Nathan Ruybal CONEJOS COUNTY CLERK & RECORDER 6683 COUNTY ROAD 13 PO BOX 127 CONEJOS, COLORADO 81129 TELEPHONE: 76 5422 FAX /1 / - : - / COLOEAS rvybalero.comelpscous Minutes of the Board of County Commissioners Regular Meeting held on September 21st, 2023, at 9:00 am in the Commissioners Board Room, 6693 County Road 13, Conejos, CO 81129 Comm. Jarvies called the meeting to order at 9:00 am Mitchell Jarvies - Chairperson - Present Carlos Garcia - Vice Chair - Present Joseph Baroz - Vice Chair - Present Present: Tressesa Martinez-County Administrator Nathan Ruybal-Clerk and Recorder - Connie Ricci - HR Manager - Nick Sarmiento - County Attorney Not Present: NONE Pledge of Allegiance: Comm. Jarvies led everyone on the Pledge of Allegiance. Opening Prayer: Comm. Garcia gave the opening prayer. Approval of Agenda: Comm. Garcia asks Tressesa why agenda on the website and agenda presented at the meeting are different. Discussion regarding statutes we need to follow for posting of agenda prior to the day oft the meeting and the day oft the meeting. Attorney Sarmiento will research into the laws and regulations regarding posted and presented agendas. Comm. Garcia thinks there should not be any changes to the agenda after the 24-hour notice of agenda. Discussion between Attorney Sarmiento and BOCC regarding agenda changes and amendments. Request to remove Ernest Abeyta from the agenda. Add OHV discussion under Admin. Correspondence. Add legislative committee Commissioner designation appoint under Admin. Correspondence. Add letter of support for South San Juan Trail organization under Admin. Correspondence. Motion to approve agenda as amended. Comm. Baroz makes first motion. Comm. Garcia seconded that motion. Motion Carries 3-0 1 Approval of Minutes: No Minutes to approve. Public Comment: Sharlene Farmer discusses that the BOCC needs to leave the requirement for insurance for OHV use in Conejos County. Ifthe BOCC does not pass OHV resolution, we need to empower the Sheriff and deputies to begin ticketing violators. Administrative Correspondence - Tressesa Martinez: Legislative committee Commissioner designation appoint for 2023. O Motion made to keep Comm. Jarvies as committee member. Comm. Baroz makes first motion. Comm. Garcia seconded that motion. BOCC agrees not to designate an alternate member. Letter of support for South San Juan Trails, Tress asks BOCC to sign the letter required for organization to seek grant funding. Letter of support for Guadalupe Water District, Tress asks BOCC to sign the letter required for organization to seek grant funding. Ambulance base and Arehitectum/Enginering discussion. Comm. Baroz is in favor of choosing Reynolds Ash & Assoc. for the project. Comm. Garcia discusses cost ofboth submitted quotes. Comm. Baroz moves that BOCC hire Reynolds Ash & Assoc. for the Ambulance Base project. Comm. Garcia seconded that motion. Motion Carries 3-0 Tress had made an executive decision regarding the Sheriff S office asking to apply for $1000,000 grant to replace front doors into Courthouse. The doors are very heavy and the hydraulic door closer on exit door is not working and door slams closed very hard. BOCC approves of the decision for the grant application. DSS Report = Nick Barela: Program and Administrative Cost Approval Mr. Barela asks BOCC to approve in the amount of $435,848.47. Comm. Garcia makes motion to approve as presented. Comm. Baroz seconded that motion. Motion Carries 3-0 Accounts Payable Approval O Mr. Barela asks the BOCC for A/P approval. Comm. Baroz makes motion to approve as presented. Comm. Garcia seconded that motion. Motion Carries 3-0 2 CONEJOS COUNTY DEPARTMENT OF SOCIAL SERVICES ONGOING WORKLOAD SUMMARY REPORT Jan-23 Feb-23 Mar-23 Apr-23 May-23 Jun-23 Jul-23 Aug-23 Sep-23 Oct-23 APS 9 9 9 10 5 Child Care 40 40 40 41 41 44 42 42 42 Child Support 412 413 414 408 402 393 389 387 388 Child Welfare 7 6 6 7 8 Adult Financial 103 106 108 110 104 104 101 100 100 Colorado Works 34 37 39 39 36 37 39 39 37 Food Stamps/Food Assistance 847 853 873 878 873 854 881 850 849 Medical Assistance 1983 1986 1991 2004 1990 1949 1901 1833 1776 Transition to Tyler, Acknowledgments of work completed to this point. (General Ledger,A,P, Bank Reconciliation, Fixed Assets) Next