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HomeMy WebLinkAboutHealth & Human Services 03-18-09 f Peterson will review vouchers. Revised: 03/11/09 NOTICE OF MEETING AND AGENDA ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD March 18, 2009 at 8 :30 (Board Room, St. Croix County DHHS Building, New Richmond WI) CALL TO ORDER ROLL CALL REVIEW OF AGENDA CONSENT AGENDA APPROVAL OF MINUTES OF PREVIOUS MEETING - 02/18/09 DATE OF NEXT MEETING — 04/15/09 OLD AND NEW BUSINESS 1. Consideration of Claims and Vouchers and appoint member to review vouchers at next meeting 2. Financial Report a. Monthly financial report for Nursing Home and Health and Human Services b. aged receivable report c. 2008 updated year -end financials for Nursing Home and Health and Human Services 3. 2009 -2011 State Biennial Budget review from WCA Legislative staff" 4. Medical representative appointment to the HHS Board 5. State Divestment policy for Medical Assistance eligibility 6. Nursing Home Report 7. Nursing Home Annual Survey ** 8. Personnel Issues a. New employees /vacancies 9. Behavioral Health Outpatient services program report 10. Tobacco -free grounds resolution 11. Review of Public Health program report given to County Board on 03/16/09 12. Review of Long Term Support program report given to County Board on 03/16/09 13. Ad Hoc Facilities planning committee update 14. Health and Human Services planning for office moves ** ADJOURN (Items may be taken in different order) ** Additions /Changes /Corrections Items for County Board approval must be submitted to the County Clerk's office by Wednesday morning preceding a County Board meeting. 3/11/2009 10:22 AM ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD March 18, 2009 The St. Croix County Health and Human Services Board met on March 18, 2009 at the St. Croix County Health and Human Services /Health Center complex. MEMBERS PRESENT: Esther Wentz, Chair Leon Berenschot Charles Grant Roger Larson Linda Luckey Richard Marzolf Gerald Peterson Deb Rasmussen MEMBERS ABSENT: None STAFF PRESENT: Fred Johnson, Health and Human Services Director Jennifer Pempek, Financial Manager Mary Squyer, Economic Support Supervisor Ron Kiesler, Behavioral Health Coordinator Wendy Kramer, Public Health Officer /Public Health Coordinator Dennis Reiman, Contracted Nursing Home Administrator Lisa Leahy, Director of Social Services - Nursing Home Malva Sirek, Secretary OTHERS PRESENT: Chuck Whiting, Administrative Coordinator Art Tobin, Building Services Director Kim Dupre, Information Systems Analyst Tammy Funk, Human Resources Administrator Roger Rebholz, County Board Chair Dave Ostness Norm Matzek Chair Wentz called the meeting to order at 8:30 AM noting the meeting was properly and legally publicized. NEXT MEETING The next Health and Human Services Board meeting is scheduled for Wednesday, April 15, 2009 at 8:30 AM. Wentz will review vouchers. AGENDA Motion A motion was introduced by Larson, seconded by Marzolf, and unanimously adopted: That the agenda be approved as distributed. MINUTES Motion A motion was introduced by Rasmussen, seconded by Larson, and unanimously adopted: That the minutes of the 02/18/09 Health and Human Services Board meeting be approved with the following changes: Page 3, paragraph 2, sentence 7 should read as follows: Two - thirds of the clients had been transitioned by the end of 2009 2008. Page 5, paragraph 5, sentence 6 should read as follows: A face -to -face contact is made the same day or no longer than five days e-f from the date of the report. Page 9, paragraph 3, sentence 9 should read as follows: For a 72 bed St. Croix County Health and Human Services Board Page 2 March 18, 2009 facility, the cost would be $7,560,000 to $8,640,000; CONSIDERATION OF CLAIMS Health and Human Services Board member Peterson reviewed the vouchers. Motion A motion was introduced by Peterson, seconded by Berenschot, and unanimously adopted: That the following vouchers be approved and be made a part of the supplemental minute book: Human Services voucher 144013, dated February 04, 2009 in the amount of $274.95. Human Services vouchers 145453 through 145458, dated February 19, 2009 in the amount of $38,926.67. Human Services voucher 145886, dated February 26, 2009 in the amount of $151.30. Human Services vouchers 146239 through 146274, dated March 04, 2009 in the amount of $53,979.50. Human Services, and Nursing Home vouchers 145351 through 145437, dated February 19, 2009 in the amount of $102,945.80. Human Services and Nursing Home vouchers 145438 through 145452, dated February 19, 2009 in the amount of $12,928.19. Human