HomeMy WebLinkAbout2020-184CONTRACT BETWEEN
INDIAN RIVER COUNTY BOARD OF COUNTY COMMISSIONERS
AND
STATE OF FLORIDA DEPARTMENT OF HEALTH
FOR OPERATION OF THE
INDIAN RIVER COUNTY HEALTH DEPARTMENT
CONTRACT YEAR 2020-2021
This contract is made and entered into between the State of Florida, Department of Health
("State") and the Indian River County Board of County Commissioners ("County"), through
their undersigned authorities, effective October 1, 2020.
RECITALS
A. Pursuant to Chapter 154, Florida Statutes, the intent of the legislature is to
"promote, protect, maintain, and improve the health and safety of all citizens and visitors of
this state through a system of coordinated county health department services."
B. County Health Departments were created throughout Florida to satisfy this
legislative intent through "promotion of the public's health, the control and eradication of
preventable diseases, and the provision of primary health care for special populations."
C. Indian River County Health Department ("CHD") is one of the created County
Health Departments.
D. It is necessary for the parties hereto to enter into this contract in order to ensure
coordination between the State and the County in the operation of the CHD.
NOW THEREFORE, in consideration of the mutual promises set forth herein, the
sufficiency of which are hereby acknowledged, the parties hereto agree as follows:
1. RECITALS. The parties mutually agree that the foregoing recitals are true and correct
and incorporated herein by reference.
2. TERM. The parties mutually agree that this contract shall be effective from October 1,
2020, through September 30, 2021, or until a written contract replacing this contract is
entered into between the parties, whichever is later, unless this contract is otherwise
terminated pursuant to the termination provisions set forth in paragraph 8. below.
3. SERVICES MAINTAINED BY THE CHD. The parties mutually agree that the CHD
shall provide those services as set forth on Part III of Attachment II hereof, in order to
maintain the following three levels of service pursuant to section 154.01(2), Florida Statutes,
as defined below:
a. "Environmental health services" are those services which are organized and operated
to protect the health of the general public by monitoring and regulating activities in the
environment which may contribute to the occurrence or transmission of disease.
Environmental health services shall be supported by available federal, state and local funds
1
and shall include those services mandated on a state or federal level. Examples of
environmental health services include, but are not limited to, food hygiene, safe drinking
water supply, sewage and solid waste disposal, swimming pools, group care facilities,
migrant labor camps, toxic material control, radiological health, and occupational health.
b. "Communicable disease control services" are those services which protect the health
of the general public through the detection, control, and eradication of diseases which are
transmitted primarily by human beings. Communicable disease services shall be supported
by available federal, state, and local funds and shall include those services mandated on a
state or federal level. Such services include, but are not limited to, epidemiology, sexually
transmissible disease detection and control, HIV/AIDS, immunization, tuberculosis control
and maintenance of vital statistics.
c. "Primary care services" are acute care and preventive services that are made
available to well and sick persons who are unable to obtain such services due to lack of
income or other barriers beyond their control. These services are provided to benefit
individuals, improve the collective health of the public, and prevent and control the spread of
disease. Primary health care services are provided at home, in group settings, or in clinics.
These services shall be supported by available federal, state, and local funds and shall
include services mandated on a state or federal level. Examples of primary health care
services include, but are not limited to: first contact acute care services; chronic disease
detection and treatment; maternal and child health services; family planning; nutrition; school
health, supplemental food assistance for women, infants, and children; home health; and
dental services.
4. FUNDING. The parties further agree that funding for the CHD will be handled as
follows:
a. The funding to be provided by the parties and any other sources is set forth in Part II of
Attachment II hereof. This funding will be used as shown in Part I of Attachment II.
i. The State's appropriated responsibility (direct contribution excluding any state
fees, Medicaid contributions or any other funds not listed on the Schedule C) as
provided in Attachment II, Part II is an amount not to exceed $ 4,205,368
(State General Revenue, State Funds, Other State Funds and Federal Funds listed on the
Schedule c). The State's obligation to pay under this contract is contingent
upon an annual appropriation by the Legislature.
ii. The County's appropriated responsibility (direct contribution excluding any fees,
other cash or local contributions) as provided in Attachment II, Part II is an
amount not to exceed $738,670 (amount listed under the "Board of County
Commissioners Annual Appropriations section of the revenue attachment).
b. Overall expenditures will not exceed available funding or budget authority, whichever is
less, (either current year or from surplus trust funds) in any service category. Unless
requested otherwise, any surplus at the end of the term of this contract in the County Health
Department Trust Fund that is attributed to the CHD shall be carried forward to the next
contract period.
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c. Either party may establish service fees as allowed by law to fund activities of the CHD.
Where applicable, such fees shall be automatically adjusted to at least the Medicaid fee
schedule.
d. Either party may increase or decrease funding of this contract during the term hereof
by notifying the other party in writing of the amount and purpose for the change in funding. If
the State initiates the increase/decrease, the CHD will revise the Attachment II and send a
copy of the revised pages to the County and the Department of Health, Office of Budget and
Revenue Management. If the County initiates the increase/decrease, the County shall notify
the CHD. The CHD will then revise the Attachment II and send a copy of the revised pages
to the Department of Health, Office of Budget and Revenue Management.
e. The name and address of the official payee to whom payments shall be made is:
County Health Department Trust Fund
Indian River County Health Department
Accounts Receivable, 1900 27th Street
Vero Beach, FL 32960-3383
5. CHD DIRECTOR/ADMINISTRATOR. Both parties agree the director/administrator of
the CHD shall be a State employee or under contract with the State and will be under the
day-to-day direction of the Deputy Secretary for County Health Systems. The
director/administrator shall be selected by the State with the concurrence of the County. The
director/administrator of the CHD shall ensure that non -categorical sources of funding are
used to fulfill public health priorities in the community and the Long Range Program Plan.
