ROSS COUNTY HEALTH DISTRICT

 
ROSS COUNTY HEALTH DISTRICT
The Ross County Board of Health will hold their regular monthly meeting
Wednesday May 19, 2021 at 4:30 pm. by Zoom Video Conferencing and
On-Site.

Regular Monthly Meeting:
     Call to Order
     Roll Call
     Verify Quorum

Review and/act on the minutes of:
     April 21, 2021

Review and/act on the Resolutions

Committee Reports

Division Reports:
      Kelly Brehm, Director of WIC Services
      Kelly Dennis, Director of Health Promotions & Quality Improvement
      Chrissy Downs, CFO & Director of Finance and Business Operations
      Michelle Long, Director of Public Health Nursing
      Kelly Spindler, Director of Environmental Health

Report from Medical Director
     Dr. Christopher Brown

Health Commissioner
     Garrett Guillozet, MPA, RS/REHS, AEMT

Old Business:

New Business:

Executive Session
     Not Anticipated

Adjournment
ROSS COUNTY HEALTH DISTRICT
                                       BOARD OF HEALTH
                                         May 19, 2021

ROLL CALL:

                            Dr. Jennifer Allen                  Present
                            Mrs. Dianna Gray                    Present
                            Mrs. Joyce Kellenberger             Present
                            Dr. Sanju Mahato                    Present
                            Dr. David McKell                    Present
                            Dr. Sharon Stanley                  Present
                            Mr. Glenn Thompson                  Present

Guests: Jim Hatfield

Board President Glenn Thompson called the meeting to order at 4:35 pm.

A quorum was met.

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                                  MINUTES FROM APRIL 21, 2021

Minutes of the April 21, 2021 board meeting were reviewed as published.

MOTION BY: Joyce Kellenberger and seconded by Dianna Gray. All ayes, motion carried.

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                                      RESOLUTION # -21

THE ROSS COUNTY BOARD OF HEALTH approves attendance of the following staff members
and will reimburse for travel and registration expenses as provided for in Personnel Policy.

DATE          PERSONNEL             SUBJECT                       LOCATION      FUND COST

NO OFF-SITE MEETINGS / TRAVEL THIS MONTH

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                                      RESOLUTION # -21

THE ROSS COUNTY BOARD OF HEALTH approves the following personnel recommendations. All
new hires are pursuant to the terms and conditions of the new employee’s employment
agreement and his/her job description. Employment will be contingent upon receipt of a
satisfactory criminal record check, plus verification of experience and training.

NO PERSONNEL ACTIONS THIS MONTH

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Garrett reported that the paid bills were reviewed during the Resource Stewardship Committee
meeting with nothing out of the ordinary noted by the committee.

                                   RESOLUTION # 42-21

THE ROSS COUNTY BOARD OF HEALTH reviews and certifies that the payment of the following
bills was made for the month of April 2021.

See pages 2-8 of the supporting documents.

MOTION BY: Dr. Sharon Stanley and seconded by Dr. David McKell. All ayes, motion
carried.
Garrett added to the resolution that we collect approximately $2700.00 for preforming the
inspections for the Department of Commerce. The payment is based on the number of lots we
have within each manufactured home park. This could be the last year we enter into a contract
to perform this service as we spent 69.5 hours last year on the inspections. Garrett stated we
will fulfill our 2-year contract commitment and then re-evaluate the program. The fee is set by
the Department of Commerce and not negotiable.

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Background Information: The licensing entity for Manufactured Home Parks in Ohio is The
Ohio Department of Commerce, Division of Industrial Compliance. This entity has worked
closely with local health districts to ensure compliance within the parks. Since the Ohio
Department of Commerce took over as the licensing entity, they have given local health
districts the opportunity to perform annual contractual inspections on the manufactures home
communities within its local jurisdiction. This happened under a formal agreement between
the two offices. An annual inspection is required for the manufactured home communities for
licensing compliance. A re-inspect request may be made by the Ohio Department of
Commerce. The fees and payment of the services performed by the Ross County Health District
will be paid by the Ohio Department of Commerce.

                                     RESOLUTION # 43-21

THE ROSS COUNTY BOARD OF HEALTH approves the FY 2022 Manufactures Home Park
Inspection Agreement between the Ohio Department of Commerce Division of Industrial
Compliance at 6606 Tussing Road. Reynoldsburg, Ohio 43068, and the Ross County Health
District at 150 E. Second Street Chillicothe, Ohio 45601. This agreement gives authority to the
Ross County Health District to perform an annual contractual inspection between the dates of
July 01, 2021, and October 31, 2021, for the manufactured home communities within its legal
jurisdiction. The Ross Cunty Health District will invoice the Department of Commerce once the
inspections have been performed.

