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Home My WebLink About20100210.tiff RESOLUTION RE: APPROVE GRANT APPLICATION FOR PRENATAL COMMUNITY OUTREACH PROJECT AND AUTHORIZE CHAIR TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with a Grant Application for the Prenatal Community Outreach Project from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County Department of Public Health and Environment, to United Way of Weld County, commencing July 1, 2010, and ending June 30, 2012, with further terms and conditions being as stated in said application, and WHEREAS,after review,the Board deems it advisable to approve said application, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado,that the Grant Application for the Prenatal Community Outreach Project from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County Department of Public Health and Environment,to United Way of Weld County be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said application. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 27th day of January, A.D., 2010. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO � / ATTEST: ' i it ‘ct, ctivr 49* � cv t/�r ou Radem , Chair Weld County Clerk to th•��o- � 0 1`` Barbara Kirkmey r, Pro-Tem BY: . 4_ f - c ' Deputy Clerk to the Bo • >V/,ti,,ns , I c Sean P. Conway AP AS M: 6f/i lam F. Garc a un y Attorney EXCUSED David E. Long Date of signature: .3N/G 2010-0210 ac .. Ci Oki �H i 7 O L Memorandum TO: Douglas Rademacher, Chair Board of County Commissioners ' C FROM: Mark E. Wallace, MD, MPH, Director Department of Public Health a Environment COLORADO DATE: January 18,2010 SUBJECT: Grant application to continue and expand Prenatal Community Outreach Enclosed for Board review and approval is a grant application to be submitted to United Way of Weld County for funds to continue Prenatal Community Outreach at the Weld County Department of Public Health and Environment for the period 7/1/2010 to 6/30/2012 for the amount of$110,019.08. This proposal requests funding for the continuance of a Prenatal Outreach Coordinator to assist prenatal clients with early prenatal healthcare appointments; provide follow up with prenatal clients to ensure that they went to their prenatal appointment and their next appointment scheduled; provide community resource referrals; and educational opportunities for pregnant teens. This person will be housed at the Weld County Department of Public Health and Environment, but will also serve areas of Southern Weld County. I recommend your approval of this funding request. Enclosure S ' u� y. 2010-0210 1 cr. S- United m Way tr. UNITED WAY OF WELD COUNTY UNITED WAY OF WELD COUNTY REQUEST FOR PROPOSAL 2010-2012 FUNDING CYCLE TABLE OF CONTENTS Request for Proposal Information 2-4 Proposal Instructions 5 Colorado Common Grant Summary Sheet Form (Modified)...6-7 Narrative 8-11 Required Attachments 13-15 Expectations 16-18 Checklist 19-20 Best Practices for Action Areas i 2010 Projected Changes Report ii 2009 Beneficiary Report iii-iv United Way of Weld County - 1 - 11/29/2009 Request for Proposal 2010-2012 Funding Cycle UNITED WAY OF WELD COUNTY 2010-2012 FUNDING CYCLE REQUEST FOR PROPOSAL INFORMATION NOTES For the purpose of this RFP, "partner" or "partnership" is a general term for any organization(s) that receives funding through this RFP. DURATION OF FUNDING Organizations who are awarded program funding through the Request for Proposal process will be funded for two years, 2010-2012. Funding is dependent on the total undesignated revenue raised in the United Way of Weld County Community Wide Campaign each year. WHO SHOULD RESPOND Agencies and organizations who have been invited to submit a Request for Proposal based on their Letter of Intent submission in November, 2009. COLLABORATION Collaborations must demonstrate a jointly developed structure and process for shared decision-making, problem solving, communication, planning, allocation of resources, monitoring, and evaluating outcomes and deliverables of the program. Collaboration in general should be demonstrated in the applications, and United Way of Weld County welcomes proposals specifically from collaborative partnerships. In the case of a formal partnership, only one proposal will be accepted for each collaborative program. One organization must apply for the funding as the "Fiscal Management Organization" on behalf of the project collaboration. EXPECTATIONS FOR ORGANIZATIONS RECEIVING FUNDING Expectations for organizations funded by United Way of Weld County are outlined in the Expectations document. By signing the Expectations document, you acknowledge that you have read the Expectations document and that your proposal is submitted in good faith. United Way of Weld County - 2 - 11/29/2009 Request for Proposal 2010-2012 Funding Cycle SELECTION OF PROGRAMS: EVALUATION PROCESS Program selection/evaluation is a four-step process: Step One: All proposals undergo an initial review by United Way of Weld County staff for completeness and scoring. Step Two: Proposals are then scored by our Resource Investment Committee panels. Panels are broken into the three action areas being considered for funding; Ready to Learn, Ready to Succeed, and Ready to Respond. These diverse panels are composed of approximately 30 community volunteers and United Way of Weld County staff. Each review panel then comparatively ranks the proposals within their action area. Site visits and/or interviews may be used as part of this process as the review panels deem necessary. Step Three: Each review panel will make funding recommendations to the United Way of Weld County Executive Committee based on the proposal score. Step Four: The Executive Committee will then make recommendations to the United Way Board of Directors for final review and funding approval. Note: United Way of Weld County reserves the right to award funds based on funding availability and other variables at its discretion. TIMELINES • January 29, 2009 - Proposals are due to United Way of Weld County. • March 23-25, 2009 - Resource Investment Committee meets to make funding decisions. • April 29, 2009 - United Way of Weld County Executive Committee meets to hear funding recommendations • May 13, 2009 - United Way of Weld County Board meets to vote on final funding decision. • May 17, 2009 - Award letters will be sent out. United Way of Weld County - 3 - 11/29/2009 Request for Proposal 2010-2012 Funding Cycle APPLICATION SUBMISSION Proposals must be received on or before January 29, 2010, by 5:00 p.m. Please deliver or mail seven (7) hard copies of the proposal to: United Way of Weld County ATTN: Susan Van Deren P.O. Box 1944 814 9th Street Greeley, CO 80632 In addition to the hard copies, please provide an electronic copy of your application. E-mail the electronic version to susanv@unitedway-weld.orq REFERENCES If you are a new applicant, please submit at least three (3) references from people outside your organization who can attest to the work you do in Weld County. REJECTION OF APPLICATIONS United Way of Weld County reserves the right to reject any or all applications and to waive informalities and minor irregularities in applications received and to accept any portion or all items proposed if deemed in the best interest of United Way of Weld County. ADDITIONAL INFORMATION For additional information about this funding opportunity, the funding process, or technical assistance, please contact: Susan Van Deren, 970-304-6183 E-mail: susanv@unitedway-weld.org United Way of Weld County - 4 - 11/29/2009 Request for Proposal 2010-2012 Funding Cycle PROPOSAL INSTRUCTIONS General Requirements 1. COVER LETTER: One (1) page only. 2. SUMMARY SHEET FORM: (Pages 6-7) The modified Summary Sheet Form is taken from the Colorado Common Grant Application. 3. NARRATIVE: (Pages 8-11) Please use the narrative form to type your proposal. Type in the text boxes under each section heading. • If you are applying under more than one action area or submitting more than one program, please answer and submit all the questions under the heading Program Narrative for each program submission. Extra pages needed for multiple programs will not count toward page limit. 4. PAGE LIMIT: Your narrative portion of the proposal should not exceed six (6) pages (not including required forms and attachments). Keep in mind that the length of the form itself is 4 pages. Therefore, the total size of the completed document should not exceed 10 pages: the 4 pages of the form plus your 6 pages. 5. ATTACHMENTS: (Pages 12-14) Refer to the attachment pages to assure you have included all necessary documentation. This attachment document is a modified version from the Colorado Common Grant. We will need seven (7) copies of the Required Attachments and only one (1) copy of the Other Attachments. 6. EXPECTATIONS: (Pages 15-17) Please review the Expectations pages, sign, and return page 15 with your proposal. 7. CHECKLIST: (Page 18-19) Refer to Checklist reference document to make sure you have included all required sections and attachments with your proposal. This checklist is a modified version from the Colorado Common Grant. Only complete applications will be considered. United Way of Weld County - 5 - 11/29/2009 Request for Proposal 2010-2012 Funding Cycle 6 DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT 1555 N. 17th Avenue Greeley, CO 80631 WEBSITE: www.co.weld.co.us I ADMINISTRATION: (970) 304-6410 FAX: (970) 304-6412 COMMUNITY HEALTH NURSING: (970) 304-6420 FAX: (970) 304-6416 C� HEALTH COMMUNICATION, EDUCATION, AND PLANNING COLORADO (970)304-6470 FAX:(970)304-6452 ENVIRONMENTAL HEALTH SERVICES: (970) 304-6415 FAX: (970) 304-6411 January 18, 2010 United Way of Weld County Attn: Susan Van Deren P.O. Box 1944 Greeley, Colorado 806234 Dear United Way of Weld County: I would like to indicate my interest in United Way's Request for Proposal (RFP) for the funding cycle of 2010 to 2012. The Weld County Department of Public Health and Environment (WCPHE) is in need of continued grant funding for 1 Full-Time Equivalent (FTE) Prenatal Outreach Coordinator. The need for a continued Prenatal Outreach Coordinator for Weld County is evidenced by Weld County's increasing population growth, the increasing growth of Hispanics, the number of persons living in poverty who lack medical insurance, the numbers of clients served by the Prenatal Outreach Coordinator in FY 2008, Weld County's low birth weight rate, rising teen pregnancy rates, and the lack of access to early prenatal care. Weld County's population rose 38% between 2000 and 2008 and is growing faster than any other metropolitan area in the nation. Rapid growth means a great demand is placed on the county's health infrastructure. Weld County's hospitals and clinics already face significant economic challenges providing comprehensive and quality health care to its residents as the population continues to increase and become more diverse. Weld County is home to a large migrant and Hispanic population who are in need of doctors and nurses skilled at dealing with cultural and language barriers for patients who primarily speak Spanish. The availability of prenatal health care provider services has diminished and fewer physicians in Weld County are accepting new Medicaid clients. Over 16% of Weld County female residents are uninsured. In FY 2008, the Prenatal Outreach Coordinator served 1,135 unduplicated clients, which surpassed the total goal of clients by 189%. The majority of these clients were Hispanic, uninsured, and 58% are living at or below 250% of poverty. The amount of funds requested and the total cost of the program for two years is $110,019.08. Thank you in advance for your consideration of this RFP. Sincerely, / t 6a Mar loy -Cumley, RN, NP Clinic Hea th Services Manager Weld County Department of Public Health & Environment 1555 North 17th Avenue Greeley, CO 80631 Phone: (970) 304-6420 ext. 2302 www.mllovd-cumley(@co.weld.co.us COLORADO COMMON GRANT APPLICATION (MODIFIED) SUMMARY SHEET FORM Legal Name of Organization: Weld County Department of Public Health & Environment DBA (if applicable): Mailing Address, City, State, and Zip: 1555 North 17th Avenue, Greeley, CO 80631 Phone: 970-304-6420 Fax: 970-304-6416 EIN: 84-6000-813 Website: www.co.weld.co.us Name of CEO or Executive Director: Mark Wallace, MD, MPH Phone: 970-304-6420 Email: mwallace@co.weld.co.us Application Contact & Title (if not the CEO or Executive Director): Mary Lloyd-Cumley, RN, NP Clinic Services Manager Phone: 970-304-6420 Email: mlloyd-cumiey@co.weld.co.us Organization Information Mission Statement: The mission of the Weld County Department of Public Health and Environment is to preserve, promote and protect a healthy life and safe environment for the residents of Weld County. Geographic Area Served (specific to this proposal): Weld County, Colorado United Way of Weld County - 6 - 11/29/2009 Request for Proposal 2010-2012 Funding Cycle Tax Exemption Status: Year Founded: 1938 ❑ 501(c)(3) x Government, School or Faith Based Organization Name of fiscal agent/sponsor if: Weld County Government ❑ Other than 501(c)(3), describe: Number of Employees: Full-time: 75 Part-time: 20 Grant Request Information (Please list each program request separately) Amount of Request: $ 110,019.08 Program Name Prenatal Outreach Amount of Request: $ Program Name Amount of Request: $ Program Name Amount of Request: $ Program Name Financial Information Organization's Current Budget for Fiscal Year Ending: 12/31/2008 Income: $8,147,527.00 Expenses: $8,147,527.00 Current Programs' Budget: *$3,673,859.0 Dates: from: 1/1/08 to: 12/31/08 *Current program's budget, program's income, and program's expenses in the amount of $3,673,859.00 is for the Public Health Services Division within the WCDPHE only. Programs' Income: *$3,673,859.00 Programs' Expenses: *$3,673,859.00 **Refer to 2008 Annual Report for details of 2008 Budgeted Expenditures by Division and 2008 Sources of Budgeted Revenues (federal and state grants, county general fund, charges for services, solid waste surcharge, licenses & permits and miscellaneous). I\CAAIV l�6492—ad aal i is CEO/Executive Director Date United Way of Weld County - 7 - 11/29/2009 Request for Proposal 2010-2012 Funding Cycle NARRATIVE ORGANIZATION BACKGROUND and OVERVIEW OF CURRENT PROGRAM. Briefly discuss the founding and development of the organization. Explain the original issue and/or opportunity the organization was founded to address and how that may have changed over time. Then provide a brief description of all of the organization's current programs, not just the one(s) you are submitting in this proposal. Include populations and numbers served, as well as expected outcomes/results. If you are applying for a specific program, describe that program in the Program Narrative Section. (Each text box will expand as you fill in your answers.) Background and Overview: The Weld County Department of Public Health and Environment (WCDPHE) was established in 1938 by the Weld County Commissioners. The County Commissioners provide governance and are responsible for the public health policies and public health programs county-wide. The health department is organized into five major divisions: Administrative Services (AS), Environmental Health Services (EHS), Health Communication, Education and Planning Services (HCEP), Public Health Services (PHS), and Public Health Preparedness Services (PHPS). The AS Division provides administrative support to the other divisions, purchases and receives supplies, processes personnel activities, conducts financial operations, and collects and processes information for program monitoring and evaluation. The office of vital statistics keeps records of all births and deaths in Weld County in accordance with state law. The EHS Division's function is to perform inspections, investigations and evaluations to insure appropriate compliance with local ordinances and state statutes to preserve and perpetuate a healthy environment. The PHS Division helps to protect the health of the citizens of Weld County by providing clinics, as well as education and outreach. Programs provided include immunizations, family planning, prenatal care clinic, prenatal nutrition education and outreach services, communicable disease follow-up, and health care program for children with special needs. The HCEP team provides comprehensive education programs, as well as individual programs and presentations on health issues and assets that exist in Weld County. The scope of the PHPS Division is to assist Weld County in preparedness for, and response to bioterrorism, pandemic influenza, disease outbreaks and other public health threats and emergencies. The WCDPHE serves all residents of Weld County (population of 236,857, 2006 Census). Public health services provided by each division's programs are located in the 2008 Annual Report at: http://www.co.weld.co.us/redesign/Health/GeneralHealthInformation/Data&Statistics/index.h tml. PLANNING Describe the challenges and opportunities facing the organization in the next three to five years. Additionally, describe how the organization engages in planning and describe the focus of any current planning efforts. Approach: The health challenges and opportunities facing the WCDPHE in the future are detailed in a summary of community survey findings, which is available at the following link: http://www.co.weld.co.us/redesig n/Health/GeneralHealthInformation/Data&Statistics/index.h tml. To address these health challenges and opportunities, the WCDPHE has a strategic plan which outlines goals, strategies, and performance measures towards accomplishing the agency's mission. The plan is reviewed and updated by the Executive Management Team annually. The goals include: to improve the health of our diverse communities by assuring individuals, families, and communities gain greater control of factors that influence their health; to assure dignified access to necessary, appropriate, affordable, continuous, and United Way of Weld County - 8 - 11/29/2009 Request for Proposal 2010-2012 Funding Cycle timely health care, including wellness and prevention services; to lessen adverse public health impacts of chronic and communicable diseases, land use developments, and disasters; and to enhance our organization's effectiveness by continually monitoring our performance and evaluating our programs. BOARD/GOVERNANCE Describe the role of the board of directors in advancing the mission of the organization. Include the key issues related to board effectiveness that are being addressed this year, the organization's policy regarding board terms, and the percentage of the board that contributes financially to the organization. Board/Governance: The County Commissioners provide governance and are responsible for the public health policies