HUMAN SERVICES COMMITTEE AGENDA May 3, 2017

HUMAN SERVICES COMMITTEE AGENDA

May 3, 2017

1. Approval of Minutes - April 5, 2017

2. Lori Ballengee, Public Health Director

- Transfer of Funds - Preschool Transportation Contracts - Executive Session - Request to fill Confidential Secretary - Request to fill Physically Handicapped Children’s Coordinator

3. Madeleine Gasdik, Office for the Aging Director

- Monthly Reports - Public Hearing Questions and Answers

4. Vicki Grant, Social Services Commissioner

- Monthly Report - Temporary Account Clerk Typist - Temporary Senior Account Clerk Typist - Temporary Caseworker - (2) Temporary Senior Caseworkers - Abolish (1) Grade 4 Typist position - Abolish (1) Grade 11 Social Welfare Examiner position

5. Tobacco 21 Law Discussion

6. Judith Hopkins, Allegany County Heroin & Opioid Abuse Ad Hoc Chair

- Committee Update

7. Old Business

8. New Business

9. Good of the Order

10. Adjournment

M E M O R A N D U M O F E X P L A N A T I O N Introduction No: __________________ (clerk’s use only) COMMITTEE: Human Services DATE: 05/03/2017 From: To: Amount: A4010.101 Regular Pay $ 5,342.00

A4189.407 Office Supplies $ 1,457.00 A4189.408 General Supplies $ 3,885.00

Total $ 5,342.00 To transfer monies from the Health Department’s payroll account to office and general supplies accounts on the Bio Terrorism Preparedness general ledger. This transfer is necessary to bring the grant and the county general ledger into line as the Public Health Emergency Preparedness Coordinator position has been vacant for two months. The Office Supplies being purchased are surface pro accessories (mice, docking stations, carrying cases), as well as hand sanitizer for the mobile and office units, which will be used for emergency preparedness activities. The general supplies being purchased is turn out gear that will be embroidered and will identify individuals as Allegany County DOH staff members. These items will be used for official emergency preparedness activity.

FISCAL IMPACT: None. For further information regarding this matter, contact: David Rahr, Accountant-Department of Health (585)268-9261

Date Position Vacant 3/1/2017Current Date 4/27/2017

Total Hours Vacant 294Rate Being Paid To Previous Employee 21.8871Total Available for Transfer 6,435$

Approved by the Ways and Means Committee on _____________________ Pursuant to Resolution No. 146-03 Form Amended April 18, 2007

Request to Fill Position Form

Date: 05/03/2017 Committee of Jurisdiction: Human Services Request to Fill: Title of Position: Confidential Secretary to Public Health Director Dept.: Health Will any positions be eliminated? No If yes, which position(s): N/A This position is an:

Existing position? X . Newly Created Position? _______ Created by Resolution #: _________ This position will be:

Full Time? X . Part Time? _______ Permanent? _______ Temporary? _______ This position will be: Non Union? _______ Union? ___X____ covered by the PEF bargaining unit. Grade: __2___ Step: _Base____ Hourly pay rate: $17.0152 Annual salary of position: _ $30,967.66___ Cost of benefits for position: $13,842.55 Does position support a mandated program/grant? __Yes___ Name of program: All mandated DOH programs (Coroners, Special Ed, EI, Environmental, Patient Services)

Source of funding for position: ______% County __100_% State ______% Federal ______% Other Source of funding for benefits: _100__% County ______% State ______% Federal ______% Other Amount in current year’s budget for this position: $29,828.21 Rationale justifying the need to fill this position at this time. Please include in your rational where applicable: 1. The specific duties that cannot be accomplished by another employee. Contracts, Confidential Correspondence,

Records Retention, Records Minutes at Meetings, Oversees Travel Authorizations, Fleet Scheduling and Maintenance, Conference Room Scheduling and General Office Support and Guidance to all DOH programs.

2. The goals your organization will not be able to accomplish as a result of not filling this position. Required record retention and processes will not be completed resulting in non-compliance with State and Federal regulations.

3. The funding available to fill the position from external sources. Article 6, General Public Health Works.

4. The benefit to the County generated by this specific position. Ensuring that the office runs efficiently and

economically so that all mandated work is completed on time and on specification.

Department Head Signature: __________________________________ Date: ___________

Approved by the Ways and Means Committee on _____________________ Pursuant to Resolution No. 146-03 Form Amended April 18, 2007


Date: 5/3/17 Committee of Jurisdiction: Human Services Request to Fill: Title of Position: Physically Handicapped Children’s Coordinator

Dept.: Health

Will any positions be eliminated? No Vacant due to retirement. If yes, which position(s): ___________________________

This position is an: Existing position? XX Newly Created Position? _______Created by Resolution #: _________

This position will be: Full Time? XXX Part Time? Permanent? XXX Temporary? ____________

This position will be: Non Union? ______ Union? XXX covered by the PEF bargaining unit. Grade: 4 Step: Base to 2 Hourly pay rate: $19.1496 - $20.3095 Annual salary of position: $34,852 - $36,963

Cost of benefits for position: @ 44.7% = $15,579 - $16,522 Does position support a mandated program/grant? YES Name of program: Pre-School, Children with Special Health Care Needs and Corporate Compliance Programs Source of funding for position: 45 % County 35 % State ______% Federal 20% Other Source of funding for benefits: 100 % County _____% State ______% Federal ______% Other Amount in 2017 year’s budget for this position: $52,079 Rationale justifying the need to fill this position at this time. Please include in your rationale where applicable: 1. The specific duties that cannot be accomplished by another employee. This position is critical to insuring children

age 3-5 years old receive the services they need and insures work for a mandated program is completed. 2. The goals your organization will not be able to accomplish as a result of not filling this position. Fulfilling all

requirements that mandated programs have to NYS Department of Health and NYS Department of Education. 3. The funding available to fill the position from external sources. Article 6 and Community Services money will fund

20% of the salary. 4. The benefit to the County generated by this specific position. 100% compliance of 3 mandated programs.

