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Monday, Health and Human Services Door County Government Center Chambers Room (C102), 1st floor April 12, 2021 Board 421 Nebraska Street, Sturgeon Bay, WI 3:00 p.m. Oversight Board for the Department of Health and Human Services

AMENDED AGENDA In light of the declared state of HEALTH AND HUMAN SERVICES BOARD MEETING emergency and to mitigate the impact of COVID-19 this meeting will be conducted by teleconference or video 1. Call Meeting to Order conference. Members of the public may join the meeting remotely or in- 2. Roll Call – Establishing Quorum person in the Peninsula Room (C121) 3. Adopt Agenda 1st Floor Government Center (please note public in-person has limited 4. Approve Minutes capacity and is on a first come, first a) March 8, 2021 Health and Human Services Board served basis).

5. Correspondence To attend the meeting via computer: 6. Public Comment Go to: 7. Supervisor Response https://doorcounty.webex.com/doorc ounty/onstage/g.php?MTID=ee59aa 8. Public Health cd64c78d2eb4ba72139001c7a8e a) COVID-19 Update Event Password: Apr12hhs2021 i) COVID-19 - Testing and Vaccination of Jail population. ii) Advertisement Update Access Code: 187 446 7811

iii) Door County Medical Center (DCMC) Update To connect via phone: iv) Board Actions Call: 1-408-418-9388 Access Code: 146 373 1831 9. Health and Human Services a) Staff Updates b) Youth and Adult Placement Facilities c) 2020 Annual Report d) 2020 Budget Re-Cap e) 980 Placement Updates f) Vaccine Outreach Funding g) AmeriCorps Position Grant Request h) Human Services Capital Day April 13, 2021 i) Health and Human Services Quarterly Report j) Introduction Period Completion i) Brianna Franken ii) Jessica Holland iii) Amber Plautz k) Vouchers 10. Topics to Be Referred to the Legislative Committee 11. Matters to be Placed on a Future Agenda or Referred to a Committee, Official or Employee 12. Set Next Meeting Date 13. Meeting Per Diem Code 14. Adjourn Meeting

Deviation from the order shown may occur.

In compliance with the Americans with Disabilities Act, any person needing assistance to participate in this meeting, should contact the Office of the County Clerk at (920)746 2200. Notification 72 hours prior to a meeting will enable the County to make reasonable arrangements to ensure accessibility to that meeting. Posted ______, 2021 ______2

DOOR COUNTY HEALTH AND HUMAN SERVICES BOARD MINUTES Monday, March 8, 2021

These minutes have not been reviewed by the oversight board and are subject to approval or revision at the regular meeting.

1. Call Meeting to Order Chair, M. Lundhahl called the March 8, 2021 meeting of the Door County Health and Human Services Board to order at 3:01 PM in the Chambers Room at the Door County Government Center, 421 Nebraska St., Sturgeon Bay, Wisconsin.

2. Roll Call – Establishing Quorum Present: Vinni Chomeau, Sue Kohout, Megan Lundhahl, Nissa Norton, Robert Rau, Christa Krause, Mark Moeller, Excused: Dr. James Heise Staff Present: Ken Pabich, County Administrator, Julie Behnke, Business Manager; Director; Cori McFarlane, Deputy Director, Sue Powers, Health Officer/Public Health Manager, Paula Sullivan, Accountant; Shannon Lauder, Recording Secretary

3. Adopt Agenda Motion by C. Krause seconded by S. Kohout to adopt the agenda. Motion carried by unanimous voice vote.

4. Approve Minutes Motion by R. Rau seconded by M. Moeller to approve the February 8, 2021 Health and Human Services Board minutes. Motion carried by unanimous voice vote.

5. Correspondence None

6. Public Comment None

7. Supervisor Response None

8. Public Health 3

a. Women, Infant and Children (WIC) Program Update S. Powers gave verbal presentation about the WIC Program. This is a federally funded program that provides healthy foods, nutrition education, and breastfeeding support, for low-income pregnant, breastfeeding, and non-breastfeeding postpartum women, and to infants and children up to age five. WIC is seeing an upward trend in pregnant woman enrollment after a decline last summer. Of the 50 pregnant women certified for WIC in the past 12 months, 23 of them were enrolled over the past 4 months. This has helped bring WIC monthly participation rates above 300. Current waiver allows for services to be provided over the phone. This waiver expires May 20, 2021, may be extended. b. COVID-19 Update S. Powers referred to the Communicable Disease Report included in the packet and reviewed current case count for the board. Disease activity is on a downward turn, however, remains at moderately high per state DHS. Testing positivity rate is low across the state and Door County is at 2.6%. Current positive cases average two (2) cases per day. Public Health has been doing full contract tracing. Wisconsin is a leader in regard to population vaccinated. The state reports that Door County is at 25% for first doses and 15% for the full series in the 65 and older population. These are the parameters used to determine when we can move into more normal activities. S. Powers reminds that it is important that current public health pandemic guidelines continue to be followed. Including avoiding large gatherings, masking, distancing, and handwashing. She thanks the board for their support in practicing these good pandemic behaviors, and for being community leaders in regards to this.

COVID-19 vaccine task force continues to meet weekly to plan and coordinate efforts. Partners on this taskforce include County EMS, Emergency Management, Fire Chiefs Coalition, DCMC, Bellin and Aurora. Drive thru clinics have been going very well. Increasing efficiencies each week. Currently receiving Pfizer Vaccine. A separate allotment is provided by the state for those in the educators/childcare eligibility group. Washington Island vaccine clinic planned for March 25, 2021. Local outreach is being done to ensure all have access to vaccine and clinics. Additional eligibility groups are expected to be announced at the end of the month. Vaccine availability continues to be limited but we have been told to expect better supply by April.

i. DCMC Update C. Krause provides an update for Door County Medical Center (DCMC) regarding COVID- 19 including current inpatient status, testing site and vaccine allotment and scheduling. ii. Board Actions S. Powers shares that Wisconsin Association of Local health Departments and Boards (WALHDAB) is holding a forum on March 9, 2021 at 6pm and invites board members to join. WALHDAB looks to provide an opportunity to have an open discussion about what boards of health can do to support their staff and health department moving through the COVID-19 Pandemic.

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9. Health and Human Services

a. Staff Updates The posting for the Disability Benefits Specialist (DBS) at the Aging and Disability Resource Center (ADRC) has been extended. The Health Educator/Sanitarian position has recently been vacated. Request to refill follows. Recruiting for Limited-Term Employees RN and LPN to support the vaccine clinics when EMS has less capacity. New Contracted AODA provider has started primarily to provide services for the Treatment Court and the Diversion Program.

b. Request to Refill – Sanitarian Public Health This position was approved by Administrative Committee and has been posted. This position serves a critical role in the Public Health Division. Motion by M. Moeller, seconded by S. Kohout to approve the refill request. Motion carried by unanimous voice vote.

c. Aging and Disability Resource center (ADRC) Donation The ADRC has received notification from the Door County Community Foundation that a donation has been given in the amount of $3,232.48 from the Katie Malvitz Charitable Fund. Motion by S. Kohout, seconded by M. Lundhahl to accept donation. Motion carried by unanimous voice vote.

d. Services for LGBTQ+ Individuals McFarlane provides an update regarding services our agencies efforts to serve this population. She states that concerted effort to have staff trained to be sensitive and knowledgeable to meet the specific needs of this demographic to ensure a safe and welcoming environment. Staff have attended specialized trainings, community outreach and conversations with PFLAG has taken place. Our agency has made some identifiable changes to procedures, forms, created gender neutral bathrooms in this building and other county buildings, signs and decals have been posted indicating we are open to diversity and inclusivity. Racial Equity and Diversion (READ) team has been formed looking at all the intersectionality's of those who are marginalized. M. Lundhahl inquired if Public Health is able to provide testing for Sexually Transmitted Diseases (STD). All STD testing is referred to medical providers as this is not a service that our Public Health Department is able to provide.

d. Vouchers No discussion

10. Topics to Be Referred to the Legislative Committee S. Kohout reports that the Ambassador Team met with Representative Joel Kitchens last week. Discussed mental Health funding for Diversion beds. S. Kohout would like to suggest that the Legislative Committee continue to monitor this during the state budget process and propose joint resolutions as needed to maximize funding in this area.

11. Matters to be Placed on a Future Agenda or Referred to a Committee, Official or Employee a. COVID-19 Policy and intent regarding Testing and Vaccination of Jail population. b. Annual Report c. Information about facilities used for placements i.e.: number available, locations; number of clients, cost of stays.

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12. Set Next Meeting Date April 12, 2021 at 3:00pm

13. Meeting Per Diem Code A. 308

1. Adjourn Meeting Motion by S. Kohout, to adjourn meeting, seconded by S. Kohout motion carried by unanimous voice vote. Meeting adjourned at 4:07pm.

Respectfully submitted, Shannon Lauder, Recoding Secretary 6

Public Health

y

r

y r

Communicable

ua

r

ua b

Disease Report 2021 n

Ja Fe Mach

Confirmed Disease Incidents

COVID-19 448 67 115

Other 5 6 8

TOTAL 453 73 123

Communicable Disease

Investigations COVID-19 1,620 972 984

OTHER 14 14 14

TOTAL 1,634 986 998

Covid-19 Contact Investigations

Covid-19 237 36 67

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Public Health COVID-19 Radio Advertising - WDOR; WSBW; WQDC;WBDK Dates Number of Ads Total Cost February 22- March 31 6am-7pm 745 $ 6,877.00 April 250 $ 2,479.00 May 255 $ 2,524.00 Total 1250 $ 11,880.00

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Placements of Clients for DC Department of Health and Human Services

Adult Family Homes and Community Based Residential Facilities

DePere WI Unlimited Possibilities

Green Bay WI Boll Concept/ Cornerstone

Hortonville WI Brotoloc Health Care System

Whitehall WI Trempealeau County Health Care Center

Sturgeon Bay WI Whispering Pines/Bay Harbor Assisted Living Facilities

Skilled Nursing Facilities (CSP Clients)

Plymouth WI Plymouth Health Services

DePere WI Rennes Health and Rehabilitation Facility

Residential AODA Treatment

Appleton WI The Moorings

Oshkosh WI Nova

Rhinelander WI Koinonia

Keil WI Pathways

Manitowoc WI Core Treatment Services

Sober Living Facilities

Sheboygan WI Sheboygan Halfway House

Milwaukee, WI Oxford House

Stevens Point WI Oxford House

Inpatient Psychiatric Facilities

Green Bay WI Bellin Psychiatric Hospital

Green Bay WI Willow Creek Behavioral Health Center

Green Bay WI Brown County Community Treatment Center

Oshkosh WI Winnebago Mental Health Institute

Madison WI Mendota Mental Health Institute

Appleton WI St. Elizabeth’s Psychiatric Unit (Adult and Adolescent Unit)

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Placements of Clients for DC Department of Health and Human Services

Child Protective Services/Youth Justice

Webster WI Northwest Passage (intensive residential treatment for boys)

Fond Du Lac WI Adult Care Consultants (Youth residential care)

Wrightstown WI Treatment Foster Care

DePere WI Treatment Foster Care

Keil WI Pathways (AODA Residential Treatment)