and public health programs county-wide. Colorado State Statutes and local ordinances provide mandated direction for most service elements. The five-member Board of County Commissioners is the statutory head of Weld County's government. Two of the commissioners are elected at large and the other three are elected from the district in which they reside. Their elected position must be their primary employment during the term they serve. As a board, the commissioners are required to establish a budget, levy taxes, appropriate funds for county business, establish fees and licenses, purchase or otherwise acquire, own, sell, lease, trade, and otherwise deal in real and personal property in the name of the county, receive gifts and grants for the county, and approve and execute contracts and lawsuits in the name of the county. The board also is required to sit as a board of appeals to hear complaints on actions taken by county boards, commissions and departments, as a board of equalization to hear appeals on tax assessments, as a county board of welfare, and to make appointments to fill vacancies in all county offices except the board of commissioners and the county council. Each commissioner has primary responsibility for one of the county's five departments and serves as an assistant in another. The five departments are communication services, health services, planning services, engineering services, and finance, administration, central purchasing, and personnel. Their responsibilities rotate each year. The chairman of the Board of County Commissioners is chosen by the commissioners each year and always serves as chairman of the finance and administration department during his tenure as chairman of the board. Commissioners are only allowed to serve three complete elected terms under charter provisions. The Board of County Commissioners appoints a nine member advisory board of health. This board provides citizen advice concerning public health matters throughout Weld County. Additional information regarding the county commissioners is located at: http://www.co.weld.co.us/departments/commissioners.html VOLUNTEERS Describe how the organization involves volunteers and unpaid personnel (other than the board of directors) with a typical 12-month time period. Include the number of volunteers and hours (if tracked by the organization). Collaboration: Each division of the WCDPHE, except for Administrative Services, offers opportunities for volunteers to work with their division's programs. The Family Planning Program, Immunization Program, Nurse Family Partnership Program, and Weld/Sunrise Prenatal Program provide clinical rotation hours for 10 to 16 UNC nursing students twice a year. The Healthy Baby Program offers practicum hours and volunteer hours for 2 to 4 Public Health and Dietetic students year-round to assist with teen and community-wide prenatal classes. United Way of Weld County - 9 - 11/29/2009 Request for Proposal 2010-2012 Funding Cycle INCLUSIVENESS Describe how the organization strives to be inclusive in its programs, staff, board, and volunteers and describe the progress to date. Inclusiveness: The WCDPHE strives to be inclusive in its programs, staff, board, and volunteers by following Weld County Code located at: http://colocode.com/weld.html. Under which Initiative/Action Area are you applying? (Check all that apply) Please submit a separate narrative for each initiative for which you are applying. X Ready to Learn Ready to Succeed Ready to Respond Early Childhood Development Positive Youth Development Safety Net PROGRAM IS ELIGIBLE FOR CHILD CARE CONTRIBUTION CREDIT? APPLICATION IS ON BEHALF OF A COLLABORATIVE* * PLEASE NOTE: IF THE COLLABORATIVE CROSSES MULTIPLE INITIATIVES, PLEASE CHECK ALL BOXES THAT APPLY AND SUBMIT ONE(1) NARRATIVE THAT INCORPORATES HOW THE RELATIONSHIPS AMONG THE INITIATIVES INTERACT WITHIN YOUR COLLABORATIVE. Under which Best Practice(s) does this program align? (Please see "Best Practices" Attachment for complete description.) Please check all that apply. Ready to Learn Ready to Succeed Ready to Respond Early Childhood Positive Youth Development Safety Net X 1 - Prenatal Care/Health 1 - After School Program 1 - Provide Basic Needs 2 - Child Care 2 - Intervention Services 2 - Provide Education 3 - Nurture Program _ 3 - Mentoring/Tutoring 13 - Services for 4 - Parent Education 4 - Parent programs Vulnerable Populations 5 - School Readiness 5 - Alternative Education United Way of Weld County - 10 - 11/29/2009 Request for Proposal 2010-2012 Funding Cycle Program Narrative Based on the Best Practices of the action area(s) selected above, please answer the following questions: (If you are submitting more than one program, please answer and submit the following questions for EACH program. This will not count as extra pages in your proposal) ABSTRACT OF PROPOSED PROGRAM • Briefly describe the type of services or activities proposed and the broad objectives of the program. This abstract should be suitable for use in an announcement that the program has been selected for an award. Include a description of the target community and the direct beneficiaries of the project, including geographic location and demographics. Abstract: The primary purpose of the Prenatal Outreach Program is to optimize pregnancy and birth outcomes, including the reduction of low birth weight babies to pregnant women of Weld County. It exists to serve pregnant women in Weld County who face financial barriers, have limited access to healthcare, and who are much more likely to not receive prenatal care. It is vital that a pregnant woman understand and are assisted in applying for health care programs that they are eligible for and receive referrals to appropriate agencies to ensure the healthiest possible birth outcome for both them and their child. It is also critical that the prenatal clients include pregnant teens (ages 12 to 19 years old) so they are informed of the prenatal outreach program including prenatal educational opportunities to support them with their pregnancies. During the time period of 1/1/09 through 12/31/09, the PNOC assisted 819 pregnant women in Weld County. The data indicates that these pregnant women ranged in age from 13 years old to 46 years old, over 66% identify with Hispanic race, 33% identify with Anglo American race, and 69% percent of the pregnant women were 19 to 30 years old. COMMUNITY NEED FOR THE PROGRAM • Describe how your organization has determined the need for this program. Please include community data to support the need. Need: The need for a continued PNOC for WC is evidenced by several data sources including: Weld County's increasing population growth, the increasing growth of Hispanics, the number of persons living in poverty who lack medical insurance, the numbers of clients served by the POC in FY 2008, Weld County's low birth weight rate, rising teen pregnancy rates, and the lack of access to early prenatal care. Weld County's population rose 38% between 2000 and 2008 and is growing faster than any other metropolitan area in the nation. Weld County's economic profile is drastically changing. According the U.S. Census Bureau (2009) WC has a lower average income than the rest of Colorado and over one-fourth (27°k) of WC households live on incomes that are below the 200% federal poverty level. According to the WC Health Status Report of (2006), the annual self-sufficiency income for a family of four is $43,868 which is well below the 250% Federal Poverty Income Guidelines. Therefore, childbearing women in WC who are living in poverty and/or have no health insurance, delay getting early prenatal care and are at risk of having a poor birth outcome. From July 1, 2008 thru September 30, 2009, the PNOC served 1,135 unduplicated clients, which surpassed the total goal of 600 clients by 189%. The majority of these clients were Hispanic, uninsured, and 58% are living at or below 250% of poverty. Also of note, the county's low birth weight rate is hovering at 8% while the state's LBW has oscillated between 9% and 10°/0 over the past 5 years. Most alarming is that 15 to 17 year olds have a 6.7% LBW, and 18 to 19 year olds have a 10.1% LBW (2004-2006 MCH Dataset). United Way of Weld County - 11 - 11/29/2009 Request for Proposal 2010-2012 Funding Cycle Additionally, only 77.2% of pregnant women receive prenatal care during their first trimester, which compromises the health status of the unborn baby, at birth, and after birth. APPROACH • Describe in detail the program for which you are seeking funding. Include the specific services or activities that will be delivered and how many people will be served. Approach: The PNOC provides the following services: outreach, awareness, information, referrals, and case management/follow up. The PNOC helps pregnant women review and/or fill out their Medicaid application. After the Medicaid application process is completed, the PNOC presents a packet to the client that contains information about community resources (211, housing, food, etc). If the client has a need at that particular time, the client will be given the appropriate referral(s) to community resources. The PNOC also gives women educational materials about the importance of not smoking, drinking, adequate weight gain and use of prescription, non-prescription and illicit drugs, during pregnancy. Next, the client is assessed as to where she is going for her prenatal care and if she has made an appointment. If she does not know where she is going to get her prenatal care, the client is given a list of providers in the community. If the client wants prenatal care at the Weld/Sunrise Prenatal Clinic, the PNOC will walk the client to the clinic's receptionist for an appointment. Finally, the client is contacted 1 week after the initial visit to assess if they completed the prenatal appointment. If not, the PNOC assesses why and educates the client about the importance of obtaining early prenatal care. The PNOC asks the client if she was given a referral and if she contacted that particular agency and assesses if the client needs any further referrals. Also, the PNOC conducts outreach in the community to promote awareness of the services that she provides by attending community meetings; presenting at ob orientations, teen classes, prenatal classes; and meeting with health care providers. In 2009, the program served 819 clients and will serve over 1,000 prenatal women in 2010. INDIVIDUAL OUTCOMES • What are the expected individual outcomes for participants of the program? These are the measurable outcomes you will track and report throughout the length of the funding. • Summarize key evaluation results or findings that demonstrate the program's impact. Indicate the time frame for the results or findings. For example (From July 1, 2010 to June 30, 2011, 70% of the 350 clients served will have improved their test scores by at least 40%. Or, from July 1, 2010 to June 30, 2011, 85% of the clients attending our class will demonstrate improved scores by at least 25% based on the pre and post evaluations.) • Briefly describe your plan to measure individual participant's progress on the outcome(s). Will you use a standardized assessment, a survey, case notes, observation, etc.? When and how often will assessments take place, and who will collect the data and evaluate progress? Identify if and how program participants and members of the target community will participate in the outcome evaluation activities. Individual Outcomes: The measurable outcomes that will be tracked and reported throughout the length of funding includes: client's demographic information, when a appointment is made for Medicaid and/or other health insurance alternatives, the completion date of the first prenatal provider visit, when a referral is given to a client and to which agency and if the referral was helpful or sought out, and the number of educational opportunities attended. Program impact United Way of Weld County - 12 - 11/29/2009 Request for Proposal 2010-2012 Funding Cycle are demonstrated by the accomplishment of the following objectives: (1) From January 1, 2010 to June 30, 2010, 80% of the Medicaid and or uninsured clients referred for prenatal care through this project will have been enrolled in an accepted into a health care coverage program and will have completed a first prenatal health care appointment; (2) From January 1, 2010 to June 30, 2010, 80% of pregnant women that describe a personal or family need will receive assistance and or a referral to a community agency for support from the Prenatal Outreach Coordinator; (3) From January 1, 2010 to June 30, 2010, 80% of teens will be referred to prenatal educational opportunities. Individual progress will be measured by case management notes, client satisfaction surveys, and follow up interviews conducted in person and by phone. Measurement tools include: a prenatal database for record keeping, hard copies of surveys, and case management notes. COLLABORATION If this project is on behalf of a collaboration, please list the organizations that comprise the collaboration and how each participates in the project. For the purpose of this RFP, a collaboration is a structured, mutually-beneficial relationship between two or more organizations that work toward a common goal by sharing resources, responsibility, authority, and accountability for achieving results. If you are not applying on behalf of a collaboration, please describe how your agency or program works with other programs/agencies in the community to achieve desired results/outcomes. Please refer to the Collaboration section of the RFP for more information. Collaboration: Currently the program works with over 60 partners however no formal collaboration exists. Even though a formal collaboration doesn't exist, the PNOC has developed, maintained, and increased partnerships over the past 4 years. The PNOC partners with the following community agencies: United Way Promises for Children and 211, the Weld/Sunrise Prenatal Clinic, Sunrise Community Health Center, Monfort Family Health Clinic and other prenatal health care providers who serve prenatal patients, the Healthy Baby Program of WC which provides awareness and educational opportunities for pregnant women, Weld County Human Services who assist the low-income and uninsured with government assistance, and community support programs including Women, Infant, and Children (WIC) Food Program, Baby and Me Tobacco Free, First Steps, Nurse Family Partnership, Bright Beginnings, c.a.r.e., Juvenile Assessment Center (JAC), Weld County Teen Pregnancy Prevention and Support Program, Weld County Fatherhood Initiative, Building Healthy Marriages Initiative, Weld Waits program, faith- based agencies, local school districts, and others. FUNDING CHALLENGES If the funding you have requested for your programs(s) was not available or only partially available, how would you like to address this? In other words, if you are submitting multiple programs, would you prefer funding one program over the other or funding smaller portions for each? If no funding from United Way of Weld County was available, would your program(s) be able to operate? Funding Challenges: The Prenatal Outreach Program will not exist without funding from United Way Promises for Children because the WCDPHE does not have funding to support this position. OPTIONAL--ADDITONAL INFORMATION If there is additional vital information to convey in this proposal, do so here. (This must be contained within the six (6)-page limit.) Additional: United Way of Weld County - 13 - 11/29/2009 Request for Proposal 2010-2012 Funding Cycle REQUIRED ATTACHMENTS Label each attachment and provide in the order listed. Financial Attachments Note: Provide explanations for items that may raise questions in any of the attached financial documents. The explanations can be written onto the documents themselves or included as an additional page. 1. Budgets (refer to labeled attachments) Include revenues and expenses. (a) The organization's overall operating budget for the current fiscal year. If available, also include the budget for the upcoming fiscal year. (b) Total program budget for each program in the proposal the program period. 2. Current (Year-to-Date) Financial Statements (refer to labeled attachments) Include a Statement of Financial Position (Balance Sheet) and Statement of Activities (Income and Expense Statement) through the most recently completed operating month available (must be within the past three months). Provide the Statement of Activities in a budget-to-actual format, if the organization uses that format. 3. Year-End Financial Statements, Audit, and Sources of Income Table Include the most recent fiscal year-end financial statements, audited if available. If the organization has an audit, but it is not available for the most recent fiscal year-end, also include the most recent audit if organization's budget is over $100,000. If the organization budget is less than $100,000, please submit an Internal Control Review. (refer to labeled attachments) Sources of Income Table Complete the table below for the organization as a whole, based on the most recently completed fiscal year. Categories may be modified. Percentage Funding Source 33 % Government grants (federal, state, county, local) 0/0 Government contracts Wo Foundations 0/0 Business ok Events (include event sponsorships) Wo Individual contributions 33 0/0 Fees/earned income Wo Workplace giving campaigns Wo United Way of Weld County Wo Other United Way Organizations Wo In-kind contributions (optional) 34°k Other county general funds 100 0/0 TOTAL (must equal 100 Ws.) United Way of Weld County - 14 - 11/29/2009 Request for Proposal 2010-2012 Funding Cycle 4. Board of Directors List (refer to labeled attacheds) Include the following items for each board member: • Position(s) on the board (officer and committee positions) • Occupation and name of employer and/or affiliation(s) • Address, city or county of residence • Term beginning and end date for each board member • Current board policy regarding events conducted by any outside group which benefits the agency. • Board meetings attendance record for 2009 5. IRS 501(c)3 Status Letter (n/a The WCDPHE is a government agency.) Needs to be dated within the last five years. 6. Non-Discrimination Statement (see labeled attachments) Please state how your organization complies with all city, state, and federal laws, rules, and regulations involving non-discrimination in the delivery of services. 7. List of Names and Qualifications of Key Staff (see labeled attachment) Must include length of service. Do not include job descriptions or resumes. 8. Memorandum of Understanding n/a Collaboration applications require an MOU (Memorandum of Understanding) from partner agencies. 