Medina County - mcbdd.org

Medina County Board of Developmental Disabilities

January 25, 2021

Due to the COVID-19 pandemic, this Board Meeting will be held virtually via Zoom and made

available to the public live via the MCBDD YouTube channel or other platform. Check the

MCBDD website for details.

4:15 p.m.: Nominating Committee Mtg. 4:30 p.m.: Annual Organizational Mtg.

5:00 p.m.: Executive Session 5:30 p.m. General Session

The Mission of the Medina County Board of Developmental Disabilities is to promote

and empower individuals with developmental disabilities to live, learn,

work, and socialize as citizens in the community.

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MEDINA COUNTY BOARD OF DEVELOPMENTAL DISABILITIES

NOMINATING COMMITTEE MEETING AGENDA - ZOOM January 25, 2021

4:15 p.m. I. Call to Order

II. Election of Officers

III. Adjournment

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ANNUAL ORGANIZATIONAL MEETING AGENDA - ZOOM January 25, 2021

4:30 p.m. I. Call to Order

II. Election of Officers for 2021 (ACTION)

III. Approval of 2021 Board Meeting Dates IV. 2021 Committee Appointments (ACTION)

a. Donated Funds b. Ethics

V. Approval of 2021 Table of Organization (ACTION)

VI. Declaration Requirement of S.B. 10

VII. Conflict of Interest

VIII. Adjournment

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Notes2021

Regular Board Meetings:S M T W T F S S M T W T F S S M T W T F S January 25, 2021

1 2 1 2 3 4 5 6 1 2 3 4 5 6 February 22, 20213 4 5 6 7 8 9 7 8 9 10 11 12 13 7 8 9 10 11 12 13 March 22, 202110 11 12 13 14 15 16 14 15 16 17 18 19 20 14 15 16 17 18 19 20 April 26, 202117 18 19 20 21 22 23 21 22 23 24 25 26 27 21 22 23 24 25 26 27 May 24, 202124 25 26 27 28 29 30 28 28 29 30 31 June 28, 202131 July 26, 2021

September 27, 2021October 25, 2021

S M T W T F S S M T W T F S S M T W T F S November 15, 20211 2 3 1 1 2 3 4 5 December 13, 2021

4 5 6 7 8 9 10 2 3 4 5 6 7 8 6 7 8 9 10 11 1211 12 13 14 15 16 17 9 10 11 12 13 14 15 13 14 15 16 17 18 1918 19 20 21 22 23 24 16 17 18 19 20 21 22 20 21 22 23 24 25 26 Annual Organizational Meeting:25 26 27 28 29 30 23 24 25 26 27 28 29 27 28 29 30 January 25, 2021

30 31Nominating Committee Meeting:January 25, 2021

S M T W T F S S M T W T F S S M T W T F S1 2 3 1 2 3 4 5 6 7 1 2 3 4 Ethics Committee Meeting

4 5 6 7 8 9 10 8 9 10 11 12 13 14 5 6 7 8 9 10 11 April 26, 2021 - Prior to Regular Board Meeting11 12 13 14 15 16 17 15 16 17 18 19 20 21 12 13 14 15 16 17 1818 19 20 21 22 23 24 22 23 24 25 26 27 28 19 20 21 22 23 24 25 Special Board Meeting:25 26 27 28 29 30 31 29 30 31 26 27 28 29 30 October 4, 2021- 2022 Budget Draft Review

Public Forums: TBD

S M T W T F S S M T W T F S S M T W T F S1 2 1 2 3 4 5 6 1 2 3 4

3 4 5 6 7 8 9 7 8 9 10 11 12 13 5 6 7 8 9 10 1110 11 12 13 14 15 16 14 15 16 17 18 19 20 12 13 14 15 16 17 1817 18 19 20 21 22 23 21 22 23 24 25 26 27 19 20 21 22 23 24 2524 25 26 27 28 29 30 28 29 30 26 27 28 29 30 3131

Notes2021

November December

April May June

July August September

October

January February March

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2021 Table of Organization DRAFT

Individuals and Families


Superintendent Assistant Superintendent

Director Executive Director Community Relations of Administrator of Coordinator Business Human Resources Community Relations Assistant Records Admin. File Clerks Specialist Support Clerk II

Medicaid Financial Business Svcs. Mgr. Data Specialist Clerk

Service & Support Administration Director

------- Secretary SSA Managers -------

Director of Community Development Director of Community Services Confidential Secretary Health Services Coordinator Community Supports Secretary Trng/Compliance Specialist -------- -------- Program Supervisor Provider Relations and FSS -------- Specialist QA Support Specialist -------- AT Specialist -------- AT Assistant -------- Community Supports Manager ------- Individual Supports Coordinator ------ Economic Developer ------- Community Resource Coordinators ------ Community Support Specialist

------ Recreation Specialist

------ OOD Secretary

Director of Children’s Services Assistant Director of Children’s Services EI Coordinator

Director of Facilities and IT Facility Activities Manager Special Food Service Custodial Olympics Worker Worker Maintenance Coordinator Repairmen Grounds Maintenance Network Administrator (Seasonal) IT Support Generalist Help Desk

SERVICE & SUPPORT

ADMINISTRATION

ADMINISTRATION

OPERATIONS

CHILDREN’S SERVICES

TRANSPORTATION

Approved:

PUBLIC STAKEHOLDERS TAXPAYERS/CITIZENS OF MEDINA COUNTY

Eligibility Assistant

Waiver Data Financial Specialists

Developmental Specialists

Physical Therapist

Occupational Therapist

Physical Therapy Assistant 9m

Intervention Specialists 9m Speech/Lang

Therapists

Instructor Assts. 9m

Confidential Secretary

Human Resource Specialist

Human Resources Clerk

School Secretary

Therapy Lead

Transportation Manager

Positive Support Specialist

Invest. Agents

Nurse (Windfall School) 9m

Eligibility Specialists SSAs

COMMUNITY SUPPORTS

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Medina County Board of

Developmental Disabilities

Declaration Requirement of S.B. 10

I, ___________________________________________, as a duly

appointed Board Member of the Medina County Board of

Developmental Disabilities (MCBDD), declare that there is no

circumstance described in Section 5126.023 of the Ohio Revised Code

that exists that bars me from serving on the county board and that neither

myself, nor any immediate family member of mine has an ownership

interest in or is under contract with an agency contracting with the

county board; and, if such an ownership interest or contract existed, I

would identify the agency and the nature of the relationship with that

agency to the MCBDD.

Signed, _______________________________ __________________ Board Member Date Revised: 01/15/21

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MCBDD

Human Resources

0400123

Initial: 3/10

Rev: 06/10, 2/13

RC-2: R-234

Conflict of Interest

When personal or professional concerns of a Board member or a staff member affects or may affect their ability to put the welfare of the Board before personal benefit (material or non-material) a conflict of interest exists. Staff and board members are likely to be associated with many organizations and individuals in their communities, both on a professional and a personal basis, so it is not unusual for actual or potential conflicts of interest to arise.

FULL DISCLOSURE.

Board members and staff members should make known any actual or potential Conflict(s) of

Interest as defined in Board policy.

1. BOARD MEMBER ABSTENTION FROM DISCUSSION AND VOTING. Board members who have a conflict of interest (real or perceived) as defined in Board policy should not participate in discussions or vote on matters affecting transactions between the Board and the entity of potential conflict.

2. STAFF MEMBER ABSTENTION FROM DECISION-MAKING. Staff members who have a conflict of interest (real or perceived) as defined in Board policy should not be substantively involved in decision-making affecting the entity of potential conflict. This includes individual service plan development.

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MCBDD

Human Resources

0400123

Initial: 3/10

Rev: 06/10, 2/13

RC-2: R-234

Conflict of Interest Disclosure Statement

I have received and read the MCBDD Code of Conduct and Guidelines and agree to abide by it. (Provide an explanation for Yes answers in the space provided.) 1. Are you or is any member of your immediate family affiliated (employee or volunteer) with a business that supplies property, goods or services to MCBDD or engages in any business, or competitor of, MCBDD?

□Yes □No _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 2. Have you or any member of your immediate family had a direct or indirect interest that has resulted in any monetary gain from an individual served by MCBDD?

□Yes □No ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 3. In the past 12 months have you received any compensation, loan, gift, benefit or unusual hospitality from any business associate of MCBDD or individual served by MCBDD?

□Yes □No _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 4. Do you have any other business or personal relationships, not covered in your answers to Questions 1 through 4 above that could appear to be a conflict of interest?

□Yes □No _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 5. Are you or any member of your immediate family employed by any agency that provides services to an individual served by the MCBDD?

□Yes □No _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________ The above is true and correct to the best of my knowledge and belief. ____/_____/_______ _________________________________ Date Signature

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Regular Board Meeting Agenda - Zoom

January 25, 2021

REVISED

I. Call to Order (5:00 p.m.)

II. Executive Session (5:00 p.m.)

A. Personnel Matters

III. General Session (5:30 p.m.)

A. Moment of Silence

B. Mission Statement Affirmation

C. Approval of Minutes 1. Approval of Minutes from the Regular Board Meeting, December 14, 2020

2. Approval of the Minutes from the Special Board Meeting, January 6, 2021

D. Old Business – No Old Business

E. Follow Up (In Packet)

F. Discussion Items

1. Pandemic Update

G. New Business

1. Excess Property Resolution #02-21

2. Cash Transfer Resolution #03-21

3. Approval of S. Maleckar’s Employment Contract #04-21

4. Appropriation Increase Resolution #05-21

5. 2021 Action Plan Resolution #06-21

6. Payment to Foti Contracting/IAP Resolution #07-21

7. Policy Review and Approval

H. Reports Review

a. Superintendent’s Report

b. Financial Reports:

Revenue

Expenditures

Cash Balance

Cash Flow

c. Voucher Reports & Resolution #01-21

d. Enrollee Statistics Report

e. Community Provider Report

f. Personnel Control Report

g. Quarterly Reports: 2020 4th Quarter Action Plan, Ombudsman, Community

Services, Fiscal Indicators, Contract Monitoring, Technology

I. Public Relations

IV. Adjournment

The mission of the Medina County Board of Developmental Disabilities is to promote and empower

individuals with developmental disabilities to live, learn, work and socialize as citizens in the community.

The next Regular Board Meeting is tentatively scheduled for February 22, 2021

MINUTES

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Regular Board Meeting (Zoom Meeting)

December 14, 2020


Regular Zoom Board Meeting Minutes REVISED

December 14, 2020

I. Call to Order

The MCBDD Regular Board Meeting (via Zoom) was called to order by Board President, Dave

Hartman, at 4:16 p.m. The Board Meeting was livestreamed for the public via the MCBDD

YouTube channel. Other Board Members participating via Zoom included the following: Wayne

Carroll, Christy Mattey, Ann Salek, Lisa Morrison, and Elaine Orlandi. Sandra Thomas Fain was

excused.

Staff present via Zoom included the following: Ms. Maleckar, Ms. Finnerty, Ms. Lees, Ms. Davis,

Mr. Richards, Ms. Hetkey, Ms. Bajorek, Ms. Karlson, Mr. Dryer, Ms. Bates, and Ms. Hunt.

Thirty-five people viewed the November Board Meeting on YouTube Live prior to Executive

Session; twenty people viewed the General Session. There were no comments or questions.

II. Executive Session

A Motion was made by Ms. Orlandi, seconded by Ms. Salek, to enter into Executive Session for

the following reason(s):

Personnel Matters

The Board entered Executive Session at 4:18 p.m. The Board exited Executive Session at 5:02

p.m. General Session resumed at 5:08 p.m.

III. General Session

A. Moment of Silence

A moment of silence was observed and Mr. Hartman extended thanks to staff and providers for

their service to individuals during this time.

B. Mission Statement Affirmation

The Mission Statement was recited by all.

C. Approval of Minutes

1. Approval of the Minutes from the Regular Zoom Board Meeting, November 16,

2020

A Motion was made by Mr. Carroll, seconded by Ms. Salek, to approve the Minutes from the

Regular Zoom Board Meeting on November 16, 2020. Mr. Carroll stated that 12 people viewed

the November Board Meeting on YouTube. He asked how many community members typically

attended the in-person Board Meetings. He stated that if more people are participating via

YouTube then we could consider continuing holding the Board Meetings this way. Mr. Hartman

stated that Mr. Carroll’s comment was noted. Ms. Orlandi abstained. All others voted “yes”. The

Motion was approved. (Ms. Mattey was not at the November 16, 2020 Board Meeting and

should have abstained from this vote. The Motion would still have passed.)

D. Old Business – There was no Old Business

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December 14, 2020

E. Follow Up

1. MCH Contract – Ms. Maleckar stated that we are awaiting a response from MCH

regarding an offer that was made.

2. How many EI surveys were returned in Medina County – 11 surveys were returned.

Mr. Carroll asked if surveys were sent to all families receiving EI services. Ms.

Bajorek stated that yes they were sent to all families receiving EI services. Ms.

Bajorek did not have the exact count of how many families were included, but will

get this information for the next Board Meeting.

F. Discussion Items

1. Covid-19 Update

Ms. Maleckar reviewed the total amount of dollars encumbered to date for

Covid-19 related supplies: $131,989.25. This is in addition to the Covid-19

related Special Projects.

Ms. Maleckar stated that county board Superintendents have been charged with

two projects:

1. Data Collection – Superintendents will look at how many individuals in

their county have been diagnosed with Covid-19, as well as some other

basic demographic information. This data will go back to March of 2020.

The MCBDD has already been keeping this information. To date, there are

eight individuals in ICFs that have tested positive and two who are

presumed to have Covid-19: no deaths. There are 19 other individuals with

disabilities who have tested positive and one death.

2. Vaccines – County boards will look at congregate settings and provide

counts and contact information. The county boards are the back-up contact

for these locations. Ms. Maleckar stated that we are prepared to work with

the Health Department as a vaccine administration site or to offer staff. The

following questions were addressed:

o Mr. Orlandi asked if the individuals will have a choice of which

vaccine they want. Ms. Maleckar stated that we do not know the

answer to that at this time.

o Mr. Carroll asked if we are keeping Covid-19 stats on providers or

direct care staff. Ms. Maleckar stated that we are not. The Health

Department does keep this information. In addition, Ms. Hunt is in

constant contact with providers.

o Mr. Hartman asked if Midwest makes the call if they feel they need to

close due to Covid-19. Ms. Maleckar stated that yes, we would leave

that up to them.

o Ms. Maleckar stated that while the building is closed for break, staff

will still be available and will be checking both email and voicemail

frequently.

o Mr. Hartman asked if the school is still closed. Ms. Maleckar stated

that it is closed and a decision will be made this week regarding how

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December 14, 2020

long. Ms. Maleckar stated that if we run short on instructional hours,

we can use spring break to make it up. Ms. Bajorek stated that the

remote plan is working much better now than it did back in March.

o Mr. Carroll asked if therapies written in IEPs that don’t get used

during remote learning can be made up later. Ms. Bajorek stated that

these situations will be very individualized and at this time we do not

know what recovery services will be needed. Ms. Mattey stated she

feels therapy services should be made up. Ms. Bajorek stated that LLA

is offering therapy services at another location while the school is

closed.

o Mr. Carroll asked if there are any provisions for transportation for

therapy services being offered at other locations. Ms. Maleckar stated

that there are not.

2. 2021 Action Plan Draft

Ms. Maleckar stated that after conversations with Board Members about Draft

1 and taking a closer look, some changes were made. The original steps were

added back in and changes were noted in red. Draft 2 was sent to the Board this

afternoon.

Ms. Maleckar stated that Strategic Planning will begin in March of 2021.

Mr. Carroll asked if the steps that state “Recommendations will be made to the

Superintendent” were completed and did the Board also receive those

recommendations. Ms. Maleckar stated those will be listed in the fourth quarter

report in January.

Mr. Hartman asked the Board to review the 2nd Draft and submit

questions/comments to Ms. Maleckar.

G. New Business

1. Annual School Services Resolution #61-20 (ACTION)

A Motion was made by Mr. Carroll, seconded by Ms. Orlandi, to approve Resolution #61-20 to

continue to provide specialized preschool and school-age services to eligible citizens of Medina

County, per ORC 3323.09, for the 2021-2022 school year. Ms. Orlandi asked if Ms. Maleckar

could explain the following from the resolution:

1. The Board shall only serve children who have intensive specialized educational,

behavioral, and/or medical needs.

Ms. Maleckar stated that Windfall School serves individuals with intense needs, always with the

goal of getting the child back to their home district. Ms. Orlandi asked if we have a waiting list.

Ms. Bajorek stated that we do not. We started the year under census; however, there are three new

students starting in February. Mr. Carroll asked if the school districts understand the definition of

intensive needs. Ms. Bajorek stated that she feels they do as we typically serve individuals with

high level autism or multiple disabilities. Ms. Morrison asked if #1 listed above is a change from

what we typically do. Ms. Maleckar stated that it is not. Ms. Bajorek stated that we allot six kids

per room rather than eight. Ms. Mattey stated she didn’t realize that parents would have to advocate

harder to be able to be able to stay in Windfall School during the early years due to the six student

allotment. Ms. Bajorek stated that allows flexibility so when a need arises we are able to

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December 14, 2020

accommodate and has been our normal practice. Ms. Mattey thanked Ms. Bajorek for the

clarification. The Motion was approved with a unanimous “yes” vote.

2. 2021 NEON Representative and Alternate Resolution #62-20 (ACTION)

A Motion was made by Mr. Carroll, seconded by Ms. Morrison, to approve Resolution #62-20 to

authorize the Superintendent as the NEON Representative and Annie Finnerty as the Alternate for

2021. There was no discussion. The Motion was passed with a unanimous “yes” vote.

3. OEA/NEA & MCBDD Staff Union Contract Resolution #63-20 (ACTION)

A Motion was made by Mr. Carroll, seconded by Ms. Mattey, to approve Resolution #63-20 to

approve a three-year Collective Bargaining Agreement between the Medina County Board of

Developmental Disabilities and the Medina County Achievement Center Employees

Association/OEA/NEA. Effective dates of the contract will be January 1, 2021 through December

31, 2023. The overall cost of this agreement will remain at or below 3% of the salary budget each

year of the contract. There was no discussion. The Motion was approved with a unanimous “yes”

vote.

4. Policy Review and Approval (ACTION)

Ms. Maleckar requested that Policy Chapter 10 be removed from the agenda and will be brought

back to the Board at the January meeting. The other two policies (Chapter 3, Section 2 F and

Chapter 3, Section 5) can proceed. A Motion was made by Ms. Mattey, seconded by Ms.

Morrison, to approve the remaining two policy revisions as requested. There was no discussion.

The Motion was approved with a unanimous “yes” vote.

5. Board Member Self Evaluations

Board Members were requested to complete the Self Evaluation and return to Ms. Maleckar by

Monday, December 21, 2020.

6. Approval of dates/times for January Board Meetings (ACTION)

A Motion was made by Ms. Morrison, seconded by Ms. Mattey, to approve the following dates

and times for the January 2021 Board Meetings:

Nominating Committee Meeting – January 25, 2021 at 4:15 p.m.

Annual Organizational Meeting – January 25, 2021 at 4:30 p.m.

Regular Board Meeting – January 25, 2021 at 5:00 p.m.

There was no discussion. The Motion was approved with a unanimous “yes” vote.

7. Selection of Nominating Committee Members for 2021 (ACTION)

A Motion was made by Ms. Orlandi, seconded by Ms. Salek, to approve the following as the

Nominating Committee Members for 2021:

Lisa Morrison

Wayne Carroll

Christy Mattey

There was no discussion. The Motion was approved with a unanimous ‘yes” vote.

H. Reports Review

Superintendent’s Report – Ms. Maleckar reviewed the following:

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December 14, 2020

We will be doing another payment to providers. It will be the amount of a two-week

billing cycle from August/September and will be based on their billing. It will be for

HPC, Day Service, and NMT providers. The cost for Medina County will be about

$200,000.00. To cover this cost, the state is sending the 2017-2018 cost report

reconciliation in January 2021 rather than in 2022 when it was expected. This will change

our cost projections beginning in 2021.

SSAs are working with providers regarding remote services for individuals.

There are 135 individuals working in the community.

Courtney Jordan recently did a training titled “How to Become a Provider.”

Special Olympics is remote at this time due to Covid-19.

The generator project should be complete by the end of the month.

The HVAC system is being cleaned. To our knowledge, this has not been done before.

Financial Reports - Ms. Bates reviewed and addressed questions from the Board.

Revenue

o A $10,000.00 donation was received. The donor would like to remain anonymous.

The money was put into Donated Funds to be used toward DSP Appreciation.

Appreciation efforts, such as the purchase of gift cards for DSPs, cannot be

purchased using tax dollars.

Expenses

o County Covid-19 reimbursement came through as expense adjustments. The total

is $65,106.22.

o First quarter FY21 Admin Fees were paid in the amount of $79,902.72.

o Second quarter FY21 match payment was made in the amount of $1,008,464.00

(includes three individuals in developmental centers).

Cash Balance

o Funds in the approved reserve account have been separated on this report.

Cash Flow

o There were no questions or comments.

Voucher Reports – The Voucher Reports were presented.

Ms. Bates answered the following questions from the Board:

o Mr. Hartman asked if we are comfortable with Cybernetics, the agency that does

our back-up security and records retention. Ms. Bates stated that yes we are.

o Ms. Mattey asked if we are able to use Amazon Smile, which gives a portion of

sales to a charity of our choice (they must be listed on Amazon Smile). Ms. Bates

stated that we can only select a non-profit agency. The issue has been finding one

that does not cause a conflict of interest.

o Ms. Mattey asked what services Gold Care provides. Ms. Bates stated that was for

emergency respite services.

A Motion was made by Ms. Orlandi, seconded by Ms. Mattey, to approve Resolution #60-20 to

accept the Financial Reports for November, 2020. The Motion was passed with a unanimous

“yes” vote.

MCBDD Enrollee Statistics Report

Mr. Carroll asked if there has been an impact on eligibility due to Covid-19. Ms. Maleckar

stated that we are still completing eligibility assessments; however, we do have some

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December 14, 2020

individuals who have chosen to stay home rather than receive services or work in the

community due to Covid-19.

Community Provider Report – There were no questions or comments.

Personnel Control Report – There were no questions or comments.

Committee Reports: Diversity, Inclusion and Equity Committee

Mr. Dryer reviewed the Diversity Committee’s Action Plan Draft. The following

comments were received:

o Mr. Carroll recommended adding a diversity and/or equity goal to staff

evaluations.

o Mr. Hartman recommended that Goal 3 include the word religion or faith.

o Mr. Dryer stated that a guideline has been developed to assist department heads in

considering diversity and equity when writing policies and procedures.

o Ms. Mattey stated that Mr. Dryer has done a nice job hearing everyone’s voice.

I. Public Relations

The following was shared with the Board:

DSP Recognition – The DSP Spotlight is put out monthly in the agency newsletter (in

Misc. Packet). This is an opportunity to increase recruitment. January will begin quarterly

provider agency recognition.

Warm Up Medina County – We received 60 blankets to distribute through this Medina

County District Library program. Teachers are passing out to school and EI families.

Build-A-Bear with Judge Dunn – Bears were delivered on Friday. Teacher will deliver to

homes. This is our 13th year of this event.

Ms. Mattey asked if we could redact the Amazon Smile essays like we do for the Donor

Scholarship essays so that we could fairly choose a recipient. Ms. Bates will work with Ms.

Hetkey to get this set up. It would need to be reviewed annually or every other year in order to be

equitable. Ms. Mattey agreed.

Mr. Hartman asked Mr. Richards how he is doing on the 10-year plan. Mr. Richards stated that at

this time he is waiting for updated costs from the architect.

Mr. Hartman asked if we are moving toward only community employment in the new Chapter 10

policy. Ms. Hunt stated that while that is under Mr. Dryer, the entire Community Supports

Department is busy with not only community employment, but also provider relations, supplies,

training, etc. She also stated that the first Provider Leadership Meeting was held.

Mr. Hartman asked if anyone is attending other provider agency board meetings other than

Windfall Industries. Ms. Hunt stated that we attend WI because it is written in their by-laws.

Many other provider agency’s board meetings are closed and we would need to be invited. At the

next Provider Leadership meeting, Ms. Hunt will let providers know that we would be happy to

attend their board meetings if they would like.

Mr. Carroll asked if there has been a new Ombudsman named yet. Ms. Mattey stated that

Catholic Charities is still looking and Michelle Kipfstuhl is still the acting Ombudsman.

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December 14, 2020

IV. Adjournment

A Motion was made by Mr. Carroll, seconded by Ms. Mattey, to adjourn the meeting at 6:52

p.m. The Motion was approved with a unanimous “yes” vote.

FOR APPROVAL

_____________________________ __________________________

Board Chair Board Secretary

Medina County Board of DD Medina County Board of DD

MEDINA COUNTY BOARD OF DEVELOPMENTAL DISABILITIES Special Board Meeting Minutes

January 6, 2021 Zoom

I. Call to Order The MCBDD Special Board Meeting, via Zoom, was called to order by Board President, Dave Hartman, at 4:32 p.m. Other Board Members present included Wayne Carroll, Elaine Orlandi, Lisa Morrison, Christy Mattey, and Ann Salek. Sandra Thomas Fain joined at 5:08 p.m. Staff present included the following: Ms. Maleckar, Ms. Lees, Ms. Karlson, Mr. Richards, and Ms. Bates. Others present included the following: Mike Lyons and Tom Karris, Medina County Prosecutor’s Office, and Colleen Swedyk, County Commissioner. Twenty-six people viewed this meeting on YouTube Live. II. General Session

A. Moment of Silence A moment of silence was observed and Mr. Hartman extended thanks to staff and providers for their service to individuals during this time.

B. Mission Statement Affirmation The Mission Statement was recited by all.

C. Discussion Items

1. IAP Legal Action Mr. Lyons from the Medina County Prosecutor’s Office stated that he had prepared legislation (a Resolution) and sent to Ms. Maleckar, Ms. Bates, and Ms. Lees prior to the Board Meeting for review. Mr. Lyons stated that Foti Construction filed a lien against the proceeds payable to IAP. Under the lien law, the Board is required to hold those funds until it’s clear who should receive them. Mr. Lyons sent a note pursuant to the statute to IAP to notify them of the filing of the lien. The statue states they have 20 days to file with the Board a Notice of Intent to dispute the lien. They sent a notice 26 days after they received the notice from Mr. Lyons. They did not make the deadline; however, the notice they sent states their intent to dispute the claim. Mr. Lyons stated that it is unclear to him which way to go because the statute has some conflicting language. The IAP attorney gave Mr. Lyons an Ohio Supreme Court case that casts a bit of doubt on whether the Board should distribute the money to Foti Construction pursuant to their lien at this time. Based on the feedback from the IAP attorney, Mr. Lyons is not asking the Board to take any action today; however, he will be looking for further action in the future. Mr. Lyons stated he hopes to have this resolved by the January Board Meeting. Ms. Orlandi asked if there has been a lien on any property. Mr. Lyons stated that with public projects they cannot put a lien on any property, only funds. There were no further questions from the Board.

19

2. Medina Creative Housing Contract Ms. Maleckar gave a PowerPoint presentation for the Board. See Attachment A. The following questions/comments were addressed: Q: Do we have housing available for individuals? EO A: There are other housing options that can be used if needed and SSAs will assist. SM Q: Why wasn’t the Board involved with the decision process? EO A: The Board was given updates and informed about the need to subsidize the individual’s

needs. SM Q: Why couldn’t the Board have the MCH Board President in to answer some questions? EO A: MCH’s Board President was part of the negotiation process and did have discussions with

the MCBDD Board President. SM Q: Who from MCBDD made the decision that the Board couldn’t help with this decision as

every decision usually gets approval at a Board Meeting. EO A: There was no decision to be made because there was no agreed upon contract. SM Q: Can you summarize the differences between the prior contract and the proposed new contract

that was not accepted. WC A: The prior contract was set up for annual payment of a set amount to subsidize operational

deficits; much was directed toward CAP homes; the MCBDD was paying for damages above normal wear and tear; and vacancies. SM

Q: What do you mean by operation deficits? LM A: Funds were not tied directly to the individual but rather operation deficits, or their cost of

doing business. SM C: It appears as though we were giving them unrestricted funds to use as they need. AS C: That it is difficult to define because the contract calls for payment of a set amount and does

not give the ability to trace operational deficit. Part of the problem has been accountability for reporting. ML

Q: Did they give any kind of accounting for funds? WC A: We have some numbers on spreadsheet that are not verified. We want to tie the funds to

individuals in the new contract. SM Q: Who pays the utilities at these homes? EO A: The individual pays the utilities; however, there are programs out there to help with this. SM Q: What is the range of rent? AS A: The individual pays 30% of their income. Rents are not set so the cost may vary. Some

individuals have a voucher to cover the costs above the 30% so MCBDD does not pay anything in that case. SM

Q: Did MCH counter with an amount? LM A: Yes, but we were not able to agree on an amount. SM C: We tried to have a rent-based contract, but they requested $170,000 to cover their cost and

were resistant to a rent-based formula; I don’t feel they ever countered with a rent amount. Their totality of costs must be $170,000 as that is what they continued to negotiate for. ML

Q: Is the $170,000 over and above the rent costs? WC A: It was just a flat annual amount. Ms. Maleckar stated it was tied to other costs above and

beyond the rent. ML Q: For how many individuals? WC

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A: There are currently 17 individuals living in the houses and five in the apartment units. If all vacancies were filled, there are 40 units (bedrooms). SM

C: Ms. Orlandi stated that she has received two texts from guardians who would like to participate in this discussion.

A: We do not have an open forum at this meeting; however, I encourage them to schedule time to meet with me to have a discussion and answer their questions. SM

Q: So where does this leave the individuals? Are the doors closing on some of the units? But now I’m hearing we are going to subsidize. AS

A: The affected units are only a portion of what MCH has. We do not know what MCH will do; however, MCH has talked about liquidating 14 units and raising rent. We want to make sure the individuals have the assistance they need to subsidize their rent costs if the individual wants to stay where they are. SM

Q: MCH has a waiting list (450 people) and also vacancies? AS A: It is our understanding that the waiting list is for the apartment units not the housing. Some

on the waiting list could be from other counties or some are on the waiting list who won’t need it for five years in the future. Suitability of roommates also affects the waiting list. We have not seen the list. SM

Q: Are there vacant units in the housing we are subsidizing? How many? AS A: There are 16 vacancies, but at least one person is living in each home. Some vacancies are

intentional. JK Q: Didn’t we say we would stop paying for the vacancies in 90 days? LM A: We did, but not the intentional vacancies. JK Q: How many of the 16 vacancies are intentional? WC A: Roughly half are intentional. JK Q: How long have they been vacant? WC A: It has been a while. There is a lot that goes into matching roommates. We don’t want either

party to have difficulty. JK C: A conversation was held a while back regarding units that were the responsibility of the

MCBDD and Ms. Maleckar stated that we need to do a better job. Please explain. EO A: We are doing a much better job at exploring every opportunity for individuals. JK Q: How many beds are we responsible for? EO A: It’s not that we are responsible for them, but we are responsible for working with the

landlords to meet the needs of the individual. SM Q: Are we still paying rent for the vacant units? CM A: Only the ones addressed in the contract. JK Q: How is the MCH waiting list relevant to us? Are MCBDD individuals taking up space that

others on the waiting list could use? CM A: It is not. It is evidence of people interested in living in that model/setting. It is for Medina

Creative Living I, II, or III, not the homes we subsidize. JK Q: Have we ever been financially responsible for the people on the waiting list? CM A: No, we have not. The waiting list is not for the homes we subsidize. Our SSAs work with

anyone who wants to look at the vacancies. JK/SM C: The MCH waiting list is not necessarily only individuals with developmental disabilities, but

can be for anyone with any type of disability. We are paying for situational vacancy subsidies. We want to fill regular vacancies; however, we would not pay if an individual without DD from the waiting list fills the vacancy. CB

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Q: Up to this point we paid $170,000 to MCH regardless of the number of beds filled? AL A: Yes, that is correct in the contract that just expired. SM C: So the vacancies are an issue to MCH now because we are not subsidizing them? A: We are still subsidizing intentional vacancies. LM C: The waiting list has nothing to do with what we subsidize. We do not know where the

operational costs are going. STF C: There is no contract in place now. We are proposing to cover shortfalls for those currently in

the homes, but not the vacancies. We will use the HUD standard of fair market rate. SM Q: Do we know what the shortage is? AS A: We will use the HUD standard because many are receiving HUD vouchers. SM C: Our proposal for rent subsidy was HUD plus 20% because we did not know the commercial

rate for Medina County. We need validation for the rent costs. CB Q: A correspondence states that rental subsidy for the last five years has been based on HUD

4571.4-9; can anyone explain this? Have reimbursements been based on this section? LM A: We reached out to Medina Metropolitan Housing Authority. This section of the handbook

deals with HUD vouchers and landlord regulations. The MCH contract never referenced this information. The amount we paid was just a set amount for the year. SM

Q: So if the individual pays 30% of the rent cost and many have vouchers to cover the rest, what are we subsidizing?

A: That is the issue. The contract was for $170,000 per year and we do not know where the money was going. SM

C: Funds based on the individual’s needs is the most responsible way to do a contract and be able to account to the public. STF

Q: How many people are we subsidizing? LM A: We are subsidizing thirty with roughly 15 vacancies; half are situational. We will get the

correct numbers. There are 17 people in affected units that we are working with to ensure they can get affordable housing. Eight of those individuals have vouchers. SM

A: We will work with MMHA and other community partners. MCH is not the only housing choice. JK

Q: How many individuals need to be in housing with handicap accessibility? EO A: We don’t have this number but will look at all options to get this done for an individual if it

is needed. JK Q: How easy is it to find housing? LM A: It depends on the situation. JK Q: What is the plan as we move forward? DH A: SSAs are in contact with individuals and families (many want to wait and see what happens);

we are reaching out to MCH leadership to get housing plans and discuss how we can work to meet the individuals’ needs; we will provide resources such as legal aid, fair housing, etc.; and will assist if the individuals does need to move. One SSA Manager sits on the Housing Board. SM/JK

Q: What does the lease from MCH say? Is rent being raised above the 30%? WC A: We cannot speak to that as that is MCH’s choice as a landlord. SM C: The proposed contract stated they would get 120% of fair market rent. WC C: Since they refused the contract, the 120% is not valid. DH C: Currently, we have said we would help individuals without vouchers with the shortfall above

30% to fair market rent. SM

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Q: If they (MCH) don’t sign something, how do we know where the money is going? DH C: Our responsibility is to the individual and payment would be made on behalf of the individual.

TK A: We would develop backup, itemized documentation that would be sent with the check. CB C: There are a lot of variables but we will work to make sure individuals have what they need.

We have to be accountable for tax payer dollars. SM C: If anyone does get evicted, would you notify the Board and provide a timeline? WC A: Yes. We can do that. SM Q: Are any of the leases for a period of time or month to month? TK A: Many are month to month. JK C: Individuals with a month to month lease are entitled to 30 days. Others should be able to stay

through the lease period. Q: CAP houses become property of MCH after 15 years. If sold before the 15 year mark, does

MCH have to reimburse? DH A: Yes, they have to reimburse the balance of the DODD state funding. SM Q: How many houses are owned outright by MCH? Is it four or five? STF A: I will look into this. SM C: I wish the request from the Board to have an open dialogue with Diane (MCH) had been

honored. CM C: Board Members can’t insert themselves into contract negotiations. WC C: We could have had input if we had known about it earlier, due to the drastic change of the

proposed contract. Request made to notify the Board of drastic changes to contracts prior to negotiations and allow for conversation. SM

D. New Business

Per Attorney Mike Lyons, there is no action (Resolution) being requested of the Board at this time. III. Executive Session A Motion was made by Ms. Orlandi, seconded by Ms. Thomas Fain, to enter into Executive Session for the following reason(s):

• Personnel Matters The Motion was approved with a unanimous “yes” vote. The Board entered Executive Session at 6:17 p.m. The Board exited Executive Session at 6:49 p.m. IV. Adjournment A Motion was made by Mr. Carroll, seconded by Ms. Mattey, to adjourn the meeting at 6:49 p.m. The Motion was approved with a unanimous “yes” vote. FOR APPROVAL _____________________________ __________________________ Board Chair Board Secretary Medina County Board of DD Medina County Board of DD

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Attachment A

We are the community resource responsible for connecting, coordinating and funding vital services for individuals with developmental disabilities.

We help with everything from early intervention and education opportunities for children to employment and community inclusive living for adults.

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MCH Housing Contract

Presenter: Stacey Maleckar, MCBDD Superintendent

25

WHAT We Will LearnHow Medina County Board of DD supports housing needs of individuals

Overview and timeline of contract and housing discussions

How Medina County of DD is helping individuals and families affected

26

Medina County Board of DDHow We Support Housing Needs

Committed to resources and services to live independent, safe and successful lives.

Works with a wide range of housing options throughout county

Contract with providers to ensure resources such as housing are available.

Contracts are driven and developed based on the overall needs of the individuals.

When working with our network of local housing providers, contracts must meet the needs of the individuals and are not meant to cover operational costs of landlords.

27

Medina County Board of DDOverview of Housing Contracts

Over past five years, significant changes in the field of developmental disabilities

National, State and Local Needs of Individuals ChangeService TransitionPerson-Centered Planning

Results of changesNeed to review and re-develop all contracts to be more person-centered so they meet the needs of individuals we serve at the current time.

28

Medina County Board of DDOverview of MCH Housing Contract

Several contracts since the formation of MCH

Most recent contract agreed upon in 2015 and intended to continue through the end of 2017.

The Board worked with MCH to extend the 2015 contract annually over the next 3 years.

29

Medina County Board of DDTimeline of MCH Housing Contract

With the needs of the individuals we serve (person-centered planning) we began discussions with MCH summer of 2019

- Subsidizing the individuals based on their needs verses subsidizing for operational deficit of the landlord.

• First contract proposal was given February 3, 2020• Pandemic occurs March 2020 • Zoom meetings September 2020• Contract adjustments made based on discussions • Second contract proposal November 11, 2020• Contract adjustments made based on additional discussions• Third contract proposal December 9, 2020• December 31, 2020 MCH declines contract offer and contract expires.