Services, Department on Aging, ADRC and Nursing Home vouchers 145820 through 145885, dated February 29, 2009 in the amount of $149,166.93. Human Services, Department on Aging, ADRC and Nursing Home vouchers 146113 through 146238, dated March 04, 2009 in the amount of $127,207.28. Human Services, ADRC, Government Center, Department on Aging and Nursing Home vouchers 146799 through 146963, dated March 12, 2009 in the amount of $101,966.18. Human Services, ADRC, Department of Aging and Nursing Home vouchers 143934 through 144012, dated February 04, 2009 in the amount of $42,559.07. Human Services, Nursing Home, Department of Aging and ADRC vouchers 146655 through 146769, dated March 12, 2009 in the amount of $91,773.95. Nursing Home vouchers 146770 through 146798, dated March 12, 2009 in the amount of $23,813.48. Human Services, Workshop, Public Health, Social Services vouchers 126 through 156, dated March 5, 2009 in the amount of $403,014.17. Human Services, Workshop, Public Health, Social Services vouchers 157 through 185, dated March 19, 2009 in the amount of $378,287.06. Human Services and Nursing Home vouchers 124 through 152 dated March 5, 2009 in the amount of $164,046.17. St. Croix County Health and Human Services Board Page 3 March 18, 2009 Human Services and Nursing Home vouchers 153 through 180, dated March 19, 2009 in the amount of $152,572.13. Workshop vouchers 25 through 30, dated March 5, 2009 in the amount of $13,131.34. Workshop vouchers 31 through 36, dated March 19, 2009 in the amount of $11,871.45. ANNOUNCEMENTS Johnson announced the Wisconsin Counties Association (WCA) meeting is scheduled for April 15, 2009 from 6:00 to 8:00 PM. Johnson, Whiting and Rebholz plan to attend. Johnson displayed the current New Richmond Chamber of Commerce newsletter which contains an article highlighting St. Croix Industries joining the Chamber. FINANCIAL REPORT The following financial report for Health and Human Services through January, 2009 was distributed. The budget column of the following report will be adjusted as changes in HRA insurance accounts were approved by the County Board after the budget was approved, but the adjustments are processed through the Government Center finance department. Pempek reported Health and Human Services (HHS) advancements from the State are the reason for the negative figure on the Administration line. Carryover monies will be applied to the Administration line. St. Croix County Health and Human Services Board Page 4 March 18, 2009 HEALTH AND HUMAN SERVICES - 2008 SUMMARY Total OF REVENUES Budget January 31, 2009 Balance % Administration 1,038,854.00 (66,612.97) 1,105,466.97 -6.4% AODA Services 760,671.16 41,510.07 719,161.09 5.5% Long Term Support 5,463,375.71 871,370.60 4,592,005.11 15.9% Mental Health 3,448,843.99 258,426.30 3,190,417.69 7.5% Family & Children's 2,911,874.13 256,365.65 2,655,508.48 8.8% Public Health 1,626,983.95 121,742.01 1,505,241.94 7.5% Economic Support 1,152,939.29 54,624.25 1,098,315.04 4.7% General Relief 0.00 0.00 0.00 0.0% Coordinated Services /SED 2,836,586.35 491,221.37 2,345,364.98 17.3% REVENUES HUMAN SERVICES PROGRAMS 19,240,128.58 2,028,647.28 17,211,481.30 10.5% SUMMARY Total OF EXPENDITURES Budget January 31, 2009 Balance % Administration 1,038,854.00 85,787.71 953,066.29 8.3% Alcohol -Drug Abuse 760,671.16 53,818.18 706,852.98 7.1% Long Term Support 5,463,375.71 363,325.11 5,100,050.60 6.7% Mental Health 3,448,843.99 209,281.97 3,239,562.02 6.1% Family & Children's 2,911,874.13 266,826.48 2,645,047.65 9.2% Public Health 1,626,983.95 133,050.26 1,493,933.69 8.2% Economic Support 1,152,939.29 103,634.40 1,049,304.89 9.0% General Relief 0.00 22.30 (22.30) 0.0% Coordinated Service /SED 2,836,586.35 70,402.26 2,766,184.09 2.5% EXPENDITURES HUMAN SERVICES PROGRAMS 19,240,128.58 1,286,148.67 17,953,979.91 6.7 °% Total S 742,498.61 The following financial report for the Nursing Home through January, 2009 was distributed. Adjustments will be made to the budget column of the following report due to the changes in the HRA insurance accounts, which are the same adjustments for Health and Human Services. The following report will be modified to reflect one - twelfth of the $191,000 carryover funds to be applied each month versus one lump sum at year end. IGT revenues will also be applied to the current report. Johnson reported we will not receive any of the rate appeal monies budgeted. Administrative services will adjust when the contracted administrator position is filled by a county employee. • St. Croix County Health and Human Services Board Page 5 March 18, 2009 St. Croix Health Center