Department Head Signature: __________________________________ Date: ___________

ALLEGANY COUNTY OFFICE FOR THE AGING

MONTHLY REPORT - March 2017

Year-to-date 01/01/2017 – 3/31/2017

TOTAL PEOPLE SERVED AGE 60+ 936 PERCENT OF TOTAL LOW INCOME 679 54.9% LOW INCOME MINORITY 94 1% FRAIL/DISABLED 485 51.8% AGE 75-84 297 31.7% AGE 85+ 234 25% LIVES ALONE 444 47.4%

UNITS OF SERVICE

SERVICES PROVIDED # OF PEOPLE

SERVICE THIS

MONTH PREVIOUS

MONTH SAME MONTH

LAST YEAR 2017

TOTAL

Telephone Calls At Front Desk 1,300 1,181 1,363 4,867 Health Insurance Counseling 86 158 128.5 138 432.5 Homemaking/Personal Care 31 365.75 288.5 289.5 1,135.5 Housekeeping/Chore 31 443.75 375 516.75 1,125.75 Case Management 52 77 73.5 120.5 238.25 Nutrition Counseling/Education 453 462.5 461 490 1,383.5 Transportation 28 158 141 133 473 Information and Assistance 516 2,125 1,767.5 1,784 5,534.5 In-Home Contact & Support 12 40 28 36 96 Personal Emergency Response 93 93 95 103 286 Caregiver Services 11 38 5 62 47 Legal Services 4 102.4 5.75 10 16.65 Other (HEAP, Home Repair) 3 3 5 13 51 Meals-On-Wheels 433 9,005 8,106 8,536 25,084 Luncheon Center Meals 167 1,171 1,034 1,575 3,198 TOTAL MEALS 28,282 Alzheimer’s Respite Program: 14 Phone Care Consultations 7 Face-to-Face Care Consultations (3 Home, 4 Office) 2 Family Consultations Face to Face (Home)

ADDITIONAL INFORMATION New HDM Referrals 15 New Clients Assessed for Home Delivered Meals Tax Assistance Filed: 158 Personnel No Changes Public Presentations 3/9 Senior Health Fair, Wellsville Country Club (DK) 3/16 Medicare Basics, 17 Registered, 14 Attended (EB) 3/25 Silver Linings, Volume 39, delivered to 21,000 addresses in

Allegany County. An additional 100 were delivered to state agencies and AAA’s.

3/25 REST (Respite Education and Support Tools), Wellsville Baker Swan Funeral Home), 8 Attended (LO)

3/29 Public Hearing and Senior Forum, Radio Ads on WJQZ and WZKZ (MG)

3/29 WJQZ Morning Radio Show, with Bob Mangels (MG)

Nutrition Monitoring 3/2, 7, 23 KVR Kitchen Monitoring (JS) Nutrition Education None in March Nutrition Activities 3/2 Canaseraga: Historic Canaseraga, Craig Braack 3/21 Whitesville: National Parks, Roger Easton Staff Training 3/2 Center Manager Training, OFA (JS) 3/8 Ardent Solutions Services, Melissa Biddle and Jose Soto

(CW, CF, CO, DK, EB, ID, KC, LO, SL, SG, SR, TD) 3/9 Dementia Capable Training, Andrea Koch, Alzheimer’s

Association of WNY (MG, CW, CF, CO, EB, ID, JS, KC, LB, LO, SG, SR, TD)

3/10 HIICAP Regional Training, NYSOFA and Medicare Rights Center, Syracuse (TD, SR)

3/14 Tips for Hosting a Successful REST Training¸ Conference Call (KC, LO)

3/17 Cultural Competency Training for LGBTQ, Steve Jagord, Pride Center of WNY, Buffalo Catholic Charities (LO)

3/22 Bed Bugs Training, Eileen Griffin and Dr. Matt Frye, NYSOFA Webinar (MG, AM, ID, KC, SL, SR, SR, TD)

3/22 Consumer Directed Care, AIM Independent Living Center, Lisa Santamaria and Ileya Heins (MG, AM, CW, CO, DK, EB, KC, LB, LO, SL, SR, TD)

3/22 New Phone Training, Keith Hooker IT (AM, CW, CF,CW, CO, DK, EB, ID, KC, LB, LO, SL, TD)

3/29 Phone Triage Procedures, Anita Mattison, OFA (CW, CF, DK, EB, KC, LB, LO, SL, SG, TD

3/30 Converting Volunteer Prospects into Dedicated Volunteers, Meals on Wheels America, Webinar (KC)

3/30 Serving American Indian & Alaska native Elders, n4a and National Indian Council on Aging (NICOA), Webinar (LB)

3/31 Travel Training, Jose Soto, Ardent Solutions, Episcopal Church, Belmont (KC)

Support Groups 3/1 Safety in the Home, Wellsville TSC/Daybreak, 3 Attended (LO)

3/21 Take Time for Yourself, OFA, 1 Attended (LO)

WAITING LISTS FOR SERVICES

Program # of People Change from Last Month WAITING LIST 74 -13 EISEP and Caregiver’s Respite 49 -12 EISEP Only 10 -2 Caregiver’s Respite Only 2 +1 WAITING LIST ON HOLD 25 -1 EISEP and Caregiver’s Respite 20 -1 EISEP Only 5 0 Caregiver’s Only 0 0 Personal Emergency Response (MercyLine) 21 +2 Meals 0 0 Insurance Counseling 0 0

For Allegany County Citizens of ALL ages! The Office for the Aging would appreciate your assistance in

helping us plan for the year 2018 and beyond. You can be entered into a drawing for a $15.00 Gift Certificate when you return this form to us

at 6085 State Route 19N, Belmont, NY 14813

or bring it with you to our Public Hearing and Senior Forum

on Thursday, April 13, 2017 at 8:30 am at the Genesee Valley School

123 Surveys

MAIL

1. Do you go out to lunch? _66_ Yes _55__ No

If yes, what is your favorite place? Local restaurants

I can’t afford so I eat at home.

