AGENDA COMMITTEE A.M. - 9:00 a.m. (Infrastructure & Development Services/ Public Health Services/Cultural Services)
COMMITTEE P.M. - 1:00 p.m. (Long-Term Care/Corporate Services/ Finance, Facilities and Court Services/Social Services)
Wednesday, June 21, 2017 County Building, Wyoming - Committee Room #1
Page
1. Call to Order - Committee A.M.
Committee Members: Anne Marie Gillis, Steve Arnold, Mike Bradley, Todd Case, Doug Cook, Kevin Marriott, Lonny Napper, Ian Veen and Warden Bill Weber.
2. Disclosures of Pecuniary Interest
If any.
3. INFRASTRUCTURE & DEVELOPMENT SERVICES DIVISION
A) Correspondence to Receive and File 7 - 9 a) PW 07-01-17 A letter from Dan Green, Consultant Project Manager, MMM Group Limited dated May 16, 2017 regarding the Front Street overpass on Highway 402 in Lambton County. MMM Group Limited has been retained to undertake the detailed design and class environmental assessment study for the rehabilitation of the Front Street/C.N.R. Overpass along Highway 402 in the Village of Point Edward. This will involve repairs to the overall structure and substructure components, and is required to maintain its structural integrity and extend the service life of the highway infrastructure. Please provide any comments about this project by Monday, June 18, 2017.
10 b) BS 07-05-17 An email from Bill Mauro, Minister Municipal Affairs and Housing dated May 11, 2017 regarding septic system pump out. Minister Mauro states that the Ministry of Municipal Affairs will not be moving forward with the proposals requiring regular inspections, pumping out of septic tanks and keeping of septic tanks and treatment units' maintenance records put forth in Phase One of the Building Code consultation.
Page 1 of 133 Agenda: Committee A.M. & P.M. - June 21, 2017
11 - 12 c) PD 07-06-17 A letter from Dale Cunningham, resident of Petrolia received June 7, 2017 regarding the governance of woodlots in Lambton County.
B) Information Reports 13 - 15 a) Information Report dated June 21, 2017 Regarding Emergency Management Coordinator Activity Report.
16 - 18 b) Information Report dated June 21, 2017 Regarding Funding of Woodlands Conservation Officer.
19 - 21 c) Information Report dated June 21, 2017 Regarding Natural Gas Grant Program, Ministry of Infrastructure.
C) Other Business
4. PUBLIC HEALTH SERVICES DIVISION
A) Correspondence to Receive and File 22 - 23 a) PH 07-03-17 A letter from Nancy Sullivan, Chair, Wellington- Dufferin-Guelph Board of Health dated May 3, 2017 regarding provincial alcohol strategy. The Board of Health for Wellington-Dufferin-Guelph Public Health would like the Ontario government to develop a comprehensive, province- wide strategy to support the safe consumption of alcohol in order to support healthy outcomes for Ontarians and to reduce health care costs associated with alcohol consumption.
24 - 25 b) PH 07-04-17 A letter from Dr. Joyce Lock, Medical Officer of Health and Cynthia St. John, Executive Director, Elgin St. Thomas Public Health dated May 15, 2017 regarding marijuana controls under Bill 178, Smoke-Free Ontario Act, 2016. This Bill will allow for the Ontario legislature to prohibit the use of certain products and substances under the Smoke- Free Ontario Act regulatory framework. Specifically, it will allow the legislature to prohibit the smoking of prescribed products or substances in all places where smoking tobacco is prohibited, in addition to other protections and requirements. It is also recommended that protections are expanded into the Electronic Cigarettes Act, where the prohibitions related to use in public spaces have yet to be enacted. The vaping of marijuana will be effectively prohibited in all places where smoking tobacco is prohibited once all provisions of the Electronic Cigarettes Act come into force.
26 - 28 c) PH 07-09-17 Ministry of Health and Long-Term Care News dated June 12, 2017 regarding opioid crisis. Dr. Eric Hoskins, Minister of Health and Long-Term Care, and John Tory, Mayor of Toronto announced at The Works Needle Exchange Program in Toronto new measures to tackle Ontario's opioid
Page 2 of 133 Agenda: Committee A.M. & P.M. - June 21, 2017
crisis. The province is providing funding for every board of health in Ontario to hire more front-line workers to help municipalities expand supports for people impacted by opioid addiction and overdose and distribute almost 80,000 additional naloxone kits per year to front-line organizations. This will allow communities to improve addiction outreach, education and planning while working on early warning and surveillance of opioid overdoses.
B) Information Reports 29 - 34 a) Information Report dated June 21, 2017 Regarding Extreme Temperature Initiatives - Update.
35 - 42 b) Information Report dated June 21, 2017 Regarding Vector- Borne Disease Program - Update.
43 - 47 c) Information Report dated June 21, 2017 Regarding 2016-17 Ambulance Offload Time Summary.
48 - 54 d) Information Report dated June 21, 2017 Regarding Healthy Community Checklist - Municipal Launch.
55 - 56 e) Information Report dated June 21, 2017 Regarding Patch 4 Patch Program Update.
C) Reports Requiring a Motion 57 - 60 a) Report dated June 21, 2017 Regarding Plain and Standardized Tobacco Packaging.
D) Other Business
5. CULTURAL SERVICES DIVISION
A) Reports Requiring a Motion 61 - 62 a) Report dated June 21, 2017 Regarding Libraries Donations Report - January 1 to April 30, 2017.
63 - 70 b) Report dated June 21, 2017 Regarding Museums' Collection Management Report - May 31, 2016 to April 30, 2017.
B) Other Business
6. IN-CAMERA
Recommendation
That the Chair declare the Committee go in-camera to discuss the following: a) a matter to be considered for the purpose of instructions and directions pertaining to a confidential report from the County Solicitor, regarding labour relations and employee negotiations with respect to
Page 3 of 133 Agenda: Committee A.M. & P.M. - June 21, 2017
bargaining with Unifor Local 65, including any communications necessary for this purpose, pursuant to section 239(2)(d) of the Municipal Act, 2001.
7. ADJOURNMENT
8. BREAK
9. Special Meeting of the Draft Official Plan Review Committee - 10:30 a.m. - 12:30 p.m.
10. Call to Order - Committee P.M.
Committee Members: Bev MacDougall, Peter Gilliland, Dave Boushy, Andy Bruziewicz, Al Broad, Bev Hand, John McCharles, Don McGugan and Warden Bill Weber.
11. Disclosures of Pecuniary Interest
If any.
12. LONG-TERM CARE DIVISION
A) Correspondence to Receive and File 71 - 73 a) LTC 07-10-17 A memorandum from Ralph Ganter, CEO, Erie St. Clair Local Health Integration Network dated June 14, 2017 regarding level-of-care funding increase. The Level-of-Care funding increase will support Long-Term Care Home licensees in maintaining their operations to ensure residents receive quality care and services in a safe home-like environment. This investment is targeted to provide the Long-Term Care Home sector with greater funding predictability and stability.
B) Information Reports 74 - 85 a) Information Report dated June 21, 2017 Regarding Long-Term Care Home Accommodation Charges Change - LTC 07-02-17.
C) Invitations 86 a) Memo dated June 21, 2017 Regarding an Invitation to Warden Weber and Lambton County Councillors for Upcoming Events in the Homes.
87 b) Invitation to Warden Weber and Lambton County Councillors to the Homes' Volunteer Appreciation Event aboard the Duc d'Orleans.
D) Other Business
Page 4 of 133 Agenda: Committee A.M. & P.M. - June 21, 2017
13. CORPORATE SERVICES DIVISION
A) Correspondence to Receive and File 88 - 92 a) CS 07-07-17 A letter from The College of Physicians and Surgeons of Ontario dated June 2017 regarding nominations for the 2018 Council Award. Nominations are now being accepted for Ontario physicians who have demonstrated excellence and embody a vision of the "ideal physician". The criteria is outlined in the enclosed brochure and nomination form. The deadline for receipt of nominations is October 2, 2017.
B) Reports Requiring a Motion 93 - 105 a) Report dated June 21, 2017 Regarding the Southwestern Integrated Fibre Technology (SWIFT) Partnership Agreement.
C) Other Business
14. FINANCE, FACILITIES & COURT SERVICES DIVISION
A) Reports Requiring a Motion 106 - 108 a) Report dated June 21, 2017 Regarding 2017 Tax Capping.
B) Other Business
15. SOCIAL SERVICES DIVISION
A) Correspondence to Receive and File 109 - 112 a) SPCS 07-08-17 A memorandum from Shannon Fuller, Assistant Deputy Minister, Early Years and Child Care Division dated June 6, 2017 announcing Ontario's Renewed Early Years and Child Care Policy Framework (2017). This framework contains a set of initiatives to help build an accessible, affordable, high quality and responsive early years and child care system. Further details will be provided as the initiative moves forward.
B) Information Reports 113 - 117 a) Information Report dated June 21, 2017 Regarding Community Homelessness Prevention Initiative (CHPI) Pilot Projects - Update.
118 - 127 b) Information Report dated June 21, 2017 Regarding Integrated Plan for Attraction, Settlement and Retention of Newcomers - Update.
C) Reports Requiring a Motion 128 - 133 a) Report dated June 21, 2017 Regarding Integrated Human Services and Divisional Staffing.
Page 5 of 133 Agenda: Committee A.M. & P.M. - June 21, 2017
D) Other Business
16. IN-CAMERA
No reports submitted.
17. ADJOURNMENT
18. Meeting of the Audit Committee - 2 p.m. or Immediately following the Committee P.M. meeting in Committee Room #1
Page 6 of 133 AGENDA ITEM #a)
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MMM Group Limited 610 Chartwell Road, Suite 300 Oakville, ON Canada L6] 4A5 t: 905.823.8500 j f: 905.823.8503 D www.mmmgrouplimited.com V3 1M “M BTON May 16, 2017 ?op u\N‘ GOU“ Mr. Jason Cole General Manager of Infrastructure & Development Services Corporation of the County of Lambton 789 Broadway Street Box 3000 Wyoming, ON NON 1T0
RE: Rehabilitation of the Front Street Overpass on Highway 402 in Lambton County Detailed Design and Class Environmental Assessment Study (G.W.P. 3064-11-00) Notice of Study Commencement
Dear Mr. Cole,
The Ontario Ministry of Transportation (MTO) has retained MMMGroup Limited, a subsidiary of WSP Global, to undertake the Detailed Design and Class Environmental Assessment Study for the rehabilitation of the Front Street/ C.N.R. Overpass along Highway 402 in the Village of Point Edward, within Lambton County. The bridge location and proposed detour routes are available with the enclosed notice.
The study will follow the approved environmental planning process for Group ‘C’ projects under MTO’s Class Environmental Assessment (Class EA) for Provincial Transportation Facilities (2000). Group ‘C’ projects are considered approved under the Ontario Environmental Assessment Act, subject to compliance with the Class EA and the application of mitigation measures where necessary.
The rehabilitation of this bridge will involve repairs to the overall structure and substructure components, and is required to maintain its structural integrity and extend the service life of the highway infrastructure. Start of construction is subject to the completion of this Detailed Design Study, environmental approvals, and availability of funding.
The purpose of this letter is to notify you of the project start-up and provide an opportunity for your input. Please provide any comments you may have about this project by Monday, June, 18, 2017. An agency comment form is attached to facilitate your response.
if you have any accessibility requirements to participate in this project, please contact one of the individuals listed in the enclosed notice. Comments and information will be collected to assist the MTO in meeting the requirements of the Environmental Assessment Act. With the exception of personal information, all comments will become part of the public record in accordance with the Freedom of Information and Protection of Privacy Act.
PW 07-01-17 A letter from Dan Green, Consultant Project Mana... Page 7 of 133 AGENDA ITEM #a)
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Ifyou wish to obtain additional information about the project or provide input at any point during the study, please contact one of the individuals noted in the enclosed notice.
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V MMMGroup, a subsidiary of WSP Global {LL Dan Green, P. Eng. Consultant Project Manager Attach. cc: Frank Hochstenbach, MTO Chris Evans, MTO Greg Moore, MMM
PW 07-01-17 A letter from Dan Green, Consultant Project Mana... Page 8 of 133 AGENDA ITEM #a)
NOTICE OF STUDY COMMENCEMENT Rehabilitation of the Front Street Overpass on Highway 402 in Lambton County Detailed Design and Class Environmental Assessment Study (G.W.P. 3064-11-00)
THE PROJECT The Ontario Ministry of Transportation (MTO) has retained MMMGroup Limited, a subsidiary of WSP Global, to undertake the Detailed Design and Class Environmental Assessment Study for the rehabilitation of the Eastbound Highway 402 and Front Street Overpass in the Village of Point Edward, within Lambton County. The bridge location and proposed detour routes are shown on the key plan below.
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The rehabilitation of this bridge will involve repairs to the overall structure and substructure components, and is required to maintain its structural integrity and extend the service life of the highway infrastructure. Start of construction is subject to the completion of this Detailed Design Study, environmental approvals, and availability of funding. THE PROCESS The Detailed Design Study will follow the approved environmental planning process for Group ‘C’ projects under MTO’s C/ass Environmental Assessment (Class EA)for Provincial Transportation Facilities (2000). Group ‘C’ projects are considered approved under the Ontario Environmental Assessment Act, subject to compliance with the Class EA and the application of mitigation measures where necessary. CONSTRUCTION STAGING For the rehabilitation of the Eastbound Highway 402 and Front Street Overpass, passenger vehicle traffic will be re-routed from the border crossing to the Front Street exit ramp and will proceed through the traffic signals at Front Street to Eastbound Highway 402. In addition, the connection from Venetian Blvd. to Highway 402 Eastbound will be closed for the period of construction. Commercial vehicle traffic will remain on the truck ramp from the border crossing to Eastbound Highway 402 and will be managed through staged construction to permit the rehabilitation works to be completed. The work will take approximately one construction season starting in May of the construction year. Motorists will be notified of the bridge closures and detours through advance road signage prior to construction. COMMENTS The purpose of this notice is to inform you about the commencement of this project and provide an opportunity for input. Please provide any comments you have about this project to one of the Project Team members noted below by Monday, June 19, 2017. Mr. Frank Hochstenbach, P.Eng. Mr. Dan Green, P.Eng. Mr. Greg Moore, B.E.S. Senior Project Engineer Consultant Project Manager Senior Environmental Planner Ontario Ministry of Transportation MMM Group Limited IWSP MMM Group Limited [WSP 659 Exeter Road, 3rd Floor 582 Lancaster Street West 610 Chartwell Road, Suite 300 London, ON N6E 1L3 Kitchener, ON N2K 1M3 Oakville, ON L6J 4A5 tel: 519-873-4575 tel: 519-743-8777 tel: 905-823-8500 toll free: 1-800-265-6072, ext. 519-873-4575 toll free: 1-877-562-7947 toll free: 1-877-562-7947 fax: 519-873-4600 fax: 519-743-8778 fax: 519-823-8503 e-mail: [email protected] e-mail: [email protected] e-mail: [email protected] We are committed to ensuring that government information and servicesare accessible for all Ontarians. For communication support or to request project material in an alternate format, please contact one of the Project Team members listed above. Comments and information will be collected to assist the MTO in meeting the requirements of the Environmental Assessment Act. With the exception of personal information, all comments will become part of the public record in accordance with the Freedom of Information and Protection of Privacy Act.
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BS 07-05-17
From: Minister MMA [mailto:[email protected]] Sent: May-11-17 8:56 AM Subject: Message from Minister Mauro - RE: Proposed Building Code - Septic System Pump Out Requirement
This email is being sent to all Heads of Council. A hard copy will follow.
Dear Heads of Council:
I am writing today to inform you that the Ministry of Municipal Affairs will not be moving forward with the proposals requiring regular inspections, pumping out of septic tanks and keeping of the septic tanks and treatment units’ maintenance records put forth in Phase One of the Building Code consultation.
The consultation process provided municipalities, industry, subject matter experts and members of the public with an opportunity to offer their input and views on the proposed changes. The Ministry welcomed the feedback and I was pleased with the frank responses with respect to septic systems.
I have always felt that there are sufficient protections in place to mitigate against septic system failures. Since 1997, there has been a requirement for owners of septic tanks and treatment units to clean out their systems when the working capacity is one-third full. This will continue to be in effect.
I value the input of our municipal partners. I’ve heard from many of you on this issue and I thank you for your input.
Sincerely,
Original signed by
Bill Mauro Minister
BS 07-05-17 An email from Bill Mauro, Minister Municipal Aff... Page 10 of 133 AGENDA ITEM #c)
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INFRASTRUCTURE & DEVELOPMENT
SERVICES DIVISION
REPORT TO: CHAIR AND COMMITTEE MEMBERS DEPARTMENT: PLANNING AND DEVELOPMENT SERVICES PREPARED BY: Mark Wetering, Emergency Management Coordinator Jason Cole, P. Eng., General Manager REVIEWED BY: Ronald G. Van Horne, Chief Administrative Officer MEETING DATE: June 21, 2017 INFORMATION ITEM: Emergency Management Coordinator Activity Report
BACKGROUND
The following is an update to the item of Wireless Public Alerting included in the Emergency Management Coordinator Activity Report presented to Committee A.M. at the August 18, 2016 meeting.
DISCUSSION
Canadian Radio and Television Commission (CRTC) decision on Wireless Public Alerting
In 2015, Bruce Power made application to the CRTC requesting that that wireless service providers be required to implement Wireless Public Alerting (text alerts) in Canada. Wireless Public Alerting (WPA) is used for emergency notification in many countries around the world including the United States, the Netherlands, Japan and Australia.
On April 6, 2017, the CRTC released a decision requiring wireless service providers to implement a national WPA program on their LTE networks (Long-Term Evolution - a standard for high speed wireless communication) by April 6, 2018. The actual launch of wireless alerts will likely be announced sometime after that date, once the wireless industry has met all applicable standards and technical requirements. Details of the CRTC decision can be found at the following webpage:
http://crtc.gc.ca/eng/archive/2017/2017-91.htm
Highlights of the CRTC decision:
LTE service is currently available to 97 per cent of Canadians, but a much smaller percentage of wireless devices are LTE compatible. Therefore, the CRTC has stipulated that by April 6, 2019, 100% of all devices for sale in Canada must be WPA-compatible, including at least one handset for $0 and at least one accessible
Information Report dated June 21, 2017 Regarding Emergency M... Page 13 of 133 AGENDA ITEM #a)
Emergency Management Coordinator Activity Report (page 2) June 21, 2017
handset. It should be noted that the typical turnover time for customers to replace their devices is approximately 2 years. Wireless customers will not be able to ‘opt-out’ of the alerting system. Alert messages will be delivered to all compatible smartphones in an alert area, regardless of service provider. Residents and travelers alike will receive emergency text alerts if they are within the affected area and have a compatible wireless device. The text-like alerts will be distinguished from standard text messages by using the same tone currently used by Alert Ready as well as a unique vibration.
When implemented, Wireless Public Alerts will become part of the National Public Alerting System, which currently utilizes radio and television to alert Canadians (Alert Ready). Many provinces employ additional alerting methods such as social media and text / email subscription services. Ontario's province-wide alerting system is called Red Alerts. To activate Alert Ready and Red Alerts for local emergencies, Ontario Community Emergency Management Coordinators (CEMCs) must request activation through the Provincial Emergency Operations Centre and it is expected that wireless public alerting will be managed the same way. Ontario may be considering providing municipalities with authorized access to Red Alerts, but at this time, control remains at the provincial level. Municipal authorities in provinces such as Alberta and Saskatchewan have direct access to their provincial alerting systems.
Additional information on Alert Ready, the current National Public Alerting system, and Red Alerts, the proposed provincial Wireless Public Alerts system, can be found at the following webpages:
Alert Ready: http://alertready.ca/ Red Alerts: https://www.emergencymanagementontario.ca/english/ ontariowarnings/redalerts/redalerts.html
In Sarnia-Lambton, we are fortunate that local industry, through the Community Awareness and Emergency Response (CAER) organization, has funded MyCNN, which provides an ability to notify residents of local emergencies without going through other agencies. The recent CRTC decision to implement wireless alerts is a welcome move forward in public alerting, but despite the decision, MyCNN will remain the primary means of local alerting for the foreseeable future. Multiple alerting systems like sirens, radio, television, MyCNN and texting, all need to function together to provide the best coverage based on locally identified risks.
FINANCIAL IMPLICATIONS
The CRTC provided that wireless service providers may recover implementation and maintenance costs through subscriber billing, but such costs may not be identified as separate fees. The County's use of the MyCNN public notification system is currently offered at no charge by CAER.
Information Report dated June 21, 2017 Regarding Emergency M... Page 14 of 133 AGENDA ITEM #a)
Emergency Management Coordinator Activity Report (page 3) June 21, 2017
CONSULTATIONS
The County CEMC, in consultation with local CEMCs and Senior staff, made written submissions in response to the CRTC's calls for comments in 2015 and 2016.
STRATEGIC PLAN
Staff participation in this matter conforms with "Enhancing Our Communications" (Area of Effort #2): "Identifies individual audiences that the County needs to communicate with in terms of providing information to and receiving input and feedback from" and "Enhancing Our Organizational Culture" (Area of Effort #4): "Actively pursuing continuous improvement initiatives, best practice strategies, innovation and other supports that promote a learning and progressive organization."
CONCLUSION
For information only.
Information Report dated June 21, 2017 Regarding Emergency M... Page 15 of 133 AGENDA ITEM #b)
INFRASTRUCTURE & DEVELOPMENT
SERVICES DIVISION
REPORT TO: CHAIR AND COMMITTEE MEMBERS DEPARTMENT: PLANNING AND DEVELOPMENT SERVICES PREPARED BY: Dave Posliff, Manager Jason Cole, P. Eng., General Manager REVIEWED BY: Ronald G. Van Horne, Chief Administrative Officer MEETING DATE: June 21, 2017 INFORMATION ITEM: Funding of Woodlands Conservation Officer
BACKGROUND
The annual information report outlining 2016 woodlands activities was presented and received and filed at the January 18, 2017 meeting of Committee A.M. Upon consideration of the minutes of that meeting at the February 1, 2017 meeting of Lambton County Council, a request was made to further clarifying the funding of the County's Woodlands Conservation Officer under the agreement with the St. Clair Region Conservation Authority (SCRCA) through the following motion:
#16: Broad/Case:
a) That staff provide a follow-up report on payment of wages at St. Clair Region Conservation Authority.
b) That Council advise its local councils after approval to cut trees has been granted. Carried.
DISCUSSION
Consideration to enter into an agreement with the SCRCA to facilitate the County Woodlands Conservation By-Law was initiated in mid-2011. A report was prepared by the Building Services Department and presented to the June 14, 2011 meeting of the County's Woodlot Committee. At that time the Woodlot Committee, comprised of the Land Division Committee, met to hear applications under the Woodlands Conservation By-Law and consider related matters. The report presented recommendations to develop and enter into an agreement with SCRCA and to fund a 0.5 full time equivalent (FTE) position through application fees and the levy. These recommendations were amended as the following motion of the Woodlot Committee:
Information Report dated June 21, 2017 Regarding Funding of ... Page 16 of 133 AGENDA ITEM #b)
Funding of Woodlands Conservation Officer (page 2) June 21, 2017
#3: Foubister/Weber: That the three recommendations contained in the report, as listed below, be accepted as amended.
a) That staff and St. Clair Region Conservation Authority develop and finalize an agreement regarding services to be purchased/shared for the administration of the County's Woodlands Conservation By-Law as well as related initiatives to improve/protect tree cover.
b) That revenue sources for cost recovery in support of the 0.5 Full Time Equivalent ($38,400-$45,600 annually) be comprised of the following:
Fees associated with requests for removal be incorporated through an amendment to the current By-Law 45 of 2003 (Woodlands Conservation By-law) to put in place new fees as follows:
1. Notice of Intents/Good Forestry Practice Cuts $ 50 2. Permits $ 1,000 3. Exemption Requests $ 250 Estimated revenue from these sources $10,750
The balance ($27,650 - $34,850 annually) be funded from the Lands Management Reserve account for the balance of 2011 and that the full cost be included for consideration in the 2012 budget process. Carried.
