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MINUTES - 05022006 - D.4
TO: BOARD OF SUPERVISORS Contra FROM: JOHN CULLEN, Costa COUNTY ADMINISTRAT ° . � 'IiO=" =='�A DATE: May 2, 2006 S'A �oUK•t'` County SUBJECT: ADOPTION OF FY 2006-07 COUNTY RECOMMENDED AND COUNTY SPECIAL DISTRICT BUDGETS SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATION(S): 1. ADOPT the FY 2006-07 Recommended Budget as modified by Attachment A; 2. ADOPT Resolution 2006/233 appearing as Attachment B, authorizing the deletion and addition of positions in affected County departments; 3. REFER to the Family and Human Services Committee for its review the maximization of mental health revenue including Early and Periodic Screening, Diagnosis and Treatment revenue; 4. REFER to the Transportation, Water and Infrastructure Committee a review of possible funding sources for Route 200; 5. REFER to Family and Human Services Committee a review of State funding possibilities for the Healthy Families Program; 6. REFER to the Internal Operations Committee a review of the issue of the use of contract and temporary staff; 7. ADOPT the County Special District and County Service Area Budgets as modified by Attachment A (Stormwater Utility A-17); 8. ACKNOWLEDGE that pending action by the State regarding its FY 2006-07 budget may require subsequent adjustments to this Recommended Budget; 9. AUTHORIZE and REQUEST the Auditor-Controller to adjust FY 2005-06 appropriations and revenues by reallocating and balancing budgeted and actual expenditures and revenues as needed for various budget units and special districts, subject to Board approval in September; and 10. AUTHORIZE the Auditor-Controller to make technical adjustments to the FY 2006- 07 County and Special District Budgets when actual amounts are known. CONTINUED ON ATTACHMENT: _X—YES SIGNATURE: ------------------------------------------------------------------------------------------------------------------------------------------------ _RECOMMENDATION OF COUNTY ADMINISTRATOR _RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIGNATURE(S): ---------------------------------- --------------- ------------- ----------------------------------------------------------------- --------------------------------------- ACTION OF BOARD ON 0k APPROVE AS RECOMMENDED OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE AArr AND CORRECT COPY OF AN ACTION TAKEN UNANIMOUS(ABSENT IW AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE AYES: NOES: SHOWN. ABSENT: ABSTAIN: /7k1 �n ATTESTED O 1� CONTACT: JOHN CUN,CLERK OF THE BOARD OF SUPERVIS! RS AND COUNTY ADMINISTRATOR CC: County Administrator Auditor-Controller All County Departments / BY O //��EPUTY Page 2 May 2, 2006 BACKGROUND/REASON(S) FOR RECOMMENDATION(S): The Board conducted a public hearing on the Recommended Budget on April 25, 2006. Taking into consideration the testimony it had received from staff and the public, the Board deliberated regarding the Recommended Budget. At the conclusion of the deliberations, the Board engaged in a discussion of specific program priorities, which culminated in the following list of issues to be addressed: 1. Outpatient Pharmacy Transition Plan Board members requested additional information regarding closing our outpatient pharmacies. The Board requested information regarding how the new system would work; and that a letter be distributed at the three outpatient pharmacies at the Pittsburg, Martinez, and Richmond clinics describing the transition from in-house outpatient pharmacies to outside local pharmacies. Currently, the County provides prescription medications to only some of our patients through the three outpatient pharmacies at Pittsburg, Martinez, and Richmond. Many of our patients have had the option to get their medications at other local pharmacies. The only patients who had to go to the County pharmacies are those who did not have insurance that would pay for their mediations at the other pharmacies. They were prevented from using other pharmacies that might have been more convenient (our pharmacies are only open during limited hours). The new plan is to allow every patient seen at our clinics (including those in a pending category, e.g. Medi-Cal, Basic Health Care, etc.) to have their pharmacy needs met at an outside pharmacy—and the County, or the patient's insurance, will pay for it. As a back-up to ensure that no patients 'fall through the cracks', the plan is to continue to have starter packets available in our clinics and emergency room to provide immediate access to those drugs that have to be started immediately. Additionally, the Health Department will ensure that its computer system interfaces with the Pharmacy Network System in order to be able to quickly resolve difficulties. Concern was also expressed regarding the availability of interpreters at retail pharmacies. State law requires that interpreter services be available at every pharmacy. Dr. Walker will take this item to the Hospital Joint Conference Committee for follow-up and report back to the full Board 90 days post implementation. 2. Committee Referrals a. Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Board members expressed concern regarding the impact of cuts on children's mental health services. Refer to Family and Human Services Committee the development of a plan with Health Services Department in regard to maximization of all mental health revenue including aggressive use of EPSDT dollars. b. Transportation – Route 200 The Board raised concerns regarding the impact to residents of East County of elimination of funding to the Route 200 bus line, which connects the Antioch Health Clinic to the Contra Costa Regional Medical Center. This item will be referred to the Transportation, Water and Infrastructure Committee (TWIC) for a review of possible funding sources (including grants) and possible partnership with Contra Costa Transportation Authority. Page 3 May 2, 2006 c. Healthy Families Funding Sustainability Several Board members raised concerns regarding the reduction of outreach for the Healthy Families Program. Dr. Walker indicated that the Governor's proposed budget includes additional funding for these services. This item will be referred to Family and Human Services Committee for tracking and possible restoration should funding become available. d. Temporary Employees/Permanent Staff Labor raised the issue of permanent staff being replaced by temporaries. It is suggested that this issue be referred to the Internal Operations Committee for review. In the past year the County has closely monitored and reduced temporary contracts and contract employees in an effort to ensure that on-going services are performed by permanent staff. 3. Public Safety Officers (PSO) Coverage at Hospital Clinics Although the Board reluctantly supported the elimination of PSOs in the clinics, they suggested that Health Services work with local law enforcement in an attempt to educate them regarding safety issues surrounding the clinics in an effort to reduce response times. Perhaps the issue can be raised at the next Police Chief's Association meeting. Cities would benefit as it would better enable staff to safely place individuals into an environment where they can be better served and also protect the community. It was also suggested that management again review clinic hours and the physical safety of the facilities and grounds (lighting, etc.). 4. Seamless Transition of the Summit Center The Board requested clarification regarding the transition of the remaining boys in the Summit Center and asked that all children be allowed to complete the school year. Youth at the Summit Center do not attend a standard school year with a specific annual graduation date or summer break. Instead youth attend a year- round study program earning credits towards eventual high school graduation through the Court and Community School System. Seven of the eleven youth will graduate from the Summit Program. These youth will return to their home school districts and all credits earned at Summit will be transferred to their new schools. Four youth will transition to other placements. Their placements will provide year- round school programs; therefore, the minors' education will not be interrupted during transition from Summit Center to another placement program. The minors will be transferred either directly to a youth home or temporarily to Juvenile Hall pending new placement orders from the Juvenile Court Bench Officers (as of the printing of this report placements have been found for all four of the remaining youth). The Juvenile Hall uses the County Office of Education staff as do the Summit Center. All credits earned at Summit and Juvenile Hall will be transferred to their new schools upon their placement. Part of the normal transition process involves a 'transition' meeting that includes plans for the youth's continuing education. Health Services will continue to work with Probation and the Juvenile Court Bench Officers to transition all youth in the least disruptive manner possible. 5. Refer items # 63 and #64 to County Administrator for Resolution The County Administrator requested that items #63 and #64 be referred to his office for resolution. Item #63 is a $103,000 reduction to a STAND! contract for shelter beds and the domestic violence crisis line. Item #64 is a $49,000 reduction to a Community Violence Solutions contract for services to sexual assault victims. The County Administrator is recommending an appropriation in the amount of $152,000 Page 4 May 2, 2006 as a place-holder for these contracts. The County Administrator will work with the Health Services Department to transition these programs to the Zero Tolerance for Domestic Violence unit. Today's action is required to incorporate the agreed upon restoration of appropriations into the Recommended Budget and appropriate necessary funding. Attachment A shows line-item changes which align the agreed upon Recommended Budget with the `placeholder' Proposed Budget adopted on April 11, 2006 (at the time of the Proposed Budget adoption the Recommended Budget had not yet been finalized). Position Resolution Attachment B is a Resolution with attachments required to effectuate the position eliminations and additions identified in the Recommended Budget. During the budget hearing, the Board concurrently conducted a Beilenson hearing. Per Board direction, Attachment C is a summary of the position eliminations contained in Attachment B. The information is summarized by department, by number of positions filled versus vacant, and by classification (represented/non-represented). Attachments: A — Line-Item Appropriation Adjustments B — Resolution Canceling Positions/Reducing Hours C — Summary of Position Eliminations ADDENDUM to DA May 2, 2006 On this day the Board adopted the 2006/2007 County and Special District Budgets. County Administrator John Cullen presented the recommended budget for 2006-2007, taking into consideration the testimony received from staff and the public at the Tuesday, April 25 Budget Hearings, and as a follow up to the Board's requests of specific program priorities he identified the following actions taken: • Pharmacies: Dr. Walker will take this item to the Hospital Joint Conference Committee for follow-up and report to the full Board 90 days post implementation; • Early and Periodic Screening Diagnosis and Treatment (EPSDT): Referred to Family and Human Services Committee the development of a plan with Health Services Department in regard to maximization of all mental health revenue including aggressive use of EPSDT dollars; • Transportation: (Transit Route 200) Mr. Cullen suggested this item be referred to the Transportation, Water and Infrastructure Committee (TWIC) for a review of possible funding sources, including grants, and possible partnership with Contra Costa Transportation Authority; • Healthy Families Funding Sustainability: Referred to Family and Human Services Committee for tracking and possible restoration should funding become available; • Temporary Employees/Permanent Staff: Referred to the Internal Operations Committee; • Public Safety Officers (PSO) Coverage at Hospital Clinics: The Board suggested bringing this up at the next Police Chief s Association meeting, and suggested management review clinic hours and the physical safety of the facilities and grounds (lighting, etc.); • Seamless Transition of the Summit Center: Health Services will continue to work with Probation and the Juvenile Court Bench Officers to transition all youth in the least disruptive manner possible; • Item #63 Detention Services to reduce STAND contract by 56%, and Item#64 Detention Services to reduce Community Violence contract by 56%. Mr. Cullen said that he is recommending an appropriation in the amount of$152,000 as a . placeholder for these contracts, and will work with the Health Services 1 Department to transition these programs to the Zero Tolerance for Domestic Violence unit. The Chair asked for public speakers and the following people spoke: The following people spoke in opposition to budget cuts in Mental Health Services: Dr. Michael Cornwall, resident of Benicia, spoke and submitted material; Bobbie J. Arnold, Mental Health Commission; Mariana Moore, Contractors Alliance of Contra Costa; Cynthia Miller, resident of Martinez; Sheila Myers, Martinez Outpatient Pharmacy, spoke and submitted material; Charles Smith; Daniel Ruxin, Mental Health Commission; Kathi McLaughlin, Mental Health Commission, spoke and submitted material; Teresa Pasquini, Mental Health Commission; Ralph Hoffmann; resident of Danville; Charles D. resident of Pittsburg, spoke and submitted material. The following person spoke in opposition to cuts in the Pharmacies: Raphael Peck, Outpatient Pharmacy. The following people spoke in opposition to budget cuts for 2006/2007: Roland Katz, Public Employees Union, Local 1; Arhin Erdman, Public Employees Union, Local 1. The following people submitted material for the Board's consideration: Jody Adelberg, Public Health Nurse; Members of Retail Clerks Union; E-Mail received from Drs. Bliss, Carmichael, Farnitano, Harvey and Jones; Ut Nguyen; Concerned Citizen; Stephanie Coate; Judy Chun; County Employees' and residents of Contra Costa County. Gaylene Cooper, resident of Concord. Supervisor DeSaulnier requested Mr. Cullen continue working with Labor to develop a better understanding of the issue of the layoff recommendations. He suggested pursuing the examination of the proportionality management positions to that of represented employees.. On the issue of New Connections he suggested referring this to Family and Human Services and try to identify replacement funding and said there could be an 2 opportunity to change the contract. Supervisor DeSaulnier referred the issue of Mental Health Services to Family and Human Services and try to develop a policy for sustainability. He voiced his concern in trying to reduce these cuts in terms of the impact on children. Supervisor Glover expressed his concern on Budget line item No. 111 —Public Health to eliminate 0.8 Full Time Employee Public Health Nurses and requested the County Administrator find partners within the communities in Contra Costa County to sustain this program. Chair Gioia said this is the first year the Board adopted a budget without having to rely on reserves. He asked the County Administrator to summarize issues indicating cuts on management just for the record. Chair Gioia accepted the motion referring to Family and Human Services Committee the New Connections contract and exploring and understanding that the recommendation in the budget is to cut this program; referring to Family and Human Services the issue of Children's Mental Health Services; referring to Family and Human Services the HIV Aids Therapist issue and directing the County Administrator to work with labor on the layoff issue with the budget as proposed and return to the Board with recommendations for policy in terms of proportionality. Mr. Cullen said he is working with the labor organizations on identifying represented employees versus unrepresented, and said he would work with the Board to set up a guideline for proportionality. By a unanimous vote with all Board members present the following action was taken: ADOPTED recommendations 1-10 on Board Order; REFERRED to Family and Human Services New Connections contract to identify new source of funding; REFERRED to Family and Human Services the issues of Mental Health Services; REFERRED to Family and Human Services regarding line item No. 111 to find other partners within communities to seek other opportunities; DIRCTED the County Administrator to work with labor on lay offs and ADOPT a policy on making proportionate cuts. 3 ATTACHMENT A 2006 - 2007 GENERAL FUND LINE ITEM CHANGES APPROPRIATIONS / REVENUES Budget Unit Name & Number: General Fund Departments (Fund 100300) Proposed Final Org Object/ Budget Budget No. Account Description Amount Change Amount Notes 1000 1011 Permanent Salaries 318,806 54,634 373,440 1200 1011 Permanent Salaries 1,610,733 233,000 1,843,733 1600 1011 Permanent Salaries 8,282,755 -539,724 7,743,031 1700 1011 Permanent Salaries 3,861,097 75,018 3,936,115 2505 1011 Permanent Salaries 10,656,465 3,105,294 13,761,759 3060 1011 Permanent Salaries 1,900,341 1,016,153 2,916,494 3062 1011 Permanent Salaries 217,744 500,000 717,744 3063 1011 Permanent Salaries 620,121 -165,840 454,281 3070 1011 Permanent Salaries 2,753,159 -119,975 2,633,184 3075 1011 Permanent Salaries 1,340,392 -119,975 1,220,417 3140 1011 Permanent Salaries 285,517 285,517 3185 1011 Permanent Salaries 145,000 200,268 345,268 3340 1011 Permanent Salaries 3,741,384 -75,000 3,666,384 3345 1011 Permanent Salaries 104,816 75,000 179,816 3620 1011 Permanent Salaries 2,546,399 -324,000 2,222,399 5700 1011 Permanent Salaries 4,642,921 116,876 4,759,797 3060 1013 Temporary Salaries 1,177 6,000 7,177 3120 1013 Temporary Salaries 419,366 280,304 699,670 3185 1013 Temporary Salaries 27,885 27,885 3060 1014 Permanent Overtime 45,228 -40,647 4,581 3120 1014 Permanent Overtime 535,924 -175,266 360,658 3185 1014 Permanent Overtime 6,971 6,971 3060 1015 Deferred Comp Cty Contributior 1,342 1,778 3,120 3185 1015 Deferred Comp Cty Contribution 600 600 2505 1019 Comp & SDI Recoveries -500,000 -25,000 -525,000 3063 1042 FICA/Medicare 12,286 -3,976 8,310 3140 1042 FICA/Medicare 4,158 4,158 3185 1042 FICA/Medicare 3,982 3,982 3060 1044 Retirement Expense 1,771,400 -60,000 1,711,400 3062 1044 Retirement Expense 172,356 237,250 409,606 3063 1044 Retirement Expense 373,475 -65,207 308,268 Proposed Final Org Object/ Budget Budget No. Account Description Amount Change Amount Notes 3070 1044 Retirement Expense 1,627,324 -59,987 1,567,337 3075 1044 Retirement Expense 789,913 -59,987 729,926 3140 1044 Retirement Expense 167,896 167,896 3185 1044 Retirement Expense 203,112 203,112 3063 1060 Employee Group Insurance 102,728 -19,477 83,251 3140 1060 Employee Group Insurance 23,737 23,737 3185 1060 Employee Group Insurance 68,704 68,704 3063 1063 Unemployment Insurance 1,237 -300 937 3140 1063 Unemployment Insurance 577 577 3185 1063 Unemployment Insurance 696 696 3063 1070 Workers Compensation Insuran 30,036 -5,200 24,836 3140 1070 Workers Compensation Insurance 12,816 12,816 3185 1070 Workers Compensation Insurance 15,492 15,492 2505 1081 Labor Received/Provided -280,360 140,180 -140,180 2536 1081 Labor Received/Provided -517,670 94,424 -423,246 5700 1081 Labor Received/Provided 116,876 -116,876 0 1700 2100 Office Expense 39,737 -13,018 26,719 3060 2100 Office Expense 11,300 5,000 16,300 3185 2100 Office Expense 1,600 1,600 3330 2100 Office Expense 82,000 -50,000 32,000 3335 2100 Office Expense 50,000 50,000 3185 2103 Postage 700 700 3330 2103 Postage 40,000 -40,000 0 3335 2103 Postage 40,000 40,000 0451 2110 Communications 3,234 -161 3,073 3185 2110 Communications 197 197 5233 2110 Communications 25,854 0 25,854 5731 2110 Communications 13,856 3,224 17,080 5870 2110 Communications 118,408 -107,153 11,255 5890 2110 Communications 1,901 1,471 3,372 5901 2110 Communications 58,159 22,968 81,127 0451 2111 Telephone Exchange Service 5,292 294 5,586 3140 2111 Telephone Exchange Service 588 588 3185 2111 Telephone Exchange Service 1,176 1,176 5731 2111 Telephone Exchange Service 12,642 294 12,936 5870 2111 Telephone Exchange Service 21,337 5,711 27,048 5901 2111 Telephone Exchange Service 162,177 -22,968 139,209 3185 2130 Small Tools and Instruments 600 600 2578 2131 Minor Furniture/Equipment 61,062 -25,000 36,062 3185 2131 Minor Furniture/Equipment 400 400 1700 2132 Minor Computer Equipment 38,090 -20,000 18,090 3340 2140 Medical & Lab Supplies 85,000 -85,000 0 Proposed Final Org Object/ Budget Budget No. Account Description Amount Change Amount Notes 3345 2140 Medical & Lab Supplies 85,000 85,000 2578 2150 Food 1,100,400 -200,000 900,400 3140 2150 Food 98,725 98,725 2578 2160 Clothing & Personal Supplies 332,000 -14,126 317,874 2580 2160 Clothing & Personal Supplies 200,500 -14,126 186,374 3185 2160 Clothing & Personal Supplies 500 500 3330 2160 Clothing & Personal Supplies 40,365 -25,000 15,365 3345 2160 Clothing & Personal Supplies 25,000 25,000 2578 2170 Household Expense 374,900 25,100 400,000 3185 2170 Household Expense 600 600 1700 2250 Rents and Leases-Equipment 24,942 -9,000 15,942 2574 2250 Rents and Leases-Equipment 14,000 -14,000 0 3060 2250 Rents and Leases-Equipment 33,350 12,850 46,200 3185 2250 Rents and Leases-Equipment 3,800 3,800 1700 2251 Computer Software Cost 12,000 -9,000 3,000 0355 2262 Building Occupancy Costs 853,474 -240,000 613,474 3185 2270 Maintenance - Equipment 372 372 2512 2270 Maintenance - Equipment 126,000 -26,000 100,000 3185 2275 Rprs - Accidents/Vandalism 50 50 5750 2276 Mntn Radio-Electronic Equipme 1,245 -1,245 0 5870 2276 Mntn Radio-Electronic Equipme 7,730 -3,730 4,000 3185 2281 Maintenance of Buildings 200 200 1700 2284 Requested Maintenance 13,000 -7,000 6,000 2580 2284 Requested Maintenance 91,800 -76,800 15,000 3060 2284 Requested Maintenance 8,600 5,000 13,600 3185 2284 Requested Maintenance 1,000 1,000 2575 2300 Transportation and Travel 28,000 -23,000 5,000 2546 2300 Transportation and Travel 118,000 -98,000 20,000 2505 2302 Use of Co Vehicle/Equipment 1,863,000 -1,000,000 863,000 3185 2302 Use of Co Vehicle/Equipment 240 240 2572 2303 Other Travel Employees 19,000 -19,000 0 2512 2303 Other Travel Employees 30,000 -20,000 10,000 0451 2310 Non Cnty Prof/Spclzd Svcs 36,214 -1,203 35,011 1112 2310 Non Cnty Prof/Spclzd Svcs 634,000 -274,000 360,000 1700 2310 Non Cnty Prof/Spclzd Svcs 150,894 -15,000 135,894 2572 2310 Non Cnty Prof/Spclzd Svcs 144,000 -144,000 0 2590 2310 Non Cnty Prof/Spclzd Svcs 56,000 -50,000 6,000 3250 2310 Non Cnty Prof/Spclzd Svcs 50,000 -50,000 0 3335 2310 Non Cnty Prof/Spclzd Svcs 28,200 28,200 3340 2310 Non Cnty Prof/Spclzd Svcs 574,234 -239,912 334,322 3345 2310 Non Cnty Prof/Spclzd Svcs 211,712 211,712 5700 2310 Non Cnty Prof/Spclzd Svcs 1,078,330 -152,000 926,330 Proposed Final Org Object/ Budget Budget No. Account Description Amount Change Amount Notes 5731 2310 Non Cnty Prof/Spclzd Svcs 3,095,459 -153,518 2,941,941 5750 2310 Non Cnty Prof/Spclzd Svcs 4,806,069 -2,998,755 1,807,314 5870 2310 Non Cnty Prof/Spclzd Svcs 1,568,569 99,954 1,668,523 5890 2310 Non Cnty Prof/Spclzd Svcs 150,673 -143,471 7,202 5901 2310 Non Cnty Prof/Spclzd Svcs 4,519,591 -2,756,996 1,762,595 2512 2310 Non Cnty Prof/Spclzd Svcs 27,500 -20,000 7,500 2518 2310 Non Cnty Prof/Spclzd Svcs 41,800 -36,800 5,000 1695 2315 Data Processing Services 512,892 -34,416 478,476 3120 2315 Data Processing Services 8,187 -8,184 3 4528 2315 Data Processing Services 107,000 -14,957 92,043 4528 2316 Data Processing Supplies 1,000 -1,000 0 4543 2316 Data Processing Supplies 1,000 -634 366 5900 2320 Outside Medical Services 11,884,046 -811,883 11,072,163 0451 2326 Information Security Charges 1,070 1,070 3501 2326 Information Security Charges 4,482 4,482 4528 2326 Information Security Charges 16,591 16,591 5870 2326 Information Security Charges 5,218 5,218 5901 2326 Information Security Charges 17,862 17,862 3185 2335 Other Telecom Charges 600 600 1110 2340 Other Intrdptmntl Charges 1,825,579 -167,928 1,657,651 1700 2352 Witness Fees & Expenses 1,000 -1,000 0 1700 2477 Ed Supplies and Courses 1,000 -1,000 0 1696 2479 Other Special Departmental Exl 108,444 34,416 142,860 3060 2479 Other Special Departmental Exl 900 10,000 10,900 3501 2479 Other Special Departmental Exl 6,000 -4,482 1,518 5750 2889 Other Expenses -3,000,000 3,000,000 0 5900 2889 Other Expenses -734,295 734,295 0 5901 2889 Other Expenses -3,500,000 3,500,000 0 3065 3310 Support & Care of Persons 325,435 64,395 389,830 3190 3310 Support & Care of Persons 477,982 75,000 552,982 3065 3313 County Aid Basic 2,615,738 80,500 2,696,238 2510 3505 Retire Oth Long Term Debt/Lea 118,688 -118,688 0 2510 3515 Interest on Oth Long Term Debi 16,000 -16,000 0 0356 3565 Contrib to Other Funds 110,000 95,401 205,401 0465 3570 Contribution to Enterprise Fund! 45,815,360 4,465,000 50,280,360 3255 3580 Contribution to Other Agencies 408,691 -398,691 10,000 1110 3611 Interfund Exp - Gov/Gov 167,928 167,928 2500 4951 Office Equip & Furniture 27,159 27,159 2505 4951 Office Equip & Furniture 75,000 75,000 2513 4951 Office Equip & Furniture 100,000 -90,000 10,000 2590 4952 Institutional Equip & Furniture 75,000 -70,000 5,000 2520 4952 Institutional Equip & Furniture 145,000 -100,000 45,000 Proposed Final Org Object/ Budget Budget No. Account Description Amount Change Amount Notes 2512 5016 Intrafund-Trans-Gov/Gov 321,720 -321,720 0 2505 5022 Intrafund-Trans-Services -150,000 -150,000 2580 5022 Intrafund-Trans-Services -55,000 -45,000 -100,000 3140 5022 Intrafund-Trans-Services -180,000 -180,000 3185 5022 Intrafund-Trans-Services -17,000 -17,000 2510 5022 Intrafund-Trans-Services -44,000 -44,000 2515 5022 Intrafund-Trans-Services -175,000 174,000 -1,000 0990 6301 Apportn For Contingencies 10,000,000 -10,000,000 0 TOTAL EXPENDITURES 1,222,288,985 -3,532,237 1,218,756,748 0005 9010 Prop Taxes-Curr Secured 153,400,000 -1,500,000 151,900,000 0005 9011 Prop Tax-Supplemental 9,000,000 -1,000,000 8,000,000 0005 9016 Prop Tax-In Lieu of VLF 89,000,000 -500,000 88,500,000 1112 9062 Transient Occupancy Tax 684,000 -274,000 410,000 3330 9070 Animal Licenses 1,926,070 -1,926,070 0 3335 9070 Animal Licenses 1,298,363 1,298,363 3340 9070 Animal Licenses 523,121 523,121 3345 9070 Animal Licenses 104,586 104,586 2535 9191 Rent on Real Estate 153,207 -153,207 0 3063 9263 State Aid Realignment-Sales Ta 200,000 -200,000 0 3185 9263 State Aid Realignment-Sales TE 145,000 -145,000 0 3191 9263 State Aid Realignment-Sales Tax 345,000 345,000 2521 9362 State Aid for Crime Control 20,000 -20,000 0 2501 9424 State Aid Peace Off Training 150,000 -7,500 142,500 5731 9429 State Aid Mandated Expenditures 350,000 350,000 2546 9435 Miscellaneous State Aid 105,000 93,000 198,000 3062 9551 Fed Aid Crime Control 187,753 187,753 2510 9620 Communication Services 950,000 125,000 1,075,000 2353 9635 Election Service-Other 1,995,504 -400,000 1,595,504 3330 9725 Misc Humane Services 655,313 -155,702 499,611 3345 9725 Misc Humane Services 155,702 155,702 2505 9732 Contract Law Enforcement Svc: 295,649 140,180 435,829 2536 9732 Contract Law Enforcement Svcs 94,424 94,424 2573 9739 Misc Law Enforcement Svcs 610,000 30,000 640,000 2574 9739 Misc Law Enforcement Svcs 400,000 -50,000 350,000 0355 9745 Recording Fees 5,942,313 160,000 6,102,313 5901 9775 Misc Health Fees 574,680 574,680 2585 9814 Care of Prisoners 150,000 -150,000 2590 9814 Care of Prisoners 840,000 140,000 980,000 2578 9851 Interfund Rev - Gov/Gov 250,000 75,000 325,000 2590 9851 Interfund Rev - Gov/Gov 75,000 75,000 Proposed Final Org Object/ Budget Budget No. Account Description Amount Change Amount Notes 0359 9895 Misc Current Services 61,000 -16,000 45,000 3185 9895 Misc Current Services 109,820 109,820 3063 9951 Reimbursements-Gov/Gov 745,069 14,395 759,464 0005 9975 Misc Non-Taxable Revenue 1,815,477 -1,675,782 139,695 3185 9975 Misc Non-Taxable Revenue 15,000 15,000 5240 9975 Misc Non-Taxable Revenue 41,345 41,345 5552 9975 Misc Non-Taxable Revenue 192,042 -41,345 150,697 2516 9975 Misc Non-Taxable Revenue 20,000 30,000 50,000 TOTAL REVENUE 1,222,288,985 -3,532,237 1,218,756,748 TOTAL NET COUNTY COST: 0 0 0 Explanation: These line-time changes are necessary to align the Recommended Budget with the placeholder (Proposed) budget adopted by the Board on April 11, 2006. CAO ANALYST: ZL _bt4z�c ATTACHMENT A 2006 - 2007 GENERALFUND LINE ITEM CHANGES APPROPRIATIONS / REVENUES Budget Unit Name & Number: Zero Tollerance for Domestic Violence (0581)/General Purpose Revenue (0005) Proposed Final Org Object/ Budget Budget No. Account Description Amount Change Amount Notes 5561 2310 Professional Specialized Services 67,430 152,000 219,430 1 TOTAL 0581/2000s: 1,870,784 152,000 2,022,784 0005 9975 Misc Non-Taxable Revenue 31,097 152,000 183,097 TOTAL 0005/9000s: 319,694,844 152,000 319,846,844 TOTAL NET COUNTY COST: 0 0 0 Explanation: 1) Place-holder for funding for cuts to item #63 in the amount of$103,000 for STAND and item #64 in the amount of $49,000 for Community Violence Solutions CAO Analyst: \ ATTACHMENT A 2006 - 2007 FUND 110000 RECORDER MODERNIZATION LINE ITEM CHANGES APPROPRIATIONS / REVENUES Budget Unit Name & Number: Recorder Micro/Modernization (0353) Proposed Final Org Object/ Budget Budget No. Account Description Amount Change Amount Notes 2451 2262 Building Occupancy Costs 48,136 240,000 288,136 Total Expenditures 18,691,443 240,000 18,931,443 TOTAL FUND COST: 16,338,943 240,000 16,578,943 Explanation: 1) CAO Analyst: /Zo-- ATTACHMENT A 2006 - 2007 FUND 112500 DOMESTIC VIOLENCE VICTIM ASSISTANCE LINE ITEM CHANGES APPROPRIATIONS / REVENUES Budget Unit Name & Number: Domestic Violence & Victim Assistance (0585) Proposed Final Org Object/ Budget Budget No. Account Description Amount Change Amount Notes 0585 5022 Intrafund-Trans-Services -134,008 134,008 0 Total Expenditures 0 134,008 134,008 0585 9140 Other Licenses & Permits 98,008 98,008 0585 9161 General Fines 36,000 36,000 Total Revenue 0 134,008 134,008 TOTAL FUND COST: 0 0 0 Explanation: 1) CAO Analyst: ci ATTACHMENT A 2006 - 2007 FUND 113400 CCC DEPARTMENT OF CHILD SUPPORT SERVICES LINE ITEM CHANGES APPROPRIATIONS / REVENUES Budget Unit Name & Number: CCC Dept of Child Support Services (0249) Proposed Final Org Object/ Budget Budget No. Account Description Amount Change Amount Notes 1780 1011 Permanent Salaries 9,623,617 162,438 9,786,055 1790 1011 Permanent Salaries 282,761 63,919 346,680 1780 1042 FICA/Medicare 708,598 12,834 721,432 1790 1042 FICA/Medicare 20,908 5,600 26,508 1780 1044 Retirement Expense 3,053,338 53,051 3,106,389 1790 1044 Retirement Expense 86,795 23,257 110,052 1780 1060 Employee Group Insurance 1,766,504 75,785 1,842,289 1790 1060 Employee Group Insurance 32,988 5,513 38,501 1780 1063 Unemployment Insurance 19,163 342 19,505 1790 1063 Unemployment Insurance 538 146 684 1780 1070 Workers Compensation Insuran 636,572 10,478 647,050 1790 1070 Workers Compensation Insuran 19,699 4,349 24,048 1780 2251 Computer Software Cost 55,000 -10,000 45,000 1790 2251 Computer Software Cost 87,059 -2,388 84,671 1780 2270 Maintenance - Equipment 350,000 -137,000 213,000 Total Expenditures 19,132,764 268,324 19,401,088 1790 9553 Fed Aid Family Support 890,809 111,970 1,002,779 1780 9851 Interfund Rev - Gov/Gov 167,928 167,928 Total Revenue 19,121,190 279,898 19,401,088 TOTAL FUND COST: 11,574 -11,574 0 Explanation: 1) CAO Analyst: ATTACHMENT A 2006 - 2007 FUND 114300 SUPPLEMENTAL LAW ENFORCEMENT SERVICES LINE ITEM CHANGES APPROPRIATIONS / REVENUES Budget Unit Name & Number: SLESF - Probation (0311) Proposed Final Org Object/ Budget Budget No. Account Description Amount Change Amount Notes 0311 5011 Reimbursements-Gov/Gov 5,633,371 -2,805,168 2,828,203 Total Expenditures 5,633,371 -2,805,168 2,828,203 0311 9362 State Aid for Crime Control 2,788,203 -2,788,203 0 0311 9435 Miscellaneous State Aid 2,788,203 2,788,203 Total Revenue 2,828,203 0 2,828,203 TOTAL FUND COST: 2,805,168 -2,805,168 0 Explanation: 1) CAO Analyst: ATTACH 2006 - 2007 FUND 145000 HOSPITAL ENTERPRISE FUND I LINE ITEM CHANGES APPROPRIATIONS / REVENUES Budget Unit Name & Number: Health Services Hospital Enterprise (0540) Proposed Final Org Object/ Budget Budget No. Account Description Amount Change Amount 6200 1011 Permanent Salaries 99,097,908 3,671,000 102,768,908 6200 2866 Other Purchased Services 6,200,000 -124,568 6,075,432 6200 2868 Data Processing - County 342,947 124,568 467,515 6200 2889 Other Expenses -6,399,392 794,000 -5,605,392 6200 3580 Contribution to Other Agencies 12,200,000 12,200,000 Total Expenditures 350,242,970 16,665,000 333,577,970 6200 8121 Medi-Cal RHS/IP 106,733,681 12,200,000 118,933,681 6200 8381 Hospital Subsidy 40,743,974 4,465,000 45,208,974 Total Revenue 350,242,970 16,665,000 333,577,970 TOTAL FUND COST: 0 0 0 Explanation: 1) CAO Analyst: ATTACHMENT A 2006 - 2007 FUND 115600 DNA IDENTIFICATION FUND LINE ITEM CHANGES APPROPRIATIONS / REVENUES Budget Unit Name & Number: DNA Identification (0275) Proposed Final Org Object/ Budget - Budget No. Account Description Amount Change Amount Notes 0275 2100 Office Expense 18,371 66,129 84,500 Total Expenditures 18,371 66,129 84,500 0275 9175 Misc Forfeits & Penalties 0 84,500 84,500 Total Revenue 0 84,500 84,500 TOTAL FUND COST: 18,371 -18,371 0 Explanation: 1) CAO Analyst: _ �i ATTACHMENT A 2006 - 2007 SPECIAL DISTRICT 251700 STORMWATER UTILITY A-17 LINE ITEM CHANGES APPROPRIATIONS / REVENUES Budget Unit Name & Number: Stormwater Utility A-17 (7517) Proposed Final Org Object/ Budget Budget No. Account Description Amount Change Amount Notes 7517 3540 Rights of Way & Easements 450,000 -390,600 59,400 Total Expenditures 4,707,684 -390,600 4,317,084 7517 8981 Fund Balance Available 1,481,555 -500,000 981,555 7517 9595 Misc Government Agencies 50,000 109,400 159,400 Total Revenue 4,707,684 -390,600 4,317,084 TOTAL FUND COST: 0 0 0 Explanation: 1) CAO Analyst: ` ATTACHMENT B THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Adopted this order on 2 May 2006, by the following vote: AYES: Gioia,Piepho,DeSaulnier,Glover and Uilkema NOES: None ABSENT: None ABSTAIN: None RESOLUTION NO. 2006/223 SUBJECT: Abolishing Positions and Laying Off Employees in Certain County Departments WHEREAS, the Board has considered the financial impact on County departments of reduced funding and increased funding requirements, and has considered the position and staff reduction/retention plans submitted by departments; and WHEREAS, department heads have issued layoff or displacement notices, as the case may be, and have given notice to the affected employees of the Board's action; and WHEREAS, a budget hearing was conducted by the Board of Supervisors April 25, 2006, including Beilenson hearing; and WHEREAS, to the extent that the subjects of this Resolution are within the scope of representation pursuant to the Meyers-Milias-Brown Act (Government Code Section 3500 et seq.), this Board has offered to meet with recognized employee organizations upon request concerning this resolution, THE CONTRA COSTA COUNTY BOARD OF SUPERVISORS, in its capacity as governing Board of the County and all of its dependent districts RESOLVES THAT: 1. In order to keep expenditures within available funding, it is necessary to abolish the positions described in the lists attached hereto, and to lay off employees accordingly. Said list is incorporated herein by reference, and said positions are hereby abolished effective on the dates indicated thereon. 