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HomeMy WebLinkAboutHealth & Human Services 02-18-09 Wentz will review vouchers. NOTICE OF MEETING AND AGENDA ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD February 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 - 01/21/09 DATE OF NEXT MEETING — 03/18/09 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 3. Financial Department reorganization planning 4. Agency rate setting 5. Family and Children's program report on the Access and Assessment Unit for Child Protective Services 6. Economic Support caseload count review 7. Inspecting retail food establishments a. Contract with Department of Agriculture to do inspections b. Amendments to Chapter 40 of County code 8. Tobacco -free grounds resolution 9. Personnel Issues a. New employees /vacancies 10. Nursing Home Report 11. Discuss /consider construction of Nursing Home and apartments 12. Response to County Board on private pay rate increase to breakeven cost for Nursing Home 13. Closed session per Wisconsin Statutes 19.85 (1) (c) for Director's performance evaluation. Reconvene in open session 14. * *Reorganization of Birth to Three program in Public Health 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. 2/17/2009 8:00 AM ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD February 18, 2009 The St. Croix County Health and Human Services Board met on February 18, 2009 at the St. Croix County Health and Human Services /Health Center complex. MEMBERS PRESENT: Esther Wentz, Chair Charles Grant Roger Larson Richard Marzolf Gerald Peterson MEMBERS ABSENT: Leon Berenschot, excused Linda Luckey Deb Rasmussen, excused STAFF PRESENT: Fred Johnson, Health and Human Services Director Jennifer Pempek, Financial Manager Kathy Dunlap, Family and Children's Coordinator Mary Squyer, Economic Support Supervisor Wendy Kramer, Public Health Officer /Public Health Coordinator Sharon Reyzer, Public Health Coordinator Edward Thurman, Environmental Health Specialist Laurie Diaby - Gassama, Public Health Sanitarian Geralyn Karl, Health Educator Dennis Reiman, Contracted Nursing Home Administrator Malva Sirek, Secretary OTHERS PRESENT: Chuck Whiting, Administrative Coordinator Michelle Pietrick, Finance Director Greg Timmerman, Corporation Counsel Kim Dupre, Information Systems Analyst Norm Matzek Angela Branum, Student 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, March 18, 2009 at 8:30 AM. Peterson 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 Larson, seconded by Marzolf, and unanimously adopted: That the minutes of the 01/21/09 Health and Human Services Board meeting be approved as distributed. CONSIDERATION OF CLAIMS Health and Human Services Board member Wentz reviewed the vouchers. Motion A motion was introduced by Wentz, seconded by Grant, and unanimously adopted: That the following vouchers be approved and be made a part of the supplemental minute book: St. Croix County Health and Human Services Board Page 2 February 18, 2009 Human Services voucher 144013, dated February 04, 2009 in the amount of $274.95. Human Services vouchers 144324 through 144361, dated February 04, 2009 in the amount of $50,043.14. Human Services voucher 144362, dated February 04, 2009 in the amount of $100,843.00. Human Services vouchers 144933 through 144949, dated February 12, 2009 in the amount of $366,635.34. Human Services, ADRC and Nursing Home vouchers 143108 through 143256, dated January 22, 2009 in the amount of $127,989.62. Human Services and Nursing Home vouchers 143257 through 143277, dated January 22, 2009 in the amount of $11,383.51. Human Services and Nursing Home vouchers 143511 through 143588, dated January 29, 2009 in the amount of $124,787.07. Human Services and Nursing Home vouchers 143589 through 143600, dated January 29, 2009 in the amount of $2,487.71. Human Services, ADRC and Nursing Home vouchers 143902 through 143933, dated February 04, 2009 in the amount of $52,129.04. 