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Health Services Fiscal Year 2024 Budget Presentation Copyrighted February 27, 2023 City of Dubuque Public Hearings # 01. Special Meeting ITEM TITLE: Health Services Fiscal Year2024 Budget Presentation SUMMARY: SUGGESTED DISPOSITION: ATTACHMENTS: Description Type Policy Budget Book Supporting Documentation Presentation_Uploaded 2.27.23 Supporting Documentation Health Services -1- This page intentionally left blank. -2- HEALTH SERVICES DEPARTMENT FY 2022 FY 2023 FY 2024 From FY o23 Budget Highlights Actual Budget Requested Budget Employee Expense 533,011 660,465 726,067 9.9 % Supplies and Services 385,022 373,684 463,680 24.1 % Machinery and Equipment 1,282 5,390 30,621 468.1 % Total 919,315 1,039,539 1,220,368 17.4 % Operating Revenue 424,976 457,261 440,418 (3.7)% State Grant 8,808 8,802 8,802 — % Total 433,784 466,063 449,220 (3.6)% Property Tax Support 485,531 573,476 771,148 197,672 Percent Increase (Decrease) 34.5 % Personnel -Authorized FTE 6.14 7.14 7.14 Improvement Packaqe Summar� 1 of 9 This improvement request is for paying private contractors to mitigate nuisances where we have a court order to correct the nuisance/clean up. This will remove long standing nuisances from private property where all other avenues have been exhausted for the private property owner to do it themselves. This will allow staff to rectify and close out long-standing nuisance violations including multiple hoarding situations that take up significant staff time and cause ongoing citizen complaints. These large-scale nuisances are becoming more frequent and take time to reach a court resolution. The impact to our community will be neighborhood improvement through removal of health and nuisance violations causing potential health and public safety impacts. Relationship to City Council Goals & Priorities: Vibrant Community: Healthy & Safe Related Cost: $ 40,000 Tax Funds Non-Recurring Recommend -Yes Property Tax Impact: $ 0.0157 0.16% Activity: Inspections - Food 2of9 This improvement package request is for our new Environmental Sanitarian/Preparedness employee to have their own Cooper/Atkins digital thermometer with micro needle and a Fluke infrared thermometer to use during routine food service inspections. These thermometers are used for the majority of inspections to determine safe temperature levels of various foods. The Cooper/Atkins digital thermometer and Fluke infrared thermometer will allow the Environmental Sanitarian to properly take food temperatures during retail food inspections to determine if temperature abuse is taking place that could lead to a food borne illness outbreak. This will contribute to City Council goals: Vibrant Community: Healthy and Safe. Partnership for a Better Dubuque: Building our Community that is Viable, Livable, and Equitable. Working with our local restaurants to achieve the highest standards of food safety in our community. -3- Related Cost: $ 700 Tax Funds Non-Recurring Recommend -Yes Property Tax Impact: $ 0.0003 —% Activity: Inspections - Food 3of9 This improvement level request is for a new office chair for an Animal Control Officer. The existing chair, which is an older, used chair, has non-working components, and does not support correct posture.A new, ergonomically-correct chair will reduce postural stress on back, neck and shoulders, and can increase productivity and reduce work injuries. This will promote health and proper ergonomics. Relationship to City Council Goals & Priorities: Vibrant Community: Healthy & Safe Related Cost: $ 463 Tax Funds Non-Recurring Recommend -Yes Property Tax Impact: $ 0.0002 —% Activity: Animal Control 4 of 9 This improvement package request is for a vehicle for a Health Services Environmental Sanitarian/ Emergency Preparedness Planner position. This position was approved in the FY 2023 budget process. The additional vehicle will be used to drive to restaurants, markets, festivals and nuisance properties and conduct public health emergency preparedness response activities. This will enhance the ability to assure safe food and response to public health emergencies. Relationship to City Council Goals & Priorities: Vibrant Community: Healthy & Safe, Financially Responsible, High-Performance City Organization: Sustainable, Equitable, and Effective Service Delivery, Partnership for a Better Dubuque: Building our Community that is Viable, Livable, and Equitable Related Cost: $ 25,000 Tax Funds Non-Recurring Recommend -Yes Property Tax Impact: $ 0.0098 0.10% Activity:Administration 5 of 9 This improvement level request is to provide and replace computer equipment deployed early during the pandemic for remote working from home. This will facilitate employees working from home that have to work outside of business hours and be available outside of business hours, and to provide flexibility for an employee that requests working from home. The Account Clerk will need a laptop equipment replacement, while the Public Health Director will need additional hardware. This will ensure the ability to provide service outside of normal business hours and flexibility for employees. Relationship to City Council Goals & Priorities: Financially Responsible, High-Performance City Organization: Sustainable, Equitable, and Effective Service Delivery Related Cost: $ 3,758 Tax Funds Non-Recurring Recommend -Yes Property Tax Impact: $ 0.0015 0.02°/o Activity: Animal Control 6of9 The improvement level request is for the Environmental Sanitarian to sit for the National Environmental Health Association (NEHA) REHS/RS credential exam. Service level changes: The REHS/RS credential demonstrates competency in an impressive range of environmental health issues, directing and training personnel to respond to routine or emergency environmental situations, and providing education to their communities on environmental health concerns. This certification requires demonstration of environmental health knowledge and the ability to think critically, analyze problems and demonstrate knowledge in daily -4- operations regarding environmental health issues. In addition, REHS/RS credential holders are key members in ensuring communities are in compliance with local, state, and federal environmental health regulations. Many health departments across the country require sanitarians to acquire this credential, which acknowledges knowledge and professionalism. One of the current Environmental Sanitarians has held this credential since 1999. Many other lowa sanitarians maintain