30

Medina County Board of DDWe Are Helping Affected Individuals

All individuals and their guardians/family have been contacted by their SSA to discuss potential impact and options

We will continue to work with individuals to ensure their housing needs are met.

We are committed to cover the shortfall between what an individual is able to pay and the HUD fair market rate. Some people have vouchers and if available we will assist others to obtain a voucher.

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Questions?

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www.mcbdd.org330-725-7751

facebook - MedinaCountyDDtwitter - @MedinaCountyDD

THANK YOU33

http://www.mcbdd.org/

FOLLOW UP

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Follow-Up Information January 25, 2021

1. How many families were included on the EI surveys?

• We do not have this information. The state sent out the survey based on a random sample.

2. What is the status of MCBDD participating in Amazon Smile?

• Carey Bates is meeting with Patti Hetkey in February (due to CARF) to discuss participation and process.

3. Have we received the updated costs from the architect for the 10-Year Plan?

• We are still waiting for the revised report. They have been contacted multiple times, most recently on 1/14/21 letting them know the Board is waiting for the response.

4. Has a new Ombudsman been named?

• The Ombudsman position will be re-posted. Volume had been down, but we still push out the information about the service a bit heavier over the coming month. Michelle Kipfstuhl from Catholic Charities is still filling the role and Melanie Kasten-Krause (SHC) and Joelyn Karlson (SSA) meet quarterly, or more often if needed, to review any concerns.

5. There has been no word from Attorney Mike Lyons regarding the IAP issue.

6. How many people are we subsidizing? (from the 1/6/21 Special Bd. Mtg.)

• Currently, 17 people live in the “single family” houses; eight have MMHA vouchers, so we are currently subsidizing nine individuals.

• Currently, five people live in “MCA 4”; two have vouchers, so we are currently subsidizing three rents.

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DISCUSSION ITEMS

36

Total amount encumbered to date on COVID related supplies is $136,498.02. This is in addition to the COVID related Special Projects

53,184.91

16,133.72

11,697.45

27,066.52

9,678.68

5,868.61

4066.17

3798.94

5003.02

0.00 10,000.00 20,000.00 30,000.00 40,000.00 50,000.00 60,000.00

SUPPLIES

DECEMBER

NOVEMBER

OCTOBER

SEPTEMBER

AUGUST

JULY

JUNE

MAY

APRIL

37

We have been reimbursed a total of $105,989.06

• CCIP – ODE Coronavirus Relief Fund - $7,463.42 • CCIP – GEER – Governor’s Emergency Education Relief -

$31,119.42 • Medina County COVID relief funding for schools - $2,300.00 • Medina County CARES ACT funding - $65,106.22

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NEW BUSINESS

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RESOLUTION #02-21

January 25, 2021


EXCESS PROPERTY

A motion was made by _____________________________ and seconded by _______________________________ to declare the attached items as excess property and unusable by the Medina County Board of Developmental Disabilities and will be sold through internet auction. Explanation: The MCBDD Maintenance/IT Department has inspected and evaluated these items and determined that the items are unneeded. This property will be sold through auction or other means as specified in ORC 307.12, Disposition of Unneeded, Obsolete or Unfit Personal Property. THE MOTION WAS CARRIED AND ASSIGNED RESOLUTION #02-21. _____________________________________ Board Chair Medina County Board of Developmental Disabilities

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Inventory # # of items Item Description

S5499 1 Hewitt Packard Thin ClientS5571 1 Hewitt Packard Thin ClientS5575 1 Hewitt Packard Thin Client

1 Hewitt Packard Thin Client1 Hewitt Packard Thin Client1 Hewitt Packard Thin Client1 Hewitt Packard Thin Client1 Hewitt Packard Thin Client

S5702 1 Dell Laptop6800 1 Hewitt Packard Laptop

1 Lenovo TowerS5675 1 Dell ServerS5682 1 Dell ServerS5732 1 Dell ServerW3580 1 Nintendo System

1 Sun 600 Polaroid Camera1 Sun 600 Polaroid Camera1 Linksys Router1 Procurve Router

6591 1 Lenovo Think Pad1 Apple iPhone (broken/unusable by MCBDD)

W2607 1 Obsolete phone equipmentW2956 1 Obsolete phone equipmentW1268 1 Obsolete phone equipment

3 Sonim Cell Phone

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RESOLUTION #03-21

January 25, 2021


CASH TRANSFER

A motion was made by _____________________________ and seconded by _______________________________ to authorize the Medina County Auditor to transfer $4,745,657.00 from the General Fund 33009999-50960 (Transfers), to the Capital Fund 28559595-40450 (Transfers), for the purpose of Capital Improvements and the Capital Improvement Reserve. This cash transfer is included in the 2021 budget approved by the Board. THE MOTION WAS CARRIED AND ASSIGNED RESOLUTION #03-21. _____________________________________ Board Chair Medina County Board of Developmental Disabilities

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RESOLUTION #04-21

January 25, 2021


REQUEST TO APPROVE SUPERINTENDENT CONTRACT FOR

STACEY MALECKAR

A motion was made by ____________________________, and seconded by

______________________, to approve an Employment Contract for Stacey Maleckar as

Superintendent effective January 1, 2021, through December 31, 2023 with a 3% increase in 2021.

Explanation: This will be Ms. Maleckar’s second contract as Superintendent for the Medina County Board of DD. Her current salary is $116,000 per year. THE MOTION WAS CARRIED AND ASSIGNED RESOLUTION #04-21.

___________________________________________ Board Chair Medina County Board of Developmental Disabilities

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RESOLUTION #05-21

January 25, 2021


APPROPRIATION INCREASE TO DONATED FUND CONTRACT SERVICES

A motion was made by _____________________________ and seconded by _______________________________ to authorize the Medina County Auditor to make the following appropriation increases: INCREASE AMOUNT 33159092-50580, DF-CHILDREN SVS CONTR SVS $8,100.00 2021 Budget Appropriation increases: 33159092-50580 will increase from $0.00 to $8,100.00 Explanation: For the purpose of increasing appropriation for the contracted services Donated Fund Education account due a donation being received to put towards the cost of upgrading the gym PA system. THE MOTION WAS CARRIED AND ASSIGNED RESOLUTION #05-21. _____________________________________ Board Chair Medina County Board of Developmental Disabilities

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RESOLUTION #06-21

January 25, 2021


2021 ACTION PLAN

A motion was made by _____________________________ and seconded by

_______________________________ to approve the 2021 Action Plan as presented.

Explanation: The Medina County Board of Developmental Disabilities has developed and adopted by resolution a Strategic Plan that meets the requirements of section 5123-4-01(C), Administration and Operation of County Boards of Developmental Disabilities, of the Ohio Administrative Code. In order to implement the Strategic Plan, an Action Plan identifying activities, responsible parties, and dates has been prepared and submitted to the Board for approval. It should be noted that this Action Plan is an extension of the 2020 Action Plan.

THE MOTION WAS CARRIED AND ASSIGNED RESOLUTION #06-21.

_____________________________________ Board Chair Medina County Board of Developmental Disabilities

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2021 Action Plan Draft (4)

46

Action Plan Statement

The Medina County Board of DD is the community resource responsible for connecting, coordinating and funding services for individuals of all ages with developmental disabilities. We help with everything from early intervention and education opportunities for children to employment and community inclusive living for adults.

GOAL 1. INDIVIDUAL NEEDS AND SERVICES

THE MCBDD WILL STRIVE TO MEET THE NEEDS OF ALL INDIVIDUALS SERVED AND IDENTIFY THOSE THAT MAY BE SERVED.

Target Area 1: DEVELOP AND IMPLEMENT TRANSPORTATION OPTIONS TO TRANSITION DIRECT BOARD SERVICES TO PRIVATE PROVIDERS BY DECEMBER 31, 2021.

Steps Assigned Timeframe Notes 1. Evaluate current MCBDD status and transportation gaps in service

Assistant Superintendent

April 2020

2. Development of supports that may be offered to private providers


October 2020

3. Implementation of developed supports to private providers


December 2021

47

Target Area 2: IDENTIFY GAPS IN THE CONTINUUM OF SERVICES, I.E. SENIOR INDIVIDUALS.

Steps Assigned Timeframe Progress 1. Implementation of the recommendations for the Community Supports Department


July 2020

2 Evaluation of the Community Supports Dept.


July 2021

Target Area 3: PROVIDE THE CHOICE FOR SERVICES IN THE MOST INTEGRATED AND SAFE SETTINGS APPROPRIATE TO INDIVIDUALS’ NEEDS.

Steps Assigned Timeframe Progress 1. All steps have been completed

Target Area 4: PROVIDE HOME AND COMMUNITY BASED SERVICES WAIVERS AS FUNDS BECOME AVAILABLE.

Steps Assigned Timeframe Notes 1. Continue evaluating the needs of Individuals for Waiver funded services

Director of SSA October 2020

2. Assess the available funds for Waiver match to determine long-term sustainability of our current match

Director of Business

October 2020

48

obligations but also new match obligations (additional waivers) 3. Submit to DODD the projected new waivers

Director of SSA December 2020

4. Evaluate effectiveness of revised services funding policy


April 2020

GOAL 2. NEW SERVICE DEVELOPMENT WITH A FOCUS ON COMMUNITY INCLUSION

THE MCBDD WILL COMPLY WITH ALL STATE AND FEDERAL MANDATES TO ASSIST AND GUIDE ELIGIBLE INDIVIDUALS TO REACH THEIR FULL POTENTIAL AS MEMBERS OF THEIR DESIRED SETTING WITHIN OUR COMMUNITY.

Target Area 1: DEVELOP A COMMUNITY SUPPORT DEPARTMENT DEDICATED TO SUPPORTING COMMUNITY-BASED SERVICES, E.G. QUALITY ASSURANCE, FAMILY/ PROVIDE RELATIONS, HEALTH SERVICES, EMPLOYMENT/ CONNECTIONS, TRANSPORTATION COORDINATION. TO FACILITATE TRANSITION OF ADULT DAY SERVICES TO PRIVATE PROVIDERS ON OR BEFORE DECEMBER 31, 2020.

Steps Assigned Timeframe Progress Implement the framework and structure including filling positions

Director of Community Development and Director

July 2020

49

of Community Services

Target Area 2: PROVIDE A COMMUNITY-BASED EDUCATIONAL PROGRAM FOR REDUCING STIGMA AND STEREOTYPING OF INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES.

Steps Assigned Timeframe Notes 1. Implement recommendations for updated community-based educational program

Director of Community Development

February 2020

2. Identify additional presentation opportunities within middle schools, businesses and community agencies


September 2020

3. Analyze data from follow up and tracking tools to identify strengths and weaknesses and make changes as needed


December 2021

Target Area 3: IMPROVE COMMUNITY EMPLOYMENT RESULTS.

Steps Assigned Timeframe Progress 1. Implement recommendations and strategies to improve community employment outcomes and track outcomes

Director of Community Services

July 2020

2. Identify local providers that are certified in Individual Employment Supports (i.e. ongoing supports in a community


April 2021

50

employment setting) or are interested in becoming certified and expanding services 3. Develop plan to transition current Individual Employment Support waiver and locally funded services to willing certified providers


August 2021

4. Collaborate with SSA on a plan to work with individuals that are on Path 2 for employment that addresses current barriers for community employment


November 2021

Target Area 4: PROMOTE SELF-ADVOCACY TRAINING AND PROGRAMMING FOR INDIVIDUALS.

Steps Assigned Timeframe Progress 1. Develop recommendations that will support and enhance self -advocacy services for eligible individuals


May 2020

2. Implement recommended changes in self advocacy services to reflect the current and future role of the county board


October 2020

3. Evaluate status of the self-advocacy services provided


August 2021

51

Target Area 5: CREATE A DESIGNATED CENTRAL INFORMATION PORTAL FOR ALL STAKEHOLDERS.

Steps Assigned Timeframe Progress 1. Develop recommendations and present to Superintendent


March 2021

2. Implement recommendations for centralized information resource as approved


August 2021

GOAL 3. PROVIDER ENHANCEMENT AND SUPPORT

THE MCBDD WILL SUPPORT AND ASSIST PROVIDERS IN DEVELOPING AND PROMOTING CHOICES AND PROVIDE A VARIETY OF QUALITY SERVICES FOR ALL ELIGIBLE INDIVIDUALS.

Target Area 1: SUPPORT PROVIDER COMPETENCY AND QUALITY.

C O LL AB O RA TE W I T H P RO VI D E R S TO C R E A TE A P LA N T O A SSI S T P ROVI D E RS T O R E C R UI T , R E T AI N A N D TR A I N D I R E C T S E RVI C E P R OV I DE RS.

R E V I EW PO T EN T I A L BOA R D -P R OVI D E D P R OVI D E R T RA I N I NGS F O R Q U AL I T Y I MP R OV E ME NT .

Steps Assigned Timeframe Progress

1. Revise recommendations that MCBDD may provide to support providers to recruit, retain, and train


March 2021

52

direct service professionals and present to the Superintendent 2. Implement recommendations identified to support providers in their efforts to recruit, retain, and train direct service professionals


June 2021

3.Evaluate current supports efforts for effectiveness and standardize best practices.


June 2021

4. Implement joint trainings for private providers and MCBDD staff to promote relationships and learn current roles and trends


March 2021

Target Area 2: INCREASE THE CAPACITY OF PROVIDERS AND SERVICE OPTIONS.

P R O MO T E A N “ E MP LO YM E NT F I RS T ” P OL I C Y .

P R O MO T E S UP PO R TI VE T EC H N O LO G Y F O R I N DI V I D UA L S.

Steps Assigned Timeframe Progress 1. Invite at least three organizations to explore the Smart


October 2020

53

Home and receive information regarding supportive technology 2. Develop the Provider Special Project Initiative to increase innovative programming options for individuals


March 2020

3. Pilot at least one special project initiative with private providers.


August 2021

Target Area 3: PROMOTE AND SUPPORT A PROVIDER RATING SYSTEM.

I N ST R U C T F AM I L I E S , G U A RD I AN S A N D P R OVI D E RS HOW T O US E PR O VI DE R G UI D E P L US.

Steps Assigned Timeframe Progress 1. Develop an ongoing communication plan to raise awareness of Provider Guide Plus

Community Relations Coordinator

March 2020

2. Provide additional training opportunities for stakeholders about Provider Guide Plus in the agency annual training plan/calendar


June 2020

3. Evaluate local awareness and usage of Provider Guide Plus and update


November 2020

54

communication plan, if needed

GOAL 4. COMMUNICATION – INTERNAL/EXTERNAL THE MCBDD IS COMMITTED TO FOSTERING A COMMUNICATION SYSTEM THAT CREATES TRUST AND BUILDS AWARENESS, RESULTING IN A PROFESSIONAL, WELCOMING AND OPEN ATMOSPHERE/CULTURE FOR INDIVIDUALS SERVED, GUARDIANS, FAMILIES, VOLUNTEERS, COMMUNITY PARTNERS AND STAFF.

Target Area 1: CREATE, PUBLISH AND COMMUNICATE A TRANSITION PLAN FOR ALL INDIVIDUALS, STAKEHOLDERS AND STAFF BY DECEMBER 31, 2020.

E S TA BL I S H TR A N SI T I O N OU T C O M ES FOR YE A R T H R EE O F T H E O PE RA T I N G P LA N.

P R OVI D E S T RA T EGI ES T O I D E N TI F Y A N D S U PP O R T I N DI V I D UA LS T RAN S I T I O NI NG T O P RI V A TE PR O VI DE R S.

Steps Assigned Timeframe Progress 1. Propose Transition Timeline for ISO and Transportation services to Board

Superintendent April 2020

2. Distribute Transition Timeline to all stakeholders using a variety of methods

Superintendent/ Community Relations Coordinator

April 2020

55

Target Area 2: COMMUNICATE TO ALL STAFF AND STAKEHOLDERS, “HOW WE GOT HERE, WHERE WE ARE, WHERE WE ARE GOING.”

Steps Assigned Timeframe Progress 1. Develop agency update report

Superintendent June 2021

2. Distribute to community the statement by newsletter, email, and press release

Superintendent June 2021

Target Area 3: PUBLISH A TRANSITION PROCESS PROJECTING IMPACT ON INDIVIDUALS AND FUTURE STAFFING NEEDS.


Target Area 4: RE-EVALUATE COMMUNICATIONS TO ENSURE SUCCINCTNESS AND EFFECTIVENESS OVER QUANTITY.

Steps Assigned Timeframe Progress 1. Implement changes per recommendations


January 2020

2. Gather data on changed/additional communication efforts and engagement


October 2020

56

3. Evaluate communication data


November 2020

4. Recommend changes or additions for communication efforts and present recommendations to the Superintendent


March 2021

Target Area 5: DEVELOP LEVY COMMUNICATION PLAN FOR 2019.

Steps Assigned Timeframe Progress 1. Evaluate communication strategies, costs, and create summary for future requests


June 2020

Target Area 6: ESTABLISH AN EFFECTIVE, TWO-WAY INTERNAL COMMUNICATION PROCESS, I.E. STAFF -ADMINISTRATION.

Steps Assigned Timeframe Progress 1. Measure effectiveness of current communication process through utilization of the annual staff satisfaction survey

Director of HR

March 2021

2. Develop and submit recommendation, as appropriate, based on staff feedback to Superintendent for approval

Director of HR

May 2021

3. Implement recommendations as

Director of HR

June 2021

57

approved to improve internal communication

Target Area 7: DEVELOP OUTREACH TO STAKEHOLDERS TO MAKE THEM AWARE OF MCBDD SERVICES, I.E. EARLY INTERVENTION SERVICES.

Steps Assigned Timeframe Notes 1. Gather and review future funding projections and previous stakeholder engagement data


February 2020

2. Develop communication and marketing strategies and materials to target key community influencers and stakeholders


March 2020

3. Implement communication and marketing strategies and distribute materials


April 2020

4. Evaluate outreach efforts and create outreach plan


July 2020

GOAL 5. ACCOUNTABILITY – FISCAL AND OTHER RESOURCES

THE MCBDD WILL DEMONSTRATE EXCEPTIONAL ACCOUNTABILITY IN ALL OPERATIONS AND FISCAL MANAGEMENT.

58

Target Area 1: DEVELOP A DASHBOARD OF FISCAL INDICATORS THAT MAY BE USED BY INTERNAL AND EXTERNAL STAKEHOLDERS.

Steps Assigned Timeframe Progress 1. Provide fiscal indicator quarterly updates to the Board as well as the location (e.g. website) for stakeholders


January, April, July, October

Target Area 2: COMMUNICATE FISCAL RESPONSIBILITY AND STEWARDSHIP WITH ALL STAKEHOLDERS PERIODICALLY.

Steps Assigned Timeframe Notes 1. Determine ways and methods to communicate how the agency shows fiscal responsibility



Target Area 3: PROJECT AND DEVELOP A COMMUNITY USAGE PLAN FOR BOARD FACILITIES.

Steps Assigned Timeframe Progress 1. Provide recommendations reviewed by the Facilities Committee to the Superintendent

Director of Facilities and IT

January 2020

2. Implement recommendations as approved by the Superintendent and/or the Board


January 2020

3. Move SSA office to the MCAC site


September 2020

4. Evaluate space changes and renovation

Director of Facilities and

October 2020

59

IT 5.Provide evaluation and recommendations reviewed by the Facilities Committee to the Superintendent


December 2020

6. Complete the 2nd phase of the SSA wing


December 2021

7. Adjust the 10 year capital improvement plan based on the facility assessment


September 2021

GOAL 6. ACCOUNTABILITY – PROGRAM AND SERVICES OUTCOMES THE MCBDD WILL CONTINUALLY REVIEW AND REPORT ON CURRENT SERVICES AND THEIR OUTCOMES, QUALITY, TIMELINESS, AND EFFECTIVENESS.

Target Area 1: EVALUATE THE NEED OF INDIVIDUALS ON WAIT LISTS.

Steps Assigned Timeframe Progress 1. Continue assessing individuals on the transitional wait list per the Waiting List Rule

Director of SSA

December 2020

2. Establish current needs wait list and report to the Superintendent and Board

Director of SSA

December 2020

60

Target Area 2: ESTABLISH A SERVICE EXPECTATIONS MATRIX FOR ALL INTERNALLY PROVIDED SERVICES.

Steps Assigned Timeframe Progress 1. Implement identified performance outcomes and communicate performance outcomes to stakeholders


January 2020

1. Evaluate performance outcomes and revise as needed


June 2021

Target Area 3: ESTABLISH A VISION PLAN FOR ALL CHILDREN’S SERVICES.

Steps Assigned Timeframe Progress 1. Revise LEA contracts to start billing for direct service tuition for the 20-21 schoolyear. This is a 5-year phase-in plan


May 2020

GOAL 7. STAFF DEVELOPMENT AND SKILL SUSTAINABILITY

THE MCBDD IS DEDICATED TO DEVELOPING OPPORTUNITIES TO EQUIP STAFF WITH SKILLS TO EFFECTIVELY FULFILL THE BOARD’S MISSION AND TO PREPARE THEM FOR FUTURE VOCATIONAL OPPORTUNITIES.

Target Area 1: PROVIDE INFORMATION RELATIVE TO VOCATIONAL SKILL DEVELOPMENT AND ENHANCEMENT FOR FUTURE EMPLOYMENT OPTIONS.

Steps Assigned Timeframe Notes

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1. Complete a job analysis focusing on future job responsibilities and skill requirements

Director of HR

2. Revise job descriptions and submit to Superintendent for final approval

Director of HR

3. Develop and implement an annual training plan for staff with a focus on revisions to job responsibilities/requirements


Target Area 2: REVIEW AND CONFIRM PRESENT SSA TRAINING FOR CONSISTENCY, PERFORMANCE/KNOWLEDGE EXPECTATIONS AND CUSTOMER SERVICE SKILLS.


Target Area 3: PROMOTE A SUPPORTIVE CULTURE THROUGHOUT THE ORGANIZATION.

Steps Assigned Timeframe Progress 1. Create a plan that promotes and incorporates the culture into the day to day operations of the agency

Superintendent and Director of HR

July 2021

2. Share the statement and implementation of the plan with the Board and staff


July 2021

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3. Implement staff training, including customer service, as needed for implementation of a supportive culture


December 2021

GOAL 8. BOARD STEWARDSHIP THE MEDINA COUNTY BOARD OF DD WILL ASSURE THE FAITHFUL STEWARDSHIP OF ALL PROGRAMS, SERVICES, RESOURCES AND FUNDING THROUGH THE OVERSIGHT OF THIS STRATEGIC PLAN’S IMPLEMENTATION.

Target Area 1: ENGAGE IN QUARTERLY REVIEWS OF THIS PLAN’S PROGRESS.

Steps Assigned Timeframe Progress 1. Report on quarterly basis

Board President


Target Area 2: PUBLICIZE ANNUALLY A STRATEGIC PLAN PROGRESS REPORT.

Steps Assigned Timeframe Progress 1. Provide annual review for public dissemination

Board January, April, July, October

Target Area 3: BOARD MEMBERS PARTICIPATE IN TRAININGS TO ENHANCE DECISION-MAKING EFFECTIVENESS: COMMUNICATIONS, LEADERSHIP ROLES, STAKEHOLDER SERVICE, ETC.

Steps Assigned Timeframe Progress 1. How are we doing as a business (the Board will review the Fiscal


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Indicator Report quarterly) 2. Recommendations to move forward will be made by the Board through the budget review and approval process

Board Fall 2021

3. Implement recommendations (the Board will implement effectiveness measures as approved in the annual Action Plan)

Board December 2021

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Subject: Recommended policy changes for review and approval

MCBDD Board Members:

Requesting approval for the policies listed below. New/revised policies are presented and the old policies are struck through.

Current Chapter Location Policy Number

Current Policy Title

Recommended Policy Changes

Recommended Policy

Number/Chapter Location

Comments

Chapter 2

The MCBDD Board

Revision Chapter 2 Annual review and update

Chapter 6 Transportation Revision Chapter 6 Revised due to transition out of Adult Services.

Chapter 10 Adult Services Title Change and Revision

Chapter 10-Community

Supports Department

Revised due to the transition out of Adult Services and the

creation of the Community Supports Department.

Chapter 11 General

Programs and Services

Revision Chapter 11 Annual review and update.

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Chapter 2 – The MCBDD (Board)

SECTION: 1. BOARD DUTIES AND RESPONSIBILITIES

A. Superintendent B. Employment First C. Social Media

2. MEMBERSHIP

A. Appointments of Board Members B. Oath of Office C. Person Who May Not Serve on a County Board of Developmental Disabilities D. Declaration of Eligibility Prior to Appointment to Board E. Time and Term of Appointments of Board Members F. Reappointment of Members of Board G. Filling of Vacancy on Board for Unexpired Term H. Members of Board not Compensated - Reimbursement Expenses I. Members of Board to Attend Annual In-Service Training J. Grounds for Removal K. Waiver of the Requirements for Removal Removal Requirement for Non-Attendance L. Request for Hearing on Proposed Removal of Board Member

3. ORGANIZATION OF BOARD

A. Notification Pertaining to MCBDD Board Members B. Board Officer Duties C. Committees of the Board D. Appointing Ethics Council E. Reviewing Direct Services Contracts F. Direct Service Contracts Requirements

4. BOARD MEETINGS

A. Executive Session B. Special Meetings C. Public Notice for Board Meetings D. Open Forum

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5. ETHICS POLICY A. General B. General Standards of Ethical Conduct C. Agency-Wide Compliance Standards of Ethical Conduct D. Use of Authority E. Employee Conflict of Interest Affidavit F. Penalties G. Compliance with the Law

6. ACCESSIBILITY

A. Accessibility Plan SOURCE: ORC 102.01 (Public officers - ethics definitions) ORC 121.22 ORC Chapter 3323 (Education Children with Disabilities) ORC Chapter 2921 (Offenses Against Justice and Pumentalblic Administration) ORC 5123.171 ORC 5126 OAC 5123 OAC 5123:2-1-02 OAC 5123-4-01 42 USC Sec. 12101 DEFINITIONS

• “Immediate family” (ORC 102.01) means a spouse residing in the person’s household and any dependent child. • "Appointing authority" means the entity with statutory authority to appoint members to boards of mental

retardation and developmental disabilities pursuant to division (B) of section 5126.022 of the Revised Code. • "Unit" means fifty minutes of instruction. • "In-service training" means Department provided or approved training of Board Members pursuant to Division (C)

of Section 5126.02 sections 5126.0210 and 5123-4-03 of the Ohio Revised Code/Ohio Administrative Code that may include, but is not limited to, the following topics: ethics, including conflicts of interest and the Board’s ethics council; boardsmanship; open meeting requirements; confidentiality; and current issues in the field of developmental disabilities.

• "Special meeting" means a meeting which is neither a regular meeting nor an adjournment or a regular (or special) meeting to another time or day to consider items specifically stated on the original agenda of such regular (or special) meeting.

GENERAL (ORC 5126.02, ORC 5126.07) Each county shall have its own county board of developmental disabilities which shall be operated as a separate administrative and service entity. The functions of the county board shall not be combined with the functions of any other entity of county government. The President of the Board and Superintendent should be kept informed of activities and meetings. Any final conclusions should be presented to the President and Superintendent before being released to the press or general public. No county board of developmental disabilities or any agency, corporation, or association under contract with a county board of developmental disabilities shall discriminate in the provision of

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services under its authority of contract on the basis of race, color, sex, creed, disability, national origin, religion, age, sexual orientation, gender identity, gender expression or inability to pay 1. BOARD DUTIES AND RESPONSIBILITIES

SOURCE: ORC 5126.0212 ORC 5126.0219 ORC 5126.02222 ORC 5126.037 ORC 5126.05 OAC 5123:2-1-02 ORC 5126 OAC 5123-4-01

The Board shall: (ORC 5126.05) • operate as a committee of the whole; • authorize special committees as are deemed necessary and the members of such committees shall be appointed by the President:

the term of Board committee membership is for one calendar year from January until the following year of the Board organization meeting;

• administer and operate facilities, programs, and services as provided by ORC Chapter 5126 and Chapter 3323 and establish policies for their administration and operation;

• ensure that the programs so administered and operated conform to the rules, regulations, and standards established by the Director of the Department of Developmental Disabilities and the State Board of Education pursuant to Chapter 119 of the Ohio Revised Code;

• coordinate, monitor, and evaluate existing services and facilities available to individuals with developmental disabilities; • provide early intervention services, supportive home services, and adult services, according to the plan and priorities developed

under ORC 5126.04; • provide or contract for special education services pursuant to ORC Chapters 3317 and 3323 and ensure that related services, as

defined in ORC 3323.01, are available according to the plan and priorities developed under ORC 5126.04; • adopt a budget, authorize expenditures for the purposes specified and do so in accordance with ORC 319.16 approve attendance

of Board Members and employees at professional meetings and approve expenditures for attendance and exercise such powers and duties as are prescribed by the director;

• submit annual reports of its work and expenditures, pursuant to ORC 3323.09 and 5126.12 to the Director, the Superintendent of public instruction, and the Board of County Commissioners at the close of the fiscal year and at such other times as may reasonably be requested;

• authorize all positions of employment, establish compensation, including but not limited to salary schedules and fringe benefits for all Board employees, approve contracts of employment for management employees that are for a term of more than one year, employ legal counsel under ORC 309.10 and contract for employee benefits;

• provide service and support administration in accordance with ORC 5126.15; • certify respite care homes pursuant to rules adopted under ORC 5123.171 by the Director of Developmental Disabilities; • require individual program or service plans for individuals who are being served or who have been determined eligible for

services and are awaiting the provision of service and ensure that methods of having their service needs evaluated are available; • establish a Family Support Services program subject to the availability of money from state and federal sources;

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• reserve the right to choose not to respond to or investigate anonymous complaints or rumors (Identification of the source of a complaint is necessary in order to effect resolution of the conflict);

• plan, and set priorities based on available resources for the provisions of facilities, programs, and other services to meet the needs of individuals, former eligible residents of the county residing in stat institutions or, before the effective date of the amendment to ORC 5126.04, placed under purchase of service agreements under ORC 5123.18, and children subject to a determination made pursuant to Section 121.38 of the Ohio Revised Code;

• assess the facility and service need of the individuals with developmental disabilities who are residents of the county or former residents of the county residing in stat institutions or, before the effective date of the amendments to ORC 5126.04, placed under purchase of service agreements under section 5123.18 of the Ohio Revised Code; and

• develop and adopt an annual Action Plan.

The Board may: • enter into contracts with other such boards and with public or private, nonprofit, or profit-making agencies or organizations of the

same or another county, to provide the facilities, programs, and services authorized or required, upon such terms as may be agreeable, and in accordance with this chapter and Chapter 3323 of the Ohio Revised Code and rules adopted there under and in accordance with sections 307.86 and 5126.071 of the Ohio Revised Code;

• may combine transportation for children and adults enrolled in programs and services offered under Chapter 5126 of the Ohio Revised Code with transportation for children enrolled in classes funded under section 3317.20 or units approved under section 3317.05 of the Revised Code; and

• contract with such a governing board even though the governing board includes an individual who is an employee of the Board: that member of the governing board may not vote on any matter before the governing board concerning a contract with the Board or participate in any discussion or debate regarding such a contract.

The Board shall not:

• engage directly in collective bargaining, grievance/arbitration hearing, or contract discussions with employee associations, presidents, or representatives, unless granted permission by an approved Board motion;

• become directly involved in the resolution of staff complaints; • contract with a nongovernmental agency whose board includes a Medina County Commissioner; • participate in or vote on any matter before the Board concerning a contract agency of which they or a member of their immediate

family are also a Board Member or employee; • expend public funds to prepare and distribute material for the specific purpose of promoting a bond issue or tax levy, or

promoting or opposing any candidate for political office; or • shall not expend public funds for the purposes prohibited by the laws of the State of Ohio.

A. Superintendent (ORC 5126.0219, ORC 5126.022) SOURCE: ORC 5126.0219 ORC 5126.0220) MCBDD shall employ a Superintendent. The Board shall provide for a Superintendent who is qualified, as specified in rules adopted by DODD in accordance with Chapter 119 of the Ohio Revised Code. The Superintendent shall have no voting privileges on the Board. The Superintendent shall be a member ex-officio of all special committees of the Board and of all committees and commissions appointed by the Board. The Board shall prescribe the duties of its Superintendent and review the Superintendent’s performance. The Superintendent may be

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removed, suspended, or demoted for cause pursuant to section 5126.23 of the Revised Code. The Board shall fix the Superintendent’s compensation and reimburse the Superintendent for actual and necessary expenses. The Superintendent shall be employed under a contract. To enter into a contract, the Board shall adopt a resolution agreeing to the contract. Each contract for employment or re-employment of the Superintendent shall be for a term of not less than one and not more than five years. At the expiration of the Superintendent’s current term of employment, the Superintendent may be re-employed. If the Board intends not to re-employ the Superintendent, the Board shall give the Superintendent written notification of its intention. The notice shall be given not less than ninety days prior to the expiration of the Superintendent’s contract. If a vacancy occurs in the position of Superintendent, the Board may appoint a person who holds a valid Superintendent’s certificate issued under the rules of the DODD to work under a contract for an interim period not to exceed one hundred eighty days until a permanent Superintendent can be employed or arranged for. The Director of DODD may approve additional periods of time for these types of interim appointments when so requested by a resolution adopted by the Board, if the Director determines that the additional periods are warranted and the services of a permanent Superintendent are not available. SOURCE: Executive Order signed by the Governor March 19, 2012 (Employment First) General: The purpose of this policy is as follows: to ensure that the individuals served by Medina County Board of Development Disabilities (MCBDD), in accordance with all other policy and procedures, are encouraged to identify the individuals' unique strengths, interests, abilities, preferences, resources and desired outcome as they relate to community employment. All individuals shall have opportunities to explore work, community engagement, volunteerism, and entrepreneurship in their community in a manner that is the least restrictive and to identify community employment as the desired outcome for every individual of working age. The MCBDD supports the Executive Order signed by the Governor March 19, 2012 for the Employment First Initiative.

DEFINITIONS: • "Community Employment" means competitive employment that takes place in an integrated setting. • “Chosen Representative” refers to the person selected by the individual to provide representation, advocacy, advice, and

assistance in day-to-day coordination of services in accordance with the ISP. • “Individual” refers to the person with developmental disabilities who is eligible to receive services and supports from the

MCBDD and has the same meaning as in ORC 5126.032. • “Individual Support Plan” (ISP) refers to the document that reflects the individuals wants and needs in all areas of his/her life

and includes the services, supports, and activities to be provided to reach the desired outcomes. • “Least Restrictive” is when a person receives only the services and supports needed to participate in activities and become full

partner and participant and to receive services and supports in the most typical environment. • “Natural Support” is a support that is not paid. Natural supports can include, but are not limited to, family members, neighbors,

significant others, and community members who share interests with the person they are supporting. Natural supports shall be documented in the ISP.

• "Person Centered Planning Process" refers to the process where each individual shall participate in an individualized process to identify the individual's unique strengths, interests, abilities, preferences, resources, and desired outcomes as they relate to community employment.

• “Transition” refers to the time period before the individual graduates from high school and enters work or college. Effective transition services and supports shall be in place in sufficient time to discover the person’s personal genius and supports and services needed to ensure success.

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B. Employment First Everyone can contribute to their community. Services and supports that a person receives from the Board will be an outcome of the Person Centered Planning process.

1. Individuals determined to be eligible for services provided by MCBDD shall be encouraged to participate in exploration and discovery opportunities to explore individualized options and teach skill building, work, volunteerism, and/or entrepreneurship in their community.

2. Each Individual seeking service from the county board will participate in work, volunteerism, entrepreneurship and/or community engagement. An assessment process will be employed to help individuals discover their personal genius and identify personal goals, skills, strengths, and areas of supports needed for full participation in their community and determine their place on the path to community employment.

3. All individuals will be encouraged to identify natural supports and a chosen representative who might support their participation in the community.

4. Individuals receiving services from the county board will enhance their community through participation and contributions where they live, work, and recreate. To this end, the individual will uncover all supports (both paid and natural supports) needed to be a full participant in his/her community. The individual, to the extent possible, will receive the supports in his/her community and from the community as much as possible.

5. MCBDD will work with community partners to develop and support opportunities for people to work and grow in their community. This includes collaborating with school districts in the county to ensure a framework exists for individuals approaching completion of a program or service, as well as employers and providers of service. Through this collaboration, the county board shall identify and attempt to resolve any duplication of efforts.

6. The county board shall disseminate information to individuals served, families, schools, community partners, employers, and providers of service about resources and opportunities including Medicaid buy-in and other work incentive programs that facilitate community employment.

7. The county board shall outline and periodically update its strategy and benchmarks for increasing the number of individuals of working age engaged in community employment services in its strategic plan.

8. Appropriate measures and outcomes will be maintained to determine effectiveness and direction of the activities for this policy. Measures and/or outcomes will be reported to the county board and to the Department of Developmental Disabilities on a regular basis.

C. Social Media The Medina County Board of Developmental Disabilities has embraced social media to improve accessibility and transparency and to foster positive relationships with key audiences such as individuals who receive services, families, guardians, community partners, and taxpayers. The intent of the MCBDD Social Media Policy is to protect the privacy, confidentiality, and interests of MCBDD, as well as our services, employees, partners, families, and individuals served. The appropriate use of social media can assist the Board in achieving the following:

1. promoting a positive image within the community; 2. reaching a larger audience to promote and increase awareness of the Board’s mission, core values, services, successes, and individuals served; 3. increasing customer service and satisfaction; 4. gaining customer input; and 5. enhancing communication.

Definitions:

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• Board: In this policy, the Board will mean the Medina County Board of Developmental Disabilities, Board Members, Administration, and staff members.

• Social Media: Works of user-created video, audio, text, or multimedia that are published and shared through a computer, cell phone, or other devices to the general public or anyone who can access such sites. Examples of these sites may include, but are not limited to, the following: Facebook, Twitter, Tumblr, Pinterest, LinkedIn, Google +,Blogs, Flickr, YouTube, etc.

