[1. Adult Probation - Approve contract with Carey Group, Inc. in the amount of $61,993.00, for coordination and assistance in implementing the department's strategic plan. YC Contract No. 2024-167]

$61,993 FOR COORDINATION, ASSISTANCE AND IMPLEMENTING THE PROBATION DEPARTMENT STRATEGIC PLAN.

MORNING BRYAN, HOW ARE YOU, MR. OBERG? GOOD MORNING.

CHAIR BROWN, HONORABLE MEMBERS OF THE BOARD.

BRYAN PRIETO, THE CHIEF OF THE PIKE COUNTY ADULT PROBATION DEPARTMENT.

SEEMS TO ME THAT YOU BROUGHT THIS TO US SOME TIME BACK, MAYBE A COUPLE OF MONTHS AGO.

AND ONE OF THE QUESTIONS WE HAD AT THAT TIME WAS THAT WE COULDN'T SEE WHERE THE DATA, THE ANALYSIS THAT YOU HAD COMPLETED TO HAVE A FULL UNDERSTANDING OF WHERE YOU WERE GOING, WHAT WERE THE ISSUES YOU KNOW, WHAT YOU WERE DOING, RIGHT, WHAT YOU WERE DOING WRONG, WHAT NEEDED TO BE CHANGED, WHAT COULD BE IMPROVED? AND I KNOW YOU DID SEND OUT SOMETHING TO US THAT LISTED FOUR FUNCTIONAL AREAS WORKFORCE DATA, COMMUNICATIONS AND SUPERVISION, AND A NUMBER OF OBJECTIVES OR ACTIVITIES.

OUT OF THOSE GOALS RELATED TO THOSE FUNCTIONS.

BUT WE STILL HAVEN'T REALLY SEEN THE DATA THAT DRIVES WHAT YOU SEE ARE THE ISSUES THAT HAVE TO BE ADDRESSED BY THIS STRATEGIC PLAN.

SO ONE OF MY CONCERNS IS I THOUGHT WE WERE GOING TO GET THAT INFORMATION.

I DON'T THINK I'VE RECEIVED IT.

I DON'T KNOW IF ANYBODY ELSE HAS RECEIVED IT.

AND SO I'M A LITTLE UNCOMFORTABLE MOVING FORWARD WITH THIS SECOND ORDER ON THIS CONTRACT BECAUSE I'M I'M NOT SURE WHERE WE'RE GOING.

CAN YOU EXPLAIN THAT TO ME? SURE. THAT'S A GREAT QUESTION.

THROUGH THE CHAIR.

SUPERVISOR OBERG.

SO THE THE STRATEGY THAT THIS THE ADULT PROBATION WENT THROUGH THIS GO AROUND WHEN IT ESTABLISHED NOT ONLY IDENTIFYING THE NEED FOR A STRATEGIC PLAN, BUT ESTABLISHED THE PLAN THAT WAS APPROVED BY THE BOARD THROUGH THE PRIOR SERVICE CONTRACT.

IT WAS ALL ENCOMPASSING.

SO THE THE ADULT PROBATION DEPARTMENT BACK, I THINK IT WAS IN JANUARY OF 19, HAD ACTUALLY ENGAGED IN A STRATEGIC PLANNING PROCESS WHERE IT WAS VERY FOCUSED INTERNALLY, DIDN'T HAVE A LOT OF FEEDBACK FROM A LOT OF THE KEY STAKEHOLDER PARTNERS.

SO WHEN I HAD JOINED THE ORGANIZATION BACK IN 22, MY INTENTION WAS TO GET MORE FEEDBACK FROM THE KEY STAKEHOLDER GROUPS, INCLUDING THE BOARD, THE COURT, OUR OWN WORKFORCE, THE COMMUNITY, OUR MEMBERS OF LAW ENFORCEMENT, AS WELL AS THE TREATMENT COMMUNITY.

AND SO WHERE THERE WERE SPECIFIC FOCUS AREAS, SOME OF THE FOCUS AREAS WERE ACTUALLY IDENTIFIED WHEN YOUR BOARD HAD

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RECOGNIZED ADULT PROBATION DURING PROBATION, PAROLE, AND A PRETRIAL PROBATION OR PAROLE SUPERVISION WEEK, NAMELY THINGS LIKE AMOUNTS OF MONIES COLLECTED.

HOW THE DEPARTMENT SUPPORTED THE COMMUNITY THROUGH COMMUNITY RESTITUTION AND OVERALL RECIDIVISM RATES.

THOSE ARE GENERAL FOCUS AREAS THAT ANY PROBATION DEPARTMENT, WHETHER IT'S ADULT OR JUVENILE, WILL FOCUS ON.

HOWEVER, MY INTENTION WAS TO BE MORE INCLUSIVE.

WHAT ARE THE THINGS THAT ARE IMPORTANT TO THE COMMUNITY AT LARGE? AND SO THOSE KEY FOCUS AREAS SPECIFICALLY ACTUALLY CAME OUT AS A RESULT.

SO HAVE YOU HAD STAKEHOLDER MEETINGS WITH THE COMMUNITY AND WITH THE VARIOUS AGENCIES YOU WORK WITH TO FIND OUT WHAT THEY CONSIDER ARE SOME OF THE ISSUES THAT YOU NEED TO ADDRESS? SO THAT'S A GREAT QUESTION.