In addition, a separate motion was passed at that same meeting, as follows:
#1: Arnold/Foubister: That staff formulate a list of prospective partners to work with the County of Lambton and St. Clair Region Conservation Authority to help offset the cost of implementing the Woodlands Conservation Officer position. Carried.
These two motions were approved by County Council at its meeting of July 6, 2011.
Administration of the Woodlands Conservation By-Law has been delegated to the Planning and Development Services Division since the spring of 2012. During this time, the partnered position has been funded through application fee revenue and the County levy, approved through the budget process. Approximately 50% of the Woodlands Conservation Officer time has been dedicated to Lambton County matters, in accordance with the intent of the original motion and the agreement for a 0.5 FTE position.
Other sources of revenue have not been identified to date. Staff suggests that, moving forward, the County continues to work with the Revenue Officer to address to identify potential funding streams to offset the cost of the Woodlands Conservation Officer.
Information Report dated June 21, 2017 Regarding Funding of ... Page 17 of 133 AGENDA ITEM #b)
Funding of Woodlands Conservation Officer (page 3) June 21, 2017
FINANCIAL IMPLICATIONS
The County of Lambton has had an agreement in place with the SCRCA for the past six years for a 0.5 FTE Woodlands Conservation Officer position. The County funding for this position is derived from levy, through the annual budget process, and is offset by application fees. The funding for this position is included in the approved 2017 County Budget.
CONSULTATIONS
The General Manager, Infrastructure and Development Services, the Woodlands Conservation Officer and the Revenue Officer were consulted in the preparation of this report.
STRATEGIC PLAN
Area of Effort #3: To undertake a broad-based community development initiative that enriches the quality of life and the future prospects of Lambton County by developing collaborative initiatives that respond to the following needs:
• Policies and strategies that conserve the environmental resources and values of the area as a basis to support both the area's quality of life and economic development potential, as well as to pass these resources along intact to future generations.
• Undertake 'green initiatives' such as protection and enhancement of woodlots/natural features within the County.
CONCLUSION
The funding of the Woodlands Conservation Officer has proceeded in accordance with the original direction of the Woodlot Committee and the agreement with the SCRCA since the position's inception in 2012. The County is committed to half of a FTE position, funded from levy and associated permitting fees. Other sources of program revenue will continue to be investigated as the opportunities arise.
Information Report dated June 21, 2017 Regarding Funding of ... Page 18 of 133 AGENDA ITEM #c)
INFRASTRUCTURE & DEVELOPMENT
SERVICES DIVISION
REPORT TO: CHAIR AND COMMITTEE MEMBERS DEPARTMENT: PUBLIC WORKS PREPARED BY: Jason Cole, P.Eng., General Manager REVIEWED BY: Ron Van Horne, Chief Administrative Officer MEETING DATE: June 21, 2017 INFORMATION ITEM: Natural Gas Grant Program, Ministry of Infrastructure
BACKGROUND
Following consideration of the Correspondence PW 05-04-17, a letter from Patrick Brown, MPP, Simcoe North and Leader of the Official Opposition, dated February 1, 2017 regarding the unequivocal support for natural gas expansion in Ontario, the following motion was made at the April 19, 2017 Committee A.M. meeting and adopted at the regular meeting of Lambton County Council on May 3, 2017:
#3: Arnold/Napper: That the provincial government be asked for the details of its plan to release the 300 million dollars over the next 18 months. Carried.
The following information is provided in relation to the related Natural Gas Grant Program.
DISCUSSION
The province is helping expand access to natural gas infrastructure to more communities in Ontario through the new $100 million Natural Gas Grant Program (“the Grant program”). The Ministry of Infrastructure is delivering the Grant program as part of Moving Ontario Forward plan, the province’s $31.5 billion plan to invest in public transit, transportation and other priority infrastructure over ten years. The objective of the Grant Program is to support the building of new natural gas infrastructure to expand access to more communities and to accelerate projects with economic development potential, including agri-business and rural business projects. Eligibility The Grant Program is open to expansion projects in municipalities, First Nations and unincorporated areas. Projects to expand natural gas pipelines as well as liquefied or compressed natural gas infrastructure are eligible. The Grant program will provide funding under two separate application streams:
Information Report dated June 21, 2017 Regarding Natural Gas... Page 19 of 133 AGENDA ITEM #c)
Natural Gas Grant Program, Ministry of Infrastructure (page 2) June 21, 2017
Expansion stream ($70 million planned allocation): supports projects that are primarily about converting residential customers to natural gas. Only projects to service unserved communities are eligible. Economic Development stream ($30 million planned allocation): supports projects that are primarily about converting business connections to natural gas and benefit agri- businesses, rural Ontario, First Nations communities or unincorporated areas. For example, projects that will help connect farms, greenhouses, manufacturing facilities, mining operations, etc. All projects must be for net new connections or increased volumes of natural gas. Applications for the Grant program must be made by the natural gas distributor or supplier. This includes ensuring there is adequate demand, proposed rates are appropriate, and opportunities for local partnerships and alignment with other infrastructure work occurring along the same corridor have been leveraged. In parallel, the municipality or First Nation must submit a council or band council resolution in support of gaining natural gas for the jurisdiction. Distributors/suppliers work with the municipality, First Nation or unincorporated area to determine the demand for natural gas and any expected economic benefits resulting from natural gas access (for projects under the Economic Development Projects Stream). This includes surveying households, businesses, industry, schools, hospitals, etc. to gauge potential customer interest at various rates and associated savings in energy costs, as well as engaging with larger energy users such as agricultural producers, agribusinesses and other local industries that could benefit from increased natural gas access. These calculations should reflect current and projected energy costs, including cap and trade costs and reductions in the cost of electricity. Distributors/suppliers determine the cost of providing servicing as well as mapping out required approvals from the Ontario Energy Board and estimated timelines. The cost of converting heating equipment (such as furnaces, ducting, etc.) and connecting individual properties to pipelines is not eligible under the Grant Program. In addition, funding will not be provided for your home, farm, rental unit(s) or other property you own, or for the cost of converting heating equipment such as furnaces and baseboard heating. The program is designed to help municipalities and First Nations bands partner with natural gas distributors and suppliers to bring natural gas to more communities and broaden access for rural businesses. The application deadline is Monday,July 31, 2017 Approvals under the Grant Program will be conditional on the natural gas project receiving all necessary approvals form the Ontario Energy Board to proceed.
FINANCIAL IMPLICATIONS
The province is helping expand natural gas access to more communities in Ontario through the new $100 million Natural Gas Grant Program (“the Grant Program”). The
Information Report dated June 21, 2017 Regarding Natural Gas... Page 20 of 133 AGENDA ITEM #c)
Natural Gas Grant Program, Ministry of Infrastructure (page 3) June 21, 2017
Grant Program is part of Moving Ontario Forward; the province’s $31.5 billion plan to invest in public transit, transportation and other priority infrastructure over ten years.
Funding recipients may receive up to 50 percent of total eligible project costs. However, priority may be given to applicants requiring only 33.3 percent of total eligible project costs as well as to smaller-scoped projects to ensure broad program reach.
There are currently no direct financial implications to the approved County of Lambton 2017 Budget as a result of this provincial initiative.
CONSULTATIONS
The County of Lambton Revenue Officer, local municipal partners, and representatives from the Ministry of Infrastructure were consulted as part of the preparation of this report.
STRATEGIC PLAN
Meet the objective of accountability to ratepayers for the appropriate stewardship of their tax dollars.
CONCLUSION
The province is making $100 million available for an increase in natural gas servicing to communities. The program is aimed at expansion projects in municipalities and to support economic development opportunities, such as agri-business and rural businesses.
Eligible projects must apply prior to Monday, July 31, 2017.
Information Report dated June 21, 2017 Regarding Natural Gas... Page 21 of 133 _u: =nInu_§ PH 07-03-17 A letter from Nancy Sullivan, Chair, Wellington-...
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AGENDA ITEM #c) OI=u+” 0256: mag <05: _<_o_.m_.....o_.:.E:m. < . ..ocoamm jaw qm - U...manIomazm 2: am.2 Immz m a o:m-._.m..BOmam .. _m 0203 m&§_o= mzamccmmmmmzocm.oo3n_mxamcmEm: _.mn:=mm_33mo=m..m £62.03. w< :o:..-__:m mag _:o$mm_:o éoqxmam. mxumzasmmoommm8 :m_oxo:m5.6 .8.5052.3. Em mam _u>oqm osox 93.8 o: Sm m_o::_om2So} m_qmma _.m>mz _<_o_»m <<:m8 8 O9 2m_oxo:m 36 mag I92 8 cmm433 O3m1o.mm?a 8 U6 2.2:» Cam ._.o__-:.mm”gawk: ALQK 3mq_m.3o:©o:$1o.om Page 28 of 133 0...? .3 92 p.33 Um PUBLIC HEALTH SERVICES DIVISION REPORT TO: CHAIR AND COMMITTEE MEMBERS DEPARTMENT: LAMBTON PUBLIC HEALTH Chad Ikert, Manager, Health Protection PREPARED BY: Lori Lucas, Supervisor, Health Protection Andrew Taylor, General Manager REVIEWED BY: Ronald G. Van Horne, Chief Administrative Officer MEETING DATE: June 21, 2017 INFORMATION ITEM: Extreme Temperature Initiatives - Update BACKGROUND The County's Extreme Heat and Cold Weather Protocols have been in place since 2007. Since then, Lambton Public Health (LPH) has maintained the responsibility of issuing heat and cold alerts. In 2012, a working group called the Ontario Heat Health Working Group, comprised of public health units across Ontario and agencies such as Environment and Climate Change Canada, began investigating and reviewing the different heat alert response systems in place across Ontario. The goal of this working group was to move towards a more harmonized heat alert approach across the province. Lambton Public Health has adopted this new Harmonized Heat Warning and Information System and implemented it in the summer of 2016. This report will provide an update on extreme temperature initiatives administered by LPH and provide an overview of the changes to the heat alert process that begun last summer. The most recent update on this program was provided to Committee A.M. at their meeting on June 14, 2016. DISCUSSION Issuing heat and cold alerts helps to remind the public that there are health risks associated with extreme temperatures. Vulnerable persons including the elderly, the very young, those with underlying medical conditions, the mentally ill and homeless persons are at greatest risk from extreme temperatures. Other conditions related to risk include obesity, asthma, fever, dehydration, heart disease, poor circulation, sunburn, and prescription drug and alcohol use. Information Report dated June 21, 2017 Regarding Extreme Tem... Page 29 of 133 AGENDA ITEM #a) Extreme Temperature Initiatives - Update (page 2) June 21, 2017 Current Heat and Cold Alert Response During the summer of 2016 and the past winter (December 2016 to March 2017) there were seven heat alerts and three cold alerts issued. (Refer to Appendix "A" - Total Number of Extreme Temperature Alerts Issued 2012-2017). The alert frequency and duration is summarized in Appendix "B". Through the Extreme Heat and Cold Weather Protocol, extreme weather response is organized around a few central principles: • Identification of lead agencies and participating organizations through the Extreme Temperatures Stakeholders Group (ETSG). • Use of a consistent, standardized warning system activated through monitoring and promoted through education. • Implementation of response activities targeting high-risk populations. • Collection and evaluation of information. • Ongoing revision of the plan. In 2016, cooling centre locations were open to the public when a heat alert was issued. They offer accessible air conditioned space for the public to use on a short term basis. The locations are made available by partners throughout the County. Staff anticipate that cooling centre locations will remain the same in 2017. In addition to the current alerting procedure, heat and cold alerts are included on the My Community Notification Network (MyCNN) within the County of Lambton. This ensures that heat and cold alerts reach intended audiences and protect vulnerable populations. MyCNN participants are asked when they register if they would like to receive heat and cold alerts. Heat Warning and Information System The goal of the Ontario Heat Health Working Group was to move towards a more harmonized heat alert/warning approach across the province. Prior to this initiative there was no consistent approach among Ontario public health units for issuing heat alerts/warnings. The first phase of this work was completed in 2015 when health unit jurisdictions that hosted the Pan Am Games in and around Toronto piloted a new three level Heat Alert Response System (HARS). The Meteorological Service of Canada (Environment and Climate Change Canada) supported the new harmonized HARS protocol with early notification, warnings, and de-escalation of warnings. There were lessons learned from this pilot and, subsequently, the newly proposed system is called the Heat Warning and Information System (HWIS). All public health units participating in the Ontario Heat Health Working Group adopted the harmonized HWIS in 2016. The harmonized HWIS was expected to operate in a similar way to the protocol and the system that was currently in place for heat alerts in the County of Lambton. Information Report dated June 21, 2017 Regarding Extreme Tem... Page 30 of 133 AGENDA ITEM #a) Extreme Temperature Initiatives - Update (page 3) June 21, 2017 The majority of the public would not have seen a difference with the harmonized heat warning system with the possible exception of changes in the number of Heat Warnings issued. This was due to the new criteria (outlined in Appendix "C") requiring two days meeting expected trigger criteria, as opposed to the varying old criteria which could have resulted in heat alerts for one day only. The HWIS modifications were communicated to the public and local stakeholders through the Extreme Temperatures Stakeholders Group, as well as, through website updates and a pre-season media release. The new Heat Warnings are based on region specific relationships between health effects and heat. Public Health Ontario and Health Canada conducted the analysis. In May 2015, Environment and Climate Change Canada adopted the new Heat Warning criterion which varies across the province with three region-specific conditions. They also began issuing early notifications 12 to 18 hours in advance of an event if either humidex or temperature conditions were met. This helped to support heat protocols of public health units by notifying them in advance of issuing a Heat Warning. The protocol and initiatives put in place to date continue to evolve to meet the needs of Lambton County. Lambton Public Health will continue to monitor and evaluate the modifications to the HWIS to ensure that it is meeting the needs of alerting the public to the potential health risks of extreme heat. FINANCIAL IMPLICATIONS All activities related to this program are 75-25 provincially/municipally cost-share funded and are included within the approved 2017 Health Protection Budget. CONSULTATIONS None. STRATEGIC PLAN Lambton County’s Extreme Temperature Initiatives are consistent with the missions, principles, and values identified in the County’s strategic plan and support the value of Lambton County as a healthy community. CONCLUSION The Extreme Temperature Initiatives developed since 2007 help to protect the public and minimize health impacts of extreme heat and cold. Routine alerts from LPH are consistent, informative and reliable. The alerts are a valuable tool for local agencies serving vulnerable populations. The protocol and initiatives put in place to date continue to evolve to meet the needs of Lambton County. Lambton Public Health continues to monitor new information and alerting systems that protect public health and make changes when Information Report dated June 21, 2017 Regarding Extreme Tem... Page 31 of 133 AGENDA ITEM #a) Extreme Temperature Initiatives - Update (page 4) June 21, 2017 necessary. Lambton Public Health has moved forward with the adoption of the harmonized Heat Warning and Information System last summer and the process will remain unchanged for the upcoming summer season. Information Report dated June 21, 2017 Regarding Extreme Tem... Page 32 of 133 AGENDA ITEM #a) Extreme Temperature Initiatives - Update (page 5) June 21, 2017 Appendix "A" Number of Extreme Temperature Alerts 2012-2017 (as of May 2017) 2012 2013 2014 2015 2016 2017 Cold Alerts 0 1 10 8 5 1 Heat Alerts 6 3 2 4 7 N/A Appendix "B" Alert Frequency and Duration (2015-2017) Heat Alerts Issued Duration Cold Alerts Issued Duration July 17, 2015 2 January 4, 2016 1 July 28, 2015 1 February 12, 2016 2 August 17, 2015 1 February 17, 2016 1 September 8, 2015 1 December 15, 2016 1 June 20, 2016 2 December 19, 2016 1 July 5, 2016 2 January 6, 2017 1 July 11, 2016 3 July 20, 2016 5 August 3, 2016 2 August 8, 2016 6 September 6, 2016 3 Total: 11 Heat Alerts 28 days Total: 6 Cold Alerts 7 days Appendix "C" Criteria for the New Heat Warning and Information System 1. There are different forecast and warning regions in the province: • Region 1 - South (from Lambton to the GTA including Kingston and Ottawa and areas around Georgian Bay) • Region 2 - Extreme South West (Windsor and Chatham-Kent) • Region 3 - North (most of Northern Ontario) 2. The new HWIS will include two levels of warning/response that is specific to criteria for each of the Regions (above): • Heat Warning (issued by Environment Canada and Public Health Units) • Extended Heat Warning (issued by Public Health Units) Information Report dated June 21, 2017 Regarding Extreme Tem... Page 33 of 133 AGENDA ITEM #a) Extreme Temperature Initiatives - Update (page 6) June 21, 2017 3. Heat Warning and Extended Heat Warning Criteria: A Heat Warning will be issued in the following circumstances: Heat Warning Condition Duration Region Extreme *Tmax ≥ 31°C and Tmin ≥ 21°C OR 2+ days Southwest Humidex ≥ 42 Tmax ≥ 31°C and Tmin ≥ 20°C South OR 2+ days Humidex ≥ 40 Tmax ≥ 29°C and Tmin ≥ 18°C North OR 2+ days Humidex ≥ 36 An Extended Heat Warning will be issued when the Heat Warning (see above) lasts longer than two days and continues for three or more days. A Heat Warning will always be issued first and then followed (after two days) by an Extended Heat Warning in a staged approach. Issuing a termination for a Heat Warning is at the discretion of each public health unit. Information Report dated June 21, 2017 Regarding Extreme Tem... Page 34 of 133 AGENDA ITEM #b) PUBLIC HEALTH SERVICES DIVISION REPORT TO: CHAIR AND COMMITTEE MEMBERS DEPARTMENT: LAMBTON PUBLIC HEALTH Chad Ikert, Manager, Health Protection PREPARED BY: Lori Lucas, Supervisor, Health Protection Andrew Taylor, General Manager REVIEWED BY: Ronald G. Van Horne, Chief Administrative Officer MEETING DATE: June 21, 2017 INFORMATION ITEM: Vector-Borne Disease Program - Update BACKGROUND As part of the Ontario Public Health Standards, the Board of Health is required to have a Vector-Borne Disease program to monitor, trace, and control vector-borne diseases (VBD’s) of public health significance. Vector-borne diseases are transmitted by insects such as mosquitoes and ticks, which are responsible for illness related to West Nile virus (WNV) and Lyme disease. The following report will summarize the 2016 results and program activities and provide an update on the Vector-Borne Disease Program planned for 2017. The last update on this program was provided to Committee A.M. on June 14, 2016. DISCUSSION Lambton Public Health's (LPH) VBD program is a valuable program to monitor, trace, and control vector-borne diseases. In addition to WNV surveillance and control, the program has evolved over the years into broader surveillance opportunities for monitoring new and persistent VBD’s including Lyme disease. West Nile Virus Surveillance, Prevention and Control In Ontario there were a total of 46 confirmed WNV human cases in 2016. This is an increase from the previous year with 28 cases in 2015 and an increase from 11 cases in 2014. See Appendix "B" for Number of Confirmed Human Cases 2007-2016. Ontario has also seen an increase in positive mosquito traps with 211 in 2016. In 2015 there were 94 positive traps which are up from 56 in 2014 and down from 198 in 2013. See Appendix "C" for number of positive mosquito pools and reported confirmed human cases of West Nile Virus (Ontario). Information Report dated June 21, 2017 Regarding Vector-Born... Page 35 of 133 AGENDA ITEM #b) Vector-Borne Disease Program - Update (page 2) June 21, 2017 Overall, Lambton County saw similar WNV confirmed findings throughout 2016 compared to 2015. West Nile Virus has been consistently detected in Lambton County since 2002. See Appendix "A" for West Nile Virus Activity in Lambton County 2007-2016. Human, Mosquito and Wildlife Surveillance There were no confirmed human cases reported in Lambton in 2016. Since 2000, there have been a total of seven human cases of WNV in Lambton County, two of which resulted in death in 2005 and 2006 respectively. Adult mosquito surveillance took place over a 12-week period from July to September. There were two WNV positive mosquito traps identified in Lambton County in 2016. The two positive mosquito traps were both found during the week of September 13, 2016 in Petrolia and Camlachie. Dead bird surveillance continued in 2016 with one bird being tested for WNV. One crow tested positive on August 5, 2016 in Sarnia. West Nile Virus positive birds have been identified every season since 2001. Mosquito Control Lambton County continued to monitor and treat catch basins with mosquito larvicide in 2016. The St. Clair Region Conservation Authority was contracted to apply larvicide treatments to over 15,500 catch basins under a pesticide permit. Three rounds of treatments were applied throughout the 2016 season. Round one was completed from July 4 to July 15, round two was completed from July 25 to August 5, and round three was completed from August 15 to August 26. Standing Water Risk Assessment and Control In addition to mosquito control measures, the department monitors standing water complaints and locations in accordance with the County of Lambton’s Standing Water By- Law which regulates standing water on all properties from April 1 to October 31. The Standing Water By-Law is a preventative measure to control mosquito populations before any treatments are required. In 2016, approximately 17 standing water complaints were investigated. Public Education In 2016, staff participated in a number of public education events throughout the season to maintain the public’s interest and to raise awareness. A mail-out package was distributed to locations throughout the county including schools, veterinarians, long-term care facilities, community centers, daycares, golf courses, campgrounds, municipal offices, libraries, garden centers, occupational health nurses, and physicians. Media releases were also issued throughout the season regarding activities and surveillance relating to WNV including standing water complaints, dead bird surveillance, mosquito trapping and Information Report dated June 21, 2017 Regarding Vector-Born... Page 36 of 133 AGENDA ITEM #b) Vector-Borne Disease Program - Update (page 3) June 21, 2017 larviciding. In addition, educational materials including factsheets were distributed at public events. Lyme Disease Surveillance, Prevention, and Control American dog ticks and black-legged ticks were identified in Lambton County in the 2016 season. Lambton Public Health saw a consistent number of black-legged ticks submitted throughout the season with similar numbers as the previous year. Due to the increase in black-legged ticks in the last two years additional tick dragging and public education measures were implemented. Human Case Surveillance Lambton Public Health relies on physicians to request laboratory testing for those patients who present Lyme disease-like symptoms or those who have been exposed to a tick positive for Borrelia burgdoferi, the bacteria which causes Lyme disease. There were zero confirmed human case of Lyme disease in Lambton County in 2016. In Ontario there were 315 confirmed and probable human cases of Lyme disease reported in 2016. The 2016 incident rate is 2.3 per 100,000 people. This is a decrease from 2015 with an incident rate of 2.7 per 100,000. The reason for the decrease in incident in Ontario is not known; however it is suspected that a variety of weather-related and/or human behavioural factors could have contributed to the decrease. Vector Surveillance Both passive and active tick surveillance took place in 2016. A total of 225 ticks were submitted for species identification. This is a decrease from the 380 ticks received in 2015. The predominant species identified were Dermacentor variabilis (American dog tick) which are not efficient transmitters of Lyme disease. Twenty-five black-legged or deer ticks, known for transmitting Lyme disease, were identified through passive surveillance. Zero tested positive for the Lyme bacteria (Borrelia burgdorferi). In 2015 LPH received the first ticks that have tested positive in Lambton County. To date, there have been four positive ticks in Lambton County. Active tick surveillance, in the form of tick dragging, took place in in 2016 with an additional 24 black-legged ticks identified. A number of factors may be responsible for the relatively recent increase in the range of black-legged ticks in Ontario and in Lambton County including natural range expansion aided in part by climate warming, lengthening summer and fall seasons, and possible changes in the range of key hosts for ticks, such as deer and mice. All tick surveillance indicators suggest that the current range of black-legged tick populations is expanding and will likely continue to do so in the future (Public Health Ontario (PHO), 2012). Lambton County is now considered a risk area for Lyme disease with an established population of black-legged ticks at Pinery Provincial Park. See Appendix "E" for Lyme disease risk areas in Ontario. Therefore, continued surveillance and education is very important to minimize the risk of contracting Lyme disease to the citizens and visitors of Information Report dated June 21, 2017 Regarding Vector-Born... Page 37 of 133 AGENDA ITEM #b) Vector-Borne Disease Program - Update (page 4) June 21, 2017 Lambton County. Increased active surveillance methods and public education carried out over several seasons will allow LPH to better monitor the prevalence of black-legged tick populations in Lambton County. Public Education Staff participated in a number of public education events throughout the 2016 season to maintain the public’s interest and to raise awareness of ticks and Lyme disease. A mail out of Lyme disease resources was distributed to the same facilities as was WNV with additional information on ticks and Lyme being distributed to the schools throughout the County. Similarly, tick precautions were communicated through news ads and media releases. Educational materials, including fact sheets, were also made available to the general public. 