HomeMy WebLinkAbout2021-126 CONTRACT BETWEENto,
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INDIAN RIVER-COUNTY BOARD OF COUNTY COMMISSIONERS �
AND 41.4,
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STATE OF FLORIDA DEPARTMENT OF HEALTH
FOR OPERATION OF THE
INDIAN RIVER COUNTY HEALTH DEPARTMENT
CONTRACT YEAR 2021-2022
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, 2021.
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,
2021, through September 30, 2022, 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
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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 fundingto beprovided bytheparties and anyother sources is set forth in Part II of
Attachment II hereof. This funding will be used as shown in Part I of 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 $ 3,282,887
(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 $775,604 (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
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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;
iii. 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 II, 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
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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.
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o. The CHD shall submit quarterly reports to the County that shall include at least the
following:
i. 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 DE385L1 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:
i. March 1, 2022 for the report period October 1, 2021 through
December 31, 2021;
ii. June 1, 2022 for the report period October 1, 2021 through
March 31, 2022;
iii. September 1, 2022 for the report period October 1, 2021
through June 30, 2022; and
iv. December 1, 2022 for the report period October 1, 2021
through September 30, 2022.
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
responsible for the costs of maintenance and repair of vehicles used for CHD operations.
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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, 2022, 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: For the County:
Mayur Rao Kristin Daniels
Name Name
Administrative Services Director II Budget Director
Title Title
1900 27th Street 1801 27th Street
Vero Beach, Fl., 32960-3383 Vero Beach, Fl., 32960-3383
Address Address
772-794-7464 772-567-8000 Ext. 1214
Telephone Telephone
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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,
2021.
BOARD OF COUNTY COMMISSIONERS ••ori " °QF FLORIDA
FOR INDIAN RIVER COUNTY ,S '-D ?A1T ENT OF HEALTH
/ i 5:,- .,' : i
SIGNED BY: t -- -_ ___:-/-% .-•101ED 13Ys
NAME: Joseph E. Flescher ,•,,y4 a Joseph A. Ladapo, M.D., Ph.D.,"
TITLE: Chairman TITLE: State Surgeon Genera
DATE: September 14, 2021 DATE: to\-2... .\, ..\
ATTESTED Tfph
/
SIGNED BY: / Ilk 'ir I fi SIGNED BY: ,. .- A°
NAME: hor n (ii .. //' J& NAME: Miranda C. Hawker, MPH
TITLE: apj l 'y JJeirt_j TITLE: CHD Administrator
DATE: &pion btr 14,2o2-1 DATE: 09/27/202/
II
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ATTACHMENT I
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 Requirement
1. Sexually Transmitted Disease Requirements as specified in F.A.C.64D-3, F.S.381 and F.S.384.
Program
2. Dental Health Periodic financial and programmatic reports as specified by the
program office.
3. Special Supplemental Nutrition Service documentation and monthly financial reports as specified in
Program for Women, Infants and DHM 150-24*and all federal,state and county requirements
Children(including the WIC detailed in program manuals and published procedures.
Breastfeeding Peer Counseling
Program)
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_I-Page 1 of 2
levels as documented in Florida SHOTS and supported by CHD
Guidebook policies and technical assistance guidance.
7. Environmental Health Requirements as specified in Environmental Health Programs
Manual 150-4*and DHP 50-21*
8. 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.
9. 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_I-Page 2 of 2
ATTACHMENT II
INDIAN RIVER COUNTY HEALTH DEPARTMENT
PART I. PLANNED USE OF COUNTY HEALTH DEPARTMENT TRUST FUND BALANCES
Estimated State Estimated County
Share of CHD Trust Share of CHD Trust
Fund Balance Fund Balance Total
1. CHD Trust Fund Ending Balance 09/30/21 442028 853561 1295589
2. Drawdown for Contract Year -442029 278294 -163735
October 1,2021 to September 30,2022
3. Special Capital Project use for Contract Year 0 0 0
October 1,2021 to September 30,2022
4. Balance Reserved for Contingency Fund -1 1131855 1131854
October 1,2021 to September 30,2022
Special Capital Projects are new construction or renovation projects and new furniture or equipment associated with these projects,and mobile health vans.