9. Expectations (see page 17) Include a signed Expectations document. 10. References (for new applicants) n/a Please include three (3) references from people outside your organization who can attest to the work you do in Weld County. United Way of Weld County - 15 - 11/29/2009 Request for Proposal 2010-2012 Funding Cycle REQUIRED ATTACHMENT PUBLIC HEALTH FUND Financial Attachment SUMMARY OF EXPENDITURES 1. Budget 2010 (a) Current Fiscal Year 2009 2010 2010 2010 Fund Orq Expenditure Function Budget Request Recommend Final 2500 41100 ADMINISTRATION 215,000 191,450 191,450 191,450 2520 41210 GENERAL HEALTH EDUCATION 629,567 566,303 566,303 566,303 2520 99900 UNALLOCATED GRANTS 478,548 762,632 762,632 762,632 2530 41300 NURSING 940,956 797,598 797,598 797,598 2530 99900 UNALLOCATED GRANTS 2,915,324 3,322,131 3,322,131 3,322,131 2535 41300 NURSING 135,844 0 0 0 2560 41400 ENVIROMENTAL 2,307,434 2,327,508 2,327,508 2,327,508 2560 99900 UNALLOCATED GRANTS 102,801 102,141 102,141 102,141 2580 41500 PUBLIC HEALTH PREPAREDNESS 125,976 141,160 141,160 141,160 2580 99900 UNALLOCATED GRANTS 261,081 240,091 240,091 240,091 TOTAL PUBLIC HEALTH FUND 8,112,531 8,451,014 8,451,014 8.451,014 343 REQUIRED ATTACHMENT Financial Attachment PUBLIC HEALTH FUND 1- Budget SUMMARY OF REVENUES (a) Current Fiscal Year 2010 2009 2010 2010 2010 Fund Org Acct Account Title Budget Request Recommend Final LICENSES AND PERMITS 2560 41400 4210 LICENSES 110,800 167,400 167,400 167,400 2560 41400 4221 PERMITS 230,900 223,000 223,000 223,000 TOTAL LICENSES AND PERMITS 341,700 390,400 390,400 390.400 INTERGOVERNMENTAL 2530 41300 4321 MEDICAID 48,300 48,300 48,300 48,300 2560 41400 4321 MEDICAID 17,800 16,000 16,000 16,000 2530 99900 4321 MEDICAID 203,188 214,056 214,056 214,056 2530 41300 4322 MEDICARE 4,000 8,000 8,000 8,000 2530 99900 4322 MEDICARE 1,000 1,000 1,000 1,000 2530 99900 4336 REIMBURSEMENTS 42,000 42,000 42,000 42,000 2500 41100 4340 GRANTS 412,171 413,315 413,315 413,315 2530 41300 4340 GRANTS 0 21,731 21,731 21,731 2535 41300 4340 GRANTS 94,659 0 0 0 2560 41400 4340 GRANTS 12,225 3,360 3,360 3,360 2580 41500 4340 GRANTS 6,000 0 0 0 2520 99900 4340 GRANTS 509,535 774,882 774,882 774,882 2530 99900 4340 GRANTS 1,399,825 1,844,460 1,844,460 1,844,460 2560 99900 4340 GRANTS 80,800 104,800 104,800 104,800 2580 99900 4340 GRANTS 232,902 241,281 241,281 241,281 2500 41100 4356 COUNTIES 3,590,471 3,051,901 3,051,901 3,051.901 TOTAL INTERGOVERNMENTAL 6,654,876 6,785,086 6,785,086 6,785.086 CHARGE FOR SERVICES 2500 41100 4410 CHARGE FOR SERVICES 215,000 191,450 191,450 191,450 2530 41300 4410 CHARGE FOR SERVICES 181,780 182,369 182,369 182,369 2560 41400 4410 CHARGE FOR SERVICES 274,875 261,500 261,500 261.500 2530 99900 4410 CHARGE FOR SERVICES 88,800 88.800 88,800 88,800 TOTAL CHARGE FOR SERVICES 760,455 724.119 724,119 724,119 MISCELLANEOUS 2560 41400 4510 FINES 2.500 2,500 2,500 2.500 2560 41400 4680 OTHER 2,000 2,000 2,000 2,000 2530 99900 4690 DONATIONS 18,000 28.000 28,000 28,000 2560 41400 4730 OTHER FEES 8.000 11,000 11.000 11,000 TOTAL MISCELLANEOUS 30,500 43.500 43,500 43.500 TRANSFERS 2560 41400 712700 TRANSFERS 325,000 507,909 507,909 507,909 TOTAL PUBLIC HEALTH FUND 8,112,531 8.451,014 8,451,014 8.451,014 342 REQUIRED ATTACHMENT Financial Attachment 1.(b) Program Budget Narrative Intro: The Weld County Dept. of Public Health (WCDPHE) does not have funds elsewhere to fund the Prenatal Outreach Coordinator (POC). Since 2004, the WCDPHE has received grant awards from United Way of Weld County to fund the POC. According to our contract records we have received the following funds as listed below: • 09/01/03 through 06/30/04 to be paid at $80 per home visit to new teen mothers • 09/01/04 through 08/31/05 in the amount of $26,201 • 09/01/05 through 08/31/06 in the amount of $25,546.00 • 07/01/07 through 06/30/08 In the amount of $64,056 plus an additional $12,773 that was to be spent by 03/31/08. The additional funds were Caring for Colorado funds. • 07/01/08 through 06/30/09 in the amount of $47,000 • 07/01/09 through 06/30/10 in the amount of $47,000 PERSONNEL: Funding is for the continuation of (1) FTE Prenatal Outreach Coordinator. The POC will coordinate the Prenatal Outreach Program doing the following activities: assist prenatal clients with filing the Medicaid/CHP+ Application; assist prenatal clients with early prenatal healthcare appointments; provide follow up with prenatal clients to ensure that they went to their prenatal appointment and have their next appointment scheduled; provide community resource referrals to pregnant clients based upon their specific needs (i.e. prenatal education classes, food assistance, housing assistance, clothing assistance, counseling, etc.); coordinate educational opportunities for pregnant teens; and track prenatal client demographic information, referrals to community resources, status of referrals, and the number of educational opportunities for pregnant teens. This staff person will be housed at the Weld County Department of Public Health and Environment, but will also serve areas of Southern Weld County. The POC has been located within the Public Health Services Division, which also houses the Weld County/Sunrise Prenatal Clinic, Immunization Clinic, Family Planning Clinic, Healthy Baby Program, Nurse Family Partnership Program, and EPSDT (Early Periodic Screening Diagnosis & Treatment) Children's Medicaid Program, etc. The Weld County Department of Public Health and Environment's Clinic Services Manager will provide oversight of the Prenatal Outreach Coordinator. 1 FTE Prenatal Outreach Coordinator: Year 1: $37,293.65 salary and Year 2: $38,417.64 salary Fringe Benefits: The benefits are figured for a Weld County benefit package for the Prenatal Outreach Coordinator. Year 1: $13,254.16 and Year 2: $13,653.63 *Weld County Oversight: The costs associated with the supervision of the POC by the Clinic Services Manager. Year 1: $17,000.00 and Year 2: $18,000.00 SUPPLIES: Supplies include both general office and supplies for educational packets distributed to clients and community partners. Year 1: $500.00 and Year 2: $500.00 Printing/Copying: These include expenses for the printing and copying of promotional and educational handouts. Year 1: $650.00 and Year 2: $650.00 OPERATING EXPENSES: *Telephone: Phone use for the Prenatal Outreach Coordinator at the Weld County Department of Public Health & Environment. Year 1: $60.00 x 12 months= $720.00 and Year 2: $60.00 x 12 months=$720.00 *Postage: Postage expenses for correspondence between the Prenatal Outreach Coordinator and clients served as well as mailing of surveys and marketing/educational materials. Year 1: $350.00 and Year 2: $350.00 TRAVEL EXPENSES: Mileage: Mileage expenses to distribute awareness materials, meet with clients, attend meetings pertaining to prenatal care and work with community partners. Year 1: $1,500.00 and Year 2: $3,000.00 Meetings: Mileage expenses for the POC to participate in meetings between partnering agencies and community meetings to promote awareness of prenatal issues. Year 1: $300.00 and Year 2: $300.00 EOUIPMENT EXPENSES: No equipment will be purchased for this project. *OTHER: Other expenses include staff development for the POC and indirect costs which covers office space at the Weld County Department of Public Health and Environment, utilities, liability insurance, accounting services, etc. at both the Weld County Department of Public Health and Environment and the United Way of Weld County Year 1: $1,260.00 and Year 2: $2,584.00 *Expenses from Weld County oversight, telephone, postage and other are covered by the Weld County Department of Public Health and Environment. REQUIRED ATTACHMENT 1. (b) Budaet Promises for Children Early Childhood Initiative Project Budget Year 1 July 1, 2010 — June 30, 2011 Applicant: Weld County Department of Public Health and Environment Project: Prenatal Community Outreach Coordinator BUDGET EXPENDITURES: Total Amount Other Funding Requested from Required for In-kind/Cash Match United Way of Project Specific Status Weld County PERSONNEL EXPENSES: 1 FTE Prenatal Outreach $37,293.65 $37,293.65 Coordinator Fringe Benefits $13,254.16 $13,254.16 Weld County Health $17,000.00 Secure Oversight SUPPLY EXPENSES: General Supplies $500.00 $500.00 Printing/Copying $650.00 $650.00 OPERATING EXPENSES: Telephone $720.00 $720.00 Postage $350.00 $350.00 TRAVEL EXPENSES: Mileage $1,500.00 $1,500.00 Meetings $300.00 $300.00 EQUIPMENT EXPENSES: None OTHER: $1,260.00 TOTAL PROJECT COSTS: $54,567.81 $19,330.00 $53,497.81 REQUIRED ATTACHMENT 1. (b) Budget Promises for Children Early Childhood Initiative Project Budget Year 2 July 1, 2011 — June 30, 2012 Applicant: Weld County Department of Public Health and Environment Project: Prenatal Community Outreach Coordinator BUDGET EXPENDITURES: Total Amount Other Funding Requested from Required for In-kind/Cash Match United Way of Project Specific Status Weld County PERSONNEL EXPENSES: 1 FTE Prenatal Outreach $38,417.64 $38,417.64 Coordinator Fringe Benefits $13,653.63 $13,653.63 Weld County Health $18,000 Secure Oversight SUPPLY EXPENSES: General Supplies $500.00 $500.00 Printing/Copying $650.00 $650.00 OPERATING EXPENSES: Telephone $720.00 $720.00 Postage $350.00 $350.00 TRAVEL EXPENSES: Mileage $3,000.00 $3,000.00 Meetings $300.00 $300.00 EQUIPMENT EXPENSES: None OTHER: $2,584.00 TOTAL PROJECT COSTS: $57,591.27 $21,654.00 $56,521.27 REQUIRED ATTACHMENT 1. (b) Budaet Promises for Children Early Childhood Initiative Cumulative Project Budget 2010 - 2012 Funding Cycle Applicant: Weld County Department of Public Health and Environment Project: Prenatal Community Outreach Coordinator BUDGET EXPENDITURES: Total Amount Other Funding Requested from Required for In-kind/Cash Match United Way of Project Specific Status Weld County PERSONNEL EXPENSES: (1) FTE Prenatal Outreach $75,711.29 $75,711.29 Coordinator for 2 years Fringe Benefits $26,907.79 $26,907.79 Weld County Health $35,000.00 Oversight SUPPLY EXPENSES: General Supplies $1,000.00 $1,000.00 Printing/Copying $1,300.00 $1,300.00 OPERATING EXPENSES: Telephone $1,440.00 $1,440.00 Postage $700.00 $700.00 TRAVEL EXPENSES: Mileage $4,500.00 $4,500.00 Meetings $600.00 $600.00 EQUIPMENT EXPENSES: None OTHER: $3,844.00 TOTAL PROJECT COSTS: $112,159.08 $40,984.00 $110.019.08 REQUIRED ATTACHMENT Financial Attachment 2. Current Financial Statements FINANCIAL ANALYSIS OF THE COUNTY'S FUNDS As noted earlier, Weld County uses fund accounting to ensure and demonstrate compliance with finance-related legal requirements. Governmental Funds Overview. The focus of County governmental funds is to provide information on near-term inflows,outflows,and balances of spendable resources. Such information is useful in assessing the County's financing requirements. In particular, unreserved fund balance may serve as a useful measure of a government's net resources available for spending at the end of the fiscal year. As of the end of 2008, the combined ending fund balances of County governmental funds was $47.41 million. Approximately 75.2%of this consists of unreserved fund balance,which is available as working capital and for current spending in accordance with the purposes of the specific funds. The remainder of fund balance is reserved to indicate that it is not available for new spending because it is committed for the following purposes: 1) encumbrances ($4.49 million); 2) a state- constitution mandated emergency reserve($5.0 million); 3)an advance to the Paramedic Services ($585,000); and 4) prepaid expenses and inventory ($1.66 million). The County has five major governmental funds. These are 1)General Fund;2)Public Works Fund; 3) Social Services Fund; 4) Human Services Fund; 5) the Capital Expenditure Fund. 1. General Fund. This is the primary operating fund of the Weld County Government. It accounts for many of the County's core services, such as law enforcement, planning, and elections. The general fund balance was $11.8 million as of December 31, 2008. Of this amount, $585,000 is reserved for advances. The 2008 fund balance is $3.7 million higher than the previous year due to higher revenues than projected from oil and gas royalties ($2.64 Million) and from the liquidation if tax credit payables ($2.66 million). Some of the additional revenues were offset by transfers to the Capital Expenditures Fund($1.5 million) and the Paramedic Services Fund ($.85 million). As a measure of the general fund's liquidity, it may be useful to compare both unreserved fund balance and total fund balance to total fund expenditures. Unreserved fund balance represents 13.9 % of total 2008 expenditures, while total fund balance is 15.4%of the same amount. 2. Public Works Fund. The Public Works Fund is also state mandated. The fund records costs related to County road and bridge construction and maintenance. The Public Works Fund had$16.4 million in fund balance at the end of 2008. This amount is$5.2 million less than the previous year. 2008 expenditures for road projects were higher than budgeted due to the carryover of funds to complete the Weld County Road 13 project. 3. Social Services Fund. The Social Services Fund is mandated by State Statute. This fund accounts for the local share of many Federal and State public welfare programs. The fund carried a $1.1 million balance at the end of 2008 which is 55% less than 2007. The decrease was attributed to increased costs in 2008 due to the increased case load for public assistance as a result of the declining economy the last quarter of 2008. 4. Human Services Fund. The Human Services Fund accounts for various Federal and State human services grants. Primary funding agencies are DOL, HHS, and CSA. The increase in expenditures for 2008 was primarily attributed to Headstart, Job Services, TANF, and Work Force incentive. 20 5. Capital Expenditure Fund. The Capital Expenditure Fund accounts for the construction of major capital facilities. For 2008 these projects included the beginning of construction of the new Social Services Building ($3.27 million), the remodel of the Centennial Complex for four new courtrooms ($1.87 million), and the completion on the Jail Alternative Building ($2.43 million). The fund balance reduction is attributable to the year end encumbrances for the Social Services building and the Centennial Complex remodel that will be completed in 2009 Proprietary Funds Overview The County's proprietary fund statements provide the same of information found in the government- wide statements, but in more detail. The County has one enterprise-type fund, The Paramedic Services Fund. Unrestricted net assets of the fund at the end of the year amounted to$(3.9 million). The total increase in net assets for the fund was$.67 million,due mostly to a transfer from the General fund. Other factors concerning the finances of this fund were discussed under business-type activities. Weld County has five internal service funds. Information on these funds is aggregated in the Proprietary Fund financial statements. GENERAL FUND BUDGETARY HIGHLIGHTS Comparison of Unreserved Fund Balances as of December 31, 2007 and 2008 16 14 12 O 10 _m t I ❑2007 0 8 ■2008 6 4 0 General Fund Public Works Social Human Capital Other Govt. Services Services Projects Funds The County's budget is prepared according to Colorado statutes. The most significant budgeted fund is the General Fund. In December of 2007, the Board of County Commissioners appropriated $71.8 million for general fund expenditures and other financing uses. 21 COUNTY OF WELD STATE OF COLORADO Governmental Funds Balance Sheet December 31, 2008 Public Works Social Services General Fund Fund Fund ASSETS Cash and short-term investments $ 16,313,123 $ 14,016,744 $ 3,704,250 Receivables(net of allowance for uncollectibles): Current property taxes 53,902,516 7,339,999 5,763,275 Delinquent property taxes 50,777 7,172 18,556 Accounts 981,672 1,595,478 389,217 Special assessment - 58,611 - Due from other County funds 617,855 517,029 483 Due from other governments 210,935 - 1,988,042 Advances to other funds 585,000 - - Inventories 153,499 1,252,105 - Other assets 236,850 - - Total Assets $ 73,052,227 $ 24,787,138 $ 11,863,823 LIABILITIES AND FUND BALANCES Liabilities: Accounts payable $ 4,528,909 $ 506,654 $ 349,506 Accrued liabilities 1,714,374 338,580 625,952 Other liabilities - - 74,622 Due to other County funds 310,520 163,131 956,735 Due to other governments - - 42,217 Deferred revenue 54,285,005 7,418,015 8,748,149 Unexpended grant revenue 406,531 - - Total Liabilities 61,245,339 8,426,380 10,797,181 Fund Balances: Reserved for encumbrances 185,922 822,761 - Reservedforadvancesto other funds 585,000 - - Reservedforotherassets 236,850 - - Reserved for inventories 153,499 1,252,105 - Reserved for emergency - - - Unreserved: General Fund 10,645,617 - - Special Revenue Funds - 14,285,892 1,066,642 Capital Project Fund - - - Total Fund Balances 11,806,888 16,360,758 1,066,642 Total Liabilities and Fund Balances $ 73,052,227 $ 24,787,138 $ 11,863,823 See accompanying notes to the basic financial statements 28 Capital Other Total Human Services Expenditures Governmental Governmental Fund Fund Funds Funds $ 108,090 $ 4,617,276 $ 13,824,261 $ 52,583,744 - 7,983,755 - 74,989,545 - 5,850 2,058 84,413 22,560 - 578,610 3,567,537 - - - 58,611 598,606 - 12,087 1,746,060 1,371,003 - - 3,569,980 - - - 585,000 575,532 - - 1,981,136 5,523 - 7,500 249,873 $ 2,681,314 $ 12,606,881 $ 14,424,516 $ 139,415,899 $ 229,575 $ 887,379 $ 64,518 $ 6,566,541 540,706 - 227,537 3,447,149 - - - 74,622 37,606 233,086 332,261 2,033,339 - - - 42,217 779,404 8,007,439 85,838 79,323,850 115,622 - - 522,153 1,702,913 9,127,904 710,154 92,009,871 - 3,478,977 - 4,487,660 - - - 585,000 5,523 - 7,500 249,873 - - - 1,405,604 - - 5,000,000 5,000,000 - - - 10,645,617 972,878 - 8,706,862 25,032,274 978,401 3,478,977 13,714,362 47,406,028 $ 2,681,314 $ 12,606,881 $ 14,424,516 $ 139,415,899 29 COUNTY OF WELD STATE OF COLORADO Reconciliation of Total Governmental Fund Balances To Statement of Net Assets December 31, 2008 Total governmental fund balances $ 47,406,028 Amounts reported for governmental activities in the statement of activities are different because: Capital assets used in governmental activities are not financial resources and therefore are not reported in the funds 237,948,593 Long-term liabilities, including bonds payable and compensated absences, are not due and payable in the current period and therefore are not reported in the funds Compensated Absences (2,810,466) Net Pension Obligation (2,182,292) Internal service funds are used by mangement to charge the costs of insurance and other services to individual funds. The assets and liabilities of the internal service funds are included in governmental activities in the statement of net assets 20,756,388 Internal services used by