this credential as well. Relationship to City Council Goals & Priorities: Vibrant Community: Healthy & Safe, Financially Responsible, High-Performance City Organization: Sustainable, Equitable, and Effective Service Delivery, Partnership for a Better Dubuque: Building our Community that is Viable, Livable, and Equitable Networking and learning about operations in other organizations nationwide will lead to creating a more vibrant community for our citizens. Becoming more efficient in daily operations and develop creative workflows to attribute to a high-performance organization. Creating more livable communities/ neighborhoods by having better skills and new tools for code enforcement. Related Cost: $ 590 Tax Funds Non-Recurring Recommend -Yes Property Tax Impact: $ 0.0002 —% Activity: Inspections - Food 7of9 The improvement level decision package request is for an Environmental Sanitarian to attend the National Environmental Health Association Region 4 Fall Conference in Fargo, ND. Conference dates are October 17-19, 2023. Tools, resources, and new networking opportunities, and knowledge of recent trends and research in the environmental health field will be covered. The main objectives of the training are to learn about the latest practices, data, and research related to the regional NEHA affiliates practice in environmental health. 1) Create more livable communities/neighborhoods by having sharper skills and new tools for code enforcement; 2) Become more efficient in daily operations and develop creative workflows to attribute to a high-performance organization; and 3) Networking and learning about operations in other organizations region-wide will lead to creating a more vibrant and equitable community for our citizens and food service operators. Relationship to City Council Goals & Priorities Livable Neighborhoods and Housing: Great Place to Live. Related Cost: $ 1,495 Tax Funds Non-Recurring Recommend -Yes Property Tax Impact: $ 0.0006 0.01°/o Activity: Inspections - Food 8 of 9 This improvement request is for our new Environmental Sanitarian/Preparedness Planner to attend the National Environmental Health Association (NEHA) Leadership Academy. The NEHA leadership program will help support the Environmental Health profession and spearhead current issues and possible solutions in our community. This will help determine goals with timelines, communication, organize and delegate tasks. This course would benefit our organization with improved leadership and management skills, leading to a successful perFormance. This program is a 12-month program that provides the following: • Meet monthly via 4-hour virtual training modules to learn and collaborate with other leadership academy peers • Complete monthly pre-module and post-module assignments • Meet with a mentor, which may be one-on-one or as a group • Complete a year-end project, which must benefit either their organization, the community served, or the environmental health workforce The program concludes with a closing module in person at the Annual Educational Conference & Exhibition Conference out of state, the FY 2023 conference is in New Orleans, LA. The NEHA leadership program will -5- allow for the Environmental Sanitarian to enhance leadership skills and exchange ideas and experiences both formally and informally. Being an employee of the Health Services Department for less than two years, this course will assist the employee in learning the skills to develop new business contacts, relationships, and partnerships both within the leadership class and the community. This course will develop knowledge, skills, and confidence. Relationship to Council Goals & Priorities: This will contribute City Council goals: Vibrant Community: Healthy & Safe Related Cost: $ 5,119 Tax Funds Non-Recurring Recommend -Yes Property Tax Impact: $ 0.002 0.02°/o Activity: Inspections - Food 9of9 This improvement level request is for microchip implantation on dogs and cats that have been impounded at the Dubuque Regional Humane Society because they were found running loose in the community. The improvement package would cover the cost of 200 microchips plus implantation fee by the Dubuque Regional Humane Society staff and the initial registration of the microchip. All licensing and return to owner fees must be paid prior to reclaiming the animal. Microchipping a pet improves the chance of owner identification of the animal and return to the owner if it is lost or stolen.A microchip is a pet identification that cannot be tampered with. Offering this free service is an incentive for licensing pets and promotes responsible pet ownership in an equitable manner. Service Level Changes: Promoting responsible pet ownership. Relationship to City Council Goals & Priorities: Partnership for a Better Dubuque: Building Our Community that is Viable, Livable, and Equitable Related Cost: $ 5,000 Tax Funds Recurring Recommend - No Property Tax Impact: $ 0.002 0.02°/o Activity: Inspections - Food Significant Line Items Employee Expense 1. FY 2024 employee expense reflects a 5.00°/o wage package increase. 2. The lowa Public Employee Retirement System (IPERS) City contribution of 9.44% is unchanged from FY 2023 City contribution of 9.44%. The employee contribution of 6.29°/o is unchanged from FY 2023. 3. The City portion of health insurance expense is unchanged from $1,119 in FY 2023 to $1,119 in FY 2024 per month per contract which results in annual is unchanged of$—or—%. 4. Overtime expense is unchanged from $7,079 in FY 2023 to $7,079 in FY 2024. FY 2022 actual was $1,689. Supplies & Services 5. Recording Fees increased from $27,150 in FY 2023 to $28,650 in FY 2024. The FY 2022 actual was $19,347 as infractions were not being served due to the COVID-19 pandemic. The Dubuque County Sheriff s Department hand-serves municipal infraction on behalf of the Health Services Department. Beginning January 1, 2016, the court requires the $95 filing fee for municipal infractions to be paid up -6- front by the City. The Court then enters judgment, and if a defendant if found guilty, the defendant will pay a fine plus $95 in court costs and the Court will distribute the fine portion and reimburse the City for the filing fee that was paid up front by the City. If a defendant is found not guilty, the City will pay for the court costs using the $95 filing fee paid upfront instead of deducting the $95 from the City's judgments, which was the process done by the Court previous to January 1, 2016. Departments that file municipal infractions must budget the upfront filing fee and a portion of the amount is reimbursed to the department going forward. The offsetting revenue is budgeted in lowa District Court Fines and is $29,500 in FY 2024 . 