1. The Board respects the right of privacy of its employees, individuals served, independent contractors, volunteers, and visitors and has the following guidelines regarding all usage including off duty use of social media: a. Personal information will be carefully protected in regards to what is shared online. b. The Boards' policies and procedures, including but not limited to, Confidentiality, HIPAA, Acceptable Use, Harassment, and

Conduct Between Staff and Enrollees shall be known and followed. c. Close relationships are enjoyed by many staff and the individuals we serve. Any identifying and/ or confidential information

about individuals served or their families, guardians, or caregivers shall not be transmitted. d. Board logos or materials shall not be used without first obtaining permission from the Community Relations

Coordinator. Images of individuals served, their families, caregivers, Board employees, or the workplace shall not be transmitted without proper authorization.

e. Social media may not be used to harass any individuals, including but not limited to, Board Members, fellow employees, individuals served, their families, guardians, caregivers, customers, providers, or others associated with the Board.

f. It shall be clear to the readers that the views you express on your social media are yours alone and do not reflect the view of the Board. To help reduce the potential for confusion, it is requested that you put the following notice in a reasonably prominent place on your site: The views expressed are mine and do not necessarily reflect the views of my employer.

g. You have sole responsibility for what you post to your site. Social media communications are public record and are able to be immediately searched and shared. Special care should be taken when considering communicating with individuals served on social media sites.

h. You will not complain about the Board or co-workers in your social media communication. If you have an issue or complaint, it must be handled through the appropriate chain of command. Do not comment on anything related to legal matters, litigation or with any parties in which the Board may be in litigation.

i. Questions regarding any matter related to your site/postings should be directed to your supervisor or the Board’s Human Resources Department.

j. No employee should establish an online social media presence to represent it as an MCBDD sponsored entity. All social media accounts for MCBDD will be setup by the Community Relations Coordinator.

k. All mainstream media inquiries must be referred to the Community Relations Coordinator. 2. There are exceptions in regards to sharing information. They are as follows:

a. Information may be shared as required by law or other Board policies. b. Information may be shared if written consent has been provided to the Board and provides specific information. c. If an individual who is his/ her own guardian desires to share information, one may assist them in doing so if it is in your job

duties.

Failure to adhere to this policy will result in disciplinary action, up to and including termination. 2. MEMBERSHIP (ORC 5126.021) The Board shall consist of seven (7) members, five (5) of whom are appointed by the Medina County Commissioners and two of whom are appointed by the Senior Medina County Probate Judge. Medina County. A. Appointments of Board Members (ORC 5126.022)

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The appointing authority shall appoint only individuals who are residents of Medina County, citizens of the United States, and interested and knowledgeable in the field of mental retardation developmental disabilities and other allied fields. If the appointing authority is a Board of County Commissioners, at least two individuals who are immediate family members of individuals eligible for services provided by MCBDD and, whenever possible, ensure that one of those two members is an immediate family member of an individual eligible for adult services and the other is an immediate family member of an individual eligible for early intervention services or services for preschool or school-age children; If the appointing authority is a senior probate judge, appoint at least one individual who is an immediate family member of an individual eligible for residential services or supported living. The membership of the Board shall include to the maximum extent possible, individuals who have professional training and experience in business management, finance, law, health care practice, personnel administration, or government service and, as nearly as possible, reflect the composition of the population of the county. B. Oath of Office The following Oath of Office shall be administered to new Board Members by the appointing authority for that Board Member (either the County Commissioner or the Probate Judge). It shall read: "Do you solemnly swear that you will support the constitutions of the United States and the State of Ohio; and that you will faithfully and impartially discharge your duties as a member of the Medina County Board of Developmental Disabilities to the best of your ability, and in accordance with the laws and the rules, regulations, and policies of the Board now in effect and hereafter to be enacted, during your continuance in said office, and until your successor is appointed?" The answer is: "I do." C. Persons Who May Not Serve on a County Board of Developmental Disabilities (ORC 5126.023) The following individuals shall not serve as Board Members:

• Elected public officials, except for a township trustee, township clerk, or individuals excluded from the definition of a public official or employee in ORC 102.01;

• An immediate family member of a member of the MCBDD ; • An employee of any county board; • An immediate family member of an employee of the MCBDD; • A former employee of the MCBDD whose employment ceased less than four calendar years before the former employee would

begin to serve as a member of the Board; • A former employee of the MCBDD whose employment ceased less than two years before the former employee would begin to

serve as a member of a different county board; • Unless there is no conflict of interest, an individual who or whose immediate family member is a Board Member of an agency

licensed or certified by the Department of Developmental Disabilities to provide services to individuals with developmental disabilities or an individual who or whose immediate family member is an employee of such an agency; or

• An individual with an immediate family member who serves as a County Commissioner of Medina served by the MCBDD unless the individual was a member of the Board before October 31, 1980.

D. Declaration of Eligibility Prior to Appointment to Board (ORC 5126.024) No individual may be appointed or reappointed to the Board unless the individual, before the appointment or reappointment, provides to the appointing authority a written declaration specifying both of the following:

• That no circumstance described in ORC 5126.023 exists that bars the individual from serving on the Board; and

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• Whether the individual or an immediate family member of the individual has an ownership interest in or is under contract with an agency contracting with the Board, and, if such an ownership interest or contract exists, the identity of the agency and the nature of the relationship to that agency.

On appointment or reappointment of an individual to the Board, the appointing authority shall provide a copy of the individual's declaration to the Superintendent of the Board. The declaration is a public record for the purpose of ORC 149.43. E. Time and Term of Appointment of Board Members (ORC 5126.025) Except for members appointed under section 5126.027 of the Ohio Revised Code to fill a vacancy, members of the Board shall be appointed or reappointed not later than the last day of November, commence their terms on the date of the stated annual organizational meeting in the following January as provided under section 5126.029 of the Ohio Revised Code, and serve terms of four years. The membership of an individual appointed as an immediate family member of a recipient of services shall not be terminated because the services are no longer received. F. Reappointment of Members of Board (ORC 5126.026) Except as otherwise provided in ORC 5126.0218 , a member of the Board may be reappointed to the Board. Prior to making a reappointment, the appointing authority shall ascertain, through written communication with the Board, that the member being considered for reappointment meets the requirements of ORC 5126.022 and 5126.0218. A member who has served during each of three consecutive terms shall not be reappointed for a subsequent term until two years after ceasing to be a member of the Board, except that a member who has served for ten years or less within three consecutive terms may be reappointed for a subsequent term before becoming ineligible for reappointment for two years. G. Filling of Vacancy on Board for Unexpired Term (ORC 5126.027) Within sixty days after a vacancy on the Board occurs, including a vacancy created under ORC 5126.0213, the appointing authority shall fill the vacancy for the unexpired term. Before filling a vacancy, the appointing authority shall cause a notice of the vacancy to be published on at least two separate dates in one or more newspapers serving the county the MCBDD serves. A member appointed to fill a vacancy occurring before the expiration of the term for which the member's predecessor was appointed shall hold office for the remainder of that term. H. Members of Board Not Compensated - Reimbursement for Expenses (ORC 5126.028) Members of the MCBDD shall serve without compensation, but shall be reimbursed for necessary expenses incurred in the conduct of Board business, including expenses incurred within Medina County. The members of the Board and/or the Board as a body may join an association of Boards and have their dues paid by the Board. I. Members of Board to Attend Annual In-Service Training (ORC 5126.0210, ORC 5126.0211, OAC 5123:2-1-13

OAC 5123-4-03) During each calendar year of a Board Member's term, the member shall attend a minimum of four hours of in-service training, except as provided in OAC 5123-4-03 (C) (b) (c) (d). Section 2.2.8.1 This training shall not be considered regularly scheduled meetings of the Board. A Board member shall be considered present at an in-service training session even though the member is not physically present in the room in which the session is held if the member is connected to the session through a system that enables the member to communicate with the individuals participating in the session and such individuals to communicate with the member.

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Board Members appointed after the Board’s annual organizational meeting and Board Members appointed to complete the remainder of a former Board Member's term shall attend in-service training during the first calendar year of the member's appointment in accordance with the following schedule:

• Members appointed prior to April first 1 shall attend a minimum of four hours of in-service training. • Members appointed after March thirty-first 31 but prior to July first 1 shall attend a minimum of three hours of in-service

training. • Members appointed after June thirtieth 30 but prior to October first 1 shall attend a minimum of two hours of in-service training. • Members appointed after September thirtieth 30 but prior to the succeeding January first 1 shall attend a minimum of one hour of

in-service training.

J. Grounds for Removal (ORC 5126.0213) Subject to provisions of ORC 5126.0216, an appointing authority shall remove a member of the Board for any of the following reasons:

• Neglect of duty; • Misconduct; • Malfeasance; • Ineligibility to serve on the Board pursuant to ORC 5126.023; • Failure to attend at least four hours of in-service training session each year; • Failure to attend within one year four regularly scheduled board meetings; • Failure to attend within one year two regularly scheduled board meetings if the member gave no prior notice of the member's

absence; or • Consistently poor performance on the Board, as demonstrated by documentation that the President of the Board provides to the

appointing authority and the appointing authority determines is convincing evidence. The removal provisions of the 6th and 7th bullets above do not apply to absences from special meetings or work sessions. K. Waiver of the Requirement for Removal Removal Requirement for Non-Attendance (ORC 5126.0214, ORC

5126.0215) An appointing authority shall not remove a member of the Board from the Board by reason of numbers bullets 5 or 6 or above, if the Director of DODD waives the requirement that the member be removed. The Director may issue the waiver only if the appointing authority requests that the Director issue the waiver and provides the Director evidence that is satisfactory to the Director that the member's absences from the in-service training sessions or regularly scheduled Board meetings are due to a serious health problem of the member or a member of the member's immediate family. The Director's decision on whether to issue the waiver is final and not subject to appeal. The Board may pass a resolution urging the appointing authority to request that the Director issue the waiver. The member whose absences from the sessions or meetings are at issue may not vote on the resolution. The appointing authority may request the waiver regardless of whether the Board adopts the resolution. If there are grounds for the mandatory removal of a member from the Board under ORC 5126.0213, the Board shall supply the Board Member and the member's appointing authority with written notice of the grounds. L. Request for Hearing on Proposed Removal of a Board Member (ORC 5126.0216, ORC 5126.0217, ORC

5126.0218) An appointing authority shall afford a member of the Board an opportunity for a hearing on the member's proposed removal in accordance with procedures the appointing authority shall establish, unless the appointing authority requested that the Director of DODD waive the mandatory removal under ORC 5126.0214 and the Director refused to issue the waiver. The appointing authority shall hold the hearing if the member requests the hearing not later than thirty days after the date that the Board sends the member the notice required by ORC

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5126.0215. If a member of the Board requests a hearing within the time required by ORC 5126.0216, the appointing authority may not remove the member from the Board before the conclusion of the hearing. A member of the Board who is removed from the Board is ineligible for reappointment to the Board for not less than one year. The appointing authority shall specify the time during which the member is ineligible for reappointment. If the member is removed for failure to attend at least four hours of in-service training, the Board shall specify the training the member must complete before being eligible for reappointment.

3. ORGANIZATION OF THE BOARD (ORC 5126.029) MCBDD shall hold an organizational meeting no later than the thirty-first day of January of each year. The Board president shall have appointed a nominating committee prior to this meeting. Nominations for the new officers shall be brought to the Board by the Nominating Committee. The Board shall elect its officers, which shall include a President, Vice-President, and Recording Secretary. After its annual organizational meeting, the Board shall meet in such manner and at such times as prescribed by rules adopted by the Board, but the Board shall meet at least ten times annually in regularly scheduled sessions in accordance with ORC 121.22. A majority of the Board constitutes a quorum. The Board shall adopt rules for the conduct of its business and a record shall be kept of Board proceedings, which shall be open for public inspection. Voting may be by voice except that on all questions involving the expenditure of moneys, the yeas and nays shall be taken and entered in the records and minutes of the proceedings of the Board. Where a quorum is present, several members' refusal to vote is not sufficient, even if a majority, to defeat the action of those actually voting. Members present, including the President, are obligated to vote, unless they wish to be regarded as assenting to the decision of the voluble majority. A. Notification Pertaining to MCBDD Board Members Any person may visit or telephone the central office of the Board during that office's regular office hours to determine, based on information available at that office: The time and place of regular meetings; the time place and purposes of any then known special meetings, and whether the available agenda of any such future meetings states that any specific type of public business, identified by such person, is to be discussed at such meeting. Any notification provided herein to be given by the Superintendent may be given by any person acting on behalf of or under the authority of the Superintendent. A reasonable attempt at notification shall constitute notification in compliance with these policies. The Superintendent shall maintain a record of the date and manner, and time if pertinent under these rules, of all actions taken with regard to notices and notifications and shall retain copies of proofs of publications of any notifications or notices published there under. B. Board Officer Duties The duties of the President shall be:

• To preside at all meetings of the Board; • To appoint committee chairpersons and/or committee members; • To be a member ex-officio of all committees; • To request an audit of the financial records and accounting assets at appropriate intervals; • To perform such other duties as may be prescribed by law or by action of the Board; • To represent the Board as its official spokesperson; and • To be a member ex-officio of all special committees of the Board and of all committees and commissions appointed by the

Board.

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The duties of the Vice-President shall be: • To preside in the absence of the President; • To perform the duties of the President in his absence; and • To perform such other duties designated by the President.

The duties of the Recording Secretary shall be to:

• Keep a complete and correct record of all resolutions and meetings of the Board, including a complete statement of approved expenditures and resolutions acted upon; and of any committee meeting the President of the Board requests the Secretary to attend;

• File a certified copy of the Board minutes in the Administrative office as a repository; • Provide each member of the Board with a copy of the minutes, including a complete statement of approved expenditures and

resolutions acted upon; and • Perform such other duties as may be delegated either by the President of the Board or assigned by the Board;

Any duties of the Recording Secretary may be delegated to persons acting on behalf of, or under the authority and supervision of, the Recording Secretary. C. Committees of the Board Committee membership shall be limited to three Board Members. The Board shall authorize special committees as are deemed necessary and the members of such special committees shall be appointed by the President. A special committee shall report its recommendations to the Board for appropriate action. D. Appointing Ethics Council (ORC 5126.0212, ORC 5126.031) Annually at the organizational meeting required by ORC 5126.029, the President of the Board shall appoint three members of the Board to an Ethics Committee to review all direct services contracts. The Board’s President may be one of those appointed. The Superintendent/designee shall be a nonvoting member of the council. The President shall not appoint a person to the council if the person, or any member of the person’s immediate family, will have any interest in any direct services contract under review by the council while the person serves on the council or during the twelve-month period after completing service on the council. If a council member or a member of the council member’s immediate family has or will have such an interest, the President shall replace the member by appointing another Board Member to the council. The Committee shall meet regularly as directed by the Board to perform its duties. Minutes shall be kept of the actions of the Committee. The minutes shall be part of the public record of the Board. Any action taken by the Committee on direct services contracts under its review shall be in public. The Committee shall afford an affected party the opportunity to meet with the Committee on matters related to a direct services contract or any action taken by the Committee. In no circumstance shall a member of the MCBDD participate in or vote on any matter before the Board concerning a contract agency of which the member or an immediate family member of the member is also a Board Member or an employee. If MCBDD establishes a policy specifying that the Board is not willing to enter into direct services contracts with any person who is a Board Member or former Board Member or a member of the immediate family of a Board Member or former Board Member, the Board may assume the responsibilities and perform the duties of an ethics council specified in ORC 5126.032. The policy shall be established by resolution adopted by a majority of the members of the Board in attendance at a meeting at which there is a quorum and shall be in effect for one year after its adoption, at which time the Board shall, by resolution adopted in the same manner as the initial resolution, either renew the policy or establish a new one.

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E. Reviewing Direct Services Contracts (ORC 5126.032) The ethics council appointed for the MCBDD shall review all direct services contracts, and approve or disapprove each contract in accordance with the standards in ORC 5126.033. The council shall develop, in consultation with the prosecuting attorney, and recommend to the Board ethical standards, contract audit procedures, and grievance procedures with respect to the award and reconciliation of direct services contracts. The Superintendent, or an employee of the MCBDD designated by the Superintendent, shall, in accordance with a policy established by the Board, certify to the council a copy of each proposed direct services contract or contract renewal at a reasonable time before the contract would take effect if entered into or renewed, if, at the time the contract or renewal is proposed, resources approved by the Board for such purposes are available. The council shall promptly review each direct services contract certified to it. If the contract does not meet the conditions specified in section 5126.033 of the Revised Code, the council shall recommend that the Board not enter into the contract or suggest specified revisions. The Superintendent shall provide all the information the council needs to make its determinations. The council shall certify to the Board its recommendation with regard to each contract. Except as provided in ORC 5126.032 (B), the Board, by resolution, shall enter into each direct services contract that the council recommends or recommends with specified revisions. The Board shall not enter into any contract that is not recommended by the council or enter into any contract to which revisions are suggested if the contract does not include the specified revisions. The prosecuting attorney, at the request of the Board, shall prepare a legal review of any direct services contract that has been recommended, or recommended with revisions, by the council. The Board shall enter into only those contracts submitted for review that are determined by the prosecuting attorney to be in compliance with state law. F. Direct Services Contract Requirements (ORC 5126.033) MCBDD shall not enter into a direct services contract unless the contract is limited either to the actual amount of the expenses or to a reasonable and allowable amount projected by the Board. MCBDD shall not enter into a direct services contract that would result in payment to a Board Member, former Board Member, employee, former employee, or member of the immediate family of a Board Member, former Board Member, employee, or former employee if the person who would receive services under the contract stands to receive any preferential treatment or any unfair advantage over other eligible persons. MCBDD shall not enter into a direct services contract for services provided in accordance with ORC 5126.11 (FSS), 5126.40 (Supported Living) to and 5126.46 (Residential Services) under which an individual, agency, or other entity will employ an individual who is also an employee of the Board unless all of the following conditions are met:

• The employee is not in a capacity to influence the award of the contract. • The employee has not attempted in any manner to secure the contract on behalf of the individual, agency, or other entity. • The employee is not employed in management level two or three according to DODD and does not provide service and support

administration. • The employee is not employed by the Board during the period when the contract is developed as an administrator or supervisor

responsible for approving or supervising services to be provided under the contract and agrees not to take such a position while the contract is in effect, regardless of whether the position is related to the services provided under the contract.

• The employee has not taken any actions that create the need for the services to be provided under the contract. • The individual, agency, or other entity seeks the services of the employee because of the employee’s expertise and familiarity

with the care and condition of one or more eligible persons and other individuals with such expertise and familiarity are unavailable, or an eligible person has requested to have the services provided by that employee.

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• The Superintendent of the MCBDD shall notify the employee and the individual, agency, or other entity that seeks the employee’s services of the ethics council’s determination under section ORC 5126.032 regarding the contract. The council’s determination shall be binding on all parties.

• The employee who is the subject of the contract shall inform the Superintendent of the MCBDD of any employment the employee has outside the Board that is with any individual, agency, or other entity that has a contract with the MCBDD. If the employee does not inform the Superintendent of outside employment with any agency or other entity that has a contract with the Board, the employee may be subject to disciplinary action.

4. BOARD MEETINGS (ORC 121.22) The Board shall observe Robert's Rules of Order Revised, except as otherwise provided by these rules and regulations or by statute. The Board may recess a regular meeting to such a time and place as it deems advisable, and the meeting shall be considered a regular meeting. The Superintendent shall prepare and deliver a copy of the agenda to the members of the Board and to the media five days prior to any regular Board meeting. The Superintendent in consultation with the Board President shall prepare a final agenda for each meeting of the Board. Business at each regular meeting may include, but not be limited to, the following:

• Roll call; • Announcements; • Minutes; • Financial reports; • Committee reports; • Old business; • New business; • Discussion Items • Comments may be taken from the floor; • Public Forum • Executive session; and • Adjournment.

Minutes are the official record of all business transacted, activities undertaken, and plans projected. Minutes should contain actions taken and not be a record of discussions and statements, but may make mention of an item of discussion and information made public. Personal opinions of praise or criticism should not be recorded in written minutes. The Board shall promptly prepare, file, and maintain minutes of all public meetings, including special and emergency meetings, and Board committee meetings. These minutes must be available to the public. In order to obtain a detailed account of all Board activities, the Board shall audiotape the proceedings of all meetings and maintain those audiotapes on file as a record of all discussions that occur, so that the public may understand the reasons behind the Board’s decisions. All Board minutes shall comply with MCBDD 's related procedures.

• The minutes of the preceding meeting(s), with any changes made by motion properly made and carried, or as directed by the President without objection, shall be approved by the Board and signed by the President Superintendent, and Recording Secretary at each regular meeting.

• The minutes may be corrected whenever an error is noticed regardless of the time that has elapsed, but after their adoption, when too late to reconsider the vote, they require a two-thirds vote for their amendment.

• Originals of approved minutes and resolutions of the Board and Committees shall be filed permanently in the Administrative office, and shall be made available to any citizen desiring to examine them at a mutually convenient time. Numbered and dated resolutions shall be maintained in a separate journal.

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A. Executive Session (ORC 121.22) The members of the Board may hold an executive session only after a majority of a quorum of the Board determines, by a roll call vote, to hold an executive session and only at a regular or special meeting for the sole purpose of the consideration of any of the following matters:

• To consider the appointment, employment, dismissal, discipline, promotion, demotion, or compensation of an employee, or the investigation of charges or complaints against an employee, unless the employee requests a public hearing. If the Board holds an executive session, the motion and vote to hold that executive session shall state which one or more of the approved purposes are the purposes for which the executive session is to be held, but need not include the name of any person to be considered at the meeting;

• To consider the purchase of property for public purposes, or for the sale of property at competitive bidding, if premature disclosure of information would give an unfair competitive or bargaining advantage to a person whose personal, private interest is adverse to the general public interest. No member of the Board shall use this as a subterfuge for providing covert information to prospective buyers or sellers. A purchase or sale of public property is void if the seller or buyer of the public property has received covert information from a member of the Board that has not been disclosed to the general public in sufficient time for other prospective buyers and sellers to prepare and submit offers;

• Conferences with an attorney for the Board concerning disputes involving the Board that are the subject of pending or imminent court action;

• Preparing for, conducting, or reviewing negotiations or bargaining sessions with employees concerning their compensation or other terms and conditions of their employment;

• Matters required to be kept confidential by federal law or regulations or state statutes; and/or • Details relative to the security arrangements and emergency response protocols for the MCBDD if disclosure of the matters

discussed could reasonably be expected to jeopardize the security of the MCBDD.

If the Board holds an executive session to consider any of the matters listed above, the motion and vote to hold that executive session shall state which one or more of the approved matters listed in those divisions are to be considered at the executive session. A resolution, rule, or formal action of any kind is invalid unless adopted in an open meeting of the Board. A resolution, rule, or formal action adopted in an open meeting that results from deliberations in a meeting not open to the public is invalid unless the deliberations were for a purpose specifically authorized above and conducted at an executive session held in compliance with this policy. A resolution, rule, or formal action adopted in an open meeting is invalid if the Board that adopted the resolution, rule, or formal action violated this policy. Any Board action proposed following an executive session shall specify, with some detail, the nature of action to be taken. B. Special Meetings (ORC 121.22) Special meetings shall be held and conducted in accordance with the rules and regulations applicable to all Board meetings. A special meeting of the Board may be called by the President or the Superintendent with the knowledge and approval of the President, or by any two Board Members by serving notice of the date and place and subject matter of such meeting upon each member of the Board at least 24 hours prior to the date of such meeting. No other business than listed in the notification may be conducted at special meetings, except in case of an emergency requiring immediate official action. In the event emergency action is necessary the nature of the emergency must be stated in the minutes of the meeting. Every public body, by rule, shall establish a reasonable method whereby any person may determine the time and place of all regularly scheduled meetings and the time, place, and purpose of all special meetings. A public body shall not hold a special meeting unless it gives at least twenty-four hours’ advance notice to the news media that have requested notification, except in the event of an emergency requiring immediate official action. In the event of an emergency, the member or members calling the meeting shall notify the news media that have

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requested notification immediately of the time, place, and purpose of the meeting. Any person, upon request and payment of a reasonable fee, may obtain reasonable advance notification of all meetings at which any specific type of public business is to be discussed. Provisions for advance notification may include, but are not limited to, mailing the agenda of meetings to all subscribers on a mailing list or mailing notices in self-addressed, stamped envelopes provided by the person. Any news medium organization that desires to be given advance notification of special meetings of the Board shall file for such notice with the Superintendent a written request for such notice. The written notification required under this section shall be a copy of the agenda of the meeting. All postings for special meetings shall be done in the same place as those postings for the regular and organizational meeting. C. Public Notice for Board Meetings (ORC 121.22) Public notice of all meetings of the Board shall be given in accordance with Section 121.22 of the Ohio Revised Code. Notices of all meetings shall be posted on employee bulletin boards in conspicuous places. Notices will be placed in areas of the MCBDD accessible to the public. The Superintendent shall post a statement of the time(s) and place(s) of regular meetings of the Board for each regular meeting other than the organizational meeting of the calendar year of the Board. The Superintendent shall check at reasonable intervals to ensure that such statement remains so posted. If at any time during the calendar year the time or place of regular meetings or of any regular meeting is changed on a permanent or temporary basis, a statement of the time and place of such changed regular meeting shall be so posted by the Superintendent at least 24 hours before the time of the first changed regular meeting. The Superintendent shall post a statement of the time and place of the organizational meeting of the Board at least 24 hours before the time of such organizational meeting. Upon the adjournment of any regular or special meeting to another day, the Superintendent shall promptly post notice of the time and place of such adjourned meeting. D. Open Forum The Board endorses the principles of open communication with the public and free communication with all agency personnel through recognized channels of communication. At their discretion, and subject to the nature of the agenda, the Board may schedule an Open Forum during the regular monthly meeting which shall provide an opportunity for the public to address the Board. Any individual or group may address the Board concerning any subject that lies within the Board’s jurisdiction, including items scheduled on the Board meeting agenda. Questions are to be directed to the Board as a whole and may not be put to any individual member of the Board or the administrative staff. The Board does not obligate itself to consider any questions, requests, or proposals unless submitted to the President, in writing, at least ten (10) calendar days before the meeting. Depending on the nature of such questions, requests, or proposals, the Board may not elect to address these issues at its next meeting, but nonetheless shall provide acknowledgement and indicate a reasonable timeframe for a response. In any event, the person who provided such question(s), request(s), or proposal(s), shall be contacted within (10) calendar days following the meeting to confirm the status of the response. It shall be in order for members of the Board to interrupt a speaker at any time to ask questions or make comments in order to clarify the discussion. Not more than five (5) minutes shall be allotted to each speaker and no more than forty-five (45) minutes totally across all subjects under discussion, except with the consent of the majority of the Board. If additional time is needed to address the subject(s), the Board, at its discretion, may schedule a special Board meeting.

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No person may present, at any meeting of the Board, a complaint against an individual Board employee or any program decision. Any charge or complaint shall be presented to the Superintendent in writing, using the informal resolution of complaints process found in Board policy 3.3 Chapter 11, Section 3 K, and shall be signed and dated by the person making the charge or complaint. Mutual courtesy and respect during Open Forum are expected at all times. Speakers or members of the public who fail to maintain an acceptable demeanor or who act in such a manner as to disrupt the general proceedings shall be asked to yield the floor and/or to cease their disruption.

5. ETHICS (ORC 102.01)

A. General It is policy of the Board to carry out its mission in accordance with the strictest ethical guidelines and to ensure that Board Members and employees conduct themselves in a manner that fosters public confidence in the integrity of the Board, its processes, and its accomplishments. Any questions relating to the existence of a conflict of interest shall be submitted to the Board’s Ethics Committee, which may refer the matter to the Medina County Prosecutor or the Board’s approved legal counsel, or the Ohio Ethics Commission for resolution. B. General Standards of Ethical Conduct Under well-established principles, everyone must meet certain standards of conduct and attention in carrying out his or her responsibilities to the Medina County Board of Developmental Disabilities.

• STANDARD I: Duty of Care There is a level of competence that is expected of everyone, and is commonly expressed as the duty of "care that an ordinarily prudent person would exercise in a like position and under similar circumstances." This means that everyone owes the duty to exercise reasonable care when he or she makes a decision as a steward of the Agency.

• STANDARD II: Duty of Loyalty The duty of loyalty is a standard of faithfulness; everyone must give undivided allegiance when making decisions affecting the organization. This means that no one can use information obtained as a member for personal gain, but must act in the best interests of the Agency.

• STANDARD III: Duty of Obedience The duty of obedience requires everyone to be faithful to the organization's mission. No one is permitted to act in a way that is inconsistent with the central goals of the organization. A basis for this rule lies in the public's trust that the organization will manage funds to fulfill the Agency’s mission.

C. Agency-Wide Compliance Standards of Ethical Conduct Board officials and employees must, at all times, abide by protections to the public embodied in Ohio’s ethics laws, as found in Chapters 102 and 2921 of the Ohio Revised Code and ORC 5126.031, 5126.032, and as interpreted by the Ohio Ethics Commission and Ohio courts. (A copy of these laws is provided by the Board, and receipt acknowledged, as required in ORC 102.09(D).) Officials and employees must conduct themselves, at all times, in a manner that avoids favoritism, bias, and the appearance of impropriety. The Medina County Board of DD shall:

1. Comply with the Law. MCBDD is subject to numerous local, state, and Federal laws pertaining to all aspects of its operation. Employees are required to understand and abide by those laws which are applicable to them in the performance of their jobs.

2. Provide Excellent Services. MCBDD employees shall treat all individuals with a spirit of kindness, patience, and understanding in the performance of their duties. Each individual is an individual and should be treated as such. Each individual should be

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respected, with their needs and preferences considered as decisions are made. Steps shall be taken so that each individual understands his or her program needs and options, treatment methods utilized, and outcomes. MCBDD shall provide services in a manner that does not discriminate against any person because of age, race, religion, gender, sexual orientation, national origin, or for any other reason prohibited by applicable state and Federal law. At all times, competent and qualified individuals shall provide appropriate care, while considering the safety and well being of individuals served. Employees shall take every measure to ensure that individual rights as enumerated under ORC 5123.62 are preserved.

3. Protect Confidential Information. MCBDD is committed to maintaining the confidentiality of protected health information, as well as appropriate personnel information, in accordance with applicable legal and ethical standards.

4. Not Accept Inappropriate Gifts or Gratuities. The following standards apply to the giving or receiving of gifts and gratuities: • Receiving Gifts from Individuals and Vendors - Employees are prohibited from soliciting tips, personal gratuities, or gifts

from individuals, providers, and other vendors. Employees may, however, accept non-monetary gratuities or gifts of a nominal value (approximately $25 or less), such as cookies, flowers, or candy if the gift would not influence, or reasonably appear to others to be capable of influencing, the employee's business judgment in conducting affairs with the individual or vendor.

• Giving Gifts to Individuals and Vendors - Employees shall not offer or give money, services, or other things of value with the expectation of influencing the judgment or decision making process of any individual, provider, vendor, governmental official, or any other person. An employee who is in doubt about whether a situation involving the giving or receiving of something of value is acceptable, should ask his or her supervisor, or the Administration Office.

5. Avoid Conflicts of Interest. It is the policy of MCBDD to prohibit its employees and other associates from engaging in any activity, practice, or act which conflicts with, or appears to conflict with, the interests of MCBDD, its individuals, or its vendors. Therefore, employees, management, Board members, and other contract individuals shall disclose to the Assistant Superintendent any potential conflict of interest they or their immediate family have in any firm which does business with MCBDD or which competes with MCBDD. An employee of the Board may also be a member of the governing board of a political subdivision, including the Board of education of a school district, or an agency that does not provide specialized services.

6. Keep Accurate and Complete Records. It is essential that MCBDD report accurate information to governmental entities and other third parties. In order to meet this obligation, it is equally essential that every employee accurately and clearly document the relevant facts or the true nature of any and all individual training, services, programs, incidents, and activities. No employee should knowingly or with reckless disregard for the truth make any false or misleading statement on any form or to any other officer, employee, or auditor for MCBDD. All individual records shall meet the documentation standards required for quality care and to meet reimbursement regulations. Employee travel and entertainment related expenses shall be accurately documented and supported when seeking reimbursement from the Board.

7. Adhere to Anti-Referral and Health Care Fraud and Abuse Legislation. All employees of MCBDD are required to comply with laws which prohibit health care fraud and abuse. Activities that are prohibited include, but are not limited to: • Intentionally or knowingly recording incorrect, false, or fraudulent documentation, or making false or fraudulent claims for

payment or approval; • Offering or receiving remuneration (such as a kickback, bribe, or rebate) as an inducement to make a referral for the

furnishing (or arranging for the furnishing) of any item or service; • Submitting false information for the purpose of gaining or retaining the right to participate in a plan or obtain reimbursement

for services; and, • Referring Medicaid individuals to any entity for "designated health services" when the staff member or an immediate family

member has a financial relationship with the entity (unless the arrangement complies with applicable legal exceptions). 8. Conduct Political Activities According to the Law. MCBDD does not participate or intervene in (including the publishing or

distributing of statements) any political campaign on behalf of or in opposition to any candidate for public office. While MCBDD supports employee participation in the political process, employees are not permitted to use positions in MCBDD to try to influence the personal decisions of others to contribute or otherwise support political parties or candidates except as lawfully

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permitted through political action committees. MCBDD may participate in lobbying activities or advocating the passage or defeat of certain legislation that pertains to issues that affect the field of DD. Lobbying activities or advocating the passage or defeat of certain legislation shall not constitute a substantial part of the activities of MCBDD.

9. Provide a Safe Workplace. It is the policy of MCBDD to comply with all applicable state and Federal laws designed to improve workplace safety. MCBDD is committed to training employees to carry out their work in manner that is safe for them, their coworkers, and the individuals they serve.

10. Not Tolerate Harassment or Discrimination. It is MCBDD’s policy not to discriminate on the basis of race, color, religion, national origin, age, disability, sexual orientation, or gender in relation to employment practices. Furthermore, MCBDD prohibits harassment of its employees in any form by supervisors, coworkers, consumers, family members, providers or vendors.

11. Appropriately Use its Assets. All employees are charged with protecting and preserving MCBDD’s assets and resources by following procedures to prevent their loss, theft, or unauthorized use. No part of the revenue of MCBDD shall inure to the benefit of, or be distributed to, its Board Members, Management Team, employees, or other persons having direct or indirect personal or private interest in the activities of MCBDD, except to the extent that payroll reimbursement constitutes reasonable compensation for services rendered in the necessary course of MCBDD’s operations.

12. Protect the Environment. It is the policy of MCBDD to comply with all state and Federal laws protecting the environment. Employees shall dispose of all waste and other materials and store all chemicals and substances in accordance with applicable laws and regulations. It is important to file all necessary reports accurately and promptly and to cooperate fully with all governmental authorities in the event of an environmental incident.

13. Protect Access to Information Systems. MCBDD is committed to protecting all aspects of its information systems. All employees and other associates with access to MCBDD’s computerized information system shall abide by MCBDD’s computer policies and procedures, including the protection of confidential information, passwords, and other access information.

14. Adhere to Intellectual Property Laws. MCBDD is committed to adhering to all applicable intellectual property laws. All software used in connection with MCBDD’s operations shall be properly licensed and used in accordance with that license. Additionally, MCBDD shall respect the intellectual property and copyright laws regarding books, trade journals, magazines, and other applicable resources.

15. Witnessing of documents. Personnel shall not act as a witness to documents such as Power of Attorney, guardianship, advance directives, and/or agency contracts without the expressed written approval of the Superintendent. Personnel are authorized to countersign documents such as intake forms, authorizations (i.e., release of information form), treatment plans, etc. as directly related to their job duties.”

16. Notary Public signature and seal. Employees who are certified as Notary Publics may witness documents such as Power of Attorney, guardianship, advance directives, and/or agency contracts for clients, personnel, and other stakeholders in accordance with applicable state laws. The person who witnesses a document should be neutral and have no financial or other interest involved.

D. Use of Authority Specifically, no individual Board Member shall:

• seek special privileges for personal gain; • personally assume unauthorized authority; • disclose confidential information; • place the interest of any group or faction above the interest of the entire program; • criticize Board employees publicly; • act on any complaint by an employee or against an employee that does not follow established procedure; or • act on any complaint by an individual or caregiver receiving service that does not follow established procedure.

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E. Employee Conflict of Interest Affidavit Every Board official or employee who may have a direct or indirect financial interest in or is employed by any person, agency, direct service provider, or organization that contracts with the Board shall fill out a complete and accurate Employee Conflict of Interest Affidavit and submit it to the Board’s Ethics Committee by April 15 of each year. An official or employee elected, appointed, or employed to a position after April 15 shall file a statement within ninety days of appointment or employment. F. Penalties Failure of any Board official or employee to abide by this ethics policy, or to comply with the ethics law and related statutes, will result in discipline, which may include dismissal, as well as any potential civil or criminal sanctions under the law. G. Compliance with the Law The Board shall operate in compliance with all laws, legal requirements, and regulations of all governmental authorities and legally authorized agencies under whose authority it operates. The Board shall operate in accordance with applicable state and federal laws including but not limited to:

• Ohio Administrative Code Section 5123 • The Ohio Revised Code Chapter 5126 • Title VI of the Civil Rights Act of 1964 (42 USC Sec 2000d-2000d-4) • Section 504 of the Rehabilitation Act of 1973 (29 USC Sec 794) • The Americans with Disabilities Act (42 USC Sec 12101 et seq.)

