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News & Events

Information on Inclement Weather
January 3, 2018

For information regarding agency closings, delayed openings or early closings, please listen to the following radio stations:
 
WNNT 107.5 (Warsaw/Tappahannock)
WKWI 101.7 (Kilmarnock)
WIGO 104.9 (Northern Neck/Middle Peninsula)
WRAR 105.5 (Northern Neck/Middle Peninsula)
XTRA 99.1 (Gloucester)
 


2017 Board Meeting Minutes
January 25, 2018

The Middle Peninsula Northern Neck Community Services Board (CSB) held their February 21, 2017 Board meeting at the Kilmarnock Town Hall in Kilmarnock, Virginia.
 
                BOARD MEMBERS PRESENT
                Alice Coates                       Ben Owen
                Darryl Pirok                         Anne Mitchell
                Tim Doss                              Carole Alexander
 
                BOARD MEMBERS EXCUSED
                Stephan Smith
                Stanley Langford
 
                STAFF PRESENT
                Chuck Walsh, Executive Director
                Yvonne Wingrove, CFO
                Gail Slaughter, Administrative Assistant
                Perryann Whitehurst, Administrative Assistant
 
Ms. Coates called the meeting to order. A quorum was present. 
 
Welcome New Member – Mr. Walsh introduced Tim Doss, the new Gloucester County representative on the CSB. Mr. Doss is the Superintendent of the Middle Peninsula Regional Security Center. Mr. Walsh also welcomed Ms. Taylor O’bier, a reporter with the Northern Neck News, Northumberland Echo, and Westmoreland News.
 
Ms. Coates noted that there are still two vacancies on the Board. A Mathews County representative and a Northumberland County representative is needed. 
 
Public Comment – There was no public comment.
 
Agenda Additions – There were no additions to the agenda.
 
Minutes – Dr. Pirok moved approval of the minutes from the December 20, 2016 meeting. Superintendent Doss seconded the motion, which passed unanimously.
 
Chairperson Comments – There were no comments from the Chair.
 
Executive Director’s Report -  Mr. Walsh said that the agency is doing so many things. The reports that the Board members received highlight many of these programs and activities.
 
Mr. Walsh said that he is a member of the Opoid Summit Subcommittee. This group is looking at bringing drug courts to this area.
 
Mr. Walsh had a copy of the Nelson Beats the Odds book for the Board to see. The book was written by Ronnie Sidney, II, MSW, a staff member of the CSB. 
 
Dr. Pirok said that as a Board, they needed to take action on Mr. Walsh’s report. He made the following motion:
“I move this Board, based on our Executive Director’s February report, acknowledge the current deteriorating behavioral health situation toward greater chaos. We the MPNNCSB must educate and encourage those overseeing the private behavioral health sector to broaden their base of difficult clients and avoid the excessive default referrals of mandated care to the state hospitals.
 
We as a Board must request greater public support for increased staff training and recruitment with necessary expansion of vital services to meet the DBHDS department goals for Eastern State Hospital census and discharges. Support is also needed for prevention programs including substance abuse, CIT, and PACT as well as jails and Department of Corrections and other intervention programs. Sustaining cooperation from the public as well as private entities is crucial to avoid the critical and overwhelming negative outcomes that appear likely to occur.”
 
Ms. Coates asked if there was action to be taken. Dr. Pirok said yes – first addressing the leadership of the private sector and second, underscoring funding for training and recruitment of staff. Mr. Owen noted that the private sector is in business to make a profit.   He would like for Virginia to re-examine reliance on the private sector. Mr. Walsh said that he could craft a letter to Dr. Barber, Commissioner, stating this motion. Mr. Owen said the motion could be adopted, keeping in mind the discussion today and that Mr. Walsh could draft a letter to Dr. Barber. The Board was in agreement to this motion. Dr. Pirok moved approval. Superintendent Doss seconded the motion which passed unanimously.
 
Mr. Walsh presented the Governors, House, and Senates biennium budget.
 
Strategic Plan – Mr. Walsh said that the Leadership Team has been looking at the budget. They are looking at the highest expenses, what is making a profit, and what is needed by the community. 
 
Dash Board – Board members received a copy of the Dash Board.
 
Exhibit B – Mr. Walsh noted that we are no longer required to do this.
 
Finance Committee – Mr. Owen reported that the Finance Committee met last week.
 
In the second quarter, we had $3.1 million in cash. In comparison, last year we had $3.5 million in cash.
 
The Finance Committee approved of writing off $847.40 for the first quarter and $2,058.87 for the second quarter. The auditors looked at the uncollected self pay balance. For the period of 2009 through a year ago, this totaled $381,877. The Department instructed us to write this off. The Finance Committee recommended to the Board that the $381,877 self pay balance be written off. The motion passed unanimously.
 
The cost of health insurance will be going up $3.8%. The Committee discussed retirees remaining in the insurance pool. If this was done, there would be an additional 2% increase for everyone. The Human Resources Committee was asked to look into this. CSB staff will find out what the counties do. The Finance Committee also asked that CSB staff be surveyed about whether or not they would want to pay the additional 2% for retirees insurance.
 
The Committee also discussed earned leave payout for retirees. The HR Committee will also look into this. CSB staff will find out what the counties do.
 
Kilmarnock House currently has no residents. This is due to being unable to keep it staffed. We are looking at whether we want to reopen it, sell it, repurpose it, etc. Mr. Walsh will ask our Operations Manager to do an appraisal of Kilmarnock House and Mathews House. This Board would make a recommendation to the Properties, Inc. Board.
 
Facilities Committee – The Facilities Committee met with the Finance Committee. There was discussion about looking at alternative spaces and what would be the best way to go, buy or build. There was discussion about telecommuting. Mr. Walsh said that Mr. David Hudgins had contacted him regarding the VEC building. Mr. Langford was going to look into this.
 
Community Advocacy Committee – This Committee had not met.
 
Human Resources Committee – This Committee had not met, but would be meeting in the near future.
 
Executive Committee - The Executive Committee had not met.
 
Committee Appointments – Ms. Coates will talk with Superintendent Doss about which Committees he would like to serve on.
 
Appointment to Other Boards – Dr. Pirok volunteered to serve on the Kilmarnock New Horizons Board.
Superintendent Doss volunteered to serve on Woodland Pointe. The CSB Board decided to wait until the two remaining vacancies were filled before appointing someone to serve on the Lively Turning Point Board. Mr. Walsh will find out if the two community members are still willing to serve on the Woodland Pointe Board.
 
Executive Session –Mr. Owen moved that the Board go into Close Session as provided for by the Code of Virginia, Section 2.2-3711 (A) (1) to discuss personnel issues. The motion was seconded by Dr. Pirok and passed unanimously.
 
The Board returned to open session. A roll call vote was taken to certify that only such business as identified in the motion to convene the Closed Session was discussed: Mr. Owen, aye; Ms. Mitchell, aye; Dr. Pirok, aye; Superintendent Doss, aye; Ms. Alexander, aye and Ms. Coates, aye.
 
Board Member Comments – Superintendent Doss said that he had been in law enforcement for 30 years. He has been with the Regional Jail for seven. This CSB is one of the best in the state when it comes to working with other agencies. He is honored to serve on the Board.
 
Other – Ms. O’bier asked that a copy of the Board reports be sent to her.
 
Adjourn – There being no further business, the meeting adjourned.
 
Gail Slaughter
Recorder
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
               
The Middle Peninsula Northern Neck Community Services Board (CSB) held their April 18, 2017 Board meeting at the Woodland Pointe Apartments in Gloucester, Virginia.
 