6. Payments to Other Agencies increased from $203,308 in FY 2023 to $232,758 in FY 2024 due to the annual consumer price index increase on the Humane Society contract. The Consumer Price Index (CPI) dictates the Humane Society contractual increase per year.At the time of budgeting, the CPI is 8.2% over the last 12 months. The Humane Society contract has a projected FY 2024 budget of $175,932. Most of these contracted services for animal control are expenses that the City would have within its organization regardless of who provides the services. In addition, there is$50,000 budgeted for Crescent Community Health Center patient health and wellness programming operating expenses. There is also $6,826 budgeted for the Visiting Nurse Association to provide medical case management of lead poisoned children, which is funded by the lowa Department of Public Health grant. 7. Collections increased from $52,756 in FY 2023 to $55,000 in FY 2024. The FY 2022 actual was $52,040. This line item represents the amount paid to PetData Services for pet licensing. 8. Education and Training increased from $13,674 in FY 2023 to $19,949 in FY 2024. This line item represents public health and nursing continuing education ($350); National Animal Care & Control Training forAnimal Control Officers ($6,000); lowa Department of Inspections and Appeals Training for Sanitarians ($6,695); and Childhood Lead Poisoning Prevention Training and Lead and Healthy Homes Training ($1,195) which is covered by a grant. Most trainings were cancelled for FY 2021 due to the COVID-19 pandemic, so education and training for certifications will be necessary. Machinery 8� Equipment 9. Equipment replacement items include ($30,621): Health Machinery and Equipment Health Administration Smart Phone and Case $ 350 Animal Control Smart Phones and Cases (2) $ 700 Inspections Smart Phone and Case $ 350 Recommended Improvements $ 29,221 Total Equipment $ 30,621 Revenue 10. Animal Licenses revenue decreased from $262,923 in FY 2023 to $240,000 in FY 2024 The FY 2022 actual revenue was $235,189. 11. Business license revenue increased from $143,528 in FY 2023 to $146,000 in FY 2024. The FY 2022 actual revenue was $144,355. -7- 12. lowa District Court Fines increased from $27,973 in FY 2023 to $29,500 in FY 2024. The FY 2022 actual was $27,982. This revenue represents the reimbursement of the cost of Court Costs and Record Fees for municipal infractions fee paid up front by the City and then reimbursed to the City by the Court. 13. Swimming Pool Inspection revenue is unchanged from $10,000 in FY 2023 to $10,000 in FY 2024. This is based on FY 2023 budget due to a decreased number of opened pools that impacted FY 2022 actual revenue. Miscellaneous 14. The Animal Control activity is 56.7°/o self-supporting in FY 2024 versus 66.7% self-supporting in FY 2023. 15. The Inspection of Food Establishments activity is 39.4% self-supporting in FY 2024 versus 52.0% self- supporting in FY 2023. -8- � a � a � " I`.F v n ..I I ,' �: Y 1 4f L�1 � hL}T` � � � Animal Can#ral Officer[2] �� puhlic Health direekar � � — � �� � Environrnental Public Health Intern 5anitarian[3] t����� -9- HEALTH SERVICES Health Services provides an effective service to protect, maintain and promote the physical health, environmental health and well-being of the citizens of the community. SUCCESS IS ABOUT PLANNING, PARTNERSHIPS AND PEOPLE LEADING TO OUTCOMES Planning The Dubuque County Community Health Needs Assessment and Health Improvement plan is a community-wide effort to assess People the community's health needs and The Health Services Department decide how to meet them. strives to respond to conditions that affect the overall health of the The Dubuque County Health Care community in a timely manner. Preparedness Coalition is a multi- disciplinary partnership that assesses jurisdictional risk and responds cohesively to public health incidents and emergencies. ��1�N 3, ���n�iH,� G!eei}r<flcalFhyHo�nesl��ft-zT�ve �.. � �4. x; Q ��,-.` �'i`•: :;,�'p. �.:��� } �:..:''.: •.;: tZ ��� .,:?��•�l'�s�` , i c :� - ; ..n �'71 ��;�'�"/� xr ::. 'i�4� 4 Crescent Comrnunity * �/� �r`'ro�..,. �' ��613 Iy�r� � _ Partnerships Partnerships allow public health to perform its activities in an effective, efficient, and inclusive manner. Some partners include the Crescent Community Health Center, lowa Department of Public Health, Dubuque Community Schools, Dubuque Visiting Nurses Association, Dubuque County Health Department, MercyOne Dubuque, Unity Point Health/Finley Hospital, The Community Foundation of Greater Dubuque, local health care providers, and many others. -10- HEALTH SERVICES FY 2022 FY 2023 FY 2024 Full-Time Equivalent 6.14 7.14 7.14 Resources and Property Tax Support $1,000,000 $750,000 $500,000 $250,000 $0 Operating Revenue State Grant Property Tax Support � FY 2022 FY 2023 FY 2024 The Health Department is supported by 7.14 full-time equivalent employees, which accounts for 59.50% of the department expense as seen below. Overall, the departments' expenses are expected to increase by 17.40% in FY 2024 compared to FY 2023. Expenditures by Category by Fiscal Year $533,011 Employee Expense $660,465 $726,067 $385,022 Supplies and Services $373,684 $463,680 $1,282 Machinery and Equipment $5,390 $30,621 $0 $100,000$200,000$300,000$400,000$500,000$600,000$700,000$800,( � FY 2022 FY 2023 FY 2024 -11- HEALTH SERVICES Administration/Community Health Mission & Services Community Health provides assessment, assurance, and policy development to address public health problems and issues in the community. The Health Services Department works with the Dubuque County Board of Health to carry out public health essential services necessary for an effective public health system. Responsibilities include evaluating, reviewing, and updating animal, noise, nuisance, sewer, refuse, and food ordinances, polices and workflows enforced by the Health Department. Health Administration/Community Health Funding Summary FY 2022 Actual FY 2023 Budget FY 2024 Recomm'd Expenditures $317,225 $288,104 $316,940 Resources $8,928 $9,482 $8,922 Health Administration/Community Health Position Summary FY 2024 Public Health Specialist 1.00 Environmental Sanitarian Assistant Intern 0.14 Secretary 1.00 Total Full-Time Equivalent Employees 2.14 Performance Measures City Council