Creative Arts Center

Café or Big M (Mostly takeout)

Aces Belfast-3

Kopper Keg- 2

Applebees

Subway-2

Sprague’s or Golden Coral

Couple times a week

Salvatores

Sprague’s - 2

Fillmore

The Jet/ Alfred Subway

Texas Hot, Red & Trudy’s

Sometimes-2

Alfred State Dining

Texas Hot- 9

Jan’s in Portville

Fillmore Fire Hall

Tess’s Café Nunda

Terra Cotta

Castaways- 2

Chelsea’s Wellsville

Copper Keg- 3

Collegiate, Alfred

Country Kitchen

McDonalds- 3

Chinese food- 2

Rolling Hills, Bolivar

Bolivar Fire Hall

Modern Diner- 3

Perkins

Ponderosa

Shannon’s Riverside

All restaurants

Local Hornell restaurants

2. Have you attended one of our Luncheon Centers? _33__ Yes _89__ No

Did you attend more than once? _27__ Yes _2__ No

If no, why did you not return?

I did not like the food offered and the way it was hard to chew without my teeth.

No way to get there

Husband is always busy

I have been there to eat Got too busy- 7

Dietary restrictions

Widowed

Got sick

Small meals

Transportation Issues

Closed social aura

Now receives Meals on Wheel

Disabled

Moved from Wellsville to Whitesville

3. What would attract you to attend one of our Luncheon Centers?

The need for social interaction

Better menus and better cooked or prepared.

When I get older and people my age are there.

Not having to call ahead of time

Socializing and meeting and greeting people

I just have never gone.

I am still working so cannot make it

I am retired but I adopted my 10 yr. old foster child whom I homeschool so I’m not free to come.

My health is not good enough to go out very often

Having a car

Menu selection and program

Close to home and cost

More awareness. I don’t receive the daily paper. I receive the money saver and the patriot

I already go

I work days

Information on hospice, dialysis, home care, will/ financial planning programs.

Remembering when it is

Card playing

Fellowship

We are home bound to due husbands Alzheimer’s

I go regularly

It’s a very good place I am homebound and do not go anyplace

Attention to food allergies

An invitation

Vegetables (soups and salads)

Less pork

Was former driver, if someone needs a ride

One in Rushford

If I couldn’t cook for myself- 3

Simple food like tomato soup

Nothing- 5

Entertainment

I don’t feel old enough to attend- 3

Nutritious needs

Knowing someone who attends

Better promotion

One close to home

Education or activity- 2

Having friends attend too- 2

Not moving all of the time

Transportation- 2

Dances are our social events 2-3x a week

Easier to get to

Knowing where they are

Being in better health

Don’t know anything about it- 7

Fellowship & concern for friends made

Not sure of locations/times/directions- 9

Too busy- 1

Not sure- 2

Close to where I live

More advertising and awareness

Not sure- usually I don’t eat lunch

Exotic dancers

Death of spouse, loneliness, isolation, sudden financial crisis

4. What OFA programs do you feel are most beneficial to you, your friends, and your loved

ones? All of the programs. I’m a volunteer for meals and they are very important.

Handyman program, transportation program

Luncheon centers

I have a car but I imagine the county bus is most important for seniors who no longer drive.

Medicare/ insurance info

Really just being there to answer questions and help figure out problems

NY Health Tax program

Any

Insurance help in sorting through options housing assistance

Guidance on health care plans, transportation

Public transportation

When a representative nurse comes into the center takes blood pressure and oxygen plus OFA person

I do not use your programs yet my mother and some friends have used meals on wheels and were very

happy with that program. I hope to be able to call on your offices when needed.

Tax help. Summer picnic

Currently the alzheimer's info and coordinator Lynn Oyer very helpful

Do not use except for flu clinic

Exercise class

Income tax service

Be a good person

Inservice about Medicare and Part D

In-home care - 3

PT- 1

Attorney’s Advice- 2

Bone Builders- 4

Caregiver support

Senior Forum- 2

Help with HEAP- 5

Handyman program- 1

Help with paperwork

Help from Chris O’Connor- 2

Health insurance assistance/information- 4

Medicare information meetings- 4

Health and dietary advice

Tax assistance- 9

A picnic

Information sessions

Medicare assistance- 2

Plan D coverage

Transportation- 5

Meals on Wheels- 28

Answers to questions

Lunches, educational programs, visiting

Forums, picnics ect

Luncheons- 3

Nutrition

SNAP

Shared medical equipment

Alzheimer’s services- 2

Flu shot clinics- 2

Farmer’s market

Grants for home updates

Not sure- 5

Haven’t had luck using those programs

None needed right now- 4

All- 10

I don’t know about any programs

Not sure haven’t used any

Monetary reimbursements for elder care

5. What makes Allegany County a good place to retire? Safe, friendly, natural beauty, programs for elderly

Open spaces and unpolluted air to breathe and low dens

Nothing but we have lived and worked here all our lives, can’t afford to move.

I was born and grew up here

Low crime, many activities for all ages- hiking, small museums, libraries

Its home.

Cheap cost of living, low crime, good farmers markets for healthy foods. Nice people here. Lots of church

activities

Quiet, great people

Friendly quiet

Quiet, rural

I feel safe here

Nothing much going on. Its restful and quiet

Certainly not all the taxes. Rural friendly.

Country living- beauty

Nice people beautiful surroundings

All the different activities and places to do things and senior citizens centers

It is not a good place to retire- 2

Friendly

Climate people

Weather scenery

I have always lived here, a safe place, friendly, beautiful

It isn’t. most of us are here because family was/is here

I’m not sure it is

We’ve been here 51 years. We both lived in Allegany County all our lives.

It’s a good place to live

Friends and family

Not much traffic

It’s peaceful and fairly quiet- 19

Everything- 2

Climate/good weather- 2

Was born and raised here- 12

The Office for the Aging- 2

Safe- 7

Slow living pace- 2

Affordable and accessible- 3

Small community- 11

Services it offers

Scenery- 13

Own property

Medical care

Safe/low crime- 5

Family here- 5

Help here

Not a good place to retire- 8

Quiet, beautiful scenery

People caring

My home at Rushford Lake

Good deer hunting, lots of non-royalty public lands

Friendly neighbors, climate, meets elderly needs

Seasons, people

Friends and family all live here

Declining appeal, poverty blight meth heads, confederate flags, racist officials, excessive false value

assessments

The roads are maintained well especially during the winter

6. What is the biggest threat to your quality of life in Allegany County?

I don’t have one at this time.