2017 Vector-Borne Disease Program For the 2017 season, the department will continue with all surveillance and control activities conducted in 2016. Staff will also aim to increase public education and outreach activities related to Lyme disease and tick prevention, with a focus in and around Lambton Shores near Pinery Provincial Park which is now considered a risk area. FINANCIAL IMPLICATIONS All activities related to this program are funded within the approved 2017 Health Protection budget. CONSULTATIONS None. STRATEGIC PLAN The Vector-Borne Disease Program is consistent with the missions, principles and values identified in the County’s strategic plan and support the value of Lambton County as a healthy community. CONCLUSION This report provides an update on Lambton Public Health's Vector-Borne Disease Program. West Nile virus has been consistently detected in Lambton County since 2002. Lambton continued to see a large number of black-legged ticks submitted in 2016 and 2015. Surveillance measures have found an established population of black-legged ticks and the positive ticks for Lyme disease bacterium. The VBD program has expanded its Information Report dated June 21, 2017 Regarding Vector-Born... Page 38 of 133 AGENDA ITEM #b) Vector-Borne Disease Program - Update (page 5) June 21, 2017 education measures in response with an increased mail-out, workplace presentations and an active educational program at Pinery Provincial Park. For the 2017 season, Lambton Public Health will continue with surveillance and control activities that were conducted in 2016 to protect the public from the threat of West Nile virus and Lyme disease. Information Report dated June 21, 2017 Regarding Vector-Born... Page 39 of 133 AGENDA ITEM #b) Vector-Borne Disease Program - Update (page 6) June 21, 2017 Appendix "A" West Nile Virus Activity in Lambton County 2007-2016 Positive Year Human Bird Horse Mosquito Mosquito Species 2007 0 2 0 0 2008 0 4 0 0 2009 0 1 0 0 2010 0 2 0 0 Cx. restuans 2011 2 (probable) 3 0 2 Cx. Pipiens 2 Cx. Restuans 2012 Petrolia-August 4 0 7 Cx. pipiens Sarnia-September Cx. Restuans 2013 0 5 1 2 Cx. pipiens 2014 0 1 0 1 Cx. pipiens Cx. Restuans 2015 0 1 0 1 Cx. pipiens Cx. Restuans 2016 0 1 0 2 Cx. pipiens Total 4 24 1 15 Appendix "B" Number of Confirmed Human Cases of West Nile Virus 2007-2016 Year Lambton Ontario Canada 2007 0 17 2215 2008 0 6 36 2009 0 4 8 2010 0 8 5 2011 0 79 110 2012 2 270 450 2013 0 53 108 2014 0 9 21 2015 0 28 80 2016 0 46 TBD Total 2 520 3033 (LPH, PHO, and Public Health Agency of Canada surveillance data) Information Report dated June 21, 2017 Regarding Vector-Born... Page 40 of 133 AGENDA ITEM #b) Vector-Borne Disease Program - Update (page 7) June 21, 2017 Appendix "C" Number of Positive Mosquito Pools and Reported Confirmed Human Cases of West Nile Virus (Ontario) Year # Of Positive Pools # Of Positive Humans 2007 51 17 2008 62 6 2009 14 57 2010 57 8 2011 281 79 2012 457 270 2013 198 53 2014 56 9 2015 94 28 2016 211 46 (PHO Surveillance Data) Appendix "D" Ticks collected in Lambton County (passive and active surveillance) Year Dermacentor variabilis Ixodes scapularis Other Total (American Dog Tick) (Black-legged Tick) 2010 34 1 4 39 2011 112 2 0 114 2012 98 4 0 102 2013 178 5 1 184 27 (18 additional with Active 2014 117 0 162 Surveillance 45 total) 26 (18 additional with Active 2015 336 0 380 Surveillance 44 total) 2016 174 25(24 active surveillance 49 total) 2 225 (LPH Data) Information Report dated June 21, 2017 Regarding Vector-Born... Page 41 of 133 AGENDA ITEM #b) Vector-Borne Disease Program - Update (page 8) June 21, 2017 Appendix "E" Lyme Disease Risk Areas - Ontario (Public Health Ontario) Information Report dated June 21, 2017 Regarding Vector-Born... Page 42 of 133 AGENDA ITEM #c) PUBLIC HEALTH SERVICES DIVISION REPORT TO: CHAIR AND COMMITTEE MEMBERS DEPARTMENT: EMERGENCY MEDICAL SERVICES PREPARED BY: Steve Pancino, Manager Andrew Taylor, General Manager REVIEWED BY: Ronald G. Van Horne, Chief Administrative Officer MEETING DATE: June 21, 2017 INFORMATION ITEM: 2016-17 Ambulance Offload Time Summary BACKGROUND The Ministry of Health and Long-Term Care (MOHLTC) via Access to Care Analytics prepared by Cancer Care Ontario (CCO) provides monthly reports at the Provincial, Local Health Integration Network (LHIN) and site (hospital) level for Ambulance Offload Times (AOT). These reports provide an overview of Emergency Department and Ambulance patient volumes and are used by the Lambton Emergency Medical Services (EMS) in monitoring resource requirements. Staff last reported to Committee A.M. on Ambulance Offload Times on August 18, 2016. DISCUSSION Bluewater Health (Norman Site) continues to see over five thousand patients (on average) each month, with approximately twelve per cent of these patients arriving by land ambulance (Appendix A, B). These volumes and the resulting delays in offloading patients have a corresponding impact on the Emergency Medical Services ability to respond to emergency calls in the community. For comparison purposes, included in the report are emergency department and ambulance patient volumes and times locally and for Chatham-Kent who are within the Erie St. Clair LHIN. The MOHLTC has established a target transfer of care time for ambulance patients to be offloaded of 30 minutes at the 90th percentile. For the reporting period, Bluewater Health did not meet the 30 minute target, however remained at or below the Provincial average (Appendix C) during most months. When emergency department volumes increase (Appendix A) there is a corresponding increase in ambulance calls (Appendix B) and resultant offload delays (Appendix C). Information Report dated June 21, 2017 Regarding 2016-17 Amb... Page 43 of 133 AGENDA ITEM #c) 2016-17 Ambulance Offload Times (page 2) June 21, 2017 Many of these increases are seasonal (eg. flu) in nature. These fluctuations are consistent with provincial averages. The MOHTLC announced previously that ambulance offload time would be added to the provinces wait time strategy as a component of the Pay for Results (P4R) Program. Staff has recently implemented a number of initiatives to address local offload issues. Together, with leadership from Bluewater Health, an emergency department working group (EMS supervisor, Director of Emergency Department and Emergency Department physician) has been formed to develop and implement strategies to decrease offload times. Lambton EMS and Bluewater Health have also partnered on developing and implementing a Community Paramedic Pilot Program that will see paramedics proactively seeing high users of emergency resources in the community. This program was made available through one-time P4R funding which was approved by County Council. Similar programs in other jurisdictions have seen improved results. Staff is currently reviewing the ambulance deployment plan to determine what, if any changes can be made to ensure ambulance availability in the community during peak times of emergency department offload delays. It is anticipated that these plans will reduce ambulance offload delays and staff will continue to monitor, and work with health care partners in addressing system needs. FINANCIAL IMPLICATIONS All costs associated with the provision of Lambton Emergency Medical Services are eligible for up to 50/50 provincial/municipal cost-share funding from the MOHLTC. CONSULTATIONS In preparation of this report staff consulted with Bluewater Health, Erie St. Clair Local Health Integration Network, Wallaceburg Central Ambulance Communications Centre and Cancer Care Ontario. STRATEGIC PLAN Lambton County supports a healthy and safe community that strives to improve the quality of life for its residents. Monitoring ambulance offload times and introducing new strategies which improve land ambulance services is consistent with these objectives. Information Report dated June 21, 2017 Regarding 2016-17 Amb... Page 44 of 133 AGENDA ITEM #c) 2016-17 Ambulance Offload Times (page 3) June 21, 2017 CONCLUSION Lambton EMS continues to monitor ambulance offload times and work with Bluewater Health on strategies to mitigate offload delays. This will assist to improve the availability of ambulances for the residents of the County of Lambton. Information Report dated June 21, 2017 Regarding 2016-17 Amb... Page 45 of 133 AGENDA ITEM #c) 2016-17 Ambulance Offload Times (page 4) June 21, 2017 Appendix A Emergency Department Visits by Month (May 2016 to April 2017) 6000 5000 4000 Bluewater - Norman 3000 Bluewater - CEES 2000 Chatham Kent - PGH 1000 Chatham Kent - Sydenham 0 Appendix B Emergency Department Visits Arrived by Ambulance (May 2016 to April 2017) 900 800 700 600 500 Bluewater - Norman 400 Bluewater - CEES 300 Chatham Kent - PGH 200 100 0 Information Report dated June 21, 2017 Regarding 2016-17 Amb... Page 46 of 133 AGENDA ITEM #c) 2016-17 Ambulance Offload Times (page 5) June 21, 2017 Appendix C Ambulance Offload Times (90th Percentile⃰) by Month in Minutes 60 50 Bluewater - Norman 40 Bluewater - CEES 30 Chatham Kent - PGH 20 Chatham Kent - Sydenham 10 Provincial Target Provincial Average 0 ⃰The maximum length of time in which 9 out of 10 patients that arrived by ambulance have been offloaded to hospital care. Information Report dated June 21, 2017 Regarding 2016-17 Amb... Page 47 of 133 AGENDA ITEM #d) PUBLIC HEALTH SERVICES DIVISION REPORT TO: CHAIR AND COMMITTEE MEMBERS DEPARTMENT: LAMBTON PUBLIC HEALTH Lori Lucas, Supervisor, Health Protection PREPARED BY: Chad Ikert, Manager, Health Protection Andrew Taylor, General Manager REVIEWED BY: Ronald G. Van Horne, Chief Administrative Officer MEETING DATE: June 21, 2017 INFORMATION ITEM: Healthy Community Checklist - Municipal Launch BACKGROUND Lambton County Council as a Board of Health endorsed Lambton Public Health's Strategic Plan (2014-2019) which prioritizes work in six domains. One of these domains, Healthy Environments, has a specific focus on the built environment. This priority involves collaborating with relevant sectors to ensure a healthy built environment by: a) Establishing public health perspectives and representation in the planning processes of municipalities and other stakeholders; and b) Responding to concerns about the health impacts of our built environment. The purpose of this report is to outline next steps in working to shape a healthier community. DISCUSSION In an effort to collaborate and work with municipalities and stakeholders more closely, a stakeholder survey and subsequent meeting were held to inform the development of a key message document. The result was a request for a Healthy Community Checklist. The checklist is developed and intended for use by municipal decision makers and representatives, and community stakeholders. It will help them consider where their local communities would benefit most from planning action on the built environment. The built environment is part of our physical surroundings and includes the buildings, parks, schools, road systems, and other infrastructure that we encounter in our daily lives. Our interactions with the built environment can impact our physical and mental health, safety, sense of community belonging, and the economic health of our community. Information Report dated June 21, 2017 Regarding Healthy Com... Page 48 of 133 AGENDA ITEM #d) Healthy Community Checklist - Municipal Launch (page 2) June 21, 2017 Lambton Public Health (LPH), community planners, and decision makers in municipal settings share a responsibility to shape healthier built environments and promote positive health behaviors. As part of this responsibility, LPH will begin a series of outreach activities to all municipal councils in 2017. A Healthy Community Checklist and accompanying assessment form will be presented to municipal councils. Municipal councils can then request and receive an update from their staff on the state of the built environment in their communities. The Healthy Community Checklist is a one page, interactive tool that acts as a self-assessment. It is organized into six sections: 1. The Built Environment - Where to Start? 2. Transportation Networks 3. Neighbourhood Design 4. Natural Environments 5. Food Systems, and 6. Housing Lambton Public Health will be available, if needed, for consultation and guidance to complete the checklist. This will be outlined in the launch to municipalities. A copy of the Healthy Community Checklist is attached. FINANCIAL IMPLICATIONS All activities related to this strategic initiative are funded through the approved 2017 budget. No additional funds will be required from County Council. CONSULTATIONS The development of the Healthy Community Checklist was made possible by a stakeholder survey and subsequent meeting of stakeholders willing to participate in a discussion on the built environment. This included representation from a number of municipalities across the County, planning staff and invested stakeholders. The County of Lambton's Planning and Development Services Department has participated in this strategic initiative through maintained membership on Lambton Public Health's internal Healthy Environments Strategic Plan Implementation Team. STRATEGIC PLAN The Healthy Community Checklist - Municipal Launch is consistent with the missions, principles, and values identified in the County’s strategic plan by supporting the value and importance of a healthy community. Information Report dated June 21, 2017 Regarding Healthy Com... Page 49 of 133 AGENDA ITEM #d) Healthy Community Checklist - Municipal Launch (page 3) June 21, 2017 The Healthy Community Checklist is a direct result of Lambton Public Health's Strategic Plan activities. The interaction with municipalities will ensure a healthy built environment by establishing public health perspectives and representation in the planning processes of municipalities and other stakeholders. CONCLUSION The Healthy Community Checklist will enable municipalities and LPH to work together to shape healthier communities for all Lambton County residents. Information Report dated June 21, 2017 Regarding Healthy Com... Page 50 of 133 AGENDA ITEM #d) HEALTHY Community Checklist Photo: walkable & accessible neighbourhood - Petrolia, Ontario The Built Environment at a Glance: Neighbourhood Design Transportation Networks Natural Environments Food Systems Housing Photo: paved road shoulder - Warwick, Ontario Information Report dated June 21, 2017 RegardingPage 51Healthy of 133 Com... AGENDA ITEM #d) What is the Built Environment? The Built Environment is part of our physical surroundings and includes the buildings, parks, schools, road systems, and other infrastructure that we encounter in our daily lives. • Lambton Public Health, community planners, and decision makers in municipal settings share a responsibility to shape healthier Built Environments and promote positive health behaviours. • Lambton Public Health's mission is to work with the community to assess, promote and protect health, prevent disease and injury, and advocate for healthy public policy. • Our interactions with the Built Environment can impact our physical and mental health, safety, sense of community belonging, and the economic health of our community. In our community now... 65% of Lambton County adults are classified as overweight, or obese. (Statistics Canada, Canadian Community Health Survey, 2003-2013/14) 31% of the population is projected to be age 65 or older by 2035. Lambton County is an aging community. [Population Projections (2012-2036), Ontario Ministry of Health and Long-Term Care, IntelliHealth Ontario, Date Extracted (April 25, 2014)] 92% of Lambton County residents indicated that purchasing local food was very or somewhat important. [Rapid Risk Factor Surveillance System (2014 and 2015), Lambton Public Health and Institute for Social Research, York University] Photo: road converted to a path - Bright’s Grove, Ontario Information Report dated June 21, 2017 RegardingPage 52 ofHealthy 133 Com... Information Report dated June 21, 2017 Regarding Healthy Com... HEALTHY Community Checklist Where to Start? HAVE YOU... Developed a list of people and organizations who can advise, support and facilitate a healthy community initiative? For example: • Lambton Public Health (LPH) • Local Businesses HEALTHY Transportation Networks HEALTHY Food Systems • Developers • Community Groups and Service Clubs HAVE YOU... HAVE YOU... • Senior Demographic/Groups Supported a variety of transportation modes that are Supported and provided space to grow food (agriculture or Evaluated local land-use planning policies, official plans, and convenient and safe for all ages? neighbourhood gardens)? master plans with support from LPH? Encouraged retail and commercial spaces that support active Supported access to healthy and local food? Applied a health impact assessment to any development or transportation with connections to cycling paths, trails, Supported the integration of all of the pieces of the food re-development, including roads? sidewalks or transit, if applicable? system in your municipality to enhance the environmental, Required or encouraged homes and places of employment to economic, social, and nutritional health of the community Approached LPH to support funding applications for be within a comfortable walking or biking distance of (Producing, Processing, Distributing, Accessing Food, Eating, community improvements? frequent destinations such as schools, parks, shops, and and Managing Waste)? Considered what would be the most important Built transit stops, if applicable? Supported the Sarnia-Lambton Food Charter by working in Environment aspect to improve the health of your Designed roadways and access to buildings and services as partnership for a healthy food system? community? pedestrian friendly. HEALTHY Neighbourhood Design HEALTHY Natural Environments HEALTHY Housing HAVE YOU... HAVE YOU... HAVE YOU... Encouraged mixed land-use designations in your community? Made parks and natural areas of your community accessible to Promoted affordable housing programs? all demographics, safe and connected? Adequately distributed trails, parks or recreation facilities in Regulated and enforced housing quality standards? your community? Protected and enhanced natural areas from development? Page 53 of 133 Addressed any high frequencies of tenant/resident relocation Incorporated trees and natural features into all new and Promoted or designed your community where people can or turnover? AGENDA ITEM #d) easily connect with each other and a variety of day-to-day re-developments, including road work? Designated housing within close proximity to other services services? Incorporated trees and natural features to reduce UV and away from environmental hazards? exposure, air pollution, water pollution and urban heat Encouraged the Three Cs of healthy neighbourhoods: islands? Complete, Compact and Connected? Examined hazard, safety and vandalism concerns in your community? AGENDA ITEM #d) Photo: waterfront path and park - Sarnia, Ontario Photo: Lorne C. Henderson Conservation Area - Petrolia, Ontario Photo: path next to highway - Wyoming, Ontario Contact If you would like to know more about the Built Environment and its impact on health, please contact Lambton Public Health. www.lambtonhealth.on.ca 519-383-8331 or 1-800-667-1839 160 Exmouth Street, Point Edward ON N7T 7Z6 Revised 30-May-2017 Information Report dated June 21, 2017 RegardingPage 54Healthy of 133 Com... AGENDA ITEM #e) PUBLIC HEALTH SERVICES DIVISION REPORT TO: CHAIR AND COMMITTEE MEMBERS DEPARTMENT: LAMBTON PUBLIC HEALTH PREPARED BY: Kevin Churchill, Manager, Health Promotion Andrew Taylor, General Manager REVIEWED BY: Ronald G. Van Horne, Chief Administrative Officer MEETING DATE: June 21, 2017 INFORMATION ITEM: Patch 4 Patch Program Update BACKGROUND At the Committee A.M. meeting of May 17, 2017, a report was requested from staff on the impact of the implementation of the Patch 4 Patch Fentanyl Program. As reported previously, in October 2015, local stakeholders successfully launched a Lambton Patch- for-Patch (P4P) Program in an effort to address the risks of overdose due to the use of fentanyl, a powerful synthetic opioid. Continued collaboration amongst the Sarnia Police Services, Lambton Public Health (LPH), Ontario Provincial Police, local pharmacies and physicians is working well. This report provides an update on the program to date. Partners were also asked about their experience in distributing Naloxone, a drug that can be administered to stop a potential opioid overdose. DISCUSSION Lambton Public Health reached out to our partners involved in P4P, including Police, Emergency Medical Services (EMS), and Pharmacies. The following information summarizes the responses. Pharmacies report that the program is going very well, and the majority of patients have complied with the program and understand the reason for it. Explaining the program to patients before they start a fentanyl patch prescription helps improve compliance. One pharmacy reported that a patient attempted to return counterfeit patches, which resulted in them being barred from service. A small number of patients have expressed discomfort with being prescribed fentanyl patches, as they have experienced stigma associated with fentanyl use. These patients have requested to be prescribed alternatives. One pharmacist observed that physician participation with the program has improved since the provincial "Safeguarding Our Communities" legislation was passed on October 1, 2016. The legislation requires all Ontario prescribers to participate in P4P. Information Report dated June 21, 2017 Regarding Patch 4 Pat... Page 55 of 133 AGENDA ITEM #e) Patch 4 Patch Program Update (page 2) June 21, 2017 Police report that since the introduction of the P4P program, there have not been any known overdose deaths from fentanyl within the City of Sarnia. P4P has impacted the illicit supply of fentanyl on the street. According to Detective Constable Mike Howell of Sarnia Police Services, "The program has been quite successful in drying up the diverted supply within the area, however we seem to have a number of outside regions that are still able to supply larger scale dealers with patches of which they are bringing back to the area. We are attempting to deal with them on a regular basis. The price of a 100 microgram fentanyl patch before P4P was $400 … now [the street price] is $600." The distribution of Naloxone, a drug designed to stop or prevent opioid overdose may also be a factor in reduced number of overdoses. Naloxone is now carried by Emergency Medical Services Paramedics, Police, and is available through pharmacies and Lambton Public Health. It is estimated that 150 Naloxone kits have been distributed in the community to date. FINANCIAL IMPLICATIONS None. CONSULTATIONS Sarnia Police Services, Lambton Ontario Provincial Police, Karen Riley - Ontario Pharmacy Association, Lambton Emergency Medical Services. STRATEGIC PLAN The County of Lambton Strategic Plan speaks to the value and importance of a healthy community, which encourages each resident to be an active member and to contribute to the community's well-being and future. CONCLUSION The Patch 4 Patch and Naloxone distribution initiatives are important harm reduction programs that save lives and prevent suffering in the community. However, these interventions are symptoms of a much larger problem. Addictions, opioid and substance misuse continue to affect our residents, families and service providers of Lambton County at a rate that is higher than the provincial average. Recently, both the Federal and Ontario governments have identified opioid misuse as an epidemic and Health Canada and the province issued a Joint Statement of Action to Address the Opioid Crisis in November 2016. While recent progress has been made and key community partnerships have been established, continued advocacy for appropriate treatment services and a multi-sectoral approach must remain a priority for all stakeholders. Information Report dated June 21, 2017 Regarding Patch 4 Pat... Page 56 of 133 AGENDA ITEM #a) PUBLIC HEALTH SERVICES DIVISION REPORT TO: CHAIR AND COMMITTEE MEMBERS DEPARTMENT: LAMBTON PUBLIC HEALTH Kevin Churchill, Manager, Health Promotion PREPARED BY: Becky Wellington-Horner, Health Promoter Andrew Taylor, General Manager REVIEWED BY: Ronald G. Van Horne, Chief Administrative Officer MEETING DATE: June 21, 2017 SUBJECT: Plain and Standardized Tobacco Packaging BACKGROUND Over past decades, much progress has been made to reduce smoking across Canada, and by extension, the illness and suffering caused by tobacco industry products. While federal and provincial legislation has increased protection of the public from secondhand smoke and limits the tobacco industry's use of conventional advertising of tobacco products, manufacturers continue to recruit new smokers in innovative ways such as through the design of their packages. Fortunately, the federal government plans to strengthen the regulatory framework to further protect the public by introducing plain and standardized packaging. This measure, first implemented in Australia in 2012, prevents the industry