2. The Employee Relations Officer shall give notice of this Resolution to recognized employee organizations representing employees impacted by this action. 3. Recognized employee organizations may submit to the Employee Relations Officer written requests to meet and confer on specific proposals with respect to this Resolution or resulting layoffs. This authorization and direction is given without prejudice to the Board's right to reduce or terminate the operations and services of the County and of districts governed by this Board, and to eliminate classes of employees or positions as involving the merits, necessity, or organization of services or activities of the County or districts governed by the Board and not within the scope of representation. 4. This action is taken without prejudice to pending consulting, meeting, and meeting and conferring with recognized employee organizations. I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown: ATTESTED: / YCJ JOHN CULLEN,Clerk f the Board of Supervisors and County AdminiZ:�4� �jBy: L Gam` �`-'C� Deputy Cc: All Dept Heads County Administration RESOLUTION NO. 2006/223 ATTACHMENT B-1 CONTRA COSTA COUNTY POSITIONS TO BE ADDED DEPARTMENT: Agriculture EFFECTIVE: July 1, 2006 Position # Class Class Code Org # Vacant/Filled Weights/Measures Insp Trainee BW7A 3315 Weights/Measures Insp II BWVA 3315 ATTACHMENT B-2 CONTRA COSTA COUNTY POSITIONS TO BE ABOLISHED DEPARTMENT: Auditor-Controller EFFECTIVE: Close of Business on May 31, 2006 Position # Class Class Code Org # Vacant/Filled 134 Auditor Contrllr Bus & Sys Mgr APDH 1000 Vacant ATTACHMENT B-3 CONTRA COSTA COUNTY POSITIONS TO BE ABOLISHED DEPARTMENT: Department of Information Technology EFFECTIVE: Close of Business on May 31, 2006 Position # Class Class Code Org # Vacant/Filled 5 Computer Operator II LKVB 1060 Vacant 30 Info Sys Programmer/Analyst LPNB 1065 Vacant 35 Information Systems Tech I LTWB 1050 Filled 49 Executive Secretary-Exempt J3T5 1050 Filled 80 Secretary-Journey Level J3TF 1050 Vacant 12421 Database Administrator LWSA 1065 Vacant ATTACHMENT B-4 CONTRA COSTA COUNTY POSITIONS TO BE ABOLISHED DEPARTMENT: Employment and Human Services EFFECTIVE: Close of Business on May 31, 2006 Position # Class Class Code Org # Vacant/Filled 4310 Eligibility Worker I XHWA 5416 Vacant 4608 Eligibility Worker I XHWA 5416 Vacant 12485 Eligibility Worker I XHWA 5416 Vacant 12489 Eligibility Worker I XHWA 5416 Vacant 12490 Eligibility Worker I XHWA 5413 Vacant 4919 Eligibility Worker II XHVA 5411 Vacant 4248 Eligibility Work Specialist XHTB 5264 Vacant 4251 Eligibility Work Specialist XHTB 5411 Vacant 4278 Eligibility Work Specialist XHTB 5263 Vacant 4282 Eligibility Work Specialist XHTB 5263 Vacant 4289 Eligibility Work Specialist XHTB 5264 Vacant 4302 Eligibility Work Specialist XHTB 5264 Vacant 12486 Eligibility Work Specialist XHTB 5263 Vacant 4556 Eligibility Work Specialist XHTB 5263 Vacant 4580 Eligibility Work Specialist XHTB 5263 Vacant 4915 Eligibility Work Specialist XHTB 5264 Vacant 5011 Eligibility Work Specialist XHTB 5290 Vacant 5014 Eligibility Work Specialist XHTB 5263 Vacant 5019 Eligibility Work Specialist XHTB 5263 Vacant 12241 Eligibility Work Specialist XHTB 5261 Vacant 4859 Eligibility Work Specialist XHTB 5212 Vacant 4995 Eligibility Work Specialist XHTB 5211 Vacant 12851 Eligibility Work Specialist XHTB 5416 Vacant 12852 Eligibility Work Specialist XHTB 5416 Vacant 12853 Eligibility Work Specialist XHTB 5416 Vacant 12854 Eligibility Work Specialist XHTB 5416 Vacant 12855 Eligibility Work Specialist XHTB 5416 Vacant 6341 Eligibility Work Supervisor I XHHA 5233 Vacant 4057 Social Svc Program Assistant XOSA 5243 Vacant 4654 Social Svc Program Assistant XOSA 5444 Vacant 5154 Social Svc Program Assistant XOSA 5268 Vacant 5167 Social Svc Program Assistant XOSA 5444 Vacant DEPARTMENT: Employment and Human Services EFFECTIVE: Close of Business on May 31, 2006 Position # Class Class Code Org # Vacant/Filled 5192 Social Svc Program Assistant XOSA 5411 Vacant 5213 Social Svc Program Assistant XOSA 5216 Vacant 6331 Social Svc Program Assistant XOSA 5212 Vacant 12794 Social Svc Program Assistant XOSA 5416 Vacant 12795 Social Svc Program Assistant XOSA 5416 Vacant 12826 Social Svc Program Assistant XOSA 5413 Vacant 12844 Social Svc Program Assistant XOSA 5411 Vacant 12847 Social Svc Program Assistant XOSA 5416 Vacant 12822 Employmnt Placemnt Cnslr X7WB 5410 Vacant 12823 Employmnt Placemnt Cnslr X7WB 5410 Vacant 12824 Employmnt Placemnt Cnslr X7WB 5410 Vacant 4020 Social Casework Spec II XOVB 5212 Vacant 4045 Social Casework Spec II XOVB 5268 Vacant 4050 Social Casework Spec II XOVB 5210 Vacant 4476 Social Casework Spec II XOVB 5259 Vacant 4723 Social Casework Spec 11 XOVB 5259 Vacant 4725 Social Casework Spec II XOVB 5212 Vacant 3953 Clerk Experienced Level JWXB 5417 Vacant 4162 Clerk Experienced Level JWXB 5236 Vacant 4355 Clerk Experienced Level JWXB 5413 Vacant 12800 Clerk Experienced Level JWXB 5416 Vacant 4932 Clerk Experienced Level JWXB 5417 Vacant 10973 Clerk Experienced Level JWXB 5212 Vacant 6345 Clerk Experienced Level JWXB 5263 Vacant 6349 Clerk Experienced Level JWXB 5261 Vacant 12505 Clerk Experienced Level JWXB 5261 Vacant 3977 Clerk Experienced Level JWXB 5411 Vacant 4172 Clerk Experienced Level JWXB 5413 Vacant 4461 Clerk Experienced Level JWXB 5413 Vacant 4818 Clerk Experienced Level JWX13 5417 Vacant 10942 Clerk Experienced Level JWXB 5417 Vacant 12508 Clerk Experienced Level JWXB 5413 Vacant 3969 Clerk Senior Level JWXC 5259 Vacant 4448 Clerk Senior Level JWXC 5259 Vacant 5099 Clerk Senior Level JWXC 5259 Vacant 4175 Clerk Senior Level JWXC 5263 Vacant 6489 Clerk Senior Level JWXC 5230 Vacant 10058 Clerk Senior Level JWXC 5230 Vacant 12752 Clerk Senior Level JWXC 5417 Vacant 12753 Clerk Senior Level JWXC 5417 Vacant DEPARTMENT: Employment and Human Services EFFECTIVE: Close of Business on May 31, 2006 Position # Class Class Code Org # Vacant/Filled 12846 Clerk Senior Level JWXC 5411 Vacant 12848 Clerk Senior Level JWXC 5416 Vacant 4639 Social Worker XOVC 5278 Vacant 4641 Social Worker XOVC 5268 Vacant 5003 Social Worker XOVC 5268 Vacant 6904 Social Worker XOVC 5290 Vacant 10197 Translator J9WG 5417 Vacant 10199 Translator J9WG 5411 Vacant 10365 Admin. Srvc Asst III APTA 5619 Vacant 6487 Admin. Srvc Asst III APTA 5240 Vacant 6488 Budget Technician ADSC 5230 Vacant 10387 Community Outreach Aide XDWE 5263 Vacant 10386 Community Outreach Aide XDWE 5290 Vacant 10651 Medical Program Asst XHSB 5290 Vacant 10672 MediCal Program Asst XHSB 5290 Vacant 10688 MediCal Program Asst XHSB 5417 Vacant 10695 MediCal Program Asst XHSB 5263 Vacant 12779 MediCal Program Asst XHSB 5416 Vacant 4989 SS Staff Dev. Specialist X4SK 5235 Vacant 4337 SS Program Analyst X4SH 5410 Vacant 4875 SS SR Welf Fraud Field Invs XLSG 5230 Vacant 4876 SS Welfare Fraud Invstg XLSD 5230 Vacant 4596 SS Welfare Fraud Invstg XLSD 5230 Vacant ATTACHMENT B-5 CONTRA COSTA COUNTY POSITIONS TO BE ABOLISHED DEPARTMENT: General Services EFFECTIVE: Close of Business May 31, 2006 Position # Class Class Code Org # Vacant/Filled 00006613 Painter (20/40 position) GFWE 4031 Filled 00006612 Painter (20/40 position) GFWE 4031 Filled 00001884 Electrician GFWA 4031 Vacant 00002040 Electrician GFWA 4031 Vacant 00001873 Steamfitter GFVA 4031 Vacant 00001875 Lead Carpenter GFTC 4031 Vacant 00001866 Carpenter GFWB 4031 Vacant 00010152 Grounds Mtce. Spec. Irrg GPVE 4033 Vacant 00001972 Gardener GPWA 4033 Vacant ATTACHMENT B-6 CONTRA COSTA COUNTY POSITION HOURS TO BE REDUCED DEPARTMENT: Health Services EFFECTIVE: Close of Business on June 30, 2006 Position# Class Class Org# Hours Hours Vacant/ Code From To Filled 7569 Pharmacist I VYWA 6347 32 20 Filled 7574 Pharmacist I VYWA 6343 40 P.I. Filled 9262 Pharmacy VY9B 6346 40 P.I. Filled Technician 8427 Registered Nurse VWXD 5846 30 20 Filled Hours 6-30-06.doc ATTACHMENT B-6 CONTRA COSTA COUNTY POSITION HOURS TO BE REDUCED DEPARTMENT: Health Services EFFECTIVE: Close of Business on May 20, 2006 Position# Class Class Org# Hours Hours Vacant/ Code From To Filled 8395 Registered Nurse VWXD 5797 40 24 Filled 9104 Comcmunity Health Wkr- VKTA 5797 40 24 Filled Spe 11007 Community Health Wkr II VKVB 5797 40 32 Filled 11430 Public Health Nurse VVXA 1 5797 40 20 Filled ABOVE POSITION HOURS ARE BEING VOLUNTARILY REDUCED TO MITIGATE LAYOFFS Hours 5-20-06.doc ATTACHMENT B-6 CONTRA COSTA COUNTY POSITIONS TO BE REDUCED DEPARTMENT: Health Services EFFECTIVE: Close of Business on May 2, 2006 Position# Class Class Org# vacant/ Code Filled 11592 After School Program Teacher V9WJ 5771 Vacant 9141 Sr. Developmental Program Aide V5TA 5771 Vacant 8534 Home Health Agency Director WFC 5898 Vacant 8212 Sr. Mental Health Counselor VQTA 0451 Vacant 8995 MH Clinical Specialist VQSB 5948 Vacant 8816 MH Clinical Specialist VQSB 5954 Vacant 9711 MH Specialist II VQVA 5976 Vacant 10548 MH Specialist II VQVA 5977 Vacant 9549 MH Clinical Specialist VQSB 5978 Vacant 9719 MH Specialist It VQVA 5999 Vacant 10012 MH Clinical Specialist VQSB 5999 Vacant 7948 Secretary Advanced Level J3TG 5955 Vacant 9776 Intermediate Typist Clerk—Project JWV1 5968 Vacant 7978 MH Specialist II VQVA 5971 Vacant 7340 MH Specialist II VQVA 5974 Vacant 7958 MH Clinical Specialist VQSB 5974 Vacant 9547 MH Clinical Specialist VQSB 5986 Vacant 11387 MH Clinical Specialist VQSB 5991 Vacant Positions 5-2-06.doc ATTACHMENT B-6 CONTRA COSTA COUNTY POSITIONS TO BE REDUCED DEPARTMENT: Health Services EFFECTIVE: Close of Business on May 26, 2006 Position# Class Class Org# Vacant/ Code Filled 9475 Clerk—Senior Level JWXC 5998 Filled 12682 Psychiatric Technician VQWB 5998 Vacant 12683 Psychiatric Technician VQWB 5998 Vacant 12684 Psychiatric Technician VQWB 5998 Vacant 12685 Psychiatric Technician VQWB 5998 Vacant 12691 Psychiatric Technician VQWB 5998 Vacant PI 9483 Mental Health Clinical Specialist VQSB 5998 Filled 9481 Mental Health Clinical Specialist VQSB 5998 Filled 9474 Mental Health Clinical Specialist VQSB 5998 Vacant 9482 Mental Health Clinical Specialist VQSB 5998 Vacant Positions 5-26-06.doc ATTACHMENT B-6 CONTRA COSTA COUNTY POSITIONS TO BE REDUCED DEPARTMENT: Health Services EFFECTIVE: Close of Business on June 30, 2006 Position# Class Class Org# Vacant/ Code Filled 8323 Occupational Therapist V5VH 5891 Filled 20/40 8937 Occupational Therapist V5VH 5891 Filled 24/40 8634 Occupational Therapist V5VH 5891 Filled 20/40 7869 Physical Therapist V5VE 5891 Filled 20/40 8671 Pharmacist I VYWA 6346 Vacant 8048 Pharmacist II VYTA 6345 Vacant 7220 Pharmacy Technician VY96 6346 Filled 11768 Pharmacy Technician VY96 6346 Filled 7566 Pharmacist I VYWA 6347 Vacant 7568 Pharmacist II VYTA 6347 Filled 7370 Pharmacy Technician VY96 6347 Filled 9928 Pharmacy Technician VY96 6347 Filled 7573 Pharmacist II VYTA 6343 Filled 7444 Pharmacy Technician VY9B 6343 Filled 7155 Account Clerk—Exp. JDVC 6345 Filled 7576 Pharmacy Technician VY96 6343 Filled 8566 Pharmacist I VYWA 6345 Vacant 7974 Mental Health Specialist II VQVA 5941 Filled 7959 Ambulatory Care Clinic Coordinator VAHB 5949 Filled 8807 Mental Health Clinical Specialist VQSB 5950 Filled 32/40 7742 Mental Health Clinical Specialist VQSB 5950 Filled 9710 Mental Health Clinical Specialist VQSB 5954 Filled 10958 Mental Health Specialist 11 VQVA 5954 Filled ATTACHMENT B-6 DEPARTMENT: Health Services EFFECTIVE: Close of Business on May 20, 2006 Position# Class Class Org# Vacant/ Code Filled 7951 Mental Health Clinical Specialist VQSB 5954 Filled 36/40 8760 Clerk—Senior Level JWXC 5997 Filled 10023 Mental Health Clinical Specialist VQSB 5949 Filled 11205 Mental Health Specialist II VQVA 5977 Filled 9043 Mental Health Activities Specialist V2WC 5974 Filled 20/40 8045 Mental Health Activities Specialist V2WC 5974 Filled 20/40 9560 Clerk—Senior Level JWXC 5943 Filled 10005 Mental Health Clinical Specialist VQSB 5947 Filled Positions 6-30-06.doc ATTACHMENT B-6 CONTRA COSTA COUNTY POSITIONS TO BE REDUCED DEPARTMENT: Health Services EFFECTIVE: Close of Business on August 31 , 2006 Position# Class Class Org# Vacant/ Code Filled 9108 Sr. Disease Intervention Technician V7V6 5841 Filled Positions 8-31-06.doc ATTACHMENT B-6 CONTRA COSTA COUNTY POSITIONS TO BE REDUCED DEPARTMENT; Health Services EFFECTIVE: Close of Business on October 31 , 2006 Position# Class Class Org# Vacant/ Code Filled 8435 Public Health Nurse VVXA 5827 Filled Positions 10-31-06.doc ATTACHMENT B-6 CONTRA COSTA COUNTY POSITIONS TO BE REDUCED DEPARTMENT: Health Services EFFECTIVE: Close of Business on May 20, 2006 Position# Class Class Org# Vacant/ Code Filled 8979 Substance Abuse Program VHGE 5920 Vacant Manager 8464 Clerk—Exp Level JWXB 5890 Filled 24/40 7950 Info Sys Asst II LTVH 6569 Filled 7226 Health Services Accountant VCTB 6567 Vacant 8834 Secretary—Journey Level J3TF 6567 Filled 11681 Administrative Services Assistant APTA 6555 Vacant III 9611 Health Plan Member Advocate VCSK 6111 Filled 20/40 8801 Symptom Control Coordinator VWSG 6341 Filled 7932 Chief Cardio Support Services VIGA 6339 Filled 9213 Asst Clinical Lab Manager VHGF 6365 Filled 7270 Exempt Med Staff Chief of Dental VPD3 6373 Vacant Services 7813 Director, Hospital Nursing Services VWDB 6505 Filled 7631 Public Service Officer 64WP 6541 Filled 11206 Public Service Officer 64WP 6541 Filled 9226 Public Service Officer 64WP 6541 Filled 11210 Public Service Officer 64WP 6541 Filled 9011 Public Service Officer 64WP 6541 Filled 9230 Public Service Officer 64WP 6541 Vacant 9432 Asst Chief Public Service Officer 64BA 6541 Vacant 12616 RN—Proj.Beg.Level VWX2 6301 Vacant 12617 RN—Proj.Beg. Level VWX2 6301 Vacant 12618 RN—Proj.Beg.Level VWX2 6304 Vacant 12619 RN—Proj.Beg.Level VWX2 6304 Vacant 12620 RN—Proj.Beg.Level VWX2 6304 Vacant ATTACHMENT B-6 DEPARTMENT: Health Services EFFECTIVE: Close of Business on May 20, 2006 Position# Class Class Org# Vacant/ Code Filled 12621 RN—Proj.Beg.Level VWX2 6304 Vacant 12615 RN—Proj.Beg.Level VWX2 6307 Vacant 12622 RN—Proj.Beg.Level VWX2 6307 Vacant 7640 Mental Health Clinical Specialist VQSB 5951 Vacant 9003 Clerk—Senior. Level JWXC 5891 Filled 9936 RN Exp. Level VWXD 5797 Filled 24/40 8275 Community Health Worker II VKVB 5846 Vacant 8299 Community Health Worker II VKVB 5846 Vacant 32/40 8394 Public Health Nurse VVXA 5846 Vacant 32/40 9145 Clerk—Exp Level JWXB 5828 Vacant 8778 Public Health Nurse VVXA 5836 Filled 32/40 9460 Clerk—Exp Level JWXB 5826 Vacant 8326 Public Health Nurse VVXA 5797 Vacant 24/40 8445 Public Health Nurse VVXA 5843 Vacant 8296 Public Health Nurse VVXA 5821 Vacant Positions 5-20-06.doc ATTACHMENT B-7 CONTRA COSTA COUNTY POSITIONS TO BE ABOLISHED DEPARTMENT: Human Resources EFFECTIVE: Close of Business on May 31, 2006 Position # Class Class Code Org # Vacant/Filled 109 Lead Examination Proctor AJTA 1351 Vacant 110 Lead Examination Proctor AJTA 1351 Vacant 123 Management Analyst III ADTD 1351 Vacant ATTACHMENT B-8 CONTRA COSTA COUNTY POSITIONS TO BE ABOLISHED DEPARTMENT: Probation EFFECTIVE: Close of Business May 31, 2006 Position # Class Class Code Ora # Vacant/Filled 617 Deputy Probation Officer III TATA 3063 Filled 814 Institutional Supervisor I 7KHA 3121 Filled 742 Probation Counselor III 7KTB 3121 Filled 819 Probation Counselor III 7KTB 3121 Filled 822 Probation Counselor III 7KTB 3121 Filled 11456 Deputy Probation Officer 7ATA 3063 Vacant 820 Probation Counselor III 7KTB 3121 Vacant 7 Total FTE ATTACHMENT B-9 CONTRA COSTA COUNTY POSITIONS TO BE ABOLISHED DEPARTMENT: Telecommunications EFFECTIVE: Close of Business on May 31, 2006 Position # Class Class Code Org # Vacant/Filled 1931 Telecom Infrastructure Spec PEWK 4280 Vacant 10266 Telecommunications Specialist PEWG 4290 Vacant 12215 Account Clerk-Experienced JDVC 4280 Vacant ATTACHMENT B-10 CONTRA COSTA COUNTY POSITIONS TO BE ABOLISHED DEPARTMENT: Treasurer-Tax Collector EFFECTIVE: Close of Business on May 31, 2006 Position # Class Class Code Org # Vacant/Filled 322 Property Tax Subdivision Spec JD7C 0015 Vacant ATTACHMENT C Summary of Position Eliminations FY 2006-07 Recommended Position Abolishments Total Positions Vacant Filled Full Time Part Time Represented Unrepresented Agriculture -2.0 Auditor-Controller 1.0 1.0 1.0 1.0 DoIT 6.0 4.0 2.0 6.0 3.0 3.0 Employment and Human Services 94.5 94.5 94.0 1.0 92.5 2.0 General Services 8.0 7.0 1.0 7.0 2.0 8.0 Health Services General Fund 58.8 34.2 24.6 49.5 9.3 55.8 3.0 Health Services Enterprise Fund 39.5 17.0 22.5 35.5 4.0 32.0 7.5 Human Resources 3.0 3.0 3.0 1 1.0 Probation 7.0 2.0 5.0 7.0 7.0 Telecommunications 3.0 3.0 3.0 3.0 Treasurer-Tax Collector 1.0 1.0 1.0 1.0 Total 219.8 166.7 55.1 207.0 16.3 202.3 17.5 • Additionally, positions in the Assessor, County Counsel, District Attorney, Employment and Human Services, Probation, Public Defender and Sheriff-Coroner departments have been unfunded. Summary of Potential Employee Layoffs FY 2006-07 Recommended Position Abolishments Total Positions Represented Unrepresented General Services 2.0 2.0 0.0 Health Services 18.0 15.0 3.0 Total 20.0 17.0 3.0 Kathi McLaughlin Contra Costa Mental Health Commission Testimony Opposing Budget Cuts May 2, 2006 1 can't believe that we are back here today. Last week you listened to nearly 5 hours of testimony and you didn't hear a word we said! o We told you that these cuts mean that children will suffer and die o We begged you to look at other options o We asked you to do the right thing Instead we are back here today trying one last time to make you see what you are doing. You are cutting 7 clinicians—line staff who are currently working and seeing children every day. As a direct result of your actions today 245 children who are currently receiving services will lose them. All of those children will suffer, some of them will hurt themselves. Some of them will die. If you don't believe me, remember the testimony of the young lady who spoke last week. o She told you that she tried to kill herself 6 times. o She told you that the only reason she is alive is because of her therapist. o You are eliminating that therapist o There is no contingency plan for her or for any of the other 244 children o They can't go to other therapists—the other therapists already have case loads of children just like her o There is no group of private providers who will accept these very high risk patients o There is no where for them to go—you are destrovinp their safety net Three months from now, six months from now when one of the 245 children you are eliminating services to today dies, that dead child is not going to be up here asking you why. Their grieving family won't be here accusing you of complicity in their child's death. But we will!! All of us who are here today, and all of us who were here last week, will be here again to remind you that you chose this path. That you did the politically expedient thing, instead of the moral or ethical thing. When these children suffer, when one of them dies, it will be a direct result of your actions today. How are you going to live with yourself? How are you going to get up in the morning, look in the mirror, and look yourself in the eye? By the way John, you need to correct the information coming out of your office. It is not true that sending children to out of home, out of county placement saves the county money. And it certainly isn't true that Mental Health hasn't been cut over the last several years. We haven't just been denied cola's or increases as your staff have stated. Local One is down to 130 members in mental health—a few years ago they had 220. You have other choices: o We showed you that you will spend more money than you will save o You dismissed that as "opinion" when in fact those figures are based on information from mental health staff—information you could have found for yourself if you had asked the right questions of the right people. o You have land that you can sell o You can direct the CAO to cut elsewhere, instead of to our most fragile citizens PETITION TO SAVE YOUR OUTPATIENT 4 PHARMACIES Contra Costa County is planning budget cuts that include CLOSING THE OUTPATIENT PHARMACIES IN MARTINEZ, RICHMOND, and AND PITTSBURG!!! Show your support by signing the petition. Reasons to sign: 1. Pharmacists save time, money, and your health everyday. • Pharmacists catch errors by MD's, drug interactions, disease/drug interactions, and deal with your insurances everyday. • Pharmacists consult and actually talk to you to go over side effects as well as listen to your concerns and answer your questions. We are more accessible than your doctors. • Pharmacists save the doctors time with our refill program..We can authorize certain refills which saves you time in waiting for the MD's to okay it or in decreasing appointments just for refill okay. 2. The county wants you to get your medicines at outside pharmacies that don't have quick access to your MD's like we do. There will be delays in getting your refills okayed as well as getting prescriptions clarified. 3. Our pharmacies provide medication to patients who are applying for Medi-Cal and Basic Adult Care, and have not yet been accepted. 4. There would be no patient's assistance for free medicines since the coordinator works through the outpatient pharmacy. She gets medicines free for indigent patients. Martinez is the only county hospital. Even if Martinez patients got medicines from the inpatient hospital,the patients from Richmond and Pittsburg may not have transportation to Martinez to get medicines. 5. The county suggested a centralized or mail order pharmacy. Again, the patients we serve would have a transportation problem.People may skip their medications due to this reason and increase county cost with more ER visits and inpatient stays. Also, homeless people have no mailingaddress. They would not be served. Furthermore, there would be no consultations by the pharmacist with mail order. Homeless people have no phones or email so they couldn't be consulted by those ways either. Elderly patients don't want to wait on hold for a consult plus they may have difficulty in hearing, especially over the phone. The consult could be misinterpreted leading to errors in the way people take their medications. The elderly like the face-to-face contact with their pharmacist. Sometimes, doctors and pharmacists are the only people the elderly see. They need us to keep from getting lonely and depressed. 1 of 5 6. Constructive suggestions were made to management: • Use contract workers only for vacations or to cover sick employees,not on a routine basis as extras. The County's response was that the Board of Supervisors doesn't authorize the regular positions. Our response was if the position is not authorized, then why waste the money paying a contract worker day in and day out? Use a union employee who knows the system and the patients and is loyal to the county and its patients. Union employees work harder for you and are more efficient. Contract workers are less efficient since they are unfamiliar with the system. Not only do they cost the county about 45%more in hourly wages, but also.they often use more overtime because of the unfamiliarity with the system. 7. We were informed of the threat of closure on Friday(3/24/06) night because it was coming out in the paper on Monday(3/27/06). Why weren't we informed before so solutions could be looked into? The reason, our union has a strike vote scheduled for Tuesday(3/28/06) and Wednesday(3/29/06). 8. The county pharmacists deserve a raise to stay competitive with retail pharmacies. If we are to recruit great pharmacists,we need to pay competitive wages and have better retirement system. We are currently about 8%below retail. In three more years with no raise, it will be an even greater difference. Who will want to work here? 9. The county sends many patients away because we don't take their insurances. Also,many patients are sent away because we don't stock the medicine. We need to update our formulary and inventory so more patients can be served. 10. A better computer system is needed for online billing and inventory control. We still do all that by hand. Again this would increase our efficiency. To stay afloat, the county needs to progress. Sometimes you have to spend money to make money. Don't let the county pharmacies become extinct like dinosaurs. We are smart enough to evolve to survive. 11. Laying that many people off will increase the money the state pays in unemployment. How does that help the budget? The money is still going out, but no services for patients will be done. Does this make sense to you? 12. Service will decrease at outside pharmacies because their lines will be longer from all the increase in patients from the county, Also, it costs the county more to pay outside pharmacies. 13. Progress is like inflation. It keeps going up. Pharmacists offer a lot of services,but their wages have not gone up to correspond to the work. We deserve to keep up with the times. 14. Another option is if the county did not run the outpatient pharmacy and a contract pharmacy was used. This would again cost the county more money. The county has a great staff of competent pharmacists. They just need the resources to do their job and.not have those resources squandered by administration on contract employees or per diem instead of full time union employees. Nor should funds be transferred from one department to another. All departments should stay within budget so we aren't closed because another department needed more money. 15. Hansen's Clinic: We service,patients with Hansen's disease. The Martinez facility has one of the few Hansen's clinics in the United States. People come from all over to be serviced. They get their medications free from us and with no wait. If need be, we even mail extra supplies to them. Retail pharmacies cannot promise that. 2of5 j� 16. We are also connected with the Tuberculosis clinics, Coumadin clinics, and chemotherapy unit. Where will these patients get their medications so quickly? The chemotherapy is made in a special room in the outpatient pharmacy. We share a door with the chemotherapy unit where the medications are given. Inpatient would have to make the chemo medications because retail.pharmacies cannot. They do not have the - proper equipment. Tuberculosis is on the rise in the United States. Let's not increase the spread of this disease by not servicing the patients that do come to us for help. 17. We also supply the mental health clinics with medications and some to the hospital floors too. This will increase the workload of inpatient and decrease their efficiency in serving the patients in the hospital who need more critical care. 18. We have a translator system that allows us to consult in almost any languages. Outside pharmacies do not have this system so there will be language barriers for patients at outside pharmacies. 19. The people need us and so do the doctors and nurses. Sending patients out will increase i the chance they will use multiple pharmacies. It will be harder to monitor their care. Let's focus on the continuity of care! Remember Service Excellence! 20. Since we are servants to the county, shouldn't the people of the county have a say in whether their outpatient pharmacies are closed? If you think YES,please show your support and sign below. Please Print Name/Telephone and sign if you're in favor of the Contra Costa Regional Medical Center—Outpatient Pharmacies: I Name/Tele hone: Signature 2) 25) 22jc�i, �'� 5) . _ k, 6) 0411 h e l a At 754-1119 7) 9) MA) P >✓TA(q2 (0--ojff i 10) Z-q 12 acxk _ 13) 16 14 A&t \AAwsc4 ,q1 15) ! 10,L-) 16) e— -53 -3k v f 3 of 5 ' Please Print Name/Telephone and sign if you're in favor of the Contra Costa Regional Medical Center—Outpatient Pharmacies: Name/Teleyhone Si2natkes j to — (31& 17 ) 1 9j 20) " �S� reZ S 34 — 233 'f39 —23;k, 22) 0, ti &40t rJ s) 3,-V-67 3 fG 23) 24) 25) 26) 27) 28) 29) 30) 31) 32) 33) 34) 35) 36) 37) 3 8) 39) 40) - 41) 42) 43) 44) 45) 46) 47) 48) 49) 50) , J 51) Nv 52) 53) 54) 55) 56) 57) 4of5 16. We are also connected with the Tuberculosis clinics, Coumadin clinics, and chemotherapy unit. Where will these patients get their medications so quickly? The chemotherapy is made in a special room in the outpatient pharmacy. We share a door with the chemotherapy unit where the medications are given. Inpatient would have to make the chemo medications because retail pharmacies cannot. They do not have the proper equipment. Tuberculosis is on the rise in the United States. Let's not increase the spread of this disease by not servicing the patients that do come to us for help. 17. We also supply the mental health clinics with medications and some to the hospital floors too. This will increase the workload of inpatient and decrease their efficiency in serving the patients in the hospital who need more critical care. 18. We have a translator system that allows us to consult in almost any languages. Outside pharmacies.do not have this system so there will be language barriers for patients at outside pharmacies. 19. The people need us and so do the doctors and nurses. Sending patients out will increase the chance they will use multiple pharmacies. It will be harder to monitor their care. Let's focus on the continuity of care! Remember Service Excellence! 20. Since we are servants to the county, shouldn't the people of the county have a say in whether their outpatient pharmacies are closed? If you think YES, please show your support and sign below. Please Print Name/Telephone and sign if you're in favor of the Contra Costa Regional Medical Center—Outpatient Pharmacies: Name/Teelgphon�e:y� Signatures 1) J�IY' I�1c✓ T S. 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N n o �. �m Nampo 9' 3 'o. ° oc�oa rn m� �� m a t' * -' m $ ns0 o 'M�� Ngo p a ^ cam �. of m fl 2 a m y N S. tSt ��p o N N cD m (D as w. o 0 0 0 � o 0 No o "d O tT O O O O O O O O O CP W N tT o� 00 O p0. O GD c� mc3. ,apGy p 7 t!. ,e eS: YO Y Cost to Children due to 2006-07 Proposed Budget Cuts Community Services: Head Start $180,021 CS Total $1809021 EHSD Admin, Aging/Adult, $4,016,874 Used 50%of total $8.03 million Children/Families, Workforce EHSD Total $4,016,874 HEALTH SERVICES AOD Rehad/Voc services $37,982 Used by transition age youth AOD Total $37,982 Calif. Children's Serv. 4 .5 FTE therapists $100,000 Reduce clerical support $7,000 Therapy Aide &cont. serv. $35,000 CCS Total $142,000 Detention STAND by 56% $103,000 Comm. Violence cont. by 56% $49,000 Detention Total $152,000 Children's Mental Health Total $1,700,000 detail available by Monday Public Health: Home visiting/141 fragile infants $180,000 Health on wheeis/immunizations $337,000 Receiving Centers reduce 2 hrs. $60,000 PHN Foster Care $33,000 WIC impact 2700 clients $181,000 Support to MCAH $40,000 Reduce visits to newborns and eliminate 250 peds visits Monument Corridor $166,000 Reduce support ser. Mothers, babies, pediatric patients result in delay eligibility $36,000 PH Total $1,033,000 Enterprise Fund Amb. Care/Trans, East Co. $90,000 Eliminate gyn at CCRMC $185,000 Amb. Care pharmacies $600,000 used 50% of total Total Enterprise Fund $275,000 03an13NI ION 3214 'QOV aNV SS313WOH :a! 'S331AH3S HllV3H H3HIO aNV'213aN3d3Q 3118nd 'da 'S331A213S 1"3N30 'A3N3SNIINO3 'S331AH3S 1tR11N33 'zi-m3HS'sisnOO HJnOmu S1SOO 133MIGN1 N3UGllN3 OI S331AH3S 133211a A1NO 3W 3S3H1 LE9'99L'6$ N321a11H3 Ol NOIlOna3211v1O1 09L'6WZ$ IB4ol uol;egad 69b'909$ ;iwwns 969'909$ sluawaoe!d 9woH 10 inO 9VVVGl$ PV luanaJd awuO •I,snr 'Anr 069'ZLS$ PH 01ivannr 000'93 ` lko je;o;10 %OS pasn 04L'ZOE$ ale6pSanul 'Ani+g unpy uo!;egoJd Jody Adelberg RN PHN,VSN Pediatric Nurse Practitioner Nurse Case Manager Date: ..._. Tri Fax � SUpLerviSor' G 'iO1a l ? oV(;,r , Pn^d , ►epi-, D Attention: 5 i rJ J r��_� �.0 I7 e�` Company: CONTRA COSTA HEALTH DEPARTMENT From: 30DY ADEL EPG Subject: BUDGET REDUCTION #111 URGENT Sending . pages including c.ver page. Please call if transmission is not complete* Message: I hope you are`able to review-these documents with the Board of Supervisors before they vote t0m`0rr®w. CajO RE: Reduction#111 Budget 2006 .8 PHN/AIDS Program Dr. William Walker: The need to save county dollars is tremendous; it's unfortunate this is affecting so many people in Contra Costa County who receive and provide direct services. As you know,AIDS remains a massive epidemic globally with 5 million new infections yearly. I have been working as a RN, PHN on the front lines of this epidemic since the early 1980's before I took the position with AIDS Case Management, as a Nurse Case Manager in Public Health. I know, as well as the physicians I work with,that I have saved the county millions more than my salary in educating,advocating and coordinating care for clients based on preventive measures, saving costly medication changes,emergency room and hospitalizations,to some of the sickest most vulnerable clients in our county. The stigma associated with this illness remains tremendous and clients benefit from the caring, empathetic, skillful care in their homes where they are motivated to achieve a higher level of health. I know for a fact that one emergency room visit can cost more than $50 00 0 When my position is eliminated,the county is eliminating the position of a 30-plus year experienced RN, dedicated to serving the people of Contra Costa County, from all ages, socioeconomic and cultural backgrounds for the last 20 years; 10 years as the most senior PHN with the AIDS Program. I again ask why would the most senior direct service provider .8 PHN position, which saves million of dollars and brings in Ryan White revenue dollars,be eliminated. I am sending you further documents in support of my position and from my personal folder. Thank you for your dedication and concern. In health and advocacy, Jody Adelberg RN,PHN, MSN Pediatric Nurse Practitioner Nurse Case Manager Jody Adelberg Performance Evaluation June 2005 Jody has been working with the AID5 Case Management team during this evaluation period. Her nursing work with this unit is excellent. For purposes of this evaluation patient records were reviewed and will be discussed. Patients followed by this unit continue to be some of the most challenging in terms of case coordination and medication management seen by Public Health. Health status continually changes with frequent need for changes in both medications and help through attendant care. Jody's documentation outlines these changing needs and the gathering of increased resources to support these patients is well documented. Jody does a very good job of serving as a case manager/care coordinator and understands. Jody's charting documents and ongoing plan of care on each visit addresses the ongoing nature of care and relates to the previous information and visit. 5he continues to work with the patients, even when it is i icu t-to their cooperation. 