEMBER SERVICES 9.98

8201-810-798000 GENERATOR GAS - MASS TESTING CARDMEMBER SERVICES 5.52

8201-810-798000 DRINKS FOR MASS TESTING EVENT CARDMEMBER SERVICES 51.77

8201-810-798000 QUARANTINE CAMPER SUPPLIES CARDMEMBER SERVICES 47.90

8201-810-798000 QUARANTINE UTILITIES CARDMEMBER SERVICES 106.98


8201-810-798000 COVID EXPENSES - DIGITAL THERMOMETERS CLARK COUNTY EMA 454.04

8201-810-798000 COVID EXPENSES - VOURIER SERVICES CLIPPER COURIER LOGISTICS INC 39.37

8201-810-798000 COVID EXPENSES - COURIER SERVICES CLIPPER COURIER LOGISTICS INC 39.37

8201-810-798000 REUSABLE RESPIRATOR/FILTERS HILLAS MFG & PACKAGING SOLUTIONS 596.81

8201-810-798000 QUARANTINE SUPPLIES KROGER 71.88

8201-810-798000 COVID EXPENSES KROGER 5.99







8201-810-798000 COVID EXPENSES RUMPKE 91.99

8201-810-798000 COVID EXPENSES - QUARANTINE UTILITIES COLUMBIA GAS OF OHIO 33.38

8201-810-798000 COVID EXPENSES - THERMOMETERS MCKESSON MEDICAL-SURGICAL 312.13





8201-810-798000 QUARANTINE EXPENSE CARDMEMBER SERVICES 10.31



4


8201-810-798000 QUARANTINE EXPENSES CARDMEMBER SERVICES 34.00








8201-810-798000 MASS TESTING SUPPLIES CARDMEMBER SERVICES 99.60

8201-810-798000 TESTING SITE SUPPLIES CARDMEMBER SERVICES 322.00






8201-810-798000 QUARAMTINE SUPPLIES KROGER 155.70







8201-810-798000 FIRST DIVERSITY INTERPRETER SERVICES EMERGENT ENTERPRISES LLC 1,630.34

8201-810-798000 COVID EXPENSES MCKESSON MEDICAL-SURGICAL 36.80

5

8201-810-798000 FACEBOOK - MASS TESTING CARDMEMBER SERVICES 181.49


8201-810-798000 RENT - 236 ST. GEORGE PLACE LYNETTE MARIE AMATO 475.00

8201-810-798000 MORTGAGE PAYMENT - ACCT 0093517696 MYCUMORTGAGE 800.00

8201-810-798000 COVID EXPENSES -REIMB QUARANTINE ITEMS LORI LAMBERT 26.54

8201-810-798000 COVID EXPENSES - ORANGE COOLER QUILL CORPORATION 55.99

8201-810-798000 COVID EXPENSES- DESKTOP FILE BOX QUILL CORPORATION 82.86

8201-810-798000 COVID - SUPPLIES FOR TESTING EVENT QUILL CORPORATION 131.08

8201-810-798000 COVID EXPENSES - WRISTBANDS QUILL CORPORATION 81.30

8201-810-798000 COVID EXPENSES - RED WRISTBANDS QUILL CORPORATION 65.08

8201-810-798000 COVID CLEAN CAMPER 2 ABSOLUTE CLEAN 500.00

8201-810-798000 CLEANING SERVICES - CAMPER 3 ABSOLUTE CLEAN 500.00

8201-810-798000 COVID EXPENSES - INTERPRETER SERVICES VOCALINK INC 255.97

Total For Dept 810 CCCHD 44,170.52

Total For Fund 8201 HEALTH DISTRICT 44,170.52

Fund 8202 FOOD SERVICE

Dept 810 CCCHD

8202-810-718400.CCHD8100037 GAS PURCHASES - SUPERFLEET MASTERCARD PROGRAM 231.97

8202-810-718400.CCHD8100038 MILEAGE - JULY EMILY GRIESER 45.00

8202-810-718400.CCHD8100038 MILEAGE - JULY & CELL REIMB JESSICA BEIKE 46.50

8202-810-718400.CCHD8100038 MILEAGE - JULY MEGAN DAVIS 44.50

8202-810-718400.CCHD8100038 MILEAGE - JULY STEPHANIE JOHNSON 16.00

8202-810-718400.CCHD8100038 MILEAGE - JULY & CELL REIMB DANIEL LYNCH 39.00

8202-810-721000 SUPPLIES - CARDMEMBER SERVICES 84.62

8202-810-721000 INTERPRETER SERVICES MEE-TZE KU 25.00

8202-810-721000 REFUND OF FSO LICENSE FEE BARNEY PERKINS 73.20

8202-810-736500 STATE CERTIFICATION FEES - FSO JULY TREASURER STATE OF OHIO 106.00