Enterprise Fund (407,127) Net assets of governmental activities $ 300,711,124 See accompanying notes to the basic financial statements 30 REQUIRED ATTACHMENT Financial Attachment 3. Year-End Financial Statements COUNTY OF WELD STATE OF COLORADO Combining Statement of Revenues, Expenditures and Changes in Fund Balances Non-Major Governmental Funds For the fiscal year ended December 31, 2008 Conservation Contingent Emergency Trust Fund Fund Fund REVENUES: Taxes: Taxes $ - $ 1,998,666 $ - Intergovernmental 430,795 - - Charges for services - - - Miscellaneous 7,877 - - Total Revenues 438,672 1,998,666 - EXPENDITURES: Current: Public Safety - - - Public health and welfare - - - Culture and recreation 396,668 - - Capital outlay - - - Total Expenditures 396,668 - - Excess of Revenues Over(Under) Expenditures 42,004 1,998,666 - Other Financing Sources (Uses): Transfers- In - - - Transfers-Out - - - Total Other Financing Sources (Uses) - - - Net Change in Fund Balances 42,004 1,998,666 - Fund Balances at Beginning of Year 197,987 5,452,261 5,000,000 Fund Balances at End of Year $ 239,991 $ 7,450,927 $ 5,000,000 90 Law Total Enforcement Nonmajor Public Health Solid Waste Authority Governmental Fund Fund Funds Funds $ - $ - $ 25,252 $ 2,023,918 2,981,044 - - 3,411,839 1,501,825 713,402 - 2,215,227 41,331 - - 49,208 4,524,200 713,402 25,252 7,700,192 665,554 23,906 689,460 7,886,339 - - 7,886,339 - - - 396,668 14,156 - - 14,156 7,900,495 665,554 23,906 8,986,623 (3,376,295) 47,848 1,346 (1,286,431) 3,116,644 - - 3,116,644 707,377 - 707,377 3,116,644 (707,377) - 2,409,267 (259,651) (659,529) 1,346 1,122,836 1,052,956 888,223 99 12,591,526 $ 793,305 $ 228,694 $ 1,445 $ 13,714,362 91 REQUIRED ATTACHMENT Financial Attachment 3. Year-End Financial Statements COUNTY OF WELD STATE OF COLORADO Public Health Fund Schedule of Revenues,Expenditures and Changes in Fund Balances-Budget and Actual For the fiscal year ended December 31,2008 Budgeted Original Final Actual Variance REVENUES Intergovernmental: State grants $ 3,133,896 $ 3,965,091 $ 2,981,044 $ (984,047) Counties 2,939,357 2,939,357 - (2,939,357) Total Intergovernmental 6,073,253 6,904,448 2,981,044 (3,923,404) Charges for Services: Charges for services 1,349,997 1,359,932 1,501,825 141,893 Total Charges for Services 1,349,997 1,359,932 1,501,825 141,893 Miscellaneous: Fees and fines - - 18,920 18,920 Other 16,900 1,900 434 (1,466) Donations - 18,000 21,977 3,977 Total Miscellaneous 16,900 19,900 41,331 21,431 Total Revenues 7,440,150 8,284,280 4,524,200 (3,760,080) EXPENDITURES Public Health and Welfare: Public health administration 220,000 (68,500) 194,254 (262,754) Health education 593,339 1,518,267 1,314,026 204,241 Nursing 5,111,076 4,894,707 3,491,851 1,402,856 Environmental health 2,156,806 2,697,109 2,559,637 137,472 Public Health Preparedness 68,018 351,899 326,571 25,328 Total Public Health and Welfare 8,149,239 9,393,482 7,886,339 1,507,143 Capital Outlay: Nursing - - 7,980 (7,980) Environmental health - - 6,176 (6,176) Total Capital Outlay - - 14,156 (14,156) Total Expenditures 8,149,239 9,393,482 7,900,495 1,492,987 Other Financing Sources(Uses): Transfers-In: Non Departmental 707,377 707,377 3,116,644 2,409,267 Total Other Financing Sources 707,377 707,377 3,116,644 2,409,267 Net Change in Fund Balance (1,712) (401,825) (259,651) 142,174 Fund Balances at Beginning of Year 1,052,956 1,052,956 1,052,956 - FundBalanceatEndofYear $ 1,051,244 $ 651,131 $ 793,305 $ 142,174 96 REQUIRED ATTACHMENT Financial Attachment 3. Audit BONDI & Co. LLC 303)799-6826 PHONE 44 INVERNESS DRIVE EAST ENGLEWOOD,COLORADO 80112 CERTIFIED PUBLIC ACCOUNTANTS (800)250-9083 TOLL-FREE MANAGEMENT CONSULTANTS www.bondico.com (303)799-6926 FAX Board of County Commissioners Weld County Greeley, Colorado Independent Auditors' Report We have audited the accompanying financial statements of the governmental activities, the business-type activities, the aggregate discretely presented component units, each major fund, and the aggregate remaining fund information of Weld County, Colorado, as of and for the year ended December 31, 2008, which collectively comprise Weld County, Colorado's basic financial statements as listed in the table of contents. These financial statements are the responsibility of Weld County, Colorado's management. Our responsibility is to express opinions on these financial statements based on our audit. We did not audit the financial statements of the Weld County Housing Authority, which represents 34 percent, 34 percent, and 63 percent, respectively, of the assets, net assets and revenues of the discretely presented component units. Those financial statements were audited by other auditors whose report thereon has been furnished to us, and our opinion, insofar as it relates to the amounts included for the Weld County Housing Authority, is based on the report of the other auditors. We conducted our audit in accordance with auditing standards generally accepted in the United States of America and the standards applicable to financial audits contained in Government Auditing Standards, issued by the Comptroller General of the United States. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audit and the report of other auditors provide a reasonable basis for our opinions. In our opinion, based on our audit and the report of other auditors, the financial statements referred to previously present fairly, in all material respects, the respective fmancial position of the governmental activities, the business-type activities, the aggregate discretely presented component units, each major fund, and the aggregate remaining fund information of Weld County, Colorado, as of December 31, 2008, and the respective changes in financial position and, where applicable, cash flows thereof for the year then ended in conformity with accounting principles generally accepted in the United States of America. 13 Affiliate Offices Worldwide Board of County Commissioners Weld County In accordance with Government Auditing Standards, we have also issued our report dated June 8, 2009 on our consideration of Weld County, Colorado's internal control over financial reporting and on our tests of its compliance with certain provisions of laws, regulations, contracts, and grant agreements and other matters. The purpose of that report is to describe the scope of our testing of internal control over financial reporting and compliance and the results of that testing, and not to provide an opinion on the internal control over financial reporting or on compliance. That report is an integral part of an audit performed in accordance with Government Auditing Standards and should be considered in assessing the results of our audit. Management's Discussion and Analysis on pages 15 through 24, the schedule of pension funding progress and employer contributions, the condition assessments of infrastructure, and the budgetary comparison schedules on pages 69 through 81 are not a required part of the basic financial statements but are supplementary information required by accounting principles generally accepted in the United States of America. We and the other auditors have applied certain limited procedures, which consisted principally of inquiries of management regarding the methods of measurement and presentation of the required supplementary information. However, we did not audit the information and express no opinion on it. Our audit was conducted for the purpose of forming opinions on the financial statements that collectively comprise Weld County, Colorado's basic financial statements. The introductory section; combining and individual nonmaj or fund financial statements; budgetary comparison information; Local Highway Finance Report; schedule of expenditures of federal awards, as required by the U.S. Office of Management and Budget Circular A-133, Audits of States, Local Governments, and Nonprofit Organizations; and statistical tables are presented for purposes of additional analysis and are not a required part of the basic financial statements. The combining and individual nonmajor fund financial statements, Local Highway Finance Report, budgetary comparison information, and the schedule of expenditures of federal awards have been subjected to the auditing procedures applied by us and the other auditors in the audit of the basic financial statements and, in our opinion, based on our audit and the report of other auditors, are fairly stated in all material respects in relation to the basic financial statements taken as a whole. The introductory section and statistical tables have not been subjected to the auditing procedures applied by us and the other auditors in the audit of the basic financial statements, and accordingly, we express no opinion on them. 4qz; 's6.a June 8, 2009 BONDI & Co. ac 14 (S DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT 1555 N. 17th Avenue r� Greeley, CO 80631 WEBSITE: www.co.weld.co.us ADMINISTRATION: (970) 304-6410 FAX: (970) 304-6412 C HEALTH COMMUNICATION: (970) 304-6470 O FAX: (970) 304-6452 PUBLIC HEALTH SERVICES: (970) 304-6420 COLORADO FAX: (970) 304-6416 ENVIRONMENTAL HEALTH SERVICES: (970) 304-6415 FAX: (970) 304-6412 PUBLIC HEALTH PREPAREDNESS: (970) 304-6420 FAX: (970) 304-6469 REQUIRED ATTACHMENT 4. Board of Directors List The Weld County Department of Public Health and Environment was established in 1938 by the Weld County Commissioners. The County Commissioners provide governance and are responsible for the public health policies and public health programs county-wide. The current Weld County Commissioners are: David E. Long District 1 Douglas Rademacher District 2 and Chair Barbara Kirkmeyer District 3 Sean P. Conway At-large William F. Garcia At-large REQUIRED ATTACHMENT 4. Board of Directors List WELD COUNTY ELECTED OFFICIALS June 26, 2009 County Commissioners David E. Long(R) District 1 Term: 01/01/09-12/31/12 E-mail: dlong@co.weld.co.us Douglas J. Rademacher(R)District 2 Term:01/01/07-12/31/10 E-mail:drademacher@co.weld.co.us Barbara J. Kirkmeyer(R) District 3 Term: 01/01/09-12/31/12 E-mail: bkirkmeyer@co.weld.co.us Sean Conway(R) At Large Term: 01/01/09-12/31/12 E-mail: sconway@co.weld.co.us William F. Garcia(R) At-Large Term: 01/01/07-12/31/10 E-mail: wgarcia@co.weld.co.us Street Address: 915 Tenth Street, Greeley, CO 80631 Mailing Address: P.O. Box 758, Greeley, CO 80632 Telephone: 970-336-7204; Fax: 970-352-0242 County Assessor - Chris Woodruff (R) Term: 01/01/07-12/31/10 Street and Mailing Address: 1400 N. 17th Avenue, Greeley, CO 80631 Telephone: 970-353-3845, extension 3697; Fax: 970-304-6433 E-mail: cwoodruff@co.weld.co.us Chief Deputy: Brenda Dones County Clerk & Recorder - Steve Moreno(R) Term: 01/01/07-12/31/10 Street Address: 1402 N. 17th Avenue, Greeley, CO 80631 Mailing Address: P. O. Box 459, Greeley, CO 80632 Telephone: 970-304-6530, extension 3155; Fax: 970-353-1964 E-mail: smoreno@co.weld.co.us Chief Deputy: Gaye Florio District Attorney - Kenneth Buck(R) Term Ends 12/31/2012 Street Address: 915 Tenth Street, Greeley, CO 80631 Mailing Address: P. O. Box 1167, Greeley, CO 80632 Telephone: 970-356-4010, extension 4706; Fax: 970-352-8023 E-mail: kbuck@co.weld.co.us Assistant District Attorney: Mike Rourke Sheriff - John Cooke (R) Term: 01/01/07-12/31/10 Street and Mailing Address: 1950 O Street, Greeley, CO 80631 Telephone: 970-356-4015; Fax: 970-304-6467 E-mail: jcooke@co.weld.co.us Under Sheriff: Margie Martinez County Council Members (nonpartisan) Charles Tucker District 1 Term Ends 12/31/2012 tinny Buczek District 2 Term Ends 12/31/2012 John Kivimaki District 3 Term Ends 12/31/2010 Perry Buck At-Large Term Ends 12/31/2010 Donald D. Mueller At-Large Term Ends 12/31/2012 Street Address: 915 Tenth Street, Greeley, CO 80631 Mailing Address: P. O. Box 758, Greeley, CO 80632 Telephone: 970-356-4000, extension 4780; Fax 970-352-0242 E-mail: countycouncil@co.weld.co.us Weld County Web Site www.co.weld.co.us Prepared by Office of the Board REQUIRED ATTACHMENT 6. Non-Discrimination Statement Weld County Code ARTICLE II Employment Information Sec.3-2-10. Equal Employment Opportunity(EEO). A. The County strives to attain complete compliance with all provisions of equal employment opportunity laws. Recruiting, selection and advancement of employees will be on the basis of their relative ability, knowledge, skills and other relevant factors. B. It is the intent of the County to: 1. Recruit, hire, train and promote persons in all job titles without regard to race, religion, color, sex, age, national origin, disability, veteran status or any other status or condition protected by applicable state law, except where a bona fide occupational qualification applies. 2. Administer all personnel actions such as compensation, benefits, transfers, layoffs, return from layoff, County-sponsored training, education and tuition assistance without regard to race, religion, color, sex, age, national origin, disability, veteran status or any other status or condition protected by applicable state law, except where a bona fide occupational qualification applies. 3. An employee should contact the Director of Human Resources if the employee has a suggestion, problem or complaint with regard to EEO. 4. Any applicant who applies for a job with the County and feels there may have been illegal discrimination on the basis of race, color, religion, sex,national origin, belief, age or disability during the application/job selection process may appeal this alleged discrimination in writing to the Director of Finance and Administration. The Director of Finance and Administration will then investigate the alleged discrimination. (Weld County Code Ordinance 2003-4; Weld County Code Ordinance 2007-4). REQUIRED ATTACHMENT 6. Non-Discrimination Statement Weld County Code Sec.2-2-140. Diversity policy. A. Weld County Government will provide a welcoming environment where all individuals are respected, appreciated, included and valued. The County recognizes the unique perspective and wide range of knowledge diversity affords us. The County is committed to learn from each other and understand that similarities and differences are what create a strong organization and community. B. Diversity is an inclusive term that includes all the differences which distinguish individuals and groups from each other. The mosaic of the people of the County brings a variety of backgrounds, style, perspectives, values and beliefs as assets to the community. To appreciate diversity is to recognize that the sum of the different groups and individuals is a richer whole than the parts alone. Diversity includes, but is not limited to, race, color, age, disability, creed, religion, cultural background and experience. Diversity is integral to our success as an organization and community which will add to the splendor and desirability of the County as a place to live and work. C. Weld County expectations. 1. County employees and volunteers will understand and strive to follow stated County organizational values and mission statement. 2. The County workforce, public advisory boards and committees will strive to have diverse representation. 3. County internal systems and policies will reflect commitment to diversity. Examples include hiring practices, selection criteria, recruitment processes, training, etc. 4. The County work place will be free from all illegal and inappropriate discrimination or harassment. 5. All County departments and offices will provide services to citizens and clients in a manner that is respectful and free from illegal or inappropriate discrimination or harassment. D. If the County's expectations as listed above are not met, the following procedures will apply. I. Employee reports the problem to a responsible County official, such as a supervisor, elected official, department head or the Director of Human Resources. 2. The official receiving the report documents all information received and persons spoken to and notifies the Department of Human Resources within twenty-four (24) hours of the alleged incident. 3. In cooperation with the requesting department, the Department of Human Resources investigates, develops and retains documentation of all allegations and ensures that appropriate corrective actions are taken, including disciplinary measures by the appropriate person when justified,to remedy all violations of this policy. 4. The Department of Human Resources follows up within thirty (30) days to assure no further violations of the policy have occurred. E. County policies and internal systems will be monitored by all elected officials and department heads for compliance to this policy. F. Retaliation of any kind will not be tolerated. (Weld County Code Ordinance 2002-12; Weld County Code Ordinance 2007-4; Weld County Code Ordinance 2007-6) p DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT 1555 N. 17th Avenue Greeley, CO 80631 WEBSITE: www.co.weld.co.us ADMINISTRATION: (970) 304-6410 FAX: (970) 304-6412 C HEALTH COMMUNICATION: (970) 304-6470 O FAX: (970) 304-6452 PUBLIC HEALTH SERVICES: (970) 304-6420 COLORADO FAX: (970) 304-6416 ENVIRONMENTAL HEALTH SERVICES: (970) 304-6415 FAX: (970) 304-6412 PUBLIC HEALTH PREPAREDNESS: (970) 304-6420 FAX: (970) 304-6469 REQUIRED ATTACHMENT 7. List of Names and Oualifications of Key Staff Linda Henry, RN, BSN, MA Linda Henry RN, BSN, MA is the Director of the Public Health Services Division for the Weld County Department of Public Health and Environment (WCPHE). She has been an employee of the WCDPHE for over 15 years. Linda has oversight of all the Public Health programs such as Maternal/Child Health Services (these services target women, children, and infants), Prenatal Care, Nurse Family Partnership, Prenatal Plus, Immunizations, Health Care Program for Children with Special Needs, EPSDT Medicaid, and Family Planning Programs. Mary Lloyd-Cumley, RN, NP Mary Lloyd-Cumley is the Manager of Clinical Services at the Weld County Department of Public Health and Environment. She is the supervisor of the Family Planning Program, Prenatal Outreach Program, Healthy Baby Program, Women's Wellness Connection, and Komen Grant. Mary is also the supervisor of the Nurse Practitioners, Medical Records, and the Medical Mobile Unit Coordinator. Her professional career has spanned over 30 years, and she has devoted most of that time to helping people in a variety of health care settings. She has been an employee of the WCDPHE for 4 years. Kristin Dodge, BS, MPH Kristin Dodge is the Healthy Baby Program Coordinator at the Weld County Department of Public Health and Environment. She is also a Public Health Outreach Specialist with the Family Planning Program. Her professional career has consisted of health education and health promotion programming in worksite, school, community, and public health settings. Kristin has been an employee of the WCPHE for over 5 years. Sandra Alvarez Sandra Alvarez is currently employed by the Weld County Department of Public Health and Environment, as the Prenatal Outreach Coordinator. She has held this position since June 2006. Her talents and skills as a bilingual Spanish speaker who has grown up in Weld County her entire life brings the dedication, passion, and expertise necessary for the prenatal outreach coordinator position. UNITED WAY OF WELD COUNTY 2010-2012 FUNDING CYCLE EXPECTATIONS NOTE: This is NOT the Funding Agreement. Signing this document page acknowledges that you have carefully reviewed the Expectations for Projects Receiving Funding (pages 16-17 of this document); I, the undersigned, certify that I have reviewed the Requirements of the Funding Agreement; the entire RFP and the forms and reference documents outlined in the RFP; and that the information provided to United Way of Weld County in this application for funding is true and accurate to the best of my knowledge, and is submitted in good faith. Weld County Department of Public Health and Environment Organization Name `1\f\w.te Cd ► 1 a?