Janaaiy 2009 Budget Actual [liffeience peicei tagf Census 0 Opeiating Revenue: Medicare $903,252.00 $77,084.21 $826,167.79 8.53% Medicaid $2,481,432.00 $209,276.43 $2,272,155.57 8.43% Private Pay $760,413.00 $73,631.25 $686,781.75 9.68% All Other Sources $216,041.00 $17,803.45 $198,237.55 8.24% Total (r)eiatiny Revenue $4.361.138.00 $377.795.34 $3.983.342.66 8.6610 401)eiatii►y Expenses Daily Patient Services $3,407,942.00 $301,771.68 $3,106,170.32 8.85% Special Services $284,262.00 $25,524.23 $258,737.77 8.98% General Services $1,132,974.00 $85,689.99 $1,047,284.01 7.56% Administrative Services $630,702.00 $56,031.24 $574,670.76 8.88% Unassigned: Depreciation (% Based) $0.00 Others: $402,923.00 $23,214.00 $379,709.00 5.76% Utilities $202,080.00 $0.00 Workers Comp, Computer Tech $133,400.00 $0.00 Insurance $67,443.00 $23,214.00 Total Opeiating Exl)eikses $5.858.$03.00 *492.231.14 $5.366.571.86 8.40`o Het Flom Operations 4114.435.801 (Cost of doing business prior to applying levy & outstanding rev) i ratstandiug Revenues Outstanding Rate Appeal rev $12,000.00 $0.00 $12,000.00 0.00% Revenue - IGT Funds $350,000.00 $0.00 % of Outstanding IGT Rev $0.00 $0.00 0.00% Co Allocations (% Based) $944,665.00 $82,408.00 $862,257.00 8.72% Nursing Home Carry Over $191,000.00 $0.00 TotalOatstan +ling $1.497.665.00 $82.408.00 $874.257.00 Net from all Sources {$32.027.$01 AGED RECEIVABLE REPORT: The aging Accounts Receivable report for Health and Human Services through January was reviewed. Approximately $8,920 from 2006 was removed from the books as it is no longer collectible from insurance. Berenschot questioned how much is being written off compared to the amount taken in. Pempek will get this figure. Write offs include reduced contractual amounts, sliding fee scale amounts, and clients who cannot pay. Pempek reported the Nursing Home auditors will be in -house next week. Pempek has worked with Pietrick and Schroeder to set up St. Croix Industries as • St. Croix County Health and Human Services Board Page 6 March 1$, 2009 a separate enterprise fund. Pempek reported the financial reports for ADRC will change to show more detail in the future. HEALTH AND HUMAN SERVICES PLANNING FOR OFFICE MOVES The facility went to a single point of entry and locked all exterior doors except the front entrance, where consumers are able to access the building. Staff have access to the building with an ID badge. Interior and exterior signage was updated due to this change. John Shilts from the Sheriff's Department has performed a security assessment on the building and will present his findings at a future Board meeting. Concerns were raised due to the distance from the front entrance to Economic Support plus the ramp leaving Economic Support is an issue. There are from 100 to 150 consumers that go to Economic Support every week. Many are elderly, disabled or have young children. To meet the needs of the consumers, first the ADRC area had to be addressed. Three ADRC staff are temporarily in New Richmond while their Hudson suite is being remodeled. The next planned step will be to move staff in New Richmond. Staff who work more in the community versus seeing clients in -house will be moved to the back of the HHS building and Economic Support staff will be moved to the front of the building to address client access concerns. This move has been coordinated by Ron Kiesler with Building Services and Information Technology. The move will involve staff time and energy but is recommended to meet the needs of consumers. Kiesler outlined some of the details of the project, which is anticipated to involve minimal costs. Building Services and Information Technology will be performing the modifications needed in each unit. There is no timeline as to when the project will be completed. Johnson will report back to the Board on costs for the project at the April meeting. There have been discussions that have identified the cost of moving HHS staff to be as much as $150,000. No costs for the project have been received at this time, but as stated earlier, the expectation is the cost will not approach this figure. Tobin mentioned the transition so far has gone smoothly due in part to the help of CIP inmates. He said CIP is an asset to our facility and will be issuing a letter of appreciation to the Department of Corrections. The Board recessed from 9:22 to 9:30 AM. BEHAVIORAL HEALTH OUTPATIENT SERVICES PROGRAM REPORT Kiesler reported the waiting list for Behavioral Health rose in January and February. He reported it is fairly typical to have an increase at this time of year but the spike was higher than