8202-810-736500 CERTIFICATION FEES - JULY TREASURER STATE OF OHIO 188.00

8202-810-736500 CERTIFICATION FEES - FE JULY TREASURER STATE OF OHIO 28.00

8202-810-746000 LEASE - AUGUST HONDA FINANCIAL SERVICES 244.50

8202-810-746000 LEASE - SEPTEMBER HONDA FINANCIAL SERVICES 244.50


Total For Fund 8202 FOOD SERVICE 1,416.79

6

Fund 8203 SOLID WASTE

Dept 810 CCCHD


8203-810-746000 LEASE - HONDA FINANCIAL SERVICES 324.01



Total For Dept 810 CCCHD 917.53

Total For Fund 8203 SOLID WASTE 917.53

Fund 8205 WATER SYSTEMS

Dept 810 CCCHD


8205-810-718400.CCHD8100038 MILEAGE - CELL REIMB EMILY GRIESER 25.00

8205-810-718400.CCHD8100038 MILEAGE - CELL REIMB STEPHANIE JOHNSON 25.00


8205-810-721000 REFUND OF RE INSPECTION ROSEMARY HEARLIHY 35.00

8205-810-721000 REFUND OF RE INSPECTION FEE SARAH SHIFFLET 15.00

8205-810-744000.CCHD8100043 WATER TESTING MOBILE ANALYTICAL SERVICES INC 141.15











7



8205-810-744000.CCHD8100044 VEHICLE MAINTENANCE CLARK COUNTY BUILDINGS & GROUNDS 44.80






Total For Fund 8205 WATER SYSTEMS 2,590.09

Fund 8207 MOSQUITO CONTROL GRANT

Dept 810 CCCHD

8207-810-718400 GAS PURCHASES SUPERFLEET MASTERCARD PROGRAM 99.51

8207-810-718400 GAS PURCHASES SUPERFLEET MASTERCARD PROGRAM 89.43


Total For Fund 8207 MOSQUITO CONTROL GRANT 188.94

Fund 8208 MEDICAID ADMIN CLAIM

Dept 810 CCCHD

8208-810-718100 TUITION REIMB PER PERSONNEL POLICY LARRY SHAFFER 698.07

8208-810-744000 REIMB FOR MEDICAL PROF LIABILITY LAURA THOMPSON 2,252.25

8208-810-744000 CONTRACT SERVICES - INFORMATION/REFERRAL CLARK CO FAMILY & CHILDREN 6,483.00

8208-810-744000 SFY 21 INFORMATION/REFERRAL CLARK CO FAMILY & CHILDREN 1,517.00

8208-810-746000 SELMA ROAD RENT - SEPTEMBER ZEUS SHOPPING CENTER 400.00

8208-810-746200 SELMA RD UTILITIES - PHONE SWITCH BLUEPRINT CYBER ENGINEERING 2,005.00

8208-810-746200 SELMA RD UTILITIES OHIO EDISON 284.55

8208-810-746200 SELMA RD UTILITIES CITY OF SPRINGFIELD 70.58


Total For Fund 8208 MEDICAID ADMIN CLAIM 13,710.45

8

Fund 8212 EARLY START GRANT

Dept 810 CCCHD

8212-810-718400 MILEAGE - JULY AMY TAYLOR 42.20

8212-810-718400 MILEAGE - JULY MARCIA JOHNSON 2.30

8212-810-718400 MILEAGE - JULY & CELL REIMB AIMEE HAMILTON 153.40

8212-810-718400 MILEAGE - JULY ANTIONETTE PEREZ 33.90

8212-810-718400 MILEAGE - JULY DAWN STASAK 13.70

8212-810-718400 MILEAGE - JULY KAREN BRUBAKER 43.60

8212-810-718400 MILEAGE - JULY & CELL REIMB KRISTINA FULK 34.25

8212-810-718400 MILEAGE - JULY KRYSTAL COLEMAN 5.95

8212-810-718400 MILEAGE - JULY LORI LAMBERT 184.50

8212-810-718400 MILEAGE - JULY MARY KOPP 14.00

8212-810-718400 MILEAGE - JULY MICHELINE DRUGMAN-DEWITT 6.55

8212-810-718400 MILEAGE - JULY ESTHER KEYES 33.70

8212-810-721000 SUPPLIES - DIAPERS AND WIPES CARDMEMBER SERVICES 6,466.07

8212-810-721000 SUPPLIES - DIAPERS CARDMEMBER SERVICES 4,723.63

8212-810-721000 CUST CREDIT ACCT 1318111 CC COMBINED HE U S BANK EQUIPMENT FINANCE 415.24

8212-810-721000 CUST CREDIT ACCT 1318111 CC COMBINED HE U S BANK EQUIPMENT FINANCE 446.50

8212-810-744000.CCHD8100045 CUST CREDIT ACCT 1318111 CC COMBINED HE U S BANK EQUIPMENT FINANCE 994.20