from using the pack as a promotional vehicle. With plain packs, manufacturers cannot associate their brands to positive lifestyle imagery, nor use packaging innovations to reduce the effectiveness of health warnings, like lipstick-size packs for ultra-slim cigarettes. Packaging has evolved to be a critical form of smoker recruitment. Through staff's report dated June 14, 2016 County Council supported local similar youth volunteer smoke-free advocacy as follows: #11: Arnold/Gillis: That staff be directed to arrange for the Warden and Y-CHAT volunteers to meet with MPP Bob Bailey to advocate for revision of the Film Classification Act and to share the facts about tobacco use in movies and its impact on population health. Carried. Report dated June 21, 2017 Regarding Plain and Standardized ... Page 57 of 133 AGENDA ITEM #a) Plain and Standardized Tobacco Packaging (page 2) June 21, 2017 DISCUSSION Over the past ten years, tobacco companies have regularly introduced new cigarette packages with new: colour schemes, metallic inks, additional brand variants and new brand variant names, more slogans, and descriptive text on the pack exterior and interior, innovative shapes and sizes, novel opening styles, brand colouring on the foil liner and inside the package, and have imprinted logos and branding on the cigarette itself. These innovations increase the appeal of a brand and detract from the health warning. Evidence i In independent research spanning at least two decades and multiple countries, numerous studies have suggested that plain and standardized packaging requirements reduce the appeal of tobacco packages and the products they contain, particularly among young people. For example: • A 2012 systematic review by the University of Stirling, in Scotland, identified 37 published studies demonstrating that plain and standardized tobacco packages were consistently less appealing than branded packages on features such as attractiveness, projected personality attributes (e.g. "cool" and "popular"), and even the quality of the smoking experience. Canadian studies were among those reviewed. ii • A 2014 review of 75 original articles, conducted on behalf of the Irish Department of Health, concluded that the "evidence unequivocally demonstrates that plain packaging is perceived as less attractive and less appealing, particularly among youth and young adults." The effects of plain and standardized packaging were observed in both non-smokers and smokers, including on measures of attractiveness, preference and intentions to smoke. Canadian studies were again among those reviewed.iii • A survey of close to 6,000 youth (12-17 yrs.) in Australia, found that the introduction of plain and standardized packaging, coupled with increases in health warning sizes, significantly reduced brand appeal and positive character ratings for all brands tested. This included whether brands were perceived as 'cool' or associated with perceived success.iv Plain and standardized packaging (PSP) would prohibit all promotional elements on all tobacco packaging, both exterior and interior. The brand and brand variant names would be permitted in a specific font and location, and the health warning would continue to cover 75% of the front and back. Under PSP, all tobacco packages would be in a standardized colour (olive brown) and a standardized shape and size. Evidence indicates this change will result in diminishing the appeal of a brand, increase the effectiveness of health warnings, and most importantly this will reduce tobacco use. The youth volunteers, along with the youth coordinators, in southwest region are proposing to visit their respective Members of Parliament (MPs) this summer to heighten their understanding of the issues surrounding package design and the value the proposed Report dated June 21, 2017 Regarding Plain and Standardized ... Page 58 of 133 AGENDA ITEM #a) Plain and Standardized Tobacco Packaging (page 3) June 21, 2017 legislative changes will achieve. The goal of the visit is to encourage the MP's support for the legislation. Discussion will include the situation to-date, the evidence supporting the issue, and the support work we have been doing in our local community. As well, there may be a provincial event held in Ottawa later in September. It is being developed by the PSP Provincial Coalition at which local youth may have an opportunity to attend. If the event proceeds, their role will be to advocate for the law and to meet with federal representatives to discuss the need for this law. FINANCIAL IMPLICATIONS Lambton Public Health's tobacco prevention program is supported through the funding received from the Ministry of Health and Long-Term Care for the Smoke-Free Ontario Strategy as described in the approved 2017 County budget. Funding for the opportunity to participate in a proposed provincial awareness event in Ottawa would be supported partly through the regional Tobacco Control Area Network and partly through the 100% Smoke Free Ontario Act funding already in place for Lambton Public Health. CONSULTATIONS As part of the Tobacco Prevention Strategy for the South West Region, staff from the other eight public health units has been involved in the discussion about the proposed opportunity to attend a provincial event and to meet with their local MPs. STRATEGIC PLAN This initiative supports the County's belief in healthy communities and also supports Lambton Public Health's strategic priorities of healthy children and youth development and healthy environments. CONCLUSION Youth are extremely concerned about the tens of thousands of lives cut short by the tobacco epidemic and want to show government officials there is tremendous support in favour of plain and standardized packaging. Youth Coordinators and their youth teams have been asked to bring this issue to the attention of local MPs through engagement and education. Lambton's Youth Community Health Action Team (Y-CHAT) and the Youth Coordinator are requesting support to visit our MPs office this summer to discuss the plain and standardized packaging issue. Her interest in this issue and the potential to become engaged in the campaign will be highlighted. In addition, the youth will describe how they have been involved locally, regionally and provincially and the trainings they have attended. Report dated June 21, 2017 Regarding Plain and Standardized ... Page 59 of 133 AGENDA ITEM #a) Plain and Standardized Tobacco Packaging (page 4) June 21, 2017 RECOMMENDATION That staff be directed to arrange for the volunteers of the Youth Community Health Action team (Y-CHAT) to meet with MP Marilyn Gladu to bring to her attention the issue of Plain and Standardized Packaging and the impact on health and to support the opportunity for Y-CHAT volunteers to attend the proposed provincial event in Ottawa in the fall of 2017. i Health Canada - Consultation on Plain and Standardized Packaging for Tobacco Products. May 2016. ii Moodie C, Stead M, Bauld L, McNeill A, Angus K, Hinds K, Kwan I, Thomas J, Hastings G, O'Mara-Eves A. 2012. Plain tobacco packaging: a systematic review. London: University of London, Institute of Education, Social Science Research Unit, EPPI-Centre. EPPI Report. [Cited: 2016-04-20]. Available from: http://phrc.lshtm.ac.uk/papers/PHRC_006_Final_Report.pdf iii Hammond D. 2014. Standardized packaging of tobacco products - Evidence review: Prepared on behalf of the Irish Department of Health. [Cited: 2016-04-20]. Available from: http://health.gov.ie/wp- content/uploads/2013/12/2014-Ireland-Plain-Pack-Main-Report-Final-Report-July-26.pdf iv White V, Williams T, Wakefield M. 2015. Has the introduction of plain packaging with larger graphic health warnings changed adolescents' perceptions of cigarette packs and brands? Tob Control. 24:ii42-ii49. Report dated June 21, 2017 Regarding Plain and Standardized ... Page 60 of 133 AGENDA ITEM #a) CULTURAL SERVICES DIVISION REPORT TO: CHAIR AND COMMITTEE MEMBERS DEPARTMENT: LIBRARY HEADQUARTERS Terrie Core, Administrative Services Supervisor PREPARED BY: Darlene Coke, Manager, Libraries REVIEWED BY: Andrew Meyer, Corporate Cultural Officer MEETING DATE: June 21, 2017 SUBJECT: Libraries Donations Report - January 1 to April 30, 2017 BACKGROUND The Libraries receive occasional donations of cash or goods from individual patrons and supporters, community organizations and local businesses. DISCUSSION Following are donations received for the period January 1 to April 30, 2017: $100.00 from Lorraine Shaw, Sarnia, for purchase of books for Sarnia Library $50.00 from Catholic Women's League of St. Phillips Church, Brigden, for children's programming at Petrolia Library $200.00 from Brian Nichols, Sarnia, for use of Point Edward Library $146.25 from donation boxes $836.54 from used book sales FINANCIAL IMPLICATIONS This operating revenue was included in the 2017 Budget. CONSULTATIONS None. Report dated June 21, 2017 Regarding Libraries Donations Rep... Page 61 of 133 AGENDA ITEM #a) Libraries Donations Report January 1 to April 30, 2017 (page 2) June 21, 2017 STRATEGIC PLAN The provision of library services supports the Strategic Plan's values related to the importance of a healthy community. Libraries deliver an array of cultural services that contribute to an active, learning community. CONCLUSION Not applicable. RECOMMENDATION That these donations are gratefully accepted and letters of appreciation be sent in accordance with the County's Recognition Policy. Report dated June 21, 2017 Regarding Libraries Donations Rep... Page 62 of 133 AGENDA ITEM #b) CULTURAL SERVICES DIVISION REPORT TO: CHAIR AND COMMITTEE MEMBERS DEPARTMENT: MUSEUMS PREPARED BY: Lois Gilmour, Curator/Supervisor (A) Andrew Meyer, Corporate Cultural Officer REVIEWED BY: Ronald G. Van Horne, Chief Administrative Officer MEETING DATE: June 21, 2017 Museums' Collections Management Report - May 31, 2016 - SUBJECT: April 30, 2017 BACKGROUND The Curator/Supervisor of Museums reviews donations to the Lambton Heritage Museum, the Oil Museum of Canada and the Lambton County Archives to ensure that they align with the mandate of the museum and serve to enhance the respective collections of each site. As the governing body of the Museums, Committee A.M. must review all donations offered to these Museums and approve their acceptance into the permanent collection, after consideration of the recommendations of the Curator/Supervisor. The following donations cover the period of January 1, 2017 - April 30, 2017 for the Lambton Heritage Museum and the Oil Museum of Canada, and May 31, 2016 - April 30, 2017 for the Lambton County Archives. DISCUSSION LAMBTON HERITAGE MUSEUM Items Recommended for Acceptance The History of Canada by WHP Clement - 1898 donated by Esther Miller. Collection of 43 maps depicting the draining of Lake Smith found in the Haigmeir house donated by Scott Allen Shoe making tools, spats, relay box, stereoscope with 11 military cards and woodworker's tool book from the home of Colin & Mary Young of Point Edward donated by Sally Young. Leather bound book Commemorative Biographical Record of the County of Lambton - 1906 donated by Ron Van Horne Report dated June 21, 2017 Regarding Museums' Collection Man... Page 63 of 133 AGENDA ITEM #b) Museums' Collections Management Report May 31, 2016 - April 30, 2017 (page 2) June 21, 2017 Sarnia Drama League (1948) documents -Script of "You Can't Take It With You" , April 29th and 30th, 1948 program, typewritten Property Plot with handwritten notes; postcard of the St. Clair Railway Tunnel, Callum & LeSuer button hook, Queen's Birthday Celebration ribbon from May 24, 1893, bridge token, auto promotional road map from 1962 donated by Brian Groombridge Embroidered quilt from 1950's - winner at Thedford Fair donated by Barbara Blewet State room chair from Beatty Boat donated by Tom Wheeler Collection of Land Deeds, Mortgages, etc. associated with Lot 21, Con 8 Enniskillen Twp, Lambton County. 1880-1900 donated by Ron Van Horne Postcard The Gnarled Cabin Levett's Grove, Grand Bend, postmarked 1907 donated by Paul Miller Green glass wine decanter with stopper, Book - A Museum of Early American Tools by Eric Sloane donated by Janet Bradley Maintenance Report from 1935 from George Smith for dragging work donated bay Robert Laird Photo of 1962 Cub Pack in Sarnia donated by Mark McIntyre Two quilts - unfinished crazy quilt, and paper pieced stars made by Mabel Grace Williams donated by Wanda Lawson Sunday school war memorial plaques, slide collection in wooden box, St. John's Church entrance sign, framed illustration "Our father who art in heaven" donated by Andrew Maruscak Recorded oral histories and profiles of Gord Branton, Jack Holt, Jean Schlegel, and John Russell donated by John Russell Record books, notebooks, magazines and thank you cards of North Lambton Quilters Guild Material from St. Clair Secondary School in Sarnia including football helmet, 25th anniversary sign on board, volleyball trophy, cheerleading skirt, top, and pomp oms, basketball, volleyball, track & field, and drama production shirts; various medals, pins, pennants and banners, and a large sign with the St. Clair Secondary School mission statement donated by Great Lakes Secondary School History and Memorabilia Committee Bonnet chest. 6 drawers over three (two are fake i.e. single drawers, and the third is a double). Lapped drawers and double inset panels on each side with trim. Walnut and cherry with fine maple inset escutcheons. Original walnut hardware. Turned feet. Forest provenance. Pine secondary wood. Strong Germanic influence. Never stripped. Circa 1840 donated by Ron Van Horne Fine Sheraton Chest. 4 drawers with Hepplewhite brass pulls. Folky shaped backboard. Signed and dated on Back. Wyoming/Petrolia provenance. Cherry with pine secondary wood. Double inset panels on each side with trim. Circa 1840 donated by Ron Van Horne Report dated June 21, 2017 Regarding Museums' Collection Man... Page 64 of 133 AGENDA ITEM #b) Museums' Collections Management Report May 31, 2016 - April 30, 2017 (page 3) June 21, 2017 Eight (8) gallon pottery butter churn. Welding Brantford. Beautifully decorated with full field floral decoration. Forest provenance. Circa 1880 donated by Ron Van Horne Truhenbank (bench chest). Pine. Double lidded top with original red finish and hardware. Unusual canted sides. Germanic influence. Watford provenance. Circa 1840 donated by Ron Van Horne JVD Patch Oil painting. American-descendant from Mayflower ship. Farm girl. Dated 1907 donated by Ron Van Horne J.S.Gordon water colour. "A Normandy Shrine". Husband of famous artist Hortense Gordon and art instructor donated by Ron Van Horne Ross Ellis water colour. American. Picture of Kentucky Derby winner by Canadian race horse donated by Ron Van Horne Items Purchased January 1 - December 31, 2016 WWI Battlefield Map, Identifying movements and positions of the 1st Canadian Infantry Division. Gun, Case & Accessories. John & Charles MacKenzie, Sarnia. Circa 1874 Lambton postcards of Lambton County Items Recommended for Refusal Wedding dress American School of Correspondence books Bedroom suite Baby buggy Day bed Three pulpit chairs OIL MUSEUM OF CANADA Items Recommended for Acceptance: 1956 Oil Springs calendar from Phil Morningstar, Oil Springs ON Names & Places booklet from Pam Thompson, Wyoming ON Dow memorabilia from Lambton County Archives, Wyoming ON 1962 Oil Springs voter list from Phil Morningstar, Oil Springs ON Items Recommended for Acceptance (educational/research purposes) Wooden shoe mold from Betty Lou Snetselaar, Petrolia ON Copy of Lambton County Historical Atlas from Betty Lou Snetselaar, Petrolia ON The Petroleum Handbook from Lambton County Archives, Wyoming ON Report dated June 21, 2017 Regarding Museums' Collection Man... Page 65 of 133 AGENDA ITEM #b) Museums' Collections Management Report May 31, 2016 - April 30, 2017 (page 4) June 21, 2017 Items Purchased January 1 - April 30, 2017. Stan Norris painting of Oil Springs Items Recommended for Refusal Day bed Cash Donations Other $25.00 - for Robert Cochrane Oil Heritage Fund LAMBTON COUNTY ARCHIVES Items Recommended for Acceptance May 31, 2016-December 31, 2016 Historical records from Mandaumin United Church, transferred after the church closing, Cathy Young, Wyoming. Assorted records and ledgers from the Oil Springs chapter of the International Order of Odd Fellows, Darren Morningstar, Oil Springs. Pictures of Watford high school and Brownlee, Helen Clark, Chatham. Hansen family business and tax records, Karen Hansen, Wingham. Crown Land Grant to William Douglas (1863), Dorothy Acton, Sarnia. London Evening Free Press and Canadian Observer newspaper issues, Laurine Robertson, Sarnia. Carrick family history material and "50 Hillier Reunion 1980" document, William Griffin, Sarnia. Book, Growth Company: Dow Chemical's First Century and CD, "A recent History of Dow Chemical Canada's Sarnia Site, 1993 to 2009," Victoria Shaw, Brights Grove. Records from Knox Presbyterian Church (Camlachie); OGS cemetery transcription records; genealogical information for Lang and Buchanan families; and photographs of local businesses and schools, Mary Ann Lougheed, Sarnia. Beta Sigma Phi sorority material including PC minutes, RM minutes, PBI scrapbooks, ATM minutes, Betty Cole, Sarnia. Master's thesis, "The Ipperwash Beach Walk" by Monica Virtue, Monica Virtue, Woodstock. Book, The Petrolia Spur by Tom Walter, Tom Walter, Sarnia. Books including Still Sailing On and Lead On, Oh King Eternal; booklet, "St. James' Presbyterian Church Centennial 1868-1968;" ribbon, St. Andrew's Presbyterian, Wyoming, Centennial; St. James' Presbyterian Church programs; plays including Valley Farm, Cyclone Sally and Forever True; and sheet music, Keri Symington, Sarnia. Report dated June 21, 2017 Regarding Museums' Collection Man... Page 66 of 133 AGENDA ITEM #b) Museums' Collections Management Report May 31, 2016 - April 30, 2017 (page 5) June 21, 2017 Manuscript, correspondences and typeset original sources for the book "Maxwell" by Helen Burrowes, Jo Shawyer, St. John's, Newfoundland. Diary of Lotte (McCormick) Leach, Dorothy Johnson, Petrolia. Pictures of Flickory Corners, Michigan Cemetery, Pamela Park, Sarnia. Book, Lottie's Diary of 1927 by Carol Field McKee, Carol McKee, Kitchener. Enniskillen Township 1991 International Plowing Match souvenir booklet; composition "Enniskillen Clay" by Pat Stonehouse, written for 1991 International Plowing Match; and various postcards of Lambton County, Charles Addington, London. Warwick Women's Institute scrapbook and special edition of London Free Press (50th anniversary of Women's Institutes in Ontario), Donna Willer, Watford. Framed photo of women's group in Sarnia (1900), Norman and Elizabeth Service, Exeter. A series of display posters (some shaped like military crosses) commemorating local military efforts and including pictures and information, Tom Eady, Petrolia. Catalogued library material about Lambton County; newspaper clippings; and pamphlets, Arthur McClelland, London Room, London. Local photographs, Kathy Hardy, Sarnia. Granny's Garden collection; box full of duotangs with genealogical information; St. Paul's United Church (Petrolia) annual reports; and IODE photo album, Ontario Genealogical Society Lambton Branch, Sarnia. Sarnia postcards; Canadian meat ration coins from WWII; and historical postcards, Donna and John Core, Guelph. Twilight Haven official opening booklet; Lambton Meadowview Villa official opening booklet; and a hard cover secretary's book, Isabelle Bryce Sylvester, Wyoming. Photographs of the Blue Water Bridge; and O'Driscoll genealogical information, Marilyn Palmer, Sarnia. Framed sketch of Nicholas Luckham and Margaret Graham, Barbara Luckham, Dresden. Photographs from local families including Lucas, Leach, Oakes and Cowan, Frances Dell, Sarnia. Family photographs; Myron C. Taylor ship picture; Scotland postcard; and Courtright school postcard (1921), June James, Windsor. Rough draft of "Plympton-Wyoming's Presbyterians: A Lost Heritage," William Abbot, Wyoming. Historical materials including 1934 will; 1905 marriage licence; 1881 birth certificate; 1907 marriage licence; photographs from Brights Grove; and genealogical research on the Taylor family, Ben Ross, Sarnia. Land instruments and historical documents of Lambton County, Margaret Dobrzensky, Toronto. Newspapers; photographs; yearbooks; family booklets; and correspondence, Don Carpenter, Sarnia. Book, The Armstrong Photo Album Created Over Many Years: The Armstrong, Hands, Campbells, McKinlays, McLeans by Jean and Neil Armstrong, Jean Armstrong, Petrolia. Report dated June 21, 2017 Regarding Museums' Collection Man... Page 67 of 133 AGENDA ITEM #b) Museums' Collections Management Report May 31, 2016 - April 30, 2017 (page 6) June 21, 2017 Folder containing notes from an unpublished History on the City of Sarnia by George Smith; and records relating to the Sarnia Airport and flight in Sarnia, Derek Smith, Port Huron. CD, "Parker Street United Church Baptisms, 1949 - 2009," Sheila Fennell, Sarnia. Book, The Rebels of Hastings; and book, Tracing your Ancestors in Frontenac and Lennox + Addington Counties, Sandra Monteith, Sarnia. Copies of pages from Hartley family Bible, including inscription, marriage certificate, and birth record, Beth White, Wyoming. January 1, 2017 - April 30, 2017 Petrolia Canada 1908, with the compliments of R. Stirrett Co., Thomas and Ruth Mackesy, Oil Springs. Digital files for interpretive signage, "Petrolia 150" project, Steve Loxton, Sarnia. Book, The Stott Family of Island Pond by Greg Stott, Greg Stott, Thompson, Manitoba. Book, "An Uncommon Fire" The Battle of Longwoods March 4, 1814 and book, Greater Evils: The War of 1812 in Southwestern Ontario by Glenn Stott, Glenn Stott, Arkona. Booklet, "St. Paul's United Church (2008)," estate of Noreen Williams, Petrolia. Lambton Women's Institute documents and papers; maple leaf pin; ribbons; FWIO handbook; bag and dishcloth; book, Fifty Years of Achievement, Marg Webden, Wilkesport. Book, Fifty 1942-1992 Polysar Rubber Corp and book, SCITS 75th Anniversary 1922-1997, Donna Scott, Sarnia. Photographic material possible from the family of Carlyle and Marilyn (nee Culp) Bannister, Huron County Museums, Goderich. Land instruments (approximately 25 deeds) from Sombra Township, Elizabeth Baker, Camlachie. Three photograph albums; and one lawn social poster from St. John Anglican Church, Andrew Maruscak, Wyoming (on behalf of St. John Anglican Church). History books of Sarnia and Lambton County, Mary Laun, Point Edward. Land instruments from Sombra Township; and Bradshaw Church material, Anne Randall, Point Edward. RWTO/OERO Sarnia Lambton Branch binders containing pictures, minutes of meetings, anecdotal records of retired women teachers; and plaques, Judy McLaughlin, Camlachie (on behalf of the RWTO/OERO Sarnia Lambton Branch). Photographs and newspaper articles from the Park family, Christina Sydorko, Camlachie (on behalf of the Park family). Women's Institute records that belonged to Muriel McCallum, Mona May Thompson, Brigden (on behalf of Muriel McCallum). Cogeco TV program on Oil Springs UNESCO bid, Pat McGee, Oil Springs. SS #11 Dawn graduation diploma (Mildred McGregor); Imperial Oil Memorabilia; and genealogical information on the McGregor family, Robert M. Smith, Corunna. Cassette tape containing local Petrolia song, Evelyn Ward de Roo, Petrolia. Photo book from Adanac Women's Institute, Gail Moore, Petrolia. Report dated June 21, 2017 Regarding Museums' Collection Man... Page 68 of 133 AGENDA ITEM #b) Museums' Collections Management Report May 31, 2016 - April 30, 2017 (page 7) June 21, 2017 Media associated with Isla Smith's book Country Town, Heather Sharpe, Thedford. St. Clair Secondary School 50th Reunion items (including photographs of principals and archival school records), Great Lakes Secondary School History and Memorabilia Committee. Family history related to the McGregor, Stephenson, Goodhand, Williamson, and Ingram families, Lewis McGregor, Forest. Items Recommended for Refusal Two booklets, "One Hundred Years 1866-1966" St. Andrew's Presbyterian, Wyoming. Booklet, "The Old Landmarks" (Bosanquet schools). Book, Gallimere Beach: A Place by the Lake by Maxine McBryan. Webster Dictionary Song book pages Maps Port Huron Times-Heard newspaper, 20 July 1917 Collection of Picturesque Canada issues Newspaper about municipal politics King George coronation magazine A Moment in Petrolia History "150 Years of Local News" (6 volumes) A History of Sarnia in Pictures by George Smith Items Deaccessioned Photo album books from the Sarnia Observer Negative Collection. These photo albums contained clippings from local newspapers of photographs that appeared in the papers, but because we have the original negatives in the collection they are a duplication of material. A sampling of the photo album books spanning a variety of years was kept. Cash Donations: September 1, 2016 - December 31, 2016 Donation Box: $271.00 Used Books: $380.00 Specified Donations: $1,000.00 January 1, 2017 - April 30, 2017 Donation Box: $48.00 Used Books: $52.00 Specified Donations: Nothing to report. FINANCIAL IMPLICATIONS None, artifact purchases are funded through a collections development reserve fund. Report dated June 21, 2017 Regarding Museums' Collection Man... Page 69 of 133 AGENDA ITEM #b) Museums' Collections Management Report May 31, 2016 - April 30, 2017 (page 8) June 21, 2017 CONSULTATIONS In preparing a recommendation for acceptance or refusal of a donated item, the Curator/Supervisor consults with staff regarding the respective Collections Policies for each Museum site to ensure compliance. STRATEGIC PLAN The ongoing collection and preservation of local heritage artifacts supports the Strategic Plan’s principles and values related to the importance of a healthy community which provides an array of cultural services and respects the area’s natural resources. CONCLUSION The continued support of collections development demonstrated through the generous donations received demonstrates the relevance of the museum and its services to the community. RECOMMENDATION That the Museum Department Collections Management Report be accepted and that letters of appreciation be sent in accordance with the County’s Recognition Policy. Report dated June 21, 2017 Regarding Museums' Collection Man... Page 70 of 133 AGENDA ITEM #a) ErieSt.ClairLHIN 180RiverviewDrive Cha?wam,ON N7M528 ‘w Tel:519351-5677- Fax:519351-9672 ’/ TollFree:1866231-5446 www.eriestclair1hin.on.ca Via email June 14, 2017 MEMORANDUM TOi Erie St. Clair Local Health Integration Network Long—TermCare Homes I FROM: Ralph Ganter Chief Executive Officer RE: Level-of-Care Funding Increase — Fiscal 2017/18 The Erie St. Clair Local Health Integration Network (ESC LHIN) is pleased to inform the Long—Term Care (LTC) home sector of a Level-of-Care base funding increase. The Level-of-Care funding increase is set out below and detailed in the attached Appendix A. This funding willsupport LTCH licensees in maintaining their operations to ensure residents receive quality care and services in a safe home-like environment. This investment is targeted to provide the LTCH sector with greater funding predictability and stability. Per Diem Funding Increase Effective April 1, 2017 and July 1, 2017 (Appendix A) a) Base funding increase to support resident care needs effective April 1, 2017 A 2.0% increase will be applied to the Nursing and Personal Care (NPC) and the Program and Support Services (PSS) envelopes resulting in Level-of-Care per diem increases of $1.89 to NPC and $0.19"to PS8, effective April 1, 2017 for every licensed and approved LTC home bed in operation in the ESC LHIN. This additional funding is to maintain and improve the level and quality of resident care and services. b) Supplementary Per Diem effective April 1, 2017 The supplementary NPC per diem of $0.63 provided through the High Intensity Needs Fund (HINF) will also increase by 2% effective April 1, 2017 for every licensed and approved LTC home bed in operation in the ESC LHlN. The new amount of $0.64 per diem will continue to be providedas a supplementary line under the NPC envelope. F») 1 Z”Ontario Local Health Integration Network LTCH Memo - Level-of-Care Funding Increase — Fiscal 2017/18 June 14’17 ...2, LTC 07-10-17 A memorandum from Ralph Ganter, CEO, Erie St. C... Page 71 of 133 AGENDA ITEM #a) c) Raw Food Per Diem effective July 1, 2017 Funding in the Raw Food envelope will be harmonized with the supplementary per diem, and will increase by a total of§.