5he brings as much assistance to each patient as is necessary and possible. Review of records .for Jody's patients shows clear and complete documentation, a clear understanding of the patient's health needs and the care provided can be obtained from the documentation. During this period Jody's has also been responsible for 1) taking on additional cases with the absence of a co-worker 2) serving as preceptor to a student nurse in the HIV unit and 3) providing oversight to the finger-stick process for the testing unit. All of these were challenging tasks and Jody's was able to perform each duty in an exceptional manner This year the team is going to assist with the development of documentation' standards and review and plan for changes in the overall chart. I know that with Jody's breadth of experience and knowledge she will be an asset to this process. Jody continues to be a valuable member of the Case Management Team and should continue to add her input and ideas for problems solving and team growth. Francie Wise PIN, MP�-I 0irejor- P�hlx Balkh Dear Sirs. I a writing concerning the horrible news I recieved. I understand that due to"Bu-et constraints" created by our Governer, that my RN, Jody Adelberg's position is going to be eliminated.After hearin_ this news l was able to "Wrangle"this web address out of her.to at least voice my opinion. I have been priviliged to be a patient of hers for almost 10 yrs.. During this decade Ms. Adelberg (Aunt Jody to my childern)has been a s ectacular nurse, often going above and be}Dnd-rhe-call-of-dur on numerious occasions. Jodv has done research on rrv, hea]th con itions, explained medical jargon in layman's ierms,expiained procedures, informed me of A.I.D.s related news [would have never even known about. Now that 1 am thinking about this, lode may have evensav�mvTlifel As I was rapidly Loosing precious weight my M.D.told me f had no other options to gain weight other tha r, a medicine called Meaace, — ich makes me sicker that I edreadv am. Jodv informed HIM of a medicine called Cyproheptadine HCI that stimulates one's appetite.since then My M.D, has prescribed it to numerious other patients. I remember Doc saying, kinda embarrased,"You vot a really smart nurse" ! When f transfered from medi-cal to Jody went and scheduled a meeting with Dr. " to till him in on my past medical situatiotts, complete with a list of every medicine l had ever taken,she even filled him in on my personality quirks so rhat the transition would be as stress free as possible for me. (and for him)! When I was having trouble staving on my medicine regiment-(slivht dementia)Jody tot me a plastic pill system that would hold two weeks supply of meds. she would make sure I was taking the right thing at the right time, even checking and counting my pills to make sure everything was correct, she even told me where to get a wristwatch that would notify when to take it. Jodv is responsible(through her powers of persuasive suggestion)for me not smoking or drinking! It's-a miracle I'm alive-o be writing this letter.,and Jody is fully,,partially ,responsible. Why the government would let a"Fountain of inf'ormatiott,mowledge_, and ex erience" flow away is beyond m! Jodv is the only person who has been with me during this entire nightmare, and she has actually "Been there" for me. All of my children look fon-yard to her visits and in that they are all younger she is all they have ever baiown,they consider her "family". I seriously doubt they will stand looking out the windows for my"new,less experienced,RN to arrive" as they do with Jody. 1 sure hope my new RN has the 15 yrs. of experience of dealing with this hiddious decease that I do, otherwise it's-ging to be uncomfortable, thank you for letting me voice my opiaion........Reguards J � Y� y r ,� ' AM B. WALKER, M. D. CENTER • .rH SEnVICE5 DIRECTOR - TOR HEALTH 1501 3rd Street Richmond, California CONTRA COSTA 94801.1516 Ph (510) 374-7330 HEALTH SERVICES Fax (510) 374.7347 June, 2005 To whom it may concern, 1 have worked with JoddyAdelberg since January 1997. Since our first shared patient in early 1997, 1 have been impressed with JodY s diligence, thoroughness, compassion and caring. She stands out in her assessment skills with patients and in her communication skills around tough clinical and medication-related issues with both patients and with myself. I have worked with numerous nurse case-managers and can honestly say that Jolyhas provided superb care for our patients. She regularly visits the patient, documents the visits and calls me immediately if there are any concerns. She is available and accountable to me and to our patients. I am confident that her attention has prevented patient hospitalizations on some occasions. She regularly updates me about all of our shared patients. I feel she is an excellent nurse case-manager. The standards of care she sets should be followed by a1ase-managErs Sincerely, Cynthia Carmichael, NM HTWAIDS Physician North Richmond Center for Health 1501 3"' Street Richmond, CA 94801 ! Contra Costa Community Substance Abuse Services Contra Costa Emergency Medical Services Contra Costa Environmental Health Comm cotta H=61tr,elan a [Cnita Coad Hodlth'�'nIE15 �,:,;�• Come Cotta Hazardous h4aterial>Programs I Contra Costa Mental Health Contra Ccsla Public Health Contra Cosi Re S�.onal Mednt Medical Ceer April 24, 2006 We are the physicians who provide care to patients with HN and AIDS at Contra Costa Regional Medical Center and Clinics. We are writing to strongly oppose item#111 on the Budget Reduction List,the .8 FTE Public Health Nurse in the Communicable Disease/AIDS Program. This item is the elimination of the position of Jody Adelberg, PHN, RN, MSN, who provides critical nurse case management services to our most vulnerable and ill HIV positive patients. As you know,HIV/AIDS is a serious and often fatal disease. We have seen great treatment advances over the past decade. Many people with AIDS, who had been frequently hospitalized and had short life expectancies,have been able to stay alive, out of the hospital, and often even return to the workforce. However, HIV treatments are highly complex and carry substantial toxicities. Suboptimal adherence to the medication regimen can lead to the virus's becoming resistant to the medications used. Once a patient's virus has become resistant to a medication,that medication can never regain its effectiveness for that patient. The patient must go on to more complex, costly,and toxic regimens. After repeated failures, some patients run out of effective alternatives. Thus, errors are unforgiving. Favorable outcomes require a multidisciplinary team approach,which has become standard of care. This team components vary depending on an individual's needs, but can include social workers, lay or nurse case managers, medical and mental health clinicians, and substance abuse counselors. Only our sickest and most vulnerable HIV positive patients are referred for nurse case management. Jody Adelberg is the Public Health Nurse who has held the .8 FTE position for the past ten years. She brings superb clinical skills,extensive HIV/AIDS knowledge, and an unusually high level of conscientiousness and meticulousness to the job. She sees the patients in their homes, during hospitalizations,and during clinic visits. She is also readily available to them by phone. She thus provides the continuity and coordination of care they require. Ms: Adelberg establishes trust with patients who are struggling with acceptance of their diagnosis. These patients often suffer from isolation, fear and denial that hinder their ability to take medications or even come to clinic. She provides extensive education and supportive counseling for these patients and,when appropriate, for their caretakers. She helps them transition from hopelessness and helplessness to competent self care. Ms. Adelberg assesses clients clinically in the home. She recognizes and obtains timely treatment for conditions that could otherwise result in severe morbidity and costly hospitalizations. At other times she is able to offer reassurance or coordinate a treatment plan with the doctor by phone and avoid an emergency room visit. Ms. Adelberg evaluates the clients' actual medication organization and adherence in the home. No matter how clear we think we are with our patients in clinic, reviewing and writing down a medication schedule, what is actually understood and done at home can differ significantly. As discussed above, medication adherence is crucial in HIV as in no other medical condition. Ms. Adelberg's medication supervision alone likely saves the county more than her salary in medication and hospitalization costs. Thus, Ms. Adelberg serves our most vulnerable patients through her therapeutic relationships with them; her clinical assessments; her medication supervision; and her liaison functions. She improves their quality of life and their longevity while saving the county increased medication, ER, and hospitalization costs. In the past month, the Central and East County HIV clinics have lost our social worker. This loss is seriously impacting our ability to provide quality care, and we hope it can be remedied. This would be a particularly devastating time to lose the services of Ms. Adelberg, the .8 FTE PHN nurse case manager. Both positions are crucial. Please remove item#111 from the budget reduction list. Thank you for your consideration, Judith Bliss, MD Contra Costa Regional Medical Center and Richmond Health Center Cynthia Carmichael, MD Center For Health,North Richmond Chris Farnitano, MD Pittsburg Health Center and Contra Costa Regional Medical Center Ann Harvey, MD Richmond Health Center and Contra Costa Regional Medical Center Anthony Jones, MD Pittsburg Health Center and Contra Costa Regional Medical Center Paul Sarvasy, MD Richmond Health Center and Contra Costa Regional Medical Center MY E Adelherg RNANAN E D U C A T I O N Pediatric Nurse Practitioner/Associate(PNP) Program. Masters Science Nursing (MSN) University of California Medical Center at San Francisco. Subject major, high- risk parenting/teaching. 1979 Nurse Practitioner residency in pediatric clinics, San Francisco General Hospital and U.C. Medical Center Clinics, San Francisco. 1978 Michigan State University, East Lansing, MI. Public Health Nurse Certificate(PHN) Bachelors Science Nursing (BSN) 1975 PROFESSIONAL EXPERIENCE Nurse Case Manager,AIDS Program, Contra Costa County Public Health Department, Martinez, CA 1996-Present Serviced multi-cultural, highly complex, chronically ill and end stage clients, pediatrics to geriatrics via primarily home visits, clinic and hospital visits.Collaborative team family centered approach working with social workers, physicians, community health workers,and hospice and home care agencies. Implemented community outreach, ongoing educational programs,case conferences,coordinating and advocating client care. Preceptor for student nurses and medical intems. PNP/PHN/Home Health Care, Contra Costa County Public Health Department,Martinez, CA 1985-1996 PNP for Child Health Screening Clinics, Teen Clinics, Juvenile Hall Clinics, PHN home visits with high risks families, newborns to elderly; geriatric community educational outreach programs at senior centers. PHN Home Health Agency skilled nursing visits.Committee work: Childhood Death Review Committee, Childhood Injury Prevention Coalition.inservice update presentations yearly for staff. PHN and Hospice Nurse, Home Health Counseling, Oakland, Ca 1983-1985 Skilled nursing home visits with primarily elderly clients. Self-employed Health Consultant 1982-1983 PNP,pediatrician's office, David Kittams, M.D. Berkeley, Ca 1979-1982 Facilitator of parenting groups, supervisor, educator and PHN Staff Nurse,Emergency Room, Children's Hospital Oakland, CA 1977-1979 Triage and advise nurse, direct care, poison control advice, patient education. Staff Nurse, Pediatric Unit, Stanford University Medical Center Stanford, CA 1975-1977 Developed staff nurse teaching role for working with cardiac children and their families. Worked intensive care and general pediatric units. Licenses and Certificates 1995-present Pediatric Nurse Practitioner Certificate, California licensed Registered Nurse(RN), HIV/AIDS Nurse Educator Certificate, CPR Certificate, Public Health Nurse Certificate,Intravenous Nurse Certification i 1 Resume Addendum for Jody E. Adelberg Nurse Case Manager Contra Costa County 2000-2006 • Developed "HIV/AIDS Update" trainings overhead presentations and training packets. • Developed and presented trainings to Child Protective Services, Foster Care Social Workers and PHNs on HIV&AIDS to augment social service protocols. • Developed collaborative protocol for"Referral to Nursing for AIDS Case Management' and presented trainings to community agencies. • Developed " Orientation Manual and Resource Book" for students and PHNs in AIDS Case Management. • Coordinated, updated and compiled Nurse Case Management forms per State Office of AIDS guidelines, pertinent to direct client care, for PHNs. • Presented training to Hospice of Contra Costa on AIDS Nurse Case Management Program. • Preceptor for Medical Interns and Nurses. • Provides pertinent medical updates at Psychosocial Community Conferences. • Providing culturally sensitive, unbiased client care m g 4 art mJ .rq r *. ,:4+Y'x�, 4, er[ �� „L�51-h'�47'k. � My'r N � � b 2 K•u A�"' i3 ,y. � x<fl � N .� v,� t .7 .iT r✓a ,y'> SG ♦ rv.r„ �t��,�'x `hT 3,y q< i � � ;fir T'4 1 i`. � �v^. 51r SN r�, e^a€ ,.vyr� h�sGi v:Ft� "tom ..L y� ,ta+L.: � t� � 'fs , rf s�i ')'{ xY' s �� +'r, ."a >'y,.• 3 1 rba`�� N'��3' Yh,.r x. .IIC�{""','°t r€� 1�''vJ n �"M�t� �:i k� �"M2e ��1�2 €.CS,MXr c'^€- �..�ti, x rir* r; tr .r rSati 7i- 3 -A S rtL.� w w 5t "e+xL �' 1 ` � r�:kro J Ury t' 1sti93� ¢rr.� qE g� FY'... 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Q• i ' z' 8 Q !�1 co CD � mg's• A S Fxi �_ \\ � �\\�� Cb cn �jCbRo O co I� ��. czi• � � � c•r �1 .Sl � r�� � Mil �il��llll l�'L��V t �� J 1�' �l\r �•i O b � � ,a cY O � ��f� _� I�� /). A ,.� i O ' A �4 0 o x �• o o -14 d SCO u CA Ion �� From: Dr. Michael Cornwall- Chairperson, Contra Costa County Mental Health Coalition. On May 2nd you will have three options as you vote to cut or save five Children's Services out-patient staff that provide direct service in West and East County. As you ponder your decision please remember that all the Mental Health experts, advocates and stakeholders in Contra Costa agree that the hundreds of high risk children currently served by these out-patient staff will suffer extremely painful psychological symptoms and some will commit suicide and violence if the services currently available to them are withdrawn by you. Unlike the proposed tragic closing of Summit Center where there is a contingency plan for alternative services (albeit much less effective services) , for the children served in West and East County out-patient clinics there is no back-up plan. Private Providers currently do not, will not and cannot serve the high risk, psychotic, suicidal and sometimes homicidal-children and teens in question. Remember the valiant and terrified teen girl from Richmond who told you last week about her history of severe depression, self mutilation and six suicide attempts. Her life-saving County out-patient therapist is on the cut list now before you. Who will replace this therapist for this girl in such great need? No one will replace her. And, remember the M.D. Child Psychiatrist from the East County Children's Clinic who also testified to you last week saying, "medications aren't enough for such high risk children and teens". So, remember that our Mental Health Director, Donna Wigand, Cynthia Miller, Kathy McGlaughlin, the entire Mental Health Commision(your State legally mandated advisory board) , plus the Mental Health Coalition which includes the Contractors Alliance, the Client Network, Local One, NAMI, the Mental Health Association, and the Mental Health Commission, ALL of us --are telling you "children will suffer and some will die if you vote to cut these outpatient services". You have three options when you vote. 1) You believe the dire warnings, pleadings and predictions and vote to not cut these vital out-patient Children's services. You sell County Land or cut somewhere else where direct service is not destroyed. 2) You don't believe the dire warnings, pleadings and predictions of the entire Mental Health Stakeholder Community, including your own Mental Health Commission. You vote to cut the Children's out patient services. This breach of trust damages beyond repair your relationship with the Mental Community. 3) You do believe the dire warnings, pleadings and predictions but choose to cut Children's out-patient services anyway. You thereby lose your moral authority to govern. Please believe us, please save these children. Sincerely, Michael Cornwall Ph.D. Lr Monday May 1, 2006 Pharmacy Planning Message to the Board I was really distressed when I found out (last Thursday April 29, 2006) that cuts were in the planning for clinic pharmacies. Although these pharmacies are not fully stocked or carry enough of some critical drugs, they offer conveniences. The cuts will not directly affect me. I have dual Kaiser, VA and Medicare coverages. However, my good standing does not extend to all others. I have watched my mother (a retired school teacher) worry and fret over the procurement of her medicines. I have watched and tried to help friends try to get their medicines. Sometimes it's a futile endeavor. It is difficult to comprehend why the have nots0 and their children are cast out suffer. They are suffering enough from waiting in long lines and bad prescriptions. I have heard the "Partnering Logic". It does not follow that "for Profit Entities" are goina to have the indigent at heart. The physical renovations at the Martinez and Pittsburg facilities are quite nice. It seems that areas of doctoring and patient care have been upgraded. But I notice the pharmacies work seem tight and cramped. As if they were afterthought. The idea of a one stop medical visit is what most people want. The planning that went into creating the "Regional Medical Center Image" is being undone by the proposed action to shutdown critical components of a true HMO infrastructure. It is a slip back into the County Hospital mentality. Peace, Charles D. Gran information for Students rage t of t Cog New R • , r. Campus -Vers Oath of the Pharmacist s a ' University Commencement I Pharmacy Homepage 1 Graduation Homepage For Students I For Family and Guests I For Faculty At this time, I vow to devote my professional life to the service of all humankind through the profession of Pharmacy. I will consider the welfare of humanity and relief of human suffering my primary concerns. I will apply my-knowledge,experience,and skills to the best of my ability to assure optimal drug therapy outcomes for the patients 1 serve. I will keep abreast of developments and maintain professional competency in my profession of Pharmacy, (Will maintain the.highest principles of moral,ethical,and legal conduct. I will embrace and advocate change in the profession of Pharmacy that improves patient care. I take these vows voluntarily with the full realization of the responsibility with which I am entrusted by the public Prepared by the American Associalion of Colleges of Pharmacy. BACK TO TOP rt#5TH UNVEWrry of PEV/.ER5EY For more information,contact Marc C.Kollar RUTGERS Last updated: 12/13/2004 Return to RU Main Site http://pharmacy.rutgers.edu/graduation/oath.htm 5/1/2006 Good Morning Supervisors, I'm Sheila Myers. I'm a pharmacist at the Martinez Outpatient Pharmacy. I'd like to ask you again not to close the outpatient pharmacies. I have 32 more signatures to give you from members of the Retail Clerks Union asking you the same. When you took office, you took an oath. Pharmacists and doctors did too. I take mine seriously. I've printed a copy for each of you. There are 2 parts I'd like to quote. "I will consider the welfare of humanity and the relief of human suffering my primary concerns."Also, "I will embrace and advocate change in the profession of pharmacy that improves patient care."I'm here to do that today. Closing the pharmacies is not a change that will improve patient care nor is it in the best interest of the citizens of this county. It will not relieve human suffering. It will make it worse. Instead of closing the pharmacies, we need to update the computer system to allow us to fill Medicare Part D prescriptions. We are a government facility. We should be able to fill government funded prescriptions. In addition, I recommend a system that allows online billing for other insurances too so that revenue could be generated to offset the prescriptions we do for free. We should not be allowing Walgreens to do mail order prescriptions. How will a homeless person receive mail ?The information I received in the mail yesterday about this program says allow 2 weeks for a new prescription. Are there any provisions for prescriptions that must be started right away(not 2 weeks later) such as antibiotics? How will a patient be counseled in this mail order program if the patient can't read?They need one on one contact with a pharmacist, not a piece of paper. Dr. Walker said starter paks would be given. If a patient is given a starter pak of an antibiotic and does not go to an outside pharmacy to get the balance, he will possibly get sicker and will develop resistence to the antibiotic. Antibiotic resistence is already a major concern in healthcare. Have you considered the cost of medications at retail pharmacies?It is a lot more than what county contract prices are. We can get several medicines in large quantities(ie 1000) for about a penny. Retail pharmacies can't. You will save millions in medication costs alone by keeping us open. Another way the county will lose money is if a patient must be seen in the emergency room or admitted to the hospital. To walk into the emergency room costs $250.00, not including MD fees, xrays, medications, supplies,etc. One night in psych emergency costs $1900.00. One night in intensive care costs $5900.00. These visits will increase if patients miss their medication or fail to complete a course due to lack of transportation, money, or lack of understanding on how to take the medication properly. These figures add up fast. What if I person a day goes to ER?In a year,that's $91,250.00 just to walk in the door. You know probably more than one ER visit will result per day so this figure is low. One pysch emergency stay per day would be $693,500.00 in a year. Again,this is a low estimate considering how many times a week we already hear"code grey"called for a pysch emergency. One person a day in intensive care is $2,153,500.00 in a year. This cost increase due to increase in visits surpasses the savings Dr. Walker proposes for closing the pharmacies' doors. Dr. Smith asked us to help find a way to provide more high quality care, more efficiently, and more effectively. I think we've given several ideas that will help. Dr. Smith told us the very first night that these ideas won't work or they've been tried Before. Let's be optimists, not pessimists, and I'm sure we can find solutions! I believe in thinking positively, not negatively. I take my oath seriously! Do you?Let's all serve Contra Costa County! Thank you. bv-f-5 d -F f,L I PETITION TO SAVE YOUR OUTPATIENT C` e IK &-- PHARMACIES uwn 1, vn J5 z ; Contra Costa County is planning budget cuts that include CLOSING THE OUTPATIENT PHARMACIES IN MARTINEZ, RICHMOND, and AND PITTSBURG!!! Show your support by signing the petition. Reasons to sign: 1: Pharmacists save time, money, and your health everyday. • Pharmacists catch errors by.MD's, drug interactions, disease/drug interactions, and deal with your insurances everyday. • Pharmacists consult and actually talk to you to go over side effects as well as listen to your concerns and answer your questions. We are more accessible than your doctors. • Pharmacists save the doctors time with our refill program. We can authorize certain refills which saves you time in waiting for the MD's to okay it or in decreasing appointments just for refill okay. 2. The county wants you to get your medicines at outside pharmacies that don't have quick access to your MD's like we do. There will be delays in getting your refills okayed as well as getting prescriptions clarified.. 3. Our pharmacies provide medication to patients who are applying for Medi-Cal and Basic Adult Care, and have not yet been accepted. 4. There would be no patient's assistance for free medicines since the coordinator works through the outpatient pharmacy. She gets medicines free for indigent patients. Martinez is the only county hospital. Even if Martinez patients got medicines from the inpatient hospital, the patients from Richmond and Pittsburg may not have transportation to Martinez to get medicines. 5. The county suggested a centralized or mail order pharmacy. Again, the patients we serve would have a transportation problem. People may skip their medications due to this reason and increase county cost with more ER visits and inpatient stays. Also,homeless people have no mailing address. They would not be served. Furthermore, there would be no consultations by the pharmacist with mail order. Homeless people have no phones or email so they couldn't be consulted by those ways either. Elderly patients don't want to wait on hold for a consult plus they may have difficulty in hearing, especially over the phone. The consult could be misinterpreted leading to errors in the way people take their medications:The elderly like the face-to-face contact with their pharmacist. Sometimes, doctors and pharmacists are the only people the elderly see..They need us to keep from getting lonely and depressed. 1 of 5 6. Constructive suggestions were made to management: • Use contract workers only for vacations or to cover sick employees,not on a routine basis as extras. The County's response was that the Board of Supervisors doesn't authorize the regular positions. Our response was if the position is not authorized, then why waste the money paying a contract worker day in and day out? Use a union employee who knows the system and the patients and is loyal to the county and its patients. Union employees work harder for you and are more efficient. Contract workers are less efficient since they are unfamiliar with the system. Not only do they cost the county about 45%more in hourly wages,but also they often use more overtime because of the unfamiliarity with the system. 7. We were informed of the threat of closure on Friday(3/24/06) night because it was coming out in the paper on Monday(3/27/06). Why weren't we informed before so solutions could be looked into? The reason, our union has a strike vote scheduled for Tuesday(3/28/06) and Wednesday(3/29/06). 8. The county pharmacists deserve a raise to stay competitive with retail pharmacies. If we are to recruit great pharmacists, we need to pay competitive wages and have better retirement system. We are currently about 8% below retail. In three more years with no raise, it will be an even greater difference. Who will want to work here? 9. The county sends many patients away because we don't take their insurances. Also,many patients are sent away because we don't stock the medicine. We need to update our formulary and inventory so more patients can be served. 1.0. A better computer'system is needed for online billing and inventory control. We still do all that by hand. Again this would increase our efficiency. To stay afloat, the county needs to progress. Sometimes you have to spend money to make money. Don't let the county pharmacies become extinct like dinosaurs. We are smart enough to evolve to survive. 11. Laying that many people off will increase the money the state pays in unemployment. How does that help the budget? The money is still going out, but no services for patients will be done. Does this make sense to you? 12. Service will decrease at outside pharmacies because their lines will be longer from all the increase in patients from the county. Also, it costs the county more to pay outside pharmacies. 13. Progress is like inflation. It keeps going up. Pharmacists offer a lot of services, but their wages have not gone up to correspond to the work. We deserve to keep up with the times. 14. Another option is if the county did not run the outpatient pharmacy and a contract pharmacy was used. This would again cost the county more money. The county has a great staff of competent pharmacists. They just need.the resources to do their job and not have those resources squandered by administration on contract employees or per diem instead of full time union employees. Nor should funds be transferred from one department to another. All departments should stay within budget so we aren't closed because another department needed more money. 15. Hansen's Clinic: We service patients with Hansen's disease. The Martinez facility has one of the few Hansen's clinics in the United States. People come from all over to be serviced. They get their medications free from us and with no wait. If need be, we even mail extra supplies to them. Retail pharmacies cannot promise that. 2 of 5 16. We are also connected with the Tuberculosis clinics, Coumadin clinics, and chemotherapy unit. Where will these patients get their medications so quickly? The chemotherapy is made in a special room in the outpatient pharmacy. We share a door with the chemotherapy unit where the medications are given. Inpatient would have to make the chemo medications because retail.pharmacies cannot. They do not have the proper equipment. Tuberculosis is on the rise in the United States. Let's not increase the spread of this disease by not servicing the patients that do come to us for help. 17. We also supply the mental health clinics with medications and some to the hospital floors too. This will increase the workload of inpatient and decrease their efficiency in serving the patients in the hospital who need more critical care. 18. We have a translator system that allows us to consult in almost any languages. Outside pharmacies do not have this system so there will be language barriers for patients at. outside pharmacies. 19. The people need us and so do the doctors and nurses. Sending patients out will increase the chance they will use multiple pharmacies. It will be harder to monitor their care. Let's focus on the continuity of care! Remember Service Excellence! 20. Since we are servants to the county, shouldn't the people of the county have a say in whether their outpatient pharmacies are closed? If you think YES,please show your support and sign below. Please Print Name/Telephone and sign if you're in favor of the Contra Costa Regional Medical Center—Outpatient Pharmacies: Name/Tele hone: Si ature 1) � -w��,'� �-Ckl),k\n ( � ��22K�4s�5v�' C�ti I . IJ 5) 6) V, , ka c4 -e 7) ckv 8) �jT6S 'c---e 3`(Yq 9) C—TA 2 '(o-ot2- 10) 11> 12) At r 13 NN 16) 0253 k 3 of 5 Please Print Name/Telephone and sign if you're in favor of the Contra Costa Regional Medical Center-Outpatient Pharmacies: Name/Telephone Si a es 18) s4 a� 20) " cG, Irei , res 39 - 2_33<�, 21)- *S 9 - Z 33�, 22) CdAJ A 'j-Acn; 23) 24) 25) 26) 27) 28) 29) 30) 31) 32) 33) 34) 35) 36) 37) 3 8) 39) 40) 41) 42) 43) 44) 45) 46) 47) 48) 49) 50) 51) 52) 53) 54) 55) 56) 57) 4of5 16. We are also connected with the Tuberculosis clinics, Coumadin clinics, and chemotherapy unit. Where will these patients get their medications so quickly? The chemotherapy is made in a special room in the outpatient pharmacy. We share a door with the chemotherapy unit where the medications are given. Inpatient would have to make the chemo medications because retail pharmacies cannot. They do not have the proper equipment. Tuberculosis is on the rise in the United States. Let's not increase the spread of this disease by not servicing the patients that do come to us for help. 17. We also supply the mental health clinics with medications and some to the hospital floors too. This will increase the workload of inpatient and decrease their efficiency in serving the patients in the hospital who need more critical care. 18. We have a translator system that allows us to consult in almost any languages. Outside- pharmacies utsidepharmacies do not have this system so there will be language barriers for patients at outside pharmacies. 19. The people need us and so do the doctors and nurses. Sending patients out will increase the chance they will use multiple pharmacies. It will be harder to monitor their care. Let's focus on the continuity of care! Remember Service Excellence! 20. Since we are.servants to the county, shouldn't the people of the county have a say in whether their outpatient pharmacies are closed? If you think YES, please show your support and sign below. Please Print Name/Telephone and sign if you're in favor of the Contra Costa Regional Medical Center- Outpatient Pharmacies: Name/Telephone: � Si agn tures I) twtriii1 a(2/0 S, � nC Te FZ('2S)2�k-W,%) 2) JwXk� tWLo( �,a�s)aax- �o� 3) �� 73' S -2 YzG 4) Xsa,,11 r 8) 10) _w..� 1> ��, i� = �(`l `t l d -3 i '-1 0 11) 12) 13) 14) 15) 16) 3 of 5 C®pie*D0/p <cc0fcontra.napanet. To: <comments@cob.cccounty.us> `a net> cc: 04/26/2006 07:48 AM Subject: Data posted to form 1 of http://www.co.contra-costa.ca.us/depart/cao/agendacom m ents_form.ht m Username: Drs. Bliss, Carmichael, Farnitano, Harvey, Jones, UserAddress: CCRMC and Clinics HIV clinics USerTel: 925-370-5200 X3503 UserEmail: harveyann@sbcglobal.net AgendaDate: 04/25/06 Option: Selected AgendaItem: 111 Remote Name: Remote User: HTTP User Agent: Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.1; SV1; .NET CLR 1.1.4322) Date: 26 Apr 2006 Time: 07 :48:23 Comments: We are, the physicians ,who provide care to patients with HIV and AIDS at Contra Costa Regional Medical Center and Clinics. We are writing to Stronaly onpose .