6. ADMINISTRATIVE POLICIES AND PROCEDURES. The parties hereto agree that
the following standards should apply in the operation of the CHD:
a. The CHD and its personnel shall follow all State policies and procedures, except to the
extent permitted for the use of County purchasing procedures as set forth in subparagraph b.,
below. All CHD employees shall be State or State -contract personnel subject to State
personnel rules and procedures. Employees will report time in the Health Management
System compatible format by program component as specified by the State.
b. The CHD shall comply with all applicable provisions of federal and state laws and
regulations relating to its operation with the exception that the use of County purchasing
procedures shall be allowed when it will result in a better price or service and no statewide
Department of Health purchasing contract has been implemented for those goods or
services. In such cases, the CHD director/administrator must sign a justification therefore,
and all County purchasing procedures must be followed in their entirety, and such
compliance shall be documented. Such justification and compliance documentation shall be
maintained by the CHD in accordance with the terms of this contract. State procedures must
be followed for all leases on facilities not enumerated in Attachment IV.
c. The CHD shall maintain books, records and documents in accordance with the
Generally Accepted Accounting Principles (GAAP), as promulgated by the Governmental
3
Accounting Standards Board (GASB), and the requirements of federal or state law. These
records shall be maintained as required by the Department of Health Policies and Procedures
for Records Management and shall be open for inspection at any time by the parties and the
public, except for those records that are not otherwise subject to disclosure as provided by
law which are subject to the confidentiality provisions of paragraphs 6.i. and 6.k., below.
Books, records and documents must be adequate to allow the CHD to comply with the
following reporting requirements:
i. The revenue and expenditure requirements in the Florida Accounting
Information Resource (FLAIR) System;
ii. The client registration and services reporting requirements of the minimum
data set as specified in the most current version of the Client Information
System/Health Management Component Pamphlet;
N. Financial procedures specified in the Department of Health's Accounting
Procedures Manuals, Accounting memoranda, and Comptroller's
memoranda;
iv. The CHD is responsible for assuring that all contracts with service
providers include provisions that all subcontracted services be reported to
the CHD in a manner consistent with the client registration and service
reporting requirements of the minimum data set as specified in the Client
Information System/Health Management Component Pamphlet.
d. All funds for the CHD shall be deposited in the County Health Department Trust Fund
maintained by the state treasurer. These funds shall be accounted for separately from funds
deposited for other CHDs and shall be used only for public health purposes in Indian River
County.
e. That any surplus/deficit funds, including fees or accrued interest, remaining in the
County Health Department Trust Fund account at the end of the contract year shall be
credited/debited to the State or County, as appropriate, based on the funds contributed by
each and the expenditures incurred by each. Expenditures will be charged to the program
accounts by State and County based on the ratio of planned expenditures in this contract and
funding from all sources is credited to the program accounts by State and County. The equity
share of any surplus/deficit funds accruing to the State and County is determined each month
and at contract year-end. Surplus funds may be applied toward the funding requirements of
each participating governmental entity in the following year. However, in each such case, all
surplus funds, including fees and accrued interest, shall remain in the trust fund until
accounted for in a manner which clearly illustrates the amount which has been credited to
each participating governmental entity. The planned use of surplus funds shall be reflected in
Attachment 11, Part I of this contract, with special capital projects explained in Attachment V.
f. There shall be no transfer of funds between the three levels of services without a
contract amendment unless the CHD director/administrator determines that an emergency
exists wherein a time delay would endanger the public's health and the Deputy Secretary for
County Health Systems has approved the transfer. The Deputy Secretary for County Health
4
Systems shall forward written evidence of this approval to the CHD within 30 days after an
emergency transfer.
g. The CHD may execute subcontracts for services necessary to enable the CHD to
carry out the programs specified in this contract. Any such subcontract shall include all
aforementioned audit and record keeping requirements.
h. At the request of either party, an audit may be conducted by an independent CPA on
the financial records of the CHD and the results made available to the parties within 180 days
after the close of the CHD fiscal year. This audit will follow requirements contained in OMB
Circular A-133 and may be in conjunction with audits performed by County government. If
audit exceptions are found, then the director/administrator of the CHD will prepare a
corrective action plan and a copy of that plan and monthly status reports will be furnished to
the contract managers for the parties.
i. The CHD shall not use or disclose any information concerning a recipient of services
except as allowed by federal or state law or policy.
j. The CHD shall retain all client records, financial records, supporting documents,
statistical records, and any other documents (including electronic storage media) pertinent to
this contract for a period of five (5) years after termination of this contract. If an audit has
been initiated and audit findings have not been resolved at the end of five (5) years, the
records shall be retained until resolution of the audit findings.
k. The CHD shall maintain confidentiality of all data, files, and records that are
confidential under the law or are otherwise exempted from disclosure as a public record
under Florida law. The CHD shall implement procedures to ensure the protection and
confidentiality of all such records and shall comply with sections 384.29, 381.004, 392.65 and
456.057, Florida Statutes, and all other state and federal laws regarding confidentiality. All
confidentiality procedures implemented by the CHD shall be consistent with the Department
of Health Information Security Policies, Protocols, and Procedures. The CHD shall further
adhere to any amendments to the State's security requirements and shall comply with any
applicable professional standards of practice with respect to client confidentiality.
I. The CHD shall abide by all State policies and procedures, which by this reference are
incorporated herein as standards to be followed by the CHD, except as otherwise permitted
for some purchases using County procedures pursuant to paragraph 6.b.
m. The CHD shall establish a system through which applicants for services and current
clients may present grievances over denial, modification or termination of services. The CHD
will advise applicants of the right to appeal a denial or exclusion from services, of failure to
take account of a client's choice of service, and of his/her right to a fair hearing to the final
governing authority of the agency. Specific references to existing laws, rules or program
manuals are included in Attachment I of this contract.
n. The CHD shall comply with the provisions contained in the Civil Rights Certificate,
hereby incorporated into this contract as Attachment III.