8212-810-745000 MAINT RUMPKE 12.68

8212-810-745000 ACCT 1318111 CC COMBINED HEALTH U S BANK EQUIPMENT FINANCE 355.06

8212-810-745000 HIGH ST - GILLAM LANDSCAPING 318.00

8212-810-745000.CCHD8100050 MAINTENANCE TIME WARNER CABLE 25.00

8212-810-745000.CCHD8100050 MAINTENANCE MEGACITY FIRE PROTECTION 70.00


8212-810-745000.CCHD8100050 MAINTENANCE CITY OF SPRINGFIELD 17.14

8212-810-746000 LEASE - SEPTEMBER COMMUNITY HEALTH FOUNDATION 470.07

8212-810-746200 UTILITY COLUMBIA GAS OF OHIO 18.16

8212-810-746200 UTILITY OHIO EDISON 121.48

8212-810-746200 UTILITY TIME WARNER CABLE 109.46


Total For Fund 8212 EARLY START GRANT 15,260.09

9

Fund 8213 CRIBS FOR KIDS

Dept 810 CCCHD

8213-810-721000 MAINT OHIO EDISON 24.30

8213-810-746000 LEASE - COMMUNITY HEALTH FOUNDATION 94.02

8213-810-746200 UTILITIES COLUMBIA GAS OF OHIO 3.64

8213-810-746200 MAINT RUMPKE 2.54

8213-810-746200 UTILITIES CITY OF SPRINGFIELD 3.43


Total For Fund 8213 CRIBS FOR KIDS 127.93

Fund 8217 PLUMBING

Dept 810 CCCHD


8217-810-721000 SUPPLIES - VEHICLE MAINT KOI ENTERPRISES INC 30.99

8217-810-721000 SUPPLIES - VEHICLE MAINT KOI ENTERPRISES INC 33.73

8217-810-744000 CONTRACT SERVICES - JULY MIAMI COUNTY PUBLIC HEALTH 1,422.06

8217-810-744000.CCHD8100058 CONTRACT SERVICES - CHAMPAIGN - JULY CHAMPAIGN CO HEALTH DISTRICT 2,249.56


Total For Fund 8217 PLUMBING 3,845.95

10

Fund 8220 WIC

Dept 810 CCCHD

8220-810-718400 MILEAGE - JULY & CELL REIMB EMILY HAWKE 37.00

8220-810-718400 MILEAGE - JULY SARAH RICKELS 13.50

8220-810-721000 SUPPLIES - SILICONE BREASTPUMP CARDMEMBER SERVICES 45.98

8220-810-721000 SUPPLIES - EXAM GLOVES CARDMEMBER SERVICES 396.91

8220-810-721000 SUPPLIES - EXAM GLOVES CARDMEMBER SERVICES 299.11

8220-810-721000 SUPPLIES - BROWN CLASP ENVELOPES CARDMEMBER SERVICES 42.80

8220-810-721000 SUPPLIES - PEN ASSORTMENT POSITIVE PROMOTIONS 98.85


8220-810-721000 SLOTTED LID TRAINER CUPS NOODLE SOUP 297.40

8220-810-721000 SUPPLIES - WEIGHT MAGNETS/RECEIPIES NOODLE SOUP 283.25

8220-810-721000 SUPPLIES - NURSING PAMPHLETS NOODLE SOUP 297.99

8220-810-721000 SUPPLIES - BOOKS/STICKERS NOODLE SOUP 154.49

8220-810-745000 MAINTENANCE TIME WARNER CABLE 24.99

8220-810-745000 MAINTENANCE COLUMBIA GAS OF OHIO 118.06

8220-810-745000 MAINTENANCE MEGACITY FIRE PROTECTION 70.00

8220-810-745000.CCHD8100047 HIGH ST - GILLAM LANDSCAPING 1,722.50

8220-810-745000.CCHD8100048 MAINT RUMPKE 82.45

8220-810-746000 LEASE - COMMUNITY HEALTH FOUNDATION 3,055.49

8220-810-746200.CCHD8100053 UTILITIES CITY OF SPRINGFIELD 111.39

8220-810-746200.CCHD8100055 UTILITY OHIO EDISON 789.63

8220-810-746200.CCHD8100065 UTILITIES A T & T 165.48


Total For Fund 8220 WIC 8,784.51

11

Fund 8224 OIMRI GRANT

Dept 810 CCCHD

8224-810-718400 MILEAGE - JULY MARCIA JOHNSON 20.70

8224-810-718400 MILEAGE - JULY NATALIE OLIVER 22.60

8224-810-721000 PRINTER AND TONER CARDMEMBER SERVICES 490.89

8224-810-721000 SUPPLIES CARDMEMBER SERVICES 47.96

8224-810-721000 M. JOHNSON FBI/BCI CHECK STATE OF OHIO BMV 70.00

8224-810-721000 DOLLAR TREE CARDMEMBER SERVICES 73.00

8224-810-721000 HYGIENE PANTRY CARDMEMBER SERVICES 80.00