As a limited financial resources person I would like to use my social security entitlement for my needs

and not forced to pay sales taxes, sur taxes, co pays and out of pocket charges

Taxes and health care costs.

Access to good health care- must travel far if I ever need cancer care etc.

Land taxes to high.

State taxes and regulations

Winter but I guess we can’t change the weather.

Taxes, bad neighbors

Taxes

To have Wellsville get a good plant in so people will work

Loss of medical coverage and ax cash

Isolation and increasing costs

Cost of goods, taxes

Have to pay high taxes when you only get social security. Can’t afford to buy groceries and meds

Taxes, poor access/ availability of health care, transportation to treatments

High taxes few places to shop

Taxes, permits for your property infringement on rights

The DA and assistant DA forgiving lawbreakers because they feel sorry for them and drop all charges

Taxes, expenses

Weather, property taxes, lack of medical and dental services, parks, recreation, shopping choices

No senior living for people not on fixed income

Go to the senior picnic

Taxes

Black bears, ice on roads at night Drunk students

Garbage thrown everywhere on roads

Low income- 6

Loss of mobility

Not being able to take care of myself in my home

Living alone

Home repair

Lack of landscaping needs

My health- 4

Lack of jobs- 4

Loved one’s health

No internet

Transit- 4

People

Water

Winter weather- 3

Wind

Taxes- 23

Transportation- 1

Not enough handicap areas

Not being in good health

Grocery delivery in winter

The distance the nearest hospital- 2

Easy access to stores

Not getting help I need

Healthcare costs

Shopping- 6

Aging

Falling

Drug problem- 5

Not enough medical coverage- 2

Lacking specialist doctors

Lacking services

None- 4

Donald Trump- 2

Not sure- 2

No running water

Bad health

Distance to needed services

Exorbitant astronomical far too high taxes and inferiority complex that makes some county officials copy

New York City liberal policies.

My wife’s Alzheimer’s

Politics

High taxes and little manufacturing

Dirty/muddy atv park run off spoils enjoyment of camp every weekend

7. What do you consider to be a good quality of life? Comfortable home, enough food, friends and family support

One which is truly affordable to everyone; not just the rich and well off

Being able to pay taxes, utilities, and put food on the table

Close access to health care, transportation- which we have through the bus system

Able to drive where I need to go

Healthy meals exercise

Have someone here to take you places

Health and happiness

Able to stay in one’s own house, able to drive. Living in crime free area

Peaceful most of the time

Not sitting in traffic, red lights

Health, family

Sleeping and eating good. Good habits such as going to church and caring for others.

Able to get out and about, spend time with family and friends

Good health, family and friends

Clean air, water affordability

Being able to still walk outside and go to different places, have your health

Low taxes, access to care

Able to get around

Belief in God

Christianity and better morals

Safety, friendly, availability of services, drs, hospitals, restaurants, cultural events, beauty of

surroundings, hometown atmosphere, friends

Physically able to do what I want and need and the resources to make it possible

Being able to get around and do whatever I feel like doing

Housing not too close to neighbors, know lots of community people

The way it is in Allegany County.

Laughter with friends

Enough income to pay my bills- 13

Enjoy retirement

Good health- 16

Family – 12

Food- 4

Being in community

Safety- 6

Church- 6

Living without fear

Affordable living- 2

Comfortable living- 3

Lively people

Having programs in the county

Being social- 14

Being independent- 14

Peace

Low taxes- 2

Traveling- 5

Maintaining it

Retirement

Being outside- 3

Friends, a good dog

No money worries and better shopping

Being healthy and active

Low taxes, good health, reasonably priced beer

Move out of NYS- pending

Good medical care, reasonable costs, opportunities for enjoyment

Work, play, family, near by

Enough money and spend enough to eat

Food, clothing, safe shelter, transport, clean air and water, open minded/ non over whelmed by narrow

charged bigots

Being able to be self sufficient

8. How do you feel about the quality of health care in Allegany County? In my experience very good.

It lacks a lot both in doctors, surgeons and quality of service received

It is becoming harder to find food quality local physicians.

Basic care is good but long term care is lacking.

Good Dr. Depner and Linda Pullman np have been ours for years. For my knee replacements went to Dr.

Terhar in Olean

Fair- 4

Good- 25

I go to Rochester or Buffalo mostly

We need more doctors

Very good

So so

Sporadic, need to travel to Buffalo or Rochester for some services

Not always adequate needing to travel to Buffalo, Rochester

I believe the health care here is great

Poor- 2

We have a good doctor and will have a Nero hospital. Specialists in Rochester are a hardship.

Almost nonexistent and overcrowded and unaffordable. I go out of county

We are very fortunate to have doctors of different specialties come down to our area from Rochester.

Good if not qualified they will refer you elsewhere

Good for most things

Good care but glad to be near Buffalo when needed

It’s ok- 17

The best- 4

Very good- 9

Not good- 3

Satisfied

Lacks alternative care- 2

Lacks everywhere

Impressed with how easy it is to get care

Good for illness, serious help in Rochester/Buffalo

Don’t like traveling

Could always improve

Lucky to have it- 2

Need more Doctors- 5

Not sure- 4

Doctors are not close enough

Not sure, my doctors are located near Buffalo

Poor must go to Erie County for quality health care.

Poor, I go to Buffalo all the time

Meets needs mostly, could be better

Really don’t know. Our health care is in Catt Co.

Ok personally but out of reach for many others

Ok

9. Do you have a Primary Care Physician? _119__ Yes _5__ No

a. If yes, do you have trouble getting an appointment when you need one?