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, Department of Aging and ADRC vouchers 144950 through 145038, dated February 12, 2009 in the amount of $29,740.61. Human Services and Nursing Home vouchers 145039 through 145077, dated February 12, 2009 in the amount of $19,518.57. Human Services, Department on Aging, ADRC and Nursing Home vouchers 144844 through 144931, dated February 12, 2009 in the amount of $32,669.41. Human Services, ADRC and Department on Aging vouchers 145078 through 145137, dated February 12, 2009 in the amount of $12,930.65. Human Services, Workshop, Public Health, Social Services vouchers 67 through 97, dated February 5, 2009 in the amount of $274,469.28. Human Services, Workshop, Public Health, Social Services vouchers 98 through 125, dated February 19, 2009 in the amount of $391,364.79. Human Services and Nursing Home vouchers 67 through 95 dated February 5, 2009 in the amount of $210,481.06. Human Services and Nursing Home vouchers 96 through 124, dated February 19, 2009 in the amount of $154,924.73. Workshop vouchers 13 through 18, dated February 5, 2009 in the amount of $10,799.36. St. Croix County Health and Human Services Board Page 3 February 18, 2009 Workshop vouchers 19 through 24, dated February 19, 2009 in the amount of $9,157.52. FINANCIAL REPORT The following financial report for Health and Human Services through December, 2008 was distributed. To be on budget, the percent should be 1000. This is not the final report. The Health and Human Services December report has been finalized with the State and final reconciliation is expected within the next four to six weeks. Pempek reported $769,491 carryover funds will be applied at year end. She anticipates after reconciliation, the deficit noted below will be close to a breakeven amount. Also noted were fewer revenues and fewer expenses for Long Term Support as consumers were transitioned from Long Term Support to ADRC. Two- thirds of the clients had been transitioned by the end of 2008. It is predicted Long Term Support accounts will close in March, 2009. HEALTH AND HUMAN SERVICES - 2008 SUMMARY Total OF REVENUES Budget December 31, 2008 Balance % Administration 1,117,400.00 166,252.46 951,147.54 14.9% AODA Services 772,986.95 710,756.51 62,230.44 91.9% Long Term Support 17,681,645.51 16,107,674.47 1,573,971.04 91.1% Mental Health 3,303,479.98 2,728,422.16 575,057.82 82.6% Family & Children's 3,037,821.28 2,913,904.59 123,916.69 95.9% Public Health 1,678,621.37 1,643,246.87 35,374.50 97.9% Economic Support 1,227,133.10 1,069,978.11 157,154.99 87.2% General Relief 15,000.00 15,000.00 0.00 100.0% Coordinated Services }SED 2,500,931.96 1,766,485.04 734,446.92 70.6% REVENUES HUMAN SERVICES PROGRAMS 31,335,020.15 27,121,720.21 4,213,299.94 86.6% SUMMARY Total OF EXPENDITURES Budget December 31, 2008 Balance % Administration 1,117,400.00 1,096,390.22 21,009.78 98.1% Alcohol -Drug Abuse 772,986.95 793,743.19 (20,756.24) 102.7% Long Term Support 17,681,645.51 16,401,512.38 1,280,133.13 92.8% Mental Health 3,303,479.98 3,123,864.39 179,615.59 94.6% Family & Children's 3,037,821.28 2,899,804.57 138,016.71 95.5% Public Health 1,678,621.37 1,653,752.75 24,868.62 98.5% Economic Support 1,227,133.10 1,174,457.35 52,675.75 95.7% General Relief 15,000.00 5,540.20 9,459.80 36.9% Coordinated Service /SED 2,500,931.96 1,628,749.19 872,182.77 65.1% EXPENDITURES HUMAN SERVICES PROGRAMS 31,335,020.15 28,777,814.24 2,557,205.91 91.8% Total 3 [1.656.094.03] The following financial report for Nursing Home through December, 2008 was distributed. To be on budget, the percent should be 100 %. Pempek indicated the administrative and daily patient services lines are over 100% due in part to the contracts with Pathways. Johnson indicated there will be no more rate St. Croix County Health and Human Services Board Page 4 February 18, 2009 appeals for 2008 and none are anticipated for 2009, although rate appeals were included in the 2009 budget. A second set of IGT funding was received after December 31, 2008 and will be left in the 2009 budget year. The IGT funds for 2008 were met and exceeded for the Nursing Home. St. Croix Health Center December 2008 Budget Actual Difference Percentage Census 0 Operating Revenue: Medicare $842,975.00 $911,253.81 - $68,278.81 108.10% Medicaid $2,431,627.00 $2,542,017.58 - $110,390.58 104.54% Private Pay $760,413.00 $745,279.50 $15,133.50 98.01% All Other Sources $217,774.00 $238,271.23 - $20,497.23 109.41% Total Operating Revenue $4.252,789.00 $4,436,822.12 - $184,033.12 104.33% Operating Expenses Daily Patient Services $3,081,764.76 $3,363,840.92 - $282,076.16 109.15% Special Services $284,516.00 $260,652.32 $23,863.68 91.61% General Services $1,167,643.63 $1,094,638.50 $73,005.13 93.75% Administrative Services $547,561.00 $720,046.42 - $172,485.42 131.50% Unassigned: Depreciation (% Based) $0.00 Others: $294,394.00 $243,351.66 $51,042.34 82.66% Utilities $146,804.26 Workers Comp, Computer Tech $26,141.40 Insurance $70,406.00 Total Operating Expenses $5,375,879.39 $5,682,529.82 - $306,650.43 105.70% Net From Operations ($1,245,707.70) (Cost of doing business prior to applying levy & outstanding rev) Outstanding Revenues Outstanding Rate Appeal rev $12,000.00 $445.00 $11,555.00 3.71% Revenue - IGT Funds $318,000.00 $428,153.00 % of Outstanding IGT Rev $0.00 $0.00 F #DIV/01 Co Allocations (% Based) $259,859.39 $259,860.00 -$0.61 100.00% Nursing Home Carry Over $533,231.00 $533,231.00 Total Outstanding $1.123,090.39 $1,221,689.00 $11,554.39 Net from all Sources {$24,018.70} AGED RECEIVABLE REPORT: The aging Accounts Receivable report for Health and Human Services through December was reviewed. Medicare and Medicaid amounts older than 12 and 18 months will be written off due to guidelines for Medicare/ Medicaid billing. Staff has worked hard to get the numbers more manageable and are now starting to get some history to track trends, etc. FINANCIAL DEPARTMENT REORGANIZATION PLANNING Staff has investigated cross training staff in the financial department in the Government Center, Health and Human Services and Highway to maximize utilization of staff. After the St. Croix County Health and Human Services Board Page 5 February 18, 2009 retirement of a financial assistant in December, the Finance Committee looked at the possibility of consolidating Financial Department needs throughout the county. Pietrick reported a three to six month pilot is taking place to train Health and Human Services and Highway staff to back up Government Center staff. The cross training has been positive. However, it was determined Pempek backs up Krenz, Krenz backs up Pempek, and there is no back up for CARS reporting and certain year end reporting. Each position has a full workload already and there is no extra time to provide back up for other positions. Each position has time sensitive reports that need to be completed for cost reporting, auditors, etc. Pietrick requested an accountant position at a recent Finance Committee meeting; the request passed with a three to two vote. The cross training will continue; however, back up within current staffing levels is not a viable alternative. This item will be on the March 5 Finance Committee agenda. Whiting said they have lost another person in the Finance Department in addition to the December retiree. AGENCY RATE SETTING Fees for photocopying records were distributed. Rates are dictated by statute and charged to the person requesting the record. Johnson reviewed the fees with Corporation Counsel and these will be the rates utilized. Johnson noted charges for worker's comp copies were eliminated from the schedule. The fees will be reviewed yearly. Johnson reported additional fee schedules will be brought to the Board over the next few months. FAMILY AND CHILDREN'S PROGRAM REPORT ON THE ACCESS AND ASSESSMENT UNIT FOR CHILD PROTECTIVE SERVICES Dunlap will report to the County Board in April. Dunlap reported parents /grandparents have the fundamental right to raise children as they see fit; however, when parents do not or can not protect their children from harm or meet their basic needs, child protection has the responsibility to intervene to protect the health and welfare of these children. Dunlap said the Family and Children's Access and Assessment Unit, is very experienced and capable. Dunlap explained Access is the division that takes in reports of child abuse and /or neglect. A resource aid receives the reports. She needs to get a considerable amount of information on the reports received and the questioning is intensive to determine if the unit has jurisdiction to investigate reports. Dunlap went on to explain that under Assessment, staff go out and assess what clients' needs are. There are four Assessment social workers who have a timeline to respond to reports. A face -to -face contact is made the same day or no longer than five days from the date of the report. A complete assessment is made within 60 days. Dunlap said most reports of maltreatment are unsubstantiated and only about 15% of the cases go to court. Staff, coordinate with law enforcement if it is felt a crime has been committed. Dunlap said the Access and Assessment unit covers both child abuse and child welfare reports. She said the report numbers from 2007 to 2008 were similar; however, there was a 19% increase in child abuse reports from 2007 to 2008. Child abuse referrals are more intense and require more staff time. An article regarding the possible audit of child welfare agencies was distributed. Dunlap reported staffing levels are good at this time. ECONOMIC SUPPORT CASELOAD COUNT REVIEW Squyer said Food Share for BadgerCare St. Croix County Health and Human Services Board Page 6 February 18, 2009 Plus Core will be done by the state and will begin March 1, 2009. That program will not be