-110 Executive Director Signature Date Mark Wallace, MD,MPH Director, WCDPHE Printed/Typed Name Title • � c JAN 272010 Q. `Board C air Sign ture Date Douglas Rademacher Chair, Weld County Commissioners Printed/Typed Name Title *see attached memo from Dr. Wallace to Commissioner Rademacher United Way of Weld County - 17 - 11/29/2009 Request for Proposal 2010-2012 Funding Cycle EXPECTATIONS FOR PROJECTS RECEIVING FUNDING United Way of Weld County agrees to: • Provide funding for projects selected through the RFP during the 2010-2012 funding years, based on funds available through the United Way of Weld County Community Wide Fund. • Communicate and collaborate with funded projects on such topics as other community resources, opportunities for collaboration, technical assistance and training opportunities, etc, as deemed appropriate. Funded Organization agrees to: • provide services as outlined in its application for funding, including activities, outcomes and budget, unless otherwise agreed upon; • meet all deadlines and adhere to all policies as specified in the Contract; • recognize United Way of Weld County support at annual and/or public events. Recognition also includes displaying the United Way of Weld County logo in published materials such as letterheads, annual reports, brochures, web sites, etc.; • conduct a United Way of Weld County campaign within the funded programs workplace; • cooperate with United Way of Weld County in requests for site visits, campaign speakers, fiscal and service information related to the use of funds allocated to organization by United Way of Weld County, and to the maintenance of the organization's not-for-profit, tax-exempt status; • provide financial service information as prescribed by United Way of Weld County including, but not limited to, the follow requirements: 1) Signed Contract Due June 15, 2010 2) Change in Executive Director or Project Notification in writing within 15 days of Director hire or taking office 3) Changes to project design, target Written approval from the Resource population, collaboration partners or Investment Department project budget/re-allocations of project funds 4) Mergers/Consolidations Information given in writing 30 days before document is finalized 5) Board of Directors List and Meeting Due with proposal for funding; Notification Schedule in writing of changes in governance within 30 days of changes 6) Progress and Evaluation Reports Due Quarterly Measurement Plan Requirement: If you are awarded funding, you will be required to work with United Way of Weld County's Resource Investment team to develop a complete Measurement Plan to monitor and evaluate program outcomes. United Way of Weld County - 18 - 11/29/2009 Request for Proposal 2010-2012 Funding Cycle Progress Report and Evaluation Requirement: You will be required to collect data and report quarterly on the actual performance of your project as outlined in your Measurement Plan. Fundraising Policy - Restricted Activities: Projects receiving funding may not solicit direct designations through United Way of Weld County workplace campaigns. Reference to the funded organization's eligibility to receive donor directed funds through the annual United Way campaign is permitted within the agency's regular newsletter or other communication tools. Such materials, however, cannot be distributed at United Way of Weld County workplace campaigns. Annual Documentation: Organizations who receive funding will be required to submit the attachments listed on the Required Attachments and Other Attachments section of this proposal (pages 12-14) on an annual basis in order to qualify for the Colorado Combined Campaign and the Colorado Federal Campaign guidelines. United Way of Weld County - 19 - 11/29/2009 Request for Proposal 2010-2012 Funding Cycle CHECKLIST The Colorado Common Grant Application (CGA) consists of the following components, which should be submitted in the order listed below. This checklist is provided to help ensure a complete proposal. ❑ Section I: Summary Sheet Form Use the 2-page template provided. ❑ Section II: Narrative Use the included form to complete the Narrative section. Text boxes will expand as you fill them in. Narrative Questions (please remember to submit 2-7 if you have more than 1 program) ❑ 1. Background and Overview of Current Programs ❑ 2. Abstract ❑ 3. Community Need for the Program ❑ 4. Approach ❑ 5. Individual Outcomes ❑ 6. Collaboration ❑ 7. Funding Challenges ❑ 8. Optional—Additional Information ❑ Section III: Required Attachments If you omit any of the required attachments, provide an explanation as to why. Financial Attachments ❑ 1(a). Organization budget ❑ 1(b). Program budget (one for each program submitted) ❑ 2. Current (year-to-date) financial statements ❑ 3. Year-end financial statements, audit and Sources of Income Table Explanation of items in financial attachments, if applicable ❑ 4. Board of directors list ❑ 5. Proof of IRS federal tax-exempt status, dated within the last five years ❑ 6. Non-discrimination statement ❑ 7. Key staff ❑ 8. MOU (if application is on behalf of Collaboration) ❑ 9. Expectations. ❑ 10. References (for new applicants) United Way of Weld County - 20 - 11/29/2009 Request for Proposal 2010-2012 Funding Cycle Other Attachments ❑ 1. 2009 IRS Long Form 990 ❑ 2. Proof of Current Fidelity Bond ❑ 3. Proof of Liability Insurance ❑ 4. Colo. Certificate of Good Standing ❑ 5. Colorado Charitable Solicitation Act ID ❑ 6. Annual Report ❑ 7. 2009 Beneficiary Report ❑ 8. 2010 Projected Changes Form ❑ 9. Current Agency Brochure ❑ 10. Articles of Incorporation (please indicate if already submitted or update) ❑ 11. By-Laws (please indicate if already submitted or update) Thank you for your time and effort in completing this application. United Way of Weld County - 21 - 11/29/2009 Request for Proposal 2010-2012 Funding Cycle BEST PRACTICES UNITED WAY OF WELD COUNTY PROGRAMS Ready to Learn School Readiness STRATEGIES: United Way of Weld County will continue its leadership role as a convener to support programs, partnerships, and collaborations that include one of more of the strategies listed below. Specific goals and outcomes need to address issues facing early childhood development, parental support, and school readiness. 1. Prenatal care 2. Quality, affordable child care 3. Programs that nurture physical, emotional, and intellectual well-being 4. Parent support and education 5. School readiness programs Ready to Succeed Positive Youth Development STRATEGIES: United Way of Weld County will continue its leadership role as a convener to support programs, partnerships, and collaborations that include one of more of the strategies listed below. Specific goals and outcomes need to address issues facing our youth to improve graduation rates and ensure a positive transition into adulthood. 1. Quality before and after school programming 2. Intervention services that support youth at risk 3. Mentoring and tutoring 4. Parent programs that support youth development 5. Alternative education settings/dropout prevention and credit recovery 6. Service Learning Ready to Respond Safety Net STRATEGIES: United Way of Weld County will continue its leadership role as a convener to support programs, partnerships, and collaborations that include one of more of the strategies listed below. Specific goals and outcomes need to address issues regarding stabilization of individuals and families in crisis and moving them toward self-sufficiency. 1. Programs that help people and families in crisis who need food, shelter, transportation, utility assistance, and medical attention. 2. Programs that provide education in order to stabilize individuals and families who are in crisis because of illness, disability, or domestic violence. 3. Services that help vulnerable populations, such as people suffering from an illness, disability, and the elderly who need help with food, shelter, transportation, utility assistance, and medical costs. United Way of Weld County - i - 11/29/2009 Request for Proposal 2010-2012 Funding Cycle UNITED WAY OF WELD COUNTY United M Way e Projected Changes 2010 UNITED WAY OF WELD COUNTY Agency Name Weld County Dept. of Public Health & Environment Contact & Phone (970) 304-6420 What is the percentage of administration/fundraising costs to total agency revenues (AFR) _*N/A_% *Compute this using the IRS Form 990: Add line 14 (Management and general expenses) to line 15 (Fundraising expenses) and divide the sum by line 12 (Total Revenue). If more than 25%, please explain. *Not applicable (per Susan Van Deren) How often does the board review the agency's financial information? Bimonthly Monthly Semi-Annually X Annually Is authorization required by the board of Directors for any variance from the budget? X Yes No If yes, what amount requires approval? $ and or 100% Fidelity Bond Not applicable $ Not applicable Date Effective Amount Covered What is the date of your most recent audit? June 8, 2009 Are you currently, or do you anticipate experiencing any of the following: indicate your response for each fiscal year. If your answer is yes, please attach a separate sheet with a brief explanation. 2008-2009 2009-2010 Litigation Yes X No Yes X No Major Staff changes Yes X No X Yes _No Major equipment purchase or sale Yes X No Yes X No Real estate purchase or sale Yes X No Yes X No Major Rent or Lease Changes Yes X No Yes X No Relocation Yes X No Yes X No Please return to United Way of Weld County by January 29, 2010. United Way of Weld County - ii - 11/29/2009 Request for Proposal 2010-2012 Funding Cycle Attachment for Projected Changes 2010 (page ii) For the fiscal year 2009 to 2010, the Weld County Department of Public Health & Environment experienced extensive budget changes due to current economic conditions. The 2010 budget for the WCDPHE was reduced by$400, 000.00, which included personnel, program, and other deductions. The Public Health Services Division reduced full time equivalent (FTE) personnel by at least 3.0 FTE. This directly impacted key public health service program delivery in the Immunization Clinic, Communicable Disease Program, Family Planning Clinic, and Prenatal Program. Staff reduction has created increased job responsibilities for existing staff. This has been especially challenging because all staff was activated in 2009 for federally-mandated H1N1 deployment activities for Weld County residents, and this is continuing into 2010. United M UNITED WAY OF WELD COUNTY Way to_ 2009 BENEFICIARY REPORT INITED WAY OF WELD COUNTY Weld County Dept. Public Health Sandra Alvarez, 304-6420 ext. 2326 Agency Name Name & Phone of Person Completing this Form Please complete each section with number of clients served through your agency from January through December 2009. Number of clients should be unduplicated numbers, and the total number served should be the same for each category. #of Clients Location 18 AULT 21 EATON, GALETON 7 PIERCE, NUNN 8 FORT LUPTON 7 GILCREST 552 GREELEY 107 EVANS 29 JOHNSTOWN, MILLIKEN 1 HUDSON, KEENESBURG 14 KERSEY, GILL 13 LASALLE 2 PLATTEVILLE 14 WINDSOR, SEVERANCE 2 HEREFORD, BRIGGSDALE, GROVER 3 DACONO, FREDERICK, ERIE, FIRESTONE MEAD 21 OTHER 819 TOTAL NUMBER OF CLIENTS SERVED United Way of Weld County - Hi - 11/29/2009 Request for Proposal 2010-2012 Funding Cycle #of Clients Gender 0 Number of Male Clients 819 Number of Female Clients TOTAL NUMBER OF CLIENTS SERVED #of Clients Age o to 5 years 6 to 12 years 146 13 to 18 years 563 19 to 30 years 110 31 to 54 years 55 to 74 years 75+ years TOTAL NUMBER OF CLIENTS SERVED #of Clients Ethnic Origin 267 Anglo American 543 Hispanic 1 African American 8 Other 819 TOTAL NUMBER OF CLIENTS SERVED 100% TOTAL PERCENT OF ALL LOW-INCOME CLIENTS This form is due to United Way of Weld County by January 29, 2010. United Way of Weld County - iv - 11/29/2009 Request for Proposal 2010-2012 Funding Cycle OTHER ATTACHMENTS 1. 2009 IRS Long Form 990 (not needed per Susan Van Deren) 2. Proof of Current Fidelity Bond (per Weld County Human Resources, Weld does not have a fidelity bond) 3. Proof of Liability Insurance (see labeled attachments) 4. Certificate in Good Standing (not needed per Susan Van Deren) Colorado Department of State. May be obtained at www.sos.state.co.us 5. Colorado Charitable Solicitation Act (not needed per Susan Van Deren) ID number begins with current year. May be obtained at www.sos.state.co.us 6. Annual Report (see labeled attachment and also available at: http://www.co.weld.co.us/redesiqn/Health/GeneralHealthInformation/Data&Statistics /index.html.) Please submit your most current Annual Report. 7. 2009 Beneficiary Report/2010 Projected Changes Forms (see pages iii and iv) Use enclosed forms. 8. Current Agency Brochure (see labeled attachment) 9. Articles of Incorporation (not needed per Susan Van Deren) If you have previously submitted a copy to United Way of Weld County, please add any changes since your last submission. 10. By-Laws (not needed per Susan Van Deren) If you have previously submitted a copy to United Way of Weld County, please add any changes since your last submission. United Way of Weld County - 16 - 11/29/2009 Request for Proposal 2010-2012 Funding Cycle OTHER ATTAC@MENT 3. Proof of Liability Insurance Certificate of Participation Colorado Counties Casualty and Property Pool (CAPP) For the Coverage Period January 1, 2009 through December 31, 2009 WELD COUNTY Colorado Counties Casualty and Property Pool(CAPP)hereby certifies that Weld County is a participating Member of CAPP for the period beginning January 1,2009 through December 31,2009. The coverages, conditions of membership, and other provisions applicable to members of CAPP are as described in CAPP's Bylaws and Intergovernmental Agreement and in the applicable excess policies, policy statements and endorsements thereto,copies of which have been or will be provided to Weld County. The types and monetary limits of the coverages provided to Weld County through membership in CAPP, in consideration of the payment of its contributions, are limited,as of the date of this certificate,to those which are shown below. The scope, terms,conditions,and limitations of coverages are governed by the aforementioned agreement and policies. 1) The types of coverages,subject to the limit on CAPP's liability in Section II below,are as follows: A) Property(including EDP,mobile equipment,and auto physical damage) B) Liability 1) Bodily Injury, Property Damage(General Liability,Auto Liability) 2) Wrongful Acts committed in the conduct of duties(Public Entity Management Liability) 3) Bodily Injury,Property Damage,Personal Injury(Law Enforcement Liability) 4) Errors or omissions in the administration of an insured's employee benefits(Employee Benefits Liability) 5) Injury resulting from healthcare professional services rendered by any insured who is not a medical doctor,psychologist,psychotherapist or nurse practitioner.(Healthcare Professional Liability). C) Crime 1) Monies and Securities(inside) 2) Monies and Securities(outside) 3) Employee Fidelity D) Boiler and Machinery II) CAPP Retention,Aggregate Limits,and Member Deductibles For the coverages described in Section I,CAPP shall be liable only for payment of the self-insured retention and only to a total annual aggregate amount for members of CAPP as a whole of the amount of the CAPP loss fund for the coverage period. CAPP's per claim/occurrence retentions are limited to the following for the foregoing coverages: A) $150,000 per claim/occurrence property—County deductible$500 B) $250,000 per claim/occurrence liability(per coverage line)—County deductible$0 except in certain claims-See CAPP Operations Manual. C) $150,000 per claim/occurrence crime—County deductible$500 D) $5,000 per loss boiler and machinery—County deductible$500 CAPP 2009 Certificate of Participation There is a maintenance deductible of$500,which applies to each of the County's first party claims/occurrencesAosses(property claims).Payment of the deductible reduces the amount otherwise payable under the applicable CAPP retention. Pertaining to all liability losses,CAPP has purchased an aggregate retention protection of$10 million. Coverages in excess of the foregoing pool retentions are provided only by the excess insurers in applicable excess policies,and are payable only by those excess insurers. The limits of coverage provided by the excess insurers are as follows: A. Liability From$250,000 per claim/occurrence to$10 million per claim/occurrence except for auto which is non- aggregated,subject to the following: All liability coverages are provided on a claims-made coverage form. In no event shall the maximum per claim/occurrence payment exceed the following for general liability,auto liability,public entity management liability,law enforcement liability,employee benefits liability or healthcare professional liability claims subject to the Governmental Immunity Act: $150,000 per person and$600,000 per occurrence. Additional limits,sublimits and aggregates apply as provided in the applicable excess policies. B. Crime No excess insurance coverage. C. Boiler and Machinery From$5,000 to the cost of repair/replacement for each actual loss sustained up to$100 million. Additional limits,sublimits and aggregates apply as provided in the applicable excess policies. D. Property From$150,000 to$100 million each occurrence. "All Risk"basis with sublimits of$10 million newly acquired property,$5 million new construction each occurrence and$1 million unscheduled locations. Sublimits of$5 million for property in Flood Zone A and$50 million for property in all other flood zones. Newly acquired property must be reported within 90 days.Additional limits,sublimits and aggregates apply as provided in the applicable excess policies. The excess insurers for the coverage period are Insurance Company of Pennsylvania and Lexington Insurance Co. Information concerning the CAPP loss fund for the coverage period may be obtained by contacting CAPP through its Administrator,County Technical Services, Inc.