                BOARD MEMBERS PRESENT
                Alice Coates                       Ben Owen
                Darryl Pirok                         Anne Mitchell
                Tim Doss                              Carole Alexander
                Edith Turner
 
                BOARD MEMBERS EXCUSED
                Stephan Smith
                Stanley Langford
 
                STAFF PRESENT
                Chuck Walsh, Executive Director
                Yvonne Wingrove, CFO
                Bill Wallace, Director of Human Resources
                Becky Graser, Consumer Recovery Liaison
                Gail Slaughter, Administrative Assistant
 
 
Ms. Coates called the meeting to order. A quorum was present. 
 
Welcome New Member - Ms. Coates welcomed the new Board member, Ms. Edith Turner, representing Mathews County.
 
Ms. Coates noted that we still don’t have a Board member from Northumberland County.
 
Guests – Mr. Walsh introduced and welcomed Mr. Brian Hartley from Gloucester County Public Schools. 
 
Public Comment – Mr. Walsh noted that we have worked with Gloucester County Schools for many years with the Full Service School Project and Therapeutic Day Treatment.
 
Agenda Additions – Mr. Walsh added a brief discussion on electronic health records to the agenda.
 
Minutes – Dr. Pirok moved approval of the minutes from the February 21, 2017 Board meeting.   Superintendent Doss seconded the motion which passed unanimously. 
 
Chairperson Comments – Ms. Coates noted that at the last Board meeting, it was moved to send a letter to Dr. Barber. This was done. 
 
CoOp Presentation – Ms. Graser gave a presentation on the CSB CoOp program. Mr. Walsh noted that this was a terrific program. 
 
Executive Director’s Report – Mr. Walsh reported that Magellan (our Medicaid reimburser), is looking at Therapeutic Day Treatment programs because of costs. If they decide to cut the rate of reimbursement, this will have an effect on us.
 
Electronic Health Records – Ms. Wingrove explained that we currently use Classic Profiler. Their ability to provide support and meet our needs is becoming less and less. We need to move to a new electronic health records system. Staff have been looking at the Credible system. There are 23 Boards that have Credible. The purchase price is $305,000, which can be financed through VACO. The issue is the monthly maintenance fee, which is $16,000. We are not asking for any action to be taken at this time. Mr. Owen asked if Credible had existence beyond tomorrow. It was suggested that we see if other CSBs negotiated with Credible. The question was also asked about increasing the maintenance fee over time.
 
Strategic Plan – Mr. Walsh said that work on the plan continues. Ms. Coates said that she liked that the Board reports reflected the plan.
 
Dash Board – Board Members received an updated Dash Board. Mr. Walsh said that the data elements going into this are still being looked at.
 
Finance Committee – The Finance Committee had not met.
 
Facilities Committee – The Facilities Committee had not met.
 
Community Advocacy Committee – The Community Advocacy Committee had not met.
 
Human Resources Committee – Mr. Owen reported that the Human Resources Committee met on April 12th.
 
Retirees Leave Pay Out – The current CSB policy states that employees with over 20 years of service will receive a maximum pay out of 320 hours of earned leave. Mr. Wallace found that the state policy has a maximum pay out of 336 hours for 25 years or more of service. The Human Resources Committee recommended that the CSBs policy be updated to state that employees with 25 years or more of service will receive a maximum payout of 336 hours. The motion passed unanimously.
 
Early Retirees Insurance – The Committee discussed allowing employees who retire early to participate in the CSB health insurance plan. No action was taken.
 
Regular Retirees Supplemental Insurance - Mr. Owen reported that Local Choice (the healthcare plan that the CSB participates in) does offer a Medicare Supplement benefit. If retirees were to be allowed to participate, it would not affect our health experience rating. The Human Resources Committee recommended offering this benefit to regular retirees. The motion passed unanimously. 
 
MSWs – Mr. Owen said that the Human Resources Committee recommended that the current policy regarding staff receiving a salary increase for obtaining their Masters of Social Work (MSW) degree be changed to include all staff receiving a Masters degree in a human services field. The motion passed unanimously.
 
Tuition Assistance – The Committee discussed whether or not staff were required to stay with the CSB a certain amount of time if they received tuition assistance from the CSB. Mr. Walsh said that for licensure supervision, if a staff member leaves prior to two years, they must repay the agency at the prorated rate of $75 per hour.   Mr. Owen said staff may come back to the Committee in the future with a policy tying tuition assistance with how long an employee stays with the CSB. 
 
Executive Committee – The Executive Committee had not met.
 
Resolutions – Superintendent Doss moved approval of the Resolutions as presented for Harrison Dixon, Sharon Fisher, and Jessica Rhodes. Mr. Owen seconded the motion which passed unanimously.
 
Executive Director’s Performance Evaluation – After discussion, it was decided that the same format as last year would be used. Ms. Slaughter will email the rating sheet to all Board members to complete and return to Ms. Coates.
 
Woodland Pointe Appointment – Ms. Mitchell moved to appoint Harrison Dixon to the Woodland Pointe Board. Superintendent Doss seconded the motion which passed unanimously.
 
Lively Turning Point Appointment – This item will be added to the next Board meeting agenda.
 
Circle of Hope – Ms. Mitchell moved to appoint Superintendent Doss to this Board. Ms. Alexander seconded the motion which passed unanimously.
 
Committee Appointments – Dr. Pirok volunteered to serve on the Community Advocacy Committee. Ms. Turner will decide which Committee she would like to serve on and let the Board know in June.
 
Board Member Comments – Dr. Pirok noted that there were several books that Board members may be interested in reading: “Capture” by David Kessler, “Happy Money” by Elizabeth Dunn and Michael Norton, and “Society Ending Events” by Bob Gaskins.
 
Adjourn – There being no further business, the meeting adjourned.
 
Gail Slaughter
Recorder
 
 
 
 
 
 
 
 
 
 
 
 

The Middle Peninsula Northern Neck Community Services Board (CSB) held their June 27, 2017 Board meeting at the Middle Peninsula Planning District Commission office in Saluda, Virginia.
 
BOARD MEMBERS PRESENT
Alice Coates                Ben Owen
Darryl Pirok                 Carole Alexander
Tim Doss                     Edith Turner
Stanley Langford
 
BOARD MEMBERS EXCUSED
Anne Mitchell
Stephan Smith
 
STAFF PRESENT
Chuck Walsh, Executive Director
Yvonne Wingrove, CFO
Lynnie McCrobie, Director of Community Options
Bill Wallace, Director of Human Resources
Larry Kight, Operations Manager
Gail Slaughter, Administrative Assistant
Perryann Whitehurst, Administrative Assistant
 
Ms. Coates called the meeting to order. A quorum was present.
 
Guests – There were no guests in attendance. Mr. Walsh introduced CSB staff.
 
Public Comment – There was no public comment.
 
Agenda Additions – Mr. Walsh added an SA IOP rate increase and the Day Support tiered rates increase (retroactive to September, 2016) to the agenda.
 
Ms. Coates noted that the Closed Session may be moved up earlier on the agenda.
 
Minutes – Dr. Pirokmoved approval of the minutes from the April 18, 2017 Board meeting. Mr. Owen seconded the motion which passed unanimously. 
 
Chairperson Comments – There were no comments from the Chairperson.
 
Executive Director’s Report – Mr. Walsh noted that it had been a challenging year. He appreciates all that the staff does. It starts with the Board being good advocates and letting us do what we do.
 