administered by Economic Support, however, it is anticipated that clients will still call Economic Support regarding the program. Clients will pay $75 /year to apply for this program. There will be co -pays, but no other premium for the healthcare program. Squyer encouraged Board members to read the articles sent to them from the Wisconsin Counties magazine. Squyer reported the Economic Support caseload went up 19% from 2007 to 2008. She said the caseload currently is 3,914. Squyer reported the Energy Assistance Program will run through May 15. She said appointments are three weeks out with approximately seven weeks before clients receive help. Squyer indicated as of December 31, 2009 Milwaukee County will end their Economic Support contract with the State and the State will take over Economic Support in Milwaukee County. The impact of this change will be followed closely by staff and Administration. Squyer reported 70 cases were added in Economic Support in January. Caseloads are being evaluated on a regular basis to see if additional staff is needed to meet client needs. The Board recessed from 10:02 to 10:10 AM. PERSONNEL ISSUES NEW EMPLOYEES /VACANCIES Johnson introduced Sharon Reyzer who has been hired to fill the Public Health Supervisor position. Reyzer has been a Public Health Nurse for St. Croix County for over 20 years. INSPECTING RETAIL FOOD ESTABLISHMENTS CONTRACT WITH DEPARTMENT OF AGRICULTURE TO DO INSPECTIONS AMENDMENTS TO CHAPTER 40 OF COUNTY CODE Thurman explained Public Health previously expanded responsibilities to perform mobile home park inspections last year in an effort to generate more revenue for the department. Public Health staff has now worked with Corporation Counsel on a contract with the Department of Agriculture, Trade and Consumer Protection (DATCP) to again look at enhancing revenue. This contract would require an amendment to Chapter 40 of the County code. We would develop an agent contract for inspection of retail food establishments such as bakeries, delis, grocery stores, convenience stores, etc. and estimate revenue at approximately $24,000 annually with the current fee schedule (fees the State charged), which was distributed to Board members. Thurman explained the core functions to perform the additional inspections are already in place due to the inspections already being done in the restaurant program. The inspection workload has flexible scheduling. Most of the retail food establishment inspections could be conducted in the winter months, which would fit well with the Environmental Health Specialist duties, as the busier time of the year is the summer months. Question was raised regarding not publishing the results of restaurant inspections. Diaby - Gassama explained the results have not been published for approximately the last two years. Results of the inspections are still public record and can be reviewed at any time. The Health and Human Services Board will need to bring the amended ordinance to the County Board. The County Board will need to authorize the amendment before St. Croix County Health and Human Services Board Page 7 February 18, 2009 the contract with DATCP can be finalized. Motion A motion was introduced by Peterson, seconded by Larson, and unanimously adopted: That the Board approves the following amendment: ORDINANCE AMENDING CHAPTER 40 - LODGING AND FOOD PROTECTION Ordinance No. St. Croix County, Wisconsin WHEREAS, County Code Chapter 40 was created in March, 2002, with the enactment of Ordinance No. 612(2002) to authorize the Public Health Division of the St. Croix County Department of Health and Human Services to obtain agent status from the State of Wisconsin Department of Health Services to preinspect, inspect and investigate vending operations, hotels, restaurants, tourist rooming houses and other recreational establishments; and WHEREAS, the St. Croix County Health and Human Services Board desires to have the Public Health Division acquire agent status for preinspection, inspection and investigation of retail food establishments through the State of Wisconsin Department of Agriculture, Trade and Consumer Protection; and WHEREAS, the statutory requirements for retail food establishment preinspections, inspections and investigations have been added to Chapter 40; and WHEREAS, the title of Chapter 40 has been changed to better reflect its purpose; and WHEREAS, formatting and grammatical changes have also been made. THEREFORE, the St. Croix County Board of Supervisors does ordain as follows: Chapter 40 - LODGING AND FOOD PROTECTION is renamed "LODGING, RECREATION