8224-810-721000 DOLLAR TREE CARDMEMBER SERVICES 180.00

8224-810-721000 M. JOHNSON DRUG SCREEN CITRAN OCCUPATIONAL HEALTH LLC 85.00

8224-810-745000.CCHD8100047 HIGH ST - GILLAM LANDSCAPING 132.50


8224-810-745000.CCHD8100050 MAINTENANCE OHIO EDISON 60.74




8224-810-746200.CCHD8100057 UTILITY COLUMBIA GAS OF OHIO 9.08


Total For Fund 8224 OIMRI GRANT 1,572.94

Fund 8225 WATER POLLUTION CONTROL GRANT

Dept 810 CCCHD

8225-810-744000 INSTALLATION - COLUMBUS RD H & S EXCAVATING LLC 13,000.00

8225-810-744000 INSTALLATION - 5725 HUNTER RD HARROD SEPTIC SOLUTIONS 12,024.00

8225-810-744000 INSTALLATION - 1433 W. POSSUM RD HARROD SEPTIC SOLUTIONS 16,934.00


Total For Fund 8225 WATER POLLUTION CONTROL GRANT41,958.00

12

Fund 8226 MOM QUIT FOR TWO

Dept 810 CCCHD

8226-810-718400 MILEAGE - JULY & CELL REIMB NATALIE OLIVER 40.90

8226-810-721000 BABY & ME TOBACCO FREE WELCO LKA INC 637.00

8226-810-721000 SUPPLIES TIME WARNER CABLE 22.97





8226-810-746200.CCHD8100055 UTILITIES OHIO EDISON 24.30



Total For Fund 8226 MOM QUIT FOR TWO 881.80

Fund 8228 TOBACCO USE PREVENTION

Dept 810 CCCHD

8228-810-721000 SUPPLIES - FACEBOOK CARDMEMBER SERVICES 9.68




8228-810-721000 SUPPLIES/FACEBOOK CARDMEMBER SERVICES 411.37

8228-810-721000 SUPPLIES/FACEBOOK CARDMEMBER SERVICES 252.51


Total For Fund 8228 TOBACCO USE PREVENTION 830.91

Fund 8237 PUBLIC INFRASTRUCTURE

Dept 810 CCCHD

8237-810-718400 MILEAGE - JUNE - JULY ANNA JEAN PETROFF 36.50

8237-810-718400 MILEAGE - AUGUST CELL REIMB MICHELLE CLEMENTS-PITSTICK 30.00

8237-810-721000 RADIO STRAPS CARDMEMBER SERVICES 84.80


Total For Fund 8237 PUBLIC INFRASTRUCTURE 151.30

13

Fund 8240 ENVIRONMENTAL SERVICES

Dept 810 CCCHD

8240-810-718100 LICENSE FEE - E. DEWITT OHIO DEPT OF AGRICULTURE 35.00

8240-810-718100 S. JOHNSON LICENSE FEE OHIO DEPT OF AGRICULTURE 35.00

8240-810-718100 M. DAVIS LICENSE FEE OHIO DEPT OF AGRICULTURE 35.00

8240-810-718100 J. BEIKE LICENSE FEE OHIO DEPT OF AGRICULTURE 35.00

8240-810-718400.CCHD8100038 MILEAGE - CELL REIMB MEGAN DAVIS 25.00

8240-810-718400.CCHD8100038 MILEAGE - JULY & CELL REIMB ELIZABETH DEWITT 59.00

8240-810-721000 SUPPLIES - CLARK COUNTY BUILDINGS & GROUNDS 35.20


8240-810-721000 REFUND OF FSO FEE BARNEY PERKINS 54.69

8240-810-721000 REFUND OF FSO FEE CHAMPION CITY ENTERPRISES 377.00

8240-810-721000 REFUND OF POOL FEE - COVID ROCO REAL ESTATE 399.00

8240-810-721000 REFUND OF POOL/SPA LICENSE FEE SHIVAM MANPAR LLC 215.44

8240-810-721000 SUPPLIES TAYLOR TECHNOLOGIES INC 53.87




Total For Fund 8240 ENVIRONMENTAL SERVICES 2,042.58

Fund 8246 CD&D FUND

Dept 810 CCCHD


8246-810-736500.CCHD8100072 STATE FEES - CD&D JUNE TREASURER STATE OF OHIO 1,400.83

8246-810-736500.CCHD8100072 CD&D FEES - JUNE TREASURER STATE OF OHIO 3,477.82

8246-810-736500.CCHD8100073 CD&D FEES - JUNE MOOREFIELD TOWNSHIP 368.20


Total For Fund 8246 CD&D FUND 5,272.51

14

Fund 8248 SEWAGE TREATMENT SYSTEMS

Dept 810 CCCHD

8248-810-736500 STATE FEES - SEWAGE SYSTEMS - JULY TREASURER STATE OF OHIO 315.00

8248-810-736500 STATE CERTIFICATION FEES - SEWAGE JULY TREASURER STATE OF OHIO 430.00