Attachment_II_Part_I-Page 1 of 1
ATTACHMENT II
- - :: w --- " INDIAN RIVER COUNTY HEALTH DEPARTMENT
•. " •Part II,Sources of Contributions tory County Health Department
October"1,2021 to.,September 30,,2022•-
State CHD County", Total CHD •
Trust Fund CHD ' Trust Fund Other 1
- " (cash) Trust Fund' (cash) "Contribution Total
1.GENERAL REVENUE•STATE
015040 AIDS PATIENT CARE 100,000 0 100,000 0 100,000
015040 CHD-TB COMMUNITY PROGRAM 23,705 0 23,705 0 23,705
015040 FAMILY PLANNING GENERAL REVENUE 40,889 0 40,889 0 40,889
015040 PRIMARY CARE PROGRAM 183,226 0 183,226 0 183,226
015040 SCHOOL HEALTH SERVICES-GENERAL REVENUE 136,867 0 136,867 0 136,867
015050 CHD GENERAL REVENUE NON-CATEGORICAL 1,508,076 0 1,508,076 0 1,508,076
GENERAL REVENUE TOTAL 1,992,763 0 1,992,763 0 1,992,763
2.NON GENERAL REVENUE•STATE
015010 ENVIRONMENTAL BIOMEDICAL WASTE PROGRAM 6,480 0 6,480 0 6,480
NON GENERAL REVENUE TOTAL 6,480 0 6,480 0 6,480
3.FEDERAL FUNDS-STATE
007000 AIDS DRUG ASSISTANCE PROGRAM ADMIN HQ 39,388 0 39,388 0 39,388
007000 WIC BREASTFEEDING PEER COUNSELING PROG 60,000 0 60,000 0 60,000
007000 COASTAL BEACH WATER QUALITY MONITORING 10,712 0 10,712 0 10,712
007000 COMPREHENSIVE COMMUNITY CARDIO-PHBG 115,000 0 115,000 0 115,000
007000 FAMILY PLANNING TITLE X-GRANT 43,669 0 43,669 0 43,669
007000 IMMUNIZATION ACTION PLAN 35,000 0 35,000 0 35,000
007000 MCH SPEC PRJ SOCIAL DETERMINANTS HLTH COMM EDU 23,113 0 23,113 0 23,113
007000 MCH BLOCK GRANT FLORIDA'S HEALTHY BABIES 14,776 0 14,776 0 14,776
007000 BASE COMMUNITY PREPAREDNESS CAPABILITY 90,205 0 90,205 0 90,205
007000 BASE ENVIROMENTAL HEALTH 76,974 0 76,974 0 76,974
007000 AIDS PREVENTION 48,680 0 48,680 0 48,680
007000 RYAN WHITE TITLE II GRANT/CHD CONSORTIUM 90,000 0 90,000 0 90,000
007000 WIC PROGRAM ADMINISTRATION 486,059 0 486,059 0 486,059
015075 SUPPLEMENTAL SCHOOL HEALTH 150,068 0 150,068 0 150,068
015075 SNAP ED-OBESITY 77,750 0 77,750 0 77,750
FEDERAL FUNDS TOTAL 1,361,394 0 1,361,394 0 1,361,394
4.FEES ASSESSED BY STATE OR FEDERAL RULES•STATE,
001020 CHD STATEWIDE ENVIRONMENTAL FEES 141,947 0 141,947 0 141,947
001092 ON SITE SEWAGE DISPOSAL PERMIT FEES 386,640 0 386,640 0 386,640
001092 CHD STATEWIDE ENVIRONMENTAL FEES 4,228 0 4,228 0 4,228
001206 ON SITE SEWAGE DISPOSAL PERMIT FEES 20,118 0 20,118 0 20,118
001206 SANITATION CERTIFICATES(FOOD INSPECTION) 2,164 0 2,164 0 2,164
001206 SEPTIC TANK RESEARCH SURCHARGE 7,142 0 7,142 0 7,142
001206 PUBLIC SWIMMING POOL PERMIT FEES-10%HQ TRANSFER 6,339 0 6,339 0 6,339
001206 DRINKING WATER PROGRAM OPERATIONS 374 0 374 0 374
001206 REGULATION OF BODY PIERCING SALONS 30 0 30 0 30
001206 TANNING FACILITIES 190 0 190 0 190
001206 TATTO PROGRAM ENVIRONMENTAL HEALTH 1,070 0 1,070 0 1,070
001206 MOBILE HOME&RV PARK FEES 1,540 0 1,540 0 1,540
FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL 571,782 0 571,782 0 571,782
Attachment_II_Part_II-Page 1 of 3
ATTACHMENT II
INDIAN RIVER COUNTY HEALTH DEPARTMENT
Part II,Sources of Contributions to County Health Department
October 1,2021 to September 30,2022
I
State CHD County Total CHD j
Trust Fund CHD Trust Fund Other-
' (cash) Trust Fund (cash) Contribution Total
5.OTHER CASH CONTRIBUTIONS•STATE:
0 0 0 0 0
090001 DRAW DOWN FROM PUBLIC HEALTH UNIT 442,029 0 442,029 0 442,029
OTHER CASH CONTRIBUTION TOTAL 442,029 0 442,029 0 442,029
6.MEDICAID•STATE/COUNTY:
001057 CHD CLINIC FEES 0 8,380 8,380 0 8,380
001148 CHD CLINIC FEES 0 41,149 41,149 0 41,149
MEDICAID TOTAL 0 49,529 49,529 0 49,529
7.ALLOCABLE REVENUE•STATE:
001004 CHD STATEWIDE ENVIRONMENTAL FEES 4,200 0 4,200 0 4,200
031005 GENERAL CLINIC RABIES SERVICES&DRUG PURCHASES 10,000 0 10,000 0 10,000
ALLOCABLE REVENUE TOTAL 14,200 0 14,200 0 14,200
8.OTHER STATE CONTRIBUTIONS NOT IN CHD TRUST FUND-STATE
ADAP 0 0 0 51,468 51,468
PHARMACY DRUG PROGRAM 0 0 0 350 350
WIC PROGRAM 0 0 0 1,542,956 1,542,956
BUREAU OF PUBLIC HEALTH LABORATORIES 0 0 0 18,135 18,135
IMMUNIZATIONS 0 0 0 51,666 51,666
OTHER STATE CONTRIBUTIONS TOTAL 0 0 0 1,664,575 1,664,575
9.DIRECT LOCAL CONTRIBUTIONS-BCC/TAX DISTRICT
008005 HUMAN AND CHILDRENS SERVICES PROGRAM 0 76,680 76,680 0 76,680
008005 CHD FEDERAL&LOCAL INDIRECT EARNINGS 0 14,061 14,061 0 14,061
008040 CHD LOCAL REVENUE&EXPENDITURES 0 775,604 775,604 0 775,604
DIRECT COUNTY CONTRIBUTIONS TOTAL 0 866,345 866,345 0 866,345
10.FEES AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION-COUNTY
001077 CHD CLINIC FEES 0 3,140 3,140 0 3,140
001094 CHD LOCAL ENVIRONMENTAL FEES 0 270,031 270,031 0 270,031
001110 VITAL STATISTICS CERTIFIED RECORDS 0 220,000 220,000 0 220,000
FEES AUTHORIZED BY COUNTY TOTAL 0 493,171 493,171 0 493,171
11.OTHER CASH AND LOCAL CONTRIBUTIONS•COUNTY
001029 CHD CLINIC FEES 0 8,188 8,188 0 8,188
001090 CHD CLINIC FEES 0 7,900 7,900 0 7,900
010300 MIGRANT LABOR HOUSING INSPECTION H-2A PROGRAM 0 1,695 1,695 0 1,695
010400 CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GOVT 0 60 60 0 60
011000 REVENUE CONTRACT/MOA W/NO REPORTING REQUIREMENT 0 352,565 352,565 0 352,565
011001 CHD HEALTHY START COALITION CONTRACT 0 2,504 2,504 0 2,504
011001 HEALTHY START NURSE FAM PARTNERSHIP EXPAND CHD 0 84,802 84,802 0 84,802
090002 DRAW DOWN FROM PUBLIC HEALTH UNIT 0 -278,294 -278,294 0 -278,294
OTHER CASH AND LOCAL CONTRIBUTIONS TOTAL 0 179,420 179,420 0179,420
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 1,2021 to September 30,2022
State CHD . .County Total CHD' •
Trust Fund CHD Trust Fund Other
(cash) Trust Fund (cash) Contribution. , Total ,
12.ALLOCABLE REVENUE•COUNTY
001004 CHD STATEWIDE ENVIRONMENTAL FEES 0 4,200 4,200 0 4,200
031005 GENERAL CLINIC RABIES SERVICES&DRUG PURCHASES 0 10,000 10,000 0 10,000