See pages 9-37 of the supporting documents.

MOTION BY: Dianna Gray and seconded by Dr. David McKell. All ayes, motion carried.

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Garrett stated that with this additional BJA Grant, RCHD will focus on K-12 school children. We
will be in partnership with the city police and the sheriff’s office who will assist in distributing
educational information to the youth. This resolution is only a request to apply for funding.
Garrett added that from the public health perspective we are only to bring the education and
protective measures to the forefront.

Dr’s McKell, Allen and Mahato all agreed with the health districts stand on addressing the drug
issue to children at an early age. Dr. Stanley also agreed that if we were granted this award, we
would need to choose the appropriate evidence-based program that advocates the health
departments message.

Background Information: The U.S. Department of Justice (DOJ), Office of Justice Programs
(OJP), Bureau of Justice Assistance (BJA) is seeking applications for funding to develop,
implement, or expand comprehensive programs in response to illicit opioids, stimulants, or
other substances of abuse. This program furthers the Department’s mission by providing
resources to support state, local, tribal, and territorial efforts to reduce violent crime and drug
abuse and enhance public safety while supporting victims. Applications for the funding is due
June 7, 2021, in grants.gov and June 21, 2021, in JustGrants. The project award period is
October 1, 2021, and is for 3 years, up to $600,000 total.

RCHD has reviewed the grant application and has identified priority areas / projects that align
with our community needs for substance use prevention and is an allowable activity under the
funding. RCHD seeks the support from the Ross County Board of Health to apply for the
funding opportunity.

                                       RESOLUTION # 44-21

THE ROSS COUNTY BOARD OF HEALTH authorizes the Health Commissioner to submit an
application to the U.S. Department of Justice (DOJ), Office of Justice Programs (OJP), Bureau of
Justice Assistance (BJA) for grant opportunity number O-BJA-2021-94008 BJA FY 21
Comprehensive Opioid, Stimulant, and Substance Abuse Site-based Program.

MOTION BY: Dr. Sharon Stanley and seconded by Joyce Kellenberger. All ayes, motion
carried.

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Chrissy highlighted the PHEP appropriation but confirmed from the Resource Stewardship
meeting that there were no out of the ordinary expenses this month.

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Background Information: the following resolution amends the 2021 budget for the
Appropriations of Funds in the amount of $50,035.80 for the following Additional
Appropriations:

PHEP- Add appropriations of $14,615.80 to various accounts to appropriate exact carryover
balance of grant funding from 2020 for expenditure in 2021.
Get Vaccinated – Appropriate for new award of grant funding of $35,220 between salaries and
benefits.

The following resolution amends the 2021 budget for the Transfer of Appropriations of funds
in the amount of $3,500 for:

PHEP - Transfer a total of $800 from Computer Software ($300), Registrations ($400) and
Contract Services ($100) to Group Insurance to cover costs associated with payroll for the
remainder of the grant year. Transfer $200 from Copier to Contract Services to cover the
Epidemiology contract for March.
Naloxone - Transfer $500 from Salaries to Fees to cover costs associated with use of REDCap for
data collection. Transfer $750 from Salaries to Lease to cover annual portion of lease payment.
Tobacco – Transfer $650 from Registration to Lease to cover annual portion of lease payment.
Mobility – Transfer $600 from Public Awareness to Registrations to cover the cost of PASS
training for the Mobility Manager.

                                    RESOLUTION # 45-21

THE ROSS COUNTY BOARD OF HEALTH: approves the amendment to the 2021 budget originally
approved by Resolution #26-20. Included is the Request for Additional Appropriations and the
Transfer of Appropriations in the amount of $53,535.80.

See pages 38 & 39 of the supporting documents.

MOTION BY: Dr. David McKell and seconded by Dr. Jennifer Allen. All ayes, motion carried.

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Garrett explained that this grant award is to increase childhood immunization rates in our
county. We will partner with the local school nurses and immunization providers to meet these
deliverables. If the program is successful it could lead to other grant opportunities.

Background Information: The attached Notice of Award for the Get Vaccinated Ohio Grant is
to support the push for access and education on vaccinations for school age children. The grant
is awarded through the Ohio Department of Health for $35,220, starting on July 1, 2021,
through June 30, 2022. This grant is reimbursable.

                                     RESOLUTION # 46-21

THE ROSS COUNTY BOARD OF HEALTH accepts the Notice of Award of $35,220 from the Ohio
Department of Health for the Get Vaccinated Ohio Grant for the period of July 1, 2021, through
June 30, 2022.

MOTION BY: Dr. Jennifer Allen and seconded by Dianna Gray. All ayes, motion carried.

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Kelly Spindler presented on the screen photos taken of the below variance request so everyone
could clearly understand the barriers involved in replacing this home-owners sewage treatment
system.