Secure Detention for Youth

Green Bay WI Brown County Juvenile Detention Center (only as space allows – may be bumped for Brown Co. youth)

Wausau WI Marathon County Juvenile Secure Detention Facility

Sheboygan WI Sheboygan County Correctional Services

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Door County Department of Health & Human Services (DHHS) 2020 Annual Report

Health and Human Services is a large and diverse department that operates under two separate budgets. This report will be split up in relation to the two budgets and the 10 different divisions will be highlighted within. Mission Statement “Prevent. Promote. Protect. Working together to support the health and well-being of our community.” Aging and Disability Resource Center (ADRC)-Jake Erickson, Director Summary of Responsibilities: The ADRC provides supports to assist those over the age of 60 and those with disabilities to remain active, independent participants in the community. We do this by providing information and assistance on a broad range of programs and services that help people understand the various long- term options available to them and apply for programs and benefits. The ADRC also serves as the access point for publicly-funded long-term care. Additionally, we provide a wide range of services and activities including: congregate and home delivered meals, transportation, fitness center, social activities, educational programs, benefits counseling, caregiver support programs and much more. Responsibilities include: • Helping seniors maintain independence • Operating nutrition programs • Providing information and assistance to individuals 18-60 who have a disability as well as anyone over age of 60 • Assisting individuals in navigating government supported programs such as Social Security and Medicare • Determining eligibility for Family Care and providing individuals options for Managed Care Organizations. Program Summary: The programs/services listed below help us meet our responsibilities. • Information & Assistance (I&A) • Congregate Meals (multiple sites) • Meals on Wheels & frozen meals • Caregiver support groups • Disability Benefit Counseling • Health & Wellness Programs • Medicare & Prescriptions Drug Benefits • Options Counseling • Short-term Case Management • Transportation • Free Tax Preparation Assistance • Long-Term Care/Family Care Options Counseling • Fitness room Many of our activities were suspended in March of 2020 due to the COVID Pandemic. We continued to provide meals through a pick-up option as well as Meals on Wheels delivery. We also provided direct services through telehealth options and phone consultations. 11

Goals / Objectives - Outcomes in 2020 • Create of an advocacy training program, with at least 5 individuals participating in the program by December 31, 2020 --- This goal was put on hold due to COVID • Increase the use of frozen meals in Southern and Northern Door communities by 10% --- Nearly 25% increase • Schedule ADRC hours in Northern and Southern Door 2 times per month --- Put on hold due to COVID • Create a caregiver Facebook page supporting up to 40 caregivers by the end of the year. – Facebook group was created, 37 participants. Very positive feedback from those participating. Knowledge Sharing 2020: The ADRC knowledge sharing was significantly decreased. We continued to provide virtual opportunities where we could.

Depart Budget Status

2020 Fund 204-SRC/ADRC Adopted Total 2020 Budget 1,451,561 2020 Budgeted Revenue 938,620 2020 Levy Appropriation 512,941

Actual Total 2020 Expenses 1,476,935 2020 Actual Revenue 1,194,484 In from (Out to) Reserves** (58,038) 2020 Actual Appropriation 340,489 Excess Appropriation from Budgeted $172,452

Issues, concerns and constraints: Continued closures of the facility likely to go into the summer with limited ability to resume group activities until possibly fall. These group activities are the staple of services provided at the ADRC. This compounds an always difficult challenge with seniors and individuals with disabilities, isolation. We will continue to provide virtual options when we can although computer/internet connections are not always used by our over 60 population. Goals and Objectives for 2021: 1. Utilize Eat Well, Age Well materials to improve nutrition both for congregate meal sites and Meals on Wheels participants. 2. Provide at least 25 Caregiver Orientation packets to new caregivers to help them transition into their new role. 3. Have 100 participants in the Adopt-a-Grandparent program throughout the year. 4. Improve team work by incorporating by-monthly teambuilding activities.

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HEALTH & HUMAN SERVICE DIVISIONS – Joe Krebsbach, Director All of these divisions operated under the Health & Human Service Budget for 2020 and will be covered separately. Treatment Court Services was a new division added to the department in 2020.

Summary of Responsibilities: • Administration/Business – Julie Behnke, Manager • Adult Protective Services - Sheryl Flores, Manager • Behavioral Health - Donna Altepeter, Manager • Child Protection and Youth Justice - Doreen Goddard, Manager • Children and Family Support Services – Beth Chisholm, Manager • Community Support Program – Sheryl Flores, Manager • Comprehensive Community Services Program – Jamie Cole, Manager • Economic Support Program – Carol Wautlet, Manager • Public Health – Sue Powers, Public Health Officer • Treatment Court Services – Kelsey Christianson, Coordinator

Program Summary: • Administration division is responsible for all accounts payable and receivable. They provide business oversite and support to the remainder of the department.

• Adult Protective Services conducts investigations of suspected neglect, abuse, financial exploitation or self-neglect. It covers the frail elderly over the age of 60 or individuals affected by developmental disability, alcoholism, or mental illness between the ages of 18-60.

• Behavioral Health Services provides: o Psychiatric Service o Psychological testing o Mental Health Counseling o Substance Use Counseling o OWI assessments and compliance monitoring o 24/7 Mental Health Crisis Services

• Child Protection and Youth Justice Services includes: o Screening and investigation of child abuse and neglect reports o Ongoing supervision of those with protective orders o Recruiting, training and licensing of Foster Homes o Supervision of youth involved in the youth justice system or in need of protective placement o Parent education & supports o Oversite of required restitution and community service o Youth Connection Center

• Children and Family Support Services o Birth to Three Early Intervention Program – support for families when children are not meeting milestones in two or more areas. Includes: ▪ Education ▪ Speech Therapy ▪ Occupational Therapy ▪ Physical Therapy 13

o Children’s Long-Term Support - serves children with physical, developmental, or emotional disorders and their families. ▪ Information & referral ▪ Case management services ▪ Home/Community-based services and supports ▪ Transition to adult services

• Community Support Program – serves individuals with severe and persistent mental illness to lead normal lives and stay in the community. o Case management o Medication management o Group counseling and socialization activities

• Comprehensive Community Services – Mental Health and Substance Use services across the life span, for individuals who need a higher level of support than is provided through traditional therapy. o Service Facilitation – brokering contracted services, including: ▪ Counseling ▪ Medication Management; Physical Health Monitoring ▪ Skill Development & Enhancement; Wellness Management ▪ Individual and Family Psychoeducation ▪ Peer Supports

• Economic Support Program – Eligibility determination for: o FoodShare o Medicaid/Badger Care o WI Shares Child Care Subsidy o Wisconsin Home Energy Assistance Program

• Public Health Division o Maternal and Child Health ▪ The Women, Infant, & Children (WIC) Program ▪ Vision screenings ▪ Hearing screenings ▪ Prenatal and postpartum follow ups o Adult Health/Chronic Disease o Environmental Health ▪ Beach monitoring ▪ Animal Bite cases ▪ Human Health Hazard investigations o Emergency Preparedness Planning ▪ Current with Public Health Emergency Plan (PHEP) o Vaccination Clinics o Communicable Diseases, Investigation, Follow up and Control ▪ Investigate all communicable disease reports

• Treatment Court Services o Diversion programs for Adult and Youth to keep them out of the criminal justice system o Develop Treatment Court Services to provide alternatives to incarceration and improve outcomes. 14

Goals / Objectives Outcomes in 2020: All goals in the department were significantly impacted by the status of COVID and the changes it made to all operations. Even some of the goals that were met may have been impacted more by COVID than other measures taken. • Department-wide o Decrease staff turnover within the department to 20% or less – goal reached 11%. o Standardize orientation process, photo directory of staff, 6 opportunities for staff interaction/training – partially met although continue to work on all three. o Decrease psychiatric and adult placement costs by 15 % -- goal met with 15.25% decrease. • Administration o Implement New DHS 1 guidelines for department – Completed. o Add 2 additional insurance carriers on to electronic submission and payment receipt – Carried forward to 2021. • Adult Protective Services o Train 30-50 partners in "Office of Violence against Women Abuse in later Life Program & Community Response" -- Partial completion in 2020 due to COVID, completed training in Feb. 2021 with more trainings planned. • Behavioral Health o Establish uniform treatment plan for all therapists to use for CCS clients – Completed. o Face to face contact rate of 50% for all behavioral health -- Caseloads low due to COVID, many services provided by phone. o Host quarterly meetings with other BH providers in the area for increased collaboration --- not completed due to COVID. • Child Protection and Youth Justice Services o Decreased secure detention use by 19 days (20%) – completed, reduction of 32% compared to 2019. o Reduce recidivism (the number of repeat offenses) to under 40% -- goal met reduced number of repeat offences by same juvenile to 29%. o 25% fewer out of home placements in Child Protections cases will occur in 2020 as compared to 2019 -- Reduction of only 21% of out of home placements. • Children and Family Support Services o Participate in at least 4 community events to support collaboration and partnership with our providers and partner agencies – Completed. o Review 25% of all open files every 3 months in both B-3 and CLTS to review for program compliance – Completed. o Case managers will work to achieve 45% of their time as direct service -- produced over 51% direct service time. • Community Support Program o Reduce inpatient hospitalization days by 20% -- The number of inpatient hospitalization days in CSP actually increased. o Decrease cost of out of home placements by 10% -- These costs remained about the same. • Comprehensive Community Services o Monthly meeting with providers to improve collaboration/communication -- Met all but month of May and June which were cancelled due to COVID o Provide training on trauma and youth substance use with 75% of participants responding they learned at least one new aspect of children’s mental health -- Survey not completed as trainings were done on line due pandemic. 15

o 10% reduction in legal referrals for CCS/CST consumers to the Youth Justice Division as compared to 2019 -- goal met. o Increase consumer satisfaction by 20% based on ROSI Survey -- A change in survey format changed outcome, but we had a 15.5% increase. • Economic Support Program o Translate selected materials into Spanish – Completed. o Work with child care providers to find additional enhancement of funding and increase community awareness – Completed through work with community Child Care Task Force. • Public Health o The Public Health Team had three goals related to program and staff enhancement. None of these were even pursued as the COVID pandemic dominated all PH work. • Treatment Court Services o Develop all policies and procedure manuals, receive approval from the state -- This goal was met but took longer than anticipated due to a leave of absence and COVID disrupting the process. o Begin to add consumers to the program by the third quarter -- not met, however after policies were approved by the State DOC, we accepted our first program participant in Dec. of 2020.

Knowledge Sharing 2020: Staff have continued to be actively involved in initiatives including the Door County Partnership for Children and Families; Mental Health Focus Group; Prevent Suicide Door County; Alcohol and Other Drug Coalition; Trauma Informed Community Team; Emergency Food & Shelter Network;and others. We also provided access to online educational programs through the ADRC and Behavioral Health. The Public Health staff worked throughout the community to provide education on COVID, including weekly meetings with schools, businesses and other community partners.