normal and it could be a result of the current economy. Staff have discussed the possibility of limiting access of insured clients to county services as clients with insurance could be served by private vendors. Clients with Medical Assistance and uninsured clients are not typically served by private vendors. If services to insured clients were limited, revenues would decline. Accounts Receivable staff are now reporting to HHS Department Heads the status of waiting lists on a regular basis. The trend seems to be tapering now so services will not be closed to any clients at this time. Kiesler also reported that one psychiatrist who has clinic hours 14 hours /week resigned effective 03/27/09. Staff are working to fill that psychiatrist time with another vendor. Psychiatric intake has been closed at this time with the exception of CSP referrals, adolescent referrals and court referrals/ commitments. St. Croix County Health and Human Services Board Page 7 March 18, 2009 Kiesler reported mobile crisis has moved to 24/7 coverage as of 03/01/09 with clinic staff providing coverage Monday through Friday from 8:00 AM to 4:00 PM. Kiesler reported in 2006, 2007 and 2008 mobile crisis had been 75% effective in diverting clients from in- patient hospitalization in crisis situations. However, for January and February 2009 the percentage has dropped to 20 %. It is not due to staff or policy /procedure; it is due to the population being that difficult and it would not be safe to divert these clients. An additional step of holding one bed for crisis at Atlas House has been implemented. Kiesler reported county cell phone service has been reviewed with the help of Dana Baker. Current services are with Sprint /Nextel and T- Mobile. Kiesler said Baker continues to do an excellent job and has consolidated the current phones into one plan which will save the county approximately $6,000 per year. Kiesler also congratulated HHS Department Heads for their cooperation and assistance with this consolidation. Johnson also recognized the work Kiesler has done to consolidate the cell phone plans. Kiesler reported Comprehensive Community Services (CCS) is slated to begin 04/08/09. This is a Medicaid reimbursable program for wrap around services to adults and children. The program is not part of the WIMCR cap. Approximately ten adolescent clients and one to two adult clients will be transferred to this program from Youth Community Support Services (YCSS) once certified with more to be added over time. It has taken a year to apply for this program. Kiesler said we received approximately $40,000 from a State grant for this program last year. He recognized the hard work and effort Huston, Campbell, Dunlap, Kirt, and Markgraf have invested to implement this program that will benefit residents of the county. STATE DIVESTMENT POLICY FOR MEDICAL ASSISTANCE ELIGIBILITY Divestment is the disbursement of assets for less than the fair market value with the intent of receiving Medical Assistance. Previously people could give assets away and after 36 months could apply for Institutional Medical Assistance and be eligible. If the same people put assets into a trust they would have to wait for 60 months to be eligible for Institutional Medical Assistance. The ineligibility would start at the date of divestment. The look back period is 60 months for any transfer trust or other transfer with the new changes effective 01- 01 -09. The date of divestment now is the date the client becomes eligible for Institutional Medical Assistance. If the customer is ineligible for Institutional Medical Assistance they may still be eligible for card services, which means they may see a doctor, go to a hospital and /or get meds. They just will not be paid for nursing home services; which will affect St. Croix Health Center. Nursing homes cannot discharge residents if they have no place to send them; the nursing home would have to provide the care needed with no revenue. A transfer of income or assets is not divestment if the individual can demonstrate that the transfer wasn't made with the intent of becoming eligible for Medical Assistance. A Life Estate in another individual's home is divestment unless they reside in the home for a period of 12 consecutive months. Promissory notes or loans can cause divestment. • • St. Croix County Health and Human Services Board Page 8 March 18, 2009 Annuities purchased after 01 -01 -09 must designate the state as a beneficiary. Divestment penalty period will be waived if it deprives the client of medical care that the individual's health or life would be endangered or food, clothing, shelter