8248-810-736500 STATE FEES - SEWAGE JULY TREASURER STATE OF OHIO 380.00



Total For Fund 8248 SEWAGE TREATMENT SYSTEMS 1,369.46

Fund 8257 FHV

Dept 810 CCCHD

8257-810-718400.CCHD8100038 MILEAGE - JULY AMY TAYLOR 37.80

8257-810-718400.CCHD8100038 MILEAGE - JULY AIMEE HAMILTON 84.60

8257-810-718400.CCHD8100038 MILEAGE - JULY ANTIONETTE PEREZ 48.60

8257-810-718400.CCHD8100038 MILEAGE - JULY DAWN STASAK 6.30

8257-810-718400.CCHD8100038 MILEAGE - JULY KAREN BRUBAKER 45.90

8257-810-718400.CCHD8100038 MILEAGE - JULY KRISTINA FULK 20.25

8257-810-718400.CCHD8100038 MILEAGE - JULY & CELL REIMB KRYSTAL COLEMAN 23.55

8257-810-718400.CCHD8100038 MILEAGE - JULY & CELL REIMB MICHELINE DRUGMAN-DEWITT 60.45

8257-810-718400.CCHD8100038 MILEAGE - JULY ESTHER KEYES 28.80

8257-810-721000 A. TAYLOR - PARENTS AS TEACHERS CARDMEMBER SERVICES 240.00

8257-810-745000 MAINTENANCE TIME WARNER CABLE 11.50





8257-810-746200.CCHD8100055 UTILITY OHIO EDISON 194.36

8257-810-746200.CCHD8100056 UTILITIES TIME WARNER CABLE 135.43



Total For Fund 8257 FHV 2,190.39

15

Fund 8259 MSG GRANT

Dept 810 CCCHD

8259-810-744000 MOTORCYCLE INSTRUC - 2020CCS-10281 JASON ALLISON 442.00

8259-810-744000 MOTORCYCLE INSTRUC - 2020CCS-10281 RANDAL PARMENTER 442.00

8259-810-744000 BRS CCS-10282 RANDAL PARMENTER 442.00

8259-810-744000 2020 CCS 10283 JASON ALLISON 442.00

8259-810-745000 MAINTENANCE- AIR BASE RANGE UNIT STORTS SANITATION SERVICE LLC 170.00


Total For Fund 8259 MSG GRANT 1,938.00

Fund 8260 HEALTH - CHC

Dept 810 CCCHD

8260-810-744000 SELMA RD PARK BALLCOURT BLACKTOP CATANZARO'S SEAL COATING LLC 6,332.00

8260-810-744000 COMMERCIAL FRIDGE LINDEN AVE GLOBAL EQUIPMENT CO 2,000.00

8260-810-744000 COMMERCIAL FRIDGE GRAND AVE GLOBAL EQUIPMENT CO 2,090.00

8260-810-744000 RECYCLED LUMBER KIOSK NATIONAL TRAILS PARK 975.00

8260-810-744000 RECYCLED LUMBER KIOSK - LEFFEL LANE NATIONAL TRAILS PARK 975.00

8260-810-744000 RECYCLED LUMBER KIOSK - EUCLID AVE NATIONAL TRAILS PARK 975.00


Total For Fund 8260 HEALTH - CHC 13,347.00

Fund 8261 REPRODUCTIVE HEALTH AND WELLNESS (RHW)

Dept 810 CCCHD

8261-810-721000 SUPPLIES CARDMEMBER SERVICES 31.99

8261-810-721000 SUPPLIES QUILL CORPORATION 27.18

8261-810-721000.CCHD8100003 Q1 - APR - JUNE 2020 COMMUNITY HEALTH CENTERS OF 24,000.00

8261-810-721000.CCHD8100076 WIRELESS RECEIVER FOR SPEAKER CARDMEMBER SERVICES 89.00


Total For Fund 8261 REPRODUCTIVE HEALTH AND WELLNESS (RHW)24,148.17

16

Fund 8262 MATERNAL & CHILD HEALTH PROGRAM (MCHP)

Dept 810 CCCHD

8262-810-718400.CCHD8100038 MILEAGE - JULY CELL REIMB LESLIE STINE 25.00

8262-810-721000 MCH SUPPLIES CARDMEMBER SERVICES 352.74


Total For Fund 8262 MATERNAL & CHILD HEALTH PROGRAM (MCHP)377.74

Fund Totals:

44,170.52

1,416.79

917.53

2,590.09

188.94

13,710.45

15,260.09

127.93

3,845.95

8,784.51

1,572.94

41,958.00

881.80

830.91

151.30

2,042.58

5,272.51

1,369.46

2,190.39

1,938.00

13,347.00

24,148.17

377.74

187,093.60

17

The following transfers will be made after approval by the

Board of Health at the September 2020 Board meeting.