(CTSI). Colorado Counties Casualty and Property Pool Allen E.Chapman,CTSI Executive December 5,2008 CAPP 2009 Certificate of Participation IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25(2001/08) ACORD„ CERTIFICATE OF LIABILITY INSURANCE DATE:HM/00/T Y1 06/29/09 PRODUCER 1-303-773-9999 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Arthur J. Gallagher Risk Management Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 6399 S. Fiddlers Green Cir ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 200 Greenwood Village, CO 80111 INSURERS AFFORDING COVERAGE NAIC# CONTACT: ANITA BRUNER INSURED INSURER Al Colorado Counties Casualty & Property Weld County INSURER B:INSURANCE CO OF THE STATE OF PA 19429 - P.O. Box 758 INSURER C:Lexington Ins Co 19437 Greeley, CO 80632 INSURER D, INSURER E. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR WWDD'LI POLICY EFFECTIVE I POLICY EXPIRATION LIMITS LTR SRC" TYPE OF INSURANCE POLICY NUMBER DATEIMMIDDIYY) DATFIMMIDDIYYI A X GENERAL LIABILITY PER PARTICIPATION CERT. 01/01/09 I 01/01/10 EACH OCCURRENCE $250,000 DAMAGE(0 RENTED X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurence) $ X CLAIMS MADE OCCUR MEDEXP(Any one person) $ I PERSONAL BADV INJURY $250,000 I GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: , PRODUCTS-COMP/OP AGG $250,000 PRO- LOG POLICY IFST A I AUTOMOBILE LIABILITY PER PARTICIPATION CERT. 01/01/09 01/01/10 COMBINED SINGLE LIMIT $250,000 I X ANY AUTO (Ea accident) I ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) , X Claims Made PROPERTY DAMAGE $ Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO i OTHER THAN EA ACC $ AUTO ONLY. AGG $ B EXCESS/UMBRELLA LIABILITY 6907901 01/01/09 i 01/01/10 EACH OCCURRENCE $10,000,000 OCCUR X CLAIMS MADE I AGGREGATE $10,000,000 DEDUCTIBLE -- $ X RETENTION $ 250,000 $ WC STATU- iOTH- WORKERS COMPENSATION AND TORY LIMITS i FR EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ I ANY PROPRIETOR/PARTNER/EXECUTIVE • OFFICER/MEMBER EXCLUDED, E.L.DISEASE-EA EMPLOYEE $ If yes,describe under E.L.DISEASE-POLICY LIMIT $ SPECIAL PROVISIONS below OTHER C EXCESS PROPERTY, SEE ATTACHED 005467375 01/01/09 01/01/10 BLANKET BLDG & PP 100,000,000 A Prop, Mob Eq, Auto PD, XS PER PARTICIPATION CERT. I 01/01/09I 01/01/10 DEDUCTIBLE $500 150,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Colorado Department of Labor & Employment is named additional insured as respects general liability coverage, per form CAPPL Revd 2007 as required by their written contract with the named insured; and named as loss payee. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Colorado Department of Labor & Employment DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 633 17th Street Suite 201 REPRESENTATIVES. Denver, CO 80202-3660 AUTHORIZED REPRESENTATIVE USAF ACORD 25(2001/08)anibru ©ACORD CORPORATION 1988 12391800 DATE SUPPLEMENT TO CERTIFICATE OF INSURANCE 06/29/09 NAME OF INSURED: weld County Additional Description of Operations/Remarks from Page 1: Additional Information: Excess Property: Carrier: Lexington Insurance Company Policy # 005467375 Policy Term: 01/01/09 to 01/01/10 $100,000 000 Loss Limit - Excess Property/Real 6 Personal Property (All Risk Including Earthquake, Flood, Boiler and Machinery) (Annual Aggregate for Earthquake and Flood) $150,000 Deductible SUPP(05/04) Weld County Department of Public Health & Environment 2008 Annual Report 'has; * ,.a, is 4 4 w, x.. `" �a x ",'*' .. a . u " `,t�'"s?:° w y = , . ,...4,,,..4,r,,,,..,- `"„^.g. .-°i^� 1 xx c X' ,, w E ir p puttingth e ieces in Face p p Fill ., ,. 4 HL T W. 8 rartners fM ,,W•: . Ira �� r ♦ 'Y "ii, art r Y1k` '� t r .? v i ' j' ,t .« , 1 f , e > { 4• In .rl _cclCy .ti _ ❑ C`` - ..,,: fia „ % KelI S .. eE, (, 4• �C C. � �'. t . .. 1 _ , 1 . 0 I % a i 4 4 r. I \ . i rt] • w gt I� t: .fpm ; , ._. • LGt/1141 t5/A' 1.4 i/ic A-h&j' Al 11l/Ai bit 1c//i r AIn'ru7t/a wRliM 1h/I )7iio// C/1G r(/ /m17 to cunit U!I1- 2 [ 1%4ilre/,tCCc'mpichi11GU1I0N:11'a1oly(w111[//oiii/t>hyf'['//uc cl\i'li_4 ilk-Ilk"/hIa/lo11_f[t)/U7i<///fG-i/?/C to 6y i. ,77/,(111!1/ICOJIII/1Ol/ J[ilf/b' „ Administration * * 0k kX k Iii he Administration Division office at both the north site and the south west site are currently able to issue certificates for most births which occurred anywhere in the State of Colorado from `r 1904 through the present. However. only the office located at the North Site can currently issue death certificates and for only those iJ a deaths which occurred in Weld County. Please call 720-652-4240 for hours of operation at the Southwest Weld site located in the Del Camino area off of 1-25. The fees for obtaining birth certificates are $17.75 for the first certificate and $10.00 for each additional t .. . :.17 certificate issued at the same time for the same registrant. Death certificates are $17.00 for the first certificate and $10.00 for each °"' ""` additional certificate issued at the same time on the same decedent. To download an application for a birth or death certificate, go to the Weld County homepage at www.co.weld. co.us and click on the Department of Public Health and Environment,then click on the Administrative Services Division. As identity theft is one of the fastest growing crimes in America, the Office of the State Registrar of Vital Statistics has adopted new policies effective January 1. 2007 for the issuance of birth and death certificates. The new policy requires an applicant for a birth or death certificate to not only provide a direct and tangible interest in the document but also provide his or her own identity verification as well as proof of relationship to the registrant/decedent. Please call 970-304-6410. extension 2100 to inquire on acceptable forms of identification for the applicant • • and acceptable documents for proof of relationship. in 2008,there were 8,476 / certified copies of birth certificates issued. �: s .� 1 ' 1 ig.ill :- ❑ _�_t_ r Xs 1a1. , _ ick Elliot from Stoddard Funeral Home is one of the many 4 f RFuneral Directors that Vital Statistics works with on a daily _ basis. Our partnership with funeral homes throughout northern Colorado enables us to provide accurate and precise death records for families and statistical purposes. In 2008.there were 8,832 ..¢ certified copies of death certificates issued. 3 " 'ro/leins beccsinc opportunities;drew the m /it pc sple><srrr till-a/kr. " Environmental Health Services he Environmental Environmental I Iealth Services (I I IS) Division of the Weld Count} Department of Public I Iealth and Environment is responsible for performing inspections, investigations. and evalua- tions to insure appropriate compliance with local ordinances and state statutes. in order to preserve } and perpetuate a healthy environment. It is the Environmental Health Services Division's primary mission to protect human health through scientific risk assessment. the development of policies_ monitoring and inspection, con- sultation. education. and the enforcement of regulations designed to protect our food. water, and air supplies within our community. -.044, /f Air Quality Program he primary functions of the Air Quality Program are to „en,. inspect stationarystationary sources of air pollutants to assure corn- .. pliance with the state issued permits and the regulations of the Colorado Air Quality Control Commission, inspect potential sources of ozone depleting air pollutants to assure that minimal quantities are released into the an and the sources are in com- pliance with regulations of the Colorado Air Quality Control Commission, issue open burning permits and assure that those individuals acquiring these permits arc in compliance with regulations of the Colorado Air Quality Control Commission. maintain the criteria pollutant monitoring stations located in Weld County for carbon monoxide. ozone. and particulate air pollutants that are less than 2.5 and I0 microns in diameter. and investigate complaints of air pollution. During 2008. the Air Quality Program conducted 59 inspections of stationary sources of air pollutants; 58 inspections of potential sources of ozone depleting compounds; 341 inspec- tions of oil and gas condensate tank flare and vapor recovery unit emissions; 106 maintenance visits to the carbon monoxide, ozone, and particulate matter monitoring stations (collecting 366 samples for analyses); issued 886 open burning permits; investigated 127 complaints; and distributed 167 radon test kits. Household Hazardous Waste The Environmental I Iealth Services Division strives to work in partnership with all the mu- nicipalities within Weld County to provide comprehensive environmental services. One such example is how our household hazardous waste (I 111W') program will assist with the collection of hazardous waste during annual or hi-annual cleanup events_as requested by the municipality. 4 hv"/11(/ /544-Alyl111//1/,1 frif(lI7tT ifroo,,Y is C 'r/71/4/;jtilxx/"U'a J71(171,1 " The staff will provide materials and instruction for collection and will even help set up the hazardous waste collection site. In 2008. the county assisted with 17 community cleanup events. which resulted in the collection of 156,817 pounds of hazardous waste. Each participating municipality then brings their collected HH W to one of our two facilities. where it is processed for either recycling or proper disposal. preventing environmental contami- 4,,:i nation. All this is at no charge to the municipalities. In 2008, an sr.', -r- additional 255,662 lbs of hazardous waste was brought to one of t our two facilities from individual Weld County residents. Since its ' I inception in 1994, this program has collected a total of 4,112,751 """t14 ' lbs. 'phis is just one example of many successful relationships de- vcloped with the municipalities of Weld County to provide needed ser- vices to the residents of Weld County. We often receive usable products at our two facilities that we provide back to county residents for free through our Drop-n-Swap pro- gram. This eliminates the disposal cost for these products which are often benign or non-hazardous. In 2008, approximately 21,782 lbs of various products were reused. Institutions ,�- Or s s., The LHS Division is responsible for the inspection of certain - v public institutions to ensure compliance with state regulations -t r and county codes for the safety of those individuals using these 'f' _ ., -10 institutions. In 2008, the EHS Division inspected 43 schools, 9 body art establishments, and performed 35 ambulance and , 83 child care inspections. t-. Weld County also has a voluntary swimming pool li- s censing program. Facilities that choose to participate pay a yearly fee to receive 4 chemical inspections and I physical inspec- tion during the year. In 2008, 21 swimming pools participated in the pro- gram and were inspected (tor a total of 105 inspections) by the county to ensure compliance with state regulations. ,, Laboratory o The laboratory of the Weld County Department of Public Health & Environment provides medical testing, zoonosis surveillance, and water analysis for the citizens of Weld and Larimer Counties. Medical testing (for Chlamydia. Gonorrhea, and Syphilis) is provided for the Weld and Larimer County I lealth Departments. Sunrise Community I lealth Center. Platte Valley Youth Detention Center. and the University of Northern Colorado I lealth Center. In 2008. a total of 9,585 medical analyses were performed in our laboratory. West Nile Virus human serology testing was discontinued in 2007. but we have continued to do limited vec- tor analysis (birds and mosquitoes). In 2008, only 6 tests (all birds) were conducted towards this effort 5 Co Aoki a a11t ),'tw /ll t/ fire/!Milli//t kit Ai-ai 4 /CKT/ll as compared to 33 in 2007, and 314 in 2006. iThis drop is due to the fact that, beginning i. t in 2007, mosquito pools were sent to the rt State for testing, and in 2008, Weld County alla i - .., I t contracted out the mosquito monitoring pro- t.^ ir IV:I �' r gram. Also, residents are bringing in fewer '`---4, birds for testing. 4. I �he laboratory' continues to provide hac 1 &'. teriological and chemical water testing. 1. .1 In 2008. 4,964 bacteriological and 3,246 chemical analyses were performed. Ni; } Land Use Planning, Water Quality and Solid Waste _,„, he El IS Division provides consultation and review of development applications to ensure that codes and regulations are met and to recommend that sound environmental health principles x AA are routinely incoipoiatcd into land use planning. The LI IS Division is also is II m� sponsiblc for permittin inspecting, and entotcing the complian e of individual Li ETsewage disposal systctn (ISDS) codes in Weld County as well as pros idm3 general consultation on sewage disposal. In 2008• Weld County reviewed 312 land use aQplans, issued 248 septic permits (213 residential and 35 commercial), and per- : formed 6 loan inspections and 58 ISDS evaluations. he FHS Division ensures that landfills, compost facilities, injection wells, tire recycling and disposal facilities. and confined animal feeding operations (CAFOs) are in compliance with current regulations. In 2008. there were 72 waste facility inspections (57 routine and 15 follow- up) and 89 complaint investigations performed. At the request of first responders, staff of the solid waste program provide oversight and con- sultation for cleanup of environmental situations, including spills resulting from accidental releases. In 2008. there were 20 spill reports, or incidents, reviewed. El IS staff reviews periodic monitoring or remediation reports for 24 facilities. Towards this same effort, in 2005, Weld County adopted an ordinance that provided for the regulation of the cleanup of methamphetamine (meth) labs. There were 6 meth labs cleaned up in 2008 and an additional 5 are in process or are secured. The El IS Division is contracted by the State I lealth Department to do yearly stormwater and non community drinking water inspections. In 2008, 23 stormwater and 17 non-community drinking water inspections were done. In 2008. the Fl S Division received a grant from the Department of Local Affairs (DOLA) for the disposal (recycling) of illegally stored waste tires in Weld County. Waste tires, particularly larger stockpiles, can provide a breeding ground for mosquitoes and home to other pests that can 6 "611-')/h d ctrr r ideal‘1711.10(1111 to 17111, the/MC 11 1trr Oldic term if 1111LAY/rcr ., carry and spread disease to humans, livestock, and pets. Since receiving the grant we have assisted 64 r\.yv`� residents with the cleanup of 18,343 tires. The tires �� N collected are taken to Snowy River Enterprises (con- w " tractor). where they are shredded and used for mulch replacement in commercial landscaping and aggregate ; `, replacement in septic system leachfields. Zoonoses West Nile Virus (WNV) activity was down in 2008, with just 19 cases reported in Weld County. This is the seventh year of WNV activity documented in the State of Colorado and Weld County. A large scale Integrated Mosquito Management (IMM) program was discontinued in 2005 because of the decrease in human WNV illness since 3003. The program was picked up by several municipalities independently of the 1 previous Weld County contract. Mosquito surveillance and control data continues to he shared he- tween Weld County and the private mosquito control company that contracts with the various munici- eii.4; palities. [y` n 2008,244 animal bites were reported in Weld County, compared to 265 in 2007. 'there was Ialso a decrease in the number of animals submitted for rabies testing, from 54 in 2007 ^+— to 44 in 2008. Bats, again, were the animal most often submitted for rabies testing. The percent- age of positive bats during 2008 was 5%. same as in 2007. In 2008. no human plague activity was reported in Weld County; and only one positive animal case (in a prairie dog) was reported. There was one Hantavirus related death in Weld County in 2008. 'I his is the fourth case of I lantavirus ever documented in Weld County. Biosolids4,., i he El IS Division permits Biosolids (domestic sewage sludge) ,. and domestic septic sludge (septage) for beneficial use in t ) ; � Weld County. to assure compliance with Weld County Code. In �x 2004, the Division was contracted by the Colorado Department of I— . i' Public Health and Environment to conduct inspections of active Biosolids application sites to verify compliance with State regula- _` ,, "` tions. In 2008, 155 permits were processed and 16 inspections were performed. Biosolids are the nutrient rich organic materials derived from waste water solids that have been stabilized, meet specific processing and quality criteria. and are suitable for land applica- 7 ''CL?I dcciu! mrt/cr 4/0 kick,'/hi Arll,u hlAr 141r it hi/c the Aick(111/1C MI " tion. The term. biosolids.comes from the most common method of its production, the biological processing of waste water solids. Riosolids land application is a beneficial recycling process with economic and environmental Lbenefits. f3iosolids provide nutrients to crops in an organic form, reducing and eliminating pollution that is often caused by traditional fertilization methods. Food Safety Program Each year, the Food Safety Program works to ensure a safe food product when patrons visit area restaurants and other retail food establishments (RFE's). Not only does the El Division perform inspections of permanent RFE's, they also inspect temporary events in which food is available. and f they offer a food safety education class for food service workers and area residents. .' In 2008. the EHS Division was responsible for licensing and inspecting 1,007 restaurants and other retail food establishments. El IS Division stall performed 2,241 restaurant/RFE inspec- tions and 237 temporary event inspections. There were 212 voluntary condemnations, 81 civil penalties, 1 closure, and 4 foodborne illness investigations (none confirmed). El IS Division staff also held 18 Weld STAR classes. with a total attendance of 342 food service workers. yrw a; ,.�rN r.. .. , . . _ , .._ _ , le ... . ..,,,, . . . : _ _ .., . . , �i, : . .„. , ., .... . 2 . ,. 1 ' -'�� A „ r T L._._ .r.... 8 i 711Lc thud rzfcctr bclicn c that do 7 cart. Complaints 1.