COUNTY ALLOCABLE REVENUE TOTAL 0 14,200 14,200 0 14,200
13.BUILDINGS-COUNTY
ANNUAL RENTAL EQUIVALENT VALUE 0 0 0 455,938 455,938
OTHER(Specify) 0 0 0 0 0
UTILITIES 0 0 0 153,560 153,560
BUILDING MAINTENANCE 0 0 0 82,068 82,068
GROUNDS MAINTENANCE 0 0 0 0 0
INSURANCE 0 0 0 0 0
OTHER(Specify) 0 0 0 0 0
OTHER(Specify) 0 0 0 0 0
BUILDINGS TOTAL 0 0 0 691,566 691,566
14.OTHER COUNTY CONTRIBUTIONS NOT IN CHD TRUST FUND•COUNTY
EQUIPMENT/VEHICLE PURCHASES 0 0 0 0 0
VEHICLE INSURANCE 0 0 0 0 0
VEHICLE MAINTENANCE 0 0 0 0 0
OTHER COUNTY CONTRIBUTION(SPECIFY) 0 0 0 0 0
OTHER COUNTY CONTRIBUTION(SPECIFY) 0 0 0 0 0
OTHER COUNTY CONTRIBUTIONS TOTAL 0 0 0 0 0
GRAND TOTAL CHD PROGRAM 4,388,648 1,602,665 5,991,313 2,356,141 8,347,454
Attachment_II_Part II-Page 3 of 3
A11 ACHMENT II
'"' " INDIAN RIVER:;COUNTY HEALTH DEPARTMENT,
part III,Planned Staffing.Clients,Services and Expenditures By,Program Service Area Within Each Level of Service "
October 1,2021 toSeptember 80 2022
Quarterly Expenditure Plan "
FTE's Clients"Services/ lst 2nd -,� 3rd 4th Grandy
(0 00) ;Units Visits .(Whole dollars only) State County Total
A. SEAS CONTROL:
COMMUNICABLE DISEASE NT L:
C CO
IMMUNIZATION (101) 3.81 4,839 8,596 94,128 80,702 94,128 80,702 194,374 155,286 349,660
SEXUALLY TRANS.DIS. (102) 3.62 587 757 83,048 71,202 83,048 71,201 297,182 11,317 308,499
HIV/AIDS PREVENTION (03A1) 3.26 0 256 63,457 54,405 63,457 54,404 226,067 9,656 235,723
HIV/AIDS SURVEILLANCE (03A2) 0.08 0 0 1,367 1,172 1,367 1,171 5,077 0 5,077
HIV/AIDS PATIENT CARE (03A3) 4.18 225 691 99,798 85,563 99,798 85,563 341,081 29,641 370,722
ADAP (03A4) 0.82 6 6 16,776 14,383 16,776 14,384 62,317 2 62,319
TUBERCULOSIS (104) 2.47 64 151 50,278 43,106 50,278 43,107 186,163 606 186,769
COMM.DIS.SURV. (106) 5.52 0 3,073 120,131 102,995 120,131 102,995 446,252 0 446,252
HEPATITIS (109) 0.00 0 0 0 0 0 0 0 0 0
PREPAREDNESS AND RESPONSE (116) 1.20 0 20 29,633 25,406 29,633 25,405 110,077 0 110,077
REFUGEE HEALTH (118) 0.00 0 0 0 0 0 0 0 0 0
VITAL RECORDS (180) 1.26 7,036 25,736 21,908 18,783 21,908 18,783 0 81,382 81,382
COMMUNICABLE DISEASE SUBTOTAL 26.22 12,757 39,286 580,524 497,717 580,524 497,715 1,868,590 287,890 2,156,480
B. PRIMARY CARE:
CHRONIC DISEASE PREVENTION PRO (210) 3.58 208 146 75,723 64,921 75,723 64,921 281,288 0 281,288
WIC (21W1) 8.46 3,424 16,518 174,418 149,538 174,418 149,539 647,913 0 647,913
TOBACCO USE INTERVENTION (212) 0.00 0 0 0 0 0 0 0 0 0
WIC BREASTFEEDING PEER COUNSELING (21W2) 1.35 0 1,278 22,197 19,031 22,197 19,030 82,455 0 82,455
FAMILY PLANNING (223) 4.35 261 585 97,318 83,436. 97,318 83,435 113,568 247,939 361,507
IMPROVED PREGNANCY OUTCOME (225) 0.00 0 0 0 0 0 0 0 0 0
HEALTHY START PRENATAL (227) 0.67 5 58 15,357 13,166 15,357 13,167 0 57,047 57,047
COMPREHENSIVE CHILD HEALTH (229) 0.00 0 0 0 0 0 0 0 0 0