Transfer: From the General Revenue fund to the Environmental Services

fund (budgeted). $30,000

Clark County Combined Health District (CCCHD)

529 East Home Road Divisions: All Divisions of CCCHD Temporary COVID-19 Leave and Leave Buyout Policy

Purpose: To acknowledge the FFCRA COVID-19 leave and offer temporary leave buyout options due to the COVID-19 response

Scope: All eligible employees of CCCHD

BOH Resolution: R 66-20

Date Passed by BOH: July 16, 2020

Due to the worldwide pandemic COVID-19 a temporary suspension of the cap on vacation, personal and compensatory leave has been enacted. This enactment is to encourage employees to be present for work during this unprecedented period in public health history and to ensure that employees do not lose their accrued leave time. The following polices are enacted to ensure minimal disruption in the employees compensation package.

Policy 1: In light of the COVID-19 pandemic the Board acknowledges the Families First Coronavirus Response Act (FFCRA) policy that has been adopted by Clark County under the United States Department of Labor.

Policy 2: Employees who have reached or will reach their maximum accrual rate of vacation during any pay period prior to December 31, 2020, shall have the option to buyout up to eighty (80) hours of vacation leave (in eight (8) hour increments). Leave will be paid out at employee’s regular hourly rate.

1. Vacation leave is accrued per pay period based on the accrual schedule in the Personnel Policy.

2. Per Personnel Policy Section 5.2 A4, employees hired prior to January 1, 2008 shall take vacation leave within thirty-six (36) months of the date of accrual. No additional leave shall accrue to an employee who has three (3) years of unused vacation credit. The employee shall be notified when he has reached his maximum accrual. Accrual shall resume once the employee begins to use the accrued vacation. Employees hired after January 1, 2008 shall take vacation leave within twenty-four (24) months of the date of accrual. No additional vacation leave shall accrue to an employee who has two (2) years of unused vacation credit. The employee shall be notified when he has reached his maximum accrual. Accrual shall resume once the employee begins to use the accrued vacation.

Policy 3: Employees who have reached or will reach their maximum accrual rate of personal leave prior to January 2, 2021, shall have the option to buyout up to twenty-four (24) hours (in eight (8) increments) of their personal leave. Leave will be paid out at employee’s regular hourly rate.

1. Full-time employees are credited with eight (8) hours of personal leave beginning the first day of January, May, and September. Personal leave may be carried over the next calendar year, but employees may not accumulate more than twenty-four (24) hours of personal leave. No personal leave shall be credited in excess of a twenty-four (24) hour balance per Personnel Policy Section 5.2 D1, D2 and D3.

Policy 4: Employees who are above the Board’s stated maximum compensatory leave accrual of sixty (60) hours shall deplete their compensatory leave to the sixty (60) hour limit by July 1, 2021 or be compensated for the portion exceeding the sixty (60) hour limit. Compensatory leave accrued prior to January 1, 2021 will be excluded from the automatic six (6) month payout until January 1, 2022. Any compensatory leave earned prior to July 1, 2021 will be paid out after January 1, 2022.