� a "x � •��; he Environmental Health Services Division investigates • complaints in all programs. Each complaint is assessed i . against local. state. and federal public health standards and is d ales. ... = Complaints for Selected Programs IOU -- - '--- - - - ----- .AIR OFOOD OSEPTIC OW ASTE OW ATER OZOONOSIS 150 140 20 100 ao 50 40 T. 0 2004 2005 2005 2007 2008 9 O c7 cr dttii hlLYE&I)vier I rlcuLc )17th ihosc afcdrerr cirri (haw(the wort/ " Health Communication, ,, 4°.' ) -: Education andfr ;� � Planning ' The health educators and data analyst serve as a resource for the de- partment and the community. providing expertise in developing and implementing programs that promote healthy behaviors, lifestyles and relationships. They partner vvith faith based organizations_ schools_ busi- nesses. and health care providers to positively impact the behaviors of Weld County residents. Health Communication_ Education and Planning (I ICEP) community ;j . j based programs address reducing illness. death and disability from cancer. cardiovascular disease, diabetes, obesity, and other chronic diseases; reducing teen sex, unintended pregnancy and STI/HIV. reduc- ing unintentional injuries from traffic crashes, including those caused ��,` by alcohol use; improving nutrition and fitness behaviors in youth and "' adults; preventing tobacco use in youth and adults and those from the I x ' disparate populations. The I Iealth Communication team monitors and publishes the leading health indicators for our county, implements health planning activities internally and externally. evaluates resources. needs and gaps in service and addresses the health issues based on available resources or secures grant funds to support the programs. . The HCEP team provides expertise in media and public information related to health issues and risk communication for disease prevention. A variety of media re- sources are utilized to deliver health messages including TV, n radio, Internet, newspapers, outdoor advertizing and social I messaging. Dui mg the 2009 Weld County tornado, the IICIIP team W Y / DRIVE SMART Weld County ,. , , .. ,. , ii DRIVE SMART Weld County is a community co- — alition made up of members of law enforcement. / J business, insurance. media, concerned citizens. schools. — fire departments. and health professionals working to reduce injuries and death from traffic crashes. The main activities of DRIVE. SMART Weld County arc car scat checkpoints. P.A.R.T.Y. (Prevent Alcohol and Risk-re- ...is 10 i rr oa',bc-r iic/ hall chirrailcr..i/ rcn cl ii .'.�""✓ ' fated 1 rauma in Youth) programs for high schools. Parent of'Teen Driver Classes. and Tailgate the Safety Way which is an annual community event. ,, 40 During 2008. DRIVE SMART Weld County presented the P.A.R.T.Y. program to 490 Weld County High School students. P.A.R.T.Y. brings law enforcement, insurance, the emergency room, first responders and survivors into the high schools to share their stories. The full day of speakers and activi- ties helps students make smart choices about driving and especially the importance of wearing seat belts. This program is rated excellent to good by 96'Yo of the students that attend. ach P.A.R. Y. program is then followed by a Parent of Teen Drivers Class to explain Colorado's I ' T.graduated drivers license (ODE) laws to the parent's of students who attended the P.A.R.T.Y. program. A law enforcement officer gives an overview of the reasons for the ODE law, as well as the details of the steps in the process of getting a permit and a license. An insurance agent also talks about issues related to adding teens to the family policy. Seven one-hour classes were held throughout Weld County, with 105 people attending. As a result of concerns about the fees in- volved in driver's education. DRIVE SMART Weld County has estab- �""'- u y fished a Drivers Education Scholarship program to assist low income families with obtaining professional drivers education training for their St I.1 ': teens. a pproximatley 2000 people attended the 6th annual Tailgate the Safety Way, a community wide traffic safety event on August �f yp+„?v' ' 23rd, 2008. I lundreds of teens. parents. young adults, and children , rr 1►'" C learned about how to be safe in and around vehicles. From big rigs 1 i ` i . t` to motorcycles, event participants learned how to see and he seen, e how important seatbelts are. how not to get injured by an airbag. how ` 3af - important safety gear is for motorcycle riding, how dangerous drinking and driving can be and most importantly, how to make wise choices. DRIVI: SMART Weld County provided car seat checks at the Children's Festival and Tailgate the Safety Way. There are currently close to 20 locations in Weld County where parents can have their car seats checked to ensure their chil- 1 Tobacco Education The Weld County Tobacco Education Program continues to i y c provide information and education to businesses. law enforce- y� \ ,. menL and citizens on the "Colorado Clean Indoor Air Act'. Dur- �, l ing 2008. there were very few reports of businesses violating the FI4 , Colorado Clean Indoor Air Act and people continue to embrace the benefits of breathing clean air. The 'tobacco Education Pro- v(,„,, ., : . gram collaborated with the American Lung Association to train L. : , medical providers on the 5A's (Ask patients about their tobacco aurrece,.bemn )_ t iii : use.Advise them to quit tobacco, Assess their willingness to quit. Assist in providing information and resources to help them quit , . and Arrange for follow-up to support their quit attempt). Ameri- , t", can Lung Association also provided ONE Step training for Weld ( ; County childcare providers. The ONE Step training provides 1.1 information encouraging parents to take one step that protects their children from secondhand smoke l7�—take a step outside. I I cifl/n rA c/hhi///c i r,A: m/‘itt/ rte the'/iC['C0: " • p 2008. 1,735 Weld County residents called the Colorado QuitLine, an increase of 252 calls Ifrom 2007! In addition. 4"You Can Quit" cessation classes were offered and an ongoing to bacco cessation support group began in the final months of 2008. The 'tobacco Education Pro- gram collaborated with 17 non-profit agencies, businesses and community agencies across Weld County to provide tobacco cessation materials during the Great American Smokeout in November. Through this effort. 1,1134 brochures, magnets, flyers, and quit kits were distrib- uted to Weld County residents. \r/ Tobacco-Free The Tobacco-free Coalition of Weld County met on a monthly basis and corn- , 1\Coalitton of Weld County pleted their strategic planning and goal setting activities. The Tobacco Edu- ,r' cation Program.the Boys and Girls Club. UNC Etta Sigma Gamma club and Get R!eal have partnered to develop a youth tobacco coalition that will empower young people to reach out to their peers to educate them on the harms of tobacco use. Both coalitions are ready to reduce r tobacco use in 2009! t. WeIdWAITS vv E L ° WAIT! SEX CAN In 2008. the Weld County Abstinence Education . fill 4, , Program or WeIdWAITS_ as it is more commonly "" . referred to, reached over 2500 Weld County residents with a goal of educating teens and parents about the benefits of de- laved sexual debut_ including pregnancy prevention and STI lt ,y ,; '1% reduction.equipping them with skills needed to develop ' healthy relationships, and empowering them to realize their \ potential. WeldWAITS did 366 classroom and commu- nity presentations, trained 40 new people in the Wait �' Training curriculum, held 9 Quincincra workshops and 13 parent meetings, provided individual counseling for t 36 clients, hosted a successful Purity Ball, and updated the WeldWAtTS website including the new parent link. • � I he National Campaign to Prevent Teen Pregnancy re- .' ports that 93% of teens surveyed said that it is important for teens to be given a stron at g societal message th they k"til should abstain from sex until they are at least out of high 1--- l school. WeidWAlI IS is doing its best to meet that chal- lenge! Ior more information go to WeIdWAITS.com. Heart of Weld W I • n ,luly of 2008. the I lealth Communication, Education, • and Planning Division received a Cancer, Cardiovas- A - `Tae'- -lc I: " cular Disease. and Pulmonary Disease Competitive 1s.<•1' Grant from the state health department. The I least 4^- ` _ ' t k#of Weld project was conceptualized as a result of the r concern regarding the grooving burden of cardiovas- /` 12 ' P heii n c di/rr iA'IA1 t//icr, x c a-II N ill 1f5ycdlt/ cular disease (CVD), and our commitment to education and prevention. During the last century. 'p chronic diseases such as heart disease, cancer, and diabetes have become among the most preva- . ° Tent, costly, and. at the same time. preventable of all health conditions. Cardiovascular disease, which includes coronary' heart disease (CHD), stroke, aneurysm, congestive heart failure, and rheumatic heart disease, is the leading cause of death for American women.and more than half of z, the individuals who die each year of heart disease are women. The Iicart of Weld project includes -.., screening low income- under- or uninsured women, age 40-64 years. for high blood pressure, high cholesterol. body mass index, blood glucose (diabetes), and tobacco use. All being risk factors for cardiovascular disease. Those women who are at moderate to high risk for developing CVD arc then en- couraged to enroll in the Iicart of Weld's lifestyle intervention program. Through a series of classes and other support services, the lifestyle intervention program seeks to help women improve eating and exercise habits. identify and overcome barriers. gain basic problem solving skills- set goals. understand behavior, learn stimulus control.and identify the importance of keeping a supportive and healthy environment. The health department is currently partnering with Sunrise Community I lealth to conduct screenings. and after several months of plan- ning and organizing, we were able to implement our first screening just as the year came to a close. Sixty-four women were screened in December and 90% were identified to he at moderate to high-risk for developing CVD. truly indicating a need for this program in our community. Steps to a Healthier Weld County 1 � During 2008. the fifth and final year of the federal grant Steps to a Healthier Weld County. many community-wide projects were successfully implemented. The year started with a imy ,:,_ challenge—The 100 Day New Year's Resolution Challenge, which encouraged residents to keep their New Year's resolution for at least 100 days. Over 700 people participated who were suc- cessful in keeping their New Year's resolution an average of 56 days. This is significant since e't research demonstrates that the average American can usually keep a resolution for about 7-10 reeO u tOK days. ,... The Steps grant also helped fund worksite wellness programs in over 35 Weld County worksites. With so many residents spending the greater part of the day at their place of employment, and through a collaborative relationship with the Wellness Councils of America (WI.LC:0A), many worksites committed to establishing a healthy environmeSilliC jX\______ nt for their employees. the American Cancer Society's I IcalthLinks Project enhanced worksite wellness programming through Lunch and Learns,tobacco cessation classes, and physical ac- tivity opportunities. Weld County Government became a champion of this cause by hiring a half-time Worksite Wellness Coordinator to lead the charge for over 1200 employees. In WCSD6 schools, the Steps grant funded Harvest of the Month for the second 4.- 4 ycar in a row. Students in 17 elementary schools were able to sample a different 4 - fruit or vegetable every month, and evaluation data demonstrated higher consump- tion of fruits and vegetables among students as a result of this project. A District 6 ` Wellness Policy was also developed and implemented, promoting a greater aware 4 ness of nutrition and physical activity among all grade levels, staff, parents and �" administration. Coordinated School I Icalth Teams were established in 10 WCSD6 ` schools to continue a sustainable healthy environment for the stall and students. In seven Weld County restaurants. the Smart Meal Seal was implemented identilyimg healthy alternatives on restaurant menus. Through a state-wide initiative, even McDonalds was able to identify- 7 items on their 13 'C ''hen lb(AY/am/the b/71)--/thit caw t<<fc/icr, thc/cim 2/bliec&Pc chile,: " menu that met the Smart Meal Seal criteria. Weld County residents now have some healthier food choices to con- sider when dining out. Kelly's Kitchen - Lcl CV Nutrition education was provided in many ven- ! C7 1� ues Steps and the City of Greeley collaborated on Sr Kell 's "Kelly's Kitchen" to produce 6 five minute shows on �� good nutrition for all ages. Healthy Breakfasts I Ie dthy cSnacks.and Don't be Terrified of Tofu were examples of � " ` �' shows that wcrc broadcast on G7 V8 over 35 times/week ,: during the 100-day challenge to encourage better nutrition 4IP \ choices. Kelly's Kitchen received national recognition including a Model Practice award through the National Association of City and County I lealth Officials (NAC- CI1O), and a Silver Savvy Award through the City County Communication and Marketing Asso- ciation (3CMA). Through a collaboration with the Continuing Education Department at Aims Community Col- lege, Healthy Cooking and the ABCs of Weight Management classes became popular places to meet new people and learn more about nutrition. In collaboration with Banner I lealth Car- diac Rehab and the CSU Extension, a succession of nutrition education classes were conducted .:44-,, that entertained residents while educating them on eating better and moving more. ', For over 2 years now through Project GROW. community gardens ; have flourished in Weld County. An advisory group at the City 4114I. of Greeley planned and implemented two sites: one at the Univer- _ i` *C,� i`+- sity of Northern Colorado with 22 plots, and one at Plumb Farms .t '' +r..�. _ with 7 plots. In addition. Steps funded 15 gardens by organizations serving Weld County residents. Most of the participants related posi- - - jj tive experiences related to nutrition. physical activity, and fellowship with other gardeners. There were even donations of produce to the Weld County Food Bank through this project. ." c C j. .u,. _ . Steps to a Healthier Weld County contracted with a nationally recognized consultant on creating Active Living by Design communities to assist local elected officials, planners. de- velopers. and citizens to design and build communities that promote physical activity. During a four day visit to Weld County a team of professionals visited school children in I Judson, spoke to the elected officials of Hudson and Mead, hosted a presentation on best practices at a dinner for county-wide elected officials and representatives, conducted a Regional Trails Workshop. consulted with the City of Greeley Public Works Department, and conducted a day-long conference. Steps assisted the City' of Greeley and Weld County Planning Departments by conducting a Health Impact ire „j Assessment as part of a Heritage Grant for the East Greeley/Weld County Study Area and recom- , , mended comprehensive plan language for the Weld County and City of Greeley Comprehensive n updates. I� Many coalitions and community members contributed to the Steps mission, increasing reach and participation. The media were instrumental in covering many initiatives which helped the community understand the mission and vision of the Steps grant. Although this federal grant has concluded, additional funding has been secured through other sources including LiveWell Colo- l4 rado to continue the Steps initiatives. LIVEOQIL �6<ftilk'Y nY'Fehr( more ri o COUNTY Public Health Preparedness na . T n 2008, the Office of Public Health Preparedness (PI IP) relayed time sen- 'sitive data and information to and through critical and key partners via the health Alert Network. An example of this function includes the relay of product recall information to providers and responders. Considerable time a '. commitment is required to create and maintain an accurate data hasc for this system. In addition, active system testing and evaluation remains the primary means to maintain overall efficiency and competency. Validation r of these efforts was observed as the system and functions remained intact and in use throughout the Weld County tornado of 2008. Dtsease Surveillance and Investigation workloads are cyclic and as such require responsive flexibility by the staff. In 4 addition to surveillance and investigation, the staff addresses regional epidemiology deliverables, as detailed by contrac- tual grant agreement with the Colorado Department of Pub- lic I lealth & Environment (CDPHE). The staff has worked diligently to build community and regional relationships which arc a vital aspect of integrating and information gathering. The PHP division assisted in the Alamosa water-borne salmonella outbreak as part of the State-wide epi- demiological mutual assistance agreement and participated in the State-wide Pan-Flu exercise with hospi- tals. It also participated in required hospital visits throughout the region and assisted with regional information distribution for rabid skunk surveillance. The PHP division presented and assisted with the Regional Citizen Corps workshop Feb 21. 2008 by host- ing epidemiology/communicable disease basics and investigation skills and assisted with the State-wide Wal-Mart Emergency Preparedness days outreach campaign. L()cal and Regional Preparedness and Planning functions are a significant charge for the staff. In 2008. we participated in 2 full-scale exercises: first was the conversion of an ambulatory _ surgery center into an "Alternate Care Facility" for medical surge °"' usage. Mountain Vista Surgery Center stepped forward to learn about and integrate in local medical surge efforts. Dr Sanjay ` Gupta was the physician from the center who took a leadership I -C role, and served as an inspiration to motivate the participation of j, #' 4 others m this vital effort. The second exercise was participation in a three state Ilomeland Security Pandemic event exercise. By virtue of these exercises. PHP was able to positively interact with t several hundred potential partners, many citizens, and multiple non-traditional partners all while forging many new community bridges. 15 Si is J11&TCUly}1/kri (r.R! /'c4 illOiAi// /n-lid nol“iiicani dived who,far 111E nn/1L . , .d. tK. Public Health Services �t �� he Public I lealth Services Division (PHS) provides services in human caring through the `NA work of professional public health nurses, social worker, health educator, outreach work- ,....,.