SO YES. IN ADDITION, THROUGH IN ADDITION TO INDIVIDUAL MEETINGS, THERE WERE FOCUS GROUPS THAT WERE FACILITATED WITH THE CAREY GROUP AND MEMBERS OF OUR ORGANIZATION WHERE WE POLLED AND WE GATHERED INFORMATION FROM SOME OF THOSE KEY STAKEHOLDER PARTNERS, INCLUDING COMMUNITY MEMBERS AND TREATMENT COORDINATORS, OUR BEHAVIORAL HEALTH AND TREATMENT SPECIALISTS.

AND THIS IS SOME OF THE FEEDBACK THAT WE GOT WHERE IT WAS ENCAPSULATED IN THOSE FOUR KEY FOCUS AREAS THAT YOU HAD MENTIONED, NAMELY COMMUNICATION.

THE NEED FOR US TO BE MORE NOT JUST INCLUSIVE, BUT TELL OUR STORY IN A BETTER WAY, RELOOK AT OUR WORKFORCE TO DETERMINE HOW WE CAN BE MORE EFFECTIVE AND EFFICIENT AT OUR SERVICE DELIVERY, USING DATA AND ULTIMATELY, SUPERVISION.

SO IT SOUNDS LIKE YOU'RE STILL DOING ANALYSIS AND INFORMATION GATHERING.

YOU REALLY HAVEN'T COMPLETED THAT.

YEAH. AND AND SO AS WAS MENTIONED WHEN THE DEPARTMENT PROVIDED YOUR BOARD WITH A PRESENTATION, THEY PLAN IS A LIVING BREATHING DOCUMENT.

SO WHERE IN PRIOR PLANS IT WAS VERY FOCUSED ON VERY SPECIFIC DATA ELEMENTS, IT'S ORGANIC.

AND SO ANYTHING THAT WE NEED TO SHIFT, THE WAY THE PLAN WORKS, WE CAN ADJUST AS NEEDED.

AND CERTAINLY WITH THIS PAST JUNE, WITH THE PASSING OF THE GAVEL BETWEEN CHIEF BRUTINEL AND OUR NEW CHIEF JUSTICE, JUSTICE TIMMER, THERE ARE A NUMBER OF THINGS THAT THE SUPREME COURT WOULD LIKE TO SEE THAT'S ACCOMPLISHED THROUGH JUVENILE AND ADULT PROBATION DEPARTMENTS.

AND OUR PLAN NOT ONLY ALIGNS WITH WHAT THE SUPREME COURT WOULD LIKE TO SEE, BUT ALSO IT ALLOWS US SOME FLEXIBILITY TO MAKE SOME ADJUSTMENTS AS NEEDED.

BECAUSE I REMEMBER AT THE LAST MEETING THAT WE HAD WHEN YOU BROUGHT THIS UP BOTH SUPERVISOR BROWN AND I SAID, WELL, WE'D LIKE TO SEE THE DATA OF THE ANALYSIS AND WHERE THE ISSUES ARE.

I DON'T KNOW ABOUT SUPERVISOR BROWN, IF HE'S, YOU KNOW, RECEIVED ANY OF THAT INFORMATION, I HAVEN'T.

I KNOW ON THIS ONE THING ON WORKFORCE, IT SAYS ACTIVITY TAKING INVENTORY OF CURRENT TRAINING COURSES.

SO THAT TO ME IS STILL A ANALYSIS AND INFORMATION GATHERING.

SO IF YOU'RE IF YOU'RE STILL TAKING AN INVENTORY, YOU DON'T KNOW WHERE THE, THE TRAINING COURSES YOU HAVE ARE EFFECTIVE, ARE REDUNDANT, NEED TO BE CHANGED, NEED TO BE ELIMINATED, NEED TO BE ADDED, YOU KNOW, IT SEEMS TO ME LIKE THERE'S A TREMENDOUS AMOUNT OF DATA THAT STILL NEEDS TO BE GATHERED SO THAT YOU CAN ACTUALLY MOVE FORWARD ON ANY OF THESE AND TRY AND ACCOMPLISH A STRATEGIC PLAN.

SO I GUESS WHAT DID WHAT HAPPENED WITH THE FIRST PORTION OF THIS CONTRACT? WHAT WHAT DID YOU ACCOMPLISH WITH THAT? AND WHAT DO YOU PLAN TO ACCOMPLISH WITH THIS ONE? THAT'S A GREAT QUESTION.

SO THE FIRST THE FIRST ITERATION WAS THE IMPLEMENTATION OR THE DEVELOPMENT AND ORGANIZATION OF THE PLAN, GATHERING ALL OF THE KEY FEEDBACK ELEMENTS TO DEVELOP A COMPREHENSIVE PLAN THAT INCLUDED ALL OF FEEDBACK FROM ALL OF OUR STAKEHOLDER PARTNERS.

WE'RE AT THE POINT NOW WHERE WITH THE SUPPORT OF YOUR BOARD, WE WOULD WE WOULD MOVE FORWARD WITH IMPLEMENTATION.

SO TAKING THAT KEY DATA AND AGAIN, AS YOU HAD MENTIONED, DOING A LITTLE BIT MORE ANALYSIS IN SOME OF THE KEY AREAS SPECIFICALLY TRAINING.

WE DO HAVE A CURRICULUM OF TRAINING RIGHT NOW, BUT IT IS QUITE LIMITED.

IS THERE ARE THERE THINGS ARE THERE AREAS WHERE WE CAN EXPAND? CERTAINLY. AND CAN WE DO IT WITH THE RESOURCES THAT WE HAVE? THERE'S THERE'S SOME OPPORTUNITIES FOR US TO MAKE CHANGES.