_13__ Yes _103__ No

b. If no, do you have trouble getting the medical care you need? _17__ Yes_75__ No

10. Do you feel safe in your community? _110__ Yes _12__ No

If no, why not? No one can truly be safe anymore or anyplace with gridlocked politicians and laws that seem to favor the

crooks more than the safety and security of the innocent citizens! Just look at scams and identity rampant

among us due to electronic devices.

We were robbed while and home and in bed sleeping.

Somewhat

I have safe home security alarm system connected to police, fire and ambulance.

When you live alone in the country you’re always on guard especially night time.

To an extent. Government intrusion

Drugs- 3

Police treat Americans like the enemy

Living too far out in the county

Police- 2

People

NYS safe act has created hundreds or thousands of felons. I feel my state government.

People from the cities buy property and feel they own it and yours too.

Drunken gun toting poachers, as I age I feel like young criminals consider me a frail easy victim

11. What resources do you utilize in your community to stay healthy and independent? If

choosing more than one, please rank in order of importance, with 1 most important.

OFA/NY Connects: 1- 8; 2- 3; 3- 6; 4- 8; 5- 5; 6- 3

Clergy: 1- 14; 2- 10; 3- 13; 4- 7; 5- 3; 6- 7

Physician: 1- 30; 2- 21; 3- 20; 4- 9; 5- 2; 6- 0

Attorney: 1- 3; 2- 0; 3- 3; 4- 8; 5- 7; 6- 6

Friend/Neighbor: 1- 27; 2- 30; 3- 17; 4- 2; 5- 1; 6- 1

Family: 1- 68; 2- 13; 3- 3; 4- 1; 5- 3; 6- 0

Other: #3 all of my pension and social security that I can keep away from the co pays, ins deductibles and

premiums and sales taxes

#1 elder care suppliers

Working, dancing, walking and reading

12. What is the best way for the OFA to notify you of upcoming programs and services? If

choosing more than one, please rank in order of importance with 1 most important.

Satellite Radio: 1- 0; 2- 0; 3- 0; 4- 0; 5- 0; 6- 1

Local Radio: 1- 25; 2- 6; 3- 3; 4- 0; 5- 1; 6- 0

Television: 1- 8; 2- 6; 3- 4; 4- 1; 5- 0; 6- 0

Newspaper: 1- 51; 2- 18; 3- 5; 4- 0; 5- 0; 6- 0

Facebook: 1- 12; 2- 6; 3- 5; 4- 0; 5- 0; 6- 0

Twitter: 1- 0; 2- 0; 3- 0; 4- 0; 5- 0; 6- 0

Other: The old and reliable postal mail service works best.

Newsletter mail or local distributions

Email or usps mail

Internet

Your newsletter silver linings- 2

Email- 7

Wellsville Pennysaver

Mail-16

Wellsville Regional News website

Olean Times Herald

Allegany County website

Telephone- 8

Flyers

Direct mailing

Posters in post office

13. Is access to the internet important to you? _69__ Yes _50__ No

14. Do you currently have access to the internet? _77__ Yes _43__ No

Cell service? _83__ Yes _23__ No

15. Do you have and use a:

_66__ Home Computer/Laptop

_36__ Tablet

_38__ Smart Phone

_33__ None

Other Basic cell phone

No and I don’t have a fax machine either.

Cell phone- 9

Track phone and land line

Internet radio

Echo

House phone

Echo & Echo Dot

16. Is there anything else you would like to tell the Office for the Aging or the County

Legislators about services for the citizens of Allegany County? I think you do an excellent job with services. There are many when I need them. Have used tax service for

years.

Yes= you must begin to realize that such things as state sales taxes and all other out of pocket charges like

co pays, tariffs, surcharges, and passed alone to consumer fees etc. They are wrong for everyone on fixed

or limited to poverty level. Where is out money going that we no longer can use? When can I become

exempt?! Much of the above was made worse when my wife did 2-26-216 and her share of my social

security would not be available to me to help pay utilities etc. Please I need help.

Stop penalizing people that worked their whole life and are now retired. You do more for people whom

sat home their whole life and never worked a day! (welfare)

We need better cancer care. Many of my friends with cancer have to travel to Rochester and Buffalo for

treatment.

Wonderful service and JMH ER inpatient. Helpful kind people in Andover and Wellsville.

We think they all do an amazing job. We enjoy the picnic at angelica.

Not about services for aging but I am new to Allegany County and seems if you are not family or friends

with local government you are treated differently.

Your lunch site at YMCA is great location for seniors using the bus for meal and shopping at Kmart and

Tops. YMCA has water aerobics good for seniors. Maybe they could add extra exercise programs for

seniors with hip or knee replacements, arthritis who are too frail to do regular classes.

Services are fine except we need a grocery store.

Do something (drainage) about our 3rd

country dirt road

Sales tax income is always an issue why do we transport via bus, people to Olean to shop at Walmart etc.

Catt County gets a lot of our sales tax money

Our own place for our meeting place without YMCA connected. Like we had on Main Street Wellsville.

We had triple the people coming for lunches and games.

More mailings/ newspaper info on what is available for dealings with the elderly. Family support,

transportation info on end of life care

Keep our county beautiful, have people responsible for cleaning up after animals on public roads, quit

making a mess with brush cutting

Put employees to work cutting brush instead of making a mangled mess with the machine

Thank you for your services, Lynn Oyer, visiting nurses.

Would be nice to have vetted contractor list, yard clean up services, taxi, coffee house, permanent farmers

market (like Broadway market) social services (Theater, music) aged exemption on taxes, senior

discounts on local businesses, educational programming and trips

We need a senior living facility that is not based on income

Property taxes keep increasing. Need to address the need for a cap or someway to stabilize

It is very good.

Need handyman. We can pay for small fix

Will use services in future -2

Lower taxes- 5

Keep it up- 4

Garbage tax is high

Increase pay for in home aids

Need transportation- 4

Don’t cut funding!

Thank you- 6

Stop cutting down trees

More wifi- 3

Remembering birthdays

More senior centers

What does Allegany do for elderly who lose their spouse?