- item #111 on the Budget Reduction List, the .8 FTE Public Health Nurse in the °"—'Commun�icab-le Diseases e/A DS ro ram. This item is the elimination of the position of Jody Adelberg, PHN, RN, MSN, who provides critical nurse case management services to our most vulnerable and ill HIV positive patients. As you know, HIV/AIDS is a serious and often fatal disease. We have seen great treatment advances over the past decade. Many people with AIDS, who had been frequently hospitalized and had short life expectancies, have been able to stay alive, out of the hospital, and often even return to the workforce. However, HIV treatments are highly complex and carry substantial toxicities. Suboptimal adherence to the medication regimen can lead to the virus's becoming resistant to the medications used. Once a patient's virus has become resistant to a medication, that medication can never regain its effectiveness for that patient. The patient must go on to more complex, costly, and toxic regimens. After repeated failures, some patients run out of effective alternatives. Thus, errors are unforgiving. Favorable outcomes require a multidisciplinary team approach, which has become standard of care. This team components vary depending on an individual's needs, but can include social workers, lay or nurse case managers, medical and mental health clinicians, and substance abuse counselors. Only our sickest and most vulnerable HIV positive patients are referred for nurse case management. Jody Adelberg is the Public Health Nurse who has held the .8 FTE position for the past ten years. She brings superb clinical skills, extensive HIV/AIDS knowledge, and an unusually high level of conscientiousness and meticulousness to the job. She sees the patients in their homes, during hospitalizations, and during clinic visits. She is also readily available to them by phone. She thus provides ,the continuity and coordination of care they require. Ms. Adelberg establishes trust with patients who are struggling with acceptance of their diagnosis. These patients often suffer from isolation, fear and denial that hinder their ability to take medications or even come to clinic. She provides extensive education and supportive counseling for these patients and, when appropriate, for their caretakers. She helps them transition from hopelessness and helplessness to competent self care. Ms. Adelberg assesses clients clinically in the home. She recognizes and obtains timely treatment for conditions that could otherwise result in severe morbidity and costly hospitalizations. At other times she is able to offer reassurance or coordinate a treatment plan with the doctor by phone and avoid an emergency room visit. Ms. Adelberg evaluates the clients' actual medication organization and adherence in the home. No matter how clear we think we are with our patients in clinic, reviewing and writing down a medication schedule, what is actually understood and done at home can differ significantly. As discussed above, medication adherence is crucial in HIV as in no other medical condition. Ms. Adelberg's medication supervision alone likely saves the county more than her salary in medication and hospitalization costs. Thus, Ms. Adelberg serves our most vulnerable patients through her therapeutic relationships with them; her clinical assessments; her medication supervision; and her liaison functions. She improves their quality of life and their longevity while saving the county increased medication, ER, and hospitalization costs. In the past month, the Central and East County.HIV clinics have lost our social worker, This loss is seriously impacting our ability to provide quality care; and we hope it can be remedied. This would be a particularly devastating time to lose the services of Ms. Adelberg, the .8 FTE PHN nurse case manager. Both positions are crucial. Please remove item #111 from the budget reduction list. Thank you for your consideration, Judith Bliss, MD Contra Costa Regional Medical Center and Richmond Health Center Cynthia Carmichael, MD Center For Health, North Richmond Chris Farnitano, MD Pittsburg Health Center and Contra Costa Regional Medical Center Ann Harvey, MD Richmond Health Center and Contra Costa Regional Medical Center Anthony Jones, MD Pittsburg Health Center and Contra Costa Regional Medical Center Paul Sarvasy, MD Richmond Health Center and Contra Costa Regional Medical Center x, . <ccOftontra.napanet. To: <comments@cob.cccounty.us> net> cc: Subject: Data posted to form 1 of 04/30/2006 07:29 PM http://www.co.contra-costa.ca.us/depart/cao/age_ndacomments_form.ht m Username: Ut Nguyen UserAddress: 15 San Tomas Ct. UserTel: 925-709-9073 UserEmail: Ut_PharmD@yahoo.com AgendaDate: 05/02/06 Option: D.1 AgendaItem: Remote Name: Remote User: HTTP User Agent: Mozilla/4.0 (compatible; MSIE 6. 0; Windows NT 5.1; .NET CLR 1.1.4322) Date: 30Apr2006 ,. Time: 19:28:59 Comments: This letter is to the Board of Supervisors of the concern with the closing of the 3 regional outpatient pharmacies. On April 25th, I spoke during the hearings, but because of-the imi e time to speak, I was unable to convey my concerns thoroughly. I have watched the video and analyzed Dr. Walker's method or plan to close the pharmacy. He obviously has the intention to make a smooth transition while minimizing problems that may slip through the cracks. However, he is not a pharmacist and doesn't work in this field of service to know whether or not the transition will work. For example, most of our patients are non-English speaking patients and if they were directed to go to an outside pharmacy, they will not have the proper consultation due to language barriers. I have worked in the retail settings for many years, and the honest truth of the matter is that most of our non-English patients were sent away because either we don't have a clerk that speak these various languages o r have the machine/translator system in place to provide these services. I currently work for the county and the consultation methods are beyond what retail can provide with translation services or clerks/technicians that can speak various languages (i.e. , Spanish, Chinese, etc. ) . Education does make a difference between a patient finishing a whole course of antibiotics or another visit to the ER. I've worked in a retail pharmacy with a drive-thru that really gives the impression to patients that consultations aren't required; thus, patients drive off with little or no basic knowledge of what the doctors prescribes. More so, imagine the legality issue at stake with patient privacy if you're consulting through a speaker/intercom system (i.e. , HIPAA compliance) . Dr. Walker also mentioned that a starter-pack may be in place for patient being discharged from the hospital with enough time to choose an outside pharmacy of their choice: Imagine, a doctor starting a little boy with an antibiotic regimen, but was given a prescription for the mother to take to an outside pharmacy. Remember, most county patients do not have money and most likely, this particular mother may not be able to get her child the finished prescribed antibiotic (because the health coverage she has requires a prior authorization or it's not cover at all) . Usually outside pharmacists will not advance antibiotics due to the liability issue and will refer the patient back to the ER. Nonetheless, by not completing a course of antibiotic therapy, the infection that the child has may become resistant to other regimen if the infection has time to multiply/mutate. The delay in service itself can be frustrating to the mother and harmful to the child. Another issue Dr. Walker was trying to please the Board of Supervisors was with the notion that it will be more convenient for patient.because of the various options of retail pharmacies to go because of the ,extended hours. Most of the county pharmacies close around or later than 6pm, ' but Dr., Walker fails to mention that most hospital clinics are close at or around 5pm. Again, whether or not patient goes to an outside pharmacy, they will not have the same easy access to quick resolution as with the county pharmacies. More so, outside pharmacies don't have direct lines to the prescribers at county, which is completely different from private practitioners who have either a direct phone or fax. Furthermore, Dr. Walker also implied that patients from Brentwood, Antioch, Bay Point, and North Richmond are currently going to community pharmacies. I believe this is false considering most of our county patients live in these areas and some even live further and requires public transportation because community pharmacies aren't able to provide their services due to various reasons (i.e. , financial, language barriers, etc. ) Some county patients currently choose to go to a community pharmacy because (majority) not by choice, but by barriers that the county put in place. For example, most drugs aren't able to be put on the hospital formulary; thus, aren't able to be in stock for patient to get because administration feels that it's not cost effective. Then we ask, why is that community pharmacies can provide it and they often get their medication at a more inflated rate. More so, due to the flaw of the Medicare Part D situation, most of these patients aren't able to receive t heir medications because our computer system is not up to date. This is the same computer system used for 15+ years now and the irony is that it was chosen by a physician, not a pharmacist. A little upgrade in the computer system will provide a lot more revenue for the pharmacies and the county in general. Remember, the cost that we get for drugs are way below what outside pharmacies can get. Another thing is that governmental pharmacies aren't intended to compete with outside pharmacies because of this particular reason. County pharmacies were put in place in the past for a reason, to provide medications to patients who can't afford them. Another topic that Dr. Walker mentioned was the arrangement of Hansen's patients (leprosy) and Tuberculosis patients to get their medication at private pharmacies. Well, Martinez is the few hospital in California that provides services to Hansen's patients from far places (i.e. , Fresno, Bakersfield, San Jose, etc. ) that often comes to the clinic as a one stop shop. They see the doctor, podiatrist, nutritionist, ophthalmologist, etc. and often, it's a long day for most or all of these patients. Provided that they take to an outside pharmacies will cause such an inconvenience and imagine if the pharmacies do not have the medication. These patients, majority non-English speaking, -will be frustrated and may end up with no medications until their next visitations (often 6 to 12 months away) . Overall, ' the recommendation by Dr. Walker on closing the county.pharmacies is a big risk to the infrastructure of the healthcare system. It will NOT be cost effective and I feel that it's morally wrong to choose money over someone's quality of life because of these budget cuts. I want the Board of Supervisors to empathize with the patients that has Cancer or the patient that has no home or the patient that can't speak the same languages as us . . . please understand the ramification that the closing of these 3 pharmacies will have with our county as a whole. As I've mentioned during my speech during the hearing on April 25th, I'm a pharmacist that speak not as a pharmacist, but a student. I have learned really quickly the business/politics of retail/private pharmacies and I have chosen a dramatic pay cut to examine the structure of the county pharmacies. As a student, I believe from my experiences that the county pharmacies can provide a better service to patients that require legitimate help from our county. Please do not conjure the thought that I am speaking desperately because I want to save my job. Remember, I'm speaking as student and I know that pharmacists are in high demand and I can get a job anywhere (and with a greater financial gain) . However, I'm speaking to you desperately to save this service because I believe it in my heart that the people in our county deserve it. If Dr. Walker believes that this will save 1.2 -1.5 million dollars, he doesn't see it as a student pharmacist's perspective that the hospital will to se more in the long run. These notions hopefully may allow more time for the Board of Supervisors to investigate the matter more thoroughly and carefully before making a decision that can not only impact the lives that we currently care for, but the families that also suffer the burden. I always thought that the Contra Costa Regional Medical Centers were teaching facilities, but as a student, the situation at hand had taught me a new perspective. That we should stick together as healthcare professionals and as one unit (one family) and if a member of the family is not doing well, we should do whatever in our best ability to help that member besides eliminating them. I hope the Board of Supervisors understands the messaging that I'm trying to convey. However, as a pharmacist, I can ensure you in details (if necessary upon request,) that the transition in closure of the 3 county pharmacies will have LARGE gaps and cracks that will cost more and harder to heal in the future (near or far) . Thank you for your time and I hope the lessons that I've learned will make a difference in OUR community. <cc0@contra.napanet. To: <comments@cob.cccounty.us> net> cc: 04/28/2006 07:28 AM Subject: Data posted to form 1 of http://www.co.contra-costa.ca.us/depart/cao/agendacomments_form.ht m Username: Concerned Citizen UserAddress: UserTel: UserEmail: AgendaDate: 05/02/06 Option: ' cted AgendaItem: D.4 Remote Name: Remote User: HTTP User Agent: Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.0; .NET CLR 1.1.4322) Date: 28 Apr 2006 Time: 07:28:01 Comments: Will the board please reconsider cuts in mental health programs and services for our ou At present, os er c i idren and at-risk youth have ew .resources to assist them to become functional and successful adults. To remove the precious support that these children receive through Summit, the regional clinics, and the emergency foster care unit, is to ensure that ever more children will slip through the cracks and end up with lasting mental illness, addiction or increased-criminal behavior. The future of these children and our county's quality of life depend upon adequate mental health care. The budget problems are the result of lavish retirement increases granted by the county and it would be irresponsible to conitnue to provide these benefits at the expense of children in need. C' ® /®e. fed <cc0fcontra.napanet. To: <comments@cob.cccounty.us> net> cc: 04/28/2006 03:58 AM Subject: Data posted to form 1 of http://www.co.contra-costa.ca.us/depart/cao/agendacomments_form.ht m Username: Stephanie Coate UserAddress: UserTel: UserEmail: steffee72@aol.com AgendaDate: 04/25/06 Option: D.1 AgendaItem: Remote Name: Remote User: HTTP User Agent: Mozilla/4.0 (compatible; MSIE 5.5; Windows NT 5.0) Date: 28 Apr 2006 Time: 03 :58:29 Comments: There was a recent article published in the Contra Costa Times about the staff cuts that are being proposed in order to regulate the mental health-budget- in your county. Contra Costa County has been dealing with a budget shortfall for many years; avoiding making major employee cuts the majority of that time. I am aware that over this past year the county hired at least 11 new employees in mental health (mostly licensed Mental Health Clinicians) and less than a year later they are now proposing that the majority of those new employees be cut. It seems fiscally and morally irresponsible to hire new employees, having them to leave prior jobs, only to let them go due to budget cuts before their probation is even over. The people in charge must have known there were budget problems before hiring these employees, since the county has been dealing with financial problems for years. It does not seem appropriate to allow these jobs cuts to occur and fire the people they hired in good faith less than a year ago. There are large amounts of employees at retirement age and set to retire in the next couple of years along with people who leave the county for personal reasons. The more responsible solution here is to allow these newer employees to move into jobs, for which they are qualified, as attrition occurs. As an elected members of the board of supervisors it seems appropriate for you to hold the people in power at the county responsible for there actions. There are other ways to balance the budget responsibly. If you allow the newer employees to move into open positions over time you do not have to put people on unemployment, expect them to find new jobs, and potentially place them into financial hardship all because the people making the decisions at the county were not accountable when hiring them. If you expect to attract competent professionals in the future as many of your long term employees retire you need to uphold certain ethical stan dards of employment. You should not make the employees suffer for Thank you for your time. Stephanie Coate, PsyD Licensed Clinical Psychologist #PSY19521 C®g Sty LAJ1D. L ® s <cc0@contra.napanet. To: <comments@cob.cccounty.us> net> cc: 04/27/2006 09:02 AM Subject: Data posted to form 1 of http://www.co.contra-costa.ca.us/depart/caoJagendacomments_form.ht m Username: Judy Chun UserAddress: 3616 Cranbrook Way UserTel: 925-671-7836 UserEmail: tchun3@netscape.net AgendaDate: 04/05/06 Option: Selected Agendaltem: 111 Remote Name: Remote User: HTTP User Agent: Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.0; sbcydsl 3 .12; .NET CLR 1.1.4322) Date: 27 Apr 2006 Time: 09:02:46 Comments: Budget Balancing Strategies Li e Item 111: Eliminate 0.8 FTE Publi Reduction will result in 4 fewer c lents . eing serve for AIDS case management and reduce HIV testing by 8-10 hours per month. My name is Judy Chun. I am an RN, BSN, PHN. I have worked with hospice and home health as well as acute care and emergency nursing for 35+ years. I feel I am qualified to address this issue from both sides, as a provider and as a consumer. I have had the privilege of taking care of my father and two of my brothers as they were dying. The only thing harder than taking care of dying loved ones, is taking care of them without sufficient support from caring, experienced, and skilled nurses. I was fortunate enough to have that with two out of three. Jody Adelburg came and allowed me to be Zane's sister, not his nurse. I am here to tell you that you lose a lot of objectivity when your loved ones are involved. When the hospice nurse gave me mouth service and never followed through on anything, I called Jody and within the day, I had what I needed. When Zane's condition deteriorated rapidly, Jody knew what was happening and arranged for the bed and other equipment I needed. She was the go between for me getting the MD, meds, and equipment within hours. She has excellent skills and cares deeply about her patients and their families. I understand this fierce protectiveness for-her patients. All of us good nurses have it. We are first and foremost patient advocates. We enable people to stay at home to die surrounded by loving family and friends, not in local emergency rooms and hospitals which cost far more money. Support and understanding help families like mine to not panic and call the ambulance. Good AIDS case management requires someone with intelligence, great clinical skills, great communication skills and a passion for patient care. There is not enough money in the world to compensate these nurses for what they provide. I know they save the county thousands and thousands of dollars by managing these patients at home. 24 fewer patients being served may not sound like much to you, but I am here to tell you all these 24 deserve the best care we can give them. If you or your loved one were one of the 24, this issue would have a personal face. I am sharing my personal face with you, because I feel so passionately that this is a shortsighted and immoral thing to do. No matter where you start financially, if you Have AIDS, you will end up needing help as this disease and its treatment eats up your resources. Families and friends take care of their loved ones for that reason, they are loved ones, but they can not do it alone. AIDS case management is a necessity, not just a nice to have. I understand that budget cuts are inevitable, but I implore you to look at management, which is top heavy in the department. There are 4 managers for 18 employees. Taking direct care service providers away and leaving top heavy management it's unconscionable. Please reconsider. Thank you for considering my testimony. If I can answer any questions for you or you need anything further from me, please feel free to call. Thank You, Judy Chun 3616 Cranbrook Way Concord, Ca 94520 925-671-7836 <cc0fcontra.napanet. To: <comments@cob.cccounty.us> net> cc: 04/26/2006 07:36 AM Subject: Data posted to form 1 of http://www.co.contra-costa.ca.u s/depart/ca o/agendacomments_form.ht m Username: County Employees and residents of CCC UserAddress: UserTel: UserEmail: AgendaDate: 4-25-06 Option: Selected AgendaItem: PGS Remote Name: Remote User: HTTP User Agent: Mozilla/4.0 (compatible; MSIE 6.0; Windows NT 5.0; .NET CLR 1.1.4322) Date: 26 Apr 2006 Time: 07:36:08 Comments: It was said at the meeting Tuesday 4/25/06 that you would keep a close eye on the Public Seryi�ce Ofd situation yet you have been watching as Health Services removed equipment, which protects the public and emplyees from violent attacks, in addition, you have stood by and done nothing while the PSO's were reduced from 42 to 24 with approved cuts 18 PSO's. There are many facilities asking for increased protection and being ignored. eg.Concord Mental Health, Pittsburg,Richmond Health Clinics. There have been many incidents which have accurred when PSO's are not on duty as a result of your authorization to reduce hours of coverage! We ask once again for the Board of Supervisors to be proactive with our safety and not reactive by allowing for the cuts in the PSO dept. and later reacting to safety concerns only after an employee and/or patient is seriously injured or killed. Instead it should be the Board of Supervisors goal to improve our safety by training and staffing our PSO to better serve us and the community. <cc0@contra.napanet. To: <comments@cob.cccounty.us> net> cc: 04/26/2006 11:26 AM Subject: Data posted to form 1 of http://www.co.contra-costa.ca.us/deparUcao/agendacomments_form.ht m Username: Gaylene Cooper UserAddress: 3600 village rd concord UserTel: UserEmail: gsmartyp@aol.com AgendaDate:. Option: Selected AgendaItem: lh„dae Remote Name: Remote User: HTTP User Agent: Mozilla/4.0 (compatible; MSIE 6.0; AOL 9.0; Windows NT 5.1; Sv1; .NET CLR 1.1.4322) Date: 26 Apr 2006 Time: 11:26:46 Comments - I read in the paper this morning of the roed cut to Mental health services for-children. I understand how difficult it must be to balance our budget and how impossible to make everyone happy. Please don't cut children's mental health funding. Children are an investment in the future, as you know. Any problems not adressed may just worsen, teenage suicide is a concern. Depression and other mental illness that may start showing up in adolescence. As a nurse working towards my Master in healthcare Admin. , I am well aware as you are, that there are many families now without health insurance. Though this may be a tempting place for cuts as their political voice is small, I ask you to please reconsider. Thank you 100ER WITH 01 0Ir/rs/v b WEBMASTER To: Jane Pennington/COB/CCC@CCC Sent by: Marites cc: Tolentino Subject: Re: internet commentsD 05/01/2006 10:32 AM Hello Jane, The email below was sent to the county internet we ster's inbox. Could you please assist to redirect this email to the appropriate person who could h he fellow with her concerns? Thank you. Contra Costa County Webmast <cc0@contra.napa et> <cc0@contra.napanet. To: <webmaster@doit.co.contra-costa.ca.us> net> cc: 04/30/2006 07:33 PM Subject: internet comments Please respond to sheilamcentiremyers name: sheila myers email: sheilamcentirPmvers@comcast.net Remote Name: Date: Sunday, April 30, 2006 Time: 07:33 :36 PM comments: Dear Board,' I would just like to mention that it seems ironic that the topic of closing the outpatient pharmacies came up when the public employees local 1 was about to vote whether to strike or not. It seems that similar issues always arise during contract renewal. Secondly, this issue seemed to be announced to us about the same time that one of the outpatient pharmacists was speaking to a grand jury investigation about the county administration. We know the county has a surplus. It may not be as big as you'd like it to be. However, a surplus is there to be used in times of need. We believe the county can improve it's budget status without cutting so many services to the public. There needs to be less wasteful spending by the entire county, but this does not mean closing the outpatient pharmacies. We can't help but wonder if the administration wants to close us just to wipe the 2 problems mentioned above under a rug, rather than deal with the issues. Does the administration feel these issues will become public so they'd rather shut us down to prevent that? We have stressed to you all the reasons I am writing to you from my home computer on a Sunday night on my own time. I even asked my ex-husband to watch the kids tonight on my night with them so I could take the time to do this uninterrupted. I feel it is very important to keep all 3 pharmacies open. Healthcare is progressing at a fast rate. We need to spend a little of the surplus money to update our computer system so we can increase prescription volume and to do prescriptions that generate revenue to offset those that don't. I won't repeat all the things I've said in my other letters, but I hope you consider everything we've sent you as well as said to you at the hearing. Professionally, Sheila Myers April 24,2006 Beilensou Notice 2006/2007 Communicable Disease/AIDS Program (Item #111 on Budget Reduction List) Pg. 13 of 16 As a Nurse Case Manager(NCM),Public Health Nurse,I provide the mandated State Office of AIDS revenue producing Ryan White funded care to the most ill and vulnerable of our AIDS clients in C.C.C.; through advocacy and education of ever changing medications, nutrition,community referrals and the coordinating of complicated health care with physicians,via primarily home visits and some clinic and hospital visits, for the last 10 years. The purpose is to keep clients at home improving their overall quality of life and independence by decreasing overall costs to our health care system,and thereby decreasing emergency room visits and hospitalizations.Another component is to assist with comfort measures when medications no longer work,with resources for the client and family for support regarding the dying process.Having serviced over 170 clients and their families in my position in the last 10 years,approximately 60 clients have died. s:uP�asin,y This NCM provides direct service to clients as well as preceptor to student nurses}created IHV/AIDS trainings presented to C.C.C.and outside agencies,and written protocols and AIDS NCM Orientation Manual. What is unique about this position is more than half of my clients are referred from community physicians from Kaiser Hospitals,Children Hospital Medical Center and University of California San Francisco Pediatric AIDS clinics and the rest are referrals from our county physicians.I have worked to develop ongoing professional relationships and rapport over the last 10 years in order to bring in more referrals of clients which translates into more revenue producing dollars. Reduction of this position.8FTE Public Health Nurse would mean reduction of the most senior direct-service provider of 20 years plus,dedicated to quality service to the people of C.C.C. This program would be left with 2 FTE Public Health Nurses hired from outside the Public Health system with less than 3 years seniority to service our current 75 medically vulnerable adults and children. Two(2)medical social worker cant positions were back filled this past month in this program,in this time of budget reductions. Though the numbers of clients served seems small,the negative impact to the overall health of clients,their families with AIDS and their overall quality of life; and future referrals that provide revenue-producing dollars will be tremendous if position#111 is eliminated. Jo 4Adelberg RN,MSN,PNP,PHN Nurse Case Manager(NCM)AIDS Program REQUEST TO SPEAK FORM L0 (THREE (3) MINUTE LIMIT) 19Com lets this form d lace it in th box near the speakers' rostrum before addressing the Board. P t � l �cJr�P 1�1 Name: �� F' ('iC one: r�,z�N' Please note that if you choose to provide your address and phdnu number, this .no ill ecome Public record of the Clerk of the Board in association with this meeting. P' C,)1617 (/ I r organization: CHECK ONE: ❑ n genda Item # Date: My comments will be: ❑ General ❑ For ❑ Against ❑ I wish to speak on the subject of: ❑ I do not wish to speak but would like to leave these comments for the Board to consider: Please see reverse for instructions and important information REQUEST i`CFS' E�CFt �Ol� (THREE (3) MINUTE LIMIT) cmc Complete this form and place it in the box near the speakers' rostrum before addressing the Boa d. c Name: Phone: Address: z City: (Address Ad-phone number are optional;please note that this card will become a public record kept on file with the Clerk of the Board in association with this meeting) ` I am speaking for myself or organization: v ` CHECK ONE: ❑ I wish to speak on Agenda Item # Date: My comments will be: ❑ General ❑ For Against ❑ 1 wish to speak on the subject of: cao ❑ 1 do not wish to speak but would like to leave these comments for the Board to consider: Please see reverse for instructionsand important information REQUEST TO'SPEAK FORM (THREE (3) MINUTE LIMIT) Complete this form and place it in the box near the speakers' rostrum before addressing the Board. 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Name: eRIQ hIN Phone: Address: Jo !9 41,T-7fZ- 726 X 203 City: �Qn✓y /`� Please note that if you choose to providelyour address and phone number, this information will become a public record kept on file with the Clerk of the Board along with the minutes for this meeting am speaking for myself or organization: .S J:'�V Li Q,41.6 CHECK ONE: y _ L I wish to speak on Agenda Item # / Date: My comments will be: ❑ General ❑ For Ly'Against 1 wish to speak on the subject of: wrc- G'4_�aff5a'�� ern �,w,, OL j ❑ I do not wish to speak but would like to leave these comments for the Board to consider: Please see reverse for instructions and important information r REQUEST TO SPEAK FORM 6401�4(THREE (3) MINUTE LIMIT) Compl e this f and place it in the box near t e speakers' rostrum before addressing the Board Name: Phone: Address: City: (Address and phone number are optional; please note that this card will become a public record kept on file with the Clerk of the Board in association with this meeting) 1 am speaking for myself or organization: CHECK ONE: J il/l wish to speak on Agenda Item # Date: My comments will be: ❑ General ❑ For ` Against ❑ 1 wish to speak on the subject of: ❑ 1 do not wish to speak but would like to leave these comments for the Board to consi,yz�r: Please see reverse for instructions and important information o ,:: :, • � COUNTY OF •CONTRA. C,OSTA, '� _ . : _ - � a . RECOM:MEN-DED BUDGET .2006-200,7 y; 46 On� 1 , ' l 1� � t 01' ,G 0 O coin O A r Presented-to the.Board of Supervisors. O f JOHN.M, GIOIA Chair O. Supervisor, District ,GAYLE B..UILKEMA MARY N.'PIEPHO . rSupervisoi Distract ll: Superv�sor,:District•I'll O ; O MARK DE$AULNIER - FEDERAL D:GLOVER (Q : . • Supervisor,District IV Supervisor, District V By John Cullen OCounty Administrator rl O O O Table of Contents O O Departmental Budget Summaries by Functional Groups Page O Q All County General Fund Summary......................................................................... 1 O Navigation Information for Department Budget Summary....................................3 O O General Government O Functional Group Summary...............................................................................7 O OAgriculture.............................................................................................................9 Assessor............................................................................................................. 11 O OAuditor— Controller.............................................................................................15 O O Board of Supervisors ..........................................................................................19 OBuilding Inspection..............................................................................................21 0 0 Central Support Services....................................................................................27 0 Clerk-Recorder....................................................................................................33 O 0 Community Development....................................................................................39 0 Contingency Reserve..........................................................................................51 O 0 Cooperative Extension........................................................................................53 0 County Administrator..........................................................................................55 O 0 County Counsel ..................................................................................................61 0 Crockett/Rodeo Revenues..................................................................................63 O QDebt Service ......................................................................................................65 O Department of Information)Technology...............................................................67 O O Employee/Retiree Benefits .................................................................................69 0 General Purpose Revenue .................................................................................71 O OGeneral Services ................................................................................................73 O O O County of Contra Costa FY 2006-2007 Recommended Budget i 0 • • Table of Contents • • Page. • • HumanResources..............................................................................................83 Library.................................................................................................................87 • • PublicWorks ......................................................................................................91 Treasurer—Tax Collector........................................................I.......................... 101 • • Law And Justice • • Functional Group Summary........................................................................... 103 • AnimalServices ................................................................................................ 105 • Child Support Services ..................................................................................... 109 • • ConflictDefense................................................................................................ 111 • DistrictAttorney.................................................................................................113 • • Justice Systems Development/Planning........................................................... 119 • Probation .......................................................................................................... 125 • • PublicDefender................................................................................................ 133 Sheriff-Coroner.................................................................:............................... 135 • Superior Court Related Functions...................................................................... 149 • • Health And Human Services • • Functional Group Summary...........................................................................153 Community Services......................................................................................... 