5
o. The CHD shall submit quarterly reports to the County that shall include at least the
following:
The DE385L1 Contract Management Variance Report and the DE580L1
Analysis of Fund Equities Report;
ii. A written explanation to the County of service variances reflected in the
year end DE3851_1 report if the variance exceeds or falls below 25 percent
of the planned expenditure amount for the contract year. However, if the
amount of the service specific variance between actual and planned
expenditures does not exceed three percent of the total planned
expenditures for the level of service in which the type of service is included,
a variance explanation is not required. A copy of the written explanation
shall be sent to the Department of Health, Office of Budget and Revenue
Management.
p. The dates for the submission of quarterly reports to the County shall be as follows
unless the generation and distribution of reports is delayed due to circumstances beyond the
CHD's control:
March 1, 2021 for the report period October 1, 2020 through
December 31, 2020;
ii. June 1, 2021 for the report period October 1, 2020 through
March 31, 2021;
iii. September 1, 2021 for the report period October 1, 2020
through June 30, 2021; and
iv. December 1, 2021 for the report period October 1, 2020
through September 30, 2021.
7. FACILITIES AND EQUIPMENT. The parties mutually agree that:
a. CHD facilities shall be provided as specified in Attachment IV to this contract and the
County shall own the facilities used by the CHD unless otherwise provided in Attachment IV.
b. The County shall ensure adequate fire and casualty insurance coverage for County -
owned CHD offices and buildings and for all furnishings and equipment in CHD offices
through either a self-insurance program or insurance purchased by the County.
c. All vehicles will be transferred to the ownership of the County and registered as County
vehicles. The County shall ensure insurance coverage for these vehicles is available through
either a self-insurance program or insurance purchased by the County. All vehicles will be
used solely for CHD operations. Vehicles purchased through the County Health Department
Trust Fund shall be sold at fair market value when they are no longer needed by the CHD
and the proceeds returned to the County Health Department Trust Fund. The CHD is
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responsible for the costs of maintenance and repair of vehicles used for CHID operations,
including the cost to insure vehicles.
8. TERMINATION.
a. Termination at Will. This contract may be terminated by either party without cause
upon no less than one -hundred eighty (180) calendar days notice in writing to the other party
unless a lesser time is mutually agreed upon in writing by both parties. Said notice shall be
delivered by certified mail, return receipt requested, or in person to the other party's contract
manager with proof of delivery.
b. Termination Because of Lack of Funds. In the event funds to finance this contract
become unavailable, either party may terminate this contract upon no less than twenty-four
(24) hours notice. Said notice shall be delivered by certified mail, return receipt requested, or
in person to the other party's contract manager with proof of delivery.
c. Termination for Breach. This contract may be terminated by one party, upon no less
than thirty (30) days notice, because of the other party's failure to perform an obligation
hereunder. Said notice shall be delivered by certified mail, return receipt requested, or in
person to the other party's contract manager with proof of delivery. Waiver of breach of any
provisions of this contract shall not be deemed to be a waiver of any other breach and shall
not be construed to be a modification of the terms of this contract.
9. MISCELLANEOUS. The parties further agree:
a. Availability of Funds. If this contract, any renewal hereof, or any term, performance or
payment hereunder, extends beyond the fiscal year beginning July 1, 2021, it is agreed that
the performance and payment under this contract are contingent upon an annual
appropriation by the Legislature, in accordance with section 287.0582, Florida Statutes.
b. Contract Managers. The name and address of the contract managers for the parties
under this contract are as follows:
For the State:
Mayur Rao
Name
Administrative Services Director II
Title
1900 27th Street
Vero Beach, FI., 32960-3383
Address
772-794-7464
Telephone
For the County:
Kristin Daniels
Name
Budget Director
Title
1801 27th Street
Vero Beach, FI., 32960-3383
Address
772-567-8000 Ext. 1214
Telephone
If different contract managers are designated after execution of this contract, the name,
address and telephone number of the new representative shall be furnished in writing to the
other parties and attached to originals of this contract.
c. Captions. The captions and headings contained in this contract are for the convenience
of the parties only and do not in any way modify, amplify, or give additional notice of the
provisions hereof.
In WITNESS THEREOF, the parties hereto have caused this eight page contract, with its
attachments as referenced, including Attachment I (two pages), Attachment II (six pages),
Attachment III (one page), Attachment IV (one page), and Attachment V (one page), to be
executed by their undersigned officials as duly authorized effective the 1St day of October,
2020.
BOARD OF COUNTY COMMISSIONED c°�1 OF FLORIDA
FOR INDIAN RIVER COUNTY EMENT OF HEALTH
1►I_\JiI=F
TITLE: Chairman
DATE: September 15, 2020
ATTESTED TO -
SIGNED BY: A -
NAME:
<'
TITLE:
DATE: (n /
APPROVED AS TO FORM
AND LEGAL SUFFICIENCY
BY
YLAN REINGOLD
COUNTY ATTORNEY
9
E: Scott A. Rivkees, MD
TITLE: State S r eon General
DATE: 41 Aejp
/,40/
SIGNED BY:
NAME: Mirand C. Hawker, MPH
TITLE: CHD Administrator
DATE: qF
T
ATTACHMENT
INDIAN RIVER COUNTY HEALTH DEPARTMENT
PROGRAM SPECIFIC REPORTING REQUIREMENTS AND PROGRAMS REQUIRING
COMPLIANCE WITH THE PROVISIONS OF SPECIFIC MANUALS
Some health services must comply with specific program and reporting requirements in addition to the Personal Health
Coding Pamphlet (DHP 50-20), Environmental Health Coding Pamphlet (DHP 50-21) and FLAIR requirements because of
federal or state law, regulation or rule. If a county health department is funded to provide one of these services, it must
comply with the special reporting requirements for that service. The services and the reporting requirements are listed
below:
Service
1. Sexually Transmitted Disease
Program
2. Dental Health
3. Special Supplemental Nutrition
Program for Women, Infants and
Children (including the WIC
Breastfeeding Peer Counseling
Program)
Requirement
Requirements as specified in F.A.C. 64D-3, F.S. 381 and F.S. 384.
Periodic financial and programmatic reports as specified by the
program office.
Service documentation and monthly financial reports as specified in
DHM 150-24* and all federal, state and county requirements
detailed in program manuals and published procedures.