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Background Information: Christopher Jones is attempting to obtain Ross County Health District
approval of a Sewage Treatment System (STS) permit to serve a 2-bedroom dwelling located at
1353 Sandy Rd. in Franklin Township, Ross County (Parcel #121504008000). Based on the
location of the home, and the identified area for either primary or replacement areas for a soil-
based sewage treatment system, the main sewer line must cross under the driveway. The
submitted design indicates crossing under the driveway by utilizing Schedule 80 PVC pipe.
Mr. Jones is requesting a variance through the Board of Health from Ohio Administrative Code
section 3701-29-06 (G)(3)(a) which states: “A STS shall maintain the following minimum
horizontal isolation distances:
       (a) “All components of a STS shall be at least 10 feet from any utility service line,
            roadway or road surface, driveway or other hardscape, property line or right of
            way boundary, properly sealed well, any building or other structure, areas with
            recorded easements, intermittent streams, swales, geothermal horizontal closed
            loop systems, irrigation lines and GWRS.”

                                     RESOLUTION # 47-21

THE ROSS COUNTY BOARD OF HEALTH under authority of ORC 3718 and in accordance with
OAC 3701-29-22 grants a variance to Christopher Jones from OAC 3701-29-06 (G) (3) (a) for
installing the main sewer line less than the 10-foot isolation distance required from a roadway
or road surface, driveway or other hardscape on the property located at 1353 Sandy Rd. in
Franklin Township, Ross County.

MOTION BY: Joyce Kellenberger and seconded by Dr. David McKell. All ayes, motion carried.

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Garrett explained to the board that part of our current deliverable-based tobacco grant is to
contract with another agency with a similar program where they would promote and educate a
target population.

Kelly Dennis stated the Ross County Community Action provides this service and the additional
funds will fit into their existing program. It would give RCCA additional funds to expand on their
program and help us meet a deliverable requirement of our grant.

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Background Information: RCHD’s deliverable-based Tobacco Use Prevention and Cessation
Grant program is required to contract with an agency that will convene a work group to
promote tobacco cessation to a specific disparate population within Ross County. The Ross
County Health District (RCHD) identified Ross County Community Action (RCCA) as the service
provider to promote cessation to individuals with substance use disorder.

The agreement will be that RCCA will convene a workgroup comprised mostly of individuals
with substance use disorder to meet monthly and begin development of a 5-year strategic plan
to address tobacco use within the identified population. The agreement with RCCA will not
exceed $8,000, a set contract amount required by Ohio Department of Health (ODH). Contract
obligations will begin 5/20/21 and conclude on 6/30/21.

A revised contract for grant year 3 (7/1/2021-6/30/2022) will be required per ODH and will fund
continuation of monthly meetings and development/implementation of the strategic plan
utilizing grant year 3 funds.

                                      RESOLUTION # 48-21

THE ROSS COUNTY BOARD OF HEALTH approves the Health Commissioner to enter into a
contract, pending review and approval by the Ross County Prosecutor, beginning 5/20/2021
and conclude on 6/30/2021 for services provided by Ross County Community Action not to
exceed $8,000 in total costs for the purpose of convening a workgroup to address tobacco and
the substance use disorder population and beginning development of a strategic plan.

See pages 41-46 of the supporting documents.

MOTION BY: Dr. Sharon Stanley and seconded by Joyce Kellenberger. Six ayes and 1 nay,
motion carried.

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COMMITTEE REPORTS:

     Resource Stewardship:
     Met Monday May 17th at 3:00 PM. Notes from that committee meeting will be sent to
     the members once approved by the chairman.

     Members-Glenn Thompson, Chair, and any board member who wishes to attend,
     including Dr. Brown, Jim Hatfield, Ben Junk, Willard Taylor, and Bill Jones. Debbie Miner,
     Recorder

     Policy/Governance:
     No meetings scheduled at this time.

     Members-Dr. Sharon Stanley, Chair, Dr. Sanju Mahato, and Dr. David McKell.
     Debbie Miner, Recorder

     Oversight:
     No meetings scheduled at this time.

     Members-Dr. Jennifer Allen, Chair, Glenn Thompson, and Joyce Kellenberger.
     Debbie Miner, Recorder

     Environmental Health Review:
     No meetings scheduled at this time.

     Members-Kelly Spindler, Chair, Dianna Gray, and Glenn Thompson. Recorder.

     Ethics Workgroup:
     No meetings scheduled at this time.