AND IN FACT FOLLOWING YOUR BOARD'S APPROVAL OF THE DEPARTMENT'S RECOMMENDED BUDGET THROUGH THE COUNTY MANAGER WE'VE ALREADY ENGAGED IN REORGANIZING, REORGANIZING OUR DEPARTMENT TO BE MUCH MORE EFFICIENT TO IDENTIFY SUBJECT MATTER EXPERTS THAT CAN TAKE US TO THE NEXT STEP.

WELL I KNOW I WAS IN AT LEAST 1 OR 2 OF THESE ACTIVITIES, IT TALKS ABOUT DETERMINING WHO YOUR STAKEHOLDERS ARE AND COMMUNICATING WITH THEM AND FINDING OUT WHAT THE ISSUES ARE.

[01:00:10]

SO IT SOUNDS LIKE YOU HAVEN'T TOUCHED ALL THE STAKEHOLDERS THAT YOU THINK YOU NEED TO.

IS THAT CORRECT? WELL, NO, WE'VE WE'VE HAD FEEDBACK AND IDENTIFIED KEY STAKEHOLDER GROUPS THROUGHOUT THE COMMUNITY, INCLUDING MEMBERS OF YOUR BOARD.

OKAY, SO WHEN CAN WE SEE THAT DATA? WHATEVER THEY TALKED ABOUT, WHATEVER THEY CONSIDERED WERE THE CONCERNS WITH YOUR DEPARTMENT, WHEN ARE WE GOING TO BE ABLE TO SEE THAT DATA? SURE. ASSUMING YOUR BOARD APPROVES TODAY, THAT WILL BE PART OF OUR ROLLING THROUGH OUR IMPLEMENTATION PLAN MOVING FORWARD.

WELL, AGAIN, I'M NOT SURE WHAT YOU KNOW BEFORE YOU TO MOVE FORWARD, YOU HAVE TO HAVE GOOD DATA.

THE DATA TELLS YOU EXACTLY WHAT YOU NEED TO DO, WHAT YOU NEED TO FOCUS ON.

AND I'M NOT I'M NOT COMFORTABLE THAT I'VE HEARD THAT YET.

I KNOW THAT WITH THE FIRST ITERATION OF THE CONTRACT, BASICALLY YOU CAME IN AND YOU GAVE US THE COMPLETE HISTORY OF, OF STRATEGIC PLANNING WHICH IS BENEFICIAL FOR YOU AND EVERYBODY IN YOUR ORGANIZATION UNDERSTAND THAT PROCESS.

BUT AT THE SAME TIME, I'M CONCERNED THAT WE REALLY HAVEN'T DEVELOPED ALL THE DATA BECAUSE YOU'RE NOT WILLING TO PROVIDE IT TO US SO WE CAN SEE WHAT THE ISSUES ARE AND UNDERSTAND THE NEED FOR THE SECOND ITERATION OF THE CONTRACT.

I'D LIKE TO SAY ONE THING.

I HAPPEN TO AGREE WITH SUPERVISOR OBERG 100% ON THIS.

YOU AND I HAVE TALKED.

I'VE TALKED TO THE ADMINISTRATORS WITHIN YOUR SUPERVISOR AND ADMINISTRATIVE GROUP.

YOU KNOW YOU ONLY IMPLEMENT THINGS ONCE YOU HAVE PROOF THAT IN FACT, THEY NEED TO BE IMPLEMENTED.

YOU HAVE NO STATISTICAL BACKGROUND AT ALL.

EVEN AFTER OUR DISCUSSIONS, I STILL HAVEN'T RECEIVED A SINGLE NUMBER AND A NUMBER IS NOT ALWAYS THE TYPE OF THING YOU HAVE TO HAVE.

BUT IN THIS CASE, YOU KNOW, YOU'RE SAYING WE'RE GOING TO IMPLEMENT THIS, BUT I GOT NO REASON WHY I'M DOING IT OTHER THAN IT FEELS GOOD.

AND, YOU KNOW, THAT'S A PROBLEM WITH THE LAST REPORT WAS A FEEL GOOD REPORT.

I MEAN, IT HAD NO INFORMATION IN IT.

I MEAN, REALLY I COULD SAY WE HAVE X NUMBER OF PROBATIONERS AND WE DID THIS WITH THAT X NUMBER.

THEREFORE THE SUCCESS RATE, YOU KNOW, ON AND ON, I COULD GO ON FOR, YOU KNOW, A CENTURY, WE TALKED ABOUT THIS MANY TIMES.

SO I'M NOT ACTUALLY READY FOR THIS MOVE FORWARD EITHER SO.

WELL I AGREE WITH THE CHAIR THAT I'D LIKE TO SEE THE DATA THAT'S DRIVING THIS SECOND ITERATION OF THE CONTRACT.

I'M NOT SAYING IT'S NOT NECESSARY.

BUT I LIKE TO HAVE A LOT MORE INFORMATION SO I CAN SEE WHAT WE'RE SPENDING THE MONEY ON AND WHAT WE'RE GOING TO GET FROM THAT.

SO AT THIS POINT, I CAN'T APPROVE THIS THIS AGENDA ITEM.

I THINK THAT'S THE IMPORTANT PART TO REALIZE IS THAT WITH THAT, WE'RE SAYING WE'RE GOING TO IMPLEMENT SOMETHING BEFORE WE KNOW WE NEED TO IMPLEMENT IT.