Strategic Plan Update – Mr. Walsh said that Step VA and same day access are all part of the strategic plan.
 
Dash Board – Board members received the Dash Board in their mailout package.
 
Program Committee Report – Mr. Owen reported that the Program Committee met on June 6th to discuss structural changes. Ms. McCrobie gave a presentation to the Committee on the Day Support Program and the possibility of closing the program. Ms. McCrobie explained that the new rate structure has negatively impacted the program. Consideration was given to combining the Northern Neck and Urbanna Day Support Programs, however a centralized location would require more travel time for staff and individuals, neither current location is large enough, and a search for a centralized location has not yielded any prospects. Also, there has been a decrease in attendance in the program. Other businesses now provide day support services. Also, almost all of the clients have a waiver, so they could get personal assistance from Home Health, DARS, or other day support providers. Wall Residences has expressed an interest in holding a job fair for Direct Support Professionals (DSPs). We currently have 24 DSPs. There are 14 open residential DSP positions. Mr. Owen moved to follow staff advice to systematically close the two programs, keeping in mind the best interests of the clients. Ms. Alexander seconded the motion. Ms. Turner said that she felt for the parents of these clients. Superintendent Doss said that he does not support closing the program. After discussion, Mr. Owen amended his motion asking that Mr. Walsh and Ms. McCrobie develop a plan to incrementally move away from day support services and to let the Board know what the plan is at the next Board meeting. Dr. Pirok seconded the motion which passed unanimously. Superintendent Doss asked to be involved in the meeting to discuss the plan.
 
Finance Committee Report -  Mr. Owen reported that the Finance Committee met today prior to the Board meeting. 
 
FY 18 Budget and Performance Contract – Ms. Wingrove explained that RISP is not included in the performance contract. She provided information on FY 17 and 18 local government appropriations. She explained that substance abuse has the largest projected increase in fees - $600,000. There are two new grants in the budget – a System of Care grant ($618,817 over 4 years - $173,400 budgeted for one year), and a Prevention Opioid Grant ($100,000). Ms. Wingrove explained that fees were transferred to balance the budget. There was an increase in health insurance premiums. There was a decrease in workers comp costs. We have budgeted to replace vehicles through leasing. The largest expense is the purchase of an electronic health records system (Credible). Credible has included in their contract a clause stating that if they are sold, we can get out of the contract. We will finance the purchase ($305,000), through VML VACO at a rate of 2.42%. A Resolution will need to be signed if this is approved. Ms. Wingrove noted that the contract was changed to state that we can have a seven month implementation period instead of five months.
 
The Finance Committee recommended approval of the FY 18 budget and performance contract. The motion passed unanimously.
The Finance Committee recommended procuring Credible and authorized the Chair to sign the Resolution. The motion passed unanimously.
 
PLL - Mr. Walsh said that we are proposing to end PLL (Parenting with Love and Limits). We have provided this program since 2010/2011. We received this grant two times. Our licensing cost was $30,000 annually. We were told that we could bill Medicaid, but in Virginia you can’t bill. We heavily subsidized this program. We will provide this same kind of program but without the licensing fee.
 
State Supported Salary Increases – The state has approved of giving a 2% salary increase. We would receive $26,000, however, an increase would cost the CSB $300,000. The Finance Committee did not make a recommendation to implement the increase now. They deferred taking action until the December 2017 Board Meeting. Dr. Pirok moved approval of this recommendation. Superintendent Doss seconded the motion which passed unanimously.
 
Rates - The Finance Committee recommended approval of the new Medicaid SA IOP rates. They also recommended approval of the Medicaid ID tiered rates, retroactive to September 2016. The motion passed unanimously.
 
Property – Mr. Walsh said that both EVB buildings are now being offered for sale for $1.4m. The Finance Committee voted to authorize the Properties, Inc. Chair, CSB Chair, and Executive Director to negotiate with EVB. Mr. Owen abstained from the vote as he has a potential conflict of interest. Superintendent Doss moved approval of authorizing these individuals to begin negotiations and also moved that the Board is aware of the potential conflict of interest. The motion passed unanimously.
 
Executive Session – Ms. Alexander moved that the Board go into Closed Session as provided for by the Code of Virginia, Section 2.2-3711 (A) (1) to discuss the Executive Director’s performance evaluation and contract. Superintendent Doss seconded the motion which passed unanimously.
 
The Board returned to open session. A roll call vote was taken to certify that only such business as identified in the motion to convene the Closed Session was discussed: Ms. Coates, aye; Mr. Owen, aye; Dr. Pirok, aye; Superintendent Doss, aye; Ms. Alexander, aye; and Mr. Langford, aye.
 
Mr. Owen moved that the Board ratify the performance evaluation conducted and instructed that it be appended to the annual evaluation of the Executive Director. He also moved that the Executive Director be offered the same contract as before, under the same compensation.   Dr. Pirok seconded the motions which passed unanimously.
 
Other – Dr. Pirok had materials for any interested Board member to take. He recommended that HPR V hold the next suicide prevention conference, and include folks statewide.
Conflict of interest will be tabled until the next Board meeting.
 
Dr. Pirok feels the Board needs to meet more frequently. This will be an item on the next Board meeting agenda.
 
Adjourn – There being no further business, the meeting adjourned.
 
Gail Slaughter

Recorder

The Middle Peninsula Northern Neck Community Services Board (CSB) held their August 15, 2017, Board meeting at the Mathews Volunteer Rescue Squad Facilities in Hudgins, Virginia.
 
            BOARD MEMBERS PRESENT
Ben Owen
Dr. Darryl Pirok
Anne Mitchell
 
BOARD MEMBERS EXCUSED
Alice Coates
Edith Turner
Stephan Smith           
Tim Doss
Carole Alexander
Stanley Langford
 
            STAFF PRESENT
            Chuck Walsh, Executive Director
            Yvonne Wingrove, Chief Financial Officer
 
Dr. Pirok, Vice Chair, called the meeting to order at 3:15 p.m. A quorum was not present.
 
Introduction of Guests – Dr. Pirok welcomed and Mr. Walsh introduced Ms. Melinda Conner, Mathews County Administrator, and Ms. Tiffany Gordon, Director of Social Services for Mathews County.
 
Public Comment – Ms. Gordon shared with the Board a family member’s experience regarding their inability to afford the cost of needed CSB services. Ms. Gordon also informed the Board that she had $1,000 in grant monies earmarked for Opioid addiction assistance for Mathews residents18-64 years of age. She also will apply again for grant monies next year and will keep the Board informed.  Mr. Walsh said the CSB does not want to and cannot turn anyone away because of their inability to pay. The CSB has a sliding fee scale and/or payment plans. Mr. Walsh spoke on the ARTS program and also gave an overview of the budget and funds expended in Mathews County. Ms. Gordon was advised to ask the individual to return. Mr. Walsh expressed appreciation for the continued support from Mathews County and the Department of Social Services. Dr. Pirok noted that he also appreciated the support of Mathews County.  He gave an overview of the heroin/chemical dependence and suicide epidemic.
 
Additions to the Agenda – Mr. Owen suggested that in the absence of a quorum, action on agenda items be carried over to the next scheduled Board meeting. Mr. Owen agreed, in Mr. Langford’s absence, to sign the Properties, Inc. check that is necessary for half of the electronic health record first payment due.
 
Executive Director’s Report – Mr. Walsh stated his report was in the Board packet that Board members received. Mr. Walsh passed out several flyers regarding Opioid misuse awareness, suicide prevention awareness, mental health first aid, and recovery. Dr. Pirok and Ms. Mitchell offered information on these topics as well.
 