Goal: Vibrant Community: Healthy and Safe � Dept. Objective: Ensure accessibility and quality of primary care and population-based health services. Performance Measure KPI Tar et CY 2020 CY 2021 CY 2022 Performance � � g Actual Actual Actual Indicator Crescent Community Health Center total g057 7043 8216 9248 a patients served % patients served at or below 100% of r � poverty level of total demographic in 56% 66% 43°/o 50% L Dubuque % of patients served without insurance 30°/o 53% 48% 45.5% � City Council Goal: Vibrant Community- Healthy & Safe 2 Dept. Objective: Maintain a Childhood Lead Poisoning Prevention Program % of children with elevated blood lead <1% 1% 1.1% 1.0% C�� levels City Council Goal: Partnerships for a Better Dubuque 3 Dept. Objective: Mobilize community partnerships to identify and investigate public health problems and emerging issues Annual review, maintenance and 1 section or Risk Vaccine Vaccine � demonstration (exercising)of Public Health exercise/ Communic Communic Communicatio _ Emergency Response Plan sections year ation ation n -12- HEALTH SERVICES Environmental Health Mission & Services Environmental Health promotes a safe and healthy environment by assuring sanitary conditions and practices in accordance with municipal public health and environmental ordinances, codes and regulations. Responsibilities include responding to complaints, inspecting pools, spas, tanning, and tattoo facilities, and inspecting and licensing food establishments, stands, and mobile units, while assuring compliance with codes and regulations. Food Inspection/Environmental Health Funding Summary FY 2022 Actual FY 2023 Budget FY 2024 Recomm'd Expenditures $217,798 $304,759 $416,108 Resources $156,459 $158,503 $164,024 Food Inspection/Environmental Health Position Summary FY 2024 Environmental Sanitarian 3.00 Total Full-Time Equivalent Employees 3.00 Performance Measures City Council Goal: Vibrant Community: Healthy & Safe � Dept. Objective: Assure safe and sanitary public swimming pools, spas and tattoo facilities by providing a minimum of one inspection per year within Dubuque County. Performance Measure KPI Tar et FY21 FY22 FY 2023 Performance � � g Actual Actual Estimated Indicator #of closures of public pool/spa 0 0 0 1 _ 2 Dept. Objective: All permanent and temporary food establishments, mobile food units and hotels/motels/inns are inspected and licensed through a contract with the lowa Department of Inspections&Appeals. #of new/change ownership food N/A 42 42 51 N/A establishments % of food service establishments that do Decrease by o 0 0 � not have accessible or fully stocked hand 50�0 29/0 32/0 27/o washing sink 3 Dept. Objective: Alleviate improper garbage/refuse storage and disposal and other public nuisances through code enforcement. # municipal infractions (Mls) issued for 25 *NA 22 23 _ nuisance violations. *Did not do nuisance enforcement in FY21 due to Covid -13- HEALTH SERVICES Overview Animal Control enforces the City Animal Ordinance which provides for licensing of all cats and dogs, the prohibition of dogs and cats running at-large within the city, inoculation of all dogs and cats against rabies, investigation of animal bites and assurance of proper rabies confinement, prohibition of harboring a vicious or potentially vicious animal or dangerous animal and prohibition of animals causing serious disturbance or nuisance. Animal Control Funding Summary FY 2022 Actual FY 2023 Budget FY 2024 Recomm'd Expenditures $384,291 $446,676 $487,320 Resources $268,397 $298,078 $276,274 Animal Control Position Summary FY 2024 ANIMAL CONTROL OFFICER 2.00 Total Full-Time Equivalent Employees 2.00 Performance Measures City Council Goal: Vibrant Community: Healthy 8� Safe � Dept. Objective: Respond to and abate the problems and nuisances of cats and dogs. Performance Measure KPI Tar et FY21 FY22 FY 2023 Performance � � g Actual Actual Estimated Indicator #of citations issued for violations of Animal N/A 54 46 50 N/A Control ordinance 2 Dept. Objective: Control the spread of rabies among and between animals. #of Pet Licenses sold 12,000 11,736 11,301 12,000 � #of citations for failure to license a pet 1,000 924 652 1,000 � 3 Dept. Objective: Assess and evaluate animal bites, injuries and attacks for determining potentially vicious and vicious animal declarations. #of animal bites N/A 177 200 200 N/A City Council Goal: Partnerships for a Better Dubuque 4 Dept. Objective: Provide shelter for dogs, cats and other animals without homes in Dubuque. Maintain agreement with Dubuque Improving Under Ag eem Under � Regional Humane Society Contract ent contract -14- Recommended Operating Revenue Budget - Department Total 17-HEALTH SERVICES FY21 Actual FY22 Actual FY23 Adopted FY24 Recomm'd Fund/AccounUAccount Title Revenue Revenue Budget Budget 100-General 4A-Charges for Services 41365-Refuse Permits (1,600) (875) (825) (875) 41700-Business License (137,445) (144,355) (143,528) (146,000) 41710-Tattoo Licensc (3,500) (1,780) (3,250) (3,200) 41720-Swimming Pool Insp (7,783) (5,787) (10,000) (10,000) 41800-Animal Licenses (241,314) (235,189) (262,923) (240,000) 45015-Animal Impoundment Fee (5,970) (7,110) (8,074) (8,500) 45020-Credit Card Fee 0 0 0 0 45025-Weed Cuuing Charges 0 (455) 0 � (455) 45300-Forfeitures/Penalties 0 0 0 0 45500-Miscellaneous Chg for Svcs 0 0 0 0 47100-Rcimburscmcnts (630) (394) (688) (394) 47150-Rcfunds 0 0 0 0 47700-District Court Fines (27,248) (27,982) (27,973) (29,500) 4A-Charges for Services Total (425,490) (423,927) (457,261) (438,924) 4B-Grants/Contrib 44000-Federal Grants 0 (1,049) 0 (1,494) 44400-State Grants � (6,610) (8,808) (8,802) (8,802) 4B-Grants/Contrib Total (6,610) (9,858) (8,802) (10,296) HEALTH SERVICES-Total (432,100) (433,784) (466,063) (449,220) -15- Recommended Operating Expenditure Budget - Department Total 17-HEALTH SERVICES FY21 Actual FY22 Actual FY23 Adopted FY 24 Recomm'd Fund/Account/Accouut Title Expense Expense Budget Budget 6A-Salaries&Wages 100-General 60100-Salaries-Regular Full Time 343,599 344,164 473,054 527,597 60200-Salaries-Regular Part Time 37,197 42,050 0 0 60300-Hourly Wagcs-Temp/Scasonal (79) 0 3,470 3,631 60400-Ovcrtimc 5,057 1,689 7,079 7,079 60410-Overtime-Holiday 0 0 0 0 60620-Special Pay-Holiday 0 0 1,162 919 60630-Special Pay Sick Lv Payout Ret 0 0 0 0 60635-Special Pay Sick Lv Payout 50% 1,649 1,732 � 1,649 1,649 60640-Special Pay-Vacation Payout 0 0 0 0 60720-Spec Pay-Meals No Overnight � 0 25 0 100 180-Community Devclopmcnt 60100-Salarics-Rcgular Full Time (18,379) 0 0 0 