BUDGET STATUS 2020 Fund 240- Human Services Adopted Total 2020 Budget 12,161,364 2020 Budgeted Revenue 8,434,856 2020 Levy Appropriation 3,726,508

Actual Total 2020 Expenses 10,697,228 2020 Actual Revenue 9,088,509 In from (Out to) Reserves** (1,034,549) 2020 Actual Appropriation 2,643,268 Excess Appropriation from Budgeted $1,083,240

Other Accomplishments: Most of the focus this year was the COVID response. The Public Health division continued contact tracing through the year and worked with businesses to try and control community spread. All other divisions quickly adapted to an on-line service delivery option. We continued to meet community needs and, in some areas, even increased our productivity and efficiency.

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ISSUES, CONCERNS AND CONSTRAINTS • We will continue to struggle through gaining control on the spread of COVID in the county. We will work to safely transition back to a more normal service delivery. • We continue to have an increase in long-term care protective placements at the same time resources for these types of clients is decreasing. This is significantly increasing our out of home placement costs for adults. These are likely to be long-term, ongoing placements. • We have seen a decrease of referrals in some areas due to COVID, and we are unsure how to anticipate what service needs will be when we return to a new normal.

2021 GOALS AND OBJECTIVES • Department-wide o By April 30th, implement a uniform and robust orientation process for new employees. o Educate all staff on issues of racial equity and justice in order to make the agency a more equitable, safe, and welcoming place for a diverse community of consumers and employees. • Administration/Support Staff o Add five insurance carriers on to electronic submission (Claim Shuttle) and payment receipt. o Develop text messaging system for appointment reminders. o Decrease denied/pending claims by 25% by the end of the year.

• Adult Protective Services o Increase number of elderly individuals with advanced directives, creating a 10% decrease in the number of guardianships and protective placements compared to 2020. o Train remaining law enforcement officers on Elder Abuse/Adults at Risk and Emergency Protective placements

• Behavioral Health o Increase client satisfaction survey response rate to >41% and crisis survey to >8%. o Reach and maintain face-to-face-contact rate of 50% for all Behavioral Health Therapists. o Update psychosocial intake form for children and adolescents. o Each team member to present 1 training to team per year. o Increase by 5% all BH, AODA and IDP client discharges who meet the moderate/major improvements.

• Children’s and Family Support Services o Four outreach activities to providers and partner agencies to educate about program areas. o Increase state CLTS program audit compliance rate to 85% and again achieve 0 findings of noncompliance in B–3 program review. o Develop a feedback survey and distribute with a goal of receiving feedback from 30-35% of enrolled participants. o Birth to Three team complete the 2021 County Performance Plan and meet all goals of the plan.

• Child Protection and Juvenile Justice o Reduce secure detention use by 30% for youth participating in the Youth Connection Center. o Reduce the number of youth with open cases who have repeat criminal offenses by 25% from 2020. o Increase to 60% the use of informal dispositions vs. formal court intervention on Child Protection Cases throughout the year.

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• Community Support Program o 14 or more clients will increase their knowledge of recovery related to Mental Health per training evaluation outcomes. o 60% of CSP clients will complete at least one goal on their treatment plans.

• Comprehensive Community Services/Coordinated Services Teams o Increase referrals received from schools by 10%. o Increase of at least one parent participant on the Coordinating Committee. o Enhance committee members’ understanding of the Wrap-Around model through training and education. o Create a collaboration/communication plan by the end of the year to achieve consistency in the referral process. o Decrease CCS Consumer hospitalization days by 10%.

• Economic Support o Develop and post regular educational materials to Facebook to expand consumer knowledge about ES programs. o Review 10% of cases, or 50 per staff member, to reduce Fair Hearing and overpayments.

• Public Health o Help the County get as close as possible to 80% vaccination rate. o Create a transition plan for resuming normal activities.

• Treatment Court Services o Have up to 12 participants enrolled in the Drug Court program by the end of the year. o 80% of youth in Bridgeway’s program will be enrolled within two weeks of referral. o 75% of youth in the program will have no additional referrals within 12 months of completion of the program. o 75% of youth and families will report satisfaction with programing.

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County of Door DEPARTMENT OF HEALTH AND HUMAN SERVICES County Government Center 421 Nebraska Street Sturgeon Bay, WI 54235 Joseph Krebsbach, Director (920) 746-7155 1st floor fax (920) 746-2355 2nd floor fax (920) 746-2439 [email protected]

Memo

Date: April 2nd, 2021 To: Health and Human Services Board Cc: Finance Committee From: Jake Erickson RE: AmeriCorps -- Community Corps Full-Time Position Approval

The ADRC submitted an application to be considered as a host agency site for a new Marshfield Clinic AmeriCorps Community Corps program. I’m excited to announce that we have been awarded the opportunity to host a full-time member through this program. With that full-time position comes a commitment of 1700 hours or 35-40 hours a week for a year.

The purpose of the AmeriCorps Community Corps position is to provide organizations the opportunity to host a member to increase capacity to address community health needs. We applied for a full-time position to help us with our recent “Freedom from Falls” fall prevention efforts. We plan to use our member as a Fall Prevention Specialist (FPS). And as a FPS our member will support older adults who have recently or continuously suffer from falling in order to ensure the highest quality of life possible while living at home. Our member will also work on community-wide prevention initiatives to educate older adults on ways they can avoid falls in the future. They will also have the opportunity to get trained to lead and facilitate evidence based fall prevention classes.

Host Site Financial Responsibility: For a full-time position we are required, if we recruit a member, a one-time $8500 payment due no later than October 29, 2021. There are no refunds for loss of member or if we had to let the member go for any reason. We are also responsible for negotiating mileage reimbursements for training or “host site business”. We plan to pay for the one-time payment and any training or mileage reimbursements with unspecified donations. However, we are also exploring other potential grant funding opportunities to help offset or pay in full for the costs associated with this full-time position.

I am respectfully requesting that the board support and approve our acceptance of the AmeriCorps Community Corps full-time position.

Thank you,

Jake Erickson Director ADRC of Door County 29

Door County Health and Human Services County Government Center 421 Nebraska Street Sturgeon Bay, WI 54235 Phone: 920-746-7155 Joseph Krebsbach, Director First Floor Fax 920-746-2355 Second Floor Fax 920-746-2349 [email protected]

1st Quarter 2021 Written Agency Updates April 1, 2021

I. Division Updates A. ADRC: The ADRC is working on their Three-Year Aging Plan to cover 2022-24. We have been soliciting community input through an online survey: https://www.surveymonkey.com/r/V2J9QJ3. To date, we have received 350 responses. ADRC staff have also been meeting with Door County Connect, Public Health and EMS to discuss strategies for providing COVID-19 vaccines to homebound individuals.

The ADRC has been awarded the opportunity to host a full-time member through the Marshfield Clinic’s new AmeriCorps Community Corps program. This will help us increase capacity in our “Freedom from Falls” fall prevention efforts and other community-wide prevention initiatives. For a full-time position we are required to make a one-time $8500 payment and recruit the member. If you know anyone who might be interested, please encourage them to call Jake Erickson at (920)746-2545.

B. Adult Protective Services: The APS workers are in the process of closing out all 2020 WITS Reports by 3/31/21. The data is then entered into the State WITS Statistical Summary Report for Elder Adults-at-Risk age 60+ with a second report for Adults-at-Risk age 18-59.

C. Behavioral Health: The BH clinic was pleased to welcome contracted AODA therapist Lisa Barnaby to the team in March. Lisa fills a grant-funded position focused on treatment services for individuals referred through Drug Treatment Court or Youth Diversion. The team is also in the process of implementing a new treatment planning process for clients receiving only psychiatry services through our clinic. This is in response to a state recommendation following our last recertification review.

D. Crisis: We had 199 calls to our crisis hotline in the 1st quarter of 2021. This is up from 176 in the 1st quarter 2020, 160 in 2019, and 125 in 2018. As of March, all of the DCDHHS Crisis On-Call staff members have successfully completed a two-hour online course, Counseling on Access to Lethal Means. All Family Services crisis hotline workers also completed the training. This is now a standard part of all suicide assessments.

E. Community Support Program: The state DHS Division of Quality Assurance completed an onsite review of our CSP program on 3/9/2021. It was a very successful review. The one requirement we were given is to add a Mental Status Exam as part of each new In-Depth

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Assessment. This has already been made part of the CSP intake process moving forward. A special thank you to Sheryl Flores, Dr. Miller, Debby Karas, Scott Davis, Jodi Alsteen, Taylor Jandrin and Mary Simac for meeting all of our survey requirement in CSP.

F. Comprehensive Community Services/Coordinated Service Teams: The CCS/CST Division has recognized an increased need for face-to-face supports and services as we head into summer, something that was unavailable for much of 2020 due to Covid-19 and the lack of providers. Although still widely utilized, we found that virtual services were not as effective for some youth, and for those individuals, some services needed to be put on hold. In an effort to provide more opportunities for supports beyond our CCS service array, we have applied for a one-time supplemental funding opportunity for CST Initiatives.

We are seeing an increased number of new referrals (10 new referrals for CCS/CST in the first quarter and no consumers discharged). We speculate the need to remain in formal services is due to the day-to-day challenges of navigating our ‘new normal.’

G. Children & Family Support Services: The Children and Families Support Services team has recently authorized some unique supports to the children with long term disabilities. We authorized the purchase and training of a Labrador puppy through Tails for Life, a non-profit organization with the goal of fostering independence, instilling comfort, and bringing security by providing a "best friend" for life. For this child, the service dog will help build confidence in navigating her home and community, decrease reliance on her caregivers as she grows, and afford her as many typical life experiences as possible. The dog will assist her with balance, retrieving items, opening and closing doors and cupboards, and assisting with transfers in and out of her wheelchair, bed and bathroom.

Another new service that is being authorized is Program for the Education and Enrichment of Relational Skills (PEERS®). PEERS provides evidence-based social skills treatment to adolescents with autism spectrum disorder (ASD), attention deficit/hyperactivity disorder (ADHD), anxiety, depression, and other socio-emotional diagnoses. One of our Support and Service Coordinators became trained in this model and is helping to co-facilitate the 8-week program that incorporates groups for the youth, parents, and entire family each session.

H. Child Protection/Youth Justice: Vivian Grair started in her role as supervisor/foster care coordinator on February 15. She has a great deal of experience working in county child welfare systems. Please read more about Vivian in the upcoming county newsletter.

Reports of child welfare have been steady for the first few months of 2021 with 158 reports compared to 137 in January-March 2020. Our screen-in rate is slightly higher this first quarter with 35% of referrals screened in compared to 23% for 1st quarter 2020. Our youth justice referrals for January-March are at 20. We continue to have youth attend the Youth Connection Center for community service opportunities and skill-building. April is national child abuse awareness month, and the team has a public awareness display at the library promoting prevention. May is foster care awareness month. We like to honor our foster parents all year, but in May we typically have a pizza party to show them our appreciation for their commitment to the children of Door County. However, we had to postpone 2020 and 2021 pizza gatherings due to the pandemic. We want to thank all the relatives and

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community members who become foster parents for their dedication to keeping children safe and providing our children and families hope for a brighter future.