SURE. UNDERSTOOD.

HORSE BEFORE THE CART.

MARY, YOU HAD SOMETHING YOU WANT TO SAY? NO. I'M FINE. OKAY.

ARE WE THINKING ABOUT TABLING THIS? THEN MAYBE.

ARE WE MAYBE GIVE HIM AN OPPORTUNITY TO GET THE DATA THAT YOU WOULD LIKE TO SEE HOW THAT WOULD LOOK? YEAH, WELL, I MAKE A MOTION THAT WE DON'T APPROVE THIS AGENDA ITEM PENDING RECEIVING THE INFORMATION THAT WE REQUESTED TODAY.

SECOND. ALL IN FAVOR? AYE AYE AYE AYE.

THANK YOU.

[16. Community Health Services - Approve the following five (5) positions: Provider, Section Manager, Medical Services Manager, Medical Assistant II, and Clinical Services Clerk.]

ITEM NUMBER 16 COMMUNITY HEALTH SERVICES APPROVED FIVE POSITIONS.

PROVIDERS SECTION MANAGER AND MEDICAL SERVICES MANAGER.

MEDICAL ASSISTANT TO AND CLINICAL SERVICES CLERK.

GOOD MORNING, LESLIE HORTON, COMMUNITY HEALTH SERVICES DIRECTOR.

AND ALL I ASK IS THAT YOU DON'T MAKE ME CRY AGAIN.

SUPERVISOR OBERG, WHAT CAN I DO FOR YOU? GOOD MORNING.

YOU KNOW, I KNOW RIGHT NOW, I TALKED TO MANY PEOPLE IN MY DISTRICT, AND THEY SAY, YOU KNOW, GOVERNMENT'S TOO BIG.

WHY AREN'T YOU CUTTING GOVERNMENT? YOU KNOW, I FEEL I'M PAYING TOO MUCH TAXES, THAT TYPE OF THING.

AND NOW WE GOT AN AGENDA ITEM THAT WE'RE GOING TO APPROVE FIVE POSITIONS INTO YOUR ORGANIZATION.

SO I GUESS JUST FOR THE BENEFIT OF THE THE PUBLIC TO UNDERSTAND WHAT'S GOING ON AND WHY WE FEEL THAT WE HAVE TO APPROVE THESE FIVE POSITIONS, MAYBE YOU CAN KIND OF GIVE US AN EXPLANATION ON THAT.

ABSOLUTELY I'D BE HAPPY TO.

[01:05:02]

THESE FIVE POSITIONS AS YOU KNOW, THE BOARD AND THE MANAGERS HAVE TASKED ME ABOUT A YEAR AGO WITH ASSESSING THE NEEDS OF OUR COMMUNITY HEALTH CENTER OF YAVAPAI. THAT DEPARTMENT ALONE HAS ABOUT 100 EMPLOYEES.

AND WHEN, YOU KNOW, MYSELF AND OUR LEADERSHIP TEAM TOOK ON THE DEPARTMENT, WE HAD TO DO SOME QUICK WORK TO TRY TO ASSESS WHAT THE NEEDS ARE TRY TO FIGURE OUT HOW WE WERE GOING TO SAVE SOME MONEY.

MAKE SURE THAT WE COULD GET OUR BUDGET IN PLACE IN A IN A BETTER PLACE.

AS WELL AS TRY TO DRIVE PATIENT VOLUME UP AND REVENUES UP.

BUT ONE THING PEOPLE SHOULD KNOW IS THAT 97% OF THE INCOME IN OUR DEPARTMENTS, ALL OF THEM PUBLIC HEALTH, MEDICAL EXAMINERS AND COMMUNITY HEALTH CENTER COME FROM GRANTS OR REVENUES OUT OF FEES.

SO ONLY ABOUT 3% OF OUR DEPARTMENTS ARE PAID ACTUALLY BY COUNTY CONTRIBUTIONS.

WITH THESE POSITIONS THAT WE'RE ASKING FOR SOME COME FROM ABSOLUTE COMMUNITY NEED.

AND THE FACT THAT A PROVIDER HAS APPLIED WITH US THAT IS AN AMAZING HAS A WEALTH OF EXPERIENCE AND AN OBGYN.

AND WE LEARNED RECENTLY THAT THE COTTONWOOD VERDE VALLEY AREA IS AN OB DESERT.

THEY ONLY HAVE, FROM WHAT WE'VE HEARD, ONLY ONE OTHER OBGYN IN THE WHOLE AREA.

AND SO WE HAD SOMEONE APPLY WITH US THAT HAS GREAT EXPERIENCE AND WOULD LOVE TO COME WORKING FOR US.

HE'S WORKED FOR FQHCS BEFORE.

AND WE'VE DONE THE MATH AND WITH THESE POSITIONS, EVEN ALL FIVE OF THEM IT'S GOING TO COST US JUST OVER $600,000 TO ADD THESE POSITIONS OUT OF REVENUES BASED ON PATIENT FEES AND SOME OF THE 340B REVENUES THAT WE HAVE.

BUT WE'VE DONE THE MATH AND WITH THE CALCULATIONS THAT EACH OF OUR PROVIDERS, WHETHER THAT'S A NURSE PRACTITIONER, A PA OR A PHYSICIAN LIKE THIS, USUALLY OUR BASIS AND OUR MINIMUM ON THOSE, IF THEY HAVE A FULL SCHEDULE, IS ABOUT $600,000 IN REVENUE A YEAR.