Strategic Plan Update – Mr. Walsh said Same Day Access availability is ongoing. The required date for all CSBs to have this service in place is July 2019. This service  integrates behavioral health care with primary care. This item will carry over to the October Board meeting.
 
 
 
 
 
Dash Board – No report was received this month.
 
Program Committee Report - Mr. Walsh reported that Mr. Doss and committee had met regarding the closing of the agency’s day support program. The committee was going to make a recommendation for the closure of the day support program. The effective date for the closure had not been determined. Mr. Owen stated that this item would be deferred to the October Board meeting.
 
Finance Committee – The Finance Committee had not met.
 
AD HOC Committee – Mr. Owen stated that Ms. Coates appointed an Ad Hoc Committee that consisted of Ms. Coates, Mr. Owen and Mr. Langford to discuss some of the issues that might arise as we look at the procurement of the EVB property in Tappahannock. He said basically they identified some of the areas that may concern the Board members, such as uncertainty of Medicaid funding, the true value of the property, and how exposed the Properties, Inc. and the CSB Board will be if we do buy and there are significant changes to Medicaid funding. Mr. Owen said the Committee, along with Mr. Walsh, will have some of the questions and wrinkles ironed out before the Board meeting in October. An offer has been made and the bank has accepted it. We have 90 days to follow through or walk away with no penalty. We have an architect looking at the property for necessary improvements to meet our needs. We are looking into the USDA funding and will have more information to provide at the October Board meeting. 
 
Facilities Committee – The Facilities Committee had not met.
 
Community Advocacy Committee – The Community Advocacy Committee had not met.
 
Human Resources Committee – The Human Resources Committee had not met.
 
Executive Committee – The Executive Committee had not met.
 
Conflict of Interest Form – This will be carried over to October Board meeting.
 
Appoint Board Member to Committee – No positions open.
 
Board Member Comments – Ms. Mitchell thanked the guests for their attendance, support and participation. Mr. Owen commented that the Board usually is able to perform its responsibilities with a quorum present, but the August meeting fell in line with vacations.
 
Rate Increase – Mr. Owen recommended that this be implemented now in anticipation that the Board will approve the increase at their October meeting as there is not a lot of controversy around this issue. Ms. Wingrove shared that these rates include our outpatient and doctors rates. Mr. Owen stated that our sliding scale will always take care of those who cannot afford it.
 
Next Meeting – The next Board meeting will be held on October 17 in Westmoreland County.
 
Adjourn – There being no further business, Dr. Pirok adjourned the meeting.
 
 
 
 
 
Respectfully submitted,
Perryann Whitehurst

Recorder

 

 
 
The Middle Peninsula Northern Neck Community Services Board (CSB) held a Special Board Meeting on September 27, 2017 at the CSB Administrative Office in Saluda, Virginia.
               
                BOARD MEMBERS PRESENT
                Darryl Pirok                         Ben Owen
                Edith Turner                       Stanley Langford
                Tim Doss
 
                BOARD MEMBERS EXCUSED
                Alice Coates                       Stephan Smith
                Anne Mitchell                    Carole Alexander
 
STAFF PRESENT
Chuck Walsh, Executive Director
Gail Slaughter, Administrative Assistant
 
 
Dr. Pirok called the meeting to order. A quorum was present.
 
Introduction of Guests – There were no guests in attendance.
 
Public Comment – Dr. Pirok stated that he thinks that what the CSB does is essential in establishing healthy behavior.
 
Agenda Additions – Mr. Walsh added county budget requests to the agenda. Dr. Pirok said that he felt it would be very beneficial if family members attended the county budget meetings.
 
Mr. Walsh said that Ms. Coates sent her reqrets that she could not attend the meeting today. Mr. Langford said that Board members could call into a Board meeting, if the Board had a policy addressing this. He will send Mr. Walsh the policy used by Essex County, that was approved by their county attorney.
 
ID/DD Case Management Salaries – Mr. Walsh sent an email to Board members regarding increasing the ID/DD Case Management salaries. Several but not all Board members responded to the email. The Finance Committee met to discuss this issue on September 20th. Finance Committee members moved with a 3 to 1 vote to recommend Mr. Walsh’s proposal of increasing the salaries of all ID/DD Case Managers to $38,500, with a 1% cost of living increase for every year of service to the full Board. It was decided that Mr. Walsh would contact Ms. Coates about holding an emergency Board meeting so that this issue could be brought before the full Board. Mr. Walsh said that if the proposal was approved, additional revenue would be received and in time, other salaries could be increased. Superintendent Doss said that he feels that the proposal needs to be implemented, however, he recommended looking at every position. He recommended that a consulting firm be hired to conduct a salary survey. Mr. Walsh said that one CSB just conducted a salary survey. He will request a copy of that survey and send it to the Finance Committee. Mr. Langford said he felt this salary increase would not be good for staff morale and that it was also not good to do this in the middle of the budget year.   He moved to amend the motion to look at the salary structure so that when the budget is done, we will have this information. Mr. Owen said that he supported this amendment.   The motion passed unanimously. Mr. Owen said that salaries must be equitable internally and externally. Superintendent Doss said that he felt the counties should step up and contribute more. 
 
County Budget Requests – Mr. Walsh said that the request from Gloucester County was received today.
The Finance Committee recommended that level funding be requested from  the counties that came up to the requested amount last year and an increase would be requested from those counties that did not meet our request.  The motion passed unanimously. Mr. Owen suggested that Mr. Walsh find out if Board member time served could count as an in kind match.
 
Adjourn – There being no further business, the meeting adjourned.
 
Gail Slaughter
Recorder
 
 
 
 
 
 
 
The Middle Peninsula Northern Neck Community Services Board (CSB) held their October 17, 2017 Board meeting in the George D. English building in Montross, Virginia.
 
BOARD MEMBERS PRESENT
Alice Coates                                       Ben Owen
Darryl Pirok                                         Anne Mitchell
Carole Alexander
 
BOARD MEMBERS EXCUSED
Edith Turner
Stanley Langford
Stephan Smith
Tim Doss
 
STAFF PRESENT
Chuck Walsh, Executive Director
Yvonne Wingrove, CFO
Larry Kight, Operations Manager
Gail Slaughter, Administrative Assistant
 
Ms. Coates called the meeting to order. A quorum was present.
 
Introduction of Guests – Mr. Walsh introduced Margo Snyder with the Colonial Beach Police Department, Helen Wilkins, Director of Westmoreland Social Services and Larry Kight, CSB Operations Manager.
 
Public Comment – There was no public comment.
 
Agenda Additions – There were no additions to the agenda.
 
Minutes – Dr. Pirok moved approval of the June 27, 2017, August 15, 2017, and September 27, 2017 Board meeting minutes.    Mr. Owen seconded the motion which passed unanimously.
 
Chairperson Comments – Ms. Coates said that she was awed  by all that the CSB does, and how well it does it.
 
Executive Director’s Report – Mr. Walsh reported that Commissioner Barber met with Executive Directors at the VACSB Conference on the financial realignment plan. Executive Directors will meet again on November 30th. Mr. Owen asked if Board members could comment on the plan. Mr. Walsh said that they could.
 
The suicide prevention walk was held in Kilmarnock on October 14. There were about 50 people in attendance.
 
Strategic Plan – The Leadership Team continues to meet. There are competing priorities – same day access and Credible. 
 