step Payroll. Discussion continues on upcoming payroll changes for all Conejos County. Road and Bridge Report - Donnie Martinez: County Road 28 bridge replacement underway. County Road 28 CenturyLink ran lines directly under the bridge, this will cause a delay until they are able to remove the lines. County Road 11 bridge will be taller and wider, construction is underway and will be complete in a few weeks. Grating roads work has continued after completion of paving, crews are also working shoulders on the County Roads they are grating. Pothole truck will be sent out to repair potholes on all County Roads. Crack and Seal material purchased with existing budget money to repair cracks on County Roads. Jail Sewer Pump System work completed; system was not working correctly however Donnie did fix issues. Donnie explains the specifics regarding the pump system in the jail sewer system. Roof repair complete rain did wash away some ofthe roof sealing agent, Donnie did bring this to contractors' attention during final walk through. Contractor was able to go over and reapply sealant to those parts ofthe roof that were discovered. Donnie also explains that he had roof repair contractor along with two other bids to install gutters and heat tape, with only two bids coming in, work on the gutters will start soon. County Road H Donnie discusses using mag chloride usage to keep dust down, application wise is only good for 100 to 200 days with a cost of $200,000 annually. No decision was made. 3 Public Health Report - Denise Jiron: B. Assessment Planning and Communication 1 Conejos County Specific Goal Work with community partners on existing and emerging local projects to influence health behavicrs and conditions and advocate for family suppart systems that strengthen protective factors anc reduce risk factors for children and families, C. Communicable Disease Prevention, Investigation and Control AUA puDvc health agencies are required to rrack the moidence and distributicn of disesse n (fc oopulation Irid prevent and control vaccine- preventable diseases, zoonorc, vector, a-barne, water-bome, and focd-bome iresses, and aher diseasas nat ae transmitted; perscn- IC person. Immunization Program a: Continuing with Adult and Childhood vaccines D. Emergency Preparedness and Response AV publc noaith agencies are required to, prepare andrespand. lo mmergenges vilfi A puhic hesitn or envircnmental heaith implication in coordination wilh ocal, state and federal agencies and pubiic and orvute sector partners E. Environmental Health to in the and improvemient ol ais, water and, and food qualry AN pubor neaith agencies are and roquired responding participate to community onvironmental protection hoaitn coriceris. reducing currenr and emerging by environnntall cienntying nvestigating health nsks preventing commurcable diseases, and sustaining the enveronment These metivities shouid be mnsistent with apperapi laws and rgulanons, and coordinated witn ocal, srato, and fectoral agunces idustry and the public 1.Regionai Health Inspector. - Environmental Health Program in 2023 2FT, 1 PT regional staff F. Prevention and Population Health AN pubuc neaitn agericies are required to develop. implement: snd evaluate stratagies (policies and programs) and lu enharice and promoto heaithy ving. qualily ofi life and wellbeing wle reducing the incidence of preventable (chronic communkable) discasas. injurics, disabwitios. ard ofher poor neain oulcomes acmss the ufespan, Wisl begin distributing Narcan and Kloxxado in October G. Vital Records and Statistics Ana agenciles are required to recard and report vital events (e. 9. births and deaths) in comphance wwth Cokorada Directors Statutes. shaif act Boardc of Heaith Regulations, ard arice or tne Stale Registrar af Vitar Statintics povicies Pubhc Heaith te has as the local registrar ofv vital statistics or contract ouf tne responsibwty af registrar a the area over wnich agency jurisciction. 1: Most small counties use other entities for this service, with pubtic health to be notifiedmonitor for any signiticantly abnormal trends H. Personal Care Provider (PCP) Program 1 August 2023 a: Clients: 55 b. Hour worked: 7,637, 00 - Employing 28 Providers d. We have not had any client incidents for this reparting period. Home Care License was approved and renewed on August 26. 