WITH THAT, THAT SUPPORTS THE BRINGING ON OF AN ADDITIONAL CLERK, BECAUSE WE'RE GOING TO HAVE HIGHER CALL VOLUME AND WE'RE ALREADY UNDERSTAFFED WITHIN OUR CLERKS.

THAT PERSON NEEDS AN MA TO BE ABLE TO DO THEIR JOB BETTER SOMETIMES, TOO, BUT WE'RE ASKING FOR ONE.

AND MAKING SURE THAT THAT POSITION CAN BE SUPPORTED, BUT THAT ONE POSITION ALONE SHOULD BRING IN THE REVENUE TO PAY FOR ACTUALLY, ALL OF WHAT WE'RE ASKING HERE THAT WILL HAVE NO IMPACT ON ANY OTHER BUDGETS.

THE ONE POSITION THAT HAS A DIFFERENT IMPACT ON OUR BUDGETS IS OUR WE NEED TO HIRE THAT PHARMACY MANAGER AND THAT PERSON WE'D LIKE TO BRING ON NOW. WE ALSO HAVE A VACANCY IN A POSITION THAT MANAGED OUR 340B PROGRAM, WHICH IS A FEDERAL REVENUE PRODUCING PROGRAM THROUGH PRESCRIPTION DRUGS.

THAT PROGRAM ACTUALLY BRINGS IN QUITE A BIT OF MONEY, AND WE CURRENTLY HAVE A VACANCY IN THE POSITION THAT WAS MANAGING THAT.

WE'VE DECIDED THROUGH CAREFUL THOUGHT AND HOW IT WOULD WORK BEST WITHIN THE DEPARTMENT TO COMBINE THAT WITH OUR NEW PHARMACY MANAGER, SOMEONE WHO CAN HELP US WITH THAT BUSINESS PLAN AS WE ROLL OUT THE PHARMACY, AS WELL AS STAFFING IT UP AND MAKING SURE IT'S MANAGED ON A DAY TO DAY BASIS, BECAUSE THOSE POSITIONS KIND OF FALL HAND IN HAND.

AND SO WE'VE WE'VE BROUGHT UP A SECTION MANAGER POSITION TO TAKE OVER THAT AND WE'RE ASKING FOR THAT NOW.

BUT ACTUALLY THE 340B REVENUES PAY FOR THAT POSITION AS WELL.

SO TRULY THERE IS NOT A TAX PAYER IMPACT OTHER THAN IF OUR TAX PAYERS COME IN, MAKE AN APPOINTMENT WITH OUR PROVIDERS, AND WE COLLECT THOSE FEES OR REVENUES OR BILL INSURANCE AND OR PHARMACEUTICALS, AND WE WILL PAY FOR THOSE, THESE POSITIONS THAT WAY.

SO I, I THINK I UNDERSTAND IT'S EITHER GOING TO BE GRANTS OR FEES, THEY'RE GOING TO PAY FOR ALL FIVE OF THESE POSITIONS AND THEIR SALARIES.

THAT IS TRUE. OKAY.

AND I KNOW THAT WITH THE PREVIOUS LEADERSHIP OF THE COMMUNITY HEALTH A LOT OF TIMES THE THE CHANGES IN STAFFING WERE NOT RUN THROUGH THE COUNTY THROUGH OUR HR DEPARTMENT.

AND, YOU KNOW, PEOPLE WERE REASSIGNED, GIVEN THE DIFFERENT DUTIES, THINGS OF THAT NATURE.

AND SO I JUST WANTED TO BE ASSURED THAT THESE POSITIONS NOW ARE BEING FULLY VETTED BY OUR HR DEPARTMENT.

ABSOLUTELY. WE ALWAYS LET WENDY ROSS WALK US THROUGH THESE NEW POSITIONS, ESPECIALLY LIKE IN THIS SECTION MANAGER ONE, WE'RE USING A POSITION WE GENERALLY USED IN PUBLIC HEALTH OVER IN THE CLINIC, BECAUSE IT'S A MANAGER POSITION THAT FITS BETTER FOR WHAT WE'RE LOOKING FOR IN THE PHARMACY.

SO WENDY DOES AN ASSESSMENT OF THOSE POSITIONS TO LOOK AT WHAT WE'RE ASKING FOR, WHAT THE PAY SHOULD BE, WHAT THE LEVEL OF AUTHORITY NEEDS TO BE, AND OUR RESPONSIBILITY AND HELPS US TO ADDRESS WHAT POSITIONS WE'RE ASKING FOR HERE.

AND SO SHE HAS REVIEWED ALL OF THESE AS AN AGREEMENT WITH THEM.

AND AND YES, WE DEFINITELY MAKE SURE THAT THERE IS A WEALTH OF PEOPLE INVOLVED IN THE PROCESS, EVEN IT LOOKING AT WHAT WE NEED FOR COMPUTERS AND OTHER THINGS WITH THESE NEW

[01:10:02]

POSITIONS. RIGHT? WELL, I APPRECIATE YOU HAVING ONE OF THE VEHICLES OUTSIDE THAT WE PAID CLOSE TO HALF A MILLION FOR TWO OF THOSE.

AND I'M HOPING WITH THESE FOLKS AND WITH THAT VEHICLE, WE CAN START LOOKING AT TRYING TO GET MORE SUPPORT OUT INTO THE RURAL AREAS, AS THAT'S GOING TO BE PART OF YOUR PLAN.

THAT IS EXACTLY OUR PLAN.