I. Economic Support: The new Stimulus package has impacts for ES programs, to include added Federal Unemployment Income payments. There is also a 15% increase to FoodShare benefits through June 2021. The state has again awarded supplemental FoodShare benefits for the first months of 2021. All households who qualify for any amount of FoodShare will receive maximum allotments for their household size. The P-EBT FoodShare benefits for households with school children who receive free or reduced lunch for school year 20-21 was also recently approved.

The WI Home Energy Assistance is nearing the end of the heat season. New processes included online applications which are processed by Energy Services Incorporated for most counties in the state as of February 5, 2021. This reduced the workload for local staff. The utility moratorium that prevents disconnection expires April 15th 2021. Prior to this, utilities could not be disconnected since November 1st, 2019, when the normal Moratorium began, but then was continually extended from April 2019 forward due to COVID. The agency has been working to issue crisis funds to assist in reducing past due balances, and expects that more customers may call as they receive disconnection notices.

II. Agency & Community Collaboration A. Economic Support staff are working closely with Sturgeon Bay Utilities and WPS to provide outreach and assistance to those who have unpaid utility balances. Both companies provided lists of customers who had balances, and SBU worked with ES to develop a process to further assist customers if they did not qualify for WHEAP assistance.

B. We continue our work on Diversity, Equity & Inclusion. All staff attended “Organizational Diversity, Equity and Inclusion” on February 10, offered virtually by NWTC’s Diversity, Equity and Inclusion Officer. Many of us are participating in the United Way 21-week challenge, and some are participating in an Equity and Inclusion sub-committee of the Coordinate Community Response team (focused on issues of domestic violence and sexual assault). The Racial Equity and Diversity (READ) team has been connecting with various organizations and individuals in the community and beyond to learn more about services offered to individuals from diverse backgrounds and ways that we might collaborate. The READ team will be attending each of the DHHS team meetings in April to facilitate discussions on equity related topics.

C. Managers recently had the opportunity to present online trainings to Sturgeon Bay Police Department on mental health crisis response as well as coordination on child protection reporting and investigation.

III. Upcoming Events A. The ADRC offers many great events (more info is available in the ADRC Newsletter and Facebook page). - Powerful Tools for Caregivers: Free. Meets once a week for six weeks and provides family caregivers the opportunity to learn how to reduce stress and improve overall emotional well-being, manage time, master useful caregiving-related skills, communicate

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effectively with healthcare professionals and how to Class Dates: Mondays, May 24th-July 5th 9:30am-11am. - Peninsula Art School Workshops: Creative Collaboration Thursday, May 20th from 1- 2:30pm. Pre-registration is required. Conversation on Creativity Wednesday, May 19th from 3-5pm. Topic is on “Installation Art”.

B. We continue to host monthly Trauma Informed Care Lunch & Learns (in a virtual format) for our collaborative partners on the fourth Monday of the month. All are welcomed to join us April 26, noon – 1:00, for a presentation by Rebecca Nicholson (United Way) on How to help yourself and others to become “unstuck” through resiliency tools.

IV. Sharing our Successes A. The Business Office/Admin Support Team passed the Shining Star Award for excellence in customer service to the ADRC kitchen staff in March. “They have worked feverishly during this pandemic making sure that the elderly people were able to receive hot meals 5 days a week along with frozen dinners on the weekend…This has helped many of the elderly stay connected with at least one person every day when a driver comes with their meal. Kudos on a job well done!”

If February, the Public Health team passed the award on the Kathy Zak, commending her for her dedicated assistance in handling a very high volume of calls for Public Health. Thanks, Kathy, for going above and beyond!

B. CCS Service Facilitator Anna recently received this note of thanks from a school guidance counselor: “I wanted to check in and say thank you for yesterday. I know that this a difficult case, and we are all put in a difficult situation with it. I want you to know that you are amazing at your job, and I am so thankful to be on the team with you, because then I don't feel like I'm drowning. Know that you are amazing, and you are making changes in families lives all over the place.”

C. It’s always heartwarming to hear directly from our clients. Robin, a therapist on the Behavioral Health team, received this note recently: “I wanted to thank you so much for our sessions so far. I feel really good about the direction I'm heading in thanks to your guidance, thoughts, opinions and direction.” And AODA Counselor Sandra got this: “I just wanted to say thank you for everything you have done for me…I've tried countless times to make this journey and always came up short. You gave me the tools I needed to do this for me. I refuse to allow my surroundings and struggles to hold me back… I can't even describe how proud I am of myself. I just had my review at (work) and got another raise. I scored all 5's on my job evaluation, which is the highest rating. I just wanted to say thank you so much for getting me to love and believe in myself again.”

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Door County Health and Human Services County Government Center 421 Nebraska Street Sturgeon Bay, WI 54235 Joseph Krebsbach, Director First Floor Fax 920-746-2355 Second Floor Fax 920-746-2349 [email protected]

March 8, 2021

Health and Human Services Board 421 Nebraska St. Sturgeon Bay WI 54235

Re: Completion of Introductory Period

Name: Brianna Franken

Start Date: 09/21/2020

Brianna Franken has done an excellent job learning her new job as the crisis case manager.

She will complete her introductory period successfully and will move to a regular status as of 03/20/2021.

Sincerely,

Donna Altepeter, LCSW Manager, Behavioral Health

Department of Human Services

Cc: Administrative Committee Human Resources Department.

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Door County Health and Human Services County Government Center 421 Nebraska Street Sturgeon Bay, WI 54235 Joseph Krebsbach, Director First Floor Fax 920-746-2355 Second Floor Fax 920-746-2349 [email protected]

March 8, 2021 Kelly Hendee 421 Nebraska St. Sturgeon Bay, WI 54235

RE: Completion on Introductory Period Employee Name: Jessica Holland Position: Behavioral Health Co-occurring therapist Start Date: September 14, 2020

As of 3/8/2021, Jessica Holland, has successfully completed her introductory period as Adult Protective Services Worker with the Department of Health and Human Services. Jessica has completed all orientation and introductory training required of her position. She is meeting all responsibilities of the Adult Protective Services position and is performing assigned duties and responsibilities at a high level.

Jessica exhibits excellent clinical skills and is a strong asset to our APS team. She is responsible in her duties as an APS social worker/team member, she communicates clearly with her team and eagerly steps up to help with client referrals and outreach into the community to conduct investigations. She is reliable and a dependable team member.

Jessica is a wonderful addition to our APS team. We are very fortunate to have Jessica as part of our team. I recommend that she move to regular employment status effective 3/8/2021 Sincerely,

Sheryl Flores, LCSW Community Services Manager Door County Department Health and Human Services

Cc: Joe Krebsbach, Human Services Director Cori McFarlane, Human Services Deputy Director Human Services Board Administrative Committee 35

Door County Health and Human Services County Government Center 421 Nebraska Street Sturgeon Bay, WI 54235 Joseph Krebsbach, Director First Floor Fax 920-746-2355 Second Floor Fax 920-746-2349 [email protected]

April 2nd, 2021

To: Kelly Hendee, Human Resources Director

Re: Completion of Introductory Period

Name: Amber Plautz

Start Date: 10/19/2020

Amber Plautz has done an excellent job learning her role as the ADRC’s Information & Assistance (I&A) Specialist. Amber came to our ADRC having almost four years of I&A Specialist experience for the ADRC of the Wolf River. Since Amber has joined our team, she has worked diligently at learning all of the many responsibilities that make up her role. She has been a terrific addition to our ADRC team and always maintains an upbeat and positive attitude. Amber has a solid understanding of the ADRC’s mission and what it means to serve older adults, adults living with a physical/intellectual disability and their families here in Door County. She will complete her introductory period successfully on Monday, April 12th, 2021 and I recommend Amber move to a regular status as of Monday, April 12th, 2021.

Sincerely,

Jake Erickson ADRC Director

Cc: Administrative Committee / Health and Human Services Board

DOOR COUNTY HEALTH AND HUMAN SERVICES 36 421 Nebraska Street Sturgeon Bay WI 54235 Main Line: 920-746-7155 Joseph Krebsbach, Director 1st Floor Fax: 920-746-2355 2nd Floor Fax: 920-746-2349 [email protected]

MEMO

To: Human Services Committee/Board of Health From: Ashley LaLuzerne Date: 04.12.2021 Re: Expenditure Review

Expenditures since the last committee meeting held 03.08.2021

$ 794.34 Wal-Mart Credit Card February/March 2021 $ 1,239.73 Elan Credit Card February/March 2021 $ 35,717.06 February 2021 Foster / Kinship Care Payments #2021 - 149/157 $ 37,751.13

Departmental journal entries not included on the attached voucher list: $ 60.00 Finger Printing - DC Jail March 2021 $ 105.44 Maintenance Dept. February 2021 gas usage - Fleet $ 36.81 Shred- It - Shredding February 2021 $ 202.25

Total Expenditures and Vouchers for Human Services since the last meeting are $ 51,858.98 Monthly Vouchers - 2021 Batch Totals (March) #2021-139 $ 41,595.67 Monthly Vouchers -2021 Batch Totals (March) #2021-155 $ 64,830.93 Monthly Vouchers -2021 Batch Totals (March) #2021-172 $ 14,053.18 Monthly Vouchers - 2021 Batch Totals (March) #2021-188 $ 7,824.76 Monthly Vouchers - 2021 Batch Totals (April) #2021-195 $ 37,751.13 Expenditures since the last committee meeting held 07.13.2020 $ 202.25 Amounts paid to other County Departments as per above $ 218,116.90

Total Expenditures and Vouchers for the ADRC since the last meeting are $ 5,735.88 Monthly Vouchers -2021 Batch (March) #2021-143 $ 9,327.54 Monthly Vouchers -2021 Batch (March) #2021-160 $ 4,756.13 Monthly Vouchers -2021 Batch (March) #2021-174 $ 3,188.41 Monthly Vouchers -2021 Batch (March) #2021-190 $ 4,622.58 Monthly Vouchers -2021 Batch (April) #2021-199 $ 253.43 Walmart Credit Card February/March 2021 $ 558.37 Elan Credit Card February/March 2021 $ 28,442.34

$ 246,559.24 Total Expenditures and Vouchers 37 38 Door County Accounts Payable Invoice Report G/L Date Range 03/04/21 - 03/04/21 Report By Vendor - Invoice Summary Listing