2023 for 1 year. I. Commodity Supplemental Food Program Participation during the month of August 2023: 1. 410 Individuals total participation 2. Home deliveries to the homebound 2 days monthly: 48 people 3. 275 Househoids (including TFAP) 4 Curbside delivery continues 2 (T/Th) days weekly 5. Requested a decrease in caseload as our participation has dropped and unable to maintain higher numbers for CSFP (Commodities) J. Fiscal Updates- Snapshot Grants for FY23/24 were implemented 7/1/23. Denise notes that she needs to have the Air Conditioner repaired at the Public Health Office, she is also needing the parking lot to be re-striped. 4 Board of Health Report Denise Jiron: New Nurse! Veronica Fringer has accepted a position as out PT Nurse. She is slated to begin employment on October 5, 2023. Flu Shots! We are negotiating a contract with Vivienne Gallegos, RN to assist us in kicking off our Flu shots as well as train our New Nurse. We will be sending out information on Flu Clinics for staff and the community We will also be working with the schools. Hantavirus Contracted in Conejos County A Rio Grande resident contracted hantavirus from a site located in Conejos County. Hantavirus cases are investigated in 2 parts. First, the communicable disease investigation is conducted by the county the person resides in. Secondly, Environmental Health (EH) which is a regional position housed in Alamosa County PH, investigates the site/location of exposure. Because this IS a regional position, the EH person is able to work in any of the counties listed on the IGA. Hantavirus Pulmonary Syndrome (HPS) Hantavirus Pulmonary Syndrome (HPS) is a severe, sometimes fatal, respiratory disease in humans caused by infection with hantaviruses. Anyone who comes into contact with rodents that carry hantaviruses is at risk of HPS. Rodent infestation in and around the home remains the primary risk for hantavirus exposure. Even healthy individuals are at risk for HPS infection if exposed to the virus. Due to the small number of HPS cases, the "incubation time"is not positively known. However, on the basis of limited information, it appears that symptoms may develop between 1 and 8 weeks after exposure to fresh urine. droppings, or saliva of infected rodents. Early Symptoms Early symptoms include fatigue, fever and muscle aches, especially in the large muscle groups- thighs. hips, back, and sometimes shoulders. These symptoms are universal. There may also be headaches, dizziness, chills, and abdominal problems, such as nausea, vomiting, diarrhea, and abdominal pain. About half of all HPS patients experience these symptoms. 5 Late Symptoms Four to 10 days after the initial phase of llness, the late symptoms of HPS appear. These include coughing and shortness of breath. with the sensation of, as one survivor put it, a' * tight band around my chest and a pillow over my face" as the lungs fill with fluid. Is the Disease Fatal? Yes. HPS can be fatal. It has a mortality rate of 38%. Clean up rodent urine and droppings Step 1: Put on rubber or plastic gloves. Step 2: Spray urine and droppings with bleach solution or an EPA- registered disinfectant until very wet. Let it soak for 5 minutes or according to instructions on the disinfectant label. Step 3: Use paper towels to wipe up the urine or droppings and cleaning product. Step 4: Throw the paper towels in a covered garbage can that is regularly emptied. Step 5: Mop or sponge the area with a disinfectant. Clean all hard surfaces including floors, countertops, cabinets, and drawers. Follow instructions below to clean and disinfect other types of surfaces. Step 6: Wash gloved hands with soap and water or a disinfectant before removing gloves. Step 7: Wash hands with soap and warm water after removing gloves or use a waterless alcohol-based hand rub when soap is not available and hands are not visibly soiled. WEAR A MASK OHV Meetings Public notice regarding Public Hearings set for Oct. 11th at 6pm and Oct. 24th at 6pm November 2nd BOCC Regular Meeting set for decision on OHV. Meeting Adjourned at 10:52 am ATTEST: Mcrtul aueso Nathan Ruybal Mitchell Jarvies Clerk ofthe Board Chair of BOCC 6