AND WE ARE LOOKING FOR EVENTS AND THINGS COMING UP THAT YOU CAN INCORPORATE US INTO, SO WE CAN DRAW SOME ATTENTION TOWARDS THAT AS WE'RE BUILDING A SCHEDULE OF ROTATIONAL PLACES IN THE VERDE AND THE QUAD CITY RURAL AREAS OUTSIDE OF THE QUAD CITY, I SHOULD SAY EASTERN AND WESTERN SIDES OF THE COUNTY, WE'RE GOING TO TRY TO REACH OUR MOST RURAL AREAS WHERE ACCESS TO HEALTH CARE IS VERY LIMITED.

OKAY. THANK YOU.

MR. CHAIRMAN, I'LL GO AHEAD AND MAKE A MOTION TO APPROVE AGENDA ITEM NUMBER 16.

IS THERE A SECOND? I'LL SECOND.

SECOND BY MR. GREGORY, A LITTLE BIT MORE DISCUSSION, THOUGH.

I JUST WANT TO QUESTION NOW, ALL FIVE OF THESE FOR CLARITY ARE GOING TO BE BASICALLY PAID FOR WITH FEDERAL FUNDS OF ONE TYPE OR ANOTHER? SOME OF THEM, THE 340B PROGRAM IS A FEDERAL PROGRAM.

OUR HRSA GRANTS THAT PAY FOR A LARGE PART OF OUR DEPARTMENT OPERATIONS.

WHICH ONES AREN'T GOING TO BE PAID? THESE ACTUALLY ARE GOING TO BE PAID FOR THROUGH PATIENT REVENUES AND FEES COMING IN THROUGH WHAT WE BILL FOR VISITS, AS WELL AS WHAT WE BILL INSURANCE FOR THOSE VISITS.

SO IT'LL BE REVENUE GENERATED, EMPLOYMENT POSITIONS.

CORRECT. SO IF WE DON'T HAVE ANYBODY COMING INTO THE CLINICS, WE DON'T NEED THESE PEOPLE ANYMORE.

CORRECT. GOD FORBID THAT HAPPEN.

SO YOU WOULD BE IN FRONT OF US TO ALLEVIATE THAT PERSON, CORRECT? WELL, THEY'RE ON CONTRACT, AND SO WE WOULD WORK WITH THEM THAT WAY.

BUT SOME OF THOSE EMPLOYEES.

YES. AND ACTUALLY, YOU KNOW-- THESE ALL CONTRACT EMPLOYEES? NO, JUST THE PHYSICIANS.

BUT ALSO WE HAVE HELD A BUNCH OF PHYSICIAN POSITIONS VACANT SINCE WE TOOK THIS ON.

AS WE'VE HAD ATTRITION, WE'VE HELD POSITIONS VACANT, VACANT THINGS LIKE CLERKS MAS AND OTHER ONES THAT WE OTHERWISE HAD ON THE BUDGET BEFORE.

WE'VE HELD VACANT UNTIL THEY WERE NEEDED AGAIN, WHICH IS NOW.

AND WHICH ONE HAS ANYTHING TO DO WITH THE PHARMACY? THAT IS THE SECTION MANAGER OVER 340B AND PHARMACY.

AND IS THAT TAKEN CARE OF BY THE GRANT ESTABLISHED THE PHARMACY? THE GRANT IS MOSTLY PAYING FOR THE ESTABLISHMENT OF THE DESIGN AND BUILD OF THE PHARMACY, BUT THAT 340B PROGRAM THROUGH THE FEDERAL GOVERNMENT WITH OUR PRESCRIPTIONS AND THAT WILL GROW WITH THE PHARMACY.

BUT RIGHT NOW WE MAKE THE REVENUE THAT ACTUALLY PAYS FOR THIS POSITION.

OKAY. ANY OTHER QUESTIONS? YES I DO.

I HAVE A QUESTION, ACTUALLY I HAVE A COMMENT.

SO I SIT ON THE BOARDS FOR THE HEALTH DEPARTMENT, AND THEY HAVE BEEN WORKING VERY TIRELESSLY TO GET A LOT OF THINGS DONE.

AND THE OTHER PART IS, IS THAT PART OF OUR JOB AS A SUPERVISOR IS TO PROVIDE HEALTH AND SAFETY IN THE COUNTIES WE LIVE IN.

AND SO THIS IS ALL PART OF WHAT WE DO.

AND YOU'RE VERY GOOD WITH MAKING SURE THESE GRANTS ARE DILIGENTLY DONE AND YOU'RE VERY THOROUGH.

SO I APPRECIATE YOUR HARD WORK, AND I KNOW THAT THE COMMUNITY OUT THERE APPRECIATES WHAT YOU'RE DOING TO BRING THE HEALTH AND SAFETY TO THEM WITH THOSE MOBILE UNITS THAT YOU WERE ABLE TO GET WITH, IF I UNDERSTAND.

RIGHT. ARPA FUNDS, GRANTS.

ARPA FUNDS. YES, YES.

ALL RIGHT. WELL, THANK YOU VERY MUCH, LESLIE.

YEAH. THANK YOU FOR YOUR SUPPORT.

OKAY. WE HAVE A MOTION AND A SECOND.

ALL IN FAVOR? AYE AYE AYE.

UNANIMOUS. THANK YOU VERY MUCH.

ALL RIGHT. MOVING ON TO ACTION ITEMS.

[1. Development Services - Approve and authorize the Development Services Department to proceed with weed and trash abatement for the property located at 20756 East Stagecoach Trail, Mayer, Arizona, pursuant to Yavapai County Ordinance 1997-2.]