     Members-Dr. Sharon Stanley Chair, Blake Lloyd, and Eric Braunlin. Kelly Dennis,
     Recorder
Kelly Brehm, Director of WIC Services
The WIC Division has been very busy. The last two months we had a State Management
Evaluation, a state desk audit along with our 2022 WIC Grant submission (WIC Continuation
Solicitation). The 2022 grant application request increased by $2,229.00 over the 2021 grant
award.
The State Consultant praised the division for increasing our caseloads even with the COVID
barriers. Kelly will share all the audit results with the board once they are completed.

The Pickaway WIC office plans to move into their new location the last week of June. Chrissy
Downs has facilitated the moving of all the IT equipment with our vendor Compass and
Michaela Weaver will publish a media release related to the move to the new location.

Kelly Dennis, Director of Health Promotion & Quantity Improvement
Our BJA staff have started building a dashboard where our partners can access our website and
view this information. The first dashboard created was with the overdose fatalities statistics
from 2018 through 2020. Kelly shared the dashboard on the screen with the board which they
viewed as very impressive.

The Active Transportation Plan in the Creating Healthy Communities Program had a team of
individuals ride around Chillicothe on bicycles to experience the barriers bike-riders might have
should they select that mode of transportation.

Chrissy Downs, CFO & Director of Finance and Business Operations
Our first half tax payment of $805,730.07 was received into our account in April so we recorded
a good revenue month.

Milhuff and Stang reported they are approximately 80% complete on our 2020 audit. They
have noted no violations so far.

Chrissy is holding weekly grant coordinator meetings to discuss the spend-down of their grants
and to offer assistance from the fiscal office.

The Permitium on-line service that provides additional options for our customers to purchase
birth and death records has generated $1,091.96 since May 7th.

Michelle Long, Director of Public Health Nursing
The face of the COVID-19 Pandemic is finally taking a positive turn. COVID cases are decreasing
and people choosing to get the vaccine increasing. Next Thursday May 27th is our last day for
our COVID clinic at OU-C. We are reaching the point where we can see the clients through the
health districts Nurse of the Day Clinic and open the availability to all walk ins; no appointments
required.
In Home Visiting, Michelle reports that Supervisor Amie Unger has brought lots of knowledge
with her from her previous position at the Ohio Department of Health. Amie is also mentoring
two new staff members preparing them to be assigned full client caseloads.

Michaela Weaver has developed a new brochure for Jillian Woods, the Cribs for Kids
Coordinator. This will also be posted on social media to help promote the presence of the
program in Ross, Pickaway, and Pike Counties.

AmeriCorp volunteer Mark Poling will be moving to a new grant program where he will be in
the community promoting the importance of being COVID vaccinated.

Kelly Spindler, Director of Environmental Health
Kelly reported it is the sanitarians busiest time of the year with festival, mosquito, and sewage
inspections all in full swing.

The EH Division coordinated a very successful abandoned tire collection event. All 16 townships
and the Paint Valley Loins Club participated. $5,000.00 was available in the 2020 Mosquito Grant
fund and was utilized to fund this event. It was very well received and the EH staff hope to hold
another in the fall of this year.

Jonah Bilek has returned this year to oversee the Mosquito Grant program. He has already began
setting traps out in the county.

Per the request of the board, Kelly is finalizing a nuisance tracking spread sheet that will track
when the nuisance was reported, when it was abated and any follow-up with the Ross County
Prosecutor.

Dr. Christopher Brown,
Medical Director
Dr. Brown continues to attend the Medical Director’s Coalition meetings that have been scaled
back to once a month. He continues to keep in direct communication with Michelle Long on any
public health issues he needs to address.

Garrett Guillozet,
Health Commissioner
On April 30, 2021, Garrett attended the COVID-19 Pandemic Memorial Grove tree planting at the
Chillicothe Great Seal Park. 15 newly planted trees will signify a memorial dedicated to all
Ohioans who were impacted by the COVID-19 pandemic.

On May 27th Garrett and staff along with the Ross County Community Action staff took Johnson
and Johnson vaccine and over 400 kits of Narcan onsite to a homeless camp off East Main Street
in Chillicothe.

Due to a family obligation Garrett will be out of town for the next board of health meeting.
OLD BUSINESS:
NONE

NEW BUSINESS:
Levy Committee Update
The Levy Committee will be meeting every other Thursday with the next meeting being Thursday
May 27th at 4:30 PM.

They have selected Philip Gray to serve as the Treasurer and we will be providing him with budget
information to submit to the board of elections.

Donation letters are being prepared for Dr. McKell and Dr. Brown signatures

Dr. Sharon Stanley added that we need to present educational material to the Senior Citizens
Center as they are great supporters of our levy.

DAC Chairman Jim Hatfield addressed to board by stating he is excited with the administration
and staff we now have in place and will campaign for our levy renewal. He hopes to schedule a
Township Association meeting later in July where the health district can be the key-note
speaker.
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