4. Healthy Start/ Improved Pregnancy Requirements as specified in the 2007 Healthy Start Standards and
Outcome Guidelines and as specified by the Healthy Start Coalitions in
contract with each county health department.
5. Family Planning Requirements as specified in Public Law 91-572, 42 U.S.C. 300, et
seq., 42 CFR part 59, subpart A, 45 CFR parts 74 & 92, 2 CFR 215
(OMB Circular A-110) OMB Circular A-102, F.S. 381.0051, F.A.C.
64F-7, F.A.C. 64F-16, and F.A.C. 64F-19. Requirements and
Guidance as specified in the Program Requirements for Title X
Funded Family Planning Projects (Title X Requirements)(2014) and
the Providing Quality Family Planning Services (QFP):
Recommendations of CDC and the U.S. Office of Population Affairs
published on the Office of Population Affairs website.
Programmatic annual reports as specified by the program office as
specified in the annual programmatic Scope of Work for Family
Planning and Maternal Child Health Services, including the Family
Planning Annual Report (FPAR), and other minimum guidelines as
specified by the Policy Web Technical Assistance Guidelines.
6. Immunization Periodic reports as specified by the department pertaining to
immunization levels in kindergarten and/or seventh grade pursuant
to instructions contained in the Immunization Guidelines -Florida
Schools, Childcare Facilities and Family Daycare Homes (DH Form
150-615) and Rule 64D-3.046, F.A.C. In addition, periodic reports
as specified by the department pertaining to the
surveillance/investigation of reportable vaccine -preventable
diseases, adverse events, vaccine accountability, and assessment
of immunization
ATTACHMENT I (Continued)
Attachment -1 - Page 1 of 2
8.
4
levels as documented in Florida SHOTS and supported by CHD
Guidebook policies and technical assistance guidance.
Environmental Health Requirements as specified in Environmental Health Programs
Manual 150-4* and DHP 50-21*
HIV/AIDS Program Requirements as specified in F.S. 384.25 and F.A.C. 64D-3.030
and 64D-3.031. Case reporting should be on Adult HIV/AIDS
Confidential Case Report CDC Form DH2139 and Pediatric
HIV/AIDS Confidential Case Report CDC Form DH2140.
Requirements as specified in F.A.C. 64D-2 and 64D-3, F.S. 381 and
F.S. 384. Socio -demographic and risk data on persons tested for
HIV in CHD clinics should be reported on Lab Request DH Form
1628 in accordance with the Forms Instruction Guide.
Requirements for the HIV/AIDS Patient Care programs are found in
the Patient Care Contract Administrative Guidelines.
School Health Services Requirements as specified in the Florida School Health
Administrative Guidelines (May 2012). Requirements as specified
in F.S. 381.0056, F.S. 381.0057, F.S. 402.3026 and F.A.C. 64F-6.
10. Tuberculosis Tuberculosis Program Requirements as specified in F.A.C. 64D-3
and F.S. 392.
11. General Communicable Disease Carry out surveillance for reportable communicable and other acute
Control diseases, detect outbreaks, respond to individual cases of
reportable diseases, investigate outbreaks, and carry out
communication and quality assurance functions, as specified in
F.A.C. 64D-3, F.S. 381, F.S. 384 and the CHD Epidemiology Guide
to Surveillance and Investigations.
12. Refugee Health Program Programmatic and financial requirements as specified by the
program office.
.or the subsequent replacement if adopted during the contract period.
Attachment -1 - Page 2 of 2
ATTACHMENT II
INDIAN RIVER COUNTY HEALTH DEPARTMENT
PART I. PLANNED USE OF COUNTY HEALTH DEPARTMENT TRUST FUND BALANCES
Special Capital Projects are new construction or renovation projects and new furniture or equipment associated with these projects, and mobile health vans.
Attachment-11—Part-1 - Page 1 of 1
Estimated State Estimated County
Share of CHD Trust Share of CHD Trust
Fund Balance Fund Balance
Total
1.
CHD Trust Fund Ending Balance 09/30/20
144926
611634
756560
2.
Drawdown for Contract Year
-144924
-26394
-171318
October 1, 2020 to September 30, 2021
3.
Special Capital Project use for Contract Year
0
0
0
October 1, 2020 to September 30, 2021
4.
Balance Reserved for Contingency Fund
2
585240
585242
October 1, 2020 to September 30, 2021
Special Capital Projects are new construction or renovation projects and new furniture or equipment associated with these projects, and mobile health vans.