60200-Salaries-Regular Part Time (243) 0 0 0 60300-Hourly Wages-Temp/Seasonal 0 0 0 0 60400-Overtime (2,447) 0 0 0 6A-Salaries&Wages Total 366,354 389,659 486,414 540,975 6B-Employee Benefits 100-General 61100-F1CA-City Contribution 28,543 28,857 37,289 41,251 61300-IPERS-Ciry Contribution 36,642 36,998 45,861 50,906 61510-Health Insurance 81,859 71,559 85,231 85,223 61540-Life Insurance 316 242 323 323 61600-Workers'Compensation 6,211 4,902 4,847 5,596 61700-Unemployment Compensation 0 793 0 793 61992-Physicals 0 � 0 500 1,000 180-Community Development 61100-F1CA-City Contribution (1,540) 0 0 0 61300-IPERS-City Contribution (1,989) 0 0 0 61510-Health Insurance (1,935) 0 0 0 61540-Life Insurance (23) 0 0 0 61(00-Workers'Compensation 0 0 0 0 6B-Employee Benefits Total 148,084 143,351 174,051 185,092 6C-Staff Development 100-General 62100-Association Ducs 945 1,115 1,370 2,095 62200-Subscriptions 0 230 221 360 62325-Mileage 103 47 175 400 62400-Meetings&Conferences 311 3,023 11,808 12,230 62500-Education Reimbursement 992 5,582 13,674 19,949 6C-Staff Development Total 2,351 9,997 27,248 35,034 6D-Repari/Maint/Util 100-General 63312-Vchicic Ops-Gasolinc 2,246 4,184 2,994 4,800 63320-Vchicle Repair-Internal 2,436 2,273 2,485 3,219 -16- Recommended Operating Expenditure Budget - Department Total 17-HEALTH SERVICES FY21 Actual FY22 Actual FY23 Adopted FY 24 Recomm'd Fund/AccounUAccount Title Expense Expense Budget Budget 63321 -Vehicle Repair-Outsourced 83 193 1,030 1,030 63730-Telecommunications 7,188 3,661 4,534 4,067 6D-Repari/Maint/Util Total ll,952 10,311 ll,043 13,116 6E-Contractual Svcs 100-General 64015-Financial Scrvicc Fccs 600 600 600 600 64020-Advertising 429 80 1,656 1,656 64030-Outsourced Labor 2,383 4,027 2,998 4,027 64040-Collections 52,756 52,040 52,756 55,000 64050-Recording Fees 24,892 19,347 27,150 28,650 64062-Refunds 347 671 350 782 64081 -Insurance-Liability 4,088 4,780 4,172 5,833 64130-Paymcnts to Othcr Agcncics 196,826 248,310 203,308 232,758 64140-Printing 3,502 3,365 3,948 3,725 64145-Copying 433 656 761 854 64160-Rental-Land/Bldgs/Parking 2,046 2,1 12 2,262 3,042 64190-Technology Services 697 1,341 1,998 2,434 64191 -IT Recharges 0 0 0 10,195 64195-Credit Card Charge 1,092 0 0 0 64900-Other Professional Service 6,638 6,462 9,280 9,769 64975-Equip Maint Cont 26 397 26 397 64980-Tcchnology Equip Maint Cont 9,532 9,532 9,731 0 64985-Hauling Contract 1,054 1,692 1,815 41,815 64987-Lawn Care Conh-act 704 0 0 0 180-Community Development 64081 -Insurance-Liability 0 0 0 0 6E-Contractual Svcs Total 308,046 355,4ll 322,811 401,537 6F-Commodities 100-Gencral 65025-Program Matcrials � 789 641 789 790 65040-Small Tools&Equipment 0 0 0 0 65045-Technology Equipment 2,753 1,282 2,490 5,158 65050-Other Equipment 0 0 0 0 65060-Office Supplies 983 871 1,842 1,733 65070-Operating Supplies 1,344 1,300 832 1,250 65080-Postage/Shipping 5,245 4,463 7,943 8,020 65100-Safcty Supplics 172 1,093 176 1,000 65925-Uniform Purchase 1,643 936 1,000 1,200 65970-Lab Supplies 0 0 0 0 65999-Cash Over and Short 0 0 0 0 180-Community Development 65025-Program Materials 0 0 0 0 6F-Commodities Total 12,930 10,585 15,072 19,151 6G-Capital Outlay 100-Gencral 67100-Vehicles 0 0 0 25,000 -17- Recommended Operating Expenditure Budget - Department Total 17-HEALTH SERVICES FY21 Actual FY22 Actual FY23 Adopted FY 24 Recomm'd Fund/AccounUAccount Title Expense Expense Budget Budget 67210-Furniture/Fixtures 0 0 2,900 463 67250-OlTice Equipment 0 0 0 0 6G-Capital Outlay Total 0 0 2,900 25,463 HEALTH SERVICES-Total 849,716 919,315 1,039,539 1,220,368 -18- Recommended Expenditure Budget Report by Activity & Funding Source 17-HEALTH SERVICES FY24 Recomm'd Fund/Activity FY22 Actual Expense FY23 Adopted Budget Budget 1701- Administration � 100-General 6A-Salaries&Wages 99,924 102,656 ll4,209 6B-Employee Benefits 34,727 34,590 37,353 6C-Staff Development 2,325 5,706 5,765 6D-Repari/Maint/Util 1,017 1,200 1,080 6E-Contractual Svcs 6,933 5,488 6,828 6F-Commodities 1,477 1,873 5,534 6G-Capital Outlay 2,900 1701- Administration Total 146,403 154,413 170,769 1702- Animal Control 100-General 6A-Salaries&Wages 101,344 131,343 137,488 6B-Employee Benefits 44,787 51,453 52,516 6C-Staff Development 3,893 6,150 6,150 6D-Repari/MaintlUtil 6,049 6,905 7,738 6E-Contractual Svcs 222,754 241,462 274,392 6F-Commodities 5,465 9,363 8,573 6G-Capital Outlay 463 1702- Animal Control Total 384,291 446,676 487,320 1703- Inspections-Food 100-Gcncral 6A-Salaries&Wages 138,413 197,654 223,830 6B-Employee Benefits 51,997 74,702 80,299 6C-Staff Dcvelopment 2,578 8,697 16,424 6D-Repari/Maint/Util 3,152 2,833 4,206 6E-Contractual Svcs 18,015 17,622 61,890 6F-Commodities 3,643 3,251 4,459 6G-Capital Outlay 25,000 1703- Inspections-Food Total 217,798 304,759 416,108 1704- Community Health Service 100-General 6A-Salarics&Wages 49,979 54,761 64,114 6B-Employee Benefits 11,840 12,837 14,440 6C-Staff Development 1,200 3,500 3,500 6D-Repari/Maint/Util 42 45 41 6E-Contractual Svcs 100,883 51,239 51,601 6F-Commodirics 525 525 1704- Community Health Service Total 163,944 122,907 134,221 1750- Grants 100-General -19- Recommended Expenditure Budget Report by Activity & Funding Source 17-HEALTH SERVICES FY24 Recomm'd Fund/Activity FY22 Actual Expense FY23 Adopted Budget Budget 6A-Salaries&Wages 0 0 1334 6B-Employee Benefits 0 469 484 6C-Staff Development 0 3,195 3,195 6D-Repari/Maint/Util 52 60 51 6E-Contractual Svcs 6,826 7,000 6,826 6F-Commodities 0 60 60 180-Community Development 6A-Salaries&Wages 0 0 0 6B-Employee Benefits 0 0 0 6E-Contractual Svcs 0 0 0 6F-Commodities 0 0 0 1750- Grants Total 6,878 10,784 ll,950 1799- Pcard Clearing 100-Gcncral 6F-Commodities 0 0 0 1799- Pcard Clearing Total 0 0 0 HEALTH SERVICES TOTAL 919,315 1,039,539 1,220,368 -2�- CITY OF DUBUQUE , IOWA DEPARTMENT DETAIL-PERSONNEL COMPLEMENT 17 HEALTH SERVICES DEPARTMENT FY 2022 FY 2023 FY 2024 FD JC WP-GR JOB CLASS FTE BUDGET FTE BUDGET FTE BUDGET 61010 Full Time Employee Expense 100 7700 GE-37 PUBLIC HEALTH SPECIALIST 1.00 99,360 1.00 102,582 1.00 120,966 100 7500 GE-32 ENVIRONMENTAL SANITARIAN 2.00 136,054 3.00 192,577 3.00 218,653 100 7400 GE-29 ANIMAL CONTROL OFFICER 2.00 119,428 2.00 126,530 2.00 132,918 100 225 GE-25 SECRETARY 1.00 49,757 1.00 51,365 1.00 53,726 TOTAL FULL TIME EMPLOYEES 6.00 404,599 7.00 473,054 7.00 526,263 61030 Seasonal Employee Expense 100 PUBLIC HEALTH INTERN 0.14 0 0.14 3,470 0.14 3,631 TOTAL SEASONAL EMPLOYEES 0.14 0 0.14 3,470 0.14 3,631 TOTAL HEALTH SERVICES 6.14 404,599 7.14 476,524 7.14 529,894 -21- CITY OF DUBUQUE,IOWA ACTIVITY PERSONNEL COMPLEMENT SUMMARY FY 2022 FY 2023 FY 2024 ACCT FD JC WP-GR POSITION CLASS FTE BUDGET FTE BUDGET FTE BUDGET Health Services Administration-General Fund 10017100 61010 100 225 GE-25 SECRETARY 1.00 $ 49,757 1.00 $ 51,365 1.00 $ 53,726 10017100 61010 100 7700 GE-37 PUBLIC HEALTH SPECIALIST 0.50 $ 49,680 0.50 $ 51,291 0.50 $ 60,483 Total 1.50 $ 99,437 1.50 $ 102,656 1.50 $114,209 Community Health Services-FT General Fund 10017400 61010 100 7700 GE-37 PUBLIC HEALTH SPECIALIST 0.50 $ 49,680 0.50 $ 51,291 0.50 $ 60,483 Total 0.50 $ 49,680 0.50 $ 51,291 0.50 $ 60,483 Community Health Services-Seasonal General Fund ENVIRONMENTAL SANITARIAN 10017400 61030 100 NA-10 ASSISTANT INTERN 0.14 $ - 0.14 $ 3,470 0.14 $ 3,631 Total 0.14 $ - 0.14 $ 3,470 0.14 $ 3,631 Inspection of Food Est./Environmental-FT General Fund 10017300 61010 100 7500 GE-32 ENVIRONMENTAL SANITARIAN 2.00 $136,054 3.00 $ 192,577 3.00 $218,653 10017300 61010 100 7375 GE-27 ENVIRON.SANITARIAN ASST Total 2.00 $136,054 3.00 $ 192,577 3.00 $218,653 Animal Control-FT General Fund 10017200 61010 100 7400 GE-29 ANIMAL CONTROL OFFICER 2.00 $119,428 2.00 $ 126,530 2.00 $132,918 Total 2.00 $119,428 2.00 $ 126,530 2.00 $132,918 TOTAL HEALTH SERVICES DEPT. 6.14 $404,599 7.14 $ 476,524 7.14 $529,894 -22- THE CITY OP I�L�� � }�r�sterp�ec7e or� t�1e i1flr�s�ssr�r�rt 1 1 � t I � , � � � � � HUMAN E D U B U Q U E R E G I � N A L , socIETY COMMUNITY OF UNCONDITIONAL LOVE i �� ��;��'���5r'��. --��ree�&Healthy l��m�s�n�tiatiu� �#!� ,�'� � ��'.�i� ti�.'Y�_�`�iS�p �� . �-+"�,�`+• � •.s'*��=� ..,,• . 'C} ,� .?;?�`#���,�'� � �' -' �-'�.�' . ' � '- . �+�:,�.�� � � ;.. _�y,,x' .; � ,� ���� ��:�.:.. }��� .�`��` �r����nt ���r-r�u n it�r . . . # ��� � . � ���� `� . �� . � t . . . :� —.. . , ... . . .- . — Health Services Department Provide effective and equitable public health services to prevent the spread of disease and other health conditions while promoting the health, safet and well bein of our citizens Y 9► and the environment. Health Services Department (7. 14 Full-Time Equivalents) - . - . � . , ' • • • . Environmental Sanitarian (3) Confidential Animal Control Account Clerk Officer (2 FT) . � . . . . . • . � � � � � � � � � � � � � � � � . , -� � � ���',��;,'� � a:,. f . - t rz �� 1��: ,� �i - �: : :;�. �� � �� ' � - - - �:��.. -- .���-� L �; . � - .` _ . `'" ,n� .� 5r`y� Ti •�`� ! - � �"`f� � `-f� � i i_�`.�1�, �S � - .. r � ��� , q.� . � ,,: �'' �� _ � �. � ti' � -� ' ,* "� - {' ;� '�. �f �'J ,�'��r�`. .� � . � . . ''liir � � W :. _ �� a:•. . 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' . _ �. .� �,�' �C-� �� � ��f � ^ �� � + • . � � � � _ '' � - �..�.� * � �`-� �� � � + F � t e . . *�� ' *� � '• . �� }� y��+ � � � � � �� � � �� '1��� � �. �� .� _ - "_ t �� .� �• . � � � � � � " R � � . � •'-.� �L � _�• . �4 r - *� �"� HIGHLIGHTS `�`-�� � . � _ - .� 1 ° � �..:'.� .�'���.�4 , ,,,� , �/. r � � • � 'Y � � ' H �r � . - � Crescent �ommunity H����'���''�,�E � � , � � � ���I �T� _� �.. � , DUB � *EM�EME� f ,�„-���,�„����,�,�:,��:,-� , ����,�r����r. u �� lowa Department of �� INSPE�TI�NS & APPEALS • FDA Standardization of both Environmental Sanitarians � Completion of FDA Special Processes at Retail Course � Quality Assurance Inspections • Dept of Inspections and Appeals food inspection contract 3 YEAR renewal • Dubuque Regional Humane Society 4 YEAR Contract renewal • Crescent Community Health Center adds Quick Care Clinic • COVID-19 pandemic response: ongoing Incident Management Team and planning - ➢ Review PetData contract and study in-house pet licensing in conjunction with new Finance system ► � ➢ FDA Food Protection Standards- Continue as required by lowa `` Department of Inspections and Appeals ����I� ➢ Brain Health: facilitate education for staff dealin with citizens with ��T, T 9 uRE brain health issues. aH�AD ➢ Crescent Community Health Center expansion of wellness and dental ➢ Public health preparedness plan updates, education and training, continued response efforts and improved capabilities ➢ Community Health Needs Assessment ➢ Onboarding Environmental Sanitarian/Emergency Preparedness Planner and full time Animal Control Officer Public Health Prevent. Promote . Protect. . . � ' ■ ' • . ' . � � � � �� J �I�� J � �� ■ � I��.l�� 771 148 11 . 14 ' Average homeowner's* Net Property ro ert tax cost for Health p p Y Tax Support Services (*Avg. home value of $159,503) Sustainability Resiliency Equity Compassion • FY22: 693 credit card transactions for food and animal licensing $47,950 in revenue �i udad d� Du buq ue ��ntrol d� �ni ma les • FY 23 YTD: 511 transactions for food and animal licensing $39,554 in revenue. • Allows payment for late and multiple past due licenses via phone _ �� . ....�il Removes barriers of transportation, lack of checking .� � � account �- ��'` �� -_ �� � � .�;,�� . .ti Im roves com liance ��� �� p p , � .� , . _ .��t� ,, , � � �--��� Reduces citations, court appearances and fines ;;��r,����: . _ , ' � �.�,,'�,- - � r i7.1A. .i� � ��'!`�"�'��;'�iii� �� � . .��'y �: r . yr'�ir�':.w':'.[�' „ _� ;�rii-'Y:pen.�.'fr,• `�' i�l • �.��`",,r!r;�.� �@�r� y�t .,,,,�• DISC _VER� �.r � :� ,,� ���. y��+,,"i� YISA �F-� .�. � .-a .;:�f,� � � f` .J�"�K����1:�?�i.�' Sustainability Resiliency Equity Compassion �hin�se Thai �����i������ Minority Owned Food Establishments: �� �� �' � �� � i' � � 47 total currently licensed with the city �� �. . .�" �. � - 7 new in FY22 �h�u�i �u�:�wi k�;T�;�,. �, ^.. ..�,,T �'�';,. ��� � �`—� � �Cor��n Ja��r�es� � �, - � �� � �:�,�.��X = ,. w� , � � � � '" r � 1� �`T ������ ; '• ,�:. �. � � k`�,,� • > � '• '�. E11��15�7 :'r � 3 �� �` , , � . � �UShI _ J . r -:��:. � � , � Environmental Sanitarian Inspector Translation aid `'�- .�� � ---� � -•- � � � -�;, �. � �----��-: ._�- , �-- � i �_ 1 �_ R _ � E NVI R N M E NTAL H EALTH . �=- �� " ' P r O � r . � ! e.�:-�= - � Promote a safe and healthy environment by R - -y �� � assuring sanitary conditions and practices . - _ � �, , o es � � � _ �-�. � o • Food Inspections .. - • Swimmin ool/s a ins ections _ ��� _ J p p p .__ • Tattoo inspections . � � � � L ' '� . �� : , � • Nu �sance control � - ��� - - - �, -__ .� � • Public Health Preparedness �� �� ~ . � � � Planning and Response _ _ -- ---_ ��� . Total licensed Food Establishments 490 4so 479 470 460 455 459 451 454 450 441 440 FY 17 FY 18 FY 19 FY 20 FY 21 FY 22 Food License Revenue 160,000 $144,355 $136,670 $137,445 120,000 $107,579 $122,015 $101,095 $96,949 so,000 FY 16 FY 17 FY 18 FY 19 FY 20 FY 21 FY 22 /`'� , � � � ��� •� � � FOOD ESTABLISHMENTS _ �AN°'�� : � � 27 � � 4 � � New Change New Food Out of � ' . � Ownership Truck Business � / , � � FY22 � � ��� , � �I � L ` � ��� �� � wi~� � �, ,� ,� SMOOTHIE ��� , , 3o K�►v� , „ / C R A I G 26 26 27 � . - � � 22 20 J _ SHUGGA � -�'� �•. + SOUL CAFF • FY1b FY17 FY18 FY19 FY20 FY21 FY22 }��- - �- - . �,. . ..