Dr. Pirok noted that he had attended the prisoner re-entry summit last week. Virginia has the lowest recidivism rate.
 
Dash Board – Mr. Walsh said he wants to make sure the Dash Board is capturing what we do. There may be glitches in the way information is captured. A team is looking into this.
 
Program Committee -   The Program Committee initially discussed the Day Support Program in June. There was concern regarding all clients having services if the program closed. A committee, including Superintendent Doss, met to discuss this issue.    Mr. Owen said the Program Committee and the Director of Community Options recommend that the Day Support Program close.   Mr. Walsh said he had received a call from a parent concerned about their son receiving needed services.   Stakeholder meetings could be held with families to make sure individuals are linked to the services they need. There are enough vacancies in the residential program that could be filled with Day Support staff. The Program Committee recommended closing the program, however, Mr. Owen changed the motion and moved that the plan be to close the program at 90 days, but not until families have an alternative, or an alternative that they refuse. Dr. Pirok seconded the motion which passed unanimously.   Mr. Owen asked that we make sure families and clients are aware that we are at the whims of funding from Richmond. The motion passed unanimously.
 
Finance Committee –
 
Funding of Electronic Health Records – Ms. Wingrove explained that counsel told us that if the CSB borrowed the money from Properties, Inc. for the funding of the electronic heath records, the CSB would need to go before each of the ten county Board of Supervisors, therefore, Properties, Inc. granted the money ($286,000) to the CSB. There is a clause in the leases to increase the rent paid from the CSB to Properties, Inc.
 
Rate Increase - Ms. Wingrove said that the rates had not been increased in a long time. We want to increase the rates because of what insurance companies are doing. The Finance Committee recommended approval of the rate change. The motion passed unanimously. Mr. Walsh said that no one is denied services because of their inability to pay. The rate change information is made a part of these minutes.
 
County Budget RequestsMr. Owen explained that last year we requested an increase to match the 10% waiver requirement.   Eight of the ten counties did give us the requested increase. The Finance Committee moved recommending to the full Board sending two different letters to the counties this year - one letter for the counties that did increase their contribution and a different letter for those that didn’t, asking them to increase their contribution this year.   The motion passed unanimously.
 
AD HOC Committee -  Mr. Owen explained that he, Mr. Langford, and Ms. Coates had just met one time to discuss EVB and the unknowns. 
 
Facilities Committee – Mr. Owen noted that when theFacilities Committee met, there was not a quorum present, so any recommendations that were made by he and Mr. Langford were made as individuals, not as a Committee. Mr. Kight gave a presentation to the Committee on the EVB properties. He will also give a presentation to the Board members today. Based on paying $2.2M for the EVB properties (both properties were combined into one sale), the monthly payment would be approximately $8,300, which would be a savings of $25,000 - $26,000 a year. Mr. Kight explained that if we did borrow all of the money from USDA for this purchase but didn’t use all of the money, it could be given back to USDA and taken off the loan. Ms. Wingrove said she was worried that if we don’t borrow all of it, it will make the Properties, Inc. budget low. Mr. Owen said that the original motion was to move forward with the purchase, asking Properties, Inc. to borrow $1.8M and the remainder coming from Properties Inc. funds, but he amended the motion to recommend that Properties, Inc. be asked to borrow $2.2M for the purchase and development of the EVB properties and also to ask Properties Inc. and staff to make efforts to return as much to USDA as possible by using our own money . Dr. Pirok seconded the motion which passed unanimously. Mr. Walsh said that if we did purchase the EVB properties, we would need satellite offices in Westmoreland and Kilmarnock. Mr. Kight noted that Ms. Delaney from USDA is enthusiastic to work with us, and is going to try to get as many grants as possible. 
 
Community Advocacy Committee – The Community Advocacy Committee had not met.
 
Human Resources Committee – The Human Resources Committee had not met.
 
Executive Committee – The Executive Committee had not met.
 
Board Member Frequency -  Dr. Pirok said that there were many issues for the Board to consider. He had spoken to Mr. Owen about the possibility of having a Board retreat. Mr. Owen said that this may be something that could be done after the EVB project. Dr. Pirok said that he was concerned about the Board functioning without some of the members attending meetings. Mr. Owen said that this was something for the Board of Supervisors to address.   Ms. Coates said that she would follow up on what the Bylaws state regarding Board member attendance. Dr. Pirok said it would be good if Board members attended conferences, etc. to prepare themselves to go to the Board of Supervisors, Delegates, Senators, etc. to talk about issues. It was decided that a Board member retreat may be done at a later date and that the current Board meeting schedule was working as it stands. 
 
Nominating Committee - Dr. Pirok, Ms. Mitchell, and Ms. Alexander were appointed to a Nominating Committee and will present a slate of officers for consideration at the December Board meeting.
 
Appoint Board Member to Committee – Ms. Coates will follow up with Ms. Turner to see which Committee she would like to serve on.
 
Board Member Comments – There were no Board member comments.
 
Other – There were no other items for discussion.
 
Next Meeting – The next meeting will be held on December 19th in King and Queen County.
 
Adjourn – There being no further business, the meeting adjourned.
 
Gail Slaughter
Recorder
 


2018 Board Meeting Schedule
February 20, 2018

2/14/18
2018

(TENTATIVE – SUBJECT TO CHANGE)
MPNN CSB BOARD MEETING SCHEDULE
All meetings begin at 3:00 p.m
 
 
FEBRUARY 20
LANCASTER COUNTY
CHESAPEAKE TRAINING ROOM
(35 School Street, Kilmarnock, VA 22482)
+
 
 
 
APRIL 17
GLOUCESTER COUNTY
WOODLAND POINTE APARTMENTS
(6019 Dixon Lane, Gloucester, VA 23061)

 
 
 
 
JUNE 19
ESSEX COUNTY
PUBLIC LIBRARY
(117 North Church Lane, Tappahannock, VA 22560)
 
 
 
 
AUGUST 21
MIDDLESEX COUNTY
MIDDLE PENINSULA PLANNING DISTRICT COMMISSION
(125 Bowden Street, Saluda, VA 23149)
 
 
 
 
OCTOBER 16
NORTHUMBERLAND COUNTY
NORTHUMBERLAND COUNTY SCHOOL BOARD OFFICE
(2172 Northumberland Highway, Lottsburg, VA 22511)
 
 
 
 
DECEMBER 18
KING WILLIAM COUNTY
LT MCALLISTER HUMAN SERVICES BUILDING
(Tentative-Subject To Change)
(172 Courthouse Lane, King William, VA 23086)
 
 
 


2017 December Board Meeting Minutes
February 22, 2018

 
December 19, 2017
 
The Middle Peninsula Northern Neck Community Services Board (CSB) held their December 19, 2017 Board meeting in the King and Queen Courthouse Hearing Room in King and Queen, Virginia.
 
BOARD MEMBERS PRESENT
Alice Coates                                       Stanley Langford
Darryl Pirok                                         Anne Mitchell
Ben Owen                                           Carole Alexander
 
BOARD MEMBERS EXCUSED
Tim Doss
Edith Turner
Stephan Smith
 
STAFF PRESENT
Chuck Walsh, Executive Director
Yvonne Wingrove, CFO
Gail Slaughter, Administrative Assistant
 
Ms. Coates called the meeting to order. A quorum was present.
 
Introduction of Guests – Mr. Walsh introduced Chief Deputy Rob Balderson of the King and Queen Sheriff’s Department and Mr. Brian Thornton.
 