FACILITIES AND FOOD PROTECTION and is amended as attached hereto to include preinspections, inspections and investigations of retail food establishments. Offered by the Health and Human Services Board 02/18/09: Johnson will forward the ordinance amendment to Chapter 40 to Cindy Campbell to address at the next County Board session. TOBACCO -FREE GROUNDS RESOLUTION A copy of the proposed resolution was forwarded to Board members. Timmerman has not had the opportunity to review the current revisions in the resolution. Staff have recommended that the resolution be changed to tobacco -free versus smoke -free. Question was raised regarding enforcement. Karl responded the policy is not meant to be punitive and the hope is that the policy will self regulate. Once in effect, the policy will need to be communicated to staff, contractors, the public, etc. The policy applies to everyone and compliance is expected. Implementation will be transitioned in steps. Whiting will add this topic to the County department head meeting for conversation with various County departments. Karl said the Governor is proposing an additional 75G tax increase on tobacco products. Also a Clean Indoor Wisconsin act is being developed proposing smoke -free indoor air laws in all of Wisconsin. REORGANIZATION OF BIRTH TO THREE PROGRAM IN PUBLIC HEALTH Johnson has met with Kramer and Vrieze regarding this reorganization. The consensus of staff is to modify the use of some rooms in Public Health. The change will occur the St. Croix County Health and Human Services Board Page 8 February 18, 2009 end of March. Johnson said Adult Protective Services will be moving to ADRC. PERSONNEL ISSUES NEW EMPLOYEES /VACANCIES Johnson said applications for the Nursing Home Administrator and Health Information Management Supervisor positions were accepted through February 17 Johnson requested a panel be appointed to perform the Administrator's interview. Wentz said the interview process is an open system and all Board members are welcome to participate. Whiting reminded members that a meeting agenda will need to be issued if a quorum of Board members meets for the interview process. Johnson recommended utilizing Pathways staff, a representative from Human Resources, Whiting, two Board members and himself on the interview panel. Johnson and Wentz will set up a meeting to screen the applications. Marzolf requested consideration of appointment of a medical person to the Health and Human Services Board. This will be an agenda item for the March meeting. NURSING HOME ADMINISTRATOR'S REPORT Reiman reported the January census average was 65. Reiman said WITC has contacted the Nursing Home regarding the possibility of contracting for the training of nurse aids. There would be no cost to the Nursing Home and WITC would provide worker's comp coverage. Reiman reported this contract would be helpful to the facility and it was the Board consensus to support the contract. The contract may later be expanded to include nursing students. Reiman said a program should be initiated to begin replacement of some beds in the Nursing Home. Replacement parts cannot be found to repair the current beds. Bed costs are approximately $1,200 to $1,300 each. Whiting recommended that we use Dana Baker to assist in the procuring the beds. Reiman said the dressers and nightstands have not arrived yet. Marzolf questioned the possibility of appealing to a foundation to grant monies to meet some of the Nursing Home needs. This will be investigated further. A priority list of Nursing Home needs will be created by Reiman and reviewed again when the new administrator is hired. Reiman said grant monies may be available through OSHA for $10,000 every other year for safety equipment. It is a matching 50/50 grant. Reiman will investigate further. RESPONSE TO COUNTY BOARD ON PRIVATE PAY RATE INCREASE TO BREAKEVEN COST FOR NURSING HOME Administration consulted with Corporation Counsel and a response will be presented at the March County Board meeting. A survey of rates revealed St. Croix Health Center is competitive for private pay rates with the area market. If the private pay rates were raised $50 to $55 per day, St. Croix Health Center would lose competitiveness with other area homes and would likely also lose some Medicare residents, which would also impact the Nursing Home revenues. The Nursing Home averages 11 to 13 private pay residents. If private pay rates were increased, most likely private pay residents and Medicare residents who would be private pay after Medicare expires would chose a different nursing home. This