Attachment-11—Part-1 - Page 1 of 1
ATTACHMENT II
INDIAN RIVER COUNTY HEALTH DEPARTMENT
Part II, Sources of Contributions to County Health Department
October 1, 2020 to September 30, 2021
1. GENERAL REVENUE - STATE
015040 AIDS PATIENT CARE
015040 CHD - TB COMMUNITY PROGRAM
015040 CORONAVIRUS GENERAL REVENUE
015040 HEALTHY BEACHES MONITORING
015040 FAMILY PLANNING GENERAL REVENUE
015040 PRIMARY CARE PROGRAM
015040 SCHOOL HEALTH SERVICES - GENERAL REVENUE
015050 CHD GENERAL REVENUE NON -CATEGORICAL
GENERAL REVENUE TOTAL
2. NON GENERAL REVENUE - STATE
015010 ENVIRONMENTAL BIOMEDICAL WASTE PROGRAM
NON GENERAL REVENUE TOTAL
3. FEDERAL FUNDS - STATE
007000 WIC BREASTFEEDING PEER COUNSELING PROG
007000 COASTAL BEACH WATER QUALITY MONITORING
007000 COMPREHENSIVE COMMUNITY CARDIO - PHBG
007000 EPID & LAB FOR INFECTIOUS DISEASE COVID-19
007000 FAMILY PLANNING TITLE X - GRANT
007000 IMMUNIZATION ACTION PLAN
007000 MCH SPEC PRJ SOCIAL DETERMINANTS HLTH COMM EDU
007000 MCH BLOCK GRANT FLORIDA'S HEALTHY BABIES
007000 BASE COMMUNITY PREPAREDNESS CAPABILITY
007000 BASE PUB HLTH SURVEILLANCE & EPI INVESTIGATION
007000 AIDS PREVENTION
007000 WIC PROGRAM ADMINISTRATION
015075 SUPPLEMENTAL SCHOOL HEALTH
015075 SNAP ED - OBESITY
018005 AIDS DRUG ASSISTANCE PROGRAM ADMIN HQ
018005 RYAN WHITE TITLE II GRANT/CHD CONSORTIUM
FEDERAL FUNDS TOTAL
4. FEES ASSESSED BY STATE OR FEDERAL RULES - STATE
001020 CHD STATEWIDE ENVIRONMENTAL FEES
001092 CHD STATEWIDE ENVIRONMENTAL FEES
001206 ON SITE SEWAGE DISPOSAL PERMIT FEES
001206 SANITATION CERTIFICATES (FOOD INSPECTION)
001206 SEPTIC TANK RESEARCH SURCHARGE
001206 SEPTIC TANK VARIANCE FEES 50%
001206 PUBLIC SWIMMING POOL PERMIT FEES -10% HQ TRANSFER
001206 DRINKING WATER PROGRAM OPERATIONS
001206 REGULATION OF BODY PIERCING SALONS
001206 TANNING FACILITIES
State CHD
County
Total CHD
Trust Fund
CHD
Trust Fund
Other
(cash)
Trust Fund
(cash)
Contribution
Total
100,000
0
100,000
0
100,000
17,534
0
17,534
0
17,534
927,701
0
927,701
0
927,701
18,882
0
18,882
0
18,882
40,889
0
40,889
0
40,889
183,226
0
183,226
0
183,226
136,867
0
136,867
0
136,867
1,385,373
0
1,385,373
0
1,385,373
2,810,472
0
2,810,472
0
2,810,472
8,203
0
8,203
0
8,203
8,203
0
8,203
0
8,203
57,500
0
57.500
0
57,500
9,891
0
9,891
0
9,891
115,000
0
115,000
0
115,000
137,746
0
137,746
0
137,746
43,669
0
43,669
0
43,669
34,951
0
34,951
0
34,951
23,113
0
23,113
0
23,113
14,776
0
14,776
0
14,776
88,227
0
88,227
0
88,227
76,974
0
76,974
0
76,974
56,262
0
56,262
0
56,262
449,128
0
449,128
0
449,128
150,068
0
150,068
0
150,068
11,661
0
11,661
0
11,661
39,388
0
39,388
0
39,388
90,000
0
90,000
0
90,000
1,398,354
0
1,398,354
0
1,398,354
146,323
0
146,323
0
146,323
319,033
0
319,033
0
319,033
24,996
0
24,996
0
24,996
2,405
0
2,405
0
2,405
4,745
0
4,745
0
4,745
201
0
201
0
201
1,880
0
1,880
0
1,880
526
0
526
0
526
138
0
138
0
138
217
0
217
0
217
AttachmeM_II_PartII - Page 1 of 3
ATTACHMENT II
INDIAN RIVER COUNTY HEALTH DEPARTMENT
Part II, Sources of Contributions to County Health Department
October 1, 2020 to September 30, 2021
001206 ONSITE SEWAGE TRAINING CENTER
001206 TATTO PROGRAM ENVIRONMENTAL HEALTH
001206 MOBILE HOME & RV PARK FEES
FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL
5. OTHER CASH CONTRIBUTIONS - STATE:
090001 DRAW DOWN FROM PUBLIC HEALTH UNIT
OTHER CASH CONTRIBUTION TOTAL
6. MEDICAID - STATE/COUNTY
001148 CHD CLINIC FEES
MEDICAID TOTAL
State CHD
County
Total CHD
0
3,690
Trust Fund
CHD
Trust Fund
Other
10,000
(cash)
Trust Fund
(cash)
Contribution
Total
95
0
95
0
95
868
0
868
0
868
2,719
0
2,719
0
2,719
504,146
0
504,146
0
504,146
0
0
0
0
0
144,924
0
144,924
0
144,924
144,924
0
144,924
0
144,924
0
22,100
22,100
0
22,100
0
22,100
22,100
0
22,100
7. ALLOCABLE REVENUE • STATE:
001004 CHD STATEWIDE ENVIRONMENTAL FEES
031005 GENERAL CLINIC RABIES SERVICES & DRUG PURCHASES
ALLOCABLE REVENUE TOTAL
8. OTHER STATE CONTRIBUTIONS NOT IN CHD TRUST FUND - STATE
ADAP
PHARMACY DRUG PROGRAM
WIC PROGRAM
BUREAU OF PUBLIC HEALTH LABORATORIES
IMMUNIZATIONS
OTHER STATE CONTRIBUTIONS TOTAL
9. DIRECT LOCAL CONTRIBUTIONS - BCC/TAX DISTRICT
008005 HUMAN AND CHILDRENS SERVICES PROGRAM
008005 CHD FEDERAL & LOCAL INDIRECT EARNINGS
008040 CHD LOCAL REVENUE & EXPENDITURES
DIRECT COUNTY CONTRIBUTIONS TOTAL
10. FEES AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION • COUNTY
001077 CHD CLINIC FEES
001094 CHD LOCAL ENVIRONMENTAL FEES
001110 VITAL STATISTICS CERTIFIED RECORDS
FEES AUTHORIZED BY COUNTY TOTAL
11. OTHER CASH AND LOCAL CONTRIBUTIONS - COUNTY
001029 CHD CLINIC FEES
001090 CHD CLINIC FEES
010300 INSPECTIONS OF SUMMER FEEDING PROGRAM • DOE