More variety of stores- 2

Enforce all ADA laws to ALL places non-compliant

Want home repair info

Thank you for Meals on Wheels

Comforting knowing OFA is available

Too much focus on Wellsville

More Social opportunities for younger healthy seniors

Legislators should support OFA services and don’t disrespect health of citizens

Legislators need to work closely with villages and towns

Legislators need to bring more business to the county

Less legislators, serve for 3 years- 2

No naturalpathic doctors in the county-

Needs transportation- 2

Open the historical Caneadea Bridge

Poor responses from fire and ambulance services

It seems there is very little attention given to services for the Rushford area. Have to travel to Cuba or

Fillmore.

High taxes make it impossible to retire comfortably in this county. Accord, the county court and others

seem determined to make Allegany County a clone of ultra-liberal New York City.

Taxes are too high and people over 70 should not have to pay school taxes, it only amounts to bleeding

the elderly.

Alcohol, tobacco, other drugs and gambling waste more money- are addictions and are the cause of more

deaths and health problems and there are all preventable but are constantly increasing our nation due to

greed, each of discipline and failure to face up to the real truth of all the above.

Lower taxes

OPTIONAL

Gender: __87___ Female __34__ Male

Age: 41; 49; 52; 54; 57; 58; 59; 60-4 ; 61; 62-3 ; 63; 64- 3; 65-3 ; 66- 4; 67-4 ; 68- 3; 69- 3; 70-

2; 71- 4; 72-3; 73- 4; 74- 3; 75- 6; 76-3 ; 77- 7; 78-8 ; 79; 80-2 ; 81-4 ; 82- 4; 83- 3; 84- 5 ; 85;

86; 87; 88- 2; 89; 90- 3; 91- 3; 92- 2; 95; 98;

For Allegany County Citizens of ALL ages! The Office for the Aging would appreciate your assistance in

helping us plan for the year 2018 and beyond. You can be entered into a drawing for a $15.00 Gift Certificate when you return this form to us

at 6085 State Route 19N, Belmont, NY 14813

or bring it with you to our Public Hearing and Senior Forum

on Thursday, April 13, 2017 at 8:30 am at the Genesee Valley School

75 Surveys

FORUM 1. Do you go out to lunch? 51 Yes 22 No

If yes, what is your favorite place?

Tim Horton’s- 2

Texas Hot- 2

TC’s Diner

Modern Diner- 4

McDonald’s- 3

Hospital

Beef Haus- 2

Chat A Whyle

Country Kitchen

Castaways

Carpies

Collegiate in Alfred- 2

Duke House

Fish on Friday

Wendy’s

The Perfect Blend

Perkins

Kopper Keg- 2

Fillmore Luncheon center

Wellsville Luncheon center

Wegmans

Aces- 5

Burger King

Anywhere

2. Have you attended one of our Luncheon Centers? 29 Yes 40 No

Did you attend more than once? 24 Yes 15 No

If no, why did you not return?

I came representing Community Action Angels

Prefer eating at home- 3

Became sick- 2

Used to take my mother before she passed

It’s a roundtrip of 14 miles

Got too busy

Site manager was not receptive to volunteers

Having more time-

3.What would attract you to attend one of our Luncheon Centers?

Not being able to cook for myself- 3

Exercise class- 2

Good food

Fewer out of area medical appts

Needing lunch and socialization

Nothing

Different timing- 2

Cost, friends, conversation

More information- 2

More activities than lunch

Exercises for people with arthritis

Socialization- 3

Transportation

The people and presentations

A transportation bus

Not sure -3

Local location

4. What OFA programs do you feel are most beneficial to you, your friends, and your loved

ones?