�,'.�7ii�Lfll�CAKEB° • , .. '' • � New Food Establishments TA�� � crumbl Fi�e Year Trend 35 34 25 20 15 14 5 4 FY18 FY19 FY20 FY21 FY22 �Change of Ownership �Dut Of Business New Establishments 35°/a so�ia 32% 29% 25��0 26% 2o�io �5�io 15% �o�io 5% —% Handwashing sinks Employee Health Food Contact Proper Cold Holding properly supplied & Reporting Surfaces Clean/ Temperatures accessible Sanitized MOST COMMON FOOD INSPECTION VIOLATIONS o�400d gc Drug pff,.,as Com letion of Standards c l p .�° w� .� � 0 Completed 5 year self-assessment of all 9 standards � ' r -��FI� , ,�.. Awarded $5,000 to Complete a Comprehensive Strategic Improvement Plan 6 from the NEHA-FDA Founded 1�� Standard 1 : Regulatory Foundation • ' ' ' • ' Standard 2: Trained Regulatory Staff . ■ S � � � � � . Standard 3: Inspection Program Based on HACCP Principles � � � � � � . � � . 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''L•�:'�� �, .�'� . - � ??,"'}'�"^'H�t z ` ' _ y ' ty, i r.� • "J.v_ ��+` 4a;.;� �.n;. ` y � I� �{,,�f,�'� w£'''� ,��,�:� _ - ' s � i+.�'�7."i 1- � 5 1� � .��..- �'_ _ - t�'• k .. . �'.5 �:T y'F_�j,�.5�, � ~��'��� '�' � � ' ,�. +�4 . i yx'�. . , �� � �' � j � ���"'s +7.�� �k �Y . / • � �+`/,'�I ' ����: lT' ,_ 1' �•. '. . . . + � . .. , � � �+�5�•7�l7��'�� ,�. *2 .' �Y a4; {� a':r ' _ „G+ i, .,u r�' ,isd� '��ti.'..� � �,L`4*.i�a� Nuisance Complaints � ,���� FY18- 127 complaints � ,� : -- � - i-, = FY19- 150 complaints � - ��i s� ��,�� ��� +,� ���'' 3 .,�- ��` r " �.� >%� � t �` ' ��'� ' '�}� �> FY20- 83 complaints � �- -_- �` �r F � �r�� FY21 - 22 complaints �,����� ` � ��`� ���� -- - -�` :�� � � - ' �� ,�� : t. FY22- 210 complaints - t- ���, ; �� � � ,:_�� �� � `�-� -- - � _� � ,� �, , � � R� -- - - - � , � � ,� s,�� f,; �. - -�, � FY23 79 com laints as of Feb. 6 . �� =% ��, . :.�� � �.���. , � � � : �� p �� � � � I� - a �� .' -.���� � � - � �7` �--� � �`� i � � � �� r � , ,� x4: �. , :, �� ���- ���, � � i � ` ;k� .._� . ' � �:. _ .e�� ��> �r _'_' _ . - L'd�.f � . 250 � . � 1.. , .. _ � 4 .��1����.�.,,� ^,, ��� � �e _1' 1 �. � --�� � +�{ , �= � � 'i ] 2OO ,.Y �" _ ,��,�� II � -�. - . - l � fi � ,'� s -_ _ ��� - ,' ��! _ -�. f ''�i, � ,.. '4 � � 150 '-� ��_ �.J��� �� � � -��, . � . � f :�/� �� . ... •�. � , � �,` � r � _ � T M �• } 4 � 4 'f 00 _ �.. �`"� �i:'s: -�` �-. �. ,;, � �� � ��--- ,. �0 Y� ' 6 ' . ! j ' . ' ^ 1�' 1���� � 0 -��� � �I�� -.. " . .:� .+lfei.�`r '_ ,. . �.y„_�.�... '. ` . ' _ � �' FY1$ FY19 FY2Q FY21 FY22 . ��� ��,-��:� - _ _ �5--- � ,,� �� =� _. - � Total Nuisance Cornplaints -- i. ���. - ��. � �:-_ _. w . ,..�_ .�:��,:, ._ _ �.-�.__. ---.,__.._ _. �. �. \; -.' ._:�_y��.�� � ��'f' � • � E _ � l � �� � � �_ _ � � � � _ .. � �� � . �.:. _ =�;�� 'r`., __ __ - ~� �- - - �- --- - F' ,�;� __ _ _- � � .. _. -- - ..���` - - � e = - -4�� f � '� �..�� ■ �� �' � LI�1� ' � I� , �0.Nl� � ��.� `l I'�1 ��t_�-. � � 47 � �� , . �, - � � 50 �' � `�"� - � � . � � �' -— � �-� �� . � �� �-- -, r�r'-r... ,,, - "� , ��': si .,z ��\ \ --y�� � , t : ,.:. S �. �, �i i R .� �,, , � �.� 40 � � �.� � _. ., , � --� , _-�� �ti,:4,, - s i �.-�:. . .� - .,_� �/- '- r'� '1€' .-�� 30 � . ,�� ��- . ,� . �� �� ..�- ,_, � �, � ar ;�f - �° i�`._r �. 21 �9 __ - __-- ,,, -- �. ,, � . � � 2� � � ��,;a ',i 1�7��� f�q 11 , _ � _ ' " ° ' ''� , ' � , �� �i ,�� � ] �fi � i� �I � � 0 , � ���, _ -_ =�- d = _ - � r'�_E. r�����Y"°I` 4 3 � z ` � ��l -�`��� 3���: 1 p � ��:���� .�� �� , � ��. �,.,ef;� � � , .`�� `,��,l'�����' ��,��. � ����°,� � ' � .L � I �� � ,�..�` FY19 FY2� FY21 FY22 - � _ ,�p � _�-� �` � � .-�- � ;�°; ��� �: � - � �" _ �: � �,�� � � � �� . -. . .F��� -' -- �, _ � � g ti.`3i ��e �,� ; ��,yw �� _�r �"' ,a� _."��� r b� .. . Citations � Hired Contractor � , J,y�- .� - r � „ _ , w,, �t ;. � .� � -�' �_ � ��,�� -�. ` ,, �_ .: �� � _ ���,���i,.�. : - __ -" _. a�.. �,�. �.,k� `�&,� ��rR '�� �.�- " � - _ , .�.�.L', . ,� •. - �� ` .� - `� �� `���'�� - . - � �`� �}�_ -- . _.�:�'. E NVI R N M E NTAL H EALTH � � � � �� O . � _ Hotel/Pool/Tattoo/Inspect�ons �� �� � ;i. � r � . . . � .� �� �� � �� � Most common pool violation= Record Keep� ng - � _r�.., _ �- ; � � � .� . , � � � . ���� � ,� Hotels . 19 '�' i . r �. �.� ,1 � . �� A � - - C' '` �� ,�� � � � _- _ , � � . ,, _� � �� T _ �� � . � � ...r • Pools : 33 � � � �a��� ��� �+a - �;�� � _�--� • Tattoo : 18 - �� - �. _� � -� _�:� . . Total : 70 �� �} � � ANIMAL CONTROL � � , -T* � � �� � �. ! � 1 � r ��� ��' ..: � 854 641 �6� 647 . �� � t ��...-.1 �.�� r �. , . 717 647 543 i � �_ _ �� , r ,If � �� : - � ��� � 569 525 I'� � , . _. . � �� � r .L� � _S Q �n � �V V � a � R ��ry,:�� � �J - "I299 �273 1278 'I274 ��, '-��� �-� �� 1134 1153 1096 1187 � � ��� " ' 1D73 - � • �,��� , , � � �-�� � � 942 � , , � _ . �� �� , � � �� i r•������ ' + � , � � •r��� _ � � ' 1 � ' Y � , •�+• •' �• � � �' 1 _ � �t . � • � , � : • • � ' � � FY13 FY14 FY15 FY16 FY17 FY1$ FY19 FY20 FY21 FY22 � + � � y'l�.+ •4 I � � •'• � • � � L i ' '' • 1 I � � �= r �' �� { � � i Animal Control Complaints � Police Complaints I � . '-'�'� , .. �, . � � , � r• .r �� ■� —_— ' • � _ �J ¢ Number of Animals Taken to the Dubuque Regional H u mane Society � � S64 547 545 -�;-.,= 559 �:�� e,. .. r�: 470 �;.,�' :�.�� � �'�`� ','� �`��� � �,4`,'�.� ti ,� � o� ',;� � � � � ',;. ;`,, ;': ; .. � � � � �� �'� � � � � � ■ �;�;�: � � � � �, - 435 � 2 � = 371 � _ � ■ = 365 329 - 38 296 � 275 � , 252 248 230 � � � � � � � � FY13 FY14 FY15 FY16 FY17 FY18 FY19 FY20 FY21 FY22 �Animal Control � Police Public PET LICENSES �Z,000 11 ,73s � � ,500 � � ,30� � � ,000 � � o,s�$ �� � 10,500 � 10,349 10,439 10,091 1 �,086 II 14,00a � 9,897 � 9,437 9,48fi � � � - _ 9,5�� 9,341 - ---- -� FF ' - _ y 9,055 -- -�-'' � 9,000 � �t � �� � . 8 500 r -:,�-���:�:- � ' 8,194 � � . - - ���__. ..t�. . ... -. . ._.�'�; �. . , .. '�ti:�L� s,000 FY14 FY1 'I FY12 FY13 FY14 FY15 FY1 fi FY17 FY18 FY'I 9 FY20 FY2'I FY22 PET LICENSE REVENUE 2023YTD $151 ,629 ����,��� ���,��� ����a��� � ����,��� ����,��� ����a��� ����,��� ����,��� ����,��� � � ����,��� �������� ����,��� ��� � ���� ���� ���� �����,�� ANIMAL BITES REPORTED � �� � � � 144 � : ��� .��.;�,,.-- � � '129 '131 '� - �, :��.� . 117 _ _ 120 121 � � $ � ' - 104 109 - _ � ,., .��� � ��_ f� � 9,� 98 � y ��� .