6. ACCESSIBILITY (42 USC Sec. 12101) The Board shall ensure that no qualified Individual shall, on the basis of disability, be excluded from employment opportunities or participation in or be denied the benefits of the programs, services, or activities that are administered by the Board. Policies and procedures will be modified, where necessary, to avoid discrimination on the basis of disability. All materials produced in whole or in part by the Board will be made available in alternate formats, if requested. The Board will arrange all meetings and other events at accessible locations. The Board will ensure that auxiliary aids and services or other accommodations will be made available, if requested, unless such accommodations create an undue burden for the Board. A. Accessibility Plan The Board shall develop an annual plan to identify or address barriers to people with disabilities within the organization and the community. The plan is developed following an evaluation of Board programs and services, and shall be reviewed annually. Revisions: 2.14 Employment First: Approved 2/24/14 (New) 2.15 Social Media: Approved 6/23/14 (New) 2.6 Ethics: Approved 12/11/17 (Updated) New Policy Format Approved by Board: 10/26/20

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6.1 TRANSPORTATION SERVICES 6.2 VEHICLE OPERATION

6.2.1 Minimum Qualifications of Bus Drivers 6.2.1.1 Local Requirements

6.2.1.2 State Requirements 6.2.3 Restrictions On Transportation Of Individuals 6.2.4 Drugs, Alcohol and Prescription Drugs 6.2.5 Essential Information 6.2.6 Termination

6.3 VEHICLES

6.3.1 Buses 6.3.2 Non-Routine Use of School Buses 6.3.3 Alternate Transportation Vehicles 6.3.3.1 Use of Vans for Transporting Children

6.4 AUTHORIZED RIDERS

6.4.1 Special Assistance 6.4.2 Suspension

6.5 ROUTE ASSIGNMENT

6.5.1 Scheduling 6.5.1.1 Travel Time 6.5.2 Vehicle Assignment 6.5.3 Route Information

6.6 ALTERNATE TRANSPORTATION SERVICES

6.6.1 Transportation Reimbursement 6.6.2 Voluntary Transportation Service 6.6.3 Transportation After-Hours 6.6.4 Collaborative Services

6.7 TRANSPORTATION SAFETY INSTRUCTION

6.7.1 Transportation Manual 6.8 EMERGENCIES AND INCLEMENT WEATHER 6.9 TRAINING OF TRANSPORTATION PERSONNEL

6.9.1 Bus Driver Minimum Training Requirements 6.9.2 Bus Driver In-Service Training 6.9.3 Transportation Supervisor Training 6.9.4 School Bus Mechanic Training

6.10 TRANSPORTATION RECORDS

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https://www.mcbdd.org/employees/chapter-transportation-2#TRANSPORTATION%20SERVICES

https://www.mcbdd.org/employees/chapter-transportation-2#TRANSPORTATION%20SERVICES

https://www.mcbdd.org/employees/chapter-transportation-2#VEHICLE%20OPERATION

https://www.mcbdd.org/employees/chapter-transportation-2#VEHICLE%20OPERATION

https://www.mcbdd.org/employees/chapter-transportation-2#Bus%20Driver%20Minimum%20Training%20Requirements

https://www.mcbdd.org/employees/chapter-transportation-2#Local%20Requirements

https://www.mcbdd.org/employees/chapter-transportation-2#State%20Requirements

https://www.mcbdd.org/employees/chapter-transportation-2#Restrictions%20On%20Transportation%20Of%20Enrollees

https://www.mcbdd.org/employees/chapter-transportation-2#Drugs,%20Alcohol%20and%20Prescription%20Drugs

https://www.mcbdd.org/employees/chapter-transportation-2#Essential%20Information

https://www.mcbdd.org/employees/chapter-transportation-2#Termination

https://www.mcbdd.org/employees/chapter-transportation-2#VEHICLES

https://www.mcbdd.org/employees/chapter-transportation-2#VEHICLES

https://www.mcbdd.org/employees/chapter-transportation-2#Buses

https://www.mcbdd.org/employees/chapter-transportation-2#Non-Routine%20Use%20of%20School%20Buses

https://www.mcbdd.org/employees/chapter-transportation-2#Alternate%20Transportation%20Vehicles

https://www.mcbdd.org/employees/chapter-transportation-2#Use%20of%20Vans%20for%20Transporting%20Children

https://www.mcbdd.org/employees/chapter-transportation-2#AUTHORIZED%20RIDERS

https://www.mcbdd.org/employees/chapter-transportation-2#AUTHORIZED%20RIDERS

https://www.mcbdd.org/employees/chapter-transportation-2#Special%20Assistance

https://www.mcbdd.org/employees/chapter-transportation-2#Suspension

https://www.mcbdd.org/employees/chapter-transportation-2#ROUTE%20ASSIGNMENT



https://www.mcbdd.org/employees/chapter-transportation-2#Scheduling

https://www.mcbdd.org/employees/chapter-transportation-2#Travel%20Time

https://www.mcbdd.org/employees/chapter-transportation-2#Vehicle%20Assignment

https://www.mcbdd.org/employees/chapter-transportation-2#Route%20Information

https://www.mcbdd.org/employees/chapter-transportation-2#ALTERNATE%20%20TRANSPORTATION%20SERVICES



https://www.mcbdd.org/employees/chapter-transportation-2#Transportation%20Reimbursement

https://www.mcbdd.org/employees/chapter-transportation-2#Voluntary%20Transportation%20Service

https://www.mcbdd.org/employees/chapter-transportation-2#Transportation%20After-Hours

https://www.mcbdd.org/employees/chapter-transportation-2#Collaborative%20Services

https://www.mcbdd.org/employees/chapter-transportation-2#TRANSPORTATION%20SAFETY%20INSTRUCTION



https://www.mcbdd.org/employees/chapter-transportation-2#Transportation%20Manua

https://www.mcbdd.org/employees/chapter-transportation-2#EMERGENCIES%20AND%20INCLEMENT%20WEATHER

https://www.mcbdd.org/employees/chapter-transportation-2#EMERGENCIES%20AND%20INCLEMENT%20WEATHER

https://www.mcbdd.org/employees/chapter-transportation-2#TRAINING%20OF%20TRANSPORTATION%20PERSONNEL

https://www.mcbdd.org/employees/chapter-transportation-2#Bus%20Driver%20Minimum%20Training%20Requirements

https://www.mcbdd.org/employees/chapter-transportation-2#Bus%20Driver%20In-Service%20Training

https://www.mcbdd.org/employees/chapter-transportation-2#Transportation%20Supervisor%20Training

https://www.mcbdd.org/employees/chapter-transportation-2#School%20Bus%20Mechanic%20Training

https://www.mcbdd.org/employees/chapter-transportation-2#TRANSPORTATION%20RECORDS

https://www.mcbdd.org/employees/chapter-transportation-2#TRANSPORTATION%20RECORDS

6.1 TRANSPORTATION SERVICES The Board will may provide transportation services pursuant to Section 5126.05 of the Revised Code for all individuals over age 2 placed in the Board's programs. Transportation for school age children over age 2 shall be in compliance with Sections 3323.01 and 4511.76 of the Revised Code. The nature and extent of transportation services to be provided to each individual served shall be determined through the IEP or ISP process. This determination shall be reviewed annually. 6.2 VEHICLE OPERATION Drivers and bus aides on Board vehicles shall adhere to the rules relative to equipment and operation required by Board personnel policies and the vehicle operator's manual, and by Section 4511.76 of the Ohio Revised Code in the operation of school buses. Drivers shall make daily inspection to determine if the vehicle is in compliance with Ohio Pupil Transportation Regulations.

6.2.1 Minimum Qualifications of Bus Drivers The Superintendent will maintain, in the personnel record of each bus driver, evidence that the driver meets the minimum qualifications required by Section 6.2.1 and that the driver's record has been checked annually with the Ohio Department of Highway Safety, Bureau of Motor Vehicles. Bus drivers are required to comply with the requirements outlined in the MCBDD disciplinary guidelines.

6.2.1.1 Local Requirements Any person employed by the Board as a driver of a school bus shall:

A. Have at least five (5) consecutive years of licensed driving experience; B. Have an annual physical examination in compliance with Rule 3301-83-05 of the

Administrative Code and obtain an annual abstract from the Ohio Bureau of Motor Vehicles, which is reviewed by the transportation supervisor and the Safety Committee according to driving evaluation procedures;

C. Hold a current Ohio license as a school bus driver; D. Hold a current valid American Red Cross First Aid Certificate and CPR certificate; E. Successfully complete the Board's basic bus driver's training program within the first twelve

(12) months of employment; F. Attend one (1) driver in-service program each year; and G. Comply with state regulations in OAC 5123:2-1-03(G)(1); H. Successfully undergo testing for alcohol and drug use according to pre-employment and

random sample schedules, effective January 1, 1995; I. Meet all State of Ohio requirements for licensing and certification of school bus drivers.

6.2.1.2 State Requirements The Ohio Pupil Transportation Operation and Safety Rules outline the following requirements to be a bus driver in Ohio (OAC 3301-83-07): The school bus driver shall -

A. Have an understanding of the role of pupil transportation in the educational program and meet all the physical, mental, and moral requirements established by state laws and regulations, and local board of education policies;

B. Be at least 21 years of age or meet local board policy age requirements; C. Be physically qualified by passing an annual physical examination (OAC 3301-83-07);

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D. Obtain annually a driver's record check (abstract) from the Bureau of Motor Vehicles (OAC 3301-83-07);

E. Hold a current Commercial Driver License (CDL), Class A, or B, with endorsements P (Passenger Vehicle) and S (School Bus);

F. Hold a current bus driver's certificate issued by the county, exempted village, or city superintendent;

G. Complete pre-service and yearly in service training requirements (OAC 301-83-10) H. Be physically capable;e of appropriately lifting and managing students with handicaps when

necessary; I. Have ability to cope with stressful situations as related to students with handicaps: J. Possess or upgrade skills through formal and/or in-service training related to transportation

of students with handicaps; K. A report of the State Bureau of Criminal Identification and Investigation shall be required.

6.2.3 Restrictions On Transportation Of Enrollees Any employee who transports individuals as part of the performance of Board-compensated service shall use a Center-owned vehicle and shall be in possession of a valid operator's license. Employees are not permitted to drive facility vehicles unless a driver abstract has been obtained from the Ohio Bureau of Motor Vehicles, and reviewed by their department supervisor and the Safety Committee Transportation Manager according to driving evaluation procedures. 6.2.4 Drugs, Alcohol and Prescription Drugs No employee shall operate a motor vehicle owned, leased or under contract to the Board while under the slightest influence of intoxicants, narcotics, alcohol, amphetamines, or any derivative thereof, or while having such items in their possession or while having the odor of intoxicants on their breath. Employees required to operate a motor vehicle who are found by medical test to be under the slightest influence of these substances or who are suspected of being under the slightest influence and who refuse to submit to medical tests shall be subject to immediate discharge. A vehicle driver using prescription drugs must present a physician statement which supports the use of the drug and which provides that the use of the drug will not impair the driver's ability to operate a Board motor vehicle in a safe and efficient manner. Likewise, no employee shall operate a motor vehicle owned, leased or under contract to the Board while taking a prescription or nonprescription drug which impairs the employee's ability to operate the vehicle and perform all required services in a safe and efficient manner. 6.2.5 Essential Information Vehicle drivers, bus aides, and substitutes shall be kept fully informed in a written vehicle operator's manual of:

A. Duties of drivers and bus aides; B. Emergency procedures; C. Laws and regulations under which vehicles are to be operated; and D. Other related policies of the Board.

6.2.6 Termination The Superintendent shall may dismiss any vehicle driver for violations of traffic laws and safety regulations and/or failure to meet the requirements as outlined in Procedure #603.

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6.3 VEHICLES

6.3.1 Buses All school buses used to transport individuals to the Board's programs shall have evidence of a current annual inspection by the Ohio Highway Patrol that indicates the bus meets the Ohio School Bus Minimum Standard. All buses shall be equipped with appropriate first aid supplies. Certified school buses shall be used as the regular vehicle assigned to routes transporting children to preschool and school age programs. 6.3.2 Non-Routine Use of School Buses Non-routine use of school buses shall be in accordance with section 3301-83-16 of the Ohio Per-service School Bus Training Manual. 6.3.3 Alternate Transportation Vehicles Alternate vehicles may be used where school buses are not required by law. Such alternate transportation vehicles shall meet the requirements of the Random Vehicle Inspections Rules and Regulations of the Department of Highway Safety.

6.3.3.1 Use of Vans for Transporting Children In accordance with ORC 4511.76 and 3327.10, and OAC 3301-83-06, 3301-83-19, and 3301-83-21, the Board recognizes the need to assure the safe transportation of children served through Board programs. This policy is promulgated for the transportation of children, ages three (3) through twenty-one (21), who are receiving Board services and will be transported by Board staff other than a Transportation Department employee as part of his/her individual plan. This policy covers van transportation using Board-owned, leased, or contracted motor vans, originally designed and constructed at the factory for nine passengers or less, not including the driver. Any van used for the transportation of children must meet standards and usage procedures established by the Ohio Department of Education. Board employees not qualified as Vehicle Operators shall complete training established by the Ohio Department of Education, including, but not limited to, driver qualifications, vehicle regulations, vehicle inspections, vehicle equipment, and rules for transporting children in a van. Procedures shall be developed to implement this policy in accordance with rules and regulations.

6.4 AUTHORIZED RIDERS Only individuals, their parents or family members, caregivers, individuals being considered for enrollment, volunteers, members of the Board, and Board staff members are authorized to ride on Board vehicles. Others may ride only with the prior approval of the Superintendent.

6.4.1 Special Assistance Assistance shall be provided to individuals while being transported on Board vehicles when the individual's IEP or ISP indicates a need for such assistance. 6.4.2 Suspension No individual’s transportation service may be suspended except by the Superintendent and then only for the protection of the enrollee's physical well-being or physical well-being of other individuals or staff. Such suspension shall be only for the minimum amount of time required to correct the harmful conditions or to conclude a change in program assignment. Except in the event of an emergency, no suspension will commence before the individual and parent/guardian are notified of the reasons for the intended suspension and provided, when possible, an opportunity to meet with the Superintendent or designee to explain why the suspension should not be imposed. Such suspensions shall apply only to transportation service; all other

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program services provided by the Board shall continue during this time, unless special provisions have been made.

6.5 ROUTE ASSIGNMENT Each individual, placed in a program of education or training in one of the Board's programs shall be assigned to an appropriate transportation route upon the instructions of the director of children's programs or the director of an adult program. Specific route assignment shall be made by the Board's Transportation Supervisor upon receipt of the appropriate authorization.

6.5.1 Scheduling The Superintendent shall schedule regular routes ten (10) days before the start of each program, showing places of pickup and approximate times, and disseminate this information to the families and caregivers of individuals. 6.5.1.1 Travel Time Individuals shall not travel on a vehicle on a regularly-scheduled route for more than ninety (90) minutes one way on any day or one hundred eighty (180) minutes on any day on a regularly-scheduled circular route. (OAC 5123:2-1-03(F)) 6.5.2 Vehicle Assignment The number of seated passengers shall not exceed the body manufacturer's rated seating capacity of the vehicle. All passengers shall be seated in wheelchairs appropriately secured while the vehicle is in motion. Individuals shall be assigned seats or specially designed seats. 6.5.3 Route Information Current route directions, emergency medical information and lists of person to be transported and their addresses shall be established and maintained in the administrative office of the Board and on each vehicle.

6.6 ALTERNATE TRANSPORTATION SERVICES Alternate transportation services shall be addressed in the development of the individual’s IEP/ISP.

6.6.1 Transportation Reimbursement Reimbursement for mileage will be at the prevailing Board rate for individuals. The Board may reimburse parents of eligible children, or eligible adult individuals or their legal guardians, under the following conditions:

a. Children in half-day Early Intervention programs may be reimbursed. A family who chooses to send their child half days when full day programs are available will not be eligible for reimbursement.

b. All adults who have been placed into community employment in which wages are paid by Windfall Industries. Adults who have been placed into competitive employment in which their wages are paid by a community employer may not be eligible for reimbursement for costs of transportation to/from their place of employment.

c. Any individual who has a medical release, signed by a physician, stating that bus transportation is not recommended.

d. Any individual placed on a waiting list for transportation services. Reimbursement will be provided for mileage when an individual would ordinarily be on a bus - from home to the Achievement Center or a place of employment and/or a return trip home - for a total of no more than one (1) round trip per day of actual attendance in a Board program. Reimbursement may be paid to other individuals or transit firms who have entered into a contract for the purposes of providing transportation services to an eligible individual.

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6.6.2 Voluntary Transportation Service Provided there has been prior agreement between an individual, a parent or other person having care of a child and the Superintendent, an individual who is willing to transport himself or herself by walking, riding public transportation or in other ways to successfully reach the program site may not be required to ride the transportation vehicles provided by the Board. Parents are expected to provide transportation to Board programs for children up to age 2 (24 months). 6.6.3 Transportation After-Hours Parents/families/providers are responsible for transportation of individuals who remain after the regular program schedule. 6.6.4 Collaborative Services The Board may enter into agreements for transportation services with other qualified agencies in order to provide transportation for individuals to Board operated programs or services. All transportation services shall follow state rules and regulations for the transportation of adults and/or students as appropriate.

6.7 TRANSPORTATION SAFETY INSTRUCTION (OAC 5123:2-1-03 (G)(4)) (D)(5) Transportation Safety Instruction will be given to all individuals and staff during the first week of every school year. The content of the safety instruction will be communicated to parents, guardians, families, and caregivers. The program will include, but is not limited to:

A. safe walking practices to and from the bus; B. how to and where to wait safely for the bus; C. use of reflective clothing when going to and from the bus in darkness; D. what to do if the bus is late or does not arrive; E. how to safely approach, enter, and leave the bus; F. safe riding practices; G. procedures to follow in emergencies, including evacuation; and H. respect for the rights and privileges of other passengers.

The instruction will include procedures concerning transportation during inclement weather 6.7.1 Transportation Manual A written transportation manual shall be developed and a copy provided to all drivers, assistants, mechanics, and substitutes. The manual shall include procedures concerning transportation safety, emergencies, seating capacity, securing wheelchairs, behavioral supports, and appropriate use of car seats and restraints. The transportation manual shall be addressed during annual training provided to transportation staff. 6.8 EMERGENCIES AND INCLEMENT WEATHER (OAC 5123:2-1-03(G)(5)) (E)(6) The Superintendent or his/her designee shall establish and communicate written guidelines to parents, guardians, families, caregivers, and staff concerning transportation procedures during emergencies or in case of inclement weather. 6.9 TRAINING OF TRANSPORTATION PERSONNEL (OAC 3301-83-10) The Superintendent shall ensure that transportation personnel have received appropriate training.

6.9.1 Bus Driver Minimum Training Requirements The Board shall assign one or more persons to be trained and responsible for the on-the-bus instruction of beginning bus drivers. A bus driver training program shall be completed by each beginning driver in compliance with the following:

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A. On-the-bus instruction of eight hours, or as required to achieve an acceptable level of competence, shall be completed prior to a driver being assigned to operate a school bus with individuals on board and shall consist of:

1. Pre-trip inspection; 2. Identification of unacceptable driving techniques; 3. Starting the engine; 4. Position of hands for steering; 5. Shifting automatic transmissions; 6. Starting into traffic: entering and leaving the freeway; 7. Speed control; 8. Changing lanes; 9. Passing; 10. Left and right turns; 11. Turn-arounds; 12. Loading and unloading enrollees; 13. Railroad crossings; 14. Miscellaneous items:

a. Special driving situations; b. Special trips; c. Regular trip restrictions.

B. Fifteen hours minimum of pre-service classroom instruction shall be completed prior to operating a school bus with enrollees on board and shall consist of the following:

1. School bus and commercial driver license requirements; 2. Public relations; 3. Pre-driving instructions; 4. Driving the bus; 5. Defensive driving; 6. Individual management; 7. Safety and emergency procedures; 8. First aid; 9. Transporting individuals; 10. Fuel conservation; 11. Radio communication; 12. Motor vehicle laws; 13. Board policies.

C. In unusual circumstances, with the exception of safety and emergency procedures, individual management, and Board policies, the fifteen hours of classroom instruction may be completed within the first three months of employment. A temporary certificate may be issued for operation of a school bus during the training period. D. All new bus drivers, assistants, and substitutes shall attend, prior to their assignment to a bus with passengers on board, an orientation which includes a review of the vehicle operator’s manual and a practical overview of the characteristics and needs of individuals to be transported. 6.9.2 Bus Driver In-Service Training

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The superintendent shall provide and require all regular and substitute bus drivers to attend an annual in-service training program based on a needs assessment which includes a minimum of four hours of classroom instruction that must include one or more of the following:

A. School bus and commercial driver license requirements; B. Public and staff relations; C. Equipment and care; D. Driving the bus; E. Defensive driving; F. Enrollee management; G. Safety and emergency procedures; H. First aid; I. Transporting individuals; J. Motor vehicle laws; K. Signs, signals and pavement markings; L. Fuel conservation; M. Radio communications.

Bus drivers shall have a current and valid American Red Cross first aid certificate. 6.9.3 Transportation Supervisor The Board should encourage and support the transportation supervisor to attend local, regional, state, and national workshops and conferences devoted to the management, supervision, organization, and technical components of individual transportation. 6.9.4 School Bus Mechanic Training The Board shall provide the opportunity for school bus maintenance personnel to participate in a yearly workshop or training seminar, a minimum of two hours of instruction, as is available through and approved by the Ohio Department of Education or as locally developed in one or more of the following areas:

A. Preventive maintenance procedures; B. Repair procedures for each type of vehicle in the fleet and its special equipment; C. Servicing procedures for equipment; D. Inspection of the vehicle and its equipment; E. Recovery procedures for vehicles involved in an accident or breakdown; F. Preparation of maintenance records; G. Parts and equipment purchasing and storage; H. Establishment of parts inventory control procedures.

6.10 TRANSPORTATION RECORDS The Director of Transportation Transportation Manager shall ensure that all required documentation including, but not be limited to, vehicle specifications, bids, repair and maintenance records, accident reports, driver information, and passenger usage (daily attendance)are maintained in accordance with the MCBDD record retention schedule (RC-2).

Revised:

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Chapter 6 - Transportation

SECTION: SECTION: 1. TRANSPORTATION SERVICES 2. VEHICLE OPERATION

A. Restriction on Transportation of Individuals B. Drugs, Alcohol, and Prescription Drugs C. Essential Information D. Termination

3. VEHICLES

A. Alternate Transportation Vehicles B. Use of Vans for Transporting Children

4. AUTHORIZED RIDERS

A. Special Assistance B. Suspension

5. ALTERNATIVE TRANSPORTATION SERVICES A. Transportation Reimbursement B. Voluntary Transportation Service C. Transportation After-Hours D. Collaborative Services

6. TRANSPORTATION SAFETY INSTRUCTION

A. Transportation Manual 7. EMERGENCIES AND INCLEMENT WEATHER 8. TRANSPORTATION RECORDS

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1. TRANSPORTATION SERVICES The Board may provide transportation services pursuant to Section 5126.05 of the Revised Code for all individuals over age 2 placed in the Board's programs. Transportation for school age children over age 2 shall be in compliance with Sections 3323.01 and 4511.76 of the Revised Code. The nature and extent of transportation services to be provided to each individual served shall be determined through the IEP or ISP process. This determination shall be reviewed annually. 2. VEHICLE OPERATION Drivers on Board vehicles shall adhere to the rules relative to equipment and operation required by Board personnel policies and the vehicle operator's manual, and by Section 4511.76 of the Ohio Revised Code in the operation of school buses. Drivers shall make daily inspection to determine if the vehicle is in compliance with Ohio Pupil Transportation Regulations. A. Restrictions on Transportation of Enrollees Any employee who transports individuals as part of the performance of Board-compensated service shall use a Center-owned vehicle and shall be in possession of a valid operator's license. Employees are not permitted to drive facility vehicles unless a driver abstract has been obtained from the Ohio Bureau of Motor Vehicles, and reviewed by their department supervisor and the Transportation Manager according to driving evaluation procedures. B. Drugs, Alcohol and Prescription Drugs No employee shall operate a motor vehicle owned, leased or under contract to the Board while under the slightest influence of intoxicants, narcotics, alcohol, amphetamines, or any derivative thereof, or while having such items in their possession or while having the odor of intoxicants on their breath. Employees required to operate a motor vehicle who are found by medical test to be under the slightest influence of these substances or who are suspected of being under the slightest influence and who refuse to submit to medical tests shall be subject to immediate discharge. A vehicle driver using prescription drugs must present a physician statement which supports the use of the drug and which provides that the use of the drug will not impair the driver's ability to operate a Board motor vehicle in a safe and efficient manner. Likewise, no employee shall operate a motor vehicle owned, leased or under contract to the Board while taking a prescription or nonprescription drug which impairs the employee's ability to operate the vehicle and perform all required services in a safe and efficient manner. C. Termination The Superintendent may dismiss any vehicle driver for violations of traffic laws and safety regulations and/or failure to meet the requirements as outlined in Procedure #603. 3. VEHICLES A. Alternate Transportation Vehicles Alternate vehicles may be used where school buses are not required by law. Such alternate transportation vehicles shall meet the requirements of the Random Vehicle Inspections Rules and Regulations of the Department of Highway Safety.

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B. Use of Vans for Transporting Children In accordance with ORC 4511.76 and 3327.10, and OAC 3301-83-06, 3301-83-19, and 3301-83-21, the Board recognizes the need to assure the safe transportation of children served through Board programs. This policy is promulgated for the transportation of children, ages three (3) through twenty-one (21), who are receiving Board services and will be transported by Board staff other than a Transportation Department employee as part of his/her individual plan. This policy covers van transportation using Board-owned, leased, or contracted motor vans, originally designed and constructed at the factory for nine passengers or less, not including the driver. Any van used for the transportation of children must meet standards and usage procedures established by the Ohio Department of Education. Board employees not qualified as Vehicle Operators shall complete training established by the Ohio Department of Education, including, but not limited to, driver qualifications, vehicle regulations, vehicle inspections, vehicle equipment, and rules for transporting children in a van. Procedures shall be developed to implement this policy in accordance with rules and regulations. 4. AUTHORIZED RIDERS Only individuals, their parents or family members, caregivers, individuals being considered for enrollment, volunteers, members of the Board, and Board staff members are authorized to ride on Board vehicles. Others may ride only with the prior approval of the Superintendent. A. Special Assistance Assistance shall be provided to individuals while being transported on Board vehicles when the individual's IEP or ISP indicates a need for such assistance. B. Suspension No individual’s transportation service may be suspended except by the Superintendent and then only for the protection of the enrollee's physical well-being or physical well-being of other individuals or staff. Such suspension shall be only for the minimum amount of time required to correct the harmful conditions or to conclude a change in program assignment. Except in the event of an emergency, no suspension will commence before the individual and parent/guardian are notified of the reasons for the intended suspension and provided, when possible, an opportunity to meet with the Superintendent or designee to explain why the suspension should not be imposed. Such suspensions shall apply only to transportation service; all other program services provided by the Board shall continue during this time, unless special provisions have been made. 5. ALTERNATIVE TRANSPORTATION SERVICES Alternate transportation services shall be addressed in the development of the individual’s IEP/ISP.

A. Transportation Reimbursement Reimbursement for mileage will be at the prevailing Board rate for individuals. The Board may reimburse parents of eligible children, or eligible adult individuals or their legal guardians, under the following conditions:

1. Children in half-day Early Intervention programs may be reimbursed. A family who chooses to send their child half days when full day programs are available will not be eligible for reimbursement.

2. All adults who have been placed into community employment in which wages are paid by Windfall Industries. Adults who have been placed into competitive employment in which their wages are paid by a community employer may not be eligible for reimbursement for costs of transportation to/from their place of employment.

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3. Any individual who has a medical release, signed by a physician, stating that bus transportation is not recommended. Reimbursement may be paid to other individuals or transit firms who have entered into a contract for the purposes of providing transportation services to an eligible individual. B. Voluntary Transportation Service

Provided there has been prior agreement between an individual, a parent or other person having care of a child and the Superintendent, an individual who is willing to transport himself or herself by walking, riding public transportation or in other ways to successfully reach the program site may not be required to ride the transportation vehicles provided by the Board. Parents are expected to provide transportation to Board programs for children up to age 2 (24 months).

C. Transportation After-Hours Parents/families/providers are responsible for transportation of individuals who remain after the regular program schedule. D. Collaborative Services The Board may enter into agreements for transportation services with other qualified agencies in order to provide transportation for individuals to Board operated programs or services. All transportation services shall follow state rules and regulations for the transportation of adults and/or students as appropriate. 6. TRANSPORTATION SAFETY INSTRUCTION (OAC 5123:2-1-03 (D)(5)) Transportation Safety Instruction will be given to all individuals and staff during the first week of every school year. The content of the safety instruction will be communicated to parents, guardians, families, and caregivers. The program will include, but is not limited to:

a) safe walking practices to and from the bus; b) how to and where to wait safely for the bus; c) use of reflective clothing when going to and from the bus in darkness; d) what to do if the bus is late or does not arrive; e) how to safely approach, enter, and leave the bus; f) safe riding practices; g) procedures to follow in emergencies, including evacuation; and h) respect for the rights and privileges of other passengers.

The instruction will include procedures concerning transportation during inclement weather. 7. EMERGENCIES AND INCLEMENT WEATHER (OAC 5123:2-1-03 (E)(6)) The Superintendent or his/her designee shall establish and communicate written guidelines to parents, guardians, families, caregivers, and staff concerning transportation procedures during emergencies or in case of inclement weather. 8. TRANSPORTATION RECORDS The Transportation Manager shall ensure that all required documentation including, but not be limited to, vehicle specifications, bids, repair and maintenance records, accident reports, driver information, and passenger usage (daily attendance)are maintained in accordance with the MCBDD record retention schedule (RC-2). Revised: New Policy Format Approved by Board: Policy update due to transition Approved by Board:

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Chapter 10 – Community Supports and Development

SECTION:

1. EMPLOYMENT SERVICES A. Handbook B. Program Termination C. Health Services

1. Communicable Illness 2. Do Not Resuscitate (DNR) Orders

2. HEALTH AND WELLNESS 3. PROVIDER SUPPORT AND DEVELOPMENT

1. EMPLOYMENT SERVICES

Pursuant to ORC 5123.022, it is the policy of the MCBDD that employment services for individuals with developmental disabilities be directed at community employment and every individual with a developmental disability is presumed capable of community employment. Employment options may include, but are not limited to, community competitive employment, supported employment, and transitional.

• Community Competitive Employment services require a referral from Opportunities for Ohioans with Disabilities (OOD) or the Service and Support Administrator (SSA). Competitive employment services shall include those supports for individuals working within the community who need little support.

• Supported Employment services require a referral from the SSA. Supported employment services offer intensive, ongoing supports that enable participants in competitive employment at or above the minimum wage to perform in a regular work setting.

• Transition services are available for students and require a referral from the school district or the SSA. Transition services offer experience in the community, development of employment, and other post-school goals for board-eligible students enrolled in local school districts in Medina County.

• All employment services require completion of an enrollment packet prior to beginning services. A. Handbook A handbook shall be prepared and made available provided to all new individuals enrolled in the program, parents/families, and to all legal guardians, as well as any other enrolled individuals or parents/guardians, upon request. The handbook shall include at least the following:

• Employment Services • Health and Safety • Transportation • Grievance and Due Process Procedures

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B. Program Termination Closure and transfer summaries shall be recorded within fifteen (15) to thirty (30) days following the individual’s exit from the program.

C. Health Services The Board shall take all necessary steps to ensure the general health and safety of all individuals served by the Board. Board programs will be equipped with first aid supplies and safety equipment as appropriate. Individuals’ prescribed medications and health related activities will be administered according to ORC5123.42 and OAC 5123:2-6-03 requirements, when such medical tasks cannot otherwise be administered before or after daily service. Accepting complaints and conducting investigations related to nursing delegation will follow OAC 5123:2-6-07 (G) guidelines. The Board shall facilitate corrective actions as appropriate as outlined in OAC 5123:2-6-07 (E) (3). 1. Communicable Illness Confirmed or suspected cases of communicable disease shall be reported to the Health Services Coordinator or designee. When an individual is suspected of being communicable, the individual will be temporarily separated from their peers per Ohio Department of Health guidelines. Infection control measures will be utilized as appropriate to limit the exposure risk to others. An individual’s Board programming may be temporarily put on hold as clinically indicated per the current guidelines set forth by The Center for Disease Control (CDC), Ohio Department of Health (ODH), and Ohio Department of Education (ODE). 2. Do Not Resuscitate (DNR) Orders Board programs shall comply with a written DNR order when it meets mandated criteria as set forth in the ORC2133.21-2133.26.

2. HEALTH AND WELLNESS The Board shall make available to all individuals receiving Board services nursing care and consultation as available and appropriate. The Health Services Coordinator will provide education and consultation to individuals, families, providers, and stakeholders to support the health and wellness of individuals served. All health services shall be provided within the scope of practice for each nurse’s license. 3. PROVIDER SUPPORT AND DEVELOPMENT

Source OAC 5123-4-01 (C) (1) The Board shall take the steps necessary to support and maintain quality providers throughout the county. This includes, but is not limited to, assistance with recruitment, education, and retention efforts of direct support professionals. In partnership with providers, the Board will enhance the quality of services and promote community inclusion through self-advocacy efforts, educational awareness, and compliance support. Revisions: New Policy (Replaced Adult Services Policy) - Approved by Board: ______________

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Chapter 11 – General Programs and Services

SECTION: 1. NON-DISCRIMINATION IN PROGRAM SERVICES 2. ACCESSIBLE PROGRAMS AND FACILITIES 3. DUE PROCESS

A. Notice B. Appeal to Supervisor C. Supervisor Investigation D. Appeal to Superintendent E. Superintendent Review F. Appeal to County Board G. County Board Hearing H. Appeal to the Department of DD I. Director, DODD, Review J. Assurances K. Complaint Procedure L. Availability of Information

4. RESEARCH AND EXPERIMENTAL PROGRAMS

A. Protected Health Information (PHI) B. Approval of Research C. Use of De-identified Information D. Enforcement

5. RELEASE OF ENROLLEES TO AUTHORIZED PERSONS 6. ENROLLEE RIGHTS SOCIALIZATION WITH BOARD EMPLOYEES

A. Socialization with Board Employees

7. ELIGIBILITY FOR BOARD SERVICES A. Eligibility Application B. General Issues C. Notification

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D. Grandfather Clause E. Individuals Residing in State Institutions F. SSA Services G. Individuals Who Move H. Reapplication I. Individuals Found Ineligible J. Redeterminations K. Temporary In-County Placements

8. WELLNESS

A. Nutrition B. Health C. Fitness

1. NON-DISCRIMINATION IN PROGRAM SERVICES The Medina County Board of Mental Retardation and Developmental Disabilities, and all programs sponsored by the Board, shall not discriminate on the basis of race, religion, color, national origin, age, sex, sexual orientation, gender identity, gender expression or disability in the provision of services. Enrollees shall meet all eligibility requirements as developed by the Ohio Department of Mental Retardation and Developmental Disabilities and the Ohio Department of Education. 2. ACCESSIBLE PROGRAMS AND FACILITIES No otherwise qualified individual shall be denied access to, participation in, or the benefit from an appropriate program or activity because of a failure on the part of the Board to provide accessible facilities as required by State and Federal law. 3. DUE PROCESS (OAC 5123:2-1-12 OAC 5123-4-04, OAC 5123-4-02) For an individual placed by the LEA into the Board program, the Rules for the Education of Handicapped Children, Rule 3301-51-02 of the Administrative Code, shall be followed. Any other individual enrolled in, or eligible for enrollment in, a program operated by the Board in accordance with ORC Chapter 5126 shall be provided the right to due process in accordance with the following procedures. When a complaint involves an action of the Board, the request for administrative resolution shall be in writing and shall be filed with the supervisor of the applicable service component of the Board. Upon receipt of any complaint subject to administrative resolution, the Superintendent or designee shall provide written notice of the rights to administrative resolution of the complaint to the complainant or individual. Where circumstances permit, this notice shall be given 15 calendar days before the action is taken. If an individual has difficulty in reading or writing, an oral report may be accepted and documented by the Board supervisor receiving the report. An individual who wishes to seek administrative resolution in accordance with this process may be assisted by an advocate who may speak on behalf of the individual at the individual’s request. Areas subject to appeal include, but are not necessarily limited to, eligibility determination, arranging appropriate services for eligible individuals, or any denial, reduction, or termination of services by the County Board. Only issues under the control of the County Board are appealable. Any appeal filed with the Board will not abrogate any other rights to services. An individual who wishes to appeal a decision may be assisted by an advocate who may speak on behalf of the individual at the individual’s request. Timelines set forth in this policy may be extended if mutually agreed upon in writing by all parties involved.

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If an individual, parent of a minor, or guardian is appealing a termination or reduction of services or change in services, current services shall continue to be provided pending final resolution. A. Notice Upon receipt of complaint subject to administrative resolution, the Superintendent (or his/her designee) or appropriate staff member, subject to procedural safeguards, shall give notice of such decision, in writing, by certified or registered mail, return receipt requested, or if individual has selected email as his/ her preferred method of communication, the date of electronic confirmation that the individual has read the email, to the individual or the parent of a minor or the guardian and, when appropriate, other persons having care of the individual at least 15 calendar days before the action is taken. Such written notice shall include the following:

1. A detailed description of the proposed action; 2. A clear statement of the reasons for the proposed action (or refusal to initiate action), including specification of any evaluative

instruments or reports upon which such action (or refusal to initiate action) is proposed; 3. A statement that the individual has 90 calendar days to appeal; 4. A citation to the specific law or rule directly involved; 5. A description of alternative educational or habilitation opportunities available on a permanent or temporary basis 6. That the individual or the parent of a minor or guardian has the right to seek administrative resolution regarding complaints or to

appeal such decision; 7. That the individual or the parent of a minor or guardian has the right to receive independent medical, psychological, and other

evaluations at the expense of the party requesting the evaluation; 8. That the individual or the parent of a minor or guardian has the right to have in attendance at the hearing and to question any

official, employee, or agent of the Board who may have evidence upon which the proposed action was based, to be represented by legal counsel or any other representative of the appellant's choice and at the appellant's expense, to examine program records pertaining to the individual, including any evaluative results or reports upon which the proposed action may be based, and to present evidence including expert medical, psychological, or other testimony;

9. That the Superintendent shall take no action and continue current services pending final resolution of any appeal requested; and 10. A copy of the written due process policy and administrative resolution process.