Senior Forum-2

AIM- 2

Alzheimer’s Respite Program

Answering questions about aging problems

Aging services technicians

Swingin w/ the Oldies- 2

Handyman- 2

EISEP

Caring for lonely people

Caregiver support

Cooperative at answering questions- 2

Friendly and nice programs for seniors

Help with healthcare plans- 7

Learning about scams

Homecare after surgery

Senior Picnic- 2

Scio Senior group

Emergency services

Health, games, friends

Luncheon centers- 7

Exercise- 7

Nutrition

Referrals to other agencies

Insurance counseling

Meals on Wheels- 12

Tax help- 9

Triad- 3

Home care- 2

Legal advice

All- 2

Not sure

5. What makes Allegany County a good place to retire?

It is not a good place to retire- 2

Being close to people- 2

Lived here whole life- 3

It’s home- 3

Community

Rural and not crowded- 3

Places to see

The slower pace- 4

Clear air, natural resources, community- 2

Quiet/Peaceful- 8

Lovely except in winter

A lot of things to do

A lot of help with retirement

Gardening

Good people- 2

Clean, safe, friendly

Outdoors- 2

Family- 2

Friends- 3

Churches

Safe, clean, friendly- 3

Senior programs

Scenery- 16

Entertainment

Everything

Everything but transportation

Small Community

Easy travel access

Low cost living- 2

Good services for aging

Low traffic- 2

Low crime

Weather- 2

OFA- 4

6. What is the biggest threat to your quality of life in Allegany County?

Welfare- 2

High taxes- 13

Social Security payments- 2

Low wages

Finances

Expenses

Environmental concerns

Threat of social security and Medicare being take away

Supporting myself and support from friends and family

Certain people

Aging

Drug epidemic- 2

Global warming

Governor Cuomo

Medical access

Healthcare cuts in services lack

Outreach and programs of interest for people

Scams

Not enough stores

Cuts

Not being able to drive

My health

Handyman

Bad roads- 3

No cell phone service

None- 4

Not being able to move freely

No transportation- 7

Nothing to do

Limited activities

Doctors

Programs being cut

Low economy, population

Few cultural events

Lack of jobs

Loss of family support

Insufficient medical specialists

Inadequate zoning laws

Less volunteer support

Not enough doctors- 3

Lack of independent senior housing

7. What do you consider to be a good quality of life?

Quiet neighborhood- 2

Social and cultural outlets

Privacy

Being left alone

Low cell phone service

Less stress than being in a city- 2

Friends- 8

Food

Caring community

Schools, stores, health facilities

Happiness

Family

Freely being able to go where I please- 2

Food, shelter, heat

Not having to live on a day-to-day basis

Being safe

Eating good

Entertainment- 2

Exercise- 2

Church- 2

No stress

Getting out more- 2

Walk and exercise

Healthcare providers don’t hear the patient

Having enough money- 3

Good roads- 2

Not being bored- 2

Being able to live on my own- 10

Able to move and do own housework

Good health- 9

Maintaining my life now- 4

Affordable medication and healthcare

Public safety

Variety of activities

Adequate for primary care

Working with seniors

8. How do you feel about the quality of health care in Allegany County?

Poor- 4

Not the greatest- 2

Excellent- 2

It’s ok- 6

Not good- 3

Good- 19

Great- 2

Fair

Awful

Limited

Very good- 7

Average- 2

Doctors aren’t knowledgeable

Adequate and affordable

More medical doctors- 4

Out of county- 4

9. Do you have a Primary Care Physician? 72 Yes 2 No

a. If yes, do you have trouble getting an appointment when you need one?

10 Yes 58 No

b. If no, do you have trouble getting the medical care you need? 5 Yes 40 No

10. Do you feel safe in your community? 65 Yes 9 No

a. If no, why not?

Drugs- 5

Scams

Criminals

Does anyone have safety anymore?

11. What resources do you utilize in your community to stay healthy and independent? If

choosing more than one, please rank in order of importance, with 1 most important.

OFA/NY Connects: 1) 7 2) 3 3) 3 4) 5 5) 3 6) 0

Clergy: 1) 13 2) 6 3) 7 4) 3 5) 1 6) 0

Physician: 1) 26 2) 6 3) 8 4) 5 5) 3 6) 0

Attorney: 1) 2 2) 0 3) 0 4) 1 5) 2 6) 2

Friend/Neighbor: 1) 15 2) 20 3) 12 4) 5 5)1 6) 0

Family: 1) 20 2) 10 3) 3 4) 1 5) 0 6) 0

Other:

Exercise- 3

Olean YMCA

12. What is the best way for the OFA to notify you of upcoming programs and services? If

choosing more than one, please rank in order of importance with 1 most important.

Satellite Radio: 1) 2) 3) 4) 5)2 6)

Local Radio: 1)5 2)6 3)5 4)1 5) 6)

Television: 1) 13 2) 3 3)3 4) 5) 6)1

Newspaper: 1) 40 2) 8 3) 4) 5) 6)

Facebook: 1)9 2) 6 3)2 4) 5) 6)

Twitter: 1) 2) 3) 4)1 5) 6)

Other:

Silver Lining- 3

Email- 5

Mail- 5

Red Alert

Phone

13. Is access to the internet important to you? 43 Yes 25 No

14. Do you currently have access to the internet? 41 Yes 20 No

Cell service? 48 Yes 15 No

15. Do you have and use a:

37 Home Computer/Laptop

22 Tablet

17 Smart Phone

17 None

Other Phone

Cellphone- 3

16. Is there anything else you would like to tell the Office for the Aging or the County

Legislators about services for the citizens of Allegany County?

Winter roads are awful from Alma to Wellsville

More cell service

Speakers at future senior forums

Seniors should be priority. Glad taxes go to OFA.

Have kids work in senior centers

Do more for seniors, lower taxes

Great job!

Legislators should help with seniors

Doing good

Don’t cut programs

Closer dialysis in Wellsville

Need more doctors- 2

Need more stores

Property taxes are a burden

OFA needs to return calls

Handyman won’t help low income people

Keep maintaining and giving out information for the OFA

Thank you OFA- 7

Do you have a senior introduction to computer use for basic needs and use?

More transportation

Too many legislators

Install hangers for coats outside room at Wellsville YMCA Luncheon Center.

OPTIONAL

Gender: 48 Female 11 Male

Age: 28; 43; 45; 50; 58- 2; 59; 62; 63; 65- 4; 66; 67- 2; 68; 69- 2; 70- 2; 71- 5; 74- 2; 75- 2; 76-

3; 77- 5; 78- 12; 79- 2; 80- 2; 81- 3; 83; 84; 85- 2; 86- 3; 88; 89; 90- 3; 91; 97

MONTHLY REPORT TO THE HUMAN SERVICES COMMITTEE

Submitted May 3, 2017

March,

2016 Feb., 2017

Mar., 2017

Temporary Assistance Cases 423 401 403 TANF 207 201 200 Safety Net Singles 179 168 173 Safety Net Families 37 32 30 Non-FA Medicaid 4790 3801 3671 Food Stamps Only 2913 2876 2868 Child Care Only 66 73 67 Child Protective Services Hotline Calls 66 57 69 Total Active Cases 108 118 123 Foster Care & Adoption Services Number children in DSS care 109 59 57 Number of children in OCFS 0 0 0 Relative Placement 12 6 6 PINS Reform 12 9 11 Preventive Services Total number receiving services 54 52 50 Adult Protective/Preventive Services Protective Open Cases 32 21 16

Preventive Open Cases 6 1 3 Home Care & Related Services Personal Care Cases 41 33 34 Other (Care at Home/Private Duty) 3 2 2 Long Term Care Cases 4 0 0 CDPAP Cases 29 26 26

Respectfully Submitted, Vicki L. Grant, MSW Commissioner

PROGRAM INTEGRITY UNIT MONTHLY REPORT

March, 2017

March, 2017 Year to Date Number of Investigation Referrals 12 29 Number of Investigations Completed 9 28 Substantiated 0 17 Unsubstantiated 9 21 No Determination 0 0 Number of Referrals for Criminal Action 0 1* Number of Food Stamp Disqualifications 0 4 FEDS Applications Referred for Investigation 43 106 Total Number of FEDS Investigations Completed 31 66 Applications Confirmed Denied/Withdrawn 1 2 Collections as a Result of Investigations $25,534.02 $43,057.87 Bond and Mortgage Satisfactions $125.00 $17,897.92 Estate Liens Satisfied $0 $0 Accident Liens Satisfied $0 $0 SSI Interim Repayment $1,715.02 $5,943.97 TANF Grant Savings $0 $112.00 Total Savings $27,374.04 $67,011.76

(*) To correct error from February (there was 1 referral for criminal action

Date: 5/3/17


Committee of Jurisdiction: Human Services

Request to Fill: Title of Position: Temporary Account Clerk Typist (medical leave) Dept.: Social Services

Will any positions be eliminated? ___ N..;...O�-----------lf yes, which position(s): _________ _

This position is an: Existing position? _=x __ Newly Created Position? ___ Created by Resolution#: __ _

This position will be: Full Time? _____ x ____ Part Time? ___ Permanent? ___ Temporary? _x ____ _

This position will be: Non Union? _x__ Union? __ _ covered by the ___ bargaining unit.