010300 STATE UNDERGROUND PETROLEUM RESPONSE ACT
010400 CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GOVT
011000 REVENUE CONTRACT/MOA W/NO REPORTING REQUIREMENT
3,690
0
3,690
0
3,690
10,000
0
10,000
0
10,000
13,690
0
13,690
0
13,690
0
0
0
88,822
88,822
0
0
0
507
507
0
0
0
1,743,101
1,743,101
0
0
0
17,224
17,224
0
0
0
98,561
98,561
0
0
0
1,948,215
1,948,215
0
71,184
71,184
0
71,184
0
10,524
10,524
0
10,524
0
738,670
738,670
0
738,670
0
820,378
820,378
0
820,378
0
13,919
13,919
0
13,919
0
258,943
258,943
0
258,943
0
201,240
201,240
0
201,240
0
474,102
474,102
0
474,102
0
13,200
13,200
0
13,200
0
3,800
3,800
0
3,800
0
1,119
1,119
0
1,119
0
2,416
2,416
0
2,416
0
400
400
0
400
0
341,919
341,919
0
341,919
Attachment -II -Part -II - Page 2 of 3
ATTACHMENT II
INDIAN RIVER COUNTY HEALTH DEPARTMENT
Part II, Sources of Contributions to County Health Department
October 1, 2020 to September 30, 2021
011000 INDIAN RIVER FETAL & INFANT MORTALITY REVIEW PRJ
011001 CHD HEALTHY START COALITION CONTRACT
011001 HEALTHY START NURSE FAM PARTNERSHIP EXPAND CHD
090002 DRAW DOWN FROM PUBLIC HEALTH UNIT
OTHER CASH AND LOCAL CONTRIBUTIONS TOTAL
12. ALLOCABLE REVENUE - COUNTY
001004 CHD STATEWIDE ENVIRONMENTAL FEES
031005 GENERAL CLINIC RABIES SERVICES & DRUG PURCHASES
COUNTY ALLOCABLE REVENUE TOTAL
13. BUILDINGS - COUNTY
ANNUAL RENTAL EQUIVALENT VALUE
OTHER (Specify)
UTILITIES
BUILDING MAINTENANCE
GROUNDS MAINTENANCE
INSURANCE
OTHER (Specify)
OTHER (Specify)
BUILDINGS TOTAL
14. OTHER COUNTY CONTRIBUTIONS NOT IN CHD TRUST FUND - COUNTY
EQUIPMENT / VEHICLE PURCHASES
VEHICLE INSURANCE
VEHICLE MAINTENANCE
OTHER COUNTY CONTRIBUTION (SPECIFY)
OTHER COUNTY CONTRIBUTION (SPECIFY)
OTHER COUNTY CONTRIBUTIONS TOTAL
GRAND TOTAL CHD PROGRAM
State CHD
County
Total CHD
Trust Fund
CHD
Trust Fund
Other
(cash)
Trust Fund
(cash)
Contribution
Total
0
3,067
3.067
0
3,067
0
2,420
2,420
0
2,420
0
87,535
87,535
0
87,535
0
26,394
26,394
0
26,394
0
482,270
482,270
0
482,270
0
3,690
3,690
0
3,690
0
10,000
10,000
0
10,000
0
13,690
13,690
0
13,690
0
0
0
455,938
455,938
0
0
0
0
0
0
0
0
153,560
153,560
0
0
0
82,068
82,068
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
691,566
691,566
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4,879,789
1,812,540
6,692,329
2,639,781
9,332,110
Attachment_II_Part_II - Page 3 of 3
Attachment -11 -Part -111 - Page t of 2
ATTACHMENT II
INDIAN RIVER
COUNTY HEALTH DEPARTMENT
Part III, Planned Staffing.
Clients, Services and
Expenditures By Program Service Area Within Each Level of Service
October 1, 2020 to September 30,
2021
Quarterly
Expenditure Plan
FTE's
Clients Services/
1st
2nd
3rd
4th
Grand
(0.00)
Units
Visits
(Whole dollars only)
State
County
Total
A. COMMUNICABLE DISEASE CONTROL:
IMMUNIZATION (101)
3.50
923
1,148
88,166
76,690
88,166
75,690
78,787
248,726
327,512
SEXUALLY TRANS. DIS. (102)
2.87
753
988
68,525
58,750
68,525
58,751
174,296
80,255
254,551
HIV/AIDS PREVENTION (03AD
2.93
0
8,066
58,257
49,947
58,257
49,948
216,308
101
216,409
HIV/AIDS SURVEILLANCE (03A2)
0.07
0
0
1,267
1,086
1,267
1,086
4,703
3
4,706
HIV/AIDS PATIENT CARE (03A3)
4.21
183
715
110,339
94,600
110,339
94,601
398,833
11,046
409,879
ADAP (03A4)
0.84
11
11
16,415
14,073
16,415
14,074
60,948
29
60,977
TUBERCULOSIS (104)
1.97
58
205
40,936
35,097
40,936
35,098
144,575
7,492
152,067
COMM. DIS. SURV. (106)
3.92
0
8,279
370,512
317,660
370,512
317,660
1,376,344
0
1,376,344
HEPATITIS (109)
0.00
0
0
0
0
0
0
0
0
0
PREPAREDNESS AND RESPONSE (116)
1.18
0
20
29,284
25,107
29,284
25,107
108,782
0
108,782
REFUGEE HEALTH (118)
0.00
0
0
0
0
0
0
0
0
0
VITAL RECORDS (180)
1.18
6,021
19,971
19,590
16,796
19,590
16,796
0
72,772
72,772
COMMUNICABLE DISEASE SUBTOTAL
22.67
7,949
39,403
803,291
688,706
803,291
688,711
2,563,576
420,423
2,983,999
B. PRIMARY CARE:
CHRONIC DISEASE PREVENTION PRO (210)
2.71
313
766
51,035
43,755
51,035
43,756
189,581
0
189,581
WIC (21WD
8.71
3,580
22,196
165,226
141,657
165,226
141,657
613,766
0
613,766
TOBACCO USE INTERVENTION (212)
0.00
0
0
0
0
0
0
0
0
0
WIC BREASTFEEDING PEER COUNSELING (21W2)
0.77
0
714
14,124
12,109
14,124
12,110
52,467
0
52,467
FAMILY PLANNING (223)
5.16
361
767
123,971
106,287
123,971
106,287
419,029
41,487
460,516
IMPROVED PREGNANCY OUTCOME (225)
0.00
0
0
0
0
0
0
0
0
0
HEALTHY START PRENATAL (227)
0.65
6
32
16,509
14,154
16,509
14,153
0
61,325
61,325
COMPREHENSIVE CHILD HEALTH (229)
0.00
0
0
0
0
0
0
0
0
0
HEALTHY START CHILD (231)
0.64
1
1
14,134
12,117
14,134
12,117
0
52,502
52,502
SCHOOL HEALTH (234)
4.73
0
48,662
106,825
91,587
106,825
91,586
396,823
0
396,823
COMPREHENSIVE ADULT HEALTH (237)
4.67
603
1,243
124,082