§_°/_o or up to $14.9M and will be non-acuity adjusted. This increase includes a new investment of 6.5% (or $12.34M) after a consolidation of the existing supplementary raw food per diem of $0.12. The investment in raw food is significantly higher than the rate of regular food inflation. This is part of an overall plan to enhance the quality of nutrition as well as support the needs of residents with special diets and ethno-cultural food requirements. The consolidated Raw Food per diem willincrease from $8.45 to $9.00 per bed per day effective July 1, 2017. d) Other Accommodation effective July 1, 2017 Overall, the funding for Other Accommodationservices will increase at the rate of 1.4% or up to $16.4M. The Other Accommodation per diem will increase from $54.52 to $55.28 per bed per day effective July 1, 2017. This increase aligns with the growth in inflation as measured by the consumer price index (CPI) to enhance the stability of accommodation services. Overall the proposed funding increases for 2017-18 will further the Ministry of Health and Long-Term Care's (Ministry) objectives: (1) to provide the LTC homes with greater funding predictability and stability; and (2) to enhance the ability of LTC homes in managing their budgets to maintain and improve overall quality of care, enhance food and accommodation services, and provide better resident experience. The LTC home Level-of-Care Per Diem Funding Summary and LTC Homes Financial Policy have been revised to reflect the April 1, 2017 per diem changes set out above respectively. The revised policy is available on the Ministry's public website at: httg://www.health.gov.on.ca/en/public/grogarms/ltc/lsaa policiesaspx Your July 2017 monthly payment willbe adjusted to reflect the new NPC, PSS and Supplementary per diem rates and will include retroactive payments for the increases made effective April 1, 2017. The new Raw Food and Other Accommodation per diem rates will be reflected in your July 2017 monthly payment. ’ Should you require any further information or clari?cation, please contact Metoo Mach, Senior Financial Policy Advisor at 416-327-3098 or by email at [email protected]. Sincerely, / Ralph Ganter Chief Executive Officer MOH/vad Attach. Appendix LTCH Memo - Level-of-Care Funding Increase — Fiscal 2017/18 June 14’17 LTC 07-10-17 A memorandum from Ralph Ganter, CEO, Erie St. C... Page 72 of 133 AGENDA ITEM #a) ErieSt.ClairLHIN Appendix A Level-of-Care LDC Perniemlncreases Nursing and Program and Raw Other Total Personal Care Support Food Accommodation lAcui Arfusted Services . Per Diem Priorto April 1,2017 . 8.33 lncreaseseffectiveApril1, 2017 2 ' 08 Residentcareneeds increase(2% on 100%of NPCIPSS} New per diem effective April 1.2017 8.33 54.52 168.71 Increases effectiveJul 1, 2017‘ 0.67 _ 0.75 1.43 New per diem effective July 1.21117 9.00 55.29 170.14 *Embeddedthe $0.12 supplementary per dieminto the rawfoodper—diemrand harmonizedthe funding increase bringing it -upto $9.00 per day in recognition ofin?ation to foodcosts, suppor?ng qualitymeals,ethno—culturalrequirements andthe increasing demandsforspecial diets. Per Diem Increases Nursing and Program and Raw Other Total Personal Care Support Food Accommodation {Non-Acuity Services Adusted Per Diem Prior to April 1.2017 0.63 0.12 0.75 Increases effectiveApril1, 2017 0.01 0.00 0.01 Supplementary per diem effective April1.2017 0.64 0.12 0.76 “Asa resultofthe HighIntensity NeedsFunding(HINF)Reformin2013,supplementaryper diemswereappliedas a supplementaryline underthe respective envelopesto addresscomplexresidents’needsandspecialdiets.E?‘ectiveApril1, 2017,the supplementary per diemfor NPCwillincrease at the samerate as residentcare needs increases. *"‘E?'ectiveJuly 1, 2017, thesupplementaryper diemforrawfoodwouldbe discontinuedas a supplementary lineand embeddedintothe raw foodper dieminstead. TotalPer Diem Rates ' Nursing and Program and Raw Other Total Personal Care Support Food Accommodation Services Total Per Diem Prior to A ril 1.2017 95.00 -9.41 8.45 54.52 167.38 Total Per Diem Effective L -.‘I1.2017 96.90 9.60 8.45 54.52 169.47 Total Per Diem Effective Jul 1.2017 96.90 9.00 9.00 55.28 170.78 .Py"> 5*Ontario LocalHealth Integration Network LTCH Memo - Level—of-CareFundin Increase — Fiscal 2017/18 June 14’17 LTC 07-10-17 A memorandum from Ralph Ganter, CEO, Erie St. C... Page 73 of 133 AGENDA ITEM #a) LONG-TERM CARE DIVISION REPORT TO: CHAIR AND COMMITTEE MEMBERS DEPARTMENT: ADMINISTRATION PREPARED BY: Jane Joris, General Manager REVIEWED BY: Ronald G. Van Horne, Chief Administrative Officer MEETING DATE: June 21, 2017 Long-Term Care Home Accommodation Charges Change - INFORMATION ITEM: Correspondence 07-02-17 BACKGROUND Long-Term Care Homes are required to provide 30 days' notice to residents of any change in accommodation rate or pricing of purchased services. Normally new accommodation rates take place July 1 each year and notice is provided to Homes in late May. Long-term care is publicly funded on a cost-shared basis with residents. The Province does not pay the full cost of long-term care and expects residents to pay a portion of their “room and board” to the long-term care home. The Province sets the amount that residents must pay the home, with an opportunity to qualify for a subsidy if a resident's basic accommodations are not affordable. Residents also pay out of pocket for any medications or other services not covered by their private insurance plans or the provincial drug benefit program. There are three types of accommodation in Long-Term Care Homes in Ontario; they are basic, semi-private and private. Since 2012 the rate is also different for "newer beds", related to structural classifications ("A" and "NEW" and older "B", "C", and "Upgraded D"). All of the long-term care beds operated by the County of Lambton are "newer beds". All three Homes are classified structurally as "A". DISCUSSION The Ministry of Health and Long-Term Care (MOHLTC) recently announced new co- payment and preferred (semi private, private) accommodation rate increases, as well as the new "evergreen" approach to rate increases going forward. Effective July 1, 2017 and going forward, increases to co-pay and preferred accommodations premiums, will be tied to the National Consumer Price Index (CPI) increase for the prior year, up to a maximum CPI increase of 2.5%. The tie to inflation was flagged by the MOHLTC last year. Information Report dated June 21, 2017 Regarding Long-Term C... Page 74 of 133 AGENDA ITEM #a) Long-Term Care Home Accommodation Charges Change (page 2) June 21, 2017 Correspondence LTC 07-02-17 Preferred rates retain the different rates for the grandparented co-horts from the various structural classifications but going forward will all receive the same CPI-based increment. The 2017 year's basic co-payment will increase by $0.33 to $58.99, reflecting the 'prior years' 1.4% CPI increase. It remains to be confirmed whether it is the prior calendar year CPI value or is a different 12 month period is being used. See attached Correspondence LTC 07-02-17 for preferred accommodation rates for accommodation level rate. FINANCIAL IMPLICATIONS There are no financial implications to the County of Lambton. Confirmed funding increases were included in the 2017 Budget. CONSULTATIONS Consultations occurred with the Administrators and Comfort Trust Clerks at all County Long-Term Care Homes. Notification was provided to residents of the Homes within the 30 day required period. STRATEGIC PLAN In keeping with the Mission Statement of the County of Lambton, the programs provided by the Long-Term Care Homes contribute to the quality of life in Lambton County, through the provision of responsive and efficient services. CONCLUSION The accommodation increases do not result in increased funding to the Homes. Preferred revenue is used to offset redevelopment and capital costs. Further information regarding revenue increases is being pursued through AdvantAge Ontario (our provincial association). Information Report dated June 21, 2017 Regarding Long-Term C... Page 75 of 133 AGENDA ITEM #a) ErieSt.ClairLHIN 180RiverviewDrive Chatham,ON N7M5Z8 Tel:519351-5677- Fax:519351-9672 TollFree:1866231-5446 www.eriestclairlhin.on.ca Via email May29,2017 'MEMORANDUM Erie St. Clair Local Health Integration Network Long-Term Care Home TO; _ Health Service Providers FROM: Ralph Ganter, Chief Executive Of?cer Erie St. Clair Local Health Integration Network RE: - Long-Term Care Home Accommodation Charges Change Effective July 1, 2017 The Erie St. Clair Local Health integration Network (ESC LHIN)is pleased to inform the Long-Term Care (LTC) home sector about the new evergreen policy approach for the annual changes to accommodation co-payment rates. On July 1, 2017, and annually thereafter, the co-payment charges residents pay for LTC home basic accommodation willincrease by the rate of inflation as measured by the National Consumer Price Index (CPI) up to a maximumof 2.5%. Based on the evergreen approach, on July 1, 2017, the basic co-payment rate will increase from $58.99 per day to $59.82 per day (or $1,819.53 per month). This is consistent with the prior year inflationary increase of 1.4%. Although this increase is applied to all LTC home beds, those residents who apply for and receive a rate reduction should not be affected because their co-payment amount is determined based on what they can afford. The 2016-17 rate reduction cycle ends on June 30, 2017. Residents are required to re-apply for a reduction in the basic co-payment rate for the 2017-18cycle, beginning on July 1, 2017. Residents who choose semi—privateor private beds are charged an additiona|_premium above the daily basic co-payment rate. Consistent with current practice, the semi—private and private accommodation rates for all LTC homes (including "A" and "NEW" and older and "Upgraded D"structuralclassifications) are indexed to a measure of inflationsimilar to the basic rate. The maximum charges for preferred accommodation for residents admitted to long-term care homes on or after July 1, 2015 willincrease by $0.35 per day. if Ontario Local Health Integration Network Information Report dated June 21, 2017 Regarding Long-Term C... Page 76 of 133 AGENDA ITEM #a) ErieSt.ClairLHIN Indexing all accommodation rate increases to the rate of inflationis consistent with feedback from LTC homes that co-payment rates need to keep pace with rising costs for meal and accommodation services. Sincerely, /Qacéz Ralph Ganter Chief Executive Officer MOH/vad Attach. 2017 Co-Pay ApplicantFactSheet 2017 Co-Pay CCAC Q&A 2017 Co—PayLTCH Bulletin l F»- 17'>Ontario Local Health Integration Network Lon —TermCare Home Accommodation Char es Chan e Effective Jul 1, 2017 2. Information Report dated June 21, 2017 Regarding Long-Term C... Page 77 of 133 AGENDA ITEM #a) FACT SHEET l"§?.§f%f.f.*é‘:.$!:“ For Applicants to Long-Term Care Homes: MAY2017 Long-Term Care Home Accommodations . . . R’ense1-gnementsausst Charges and the Rate Reductlon Program dlspomblesen francals As of July 1, 2017, the following accommodation charges apply: Type of Accommodation Daily Rate Monthly ' Long-Stay Resident: % Basic $59.82 $1,819.53 Semi-Private Residents admitted to‘newer beds on or after July 1, 2015. $72.12 $2,193.65 Residents admitted to newer beds on or after September 1, $71.09 $2,162.32 2014, but prior to July 1, 2015. - Residents admitted to newer beds on or after July 1, 2013, $70.07 $2,131.30 but prior to September 1, 2014. Residents admitted to newerbeds on or after July 1, 2012, $69.04 $2,099.97 butprior to July 1, 2013. . Residentsoccupying older beds,"or residents admitted to $68.02 $2,068.94 newer beds prior to July 1, 2012. Private Residents admitted to newer beds on or after July 1, 2015. $85.45 $2,599.11 Residents admitted to newer beds on or after September 1, $83.66 $2,544.66 2014, but prior to July 1, 2015. Residents admitted to newer beds on or after July 1, 2013, $81.86 $2,489.91 but prior to September 1, 2014. Residents admitted to newer beds on or after July 1, 2012, $80.07 $2,435.47 but prior to July 1, 2013. - Residents occupying older beds, or residents admitted to $78.27 $2,380.72 newer beds prior to July 1, 2012. Short-Stay Resident (Respite Bed) $38.72 N/A NOTE: “Newer beds” — beds classified as “NEW”or “A”according to ministry design standards. “Older beds” — beds classified as “Upgraded D”or “D”according toministry design standards ZF>OntarioPw Information Report dated June 21, 2017 Regarding Long-Term C... Page 78 of 133 AGENDA ITEM #a) Effective from July 1, 2017, the basic accommodation rate is determined using the following formula: 0 2016 basic accommodation rate x (1 + CPI Rate) = 2017 co-payment rate. [i.e., $58.99 x (1+1.4%) = $59.82] ‘ o Themonthly rate is determined by multiplying the daily rate by 30.4167. [i.e., $59.82x 30.4167 = $1,819.53] Ifyou are unable to afford these accommodationcharges, you can apply for a reduction in the charge, known as a “rate reduction”. In order to qualify for a rate reduction you must be a |ong—stayresident living in basic accommodation (including an interim bed). You will need to submit an application once you are admitted to an LTC home, but you should begin preparing now as you willneed to providedocuments such as your most recent Notice of Assessment (NOA). You should also access all income that may be available to you such as Old Age Security, Guaranteed Income Supplement and Guaranteed Annual income System. For more information on accommodation charges or the rate reduction application process, please speak to your placementcoordinator at the local Community Care Access Centre (CCAC). Should you have any additional questions, please contact: LTC Homes Action Line at 1-866-434-0144. we £F>Ontario Information Report dated June 21, 2017 Regarding Long-Term C... Page 79 of 133 AGENDA ITEM #a) Qs &As for Placement Coordinators 2017 Preferred Accommodation Premiums for Long- Term Care (LTC) Home Beds Questions andAnswers 1. How are accommodation rates increasing in 2017? Effective from July 1, 2017, annual increases to accommodation charges will be based on the rate of inflation up to a maximum of 2.5%. The applicable rate of inflation is measured by the National Consumer Price Index (CPI), as published by Statistics Canada, for the 12-month period ending on December 31 of the pnoryear As such, the basic accommodation rate was determined using the following formula: 0 Prior basic accommodation rate x (1 + CPI Rate) = 2017 co-payment rate. [ i.e., $58.99 x (1+1.4%) = $59.82] o The monthly rate is determined by multiplying the daily rateby 30.4167. [ i.e., $59.82 x 30.4167 = $1,819.53] 2. How is the ministry increasing preferred accommodation premiums? Consistent with current practice, the semi-private and private accommodation rates for all LTC homes (including “A”and “NEW”and older “C”and “Upgraded D”structural classifications) are indexed to a measure of inflation similar to the basic rate. Effective July 1, 2017, the premiums for semi-private accommodation will increase from $12.13 to $12.30 per day. Similarly, the premiums for private accommodation will increase from $25.28 to $25.63 per day. This higher rate will only apply to residents admitted to newer LTC home beds (beds with a “New” or “A”structural classification that meet the Ministry’s 1999 or 2009 design standards) on or after July 1, 2015. The preferred premium for residents in older LTC home beds, and for residents admitted to newer homes prior to July 1, 2012, will increase from $8.09 and $18.20 to $8.20 and $18.45 for semi-private and private accommodation respectively as of July 1, 2017. (Please see attached bulletin for the applicable rates based on the date of admission). 3. Why are the preferred accommodation premiums higher for Class “A” and “New” beds? Newer LTC homes generally meet the Ministry's 1999 or 2009 design standards and provide improved accessibility, updated accommodations and more home- like environments. Page 1 of 4 Information Report dated June 21, 2017 Regarding Long-Term C... Page 80 of 133 AGENDA ITEM #a) Qs &As for Placement Coordinators The higher preferred accommodation rates for newer LTC‘homes recognize the investment required to redevelop LTC homes. The increased preferred accommodation rates for newer LTC homes will encourage and support the redevelopment of older LTC homes so that all LTC residents can enjoy enhanced privacy and comfort in the newer LTC homes. The Ministry is supporting the ' redevelopment of more than 30,000 older LTC beds. 4. How can the Placement Coordinator advise prospective residents of the applicable rates for preferred accommodation? The Ministry has provided placement coordinators with a table of LTC homes and the c|ass(es) of beds offered. The higher preferred accommodation premiums are charged for “New” and-“A” class beds. T Persons who are considering choices of LTC homes should be advised of the potential rate(s) based on this table. When a bed offer is being made to prospective residents of a LTC home, the rates for the chosen accommodation type must bedisclosed (NOTE: if v applicable, residents must also be notified of pending increases to a co-payment rate if a bed offer is being made). 5. What if a long-term care home has more than one class of preferred accommodation? In some instances, a LTC home will offer more than one class of preferred accommodation. Where this is the case, a person considering their LTC choices should be informed of all applicable rates, so that they can make the best choice according to their income. The class of bed that becomes open and is offered will determine the rate ultimately charged. 6. How will the Placement Coordinator determine the applicable rate when making a placement offer? The maximum rate that can be charged is set in regulation, noted in the table below. LTC homes are now required to inform the Placement Coordinator of the structural classification of theavailable bed that has become available. Some LTC homes may have more than one type of structural classification. 7. What are the co-payment rates, as of July 1, 2017? On July 1, 2017, the accommodation charges paid by residents for Long—Term Care (LTC) home accommodation will increase as set out in the table below. Page 2 of 4 Information Report dated June 21, 2017 Regarding Long-Term C... Page 81 of 133 AGENDA ITEM #a) Qs &As for Placement Coordinators D ‘I Type of Accommodation R21:Monthly Long-Stay Resident: Basic $59.82 $1,819.53 Semi-Private Residents admitted to newer beds "on or after July 1, 2015. $72.12 $2,193.65 Residents admitted to newer beds on or after September 1, 2014, $71.09 $2,162.32 but prior to July 1, 2015. . _ Residents admitted to newer beds on or after July 1, 2013, but $70.07 $2,131.30 prior to September 1, 2014. Residents admitted to newer beds on or after July 1, 2012, but $69.04 $2,099.97 ' priorto July 1, 2013. ' Residents occupying older beds, or residents admitted to newer $68.02 $2,068.94 beds prior to July 1, 2012. Private Residents admitted to newer beds on or after July 1, 2015. $85.45 $2,599.11 Residents admitted to newer beds on orafter September 1, 2014, $83.66 $2,544.66 but prior to July 1, 2015. Residents admitted to newer beds on or after July 1, 2013, but $81.86 $2,489.91 prior to September 1, 2014. Residents admitted to newer beds on or after July 1, 2012, but $80.07 $2,435.47 prior to July 1, 2013. Residents occupying older beds, or residents admitted to newer $78.27 $2,380.72 beds prior to July 1, 2012. Short-Stay Resident (Respite Bed) $38.72 N/A NOTE: “Newer beds” — beds classified as “NEW”or “A”according to ministry design standards ’ “Older beds” — beds classified as “Upgraded D” or “D”according to ministry design standards 8. If a prospective resident is offered a bed at a home with more than one class of bed that they have chosen to be added to the waitlist for, and they do not want the bed because it is of a lesser class than they desire, is this considered a “refusal”? Page 3 of 4 Information Report dated June 21, 2017 Regarding Long-Term C... Page 82 of 133 AGENDA ITEM #a) Qs &As for Placement Coordinators Yes. placement coordinators are encouraged to review the prospective residents bed choices before the bed is offered, and provide the prospective resident with details of the structural classification/standard of the bed that is available. This willgive the prospective resident the opportunity to update their choices before a bed offer is made and thus would not be considered a refusal. The prospective resident should also be made aware of the opportunity to request a subsequent transfer to a bed that meets their original request, which could be arranged once in the home. 9. How does it benefit a prospective resident to accept a bed that does not meet their original request? Prospective residents who are offered a bed that does not meet their original request may accept the bed being offered and work with the home’s staff upon admission to apply for an internal transfer to a bed that better meets their requests. - Internal transfers may assist residents by enabling them to move into a basic accommodation bed where they would be eligible to apply for a reduced co- payment rate, or “Rate Reduction”. Page 4 of 4 Information Report dated June 21, 2017 Regarding Long-Term C... Page 83 of 133 AGENDA ITEM #a) Bulletinto Residents of Long- Ministry of Health and Long-Term Care ‘ Care Homes: Important Term MAY2017 News Regarding Long-Term Care Renseignements aussi A Home Accommodations Charges disponibles en frangais Basic Accommodation Rates On July 1, 2017, the co—payment that residents pay for basic accommodation in long-term care (LTC) homes"will increase by $0.83 per day from $58.99 per day to $59.82 per day, consistent with recent inflationary increases. This will help cover the rising costs of meals and accommodation. ' Preferred Accommodation Rates The maximum charges will also be increasing for residents admitted to newer preferred accommodation beds on or after July 1, 2017. The premium charged for semi—private accommodation will increase by $0.17 from $12.13 to $12.30 per day, and the premiumfor private accommodation willincrease by $0.35 from $25.28 to $25.63 per day. The table below provides the new rates that will apply as of July 1, 2017 to all types of accommodation based on a residents’ date of admission to the bed. Type of Accommodation 2:3:Monthly Long-Stay Resident: Basic $59.82 $1,819.53 Semi-Private Residents admitted to newer beds on or after July 1, 2015. $72.12 $2,193.65 Residents admitted to newer beds on or after September 1, 2014, $71.09 $2,162.32 but prior to July 1, 2015. Residents admitted to newer beds on or after July 1, 2013, but $70.07 $2,131.30 prior to September 1, 2014. Residents admitted to newer beds on or after July 1, 2012, but $69.04 $2,099.97 prior to July 1, 2013. Residents occupyingolder beds, or residents admitted to newer $68.02 $2,068.94 beds prior to July 1, 2012. Continued. .. l‘y__> 3”Ontario Information Report dated June 21, 2017 Regarding Long-Term C... Page 84 of 133 AGENDA ITEM #a) Private Residents admittedto newer beds on or after July 1, 2015. $85.45 $2,599.11 A Residents admitted to newer beds on or after September 1, 2014, $83.66 $2,544.66 but prior to July 1, 2015. . ' Residents admitted to newerbeds onor after July 1, 2013, but $81.86 $2,489.91 prior to September 1, 2014. J I Residents admitted to newer beds on or after July 1, 2012, but $80.07 $2,435.47 prior to July 1, 2013. ' Residents occupying older beds, or residents -admitted to newer $78.27 $2,380.72 beds prior to July 1, 2012. Short-Stay Resident (Respite Bed) . $38.72 N/A NOTE: “Newer beds” — beds classified as“NEW”or “A”according to ministry design standards “Older beds” — beds classified as “B”,“C”,“Upgraded D” or “D”according to ministry design standards Effective from July 1, 2017, the basic accommodation rate is determined using the following formula: o 2016 basic accommodation rate X (1 + CPI Rate) = 2017 co-payment rate. [i.e., $5899 x (1+1.4%) = $59.82] 0 The monthly rate is determined by multiplying the dailyrate by 30.4167. = [i.e., $59.82 x 30.4167 $1,819.53] _ Ifyou have requested a transfer from your current accommodation into a preferred accommodation bed, please call the LTC home administrator to confirm the rate that you will be required to pay. Preferred rates for semi—private and private accommodation in your current LTC home or in another LTC home may be different ifyou are offered a bed on or after July 1, 2017. If you are currently paying less than $58.99 per day because you are receiving a reduction in the basic co-payment, known as a “Rate Reduction”, then you should reapply for a rate reduction as the current rate reduction expires on June 30, 2017. Staff at your LTC home will provide you with the application form and willhelp you to submit your application to the Ministry of Health and Long-Term Care. For more information on co-payment rates or the changes to the rate reduction application process, please speak with your home’s Administrator. Should you have any additional questions, please contact: LTC Homes Action Line at 1-866-434-0144 :15; . Eff’Ontario Information Report dated June 21, 2017 Regarding Long-Term C... Page 85 of 133 AGENDA ITEM #a) Long-Term Care Division Telephone: 519-845-0801 Toll-free: 1-866-324-6912 789 Broadway Street, Box 3000 Wyoming, ON N0N 1T0 Fax: 519-845-3872 MEMO Date: June 21, 2017 To: Warden Bill Weber and Lambton County Councillors From: S. Jane Joris, General Manager cc: Carl Brown, Administrator North Lambton Lodge (The Lodge) Jeff Harvey, Administrator Lambton Meadowview Villa (The Villa) Jennifer Allison, Administrator Marshall Gowland Manor (The Manor) Re: Long-Term Care Homes' Dates of Events You are cordially invited to attend any or all of the following events occurring in our Long-Term Care Homes and meet our Residents and their family members. Resident/Family Picnics $12.00 Thursday, July 13, 2017 @ 4 pm The Manor Thursday, July 20, 2017 @ 5 pm The Lodge Thursday, Sep. 7, 2017 @ 5 pm The Villa Resident/Family Christmas Dinner $15.00 Thursday, December 7, 2017 The Villa (2 sittings - 12 pm & 5 pm) Sunday, December 10, 2017 @ 4 pm The Lodge Tuesday, December 12, 2017 @ 5 pm The Manor Please r.s.v.p. to Jan Lembke, Executive Assistant Long-Term Care Division phone: 519-845-0809 ext. 5344 email: [email protected] www.lambtononline.ca Memo dated June 21, 2017 Regarding an Invitation to Warden W... Page 86 of 133 AGENDA ITEM #b) Long-Term Care Division You are cordially invited aboard the Duc d’Orleans to recognize and thank the many volunteers from North Lambton Lodge, Lambton Meadowview Villa and Marshall Gowland Manor for their dedication and commitment throughout the past year. Date: June 29, 2017 Time: 12:30 - Boarding 1:00 - 3:00 - Cruise Location: 297 Front St. Sarnia A light lunch and refreshments will be available. Remember your sunscreen, sunglasses and hat! Please RSVP before June 10, 2017 to: Lee Ann Cloud, Community Services Supervisor Email: [email protected] Phone: 519-381-8185 Invitation to Warden Weber and Lambton County Councillors to... Page 87 of 133 CS 07-07-17 A letter from The College of Physicians and Surg... Em no__mmm9. _u: Em 2.3.; +0: mm_mn::mm_E E_.o:m: Em m< _.n<0: .392 9. muE ._._..mnmmn=:m..o« _.mnm_3o.":o3_:m:o_..m W98.92 N.33 mnu 3.3. 