155 • Employment and Human Services....................................................................161 Health Services Department.............................................................................189 • • Veterans Services.............................................................................................243 ii County of Contra Costa FY 2006-2007 Recommended Budget • • • 0 O 0 Table of Contents O O O Fire Districts Page O OContra Costa Fire..............................................................................................245 0 Crockett-Carquinez Fire...................................................................................247 O O East Contra Costa Fire....... .............................................................................249 O 0 Budget Balancing Strategies................................................................................ A-1 0 O 0 0 O O 0 0 n 0 O O 0 0 0 0 0 0 0 0 O O O 0 0 O 0 O O County of Contra Costa FY 2006-2007 Recommended Budget iii 0 0 O General Fund Summary All County O 0 O FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 Q General Fund Actual Budget Baseline Recommended Change EXPENDITURES Q Salaries and Benefits 569,739,839 633,145,790 654,582,046 642,971,863 -11,610,183 Services and Supplies 403,077,558 459,297,170 474,521,339 461,082,704 -13,438,635 O Other Charges 280,306,992 286,221,061 263,714,129 267,905,503 4,191,374 Q Fixed Assets 24,662,095 16,884,998 8,547,287 7,679,440 -867,847 Expenditure Transfers -149,609,574 -164,453,135 -162,267,865 -160,882,762 1,385,103 Q Contingency Appropriation 0 10,000,000 10,000,000 0 -10,000,000 Q Total Expenditures 1,128,176,912 1,241,095,884 1,249,096,936 1,218,756,748 -30,340,188 Q REVENUE Q Other Local Revenue 556,819,820 610,879,584 628,911,600 631,577,778 2,666,178 Federal Assistance 220,534,046 227,418,523 237,353,611 237,353,611 0 Q State Assistance 324,131,512 359,386,649 346,882,076 349,825,359 2,943,283 Q Gross Revenue 1,101,485,378 1,197,684,756 1,213,147,287 1,218,756,748 5,609,461 Q NET COUNTY COST(NCC) 26,691,533 43,411,128 35,949,649 0 -35,949,649 0 Q Allocated Positions(FTE) 5,624 5,584 5,588 5,430 -158 Q FINANCIAL INDICATORS Salaries as%of Total Exp 45% 45% 46% 47% 0 %Change in Total Exp 10% 1% -2% 0 %Change in Total Rev 9% 1% 0% % Change in NCC 63% -17% -100% 0 O Q General Fund Description This table presents information in aggregate and in each General Government Summary Q format summarizing expenditures, revenues, Table the reader will note a large jump when and net County costs for all three Functional comparing actual FY 2004-05 expenditures to O Budget Groups: General Government, Law and FY 2005-06 budgeted appropriations due to the Q Justice, and Health and Human Services. The $10 million annual re-appropriation of the Recommended Net County Cost figure includes contingency reserve. The increase year-to-year O $319.7 million in General Purpose Revenue, no will not be as significant comparing actual Q one-time resources are budgeted. In this table expenditures between years. 0 O 0 0 0 Q County of Contra Costa FY 2006-2007 Recommended Budget 1 O 0 0 0 O Navigation Information for Department Budget Summary O O Q The following is an abstract of the information provided within each Departmental Q Budget Summary, and a number indicating where it can be found on the sample budget which follows. Q This section lists the department name, functional group in which it is O located, and department head's name. 0 O 2 This section summarizes the budget by fund and major account, shows Q the number of full-time budgeted positions, the change from the current Q year's budget at the recommended level, and a comparison of key Q financial indicators. Requirements, as well as the means of financing them, are shown in this section. In the header row of each major function Q box, the term General Fund is used if the function is entirely funded by the Q General Fund. The term General Fund Only is used if the function is Q funded by more than one fund (the box, however, will depict only the General Fund portion). O d 3 This section summarizes the program descriptions. It provides a narrative O explanation of the department's programs. O Q 4 These sections provide details of service requirements and financing Q sources. O 5 This section summarizes the County Administrators recommended O Q funding level, the reasons for the recommendation and the expected Q impact on services if the recommended level is approved. O O O O O O O O O O 0 Q County of Contra Costa FY 2006-2007 Recommended Budget 3 O I � a County Counsel • ' a • : Silvano B. Marches!, County Counsel Genera/ Government • FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 • General Fund Only Actual Budget Baseline Recommended Change EXPENDITURES • Salaries and Benefits 6,359,207 7,094,243 7,282,415 7,152,433 -129,982 Services and Supplies 572,158 744,334 768,087 693,069 -75,018 Fixed Assets 6,933 0 0 0 0 . Expenditure Transfers -2,993,644 -3,393,230 -3,527,866 -3,527,866 0 • Total Expenditures 3,944,654 4,445,347 4,522,636 4,317,636 -205,000 { REVENUE Other Local Revenue 2,603,096 2,418,302 2,508,983 2,508,983 0 • Gross Revenue 2,603,096 2,418,302 2,508,983 2,508,983 0 NET COUNTY COST(NCC) 1,341,558 2,027,045 2,013,653 1,808,653 -205,000 • Allocated Positions(FTE) 46 47 47 46 -1 ;t FINANCIAL INDICATORS Salaries as%of Total Exp 92% 91% 90% 91 % Change in Total Exp 13% 2% -5% %Change in Total Rev -7% 4% , 0% % Change in NCC 51% -1% -10% • Program Description r` General Law Summary Description: Legal advisors for County officers, ❑ departments, boards and commissions, school Service: Mandatory and other districts in the County. County Level of Service: Discretionary } F31 Counsel's duties include litigating civil cases and A providing legal counsel to the Board of Expenditures: $4,054,584 Supervisors, County departments, special Financing: 2,245,931 . districts, and Board-governed authorities and Net County Cost: 1,808,653 agencies. • Funding Sources: 1. General Law Property Tax Admin 6.8% $277,152 Charges for Svc 48.6% 1,968,779 0 - Description: Provides legal services necessary General Fund 44.6% 1,808,653 . for the continued operation of the County departments and special districts. Additionally, FTE: 22.0 • 01 provides legal services to outside clients and g� independent special districts upon request. • 4 . 2. Social Service-Probate t z 0 K • 4 County of Contra Costa FY 2006-2007 Recommended Budget O O County Counsel O - ' O General Government O O Description: Provides legal services for GAO's Recommendation a Employment& Human Services department O activities (adoptions, dependent children, L-P S Baseline costs for FY 2006-2007 increased by conservatorships, etc.). $211,925 over FY 2005-2006 due to increased costs of compensation and services and O Social Service-Probate Summary supplies. The anticipated level of revenues and O transfers, however, increased by $225,317. The Service: Mandatory net result was a decrease in the baseline net O Level of Service: Mandatory County cost of$13,392. O Expenditures: $2,651,543 The County Administrator is recommending a O Financing: 2,651,543 reduction in net County cost in the amount of Net County Cost: 0 $205,000 which is being achieved through a Q vacancy factor and adjustments to services and O Funding Sources: supplies. O Charges for Svc 100% $2,651,543 O FTE: 18.0 O O 3. Risk Management/Tort Unit 0 Description: Provides litigation services in- house and monitors outside litigation attorneys in conjunction with Risk Management. d O 1 Risk Management/tort Unit Summary Q Service: Mandatory O Level of Service: Discretionary OD Expenditures: $1,139,375 aD Financing: 1,139,375 Net County Cost: 0 aD Funding Sources: 44 Liability Trust Fund 100% $1,139,375 T FTE: 6.0 O O O O O O O O O O O O County of Contra Costa FY 2006-2007 Recommended Budget 5 0 o - t o , General Government SE 0 0 O 0 O Functional Group Summary General Government O O O FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 O General Fund Actual Budget Baseline Recommended Change O EXPENDITURES Salaries and Benefits 122,843,222 140,595,728 142,671,597 141,133,675 -1,537,922 Services and Supplies 127,757,524 183,443,357 191,184,816 187,553,943 -3,630,873 O Other Charges 48,232,496 46,398,547 43,489,252 43,167,310 -321,942 Fixed Assets 23,640,175 14,401,920 7,372,370 7,004,523 -367,847 O Expenditure Transfers -88,467,674 -104,237,909 -106,483,621 -104,891,798 1,591,823 O Contingency Appropriation 0 10,000,000 10,000,000 0 -10,000,000 O Total Expenditures 234,005,743 290,601,643 288,234,414 273,967,653 -14,266,761 O REVENUE Other Local Revenue 423,276,596 465,821,114 508,768,988 508,942,365 173,377 O Federal Assistance 10,333,309 17,213,187 13,626,079 13,626,079 0 O State Assistance 11 598,402 17,252,407 4,239,435 4,259,435 20,000 Gross Revenue 445,208,307 500,286,708 526,634,502 526,827,879 193,377 O O NET COUNTY COST(NCC) -211,202,564 -209,685,065 -238,400,088 -252,860,226 44,460,138 O O Allocated Positions(FTE) 1,295 1,275 1,272 1,266 -6 O FINANCIAL INDICATORS O Salaries as%of Total Exp 38% 36% 36% 37% O %Change in Total Exp 24% _1% -5% % Change in Total Rev 12% 5% 0% %Change in NCC -1% 14% 6% O O O Table Description This table presents information in aggregated Debt Service, Department of Information format summarizing expenditures, revenues, Technology, Employee/Retiree Benefits, General and net County costs for the General Services, Human Resources, Public Works, and O Government Functional Group. Included is data Treasurer-Tax Collector. In this table and in for the following departments: Agriculture, each Summary Table the reader will note a large Assessor, Auditor-Controller, Board of jump when comparing actual FY 2004-05 Q Supervisors, Building Inspection, Central expenditures to FY 2005-06 budgeted Support Services, Clerk-Recorder, Community appropriations due to the$10 million annual re- O Development/Grants, Contingency Reserve, appropriation of the contingency reserve. The O Cooperative Extension, County Administrator, increase year-to-year will not be as significant County Counsel, Crockett/Rodeo Revenues, comparing actual expenditures between years. O O O � O O O County of Contra Costa FY 2006-2007 Recommended Budget 7 O 0 0 0 Edward P. Meyer, Agriculture Commissioner Agriculture 0 Director of Weights and Measures General Government 0 0 0 FY 2004-05 FY 2005-2006 FY 2006-07 FY 2006-07 FY 2006-07 0 General Fund Actual Budget Baseline Recommended Change 0 EXPENDITURES Salaries and Benefits 3,212,260 3,503,060 3,691,832 3,843,395 151,563 0 Services and Supplies 555,141 412,367 472,469 498,369 25,900 0 Other Charges 3,570 0 0 0 0 0 Total Expenditures 3,770,971 3,915,427 4,164,301 4,341,764 177,463 0 REVENUE O Other Local Revenue 421,086 410,337 426,579 733,192 306,613 State Assistance 1,998,429 1,957,402 2,027,435 2,047,435 20,000 0 Gross Revenue 2,419,515 2,367,739 2,454,014 2,780,627 326,613 0 NET COUNTY COST(NCC) 1,351,456 1,547,688 1,710,287 1,561,137 -149,150 0 0 Allocated Positions(FTE) 40 38 39 41 2 0 0 FINANCIAL INDICATORS 0 Salaries as%of Total Exp 85% 89% 89% 89% O %Change in Total Exp 4% 6% 4% %Change in Total Rev -2% 4% 13% 0 %Change in NCC 15% 11% -9% 0 0 C-) Department Description Maior Department Responsibilities 0 This table represents information in aggregate The Agriculture/Weights & Measures 0 format summarizing expenditures, revenues and Department promotes and protects the County's 0 net County costs for three budget units agricultural interests while protecting the public administered by the Agriculture/Weights & health and environment, and to protect the 0 Measures Department. Included are data for the public interest in the commercial exchange of following budget units: goods where value is determined by weights 0 and measures. 0 3300—Agriculture/Weights& Measures Admin 3305—Agriculture Division 0 3311 —Agriculture Division (Pest Management) 0 3315—Weights and Measures 0 0 0 0 0 0 0 0 County of Contra Costa FY 2006-2007 Recommended Budget 9 0 Agriculture • f General Government • ti • Administration Weights and Measures • Description: Provide direction and financial Description: Provide assurance of fair t control, develop and implement policies and business practices by performing routine • procedures in support of the operations of the inspection of all weighing and measuring department. devices used in commercial transactions. • Provide regulatory services to ensure commercial sales are made in compliance with • state laws. Provide protection for the consumer • Service: Mandatory by enforcing laws designed to prevent deceptive Level of Service: Discretionary packaging and ensure accurate units of measure. • Expenditures: $704,054 Financing: 6,600Weights and measures summary Net County Cost: 697,454 • ,,, Funding Sources: Service: Mandatory g Level of Service: Discretionary • State 0.9% $6,600 General Fund 99.1% 697,454 Expenditures: $887,609 FTE: 4.0 Financing: 559,525 • Net County Cost: 328,084 • Funding Sources: • '� Agricultural Division State 2.0% $17,875 Fees 60.5% 536,650 • Description: Provide enforcement of pesticide Other 0.6% 5,000 • use and worker safety regulations, enforcement General Fund 36.9% 328,084 of quarantine regulations, and quality assurance • ' programs involving fruits, nuts, vegetables, FTE: 8.0 • eggs, nursery stock and seed. Also, assist the public with pest identification and control • =' techniques using environmentally safe pest CAD's Recommendation management practices. ' `y Baseline costs have increased by$188,772 over ' Agricultural Division Summary the FY 2005-06 budget due, primarily, to increased compensation costs. Additionally, the Service: Mandatory Recommended Budget increases expenditures • Level of Service: Discretionary by$177,463 for two additional Weights and Measures inspectors to cover the new point of • Expenditures: $2,750,101 sale device registration and inspection program. • Financing: 2,214,502 Net County Cost: 535,599 The Department will be able to cover the • difference in increased expenditures and the • (:F Funding Sources: cost of the two additional FTEs using increased State 73.6% $2,022,960 device registration fees and revenues from the f ' Fees 5.0% 137,842 new point of sale inspection program. There will • ; Interfund Revenue 1.8% 48,700 also be additional revenues this fiscal year from Other 0.1% 5,000 a combination of gas tax distribution, pesticide General Fund 19.5% 535,599 mill tax disbursement and sales of rodent bait. • FTE: 29.0 (13 permanent and 16 project) On a cautionary note, a reduction in net County • cost will result in a decrease of state unclaimed • i gas tax reimbursement in the following fiscal year. • 10 County of Contra Costa FY 2006-2007 Recommended Budget . t • 0 0 0 Assessor Q Gus Kramer, Assessor General Government O 0 O FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 General Fund Actual Budget Baseline Recommended Change O O EXPENDITURES Salaries and Benefits 12,164,979 14,221,765 14,757,356 14,140,061 -617,295 0 Services and Supplies 2,624,263 1,965,166 1,969,299 1,969,299 0 O Other Charges 0 4,900 4,900 4,900 0 Fixed Assets 0 10,000 10,000 10,000 0 0 Expenditure Transfers -361,153 -300,000 -300,000 -300,000 0 O Total Expenditures 14,428,089 15,901,831 16,441,555 15,824,260 -617,295 O REVENUE O Other Local Revenue 2,284,860 3,212,900 1,190,900 1,190,900 0 O Gross Revenue 2,284,860 3,212,900 1,190,900 1,190,900 0 O NET COUNTY COST(NCC) 12,143,230 12,688,931 15,250,655 14,633,360 •617,295 O Q Allocated Positions(FTE) 131 133 135 135 0 O FINANCIAL INDICATORS O Salaries as%of Total Exp 82% 88% 88% 88% Change in Total Exp 10% 3% -4% Q %Change in Total Rev 41% -63% 0% O % Change in NCC 4% 20% -4% O 0 Appraisal O . . ry Description: Ensure that all secured real and personal property within the county has been Service: Mandato accurately valued and entered on the regular Level of Service: Discretionary 0 and supplemental assessment rolls. Expenditures: $6,675,444 Q Financing: 626,178 O Net County Cost: 6,049,266 Funding Sources: 0 Transfers 1.9% $126,000 O Fees 2.9% 193,578 O Prop. Tax Admin. 4.6% 306,600 General Fund 90.6% 6,049,266 Q FTE: 52 0 Q 0 0 0 Q County of Contra Costa FY 2006-2007 Recommended Budget 11 0 0 Assessor General Government Z • Business • Support 411 Description: Ensure that all business personal . property within the county has been accurately Service: Mandatory reported and valued and entered on the regular Level of Service: Discretionary and supplemental assessment rolls. • Expenditures: $6,449,704 Financing: 581,451 Business Summa ry Net County Cost: 5,868,253 • Service: Mandatory Funding Sources: Level of Service: Discretionary Transfers 1.8% $117,000 • Expenditures: $1,854,290 Fees 2.7% 179,751 Financing: 178,908 Prop. Tax Admin. 4.4% 284,700 Net County Cost: 1,675,382 General Fund 91.1% 5,868,253 • Funding Sources: Transfers 1.9% $36,000 FTE: 63 Fees 2.9% 55,308 . Prop. Tax Admin. 4.7% $87,600 General Fund 90.5% 1,675,382 FTE: 13Administrative Services . Description: Establish and administer policies relative to department operations and provide • administrative guidelines for carrying out these • Support Services policies. Description: Enroll all valid exemptions on the . annual and supplemental local assessment rolls; Administrative provide data entry and drafting services to the department; review policies and procedures, and Service: Mandatory • , make changes where necessary; and provide Level of Service: Discretionary public service to agencies, private organizations • and to the public. Expenditures: $1,144,822 Financing: 104,363 Net County Cost: 1,040,459 Funding Sources: . Transfers 1.77% $21,000 Fees 2.72% 32,263 Prop. Tax Admin. 4.31% 51,100 General Fund 91.20% 1,081,605 • "` FTE: 7 • 5. 4: • Y i. 12 County of Contra Costa FY 2006-2007 Recommended BudgetW INN • , 4 O O Assessor O General Government O O O CAD's Recommendation O Baseline expenditures increased by $539,724, The Department will continue to fill vacant O The majority of increases were due to projected positions throughout the year, however, salary salary and benefit costs. savings are anticipated due to turnover and O normal hiring times. O The County Administrator is recommending a vacancy factor totaling $617,295, the equivalent O of 7 FTE, as part of the budget balancing O strategy. The failure to fill these positions may result in workload increases and service delays. O O O O O O O O O O O O O O O O O O O O O O O O O O O O 0 County of Contra Costa FY 2006-2007 Recommended Budget 13 O O 0 0 0 Auditor-Controller 0 Steve Ybarra, Auditor-Controller General Government 0 0 0 0 FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 OGeneral Fund Actual Budget Baseline Recommended Change 0 EXPENDITURES O Salaries and Benefits 5,756,185 6,652,648 6,901,946 6,901,946 0 Services and Supplies 1,551,800 1,700,013 1,670,828 1,636,418 -34,410 0 Fixed Assets 7,029 100,000 0 0 0 O Expenditure Transfers -839,175 -831,747 -803,071 -803,071 0 Total Expenditures 6,475,839 7,620,914 7,769,703 7,735,293 -34,410 Q O REVENUE Other Local Revenue 4,043,365 4,130,656 4,211,738 4,211,738 0 0 Gross Revenue 4,043,365 4,130,656 4,211,738 4,211,738 0 0 NET COUNTY COST(NCC) 2,432,474 3,490,258 3,557,965 3,523,555 -34,410 0 0 Allocated Positions(FTE) 64 63 63 63 0 0 0 FINANCIAL INDICATORS 0 Salaries as% of Total Exp 79% 79% 81% 81% 0 % Change in Total Exp 18% 2% 0% % Change in Total Rev 2% 2% 0% 0 %Change in NCC 43% 2% -1% 0 0 0 Payroll/Budgets Payroll/Budgets Summary Description: To process payroll for all County (� departments, most fire districts, some special Level of Discretion: Mandated O districts, and some non-county regional Level of Service: Discretionary agencies. To assist in preparing the budget 0 documents for the County and special districts, Expenditures: $2,359,859 including monitoring expenditures for budget Financing: 1,026,484 0 compliance. Assist in the issuance and Net County Cost: 1,333,375 O administration of the Tax and Revenue Anticipation Notes and other bond programs. Funding Sources: 0 Transfers 12.6% $296,565 Fees 30.9% 729,919 0 General Fund 56.5% 1,333,375 0 FTE: 16 0 0 0 0 0 0 County of Contra Costa FY 2006-2007 Recommended Budget 15 0 Auditor-Controller • General Government • • • General Accounting/Accounts Property Tax/ • Payable[Welfare Cost Accounting • Description: To manage the countywide Description: To build the countywide tax roll • Financial System and process various types of and allocate and account for property tax fiscal information for County departments, apportionments and assessments for all special districts, and other non-county agencies. jurisdictions in the County. To prepare the • To maintain the general ledger. To enforce countywide Cost Allocation Plan. To prepare accounting policies, procedures and processes. the State Controller and local government fiscal • To ensure financial reporting in accordance with reports. To coordinate countywide SB 90 • County policies and state and federal guidelines. claiming. To perform public safety accounting To reconcile fixed asset activity to County and reporting for Proposition 172, Supplemental • ht inventory. To process demands, purchase Law Enforcement Services Fund and Booking orders and contracts. Fee receipts. • To ensure the daily welfare checks and food stamps are processed and distributed. To • •. • process lost and destroyed check certificates in • accordance with state and federal regulations. Level of Discretion: Mandated i To prepare various reports and claims for Level of Service: Discretionary • federal and state departments. To maintain • � general ledger accounts for various monies Expenditures: $1,523,307 received from the state. To reconcile the Social Financing: 1,504,944 Service Case Data System to the Finance Net County Cost: 18,363 System. To research and provide records for • the District Attorney's subpoenas. Funding Sources: • Transfers 0.4% $6,358 Fees 98.4% 1,498,586 • ' AccountingGeneral General Fund 1.2% 18,363 • FTE: 10 • Level of Discretion: Mandated • Level of Service: Discretionary Expenditures: $2,826,805 Internal Audit Financing: 1,877,281 Net County Cost: 949,524 Description: To develop and execute audit 'f • Funding Sources: programs for the examination, verification and analysis ,r- Transfers 16.7% lysis of financial records, ' $470,911 s, procedures an ' Fees 49.8% 1,406,370 internal controls of the County departments. ToJI General Fund 33.6% 949,524 produce the Comprehensive Annual Financial . Report. FTE: 25 • ' • 'a 16 County of Contra Costa FY 2006-2007 Recommended Budget • t,. 3 O O O Auditor-Controller O General Government O Internal Audit Summary O Automated Systems Development O O Level of Discretion: Mandated Description: To accumulate interest earnings O Level of Service: Discretionary from the Teeter Plan borrowing program and other funding sources to finance maintenance O Expenditures: $1,062,049 and enhancement for countywide financial O Financing: 360,100 systems. (Non-General Fund) Net County Cost: 701,949 O Funding Sources: Automated Systems Development O Transfers 2.7% $28,237 O Fees 31.2% 331,863 Level of Discretion: Discretionary O General Fund 66.1% 701,949 Level of Service: Discretionary O FTE: 8 Expenditures: $170,000 Financing: 70,000 O Net Fund Cost: 100,000 Administration /Systems Funding Sources: O Interest Earnings 41.0% $70,000 Description: To provide general management Fund Balance 59.0% 100,000 of the financial information and accounts of all FTE: 0 O departments, districts and other agencies O governed by the Board of Supervisors. To provide employee development, personnel, O payroll and fiscal administration. To provide O systems development and support. To provide CAO's Recommendation secretarial support. O The baseline budget reflects increased costs of O $249,298 associated with salary and benefits. Administration & Systems Summary Eliminating Fixed Asset funding by$100,000 O and Services and Supplies funding by$29,185 O Level of Discretion: Mandated partially offset costs. Increased A-87 cost plan Level of Service: Discretionary and levy fees for$81,082 also offset increased O costs. Due to a decrease of$28,676 for O Expenditures: $766,344 Expenditure Transfers, the total adjustments Financing: 246,000 increased the baseline net County cost by Q Net County Cost: 520,344 $67,707. O Funding Sources: The Recommended Budget reflects an O Transfers 0.1% $1,000 additional reduction of$34,410 of minor Fees 9.7% 75,000 equipment. O Other Funds 22.2% 170,000 O General Fund 67.9% 520,344 O FTE: 4 O O O O O County of Contra Costa FY 2006-2007 Preliminary Recommended Budget 17 O O O O Board of Supervisors Q General Government O O Q FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 General Fund Actual Budget Baseline Recommended Change v EXPENDITURES Q Salaries and Benefits 2,308,832 2,675,980 2,596,304 2,596,304 0 Q Services and Supplies 2,500,339 5,820,033 4,940,160 4,518,539 -421,621 Other Charges 219,550 195,200 195,200 363,128 167,928 O Expenditure Transfers 212,850 138,250 138,250 138,250 0 Q Total Expenditures 5,241,570 8,829,463 7,869,914 7,616,221 -253,693 Q REVENUE Q Other Local Revenue 2,579,667 2,488,129 2,272,129 1,992,513 -279,616 Gross Revenue 2,579,667 2,488,129 2,272,129 1,992,513 -279,616 O Q NET COUNTY COST(NCC) 2,661,903 6,341,334 5,597,785 5,623,708 25,923 O Q Allocated Positions(FTE) 27 27 27 27 0 O Q FINANCIAL INDICATORS Salaries as%of Total Exp 46% 31% 34% 35% Q % Change in Total Exp 68% -11% -3% Q %Change in Total Rev -4% -9% -12% %Change in NCC 138% -12% 0% O O _ Q Legislative and Policy Direction ' O Description: Enforce statutes and enact Service: Mandatory Q legislation to serve and protect County Level of Service: Discretionary O residents, establish general operating policies and plans, adopt annual budgets and levy taxes, Expenditures: $7,754,471 Q determine land use, and appoint County Financing: 2,130,763 O officials. Net County Cost: 5,623,708 Q Funding Sources: Q Trans. Occup.Tax 8.7% 410,000 Landfill Franchise 15.2% 1,225,934 Q Charges for Svcs 4.4% 356,579 Transfers 1.7% 138,250 Q General Fund 70.0% 5,623,708 Q FTE: 27 O O O O 0 Q County of Contra Costa FY 2006-2007 Recommended Budget 19 O • Board of Supervisors • General Government • • CAD's Recommendation • The Baseline net County cost represents a The recommended budget reflects a $25,923 • $743,549 decrease from the 2005/06 Budget. net County cost increase over the Baseline • This decrease is the net of normal salary and Budget. This budget provides for maintenance • benefits cost increases, increases in data of the current level of services and reflects processing and building occupancy costs, and nominal increases in the costs for countywide • reductions in one-time appropriations for memberships and outside auditing services. expenditures that will not recur in 2006/07. • • • • • • • • • • • • • • • • • • • • • • • • • • • • • 20 County of Contra Costa FY 2006-2007 Recommended Budget • • hS 31" O 0 O Building Inspection O General Government O CAO's Recommendation O For the Land Development Fund, the newly formed Residential Rental Inspection Recommended Budget proposes a reduction in Program. New staff to the Department include net expenditures of$21,049,270. This reduction eight Building Inspectors and two Account O reflects a budgeting practice of the department, Clerks. whereby the reserve funds from land O development fees are not incorporated into the The federal budget may cut LIHEAP (Low O budget until the fund balance from the prior Income Housing and Energy Assistance fiscal year is known and the Final Budget is Program) grants by 10%, which will impact the Q adopted. This practice has no impact on service Weatherization Program by a cut of O levels. approximately$25,000. The Department has prepared for this possibility by postponing the O The Department's salary and benefit increases filling of two vacant positions in that program. O of$1,326,358 are offset by Land Development Fund revenues. These increased costs also The Housing Rehabilitation program 0 reflect the addition of ten positions to the budget. recommends a decrease in net expenditures of The additional positions were required to $100,570, reflecting the elimination of one address the continued increase in demand for vacant position, resulting in a savings in net O building inspection services and to staff the County cost. O O O O O O O O O O O O O O O O O O O O O O O O County of Contra Costa FY 2006-2007 Recommended Budget 25 0 O O O Central Support Services O General Government O O O FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 O General Fund Actual Budget Baseline Recommended Change O EXPENDITURES O Salaries and Benefits 6,051,172 7,043,031 7,552,572 7,486,572 -66,000 Services and Supplies 3,639,873 3,886,344 6,357,673 6,296,953 -60,720 O Other Charges 6,114,492 6,164,557 3,307,826 3,369,222 61,396 O Fixed Assets 21,633,009 4,492,337 2,489,337 2,472,594 -16,743 Expenditure Transfers -583,272 -545,760 -684,000 -684,000 0 O Total Expenditures 36,855,275 21,040,509 19,023,408 18,941,341 -82,067 O REVENUE O Other Local Revenue 18,227,861 9,373,250 9,493,016 9,498,516 5,500 O State Assistance 4,454,055 10,000 10,000 10,000 0 O Gross Revenue 22,681,916 9,383,250 9,503,016 9,508,516 51500 O NET COUNTY COST(NCC) 14,173,359 11,657,259 9,520,392 9,432,825 -87,567 O O Allocated Positions (FTE) 78 74 76 76 0 O O FINANCIAL INDICATORS Salaries as%of Total Exp 16% 33% 38% 38% O %Change in Total Exp -43% -10% 0% O %Change in Total Rev -596/o 1% 0% O %Change in NCC -18% -18% -1% O O Program Description Clerk of the Board of Supervisors O O This table represents information in aggregate Description: To provide staff support to the format summarizing expenditures, revenues, Board of Supervisors by recording and compiling O and net County costs for nine budget units. the actions of the Board taken in open session; Cj Included are data for the following budget units. maintaining the official records; preparing the weekly agenda and summary; and maintaining a O 0002—Clerk of the Board roster of various Boards and Committees. 0025—Management Information Systems a 0026—Revenue Collection Adjustment: Increased baseline expenditures Q 0036— Merit Board and net County cost by $29,168 over the current 0111 — Plant Acquisition year. Reduced operational expenses by 0 0135— Economic Promotion $26,447 and increased revenue by$5,500 to O 0150—Insurance/Risk Management meet the CAO target. 0356—Local Agency Formation Commission 0 (LAFCO) Impact: The department reduced their budget O by$31,947 to meet their general fund allocation. Reductions were taken out of general operating O O O County of Contra Costa FY 2005-2006 Recommended Budget 27 O 0 Central Support Services ' General Government ` expenses and revenue was increased to the extent possible. 01. Service: Mandatory Clerk of thel Board summary Level of Service: Mandatory " • Service: Mandatory Expenditures: $205,401 Level of Service: Discretionary Financing: 0 '' Net County Cost: 205,401 0 Expenditures: $610,295 Financing: 158,500 Funding Sources: • Net County Cost: 451,795 General Fund 100% $205,401 • j Funding Sources: FTE: 0 i Fees 9.5% $58,000 Charges for Svcs 16.5% 100,500 i General Fund 74.0% 451,795 (' FTE: 7.0 Merit Board Description:To hear and make determinations 0 on appeals of employees and oversee the merit • r system to ensure that merit principles are LAFCO upheld. • • Description: Encourage orderly formation and Adjustment: Net County cost decreased by • development of local government agencies and $406. approve, amend, or disapprove applications to 0 create new cities or special districts, and modify Impact: Adjustment reflects reductions to boundaries of existing agencies. operating expenses in order to match the CAO i target. Adjustment: Expenditures increased by 119,570. 