Public Comment – Mr. Thornton noted that until recently, Board member email addresses were not posted on the CSB website. They are posted now, however, the addresses listed are not personal addresses. It looks as if messages are screened and are not going directly to the Board member. He said that he had looked at other CSB websites and they do have Board member personal email addresses listed. Ms. Coates said that as a Board member she did not want her personal email address posted. When Mr. Walsh asked Board members what their preference was, he was asked to set up emails for Board members as they appear now on the website. Ms. Coates noted that each Board was different and it was up to each individual Board to decide how they wanted this done.
 
Mr. Thornton noted that minutes from the Board meetings were not posted on the website. Mr. Walsh said that they would be posted. Ms. Coates explained that there would be a delay before the most current minutes would be posted, as they needed to be approved by the Board first.
 
Chief Deputy Balderson welcomed the Board to King and Queen County. One concern that he has is the location of CIT trainings. He would like for the training to be held locally sometimes, instead of always being held in Lively. A second concern that he has is the time spent in the hospital on ECOs and TDOs. He asked that someone review this and get back with him. 
 
 
 
Agenda Additions – Mr. Walsh added changing the formal name of the CSB to the Agenda.
 
Minutes – Dr. Pirok moved that the minutes from the October 17, 2017 Board meeting be approved with a correction. The sentence “Virginia has the lowest prisoner re-entry rate”, should be changed to read “Virginia has the lowest  recidivism rate.” Mr. Owen seconded the motion which passed unanimously.
 
Chairperson Comments – Ms. Coates said that she had attended the Employee Recognition Luncheon. It was a wonderful event.   All Board members are encouraged to attend this annual event.
 
Board Member Recognition – There are two Board members whose terms on the Board are ending  – Carole Alexander and Ben Owen. Mr. Walsh read and presented plaques to both of them. Ms. Coates said that all of the Board appreciated their support and work while serving on the Board. Dr. Pirok said that he had asked both Ms. Alexander and Mr. Owen to be ex-officio members. 
 
Executive Director’s Report – Mr. Walsh reported that the Governor’s full budget was released yesterday. There is $104m coming to behavioral health over the biennium. There is $5m in 2019 and $5m in 2020 for opioid issues.
 
Mr. Walsh said that he will send the independent reviewer report to the Board.
 
Dash Board - The dash board received this time has improved.
 
Name Change – Mr. Walsh said that we want to change the legal name of the CSB from Middle Peninsula Northern Neck Mental Health and Mental Retardation Services Board to Middle Peninsula Northern Neck Community Services Board. After discussion, Mr. Owen moved that steps be taken to make this change. Dr. Pirok seconded the motion which passed unanimously.
 
Presentation – Dr. Pirok spoke on the duties and responsibilities of Board members.   He said that Board members need a chance to get to know each other. One way to do this is by having a retreat. There should also be items on the Board meeting agenda for educational purposes. 
 
Ms. Coates thanked Dr. Pirok for his presentation. She suggested that in the coming year the Board review CSB By Laws.
 
Finance Committee -  Mr. Walsh said that we had received the audit for the year ending June 30, 2017. We will distribute it at the February Board meeting.   If Board members want, we can have Robinson, Farmer, and Cox, the auditors, attend the February meeting to explain the audit and answer any questions. There were no findings.
 
Facilities Committee – The Committee had not met. Mr. Walsh said that approval was given for an extension on the EVB contract to allow us time to get the loan paperwork finalized with USDA. Ms. Wingrove said she had been contacted and asked if we would like to keep the items that were left in the EVB building, in exchange for a donation letter.
 
Community Advocacy Committee – The Committee had not met. 
Human Resources Committee – The Committee had not met.
 
Executive Committee – The Committee had not met.
 
Nominating Committee -  Nominating Committee members were Dr. Pirok, Ms. Mitchell, and Ms. Alexander. The Committee presented the following :
 
Chair – Alice Coates or Darryl Pirok
Vice Chair – Tim Doss
Executive Committee Member – Middle Peninsula – Anne Mitchell
Executive Committee Member – Northern Neck – no one at this time – will be elected in February
 
There were no further nominations from the floor. Committee members prepared a ballot for Board members to complete. After the votes were tabulated, the following slate was presented.
 
Chair – Alice Coates
Vice Chair – Tim Doss
Executive Committee Member - Middle Peninsula – Anne Mitchell
Executive Committee Member – Northern Neck – to be elected in February
 
Board Member Comments – Mr. Owen said that he was thankful for the opportunity to serve on the Board. He leaves with confidence that the Board is doing a good job and he is very optimistic about the future of the Board.
 
Dr. Pirok said he believes the Community Advocacy Committee could be more active in helping to fill Board member vacancies. He said he feels that if a Board member does not attend Board meetings, they need to be replaced. He feels all Board members should carry COPE cards, which contain agency information. He feels it would be beneficial for the Community Advocacy Committee to visit other CSBs.
 
In February, the Board can look at Committee structure.
 
Mr. Langford said he felt it would be good to get the COPE cards to all Sheriff’s offices and Emergency Services Departments in each county.
 
Mr. Langford said he would like for the CSB to have a ribbon cutting when we purchase the EVB buildings. He said that Liz with the Middle Peninsula Alliance could help with economic information.
 
Ms. Mitchell said that in her every day job she advocates for the CSB.
 
Chief Deputy Balderson said that many of the deputies do not know what the CSB does. This is a concern. There is a lack of outreach.    He described a situation that occurred several months ago. Mr. Walsh will follow up and get more information.
 
Adjourn – There being no further business, the meeting adjourned.
 
Gail Slaughter
Recorder
 


2-20-18 Board Meeting Minutes
June 11, 2018

February 20, 2018

 

The Middle Peninsula Northern Neck Community Services Board  (CSB), held their February 20, 2018 Board meeting at the Chesapeake Bank Training  Room in Kilmarnock, Virginia.

 

BOARD MEMBERS PRESENT

Alice Coates                       Tim Doss

Darryl Pirok                         Anne Mitchell

Kathryn Knoeller              Rosalyn Trent

Pratt Haynie                      

 

BOARD MEMBERS EXCUSED

Edith Turner

Stephan Smith

Stanley Langford

 

STAFF PRESENT

Chuck Walsh, Executive Director

Yvonne Wingrove, CFO

Shannon Hodges, Emergency Services Coordinator

Gail Slaughter, Administrative Assistant

 

Ms. Coates called the meeting to order.  A quorum was present.

 

Welcome New Board Members -  Ms. Coates welcomed new Board members Rosalyn Trent representing King and Queen County, Pratt Haynie representing Northumberland County, and Kathryn Knoeller representing Westmorland County.

 

Introduction of Guests – Mr. Walsh welcomed  Mrs. Haynie and Mr. Owen.

 

Public Comment -  Ms. Haynie said that her husband’s time on the Board so far had been a unique experience.

 

Agenda Additions - There were no additions to the agenda.

 

Minutes – Dr. Pirok moved approval of the minutes from the December 19, 2017 Board meeting.  Ms. Mitchell seconded the motion which passed unanimously.

 

Emergency Services Presentation – Ms. Hodges, CSB Emergency Services Coordinator, gave a presentation on the emergency services program.  She explained that emergency services is a mandated service that must be provided by the CSB 24 hours a day.  The mission of the program is to provide immediate intervention to any individual in the catchment area who may be experiencing acute distress or dysfunction due to mental illness or substance abuse.  The CSB currently employs 14 full time ES clinicians.  Superintendent Doss commended Ms. Hodges and the emergency services staff for doing such a good job during such difficult situations.