If it is necessary to suspend an individual’s service without delay to ensure the health and safety of the individual or other individuals, the County Board shall determine immediate steps to ensure the health and safety of all individuals involved and provide written notice to including the following:

• An explanation of the County Board’s authority for suspending the individual’s services; • A description of the specific services being suspended; • The effective date for the suspension of services; • A statement of the reasons for the suspension of services; • A statement that the County Board shall arrange for appropriate alternative services and a description of the specific

alternative services available; • The name and contact information for the staff member of the County Board who can answer questions about the suspension

of services; and • An explanation of the steps the County Board will take in the appeal process.

Within five calendar days of the notice of suspension of services, the County Board shall convene a team meeting to identify measures that may be implemented to eliminate the circumstances that jeopardize the health and safety of the individual or other individuals.

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Within five calendar days of the team meeting, the County Board shall, with the consent of the individual, either implement measures to eliminate the circumstances that jeopardized health and safety and restore suspended services, continue to arrange for appropriate alternative services, or provide written notice the County Board’s decision to terminate the individual’s services at least 15 calendar days prior to the effective date of action. Hereafter, the term "appellant" refers to the individual, parent, or guardian initiating an appeal of the decision.

B. Appeal to Supervisor The individual, parents of a minor, or guardian shall file an appeal in writing to the supervisor within 90 days of the applicable service component of the County Board. If the individual is a service recipient who has difficulty in reading or writing, an oral report may be accepted and documented by the supervisor receiving the report. An individual or person may elect to participate in the informal process or initiate the formal process. Services that are being received will not change pending the outcome of the appeal process. C. Supervisor Investigation

1. The supervisor will conduct an investigation of the appeal which shall include a meeting with the individual or person who filed the appeal.

2. Within 15 calendar days of receipt of the complaint or appeal, a written report and decision will be completed and discussed with the individual and his representative. A description of the next step in due process shall be included.

D. Appeal to Superintendent The request for appeal shall be made, in writing, by the individual or the parent of a minor or guardian within 10 calendar days of receipt of the supervisor’s decision. If no decision is provided by the supervisor or manager of the County Board within 15 calendar days, the request for appeal must be filed to the Superintendent of the County Board within 25 calendar days of the filing of the appeal with the supervisor or manager. The request to appeal and objection to proposed action shall then be made to the Superintendent.

E. Superintendent Review

Upon receipt of request to appeal, the Superintendent shall, within 10 calendar days, meet with the party initiating the request and conduct an administrative review.

1. During the administrative review, the Superintendent may ask questions, review the circumstances related to the decision, and provide the party initiating the request the opportunity to present reasons as to why the decision should be reconsidered.

2. Within 15 calendar days of the receipt of the appeal, the Superintendent's decision shall be made known in writing, sent by certified mail to the appellant or individual and shall include a rationale for such decision and a description of the next step in due process.

F. Appeal to County Board If the individual or his representative wishes to appeal the Superintendent’s decision, a written appeal shall be filed with the Board President within 10 calendar days of receipt of the Superintendent’s decision. If no decision is provided by the Superintendent of the County Board or his/ her designee within 15 calendar days, the appeal must be filed with the President of the County Board within 25 calendar days of filing the appear with the Superintendent. G. County Board Hearing Upon receipt of a request to appeal, the Board shall conduct a hearing within 20 calendar days of receipt of the appeal, and at a time and place convenient to all parties. The Board may appoint a hearing examiner to conduct the hearing. The hearing examiner shall have the same powers and authority in conducting the hearing as granted to the Board. The hearing examiner shall not be an employee of the Board. The hearing examiner need not be admitted to the practice of law, but shall be possessed of such qualifications as to be able to render neutral and informed decisions on

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matters presented in the complaint. The Director of the Ohio Department of DD, or his designee, shall maintain a list of approved hearing examiners which a County Board may request in order to select a qualified hearing examiner. The Board may also request the Department to certify a hearing examiner as qualified to hear one or more cases for the Board in accordance with the person's experience and educational background.

1. No less than 10 calendar days prior to the hearing, the individual or the parent of a minor or guardian shall be provided access to Board records pertaining to the individual, including any evaluative results or reports upon which the proposed action or refusal to act may be based.

2. The hearing shall be a closed meeting unless the individual or the parent of a minor or guardian requests an open meeting. 3. The Superintendent shall show why the action taken regarding the denial or initial or continued enrollment or other decision is

appropriate. Evidence may be presented by both parties to support their positions. 4. The appellant shall be afforded the right to be represented by legal counsel or by such other representative of the appellant's

choice and at the appellant's expense. 5. The appellant shall be afforded the right to have in attendance and question any official, employee, or agent of the Board who

may have evidence upon which the appeal is based and to present evidence including expert medical, psychological, or other testimony.

6. The decision of the Board shall be based solely upon evidence presented at the hearing which shall be conducted in accordance with the procedures adopted by the Board for such hearing.

7. Evidence presented at the hearing shall be recorded by stenographic means or by use of audio electronic recording devices as the Board determines. Such record shall be made at the expense of the Board and, upon request, one copy of the verbatim transcript shall be provided the appellant at no cost.

8. When the Board has appointed a hearing examiner to conduct the hearing, the hearing examiner shall have the same powers and authority in conducting the hearing as granted to the County Board. The hearing examiner shall not be an employee of the County Board. The hearing examiner need not be admitted to the practice of law but shall possess such qualifications as to be able to render neutral and informed decision on matters presented in the complaint. Within 10 calendar days of the date the hearing is deemed closed, the hearing examiner shall issue a written report and recommendation, setting forth findings of fact, conclusions of law, and a recommendation for the disposition of the complaint. The report and recommendation shall be served upon the parties to the hearing by certified mail.

The parties to the hearing may file with the Board written objections to the report and recommendation within ten days of receipt of the report and recommendation.

9. Within 15 calendar days of the hearing, the Board’s receipt of report and recommendation from a County Board appointed committee or hearing officer or, written notification of the Board's decision shall be given to all parties and shall include a rationale for such decision and a description of the next step in due process. Such notification shall be made in writing and by certified mail.

H. Appeal to the Department of DD After all efforts have been exhausted at the Board level, the complaint may be referred, by the affected party, to the Department of Developmental Disabilities for a State level review. The request for a State level review shall be made in writing within 15 calendar days of receipt of the Board's decision resulting from the hearing. If no decision is provided by the President of the County Board within 15 calendar days, the appeal must be filed with the Director within 55 days of filing the appeal with the President of the County Board. The party initiating the request for the State level review shall send such request by registered or certified mail to the Director, DODD. Copies of the letter requesting the State level review shall also be sent to the Superintendent, the Board chairperson and the legal counsel or other person representing either or both parties. Upon receipt of notice of the appeal, the County Board shall send to the Department copies of the verbatim transcript of the hearing within 20 calendar days, any exhibits incorporated into the transcript, and the Board's written

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decision. I. Director, DODD, Review The State level review shall be conducted by the Director or designee. Within 45 calendar days of receipt of the written transcript of the County Board hearing, copies of any exhibits and copy of the County Board’s decision from the President of the County Board, the Director shall send by certified mail, a copy of his/ her decision to all affected parties.

1. The Department shall determine at the State level review if the decision of the Board is based upon appropriate interpretation of the Revised Code and Administrative Rules. At the State level review, the Director shall review the written decision of the Board, and if new information not available for consideration by the County Board is provided, the Director may refer the individual or his representative back to the County Board for a reconsideration of the matter.

2. Department's decision shall be made known, in writing, to all parties and shall include a rationale for such a decision. The decision of the Director shall be final and shall be based on evidence presented at the hearing and the resulting decision of the Board.

J. Assurances

1. All determinations shall be made in accordance with rules found in OAC 5123:2-1-12 and Section 11.6 Chapter 11, Section 3 of the MCBDD Policy Manual.

2. The County Board and Department shall at all times maintain confidentiality concerning the identities of individuals, complainants, witnesses, and other involved parties who provide information unless the individual, in writing, authorizes the release of information.

3. Timelines may be extended if mutually agreeable to all involved parties. 4. The due process procedures provided by this rule are in addition to any other rights which an individual or the parent of a minor

or guardian may otherwise have pursuant to the Revised Code. K. Complaint Procedure The County Board shall establish an informal process for the resolution of disputes with complainants or individuals. The Superintendent is authorized to appoint one or more persons to act as the hearing officer(s) to conduct an informal hearing of such disputes. The issue shall be resolved within a timeframe of no more than thirty days. Filing of such grievances shall not affect the rights of the complainant or individual to file an appeal through due process procedures under Section 11.6 Chapter 11, Section 3 of the MCBDD Policy Manualthis policy. Upon receipt of any complaint subject to administrative resolution, the Superintendent or appropriate designee shall provide written notice of the rights to administrative resolution of the complaint to the complainant or individual. Where circumstances permit, this notice shall be given at least ten days before the action is taken. Such notice shall be written in terms comprehensible by the complainant or individual, and shall include the following:

• A detailed description of the proposed action; • A clear statement of the reasons for the proposed action, including the specification of any evaluative instruments or reports upon

which such action is proposed; • A statement that the complainant or individual has the right to seek administrative resolution regarding complaints about such

decision; and • A copy of the written administrative resolution process.

The informal complaint process shall use the following guidelines:

A. Any request to resolve a disagreement shall be made within thirty days of the date of the dispute issue. B. Every effort should be made to resolve any disagreements within the major program or service component of the comprehensive

Board program; however, if not resolved, such complaint shall be referred immediately to the Superintendent.

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C. The Superintendent shall appoint one or more persons to act as a hearing officer. D. Upon receipt of a request to resolve any disagreements, the hearing officer shall, within fourteen days, conduct an administrative

review. 1. During the administrative review, the hearing officer shall respond to questions, review the circumstances related to the

decision, and provide the party initiating the request the opportunity to present reasons as to why the decision should be reconsidered; and

2. Within five working days of the administrative review, the hearing officer’s decision shall be made known, in writing, to all parties, including the Superintendent, and shall include a rationale for such decision.

E. Upon receipt of the hearing officer’s decision, the individual or the parent of a minor or guardian if not satisfied shall have the right to appeal to the County Board. The request to appeal shall be made in writing within thirty calendar days of receipt of the hearing officer’s decision following the administrative review.

F. If the hearing officer’s decision is appealed to the County Board, procedural safeguards pursuant to Section 11.6 Chapter 11, Section 3 of the MCBDD Policy Manual shall be followed.

L. Availability of Information The requirements of the due process set forth by this rule shall be made known, and a copy provided, to each individual or the parent of a minor or guardian. The Board shall give annual notification of the availability of the procedure for administrative resolution of complaints to individuals and any entity in the county that serves persons or provides or desires to provide other goods or services under a contract with the Board. A toll free number for the Department and Ohio Legal Rights Service shall be posted in a visible place. 4. RESEARCH AND EXPERIMENTAL PROGRAMS Any program not a part of the approved curriculum of the school or adult program or usual supportive or home based services, shall be termed "experimental program" and must be authorized by the Superintendent. The Superintendent may appoint a research committee to review such programs and make recommendations. A written proposal that details the purpose, goals, expected outcome, methodology, procedures and time frames of any projected experimental program must be submitted to the Superintendent. Approval shall be contingent upon the congruence of the proposal goals with those of the Board, relevance to the services delivered by the Board, probable advancement of knowledge about mental retardation/developmental disabilities and related services, face validity and lack of redundancy. Experimental programs that may endanger the safety or health of pupils and clients or jeopardize their emotional well-being, dignity or self-esteem are prohibited. Standard professional ethics for the conduct of such experimental programs shall be enforced, including the requirements of informed consent for participants, defined as pupils, clients, parents/guardians or parent surrogates. All Board policies and procedures governing confidentiality and due process shall be strictly observed. A written report shall be submitted to the Superintendent upon the conclusion of any authorized experimental program describing the procedures, results, conclusions and implications of the program. All persons conducting an authorized experimental program are subject to the administrative authority of the Superintendent and designated administrators during their presence in a facility operated by the Board or when engaged with clients of the Board and their parents or guardians. The Board shall refrain from involvement in any medical research not subject to professional (medical) review and monitoring.

A. Protected Health Information (PHI) (45 C.F.R. §164.512) MCBDD protects the confidentiality and integrity of PHI as required by law, professional ethics, and accreditation requirements. The use and disclosure of PHI in research must have appropriate authorizations and safeguards in place. MCBDD shall make all determinations regarding the applicable federal and state privacy standards as it applies to the use and disclosure of PHI for research. As a result, all

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Board employees must strictly observe the following standards relating to the use and disclosure of PHI for research and abide by Board policies and procedures. B. Approval of Research In order to provide for the adequate discharge of the institutional responsibility, no research activity involving human subjects may be undertaken by any employees, university faculty, or visiting students at MCBDD, unless MCBDD has reviewed and approved the research prior to commencing the research activity. Please see Section 11.8 Chapter 11, Section 4 of the MCBDD Policy Manual, Research And Experimental Programs. C. Use of De-identified Information Whenever possible, de-identified PHI shall be used. De-identified PHI is rendered anonymous when identifying characteristics are completely removed. De-identified PHI may only be used and disclosed in accordance with Board policies and procedures. This policy applies to all MCBDD employees, students-in-training, volunteers, and any other contractors or agents involved in research activities. D. Enforcement Board employees who violate this policy may be subject to appropriate disciplinary action, up to and including termination of employment. 5. RELEASE OF ENROLLEES TO AUTHORIZED PERSONS Enrollees shall not leave the facility or work site unless permitted to do so by their teacher/supervisor and only using approved transportation provided by an authorized individual. Children under the age of eighteen (18) may leave only under the supervision of an authorized parent/guardian or other designee. Documentation of authorized individuals shall be conducted annually at the beginning of each school year. This documentation shall include the individual's name, address, phone number, and relationship to the child. Copies of court orders or other legal restrictions that prohibit the release of enrollees to, or their association with, specific individuals shall be maintained in the enrollee's permanent record. Enrollees who leave the facility early must report to the office and sign out or be signed out by an authorized individual. Enrollees being picked up at work sites away from the facility, shall provide an appropriate written notice to their supervisor/crew leader which has been verified by the department head or his/her designee. 6. ENROLLEE RIGHTS Individuals with MR/DD are entitled to the following rights in accordance with Section 5123.62 of the Ohio Revised Code:

a. The right to be treated at all times with courtesy and respect and with full recognition of their dignity and individuality; b. The right to an appropriate, safe, and sanitary living environment that complies with local, state, and federal standards and

recognizes the person's need for privacy and independence; c. The right to food adequate to meet accepted standards of nutrition; d. The right to practice the religion of their choice or to abstain from the practice of religion; e. The right of timely access to appropriate medical or dental treatment; f. The right of access to necessary ancillary services including, but not limited to, occupational therapy, physical therapy, speech

therapy, and behavior modification and other psychological services; g. The right to receive appropriate care and treatment in the least intrusive manner; h. The right to privacy, including both periods of privacy and places of privacy; i. The right to communicate freely with persons of their choice in any reasonable manner they choose; j. The right of ownership and use of personal possessions so as to maintain individuality and personal dignity;

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k. The right to social interaction with members of either sex; l. The right of access to opportunities that enable individuals to develop their full human potential; m. The right to pursue vocational opportunities that will promote and enhance economic independence; n. The right to be treated equally as citizens under the law; o. The right to be free from emotional, psychological, and physical abuse; p. The right to participate in appropriate programs of education, training, social development, and habilitation and in programs of

reasonable recreation; q. The right to participate in decisions that affect their lives; r. The right to select a parent or advocate to act on their behalf; s. The right to manage their personal financial affairs, based on individual ability to do so; t. The right to confidential treatment of all information in their personal and medical records; u. The right to voice grievance and recommend changes in policies and services without restraint, interference, coercion,

discrimination, or reprisal; v. The right to be free from unnecessary chemical or physical restraints; w. The right to participate in the political process; x. The right to refuse to participate in medical, psychological, or other research or experiments.

6. SOCIALIZATION WITH BOARD EMPLOYEES The Medina County Board of DD recognizes and encourages the rights of persons with disabilities to make social choices just as persons without disabilities have such options and choices. An individual served by the Medina County Board of DD may choose to socialize with an employee of the Board during the employee's leisure time. All Board employees are notified of Section 4.35 Chapter 4, Section 35 of the MCBDD Policy Manual, Conduct Between Staff & Enrollees, during their initial orientation and annually thereafter. Individuals served, their guardians, parents, caregivers, friends, and family members shall be informed that a consumer and an employee may choose to socialize during their free time and that such interactions are not program activities of the Board and, as such, are not overseen nor are the responsibility of the Medina County Board of DD. If guardians, parents, caregivers, friends, and family members have any questions about whether any recreational activity of an individual served is a Medina County Board of DD sponsored and overseen activity, they are encouraged to contact Board program offices with their concerns. If at any time they have any concerns about the appropriateness of any activities of an individual served by the Medina County Board of DD or have any concerns about any apparent incidents of abuse or neglect, or any threat to the health or safety of an individual served, they should immediately contact MCBDD Service & Support Administration Offices or the Superintendent's Office to report such activity.

7. ELIGIBILITY FOR BOARD SERVICES The Medina County Board of Mental Retardation and Developmental Disabilities (Board) shall assure that all legal residents of Medina County applying for services receive a timely, objective eligibility determination according to Ohio Revised and Administrative Codes and Board policies.

SOURCE: OAC 5123-4-04 OAC 5123-4-02 Ohio Revised Code 5123.01 (O), (R), (U). Ohio Department of Developmental Disabilities. Definitions. Ohio Revised Code 5123.01.2 (B), (C)(3). Ohio Department of Developmental Disabilities. Determination of Eligibility. Ohio Revised Code 5126. County Boards of Developmental Disabilities. Ohio Revised Code 5126.15. County Boards of Developmental Disabilities. Service and Support Administrators. Ohio Revised Code 5122.01 (A). Hospitalization of Mentally Ill. Definitions. Ohio Administrative Code 5123:2-1-02 (C). County Boards of Developmental Disabilities. County Board Administration.

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Ohio Administrative Code 5123:2-1-06 (D). County Boards of Developmental Disabilities. Adult Services. Ohio Administrative Code 5123:2-1-12. County Boards of Developmental Disabilities. Administrative Resolution of Complaints for County Boards. Medina County Board of Developmental Disabilities Policy 3.10. Services Funding. Medina County Board of Developmental Disabilities Policy 7.1.2.2. Service and Support Administration. Due Process/Grievance. Medina County Board of Developmental Disabilities Policy 11.6. General Programs and Services. Due Process. DEFINITIONS: “Developmental Disability” – a severe, chronic disability characterized by all of the following:

1. The disability is attributable to a mental or physical impairment or combination of mental and physical impairments, other than a mental or physical impairment solely caused by a mental illness.

2. The disability is manifested before age twenty-two (22). 3. The disability is likely to continue indefinitely. 4. The disability results in one of the following:

• In the case of a child under age three (3), at least one (1) “developmental delay”. • In the case of a child at least age three (3), but under age six (6), at least two (2) “developmental delays • In the case of an individual at least age six (6), but under age sixteen (16), a substantial, functional limitation in at least three

(3) of the following areas of major life activity, as appropriate for the individual’s age: Self-care Receptive and Expressive Language Learning Mobility Self-direction Capacity for Independent Living

• In the case of an individual age sixteen (16) or older, a substantial, functional limitation in at least three (3) areas of major life activity as noted above, including “Capacity for Economic Self-sufficiency”.

5. The disability causes the individual to need a combination and sequence of special, interdisciplinary, or other type of care, treatment, or provision of services for an extended period of time that is individually planned and coordinated for the individual.

“Developmental Delay” – that a child through age five (5) has not reached developmental milestones expected for their chronological age as measured by qualified/certified professionals using appropriate diagnostic instruments and/or procedures.

1. Delay shall be demonstrated in the following developmental areas: self-help skills; physical developmental skills (fine and gross motor); cognitive development; language, speech, hearing, or communication skills; social or emotional development; and sensory development. • In the case of children under the age three (3), a “developmental delay” is operationally defined as a developmental area

assessed at a 25% or greater delay relative to their chronological or adjusted age in one or more areas. • In the case of children at least age three (3) but under age six (6), a “developmental delay” is operationally defined as a

developmental area assessed as falling at least 1.5 standard deviations or more below chronological age norms in two or more areas.

2. Eligibility may also be demonstrated through an established risk involving early aberrant development related to diagnosed medical disorders. Examples of these include, but are not limited to, infants and toddlers who are on a ventilator, drug exposed or who have a diagnosed medical disorder or physical or mental condition known to result in a developmental delay.

3. Eligibility may be determined for individuals under the age of six who have an established risk of acquiring a developmental delay, or for individuals who have a biological or environmental risk of acquiring a developmental delay.

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"Developmental delay" means that a child has not reached developmental milestones expected for his or her chronological age as measured by qualified professionals using appropriate diagnostic instruments and/or procedures.

(a) For children birth through age two, developmental delay shall be established in accordance with part C and rules promulgated by the department.

(b) For children age three through age five, developmental delay shall be established in accordance with rules promulgated by the Ohio department of education.

“Children’s Ohio Eligibility Determination Instrument (COEDI)” – an instrument used by authorized Board personnel to determine a substantial functional limitation in a major life area for children age six (6) through age fifteen (15). “Ohio Eligibility Determination Instrument (OEDI)” – an instrument used by authorized Board personnel to determine substantial functional limitations in major life areas for individuals aged sixteen (16) and older.

A. Eligibility Application Upon application for Board Services, the individual, the individual’s guardian, or responsible party shall be given the following information in writing:

• Available Board services. • The eligibility determination process and a summary of the information and documents required for eligibility determination. • The individual’s appeal rights under the Ohio Administrative Code and under Board policies. • A notice that an individual who wishes assistance through the eligibility process, or to grieve any decision, may request an

advocate to speak on their behalf. The Board shall complete an eligibility determination within forty-five (45) calendar days of the request for services or after all necessary information has been received from the referring party or individual. Timeframes may be waived or extended with mutual agreement of the individual and the Board. B. General Issues The Board shall maintain all documents used to determine the eligibility of each individual who applies for Board services after July 1, 1991, whether or not the individual is found to be eligible. Information on individuals found to be ineligible shall be maintained for five years after such determination is made. Information on individuals found to be eligible shall be maintained in accordance with Ohio Administrative Code and the Board’s policy on record retention as found in Section 3.4.4 Chapter 3, Section 4 C of the MCBDD Policy Manual. C. Notification Any individual who has been denied eligibility, denied placement on a waiting list, placed on a waiting list against their wishes, or removed from a waiting list shall be notified in a manner in which they are most likely to understand and apprised of their right to appeal such decision. D. Grandfather Clause All individuals who were eligible for and receiving services from programs offered by the Board pursuant to Chapter 5126 of the Ohio Revised Code on July 1, 1991, shall continue to be eligible for those services and to receive services in those programs as long as they are in need of services. E. Individuals Residing in State Institutions

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Any individual who resided in a State of Ohio DD institution on or before October 29, 1993 is eligible for programs and services offered by the Board, unless the individual is determined by the Board to not be in need of those programs and/or services. F. SSA Services Eligibility determination for Service and Support Administration Services shall be in accordance with Ohio Revised Code and Board policy. Individuals who were eligible for case management services and receiving those services pursuant to Chapter 5126 of the Ohio Revised Code on January 10, 1992, shall continue to be eligible for case management services as long as they are in need of services. G. Individuals Who Move Any individual who has been determined eligible for county board services after July 1, 1991 and who moves to or wants to move to Medina County, shall be considered eligible for Board services. For individuals waiting to move into Medina County, their request shall be reviewed every six months to determine if their request remains current. During the intake process, the Board may review the individual’s eligibility for service. Through the course of the eligibility review, the individual shall continue to be eligible to receive services according to the Board’s plan and priorities. H. Reapplication The Board reserves the right to re-review the eligibility status of any individual who has been terminated from Board programs or services though some exceptions may exist. Any individual terminated from Board programs or services must be re-reviewed for eligibility status when requesting new services. The following exceptions may be made:

• Children under the age of three years that re-apply for services within three months of termination may be granted eligibility status.

• Children ages three to four years may be granted eligibility status within six months of termination. • Children ages four to six years may be granted eligibility status within six months of termination with review of current IEP that

demonstrates at least two areas of developmental delays. • Individuals ages six years and up may be granted eligibility status within one year of termination with review of current

information that would suggest no need for a formal determination.

I. Individuals Found Ineligible All individuals found ineligible shall be referred, with their consent, to other agencies or service sources. J. Redeterminations The Board reserves the right at any time to redetermine and/or reassess an individual’s eligibility. Redeterminations will automatically occur when an individual reaches the ages of three, six, and/or sixteen. K. Temporary In-County Placements Individuals placed in Medina County on a temporary basis are not considered eligible for Board services unless service funding is provided by the placing county or authority. For individuals living in Medina County but who have family members/guardians residing in other counties, eligibility will be determined on an individual basis. 8. WELLNESS The Medina County Board of DD shall implement a comprehensive wellness program consistent with state and federal requirements for organizations sponsoring the National School Lunch Program. These requirements include:

• S.2507 - Child Nutrition and WIC Re-Authorization Act of 2004 Section 204

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• National School Lunch Act (42 USC 1751 et seq.) • National School Lunch Act Sections 9(f)(1) and 17(a), (42 USC 1758(f)(1), 1766(a)) • Child Nutrition Act (42 USC 1771 et seq.) • Child Nutrition Act Section 10(a)(b) (42 USC 1779) • 7 CFR Part 210 and Part 220 • ORC 3313.813 and 3313.814 • ORC 3323 • ORC 3791 • ORC 3794 • Reauthorization Act (Sec. 204) • OAC 3301-91-09

The wellness program shall: • Provide students access to nutritious food and develop guidelines for school lunch meals; • Provide opportunities for physical activity and developmentally appropriate exercise; • Promote family and community involvement in the program; • Assess the impact of the program and provide accurate information related to this topic to all stakeholders; and • Involve parents, enrollees, staff, administrators, Board members, and other members of the community in the ongoing

development and coordination of the wellness program through participation in a wellness advisory panel.

The Board’s wellness program shall include a comprehensive plan involving nutrition, health, and fitness components consistent with accepted nutrition guidelines and coordinated with the Board’s food service operation. The Board shall seek input from staff, enrollees, parents or guardians, and public health professionals in the ongoing development and monitoring of the program. The wellness program shall make effective use of available Board and community resources to serve the needs and interests of all enrollees and staff, taking into consideration differences in cultural norms and special needs. A. Nutrition All enrollees shall be provided with information to help develop skills necessary to make nutritious and enjoyable food choices. In addition, all staff are encouraged to model healthy eating behavior as a valuable part of daily life. MCBDD shall prepare, adopt, and implement a comprehensive nutrition plan to encourage healthy eating that includes:

a) A food service program that employs well-trained staff who serve appealing choices of nutritious foods; b) Pleasant eating areas for enrollees and staff with adequate time for unhurried eating; c) An overall environment that encourages enrollees to make healthy food choices; d) Opportunities and encouragement for staff to model healthy eating habits; e) Services to ensure that enrollees and staff with nutrition-related health problems are referred to appropriate services for

counseling or medical treatment; and f) Strategies to involve family members in nutrition planning.

B. Health MCBDD shall make health information available to all enrollees and families, and provide a healthy environment for individuals served. The Board shall:

a) Adopt policies and implement effective strategies to help reduce unhealthy behaviors, b) Conduct regular reviews at all Board facilities in order to assess the impact of environmental factors on the health of enrollees, c) Ensure that individual enrollee plans address long term health issues and initiatives to reduce potential health risks, and

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d) Disseminate information that addresses chronic disease risk factors and the leading causes of death and disability, including alcohol and drug use, injury and violence (including suicide), tobacco use, poor nutrition, physical inactivity, and sexual behaviors.

C. Fitness All enrollees and staff shall be encouraged to participate in fitness activities. The Board shall:

a) Help promote physical fitness and involvement in regular physical activity; b) Provide information about the benefits of a physically active and healthful lifestyle; c) Provide opportunities for enrollees to develop awareness and skills for specific physical activities, exercises, and/or

sports/athletic events; d) Encourage parents/guardians and providers to support enrollee participation in physical activity, to be physically active role

models, and to include physical activity at home and in family events; and e) Provide opportunities and encouragement for staff to model good fitness habits and a physically active lifestyle.

Revisions: 11.4 Behavior Support – Delete – move to Chapter 7 (SSA): approved 09/28/2015 11.6 Due Process – Approved 12/12/16 (Updated) New Policy Format Approved by Board: 10/26/20

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MONTHLY REPORTS

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SUPERINTENDENT The timeline for Strategic Planning has been established as follows: • January: Internal survey completed • February: Participants for focus groups determined • March-April : Focus groups for all stakeholders will be conducted • May: Data compiled and goals identified • June - July: Finalize goals and action statements • August: Draft plan completed • September: Strategic Plan presented to Board for approval SSA • SSAs continue to reach out to families. We have received some good feedback from the

families of our 3-13 year old children that they appreciate the reach outs; they feel more connected. SSAs are also working with the Medina County Health Department, along with the Community Supports Department, to assist with vaccination information.

• The new Ohio ISP roll out has been delayed slightly, but SSAs will be getting training in the coming months around the new format.

Waiver Status • 2021-We have allocated one IO Waiver. PUBLIC RELATIONS Community Engagement • The MCBDD donated items for the Wadsworth Office for Older Adults “Mask Up” drive on

Wednesday, 1/20/21.

Media • There were articles about the Build-A-Bear donations from the Medina County Probate Court

for Windfall Preschool and School. • There were several ads for DSP Spotlights from the last quarter of 2020. • There was an article and ad about the importance of developmental screenings for young

children. EARLY INTERVENTION • Medina County EI Annual Performance report received:

Medina County achieved 100% on the two Compliance Indicators for SFY 19/20 (Notification of Local Education Association and 45-day deadline from referral date to IFSP.)

Medina County also met state and federal targets in two Performance Indicators (Serving all children/families in natural environments and child count 0 to 3 years of age.)

Overall state assignment determination for Medina County is Meets Requirements. • To date referral numbers for December and January are up: first week of January produced

highest weekly total of new referrals!

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• Staffing updates: We have had one Service Coordinator resign at the end of 2020, and one Developmental Specialist position vacancy. The new Service Coordinator is on board, certified, and in process of team training. We have posted the Developmental Specialist position as of last week, and we have added a new Occupational Therapist (OT) position, which allows us one full-time OT for each team starting next week. This OT position is one that was budgeted for 2020 but due to COVID-19 restrictions with licensing and certification, we had to postpone the hiring of that position until those issues resolved at the end of 2020. All staff should be fully hired and trained by the time that we are able to return to in-person visits, hopefully in the spring.

SCHOOLAGE AND PRESCHOOL • Students began in-person learning on Monday, 1/11/21. Everyone is happy to be back at

school. • Four students participated in the option of in-person therapy at the LLA therapy clinic and

received OT, SLP, and PT during the remote learning and holiday break period. COMMUNITY SUPPORTS & DEVELOPMENT DEPARTMENT Windfall Industries (WI) • The Windfall Industries board has not held any public board meetings due to COVID-19. Community Partnerships • The Medina County Employment Collaborative is back to meeting on a monthly basis. The

next meeting is scheduled for 1/20/21. • Ed Dryer, Director of Community Services, attended the Northeast Ohio Employment

Collaborative Leaders Network on 12/14/20. Community Employment • The number of individuals currently employed in the community is 134. • The number of individuals receiving Community Employment Services the past month

includes the following: Job Development: 11 Job Coaching: 6 90-Day Job Retention: 8 Community-Based Assessment: 0 Work Adjustment: 0

Community Connections • Community Connections continues to provide weekly Boredom Buster emails, while

continuing with no in-person clubs or volunteer work due to COVID-19. STEP The current roster includes six students. • Due to Medina County going to purple status for COVID-19, STEP switched to virtual

learning as of 12/7/20. Staff provided classes thru Zoom all five days a week. In-person classes began again on 1/11/21.

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Training • Three Community Employment staff are in the process of getting re-certified for the

Community Employment Support Professional (CESP) certification. Self-Advocacy • The MCBDD continues to inform, engage, and connect Self-Advocates through Facebook,

updates, spotlights, and the quarterly newsletter to more than 58 families. • The MCBDD staff continue to provide self-advocacy/self-determination training via Zoom to

local provider agencies. • Advocates meet weekly with MCBDD staff via Zoom. This has been a great way for

Advocates to connect with one another socially while sharing news, resources, and general information. Eighteen Advocates regularly join in on these meetings.

• The year 2020 ended on a positive note as Advocates engaged in several projects: o Several Advocates shared stories about acts of kindness for our Advocacy Kindness

Project. We are encouraging Advocates to keep this project going strong and we hope to share many more stories.

o Many Advocates shared photos of their holiday decorating creativity and three winners were awarded donut decorating kits from Circles on the Square for the Holiday Decorating Contest.

• The MCBDD staff are excited to start the New Year off with many more opportunities to learn all we can, engage with as many as we can, and teach everyone we possibly can!

Volunteering • Volunteering opportunities remain on hold due to COVID-19.

DSP Spotlight • Stephen Fowerbaugh was recognized on 12/9/20 and presented with a certificate of

recognition at Medina Creative Accessibility (MCA). Stephen was nominated by Jill Robbins, also from MCA, for his outstanding dedication and commitment to the individuals he serves each and every day. Stephen is featured in the January DSP Spotlight. Congratulations Stephen!

OPERATIONS Construction and Building Update: • As of 1/14/21 – the generator pad is poured and currently curing. Once curing is complete,

the generator will be set and the transition will begin. • The drainage study is complete – we will use this study when developing and finalizing

Capital Improvements for this year. • In December, HVAC systems including heat pumps, makeup air units, vav boxes, supply

diffusers, supply ductwork, exhaust ductwork, and exhaust fans were cleaned. • In conjunction with Capital Improvements and the 10-Year Plan, we are developing a priority

scope of replacement based on the Facility Needs Assessment and communication with the Maintenance team. A Facilities Committee meeting will be scheduled in February to provide updates.

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Dietary: • Thirteen families were served during virtual learning each week. • We will continue to provide free breakfast and lunches to all Windfall students until the end

of the school year through the Seamless Summer Option; reimbursed with federal money. Aktion Club: • Aktion Club continues to meet via Zoom with 10+ members joining each Monday at 1:00

p.m. Guest speakers are welcome. If interested, contact Paula Majoros for a Zoom link. SPECIAL OLYMPICS OHIO MEDINA COUNTY BOARD OF DD- January 2021 All in-person Special Olympics activities are suspended until 2/8/2021. Phase 1 – 10 athletes/volunteers permitted at practice; no spectators permitted. Phase 2 – 35 athletes/volunteers permitted at practice; one spectator/athlete permitted. Phase 3 – 50 athletes/volunteers permitted at practice; two spectators/athlete permitted. 90 athletes total; 15 Unified Partners 65 Bowling Athletes; 15 Unified Partners 13 Basketball 12 Swimmers

Bowling • Bowling will resume tentatively on 2/8/21 at both Medina and Lodi lanes, depending upon

which Phase of return is determined by Special Olympics Ohio. • Masks are mandatory the entire time at the bowling alley (face shields are NOT permitted);

bowling every other lane; and no food permitted (kitchen closed). Basketball • Bowling will not resume regular practices in 2021 – will explore and discuss with coaches an

“open gym” option during February and March 2021, depending on coach availability. Swim • Swim will not resume regular practices in 2021 – we are exploring options of “open swim”

with the coach during February and March 2021, depending on coach availability. Additional Information • S.O. Ohio launched Art Auction; one Medina athlete’s artwork was entered into auction and

helped to raise money for the S.O. Ohio program. • Fitness Influencer Challenge through Special Olympics Ohio is ongoing, runs through April

2021, and is open to any SO athlete to register. • BFitBYou in Medina offered their gym space to S.O. Medina athletes at both individual

membership and group home membership rates; athletes are able to work out in a safe gym with limited people from the public in attendance. (One athlete and one support staff present OR one group home and staff present up to five, total, to allow for social distancing and maximum safety.)

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• The SO Coordinator’s Zoom meeting included discussion about competitions between counties with games like Family Feud, etc.; asking athletes about interest.

• Monday night athlete Zoom meetings began again on 12/7/2020. • Virtual Hoop Shoot Contest hosted by another county is scheduled and all entries are due by

2/18/21 if 2020 Basketball athletes are interested. (Details emailed in January.) • Virtual workout options for athletes are shared weekly on Mondays (from Special Olympics

Ohio) and is a partnership with We Thrive Together; when made available, information is shared via SO Medina email distribution and SO Medina website. (These classes and activities are available through Zoom.)

• All athletes/volunteers are required to complete SOOH COVID-19 Waiver Form prior to participation; temperatures are taken before practices; masks are required when 6-foot social distancing can’t be met or when not actively participating in the sport; and masks can be removed when actively participating in sport EXCEPT Bowling where masks must be worn at all times.

• 2021 Polar Plunge fundraiser information distributed via email.