Date Revision By Whom

July 16, 2020 Created S. Hackathorne

September 18, 2020 Revised increment interval for vacation leave S. Hackathorne

* = funds that were changed

8201 - General Fund *

ESTIMATED REVENUES 3,706,258

SALARIES & BENEFITS 2,151,671

OTHER EXPENSES 1,554,587

TOTAL - GENERAL FUND 7,412,516

8202 - FOOD SERVICE*

ESTIMATED REVENUES 230,000

SALARIES & BENEFITS 189,000

OTHER EXPENSES 38,500

TOTAL - FOOD SERVICE 457,500

8203 - SOLID WASTE




TOTAL - SOLID WASTE 270,000

8204 - RECREATION PARKS AND CAMP




TOTAL - RECREATION PARKS AND CAMP 6,789

8205- WATER




TOTAL - WATER 239,000

Clark County Combined Health District

2020 Amended Budget

8206 - POOLS




TOTAL - POOLS 33,947

8207 - MOSQUITO*




TOTAL - MOSQUITO 39,740

8208 - MAC


SALARIES & BENEFITS -


TOTAL - MAC 276,800

8209 - HIV



OTHER EXPENSES -

TOTAL - HIV 88,544

8211- DRUG OVERDOSE*




TOTAL - DRUG OVERDOSE 230,000

8212 - HMG*




TOTAL - HMG 868,135

8213 - CRIBS FOR KIDS*




TOTAL - CRIBS FOR KIDS 163,422

8214 - GET VACCINATED*




TOTAL - GET VACCINATED 159,881

8217 - PLUMBING*




TOTAL - PLUMBING 253,965

8220 - WIC




TOTAL - WIC 1,577,722

8223 - COVID-19*




TOTAL - COVID-19 648,465

8224 - MOMS & BABIES FIRST




TOTAL - MOMS & BABIES FIRST 260,000

8225 - WATER POLUTION CONTROL*




TOTAL - WATER POLUTION CONTROL 370,000

8226 - MOMS QUIT FOR TWO*




TOTAL - MOMS QUIT FOR TWO 121,595

8227 - SAFE COMMUNITIES




TOTAL - SAFE COMMUNITIES 142,296

8228 - TOBACCO*




TOTAL - TOBACCO 161,638

8229 -CONTINGENCY

ESTIMATED REVENUES -


OTHER EXPENSES -

TOTAL - CONTINGENCY -

8233 -LICE




TOTAL - LICE 73,867

8237 - PHEP*




TOTAL - PHEP 413,382

8238 - SW NON DISTRICT




TOTAL - SW NON DISTRICT 8,145

8239 - SICK LEAVE PAYOUT



OTHER EXPENSES -

TOTAL - SICK LEAVE PAYOUT 20,000

8240 - ENVIRONMENTAL SERVICES*




TOTAL - ENVIRONMENTAL SERVICES 188,320

8246 - CD&D*




TOTAL - CD&D 138,508

8248 - SEWAGE*




TOTAL - SEWAGE 233,654

8252 - CONTACT TRACING




TOTAL - SEWAGE 1,070,332

8257 - MIECHV*




TOTAL - MIECHV 891,956

8259 - MOTORCYCLE




TOTAL -MOTORCYCLE 102,857

8260 - CHC *




TOTAL - CHC 196,414

8261 - RHW




TOTAL - RHW 1,201,766

8262 - MCH*




TOTAL - MCH 167,782

TOTAL REVENUES 9,361,874

TOTAL SALARIES & BENEFITS 5,695,720

OTHER EXPENSES 3,432,552

Approx. 115’ Foundation to

R.O.W. w/ Sewer

Public Sewer Line

2900 Dogwood Drive, Springfield OH German Township

Built in 1956

Last Sale: 7/2013, $124,900

Currently List for sale on Zillow.com for $130,000.00

Septic system is off-lot discharging aerator.

Clark County Combined Health District Divisions: All Divisions of Clark County Combined Health District (CCCHD)

Public Health Ethics Reviews

529 E. Home Road Springfield, OH 45503

1 Revised 4/16/2019

CCCHD Public Health Ethics Review Tool

Date of Review Meeting: 9/10/20

Attendees by Name and Title

Stephanie Johnson, Sanitarian III Larry Shaffer; Director of Environmental Health

Area of Discussion: Variance request from Ohio’s Household Sewage Treatment System rule 3701-29-06 I: 2900 Dogwood Drive, Springfield, OH - Parcel #0500600018401005

Principles of Ethical Public Health Practice

Principles Applied to Program Level Principles Applied to Specific Event

1. Address principally the fundamental causes of disease and requirements for health, aiming to prevent adverse health outcomes.

Prevent humans and animals from contact with untreated sewage. Use best available technology to treat sewage.

Homes with foundations closer to

200’ to right-of-way to public sewer

are required to connect as it is

considered best available technology

as sewage is treated for safety at a

public facility that is monitored and

maintained daily.

2. Achieve community health in a way that respects the rights of individuals in the community.

Advised client of option to request variance from rule.

Client has elected to request a

variance from rule.

3. Policies, programs, and priorities should be developed and evaluated through processes that ensure an opportunity for input from community.

As this is implementation of state law and rule- public input has occurred at the state level. The Board of Health consideration of variances occurs in a public meeting with input from the community.

Board of Health Meeting; September 17, 2019.

4. Advocate and work for the empowerment of disenfranchised community members, aiming to ensure that the basic resources and conditions for health are accessible to all.

The law and rules allows for a "hardship" or financial consideration when making the variance decisions.

The Board may consider cost and difficulty of connecting a home to public sewer while contemplating a variance from rule.

5. Seek the information needed to implement effective policies and programs that protect and promote health.

Not applicable- State Law and Rules. N/A




2 Revised 4/16/2019



6. Provide communities with the information they have that is needed for decisions on policies and programs and should obtain the community's consent.

Consent is not applicable- State Law and Rules.

N/A

7. Act in a timely manner on the information they have within the resources and the mandate given to them by the public.

Process variance request ASAP and present to the next Board of Health meeting for their consideration.

Received September 9, 2020; To be reviewed by Board of Health September 17, 2020.

8. Programs and policies should incorporate a variety of approaches that anticipate and respect the diverse values, beliefs and cultures in the community.


9. Programs and policies should be implemented in a manner that most enhances the physical and social environment.

Consideration should be given to the surrounding terrain and the variances impact on the neighboring properties as well as the owner's property.

This property currently has an Pre-2007 aerator as the current sewage treatment system. Therefore, if not maintained with a working motor and chlorine tablets, the property will be discharging sewage into the ditch in front of home. A recent sample of the water from the well on this property tested safe. There is no option for a replacement septic system due to the size of the lot. The EPA will not approve an NPDES permit for an aerator due to the availability of sewer and proximity of drinking water wells.