APPROVE THE AUTHORIZE THE DEVELOPMENT SERVICES DEPARTMENT TO PROCEED WITH WEED AND TRASH ABATEMENT FOR THE PROPERTY LOCATED AT 20756 EAST STAGECOACH TRAIL IN MAYER, ARIZONA, PURSUANT TO COUNTY ORDINANCE 1997-2.

MR. GREGORY THIS IS IN YOUR DISTRICT.

GOOD MORNING, MR. CHAIRMAN AND BOARD MEMBERS, AS YOU MENTIONED, THIS IS A PROPERTY THAT'S LOCATED IN THE CORTEZ LAKES AREA.

IT'S IT'S A SITE OF EXTREME ACCUMULATION OF TRASH AND DEBRIS.

IT'S THE SUBJECT OF EXTREME NEGLECT OVER THE LAST FEW YEARS OVER THE LAST AT LEAST FIVE YEARS DEVELOPMENT SERVICES HAS TAKEN THIS PROPERTY THROUGH THE ENTIRE HEARING ABATEMENT PROCESS, AND IT WAS FOUND TO BE IN NONCOMPLIANCE IN JUNE OF 2020.

SUBSEQUENTLY, THE THE OWNER WAS IS NOW DECEASED.

SO THERE IS NO ONE TO FOR US TO GO BACK TO HOLD ACCOUNTABLE FOR ABATEMENT OF THIS.

SO WE ARE REQUESTING APPROVAL FROM THE BOARD TO MOVE THROUGH OUR ABATEMENT PROCESS, OUR, OUR COUNTY ORDINANCE, 1997-2, OUR WEED AND TRASH ORDINANCE AND TO CONTRACT WITH AN OUTSIDE COMPANY, AN OUTSIDE CLEANUP COMPANY FOR

[01:15:06]

THE THE CLEANUP OF THIS PROPERTY.

WE'VE RECEIVED SOME BIDS BACK.

WE'RE ANTICIPATING THE COST OF THE CLEANUP OF THIS PROPERTY TO BE ABOUT $40,000.

THIS IS BUDGETED FOR IN OUR DEVELOPMENT SERVICES CURRENT BUDGET.

WITH THAT THAT IS IN MY DISTRICT, AND WE'VE BEEN HAVING A SIGNIFICANT PROBLEM WITH WHEN WE HAVE A DEATH OF OF A RESIDENT AND WE THERE'S NO FOLLOW UP THAT CAN BE DONE.

WE HAVE A NUMBER OF THESE PLACES THROUGHOUT THE COUNTY THAT WE NEED TO ADDRESS.

AND THESE POOR NEIGHBORS, THEY'RE NOT GETTING RESOLUTION AND THEY'RE DEALING WITH THIS.

AND THIS IS JUST ONE WAY WE NEED TO START ADDRESSING THESE ISSUES WITH THAT, I'D LIKE TO MAKE A MOTION TO APPROVE.

I'LL SECOND IT. MOTION AND SECOND, A LITTLE MORE DISCUSSION.

WE HAVE THESE ISSUES ALL OVER THE COUNTY AND ALL THE DISTRICTS.

THE PROBLEM WITH THEM IS, AND THIS ONE I WENT IN AND ANALYZED A LITTLE BIT DEEPER THAN MOST.

BUT THIS COMES RIGHT DOWN TO THE FACT WE HAVEN'T GOT A CLUE WHO OWNS THAT PROPERTY, BECAUSE THE PERSON WHO'S ON THE DEED IS NO LONGER AVAILABLE FOR WHATEVER REASON.

AND SO WE DON'T KNOW WHO WE CAN BILL.

AND IF WE BASICALLY MOVE THIS $40,000 AND PUT IT IN AS A TAX LIEN, THEN THE LIEN HOLDER, WHICH IS ALREADY EXISTS, WHO IS SOMEBODY ELSE, THEN HAS TO PAY OFF THAT $40,000 AS WELL AS THE LIEN AMOUNTS THAT HE HAS FOR NOT, YOU KNOW, THAT HE HAD TO PAY OUT IN TAXES. SO IT'S KIND OF A CATCH 22 SITUATION.

WE NEED TO DO MORE.

AND IT SHOULDN'T TAKE THIS LONG, BUT IT DOES, BECAUSE THE FACT MANY OF THESE PIECES OF PROPERTY ARE OWNED BY PEOPLE WE CAN'T LOCATE.

SO ANYWAY.

YEAH. ANYTHING YOU WANT TO ADD.

YEAH. CHAIRMAN BROWN THAT'S THAT'S ABSOLUTELY CORRECT.

THERE ARE A NUMBER OF THESE PROPERTIES THAT WE'RE DEALING WITH THAT ARE THAT HAVE DECEASED OWNERS OR WE CAN'T, WE CAN'T LOCATE THE OWNERS OF THE PROPERTY.

AND IN THIS CASE THE, THE OWNER OF THE PROPERTY AT SOME POINT ALONG THE WAY PASSED AWAY AND WE DON'T HAVE ANYONE TO TO FALL BACK ON FOR THE FOR THIS.

UNFORTUNATELY, THIS, THIS PROPERTY, LIKE SEVERAL OTHERS, THIS KIND OF THE WORST OF THE WORST IN THE COUNTY, TOO.

AND SO THAT'S WHY IT'S BECOME YOU KNOW, IT'S BECOME AN ATTRACTIVE NUISANCE.