� � .. I� � ' ��f' � _-_ .� ���: 69 �►,, � � . ti � - � � .s ' t Y _. _ . . � � • ; ,...�': y�.�� 59 _�--�� 54 60 -- �� � �;��� -=T�,.� ___ - . �� �:.t. 47 - - . . :�r�:� �� �, -- ����� � -•'f,� � � . . - =x - _, �`}� • � . �. 27 29 28 ,_. _ ; � . � . . { _ .4 - --_-_ 2� - -- - _ - -� ��}�: ,_ # 18 - - - _ _ �-� { _ � � 5 5 9 _ _�:_' '��=;��"��h=� 3 ,� 4 ,� 3 3 2 �_ _ _ ,� "`�_�� ,�'.� � �.` .� � "T i! — � 'r r � ._� � . ,� FY13 FY14 FY15 FY16 FY17 FY18 FY19 FY20 FY21 FY22 � — � ����' �ti i`�~•�� ,� �� f '�"��: �_� � �':�� Dog Bites Cat Bites f Other Bites . � �� - �- - . ��F.� . . � �e���J�'� .� -.-- . - - ��� Animal Bite Trend 218 240 179 '�83 'I 77 'I 34 �36 13 124 '�28 FY13 FY14 FY15 FY16 FY17 FY18 FY19 FY2Q FY21 FY22 f Total CRUELTY & NEGLECT INVESTIGATIONS � � � � . ��, � z + . � � � � ,� � 'I 57 � '. ' '�"f�`�'�--�' ' ' a � � ��� . i + � � 132 �� � , , � �I .ri �������1 �� �03 �05 . � � i r� � , � '� � ' ��S��DY �' � � � , � II � 68 � �� , �. . p . � �� il r td '':�'';r!.�: "��rfo af i'�:r. � � _ ���42 �-� � �� 33 _ � , �- 2S 29 - � ��. �� i� • : 21 . , � �_ � , � � ' f � r � ,'t. � � ' r '; - , �� , � , �. � . � , �. � � , � �,� ,� Animals left in Vehicles Neglect 1 Cruelty to Animals �, x - � �, y� � � � FY18 FY19 FY20 � FY21 � FY22 , , . . � �, � . _7_�{_ ,�� 4 `�; ' �4 ..� !5� �` J+{ .+ ` l • J ,�`J I I � ' � �'` ' ,� �' •'+ ,�4 ->� 4.� ANIMAL CONTROL ENFORCEMENT ��� #�� �{=���:����:��_ �- � � ��� �i �--� �� � �,� - .:���, ��- __ , . __ �� ��- � . - l .�_{- - � -;� . , . � _ . . ___ s License Citations Qther Citations 1787 73 72 i 1489 1532 fi3 144fi 1318 'I'I53 1�74 47 48 48 45 50 'I 037 44 925 39 , sos FY13 FY14 FY15 FY1fi FY17 FY18 FY19 FY20 FY21 FY22 FY13 FY14 FY15 FY1B FY17 FY18 FY19 FY20 FY21 FY22 Pet Licenses Municipal Infraction Outcomes _ #,.� Pet License Municipal Infractions FY22 -�-� �� � �� ' �� ��.� �. a� , �`��� � . - �� � ������ ��� - - . y .Y T27 fi _ ��I . . ��; � x - � '�� i 5 ,+ � � � � . � 3 r �� � 1F I , � � .� I � ' � � � �� ��� � � . �- -_ . ,.� ` � +�'�� � ` J � '�J - 627 �� . f�� �'� �� ------�� .;�� .y � �� � - � Municipal Infractions Issued Municipal Infractions Filed with Court � , . � Stray Trapping Activities Trapping Activities 135 ,� �. 120 � � i � 105 � � � ' i' �0 � �� ��� " � : t �� . - 75 � '��I 4 .� t� � -r� ''� � . - 60 �' '� � �'' -� � s . , � � . �► �� � _, , � ,� � �s . �,� - �. � � • � ; so , `�kr. _ _ . � , � r . 15 r j � . ,,/�,. p � ' I w � I � �f� g'' �'� � FY16 FY17 FY18 FY19 FY20 FY21 FY22 _ Trap Requests Traps Set ■ Cats Trapped 4ther Animals Trapped Wild Animal Requests for Service �' �° � ��.� � z� ,{ r �:, �,-�� � .r-:� �, ti �• i 4� v '' � + , ti*� ' -t�-:_ _ � � r�+; f - *� �' " � '�! �y�' a� � l. ,` — .+��" �. � � T� �� � � ��� -r'.�'�.,, ,. � ��. 5�. x� 124 � � � ` _ �j '� 1 '17 �� t + � � y ,.�i�• .; ` �f:r . .�. f � } '�,r.��'� ���,�' 'i '� , . � � �� � 99 ,� �=,: r � � �`"r"� . ����� , {{ � h �:t= 94 �; yr .� t '. �i � ��� �� l '��i�� , �i p .��� � .. ��� 83 4. ,,< t.'��f:.� '� � ���� '. .=�t�, ►•k r-�„. �� .—.�. �}� �, ' ��, v� - � � �� � - .:�, � - ���., ���,�. �:, � �s ,�� � k �� �J, �, '` � �` ' �fE • ,i�,. ,`•, ' i r�� •;r� -•�, � * , � 56 ,,�� .� �� E '�} ..�.,� �,� ,.t , _ �,�� 4 f; y � • , x•t�� :,� �� t � � �.,k\ �� �� F.:' ; `��.�1l �.�r 6.��r } k �+ 1 �' � ~ ` ' r' �� �` 3V �'�1 � �� �, ;�� � � �� ���" '� 30 ' ��►� �� 'j�` !. �r — s � � � �. �.�.�f'-1=Ci �i' �iid� �, ' }`¢z �t `� .� `_ �l}�� 5 .{, � � '{ ��` � *�r� �,Y • F � r 1 " � `' �� .� � �R ,i +^ �� ��' ".���}41 ;", ,h `l ` �' -�4: ,. �.L i � � '� ��is �'� ti } ��' `r �� � 5� ,�.+ti 4,i r� --� , - �`�'. .�-� �' �`" .• � + �'� �'�, �� ` � - FY15 FY'I 6 FY17 FY18 FY19 FY20 FY21 FY22 - �# .., ,� . . ,� �� �;.� � � � � , � , , � � ��`��, p�. {�` �� �� �.� f ' ��t�y��" � � �•� � r S '� y-r '''. 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L � o��ana�s,�o�_ �" � �, o,��,a, �32� 0��" � � ` ` �__ •� � "° CrescentCammunityHealth f I �'-"—= I � ` � � ' ' ~ One hundred twenty five thousand°O"°°aoua��. - �� � � a;c�i�uc�.r�. a ,.. I �. _.:.��` '°r � • � � � �r ^ ` r ` � � � � �` ' r C r � r� ._ . � �� � �� � - � � � � ,.R,T � , �C�+ ,�.K,> � _ J 1 ■ r� Health Eq u ity . �rescent Community 2022 PATIEN� LMAKAL � tK�S � �L� RacelEthnicity Medical Insurance Source 01 .5 0 , 10.4% 1 .3% �� a � rJ.2 �o � 4�.0% 16.2% /_ 45.5% , 62.6% 6.7% 7.8% Hispanic �White Black � Pacific Islander Medicaid Medicare Pri�ate Other �Asian � Uninsured � 1 race ' i _ � � f i BRAIN HEALTH services �� r -� a i a � . • Ps ch iat . � . , _ � y �v � 2 FT NPs 1 PT MD . � ` ` '. •� � � � � , . � •�, � � � � • MAT �� �� �. �� ` +� . . � ) . � � , . .#� � �� . ■ �# �� � � �. Nursing support . �_ � � . .� ; � �� f :f:'!�I.'.��4' } � � R N L P N C M A � � � � ��:��������.:::, :.,;,,: � � � �� ,���� � �.,. ..:�, • Therapy 1 FT LISW and 4 PT � • Brief (same day) Intervention �• • Medication Assisted Treatment �r�scent �ommunity Equipment � � Environmental Sanitarian thermometers $700 . • Office chair -Animal Control Officer $463 � � � � • Computer equipment for remote work for Account Clerk $3758 • Environmental Sanitarian Vehicle $25,000 ■ . • Services . � • Nuisance mitigation $40,000 Staff Development • NEHA credential exam $590 • NEHA Leadership Academy for Environmental Sanitarian $ 5119 1 • NEHA regional education conference $1495 — — �. —_ � � • � - � ' , .� � . g � �+ l�����. � ,\� ��� '��w.��� . �' p �,�.� .:��� .n � � REHSIRS � �5;;���.���U"l��i I � ���"' �.' �� '�� _ _ _ r _ . h- �,� ��. �- - _ .���'. � . a�- I �' { �,i��� � � -i �, ��- � �� yr � .� �. .1� M11. __- .'_ �, r-. �� �IPf �'{� �rr � r _ -- . "'�+�*''" ��. .� + I ' ,� �� � 'y�. I � �� � i '�r.� --�.- � , .�k r�, .u �.. � �. y�- �. �- ►y�� .. .� �~ ' j ...':�� i y �� 5� ' ' fk %�� �� �� '�, �1_4�� ''�� '��'�: _ �, �s,� .� �'�.�'. � � ti �ti�"��d�:� . „-��,�.,_:. • � • Pandemic of a lifetime Not since 1918-19 Great Influenza Weekly presentations/meetings with: LTC, vaccine providers, hospitals, PK-12 schools, higher ed � , � �� , city council presentations every meeting- monthly since Oct �� � �� ; i T F1a� � _ , � � a _ — � � � y � � � .,..E , � w � � . f z '� L � � � � . � � ti � r � � � �r .ti ' ■��'`�i . � ' I ,� f � - � + , w � -� I � ��f� F, � � � . ■ ■ ■ ■ � :� ��. � � .�� �� �� .. � Delayed pro�ects and activities . r � , �. ,� . � �, . � � �� : � s� � ti �� �. �� �_�� ��.. , -food inspections � ��+�� � •� � 4 - I � � f • ��� '� - CHNA HIP � � ��. � .� - pet license enforcement - Pb program/case management and education - Staff training / community education Thank you