� � ers and support staff serving individuals. families. and communities. Program activities include health education, clinical services, prevention, and control of communicable diseases, and reducing the health and economic burden of chronic disease. Public health nurses employ social strategies to develop interventions to vulnerable populations. minority populations, mentally and physically disabled, and maternaUchild populations working collectively to fulfil society's interest in assuring the conditions in which people can be healthy. Tuberculosis Program The Tuberculosis (1B) Program is funded through the state of Colorado and the Weld County general fund to provide care and coordination services to the residents of the county for the purpose of treating this disease and preventing its spread through the community. Funding is pri- oritized to I) find and treat all active cases of TB, 2) conduct investigations to find, follow-up.and provide treatment to all the individuals who had contact to the active case.and 3) provide treatment and follow-up to people diagnosed with the latent (non-contagious) stage of TB so that they will not progress to having active IB. urrently. Weld County is a "low incidence county- for It tuberculosis. In 2008 we had three confirmed cases of active TB. This was an increase from 2007 when we had one case. Additionally, we treated three other cases of active TB disease who had transferred into our county , t it) ''. 0 : from other areas. Patients being treated for TB disease t t receive their medications by DOT (Directly Observed g Therapy) for a period of 6-12 months. Medications are li 1 1 administered on a daily. weekly or twice a week basis and i '®" . are given either at the health department or in the patient's , home. During 2008 the program did 54 office visits and "" - - Li , 85 home visits for DOT. The program evaluated a total of 164 adults and 8 children for the disease. Of these, 24 individuals were contacts to people who had active TB disease. I he program also placed and read 330 TB skin tests. In 2007 the Tuberculosis (f13) Program became the first program at the health department to provide care and treatment to individuals from Soma- ha who were employed by .IBS Swift. These people were refugees who had "...- 1' lied Somalia due to war and oppression: many had lived for several years n refugee camps in Kenya before being resettled in the United States and other countries. In January 2007. it was estimated that 40 Somalis resided in Greeley. The current population of refugees in Greeley is 700-800 ttert and now consists of people from several East African nations as well as ''' from Myanmar (formerly Burma). As this population has grown, so has ttt the need to provide them with health services. Currently, several health department programs are seeing refugees and their families f'or not only 16 "O //C0116 !r,TSsm,riterrliltO/w: " TB follow-up, but also for immunizations, prenatal, family planning and special needs services. 'lb help our staff better understand these various cultures. religions, and languages, we have partnered with Lutheran Fam- ily and Refugee Services (ITS) over the last two years. We have worked closely with the Greeley Somali Case Manager. Ibrahim Maxamed, and with Aziz Dhies, the Somali Health Services Coordinator, both from LFS. They assist the refugee population with housing. employment,education, health care and financial needs. l'hey have been willing to assist us with interpretation, setting up medical appointments, and patient education. They have also provided cultural training to our agency as well as to others in the community. Another partner is Gidian Kar. a Burmese gentlemen who is not employed by LFS_ however, he has been of immense help to us by coming in with sonic of the Burmese people, interpreting for us, and explaining health issues to these patients. By working closely with all of these partners. we strive together to meet some of the many health needs of these new populations in the Greeley community. The TB Program was commended in 2008 by the Colorado Department of Public Health and Environment for its expanding community educational outreach on the topic of tuberculosis. Radio presentations_ poster hoard displays at local health fairs, newspaper articles, and in-house displays all provided education to the pub- lic about this disease. . Nurse Family Partnership The Nurse Family Partnership program has been in operation since 2001 in Weld County serving economically disadvan- taged, first time parents throughout the county. The program fol • - lows the clients for approximately two and a half years starting dur- * ing pregnancy, through infancy and toddlerhood until the child is . „„•,. y e r two years old. The mother and father (if he chooses to be involved) _ , A, t- " learn about the importance of maternal health during pregnancy, - �'" bonding, and infant and toddler development. The structured curriculum also focuses on setting life goals such as completing education and becoming employed as well as developing healthy <t` habits and relationships. Registered nurses deliver the program in the clients' home gearing the contents to the goals and needs of the clients. The Weld County NFP is funded to serve ISO clients and receives financial support for the pro- gram from the Colorado Master Tobacco Settlement Agreement and Medicaid payments. "fhe NFP nurses arc supported by a nursing supervisor and an office technician, as well as the Community Health Manager. the Director of Public Health and the Executive Director of WCDPHE. The program receives strong support from other programs within WCDPHE as well as community organizations. local school systems and private practice physicians throughout the county. participation in the Nurse-Family Partnership program is voluntary and provided at no cost to the Pclients. During 2008 we served 532 clients. Our average monthly graduation rate was 4 clients each month. The majority of NFP clients are between the ages of 15 and 24 with the greatest number between 15 and 17 years of age. Our low birth weight and pre-term delivery rates were lower than the NFP na- tional averages for 2008, and our child immunization rates were higher than the NIP state and national averages. Emergency room visits and infant/child hospitalization rates were higher than the state rates and equal to the national averages for 2008. The quarterly and annual reports continue to demonstrate the contribu- tion that the Weld County Nurse-Family Partnership Program makes to the overall health of the county. 17 C l''Irkin,l is dIicr n orkr „ Communicable Disease TT T he communicable disease nurses monitor the oc- currence of reportable disease in the community. In 2008 there were 647 communicable diseases reported in Weld County. tHie communicable dis- ease nurses provided Ibllow-up for vaccine prevent- able illnesses. Environmental health and emergency ,[t4.;;; preparedness provided follow-up for enteric and '' s." zoonotic illnesses. y •y any vaccine preventable diseases are no longer A,yr lYlcommon in the United States but arc still corn- t mon in other countries because of differences in vac- cme coverage. International travelers can become "" ill in other countries and bring these diseases to the United States. Physicians are no longer familiar with some illnesses be- cause they do not see them often. They are unsure about testing. treating and isolating patients. l he communicable disease nurses play a vital role in assuring that patients re- ceive appropriate testing and treatment. The nurses work with patients, schools and employers to decrease the risk of spreading disease to others in the community. he communicable disease nurses partner with the im .' c Tmunizanon program to ensure that vaccines are read- 1 r, ily available. Vaccines are provided to children, adults * " * '-a and international travelers. Vaccines continue to be our first defense against many communicable diseases. recent example of the effects of vaccine on disease is hepatitis A. the state health department eports that between 1988 and 1998 Weld County saw an average of 42 cases of hepatitis A every year. In 1996 CDC recommended that all children in Weld County receive the hepatitis A vaccine. Since 1998 we have seen and average of 4.9 cases of hepatitis A every year, a significant decrease. There is speculation that with the 2005 introduction of the tetanus, diphtheria and pertus- sis vaccine Tdap we will see a similar reduction in pertussis rates. Public health action against infectious disease depends on the cooperation of community partners. The Weld County Jail has served as an important partner with the communicable disease nurses. Since 2006 the communicable disease nurses have collabo- rated with the Weld County Jail, the Colorado State Viral Hepatitis �� 9 Program and the University of Northern Colorado (UNC) School of Nursing to provide vaccines to inmates of the Weld County Jail. Because of these eflbrts 705 vaccines have been given to Weld r; County Jail inmates. 18 • i1/7/0//hiI'aern,!�hr'ln�ilN�'/((WUI['la��rdirr, [la'fr,od7/11/k+ orrD,Jl,5 alb rcl. :.. __.,„, iii vi .4 __i _ ,, is it. , , . ,,, T Travel Clinic «. In 2008, 513 Immunization Clinics were held in North Weld County and 89 immunization clinics were held in South Weld County, vaccinating 2,627 children and adults with 8,060 vaccines. The Travel Clinic, for those residents who are traveling outside of the United States, vaccinated 333 clients with 738 vaccines and 150 prescriptions for Malaria and 192 prescriptions for treatment of diarrhea) symptoms. The Telethon was held monthly to remind 5,529 families to get the immuni- zation for their children who are under the age of two. Eight hundred fifty two reminder post cards were sent to those families with no phone or discon- nected phone service. Twenty two daycare audits and school audits were held to aid in reviewing immunization records and help boost immunization rates. 41 Educational information and updates were provided to doctor's offices. schools, daycares, and the community. Eleven outreach clinics were held vaccinating a 575 clients with 796 vaccines. Clinical Services r Prenatal Outreach Coordinator n 2008, 917 pregnant women were assisted into ► - early prenatal care medical coverage, and referred 4 j v ` to local services. "r his program helps pregnant women get • ti 4 , , Medicaid and early prenatal care and connects them to oth- .tin er community resources and referrals to make sure that they it /1 have all the tools they need to have a healthy pregnancy. amity Planning I , "", its " 1 ur Title X Clinic provides individuals the infor- 1 . 1 oration and means to exercise personal choice in determining the number and spacing of their children. The • family Planning program offers a broad range of effective — 4 birth control methods and services including birth control. emergency contraception plan B. natural family planning methods, annual physical exams for women, pap tests, pregnancy tests, and male exams. There were 4,100 Family Planning appointments in 2008, as well as 512 clients who accessed the new no appointment supply pick-up option. 19 C h%3C i l C,v7bn in71 mir,iR'lnO1! inmc prenatal Navigator Program 1 nv pregnant woman who is qualified for Presumptive Eli- gibly for Medicaid will be screened by a Registered Nurse. ( She will be educated on pregnancy issues. thoroughly assessed and \ � referred to community programs. Referrals will also be made to j f the Prenatal Outreach Coordinator for any additional resources or • '• t referrals referrals that are needed in the community, as well as the WCDPI 11: social worker. In 2008. 196 women were screened: 55 were re- --, ferret! to Nurse Family Partnership, 23 to the social worker, 41 , ! to First Steps, and 39 to Quitline to cease smoking. HHBaby Program 1 lThe Healthy Baby Program is an initiative funded • by the Maternal Child I lealth grant for all preg- nant moms in Weld County. It focuses on improving birth outcomes through various outreach, awareness. and educa- .;t tional activities. During 2008. the Healthy Baby Program of'Weld County provided awareness and education about the leading causes of low birth weight babies (less than 5 ** ' / pounds). inadequate weight gain and smoking during v , pregnancy. by offering free prenatal nutrition education classes taught in English and Spanish. There were 292 moms who attended classes offered at the WCDPHF, r Sum'isc Community Health Center, "I radcmark High ) ' School, and other community locations. Over 90 car scats '.;>. ≥(• were distributed to moms who attended all (6) classes. ter. �ti;M° Mobile Medical Clinic t q s ., he Mobile Clinic was used as L...... Ta women's exam clinic at the 9 I" rt ._ � ),, I lealth Fair and as a backdrop to the healthy 1,\ 44 � cooking demonstrations at the Greeley —a-- Farmer's Market. While there, information a le packets were handed out on several different health issues including West Nile. diabetes. ' and healthy eating. During the summer . _------ stall. months the Mobile Clinic is used for migrant t health care. In the fall the traveling clinic visited elementary schools for Ilu immuni- f f nations. The Mobile Medical Clinic is part � • of the North Colorado Health Alliance, of ;t •I of which WCDPHF i. is a partner. MIMI __0i A ,/arr_u%iJ!«rm Iart myth nnr Imo/ Women's Wellness Connection WWeld County became a service provider for the Women's Wellness Connection program in November 012008. W�ME'�,S �� I here were a total of 13 women screened during the last two months of 2008. Women's Wellness Connection was founded in 1991 by the Center for Disease Control and Prevention (CDC) and the National Breast and Cervical Cancer Early Detection Program (NBCCEDP). The program provides breast and cervical cancer screenings (clinical breast exams. Pap tests. and mammograms to women ages 50-64 and high risk women ages 40-49). These services are free of charge to eligible women 40-64 who live in Colorado, are legal residents. have no health insurance or are underinsured, meet income requirements (250 percent of federal poverty level or below) and have rarely or never been screened for breast or cervical cancer. To find out if they qualify, women should visit www.womenswcllnessconnection.org or call 1-866-951-9355. Health Care Program for Children with Special Needs TI heealth Care Program for Children with Special Needs (HCP) is a community resource for families and health care providers in Weld County. HCP serves children from birth to age 21 that have, or are at risk for. serious physical. behavioral, or emotional conditions. I ICP provides information. referrals, support, and care t coordination services to children with special health care V a+ „„. � needs and their families. HCP seeks to ensure statewide ' i access to integrated. family-centered, culturally com- petent_and community-based programs and services \'' that align with the Medical I Ionic Concept. I ICP has 14 regional offices throughout Colorado and works in a ;-) partnership with families. community agencies and health care providers. The I IC.P team includes registered nurse care coordinators. a social worker, family coordinator. nutrition consultant, physical/occupational therapy con- sultant, and audiology consultant. The local 1 1CP pro- gram receives support from the State Health Department — and W'cld County funds. In 2008 the I ICP team provided information and services to 487 families in Weld County. cbr Ha;r dizzy.rGnu!/tmoi'IA'c(Ai/POn ACLU!, Air/rrdrni anl,am,i,lc Public Health Services Provided in 2008 Abstinence/STD presentation contacts >2,500 Air Quality Inspections/Monitoring 564 Biosolid Permits 155 Birth Certificates 8,476 Colorado Quitline Calls from Weld County 1,735 Communicable Disease reported conditions 647 Vaccine preventable disease 154 Food borne illness 178 Zoonotic illness 22 Chronic Hepatitis C 134 Community Outreach Clinic vaccines given 796 Death Certificates 8,832 Drop & Swap Customer recycled products 21,782 lbs Family Planning Visits 4,100 Health Care Program for Children with Special Needs Children assisted in 2008 487 Household Hazardous Waste Collected 412,479 lbs s , ! Immunizations 8,060 Individual Sewage Disposal Systems permits 248 �. Laboratory Testing Chlamydia, Gonorrhea, and Syphilis tests 9,585 Land Use Plans Reviewed 312 Nurse Family Partnership Clients 532 Open Burn Permits 886 P.A.R.T.Y. Prevent Alcohol and Risk-related Trauma in Youth Participants 490 Prenatal Outreach Coordinator Assists 354 Public Institution Inspections 105 Radon Test Kits Distributed 167 Restaurant Inspections 2,241 Solid Waste Complaint Investigations 89 Swimming Pool Inspections/Chemical and Physical 105 Tuberculosis Contact Investigations 172 Travel Clinic Vaccinations 738 Weld STAR Food Service Training Participants 342 Waste Facility Inspections 72 Water Testing Bacteriological 4,964 Chemical 3,246 Women's Wellness Connection women screened Nov/Dec 13 20 2008 Budgeted Expenditures by Division Public Health Services $3,673,859.00 Environmental Health $2,253,571.00 Health Communication t $1,540,735.00 Public Health Preparedness $459,362.00 t Administration $220,000.00 Total Expenditures $8,147,527.00 O 10 20 30 40 50 Percentage 2008 Sources of Budgeted Revenues Federal and State Grants S3,383,343.00 County General Fund $ 2,939,357.00 Charges for Services $779,150.00 Solid Waste Surcharge $707,377.00 Licenses & Permits t $321,400.00 Total Budgeted Revenues Miscellaneous 58,7 47.527.00 $16,900.00 I I l l 1 0 10 20 30 40 50 21 Percentage L."1 The People Administration Mark Wallace, MD,MPH Executive Director of Weld County Department of Public Health & Environment Trevor Jiricek, MASS Director of Environmental Services Gaye Morrison, RD,MPH Director of Health Communication, Education & Planning Linda Henry, BSN,MA Director of Public Health Services Jon Surbeck, MA,CFO Director of Office of Public Health Preparedness Judy Nero, BS Business Manager The Places Board of Weld County Commissioners Northern Weld County 1555 North 17th Avenue David Long Greeley, Colorado 80631 Douglas Rademacher 970-304-6420 Rob Masden / 2008 William Jerke / 2008 Southwest Weld County Bill Garcia In the Del Camino area along I-25 Barbara Kirkmeyer / 2009 4209 Weld County Road 24 1/2 Sean Conway / 2009 720-652-4200 Board of Health Stanley Cass Southeast Weld County William Weitzel 2950 9th Street Fort Lupton, Colorado 80621 Denny Williams 303-637-2420 Anne Salazar Doug Printz Barbara Murphy Visit us on the web! 44 441 Linda Kautz WWW.co.weld.co. us Robert Guthmann .t ti O ..r-I A O ° a) in • _ QCO o O O x L. titt 0 v fliP 0as W _.,o .'a » C a , � �. � w � N � ` zI 0 a in I. = 3 LA /ice FU C O In V Sal r U O 'act k " a U `n O O W ° 0 id c " .. o CV 41)C v1 b0 7 on V �. •� 7 oo co 00 ro y r. �O •G l0 M C 00 00 pp O\ W .L Q �.�y R M awi m N ' X N .G V �, 7 • V Q C N K A Ca O V� pc N T N " O O O 'L7 e+ N p O M M an ro G M M M C O • r3 on Ian N N r es_. 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