106,382
124,082
106,383
32,682
428,247
460,929
COMMUNITY HEALTH DEVELOPMENT (238)
0.77
0
1,346
18,024
15,453
18,024
15,454
66,955
0
66,955
DENTAL HEALTH (240)
0.00
0
0
0
0
0
0
0
0
0
PRIMARY CARE SUBTOTAL
28.81
4,864
75,727
633,930
543,501
633,930
543,503
1,771,303
583,561
2,354,864
C. ENVIRONMENTAL HEALTH
Water and Onsite Sewage Programs
COSTAL BEACH MONITORING (347)
0.29
167
231
10,532
9,029
10,532
9,029
28,842
10,280
39,122
LIMITED USE PUBLIC WATER SYSTEMS (357)
0.37
28
415
8,889
7,621
8,889
7,621
4,200
28,820
33,020
PUBLIC WATER SYSTEM (358)
0.06
0
116
1,624
1,392
1,624
1,391
15
6,016
6,031
PRIVATE WATER SYSTEM (359)
1.92
10
2,251
40,778
34,961
40,778
34,960
458
151,019
151,477
ONSITE SEWAGE TREATMENT & DISPOSAL (361)
7.79
2,356
7,958
166,341
134,040
156,341
134,040
317,042
263,720
580,762
Group Total
10.43
2,561
10,971
218,164
187,043
218,164
187,041
350,557
459,855
810,412
Facility Programs
TATTOO FACILITY SERVICES (344)
0.16
95
34
3,412
2,925
3,412
2,925
8,486
4,188
12,674
FOOD HYGIENE (348)
0.98
212
551
22,757
19,511
22,757
19,511
24,051
60,485
84,536
Attachment -11 -Part -111 - Page t of 2
ATTACHMENT II
INDIAN RIVER COUNTY HEALTH DEPARTMENT
Part III, Planned Staffing. Clients, Services and Expenditures By Program Service Area Within Each Level of Service
October 1, 2020 to September 30, 2021
Attachment_II_Part_III - Page 2 of 2
Quarterly Expenditure Plan
FTE's
Clients Services/
1st
2nd
3rd
4th
Grand
(0.00)
Units
Visits
(Whole dollars
only)
State
County
Total
BODY PIERCING FACILITIES SERVICES (349)
0.02
0
0
660
565
660
565
2,441
9
2,450
GROUP CARE FACILITY (351)
0.21
116
84
5,062
4,340
5,062
4,341
51
18,754
18,805
MIGRANT LABOR CAMP (352)
0.12
16
38
2,608
2,236
2,608
2,235
876
8,811
9,687
HOUSING & PUB. BLDG. (353)
0.15
1
27
3,707
3,178
3,707
3,177
724
13,045
13,769
MOBILE HOME AND PARK (354)
0.20
47
118
4,533
3,886
4,533
3,887
13,944
2,895
16,839
POOLS/BATHING PLACES (360)
1.30
625
1,268
28,866
24,748
28,866
24,747
60,696
46,531
107,227
BIOMEDICAL WASTE SERVICES (364)
0.56
614
550
12,346
10,585
12,346
10,586
42,119
3,743
45,862
TANNING FACILITY SERVICES (369)
0.05
23
35
1,249
1,070
1,249
1,070
1,772
2,866
4,638
Group Total
3.75
1,749
2,705
85,200
73,044
85,200
73,043
155,160
161,327
316,487
Groundwater Contamination
STORAGE TANK COMPLIANCE SERVICES (355)
0.00
0
0
0
0
0
0
0
0
0
SUPER ACT SERVICES (356)
0.06
6
19
1,552
1,331
1,552
1,330
16
5,749
5,765
Group Total
0.06
6
19
1,552
1,331
1,552
1,330
16
5,749
5,765
Community Hygiene
COMMUNITY ENVIR. HEALTH (345)
0.26
0
440
5,559
4,766
5,559
4,765
60
20,589
20,649
INJURY PREVENTION (346)
0.00
0
0
0
0
0
0
0
0
0
LEAD MONITORING SERVICES (350)
0.00
0
0
32
27
32
27
0
118
118
PUBLIC SEWAGE (362)
0.21
6
77
4,426
3,795
4,426
3,796
45
16,398
16,443
SOLID WASTE DISPOSAL SERVICE (363)
0.00
0
0
70
60
70
59
6
253
259
SANITARY NUISANCE (365)
0.11
17
6
2,743
2,352
2,743
2,351
25
10,164
10,189
RABIES SURVEILLANCE (366)
0.26
59
156
6,583
5,644
6,583
5,644
59
24,395
24,454
ARBORVIRUS SURVEIL. (367)
0.02
0
0
870
746
870
745
6
3,225
3,231
RODENT/ARTHROPOD CONTROL (368)
0.01
0
0
453
388
453
389
3
1,680
1,683
WATER POLLUTION (370)
0.16
0
31
4,360
3,738
4,360
3,737
42
16,153
16,195
INDOOR AIR (371)
0.01
0
0
214
183
214
184
0
795
795
RADIOLOGICAL HEALTH (372)
0.01
0
0
214
183
214
183
2
792
794
TOXIC SUBSTANCES (373)
0.16
8
29
4,285
3,674
4,285
3,674
39
15,879
15,918
Group Total
1.21
90
739
29,809
25,556
29,809
25,554
287
110,441
110,728
ENVIRONMENTAL HEALTH SUBTOTAL
15.45
4,406
14,434
334,725
286,974
334,725
286,968
506,020
737,372
1,243,392
D. NONOPERATIONAL COSTS
NON -OPERATIONAL COSTS (599)
0.96
0
0
19,163
16,429
19,163
16,429
0
71,184
71,184
ENVIRONMENTAL HEALTH SURCHARGE (399)
0.00
0
0
10,442
8,953
10,442
8,953
38,790
0
38,790
MEDICAID BUYBACK (611)
0.00
0
0
27
23
27
23
100
0
100
NONOPERATIONAL COSTS SUBTOTAL
0.96
0
0
29,632
25,405
29,632'
25,405
38,890
71,184
110,074
TOTAL CONTRACT
67.89
17,219
129,564
1,801,578
1,544,586
1,801,578
1,544,587
4,879,789
1,812,540
6,692,329
Attachment_II_Part_III - Page 2 of 2
ATTACHMENT III
INDIAN RIVER COUNTY HEALTH DEPARTMENT
CIVIL RIGHTS CERTIFICATE
The applicant provides this assurance in consideration of and for the purpose of obtaining federal grants, loans,
contracts (except contracts of insurance or guaranty), property, discounts, or other federal financial assistance to
programs or activities receiving or benefiting from federal financial assistance. The provider agrees to complete
the Civil Rights Compliance Questionnaire, DH Forms 946 A and B (or the subsequent replacement if adopted
during the contract period), if so requested by the department.