0 Merit board Summary 0 Impact: The general fund contributes an amount equal to one-third of the total estimated Service: Mandatory • operating costs for LAFCO (less fee revenues) Level of Service: Discretionary • for FY 2005-06. The Cortese-Knox-Hertzberg LAFCO Reorganization Act of 2000 requires that Expenditures: $96,976 0 LAFCO's operating costs be shared equally Financing: 30,959 among the cities, County and special districts. Net County Cost: 66,017 LAFCO's budget increased in order to hire a consultant to perform municipal service reviews. Funding Sources: The LAFCO operating budget is not in a County Charges 31.9% $30,959 fund, instead it is treated as an outside agency General Fund 68.1% 66,017 • with only the County's 1/3 contribution reflected in the County General Fund. FTE: 0.5 i • i • i 28 County of Contra Costa FY 2005-2006 Recommended Budget • 0 0 O O Central Support Services O O General Government O O Management Information System Impact: Little impact on normal plant acquisition O Description: Provides funding for the most activities. Specific capital projects for critical and cost beneficial automation projects departments are appropriated each year after which have no other funding source, including the base budget is adopted. The Proposed O the Geographic Information System Program Budget reflects the base amount available for O (GIS)and the Countywide Budget System. general Countywide capital initiatives, and undesignated capital projects. The baseline Q Adjustment: Salaries increased by$179,000, reduction eliminates fund balance carried over O operating expenses decreased by$363,000, from FY 2004-05. and revenue increased by $40,000. The net O County cost decreased by $224,000. O Impact: The adjustment to personnel costs Plant Acquisition Summary O reflects the transfer of the salaries and benefits Service: Discretionary for the Deputy Director of GIS from the Level of Service: Discretionary O Department of Information Technology. O Operational costs were decreased by$142,000 Expenditures: $2,382,291 and revenue was increased by $40,000 to help Financing: 0 O offset the increased personnel costs. An Net County Cost: 2,382,291 additional $221,000 was reduced to eliminate O prior year fund balance rebudgeted for GIS. Funding Sources: O General Fund 100% $2,382,291 O FTE: 0 O O Service: Discretionary O Level of Service: Discretionary Revenue Collection O Expenditures: $880,094 Financing: 350,000 Description: To provide revenue collection O Net County Cost: 530,094 services and operate a centralized billing Funding Sources: program for County Departments. Q Charges 36.8% $350,000 Adjustment: Baseline expenditures increased O General Fund 63.2% 530,094 by $101,063 and revenues have remained FTE: 2 constant, resulting in a net County cost increase. O Appropriations were reduced by $102,363 as part of the overall budget balancing plan. Q Impact: No direct impact on normal operations O Plant Acquisition of the department. The cuts proposed in the Recommended Budget reflect more streamlined O Description: Plan, design and construct various business practices and reduction in outside repair, improvement, and construction projects vendor support. A small cut in computer O for County facilities using in-house staff, equipment expenditures will extend the planned O consultants, and contractors. upgrade into the following fiscal year. 0 Adjustment: Baseline expenditures decreased Q by$2,000,000 and a further$15,000 reduction is O recommended in order to match the CAO target. O 0 County of Contra Costa FY 2005-2006 Recommended Budget 29 O 0 • Central Support Services General Government • • Risk Management Summary • • .. Service: Discretionary Service: Mandatory `< Level of Service: Discretionary Level of Service: Discretionary • Expenditures: $3,438,404 Expenditures: $11,944,548 Financing: 3,227,000 Financing: 6,416,057 • Net County Cost: 211,404 Net County Cost: 5,528,491 ` Funding Sources: Funding Sources: • Fines/Penalties 6.7% $ 230,000 Liability & Benefit 49.8% $5,948,057 • Charges for Svc 70.2% 2,413,000 Fees 3.9% 468,000 Transfers 17.0% 584,000 General Fund 46.3% 5,528,491 • General Fund 6.1% 211,404 • . FTE: 36.5 FTE: 31.0 • Economic Promotion • `' Risk Management Description: To promote the arts throughout it Description: To provide a Risk Management the County. program responsible for the administration of workers' compensation claims, liability and Adjustment: Baseline expenditures decreased 6 medical malpractice claims, insurance and self- by$36,586. + ' insurance programs, and loss prevention , services; to fund the County general liability Impact: The adjustment reflects the elimination program. of fund balance carried forward from FY 2004- ' 05. • , Adjustment: Baseline net County cost decreased by$30,000 over the current year and • a further$34,000 was reduced in order to match • . the CAO target. An adjustment was made to Service: Discretionary move$2,900,000 from Other Charges to Level of Service: Discretionary • Services& Supplies in order to pay for Insurance costs from a non GASB-34 account. Expenditures: $67,332 Financing: 10,000 • Impact: Adjustments reflect reduced County Net County Cost: 57,332 contributions to the Insurance trust funds Funding Sources: . Intergovt Rev 14.9% $10,000 General Fund 85.1% 57,332 i FTE: 0 • • • • 30 County of Contra Costa FY 2005-2006 Recommended Budget • • • O O Central Support Services O General Government O 10 O CAO's Recommendation O Baseline net County cost decreased by The net County cost was reduced by a further O $2,436,867. The reduction reflects the $87,567 as part of the budget balancing elimination of prior year fund balance carried strategy. The majority of reductions were made O forward from fiscal year 2004-05. Accounting to operating costs for the various divisions. O rules necessitated the transfer of$2,900,000 from "Other Charges' to"Services and Supplies" O under Risk Management in order to make O insurance payments. O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O County of Contra Costa FY 2005-2006 Recommended Budget 31 0 0 0 Steve Weir, Clerk-Recorder-Elections 0 Clerk-Recorder and Registrar of Voters General Government 0 Summary — Clerk-Recorder-Elections Budgets 0 0 FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 0 General Fund Actual Budget Baseline Recommended Change 0 EXPENDITURES 0 Salaries and Benefits 5,443,256 5,995,754 6,347,825 6,347,825 0 Services and Supplies 4,442,614 9,802,744 5,916,986 5,676,986 -240,000 0 Other Charges 17,732 0 0 0 0 O Fixed Assets 49,339 8,646,000 4,014,533 4,014,533 0 O Expenditure Transfers -8,495 -5,000 -5,000 -5,000 0 Total Expenditures 9,944,446 24,439,498 16,274,344 16,034,344 -240,000 0 REVENUE 0 Other Local Revenue 9,897,969 7,750,817 13,236,350 13,396,350 160,000 0 Federal Assistance 0 4,642,000 0 0 0 State Assistance 0 6,490,000 0 0 0 0 Gross Revenue 9,897,969 18,882,817 13,236,350 13,396,350 160,000 0 NET COUNTY COST(NCC) 46,477 5,556,681 3,037,994 2,637,994 -400,000 0 0 0 Allocated Positions(FTE) 65 67 67 67 0 0 0 FINANCIAL INDICATORS Salaries as%of Total Exp 55% 25% 39% 40% 0 %Change in Total Exp 146% -33% _1% O % Change in Total Rev 91% -30% 1% Change in NCC 11856% -45% -13% 0 0 Department Description Maior Department Responsibilities 0 O This table represents information in aggregate The primary responsibilities of the Clerk- summarizing expenditures and revenue for the Recorder's Office is to: 0 following general fund budget units administered 0 by the Clerk Recorder: . conduct elections in a fair, accurate, and timely manner, 0 0043- Elections . provide services to maintain a high level of 0 0355- Recorders voter registration and to ensure that all eligible citizens of Contra Costa County are 0 The Micrographics-Modernization budget unit able to exercise their right to vote, (0353) is a restricted fund and is not included in . accurately maintain and preserve all official 0 this table. records and indices relating to property and 0 vital records in Contra Costa County, and • provide micrographic capability and 0 equipment to digitize documents in the O Recorder's office on film. 0 0 0 0 County of Contra Costa FY 2006-2007 Recommended Budget 33 0 Clerk-Recorder-Elections • ` General Government • Elections • `' FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 • ' General Fund Actual Budget Baseline Recommended Chane • EXPENDITURES • v` Salaries and Benefits 2,346,060 2;962,776 3,094,534 3,094,534 0 Services and Supplies 3,695,668 8,921,864 4,621,767 4,621,767 0 Other Charges 17,546 0 0 0 0 • , Fixed Assets 49,339 8,635,000 4,003,533 4,003,533 0 Total Expenditures 6,108,612 20,519,640 11,719,834 11,719,834 0 REVENUE . Other Local Revenue 3,534,896 1,648,504 7,134,037 7,134,037 0 Federal Assistance 0 4,642,000 0 0 0 • ): State Assistance 0 6,490,000 0 0 0 • ,; Gross Revenue 3,534,896 12,780,504 7,134,037 7,134,037 0 NET COUNTY COST(NCC) 2,573,716 7,739,136 4,585,797 4,585,797 0 . ;. Allocated Positions(FTE) 25 29 29 29 0 • • is FINANCIAL INDICATORS • Salaries as%of Total Exp 38% 14% 26% 26% %Change in Total Exp 236% -43% 0% ' %Change in Total Rev 262% -44% 0% %Change in NCC 201% -41% 0% • Description: Conduct federal, state, local and Elections Summary • y" district elections in an accurate and timely • u manner. Maintain a high level of voter Service: Mandatory registration and accurate voter rolls through Level of Service: Mandatory timely voter file maintenance. Maintain voter registration records, conducts voter outreach Expenditures: $11,719,834 • 'x, programs with civic organizations, political Financing: 7,134,037 parties and the school system. Process and Net County Cost: 4,585,797 40 verify initiative, referendum, and recall petitions: Funding Sources: ' issue and process absentee ballots. Prepare General Fund 39.1% $4,585,797 • and mail sample ballot material to all registered Candidate Fees .3% 32,000 voters for each election; recruit and train election Election Svc 13.6% 1,595,504 t officers to staff polling places; locate and inspect Misc. Svc 0.1% 6,000 polling places; and maintain precinct and Document Sales 0.1% 15,000 district/city file databases. Federal 8 State 46.8% 5,485,533 • FTE: 29 • • I • • k - • n 34 County of Contra Costa FY 2006-2007 Recommended Budget 0 0 Clerk-Recorder-Elections 0 General Government 0 Recorder 0 0 FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 0 General Fund Actual Budget Baseline Recommended Change 0 EXPENDITURES 0 Salaries and Benefits 3,097,196 3,032,978 3,253,291 3,253,291 0 Services and Supplies 746,947 880,880 1,295,219 1,055,219 -240,000 Other Charges 187 0 0 0 0 0 Fixed Assets 0 11,000 11,000 11,000 0 Expenditure Transfers -8,495 -5,000 -5,000 -5,000 0 0 Total Expenditures 3,835,834 3,919,858 4,554,510 4,314,510 -240,000 0 O REVENUE Other Local Revenue 6,363,073 6,102,313 6,102,313 6,262,313 160,000 0 Gross Revenue 6,363,073 6,102,313 6,102,313 6,262,313 160,000 0 NET COUNTY COST(NCC) -2,527,239 -2,182,455 -1,547,803 -1,947,803 -400,000 0 0 Allocated Positions(FTE) 40 38 38 38 0 /0 v FINANCIAL INDICATORS 0 Salaries as%of Total Exp 81% 77% 71% 75% O %Change in Total Exp 2% 16% -5% Change in Total Rev -4% 0% 3% 0 %Change in NCC -14% -29% 26% 0 0 Description: To maintain and preserve all Recorder official records relating to real property, 0 subdivision maps, assessment districts, and Service: Mandatory 0 records of surveys offered for recording; and Level of Service: Mandatory maintain records of all births, deaths and 0 marriages occurring within Contra Costa County. Expenditures: $4,319,510 Financing: 6,267,313 Net County Cost: (1,947,803) 0 Funding Sources: 0 Transfers 0.1% $ 5,000 0 Fees 98.5% 6,172,313 0 Prop. Transfer Tax 1.4% 90,000 0 FTE: 38 0 0 0 0 0 0 County of Contra Costa FY 2006-2007 Recommended Budget 35 0 Clerk-Recorder-Elections • General Government • • Recorder Micrographics and Modernization • FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 Micro/Modemization Fund Actual Budget Baseline Recommended Change EXPENDITURES Salaries and Benefits 782,736 1,056,602 1,065,328 1,065,328 0 • Services and Supplies 342,516 13,347,322 13,420,958 13,660,958 240,000 Other Charges 59,461 343,157 193,157 193,157 0 Fixed Assets 0 2,512,000 4,012,000 4,012,000 0 Total Expenditures 1,184,713 17,259,081 18,691,443 18,931,443 240,000 REVENUE Other Local Revenue 3,567,939 2,352,500 2,352,500 2,352,500 0 Gross Revenue 3,567,939 2,352,500 2,352,500 2,352,500 0 NET FUND COST(NFC) -2,383,226 114,906,5811 116,338,943 16,578,943 240,000 • Allocated Positions(FTE) 11 13 13 13 0 • FINANCIAL INDICATORS Salaries as%of Total Exp 66% 6% 6% 6% %Change in Total Exp 1357% 8% 1% % Change in Total Rev -34% 0% 0% %Change in NFC -725% 10% 1% Description: Special fund created to provide and maintain procedures, equipment, Recorder Micrographics I Modernization computers, and staff to place all documents in Summary the Recorder's Office in medium to quickly Service: Discretionary identify and locate needed documents for public Level of Service: Mandatory • and other County users. Fund balance is appropriated every year resulting in a budget Expenditures: $18,931,443 • that is annually higher than the actual expenses. Financing: 2,352,500 Funding Sources: • Fees 12.4% $2,352,500 Fund Balance 87.6% 16,578,943 FTE: 13 • • • • • 36 County of Contra Costa FY 2006-2007 Recommended Budget • • I win I W-0 O O Clerk-Recorder-Elections O General Government O O CAD's Recommendation O O Baseline costs have decreased by$8,165,154 Vote Act assistance to offset the cost incurred to over the FY 2005-06 budget. This decrease is meet the new standards. O primarily due to the reduction of the one-time O cost for the statewide special election and the It is also important to note that salaries and purchase of the new voting equipment and the benefits costs have increased $352,071. This O initial associated training costs in order that increase is offset by an increase in anticipated Contra Costa County be in compliance with the recording fee revenues and a transfer of building Q new Help America Vote Act. In addition, occupancy costs from the Elections Department O baseline revenue has decreased to reflect one- to the Micro-Modernization Department. time revenues anticipated in FY 2005-2006 from O State Proposition 41 and federal Help America O O O O O O O O O O O O O O O O O O O O O O O O O O O O O County of Contra Costa FY 2006-2007 Recommended Budget 37 0 0 0 Dennis Barry Community Development 0 Community Development Director General Government 0 0 Community Development General Fund Summary 0 0 FY 2004-05 FY 2005-2006 FY 2006-07 FY 2006-07 FY 2006-07 0 General Fund Actual Budget Baseline Recommended Change 0 O EXPENDITURES Salaries and Benefits 6,798,284 7,786,288 8,276,147 8,276,147 0 0 Services and Supplies 1,308,540 1,423,958 2,005,357 2,005,357 0 0 Other Charges 2,426 110,000 0 0 0 Fixed Assets 24,223 430,763 325,000 198,896 -126,104 Expenditure Transfers -961,607 -1,098,856 -1,117,949 -1,117,949 0 0 Total Expenditures 7,171,865 8,652,153 9,488,555 9,362,451 -126,104 0 REVENUE 0 Other Local Revenue 6,640,321 7,698,256 8,384,245 8,384,245 0 0 State Assistance 0 25,000 0 0 0 0 Gross Revenue 6,640,321 7,723,256 8,384,245 8,384,245 0 0 NET COUNTY COST(NCC) 531,544 928,897 1,104,310 978,206 -126,104 0 0 Allocated Positions(FTE) 70 71 73 73 0 0 0 FINANCIAL INDICATORS 0 Salaries as%of Total Exp' 84% 80% 78% 79% 0 %Change in Total Exp 21% 10% -1% O %Change in Total Rev 16% 9% 0% Change in NCC 75% 19% -11% 0 O 'This calculation is not accurate due to the separation of expenditures by funds and programs. When all department expenditures are combined,salaries and benefits are 22.1%of FY2006-07 total expenditures. 0 Department Description Maior Department Responsibilities 0 O This table represents information in aggregate The department's mission is to serve the public format summarizing expenditures, revenues, through the formulation and implementation of t� and net County costs for three General Fund the County General Plan and related policies O budget units administered by the Community and programs adopted by the Board of Development Department. Included are data for Supervisors to guide future land use, 0 the following budget units. development, and the management and conservation of resources. 0 0357—Community Development 0 0472—General Sewer Planning 0 0701 —Parks Administration O Budget Unit 0357 is the principal General Fund budget unit for the Department. 0 0 0 County of Contra Costa FY 2006-2007 Recommended Budget 39 0 Community Development General Government General Fund Programs community identity in keeping with the County General Plan and other adopted goals and All salary, benefit and departmental operating policies. • ,v costs such as occupancy costs and services and supplies are reflected in this fund. Land Current Planning Summary Development Fund revenue and other program revenues are used to reimburse costs by Service: Mandatorye' transfer into this fund. Level of Service: Discretionary The following programs are included: Expenditures: $3,176,538 `' Financing: 2,853,304 3501 -Administration Net County Cost: 261,617 3502-Current Planning 3503 -Advance Planning Funding Sources: • 3504-Water Agency Land Dev Fund 89.8% $2,853,304 3505 -Solid Waste/Conservation Transfers 1.9% 61,617 ° 3506-Transportation Planning General.Fund 8.2% 261,817 3507- Redevelopment/Economic Development '$ 3512 - Mgmt Systems & Fiscal Operations FTE: 25.0 0472 -General Sewer Planning SIF 1. Administration 3. Advance Planning Description: Provide policy and procedures t' guidance to all divisions and manage all Description: Develop and maintain long-range . policy planning process through the County department operations. This budget unit General Plan anticipate and respond t includes salaries and benefits, operating costs i for mailing and postage, occupancy, travel, changes in neww legal mandates and local ll computers, office equipment and supplies, and priorities. retiree health costs for the department. Advance�i Planning Summary Administration Summary Ir Service: Mandatory Level of Service: Discretionary • Service: Mandatory i. Level of Service, Discretionary Expenditures: $155,435 Financing: 77,184 Expenditures: $1,140,508 Net County Cost: 78,251 • Financing: 1,032,701 Net County Cost: 107,807 Funding Sources: Land Dev Fund 49.6% $77,184 . Funding Sources: General Fund 50.4% 78,251 Land Dev Fund 90.5% $1,032,701 FTE: 1.0 • General Fund 9.5% 107,807 • FTE: 2.0 1! '[_ 4. Water Agency . Description: Develop County water policy and 2. Current Planning administer the County Water Agency, which includes administration of the Coastal Impact • ' Description: Facilitate the regulation of land Assistance Program, the Open Space Funding • use and development to preserve and enhance Measure, and the East Contra Costa County • f 40 County of Contra Costa FY 2006-2007 Recommended Budget ' i • O O O Community Development General Government O Habitat Conservation Plan Association. The Administer programs related to growth 0 Water Agency is a County special district whose management, congestion management, and trip O operating budget is included within the budget reduction. Provide staff support for other County for County special districts. efforts requiring transportation planning 0 resources. OTT — Water Agency Summary 0 Service: Discretionary O Level of Service: Discretionary Service: Mandatory Level of Service: Discretionary O Expenditures: $474,468 Financing: 393,086 Expenditures: $603,099 O Net County Cost: 81,382 Financing: 527,099 O Net County Cost: 71,000 Funding Sources: O Reimbursements 82.8% $393,086 Funding Sources: O General Fund 17.2% 81,382 Reimbursements 87.4% $527,099 Transfers 0.8% 5,000 0 FTE: 3.0 General Fund 11.8% 71,000 FTE: 4.0 O 5. Solid Waste/Conservation 0 Description: Administer the Solid Waste 7• Redevelopment O Management and Recycling programs and Description: Administer the design and O provide technical services related to sanitary implementation of plans for rehabilitating O landfills, mandatory subscriptions, and other blighted areas within the County with the goal of environmental issues improving the physical, environmental and O WastelConservation Summary economic viability of those areas. 0 . . �I 0Service: Mandatory Redevelopment O Level of Service: Discretionary Service: Discretionary O Expenditures: $654,703 Level of Service: Discretionary Financing: 654,703 Expenditures: $1,978,759 O Net County Cost. 0 Financing: 855,522 O Funding Sources: Net County Cost: 81,905 O Reimbursements 100.0% $654,703 Funding Sources: 0Reimbursements 43.2% $855,522 O FTE: 6.0 Transfers 52.6% 1,041,332 General Fund 4.1% 81,905 0 6. Transportation Planning FTE: 15.0 O O Description: Develop an effective transportation network throughout the County by 0 planning for roads and other types of 0 transportation systems on Countywide corridors and within local and neighborhood areas. O O O 0 County of Contra Costa FY 2006-2007 Recommended Budget 41 0 Community Development General Government • 8. Management Systems and Fiscal 9. General Sewer Planning Operations Description: Provide planning services for the ii Description: Provide personnel, fiscal and use of reclaimed water from water sewage administrative policy and procedure guidance for treatment plants. • the department. Additionally, this budget unit • includes computer information and GIS support F General Sewer Planning Summary and development. Respond to data requests for demographic information, administer the Mobile Service- Discretionary Home Rent Stabilization Ordinance, and staff Level of Service: Discretionary the Mobile Home Advisory Committee. • Expenditures: $20,272 Management Systems and Fiscal Operations Financing: 0 summary Net County Cost: 20,272 • Service: DiscretionaryFunding Sources: 0 Level of Service: Discretionary y General Fund 100.0% $20,272 • Expenditures: $2,276,618 FTE: 0.0 Financing: 1,990,646 Net County Cost: 275,972 • Funding Sources: Reimbursement 87.4% $1,990,646 Transfers 0.4% 10,000 General Fund 12.1% 275,972 FTE:- 17.0 0 • • • • • • 42 County of Contra Costa FY 2006-2007 Recommended Budget • • • WIFF 0 0 0 Community Development 0 General Government 0 Land Development Fund Summary 0 0 FY 2004-05 FY 2005-2006 FY 2006-07 FY 2006-07 FY 2006-07 0 Land Development Actual Budget Baseline Recommended Change 0 EXPENDITURES O Services and Supplies 1,684,262 5,045,802 2,896,169 2,896,169 0 O Other Charges 100,699 138,000 138,000 138,000 0 Fixed Assets 17,602 95,000 95,000 95,000 0 0 Expenditure Transfers 4,730,073 5,242,001 5,351,601 5,351,601 0 0 Total Expenditures 6,532,636 10,520,803 8,480,770 8,480,770 0 0 REVENUE 0 Other Local Revenue 5,967,795 8,360,640 8,434,770 8,434,770 0 State Assistance 43,695 46,000 46,000 46,000 0 0 Gross Revenue 6,011,490 8,406,640 8,480,770 8,480,770 0 0 NET FUND COST(NFC) 521,145 2,114,163 0 0 0 0 O FINANCIAL INDICATORS 0 % Change in Total Exp 61% -19% 0% 0 %Change in Total Rev 40% 1% 0% 0 %Change in NFC 306% -100% 0% 0 0 Land Development Programs 1. Current Planning 0 All program revenue and expenditures related to Description: Facilitate the regulation of land 0 the Land Development Fund, budget unit 0352, use and development to preserve and enhance 0 are reflected here. Revenues include franchise community identity in keeping with the County fees, application fees, reimbursements from General Plan and other adopted goals and 0 other program areas such as Measure C, and policies. 0 fund balance carryovers that may extend over several years for multi-year projects. Current Planning Summary O The following programs are included: Service: Mandatory 0 3520-Current Planning Level of Service: Discretionary 0 3521 -Solid Waste(AB 939) Expenditures: $5,977,723 0 3522 -Resource Recovery/Recycling Financing: 5,977,723 3523 - Mitigation Monitoring 0 3525 - Franchise& Program Admin Net Fund Cost: 0 3526-Transportation Planning 0 3527- Franchise/Rate Review Funding Sources: 0 3530 -ABC Ordinance Fees 100.0% $5,977,723 0 0 0 0 0 0 County of Contra Costa FY 2006-2007 Recommended Budget 43 0 Community Development Genera/ Government � x 2. Solid Waste IAB 939) Mitigation Monitoring Summry7 Description: Administer AB 939 funds received Service: Mandatory • . by the County for countywide solid waste Level of Service: Discretionary diversion activities such as the Recycling : Hotline, the Recycling Guide and preparation of Expenditures: $58,000 diversion data reports to the State. Financing: 58,000 Net Fund Cost: 0__'ISolid Waste JAB 939) Summary i Funding Sources: Service: Mandatory Fees 100.0% $58,000 • Level of Service: Discretionary • it Expenditures: $536,218 5. Franchise Program Administration Financing: 536,218 • Net Fund Cost: 0 ' Description: Administer curbside collection Funding Sources: franchises and implementation of waste Fees 100.0% reduction and recycling programs in ° $536,218 unincorporated areas of the County. • Franchise Program Admin Summary 3. Resource Recovery/Recycling Service: Mandatory Description: Administer the Ordinance for Level of Service: Discretionary Mandatory Subscription for Curbside Collection in unincorporated areas of West County. Expenditures: $419,656 Financing: 419,656 • Net Fund Cost: 0 Service: Mandatory Funding Sources: • Level of Service: Discretionary Franchise Fees 100.0% $419,656 Expenditures: $115,840 Financing: 115,840 6. Transportation Planning Net Fund Cost: 0 Description: Develop an effective Funding Sources: transportation network throughout the County by Fees 60.3% $69,840 planning for roads and other types of State 39.7% 46,000 transportation systems on Countywide corridors and within local and neighborhood areas. , Administer programs related to growth 4. Mitigation Monitoring management, congestion management, and trip reduction. Provide staff support for other County Description: Manage the monitoring program efforts requiring transportation planning required for phased development and on-going resources. operations at solid waste facilities subject to County use permits. • i 44 County of Contra Costa FY 2006-2007 Recommended Budget • LL O O O Community Development O General Government O Transportation Planning Summary 8. ABC Ordinance 0 Service: Mandatory Description: Administer performance O Level of Service: Discretionary standards for establishments that sell alcohol, and conduct reviews on sites that are the focus O Expenditures: $801,333 of local nuisance complaints. Financing: 801,333 O Net Fund Cost: 0 ABC Ordinance Summary 0 Funding Sources: Service: Discretionary O Intergovernmental 100.0% $801,333 Level of Service: Discretionary O Expenditures: $47,000 O 7. Franchise/Rate Review Financing: 47,000 O k Net Fund Cost: 0 Description: Management of the rate review O for curbside collection in the unincorporated Funding Sources: 0 areas of the County and development of the Fees 100.0% $47,000 curbside collection rate review methodology and O manuals describing the methodology. O O Franchise/Rate Review Summary O Service: Mandatory Level of Service: Discretionary O Expenditures: $525,000 0 Financing: 525,000 O Net Fund Cost: 0 O Funding Sources: O Fees 100.0% $525,000 O if O O O O O O O O O O O O O O O County of Contra Costa FY 2006-2007 Recommended Budget 45 0 Community Development General Government Federal Grant Programs Summary FY 2004-05 FY 2005-2006 FY 2006-07 FY 2006-07 FY 2006-07 • General Fund Actual Budget Baseline Recommended Chane • EXPENDITURES • Services and Supplies 10,517,256 10,935,940 12,243,402 12,243,402 0 Other Charges 109,407 626,000 500,000 500,000 0 Total Expenditures 10,626,663 11,561,940 12,743,402 12,743,402 0 • REVENUE Other Local Revenue 672,957 0 23,000 23,000 0 • Federal Assistance 9,954,787 11,561,940 12,720,402 12,720,402 0 Gross Revenue 10,627,744 11,561,940 12,743,402 12,743,402 0 NET COUNTY COST(NCC) -1,081 0 0 0 0 • FINANCIAL INDICATORS • %Change in Total Exp 9% 10% 0% %Change in Total Rev 9% 10% 0% • gi' %Change in NCC -100% 0%. 0% C`r Federal Grant Programs 1. HOPWA Grant =_ This table represents information in aggregate Description: To provide housing opportunities • format summarizing expenditures, revenues, for people with HIV/AIDS. and net County costs for budget units administered by the Community DevelopmentHoPwAGrant Summary Department that reflect the receipt and disbursement of federal funds for new housing, Service: Discretionary preservation of existing housing, economic Level of Service: Discretionary • development, infrastructure improvements and • neighborhood facilities and programs. Expenditures: $494,193 Financing: 494,193 " The budget units included are: Net County Cost: 0 0590 - HOPWA Grants Funding Sources: ' 0592 - HUD Block Grant Federal 100.0% $494,193 , t.; 0593 - HUD Emergency Shelter Grant 0594 - HUD HOME Grants , ) 5 • iff. 46 County of Contra Costa FY 2006-2007 Recommended Budget „, 0 0 0 Community Development 0 General Government 0 2. HUD Block Grants 4. HUD HOME Grants 0 Description: CDBG provides annual direct Description: Grants for acquisition, grants that can be used to revitalize rehabilitation or new construction of housing for 0 neighborhoods, expand affordable housing and rent or ownership, tenant-based rental 0 economic opportunities, and/or improve assistance, and assistance to homebuyers. community facilities and services, principally to Funds may also be used for other necessary 0 benefit low-and moderate-income persons. and reasonable costs related to the 0 development of non-luxury housing, such as site : . acquisition, site improvements, demolition, and 0 relocation. Service: Discretionary 0 Level of Service: Mandatory HUD Home Grants Summary 0 Expenditures: $5,915,236 Service: Discretionary 0 Financing: 5,915,236 Level of Service: Discretionary O Net County Cost: 0 Expenditures: $6,182,719 0 Funding Sources: Financing: 6,182,719 O Federal 99.6% $5,892,236 Net County Cost: 0 Interest Earnings 0.4% 23,000 0 Funding Sources: 0 Federal 100.0% $6,182,719 0 3. HUD Emergency Shelter Grants 0 Description: The Emergency Shelter Grant 0 program provides homeless persons with basic shelter and essential supportive services. 0 0 Service: Discretionary 0 Level of Service: Discretionary 0 Expenditures: $151,254 Financing: 151,254 0 Net County Cost: 0 0 Funding Sources: 0 Federal 100.0% $151,254 0 0 0 0 0 0 0 0 0 0 0 County of Contra Costa FY 2006-2007 Recommended Budget 47 0 - Community Development Genera/ Government • �Y Other Special Revenue Programs • . - jI , • f The budget units included are: Service: Mandatory • ;, Level of Service: Discretionary 0351 - Used Oil Recycling Grant 0367- Fish and Game Protection Expenditures: $70,863 • 0370- Livable Communities Financing:* 57,000 t" 0582 -CDBG Small Business & Microent. Loan Net Fund Cost: 13,863 0595-Private Activity Bond 0596 -Affordable Housing Funding Sources: • ' 0597- HUD Neighborhood Preservation Fines 80.4% $57,000 0598-CDBG First-Time Homeowner Loan Fund Balance 19.6% 13,863 0663 - Measure C - 0664 - PH BART Greenspace 0696-Transit Planning-PH BART 3. Livable Communities 1. Used Oil Recycling Grant Description`. Collection of Developer Fees in ' Description: The California Integrated Waste the Camino Tassajara Combined General Plan Management Board ((:IWMB) issues Used Oil Area to aid in the implementation of the Smart Growth Action Plan. Recycling Block Grants to help local • governments establish or enhance permanent, r sustainable used oil recycling programs. 0 a see, • _ Service: Discretionary JIM Level of Service: Discretionary • Service: Discretionary • Expenditures: $12 Level of Service: Mandatory Financing: 520,000 • Expenditures: $150,000 Net Fund Cost: -519,988 _ • Financing: 150,000 Funding Sources: • Net Fund Cost: 0 Developer Fees 100.0% $520,000 Funding Sources: State 100.0% $150,000 4. CDBG Small Business & Microenterprise Loan Program 2. Fish and Game Protection • Description: Loans to small businesses within Description: Provide programs for fines levied the urban county. The microenterprise loans are for violation of the California Fish and Game limited to a maximum of$15,000 for those Code. Funds are restricted to the propagation businesses with five or fewer employees. This is - and conservation of fish and game in the a revolving loan program. County. - - - - 48 County of Contra Costa FY 2006-2007 Recommended Budget e �. O O O Community Development O General Government 0 CDBG Small Business & Microenterprise Affordable Housing Summary 111300O Loan Summary 134700 O Service: Discretionary Service: Discretionary Level of Service: Mandatory O Level of Service: Discretionary O Expenditures: $203,000 Expenditures: $150,000 Financing: 0 O Financing: 80,000 Net Fund Cost: 203,000 O Net Fund Cost: 70,000 Funding Sources: O Funding Sources: Fund Balance 100.0% $203,000 O Federal 53.3% $80,000 Fund Balance 46.7% 70,000 O 7. HUD Neighborhood Preservation O 5. Private Activity Bond Program Description: Bond revenue received from Description: Grants from HUD's Community single and multiple-family housing program that Development Block Grant program, expended s used primarily to fund program staff costs and for the purpose of funding Building Inspection i O Department's Housing Rehabilitation and finance property acquisition related to affordable Neighborhood Preservation Program loans and O housing and economic development projects. program administration. 0 Private Activity Bond Summary 00 0 HUD Neighborhood Preservation Program O Service: Discretionary 134900 Level of Service: Mandatory Service: Discretionary O O Expenditures: $1,432,600 Level of Service: Mandatory Financing: 646,000 O Net Fund Cost: 786,600 Expenditures: $1,515,000 Financing: 1,515,000 O Funding Sources: Net Fund Cost: 0 O Other Local 45.1% $646,000 Fund Balance 54.9% 786,600 Funding Sources: O Federal 100.0% $1,515,000 O 6. Affordable Housing O 8. HUD CDBG First-Time Q Description: Mortgage payments on loans Homeowner Loan made from federal affordable housing program O funds are reimbursed to the affordable housing Description: Provide down-payment O program and are used to provide financial assistance to first-time homeowners through a O assistance for additional affordable housing and revolving loan process, economic development. These projects include O the North Richmond Senior Housing Project and commercial center and land acquisition in the Q Pleasant Hill BART Redevelopment Area. O O O O O O County of Contra Costa FY 2006-2007 Recommended Budget 49 0 Community Development * c " General Government • r • � : 0i • : i � x Service: Discretionary • Service: LeveDidcSeti filmy Discretionary Level of Service: Discretionary • Expenditures: $265,888 Expenditures: $601,647 Financing: 9,000 Financing: 270,949 Net Fund Cost: 256,888 Net Fund Cost: 330,698 a Funding Sources: Funding Sources: Earnings 3.4% $9,000 ' Federal 43.7% $262,949 Fund Balance 96.6% 256,888 Investment Income 1.4% 8,000 • Fund Balance 54.9% 330,698 CAO's Recommendation • 9. Transportation Improvement- For the department's principal General Fund • Measure C budget unit 0357, the Recommended Budget • proposes a reduction of 12% or$126,104 from Description: Measure C monies are allocated the baseline budget. The reduction is achieved based upon a seven-year capital improvement through a decrease in fixed assets related to program approved by the Board of Supervisors office equipment and furniture. The and other agencies for specific transportation department's salary and benefit increase of projects. $489,859 is offset by increased Land Development Fund revenue and revenue from trans Improvement-Measure C other program areas. In addition, the I Summary 110900 department is provided an allocation of $150,000 from the"Unfunded Mandates' budget • Service: Discretionary to support the activities and projects requested Level of Service: Discretionary by the Board of Supervisors for which fee revenue cannot be obtained. Expenditures: $2,316,258 The Land Development Fund, budget unit 0352, Financing: 2,250,000 Net Fund Cost: 66,258 proposes a decrease in net expenditures of ® ; $2,040,033 which reflects the elimination of Funding Sources: expenditures related to prior year fund balance. Measure C 92.8% $2,150,000 With respect to the federally funded HUD grant Earnings 4.3% 100,000 Fund Balance 2.9% 66,258 programs, there is an increase in expenditures • ' of$1,181,462 reflecting an increase in federal support, particularly for the HOME and CDBG block grant programs, and the recognition of 10.Pleasant Hill BART Greenspace significant funding for the development of • affordable housing. Description: Construction/development of a . greenspace/respite on the Iron Horse Corridor • between Coggins and Treat Blvd, including the south portion of former Del Hombre Lane. • • • 50 County of Contra Costa FY 2006-2007 Recommended Budget ® '. • 0 o Q Contingency Reserve Q General Government 0 O FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 Q General Fund Actual Budget Baseline Recommended Change Q EXPENDITURES 0 0 0 0 0 o Total Expenditures 0 10,000,000 10,000,000 0 •10,000,000 O REVENUE 0 0 0 0 0 O Q NET COUNTY COST(NCC) 0 10,000,000 10,000,000 0 -10,000,000 O O o Contingency Reserve CAD's Recommendation O Description: Provide funding for unforeseen The contingency reserve has remained basically Q emergencies or unanticipated new expenditures unchanged for 16 years. The County 0 occurring during the fiscal year, which have no Administrator's Office is recommending that the other funding source. practice of appropriating $10 million for o contingency be discontinued. Rather, in light of Contingency Reserve Summary the recently adopted General Fund Reserve o Policy, it is recommended funds be designated Q Service: Discretionary for Contingency on the General Ledger. Level of Service: Discretionary o The impact of this recommendation is that Q Expenditures: $0 appropriations will no longer be inflated and Financing: 0 annually generated scarce resources will not be Net County Cost: 0 required to balance them. Contingency/reserve Q funds will be readily identified on State Schedule 3 Funding Sources: -Detail of Provision for Reserved/Designations o General Fund 100.00% $0 (General Fund/Designations)and available should Q the County experience an emergency. FTE: 0 O O O O O O O O O O O O O Q County of Contra Costa FY 2006-2007 Recommended Budget 51 O O Al� O O O Cooperative Extension 0 Shelley Murdock, Director General Government O O O FY 2004-05 2005-2006 FY 2006-07 FY 2006-07 FY 2006-07 OGeneral Fund Actual Budget Baseline Recommended Change O EXPENDITURES O Salaries and Benefits 253,493 289,388 280,532 280,532 0 Services and Supplies 48,277 43,002 49,826 49,826 0 O Total Expenditures 301,771 332,390 330,358 330,358 0 O REVENUE O Other Local Revenue 500 0 - 0 0 0 O Gross Revenue 500 0 0 0 0 O NET COUNTY COST(NCC) 301,271 332,390 330,358 330,358 0 O O Allocated Positions (FTE) 3 3 3 3 0 O 0 FINANCIAL