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MEDINA COUNTY BOARD OF DEVELOPMENTAL DISABILITIESMONTHLY STATEMENT OF RECEIPTS

ALL FUNDS12/31/2020

VARIANCE ANALYSISBUDGETED YTD RECEIPTS YTD RECEIPTS INCREASE % INCR. % OF BUDGET

ACCT TITLE RECEIPTS OCT NOV DEC CURRENT YEAR PRIOR YEAR (DECREASE) (DECR.) RECEIVED ( ) = UNFAVORABLE 100.00%

2855-40450 TRANSFERS (8) 2,958,040 - - - 2,958,040 837,000 2,121,040 253.41 100.00 2856-40008 SALES TAX REVENUE 18,000 - 4,757 - 17,933 17,108 825 4.82 99.63 3300-40001 REAL ESTATE TAX (3) 15,978,931 2,144 - - 16,730,603 16,153,377 577,226 3.57 104.70 3300-40009 ST PYMT IN LIEU OF TAXES 2,000 - - - 2,578 3,342 (764) (22.87) 128.89 3300-40011 ROLLBACK/HOMESTEAD TAX (2) 2,141,474 933 - - 2,115,123 2,136,912 (21,789) (1.02) 98.77 3300-40250 FEES 8,000 - - - 3,200 8,900 (5,700) (64.04) 40.00 3300-40420 GENERAL REIMBURSEMENTS 305,200 17,839 23,155 28,268 224,235 261,427 (37,192) (14.23) 73.47 3300-40435 MEDICAID SETTLEMENT (7) 1,432,254 - - - 1,867,603 1,779,203 88,400 4.97 130.40 3300-40437 FSS SUBSIDY 76,722 - - - - 115,083 (115,083) (100.00) - 3300-40438 TARGETED CASE MGT (5) 827,000 73,364 75,438 81,808 830,580 853,414 (22,834) (2.68) 100.43 3300-40439 WAIVER INCOME (5) 142,584 - 2,097 2,887 77,019 453,567 (376,547) (83.02) 54.02 3300-40440 MAC 483,372 - 108,926 - 479,140 490,790 (11,650) (2.37) 99.12 3300-40599 OTHER REVENUE 13,300 5,629 4,229 63,402 127,801 216,378 (88,577) (40.94) 960.91 3300-40601 GRANTS - FEDERAL (4) 116,929 1,331 2,295 30,598 106,224 130,153 (23,929) (18.39) 90.84 3300-40602 GRANTS - STATE (4) 217,000 - 922 922 12,077 27,777 (15,700) (56.52) 5.57 3300-40606 BVR/VR 243,800 59,228 4,024 20,400 335,535 277,560 57,975 20.89 137.63 3300-40612 DEPT OF ED SUBSIDY 500,000 45,077 22,539 45,077 532,735 741,197 (208,462) (28.13) 106.55 3300-40710 RENT 64,140 3,651 3,651 3,651 - 3300-40712 REFUNDS 4,000 170 100 76 5,907 7,492 (1,585) (21.15) 147.69 3315-40072 DONATIONS (6) 10,000 - 10,000 115 12,700 6,281 6,419 102.20 127.00 3315-40503 INTEREST 2,500 - - - 1,055 2,610 (1,555) (59.58) 42.20

GRAND TOTALS 25,545,246 209,367 262,132 277,204 26,440,090 24,519,573 1,920,517 7.83 103.50 check: 209,367.22 262,132.24 277,203.66 26,452,563.10 24,519,573.43

Footnotes:1. This report combines all funds for MCBDD (General, Capital and Donated).2. Rollback/ Homestead is the portion of Real Estate Taxes that are paid by the State twice a year.

4. Grants - Federal (Title XX, National School Lunch, Title VI), Grants - State (Capital Assistance Grants, Other State Grants)5. Medicaid payments (Waiver & Targeted Case Management).

8. Cash transfer from general fund to capital improvement fund.

6. Donations received (3315-40072): Jan - Boxtops for Education $121.10, Kurt Hawley (for self-advocacy group) $500.00, City of Brunswick Police Dept (for Adult Services) $260.00, By Design (for Windfall School) $300.00, Apr - State Farm matching donation (for self-advocacy group) $485.15, May - BoxTops for Education $10. Jun - $908.69 - MCCC Sports Medicine Program Seniors donation to Windfall School, Nov - Anonymous (C. A.) -any use - DSP appreciation - $10,000, Dec - Apples for Education $1157. Medicaid Settlement - cost report and waiver match reconciliations: Jan - CY16 cost report settlement $1.5M, Mar - FY18 Waiver Match Reconciliation $364k

3. Real Estate taxes are received twice a year in March or April and August or September.

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MEDINA COUNTY BOARD OF DEVELOPMENTAL DISABILITIESMONTHLY EXPENDITURE STATEMENT

ALL FUNDS12/31/2020

ANNUAL BUDGET ADJUSTED YTD YTD YTD INCREASE UNSPENT %ACCT TITLE BUDGET TRANSFERS BUDGET OCT NOV DEC BUDGET EXPENDED PRIOR YEAR (DECREASE) BALANCE 2020 SPENT

100.00%VARIOUS SALARIES (5) 8,346,321 21,250 8,367,571 635,241 623,028 618,756 8,367,571 7,814,145 8,461,543 (647,399) 553,426 93.39 3300-50060 WORKERS COMP 62,598 160 62,758 4,764 4,673 4,641 62,758 58,605 63,741 (5,136) 4,153 93.38 3300-50070 UNEMPLOYMENT 75,666 - 75,666 - - - 75,666 20,844 15,024 5,819 54,822 27.55 3300-50080 PERS 988,624 (15,020) 973,604 68,043 72,272 68,600 973,604 892,764 2,022,306 (1,129,542) 80,840 91.70 3300-50081 MEDICARE 121,021 310 121,331 8,715 8,442 8,431 121,331 106,568 115,130 (8,561) 14,763 87.83 3300-50082 STRS 179,861 18,000 197,861 14,093 14,952 13,451 197,861 182,454 172,332 10,122 15,407 92.21 3300-50090 HOSPITALIZATION 2,682,019 259,560 2,941,579 193,148 190,153 441,600 2,941,579 2,583,451 2,771,581 (188,131) 358,128 87.83 3300-50091 DENTAL INSURANCE 124,675 340 125,015 10,014 10,194 10,161 125,015 121,181 incl. above - 3,834 96.93 3300-50100 SUPPLIES 165,400 74,000 239,400 13,287 (29,139) 12,328 239,400 123,975 100,317 23,657 115,425 51.79 3300-50200 MATERIALS 38,700 - 38,700 56 (524) 552 38,700 4,184 23,097 (18,914) 34,516 10.81 3300-50230 REPAIRS 52,500 - 52,500 1,621 1,058 910 52,500 28,510 25,035 3,475 23,990 54.30 3300-50250 EMERGENCY RELIEF 25,000 25,000 50,000 - 1,800 375 50,000 36,212 10,235 25,977 13,788 72.42 3300-50450 FEES 10,700 10,700 341 - - 10,700 478 incl. in 50610 - 10,222 4.46 3300-50515 PROPERTY & LIABILITY INS 39,000 39,000 - - - 39,000 32,792 incl. in 50610 - 6,208 84.08 3300-50536 VEHICLE INSURANCE 21,000 21,000 - - - 21,000 10,774 incl. in 50610 - 10,226 51.30 3300-50540 ADVERTISING 27,700 8,750 36,450 91 2,294 3,830 36,450 24,971 34,557 (9,585) 11,479 68.51 3300-50541 PRINTING 12,950 12,950 602 728 406 12,950 2,932 incl. above - 10,018 22.64 3300-50560 TRAVEL 149,700 - 149,700 1,532 720 1,325 149,700 42,771 100,148 (57,376) 106,929 28.57 3300-50580 CONTRACT SERVICES 2,190,870 135,000 2,325,870 105,601 52,326 237,206 2,325,870 1,593,508 1,920,376 (326,868) 732,362 68.51 3300-50590 CONTRACT PROJECTS 270,000 (150,000) 120,000 - - - 120,000 69,560 - 69,560 50,440 57.97 3300-50600 GASOLINE 40,000 - 40,000 118 404 121 40,000 6,678 29,200 (22,522) 33,322 16.69 3300-50605 MOTOR VEHICLES - - - - - - - new 2020 - - 3300-50610 OTHER EXPENSE (3) 334,687 - 334,687 9,288 79,903 - 334,687 319,725 345,435 (25,710) 14,962 95.53 VARIOUS UTILITIES 306,881 - 306,881 8,205 14,351 14,346 306,881 205,420 274,763 (69,343) 101,461 66.94 3300-50710 RENT 120,008 120,008 - - - 120,008 120,000 180,000 (60,000) 8 99.99 3300-50711 RENT-EQUIPMENT 14,860 - 14,860 - - 168 14,860 2,856 16,655 (13,799) 12,004 19.22 3300-50780 EQUIPMENT 115,282 15,000 130,282 7,014 2,744 11,971 130,282 94,897 167,795 (72,898) 35,385 72.84 2855-50580 CONTRACT SERVICES (CI) 121,440 - 121,440 2,710 - 1,534 121,440 27,599 39,471 (11,872) 93,841 22.73 2855-50590 CAPITAL PROJECTS 1,639,000 97,100 1,736,100 9,290 117,641 99,552 1,736,100 1,305,223 543,634 761,590 430,877 75.18 2856-50590 CAPITAL PROJECTS (SALES TAX) 30,400 - 30,400 - - - 30,400 - 16,177 (16,177) 30,400 - SUBTOTAL - EXPENDITURES 18,306,863 489,450 18,796,313 1,093,774 1,168,020 1,550,264 18,796,313 15,833,075 17,448,552 (1,783,634) 2,963,238 84.24 3300-50623 MEDICAID LOCAL MATCH (2) 5,109,500 (75,000) 5,034,500 1,447 1,008,464 14,142 5,034,500 4,411,580 4,295,409 116,171 622,920 87.63

- GRAND TOTALS 23,416,363 414,450 23,830,813 1,095,222 2,176,484 1,564,407 23,830,813 20,244,655 21,743,961 (1,667,463) 3,586,158 84.95 PRIOR YEAR CARRYOVER (4) 300 123 - 236,917 275,399

check: 23,416,363 414,450 23,830,813 1,095,221.50 2,176,484.15 1,564,406.78 23,830,813 20,244,655.16 21,743,961 3,586,158

3300-50960 TRANSFERS (6) 8,000,000 (5,041,960) 2,958,040 8,000,000 - - 2,958,040 10,958,040 837,000 10,121,040 (8,000,000) 370.45

3300-50981 RESERVE GENERAL (7) - 8,000,000 8,000,000 - - - 8,000,000 - - - 8,000,000 - 2855-50981 RESERVE CAPITAL (7) 1,197,600 (97,100) 1,100,500 - - - 1,100,500 - - - 1,100,500 -

1,197,600 7,902,900 9,100,500 9,100,500 - - - 9,100,500 -

24,613,963 8,317,350 32,931,313FOOTNOTES:1. This report combines all funds for MCBDD (General, Capital and Donated); Annual Budget is the initial 2020 Budget.2. Local Match includes quarterly payments plus 5th invoice to DODD for Medicaid match .

4. Prior Year Carry-over is 2019 expenses paid in 20205. Salaries - three pay months (January and July 2020).

7. Reserve - Designated reserve accounts covered by ORC 5705.222 (C)Italicized account codes include expenses for 3315, Donated Funds

YTD VARIANCE ANALYSIS

3. Other Expense includes one-time payments (e.g. state admin fees, memberships).

6. Transfers- This is not an expense but is needed to transfer money from the general fund to the capital improvement fund ($1,197,600 - capital reserve, $1,760,440 - 2020 capital projects) and general fund reserve account (requested 9.28.20) ($8,000,000)

TOTAL RESERVE AMOUNTS:

8. Closing notes - March closed financials had one change to contract services 50580 of $500 do to March check being voided in April (before March was closed) Dec hospitalization includes $250,000 contribution

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MEDINA COUNTY BOARD OF DEVELOPMENTAL DISABILITIESCASH BALANCE FOR MONTH ENDING: December 31, 2020

CURRENT PRIOR NET YEAR YEAR CHANGE

FUND # 2855 Capital Fund 916,717.08 370,149.51 546,567.57 2855 Capital Fund Reserve 1,100,500.00 - 1,100,500.00 2856 Capital Sales Tax Fund 8,806.64 12,723.28 (3,916.64) 3300 General Fund 18,062,195.72 24,465,766.38 (6,403,570.66) 3300 General Fund Reserve 8,000,000.00 - 8,000,000.00 3315 Donated Fund 113,925.58 103,637.91 10,287.67

NA Residential Fund- Held by NEON 91,205.18 165,944.53 (74,739.35)

TOTALS 28,293,350.20 25,118,221.61 3,175,128.59 RESERVE TOTAL 9,100,500.00 - 9,100,500.00

TOTALS LESS RESERVES 19,192,850.20 25,118,221.61 (5,925,371.41)

Note: Cash held by NEON is used to pay Supported Living and Family Support Services

-

5,000,000

10,000,000

15,000,000

20,000,000

25,000,000

30,000,000

35,000,000

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC

Cash Balance (All funds & COG)

2016 2017 2018 2019 2020

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MEDINA COUNTY BOARD OF DEVELOPMENTAL DISABILITIESMONTHLY CASH FLOW

12/31/2020

BEGINNING YTDFUND DESCRIPTION BALANCE JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC TOTAL2855 Capital Improvements Revenue 370,149.51$ -$ -$ 2,958,040.00$ -$ -$ -$ -$ -$ -$ -$ -$ -$ 3,328,189.51$ 2855 Capital Improvements Expenses n/a 49,107.76$ -$ 2,156.73$ -$ -$ -$ 265,000.00$ 84,945.35$ 700,885.45$ 11,999.60$ 117,641.47$ 79,236.07$ 1,310,972.43$

Total Cash Available: 321,041.75$ 321,041.75$ 3,276,925.02$ 3,276,925.02$ 3,276,925.02$ 3,276,925.02$ 3,011,925.02$ 2,926,979.67$ 2,226,094.22$ 2,214,094.62$ 2,096,453.15$ 2,017,217.08$ 2,017,217.08$

2856 Capital Sales Tax Revenue 12,723.28$ 4,426.99$ -$ -$ 4,768.50$ -$ -$ 3,980.55$ -$ -$ -$ 4,757.32$ -$ 30,656.64$ 2856 Capital Sales Tax Expenses n/a -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ 21,850.00$ 21,850.00$

Total Cash Available: 17,150.27$ 17,150.27$ 17,150.27$ 21,918.77$ 21,918.77$ 21,918.77$ 25,899.32$ 25,899.32$ 25,899.32$ 25,899.32$ 30,656.64$ 8,806.64$ 8,806.64$

3300 General Fund Revenue 24,465,766.38$ 1,726,558.72$ 149,186.38$ 682,485.53$ 9,248,584.46$ 1,238,605.49$ 148,559.20$ 143,955.51$ 7,957,176.09$ 1,433,892.62$ 209,367.22$ 247,374.92$ 277,088.66$ 47,928,601.18$ 3300 General Fund Expenditures n/a 1,445,411.80$ 2,351,438.17$ 4,157,534.60$ 1,069,442.39$ 2,152,920.05$ 1,162,770.93$ 2,817,888.32$ 1,032,858.87$ 1,071,868.61$ 1,082,926.46$ 2,058,324.65$ 1,463,020.61$ 21,866,405.46$

Total Cash Available: 24,746,913.30$ 22,544,661.51$ 19,069,612.44$ 27,248,754.51$ 26,334,439.95$ 25,320,228.22$ 22,646,295.41$ 29,570,612.63$ 29,932,636.64$ 29,059,077.40$ 27,248,127.67$ 26,062,195.72$ 26,062,195.72$

3315 Donated Fund Revenue 103,637.91$ 1,181.10$ -$ -$ 485.15$ 10.00$ 908.69$ 1,055.00$ -$ -$ -$ 10,000.00$ 115.00$ 117,392.85$ 3315 Donated Fund Expenditures n/a -$ -$ 224.56$ -$ 204.97$ -$ 1,548.97$ 375.20$ -$ 295.44$ 518.03$ 300.10$ 3,467.27$

Total Cash Available: 104,819.01$ 104,819.01$ 104,594.45$ 105,079.60$ 104,884.63$ 105,793.32$ 105,299.35$ 104,924.15$ 104,924.15$ 104,628.71$ 114,110.68$ 113,925.58$ 113,925.58$

ALL (1) All Fund Revenue 24,952,277.08$ 1,732,166.81$ 149,186.38$ 3,640,525.53$ 9,253,838.11$ 1,238,615.49$ 149,467.89$ 148,991.06$ 7,957,176.09$ 1,433,892.62$ 209,367.22$ 262,132.24$ 277,203.66$ 51,404,840.18$ ALL (1) All Fund Expenditures n/a 1,494,519.56$ 2,351,438.17$ 4,159,915.89$ 1,069,442.39$ 2,153,125.02$ 1,162,770.93$ 3,084,437.29$ 1,118,179.42$ 1,772,754.06$ 1,095,221.50$ 2,176,484.15$ 1,564,406.78$ 23,202,695.16$

Total Cash Available (2): 25,189,924.33$ 22,987,672.54$ 22,468,282.18$ 30,652,677.90$ 29,738,168.37$ 28,724,865.33$ 25,789,419.10$ 32,628,415.77$ 32,289,554.33$ 31,403,700.05$ 29,489,348.14$ 28,202,145.02$ 28,202,145.02$ check 25,189,924.33 22,987,672.54 22,468,282.18 30,652,677.90 29,738,168.37 28,724,865.33 25,789,419.10 32,628,415.77 32,289,554.33 31,403,700.05 29,489,348.14 28,202,145.02 28,202,145.02

FOOTNOTES:

(1) Funds held at NEON are not included here since money available is already included as a transfer from Fund 3300, earmarked for Supported Living and Family Support Services

(2) Mar 2020 - $2,958,040 was transferred from the general fund to capital fund for capital projects and 3 year reserve

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DECALL (1) All Fund Revenue $24,952,277.08 $1,732,166.81 $149,186.38 $3,640,525.53 $9,253,838.11 $1,238,615.49 $149,467.89 $148,991.06 $7,957,176.09 $1,433,892.62 $209,367.22 $262,132.24 $277,203.66ALL (1) All Fund Expenditures n/a $1,494,519.56 $2,351,438.17 $4,159,915.89 $1,069,442.39 $2,153,125.02 $1,162,770.93 $3,084,437.29 $1,118,179.42 $1,772,754.06 $1,095,221.50 $2,176,484.15 $1,564,406.78ALL (1) Total Cash Available (2): n/a $25,189,924.33 $22,987,672.54 $22,468,282.18 $30,652,677.90 $29,738,168.37 $28,724,865.33 $25,789,419.10 $32,628,415.77 $32,289,554.33 $31,403,700.05 $29,489,348.14 $28,202,145.02

$-

$5,000,000.00

$10,000,000.00

$15,000,000.00

$20,000,000.00

$25,000,000.00

$30,000,000.00

$35,000,000.00

ALL (1) All Fund Revenue $24,952,277.08 ALL (1) All Fund Expenditures n/a ALL (1) Total Cash Available (2): n/a

123

Sum of AMOUNT FundVendor 2855 2856 3300 3315 Grand Total

19 SERVICESCS-VIRTUAL TRAINING SPEAKER-12/09/20 200.00$ 200.00$

19 SERVICES Total 200.00$ 200.00$ 4 IMPRINT INC

PR-DSP RECOGNITION & SPOTLIGHT YARD SIGNS & STAKES 406.23$ 406.23$ 4 IMPRINT INC Total 406.23$ 406.23$

AC PASSAGE ENTERPRISCRC-NMT-11/09/20-11/13/20 1,142.60$ 1,142.60$ CRC-NMT-11/16/20-11/27/20 1,615.40$ 1,615.40$ CRC-NMT-11/30/20-12/04/20 1,083.50$ 1,083.50$ CRC-NMT-12/07/20-12/11/20 1,300.20$ 1,300.20$

AC PASSAGE ENTERPRIS Total 5,141.70$ 5,141.70$ AMAZON

DF-CS-SUPPLIES 300.10$ 300.10$ M-MATERIALS 134.65$ 134.65$

AMAZON Total 134.65$ 300.10$ 434.75$ AMERICAN RED CROSS H

CS-FIRST AID/CPR-09/30/20 & 11/30/20 (TZ) 150.00$ 150.00$ CS-FIRST AID/CPR-11/02, 11/05, & 11/10/20 (TZ) 104.00$ 104.00$ CS-FIRST AID/CPR-11/06/20 & 11/23/20 (TZ) 60.00$ 60.00$ CS-FIRST AID/CPR-11/16/20 (TZ) 52.00$ 52.00$

AMERICAN RED CROSS H Total 366.00$ 366.00$ ARMSTRONG CABLE SERV

AT-ZOOM PROFESSIONAL-SMART ROOM-12/14/20-1/13/21 104.95$ 104.95$ IT-ZOOM PROFESSIONAL & IP ADDRESS-12/14/20-1/13/21 199.95$ 199.95$ T-INTERNET SERVICES-12/03/20-01/03/21 114.95$ 114.95$

ARMSTRONG CABLE SERV Total 419.85$ 419.85$ BATTERIESPLUS-165

M-SUPPLIES 34.99$ 34.99$ BATTERIESPLUS-165 Total 34.99$ 34.99$

BENEDETTI JULIEPS-MILEAGE REIMBURSEMENT 41.00$ 41.00$

BENEDETTI JULIE Total 41.00$ 41.00$ BEST SOLUTIONS MEDIC

M-SUPPLIES 1,300.00$ 1,300.00$ BEST SOLUTIONS MEDIC Total 1,300.00$ 1,300.00$

BPT-GASOLINE-11/06/20-12/05/20 104.84$ 104.84$

BP Total 104.84$ 104.84$ BURKEY KIMBERLY

DS-MILEAGE REIMBURSEMENT 31.40$ 31.40$ BURKEY KIMBERLY Total 31.40$ 31.40$

CBA BENEFIT SERVICESDENTAL PREMIUM-DEC 20 10,160.66$ 10,160.66$

CBA BENEFIT SERVICES Total 10,160.66$ 10,160.66$ CDW GOVERNMENT LLC

IT-EQUIPMENT (LAPTOP WARRANTIES) 192.56$ 192.56$ IT-EQUIPMENT (LAPTOPS) 10,931.55$ 10,931.55$ IT-EQUIPMENT (WARRANTIES FOR LAPTOPS) 847.00$ 847.00$ IT-VMWARE ANNUAL RENEWAL 8,190.00$ 8,190.00$

CDW GOVERNMENT LLC Total 20,161.11$ 20,161.11$ CINCINNATI CHILDRENS

SSA-REGISTRATION FEE (JC) 25.00$ 25.00$ CINCINNATI CHILDRENS Total 25.00$ 25.00$

CLEVELAND CLINIC FOUT-DRIVER PHYSICAL-11/04/20 (MK) 75.00$ 75.00$

124


T-DRUG SCREENING-OCT 20 (VW) 78.00$ 78.00$ CLEVELAND CLINIC FOU Total 153.00$ 153.00$

COCA-COLA BOTTLING CDS-VENDING MACHINE INVENTORY 296.00$ 296.00$

COCA-COLA BOTTLING C Total 296.00$ 296.00$ CONSTELLATION NEWENE

M-GAS-OCT 20 163.73$ 163.73$ CONSTELLATION NEWENE Total 163.73$ 163.73$

CONSUMER SUPPORT SERCRC-NMT-09/01/20-09/30/20 (UA/MD/CW) 886.50$ 886.50$ CRC-NMT-10/01/20-10/30/20 (MD/CW) 748.60$ 748.60$ CRC-NMT-11/02/20-11/30/20 (CW) 256.10$ 256.10$

CONSUMER SUPPORT SER Total 1,891.20$ 1,891.20$ CURTIS KENNETH

SSA-MILEAGE REIMBURSEMENT 316.50$ 316.50$ CURTIS KENNETH Total 316.50$ 316.50$

DERGA ANDREWSSA-MILEAGE REIMBURSEMENT 11.50$ 11.50$

DERGA ANDREW Total 11.50$ 11.50$ DICKSON ROBIN

SSA-MILEAGE REIMBURSEMENT 31.45$ 31.45$ DICKSON ROBIN Total 31.45$ 31.45$

DUNCAN KATHLEENPT-MILEAGE REIMBURSEMENT 40.85$ 40.85$

DUNCAN KATHLEEN Total 40.85$ 40.85$ FAIRLAWNGIG

M-TELEPHONE-12/16/20-01/15/21 630.00$ 630.00$ FAIRLAWNGIG Total 630.00$ 630.00$

FIRST COMMUNICATIONSM-TELEPHONE-DEC 20 2,776.72$ 2,776.72$

FIRST COMMUNICATIONS Total 2,776.72$ 2,776.72$ FOTI CONTRACTING LLC

ST-GYMNASIUM PAINTING/WALL PADS PROJECT 21,850.00$ 21,850.00$ FOTI CONTRACTING LLC Total 21,850.00$ 21,850.00$

FULTON SAVANAHSSA-MILEAGE REIMBURSEMENT 45.00$ 45.00$

FULTON SAVANAH Total 45.00$ 45.00$ GEAR MICHAEL

SSA-MILEAGE REIMBURSEMENT 50.75$ 50.75$ GEAR MICHAEL Total 50.75$ 50.75$

GEARING DIANECE-MILEAGE REIMBURSEMENT 109.00$ 109.00$

GEARING DIANE Total 109.00$ 109.00$ GENE PTACEK & SON FI

M-FIRE SUPPRESSION INSPECTION-11/20/20 217.00$ 217.00$ GENE PTACEK & SON FI Total 217.00$ 217.00$

GOLD CARE SERVICESCRC-RESPITE SERVICES-NOV/DEC 20 (MY) 375.00$ 375.00$

GOLD CARE SERVICES Total 375.00$ 375.00$ GORDON FOOD SERVICE

DS-SUPPLIES 839.52$ 839.52$ FSLP-CAFETERIA GROCERIES-12/07/20 131.03$ 131.03$ FSLP-CAFETERIA GROCERIES-12/08/20 16.97$ 16.97$ FSLP-CAFETERIA GROCERIES-12/11/20 99.29$ 99.29$ M-SUPPLIES 843.68$ 843.68$

GORDON FOOD SERVICE Total 1,930.49$ 1,930.49$

125


GRAPHIC ENTERPRISESA-COPIER MAINTENANCE-10/28/20-11/27/20 134.61$ 134.61$ A-PRINTER MAINTENANCE-11/01/20-11/30/20 126.64$ 126.64$ A-PRINTER MAINTENANCE-12/01/20-12/31/20 126.64$ 126.64$ ASM-COPIER MAINTENANCE-10/23/20-11/22/20 85.94$ 85.94$ ASM-COPIER MAINTENANCE-10/28/20-11/27/20 63.20$ 63.20$ ASM-PRINTER MAINTENANCE-11/01/20-11/30/20 126.64$ 126.64$ ASM-PRINTER MAINTENANCE-12/01/20-12/31/20 126.64$ 126.64$ BO-COPIER MAINTENANCE-10/28/20-11/27/20 16.29$ 16.29$ BO-FREIGHT CHGS NOT INCLUDED IN SERVICE AGREEMENT 13.90$ 13.90$ DS-PRINTER MAINTENANCE-11/01/20-11/30/20 42.22$ 42.22$ DS-PRINTER MAINTENANCE-12/01/20-12/31/20 42.22$ 42.22$ ES-COPIER MAINTENANCE-10/28/20-11/27/20 731.77$ 731.77$ ES-FREIGHT CHGS NOT INCLUDED IN SERVICE AGREEMENT 43.82$ 43.82$ ES-PRINTER MAINTENANCE-11/01/20-11/30/20 168.85$ 168.85$ ES-PRINTER MAINTENANCE-12/01/20-12/31/20 168.85$ 168.85$ HR-PRINTER MAINTENANCE-11/01/20-11/30/20 42.21$ 42.21$ HR-PRINTER MAINTENANCE-12/01/20-12/31/20 42.21$ 42.21$ IT-PRINTER MAINTENANCE-11/01/20-11/30/20 42.21$ 42.21$ IT-PRINTER MAINTENANCE-12/01/20-12/31/20 42.21$ 42.21$ M-PRINTER MAINTENANCE-11/01/20-11/30/20 42.22$ 42.22$ M-PRINTER MAINTENANCE-12/01/20-12/31/20 42.22$ 42.22$ NU-PRINTER MAINTENANCE-11/01/20-11/30/20 42.21$ 42.21$ NU-PRINTER MAINTENANCE-12/01/20-12/31/20 42.21$ 42.21$ PR-PRINTER MAINTENANCE-11/01/20-11/30/20 42.21$ 42.21$ PR-PRINTER MAINTENANCE-12/01/20-12/31/20 42.21$ 42.21$ SSAS-COPIER MAINTENANCE-10/28/20-11/27/20 121.17$ 121.17$ SSAS-PRINTER MAINTENANCE-11/01/20-11/30/20 211.06$ 211.06$ SSAS-PRINTER MAINTENANCE-12/01/20-12/31/20 211.06$ 211.06$

GRAPHIC ENTERPRISES Total 2,983.64$ 2,983.64$ GREEN CATHERINE

SSA-MILEAGE REIMBURSEMENT 66.65$ 66.65$ GREEN CATHERINE Total 66.65$ 66.65$

GREENLEAF FAMILY CENCRC-INTERPRETER SERVICES-AM/PM-08/31/20 360.00$ 360.00$ CRC-INTERPRETER SERVICES-AM/PM-09/01/20-09/11/20 2,970.00$ 2,970.00$ CRC-INTERPRETER SERVICES-AM/PM-10/12/20-10/13/20 720.00$ 720.00$ CRC-INTERPRETER SERVICES-AM/PM-10/14/20-10/23/20 2,880.00$ 2,880.00$ CRC-INTERPRETER SERVICES-AM/PM-11/02/20-11/06/20 1,200.00$ 1,200.00$ CRC-INTERPRETER SERVICES-AM/PM-11/09-15/20 (RS) 1,820.00$ 1,820.00$ CRC-INTERPRETER SERVICES-AM/PM-11/16-20/20 (RS) 1,620.00$ 1,620.00$ CRC-INTERPRETER SERVICES-PM-08/26/20-08/27/20 360.00$ 360.00$ CRC-INTERPRETER SERVICES-PM-11/20/20 (RS) 180.00$ 180.00$

GREENLEAF FAMILY CEN Total 12,110.00$ 12,110.00$ HALES GARY

M-MILEAGE REIMBURSEMENT 37.50$ 37.50$ HALES GARY Total 37.50$ 37.50$

HILL AMBEREI-MILEAGE REIMBURSEMENT 53.00$ 53.00$

HILL AMBER Total 53.00$ 53.00$ HOME DEPOT CREDIT SE

M-MATERIALS 46.90$ 46.90$ M-SUPPLIES 10.46$ 10.46$

HOME DEPOT CREDIT SE Total 57.36$ 57.36$ INCORPORATED DOOR SY

M-DOOR REPAIR (DOOR ID A494620) 299.90$ 299.90$

126

Sum of AMOUNT FundVendor 2855 2856 3300 3315 Grand TotalINCORPORATED DOOR SY Total 299.90$ 299.90$

INVO HEALTHCARE ASSOOT-COTA SERVICES-11/01/20-11/30/20 (DW) 3,927.00$ 3,927.00$

INVO HEALTHCARE ASSO Total 3,927.00$ 3,927.00$ IRON MOUNTAIN INC

A-SERVICE/STORAGE PERIOD-10/28/20-12/31/20 296.55$ 296.55$ IRON MOUNTAIN INC Total 296.55$ 296.55$

JOHNSON-LAUX CONSTRUCI-NEW GENERATOR - INVOICE #4 28,172.80$ 28,172.80$ CI-NEW GENERATOR ADDITION - INVOICE #2 1,534.45$ 1,534.45$ CI-RENOVATIONS CHANGE ORDER #1 3,813.25$ 3,813.25$ CI-ROOF REPLACEMENT-INVOICE #2 26,425.07$ 26,425.07$ CI-SOUTH SIDING/DORMER REPAIR CHANGE ORDER #1 11,313.00$ 11,313.00$ CI-SOUTH WING RENOVATION - INVOICE #3 7,977.50$ 7,977.50$

JOHNSON-LAUX CONSTRU Total 79,236.07$ 79,236.07$ KIRKPATRICK SHERRI

BO-MILEAGE REIMBURSEMENT 33.00$ 33.00$ KIRKPATRICK SHERRI Total 33.00$ 33.00$

KNOX COUNTY BOARD OFA-CHANGE INITIATIVE COST SPLIT 1,125.00$ 1,125.00$

KNOX COUNTY BOARD OF Total 1,125.00$ 1,125.00$ KOTY ROSE MARIE

A-MILEAGE REIMBURSEMENT 23.00$ 23.00$ KOTY ROSE MARIE Total 23.00$ 23.00$

KREBS JOHNASM-MILEAGE REIMBURSEMENT 123.50$ 123.50$

KREBS JOHN Total 123.50$ 123.50$ KRYSH KATIE

SSA-MILEAGE REIMBURSEMENT 12.60$ 12.60$ KRYSH KATIE Total 12.60$ 12.60$

LANGUAGE LEARNING ASSP/OT/PT-THERAPY SERVICES-NOV 20 19,266.00$ 19,266.00$ SP/OT/PT-THERAPY SERVICES-OCT 20 26,483.00$ 26,483.00$

LANGUAGE LEARNING AS Total 45,749.00$ 45,749.00$ MAJOROS PAULA

MS-MILEAGE REIMBURSEMENT 11.50$ 11.50$ MAJOROS PAULA Total 11.50$ 11.50$

MEDINA CITY SCHOOL BA-COMMUNITY CONNECTIONS CAREER PARTNERSHIP-OHIO 13,850.00$ 13,850.00$

MEDINA CITY SCHOOL B Total 13,850.00$ 13,850.00$ MEDINA COUNTY COMMIS

A-CY2019 COUNTY WIDE AUDIT FEES 8,745.10$ 8,745.10$ IT-MUNIS IMPLEMENTATION COSTS-JUN 20 TO NOV 20 4,768.00$ 4,768.00$

MEDINA COUNTY COMMIS Total 13,513.10$ 13,513.10$ MEDINA COUNTY SANITA

M-WATER/SEWER-10/07/20-11/30/20 1,182.01$ 1,182.01$ MEDINA COUNTY SANITA Total 1,182.01$ 1,182.01$

MEDINA COUNTY TRANSICRC-NMT-NOV 20 2,118.77$ 2,118.77$

MEDINA COUNTY TRANSI Total 2,118.77$ 2,118.77$ MEDINA COUNTY TREASU

CRC-ICAT CONTRIBUTION #3 FOR 2020 50,000.00$ 50,000.00$ CRC-ICAT CONTRIBUTION #4 FOR 2020 25,000.00$ 25,000.00$ HEALTHCARE CONTRIBUTION 250,000.00$ 250,000.00$

MEDINA COUNTY TREASU Total 325,000.00$ 325,000.00$ MEDINA CREATIVE ACCE

127


CRC-ADS-11/01/20-11/28/20 (AC) 996.00$ 996.00$ CRC-ADS-11/02/20-11/23/20 (AK) 747.00$ 747.00$ CRC-ADS-11/03/20-11/24/20 (BB) 871.50$ 871.50$ CRC-ADS-11/03/20-11/24/20 (KS) 747.00$ 747.00$ CRC-NMT-11/02/20-11/23/20 (AK) 216.70$ 216.70$ CRC-NMT-11/03/20-11/24/20 (BB) 275.80$ 275.80$

MEDINA CREATIVE ACCE Total 3,854.00$ 3,854.00$ MEDINA CREATIVE HOUS

CRC-RENT SUBSIDY-DEC 20 14,195.00$ 14,195.00$ MEDINA CREATIVE HOUS Total 14,195.00$ 14,195.00$

MIDWEST INNOVATIONSCRC-ADS-11/09/20-11/12/20 (JH/GB) 1,120.50$ 1,120.50$ CRC-ADS-11/16/20-11/20/20 (GB) 622.50$ 622.50$ CRC-ADS-11/23/20-11/25/20 (GB) 373.50$ 373.50$ CRC-ADS-11/30/20 (GB) 124.50$ 124.50$ CRC-ADS-12/02/20-12/04/20 (GB) 348.60$ 348.60$ CRC-ADS-12/07/20-12/11/20 (GB) 622.50$ 622.50$ CRC-NMT-11/09/20-11/12/20 (JH/GB) 315.20$ 315.20$ CRC-NMT-11/16/20-11/20/20 (GB) 197.00$ 197.00$ CRC-NMT-11/23/20-11/25/20 (GB) 118.20$ 118.20$ CRC-NMT-11/30/20 (GB) 39.40$ 39.40$ CRC-NMT-12/02/20-12/04/20 (GB) 118.20$ 118.20$ CRC-NMT-12/07/20-12/11/20 (GB) 197.00$ 197.00$

MIDWEST INNOVATIONS Total 4,197.10$ 4,197.10$ MURAT TOBIE

SSA-MILEAGE REIMBURSEMENT 28.40$ 28.40$ MURAT TOBIE Total 28.40$ 28.40$

NEONNU-QARN SERVICES-10/26/20-11/25/20 1,281.50$ 1,281.50$ SSA-PROVIDER COMPLIANCE REVIEW-10/26/20-11/25/20 410.70$ 410.70$

NEON Total 1,692.20$ 1,692.20$ OHIO EDISON COMPANY

M-ELECTRIC-10/18/20-11/16/20 4,051.71$ 4,051.71$ M-ELECTRIC-11/17/20-12/16/20 3,621.16$ 3,621.16$

OHIO EDISON COMPANY Total 7,672.87$ 7,672.87$ OHIO SCHOOLS COUNCIL

M-SUPPLIES 165.00$ 165.00$ OHIO SCHOOLS COUNCIL Total 165.00$ 165.00$

ONEBRIDGE SUPPORT SECRC-ADS-11/02/20-11/13/20 (MO/BH) 560.00$ 560.00$ CRC-ADS-11/10/20 & 11/12/20 (MW) 39.84$ 39.84$ CRC-ADS-11/16/20-11/27/20 (MO & BH) 367.15$ 367.15$ CRC-ADS-11/17/20 & 11/19/20 (MW) 79.68$ 79.68$ CRC-ADS-11/30/20-12/11/20 (MO/BH) 479.33$ 479.33$ CRC-ADS-12/01/20-12/10/20 (MW) 159.36$ 159.36$

ONEBRIDGE SUPPORT SE Total 1,685.36$ 1,685.36$ ORLO AUTO PARTS INC

T-VEHICLE-PARTS 205.24$ 205.24$ ORLO AUTO PARTS INC Total 205.24$ 205.24$

PITNEY BOWES GLOBALA-POSTAGE METER LEASE-09/30/20-12/29/20 168.42$ 168.42$

PITNEY BOWES GLOBAL Total 168.42$ 168.42$ REIDY MEDICAL SUPPLY

M-SUPPLIES 3,036.75$ 3,036.75$ REIDY MEDICAL SUPPLY Total 3,036.75$ 3,036.75$

REINHARDT SUPPLY COM

128


M-SUPPLIES 2,288.41$ 2,288.41$ REINHARDT SUPPLY COM Total 2,288.41$ 2,288.41$

REPUBLIC SERVICES #2M-TRASH-12/01/20-12/31/20 561.26$ 561.26$

REPUBLIC SERVICES #2 Total 561.26$ 561.26$ RHYME UNIVERSITY INC

PS-SUPPLIES 107.60$ 107.60$ RHYME UNIVERSITY INC Total 107.60$ 107.60$

SANDICARE LLCCRC-ADS-11/18/20-11/20/20 (JR) 124.50$ 124.50$ CRC-ADS-11/25/20 (JR) 41.50$ 41.50$ CRC-ADS-12/02/20-12/04/20 (JR) 124.50$ 124.50$