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Emusozm :.3o_.m £58 a _.m€:a. 98$ 39% cmmmm. m-3m._mnaqmmn Emmmm3.8.8 a_m&o=m_% <2: o?ocmq N.No3 3 m$3 8 Emzoaammu Page 92 of 133 Aac?cm_22ame AGENDA ITEM #a) zmamu >%=mmm_ qm_mE.o:m3:33” <<2_A m-3m=mgaqmmn 3o_2_m AGENDA ITEM #a) CORPORATE SERVICES DIVISION REPORT TO: CHAIR AND COMMITTEE MEMBERS DEPARTMENT: INFORMATION TECHNOLOGY PREPARED BY: Robert Wilks, Corporate Manager, Information Technology Stéphane Thiffeault, General Manager REVIEWED BY: Ronald G. Van Horne, Deputy Chief Administrative Officer MEETING DATE: June 21, 2017 SUBJECT: SWIFT Partnership Agreement BACKGROUND In an Information Report dated July 8, 2015 regarding Results of the SouthWestern Integrated Fibre Technology Project Public Meeting the following motion was passed: #9: Bradley/Napper: a) That motion #14 of the Lambton County Council 2015 Budget minutes dated March 18, 2015 be lifted from the table. b) That the requested funding be transferred to a separate reserve pending completion of the business and financial plans; c) That Council support be conditional upon confirmation of senior government funding; d) That Council support also be conditional on funds being spent on "last mile" connectivity; e) And finally, that Council have final consideration of the project, once the above noted concerns have been addressed and reported back to them by staff. Carried. Pursuant to that motion, at the April 19, 2017 Joint Lambton County Committee meeting, Councillors received presentations on the state of the Western Ontario Wardens' Caucus' SWIFT Project and broadband service across Lambton County from Geoff Hogan, Executive Director, Southwestern Integrated Fibre Technology Inc. (SWIFT) and Geoff Greening, General Manager, Brooke Telecom. The purpose of this joint meeting was to provide Council with an opportunity to voice concerns and seek clarification on the status Report dated June 21, 2017 Regarding the Southwestern Integr... Page 93 of 133 AGENDA ITEM #a) SWIFT Partnership Agreement (page 2) June 21, 2017 of the SWIFT Project as well as the perspective of one of Lambton County’s local independent telecommunications providers regarding it. These discussions made it clear that significant investments are required in Lambton County before consistent and affordable broadband internet services can be made available to all County homes, businesses, and institutions regardless of where they are located. The SWIFT Project, which is being financially supported by the Federal and Provincial governments in the amount of $180 million, has been designed to "kick start" improvements to the core infrastructure by providing financial support so that the expansion of broadband service will happen quicker than it would relying solely on market forces. SWIFT partner municipalities are now being provided with a Partnership Agreement (see Appendix "A") for their consideration and signing. These Agreements were approved by the SWIFT board and the Western Ontario Wardens Caucus (WOWC) and are intended to lay out the rights and obligations of SWIFT and partner municipalities. Partner municipalities are being asked to complete and sign these agreements as soon as is possible. Staff have endorsed and continue to endorse Southwestern Integrated Fibre Technology Project as the best mechanism to contribute towards the provision of high-speed fibre optic internet services in underserved portions of Lambton County. DISCUSSION PARTNERSHIP AGREEMENT The SWIFT Partnership Agreement was received on June 2, 2017. Staff have reviewed this document and offer the following synopsis of its salient points: Partner municipalities can expect to benefit from a multiplier of 14:1 or better on a regional basis for their investments in the development of the SWIFT Network. In other words, for every dollar invested by the County, Council can anticipate at least $14 being invested in Lambton broadband County staff will provide input into SWIFT regarding points of presence and plant locations within its territory SWIFT will provide a semi-annual reports on the status of the project in each Partner municipality The "refundable portion" of the County’s financial contributions (see chart in Partnership Agreement attached) will become available for refund or reinvestment one year after the network is operational Report dated June 21, 2017 Regarding the Southwestern Integr... Page 94 of 133 AGENDA ITEM #a) SWIFT Partnership Agreement (page 3) June 21, 2017 Once refunds become available, Council must decide 6 months before the end of each year whether to request payment or allow this amount to be reinvested. This process continues annually until the full amount of the refundable contributions have either been paid/reinvested Should the project not proceed for whatever reason any funds forwarded to SWIFT to that point will be refunded less its apportioned amount of any consulting and administrative costs incurred to the date of the refund By signing the agreement, the County of Lambton would reaffirm Council's commitment to improving broadband internet access throughout the County. It would also show that Lambton County and its Council are strong partners in this major regional economic development and sustainability initiative. Further, staff note that: SWIFT will not own the network it will create. SWIFT will also not be competing against local internet providers. In fact, these local providers can be expected to positively benefit from the investments the SWIFT Project will make in Lambton County The requirement for open access core infrastructure outside urban areas can be expected to facilitate choice and increased availability of service providers, which will greatly benefit individuals and businesses It is unlikely that a substitute for the $180 million in funding from the Federal and Provincial governments with its multiplier effect could be found if Council were to look at an initiative other than SWIFT, meaning that significantly more "core" fibre infrastructure will be built throughout Lambton County than would otherwise be possible The risk to County from investing in the SWIFT Project is reduced and mitigated by its structure as a partnership and the level of investment from the Federal and Provincial governments SWIFTs size will increase its buying power and therefore can be expected to lead to reduced operating costs ANALYSIS Staff have been told by a number of local internet providers that closing the gaps in broadband availability across Lambton Count is estimated to be a $100 million plus problem. The $10 million plus funding allocation promised under the SWIFT Partnership Agreement would reduce this gap significantly and also provides a mechanism for continued expansion via the planned Broadband Development Fund (see Appendix "A", the SWIFT Partnership Agreement). Should the County not participate in SWIFT, alternative sources would be required to replace the $10 million plus initial build funding commitment as well as continued fibre expansion. Report dated June 21, 2017 Regarding the Southwestern Integr... Page 95 of 133 AGENDA ITEM #a) SWIFT Partnership Agreement (page 4) June 21, 2017 The Partnership Agreement does not reference "last mile connectivity" and staff are acutely aware that this issue continues to be a significant concern of Council. During the past month staff have had several meetings with a number of local service providers to discuss potential options and models to expedite last mile connectivity. Even though these discussions are in an early stage, staff are optimistic that they will result in the identification of opportunities for local service providers to work in conjunction with SWIFT to expedite the fibre rollout and most importantly, how to leverage this to facilitate an acceleration in "last mile" connections in Lambton County. As of May 18, 2017 the following municipalities have signed the partnership agreement, have a motion of council to sign the agreement, or committed their funding allocation to SWIFT. Brant County Dufferin County Elgin County Essex County Grey County Oxford County Region of Waterloo Wellington County Municipality of Chatham-Ken Region of Niagara Town of Caledon Town of Orillia On May 10, 2017, the SWIFT Project officially launched its two-stage Request for Pre- Qualification (RFPQ) process which is scheduled for completion on June 30, 2017. According to SWIFT, “the location and amount of fibre-optic infrastructure built in each community will be determined by the final overall design of the project, as informed by the RFPQ process. The final proposed project design will be released through RFP in late 2017 and confirmed when respondents are selected to build out the project”. The signed Partnership Agreement is required in order for the County of Lambton’s sites to be considered in the subsequent project phases. FINANCIAL IMPLICATIONS None to current budget. Funding for the first three of the five years requested by the Western Ontario Wardens Caucus have been set aside in the County's Reserves. Should Council sign the Partnership Agreement, then final two annual payments of $202, 086 will need to be added and funded in each of the County's 2018 and 2019 budgets. Report dated June 21, 2017 Regarding the Southwestern Integr... Page 96 of 133 AGENDA ITEM #a) SWIFT Partnership Agreement (page 5) June 21, 2017 CONSULTATIONS The Chief Administrative Officer, General Manager, Corporate Services, General Manager, Finance, Facilities and Court Services, the SWIFT Project Team Members, Bluewater Regional Networks, and Brooke Telecommunications Inc. STRATEGIC PLAN Area of Effort #3: To undertake a broad-based community development initiative that enriches the quality of life and the future prospects of Lambton County by developing collaborative initiatives that respond to the following needs: Policies and strategies that support more positive and respectful urban area and rural settlement relationships, which actively work to enhance the sustainability of our rural communities. Support the availability of a range of cultural services that contribute to being a learning community, provide a balanced array of leisure opportunities and add to Lambton's ability to attract new businesses and employment opportunities. Actively pursue collaborative opportunities with our community partners, through supports, facilitations, joint ventures, and other initiatives, that contribute to the long-term growth and well-being of the Lambton community and its residents. This project supports urban and rural relations by providing unmatched fibre-based connectivity to both rural and urban areas. Having excellent connectivity in rural areas will help attract and retain both businesses as well as residents, youth in particular. CONCLUSION The SWIFT project is a collaboration among the municipalities of Southwestern Ontario and is intended to provide equal access to internet services to everyone in the region, in particular, all rural and urban areas of Lambton County. With the letting of the RFPQs on May 10, 2017 the SWIFT Project is now well underway and beginning to realize the goals of the project. By signing the partnership agreement and becoming a full member of SWIFT, Lambton County will ensure access to a share of the Provincial and Federal funding this Project has attracted. This multiplier effect will leverage Council's investment to increase open access fibre infrastructure throughout Lambton County and allow Council to influence when and where SWIFT project work will be undertaken here. Report dated June 21, 2017 Regarding the Southwestern Integr... Page 97 of 133 AGENDA ITEM #a) SWIFT Partnership Agreement (page 6) June 21, 2017 Participation in projects such as the SWIFT Project is also an important consideration in the Intelligent Community Forum (ICF) awards assessment process. RECOMMENDATION a) That the County Warden and Chief Administrative Officer be authorized to sign the Southwest Integrated Fibre Technology (SWIFT) partnership agreement. b) That the Treasurer be authorized to make payment of the year 1 - 3 contributions stipulated under this Partnership Agreement to SWIFT upon receipt of the appropriate invoice. c) That the Treasurer be directed to incorporate a provision for year 4 and 5 contributions into the County's 2018 and 2019 DRAFT Budget. Report dated June 21, 2017 Regarding the Southwestern Integr... Page 98 of 133 AGENDA ITEM #a) THIS AGREEMENT MADE THIS _____ DAY OF ______, 201__. BETWEEN: Appendix "A" [] (hereinafter referred to as the “Municipal Member”) - and - SOUTHWESTERN INTEGRATED FIBRE TECHNOLOGY INC. (hereinafter referred to as “SWIFT”) WHEREAS SWIFT, a not-for-profit, non-share capital corporation incorporated under the laws of Canada, has been formed and mandated by the Western Ontario Wardens’ Caucus (“WOWC”) to facilitate the construction and interconnection of an ultra-high- speed, open access fibre optic network (the “SWIFT Network”) throughout the regions of southwestern Ontario, Caledon and Niagara (the “Regions”); AND WHEREAS the SWIFT Network is intended to enhance the prosperity and overall well-being of communities within the Regions by subsidizing private Telecom Service Providers’ (“TSPs”) network infrastructure costs so they may provide service to residents, businesses, public service organizations, First Nations and other user groups and ultimately provide equitable access to ubiquitous fibre optic infrastructure; AND WHEREAS the SWIFT Network will be built and operated by the TSPs, owned by the TSPs (subject to any conditions of the federal and provincial funding described below), and overseen by SWIFT; AND WHEREAS the estimated initial costs of the SWIFT Network are $288 million (the “Initial Costs”), which will be funded as follows: (a) the Government of Canada and the Province of Ontario have collectively committed to fund $180 million of the Initial Costs; (b) the counties and municipalities listed on Schedule “A” hereto (including the Municipal Member) (the “Municipal Partners”) have collectively committed to fund $12,804,050 of the Initial Costs (the “Municipal Funding”) in accordance with the funding formula approved by WOWC on January 9, 2015 and set out on Schedule “A” hereto (the “Funding Formula”), a portion of which funding is refundable to each Municipal Partner as set out in the Funding Formula; 23577282.3 Report dated June 21, 2017 Regarding the Southwestern Integr... Page 99 of 133 AGENDA ITEM #a) - 2 - (c) other municipalities, including but not limited to Niagara Region, the Town of Caledon, Waterloo Region and the City of Orillia, will fund an additional minimum $5,200,000; and (d) the TSPs will fund the remaining Initial Costs; AND WHEREAS the Municipal Partners and the other funding municipalities noted above will benefit from a multiplier of 14:1 or better on a regional basis for their investments in the development of the SWIFT Network, as the total expenditures on the development of the SWIFT Network will equal at least fourteen (14) times the amount of the cumulative contribution by the Municipal Partners and other funding municipalities; AND WHEREAS in order to advance the development of the SWIFT Network, by resolution dated [], the Municipal Member has agreed to contribute to SWIFT $[] of the Municipal Funding (the “Member Contribution”), of which $[] is initially refundable to the Municipal Member in accordance with the Funding Formula and which amount shall be reduced in accordance with the terms of this Agreement (the “Refundable Portion”); AND WHEREAS in consideration for the Member Contribution (and subject to the Municipal Member contributing the full amount of the Member Contribution to SWIFT in accordance with the terms of this Agreement), SWIFT shall facilitate the construction and interconnection of the SWIFT Network, with the total expenditures on the SWIFT Network serving the Municipal Member’s territory being equal to at least four (4) times the amount of the Member Contribution; AND WHEREAS once the SWIFT Network becomes operational, a portion of the revenues of the TSPs derived from the SWIFT Network (such portion to be agreed between SWIFT and the TSPs) will be paid to SWIFT, aggregated in a Broadband Development Fund (the “BDF”), and used by SWIFT to (a) fund expansion of the SWIFT Network by the TSPs throughout the Regions and (b) repay the refundable portion of each Municipal Partner’s contribution towards the Municipal Funding; NOW THEREFORE IN CONSIDERATION OF THE PREMISES AND MUTUAL COVENANTS HEREIN CONTAINED AND OF OTHER GOOD AND VALUABLE CONSIDERATION, THE RECEIPT AND SUFFICIENCY OF WHICH ARE HEREBY ACKNOWLEDGED BY EACH PARTY, THE PARTIES HERETO DO HEREBY COVENANT AND AGREE AS FOLLOWS: 1. The Municipal Member agrees to contribute to SWIFT, for the purposes of advancing and developing the SWIFT Network, the Member Contribution. 2. The Municipal Member shall pay SWIFT the Member Contribution in annual installments, on such dates and in such amounts set out on Schedule “B” hereto, against receipt by the Municipal Member of invoices from SWIFT therefor. 23577282.3 Report dated June 21, 2017 Regarding the Southwestern Integr... Page 100 of 133 AGENDA ITEM #a) - 3 - 3. The Municipal Member acknowledges that, in order to achieve total Municipal Funding of $12,804,050, SWIFT may request that the Municipal Member and each of the other Municipal Partners proportionately increase their respective contributions towards the Municipal Funding if one or more Municipal Partners withdraws from participation in the development of the SWIFT Network or otherwise fails to contribute its share of the Municipal Funding. 4. In consideration for the Member Contribution (and subject to the Municipal Member contributing the full amount of the Member Contribution to SWIFT in accordance with the terms of this Agreement), SWIFT shall ensure that the total expenditures by SWIFT and the TSPs on developing the SWIFT Network to serve the Municipal Member’s territory equal at least four (4) times the amount of the Member Contribution. 5. The Municipal Member shall provide input and feedback to SWIFT, as requested by SWIFT from time to time, regarding the points of presence and fibre cable plant locations to be established within the Municipal Member’s territory as part of the SWIFT Network. SWIFT shall otherwise be responsible for coordinating the development of the SWIFT Network with the TSPs. 6. SWIFT shall keep the Municipal Member informed of the progress of the SWIFT Network by delivering a report to all Municipal Partners on a semi-annual basis, which report shall include financial information and information about the status of procurement, construction and operation of the SWIFT Network. 7. In respect of each fiscal year of SWIFT following the date that is twelve (12) months after the SWIFT Network commences delivering broadband services to users and generating revenues for the BDF, a portion of the net positive revenue (if any) of the BDF for such fiscal year shall be allocated to repay the refundable portion of the contributions made by the Municipal Partners towards the Municipal Funding, which amount shall be allocated proportionately among the Municipal Partners based on each Municipal Partner’s contribution towards the total Municipal Funding (the Municipal Member’s proportionate share of such amount is hereinafter referred to as its “Annual Refundable Amount”). 8. The Annual Refundable Amount shall be automatically reinvested by SWIFT to accelerate or further expand the development of the SWIFT Network unless the Municipal Member provides notice to SWIFT at least 6 months prior to the end of the relevant fiscal year that it wishes the Annual Refundable Amount for such fiscal year to be paid by SWIFT to the Municipal Member. 8.1 If the Municipal Member provides such notice in accordance with Section 8, the Annual Refundable Amount for such fiscal year shall be paid by SWIFT to the Municipal Member within 3 months following the end of the relevant fiscal year. 23577282.3 Report dated June 21, 2017 Regarding the Southwestern Integr... Page 101 of 133 AGENDA ITEM #a) - 4 - 8.2 If the Municipal Member does not provide such notice in accordance with Section 8, the Annual Refundable Amount for such fiscal year shall be reinvested by SWIFT as described above. 9. The Refundable Portion shall be reduced by the Annual Refundable Amount for each relevant fiscal year, whether such Annual Refundable Amount is paid to the Municipal Member or reinvested by SWIFT pursuant to Section 8. Once the Refundable Portion is reduced to $0, no further Annual Refundable Amounts shall be paid to the Municipal Member or reinvested by SWIFT pursuant to Section 8. 10. The Municipal Member may, at its option, exercisable by initialing where indicated on the signature page to this Agreement, irrevocably waive its right to repayment by SWIFT of all Annual Refundable Amounts and authorize SWIFT to reinvest such amounts to accelerate or further expand the development of the SWIFT Network. 11. If SWIFT, in its sole discretion, elects at any time not to proceed with the construction and interconnection of the SWIFT Network, or if SWIFT breaches any of its obligations under this Agreement, then the Municipal Member may terminate this Agreement, and in such event SWIFT shall refund to the Municipal Member the portion of the Member Contribution received by SWIFT, less (i) any Annual Refundable Amounts paid to the Municipal Member and (ii) the Municipal Member’s proportionate share of SWIFT’s administrative and consulting costs incurred to the date of such refund. 12. If the Municipal Member breaches any of its obligations under this Agreement, then SWIFT may terminate this Agreement, and in such event the Municipal Member (i) shall not be entitled to any refund of any portion of the Member Contribution paid to SWIFT and (ii) shall be liable for any unpaid portion of the Member Contribution if SWIFT has entered into one or more agreements for the development of the SWIFT Network to serve the Municipal Member’s territory in accordance with this Agreement. 13. All of the terms of this Agreement shall be binding upon and shall enure to the benefit of the parties hereto and their respective successors and assigns. 14. Time shall be of the essence herein. [Signature Page Follows.] 23577282.3 Report dated June 21, 2017 Regarding the Southwestern Integr... Page 102 of 133 AGENDA ITEM #a) IN WITNESS WHEREOF the parties hereto have caused this Agreement to be executed by their officers properly authorized in that behalf of the day and year first written above. [ ] The Municipal Member hereby irrevocably waives any right to repayment by SWIFT of all Annual Refundable Amounts and authorizes SWIFT to reinvest all such amounts to accelerate or further expand the development of the SWIFT Network. [] Per: Name: Title: Per: Name: Title: I/We have the authority to bind the Municipal Member. SOUTHWESTERN INTEGRATED FIBRE TECHNOLOGY INC. Per: Name: Title: Per: Name: Title: I/We have the authority to bind SWIFT. 