 

Chairperson Comments – Ms. Coates said that the Board struggled with committee structure in 2017.  She handed out a signup sheet and asked each Board member to sign up to serve on 2 committees.  If a Board member does choose committees to serve on, they will be assigned to a committee. 

 

Executive Director’s Board Report –At the December Board meeting held in King and Queen County, Chief Deputy Balderson expressed some concerns.  Mr. Walsh and Ms. Hodges, CSB Director of Clinical Services, met with Chief Deputy Balderson to address these issues.  It was a good meeting.

 

Board members received a copy of the Governor’s budget that just came out.  The big issue for us is Medicaid expansion.

 

Mr. Walsh reported that we were just awarded a $225,502 Opioid Treatment Grant.  This money must be spent by April 30.

 

Dr. Pirok noted that the VACSB Conference is being held May 2nd, 3rd and 4th. 

 

Mr. Walsh said that we must have the new electronic health records that we are implementing  up and running in April.

 

Mr. Walsh has presented our budget request to several counties so far.

 

Strategic Plan – Mr. Walsh said that we are working on the website design and new electronic health records.  Youth and Family is doing a training institute.

 

Dash Board – Board members received a copy of the dash board.  Mr.  Walsh said that we have found where the issues are for us.  We are doing better.  The Dept. of Behavioral Health and Developmental Services (DBHDS), is looking at this report more critically.

 

Finance Committee Report  - Ms. Mitchell reported that the Finance Committee met on February 12th.  She reviewed financial information discussed at the meeting.  Consolidated financials (all programs, grants, special funds) have a balance of $487,781.  We are short on having the advised two months of operating expenses in the general fund.  The goal is to increase the operating fund to meet this mark. 

 

The Committee approved write offs in the amount of $390.71.

 

The Committee discussed Kilmarnock House, which has been empty for some time now.  The CSB Board would need to make a recommendation to the Properties, Inc. Board on what to do with this house.

 

We are moving forward with the purchase of the EVB properties.   We were advised by legal counsel that Properties, Inc. would not need to go before the ten counties in order  request approval to get a loan for this purchase.  The loan application has been approved.  We will need to have 2 satellite clinics if the purchase goes through. 

 

Mr. Walsh said that he would be meeting with the DBHDS to discuss opioid funding for next year.

 

Facilities Committee – The Facilities Committee had not met.

 

Community Advocacy Committee – The Community Advocacy Committee had not met.

Human Resources Committee – The Human Resources Committee had not met.

 

Executive Committee – The Executive Committee had not met.

 

Appointment to Adjunct Boards – Mr. Owen volunteered to serve as a community member on the Properties, Inc. Board.  Dr. Pirok volunteered to filled the CSB Board member vacancy on Properties , Inc.  Superintendent Doss volunteered to serve on the Woodland Pointe Board.  Mr. Pratt moved approval of appointing these individuals to serve on the Boards stated.  Ms. Mitchell seconded the motion which passed unanimously.  It was decided to wait until a later date to appoint members to fill the vacancies on the Kilmarnock New Horizons Board and Lively Turning Point Board.

 

Board Tour – Mr.  Walsh said that once a year we schedule a tour of CSB sites for Board members.  He will send out dates to check so that we can schedule a tour for this year.

 

Board Comments – Dr. Pirok said that it was good to have Ms. Hodges give a presentation on emergency services today.  Superintendent Doss said that he didn’t realize that we only have 14 emergency services staff.

 

Adjourn – There being no other business, the meeting adjourned.

 

Gail Slaughter

Recorder

 

 

 

 



4-17-18 Board Meeting Minutes
July 17, 2018

April 17, 2018
 
The Middle Peninsula Northern Neck Community Services Board (CSB), held their April 17, 2018 Board meeting at the Woodland Pointe Apartments Community Room in Gloucester, Virginia.
 
BOARD MEMBERS PRESENT
Alice Coates                                       Edith Turner
Rosalyn Trent                                    Stanley Langford
Pratt Haynie                                       Kathryn Knoeller
Darryl Pirok                                        Anne Mitchell
 
BOARD MEMBERS EXCUSED
Tim Doss
 
STAFF PRESENT
Chuck Walsh, Executive Director
Kathy Phillips, Director, Early Intervention Services
Gail Slaughter, Administrative Assistant
 
Ms. Coates called the meeting to order. A quorum was present. Ms. Coates noted that Sheriff Smith, from Richmond County, had resigned from the Board. Mr. Walsh will work with Mr. Quicke, Richmond County Administrator, to find a replacement. If Board members know of anyone interested in serving, they should let Mr. Walsh know.
 
Introduction of Guests -  Ms. Coates introduced Linda Williams, CSB Benefits Coordinator, Bill Wallace, CSB Director of Human Resources, Ms. Phillips, Director of Early Intervention Services, and Mrs. Haynie.
 
Public Comment – There was no public comment.
 
Agenda Additions – Mr. Walsh added approval of an updated sliding fee scale to the agenda.
 
Minutes – Mr. Langford moved approval of the minutes from the February 20, 2018 Board meeting. Ms. Mitchell seconded the motion which passed unanimously. 
 
RISP Presentation - Mr. Walsh said that Ms. Phillips has been with the CSB since 1989. He said that RISP is an excellent program and is probably the most well known CSB program in the ten counties. Ms. Phillips presented a power point presentation on RISP.
 
Chair Comments – Ms. Coates said that the CSB continues to do awesome work.
 
Executive Director’s Report – Mr. Walsh said that he had sent a letter to Joe Scislowicz regarding the Performance Contract requirement of having to have two months operating expenses in our budget. 
 
Mr. Walsh said Board members can help to drive home to their county the fact that the CSB subsidizes care for individuals. 
 
Opioid GrantMr. Walsh said the caveat when receiving this grant was that all the money had to be spent by April 30th. It has all been spent. In fact, we have 21 people waiting for an intake and other individuals that we are serving at our expense. 
 
Mr. Walsh said that the Department of Behavioral Health and Developmental Services (DBHDS), is concerned about the census issue at state hospitals. They have sent out money for AlFs. He said that he has asked for money for our homes. The Commissioner has said that transitional and permanent housing is needed, and we’ve been doing that.
 
The new electronic health records system was brought up in April. We will move on now to same day access. This has to be implemented by July, 2019.
 
Strategic Plan – Mr. Walsh said that we are working on same day access, opioid treatment, expanding the service delivery system and looking at a detox program.
 
Dash Board – We are making progress. We made changes in how we are collecting information.
 
Finance Committee – Mr. Walsh said the Committee met by email. Due to bringing up the new electronic health record system, all client accounts had to be moved over in a short period of time (from Friday to Monday). There was $270,000 in self pay on the aging report. If not written off, this would have needed to have been transferred to Credible. The Finance Committee recommended approval of writing off up to $275,000. The motion passed unanimously.
 
Health Insurance – The Finance Committee had not received this information. Mr. Wallace said insurance is provided through Local Choice. Anthem is the courier. Anthem tells us what the premium will be. We can’t negotiate. This year, there will be a 6% increase in premiums. There are several options: the CSB could cover the 6% increase; the employee could cover the 6% increase; or the cost could be split between the CSB and the employee.   Mr. Walsh said that he did not expect the Board to make a decision on this today. He said that we had requested and received an extension until April 30th from Local Choice. Mr. Langford suggested that Mr. Walsh write a letter to request another extension. He asked if the CSB budgeted for an increase. He noted that Essex County is looking at getting away from offering insurance. They are looking at putting money into a health savings account. Mr. Wallace noted that a few years ago, BB&T Insurance Services got insurance bids for us, and concluded that Local Choice was the best option. After discussion, Ms. Knoeller moved giving the Finance Committee authority to make the decision on health insurance in order to meet timelines. Mr. Haynie seconded the motion which passed unanimously.
 