Invoice Number Invoice Description Status Held Reason Invoice Date Due Date G/L Date Received Date Payment Date Invoice Net Amount Vendor 11948 - Import - 25937 WiSACWIS- Edit 03/03/2021 03/04/2021 03/04/2021 484.00 PID:0008080885_Voucher:02120 _IM_03/03/2021 Vendor 11948 - Totals Invoices 1 $484.00 Vendor 12959 - Import - 25939 WiSACWIS- Edit 03/03/2021 03/04/2021 03/04/2021 2,352.00 PID:0008061096_Voucher:02120 _IM_03/03/2021 Vendor 12959 - Totals Invoices 1 $2,352.00 Vendor 20518 - Import - 25944 WiSACWIS- Edit 03/03/2021 03/04/2021 03/04/2021 397.43 PID:0008052413_Voucher:02120 _IM_03/03/2021 Vendor 20518 - Totals Invoices 1 $397.43 Vendor 10091 - Import - 25933 WiSACWIS- Edit 03/03/2021 03/04/2021 03/04/2021 769.00 PID:0008085630_Voucher:02120 _IM_03/03/2021 Vendor 10091 - Totals Invoices 1 $769.00 Vendor 13023 - Import - 25941 WiSACWIS- Edit 03/03/2021 03/04/2021 03/04/2021 1,982.00 PID:0008092699_Voucher:02120 _IM_03/03/2021 Vendor 13023 - Totals Invoices 1 $1,982.00 Vendor 10941 - Import - 25936 WiSACWIS- Edit 03/03/2021 03/04/2021 03/04/2021 508.00 PID:0008035108_Voucher:02120 _IM_03/03/2021 Vendor 10941 - Totals Invoices 1 $508.00 Vendor 6968 - Import - 25948 WiSACWIS- Edit 03/03/2021 03/04/2021 03/04/2021 698.00 PID:0008079799_Voucher:02120 _IM_03/03/2021 Vendor 6968 - Totals Invoices 1 $698.00 Vendor 21744 Import - 25946 WiSACWIS- Edit 03/03/2021 03/04/2021 03/04/2021 760.00 PID:0008063868_Voucher:02120 _IM_03/03/2021

Run by Ashley LaLuzerne on 03/04/2021 08:38:15 AM Page 1 of 3 39 Door County Accounts Payable Invoice Report G/L Date Range 03/04/21 - 03/04/21 Report By Vendor - Invoice Summary Listing

Invoice Number Invoice Description Status Held Reason Invoice Date Due Date G/L Date Received Date Payment Date Invoice Net Amount Vendor 21744 - Totals Invoices 1 $760.00 Vendor 12974 - Import - 25940 WiSACWIS- Edit 03/03/2021 03/04/2021 03/04/2021 254.00 PID:0008096162_Voucher:02120 _IM_03/03/2021 Vendor 12974 - Totals Invoices 1 $254.00 Vendor 10380 - Import - 25935 WiSACWIS- Edit 03/03/2021 03/04/2021 03/04/2021 2,279.15 PID:0008058542_Voucher:02120 _IM_03/03/2021 Vendor 10380 - Totals Invoices 1 $2,279.15 Vendor 10168 - Import - 25934 WiSACWIS- Edit 03/03/2021 03/04/2021 03/04/2021 508.00 PID:0008086414_Voucher:02120 _IM_03/03/2021 Vendor 10168 - Totals Invoices 1 $508.00 Vendor 18001 - Import - 25943 WiSACWIS- Edit 03/03/2021 03/04/2021 03/04/2021 254.00 PID:0008087277_Voucher:02120 _IM_03/03/2021 Vendor 18001 - Totals Invoices 1 $254.00 Vendor 17937 - Import - 25942 WiSACWIS- Edit 03/03/2021 03/04/2021 03/04/2021 254.00 PID:0008040115_Voucher:02120 _IM_03/03/2021 Vendor 17937 - Totals Invoices 1 $254.00 Vendor 20836 - Import - 25945 WiSACWIS- Edit 03/03/2021 03/04/2021 03/04/2021 254.00 PID:0008057128_Voucher:02120 _IM_03/03/2021 Vendor 20836 - Totals Invoices 1 $254.00 Vendor 22153 - Import - 25947 WiSACWIS- Edit 03/03/2021 03/04/2021 03/04/2021 508.00 PID:0008067949_Voucher:02120 _IM_03/03/2021 Vendor 22153 - Totals Invoices 1 $508.00 Vendor 12932 -

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Invoice Number Invoice Description Status Held Reason Invoice Date Due Date G/L Date Received Date Payment Date Invoice Net Amount Import - 25938 WiSACWIS- Edit 03/03/2021 03/04/2021 03/04/2021 254.00 PID:0008095119_Voucher:02120 _IM_03/03/2021 Vendor 12932 - Totals Invoices 1 $254.00

Grand Totals Invoices 16 $12,515.58

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Invoice Number Invoice Description Status Held Reason Invoice Date Due Date G/L Date Received Date Payment Date Invoice Net Amount Vendor 7857 - FOUNDATIONS HEALTH & WHOLENESS 022021 February 2021 Foster Care Admin Edit 03/09/2021 03/09/2021 03/09/2021 8,927.52 Fees Vendor 7857 - FOUNDATIONS HEALTH & WHOLENESS Totals Invoices 1 $8,927.52 Vendor 13477 - NORTHWEST PASSAGE LTD 022021 February 2021 Foster Care Edit 03/09/2021 03/09/2021 03/09/2021 14,273.96 Vendor 13477 - NORTHWEST PASSAGE LTD Totals Invoices 1 $14,273.96

Grand Totals Invoices 2 $23,201.48

Run by Ashley LaLuzerne on 03/09/2021 10:01:00 AM Page 1 of 1 43 44 Door County Accounts Payable Invoice Report G/L Date Range 03/05/21 - 03/05/21 Report By Vendor - Invoice Summary Listing

Invoice Number Invoice Description Status Held Reason Invoice Date Due Date G/L Date Received Date Payment Date Invoice Net Amount Vendor 12148 - 022021 February 2021 Emp Mileage Reim Edit 03/05/2021 03/05/2021 03/05/2021 84.56 151mi Vendor 12148 Totals Invoices 1 $84.56 Vendor 4611 - AUTISM SOCIETY OF GREATER WISCONSIN 032021 March 2021 Autism Conference Edit 03/05/2021 03/05/2021 03/05/2021 250.00 Reg Fee Vendor 4611 - AUTISM SOCIETY OF GREATER WISCONSIN Totals Invoices 1 $250.00 Vendor 12946 - BAY HARBOR ASSISTED LIVING OF STURGEON BAY LLC 022021 February 2021 CBRF Services Edit 03/05/2021 03/05/2021 03/05/2021 13,500.00 Vendor 12946 - BAY HARBOR ASSISTED LIVING OF STURGEON BAY LLC Totals Invoices 1 $13,500.00 Vendor 10944 - BOLL ADULT CARE CONCEPTS, INC 022021 February 2021 AFH Services 28 Edit 03/05/2021 03/05/2021 03/05/2021 7,040.04 days Vendor 10944 - BOLL ADULT CARE CONCEPTS, INC Totals Invoices 1 $7,040.04 Vendor 3640 - BROTOLOC HEALTH CARE SYSTEM IN 022021 February 2021 CBRF Services 28 Edit 03/05/2021 03/05/2021 03/05/2021 5,845.00 days Vendor 3640 - BROTOLOC HEALTH CARE SYSTEM IN Totals Invoices 1 $5,845.00 Vendor 12319 - 022021 February 2021 CCOP Services Edit 03/05/2021 03/05/2021 03/05/2021 362.50 Vendor 12319 - Totals Invoices 1 $362.50 Vendor 363 - DENNIS WHITE 022021 February 2021 HR Psych Evals Edit 03/05/2021 03/05/2021 03/05/2021 742.50 Vendor 363 - DENNIS WHITE Totals Invoices 1 $742.50 Vendor 1836 - DOOR COUNTY YMCA 022021-3 Feb 2020-Feb 2022 Membership Edit 03/05/2021 03/05/2021 03/05/2021 270.39 Fees Vendor 1836 - DOOR COUNTY YMCA Totals Invoices 1 $270.39 Vendor 9948 - HAKER COUNSELING LLC 022021-3 Feb 21 CCS Sup/ART Group - Mar Edit 03/05/2021 03/05/2021 03/05/2021 833.00 1-5,2021 AODA Vendor 9948 - HAKER COUNSELING LLC Totals Invoices 1 $833.00 Vendor 17006 - HELPING HANDS CAREGIVERS LLC 032021 March 2021 Provider Orientation Edit 03/05/2021 03/05/2021 03/05/2021 150.00 (SW/MB) Vendor 17006 - HELPING HANDS CAREGIVERS LLC Totals Invoices 1 $150.00

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Invoice Number Invoice Description Status Held Reason Invoice Date Due Date G/L Date Received Date Payment Date Invoice Net Amount

Vendor 5555 - JULIE TOYNE 022021 February 2021 B-3 Edit 03/05/2021 03/05/2021 03/05/2021 3,009.55 Therapy/Postage Vendor 5555 - JULIE TOYNE Totals Invoices 1 $3,009.55 Vendor 11461 - 022021 February 2021 Emp Mileage Reim Edit 03/05/2021 03/05/2021 03/05/2021 10.08 18mi Vendor 11461 - Totals Invoices 1 $10.08 Vendor 7173 - LAMP RECYCLERS INC 022021 February 2021 Biohazard Waste Edit 03/05/2021 03/05/2021 03/05/2021 884.10 Pickup Vendor 7173 - LAMP RECYCLERS INC Totals Invoices 1 $884.10 Vendor 11952 - LMBHSA CONSULTING LLC 022021-2 February 26-28,2021 Crisis on Edit 03/05/2021 03/05/2021 03/05/2021 550.00 Call Vendor 11952 - LMBHSA CONSULTING LLC Totals Invoices 1 $550.00 Vendor 12488 - MCKESSON MEDICAL SURGICAL 022021-2 February 2021 COVID Vaccine Edit 03/05/2021 03/05/2021 03/05/2021 149.76 Supplies Vendor 12488 - MCKESSON MEDICAL SURGICAL Totals Invoices 1 $149.76 Vendor 8169 - MICHAEL P SAYERS PHD 022021 February 2021 Psych Services Edit 03/05/2021 03/05/2021 03/05/2021 2,280.00 32hrs Vendor 8169 - MICHAEL P SAYERS PHD Totals Invoices 1 $2,280.00 Vendor 8360 - NWTC GREEN BAY 022021 February 2021 Implicit Bias Edit 03/05/2021 03/05/2021 03/05/2021 1,275.00 Training Vendor 8360 - NWTC GREEN BAY Totals Invoices 1 $1,275.00 Vendor 12533 - PREVEA HEALTH OCCUPATIONAL HEALTH 022021 February 2021 Drug Screens Edit 03/05/2021 03/05/2021 03/05/2021 892.60 Vendor 12533 - PREVEA HEALTH OCCUPATIONAL HEALTH Totals Invoices 1 $892.60 Vendor 10399 - 022021 Feb 28,2021 403.01 Rec Activities Edit 03/05/2021 03/05/2021 03/05/2021 364.68 Vendor 10399 - Totals Invoices 1 $364.68 Vendor 12006 - SHEBOYGAN COUNTY HALFWAY HOUSE 022021 Feb 2021 AODA Residential Edit 03/05/2021 03/05/2021 03/05/2021 2,744.00 Treatment 28 days