INDICATORS O Salaries as%of Total Exp 84% 87% 85% 85% 0 %Change in Total Exp 10% -1% 0% Change in Total Rev -100% 0% 0% O %Change in NCC 10% -1% 0% O 0 Department Description Agriculture O Provides applied research and education Description: Research and education on 0 outreach from the University of California to the agricultural crop production, integrated pest O residents of Contra Costa County in the areas of management, environmental protection, plant agriculture and natural resources, family and variety selection for all crops in Contra Costa 0 consumer sciences, youth development and community resource development. County. Provides primary link between Contra O Costa farmers and the research and knowledge (� Maior Department Responsibilities base of the University of California. O Cooperative Extension is part of a statewide Agriculture Summary O network of University of California researchers Service: Discretionary and educators who create and apply research Level of Service: Discretionary O based knowledge in agriculture, natural and O human resources. Expenditures: $82,610 Financing: 0 O Net County Cost: 82,610 O Funding Sources: General Fund 100% 82,610 O FTE: 0.75 O O O County of Contra Costa FY 2006-2007 Recommended Budget 53 O 0 i - Cooperative Extension General Government Youth Development Urban Horticulture • Description: Research and educational Description: Program extends information to • programs for youth serving professionals in citizens, schools, government, and non-profits, topics such as youth development, civic on integrated pest management, horticulture • " engagement and nutrition. Includes the 4-H plant selection and care,water management, youth development club program, which focuses waste management, pesticide reduction and on life skill and citizenship development, and run urban forestry. by volunteers. Also includes Countywide Youth Commission, an advisory body to the Board of Urban Horticulture Summary - x Supervisors. Service: Discretionary- Level iscretionaryLevel of service: Discretionary Service: Discretionary Expenditures: $82,610 , Level of Service: Discretionary Financing: 0 - Expenditures: $137,608 Net County Cost: 82,610 • Financing: 0 Funding Sources: - Net County Cost: 137,608 General Fund 100% $82,610 • Funding Sources: • General Fund 100% $137,608 FTE: 0.75 FTE: 1.25 • CAO's Recommendation " Nutrition Compensation costs have decreased $8,856 due to reduced Worker's Compensation • Description: Research and education on charges. This reduction was sufficient to cover • " nutrition issues such as childhood obesity and the Department's reduction in net County cost anemia, especially for low-income families with with no reductions in service levels. - children. Includes two federally funded nutrition . education programs as well as public education on hunger food security and anemia. NutritionT Summary Service: Discretionary Level of Service: Discretionary - Expenditures: $27,530 • Financing: 0 • Net County Cost: 27,530 Funding Sources: General Fund 100% 27,530 FTE: 0.25 x.. 54 County of Contra Costa FY 2006-2007 Recommended Budget • F: • o - 0 County Administrator John Cullen, County Administrator General Government O O o FY 2004-05 FY 2005-2006 FY 2006-07 FY 2006-07 FY 2006-07 O General Fund Actual Budget Baseline Recommended Change. o EXPENDITURES O Salaries and Benefits 3,724,792 3,731,252 3,927,521 4,008,566 81,045 Services and Supplies 3,068,230 4,087,840 3,833,728 3,471,323 -362,405 o Fixed Assets 25,000 25,000 25,000 0 O Expenditure Transfers -917,572 -1,070,087 -1,058,862 -975,558 83,304 O Total Expenditures 5,875,450 6,774,005 6,727,387 6,529,331 -198,056 O REVENUE Other Local Revenue 1,481,913 1,558,479 1,572,286 1,527,166 -45,120 o Federal Assistance 202,022 475,000 475,000 475,000 0 O State Assistance 0 32,000 32,000 32,000 0 O Gross Revenue 1,683,935 2,065,479 2,079,286 2,034,166 -45,120 O NET COUNTY COST(NCC) 4,191,515 4,708,526 4,648,101 4,495,165 -152,936 O O Allocated Positions(FTE) 29 27 28 28 1 O O FINANCIAL INDICATORS O Salaries as% of Total Exp 55% 48% 50% 53% %Change in Total Exp 15% _1% -3% o %Change in Total Rev 23% 1% -2% o %Change in NCC 12% -1% -3% O r This table represents information in aggregate County Administrator format summarizing expenditures, revenues, and net County costs for the three primary Description: Acts as the principal staff advisor o budget units administered by the County to the Board of Supervisors and administers Q Administrator. County operations. The duties of the County Administrator and staff include furnishing reports 0 0003—County Administrator to the Board, providing information and advice, O 0059—Community Access TV Fund implementing policy directives and orders 0581 —Zero Tolerance for Domestic Violence adopted by the Board, coordinating the work o performed by County departments and County o Not included in the table are two non-general special districts, and with the assistance of the fund budget units administered by the County County Auditor-Controller, preparing and Q Administrator for the Zero Tolerance for monitoring the annual County budget. Domestic Violence Initiative and the Abandoned o Vehicle Authority, which are described in the Q following pages. O O O ' O O County of Contra Costa FY 2006-2007 Recommended Budget 55 O • County Administrator • Genera/ Government • • • Board Support and General Cable TV/Community TV and Public Administration Information • Description: Provide technical support, Description: Administration of cable franchises • coordination, and policy assistance for Board of and community access(Contra Costa TV). Supervisors; prepare and administer County - budget; administer special programs such asCableTV/CommunityPublicand • legislative analysis and code enforcement coordination; through administrative support and Information Summary • oversight, assist County departments in carrying • Service: Discretionary out their missions by providing policy guidance, Level of Service: Discretionary information and other resources in direct support • of service delivery. Expenditures: $760,739 Financing: 760,739 • =• pport and General Administration Net County Cost: 0 - Summary Funding Sources: Service: Mandatory Community Access 88.2% $670,739 • Level of Service: Discretionary Franchises 11.8% 90,000 • Expenditures: $3,679,011 FTE: 5.5 • Financing: 955,426 Net County Cost: 2,723,585 Funding Sources: Affirmative Action Programs - Charges 13.3% $489,926 • , _ Divisions &Depts Description: Coordination, implementation and Intergov Revenue 10.4% 382,000 evaluation of the various state, federal and : • Landfill Franchise 0.4% 15,000 locally approved affirmative action programs. Misc. Revenue 1.9% 68,500 • General Fund 74.0% 2,723,585 FTE: 17.9 Service: Discretionary • Level of Service: Discretionary • Expenditures: $375,796 • Financing: 0 - Net County Cost: 375,796 Funding Sources: • General Fund 100% 375,796 • il��; FTE: 3.0 • Ism' 56 • � County of Contra Costa FY 2006-2007 Recommended Budget • i. O O O County Administrator O General Government O O Capital Facilities and Debt Zero Tolerance for Domestic Violence O Management -General Fund O Description: Provides oversight for the Description: Supports three of Contra Costa's O planning, programming, remodeling, acquisition community outcomes: "Children and Youth and construction of the County's 3,000,000+ Healthy and Preparing for Productive O square feet of office buildings,jails, courthouses, Adulthood", "Families that are Safe, Stable and hospitals, health centers and childcare facilities. Nurturing" and "Communities that are Safe and O Also responsible for managing the County's debt provide a High Quality of Life'through O financing programs, including the issuance of coordinated services designed to reduce O long-term debt, and tax and revenue anticipation domestic and family violence and elder abuse. notes. ities and Dept M Zero Tolerance-Domestic Violence 0 Summary : Summary 0 Service: Discretionary Service: Discretionary O Level of Service: Discretionary Level of Service: Discretionary 0 Expenditures: $148,559 Expenditures: $1,870,784 Q Financing: 148,559 Financing: 475,000 O Net County Cost: 0 Net County Cost: 1,395,784 Funding Sources: O Chrgs to Cap Proj 100% $148,559 Funding Sources: Federal Aid 25.0% $ 475,000 O FTE: 1.5 General Fund 75.0% 1,395,784 O FTE: 0 O Community Access TV O O Description: Provides funding for the operation O of Contra Costa Television and the enforcement of Cable TV franchise agreements. This budget O unit is supported by franchise fee payments from O cable companies. O .... Community Access TV Summary O Service: Discretionary 0 Level of Service: Discretionary O Expenditures: $670,000 O Financing: 670,000 Net County Cost: 0 a O Funding Sources: Cable TV 100% $670,000 O O FTE: 0 O O O O County of Contra Costa FY 2006-2007 Recommended Budget 57 0 County Administrator General Government Zero Tolerance for Domestic Violence Abandoned Vehicle Abatement • Special Revenue Fund Service Authority — Special Revenue Fund Description: Provides oversight and coordination of domestic violence programs. Description: Provides funding for abandoned • This budget unit is supported by recording fees vehicle abatement. This budget unit is authorized by State law(SB 425). supported by a one dollar-per-vehicle registration surcharge. VDomestic Violence e4lmmary Abandoned Vehicle Abatement Service • 4 Authority Summa Service: Discretionary S "ice • Level of Service: Discretionary Service: Discretionary • d1^ Level Expenditures: tu S. Level of Service: Discretionary • , xpenditures: $234,248 Financing: 175,272 7 Expenditures: $976,639 Net Fund Cost: 58,976 Financing: 878,000 • Funding sources: Net Fund Cost: 98,639 Recording Fees 74.8% $175,272 PY Fund Balance 25.6% 58,976 Funding Sources: Vehicle Reg Fees 89.9% $878,000 Fund 112700 PY Fund Balance 10.1% 98,639 FTE: 1.6 Fund 34000 • I FTE: 0 • • • • • • • • • • • • • • 68 County of Contra Costa FY 2006-2007 Recommended Budget "IMMMMPOW" O O O County Administrator General Government O Q CAO's Recommendation Q The Baseline net County cost represents a fiscal year in the Zero Tolerance for Domestic O $60,425 reduction from the 2005/06 Budget. Violence Program. These additional positions O This decrease is a net of normal salary and were offset by a commensurate reduction in benefits costs increases and reductions in contract staff services. These positions are Q appropriations for one-time expenditures that will funded with restricted recording fee revenue and O not recur in 2006/07. have no impact on net County cost. O The Recommended Budget reflects a decrease The County Administrator's Office has Q in net County cost of$152,936 from the maintained critical services despite a cumulative Baseline Budget. This reduction is net of cost reduction in management staff over the past four Q increases for the new Public Communications years affecting budget and program Program, which added one position and administration, policy development, capital associated support costs to the budget. facilities administration, debt management, O Therefore, the total impact of the Recommended Countywide training, and public information O Budget on the County Administrator's Office is programs. $385,936. The required expenditure reductions O will be accomplished through reductions in Planned reductions in budgetary provisions for O supplies and outside professional services, and outside professional services and staff support through aggressive management of staff costs may significantly hinder the County O vacancies. For example, the new management Administrator's ability to effectively respond to O analyst position authorized by the Board of Board of Supervisors initiatives and requests, Supervisors in late 2005 will be held vacant until and to provide necessary support and oversight new funding becomes available. to County departments and operations. O However, the County Administrator's Office will Not reflected in the budget schedule for the continue to explore ways to meet its mandated Q County Administrator's Office are 1.6 full time administrative and program responsibilities with equivalent positions added late in the 2005/06 reduced resources. O O O O O O O O O O O O O O O O Q County of Contra Costa FY 2006-2007 Recommended Budget 59 O O 0 O County Counsel 0 Silvano B. Marches!, County Counsel General Government O O O FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 General Fund Actual Budget Baseline Recommended Change O O EXPENDITURES Salaries and Benefits 6,359,207 7,094,243 7,282,415 7,152,433 -129,982 O Services and Supplies 572,158 744,334 768,087 693,069 -75,018 O Fixed Assets 6,933 0 0 0 0 Expenditure Transfers -2,993,644 -3,393,230 -3,527,866 -3,527,866 0 0 Total Expenditures 3,944,654 4,445,347 4,522,636 4,317,636 -205,000 O REVENUE O Other Local Revenue 2,603 096 2,418,302 2,508,983 2,508,983 0 O Gross Revenue 2,603,096 2,418,302 2,508,983 2,508,983 0 O NET COUNTY COST(NCC) 1,341,558 2,027,045 2,013,653 1,808,653 -205,000 O O Allocated Positions(FTE) 46 47 47 46 -1 O O O FINANCIAL INDICATORS Salaries as%of Total Exp 92% 91% 90% 91% 0 %Change in Total Exp 13% 2% -5% O % Change in Total Rev -7% 4% 0% O %Change in NCC 51% -1% -10% 0 Program Description O General Law Summary 0 Description: Legal advisors for County officers, departments, boards and commissions, school Service: Mandatory 0 and other districts in the County. County Level of Service: Discretionary O Counsel's duties include litigating civil cases and providing legal counsel to the Board of Expenditures: $4,054,584 0 Supervisors, County departments, special Financing: 2,245,931 O districts, and Board-governed authorities and Net County Cost: 1,808,653 agencies. 0 Funding Sources: 1. General Law Property Tax Admin 6.8% $277,152 O Charges for Svc 48.6% 1,968,779 0 Description: Provides legal services necessary General Fund 44.6% 1,808,653 for the continued operation of the County O departments and special districts. Additionally, FTE: 22.0 O provides legal services to outside clients and O independent special districts upon request. O O O O O County of Contra Costa FY 2006-2007 Recommended Budget 61 0 County Counsel Genera/ Government 2. Social Service-Probate • f CAO's Recommendation � Description: Provides legal services for Baseline costs for FY 2006-2007 increased by F Employment& Human Services department $211,925 over FY 2005-2006 due to increased activities(adoptions, dependent children, L-P-S costs of compensation and services and conservatorships, etc.). supplies. The anticipated level of revenues and transfers, however, increased by$225,317. The • Social Servicq-Probate Summary net result was a decrease in the baseline net County cost of$13,392. Service: Mandatory • Level of Service: Mandatory The County Administrator is recommending a reduction in net County cost in the amount of • Expenditures: $2,651,543 $205,000 which is being achieved through a Financing: 2,651,543 vacancy factor and adjustments to services and Net County Cost: 0 supplies. The Department will continue to fill . vacant positions throughout the year, however, Funding Sources: salary savings are anticipated due to turnover Charges for Svc 100% $2,651,543 and normal hiring times. • FTE: 18.0 , 3. Risk Management/Tort Unit .; Description: Provides litigation services in- house and monitors outside litigation attorneysrx; - in conjunction with Risk Management. Service: Mandatory Level of Service: Discretionary _ Expenditures: $1,139,375 S _ Financing: 1,139,375 • Net County Cost: 0 Funding Sources: Liability Trust Fund 100% $1,139,375 FTE: 6.0 ry • 't , i S 62 County of Contra Costa FY 2006-2007 Recommended Budget • O O O Crockett/Rodeo Revenues General Government O O O FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 O General Fund Actual Budget Baseline Recommended Change EXPENDITURES O Services and Supplies 207,518 342,918 282,032 282,032 0 n Other Charges 275,082 263,832 309,288 309,288 0 V Total Expenditures 482,600 606,750 591,320 591,320 0 O REVENUE 0 0 0 0 0 O NET COUNTY COST(NCC) 482,600 606,750 591,320 591,320 0 O O FINANCIAL INDICATORS O % Change in Total Exp 26% -3% 0% O %Change in NCC 26% -3% 0% O Crockett/Rodeo Revenues CAO's Recommendation O Description: To budget appropriations Although the FY 2006-2007 budget appears as attributable to the property tax increment from a reduction of$15,430 from the FY 2005-2006 the co-generation facility in Crockett and the budget, the FY 2005-2006 budget contains a UNOCAL Reformulated Gasoline Project at the carry-forward of unspent appropriations from a Rodeo facility, for both capital and program prior year. The carry-forward has the effect of uses. increasing the budget and making the O subsequent year appear to contain a reduction, although appropriations are not, in fact, reduced O below anticipated revenues. O O O O O O O O O O O O O O O County of Contra Costa FY 2004-2005 Recommended Budget 63 0 0 0 O Debt Service O General Government O O FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 General Fund Actual Budget Baseline Recommended Change O O EXPENDITURES Services and Supplies 2,400 0 100,000 100,000 0 O Total Expenditures 2,400 0 100,000 100,000 0 O REVENUE 0 0 0 0 0 O O NET COUNTY COST(NCC) 2,400 0 100,000 100,000 0 O O FINANCIAL INDICATORS %Change in Total Exp -100% 0% 0% O %Change in NCC -100% 0% 0% O O Debt Service/General Fund Debt Service/Special Revenue Description: The California Government Code Retirement UAAL Bond Fund O contains a legal provision,which allows a local O agency to issue notes, permitting it to borrow Description: To accumulate and payout the money in order to meet short-term cash flow principal and interest costs for the Pension Q deficiencies, pending receipt of taxes and Obligation bonds for employee retirement O revenues. The borrowed funds may be liabilities, covering the general County group of expended for things such as current expenses, funds including the General, Library and Land capital expenditures, and debts and obligations. Development Funds. The bond obligation rate is O adjusted each year to take into account the prior year's variances in operational costs and QDebt Service Summary recovery. Service: Discretionary Retirement UAAL Bond Summary Q Level of Service: Mandatory Service: Discretionary O Expenditures: $100,000 Level of Service: Mandatory Financing: 0 O Net County Cost: 100,000 Expenditures: $52,061,000 Financing: 52,902,000 O Funding Sources: Net Fund Cost: <841,000> General Fund 100% $100,000 O Funding Sources: O FTE: 0 Use of Money 1.6% $842,000 O Transfers 100.0% 52,060,000 FTE: 0 O O O County of Contra Costa FY 2006-2007 Recommended Budget 65 O O 3 ryaT j T x F. 09- Debt - Debt Service General Government x x " Notes and Warrants Interest CAO's Recommendation Description: To budget for the interest and The Recommended Budget includes administrative costs associated with Teeter Plan appropriations for general fund Debt Service to „ . borrowing program and other funding sources. reflect planned short-term borrowing in FY 2006- 07. Retirement UAAL Bond appropriations were increased to cover FY 2006-07 debt service. Revenues, which are budgeted in each • department as a compensation expense, were Service: Discretionary increased to cover debt service and variances in Level of Service: Mandatory the current year. No change was made to Retirement Litigation Settlement Debt Service, 0 151 Expenditures: $250 revenue for this debt is budgeted in each • Financing: 0 department as a compensation increase. • Net Fund Cost: 250 The County Administrator's Office Is not recommending a reduction to these cost centers Funding Sources: Net Fund Cost 100% $250 as there are no general funds available other than debt service within these cost centers. FTE: 0 • 3 � kR Retirement Litigation Settlement Debt Service `' F. Description: To provide funding for the • Retirement Litigation debt services repayment 4 . schedule, which resulted from a court case requiring the County to pay$28.1 million over a • period of approximately 20 years. tea, r , At: 0 o Expense 0 *` Service: Discretionary 0 Level of Service: Mandatory Expenditures: $2,759,912 Financing: 2,759,912 • Net Fund Cost: 0 ra. Funding Sources: • Transfers 100% $2,759,912 f FTE: 0 ! u ' 0 N 66 County of Contra Costa FY 2006-2007 Recommended Budget ti —421 } � s 0 0 a Tom Whittington Dept of Information Technology 0 Chief Information Officer General Government O O 0 FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 O General Fund Actual Budget Baseline Recommended Change O EXPENDITURES Q Salaries and Benefits 10,348,880 11,123,181 10,440,881 10,440,881 0 Services and Supplies 6,140,865 7,499,984 6,689,876 6,689,876 0 0 Other Charges 3,082,312 964,793 1,160,904 1,160,904 0 O Fixed Assets 224,906 55,655 20,000 20,000 0 Expenditure Transfers -12,239,629 -14,022,269 -12,524,810 -12,524,810 0 Total Expenditures 7,557,334 5,621,344 5,786,851 5,786,851 0 Q REVENUE 0 Other Local Revenue 5,183,316 5,563,682 5,729,189 5,729,189 0 O State Assistance 44,596 0 0 0 0 O Gross Revenue 5,227,912 5,563,682 5,729,189 5,729,189 0 O NET COUNTY COST(NCC) 2,329,422 57,662 57,662 57,662 0 0 O Allocated Positions(FTE) 88 87 77 77 0 0 O FINANCIAL INDICATORS Salaries as% of Total Exp 52% 57% 57% 57% % Change in Total Exp -26% 3% 0% O %Change in Total Rev 6% 3% 0% O %Change in NCC -98% 0% 0% O O Program Description Department of Information O Technology O This table represents information in aggregate O format summarizing expenditures, revenues, Description: Provides system analysis, system and net County costs for two budget units development, evaluation, and implementation of O administered by the Department of Information data processing services to County departments Technology. Included are data for the following as well as certain other governmental agencies. Q budget units. Manages and maintains the County's Wide Area O Network(WAN) supporting data 0147—Department of Information Technology communications systems. Operates County's C) 0060—Telecommunications data center supporting countywide applications. O Administers County's Information Security Program. O O 0 0 Q 0 O County of Contra Costa FY 2006-2007 Recommended Budget 67 0 k Y v Depot of Information Technology i � General Government - . . . . CAD's Recommendation Service: Mandatory Salary and benefit costs initially projected an Level of Service: Discretionary increase of$190,000 but were subsequently reduced by $873,000 to reflect the elimination of • Expenditures: $11,453,584 funding for ten positions. General operating Financing: 11,453,584 expenses were reduced by$810,000 and Net County Cost: 0 equipment debt service costs increased by $196,000. Revenues have been reduced by approximately$1.3 million to reflect the transfer Funding Sources: of responsibilities to the State on behalf of User Fees 100% $11,453,584 Employment and Human Services as well as reductions in overall costs to user departments. FTE: 55 The net County cost of$57,662 accounts for a portion of the annual repayment on the digital microwave debt service. Telecommunications The Department develops the budget each year by assessing user needs. Operating costs were • Description: Operates, maintains and minimized to the extent possible to match manages the County's communications systems anticipated reductions in revenue and every including telephone, voice mail, microwave and effort was made to avoid extensive rate radio. Provides installation and maintenance of increases. radio systems for police agencies, special The Recommended Budget is a spending plan districts, medical facilities and cities. based solely on the needs of user departments. t No further reductions are recommended for FY Telec' 2006-07. • Service: Mandatory Level of Service: Discretionary Expenditures: $6,858,077 Financing: 6,800,415 • Net County Cost: 57,662 Funding Sources: User Fees 99% $6,800,415 General Fund 1% 57,662 7♦' FTE: 22 I:. 68 County of Contra Costa FY 2006-2007 Recommended Budget • O O O Employee Retiree Benefits O General Government O O O FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 O General Fund Actual Budget Baseline Recommended Change O EXPENDITURES O Salaries and Benefits 924,282 1,291,788 995,716 995,716 0 Services and Supplies 1,652,196 1,882,132 1,727,502 1,577,502 -150,000 O Fixed Assets 86,172 75,000 73,500 73,500 0 O Total Expenditures 2,662,650 3,248,920 2,796,718 2,646,718 -150,000 O REVENUE O Other Local Revenue 4,019 0 0 0 0 O Gross Revenue 4,019 0 0 NET COUNTY COST(NCC) 2,658,630 3,248,920 2,796,718 2,646,718 -150,000 O O FINANCIAL INDICATORS Salaries as%of Total Exp 35% 40% 36% 38% O %Change in Total Exp 22% -14% -5% O % Change.in Total Rev -100% 0% 0% O % Change in NCC 22% -14% -5% 0 Employee Benefits O O Description: To fund the costs associated with Retiree maintaining the County payroll and benefits Service: Mandatory O system. Level of Service: Discretionary EmployeeExpenditures: $1,138,576 Q Financing: 0 Service: Mandatory Net County Cost: 1,138,576 O Level of Service: Discretionary 0 Expenditures: $1,508,142 Funding Sources: o O Financing: 0 General Fund 100% $1,138,576 O Net County Cost: 1,508,142 O Funding Sources: O General Fund 100% $1,508,142 CAO's Recommendation O The Baseline Budget decreased by a net of Retiree Health Benefits $452,202 from the current year. The reduction reflects the elimination of prior year fund balance O Description: To fund the costs of the health carried forward from fiscal year 2004-05. A plan program for retirees from the Courts, a further$150,000 was reduced as part of the component of the total employee benefits overall budget balancing strategy. O package established by the Board of O Supervisors. O O O County of Contra Costa FY 2006-2007 Recommended Budget 69 0 I O O O General Purpose Revenue O General Government O O O FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 O General Fund Actual Budget Baseline Recommended Change O REVENUE O Other Local Revenue 269,328,969 284,730,988 317,633,442 317,633,442 0 Federal Assistance 7,501 3,000 0 0 0 O State Assistance 5,077,063 8,738,005 2,170,000 2,170,000 0 O Gross Revenue 274,413,533 293,471,993 319,803,442 319,803,442 0 O NET COUNTY COST(NCC) -274,413,533 -293,471,993 -319,803,442 -319,803,442 0 O O FINANCIAL INDICATORS O % Change in Total Rev 7% 9% 0% O %Change in NCC 7% 9% 0% O O General County Revenues CAO's Recommendation 0 Description: To receive revenues which are The Recommended Budget continues to rely on not attributable to a specific County service and significant increases in General Purpose Q which are available for County General Fund Revenue. The most significant increase in O expenditures. Types of revenues included are revenue from FY 05/06 to FY 06/07 is due to property taxes, sales taxes, interest earnings Property Tax in Lieu of Vehicle License Fee O and motor vehicle in-lieu funds. Revenues from revenue. this budget unit offset the net County costs of O General Fund departments. O O CountyGeneral 01 Service: Mandatory O Level of Discretion: Discretionary O Expenditures: $ 0 Financing: 319,803,442 O Net County Cost: (319,803,442) O Funding Sources: O Property Taxes 81.2% $259,670,000 Other Taxes 8.4% 26,729,747 O License Franchise 2.5% 8,050,000 O Fines Penalties 3.0% 9,500,000 Use of Money 0.8% 2,700,000 O Intergovernmental 1.3% 4,170,000 O Charges Service 2.6% 8,380,000 Miscellaneous Rev 0.2% 603,695 O O O O County of Contra Costa FY 2006-2007 Recommended Budget 71 O 0 0 0 Michael Lango General Services 0 General Services Director General Government 0 0 General Services Budget Summary 0 O FY 2004-05 FY 2005-2006 FY 2006.07 FY 2006-07 FY 2006-07 0 General Fund Actual Budget Baseline Recommended Change 0 EXPENDITURES Salaries and Benefits 24,394,458 28,763,505 28,510,615 27,553,362 -957,253 0 Services and Supplies 57,422,644 59,791,308 64,201,176 61,888,577 -2,312,599 0 Other Charges 31,696,421 34,726,233 34,421,084 33,869,818 -551,266 Fixed Assets 1,592,348 367,165 225,000 0 -225,000 Expenditure Transfers -61,890,190 -1,284,550 -74,682,883 -73,174,364 1,508,519 0 Total Expenditures 53,215,682 52,363,661 52,674,992 50,137,393 -2,537,599 0 REVENUE 0 Other Local Revenue 38,328,397 37,898,945 36,530,830 36,556,830 26,000 0 Federal Assistance 13,511 0 0 0 0 State Assistance 893 0 0 0 0 O Gross Revenue 38,342,801 37,898,945 36,530,830 36,556,830 26,000 0 0 NET COUNTY COST(NCC) 14,872,881 14,464,716 16,144,162 13,580,563 -2,563,599 0 O Allocated Positions(FTE) 293 286 281 274 -7 0 0 FINANCIAL INDICATORS 0 Salaries as%of Total Exp 21% 23% 22% 22% 0 % Change in Total Exp -2% 1% -5% Change in Total Rev -1% -4% 0% 0 %Change in NCC 3% 12% -16% 0 0 0 Department Description Malor Department Responsibilities This table represents information in aggregate The General Services Department provides high 0 format summarizing expenditures, revenues, quality, responsive and cost effective service to 0 and net County cost for seven budget units County departments, other agencies, and the administered by General Services Department. public. GSD is organized into nine divisions, O Included are data for the following budget units: including: Administration, Capital Projects Management, Facilities Maintenance, Print& 0 0020— Purchasing/Materials Mgmt Mail Services, Custodial/Recycling Services, 0 0063—Fleet Services Fleet Services, Grounds, Real Estate Services, 0077—General Property and Purchasing/Materials Management. 0 0079— Facilities Maintenance 0 0148—Print& Mail Services 0149—Administration 0 0473—Resource Recovery 0 0 O County of Contra Costa FY 2006-2007 Recommended Budget 73 0 L General Services General Government Purchasing/Materials Management FY 2004-05 FY 2005-2006 FY 2006-07 FY 2006-07 FY 2006-07 General Fund Actual Budget Baseline Recommended Chane EXPENDITURES • Salaries and Benefits 689,241 732,847 876,643 876,643 0 Services and Supplies 196,896 152,721 145,713 142,713 -3,000 Expenditure Transfers -106,066 -143,450 -145,286 -145,286 0 • Total Expenditures 780,072 742,118 877,070 874,070 -3,000 REVENUE . Other Local Revenue 228,479 229,081 229,081 229,081 0 • Gross Revenue 228,479 229,081 229,081 229,081 0 NET COUNTY COST(NCC) 551,593 513,037 647,989 644,989 -3,000 i Allocated Positions (FTE) 8 7 8 8 0 0 • z FINANCIAL INDICATORS Salaries as%of Total Exp 78% 83% 86% 86% • % Change in Total Exp -5% 18% 0% • %Change in Total Rev 0% 0% 0% %Change in NCC -7% 26% 0% Description: To provide a program of M '. centralized purchasing of goods, equipment and 3 services for the County and other local Service: Discretionary • agencies, to authorize the sale and/or disposal Level of Service: Discretionary of surplus equipment, and to procure and store all items required to support the operations and Expenditures: $1,019,356 maintenance of General Services. Financing: 374,367 tk Net County Cost: 644,989 ` Funding Sources: Fees Charged 13.4% $136,631 Rebates 9.1% 92,450 ' Transfers 14.3% 145,286 It General Fund 63.2% 644,989 40 FTE: 8.0 5 74 County of Contra Costa FY 2006-2007 Recommended Budget 0 0 General Services 0 General Government 0 0 Fleet Services 0 0 FY 2004-05 FY 2005-2006 FY 2006-07 FY 2006-07 FY 2006-07 General Fund Actual Budget Baseline Recommended Change 0 EXPENDITURES 0 Salaries and Benefits 1,471,925 1,836,936 1,849,254 1,849,254 0 0 Services and Supplies 6,999,496 7,410,874 7,972,110 7,972,110 0 Other Charges 119,055 2,948,016 2,901,582 2,350,316 -551,266 Fixed Assets 1,569,938 366,440 225,000 0 -225,000 O Expenditure Transfers -7,445,594 -9,924,476 -10,608,315 -10,057,049 551,266 0 Total Expenditures 2,714,820 2,637,790 2,339,631 2,114,631 -225,000 0 REVENUE 0 Other Local Revenue 1,827,168 1,837,170 2,114,631 2,114,631 0 0 Gross Revenue 1,827,168 1,837,170 2,114,631 2,114,631 0 0 NET COUNTY COST(NCC) 887,652 800,620 225,000 0 -225,000 0 0 Allocated Positions(FTE) 19 19 19 19 0 0 0 FINANCIAL INDICATORS 0 Salaries as%of Total Exp 14% 15% 14% 15% %Change in Total Exp -3% -11% -10% 0 %Change in Total Rev 1% 15% 0% 0 %Change in NCC -10% -72% -100% 0 0 Description: To provide maintenance, repair, acquisition, and management of the County's Fleet Services Summary fleet of vehicles and equipment. Service: Discretionary 0 Level of Service: Discretionary 0 Expenditures: $12,171,680 Financing: 12,171,680 0. Net County Cost: 0 O Funding Sources: Fees Charged 17.4% $2,114,631 0 Transfers 82.6% 10,057,049 0 0 FTE: 19.0 0 0 0 0 0 County of Contra Costa FY 2006-2007 Recommended Budget 75 0 r General Services ' General Government General Property ` FY 2004-05 FY 2005-2006 FY 2006-07 FY 2006-07 FY 2006-07 General Fund Actual Budget Baseline Recommended Change EXPENDITURES Services and Supplies 15,267,162 15,032,484 17,141,939 14,832,340 -2,309,599 `'` Fixed Assets 0 725 0 - 0 0 , Expenditure Transfers -22,288 -30,700 -75,642 -75,642 0 , Total Expenditures 15,244,874 15,002,509 17,066,297 14,756,698 -2,309,599 r REVENUE Other Local Revenue 1,486,624 1,851,450 1,795,124 1,795,124 0 Federal Assistance 13,511 0 0 0 0 State Assistance 893 0 0 0 0 41 I' Gross Revenue 1,501,028 1,851,450 1,795,124 1,795,124 0 • NET COUNTY COST(NCC) 13,743,847 13,151,059 15,271,173 12,961,574 -2,309,599 0 Jr FINANCIAL INDICATORS %Change in Total Exp -2% 14% -14% t %Change in Total Rev 23% -3% 0% %Change in NCC -4% 16% -15% r y Description: To fund general funded buildings General lProperty and grounds maintenance, debt service, utilities, 40t vehicles, and revenue leases for County Service: Discretionary 4461 properties and departments. To provide for the Level of Service: Discretionary occupancy costs for general fund departments, 0 Veterans' Memorial Buildings, and the use and Expenditures: $14,832,340 ! maintenance of vehicles of general funded Financing: 1,870,766 departments except for the Sheriffs Department. Net County Cost: 12,961,574 Revenue is primarily from the Courts and other • agencies for purchase of county services and Funding Sources: fuel. Fees 12.1% $1,795,124 Transfers 0.5% 75,642 General Fund 87.4% 12,961,574 f FTE: 0.041 • ..y 76 County of Contra Costa FY 2006-2007 Recommended Budget • O 0 General Services O General Government O O Facilities Maintenance O O FY 2004-05 FY 2005-2006 FY 2006-07 FY 2006-07 FY 2006-07 Q General Fund Actual Budget Baseline Recommended Change O EXPENDITURES 0 Salaries and Benefits 18,307,305 21,468,156 20,942,977 19,985,724 -957,253 Q Services and Supplies 32,513,223 34,480,662 36,136,656 36,136,656 0 Other Charges 31,555,963 31,757,676 31,492,969 31,492,969 0 Fixed Assets 22,410 0 0 0 0 O Expenditure Transfers -49,080,280 -54,833,166 -57,268,824 -56,311,571 957,253 O Total Expenditures 33,318,621 32,873,328 31,303,778 31,303,778 0 O REVENUE O Other Local Revenue 33,583,663 32,873,328 31,303,778 31,303,778 0 O Gross Revenue 33,583,663 32,873,328 31,303,778 31,303,778 0 O NET COUNTY COST(NCC) -265,042 0 0 0 0 O O Allocated Positions(FTE) 225 222 217 210 -7 O O O FINANCIAL INDICATORS Salaries as%of Total Exp 22% 24% 24% 23% O %Change in Total Exp _11% -5% 0% O %Change in Total Rev -2% -5% 0% O % Change in NCC -100% 0% 0% Description: To provide general maintenance Facilities Maintenance Summary O and repairs for County buildings and facilities O including custodial, grounds, stationary Service: Discretionary engineers (including 24-hour