5-20-2022 BOC Budget Work Session

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with NCDOT including first aide, CPR, passenger assistance and defensive driving. COLTS has 20 vehicles — 18 are paid for by NCDOT and two minivans are for people that don't require a lift van. COLTS has a contract with the Stevens Center and runs Thursday, Friday and Saturday for people with disabilities. COLTS had 64,191 trips in 2019 and currently runs about 230 trips per day now. COLTS also provides services to Westfield, Central Carolina Community College, Liberty Commons, three Medicaid contracts with NCDSS, Motive Care, NTM/Wellcare, Sanford Health and Rehab, Stevens Center, Daymark and Pace. Social Services The Department of Social Services Director Angelina Noel explained how Lee County DSS supports the County's Strategic Plan Initiative. The Adult and Child Protective Services provide for the most vulnerable populations. In regards to Education initiatives, in 2021-22 a CPS worker became PPP certified and a newly hired Foster Care Supervisor is PPP certified. DSS completed the 21-22 Strategic Plan goal of providing better support services to families. In Health and Well-being, DSS worked on parenting education and the health and well-being of vulnerable individuals. The Department increased monitoring of adult care homes. The State mandates that counties monitor adult care homes at least once a quarter — our department aims to monitor about once a month. The Community Alternative Program (CAP) allows options for older individuals. This is a voluntary program. Under Partnerships, DSS continued efforts with community providers to make sure the needs of individuals are met and they collect critical information of the available services in the community. Program manager positions allow DSS to be out in the community more. 65.2% of DSS budget is projected to be reimbursed through state and federal funding. There is a 6.46% increase in the County's cost. Most of the budget increases are related to personnel increases. There is an increase to maintenance and technology for software that should be eligible for reimbursement. There is also an increase in training estimates to get more social workers PPP certified and provide more parenting education to families. DSS rolled over the request for a vehicle purchase due to the lack of supply this year. Replacement of technology based on the recommended replacement plan. There is an increase in the capital budget for the replacement of office furniture. There was a decrease in energy funding allocation due to ARPA funds received in the current fiscal year. The cost allocation plan is composed by CPAs by taking expenses throughout the whole county. A detailed account is taken every month for every expenditure. The cost allocation is two years behind, so the reimbursement is claimed on the amount depending on the position and if the allocation is capped or non-capped to determine amount of allocation. We work with Partnership for Children, Homeless Task Force, Salvation Army, Family Promise and the HAVEN Domestic Violence Shelter. Health Department Health Director Heath Cain noted how the community can register on NC Cares platform to search through local resources and connect to services. The Health Department budget requests a reclassifications of Accounting Specialist Ito a II and a Medical Records Specialist to a Class V. The Department is looking for a Program Specialist to make sure services and quality assurance requirements are met. There are also positions in the budget for Environmental Health, a part-time Physician Extender Family Nurse Practitioner and a Health Education Employee. There is a requested vehicle that was included in last year's budget but was delayed due to supply. The Opioid Response Grant, which is a two-year