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Invoice Number Invoice Description Status Held Reason Invoice Date Due Date G/L Date Received Date Payment Date Invoice Net Amount Vendor 12006 - SHEBOYGAN COUNTY HALFWAY HOUSE Totals Invoices 1 $2,744.00 Vendor 15069 - STAPLES ADVANTAGE 022021-2 Jan/Feb 2021 HHS Office Edit 03/05/2021 03/05/2021 03/05/2021 114.52 Supplies/Credit Vendor 15069 - STAPLES ADVANTAGE Totals Invoices 1 $114.52 Vendor 502 - UNITED WAY OF DOOR COUNTY 022021 February 2021 PSP Partnership Edit 03/05/2021 03/05/2021 03/05/2021 351.28 Staff/Indirect Costs Vendor 502 - UNITED WAY OF DOOR COUNTY Totals Invoices 1 $351.28 Vendor 22349 - UNLIMITED POSSIBILITIES 022021 February 2021 AFH Services 28 Edit 03/05/2021 03/05/2021 03/05/2021 4,760.00 days Vendor 22349 - UNLIMITED POSSIBILITIES Totals Invoices 1 $4,760.00 Vendor 13022 - WENDY RAY 022021 February 2021 B-3 Edit 03/05/2021 03/05/2021 03/05/2021 4,395.42 Therapy/Milage Vendor 13022 - WENDY RAY Totals Invoices 1 $4,395.42 Vendor 10505 - WI COUNTY HUMAN SERVICE ASSOC 032021 2021 WCHSA Yearly Dues Edit 03/05/2021 03/05/2021 03/05/2021 1,000.00 Vendor 10505 - WI COUNTY HUMAN SERVICE ASSOC Totals Invoices 1 $1,000.00

Grand Totals Invoices 25 $51,858.98

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Invoice Number Invoice Description Status Held Reason Invoice Date Due Date G/L Date Received Date Payment Date Invoice Net Amount Vendor 8383 - AMAZON CAPITAL SERVICES, INC 032021 March 2021 CST Order Edit 03/12/2021 03/12/2021 03/12/2021 12.99 Vendor 8383 - AMAZON CAPITAL SERVICES, INC Totals Invoices 1 $12.99 Vendor 21173 - 022021 February 2021 Emp Mileage Reim Edit 03/12/2021 03/12/2021 03/12/2021 42.56 76mi Vendor 21173 - Totals Invoices 1 $42.56 Vendor 11872 - 022021 February 2021 Emp Mileage Reim Edit 03/12/2021 03/12/2021 03/12/2021 63.84 114mi Vendor 11872 - Totals Invoices 1 $63.84 Vendor 22596 - BROOKE MARNIE DEY 022021 February 2021 CCS Services Edit 03/12/2021 03/12/2021 03/12/2021 255.00 2.5hrs Vendor 22596 - BROOKE MARNIE DEY Totals Invoices 1 $255.00 Vendor 4818 - CELLCOM WISCONSIN RSA 10 032021 March 2021 HHS Cell Phones Edit 03/12/2021 03/12/2021 03/12/2021 2,277.86 Vendor 4818 - CELLCOM WISCONSIN RSA 10 Totals Invoices 1 $2,277.86 Vendor 5245 - DC PRINTING LLC 022021 February 2021 COVID Vaccine Edit 03/12/2021 03/12/2021 03/12/2021 492.90 Flyers Vendor 5245 - DC PRINTING LLC Totals Invoices 1 $492.90 Vendor 8770 - DOOR COUNTY MEMORIAL HOSPITAL 022021 February 2021 B-3 OT/PT Edit 03/12/2021 03/12/2021 03/12/2021 5,143.64 Vendor 8770 - DOOR COUNTY MEMORIAL HOSPITAL Totals Invoices 1 $5,143.64 Vendor 21410 - DYNAMIC FAMILY SOLUTIONS 0222021 February 2021 CCS Services Edit 03/12/2021 03/12/2021 03/12/2021 244.80 2.4hrs Vendor 21410 - DYNAMIC FAMILY SOLUTIONS Totals Invoices 1 $244.80 Vendor 3841 - FAMILY SERVICES 022021 Feb 2021 Healthy Families/Crisis Edit 03/12/2021 03/12/2021 03/12/2021 3,905.00 Center/SELF Vendor 3841 - FAMILY SERVICES Totals Invoices 1 $3,905.00 Vendor 9948 - HAKER COUNSELING LLC 022021-4 February 2021 CCS Services Edit 03/12/2021 03/12/2021 03/12/2021 1,499.40 Vendor 9948 - HAKER COUNSELING LLC Totals Invoices 1 $1,499.40

Run by Ashley LaLuzerne on 03/12/2021 01:11:49 PM Page 1 of 4 49 Door County Accounts Payable Invoice Report G/L Date Range 03/12/21 - 03/12/21 Report By Vendor - Invoice Summary Listing

Invoice Number Invoice Description Status Held Reason Invoice Date Due Date G/L Date Received Date Payment Date Invoice Net Amount Vendor 8584 - HENRY SCHEIN 022021-2 February 2021 COVID Vaccine Edit 03/12/2021 03/12/2021 03/12/2021 155.78 Supplies Vendor 8584 - HENRY SCHEIN Totals Invoices 1 $155.78 Vendor 13157 - IN FOCUS COUNSELING LLC 022021 February 2021 Clincial Supervision Edit 03/12/2021 03/12/2021 03/12/2021 125.00 Vendor 13157 - IN FOCUS COUNSELING LLC Totals Invoices 1 $125.00 Vendor 12675 - JODI ROSE STUDIO LLC 022021 Feb 2021 YCC Art Therapy/CST Edit 03/12/2021 03/12/2021 03/12/2021 811.29 Family Art Day Vendor 12675 - JODI ROSE STUDIO LLC Totals Invoices 1 $811.29 Vendor 21360 - JUSTICEPOINT, INC 022021 February 2021 Electronic Edit 03/12/2021 03/12/2021 03/12/2021 417.20 Monitoring Vendor 21360 - JUSTICEPOINT, INC Totals Invoices 1 $417.20 Vendor 22015 - 022021 February 2021 Emp Mileage Reim Edit 03/12/2021 03/12/2021 03/12/2021 10.08 18mi Vendor 22015 - Totals Invoices 1 $10.08 Vendor 14606 - LANGUAGE LINE SERVICES 022021 February 2021 ES Interpreting Edit 03/12/2021 03/12/2021 03/12/2021 79.20 Services 109min Vendor 14606 - LANGUAGE LINE SERVICES Totals Invoices 1 $79.20 Vendor 16380 - LIFESKILLS DEVELOPMENT CENTER 022021 February 2021 CCS Services Edit 03/12/2021 03/12/2021 03/12/2021 326.40 4.8hrs Vendor 16380 - LIFESKILLS DEVELOPMENT CENTER Totals Invoices 1 $326.40 Vendor 3127 - MOORING PROGRAMS, INC 022021 February 2021 AODA Residential Edit 03/12/2021 03/12/2021 03/12/2021 5,712.00 Treatment 28 days Vendor 3127 - MOORING PROGRAMS, INC Totals Invoices 1 $5,712.00 Vendor 10310 - OPTIONS COUNSELING SERVICES, LLC 122020 Dec 1-7,2020 AODA Residential Edit 03/12/2021 03/12/2021 03/12/2021 1,032.00 Services Vendor 10310 - OPTIONS COUNSELING SERVICES, LLC Totals Invoices 1 $1,032.00 Vendor 17788 - OPTIONS LAB, INC 022021 February 2021 Drug Screens Edit 03/12/2021 03/12/2021 03/12/2021 133.00

Run by Ashley LaLuzerne on 03/12/2021 01:11:49 PM Page 2 of 4 50 Door County Accounts Payable Invoice Report G/L Date Range 03/12/21 - 03/12/21 Report By Vendor - Invoice Summary Listing

Invoice Number Invoice Description Status Held Reason Invoice Date Due Date G/L Date Received Date Payment Date Invoice Net Amount Vendor 17788 - OPTIONS LAB, INC Totals Invoices 1 $133.00 Vendor 3394 - SHERRY PESCH 022021 February 2021 Bookkeeping Edit 03/12/2021 03/12/2021 03/12/2021 902.00 Services 41hrs Vendor 3394 - SHERRY PESCH Totals Invoices 1 $902.00 Vendor 7694 - SPECIALIZED SERVICES LLC 022021 Feb 2021 CCOP Services/CSP Edit 03/12/2021 03/12/2021 03/12/2021 577.39 Tech Vendor 7694 - SPECIALIZED SERVICES LLC Totals Invoices 1 $577.39 Vendor 15069 - STAPLES ADVANTAGE 022021-3 February/March 2021 HHS Edit 03/12/2021 03/12/2021 03/12/2021 893.00 Supplies Vendor 15069 - STAPLES ADVANTAGE Totals Invoices 1 $893.00 Vendor 9617 - STREUS PHARMACY INC 022021 February 2021 CSP Med Room Edit 03/12/2021 03/12/2021 03/12/2021 15.00 Supplies Vendor 9617 - STREUS PHARMACY INC Totals Invoices 1 $15.00 Vendor 22555 - 022021 Jan-Mar 2021 Emp Mileage Reim Edit 03/12/2021 03/12/2021 03/12/2021 458.64 Vendor 22555 - Totals Invoices 1 $458.64 Vendor 17638 - TREMPEALEAU CNTY HEALTH CARE 022021 February 2021 IMD Edit 03/12/2021 03/12/2021 03/12/2021 9,491.80 Services/Ancillary Charges Vendor 17638 - TREMPEALEAU CNTY HEALTH CARE Totals Invoices 1 $9,491.80 Vendor 22349 - UNLIMITED POSSIBILITIES 022021-2 February 2021 AFH Services 12 Edit 03/12/2021 03/12/2021 03/12/2021 5,220.00 days Vendor 22349 - UNLIMITED POSSIBILITIES Totals Invoices 1 $5,220.00 Vendor 19282 - UW-MADISON 022021 Feb 2021 Initial Assessment Reg Edit 03/12/2021 03/12/2021 03/12/2021 50.00 Fee Vendor 19282 - UW-MADISON Totals Invoices 1 $50.00 Vendor 12473 - WESTERN PSYCHOLOGICAL SERVICES 032021 March 2021 B-3 DAYC-2 Kits (3) Edit 03/12/2021 03/12/2021 03/12/2021 1,197.90 Vendor 12473 - WESTERN PSYCHOLOGICAL SERVICES Totals Invoices 1 $1,197.90 Vendor 4331 - WI DEPT OF JUSTICE CRIME INFO

Run by Ashley LaLuzerne on 03/12/2021 01:11:49 PM Page 3 of 4 51 Door County Accounts Payable Invoice Report G/L Date Range 03/12/21 - 03/12/21 Report By Vendor - Invoice Summary Listing

Invoice Number Invoice Description Status Held Reason Invoice Date Due Date G/L Date Received Date Payment Date Invoice Net Amount 022021 February 2021 Background Edit 03/12/2021 03/12/2021 03/12/2021 50.00 Checks Vendor 4331 - WI DEPT OF JUSTICE CRIME INFO Totals Invoices 1 $50.00

Grand Totals Invoices 30 $41,595.67

Run by Ashley LaLuzerne on 03/12/2021 01:11:49 PM Page 4 of 4 52 53 Door County Accounts Payable Invoice Report G/L Date Range 03/19/21 - 03/19/21 Report By Vendor - Invoice Summary Listing