SANDICARE LLC Total 290.50$ 290.50$ SECURITEC ONE INC

M-CAMERA REPAIR 234.00$ 234.00$ M-REINSTALLATION OF (8) CAMERAS 3,565.00$ 3,565.00$

SECURITEC ONE INC Total 3,799.00$ 3,799.00$ SMITH AMY C

SO-MILEAGE REIMBURSEMENT 88.15$ 88.15$ SMITH AMY C Total 88.15$ 88.15$

SMITH FOODSFSLP-SUPPLIES (MILK) 248.31$ 248.31$

SMITH FOODS Total 248.31$ 248.31$ SOCIETY FOR HANDICAP

A-OMBUDSMAN SERVICES-NOV 20 52.14$ 52.14$ A-OMBUDSMAN SERVICES-OCT 20 118.25$ 118.25$ NU-NURSING SERVICES-NOV 20 750.00$ 750.00$

SOCIETY FOR HANDICAP Total 920.39$ 920.39$ SOUTHPAW ENTERPRISES

PT-SUPPLIES 31.50$ 31.50$ SOUTHPAW ENTERPRISES Total 31.50$ 31.50$

SPECIAL OLYMPICS OFSO-SPECIAL OLYMPICS BUDGET-NOV 20 1,167.00$ 1,167.00$

SPECIAL OLYMPICS OF Total 1,167.00$ 1,167.00$ SPRINT

AT/EI/TS/CS/CE/SSA/SSAS-TELEPHONE-11/1/20-11/30/20 936.87$ 936.87$ IT/A/T/INT-TELEPHONE-11/01/20-11/30/20 208.08$ 208.08$ M-TELEPHONE-11/01/20-11/30/20 25.60$ 25.60$ SSA/SSAS-TELEPHONE-11/01/20-11/30/20 768.00$ 768.00$ STEP/ASM-TELEPHONE-11/01/20-11/30/20 51.20$ 51.20$

SPRINT Total 1,989.75$ 1,989.75$ STATE INDUSTRIAL PRO

M-MONTHLY AIR CARE PROGRAM-NOV 20 298.50$ 298.50$ STATE INDUSTRIAL PRO Total 298.50$ 298.50$

TALBERT'S COMMERCIALA-CENTRAL SUPPLY INVENTORY 97.48$ 97.48$ A-SUPPLIES 35.18$ 35.18$ ES-SUPPLIES 804.50$ 804.50$

TALBERT'S COMMERCIAL Total 937.16$ 937.16$ TEACHERS PAY TEACHER

STEP-SUPPLIES 53.98$ 53.98$ TEACHERS PAY TEACHER Total 53.98$ 53.98$

THE GAZETTEPR-ADVERTISING/PRINTING-EI AWARENESS ARTICLE/AD #5 230.00$ 230.00$ PR-ADVERTISING/PRINTING-EI AWARENESS ARTICLE/AD #6 230.00$ 230.00$ PR-ADVERTISING/PRINTING-OCT INFORMATIONAL NEWS AD 400.00$ 400.00$

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PR-DSP OCTOBER SPOTLIGHT RECOGNITION 250.00$ 250.00$ PR-DSP SPOTLIGHT RECOGNITION AD-NOV 20 250.00$ 250.00$

THE GAZETTE Total 1,360.00$ 1,360.00$ THE GEOPFERT COMPANY

M-CLIMATE MASTER REPAIR (RM 306) 376.20$ 376.20$ THE GEOPFERT COMPANY Total 376.20$ 376.20$

THE POST NEWSPAPERSPR-ADVERTISING/PRINTING (EI SVCS ADS/ARTICLES) 1,424.97$ 1,424.97$ PR-DSP SPOTLIGHT QUARTERLY RECOGNITION AD 1,044.99$ 1,044.99$

THE POST NEWSPAPERS Total 2,469.96$ 2,469.96$ THOMAS JOHN

T-GASOLINE REIMBURSEMENT-11/18/20 16.51$ 16.51$ THOMAS JOHN Total 16.51$ 16.51$

TOSHIBA BUSINESS SOLA-COPIER MAINTENANCE-10/16/20-11/15/20 28.37$ 28.37$ A-COPIER MAINTENANCE-11/16/20-12/15/20 16.32$ 16.32$

TOSHIBA BUSINESS SOL Total 44.69$ 44.69$ TREASURER STATE OF O

CRC-WAIVER LOCAL MATCH-11/01/20-11/30/20 (KB) 3,720.00$ 3,720.00$ CRC-WAIVER LOCAL MATCH-11/01/20-11/30/20 (ME) 10,422.30$ 10,422.30$ HRBCI CHECK & RAPBACKS-NOV 20 206.00$ 206.00$

TREASURER STATE OF O Total 14,348.30$ 14,348.30$ ULINE INC

ES-SUPPLIES 302.45$ 302.45$ ULINE INC Total 302.45$ 302.45$

USNER MOLLYCE-MILEAGE REIMBURSEMENT 139.05$ 139.05$

USNER MOLLY Total 139.05$ 139.05$ VIAQUEST DAY AND EMP

CRC-ADS-11/02/20-11/30/20 (ES/JP) 1,743.00$ 1,743.00$ CRC-NMT-11/02/20-11/30/20 (ES/JP) 551.60$ 551.60$

VIAQUEST DAY AND EMP Total 2,294.60$ 2,294.60$ WADSWORTH COMMUNICAT

PR-RADIO UNDERWRITING-DEC 20 125.00$ 125.00$ WADSWORTH COMMUNICAT Total 125.00$ 125.00$

WALMART COMMUNITYES-SUPPLIES 149.29$ 149.29$ PS-SUPPLIES 296.89$ 296.89$

WALMART COMMUNITY Total 446.18$ 446.18$ WILSON TOM

T-PARENT MILEAGE REIMBURSEMENT 6.20$ 6.20$ WILSON TOM Total 6.20$ 6.20$

WINDFALL INDUSTRIESA/STEP/CE/M-VARIABLE AGREEMENT-OCT 20 5,029.54$ 5,029.54$ CRC-ADS-OCT 20 (ES/GV/JY) 2,002.96$ 2,002.96$ CRC-NMT-OCT 20 3,644.50$ 3,644.50$ M-HORTICULTURE-OCT 20 4,398.00$ 4,398.00$

WINDFALL INDUSTRIES Total 15,075.00$ 15,075.00$ WOLFF BROTHERS SUPPL

M-MATERIALS 165.03$ 165.03$ M-SUPPLIES 116.83$ 116.83$

WOLFF BROTHERS SUPPL Total 281.86$ 281.86$ Z PROTECTION SERVICE

T-ANNUAL FIRE EXTINGUISHER INSPECTION 436.15$ 436.15$ Z PROTECTION SERVICE Total 436.15$ 436.15$ Grand Total 79,236.07$ 21,850.00$ 557,542.70$ 300.10$ 658,928.87$

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RESOLUTION #01-21

January 25, 2021

MEDINA COUNTY BOARD OF DEVELOPMENTAL DISABILITIES ACCEPTANCE OF FINANCIAL STATEMENTS

FOR THE MONTH OF DECEMBER, 2020

A motion was made by ____________________________, and seconded by

______________________, to authorize the Board to accept the financial reports for the month of

December, 2020.

THE MOTION WAS CARRIED AND ASSIGNED RESOLUTION #01-21.

________________________________ Board Chair Medina County Board of Developmental Disabilities

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MCBDD Enrollee Stats DefinitionNOV GK DEC GK JAN FEB MAR APR MAY JUNE JULY AUG SEPT OCT NOV DEC

UNDUPLICATED COUNT

Total ELIGIBLE Children Active/eligible individuals under 22 years old. 749 743 744 747 746 747 746 735 722 710 715 713 700 686

Total ELIGIBLE Adults Active/eligible individuals 22 years and older. 565 574 577 584 587 591 593 598 600 603 602 603 608 608

Total ELIGIBLE Individuals 1314 1317 1321 1331 1333 1338 1339 1333 1322 1313 1317 1316 1308 1294

EDUCATIONEarly Intervention 277 270 281 280 273 277 264 283 272 263 271 268 255 251

Preschool Individuals receiving PS services at Windfall School 18 19 19 19 19 19 19 19 19 14 10 11 11 11

School Age Individuals receiving SA services at Windfall School 34 34 34 33 33 33 29 29 29 32 31 31 32 31

MCBDD PROVIDED EMPLOYMENT SERVICES

Individuals Employed in Community w/supports Individuals receiving SE-Community supports 122 122 122 129 129 129 132 129 131 130 132 133 133 130

STEP/Transition Individuals receiving student transition services through the STEP program 16 16 16 16 16 16 16 10 10 10 6 6 6 6

OOD Individuals receiving OOD services from adult services funded by a State OOD counselor 44 37 37 41 39 39 35 36 61 66 67 45 44 44

SERVICE&SUPPORT ADMIN

# individuals found eligible Individuals with an eligibility date during the month reported 29 20 38 49 20 28 15 16 21 6 21 18 20 15

# individuals assigned to SSA/I & R Individuals who have an SSA assigned or Information & Referral Specialist 771 786 1093 1092 1111 1119 1118 1114 1111 1104 1104 1111 1119 1112

Individuals Served by Funding

WaiversIndividuals on an IO, L1, Transition, SELF

waiver during the month reported. Includes disenrollments/enrollments during the month.

458 472 477 476 476 489 487 503 507 513 527 527 534 534

Supported Living Individuals receiving SL during the month

reported. Includes disenrollments/enrollments during the month.

21 15 15 15 15 12 18 17 20 17 13 13 13 13

Family Support ServicesIndividuals receiving FSS during the month

reported. Includes disenrollments/enrollments during the month.

213 209 110 126 135 137 143 142 140 142 144 146 141 138

2019 2020

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Day ProgramsJan-19 Jan-20 Dec-20 Dec-20 Dec-20 Dec-20 Dec-20

Provider Total Total Total I/O Waiver Level 1 Waiver Local SELF WaiverAll Other Day Program Providers 405 430 358 203 115 23 17Medina County Board of DD 88 11 0 0 0 0 0Grand Total** 493 441 358 203 115 23 17Count of providers: 18 24 19

*Does not include Individual Employment Supports or BVR individuals

Non-Medical TransportationJan-19 Jan-20 Dec-20 Dec-20 Dec-20 Dec-20 Dec-20

Provider Total Total Total I/O Waiver Level 1 Waiver Local SELF WaiverAll Other NMT Providers 448 496 426 210 147 50 19Medina County Board of DD 94 13 5 4 1Grand Total** 542 509 431 210 151 51 19Count of providers: 23 27 31

Individual Employment SupportsJan-19 Jan-20 Dec-20 Dec-20 Dec-20 Dec-20 Dec-20

Provider Total Total Total I/O Waiver Level 1 Waiver Local SELF WaiverAll Other Employment Providers 4 6 10 3 1 6 0Medina County Board of DD 114 116 128 19 53 50 6Grand Total** 118 122 138 22 54 56 6Count of providers: 3 4 4

**Grand Total includes individuals that might be receiving services from more than one provider (all reports)Report revised 10/12/2020 to remove older years (2017, 2018)

***The decrease in count from Jan19 is due to individuals reducing the number of different providers providing this service.

***The decrease in count from Jan19 is due to individuals reducing the number of different providers providing this service. ****Starting April 2020, the remaining count under MCBDD is for individuals that ride transit. MCBDD is still the provider of record for this service.

Community Provider Report- Dec 2020Duplicated count between providers

<will switch to quarterly reporting in 2021>

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4691 Windfall Road Medina, Ohio 44256PERSONNEL CONTROL REPORT

As of January 11, 2021 Board Superintendent Number Number Comments

Authorized Authorized Positions of Board ApprovedAuthorized Working Titles Positions Positions Filled Openings Resolutions

Administrative & Support StaffSuperintendent 1 1 1 0 Assistant Superintendent 1 1 1 0 Executive Administrator 1 1 1 0 Director of Business 1 1 1 0 Director of Human Resources 1 1 1 0 Conf Financial Data Specialist 1 1 1 0 Confidential Business Clerk 1 1 1 0 Human Resources Clerk 1 1 1 0 Confidential Admin Support Clk 1 1 1 0 Records Specialist 1 1 1 0 Medicaid Services Manager 1 1 1 0 Community Relations Coordinator 1 1 1 0 Financial Waiver Data Specialist 2 2 2 0

Community Relations Assistant 1 1 1 0

Human Resources Specialist 1 1 1 0 File Clerk 2 2 2 0

SUB TOTAL 18 18 18 0

Educational Staff Children's Services Director 1 1 1 0 Assistant Children's Services Dir 1 1 1 0

Early Intervention Coordinator 1 1 1 0Secretary 2 2 2 0 Intervention Specialists 12 12 12 0 Title changed in negotiations from Instructor to Intervention Spec

Instructor Assistants 11 11 11 0

Language Dev. Specialists 3 3 3 0 Physical Therapists 2 2 2 0 School Nurse 1 1 1 0

Occupational Therapists 2 2 2 0 Licensed P.T. Assistant 1 1 1 0 Developmental Specialists 5 5 5 0 SUB TOTAL 42 42 42 0 Transportation Transportation Manager 1 1 1 0 SUB TOTAL 1 1 1 0

Community Services & Development

Director of Community Services 1 1 1 0

Director of Community Development 1 1 1 0

Confidential Secretary 1 1 1 0

Community Supports Manager 1 1 1 0

*Temporary Contract (TC)

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Board Superintendent Number Number

Authorized Authorized Positions of Authorized Working Titles Positions Positions Filled Openings

Adult ServicesHealth Services Coordinator 1 1 1 0

Director of Nursing 1 1 0 1 Request to abolish will be presented in February

Secretaries 1 1 1 0

Program Supervisors 1 1 1 0

Economic Developer 2 2 2 0

Special Olympics Coordinator 1 1 1 0

OOD Secretary 1 1 1 0

Recreation Specialist 1 1 1 0

Community Resource Coordinator 4 4 4 0Individual Supports Coordinator 1 1 1 0Assistive Technology Assistant 1 1 1 0

Training and Compliance Specialist 1 1 1 0

Quality Support Specialist 1 1 1 0 Position moved from SSA to Comm Development

Provider Relations/Fam Sup Spec 1 1 1 0 Position moved from SSA to Comm Development

Assistive Technology Specialist 1 1 1 0

Community Support Specialist 15 15 14 1 Vacancy on hold pending further evaluation


Service & Support Admin

Srv & Support Adm Director 1 1 1 0

Srv & Support Asst Director 1 0 0 1 Request to abolish will be presented in February

Srv & Support Adm Managers 3 3 3 0

Secretary 1 1 1 0

Eligibility Specialists 2 2 2 0

Eligibility Assistant 1 1 1 0

Investigative Agent 2 2 2 0

Positive Support Specialists 2 2 1 1 Vacancy on hold pending further evaluation

Service and Support Administrators 27 27 27 0


Maintenance

Director of Facilities and Information Tech 1 1 1 0

Facility Activities Manager 1 1 1 0

Maintenance Repairmen 2 2 2 0

Custodians 5 5 5 0

Grounds Maint (Seasonal) 1 1 1 0

Cooks 1 1 1 0

Network Administrator 1 1 0 1 Vacancy on hold pending further evaluation

IT Support Generalist 1 1 1 0

IT Help Desk 1 1 1 0

SUB TOTAL 11 11 11 0 AGENCY TOTALS 150 150 146 4

Temporary Contracts OOD Grant N/A 0 0 0 Leave of Absence N/A 1 1 0 Vacancies N/A 0 0 0 Special Projects N/A 0 0 0 One on One/Transition N/A 0 0 0 \

Total Temporary Contracts 1 1 0 *Temporary Contract (TC)

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QUARTERLYREPORTS

137

2020 Action Plan Quarterly Report

4th Quarter

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Action Plan Statement

The Medina County Board of DD is the community resource responsible for connecting, coordinating and funding services for individuals of all ages with developmental disabilities. We help with everything from early intervention and education opportunities for children to employment and community inclusive living for adults.

GOAL 1. INDIVIDUAL NEEDS AND SERVICES

THE MCBDD WILL STRIVE TO MEET THE NEEDS OF ALL INDIVIDUALS SERVED AND IDENTIFY THOSE THAT MAY BE SERVED.

Target Areas:

• D e ve l o p T r ans p o r t a t i on op t i on s t o t r ans i t i on d i r ec t b o a r d s e r v i c es t o p r i va t e p rov i d e rs b y Dec em b er 3 1 , 20 2 0 .

• I de n t i f y g aps i n t h e c o n t i n uum o f s e r v i c es , i . e . s en io r I nd i v i dua l s .

• P r o v i de t h e c ho i c e f o r s e r v i c e s i n t he m os t i n t eg ra t e d a nd s a f e s e t t i n gs a p p r op r i a t e t o I nd i v i du a l s ’ nee ds .

• P r o v i de H o me a n d Co m m un i t y B as ed Se r v i c e s W a i ve rs as f u nd s b ec o m e a va i l ab le .

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Target Area 1: DEVELOP TRANSPORTATION OPTIONS TO TRANSITION DIRECT BOARD SERVICES TO PRIVATE PROVIDERS BY DECEMBER 31, 2020.

Steps Assigned Timeframe Progress 1. Evaluate current MCBDD status and transportation gaps in service

Asst. Superintendent

April 2020

2. Development of supports that may be offered to private providers.


October 2020 G-Competed for 2020-Ongoing task

3. Implementation of developed supports to private providers


December 2020

G-Moved to 2021

Summary:

Step 1: Completed - All direct MCBDD transportation services have been transitioned to private providers. Currently, we are monitoring the need for transportation to community employment and upon return to day or vocational services due to the current COVID-19 pandemic.

Step 2: Completed/Ongoing– Continuing to meet with provider leadership to discuss possible supports needed such as vans and fiscal support for grants for vans.

Step 3: Ongoing- MCBDD will continue to offer training opportunities such as First Aid/ CPR to providers as well as having ongoing conversations regarding the support to buy vans. MCBDD continues to be involved with the country transportation consortium as transportation is an ongoing issue for all populations in Medina County.

Target Area 2: IDENTIFY GAPS IN THE CONTINUUM OF SERVICES, I.E. SENIOR INDIVIDUALS.

Steps Assigned Timeframe Progress 1. Implementation of the


July 2020

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recommendations for the Community Supports Dept. 2. Evaluation of the Community Supports Dept.


November 2020

G-Moved to 2021

Summary:

Step 1: Completed- The Community Supports Department (CSD) continues to develop provider supports, Self- Advocacy, and community connections. Provider leadership meetings have begun. COVID-19 has forced changes in how supports and services are being provided and has forced some emergency supports (i.e. PPE requests) to the forefront. Provider support staff have moved to the CSD in order to effectively support providers.

Step 2: In Progress - The Community Supports Department will be evaluated throughout the 2021 year. The COVID-19 pandemic has changed the focus to meet the immediate needs of individuals, families, and providers

Target Area 3: PROVIDE THE CHOICE FOR SERVICES IN THE MOST INTEGRATED AND SAFE SETTINGS APPROPRIATE TO INDIVIDUALS’ NEEDS.


Free Choice of

Provider is followed as a matter of rule and process

Target Area 4: PROVIDE HOME AND COMMUNITY BASED SERVICES WAIVERS AS FUNDS BECOME AVAILABLE.

Steps Assigned Timeframe Progress 1. Continue evaluating the needs

Director of SSA October 2020 G-Completed for 2020-

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of individuals for waiver-funded services

Ongoing task

2. Assess the available funds for waiver match to determine long-term sustainability of our current match obligations but also new match obligations (additional waivers)


October 2020

3. Submit to DODD the projected new waivers

Director of SSA December 2020

G-Completed for 2020-Ongoing task

4. Evaluate effectiveness of revised services funding policy


April 2020

Summary:

Step 1: Completed/Ongoing - The SSA Department continues to evaluate the needs of individuals served. The Waiting List Assessment (WLA) is completed and waivers allocated as needed.

Step 2: Completed – Current match and future waiver match estimates have been updated and included in the 2021 budget and projections.

Step 3: Completed/Ongoing - This occurs annually in December; however, additional waivers are allocated throughout the year as needed.

Step 4: Completed - This was on target to be reviewed/revised but was delayed due to COVID-19. This policy was revised, submitted, and approved at the September 2020 Board Meeting.

GOAL 2. NEW SERVICE DEVELOPMENT WITH A FOCUS ON COMMUNITY INCLUSION

THE MCBDD WILL COMPLY WITH ALL STATE AND FEDERAL MANDATES TO ASSIST AND GUIDE ELIGIBLE INDIVIDUALS TO

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REACH THEIR FULL POTENTIAL AS MEMBERS OF THEIR DESIRED SETTING WITHIN OUR COMMUNITY.

Target Areas:

• D e ve l o p a C o mm u n i t y S up po r t D ep a r t m en t d e d i c a t e d t o s u p po r t i n g c o mm u n i t y - bas ed s e r v i c es , e . g . q u a l i t y as s u ran c e , f a m i l y / p r ov i d e r r e l a t i o ns , he a l t h s e r v i c es , e m p lo ym e n t / c on n ec t i ons , t r ans po r t a t i on c oo rd in a t i o n . To f ac i l i t a t e t r an s i t i o n o f a du l t da y s e r v i c es t o p r i va t e p r o v i d e rs o n o r be f o re D ec e mb e r 3 1 , 2 0 20 .

• P r o v i de a c omm u n i t y - bas ed e d uc a t i o n a l p ro g ra m f o r r e duc i ng s t i g m a a nd s t e reo t yp in g o f I nd i v i du a l s w i t h d e ve lo p me n t a l d i s ab i l i t i e s .

• I m p r o ve c o m mu n i t y e m p l o ym e n t r es u l t s . • P r om o t e s e l f - ad vo c ac y t r a i n i n g an d p r og ram m i ng

f o r I nd i v i d ua l s . • C r e a t e a d es ign a t ed c e n t r a l i n f o r ma t i o n po r t a l f o r

a l l S t ak eh o l de rs .

Target Area 1: DEVELOP A COMMUNITY SUPPORT DEPARTMENT DEDICATED TO SUPPORTING COMMUNITY-BASED SERVICES, E.G. QUALITY ASSURANCE, FAMILY/ PROVIDE RELATIONS, HEALTH SERVICES, EMPLOYMENT/ CONNECTIONS, TRANSPORTATION COORDINATION. TO FACILITATE TRANSITION OF ADULT DAY SERVICES TO PRIVATE PROVIDERS ON OR BEFORE DECEMBER 31, 2020.

Steps Assigned Timeframe Progress 1. Implement the framework and structure including

Director of Community Employment

July 2020 B

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filling positions & Director of Day Services

Summary:

Step 1: Completed -The Health Services Coordinator position has been filled. Framework and structure of positions have been completed and will continue to be reviewed and updated.

Target Area 2: PROVIDE A COMMUNITY-BASED EDUCATIONAL PROGRAM FOR REDUCING STIGMA AND STEREOTYPING OF INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES.

Steps Assigned Timeframe Progress 1. Implement recommendations for updated community-based educational program

Director of Day Services

February 2020

2. Identify additional presentation opportunities within middle schools, businesses and community agencies


September 2020

G-Completed for 2020-Ongoing task

3. Analyze data from follow up and tracking tools to identify strengths and weaknesses and make changes as needed


December 2020

Moved to 2021.

Summary:

Step 1: Completed - Self Advocates implemented a variety of recommendations including content specific information for audiences such as older adults and residential communities in Medina County;

144

a variety of ways to present information such as face-to-face interviews in small groups, videos, and storytelling; and an updated evaluation process for better tracking.

Step 2: Completed/Ongoing - Traditional presentations continue to be suspended due to COVID-19. Other types of educational opportunities through social media platforms and newsletters have been used to reduce stigma and highlight personal success stories in the community.

Step 3: This step will be moved to 2021 as the ability to gather data has been very limited due to COVID-19.

Target Area 3: IMPROVE COMMUNITY EMPLOYMENT RESULTS.

Steps Assigned Timeframe Progress 1. Implement recommendations and strategies to improve community employment outcomes and track outcomes

Director of Community Employment

July 2020 G-Completed for 2020-Ongoing task

Summary:

Step 1: Completed/Ongoing – We have completed putting individuals’ location on the Path to Employment into Gatekeeper and Data Outcome Tracking System. A process and assessment are being developed to identify transportation options for individuals as they are starting job development or OOD services, including increase use of Medina County Transit. Community Support staff have completed their first Benefit Analysis on an individual receiving job development services. We are working with local providers to develop community employment services.

Target Area 4: PROMOTE SELF-ADVOCACY TRAINING AND PROGRAMMING FOR INDIVIDUALS.

Steps Assigned Timeframe Progress 1. Develop recommendations that will support and enhance self -advocacy


May 2020 G-Completed for 2020-Ongoing task

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services for eligible individuals 2. Implement recommended changes in self advocacy services to reflect the current and future role of the county board


October 2020 G

Summary:

Step 1: Completed/ Ongoing - Recommendations for self- advocacy supports will be virtually-based curriculums that can support the work done by providers. We will continue to assess as providers adapt due to the health and safety needs of the individuals served.

Step 2: In Progress - Two providers have been given self-advocacy curriculum and resources to enhance their current services. We are virtually providing instruction and consultation 1-2 times per month with the expectation that the provider will review and adapt the curriculum into their current services each week. Feedback for the service support has been positive.

Target Area 5: CREATE A DESIGNATED CENTRAL INFORMATION PORTAL FOR ALL STAKEHOLDERS.

Steps Assigned Timeframe Progress 1. Develop recommendations and present to Superintendent


March 2020 G-Moved to 2021

2. Implement recommendations for centralized information resource as approved


August 2020 G-Moved to 2021

Summary:

Step 1 and 2: In Progress- Team is continuing to meet to develop recommendations and implement as approved. This target area will be moved to the 2021 Action Plan.

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GOAL 3. PROVIDER ENHANCEMENT AND SUPPORT

THE MCBDD WILL SUPPORT AND ASSIST PROVIDERS IN DEVELOPING AND PROMOTING CHOICES AND PROVIDE A VARIETY OF QUALITY SERVICES FOR ALL ELIGIBLE INDIVIDUALS.

Target Areas:

• S u pp o r t p r o v i de r c o mp e t e nc y an d q u a l i t y . C o l l a bo ra t e w i t h p ro v i d e rs t o c re a t e a p l an

t o as s i s t p r o v i d e rs t o r ec r u i t , r e t a i n an d t r a i n d i r ec t s e r v i c e p r o v i d e rs .

R e v i e w p o t e n t i a l Bo a r d - p ro v i d e d P ro v i d e r t r a i n i n gs f o r qu a l i t y i mp r o vem e n t .

• I nc r eas e t he c a p ac i t y o f p r o v i d e rs an d s e r v i c e o p t i o ns .

P r om o t e a n “ Em p l o ym e n t F i r s t ” p o l i c y . P r om o t e s u pp o r t i ve t ec h no lo gy f o r

I nd i v i du a l s . • P r om o t e a nd s u p po r t a p ro v i d e r r a t i n g s ys t e m .

I ns t r uc t f am i l i es , gu a r d ia ns an d p r o v i d e rs h o w t o us e P r ov i d e r Gu id e P lu s .

Target Area 1: SUPPORT PROVIDER COMPETENCY AND QUALITY.

C O LL AB O RA TE W I T H P RO VI D E R S TO C R E A TE A P LA N T O A SSI S T P ROVI D E RS T O R E C R UI T , R E T AI N A N D TR A I N D I R E C T S E RVI C E P R OV I DE RS.

R E V I EW PO T EN T I A L BOA R D -P R OVI D E D P R OVI D E R T RA I N I NGS F O R Q U AL I T Y I MP R OV E ME NT .

147

Steps Assigned Timeframe Progress 1. Revise recommendations that MCBDD may provide to support providers to recruit, retain, and train direct service professionals and present to the Superintendent



2. Implement recommendations identified to support providers in their efforts to recruit, retain, and train direct service professionals


June 2020 G-Moved to 2021

Summary:

Step 1 and 2: In Progress/Ongoing - The MCBDD has worked with providers throughout the COVID-19 pandemic to assist in the following areas: recruiting and filtering interested applicants to providers; recruiting and training direct service professionals (DSPs); completing background checks, drivers’ abstracts, and first aid/CPR training as requested by providers; providing technical assistance throughout the COVID-19 pandemic; and providing PPE to providers as requested. The Community Supports Department will continue to work with all providers as the system moves towards the opening of day, vocational habilitation, and transportation services. The MCBDD has also begun the DSP (Direct Service Professional) monthly spotlight and have acknowledged the great work of DSPs by providing small tokens of appreciation.

Target Area 2: INCREASE THE CAPACITY OF PROVIDERS AND SERVICE OPTIONS.

P R O MO T E A N “ E MP LO YM E NT F I RS T ” P OL I C Y .

P R O MO T E S UP PO R TI VE T EC H N O LO G Y F O R I N DI V I D UA L S.

148

Steps Assigned Timeframe Progress 1. Invite at least three organizations to explore the Smart Home and receive information regarding supportive technology


October 2020 G

2. Develop the Provider Special Project Initiative to increase innovative programming options for individuals


March 2020

Summary:

Step 1: Completed - The Smart Home has been explored by one organization prior to the COVID-19 pandemic. In person tours had been suspended due to COVID-19. Staff now provides virtual tours upon requests. We will explore the option of videotaping a tour and placing it the agency website. Virtual tours will continue and in person tours will commence when safe.

Step 2: Completed- Guidelines have been developed regarding provider special projects and ongoing conversations with provider leadership is occurring. Several areas are being researched regarding the development of specific projects that may be available next year.

Target Area 3: PROMOTE AND SUPPORT A PROVIDER RATING SYSTEM.

I N ST R U C T F AM I L I E S , G U A RD I AN S A N D P R OVI D E RS HOW T O US E PR O VI DE R G UI D E P L US.

Steps Assigned Timeframe Progress 1. Develop an ongoing communication plan to raise awareness of


March 2020

149

Provider Guide Plus 2. Provide additional training opportunities for stakeholders about Provider Guide Plus


June 2020 G-Completed for 2020-Ongoing task

3. Evaluate local awareness and usage of Provider Guide Plus and update communication plan, if needed


November 2020

Summary:

Step 1: Completed – Baseline communication plan has been developed.

Step 2: Completed/Ongoing - The best format to provide education and training on the Provider Guide Plus tool is being assessed at this time. Training on this tool will become part of the agency annual training calendar.

Step 3: Completed – Provider Guide Plus is a resource managed at the state level and we are unable to receive data related to local awareness and usage.

GOAL 4. COMMUNICATION – INTERNAL/EXTERNAL THE MCBDD IS COMMITTED TO FOSTERING A COMMUNICATION SYSTEM THAT CREATES TRUST AND BUILDS AWARENESS, RESULTING IN A PROFESSIONAL, WELCOMING AND OPEN ATMOSPHERE/CULTURE FOR INDIVIDUALS SERVED, GUARDIANS, FAMILIES, VOLUNTEERS, COMMUNITY PARTNERS AND STAFF.

Target Areas:

• C r e a t e , pu b l i s h a nd c o m mu n ic a t e a T r a ns i t i o n t i me l i ne f o r a l l I nd i v i d ua l s , s t a k e ho ld e rs a nd s t a f f b y D ec e mb e r 3 1 , 2 0 20 .

150

Es t a b l i s h T r ans i t i on o u t c o m es f o r YE A R T H R E E o f t h e O p e r a t i ng P la n .

P r o v i de s t r a t eg i es t o i de n t i f y an d s u p po r t I nd i v i du a l s t r an s i t i o n i n g t o p r i va t e p r o v i de rs .

• C o m m un ic a t e t o a l l s t a f f an d s t ak e ho ld e rs : “ h o w we g o t he re , wh e re we a r e , wh e re we a r e g o in g . ”

• P u b l i s h a T ra ns i t i on p roc es s p r o j ec t i n g i m pa c t o n I nd i v i du a l s s e r ve d an d f u t u re s t a f f i n g n ee ds .

• R e - e va lu a t e c om m u n i c a t i o ns t o e ns u re s uc c in c t n es s a n d e f f ec t i ve ne s s o ve r qu a n t i t y .

• D e ve l o p L e vy C o m m un ic a t i on P la n f o r 20 19 . • Es t a b l i s h a n e f f ec t i ve , t wo - wa y i n t e r n a l

c om m un ic a t i on p r oc es s , e . g . S t a f f – Ad m in i s t r a t i o n . • D e ve l o p o u t rea c h p l an t o s t ak eh o l de rs t o ma k e t he m

a wa r e o f M CBD D s e r v i c es , i . e . e a r l y i n t e r ve n t i o n s e r v i c es .

Target Area 1: CREATE, PUBLISH AND COMMUNICATE A TRANSITION PLAN FOR ALL INDIVIDUALS, STAKEHOLDERS AND STAFF BY DECEMBER 31, 2020.

E S TA BL I S H TR A N SI T I O N OU T C O M ES FOR YE A R T H R EE O F T H E O PE RA T I N G P LA N.

P R OVI D E S T RA T EGI ES T O I D E N TI F Y A N D S U PP O R T I N DI V I D UA LS T RAN S I T I O NI NG T O P RI V A TE PR O VI DE R S.

Steps Assigned Timeframe Progress 1. Propose Transition Timeline for ISO and Transportation services to Board

Superintendent April 2020

2. Distribute Transition Timeline to all

Superintendent & Community

April 2020

151

stakeholders using a variety of methods

Relations Coordinator

Summary:

Step 1: Completed - The timeline has been presented to the Board and the transition has been completed.

Step 2: Completed - Information was distributed to stakeholders and the transition has been completed.

Target Area 2: COMMUNICATE TO ALL STAFF AND STAKEHOLDERS, “HOW WE GOT HERE, WHERE WE ARE, WHERE WE ARE GOING.”

Steps Assigned Timeframe Progress 1. Develop agency update report

Superintendent June 2020 G-Moved to 2021

2. Distribute to community the statement by newsletter, email, and press release

Superintendent June 2020 G-Moved to 2021

Summary:

Step 1 and 2: In Progress- Though delayed due to COVID- 19, both steps are on track to be completed by the end of 2020.

Target Area 3: PUBLISH A TRANSITION PROCESS PROJECTING IMPACT ON INDIVIDUALS AND FUTURE STAFFING NEEDS.


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Target Area 4: RE-EVALUATE COMMUNICATIONS TO ENSURE SUCCINCTNESS AND EFFECTIVENESS OVER QUANTITY.

Steps Assigned Timeframe Progress 1. Implement changes per recommendations


January 2020

2. Gather data on changed/additional communication efforts and engagement


October 2020

3. Evaluate communication data


November 2020

4. Recommend changes or additions for communication efforts and present recommendations to the Superintendent


December 2020

G-Moved to 2021

Summary:

Step 1: Completed – Implementation of changes began in the first quarter as the Superintendent and Assistant Superintendent increased engagement with local elected officials through attendance at local City Council meetings and County Commissioner meetings during DD Awareness Month to accept proclamations and speak about DD awareness. Currently, due to the COVID-19 pandemic, in person meetings are not being held with visitor attendance so we are looking at additional ways to address this area.

Step 2: Completed– Data statistics from multiple sources associated with new and changed communication efforts. Adjusting frequency of digital communications as well as reviewing additional digital print opportunities.

Step 3: Completed – Review of data statistics completed.

Step 4: In Progress – Compiling information from data to discuss possible changes with Superintendent. This occurs on a yearly basis.

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Target Area 5: DEVELOP LEVY COMMUNICATION PLAN FOR 2019.

Steps Assigned Timeframe Progress 1. Evaluate communication strategies, costs and create summary for future requests


June 2020

Summary:

Step 1: Completed – yearly evaluation of communication strategies for targeted stakeholders completed and summaries developed.

Target Area 6: ESTABLISH AN EFFECTIVE, TWO-WAY INTERNAL COMMUNICATION PROCESS, I.E. STAFF -ADMINISTRATION.

Steps Assigned Timeframe Progress 1. Measure effectiveness of current communication process through utilization of focus groups and the annual staff satisfaction survey

Director of HR


2. Develop and submit recommendation, as appropriate, based on staff feedback to Superintendent for approval

Director of HR

May 2020 G-Moved to 2021

3. Implement recommendations as approved to improve internal communication

Director of HR

June 2020 G-Moved to 2021

Summary:

Steps 1 through 3: In Progress – Although the standard staff satisfaction survey was not distributed this year, numerous “mini surveys” have been sent to staff. Communication has been a primary focus

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of the surveys along with questions relative to changes in the work environment, telecommuting, support, and the Agency’s response to the pandemic. This will continue to be an on-going process.

Target Area 7: DEVELOP OUTREACH TO STAKEHOLDERS TO MAKE THEM AWARE OF MCBDD SERVICES, I.E. EARLY INTERVENTION SERVICES.

Steps Assigned Timeframe Progress 1. Gather and review future funding projections and previous stakeholder engagement data


February 2020

2. Develop communication and marketing strategies and materials to target key community influencers and stakeholders


March 2020

3. Implement communication and marketing strategies and distribute materials


April 2020

4. Evaluate outreach efforts and create outreach plan


July 2020

Summary:

Step 1: Completed - Engagement data from outreach activities including advertising, community events, and digital resources compiled.

Step 2: Completed - New avenues for awareness development for EI services (many traditional avenues are no longer available due to COVID-19) researched and implemented.

Step 3: Completed – Additional communication materials developed and distributed to targeted stakeholders.

155

Step 4: Completed – Reviewed quarterly data statistics associated with outreach efforts and adjusting outreach efforts as needed.