Sliding Fee Scale – Dr. Pirok moved approval of the updated sliding fee scale as presented. Mr. Langford seconded the motion which passed unanimously. Mr. Walsh noted that no one is denied services because of their inability to pay.
 
Facilities Committee – The Facilities Committee had not met.
 
Community Advocacy Committee – The Community Advocacy Committee had not met.
 
Human Resources Committee – The Human Resources Committee had not met.
 
Executive Committee – The Executive Committee had not met.
 
Committee Appointments – Board members were asked to sign up for the committees they were interested in serving on and give that information to Ms. Slaughter.
 
Adjunct Board Appointments – Ms. Mitchell moved approval of appointing the following individuals to the Boards listed: Dr. Pirok – Woodland Pointe; Anne Mitchell – Kilmarnock New Horizons; Kathryn Knoeller and Stanley Langford – Lively Turing Point.
 
Mr. Walsh noted that Ms. Trent volunteered to be an alternate on Woodland Pointe if needed. 
 
Other – There were no other comments.
 
Next Meeting – The next meeting will be held in Essex County.
 
Adjourn - There being no further business, the meeting adjourned.
 
Gail Slaughter
Recorder
 
 
 
 
 
 
 
 
 


Board Minutes 6-19-18
September 20, 2018

June 19, 2018
 
The Middle Peninsula Northern Neck Community Services Board (CSB), held their June 19, 2018 Board meeting at the Essex County Public Library in Tappahannock, Virginia.
 
BOARD MEMBERS PRESENT
Tim Doss                                              Darryl Pirok
Pratt Haynie                                       Anne Mitchell
Kathryn Knoeller                              Edith Turner
 
BOARD MEMBERS EXCUSED
Alice Coates                                       Stanley Langford
David Parr                                           Rosalyn Trent
 
STAFF PRESENT
Chuck Walsh, Executive Director
Yvonne Wingrove, CFO
Gail Slaughter, Administrative Assistant
 
Superintendent Doss called the meeting to order. A quorum was present. 
 
New Board Member – Mr. Walsh said that Mr. David Parr had been appointed by Richmond County to serve on the CSB.
 
Introduction of Guests – Mr. Walsh introduced Ms. Deborah Bass, CSB employee.
 
Agenda Additions – Mr. Walsh added the following to the agenda: wellness plan, rates, Kilmarnock House.
 
Minutes – Dr. Pirok moved approval of the minutes from the April 17, 2018 Board meeting. Mr. Haynie seconded the motion which passed unanimously.
 
Chairperson Comments – Superintendent Doss said he may be out of contact for an upcoming 2 – 3 week period.
 
Executive Director’s Report -  Mr. Walsh said that the Commissioner’s visit on June 6th went well. He also thanked the Board for participating in the tour of CSB sites on May 30th.
 
Budget – Mr. Walsh reported that we have not received our letter of notification yet, so we can’t present the budget.
 
Medicaid Expansion -  More people will now be eligible for Medicaid. The Dept. of Behavioral Health and Developmental Services (DBHDS) is thinking that CSBs will now be able to bill for people who are under or not insured. They are looking at how much new revenue they think CSBs will receive, and they are going to take that amount away from the state general funds.
 
Part C – Mr. Walsh reported that we petitioned the DBHDS for additional money and we received the full amount requested - $308,000.
 
Confidentiality Forms – Board members were asked to complete confidentiality forms.
 
Kilmarnock House – Properties, Inc. met prior to the Board meeting. The CSB rents Kilmarnock House from Properties, Inc. Kilmarnock House used to be a group home for individuals with intellectual disabilities. It was closed due to work force issues. The home has been sitting empty for some time now. The Leadership Team believes it is time to do something with the home. We could use the proceeds from selling it to pay for the electronic health records or put the money in the bank. The Leadership Team recommends selling it. Mr. Walsh asked the CSB to make a recommendation to Properties, Inc.   After discussion, Dr. Pirok moved  that the CSB Board advise Properties, Inc. to sell Kilmarnock House. Mr. Haynie seconded the motion which passed unanimously. Mr. Walsh said he would inform the Properties, Inc. Board.
 
Rates After discussion, Dr. Pirok moved to increase the rates as presented. Mr. Haynie seconded the motion which passed unanimously.
 
Wellness Benefit – Mr. Walsh said that health insurance rates went up 6%. The Finance Committee voted to split the cost (3% Board / 3% staff). We are looking at how to cover the increase of $146,000 the Board pays. Full time employees that do not participate in the health insurance plan are eligible to receive a fixed subsidy (the amount being based on years of service) to apply towards AFLAC, the Flexible Spending Account, Delta Dental, or the Fitness Center. The annual cost is $145,000 - $175,000. We can’t continue to offer this to new employees. Mr. Walsh would like for current employees to be grandfathered in, but effective July 1, 2018 the wellness benefit would not be offered to new employees. Ms. Knoeller moved to grandfather existing employees into the wellness plan and stop the wellness plan for new employees effective July 1, 2018. Ms. Mitchell seconded the motion which passed unanimously.
 
Strategic Plan – The Leadership Team has been meeting regularly. A new CSB logo and new website are being looked at. We are also looking at new revenue streams. 
 
Dash Board – Board members received the dash board in their mailout packet. DBHDS staff came down  recently and were here  from 8:00 a.m. – 6:30 p.m. to look at how we collect data in our ID program. The Independent Reviewer (from the Department of Justice Settlement Agreement) is on his 11th review and he is looking at the Dash Board.
 
Program Committee – The Program Committee did not meet.
 
Finance Committee – We have held off on holding a Finance Committee meeting until we receive our letter of notification.
 
Facilities Committee - The Facilities Committee had not met.
 
Community Advocacy Committee – The Community Advocacy Committee had not met.
 
Human Resources Committee – The Human Resources Committee had not met.
 
Executive Committee – The Executive Committee had not met.
 
Conflict of Interest Form – Board members received the conflict of interest forms to complete.
 
Appoint Community Member to Woodland Pointe – Superintendent Doss said that he would think about who could fill the vacancy on the Woodland Pointe Board.
 
Executive Session –Ms. Knoeller moved that the Board go into Close Session as provided for by the Code of Virginia, Section 2.2-3711 (A) (1) to discuss the Executive Director’s performance evaluation and contract. The motion was seconded by Ms. Mitchell and carried unanimously.
 
The Board returned to open session. A roll call vote was taken to certify that only such business as identified in the motion to convene the Closed Session was discussed:         Superintendent Doss, aye; Mr. Haynie, aye; Ms. Mitchell, aye; Dr. Pirok, aye; Ms. Turner, aye and Ms. Knoeller, aye. 
 
Superintendent Doss stated that the Board wanted to renew Mr. Walsh’s contract for another year. He thanked Mr. Walsh for the work that he does. Mr. Walsh said that he was very appreciative of the Board.
 
Board Member Comments – There were no Board member comments.
 
Mr. Walsh noted that the Performance Contract was due August 3rd. Ms. Mitchell moved that the Board authorize the Finance Committee to act on behalf of the Board to approve the budget. Dr. Pirok seconded the motion which passed unanimously.
 
Adjourn – There being no further business, the meeting adjourned.
 
Gail Slaughter
Recorder