Grade: _7 Step: Base-Step 7 Hourly pay rate: $16.0782 - $18.8229 Annual salary of position: $29.262 - $34.2577 Cost of benefits for position: 48%

Does position support a mandated program/grant? -Ye"""'s_ Name of program: TANF

Source of funding for position: 38 % County JQ% State 52 % Federal

Source of funding for benefits: 38 % County 10% State 52% Federal

Amount in 2017 year's budget for this position: $33.851

Rationale justifying the need to fill this position at this time. Please include in your rational where applicable:

1. The specific duties that cannot be accomplished by another employee. Paying single issue vendor payments,utility payments, assigning vendor numbers and acting as backup SICS operator and other related accountingduties.

2. The goals your organization will not be able to accomplish as a result of not filling this position. Ability to meetpayroll and state and federal requirements.

3. The funding available to fill the position from external sources. 52% federal funding, 10% state funding

4. generated by this specific position. Ability to meet state and federal requirements.

Department Name: ��----1-=---------

County Administrator Authorization: �) �

Approved by the Ways and Means Committee on _______ _

Date: .!/!;y£7

Date: y( )-A.( lpO(Y

Pursuant to Resolution No. 146-03

Form Amended September 27, 2016

Date: 5/3/17



Request to Fill: Title of Position: Temporary Senior Account Clerk Typist (medical leave) Dept.: Social Services

Will any positions be eliminated? ______,_N..:....::O,c__ __________ _ If yes, which position(s): ________ _

This position is an: Existing position? ____ x __ Newly Created Position? ___ Created by Resolution#: __ _

This position will be: Full Time? _.....;.x _____ Part Time? ___ Permanent? ___ Temporary? _x ____ _

This position will be: Non Union? _x__ Union? __ _ covered by the __ bargaining unit.

Grade: 10 Step: Base-Step 7 Hourly pay rate: $17.2376 - $20.7395 Annual salary of position: $31,372 - $37,746 Cost of benefits for position: 48%

Does position support a mandated program/grant? .,_.ye=s- Name of program: TANF

Source of funding for position: 35.57 % County 21.89% State 42.54 % Federal

Source of funding for benefits: 35.57 % County 21.89% State 42.54% Federal

Amount in 2017 year's budget for this position: $37,571


1. The specific duties that cannot be accomplished by another employee. Doing payroll, authorizing & recordingfinancial management payments, auditing administrative bills for payment.


3. The funding available to fill the position from external sources. 42.54% federal funding, 21.89 state funding

4. The benefit to the County ge erated by this specific position. Ability to meet state and federal requirements.

Department Name: --¥--:¥,-=:i...£LL.4,...._��=�---

County Administrator Authorization: \�h�

Approved by the Ways and Means Committee on --------

Date: 11�{17

Date: f/µ(?OIY



Date: 5/3/17



Request to Fill: Title of Position: (2) Temporary Senior Caseworker (medical leave) Dept.: Social Services

Will any positions be eliminated? --...:.N..:..;:O�----------

lf yes, which position(s): _________ _ This position is an:

Existing position? __ x __ Newly Created Position? ___ Created by Resolution #: __ _ This position will be:

Full Time? _ _..:..;.x __ Part Time? ___ Permanent? ___ Temporary? _x _____ _ This position will be:

Non Union? _x__ Union? __ _ covered by the ___ bargaining unit.

Grade: __Jl_ Step: Base -Step 7 Hourly pay rate: $21.3429 - $26. 7970 Annual salary of position: $38.844 - $48,771 Cost of benefits for position: 48%

Does position support a mandated program/grant? J,.,;;ye�s_ Name of program: Child Welfare

Source of funding for position: 35.57 % County 21.89% State 42.54 % Federal

Source of funding for benefits: 35.57 % County 21.89% State 42.54% Federal

Amount in 2017 year's budget for this position: $43,749


1. The specific duties that cannot be accomplished by another employee. Responsible for the ensuring thesafety, health and welfare of children.


3. The funding available to fill the position from external sources. 42.54% federal funding, 21.89% state funding

4. The benefit to the County g erated by this specific position. Ability to meet state and federal requirements.

Approved by the Ways and Means Committee on--------

Date: 4/:).t-{17

Date: '(fJ1/�



MEMORANDUM OF EXPLANATION

COMMITTEE: Human Services

RE: Abolishment of (1) Grade 4 Typist position

DATE: May 3, 2017

Intro. No. ---

(Clerk's Use Only)

Social Services Commissioner Vicki L. Grant requests a resolution to abolish (1) Grade 4 Typist position.

FISCAL IMPACT: Salary savings of $10, 045

For further information regarding this matter, contact:

Vicki L. Grant, Commissioner 268-9303

MEMORANDUM OF EXPLANATION

COMMITTEE: Human Services DATE: May 3, 2017

RE: Abolishment of (1) Grade 11 Social Welfare Examiner position

Intro. No. ---

(Clerk's Use Only)

Social Services Commissioner Vicki L. Grant requests a resolution to abolish (1) Grade 11 Social Welfare position.

FISCAL IMPACT: Salary savings of $17,209

For further information regarding this matter, contact:

Vicki L. Grant, Commissioner 268-9303

HUMAN SERVICES COMMITTEE AGENDA May 3, 2017

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Transcript of HUMAN SERVICES COMMITTEE AGENDA May 3, 2017