HEALTHY START CHILD (231) 0.60 3 7 13,799 11,830 13,799 11,830 0 51,258 51,258
SCHOOL HEALTH (234) 4.61 0 22,413 114,094 97,819 114,094 97,820 423,827 0 423,827
COMPREHENSIVE ADULT HEALTH (237) 4.86 3,388 5,505 128,228 109,937 128,228 109,938 32,463 443,868 476,331
COMMUNITY HEALTH DEVELOPMENT (238) 0.89 0 3,495 16,820 14,421 16,820 14,422 62,483 0 62,483
DENTAL HEALTH (240) 0.00 0 0 0 0 0 0 0 0 0
PRIMARY CARE SUBTOTAL 29.37 7,289 50,005 657,954 564,099 657,954 564,102 1,643,997 800,112 2,444,109
C. ENVIRONMENTAL HEALTH:
Water and Onsite Sewage Programs
COSTAL BEACH MONITORING (347) 0.10 72 72 5,317 4,559 5,317 4,558 19,722 29 19,751
LIMITED USE PUBLIC WATER SYSTEMS (357) 0.47 25 325 10,668 9,147 10,668 9,147 20,234 19,396 39,630
PUBLIC WATER SYSTEM (358) 0.07 0 62 1,945 1,668 1,945 1,668 3,612 3,614 7,226
PRIVATE WATER SYSTEM (359) 1.22 2 1,868 28,880 24,760 28,880 24,761 320 106,961 107,281
ONSITE SEWAGE TREATMENT&DISPOSAL (361) 7.86 2,623 9,507 165,030 141,489 165,030 141,488 485,739 127,298 613,037
Group Total 9.72 2,722 11,834 211,840 181,623 211,840 181,622 529,627 257,298 786,925
Facility Programs
TATTOO FACILITY SERVICES (344) 0.24 131 83 4,758 4,079 4,758 4,078 17,602 71 17,673
FOOD HYGIENE (348) 1.12 174 528 22,529 19,316 22,529 19,316 61,978 21,712 83,690
Attachment II_Part III-Page 1 of 2
1
ATTACHMENT II .
F- INDIAN RIVER COUNTY HEALTH DEPARTMENT _,,, .,
Y; Part III,Planned Stafng Clients Seivicee and Expenditures By Program Service Area Within_Each Level of Service ' ,
October 1-,2021 to September-0049;i r ,
3
Quarterly Expenditure Plan ' 1
. FTEa Clients Services/ •'let 2
nd 3rd 4th ' � -- - Grand
t- i
(0 00), Umte Visite (Whole dollars only) State County Notal•
BODY PIERCING FACILITIES SERVICES (349) 0.05 3 10 864 741 864 742 3,198 13 3,211
GROUP CARE FACILITY (351) 0.46 101 214 9,406 8,064 9,406 8,063 123 34,816 34,939
MIGRANT LABOR CAMP (352) 0.15 17 56 3,032 2,600 3,032 2,600 3,382 7,882 11,264
HOUSING&PUB.BLDG. (353) 0.13 0 26 3,219 2,760 3,219 2,760 34 11,924 11,958
MOBILE HOME AND PARK (354) 0.24 56 148 4,688 4,020 4,688 4,020 11,832 5,584 17,416
POOLSBATHING PLACES (360) 1.54 455 1,332 30,796 26,404 30,796 26,404 109,998 4,402 114,400
BIOMEDICAL WASTE SERVICES (364) 0.81 361 408 15,950 13,674 15,950 13,674 59,013 235 59,248
TANNING FACILITY SERVICES (369) 0.04 9 23 675 579 675 579 2,498 10 2,508
Group Total 4.78 1,307 2,828 95,917 82,237 95,917 82,236 269,658 86,649 356,307
Groundwater Contamination
STORAGE TANK COMPLIANCE SERVICES (355) 0.00 0 0 0 0 0 0 0 0 0
SUPER ACT SERVICES (356) 0.07 23 28 1,671 1,433 1,671 1,433 3,103 3,105 6,208
Group Total 0.07 23 28 1,671 1,433 1,671 1,433 3,103 3,105 6,208
Community Hygiene
COMMUNITY ENVIR.HEALTH (345) 0.11 0 245 2,256 1,934 2,256 1,935 3,939 4,442 8,381