or other necessities of life. Ineligibility occurs if the equity value of the home is greater than $750,000.00 These new changes will increase the time staff spend on cases greatly. The Nursing Home must look at how they will screen new residents to ensure payment until Medical Assistance has been established. Squyer indicated this is one more additional requirement from the State without added funding. Rasmussen noted for - profit nursing homes will find a way not to take clients who do not pay. Squyer also noted there were 95 new cases in Economic Support in January and February. NURSING HOME ADMINISTRATOR'S REPORT Reiman reported the February census average was 62 and the census today is 69, with an expected census of 70 by the end of today. He reported of the payor mix there are nine Medicare A, the best payor source, and most are therapy residents. There are also eight Medicare B residents in the mix. Reiman reported the tubs in the Nursing Home don't work well and are so old parts are not readily available. Reiman was excited to report one of the Building Services staff, Brian Cloutier, located and purchased two gently used tubs for $400 each. Replacement tubs would cost approximately $13,000 each. Building Services staff are installing the tubs today. The surveyors were highly complimentary of the staff teamwork and quality of care during the recent survey. He said no citations were received for the third year in a row. He said with no citations in the Nursing Home, it is very complimentary to the staff, Director of Nursing, and managers. Reiman also mentioned it is rare that a 72 -bed nursing home have only one social worker for that many residents and the county is very lucky to have Lisa Leahy filling that position. Reiman congratulated staff on a job well done. Johnson announced the Board would take a short recess to go to the dining room to express appreciation to the Nursing Home staff for a job well done. The Board recessed to the Nursing Home social room from 10:30 to 10:50 AM to meet with Nursing Home staff. 2009 -2011 STATE BIENNIAL BUDGET REVIEW FROM WCA LEGISLATIVE STAFF Johnson distributed a memo on the 2009 -2011 State Biennial Budget from Sarah Diedrick- Kasdorf. He reported WCA (Wisconsin Counties Association) will lobby around HHS (Health and Human Services) as a priority. He reminded the Board this document is a proposal of the changes in the budget and the budget has not been approved. He noted IGT for the Nursing Home may be funneled away from the Nursing Home and there may be an increased bed tax. Johnson encouraged Board members to thoroughly review the document. Johnson offered to department specific forward information to Board members so they have opportunity to get to legislators so we receive State budget relief and the burden doesn't fall as • St. Croix County Health and Human Services Board Page 9 March 18, 2009 heavily on the County budget. MEDICAL REPRESENTATIVE APPOINTMENT TO THE HHS BOARD Dr. Lisa Ramsay has offered her services to St. Croix County. Rebholz, Wentz, and Johnson have met with her and were high impressed by Dr. Ramsay. She will be appointed to the Health and Human Services Board at the April County Board meeting. Rebholz announced Berenschot and Rasmussen will also be appointed at the April meeting to continue their terms on the Health and Human Services Board. PERSONNEL ISSUES NEW EMPLOYEES /VACANCIES Johnson announced Rachel Johnson started as a Family Resource Aide in the Family and Children's Unit on March 8, 2009. He also announced Jody Kroening, RN, will begin as Behavioral Health nurse on March 30. He said reference checks are being done and an offer will be made soon for the open Medical Records position. He reported second interviews and a tour of the facility will take place on March 23, 2009 for the final candidates for the Nursing Home Administrator position. Public Health nurse interviews will take place March 19, 2009. TOBACCO -FREE GROUNDS RESOLUTION A copy of the proposed resolution was forwarded to Board members. Wentz recommended delaying action on the resolution until the State budget is implemented and we receive possible assistance from the Governor's budget. Whiting said the expectation is that the Governor's proposal for the Clean Indoor Act will pass. Motion A motion was introduced by Peterson, seconded by Grant and adopted with Berenschot voting no; That the Board approves tabling the tobacco -free resolution as presented until after the Governor's budget is adopted. Berenschot felt pressure should be kept on legislators to implement the bill. Johnson indicated the