GOAL 5. ACCOUNTABILITY – FISCAL AND OTHER RESOURCES

THE MCBDD WILL DEMONSTRATE EXCEPTIONAL ACCOUNTABILITY IN ALL OPERATIONS AND FISCAL MANAGEMENT.

Target Areas:

• D e ve l o p a d as h b oa rd o f f i s c a l i nd i c a t o r s t h a t m a y b e us e d b y i n t e r na l a n d e x t e r n a l s t ak eh o l de rs .

• C o m m un ic a t e f i s c a l r es p o ns i b i l i t y an d s t e wa r ds h i p w i t h a l l s t ak e ho l de rs p e r i od i c a l l y .

• P r o j ec t a n d d eve l o p a Co m mu n i t y Us a ge P la n f o r B o a r d f ac i l i t i e s .

Target Area 1: DEVELOP A DASHBOARD OF FISCAL INDICATORS THAT MAY BE USED BY INTERNAL AND EXTERNAL STAKEHOLDERS.

Steps Assigned Timeframe Progress 1. Provide fiscal indicator quarterly updates to the Board as well as the location (e.g. website) for stakeholders



Summary:

Step 1: Completed – January, April, July, October fiscal indicators have been updated and shared with the Board.

156

Target Area 2: COMMUNICATE FISCAL RESPONSIBILITY AND STEWARDSHIP WITH ALL STAKEHOLDERS PERIODICALLY.

Steps Assigned Timeframe Progress 1. Determine ways and methods to communicate how the agency shows fiscal responsibility



Summary:

Step 1: Completed - The information has been/will continue to be shared through the Fiscal Indicators Report quarterly and monthly during Board meetings.

Target Area 3: PROJECT AND DEVELOP A COMMUNITY USAGE PLAN FOR BOARD FACILITIES.

Steps Assigned Timeframe Progress 1. Provide recommendations reviewed by the Facilities Committee to the Superintendent

Director of Operations

January 2020

2. Implement recommendations as approved by the Superintendent and/or the Board


January 2020

3. Move SSA office to the MCAC site


September 2020

G

4. Evaluate space changes and renovation


October 2020

5. Provide evaluation and recommendations reviewed by the


December 2020

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Facilities Committee to the Superintendent

Summary:

Step 1: Completed - The Superintendent was provided recommendations and a Special Board Meeting was held for approval of projects.

Step 2: Completed - Recommendations including the SSA wing renovation, installation of the generator, and the bid on the roof project are under way.

STEP 3: Completed – The final punch list was reviewed on Sept 29, 2020.

STEP 4: Completed – Space has been evaluated and all changes/renovations have been completed including the wall for the Records Department and cubicles for the OT/PT area.

STEP 5: Completed – 10-Year Capital Improvement Plan was completed in October based on the Facility Assessment recommendations.

GOAL 6. ACCOUNTABILITY – PROGRAM AND SERVICES OUTCOMES THE MCBDD WILL CONTINUALLY REVIEW AND REPORT ON CURRENT SERVICES AND THEIR OUTCOMES, QUALITY, TIMELINESS, AND EFFECTIVENESS.

Target Areas:

• E va l u a t e t h e ne e d o f I n d i v i d ua l s on wa i t l i s t s . • Es t a b l i s h a s e rv i c e e xp ec t a t i on s ma t r i x f o r a l l

i n t e r na l l y p ro v i d e d s e r v i c es . • Es t a b l i s h a V i s i o n P la n f o r a l l c h i l d re n ’ s s e r v i c es .

Target Area 1: EVALUATE THE NEED OF INDIVIDUALS ON WAIT LISTS.

Steps Assigned Timeframe Progress 1. Continue assessing individuals on the transitional wait list per the Waiting List Rule

Director of SSA

December 2020

2. Establish current needs wait list and

Director of SSA

December 2020 G-Completed

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report to the Superintendent and Board

for 2021-Ongoing task

Summary:

Step 1: Completed - As of 9/28/2020, all individuals who were on the TWL have had their Waiting List Assessment Completed.

Step 2: Completed /Ongoing - As of 9/28/2020, all individuals who were on the TWL have had their Waiting List Assessment Completed. This work continues as needed. SSAs continue to complete the Waiting List Assessment as needed and allocate waivers when appropriate.

Target Area 2: ESTABLISH A SERVICE EXPECTATIONS MATRIX FOR ALL INTERNALLY PROVIDED SERVICES.

Steps Assigned Timeframe Progress 1. Implement identified performance outcomes and communicate performance outcomes to stakeholders


January 2020

2. Evaluate performance outcomes and revise as needed


June and December 2020

G-Moved to 2021

Summary:

Step 1: Completed - Performance outcomes were identified.

Step 2: In Progress - The recommendation is to develop new performance outcomes for all areas.

Target Area 3: ESTABLISH A VISION PLAN FOR ALL CHILDREN’S SERVICES.

Steps Assigned Timeframe Progress 1. Revise LEA contracts to start billing for direct service tuition for the 20-21 schoolyear.


May 2020

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This is a 5-year phase-in plan

Summary:

Step 1: Completed - LEA contracts were revised and sent to school districts.

GOAL 7. STAFF DEVELOPMENT AND SKILL SUSTAINABILITY

THE MCBDD IS DEDICATED TO DEVELOPING OPPORTUNITIES TO EQUIP STAFF WITH SKILLS TO EFFECTIVELY FULFILL THE BOARD’S MISSION AND TO PREPARE THEM FOR FUTURE VOCATIONAL OPPORTUNITIES.

Target Areas:

• P r o v i de i n f o r ma t i on r e l a t i ve t o voc a t i o na l s k i l l d e ve l op m en t an d en ha nc em en t f o r f u t u re e m p lo ym e n t op t i o ns .

• R e v i e w a nd c on f i r m p res en t S SA t r a i n i n g f o r c ons i s t e nc y , pe r f o r m anc e / k no w l e d ge e xp ec t a t i ons a n d c us t o me r s e r v i c e s k i l l s .

• P r om o t e a s upp o r t i ve c u l t u r e t h r ou gh o u t t he o r ga n i z a t i o n .

Target Area 1: PROVIDE INFORMATION RELATIVE TO VOCATIONAL SKILL DEVELOPMENT AND ENHANCEMENT FOR FUTURE EMPLOYMENT OPTIONS.

Steps Assigned Timeframe Progress 1. Complete a job analysis focusing on future job responsibilities and skill requirements

Director of HR

Ongoing G-Completed in 2020-Ongoing task

2. Revise job descriptions and submit to Superintendent for final

Director of HR


160

approval 3. Develop and implement an annual training plan for staff with a focus on revisions to job responsibilities



Summary:

Step 1: Completed/Ongoing - We continue to monitor and make changes to job descriptions as appropriate. An example of this is when the Board was asked to approve a resolution to abolish positions and create the new position of Community Resource Coordinator, which more closely aligns with the future direction of the Agency.

Step 2: Completed/Ongoing - Changes are being made to position descriptions as appropriate and will continue to be monitored on an ongoing basis.

Step 3: Completed/Ongoing - The annual training plan requirement dates were revised for 2020 due to COVID-19. We are working with BODD Works to add additional training opportunities for staff to access online.

Target Area 2: REVIEW AND CONFIRM PRESENT SSA TRAINING FOR CONSISTENCY, PERFORMANCE/KNOWLEDGE EXPECTATIONS AND CUSTOMER SERVICE SKILLS.


Target Area 3: PROMOTE A SUPPORTIVE CULTURE THROUGHOUT THE ORGANIZATION.

Steps Assigned Timeframe Progress 1. Create a plan that promotes and incorporates the culture into the day to day operations of the


February 2020

G-Moved to 2021

161

agency 2. Share the statement and implementation of the plan with the Board



3. Share information with staff



4. Implement staff training, including customer service, as needed for implementation of a supportive culture


December 2020

G-Moved to 2021

Summary:

Step 1: In progress - Management and labor were in the process of creating a Culture statement when COVID-19 and other events of 2020 changed our direction. Cultural change plans have been implemented focusing on provider support and service availability during a pandemic, flexibility, change in work environments including the implementation of telecommuting and diversity.

Step 2: In Progress – The Superintendent provides monthly updates to the Board regarding progress of the Diversity and Inclusion Committee and the associated plan. Updates are also provided during board meetings regarding the agency’s response and plans during the pandemic.

Step 3: In Progress – Staff have been receiving daily updates via email. Directors hold regular meetings with staff either in person or virtually as appropriate. Staff have also received updates and training in areas such as unconscious bias/diversity and changing work routines and rules during a pandemic.

Step 4: In Progress- Customer Training scheduled for 1/15/21. Training opportunities for customer service and supportive culture will continue to be implemented throughout the year.

GOAL 8. BOARD STEWARDSHIP THE MEDINA COUNTY BOARD OF DD WILL ASSURE THE FAITHFUL STEWARDSHIP OF ALL PROGRAMS, SERVICES, RESOURCES AND FUNDING THROUGH THE OVERSIGHT OF THIS STRATEGIC PLAN’S IMPLEMENTATION.

162

Target Areas:

• E n ga ge i n q ua r t e r l y r e v i e ws o f t h i s P l an ’ s p r og res s . • P u b l i c i z e an nua l l y a S t ra t eg i c P l an P r og r es s R ep o r t . • B o a r d me m be rs pa r t i c i pa t e i n t r a i n i ngs t o en h anc e

d ec i s i on - mak i ng e f f ec t i ve nes s : c o mm u n ic a t i o ns , l e ad e rs h i p r o l es , s t ak e h o l de r s e r v i c e , e t c .

Target Area 1: ENGAGE IN QUARTERLY REVIEWS OF THIS PLAN’S PROGRESS.

Steps Assigned Timeframe Progress 1. Report on quarterly basis

Board President


G

Summary:

Step 1: In Progress/ Ongoing - The Board continues to receive a quarterly update on the Annual Action Plan. The Board received it in May due to COVID-19. A recommendation for a new report style will be presented to the Board in the first quarter of 2021.

Target Area 2: PUBLICIZE ANNUALLY A STRATEGIC PLAN PROGRESS REPORT.

Steps Assigned Timeframe Progress 1. Provide annual review for public dissemination


G

Summary:

Step 1: In Progress - The annual review and the quarterly review of the Strategic Plan are disseminated to stakeholders in various ways.

Target Area 3: BOARD MEMBERS PARTICIPATE IN TRAININGS TO ENHANCE DECISION-MAKING EFFECTIVENESS: COMMUNICATIONS, LEADERSHIP ROLES, STAKEHOLDER SERVICE, ETC.

163

Steps Assigned Timeframe Progress 1. How are we doing as a business


G

2. Recommendations to move forward

Board Fall 2020 G-Completed for 2020-Ongoing task

3. Implement recommendations

Board December 2020

G

Summary:

Step 1: In Progress – The Board reviews the Fiscal Indicator report on a quarterly basis.

Step 2: Completed – Recommendations received from the Board through the Budget and Annual Action Plan processes.

Step 3: In Progress - The 2021 Budget has been approved. The Annual Action Plan will be available for public review and comment the week of January 11, 2021 through January 15, 2021; the Board will then approve the 2021 Action Plan at the January Board Meeting.

164

OMBUDSMAN REPORT

Michelle Kipfstuhl Fourth Quarter 2020

October, 2020 PC from client 2017-9 to prepare for IEP meeting Signed on to IEP meeting – mom no show Attended IEP meeting PC re twins needing helmet-Contact with BCMH nurse and family PC re dental clinic and dentures PC with Cheryl Mendel – parent mentor November, 2020 PC re assistance for visually impaired individual PC to Project Learn PC re resources for visually impaired individual December, 2020 PC re housing for visually impaired individual There are no families “open” at the end of the fourth quarter.

165

Community Services Report

4th Quarter 2020

Community Employment:

Community Employment Services had many challenges this past year. Due to the pandemic, many individuals had to deal with temporary layoffs or substantially reduced hours. Some individuals had to find other jobs as the prospects of returning to their jobs became slimmer. However, overall individuals continued to find employment and start new jobs. Here is the current status for the 134 individuals employed in competitive jobs:

Back to work: 114 Business layoff due to COVID-19: 13 Voluntary lay off due to COVID-19: 7

For the year, a total of 28 individuals obtained new community jobs. Community Services also had several new business partners over the past year, including: Lowes, Medina Meadows and Gandolf’s. In addition, several ongoing partners continue to hire individuals, especially; Atlantic Tool and Die, Buehler’s, Giant Eagle, A.I. Root, Arby’s, and Scene 75. The Medina County Board of DD wants to recognize and thank those businesses and employers that continue to provide opportunities to individuals with disabilities.

The MCBDD also continues to work well with Opportunities for Ohioans with Disabilities (OOD) as the program saw an increase of over 20% in revenue from 2019. This was significant since we saw many individuals hold off on services due to COVID-19. It is also significant in that more individuals are choosing Community Employment and more businesses are more than ever open to hiring individuals with disabilities. As reported in last quarter’s Community Services Report, the MCBDD also did very well in in the annual report card from OOD.

Breakdown of Community Employment-based services provided per quarter – past year

2019 Q4 2020 Q1 2020 Q2 2020 Q3 2020 Q4 Community Assessment 3 2 1 4 1 Work Adjustment 0 0 0 0 3 Placements 6 8 5 7 8 Job Coach 11 9 6 9 11 Employed 132 134 135 135 134 Summer work 0 0 7 28 0

.

Community Connection:

During the COVID-19 pandemic, Community Connections clubs and activities are on hold. Most volunteers have still not returned to volunteer sites as well. Community Connections continues to provide Boredom Busters and Facebook to connect with individuals during this time.

166

Paid to Providers for Services Needed $5,994,591.84 + 18.5% from last quarter

EXPENSESEXPENSESProjected for 2020 $23,830.813.00Current Year-to Date $20,244,655.16

93%88%

68%

REVENUEREVENUEProjected for 2020 $25,545,246.00Current Year-to-Date $26,440.090.10


Fiscal IndicatorsFiscal Indicators 4th Quarter 2020

13%3%

84%

WAIVERSWAIVERS

MCBDD Responsibility Local MatchProvider Services Above $1,380,534.20 +20.2% from last quarter

Service Dates - Billing Cycle7/1/2020 thru 9/30/2020

75%

50%

25%

75%

50%

25%

Under Projection At Projection Over Projection

Local State Federal YearlyTotal

100%

Operating Medicaid Match

Salaries and Benefits

YearlyTotal

104%

Neutral

Jan-Dec 2020 Jan-Dec 2020 (proportional)

* Waivers are one way to pay, through the Medicaid program, for services a person with developmental disabilities needs to live their life in the community.

**

1st Quarter Type Jan 1, 2020 Additional Removed Mar 31, 2020I/O 282 9 -1 290Level 1 163 6 -2 167Self 32 2 0 34

2nd Quarter Type April 1, 2020 Additional Removed Jun 30, 2020I/O 290 7 -4 293Level 1 167 8 -5 170Self 34 13 -2 45

3rd Quarter Type Jul 1, 2020 Additional Removed Sep 31, 2020I/O 293 11 -5 299Level 1 170 9 -2 177Self 45 9 -2 52

4th Quarter Type Oct 1, 2020 Additional Removed Dec 31, 2020I/O 299 7 -5 301Level 1 177 5 -4 178Self 52____________ 6______________0_____________58 _____

Year to Date 477 92 -32 537 (net 9)

167

Italicized - not listed on previous quarter's report

Con

tract

s to

be

Appr

oved

by

Boar

d

Con

trac

Appr

oved

by

Supe

rinte

nden

t

NAME OF CONTRACTORSERVICE

PROVIDED BY MCBDD

SERVICE RECEIVED BY MCBDD

START DATE END DATE CONTRACT RATE CONTRACT

MAXIMUMDATE

APPROVEDDATE

RECEIVEDResponsible Department

X Sandicare, LLCLocally Funded Day Services & Transportation 1/1/2021 12/31/2021 Medicaid Rate $ 46,000 11/17/2020 12/30/2020 Business Office

X

The Goodwill Industries of Akron, Ohio, Inc. Locally Funded Day Services 1/1/2021 12/31/2021 Medicaid Rate $ 4,000 11/17/2020 12/16/2020 Business Office

X ViaQuest, Inc.Locally Funded Day Services & Transportation 1/1/2021 12/31/2021 Medicaid Rate $ 26,000 11/17/2020 12/23/2020 Business Office

X

Midwest Family of Companies Lease of space - Crossroads Revenue contract 12/3/2020 12/2/2021 $1,520.00 per month $ 18,240.00 12/4/2020 12/23/2020

Operations/Community Support -

Pam

X

Onebridge Support Services Locally Funded Day Services & Transportation 1/1/2021 12/31/2021 Medicaid Rate $ 5,000 11/17/2020 12/15/2020 Business Office

X Medina County Special Olympics Various Team Sports 1/1/2021 12/31/2021 $1,167.00 per month $ 14,004 11/17/2020 12/11/2020 Operations - Paula

X

Medina City SchoolsCommunity Connections Career Partnership (C3PO) MOU

9/7/2020 5/31/2021 Partnership funding $ 13,850.00 11/18/2020 12/11/2020 Community Supports - Pam

X X

Language Learning Associates, LLC (LLA Therapy)

Speech, OT, PTA & PT Services 1/1/2021 12/31/2021 Various Rates $ 285,996 11/17/2020 11/23/2020 Education

X X Windfall Industries Miscellaneous Services 1/1/2021 12/31/2021 See contract $ 173,196.62 11/17/2020 12/1/2020 Adult Services

X Windfall Industries

Locally Funded Career Planning & Individual Employment Support

1/1/2021 12/31/2021 Medicaid Rate $ 1,000 11/17/2020 12/1/2020 Business Office

X X Windfall IndustriesLocally Funded Day Services & Transportation 1/1/2021 12/31/2021 Medicaid Rate $ 80,000 11/17/2020 12/1/2020 Business Office

X Windfall Industries Grounds Maintenance 4/1/2021 11/30/2021 $35,184 for the season $ 35,184 11/17/2020 12/1/2020 Operations

X

True Hearts of Care, LLC Locally Funded Transportation 1/1/2021 12/31/2021 Medicaid Rate $ 4,000.00 11/17/2020 12/4/2020 Business Office

X Medina Creative Accessibility, IncLocally Funded Day Services & Transportation 1/1/2021 12/31/2021 Medicaid Rate $ 10,000 11/17/2020 12/4/2020 Business Office

X Judy HarpleyOrientation & Mobility Assessment/Training 1/1/2021 12/31/2021 $100.00/session $ 1,000.00 11/17/2020 11/30/2020 SSA

X

The Society Locally Fund Day Services and NMT 1/1/2021 12/31/2021 Medicaid Rate $ 10,000.00 11/17/2020 11/30/2020 Business Office

X The Society Ombudsman 1/1/2021 12/31/2021 $33.00/hour $ 30,000.00 11/17/2020 11/30/2020 Administration

X

Surso Consulting, LLC Medical Consultations 1/1/2021 12/31/2021 $75.00/hour $ 300.00 11/17/2020 12/1/2020 Community Supports - Pam

Medina County Board of DD2021 Contract Report

as of 12/31/2020

168

MCBDD

Tech Plan Summary Q-4 2020

With the last quarter of the year, the Technology Department has wrapped up a couple projects while prepping for new projects. We were able to end the year by obtaining some remaining laptops for users that were scheduled to receive those devices as part of Tech replacement.

We have been experiencing shipping and production delays with certain tech, so we will plan to be strategic with the tech purchasing plan moving forward. Many users continue to work remotely and our team will continue to answer tickets and calls as they come in.

One project we completed was implementing the use of a fog server. This will allow our team to work more efficiently when programming a new device or needing to reimage a device when needed. What this does is runs a program to install any and all software needed for that specific user. If devices being loaded are similar, we can set up multiple devices concurrently while working on other projects. Before this, we would have to install each software, link, or other program one by one per device.

The Cloud Backup project is complete. All servers are scheduled now to back up daily, monthly and yearly to the Wasabi Cloud Backup. The initial full backups took time to complete because of their size, but the incremental backups after that point have proven to work effectively and efficiently. With that, we were able to perform a true disaster recovery test in a safe environment. That test finished with a complete restore and we feel confident with our disaster recovery process.

Moving forward into the new year, we are developing ideas and plans to improve network security and to improve the end user experience. One goal we are working on now relates to helping departments have the ability to create their own Microsoft Teams group. Microsoft Teams allows for video meetings, chat and many other types of integrations to keep teams connected.

169

MISCELLANEOUS

170

MCBDD Miscellaneous Packet

January 25, 2021

1. Dedication and Commitment/The Gazette/December 16, 2020.

2. Making A Difference/The Post/December 14, 2020.

3. Developmental Screenings Are Important for Every Child/The Gazette/December 9, 2020.

4. Juvenile Judge Kevin Dunn Continues Bear Program/The

Gazette/December 4, 2020.

171

MINNEAPOLIS — A Black man who was sentenced to life behind bars as a teenager walked out of a Minnesota prison Tues-day to the sound of ringing bells and cheering supporters, hours after a pardons board commuted his sentence in a high-profile murder case.

Myon Burrell’s case, and his age at the time of the killing, raised questions about the integrity of the criminal justice system that put him away. Earlier this year, The Associated Press and Ameri-can Public Media uncovered new evidence and serious flaws in the police investigation into the 2002 killing of an 11-year-old girl who was hit by a stray bullet while doing homework at her dining room table.

The Minnesota Board of Par-dons voted to commute his

sentence to 20 years, with the remaining two years to be served on supervised release. Dozens of supporters braved below-freez-ing temperatures to greet Burrell as he took his first steps of free-dom. They rang cow bells and beat a drum as he walked out, cheering, “Myon’s free!”

Once he arrived home, he was welcomed by his family.

“It’s just a blessing to be home,” he said, while standing outside looking at the sky for the moon and stars, which he said he’s been longing to see.

Burrell, who was 16 at the time of the slaying, appeared at his hearing via videoconference from inside the state’s Stillwater prison. He became emotional as the board voted, and put his hand on his head and said, “Thank you, thank you. I appreciate it.”

His request for a commutation and a pardon, he told the board, was “not in any way, shape or form me trying to minimize the

tragedy of the loss of” Tyesha Edwards. “I come before you, a 34-year-old man who spent more than half of his life incarcerated for a crime I didn’t commit.”

Burrell told the board about his time in prison, saying he did not know what was going on when he was sentenced, and that he converted to Islam and became a religious leader while behind bars.

“I tried to make the best of my situation,” he said. “I started going in and extracting medicine out of the poison. The trials and tribulations I was going through, I tried to get something out of it.”

His request was accompanied by testimony from community leaders and letters from young men in prison, who attested to his strong character and moral leadership.

Jimmie Edwards III, Tyesha’s brother, told the AP that he and his family were upset by the deci-sion. He said the justice system

failed his family, and media cov-erage and support for Burrell’s release overshadowed his sister’s death.

“She never got to go to her prom. She never got to go to col-lege. She never got to go to junior high school or high school,” he said. “Her life was taken away at 11. Who’s the victim?”

Gov. Tim Walz, a member of the board, recommended the com-muted sentence, saying science has found and the U.S. Supreme Court has ruled that teenage minds work differently than those of adults, and that a life sentence for a teenager is too extreme.

“While this board is not a fact finder, it does have the power to determine when justice is served through the power of clemency and mercy,” Walz said, adding: “We cannot turn a blind eye to the developments in science and law as we look at this case.”

Last week, an independent panel of national legal experts

also recommended Burrell’s immediate release after review-ing the facts and all of the avail-able evidence.

Burrell always maintained his innocence, and another man has confessed to shooting Tyesha, a Black sixth grader who was shot through the heart.

Walz addressed the Edwards family during the hearing, saying: “We’re not here to relitigate the crime committed against your family that took your daughter away. There is nothing I can do to ease your pain, and it will not be made better. But we must act today to recognize the law in this area has changed. Justice is not served by incarcerating a child for his entire lifetime for a horrible mistake committed many years ago.”

Sen. Amy Klobuchar, who was the city’s top prosecutor at the time of the killing, has used Burrell’s conviction throughout her political career to tout her record of being tough on crime. She raised it again last year on the stage of a Democratic presiden-tial primary debate.

The AP’s yearlong investiga-tion showed there was no hard evidence — no gun, DNA or fin-gerprints — tying Burrell to the shooting. Among other things, police did not collect a corner store’s surveillance video, which Burrell said could have cleared him. And video footage showed the lead homicide detective offering a man in police custody $500 for Burrell’s name, even if it was just hearsay.

Burrell’s co-defendants said the teenager was not at the scene that day.

Klobuchar released a state-ment saying the board made the right decision. She also urged a conviction-review unit to con-tinue investigating the facts.

New questions about Burrell’s case surfaced just before Minne-apolis was thrust into the national spotlight after a police officer held his knee against George Floyd’s neck outside a convenience store as Floyd gasped for breath. It was the same Cup Foods store that Burrell said could have provided his alibi if surveillance tapes had been pulled.

Floyd’s death sparked racial injustice protests and put renewed focus on some law enforcement practices from the 1990s and early 2000s, when harsher policing and tougher sen-tencing led to the highest lock-up rates in the nation’s history. Those incarcerations hit minority com-munities the hardest.

Under public pressure after the AP report, Klobuchar threw her support behind the creation of the independent panel, say-ing it was just as important to protect the innocent as punish the guilty. In its report, the panel raised concerns about the police investigation that mirrored many of those uncovered by the AP.

The panel’s report said officers suffered from “tunnel vision” while pursuing Burrell as a sus-pect, homing in on evidence that supported their theory of guilt and ignoring that which may have helped him. Officers relied heavily on a single eye-witness, who offered conflicting accounts, along with jailhouse informants, who benefited gen-erously for testifying.

The panel said it saw no pur-pose served by keeping Burrell locked up. It pointed to his age at the time of the crime, said he had no prior record and that he behaved well behind bars.

Burrell was jailed during an era “marked by racially charged fearmongering about young ‘super-predators’ who would be violent for the entirety of their lives,” Mark Osler, who chaired the panel, wrote in the Minneapo-lis Star Tribune this past weekend.

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medina county direct support professionals

board of developmental disabilities Know a direct support professional (DSP) who hasmade a positive impact on the life of an individualwith a developmental disability? Nominate themfor a “DSP Spotlight”. Forms at www.mcbdd.org.

This month, we are celebrating

If you are looking for employment and are interestedin helping individuals with developmental disabilitiesreach their full potential, please contact us [email protected].

The Medina County Board ofDevelopmental Disabilities wants to recognizethe front line Direct Support Professionals (DSP) who remaincommitted and dedicated to making a di�erence in the lives ofothers every single day. Direct Support Professionals provide vitalcare, guidance and support to people with disabilities and theirfamilies so they can succeed in reaching their goals.

Congratulations Erin, and thank you for all of yourcommitment, hard work, and sel�essness. Youre�orts to helping families in Medina Countydoes not go unnoticed.

DSP

330-725-7751 • www.mcbdd.org

Erin began her career as a DSP 11 years agowhen she saw a helped wanted ad in the localnewspaper. She is currently a Direct SupportProfessional at The Society. Erin says her �rstboss helped her understand that DSP sta�are like family. As a DSP she looks forward tohelping with outings that allow people withdevelopmental disabilities explore new places.Her favorite part about working is “Watchingmy clients keep trying until they accomplish agoal. I also enjoy watching them expressthemselves through songs and artwork, andlistening to the stories they like to share.”

Minnesota frees man serving life in child’s 2002 deathRobin McDowell

and Margie MasonThe Associated Press

172

HEALTH - N3 The Post Monday, December 14, 2020

skipped routine visits for their kids, children are still get-ting antibiotics through telemedicine visits that don’t allow for in-person exams. And research shows more than 5,000 children infected with the coronavirus were hospitalized between late May and late September. If symptoms point toward a bacterial infection on top of the coronavirus, Schleiss said, doctors sometimes prescribe antibiotics, which don’t work on viruses, until tests rule out bacteria.

At the same time, Newland said, the demands of car-ing for covid-19 patients take time away from what are known as “stewardship” programs aimed at measuring and improving how antibiotics are prescribed. Often such ef-forts involve continuing education courses for health-care professionals on how to use antibiotics safely, but the pan-demic has made those more difficult to host.

“There’s no doubt: We’ve seen some extra use of an-tibiotics,” Newland said. “The impact of the pandemic on antibiotic use will be significant.”

Antibiotic resistance occurs through random mutation and natural selection. Those bacteria most susceptible to an antibiotic die quickly, but surviving germs can pass on resistant features and then spread. The process is driven by prescribing habits that lead to high levels of antibiotic use.

A March study in the journal Infection Control & Hospital Epidemiology found that the rates of antibiotic use on patients at 51 children’s hospitals ranged from 22 percent to 52 percent. Some of those medications treated actual bacterial infections, but others were given in hopes of preventing infections or when doctors didn’t know what was causing a problem.

“I hear a lot about antibiotic use for the ‘just in case’ scenarios,” said Joshua Watson, director of the antimicrobi-al stewardship program at Nationwide Children’s Hospital in Ohio. “We underestimate the downsides.”

Newland said each specialty in medicine has its own culture around antibiotic use. Many surgeons, for example, routinely use antibiotics to prevent infection after opera-tions.

Outside of hospitals, doctors have long been criticized for prescribing antibiotics too often for ailments such as ear infections, which can sometimes go away on their own or can be caused by viruses that antibiotics won’t counter.

Shannon Ross, an associate professor of pediatrics and microbiology at the University of Alabama at Birming-ham, said not all doctors have been taught how to correctly use antibiotics.

“Many of us don’t realize we’re doing it,” she said of overuse. “It’s sort of not knowing what you’re doing until someone tells you.”

All this drives the growth of numerous superbugs in the very population served by these hospitals. Numerous studies, including one published in the Journal of Pediatrics in March, cite the rise among kids of C. diff, which causes gastrointestinal problems. A 2017 study in the Journal of the Pediatric Infectious Diseases Society found that cases of a certain type of multidrug-resistant Enterobacteriaceae rose 700 percent in American children in just eight years. And a steady stream of research points to the stubborn prevalence in kids of the better-known MRSA, or methicil-lin-resistant Staphylococcus aureus.

Superbug infections can be extremely difficult - and sometimes impossible - to treat. Doctors often must turn to strong medicines with side effects or give drugs intra-venously.

“It’s getting more and more worrisome,” Ross said. “We have had patients we have not been able to treat be-cause we’ve had no antibiotics available” that could kill the germs.

ANTIBIOTICS continued from N2

see OVERUSE on N4

medina county direct support professionals

Medina Countyboard of developmental disabilities

October 2020

RAYMONfrom SandiCare

If you are looking for employment and are interested in helping individuals with developmental disabilities, please contact us at [email protected].

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We Need You!

onals DSP

330-725-7751www.mcbdd.org

Thank You! Your commitment, hard work, and selfless efforts to

helping families in Medina County do not go

unnoticed. Direct Support Professionals provide

vital front line care, guidance and support to

people with developmental disabilities and their

families so they can succeed in reaching their goals.

Each month the Medina County Board of DD recognizes a front line Direct Support Professional (DSP) who is dedicated to making a difference in the lives of others every day.

Making A Difference

December 2020

ERINfrom The Society

November 2020

NORAfrom Intervention

for Peace

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Metro CreativeA nutritious diet is a vital

component of a healthy lifestyle. When it’s part of a health regimen that includes routine exercise, a healthy diet that’s rich in fruits and vegetables can help people reduce their risk for various illnesses, including chronic diseases like heart disease, cancer and diabetes.

Many adults have known about the value of fruits and vegetables since they were youngsters and their par-ents repeatedly told them how important it was to eat healthy foods. Despite those early lessons, the Centers for Disease Control and Prevention reports that less than 10 percent of adults and adolescents eat enough fruits and vegetables. That’s unfortunate, as fruits and vegetables are loaded with vitamins that benefit the body in myriad ways.

The U.S. National Library of Medicine notes that vita-min deficiency occurs when people do not get enough of certain vitamins. Recog-nizing the many functions vitamins serve may compel adults and adolescents to include more fruits and veg-etables in their diets.

n Vitamin A: The USNLM notes that vitamin A helps form and maintain healthy teeth, bones, soft tissue, mucous membranes, and skin. According to the World Health Organization, vitamin A deficiency is the leading cause of preventable blindness in children and increases the risk of dis-ease and death from severe infections.n Vitamin B6: Vitamin B6 helps form red blood cells and maintain brain func-tion. Though the National Institutes of Health notes that isolated vitamin B6 deficiency is uncommon, a deficiency has been asso-ciated with various condi-tions, including a weakened immune system and der-matitis cheilitis, a condition marked by scaling on the lips and cracks at the cor-ners of the mouth.n Vitamin C: Vitamin C is an antioxidant that promotes healthy teeth and gums, helps the body absorb iron and maintains healthy tissue. In addition, vitamin C plays an integral role in helping wounds heal. Vitamin C deficiency impairs bone function, and Merck notes that in children

that impairment can cause bone lesions and contribute to poor bone growth.n Vitamin D: The USNLM notes that 10 to 15 minutes of sunshine three times per week is enough to pro-duce the body’s vitamin D requirement for people at most latitudes. It’s hard to rely on food to supply ample vitamin D, which helps the body absorb calcium that is necessary for the develop-ment and maintenance of healthy teeth and bones.n Vitamin E: Vitamin E helps the body form red blood cells and utilize vita-min K. Green, leafy veg-etables like spinach and broccoli are good sources of vitamin E. The Office of Dietary Supplements notes that a vitamin E deficiency

can cause nerve and muscle damage, potentially leading to muscle weakness and vision problems.n Vitamin K: Vitamin K helps to make certain proteins that are needed for blood clotting and the building of bones. The T.H. Chan School of Public Health at Harvard notes that the main type of vitamin K is found in green leafy veg-etables like collard greens, kale and spinach. Vitamin K deficiency is rare, but it can lead to bleeding, hemor-rhaging or osteoporosis.

Vitamins are crucial to human beings’ over-all health. Eating ample amounts of fruits and veg-etables is a great and deli-cious way to avoid vitamin deficiency.

Metro CreativeWinter can be an awe-in-

spiring time of year. Snow-covered landscapes and opportunities to enjoy sports like skiing and snowboarding make winter a favorite time of year for nature enthusiasts and athletes.

As fun as winter can be, many people struggle with the transition from warm weather and long, sunny days to cold

weather and reduced hours of sunlight. Sometimes mistaken or misidentified as the “winter blues,” this phenomenon is known as seasonal affective disorder, or SAD.

What is seasonal affective disorder?

According to the National Institutes of Mental Health, SAD is a type of depression. The NIH notes that a person

must meet full criteria for major depression coinciding with specific seasons for at least two years to be diag-nosed with SAD. The Amer-ican Psychiatric Association says symptoms of SAD can be distressing and overwhelming and even interfere with daily functioning.

The APA notes that SAD has been linked to a biochemical imbalance in the brain that’s

prompted by shorter daylight hours and less sunlight in winter. As the seasons change, a shift in a person’s biological internal clock or circadian rhythm can lead to them being out of step with their normal routines. That can contribute to various symp-toms, including:n Feeling sad or depressedn Loss of interest or pleasure in activities once enjoyedn Changes in appetite, usu-ally eating more and craving carbohydratesn Loss of energy or increased fatigue despite increased sleep hoursn Increase in purposeless physical activity or slowed movements or speech that may be noticed by othersn Feeling worthless or guiltyn Difficulty thinking, concen-trating or making decisionsn Thoughts of death or sui-cide

Overcoming SADThe weather can’t be

changed, but people can speak with their physicians about the following strategies to overcome SAD.n Light therapy: According to the APA, light therapy involves sitting in front of a light ther-apy box that emits a very bright light. In the winter, patients typically sit in front of the box for 20 minutes each morning, and they may see some improvements within one to two weeks of begin-ning treatment. Light therapy is usually continued through-out the winter.n Medication: The APA notes that selective serotonin reuptake inhibitors, or SSRIs, are a type of antidepressant that are sometimes prescribed to treat SAD.

n Spending time outdoors: People with SAD who don’t typically spend much time outdoors when the tempera-tures dip may notice their symptoms improve if they make a concerted effort to spend time outdoors in win-ter.n Rearrange rooms in the home: The APA notes that rearranging rooms and fur-niture in a home or office to allow more natural light in during the daytime can help improve symptoms of SAD.

SAD is a legitimate concern for millions of people across the globe. Working with a physician to overcome SAD can help people successfully transition to days with fewer hours of sunlight.

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board of developmental disabilities330-725-7751

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Taking a first step, waving “bye-bye,” and pointing to something interesting are all things most children can do by a certain age. Healthcare professionals use a developmental screening to tell if a child is learning basic skills in how they play, learn, speak, act, and move when they should.

Since there is no lab or blood test to tell if your child may have a delay, developmental screen-ings are designed to find potential delays as early as possible. When a delay is not recognized early, children lose important opportunities for getting the help they may need. Research shows that early detection and treatment of delays can help improve skills and reduce the need for life-long services.

Developmental screenings may be done by various professionals in healthcare, community or school settings. At your child’s regular well visit, your healthcare provider will do developmental screening. They might ask you questions about your child’s development or talk and play with your child to see if he or she is developing and meeting milestones. If your child’s healthcare pro-vider does not periodically check your child with a developmental screening, you can ask that it

be done. The American Academy of Pediatrics recommend that all infants and young children be screened for delays during regular visits at 9, 18, 24 and 36 months.

If the screening identifies an area of concern, a formal developmental evaluation may be needed. This formal evaluation is a more in-depth look at a child’s development, usually done by a trained specialist, such as a developmental pediatrician, child psychologist, speech-lan-guage pathologist, occupational therapist, or other specialist. The results of a formal evaluation will help determine if a child needs early intervention services to help get them back on track to meeting milestones.

In Medina County, the Medina County Board of Developmental Disabilities Early Intervention Services finds resources for families to get children back on track. For more information contact the Medina County Board of Developmental Disabilities at 330-725-7751, option 1 or Ohio Early Intervention Services at 1-800-755-GROW.

Developmental screenings are important for every child

Strategies to overcome seasonal affective disorder

The role different vitamins play

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