INJURY PREVENTION (346) 0.00 0 0 0 0 0 0 0 0 0
LEAD MONITORING SERVICES (350) 0.00 0 0 18 15 18 16 67 0 67
PUBLIC SEWAGE (362) 0.45 1 62 8,837 7,577 8,837 7,577 117 32,711 32,828
SOLID WASTE DISPOSAL SERVICE (363) 0.00 0 0 67 58 67 58 249 1 250
SANITARY NUISANCE (365) 0.10 20 4 2,502 2,145 2,502 2,146 4,461 4,834 9,295
RABIES SURVEILLANCE (366) 0.26 63 • 166 6,981 5,985 6,981 5,986 12,961 12,972 25,933
ARBORVIRUS SURVEIL. (367) 0.01 0 0 200 171 200 171 2 740 742
RODENT/ARTHROPOD CONTROL (368) 0.01 0 3 185 159 185 159 2 686 688
WATER POLLUTION (370) 0.12 0 19 2,810 2,410 2,810 2,410 5,218 5,222 10,440
INDOOR AIR (371) 0.23 0 8 5,882 5,043 5,882 5,042 60 21,789 21,849
RADIOLOGICAL HEALTH (372) 0.00 0 0 0 0 0 0 0 0 0
TOXIC SUBSTANCES (373) 0.16 13 35 4,055 3,477 4,055 3,477 7,530 7,534 15,064
Group Total 1.45 97 542 33,793 28,974 33,793 28,977 34,606 90,931 125,537
ENVIRONMENTAL HEALTH SUBTOTAL 16.02 4,149 15,232 343,221 294,267 343,221 294,268 836,994 437,983 1,274,977
D. NON-OPERATIONAL COSTS:
NON-OPERATIONAL COSTS (599) 1.00 0 0 20,642 17,698 20,642 17,698 0 76,680 76,680
ENVIRONMENTAL HEALTH SURCHARGE (399) 0.00 0 0 10,490 8,994 10,490 8,993 38,967 0 38,967
MEDICAID BUYBACK (611) 0.00 0 0 27 23 27 23 100 0 100
NON-OPERATIONAL COSTS SUBTOTAL 1.00 0 0 31,159 26,715 31,159 26,714 39,067 76,680 115,747
TOTAL CONTRACT 72.61 24,195 104,523 1,612,858 1,382,798 1,612,858 1,382,799 4,388,648 1,602,665 5,991,313
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 1.964,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-2021-2022
Indian River County Health Department
Facilities Utilized by the County Health Department
•
Complete Location Facility Description Lease/ Type of Complete SQ Employee
(Street Address,City,Zip) And Offical Building Agreement Agreement Legal Name Feet Count
Name(if applicable) Number (Private Lease thru of Owner (FTE/OPS/
(Admin,Clinic,Envn Hlth, State or County,other- Contract)
etc.) please define)
1900 27th Street,Vero Beach, Administration,FIR,Clinic, Commissioners for
Florida,32960-3383 Vital Statistics,Env.Health,WIC N/A County Owned 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 DOHICHD staff are out-posted or sites where services are provided on an episodic basis. Attachment_IV-Page 1 of 1
ATTACHMENT V
INDIAN RIVER COUNTY HEALTH DEPARTMENT
SPECIAL PROJECTS SAVINGS PLAN
NIA
CASH RESERVED OR ANTICIPATED TO BE RESERVED FOR PROJECTS
CONTRACT YEAR STATE COUNTY TOTAL
2020-2021* $ 0 $ 0 $ 0
2021-2022** $ 0 $ 0 $ 0
2022-2023*** $ 0 $ 0 $ 0
2023-2024*** $ 0 $ 0 $ 0
PROJECT TOTAL $ 0 $ 0 $ 0
SPECIAL PROJECTS CONSTRUCTION/RENOVATION PLAN
PROJECT NUMBER:
PROJECT NAME:
LOCATION/ADDRESS:
PROJECT TYPE: NEW BUILDING ROOFING
RENOVATION PLANNING STUDY
NEW ADDITION OTHER
SQUARE FOOTAGE: 0
PROJECT SUMMARY: Describe scope of work in reasonable detail.
Attachment_V-Page 1 of 1