The applicant assures that it will comply with:
1. Title VI of the Civil Rights Act of 1964, as amended, 42 U.S.C., 2000 Et seq., which prohibits
discrimination on the basis of race, color or national origin in programs and activities receiving or
benefiting from federal financial assistance.
2. Section 504 of the Rehabilitation Act of 1973, as amended, 29 U.S.C. 794, which prohibits discrimination
on the basis of handicap in programs and activities receiving or benefiting from federal financial
assistance.
3. Title IX of the Education Amendments of 1972, as amended, 20 U.S.C. 1681 et seq., which prohibits
discrimination on the basis of sex in education programs and activities receiving or benefiting from
federal financial assistance.
4. The Age Discrimination Act of 1975, as amended, 42 U.S.C. 6101 et seq., which prohibits discrimination
on the basis of age in programs or activities receiving or benefiting from federal financial assistance.
5. The Omnibus Budget Reconciliation Act of 1981, P.L. 97-35, which prohibits discrimination on the basis
of sex and religion in programs and activities receiving or benefiting from federal financial assistance.
6. All regulations, guidelines and standards lawfully adopted under the above statutes. The applicant agrees
that compliance with this assurance constitutes a condition of continued receipt of or benefit from federal
financial assistance, and that it is binding upon the applicant, its successors, transferees, and assignees
for the period during which such assistance is provided. The applicant further assures that all contracts,
subcontractors, subgrantees or others with whom it arranges to provide services or benefits to
participants or employees in connection with any of its programs and activities are not discriminating
against those participants or employees in violation of the above statutes, regulations, guidelines, and
standards. In the event of failure to comply, the applicant understands that the grantor may, at its
discretion, seek a court order requiring compliance with the terms of this assurance or seek other
appropriate judicial or administrative relief, to include assistance being terminated and further assistance
being denied.
Attachment—III - Page 1 of 1
Attachment IV
Fiscal Year - 2020 - 2021
Indian River County Health Department
Facilities Utilized by the County Health Department
Complete Location
(Street Address, City, Zip)
Facility Description
And Offical Building
Name (if applicable)
(Admin, Clinic, Envn Hlth,
etc.)
Lease/
Agreement
Number
Type of
Agreement
(Private Lease thru
State or County, other -
please define)
Complete
Legal Name
of Owner
SID
Feet
Employee
Count
(FTE/OPS/
Contract)
1900 27th Street, Vero Beach,
Florida, 32960-3383
Administration, HR, Clinic, Vital
Statistics, Env. Health, WIC
N/A
County Owned
Commissioners for Indian
River County
36,475
67.89
Facility - a fixed site managed by DOH/CHD personnel for the purpose of providing or supporting public health services. Includes county -owned, state-owned, and
leased facilites. Includes DOH/CHD warehouse and administrative sites. Includes facilities managed by DOH/CHD that may be shared with other organizations.
Does not include schools, jails or other facilities where DOH/CHD staff are out -posted or sites where services are provided on an episodic basis.
Attachment—IV - Page 1 of 1
CONTRACT YEAR
2019-2020*
2020-2021**
2021-2022***
2022-2023***
PROJECT TOTAL
PROJECT NUMBER:
PROJECT NAME:
LOCATION/ADDRESS:
PROJECT TYPE:
ATTACHMENT V
INDIAN RIVER COUNTY HEALTH DEPARTMENT
SPECIAL PROJECTS SAVINGS PLAN
NOT APPLICABLE
CASH RESERVED OR ANTICIPATED TO BE RESERVED FOR PROJECTS
STATE COUNTY
$ 0 $
0 $
COMPLETION DATE:
$ 0 $
0 $
0
$ 0 $
0 $
FURNITURE/EQUIPMENT: $
$ 0 $
0 $
0
$ 0 $
0 $
Special Capital Projects are new construction or renovation projects and new furniture or equipment associated with these projects and
SPECIAL PROJECTS CONSTRUCTION/RENOVATION PLAN
NEW BUILDING
RENOVATION
NEW ADDITION
SQUARE FOOTAGE: 0
PROJECT SUMMARY: Describe scope of work in reasonable detail.
ROOFING
PLANNING STUDY
OTHER
TOTAL
START DATE (Initial expenditure of funds)
COMPLETION DATE:
DESIGN FEES: $
0
CONSTRUCTION COSTS: $
0
FURNITURE/EQUIPMENT: $
0
TOTAL PROJECT COST: $
0
COST PER SQ FOOT: $
0
Special Capital Projects are new construction or renovation projects and new furniture or equipment associated with these projects and
mobile health vans.
* Cash balance as of 9/30/20
** Cash to be transferred to FCO account.
*** Cash anticipated for future contract years.
0
0
Attachment_V - Page 1 of 1