Invoice Number Invoice Description Status Held Reason Invoice Date Due Date G/L Date Received Date Payment Date Invoice Net Amount Vendor 13546 - 3RD MILLENNIUM CLASSROOMS 022021 February 2021 Online Courses Edit 03/19/2021 03/19/2021 03/19/2021 840.00 Vendor 13546 - 3RD MILLENNIUM CLASSROOMS Totals Invoices 1 $840.00 Vendor 8383 - AMAZON CAPITAL SERVICES, INC 032021-2 March 2021 HHS Orders Edit 03/19/2021 03/19/2021 03/19/2021 398.10 Vendor 8383 - AMAZON CAPITAL SERVICES, INC Totals Invoices 1 $398.10 Vendor 21177 - BAY COUNSELING CLINIC, LLP 022021 February 2021 CCS Services Edit 03/19/2021 03/19/2021 03/19/2021 3,549.60 Vendor 21177 - BAY COUNSELING CLINIC, LLP Totals Invoices 1 $3,549.60 Vendor 2176 - BELLIN HEALTH 022021 February 2021 CCS Services Edit 03/19/2021 03/19/2021 03/19/2021 1,366.80 Vendor 2176 - BELLIN HEALTH Totals Invoices 1 $1,366.80 Vendor 10991 - BLACKBURNS BAY FARM 032021 Feb 1-Mar 14,2021 Equine Edit 03/19/2021 03/19/2021 03/19/2021 1,925.00 Assisted Activities Vendor 10991 - BLACKBURNS BAY FARM Totals Invoices 1 $1,925.00 Vendor 22222 - 022021 Jan/Feb 2021 Emp Mileage Reim Edit 03/19/2021 03/19/2021 03/19/2021 56.00 Vendor 22222 - Totals Invoices 1 $56.00 Vendor 16015 - BROWN CO COMUNITY TREATMNT CNT 022021 Jan/Feb 2021 Inpatient Services Edit 03/19/2021 03/19/2021 03/19/2021 1,534.75 Vendor 16015 - BROWN CO COMUNITY TREATMNT CNT Totals Invoices 1 $1,534.75 Vendor 21375 - CASE COMMUNICATIONS 022021 February 2021 Vaccine Radio Ads Edit 03/19/2021 03/19/2021 03/19/2021 179.00 Vendor 21375 - CASE COMMUNICATIONS Totals Invoices 1 $179.00 Vendor 6361 - COUNSELING ASSOCIATES OF DOOR 022021 February 2021 CCS Services Edit 03/19/2021 03/19/2021 03/19/2021 13,117.20 Vendor 6361 - COUNSELING ASSOCIATES OF DOOR Totals Invoices 1 $13,117.20 Vendor 21234 - CURATIVE CONNECTIONS, INC 022021 February 2021 CCS Services Edit 03/19/2021 03/19/2021 03/19/2021 1,473.00 Vendor 21234 - CURATIVE CONNECTIONS, INC Totals Invoices 1 $1,473.00 Vendor 5245 - DC PRINTING LLC 032021 March 2021 HHS Orders Edit 03/19/2021 03/19/2021 03/19/2021 971.64 Vendor 5245 - DC PRINTING LLC Totals Invoices 1 $971.64

Run by Ashley LaLuzerne on 03/19/2021 02:28:11 PM Page 1 of 3 54 Door County Accounts Payable Invoice Report G/L Date Range 03/19/21 - 03/19/21 Report By Vendor - Invoice Summary Listing

Invoice Number Invoice Description Status Held Reason Invoice Date Due Date G/L Date Received Date Payment Date Invoice Net Amount Vendor 9479 - 032021 March 8-14,2021 Respite Edit 03/19/2021 03/19/2021 03/19/2021 350.00 Vendor 9479 - Totals Invoices 1 $350.00 Vendor 12094 - 032021 Jan-Mar 2021 Emp Mileage Reim Edit 03/19/2021 03/19/2021 03/19/2021 88.48 Vendor 12094 - Totals Invoices 1 $88.48 Vendor 3841 - FAMILY SERVICES 022021-2 February 2021 CCS/CST Services Edit 03/19/2021 03/19/2021 03/19/2021 3,279.60 Vendor 3841 - FAMILY SERVICES Totals Invoices 1 $3,279.60 Vendor 2313 - GENERATIONS COMMUNITY SERVICES 022021 February 2021 CCS/CST Services Edit 03/19/2021 03/19/2021 03/19/2021 14,922.40 Vendor 2313 - GENERATIONS COMMUNITY SERVICES Totals Invoices 1 $14,922.40 Vendor 9948 - HAKER COUNSELING LLC 032021 March 8-19,2021 AODA Services Edit 03/19/2021 03/19/2021 03/19/2021 1,156.00 Vendor 9948 - HAKER COUNSELING LLC Totals Invoices 1 $1,156.00 Vendor 8584 - HENRY SCHEIN 032021 March 2021 COVID Vaccine Edit 03/19/2021 03/19/2021 03/19/2021 238.76 Supplies Vendor 8584 - HENRY SCHEIN Totals Invoices 1 $238.76 Vendor 5078 - INNOVATIVE SERVICES, INC. 022021 February 2021 CCS Services Edit 03/19/2021 03/19/2021 03/19/2021 4,542.40 Vendor 5078 - INNOVATIVE SERVICES, INC. Totals Invoices 1 $4,542.40 Vendor 17200 - LAKESHORE CAP, INC. 022021 February 2021 CSP Tech/Peer Edit 03/19/2021 03/19/2021 03/19/2021 564.18 Specialist Vendor 17200 - LAKESHORE CAP, INC. Totals Invoices 1 $564.18 Vendor 11952 - LMBHSA CONSULTING LLC 032021 Mar 8-15,2021 Treatment Edit 03/19/2021 03/19/2021 03/19/2021 2,643.00 Court/Mar 12-14,2021 Crisis Vendor 11952 - LMBHSA CONSULTING LLC Totals Invoices 1 $2,643.00 Vendor 22666 - P.A.T.H. OF DOOR COUNTY 022021-2 February 2021 CCS Services Edit 03/19/2021 03/19/2021 03/19/2021 100.30 Vendor 22666 - P.A.T.H. OF DOOR COUNTY Totals Invoices 1 $100.30 Vendor 17442 - PHOENIX BEHAVIORAL HEALTH SVC 022021 February 2021 CCS Services Edit 03/19/2021 03/19/2021 03/19/2021 2,580.60

Run by Ashley LaLuzerne on 03/19/2021 02:28:11 PM Page 2 of 3 55 Door County Accounts Payable Invoice Report G/L Date Range 03/19/21 - 03/19/21 Report By Vendor - Invoice Summary Listing

Invoice Number Invoice Description Status Held Reason Invoice Date Due Date G/L Date Received Date Payment Date Invoice Net Amount Vendor 17442 - PHOENIX BEHAVIORAL HEALTH SVC Totals Invoices 1 $2,580.60 Vendor 7085 - REDI TRANSPORTS 032021 March 2021 Client Transportation Edit 03/19/2021 03/19/2021 03/19/2021 550.00 Vendor 7085 - REDI TRANSPORTS Totals Invoices 1 $550.00 Vendor 21993 - SAINTA, INC 022021 February 2021 CCS Services Edit 03/19/2021 03/19/2021 03/19/2021 1,612.52 Vendor 21993 - SAINTA, INC Totals Invoices 1 $1,612.52 Vendor 7694 - SPECIALIZED SERVICES LLC 022021-2 February 2021 CCS Services Edit 03/19/2021 03/19/2021 03/19/2021 4,853.20 Vendor 7694 - SPECIALIZED SERVICES LLC Totals Invoices 1 $4,853.20 Vendor 11724 - TRANQUIL MIND COUNSELING LLC 022021 February 2021 CCS Services Edit 03/19/2021 03/19/2021 03/19/2021 1,346.40 13.2hrs Vendor 11724 - TRANQUIL MIND COUNSELING LLC Totals Invoices 1 $1,346.40 Vendor 10681 - WALHDAB 032021 March 2021 Annual PH Conf Reg Edit 03/19/2021 03/19/2021 03/19/2021 290.00 Fees Vendor 10681 - WALHDAB Totals Invoices 1 $290.00 Vendor 129 - WDOR AM & FM 022021 February 2021 Mask Up Ads Edit 03/19/2021 03/19/2021 03/19/2021 282.00 Vendor 129 - WDOR AM & FM Totals Invoices 1 $282.00 Vendor 10936 - WI ASSOC ON PUBLIC ASSISTANCE FRAUD 032021 March 2021 WAPAF Reg Fee Edit 03/19/2021 03/19/2021 03/19/2021 20.00 Vendor 10936 - WI ASSOC ON PUBLIC ASSISTANCE FRAUD Totals Invoices 1 $20.00

Grand Totals Invoices 29 $64,830.93

Run by Ashley LaLuzerne on 03/19/2021 02:28:11 PM Page 3 of 3 56 57 Door County Accounts Payable Invoice Report G/L Date Range 03/26/21 - 03/26/21 Report By Vendor - Invoice Summary Listing

Invoice Number Invoice Description Status Held Reason Invoice Date Due Date G/L Date Received Date Payment Date Invoice Net Amount Vendor 13747 - A.B.L.E. COACHING FOR ADHD LLC 032021 Jan-Mar 2021 CCOP Services Edit 03/26/2021 03/26/2021 03/26/2021 1,000.00 Vendor 13747 - A.B.L.E. COACHING FOR ADHD LLC Totals Invoices 1 $1,000.00 Vendor 8383 - AMAZON CAPITAL SERVICES, INC 032021-3 March 2021 HHS Orders Edit 03/26/2021 03/26/2021 03/26/2021 89.97 Vendor 8383 - AMAZON CAPITAL SERVICES, INC Totals Invoices 1 $89.97 Vendor 13057 - BOARD OF REGENTS OF THE UNIV OF WI SYSTEM 032021 2021 Diversion Program Eval & Edit 03/26/2021 03/26/2021 03/26/2021 4,527.36 Training Vendor 13057 - BOARD OF REGENTS OF THE UNIV OF WI SYSTEM Totals Invoices 1 $4,527.36 Vendor 6486 - CHARTER COMMUNICATIONS 032021 Mar 18-Apr 17,2021 YCC Internet Edit 03/26/2021 03/26/2021 03/26/2021 89.99 Vendor 6486 - CHARTER COMMUNICATIONS Totals Invoices 1 $89.99 Vendor 9948 - HAKER COUNSELING LLC 032021-2 March 22-26,2021 AODA Services Edit 03/26/2021 03/26/2021 03/26/2021 561.00 Vendor 9948 - HAKER COUNSELING LLC Totals Invoices 1 $561.00 Vendor 8584 - HENRY SCHEIN 012021-2 January 2021 COVID Vaccine Edit 03/26/2021 03/26/2021 03/26/2021 51.68 Supplies Vendor 8584 - HENRY SCHEIN Totals Invoices 1 $51.68 Vendor 22837 - JAY LIVINGSTON 032021 March 2021 CCS Contracted Edit 03/26/2021 03/26/2021 03/26/2021 770.00 Services/OWI Assessments Vendor 22837 - JAY LIVINGSTON Totals Invoices 1 $770.00 Vendor 12614 - 022021 Feb/Mar 2021 Emp Mileage Reim Edit 03/26/2021 03/26/2021 03/26/2021 50.40 Vendor 12614 - Totals Invoices 1 $50.40 Vendor 11952 - LMBHSA CONSULTING LLC 032021-2 March 22-26,2021 Treatment Edit 03/26/2021 03/26/2021 03/26/2021 914.50 Court Services 29.5hrs Vendor 11952 - LMBHSA CONSULTING LLC Totals Invoices 1 $914.50 Vendor 12262 - NEW RADIO INC 032021 Feb-Apr 2021 COVID Vaccine Edit 03/26/2021 03/26/2021 03/26/2021 2,100.00 Radio Ads Vendor 12262 - NEW RADIO INC Totals Invoices 1 $2,100.00 Vendor 22666 - P.A.T.H. OF DOOR COUNTY