IT'S ATTRACTING THE WRONG KINDS OF PEOPLE, LOITERING AND TRESPASSING ON THE PROPERTY AND THINGS LIKE THAT AS WELL.

SO CLEANING UP THIS PROPERTY WILL HELP THE HEALTH AND SAFETY OF THAT COMMUNITY.

NO AND THE OTHER ISSUE IS THAT WE WILL PROBABLY NOT RECOVER THE MONEY THAT IT COSTS TO TAKE CARE OF GETTING THE PROPERTY TO A STANDARD, AND THAT HAS A MAJOR IMPACT ON THE TAXPAYERS.

AND IF WE COULD, THERE WOULD BE AN EASIER PROCESS.

BUT THERE ISN'T, AND THERE'S NOT ONE SINGLE DISTRICT IN THE COUNTY THAT DOESN'T HAVE THIS PROBLEM.

SO THAT'S CORRECT, SIR.

WELL, I'VE GOT ONE QUESTION, CHAIRMAN.

ARE THERE ANY DERELICT VEHICLES OR ANY VEHICLES ON THIS PROPERTY THAT HAVE TO BE REMOVED? NO VEHICLES ON THIS PROPERTY.

SUPERVISOR OBERG, THERE IS A THERE IS A DILAPIDATED MANUFACTURED HOME ON THE PROPERTY THAT'S ALSO GOING TO HAVE TO BE REMOVED, BUT NO VEHICLES. OKAY.

AND I WANT TO BRING UP THE VEHICLE SITUATION BECAUSE I KNOW IN THE PAST WE'VE HAD NOT BEEN ABLE TO DO ANYTHING WITH THE VEHICLES UNLESS THEY WERE INCLUDED IN THE COURT ORDER FOR REMOVAL, AND SOMETIMES WE HAD TO REMOVE THEM JUST TO CLEAN UP THE PROPERTY AND THEN PUT THE VEHICLES BACK ON THERE, WHICH THEY WERE STILL AN ATTRACTIVE NUISANCE AND, YOU KNOW, GATHERING RODENTS AND EVERYTHING ELSE.

SO I WAS JUST WANTING TO MAKE SURE THAT IF WE DID HAVE A VEHICLE ISSUE WITH THIS PROPERTY THAT WE GOT HAD THE PERMISSION OF THE COURT TO REMOVE AND DISPOSE OF THE THE VEHICLES.

THANK YOU FOR THAT, SUPERVISOR OBERG AND AND YOU'RE ABSOLUTELY CORRECT, OUR ORDINANCE, WHICH IS WHICH FOLLOWS ARS 11268, AS WE UNDERSTAND, THAT STATUTE DOES NOT ALLOW US TO MOVE VEHICLES OFF THE PROPERTY BECAUSE THOSE FALL UNDER A DIFFERENT STATUTE.

SO SO IN THE CASE OF OUR WEED AND TRASH ABATEMENT SUCH AS THIS, IF THERE WERE VEHICLES ON THE PROPERTY, WE WOULD NOT BE ALLOWED TO MOVE THOSE OFF.

OKAY. UNLESS YOU GOT A COURT ORDER.

YES. THAT'S CORRECT. OKAY.

ALL RIGHT. THAT'S ALL I HAVE, CHAIRMAN.

GREAT. ALL IN FAVOR? AYE AYE AYE.

UNANIMOUS. THANK YOU.

ONE MORE THING, JEREMY JUST TO.

WE STILL CAN PUT A LIEN ON THE PROPERTY.

AND IF THEY DO END UP, IT GOES THROUGH SALES.

WE'RE GOING TO GET OUR MONEY BACK.

THAT'S PART OF THE PROCESS.

YES, SIR. OKAY.

ALL RIGHT. THANK YOU. OKAY, MOVE ON TO THE COUNTY MANAGER'S REPORT.

[ COUNTY MANAGER'S REPORT Pursuant to A.R.S. §38-431.02(K), the County Manager may present brief summaries of current events but no discussion may occur, and no action may be taken regarding anything that is presented.]

COUNTY MANAGER MAY PRESENT BRIEF SUMMARIES FOR CURRENT EVENTS, BUT NO DISCUSSION MAY OCCUR AND NO ACTION MAY BE TAKEN REGARDING ANYTHING THAT IS PRESENTED.

[01:20:05]

JOINT LEGISLATIVE BUDGET.

GOOD MORNING. CHAIRMAN.

MEMBERS OF THE BOARD MAURY THOMPSON, COUNTY MANAGER.

YES. JUST A FEW ITEMS TO REPORT THIS MORNING.

I'LL START WITH AN UPDATE FROM THE JOINT LEGISLATIVE BUDGET COMMITTEE AND A LITTLE CONTINUING GOOD NEWS REGARDING THE STATE BUDGET.

SO THE TOTAL LEVEL OF FISCAL YEAR 2024 GENERAL FUND COLLECTIONS WAS $15.8 BILLION.

AFTER ACCOUNTING FOR THE JUNE GAINS, THE TOTAL 24 YEAR END REVENUE RESULTS ARE $563 MILLION ABOVE THE BASELINE FORECAST.

SO AGAIN, SOME GOOD NEWS.

THE ENACTED BUDGET FOR 24 REVENUES WOULD HAVE BEEN $151 MILLION ABOVE THE ESTIMATE.

SO THAT MEANS BASED ON THE PRELIMINARY DATA AND AGAIN THESE ARE PRELIMINARY NUMBERS.