10. Protect the confidentiality of information that can bring harm to an individual or community if made public. Exceptions must be justified on the basis of high likelihood of significant harm to the individual or others.

Not applicable- no confidential information.

N/A




3 Revised 4/16/2019



11 . CCCHD should ensure the professional competence of its employees.

Professional development and training must occur and documentation uploaded into the Workforce Development database.

Staff attends educational conferences as available, participates in quarterly roundtable meetings with other health departments in SW Ohio, and monitors monthly statewide sewage conference calls. Issue discussed with EH Supervisor & Director.

12. CCCHD and its employees should engage in collaborations and affiliations that build the public's trust and the institution's effectiveness.

The general public, township trustees, county commissioners, village council members, realtors and realtor trade groups, mortgage bankers, builders and builder trade groups, installers, designers, and service providers have been educated and regularly informed of the implementation of the rules though meetings and the local media.

A potential buyer’s realtor has been consistently informed of the results of inspection via email and telephone. German Township Trustees have been advised of pending consideration of request for variance by Board of Health and opportunity to comment.

Next Steps:

Objective Related Activities Timeframe Responsible Party

Ensure compliance with conditions of the variance is passed.

Perform on-site inspections as needed.

By project’s completion. Environmental Health Staff

3690 Randee Lane, Springfield OH

Pike Township




1 Revised 4/16/2019

CCCHD Public Health Ethics Review Tool

Date of Review Meeting: 9/10/20

Attendees by Name and Title

Stephanie Johnson: Sanitarian III Larry Shaffer: Director of Environmental Health. Health

Area of Discussion: Variance request from Ohio’s Household Sewage Treatment System rule 3701-29-06 (G) (3): 3690 Randee Lane - Parcel #2500100002204003



1. Address principally the fundamental causes of disease and requirements for health, aiming to prevent adverse health outcomes.

Prevent humans and animals from contact with untreated sewage. Use best available technology to treat sewage.

Keep sewage below ground. Utilize

soil to treat sewage onsite.

2. Achieve community health in a way that respects the rights of individuals in the community.

Discuss options with client including change of design and request for variance from rule.

To save cost of replacing septic tank

that would be too close to a

proposed pool and extension of

existing patio already wrapped

around the septic tank, the client has

elected to request a variance from

rule for isolation distance.

3. Policies, programs, and priorities should be developed and evaluated through processes that ensure an opportunity for input from community.

As this is implementation of state law and rule- public input has occurred at the state level. The Board of Health consideration of variances occurs in a public meeting with input from the community.

Board of Health Meeting; September 17, 2020. German Township Trustees to be advised of pending review by Board of Health.

4. Advocate and work for the empowerment of disenfranchised community members, aiming to ensure that the basic resources and conditions for health are accessible to all.

The law and rules allows for a "hardship" or financial consideration when making the variance decisions.

The Board may consider cost and difficulty of alternate design for a variance from rule.

5. Seek the information needed to implement effective policies and programs that protect and promote health.


6. Provide communities with the Not applicable- State Law and Rules. N/A




2 Revised 4/16/2019



information they have that is needed for decisions on policies and programs and should obtain the community's consent.

7. Act in a timely manner on the information they have within the resources and the mandate given to them by the public.

Process variance request ASAP and present to the next Board of Health meeting for their consideration.

Received September 10, 2020 for review by Board of Health on September 17, 2020.

8. Programs and policies should incorporate a variety of approaches that anticipate and respect the diverse values, beliefs and cultures in the community.


9. Programs and policies should be implemented in a manner that most enhances the physical and social environment.

Consideration should be given to the surrounding terrain and the variances impact on the neighboring properties as well as the owner's property.

N/A in this situation; no impact to neighboring properties, etc.

10. Protect the confidentiality of information that can bring harm to an individual or community if made public. Exceptions must be justified on the basis of high likelihood of significant harm to the individual or others.

Not applicable- no confidential information.

N/A

11 . CCCHD should ensure the professional competence of its employees.

Professional development and training must occur and documentation uploaded into the Workforce Development database.

Staff attends educational conferences as available, participates in quarterly roundtable meetings with other health departments in southwest Ohio, and monitors monthly statewide sewage conference calls. Issue discussed with Env. Health Supervisor and Director.

12. CCCHD and its employees should engage in collaborations and affiliations that build the public's trust and the

Township trustees, county commissioners, village council members, realtors and mortgage

German Township Trustees to be advised of the request for variance and requested to comment.




3 Revised 4/16/2019



institution's effectiveness. bankers, builders, installers, designers, and service providers should all be educated and regularly informed of the implementation of the rules.

Next Steps:

Objective Related Activities Timeframe Responsible Party

Ensure compliance with conditions of the variance is passed.

Perform on-site inspections as needed.

By project’s completion. Environmental Health Staff

agenda clark county combined health district board … · d. update to temporary leave buyout...

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