Run by Ashley LaLuzerne on 03/26/2021 12:39:07 PM Page 1 of 2 58 Door County Accounts Payable Invoice Report G/L Date Range 03/26/21 - 03/26/21 Report By Vendor - Invoice Summary Listing

Invoice Number Invoice Description Status Held Reason Invoice Date Due Date G/L Date Received Date Payment Date Invoice Net Amount 042021 April 2021 YCC Rent Edit 03/26/2021 03/26/2021 03/26/2021 1,788.00 Vendor 22666 - P.A.T.H. OF DOOR COUNTY Totals Invoices 1 $1,788.00 Vendor 5008 - PROFESSIONAL GUARDIANSHIPS INC 032021 March 2021 Guardianship Services Edit 03/26/2021 03/26/2021 03/26/2021 497.00 Vendor 5008 - PROFESSIONAL GUARDIANSHIPS INC Totals Invoices 1 $497.00 Vendor 15069 - STAPLES ADVANTAGE 032021 March 2021 HHS Office Supplies Edit 03/26/2021 03/26/2021 03/26/2021 93.28 Vendor 15069 - STAPLES ADVANTAGE Totals Invoices 1 $93.28 Vendor 10936 - WI ASSOC ON PUBLIC ASSISTANCE FRAUD 032021-2 March 2021 WAPAF Conf Reg Fee Edit 03/26/2021 03/26/2021 03/26/2021 20.00 Vendor 10936 - WI ASSOC ON PUBLIC ASSISTANCE FRAUD Totals Invoices 1 $20.00 Vendor 5999 - WISCONSIN DOCUMENT IMAGING 032021 March 2021 HS Printer Buyout Edit 03/26/2021 03/26/2021 03/26/2021 1,500.00 Vendor 5999 - WISCONSIN DOCUMENT IMAGING Totals Invoices 1 $1,500.00

Grand Totals Invoices 15 $14,053.18

Run by Ashley LaLuzerne on 03/26/2021 12:39:07 PM Page 2 of 2 59 60 Door County Accounts Payable Invoice Report G/L Date Range 04/02/21 - 04/02/21 Report By Vendor - Invoice Summary Listing

Invoice Number Invoice Description Status Held Reason Invoice Date Due Date G/L Date Received Date Payment Date Invoice Net Amount Vendor 8383 - AMAZON CAPITAL SERVICES, INC 032021-4 March 2021 HHS Orders Edit 04/02/2021 04/02/2021 04/02/2021 27.21 Vendor 8383 - AMAZON CAPITAL SERVICES, INC Totals Invoices 1 $27.21 Vendor 5245 - DC PRINTING LLC 032021-2 March 2021 COVID Vaccine Flyers Edit 04/02/2021 04/02/2021 04/02/2021 1,080.60 Vendor 5245 - DC PRINTING LLC Totals Invoices 1 $1,080.60 Vendor 20081 - 022021 February 2021 Emp Mileage Reim Edit 04/02/2021 04/02/2021 04/02/2021 19.60 35mi Vendor 20081 - Totals Invoices 1 $19.60 Vendor 2313 - GENERATIONS COMMUNITY SERVICES 022021-2 February 2021 CCS Services Edit 04/02/2021 04/02/2021 04/02/2021 934.80 Vendor 2313 - GENERATIONS COMMUNITY SERVICES Totals Invoices 1 $934.80 Vendor 13031 - GFL SOLID WASTE MIDWEST LLC 042021 April-June 2021 Curbside Garbage Edit 04/02/2021 04/02/2021 04/02/2021 90.67 Pickup Vendor 13031 - GFL SOLID WASTE MIDWEST LLC Totals Invoices 1 $90.67 Vendor 17006 - HELPING HANDS CAREGIVERS LLC 022021 February 2021 Respite Edit 04/02/2021 04/02/2021 04/02/2021 2,399.80 Vendor 17006 - HELPING HANDS CAREGIVERS LLC Totals Invoices 1 $2,399.80 Vendor 8584 - HENRY SCHEIN 032021-2 March 2021 COVID Vaccine Edit 04/02/2021 04/02/2021 04/02/2021 122.16 Supplies Vendor 8584 - HENRY SCHEIN Totals Invoices 1 $122.16 Vendor 8553 - IMELDA DELCHAMBRE 022021 February 2021 Interpreting Edit 04/02/2021 04/02/2021 04/02/2021 122.50 Services Vendor 8553 - IMELDA DELCHAMBRE Totals Invoices 1 $122.50 Vendor 12488 - MCKESSON MEDICAL SURGICAL 032021 March 2021 COVID Vaccine Edit 04/02/2021 04/02/2021 04/02/2021 380.40 Supplies Vendor 12488 - MCKESSON MEDICAL SURGICAL Totals Invoices 1 $380.40 Vendor 8169 - MICHAEL P SAYERS PHD 032021 March 2021 Pscyh Services 36hrs Edit 04/02/2021 04/02/2021 04/02/2021 2,565.00 Vendor 8169 - MICHAEL P SAYERS PHD Totals Invoices 1 $2,565.00 Vendor 15069 - STAPLES ADVANTAGE

Run by Ashley LaLuzerne on 03/31/2021 12:16:12 PM Page 1 of 2 61 Door County Accounts Payable Invoice Report G/L Date Range 04/02/21 - 04/02/21 Report By Vendor - Invoice Summary Listing

Invoice Number Invoice Description Status Held Reason Invoice Date Due Date G/L Date Received Date Payment Date Invoice Net Amount 032021-2 March 2021 HHS Office Supplies Edit 04/02/2021 04/02/2021 04/02/2021 82.02 Vendor 15069 - STAPLES ADVANTAGE Totals Invoices 1 $82.02

Grand Totals Invoices 11 $7,824.76

Run by Ashley LaLuzerne on 03/31/2021 12:16:12 PM Page 2 of 2 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78

DOOR COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES – STAFFING Organization Chart 4.6.21

Door County Board of Supervisors

Health and Human Services Board

Joe Krebsbach - Director Cori McFarlane – Deputy Director

CHILDREN AND FAMLY SERVICES BEHAVIORAL HEALTH ECONOMIC SUPPORT

Behavioral Health Community Service Economic Support Child Protection & Children & Family Support Services Psychiatrists Manager Juvenile Justice Program Manager Manager Donna Altepeter Dr. Anne Miller Sheryl Flores Carol Wautlet

Children & Families Manager Children’s Services CCS/CST Program

Doreen Goddard Manager Economic Support Manager Behavioral Health Adult Protective Community Beth Chisholm Specialists Jamie Cole Therapists Service Support -Robin Lambrecht Workers Program Child Protection & -Val Bauldry -Cassandra Schraft Workers Juvenile Justice Service Facilitators -Jessica Flores -Melissa Xiong -Kim Kramer Social Workers Birth to Three Coordinator / -Elizabeth Hofer -Jessica Ingersoll -Cassaundra Bratz -Jessica Holland -Jodi Alsteen -Kara Berghuis Educator -Anna Calhoun -Eric Olson -Taylor Jandrin -Brett Hayner -Naomi Spritka -Hope Klatt -Mary Ann Salmon LTC/Outreach Case -Mary Simac -Brandon Gross -Danielle Nyman -Emily May Crisis Case Manager Manager -Amy LeFevre Case Managers -Kathy Schultz RN -Karina Mendez -Faith McCoy -Brianna Franken -Ashley Thornton -Scott Davis -Emily Schwark -Deb Fehrman Regional CCS Service

-Paige Osmunson -Katie Moore Coordinator AODA Counselor

-Katie Lasee -Sandra Bekkela

Social Worker

Supervisor/Foster care CONTRACTED STAFF -Lydia Haker Coordinator -Jay Livingston -Vivian Grier -Dr. Michael Sayers -.2

Children & Family Aide -Lisa Barnaby

-Julie Grondin

Youth Connection Center -Erin Cabino -Sara Moegenburg -Ashley Bongle, LTE

79

DOOR COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES – STAFFING (continued) Organization Chart 4.6.21

Door County Board of Supervisors

Health and Human Services Board

Joe Krebsbach - Director

AGING & DISABILITY RESOURCE ADRC Advisory CENTER Board & SSAC & PUBLIC HEALTH ADMINISTRATION NAC Board Treatment Court Services ADRC/Aging Program Health Officer /Manager

Director Assistant ADRC/Aging Susan Powers Jake Erickson Program Director Business Manager Treatment Court Jennifer Fitzgerald Julie Behnke Coordinator Public Health Nurses Admin Assistant III - Kelsey Christensen -Rachael Millner -Katie Van Laanen Disability Benefit Specialist Transportation & Accounts Shannon Lauder -Michaela Olson -Vacant Specialist Diversion Case Manager Public Health School Aide / Coordinator -Robin Mark Client Account Specialist Admin Assistant I - -Elizabeth Junion -Sara Neu Elderly Benefit Specialist Activities Assistant – Accounts Receivable Receptionist Registered Sanitarian / Health Educator -Mary Bink -Nicole Scharrig -Chris Wroblewski -Jen DeBroux -VACANT Nutrition Site Manager Health Educator Information & Assistance -Jamie Stephen .40 Financial Admin Assistant Admin Assistant II- -Megan Lockwood Workers -Silver Umberham .30 I - Accounts Payable Support WIC Director/Nutritionist -Jennifer Bender Nutrition Site Manager / -Ashley LaLuzerne -Debra Karas -Teresa Mertens -Amber Plautz Cook – Washington Island Administrative Assistant-WIC -Lisa Van Alstine -Nelvie Cauldwell .50 Financial Admin Assistant Admin Assistant II – -Casey Franda Cook II - Accounts Receivable Records Administrative Assistant Office Assistants -Arne Thompson -Kay Madoche Management -Paula Van Ess -Wendy Schubert -Kathy Ash 1.0 -Kathy Zak Contact Tracers – LTE’s Vaccine Clinic Nurses -LTE -Barb Snow -Robyn Joly .60 Technical Support -Theresa Schmelzer -Sue Behrens Specialist -Jane Weber -Lynn Burton Contract Workers -Susan Fernandez -Kade Lenz -Nico Ellingson Dietician -Leanne Tollefson -William Hartman Casual Call Staff -Jeanne Kuhns -Joseph Hilgers Senior Aide -Kendra Vandertie -Judy Hilgers -Maria LeCloux -James Neely -Cynthia Regnier -Donna Scattergood -Lin Yu