could result in lower census at St. Croix Health Center. Wentz questioned the cost of Wipfli performing analysis of Nursing Home scenarios. It was the consensus of the Board that this practice has been followed for a long time and to continue as is in order to remain competitive with other St. Croix County Health and Human Services Board Page 9 February 18, 2009 nursing home private pay rates. Most all other departments in the County are subsidized. Reiman said Minnesota and North Dakota are the only two equalization states where nursing homes cannot charge more for private pay than the Medicaid rate. Johnson questioned how to respond to Supervisor Malick's question. It was the consensus of the Board to raise the private pay rates by $50 would cost the county more in the long run after review of the financial projection provided by Wipfli. Reiman suggested a $5 to $10 /day increase for private pay rates would not take the Nursing Home out of competition. Motion A motion was introduced by Peterson, seconded by Marzolf, and unanimously adopted: That the Health and Human Services Board approves continuing subsidizing the Nursing Home private pay rate and incrementally raising that rate by $5 /day subject to annual review. DISCUSS /CONSIDER CONSTRUCTION OF NURSING HOME AND APARTMENTS Johnson distributed a handout that outlined the steps needed to follow to achieve construction of a nursing home and apartments. Johnson met with a representative from Community Living Solution who has offered to present the process to the Board as an education piece. A study would cost $30,000 to $60,000. Several steps on the outline have already been completed. Pietrick said an initial request for financing construction of a nursing home and apartments would have to be presented to the Finance Committee. If Finance supported such a proposal, the request would go to the full County Board and it would become a bonding issue. Bonding issues require a two- thirds vote of support at the County Board level to go forward. Pietrick said the process to issue bonds is a minimum of a three -month process and there would be a timeline to spend the money. Johnson estimated the cost per bed to build a new nursing home would be $105,000 to $120,000 per bed. For a 72 -bed facility, the cost would be $7,560,000 to $8,640,000; for a 50 bed facility, the cost would be $5,250,000 to $6,000,000. The cost estimates for an assisted living facility would be $90,000 to $100,000 per unit for a total cost of approximately $1,800,000 to $2,000,000. These cost estimates to not include new furnishings. Health and Human Services is the parent committee for the Nursing Home. Peterson said Health and Human Services is charged with leadership of what is going to happen with the advisory referendum. He said the advisory referendum tells us to operate the Nursing Home but doesn't tell us how. Wentz said the referendum indicates to stay in the nursing home business even though it may take county levy dollars. Peterson said the Health and Human Services Board is in agreement as a committee to build a new nursing home and assisted living. Wentz said the Nursing Home needs to have an Administrator on Board before moving forward. This will be an ongoing agenda item. Larson questioned the possibility of Health and Human Services utilizing the existing Nursing Home building. It was the consensus of the Board to have Community Living Solutions present an educational session of the steps outlined on the graphic at the March meeting. Johnson suggested including the County Board appointed Facilities Planning Committee at the March meeting to be included in the above mentioned presentation. CLOSED SESSION PER WISCONSIN STATUTES 19.85 (1) (C) FOR DIRECTOR'S PERFORMANCE EVALUATION. RECONVENE IN OPEN SESSION Motion A motion was introduced by Larson, seconded by Grant, that the Board St. Croix County Health and Human Services Board Page 10 February 18, 2009 enter closed session per Wisconsin Statutes 19.85 (1) (c) for Director's performance evaluation. Roll call vote: Esther Wentz - yes Leon Berenschot - absent Charles Grant - yes Roger Larson - yes Linda Luckey - absent Richard Marzolf - yes Gerald Peterson - yes Deb Rasmussen - absent Five yes, three absent, motion passed. The Board entered closed session at 12:27 PM. Motion A motion was introduced by Peterson, seconded by Grant, and unanimously adopted that the Board reconvene in open session. Time: 1:40 PM Wentz asked if there were any other issues to bring before the Board. Wentz adjourned the meeting. Time: 1:40 PM Chair: Attest: (Secretary)