23577282.3 Report dated June 21, 2017 Regarding the Southwestern Integr... Page 103 of 133 AGENDA ITEM #a) SCHEDULE “A” MUNICIPAL PARTNERS AND FUNDING FORMULA Non- refundable Refundable Cumulative Municipal Partners (based on (based on Total area and assessment) population) Grey County $463,704 $616,276 $1,079,981 Bruce County $391,429 $468,663 $860,092 Simcoe County $748,208 $1,709,065 $2,457,273 Huron County $334,579 $343,978 $678,557 Dufferin County $201,000 $334,857 $535,857 Wellington County $329,505 $550,896 $880,401 Perth County $276,906 $292,578 $569,484 Oxford County $308,291 $395,947 $704,239 Brant County $141,701 $205,284 $346,986 Norfolk County $218,275 $287,156 $505,432 Elgin County $271,459 $256,334 $527,793 Middlesex County $345,798 $438,265 $784,063 Lambton County $403,004 $607,426 $1,010,429 Municipality of Chatham-Kent $333,857 $428,583 $762,440 Essex County $398,181 $702,843 $1,101,024 $5,165,896 $7,638,153 $12,804,050 23577282.3 Report dated June 21, 2017 Regarding the Southwestern Integr... Page 104 of 133 AGENDA ITEM #a) SCHEDULE “B” AMOUNTS AND DATES OF MEMBER CONTRIBUTIONS DATE AMOUNT [Prior to December 31, 2016] $ [an amount equal to 2/5 of the Member Contribution] [Prior to December 31, 2017] $ [an amount equal to 1/5 of the Member Contribution] [Prior to December 31, 2018] $ [an amount equal to 1/5 of the Member Contribution] [Prior to December 31, 2019] $ [an amount equal to 1/5 of the Member Contribution] Total Member Contribution $ [] 23577282.3 Report dated June 21, 2017 Regarding the Southwestern Integr... Page 105 of 133 AGENDA ITEM #a) FINANCE, FACILITIES AND COURT SERVICES DIVISION REPORT TO: CHAIR AND COMMITTEE MEMBERS DEPARTMENT: FINANCE, FACILITIES AND COURT SERVICES DIVISION PREPARED BY: John R. Innes, BA(ACS), CPA, CA, General Manager REVIEWED BY: Ronald G. Van Horne, Chief Administrative Officer MEETING DATE: June 21, 2017 SUBJECT: 2017 Tax Capping BACKGROUND The County and its local Municipalities are required to complete the preparation of a "Frozen Tax Listing" (FTL) each year. Finalization of the FTL is required in order to determine what amount of tax every property in the Multi-Residential, Commercial and Industrial property classes will pay for 2017. Accordingly, the FTL must be produced and finalized before local Municipalities can issue their final tax billings to the subject properties. DISCUSSION The issues and complications again facing the County and its local Municipalities in the preparation of this year's FTL are routine. However, the complications inherent in this process mean that the information necessary for production of the FTL cannot be verified and finalized until after Council breaks for its summer hiatus. Staff's ability to complete the process and prepare the By-Law necessary for Council to formally approve its 2017 Capping "Claw-Back" rates cannot happen before Council meets September 6th following its summer break. This in turn creates a complication in that it is normal practice for many local Municipalities to issue their final tax bills during the summer and determination of which properties should receive capping protection must be known for this to occur. Fortunately, the deadline for passing By-Laws setting capping parameters and "retention rates" is December 31st of each year. Therefore, the issue here is simply whether it is appropriate for local Municipalities to issue tax bills based on claw-back rates that have not yet been formally approved by County Council. It has become County practice to address this contingency by requesting Council to pass a resolution authorizing staff to complete the process of finalizing the FTL and setting "retention rates" for the capped property classes within appropriate parameters set by it pending passage of the By-Law. Report dated June 21, 2017 Regarding 2017 Tax Capping. Page 106 of 133 AGENDA ITEM #a) 2017 Tax Capping (page 2) June 21, 2017 In this way, local Treasurers and their Councils have direction from County Council regarding the issuance of final 2017 property tax bills in advance of the formal By-Law being approved. It has also become common practice between the County and local Municipalities that no tax bills are produced until staff have completed the full "Capping" exercise and all parties agree that the appropriate parameters have been established. FINANCIAL IMPLICATIONS Delaying the issuing of final property tax bills by local Municipalities would impact their cash flows. This could result in them needing to draw on operating lines of credit or in extreme circumstances, delay necessary purchases. Ensuring that they can issue tax bills as soon as the capping process has been concluded and the appropriate retention rates calculated, even should the empowering By-Law not yet be in place, mitigates this risk. CONSULTATIONS Finance, Facilities and Court Services staff, local Municipal staff and Municipal Tax Advisory Group staff as well as the Municipal Act, 2001. STRATEGIC PLAN Not applicable. CONCLUSION The County may limit tax decreases (i.e. establish "claw-back" rates) for a taxation year pursuant to the Municipal Act, 2001, s.330, as amended in order to provide for the recovery of foregone revenue resulting from the application of sections 329 and 329.1 of the Act as it applies to the multi-residential, commercial and industrial property classes. Staff has determined that the By-Law necessary to approve these limits will not be prepared prior to the date that local Municipal staff have indicated they plan to issue final tax bills for 2017. Therefore, it is appropriate for County Council to provide interim direction to address this. RECOMMENDATIONS a) That pursuant to the Municipal Act, 2001, s.330, for the taxation year 2017, tax decreases for property in the multi-residential, commercial and industrial property classes shall be limited to the extent required to recover foregone revenue resulting from the application of sections 329 and 329.1 of the Act. Report dated June 21, 2017 Regarding 2017 Tax Capping. Page 107 of 133 AGENDA ITEM #a) 2017 Tax Capping (page 3) June 21, 2017 b) That the decrease limits for each property class shall not exceed 100.00 per cent. c) That in the event the adjustments required result in a tax shortfall, then any such tax shortfall shall be shared by the County and its local Municipalities in the same proportion that those Municipalities share in the taxes levied on the property class for Municipal purposes. d) That County Council shall pass a By-Law as required under the Act to ratify the decrease limits for the multi-residential, commercial and industrial property classes at the earliest opportunity once the required calculations have been finalized. Report dated June 21, 2017 Regarding 2017 Tax Capping. Page 108 of 133 Mnnmour mm.3. _<__:.mc. .E:m 9 mi N Ummn_ _sE..8.um _um..5m..m. m3 Emmmma8 m:m_.m<<_E <0: .<<_.._o_.._mm: .3uo_..m:..2% 3253 E oo2_:c__._m9.: .=.m:m8_.3m.n_o: 2 Em mm.._< ._.:m.4m3m< O:8:.o.m mmzmémq mm: 0:820 mmmumémq mmw? ._.:m..«m3m< NJ‘ AGENDA ITEM #a) SPCS 07-08-17 A memorandum from Shannon Fuller, Assistant De... Page 110 of 133 AGENDA ITEM #a) SPCS 07-08-17 A memorandum from Shannon Fuller, Assistant De... Page 111 of 133 AGENDA ITEM #a) SPCS 07-08-17 A memorandum from Shannon Fuller, Assistant De... Page 112 of 133 AGENDA ITEM #a) SOCIAL SERVICES DIVISION REPORT TO: CHAIR AND COMMITTEE MEMBERS DEPARTMENT: SOCIAL PLANNING AND CHILDREN'S SERVICES PREPARED BY: Doug Ball, Manager Margaret Roushorne, General Manager REVIEWED BY: Ronald G. Van Horne, Chief Administrative Officer MEETING DATE: June 21, 2017 Community Homelessness Prevention Initiative (CHPI) INFORMATION ITEM: Pilot Projects - Update BACKGROUND At the January 20, 2016 Committee P.M. meeting staff was directed to enter into agreements with community service providers for the purpose of implementing four Community Homelessness Prevention Initiative (CHPI ) pilot projects with the following motion: #20: MacDougall/Case: a) That Lambton County Council endorse the proposed Community Homelessness Prevention Initiative Pilot Projects developed by the community working groups and that approval be provided to expend the $1,027,463 in 100% provincial Community Homelessness Prevention Initiative funding in each of the next two years for these projects. b) That staff be provided with the authority to enter into the necessary partnership and funding agreements related to the Community Homelessness Initiative Pilot Projects with the four lead agencies identified. Carried. DISCUSSION The following is an update on the status and results of the CHPI pilots during the first year. Each pilot ramped up their initiative/program over the spring and summer of 2016 with official launch dates occurring at different times. Information Report dated June 21, 2017 Regarding Community H... Page 113 of 133 AGENDA ITEM #a) Community Homelessness Prevention Initiative June 21, 2017 (CHPI) Pilot Projects - Update (page 2) Seniors Homelessness Pilot The purpose of the Seniors Pilot is to increase the number of subsidized Rest and Retirement Home beds in Sarnia-Lambton for those seniors who are experiencing homelessness (at risk of being homeless, or are homeless) that require the supports provided in a rest home but do not qualify/require the level of supports provided in a long- term-care facility. In addition, this pilot aims to alleviate the financial strain on the health care system by providing more appropriate housing to those eligible patients who are in Alternative Level of Care (ALC) beds in hospital. Lambton Elderly Outreach (LEO) is the lead agency for this pilot project with Community Care Access Centre (CCAC) and Bluewater Health being key partners. The first year of the pilot has concluded and the project continues to grow. Currently there are six retirement home partners who have signed Memorandums of Understanding with LEO. There are 24 individuals participating in the pilot, including 13 females and 11 males with an average age of 73. All of the individuals are unattached (widowed, separated, etc.) and 16 have reported disabilities. Additionally, five came from direct homelessness situations, eight from ALC beds in hospital and the rest from community agency referrals. Individual outcomes indicate that 85% of the participants did not feel safe in their housing situation prior to participating in the pilot. Specifically 71% felt their housing was unstable, 86% indicated their housing was temporary and 79% indicated their housing was physically unsafe. After being involved in the pilot, 100% of the participants have reported feeling very safe in their housing, with 100% reporting their housing situation has improved and 100% feel satisfied with their ability to eat healthily, maintain their personal hygiene and enjoy meaningful social activities. Financially this initiative is achieving the goal of reducing the financial strain on the local health care system. For every ALC bed that has been freed up, there is a savings of $8550 per month to the health care system which represents the monthly cost of an ALC bed. The average cost of a pilot bed subsidy is $960 per month, which means there is a net savings to the community of $7590 per month for every ALC bed freed up. To date, this represents a projected annual savings in the community of $728,640 (8 individuals X $7590 X 12 months = $728,640). Transportation The purpose of the transportation pilot is to increase access to services and supports for some of the most vulnerable people in rural Lambton by providing transportation. A three- way partnership was formalized between North Lambton Community Health Centre (NLCHC), Lambton Elderly Outreach (LEO) and Canadian Red Cross Society (CRCS). Participants in the pilot must meet a minimum of three qualifying criteria related to current housing arrangements including quality of current housing (unstable, unhealthy, unsafe, and temporary), affordability, overall housing experience for past three years and member of vulnerable groups. Information Report dated June 21, 2017 Regarding Community H... Page 114 of 133 AGENDA ITEM #a) Community Homelessness Prevention Initiative June 21, 2017 (CHPI) Pilot Projects - Update (page 3) In the first year of the pilot, 106 individuals participated and 580 trips were provided. The reasons for the trips have included medical, wellness, professional services, food security, housing, life skills and court attendance. The participant profiles indicate that 56% of the individuals were male, 25% were youth between the ages of 15-29, 64% were persons with a disability, 73% were in receipt of social assistance and 30% lived in private market rentals. Individual outcomes indicate that 38% of the participants did not feel safe in their housing situation prior to participating in the pilot. Their assessment of the quality of their housing situation was that 71% felt their housing was unstable, 63% indicated their housing was temporary and 55% indicated their housing was physically unsafe. Overall, participants described their housing experience for the three years prior to the pilot as follows: 26% at risk of homelessness, 39% episodically homelessness, 16% felt provisionally accommodated and 13% described themselves as appropriately housed. After being in the pilot 100% of the participants have reported feeling more independent and able to get things done, 80% agreed their mental well-being had improved and 80% felt they could stay in their current housing permanently. Additional outcomes indicate that 100% of the participants feel the transportation provided is safe and reliable and they will use the service again. Mental Health & Addictions The purpose of this pilot is to provide stable housing for the hardest to house population including the chronically homeless and youth in our community with mental health and/or addiction issues. The model incorporates housing and wrap around service support with the intention of moving individuals into permanent independent living situations. There are two streams to this pilot, one being led by the Canadian Mental Health Association (CMHA) and one by River City Vineyard. The CMHA stream has 17 individuals participating of which 11 are male and six female. All 17 are in receipt of social assistance, 12 have a grade 12 diploma as their highest level of education achieved, eight came directly from the emergency shelter and three were homeless on the streets. Ten of the 17 participants are classified as youth between the ages 15-29. Individual outcomes indicate that 89% of the participants did not feel safe in their housing situation prior to participating in the pilot. Their assessment of the quality of their housing situation was that 94% felt their housing was unstable, 82% indicated their housing was temporary and 82% indicated their housing was physically unsafe. Overall participants described their housing experience for the three years prior to the pilot as follows: 6% at risk of homelessness, 53% episodically homelessness, 41% described themselves as chronically homeless. Following participation in the pilot, there have been no episodes of homelessness for 100% of the individuals participating in the CMHA stream. There was also increased engagement of participants with the community (schooling, volunteering, YMCA activities) and an 80% decrease in emergency room visits compared to the year preceding the launch of the pilot. Information Report dated June 21, 2017 Regarding Community H... Page 115 of 133 AGENDA ITEM #a) Community Homelessness Prevention Initiative June 21, 2017 (CHPI) Pilot Projects - Update (page 4) The River City stream has 30 individuals housed with eight being youth between the ages of 15-29. Of the 30 participants, 67% were homeless prior to starting the pilot and 47% indicated they did not feel safe in the housing situation they were in. Since being involved in the pilot 44% of the participants have moved forward along the Housing Continuum and 56% reported their housing situation has improved. Community Service Navigation The purpose of this pilot is to increase navigation and guidance for people accessing services designed to prevent or manage homelessness. The North Lambton Community Health Centre (NLCHC) is the lead agency for this pilot. The staff person, known as the Connector, works with various service agencies throughout Lambton County and essentially connects the dots between service organizations to increase service planning, continuity and follow through for the individual. The first year of the pilot saw 111 individuals participating in the program, of which 62% were female, 42% were youth between the ages 15-29 and 45% were in private market rentals. Individual outcomes indicate that 49% of the participants did not feel safe in their housing situation prior to participating in the program. Their assessment of the quality of their housing situation was that 72% felt their housing was unstable, 86% indicated their housing was temporary and 50% indicated their housing was physically unsafe. Overall, participants described their housing experience for the three years preceding the pilot as follows: 26% at risk of homelessness, 22% episodically homelessness, 19% provisionally accommodated and 26% described themselves as appropriately housed. After involvement in the pilot, 57% of participants felt safe in their current housing and 64% reported that their housing situation had improved. Twenty-nine percent (29%) of participants had their issues resolved completely through the assistance of the Connector. FINANCIAL IMPLICATIONS There is no impact to the County budget as a result of this report. CONSULTATIONS Consultations were conducted with the Executive Directors of the Canadian Mental Health Association, the Canadian Red Cross, River City Vineyard, North Lambton Community Health Centre and Lambton Elderly Outreach as well as the General Manager, Social Services. Information Report dated June 21, 2017 Regarding Community H... Page 116 of 133 AGENDA ITEM #a) Community Homelessness Prevention Initiative June 21, 2017 (CHPI) Pilot Projects - Update (page 5) STRATEGIC PLAN The above projects support the goal of providing an enhanced quality of life through the provision of responsive and efficient services as indicated in the County of Lambton Mission Statement. CONCLUSION The County of Lambton Housing and Homelessness Plan provides the needed platform for establishing priorities and focusing planning efforts for CHPI investments. The pilot projects address all three key strategies identified in the Housing and Homelessness Plan. As well, the four pilots address the Provincial Government's poverty reduction strategy of focusing on the four key areas of youth homelessness, aboriginal homelessness, chronic homelessness and homelessness following transitions from provincial institutions such as hospitals. Staff continue to follow the progress and results of the pilots and will provide additional updates in the future. Information Report dated June 21, 2017 Regarding Community H... Page 117 of 133 AGENDA ITEM #b) SOCIAL SERVICES DIVISION REPORT TO: CHAIR AND COMMITTEE MEMBERS DEPARTMENT: SOCIAL PLANNING AND CHILDREN'S SERVICES PREPARED BY: Doug Ball, Manager Margaret Roushorne, General Manager REVIEWED BY: Ronald G. Van Horne, Chief Administrative Officer MEETING DATE: June 21, 2017 Integrated Plan for Attraction, Settlement and Retention of INFORMATION ITEM: Newcomers - Update BACKGROUND The Syrian Refugee Report provided to Committee P.M. at the February 17, 2016 meeting noted the Chief Administrative Officer of the County, the President and Chief Executive Officer (CEO) of Lambton College, the President and CEO of South West YMCAs and the General Manager, Sarnia-Lambton Economic Partnership had identified the need for strategic leadership and oversight for the portfolio which includes attraction, settlement and retention for newcomers/refugees. At the March 2, 2016 Lambton County Council meeting a report outlining a project proposal for Council's consideration from this multi-agency senior leadership team was presented and Council endorsed the following motion: #10: Bradley/McGugan: a) That the County of Lambton commit to the development and implementation of a coordinated and structured plan for the attraction, settlement and retention of newcomers across the County. b) That approval be provided to the Social Services Division to recruit a Project Manager on a time limited basis for a period of up to two years, at an estimated annual cost of $125,000, to develop and implement the coordinated and structured plan which addresses the attraction, settlement and retention of newcomers in the community. c) That County of Lambton staff be directed to work collaboratively with community partners and leaders in the development of said plan and report back to County Council on a regular basis regarding deliverables and measurable outcomes. Information Report dated June 21, 2017 Regarding Integrated ... Page 118 of 133 AGENDA ITEM #b) Integrated Plan for Attraction, Settlement (page 2) June 21, 2017 And Retention of Newcomers - Update d) That the funding needed to facilitate the project be incorporated into the Social Planning and Program Support Budget, and specifically that the 2016 Social Planning and Program Support Budget be increased by $62,500 gross/$39,062 net. Lambton County Council (Open Session) – March 2, 2016. e) That the motion be referred to the Budget Meeting on March 16, 2016 for Lambton County Council consideration. Carried. The following report provides an update on activities undertaken during the first year. DISCUSSION Project Scope and Recruitment The project scope, which became part of the Project Manager job description, includes the following: • Clearly define the objectives and priorities for a community based integrated plan to address attraction, settlement and retention through comprehensive input sessions and priority setting exercises. • Establish a shared accountability framework across sectors to move the priorities forward including Local Immigration Partnership, Lambton College, Sarnia Lambton Economic Development, YMCA Settlement Services and Social Services. • The framework would be used to identify the outputs/outcomes of each agency/program as it relates to the community objectives and the necessary reporting requirements. • Identify recommendations which may be needed to move the plan forward as it relates to bridging gaps or removing barriers to achieving objectives. • Provide a roadmap to sustainability through funding opportunities that the community partners would be eligible to obtain and utilize in order to advance the objectives. • Provide a comprehensive report which outlines what other communities are achieving that is identified through site visits, interviews and research, and outlines what has the potential to work/not work for Lambton County as it relates to the identified priorities (example: possible Cross Cultural Community Centre). • Commence the implementation of the community based integrated plan, working with community partners to achieve the desired objectives and measure the impact of the collective effort. • Ensure that all of the work aligns with the County of Lambton Strategic Plan and its mission, vision and values. Information Report dated June 21, 2017 Regarding Integrated ... Page 119 of 133 AGENDA ITEM #b) Integrated Plan for Attraction, Settlement (page 3) June 21, 2017 And Retention of Newcomers - Update Following County recruitment policy and procedures, the hiring process occurred over the months of May and June 2016 with the successful candidate Wale Aderoju starting his contract on July 18, 2017. Steering Committee Terms of Reference Terms of Reference were developed and approved by the Steering Committee which includes the Chief Administrative Officer (CAO) County of Lambton, President and CAO Lambton College, President and CAO Southwest YMCAs, General Manager Sarnia Lambton Economic Partnership, Executive Director Inn of the Good Shepherd and General Manager Social Services (Appendix 1). Quarterly meetings at minimum, emails and phone calls have been utilized to maintain communication and keep the project on track. Initial Research The first year has been dedicated to research and the identification of the current landscape related to the attraction, settlement and retention of immigrants locally, provincially and nationally. A number of research methods have been and continue to be employed including individual meetings with stakeholders, agencies and employers in the sector; interviews with current and former immigrants to the community; focus groups with international students, individuals receiving settlement services supports and local cultural groups; site visits to visit best practice initiatives; and literature research. Early results of the research indicated a number of general themes have emerged regarding attraction which include: • there are attraction efforts ongoing in the community, with isolated success stories including Lambton College's attraction of international students; • immigrants that are in the community have indicated they were attracted to the area due to the "balance" in the community - good jobs plus a good place to raise a family with parks, recreation and lake front; and • the top reason for locating in the Sarnia-Lambton community has been the presence of friends, family or a large cultural group that newcomers were able to connect with. Regarding settlement or integration into the community, the general themes that have emerged include: • having easy access to and knowledge of services in the community is critical; • culturally sensitive customer service is key to enhancing the sense of belonging when seeking both immigrant specific and general services; and • having a mentor or buddy who helps you connect to and navigate through the community enhances one's experience. Themes which have emerged around the retention of those who have found their way to Sarnia-Lambton include the following: Information Report dated June 21, 2017 Regarding Integrated ... Page 120 of 133 AGENDA ITEM #b) Integrated Plan for Attraction, Settlement (page 4) June 21, 2017 And Retention of Newcomers - Update • provincial immigration laws are a barrier to retaining international students wishing to become permanent residents; • employment opportunities are critical and there needs to be a linking of services and supports for international students and newcomers; and • the more an immigrant becomes involved in the community through volunteerism or recreational activities, there is increased likelihood of a sense of community attachment and successful retention. Best Practice Research The work has been ongoing on one of the main deliverables requested by Lambton County Council, the identification of best practices for municipal immigration attraction, integration and retention and the preparation of a comprehensive report on strategies. In addition to the needed literature review, the Project Manager has attended numerous events, conducted site visits and established a network of contacts across the country. This has included attendance at forums such as the Entrepreneur and Investor Immigration Summit in Toronto, the Doing Business in New Brunswick for Aspiring Entrepreneurs sessions, the Canadian Immigration Summit in Ottawa and the Rural Employment Initiative Fair in Mississauga. Site visits were made to The Knowledge Park in Fredericton New Brunswick, the Consortium of Agencies Serving Internationally-trained Persons office in Peel and the Entrepreneurship Connections office in Toronto. The network of contacts that may prove beneficial as the project moves forward includes individuals with the Rural Employment Initiative - Newcomers Centre of Peel, Planning & Economic Development City of Hamilton; Business Incubation, Edmonton Research Park; Workforce Development London; The Hive, Business Immigrant Mentorship Program; Intercultural Business Incubator, Fredericton Chamber of Commerce; Ontario Ministry of Agriculture, Food and Rural Affairs; Ontario Ministry of Economic Development and Growth; International Student Engagement Workforce Development - Ministry of Advanced Education, Skills and Labour Newfoundland and Labrador; New Canadian Web and TV Show; as well as numerous local agency and business leaders and many current and former local immigrants. Work Plan The Steering Committee approved Work Plan (Appendix 2) centres on three main areas of focus and seven strategies. The first area of focus includes the development of the coordinated plan