actions of the Health and Human Services Board should not impact the Governor's bill on Clean Indoor Act. Larson felt the resolution should be tobacco free vs. smoke free and the Board should move forward regardless of what the governor does. Johnson indicated concern regarding the consumers at St. Croix Industries being impacted and the resolution will also be brought forward at the County department head meeting. Peterson indicated the policy language needs to be cleaned up regarding equipment and vehicles; smoke -free should be changed to tobacco -free, adding government buildings, county -owned parks, all county vehicles and equipment, etc. to read as follows: RESOLUTION FOR A TOBACCO -FREE POLICY FOR COUNTY GROUNDS WITH GOVERNMENT BUILDINGS, COUNTY -OWNED PARKS, THE FAIRGOUNDS AND COUNTY -OWNED VEHICLES Resolution No. St. Croix County, Wisconsin WHEREAS, the St. Croix County Board of Supervisors passed a resolution in 1992 that directed all County Government buildings and passenger vehicles be smoke -free (with the exception of the day room area of the jail) effective January 1, 1993; and St. Croix County Health and Human Services Board Page 10 March 18, 2009 WHEREAS, the St. Croix County Board of Supervisors passed a resolution in May of 2005 indicating: 1. The undersigned hereby requests that the Wisconsin Legislature strengthen state laws to fully protect workers and the public from the known health dangers of secondhand smoke by adopting legislation that creates smoke -free workplaces. 2. The undersigned also requests that any state legislation or regulation must preserve the right of local levels of government to adopt more restrictive measures to protect citizens from secondhand smoke; and WHEREAS, the St. Croix County Department of Health and Human Services, at the May, 2007 meeting, directed the Health and Human Services Director to send a letter to State legislators indicating support of Senate Bill 150, also known as the Breathe Free Wisconsin Act with the following considerations: • Support a uniform Wisconsin Statute change to ban smoking to include all indoor places but to exclude private passenger vehicles and any private residence. • Smoking ban to exclude outdoor areas except as currently defined in Statute. • That fines and penalties should not be increased; and WHEREAS, the Surgeon General's Report of 2006, "The Health Consequences of Involuntary Exposure to Tobacco Smoke," declares there is no safe level of exposure to tobacco smoke; and WHEREAS, the provision of tobacco free environments is an effective measure of protecting the health of the employees of St. Croix County and that of the public we serve; and WHEREAS, the St. Croix County Department of Health and Human Services Board met on January 30, 2008 to consider strengthening the County's existing smoke -free policy; and WHEREAS, the St. Croix County Department of Health and Human Services Board selected an October 1, 2009 implementation date of a tobacco -free policy for the St. Croix County Government grounds with Government buildings, including the fairgrounds, County -owned parks and County -owned vehicles and equipment (regardless of location). WHEREAS, the Department of Health and Human Service staff will draft a plan for the stages of implementation of the policies which will include, but not be limited to, meetings with county building, county -owned parks and fairground supervisors, tobacco and secondhand smoke education and smoking cessation assistance /support. THEREFORE BE IT RESOLVED that the St. Croix County Board of Supervisors directs that all County Government grounds with Government buildings, County - owned parks, the fairgrounds and all County -owned vehicles and equipment be tobacco -free effective October 1, 2009. St. Croix County Health and Human Services Board Page 11 March 18, 2009 REVIEW OF PUBLIC HEALTH PROGRAM REPORT AND LONG TERM SUPPORT PROGRAM REPORT GIVEN TO COUNTY BOARD ON 03/16/09 Johnson reported Public Health and Long Term Support gave a report at the March County Board session. This information will be included in the annual report, which will be presented in May or June. AD HOC FACILITIES PLANNING COMMITTEE UPDATE The next Ad Hoc Committee meeting is scheduled for April 1 at 9:30 AM at Health and Human Services. Board members were invited to tour the areas where the proposed HHS office moves will take place in the near future. Kiesler will display a blueprint of the areas that will be impacted. Wentz asked if there were any other issues to bring before the Board. Wentz adjourned the meeting. Time: 11:40 AM Chair: Attest: (Secretary)