requested by Council for new immigrant and international student attraction, integration and retention. The second involves a review of coordinated metrics to determine whether additional information can be collected locally which aids in the implementation of plans going forward and measures the impact of work being done. The third area centres on employment connections as initial research demonstrated there may be a gap in service for newcomers and international students. Lastly, the Steering Committee has requested the identification of potential pilots which may be employed locally to further the work. Information Report dated June 21, 2017 Regarding Integrated ... Page 121 of 133 AGENDA ITEM #b) Integrated Plan for Attraction, Settlement (page 5) June 21, 2017 And Retention of Newcomers - Update Next Steps Direction from the Steering Committee is for the Project Manager to prepare a series of individual reports related to the research findings on several different topics associated with the general work plan. Work is currently underway and will continue through the summer on the development of reports related to the local attraction effort landscape; immigrant focus groups and survey findings; best practices for attraction, integration and retention; local data collection availability and best practices; and a summary of local employment opportunities, needs and linkages. Plans are underway for community forums in the fall to review the research and seek input into the development of a long term model and strategy related to immigrant attraction and retention. Future Reporting Brief updates have been provided in the Social Planning and Children's Services Work in Progress Report as research was being undertaken. As the project is approaching the community consultation phase, quarterly updates will be prepared for Committee P.M. consideration including the provision of the dedicated research reports as they are finalized. FINANCIAL IMPLICATIONS There is no financial impact on the County Budget as a result of this report. CONSULTATIONS Members of the Steering Committee, Local Immigration Partnership staff, representatives of community front line agencies, sponsoring groups, local immigrants, international students, business owners, local stakeholders and members of the Local Immigration Partnership Council. STRATEGIC PLAN Lambton County's Strategic Plan recognizes the need for the community to achieve positive economic growth as a basis for a successful future. A key component is to diversify the economic base, create employment opportunities that attract new residents and support younger generations. Further, these objectives meet the Social Services mandate to provide services and supports for members of the community to improve income and employment outcomes. Information Report dated June 21, 2017 Regarding Integrated ... Page 122 of 133 AGENDA ITEM #b) Integrated Plan for Attraction, Settlement (page 6) June 21, 2017 And Retention of Newcomers - Update CONCLUSION A strong immigration plan is essential to growing the economy. In Ontario, as in Lambton, the population is growing older, birth rates are low and workers are retiring. There is a need to consider municipal action related to attracting and retaining newcomers in concert with the Ontario and Federal Immigration Strategies. Information Report dated June 21, 2017 Regarding Integrated ... Page 123 of 133 AGENDA ITEM #b) Immigration & Newcomer Planning Project Steering Committee County of Lambton Terms of Reference (TOR) Purpose The purpose of the committee is to guide the development of a deliberate and strategic coordination plan for attraction, integration (settlement) and retention of immigrants and newcomers in order to meet common objectives which achieve growth in our population and ultimately our economy. Background Currently, the local planning and strategies are seen to be complementary, but are not coordinated with clearly defined community based priorities and measurable. At present Lambton College actively pursues international students to grow student enrollment and programming. The YMCA provides settlement services to immigrants and newcomers that promote inclusion in the community. Sarnia-Lambton Economic Partnership pursues a strategy to attract seniors, employed, entrepreneurs and retirees (SEER) and manages a Local Immigration Portal which provides an electronic gateway to our community. The County of Lambton is the community lead for the Local Immigration Partnership (LIP) that develops and implements a settlement/retention strategy for the community. All these individual organizations' strategies need an integrated and coordinated approach to improve the collective impact of investments for the community. Membership • The County of Lambton - Chief Administrative Officer (CAO) • The County of Lambton - General Manager, Social Services • Sarnia-Lambton Economic Partnership (SLEP) - General Manager • Lambton College - President and CAO • Southwest YMCAs - President and CAO • Inn of the Good Shepherd - Executive Director The County of Lambton, SLEP, Lambton College, the YMCA and the Inn of the Good Shepherd agree to be fully engaged in the project and will be core members of the Steering Committee. Information Report dated June 21, 2017 Regarding Integrated ... Page 124 of 133 AGENDA ITEM #b) Immigration & Newcomer Planning Project Steering Committee December 21, 2016 Terms of Reference (page 2) Working Group Structure With guidance from the Steering Committee, the Project Manager established a working group structure based on needs and strategies. Authority This committee is tasked with providing advice, guidance and recommendation on development and implementation of a strategic coordinated plan for attraction, integration and retention of immigrants and newcomers. Approval Process The Approval Process shall be by consensus from the Steering Committee after which any recommendation(s) with financial implications shall be put forward to Lambton County Council for final approval. Timelines The time line on the project shall be two years. Individual timelines for the agreed upon Areas of Focus shall be set as the project progresses. Meeting Frequency The Project Manager will provide quarterly updates to the Steering Committee and a semi-annual progress report to Lambton County Council. Goals/Deliverables The Project Manager is required to • Clearly define objectives and priorities for the community based integrated plan to address attraction, integration (settlement) and retention • Establish a shared accountability framework across all sectors • Identify recommendations which may be needed to move the plan forward as it relates to bridging gaps or removing barriers to achieving objectives • Provide a comprehensive report which outlines what other communities are achieving • Commence the implementation of the community based integrated plan, working with community partners to achieve the desired objectives and measure the impact of the collective effort • Ensure that all the work aligns with the County of Lambton Strategic Plan and its mission, vision and values. Information Report dated June 21, 2017 Regarding Integrated ... Page 125 of 133 AGENDA ITEM #b) Immigration & Newcomer Planning Project Work Plan New Immigrant & International Student Attraction and Retention Strategy: To develop and implement a model of attraction into the new immigrant attraction plans of various community sectors which promotes an integrated approach and which fosters community growth. A. Identify Best Practices and aspects of other immigrant attraction plans in the community and through private employers. B. Identify best practices and aspects of the current successful recruitment model of International Students by Lambton College. C. Identify Best Practices and aspects of immigrant attraction plans in other cities D. Develop an action plan to integrate the identified Best Practices into local newcomer attraction plans including a possible strategic recruitment plan for specific fields of employment to ensure a coordinated and integrated approach for our community. E. Formalize the Working Group from "D" to meet on an ongoing basis to foster better coordination and integration of the work for the attraction of newcomers and immigrants to the community. Strategy: To develop an integrated retention plan amongst various sectors in the community that fosters a greater sense of belonging and cultivates international students and new immigrants to succeed and integrate into the community. F. Identify key components which create a greater sense of belonging to a community for newcomers building on information and expertise of the Local Immigration Partnership. G. Identify current strengths and gaps in Lambton County related to the identified components. H. Research Federal funding opportunities and linkages to support this strategy overall. I. With assistance of a working group develop and implement action steps to promote identified strengths and address gaps. J. Creation of a possible "pathway program" for international students from Lambton Kent District School Board to Lambton College and to Employment. Coordinated Service Metrics Strategy: To measure the individual outcomes and collective impact of initiatives implemented in each Area of from an established baseline of data measurement. K. Determine current best practices and trends for data measurements locally, provincially and nationally for related areas of focus. L. Develop and implement data collection tools to be utilized community wide. M. Establish a time limited working group with various sector representation to develop a Memorandum of Understanding for the collection and sharing of local data related to the Steering Committee's approved recommendations. N. Collect and report on data annually. Information Report dated June 21, 2017 Regarding Integrated ... Page 126 of 133 AGENDA ITEM #b) Strategy: To evaluate existing and new initiatives related to immigrant attraction, service provision and retention. O. Assess and evaluate the current working partnership between all immigrant service providers. P. Establish individual and community outcome measurements for each strategy within the areas of focus Employment Connections Strategy: Develop and/or enhance local initiative programs that align immigrants and newcomers with employment that matches their skill set. Q. Develop and foster a coordinated and integrated approach to employment and training amongst partners including Ontario Works, Employment Ontario providers, Sarnia Lambton Economic Partnership, Lambton College, Startup Sarnia-Lambton and Sarnia- Lambton Workforce Development Board. R. Create a mentorship program that brings together internationally trained individuals with local mentors in their field to gain a better understanding of the regional job market; establish valuable networking contacts; and learn more about sector-specific language and professional practice in Canada Strategy: To attract immigrant entrepreneurs and sustain established local small business. S. Investigate and identify programs or best practices related to entrepreneur immigrant attraction and small business sustainability programs. T. Develop and implement an initiative matching program for immigrant entrepreneurs and retiring business Strategy: To develop and implement a coordinated model of recruitment in the employment sector for new immigrants. U. Identify best practices and aspects of the current successful recruitment model of International Students by Lambton College. V. Identify Best Practices and aspects of other immigrant attraction plans in the community and private employers. W. Identify Best Practices and aspects of other immigrant attraction plans in other cities X. Develop an action plan to integrate the identified Best Practices which includes a strategic recruitment plan for specific fields of employment to ensure a coordinated and integrated approach for our community. Y. Formalize a Working Group to meet on an ongoing basis ensuring better coordinated work in an integrated fashion for the attraction of newcomers and immigrants to the community. Information Report dated June 21, 2017 Regarding Integrated ... Page 127 of 133 AGENDA ITEM #a) SOCIAL SERVICES DIVISION REPORT TO: CHAIR AND COMMITTEE MEMBERS DEPARTMENT: SOCIAL SERVICES DIVISION PREPARED BY: Margaret Roushorne, General Manager REVIEWED BY: Ronald G. Van Horne, Chief Administrative Officer MEETING DATE: June 21, 2017 SUBJECT: Integrated Human Services and Divisional Staffing BACKGROUND The Social Services Division is comprised of three departments: Ontario Works, Housing Services, and Social Planning and Children's Services. The programs are delivered on the basis of provincial policies, legislation and guidelines, complimented by locally developed processes. Housing Services administration is covered through a combination of levy and 100% provincial funding for targeted programs. Ontario Works, Social Planning and Children's Services receive administration allocations that are a combination of cost-shared 50:50 and 100% provincial funding. Lambton County Council at its meeting September 5, 2012 endorsed the following motion of the Committee P.M. minutes dated August 15, 2012 which governs Ontario Works caseload ratios: #11: Boushy/Foubister: a) That the Ontario Works caseload ratio of 70 to 90 cases per worker be considered an appropriate range when caseworkers are managing both income and employment support responsibilities. b) That reductions in the number of Ontario Works caseworkers be considered should the ratio fall below 70:1 for a period of three consecutive months; and that recruitment to backfill for approved leaves of absences or vacancies not proceed should the ratio fall below 80:1 for a period of three consecutive months. c) That staff continue to monitor the impacts of the blended income and employment support delivery model in Ontario Works, and report back on any changes to the recommended caseload ratios gained through additional experience with the model. Carried. Report dated June 21, 2017 Regarding Integrated Human Servic... Page 128 of 133 AGENDA ITEM #a) Integrated Human Services and Divisional Staffing (page 2) June 21, 2017 The Ministry of Community and Social Services is the lead for a cross-ministry Human Services Integration Initiative with the Ministries of Housing and Education. The Senior Divisional Management team has been meeting to consider options for moving forward with increased integration. Within each Department, there are unique service pressures as staff work under specific mandates to provide services to individuals in our community. The need to integrate approaches, planning, funding and service delivery across Departments was identified as a key tool in helping deal more effectively with complex social issues, streamline delivery and provide better service for people. The following report outlines additional resource needs that were identified during discussions. DISCUSSION A holistic view to funding, planning and implementation across the Division was taken in an effort to begin to break down program silos. This approach has identified approximately $499,700 in funding that could be invested without an increase in the annual levy requirement through the realignment and leveraging of existing and/or new provincial allocations across programs. The resource needs which are proposed can be fully funded without requiring any additional impact on the County Levy. Ontario Works Caseload information from the Ministry of Community and Social Services Policy Research and Analysis Branch shows that Lambton experienced the highest average monthly caseload increase (4.5%) in the South-West Region in 2016. In the first quarter of 2017, the average monthly caseload at 3,088 compares favorably to the prior year average of 3,113; however the March 2017 caseload at 3,103 still remains 2.9% higher than December 2016. The Research Branch has indicated that the Ontario Works Caseload is most closely tied to the Unemployment Rate. In 2016, Sarnia-Lambton's unemployment rate trended higher than the Provincial and National rates and was the highest in Economic Region 570. In the first quarter of 2017, Sarnia-Lambton's average unemployment rate at 8% continued to trend higher when compared to Economic Region 570 (6%) and the Provincial (6.3%) and National rates (6.7%). In the last several years, efforts have been made to shift the focus to employment through the integration of income and employment support roles, development and delivery of targeted in-house workshops, increased linkages to Employment Ontario providers, pilot programming such as the Habitat-Ontario Works Build and enhanced training. The implementation of the new provincial Social Assistance Management System (SAMS) technology in November 2014 drew the focus towards financial case management. Given the continued high caseload and unemployment rate, it is crucial to re-focus efforts on employment assistance and supporting people as they work to find sustainable employment now that SAMS has stabilized. Report dated June 21, 2017 Regarding Integrated Human Servic... Page 129 of 133 AGENDA ITEM #a) Integrated Human Services and Divisional Staffing (page 3) June 21, 2017 In 2012, the Department moved to an integrated income and employment support caseload model with Council approving a monthly caseload in the range of 70 to 90 cases per worker. In 2016, 35 integrated caseworkers managed an average monthly caseload of 89:1 and in the first quarter of 2017, the average monthly caseload ratio remains high at 88:1. Having the caseload ratio at the top end of the approved range makes it difficult for staff to dedicate the necessary time to support people through the steps to employment while also managing income assistance responsibilities. Staff recommends the recruitment of 3 FTE caseworkers at an annual cost of $216,000. Two caseworkers would be dedicated to managing monthly caseloads thereby reducing the average ratio to 84:1. One caseworker would be dedicated to providing caseload coverage for unexpected absences and short term leaves which occur on a regular basis so that client service is maintained. Consistent with the 2012 Council direction, staff would not recruit for vacant positions should the monthly caseload ratio fall below 80:1 for three consecutive months; and consideration would be given to reductions in staffing should the monthly caseload ratio fall below 70:1 for three consecutive months. Housing Services Community Support Workers provide advocacy and support to individuals in our community who are at risk of losing their homes. Since the inception of this program in 2007, hundreds of individuals have been assisted with maintaining their housing and gaining access to community resources. Those assisted generally have complex needs that touch the mandates of multiple organizations and deal with a wide spectrum of issues such as non-payment of rent, mental health, addiction, hoarding and lack of life skills. In 2016, three full-time Community Support Workers assisted an average of 118 individuals on a monthly basis. This represented a 19% increase over the previous year, and approximately 57% of the individuals assisted have income through Ontario Works or the Ontario Disability Support Program. The situations have become increasingly complicated, requiring a great deal of staff resources. Across the Division it has been identified that there is an increased need for these intensive supports to better support people who are in very difficult personal circumstances. Staff recommends the addition of 1 FTE Community Support Worker at an annual cost of $87,250 to allow for more intensive case management and an increase in service levels as well as help ensure assistance is provided in a timely manner. This early intervention and eviction prevention strategy is key in preserving and/or maintaining tenancies and improving the quality of life for individuals referred to the program. Human Services Integration The Divisional planning exercise identifies the value in taking an integrated, holistic approach to social programs albeit within the limited confines of provincial funding mandates and accountabilities. Report dated June 21, 2017 Regarding Integrated Human Servic... Page 130 of 133 AGENDA ITEM #a) Integrated Human Services and Divisional Staffing (page 4) June 21, 2017 On June 8, 2017, senior management staff attended a Human Services Integration Current State Mapping Session. The current state mapping provides a landscape perspective on similarities and differences that exist in the delivery and management of Ontario Works, Child Care and Housing. Once complete, this will provide the starting point and focus for further discussion and eventually the development of provincial recommendations. It is also a starting point and focus for local efforts for better integration and better services for people. Efforts have been made locally to integrate services for people. Circles, the Community Support Worker program, Municipal Residency Benefit, Habitat-Ontario Works Build and CHPI pilots are tangible examples of the benefits of integrating services to make them better for people. Administratively, the Division is well positioned to continue to explore, plan and implement additional steps along the Human Services Integration continuum. Divisional Senior Management Meetings, cross Divisional training opportunities, the colocation of programs within one facility, the implementation of a common consent to release and exchange information across programs, and the development of a shared vision that underpins the delivery of programming lay a solid foundation to move forward. Staff recommends the establishment of a time limited project team to advance Human Services Integration across the Division. The team would be comprised of 2 FTE including a Coordinator and Project Assistant at an approximate cost of $196,344 per annum for a period up to 24 months commencing this fall. The Senior Management team will develop the project scope and it is anticipated that initial efforts will be focused on intake. Integrating intake, which currently involves three phone calls to three different staff, will reduce the number of times an individual must share their story and make it easier for individuals to access service. Opportunities will be explored to consider quality of life assessment indicators to ensure that people are directed where they need service, whether that service is provided in Social Services or elsewhere in the community. It will also lend itself to the implementation of a true Housing First approach. Human Services Integration is not an exercise in reducing administration, although efficiencies will be identified, but rather rethinking and realigning roles and responsibilities to better serve people. FINANCIAL IMPLICATIONS There are no additional levy implications. The estimated $499,594 expenditures outlined for the recruitment of 3 FTE Ontario Works Caseworkers, 1 FTE Community Support Worker and the time limited 2 FTE Human Service Integration project team staff can be funded through a more integrated budgeting approach. Approximately $499,700 in funding has been identified that could be invested without an increase in the annual levy requirement through the realignment and leveraging of existing and/or new provincial allocations in Ontario Works ($404,700) and Child Care ($95,000). Report dated June 21, 2017 Regarding Integrated Human Servic... Page 131 of 133 AGENDA ITEM #a) Integrated Human Services and Divisional Staffing (page 5) June 21, 2017 CONSULTATIONS Senior Social Services Management Team, Ministry of Community and Social Services Program Supervisor, Ministry of Housing Team Lead, staff from the Human Services Integration Office, other Consolidated Municipal Services Managers and General Manager Finance, Facilities and Court Services. STRATEGIC PLAN Providing additional supports to individuals in our community is consistent with the Mission of the County of Lambton as a community dedicated to an enhanced quality of life through the provision of responsive and efficient services. CONCLUSION The Social Services Division provides a number of services for people in our community which are delivered in silos due to historical lines of business created through dedicated funding and legislative constraints. There have been efforts made to begin to break down some of the walls between programs since 2009 when housing, child care and social assistance were situated within one Division following corporate restructuring. The Division has historically managed the delivery of programming rather conservatively, underutilizing the provincial Ontario Works cost of administration subsidy envelope by approximately $1M and the provincial Child Care cost of administration maximum by $125,311. Additional provincial and levy funding made available with the 2017 and 2018 provincial allocations in Ontario Works and Child Care provide a catalyst for enhancing needed service. Through a consolidated, team approach there is the ability to meet gaps in service in Ontario Works and Housing Services while also moving forward with a dedicated human services project team. The estimated $499,594 expenditures for the recruitment of 3 FTE Ontario Works Caseworkers, 1 FTE Community Support Worker and the time limited 2 FTE Human Service Integration project team staff can be funded through a more integrated budgeting approach. Approximately $499,700 in funding has been identified that could be invested without an increase in the annual levy requirement through the realignment and leveraging of existing and/or new provincial allocations in Ontario Works ($404,700) and Child Care ($95,000). Human Services Integration is a provincial cross ministry initiative between Community and Social Services, Housing and Education. The Social Services Division is well positioned to move forward with increased integration, identifying efficiencies and realigning roles and responsibilities to provide better services for people in our community. Report dated June 21, 2017 Regarding Integrated Human Servic... Page 132 of 133 AGENDA ITEM #a) Integrated Human Services and Divisional Staffing (page 6) June 21, 2017 RECOMMENDATIONS a) That the Social Services Division be authorized to recruit 3 FTE Caseworker Ontario Works and 1 FTE Community Support Worker effective October 1, 2017 to be funded through available funding in the Ontario Works Budget. b) That the Social Services Division be authorized to recruit 2 FTE Human Services Integration Project Staff, for a period of up to two years effective October 1, 2017 to be funded through available funding in the Ontario Works and Child Care Budgets. Report dated June 21, 2017 Regarding Integrated Human Servic... Page 133 of 133