services at Contra Level of Seryice: Discretionary O Costa Regional Medical Center and detention facilities), craft personnel, equipment, supplies, Expenditures: $87,615,349 architectural and property management of Financing: 87,615,349 O County-owned and leased property and Net County Cost: 0 facilities, utilities and insurance, traffic signal maintenance for the County and contract cities, Funding Sources: O and the resource recovery program (Recycling). Fees 35.7% $31,303,778 Includes reduction of seven permanent positions Transfers 64.3% 56,311,571 O plus seven temporary positions. O FTE: 210.0 O O O O O County of Contra Costa FY 2006-2007 Recommended Budget 77 0 x • General Services General Government • Print and Mail Services • FY 2004-05 FY 2005-2006 FY 2006-07 FY 2006-07 FY 2006-07 • General Fund Actual Budget Baseline Recommended Chane • • EXPENDITURES Salaries and Benefits 1,290,739 1,460,741 1,500,604 1,500,604 0 Services and Supplies 1,652,501 1,885,872 1,998,316 1,998,316 0 Other Charges 21,387 20,541 26,533 26,533 0 . Expenditure Transfers -2,269,189 -2,725,334 -2,903,333 -2,903,333 0 Total Expenditures 695,437 641,820 622,120 622,120 0 • • REVENUE • Other Local Revenue 694,250 641,820 622,120 622,120 0 Gross Revenue 694,250 641,820 622,120 622,120 0 • 5, NET COUNTY COST(NCC) 1,188 0 0 0 0 Allocated Positions(FTE) 19 19 19 19 0 • FINANCIAL INDICATORS Salaries as%of Total Exp 44% 43% 43% 43% %Change in Total Exp -8% -3% 0% % Change in Total Rev -8% -3% 0% • %Change in NCC -100% 0%n 0% • • r, Description: To provide copy, printing, graphic Print& Mail Services Summary design, bindery and duplicating services, U.S. Mail processing and interoffice mail delivery, and Service: Discretionary • supplies business forms and documents to Level of Service: Discretionary County departments and other governmental agencies. Expenditures: $3,525,453 3" Financing: 3,525,453 Net County Cost: 0 Funding Sources: Fees Charged 17.6% $622,120 • Transfers 82.4% 2,903,333 . FTE: 19.0 • k 78 County of Contra Costa FY 2006-2007 Recommended Budget 0 O General Services O General Government O O Administration O O FY 2004-05 FY 2005-2006 FY 2006-07 FY 2006-07 FY 2006-07 OGeneral Fund Actual Budget Baseline Recommended Change O o EXPENDITURES Salaries and Benefits 2,635,248 3,264,825 3,341,137 3,341,137 0 O Services and Supplies 332,787 363,149 340,896 340,896 0 O Other Charges 16 0 0 0 0 Expenditure Transfers -2,966,773 -3,627,424 -3,681,483 -3,681,483 0 O Total Expenditures 1,279 550 550 550 0 O O REVENUE Other Local Revenue 900 550 550 550 0 O Gross Revenue 900 550 550 550 0 O O NET COUNTY COST(NCC) 379 0 0 0 0 O O Allocated Positions(FTE) 22 19 18 18 0 O O FINANCIAL INDICATORS 0 Salaries as%of Total Exp 89% 90% 91% 91% J %Change in Total Exp -57% 0% 0% O %Change in Total Rev -39% 0% 0% O %Change in NCC -100% 0% 0% O O O Description: To provide for the overall Administration Summary management and support of all divisions O including personnel,fiscal, safety, and training. Service: Discretionary O Administrative costs are distributed among all of Level of Service: Discretionary the divisions and included in the labor rates. Expenditures: $3,682,033 O Financing: 3,682,033 O Net County Cost: 0 O Funding Sources: Fees Charged 0.01% $550 O Transfers 99.99% 3,681,483 O FTE: 18.0 O O O O O O O County of Contra Costa FY 2006-2007 Recommended Budget 79 0 General Services • General Government • • Resource Recovery FY 2004-05 FY 2005-2006 FY 2006-07 FY 2006-07 FY 2006-07 General Fund Actual Budget Baseline Recommended Chane • EXPENDITURES Services and Supplies 460,579 465,546 465,546 465,546 0 Total Expenditures 460,579 465,546 465,546 465,546 0 . REVENUE • Other Local Revenue 507,315 465,546 465,546 491,546 26,000 • Gross Revenue 507,315 465,546 465,546 491,546 26,000 • NET COUNTY COST(NCC) -46,736 0 0 -26,000 -26,000 • • • FINANCIAL INDICATORS • Change in Total Exp 1%u 0% 0% •Change in Total Rev -8% 0% 6% . •Change in NCC -100% 0% 0% i • Description: To implement Board policy on I Reso=4 Recovery Summary • reducing waste from sanitary landfills through resource recovery and recycling services and to Service: Mandatory • provide work opportunities for Cal-Works Level of Service: Discretionary referrals from Employment and Human Services. Expenditures: $465,546 Financing: 491,546 Net County Cost: -26,000 Funding Sources: , Fees Charged 105.6% $491,546 General Fund -5.6% -26,000 FTE: 0.0 • • • • • • 80 County of Contra Costa FY 2006-2007 Recommended Budget i • • 41M q' n O O General Services O General Government O O CAO's Recommendation O O Baseline costs before expenditure transfers This increase in expenditure transfers was have increased by$3,709,664 over the 2005-06 accompanied by a decrease of$1,368,115 in O fiscal year. The majority of the increase in costs the anticipated level of revenues over the same O is attributable to higher costs in three areas: the period, reflecting a slight change in the mix of escalating cost of natural gas, electricity and customers within the General Fund (transfers) O gasoline, resulting in higher utility costs; the and outside the General Fund (revenues). As a increased cost of property insurance caused by result, net County cost increased by$1,679,446. Hurricane Katrina and the incidence of more O natural disasters; and the need for General To minimize the increase in costs due to utility, O Services Department to maintain 13,490 square insurance and building space maintenance feet in additional space, most notably the new costs, the department reduced their budget from Q Clerk/Recorder Elections building. (The last two the baseline amount by$2,563,599, as shown in fiscal years have added maintenance costs for the Budget Balancing Strategies section of the O 101,335 square feet without any supplemental Recommended Budget. O funding). Increased costs of salaries and benefits over fiscal year 2005-06 were more The strategies identified include layoffs of seven O than offset by elimination of five full time permanent and seven temporary positions in equivalent positions. grounds maintenance, facilities maintenance and custodial services. Other reductions are Q Total baseline expenditures (after transfers) proposed in the areas of building insurance, O increased by$311,331, reflecting the increased phone expenses and alarm maintenance. To cost of services and supplies offset by an the extent possible,the Department has p increase in expenditure transfers of$3,398,333 attempted to minimize service impacts. O as charges to other departments. O O O O O O O O O O O O O O O O O O O O County of Contra.Costa FY 2006-2007 Recommended Budget 81 0 0 0 Human Resources Lori Gentles, Director General Government O O 0 FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 OGeneral Fund Actual Budget Baseline Recommended Change 0 EXPENDITURES O Salaries and Benefits 3,644,222 5,086,406 5,091,769 5,091,769 0 Services and Supplies 3,390,825 4,897,074 3,849,047 3,849,047 0 0 Expenditure Transfers -588,418 -3,488,230 -3,556,500 3,556,500 0 O Total Expenditures 6,446,629 6,495,250 5,384,316 5,384,316 0 O REVENUE O Other Local Revenue 4,272,633 2,855,133 2,914,507 2,914,507 0 O Gross Revenue 4,272,633 2,855,133 2,914,507 2,914,507 0 O NET COUNTY COST(NCC) 2,173,995 3,640,117 2,469,809 2,469,809 0 a o Allocated Positions(FTE) 48 49 49 49 0 O O FINANCIAL INDICATORS n Salaries as%of Total Exp 52% 51% 57% 57% %Change in Total Exp 1% -17% 0% o %Change in Total Rev -33% 2% 0% % Change in NCC 67% -32% 0% O Human Resources Labor RelationsO O Description: Develops, administers and Servicer Mandatory maintains merit and exempt employment Level of Service: Discretionary (� systems, which include employee relations, o salary administration, pay equity, benefit and Expenditures: $1,357,130 insurance programs, recruitment, test and Financing: 915,161 o referral procedures,job classification, employee Net County Cost: 441,969 and organizational development, employee o assistance, and employee wellness. Funding Sources: a Fees 13.4% $181,246 Labor Relations Charges 50.4% 683,915 Miscellaneous 3.6% 50,000 O Description: Administers the County's labor- General Fund 32.6% 441,969 management relations programs including Q managing the collective bargaining process, FTE: 7 o grievance investigation, providing training and counseling to managers and employees, as well as problem resolution. O O O O O County of Contra Costa FY 2006-2007 Recommended Budget 83 O Human Resources General Government Employee Benefits approval of all personnel actions, management • of the lay-off processes and outplacement ` Description: Formulates and implements activities, as well as the maintenance of all policies for the administration of benefit personnel history files and records. programs and services that assist the County in maintaining a competitive compensation ' package and that contribute to the health and Personnel Services Summary well-being of County employees and retirees. Specific programs include State Disability Service: Mandatory Insurance; Deferred Compensation; Health Plan Level of Service: Mandatory Administration; Health Care Spending Account; '` Supplemental Life Insurance; Unemployment Expenditures: $2,873,164 Insurance; Long-Term Disability Insurance; Financing: 845,324 Delta Dental; Dependent Care Assistance Net County Cost: 2,027,840 f` Program; VDT Eye Screening; Catastrophic Leave; Employee Assistance Program; and Funding Sources: ' Employee Wellness Program. Theprograms Charges 29.4% $ 845,324 rg General, Fund 70.6% 2,027,840 ' represent a mix of insured and self-insured programs. " FTE: 25 0 Employee Service: Mandatory Employee Child Care I' Levet of Service: Discretionary Description: Provides for the funding and " Expenditures: $4,693,022 development of child care programs for County Financing: 4,693,022 employees. Funded by forfeited Dependent Net County Cost: 0 Care Assistance Program (DCAP) monies received from employees. Funding Sources: Charges 100% $4,693,022 't Employee FTE: 17 ', Service: Discretionary Level of Service: Mandatory Expenditures: $17,500 • Personnel Services Financing: 17,500 Net County Cost: 0 Description: Develops and administers programs and policies to help ensure that the Funding Sources: County recruits and selects a highly skilled and Forfeitures 100% $17,500 diversified workforce that is properly classified and is fairly and equitably compensated. FTE: 0 l Activities include affirmative action outreach, • 84 County of Contra Costa FY 2006-2007 Recommended Budget • O 0 Human Resources 0 O General Government O 0 CAD's Recommendation O The Baseline Budget decreased by a net of Over the last year, the Department of Human $1,170,308. The majority of this decrease Resources has experienced a high level of staff O reflects the removal of a one-time rebudget of turnover. Consequently, the Department is in O prior year fund balance totaling $881,486 for the process of filling vacancies and has O Childcare. The remaining reduction reflects experienced some cost savings by filling some increased charge-outs to departments as positions at entry level. allowed by the A-87 cost plan. No further reductions are recommended for O The basic functions of the Human Resources fiscal year 2006-07. O Department are essential to the internal structure of the County and are mandated by O law. O O O O O O O O O O O O O O O O O O O O O O O O O O O O County of Contra Costa FY 2006-2007 Recommended Budget 85 0 0 0 Library 0 Anne Cain, County Librarian General Government 0 0 0 O FY 2004-05 2005-2006 FY 2006-07 FY 2006-07 FY 2006-07 Libra Fund Actual Budget Baseline Recommended Change 0 O EXPENDITURES Salaries and Benefits 15,191,599 16,567,545 18,652,791 18,652,791 0 0 Services and Supplies 3,713,674 4,790,559 2,992,048 2,992,048 0 0 Other Charges 2,513,062 2,175,210 2,342,161 2,342,161 0 J Fixed Assets 207,294 278,500 0 0 0 0 Expenditure Transfers 1,769 0 0 0 0 O Total Expenditures 21,627,397 23,811,814 23,987,000 23,987,000 0 0 REVENUE 0 Other Local Revenue 19,958,089 22,149,771 23,327,985 23,327,985 0 Federal Assistance 436 0 0 0 0 0 State Assistance 773,906 654,100 659,015 659,015 0 0 Gross Revenue 20,732,431 22,803,871 23,987,000 23,987,000 0 0 NET FUND COST(NFC) 894,966 1,007,943 0 0 0 0 0 Allocated Positions(FTE) 164 167 173 173 0 0 0 FINANCIAL INDICATORS 0 Salaries as % of Total Exp 70% 70% 78% 78% • Change in Total Exp 10% 10% 0% 0 %Change in Total Rev 10% 5% 0% /0 %Change in NFC 13% -100% 0% V 0 Department Description 0 This table represents information in aggregate teens and adults, and the provision of collections 0 summarizing expenditures and revenue for the that meet the variety of educational, following four budget units administered by the recreational, and cultural information needs of 0 Library: the community. 0 0008—Revenue County Library Taxes 1. Administrative Services 0 0113—Plant Acquisition— Library Fund 00620—Admin and Support Services Description: Includes Library Administration, 0621 — Library Community Services Shipping, Community Relations, and Facilities 0 0622—Casey Library Gift Management. Library Administration plans, organizes and directs the operation of the 0 Maior Department Responsibilities County Library; provides leadership and 0 management in budgetary, personnel, The Contra Costa Library brings people and operational, and policy matters; pians for the 0 ideas together. The Library's primary goal is future of the library with the Library Commission, Q access to high quality services for children, Regional Library Boards, representatives of library communities and staff. Shipping receives 0 all resources, furniture and equipment delivered 0 O County of Contra Costa FY 2006-2007 Recommended Budget 87 0 0 , 3 � Library • General Government • to the library and provides daily delivery of one-time purchases for replacing library • library resources to all library facilities. materials ($375,919), and one-time computer Community Relations manages the library's and furniture costs ($165,560). This is partially volunteer program, provides publicity for library offset by an increase in health care and • programs and services, and provides support to retirement expenses ($88,971). • Friends of the Library groups. Facilities Management provides planning and oversight Impact: Less equipment and fewer supplies will • for maintenance and repair of existing buildings be purchased. t and planning with communities for new building and facilities. Support Services Summary • Adjustment: Decrease appropriation by Service: Discretionary • $45,964 to reflect a decrease in funding for one- Level of Discretion: Discretionary time furniture and equipment costs ($242,500). • This decrease is partially offset by an increase in Expenditures: $2,568,557 salaries to add 2 positions ($80,503), and in Financing: 2,568,557 health benefit, retirement and retiree health care Net Fund Cost: 0 costs ($232,673). • Funding Sources: Impact: No major impact is expected by the Property Taxes 100.00% $2,568,557 v decrease. • FTE: 20.0 A�dministrativel Services Summary Service; Discretionary 3. Countywide Services Level of Discretion: Discretionary Description: Includes Public Services Expenditures: $3,718,870 Administration, Countywide Centralized Library Financing: 3,718;870 Services, Literacy Services, and the Wilruss Net Fund Cost: 0 Children's Library Fund. These services either provide direct patron services countywide or • Funding Sources: provide support to the community libraries. Property Taxes 92.4% $3,435,720 Public Services Administration provides overall i Intergovernmental 5.6% 208,150 leadership, management and support for the Other 2.0% 75,000 community library operations. Countywide F Centralized Library Services are those services . FTE: '16.5 which directly serve library patrons countywide or which support community library services and • operations. They include countywide toll-free 2. Support Services telephone reference service, government ` documents, periodicals, and program support in Description: Includes Automation, Technical adult, young adult, and youth services. Literacy Services and Collection Management. Services administers the library's literacy • 4 Automation provides planning and operations for program Project Second Chance. The Wilruss • the electronic information system as well as the Children's Library Trust Fund provides for the Wide Area Network linking all library locations. design and maintenance of programs that • Technical Services provides for catalog and promote literacy and a lifelong love of books and . database maintenance. Collection Management reading in socially and economically provides for selection, acquisition and fund disadvantaged areas of Contra Costa County. 7 accounting of library materials and inter-library loan of library materials. Adjustment: Increases appropriation by $691,984 to reflect an increase in permanent • Adjustment: Decrease appropriation by salaries resulting from the implementation of the • * $461,390 to reflect a decrease in funding for Strategic Plan, additional temporary substitute 88 County of Contra Costa FY 2006-2007 Recommended Budget • x, F 0 Library O General Government O staffing, an increase in the cost of retirement O and health care costs, and an increase in Q supplies. Service: Discretionary Impact: The new positions are in accordance Level of Services: Discretionary O with the implementation of the Library's Strategic Expenditures: $14,790,121 Q Plan. Financing: 14,790,121 Countywide Services Summary O Net County Cost: 0 O Funding Sources: O Service: Discretionary Property Taxes 67.4 % $9,968.146 Level of Service: Discretionary Intergovernmental 24.0 % 3,545,185 O Expenditures: $2,909,452 Fees 4.6 % 675,000 Q Financing: 2,909,452 State 4.0 % 600,000 O Net County Cost: 0 Other .001 /0 1,790 O Funding Sources: FTE: 120.2 Property Taxes 94.8% $2,758,337 Q Intergovernmental 3.2% 92,100 O State 2.0% 59,015 CAD's Recommendation Other 0% 0 Q Salaries and benefits are increased to reflect O FTE: 16.75 additional positions for the new Library in Hercules, which opens in 2007. These O additional positions combined with increases in O 4. Library-Community Services health benefits, retiree health benefits, and retirement costs results in an increase of O Description: Includes the provision of $2,085,246. O community library services through 25 County Service and Supplies are decreased by$1.8 Library facilities in 5 regions. These community million to reflect one-time purchases of collection Q library services include public services, materials replacements, computer software costs, O collections, and programs that are tailored computers and the opening day collection for the specifically for each community. Dougherty Station Library. O O Adjustment: Increase appropriations by Other Charges reflect building maintenance $215,802 to reflect operating costs for costs and interdepartmental charges and will be O Dougherty Station and Hercules libraries, an increased by$166,951. increase in the number of hours for temporary employees and increases in retirement and Q health care costs ($1,118,804). This increase is partially offset by a decrease to remove one- time costs for library materials for the Dougherty O Station Library($688,000), and a decrease to remove one-time costs for computer equipment Q and furniture and office expenses and Q equipment($219,030). O Impact: A new library opened in Dougherty Station in FY 2005-06 and the new Hercules O Library will open in FY 2006-07. O O O O County of Contra Costa FY 2006-2007 Recommended Budget 89 O O 0 0 Public Works Maurice Shiu, Director General Government Public Works General Fund Summary O O FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 0 General Fund Actual Budget Baseline Recommended Change EXPENDITURES Q Salaries and Benefits 27,912,675 31,151,623 31,967,622 31,967,622 0 O Services and Supplies 26,741,957 66,839,987 72,712,857 72,712,857 0 Other Charges 6,704,903 3,336,032 3,581,050 3,581,050 0 Q Fixed Assets 15,376 190,000 190,000 190,000 0 O Expenditure Transfers -7,293,271 -8,336,430 -8,360,930 -8,360,930 0 Total Expenditures 54,081,640 93,181,212 100,090,599 100,090,599 0 O REVENUE O Other Local Revenue 54,081,563 92,990,240 99,900,794 99,900,794 0 Federal Assistance 155,488 0 0 0 0 O State Assistance 23,367 0 0 0 0 O Gross Revenue 54,260,417 92,990,240 99,900,794 99,900,794 0 O NET COUNTY COST(NCC) -178,777 190,972 189,805 189,805 0 O O Allocated Positions(FTE) 275 263 271 271 0 O O FINANCIAL INDICATORS Salaries as%of Total Exp 45% 31% 29% 29% 0 %Change in Total Exp 72% 7% 0% Q %Change in Total Rev 71% 7% 0% o %Change in NCC -207% -1% 0% General Fund Description O This table represents information in aggregate Tables that follow will present budget summarizing expenditures, revenues, and net information for the Road Fund, Airport Q County cost for three General Fund budget units . Enterprise Fund, and various Special Revenue O administered by the Public Works Department. funds including Area of Benefit and Road Included are data for the following budget units: Development Fees. The budgets for Special Districts managed by Public Works and the O 0650—Public Works Flood Control District are in a separate 0661 —Road Construction document. 0 0330—Co. Drainage Maintenance Budget Unit.0650 is the principal General Fund Major Department Responsibilities Q budget containing all of the salary and benefit The mission of the department is to plan, design, O costs for Public Works personnel except Airport construct and maintain safe, effective, and staff who are supported by the Airport Enterprise efficient transportation systems, drainage O Fund which is not part of the General Fund. systems and recreational facilities in the County. O 0 O County of Contra Costa FY 2006-2007 Recommended Budget 99 0 Public Works • General Government • • Public Works • ` FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 • General Fund Actual Budget Baseline Recommended Change EXPENDITURES • Salaries and Benefits 27,912,675 31,151,623 31,967,622 31,967,622 0 • Services and Supplies 8,724,861 9,659,933 9,845,867 9,845,867 0 Other Charges 59,334 75,000 75,000 75,000 0 Fixed Assets 15,376 190,000 190,000 190,000 0 • Expenditure Transfers -7,290,041 -8,336,430 -8,361,430 -8,361,430 0 Total Expenditures .29,422,205 32,740,126 33,717,059 33,717,059 0 • ! REVENUE Other Local Revenue 29,608,726 32,557 094 33,535,194 33,535,194 0f! Gross Revenue 29,608,726 32,557,094 33,535,194 33,535,194 0 • NET COUNTY COST(NCC) -186,521 183,032 181,865 181,865 0 • Y' • Allocated Positions(FTE) 275 263 271 271 0 • 't' FINANCIAL INDICATORS • ' Salaries as% of Total Exp 4% 76% 76% 76% %Change in Total Exp 11% 3% 0% • ° %Change in Total Rev 10% 3% 0% % Change in NCC -198% -1% 0% • j Description: This budget unit includes the Public salary and benefit costs for all Public Works positions, which are recovered through charge- Service: Mandatory • outs to operating divisions. It also includes all Level of Service: Discretionary over-head expenses for the department, Expenditures: $33,717,059 including services and supplies. Financing: 33,535,194 • Net County Cost: 181,865 • Funding Sources: Road Fund 41.8% $17,600,000 Land Dev. Fund 15.0% 5,800,000 ' Flood Control 15.4% 6,300,000 Other Govt. 22.0% 9,300,000 Clean Water 3.6% '1,470,000 Miscellaneous 0.8% 332,000 Airports 0.7% 279,000 General Fund 0.5% 181,865 • FTE: 263 • • • • • 92 County of Contra Costa FY 2006-2007 Recommended Budget . • f 0 0 Q Public Works Q General Government 0 Road Construction O Q FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 QGeneral Fund Actual Budget Baseline Recommended Change O EXPENDITURES O Services and Supplies 17,436,647 56,667,341 62,285,340 62,285,340 0 Other Charges 6,645,417 3,261,000 3,506,000 3,506,000 0 o Expenditure Transfers -3,528 0 0 0 0 Q Total Expenditures 24,078,536 59,928,341 65,791,340 65,791,340 0 O REVENUE Q Other Local Revenue 24,093,575 59,924,001 65,787,000 65,787,000 0 Federal Assistance -19,174 0 0 0 0 o Gross Revenue 24,074,401 59,924,001 65,787,000 65,787,000 0 O NET COUNTY COST(NCC) 4,135 4,340 4,340 4,340 0 O O Q FINANCIAL INDICATORS %Change in Total Exp 149% 10% 0% Q %Change in Total Rev 149% 10% 0% Q %Change in NCC 5% 0% 0% O Description: This General Fund budget unit Road , n Summary o includes road construction projects funded by Q other governmental agencies including State Service: Mandatory Route 4 and the Highway 4 Bypass. The Level of Service: Discretionary Q increase of nearly$6 million reflected in the Expenditures: $65,791,340 Q 2006-07 FY budget reflects work related to Financing: 65,787,000 Phase I and III of the State Route 4 project. Net County Cost: 4,340 Funding Sources: o Other Govt. 99.98% $59,911,001 Q Rent on Real Est. 0.01% 13,000 Q General Fund 0.01% 4,340 O O O O O O O O. O O O Q County of Contra Costa FY 2006-2007 Recommended Budget 93 O � µ FC, Public Works H General Government County Drainage Maintenance • FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 <, General Fund Actual Budget Baseline Recommended Chane . ` EXPENDITURES {s Services and Supplies 580,449 512,713 581,650 581,650 0 • °_ Other Charges 152 32 50 50 0 Expenditure Transfers 298 0 500 500 0 111110 Total Expenditures 580,900 512,745 582,200 582,200 0 • ;' REVENUE Other Local Revenue 379,262 509,145 578,600 578,600 0 • s Federal Assistance 174,662 0 0 0 0 • State Assistance 23,367 0 0 0 0 Gross Revenue 577,290 509,145 578,600 578,600 0 • E: NET COUNTY COST(NCC) 3,610 3,600 3,600 3,600 0 <� FINANCIAL INDICATORS ' %Change in Total.Exp -12% 14% 0% % Change in Total Rev -12% 14% 0% • %Change in NCC 0% 0% 0% Description: Provide drainage maintenance for . County owned drainage facilities in the . unincorporated areas. Service: Mandatory Level of Service: Discretionary i Expenditures: $582,200 Financing: 578,600 Net County Cost: 3,600 • k� f Funding Sources: Special Revenue 99.4% $578,600 General Fund 0.6% 3,600 • ti a 94 County of Contra Costa FY 2006-2007 Recommended Budget • a • i } v`x _ `< 0 0 0 Public Works 0 General Government 0 Road Fund Summary 0 0 FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 0 Road Fund Actual Budget Baseline Recommended Change Q EXPENDITURES 0 Services and Supplies 8,901,491 14,044,280 13,354,379 13,354,379 0 Other Charges 3,007,358 5,667,804 5,619,800 5,619,800 0 0 Fixed Assets 53,928 112,820 233,809 233,809 0 0 Expenditure Transfers 15,416,073 18,477,534 15,708,912 15,708,912 0 0 Total Expenditures 27,378,849 38,302,438 34,916,900 34,916,900 0 0 REVENUE Other Local Revenue 10,070,918 15,912,824 11,278,500 11,278,500 0 0 Federal Assistance 886,575 3,417,238 4,733,400 4,733,400 0 0 State Assistance 16 548,342 17,028,234 18,905,000 18,905,000 0 0 Gross Revenue 27,505,835 36,358,296 34,916,900 34,916,900 0 0 NET FUND COST(MFC) -126,986 1,944,142 0 0 0 0 0 FINANCIAL INDICATORS %Change in Total Exp 40% -9% 0% 0 %Change in Total Rev 32% -4% 0% 0 %Change in NFC -1631% -100% 0% 0 0 Road Fund Description Road Fund -Construction Summary 0 This table represents information in aggregate Service: Mandatory 0 format summarizing expenditures, revenues, Level of Service: Discretionary and net fund cost for five Road Fund budget 0 units administered by the Public Works Expenditures: $20,431,900 0 Department, Included are data for the following Financing: 14,234,400 budget units: Net Fund Cost: 6,197,500 0 0006-General Road Fund Revenue Funding Sources: 0 0662 -Road Construction Gas Tax 30.3% $6,197,500 0 0672-Road Maintenance State Funding 1.3% 255,000 0674-Miscellaneous Property Federal Funding 23.2% 4,733,400 0 0676-General Road Plan/Admin. Other Govt. 36.7% 7,499,500 O Misc. Road Svcs 8.5% 1,746,500 1. Road Fund-Construction 8.General 0 Road Planning/Administration Description: Develop plans for specific road C-) projects, obtain financing and construct new 0 roads or improve existing roads to facilitate safe, properly regulated traffic and pedestrian 0 movements. Includes administration costs for 0 various projects 0 0 0 County of Contra Costa FY 2006-2007 Recommended Budget 95 0 • Public Works General Government • 2. Road Fund—Maintenance& Miscellaneous Property. Description: Provide road maintenance for r public roads, bridges, and road drainage • facilities in the unincorporated County area. Preserve and maintain existing travel ways. • Typical maintenance work includes sealing • pavement, re-grading shoulders and traffic stripping and signing. • Service: Mandatory • Level of Service: Discretionary Expenditures: $14,485,000 • Financing: 1,982,500 Net Fund Cost: 12,502,500 • Funding Sources: • Gas Tax 86.3% $12,502,500 • Other Govt. 13.5% 1,954,500 Misc. Road Svcs 0.2% 28,000 • • • • • • • • • • • • • • • • • • 96 County of Contra Costa FY 2006-2007 Recommended Budget • • • 0 0 0 Public Works o General Government Public Works Land Development O 0 FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 OLand Development Actual Budget Baseline Recommended Change Q EXPENDITURES O Services and Supplies 1,543,901 1,813,000 1,813,000 1,813,000 0 Other Charges 345,916 300,000 300,000 300,000 0 Q Expenditure Transfers 5,201 811 5,000,000 5,000,000 5,000,000 0 O Total Expenditures 7,091,628 7,113,000 7,113,000 7,113,000 0 Q REVENUE O Other Local Revenue 7,124 835 7,113,000 7,113,000 7,113,000 0 O Gross Revenue 7,124,835 7,113,000 7,113,000 7,113,000 0 O NET FUND COST(NFC) -33,206 0 0 0 0 O O FINANCIAL INDICATORS %Change in Total Exp 0% 0% 0% 0 %Change in Total Rev 0% 0% 0% o %Change in NFC -100% 0% 0% 0 O Description: This budget unit provides Public Works Land Development engineering services and regulation of land 0 development. The baseline and recommended Service: Mandatory 0 budgets are unchanged from the prior fiscal year Level of Service: Discretionary as development activity remains high in Q Dougherty Valley and East County. Expenditures: $7,113,000 O Financing: 7,113,000 0 Net Fund Cost: 0 0 Funding Sources: 0 Encroachment Fees 9.1% $650,000 Dev. Review Fees 75.7% 5,383,000 O Application Review 14.8% 1,050,000 Grading Rev. Fees 0.4% 30,000 0 O O O O O O 0 0 0 0 O County of Contra Costa FY 2006-2007 Recommended Budget 97 O f • Public Works • General Government • • Airport Enterprise Fund Summary • FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 Airports Actual Budget Baseline Recommended Chane • EXPENDITURES Salaries and Benefits 1,635,583 1,684,012 1,885,390 1,885,390 0 Services and Supplies 817,911 892,031 947,845 947,845 0 Other Charges 2,380,157 724,866 557,279 557,279 0 • Fixed Assets 1,430,000 1,942,368 1,942,368 0 • Expenditure Transfers 292,350 279,000 163,000 163,000 0 . Total Expenditures 5,126,001 5,009,909 5,495,882 5,495,882 0 • REVENUE • Other Local Revenue 3,508,882 3,493,386 3,551,595 3,551,595 0 Federal Assistance 206,296 1,341,900 1,944,287 1,944,287 0 • Gross Revenue 3,715,178 4,835,286 5,495,882 5,495,882 0 • NET FUND COST(NFC) 1,410,823 174,623 0 0 0 • • Allocated Positions(FTE) 17 15 16 16 0 • • FINANCIAL INDICATORS • Salaries as%of Total Exp 34% 36% 35% 35% . % Change in Total Exp -2% 10% 0% •Change in Total Rev 30% 14% 0% • • Change in NFC -88% -100% 0% • Description: Operation and capitalAirports Summary • development of Buchanan and Byron Airports. • Service: Mandatory • 4841 —Buchanan Field Operations Level of Service: Discretionary 4842—Buchanan Field Spec Aviation • 4861 —Byron Airport Operation Expenditures: $5,495,882 • 4862-Byron Airport Spec Aviation Financing: 5,495,882 4853— Buchanan Fixed Assets Net Fund Cost: 0 • 4855—Buchanan Field FAA Imp Project 4873—Byron Fixed Assets Funding Sources: • 4875— Byron Airport FAA Imp Project Fees 2.8% $151,900 • Federal 35.4% 1,944,287 Aviation Ops. 61.8% 3,399,695 • Fund Balance 0.0% 0 • FTE: 16 • • • • • • 98 County of Contra Costa FY 2006-2007 Recommended Budget . • 0 0 Q Public Works Q General Government Other Special Revenue FundAOB/Development Fee Summary Q Summary Q Service: Discretionary Description: This program area includes ten Level of Service: Discretionary Q special revenue budget units. Expenditures are Q off-set by fees, rents collected, franchise fees Expenditures: $5,937,705 and funds from the dale of property. Funding is Financing: 5,937,705 Q generally restricted in use based on Net Fund Cost: 0 agreements. Q Funding Sources: Q The budget units included are: Developer Fees 100% $5,937,705 Q 0161 —Survey Monument Preservation Q 0120—Plant Acquisition/Sans Crainte Drainage CAO's Recommendation 0350—CDD/PW Joint Review Fee Q 0648—Drainage Deficiency 0649—Public Works (Land Dev.) For the department's principal General Fund 0678—SPRW Fund budget unit, both the Baseline Budget and Q 0697—Navy Transportation Mitigation Recommended Budget include a net increase in 0698—Trans. Improvement Rodeo/Crockett expenditure appropriations of$977,000 primarily 0 0699—Tosco/Solano Transportation Mitigation due to merit increases and increases in service Q and supply costs. Q ' The General Fund "Road Construction" budget Service: Discretionary proposes an increase in net expenditures of O Level of Service: Discretionary $5.9 million related to the work being performed Q on the State Route 4 Bypass Phase I and III. Expenditures: $31,656,989 However, the budget is funded by other Financing: 10,993,080 government agencies, and there is no impact to Q Net Fund Cost: 20,663,909 the County's General Fund. o For Drainage Maintenance, net expenditures are Funding Sources: proposed to increase by$69,455. This is a Q License & Permits 4.90% $1,551,192 result of a sli ht increase in necessaryfundin Earnings on Invest. 2.000% 633,140 for services and supplies. 9 Q Rent Real Estate 0.30% 94,971 Q Inspection Fee 26.80% 8,484,073 The Road Fund Budget overall proposes a Monument Fee 0.30% 94,971 reduction of approximately$3.4 million. This Q Plan & Eng Svc 0.02% 6,331 decrease reflects funds that were carried Q Fund Balance 65.68% 20,792,310 forward from FY 2004-05 into FY 2005-06. The Road Maintenance program will increase by Q $818,000. Area Of Benefit Fees/Road Land Development, which supports engineering o Development Fees functions, proposes no change as warranted by continued development in Dougherty Valley and O Description: This program area includes 23 East County. o special revenue funds that were established to For the Airport Enterprise Fund, an increase in Q assess fees on development so that future road net expenditures of$486,000 reflects an projects would be funded in the geographical increase in federally funded capital improvement Q Area of Benefit. projects for FY 2006-07. O O O O Q County of Contra Costa FY 2006-2007 Recommended Budget 99 O 0 0 0 Treasurer —Tax Collector 0 William J. Pollacek, Treasurer General Government 0 0 0 FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 0 General Fund Actual Budget Baseline Recommended Change 0 EXPENDITURES O Salaries and Benefits 3,255,068 3,681,399 3,660,697 3,660,697 0 Services and Supplies 1,230,608 1,341,383 1,353,681 1,353,681 0 0 Other Charges 6,600 7,000 9,000 9,000 0 O Fixed Assets 10,000, 0 0 0 Total Expenditures 4,492,276 5,039,782 5,023,378 5,023,378 0 O REVENUE 0 Other Local Revenue 2,791,736 2,741,000 2,741,000 2,741,000 0 0 Gross Revenue 2,791,736 2,741,000 2,741,000 2,741,000 0 0 NET COUNTY COST(NCC) 1,700,540 2,298,782 2,282,378 2,282,378 0 0 0 Allocated Positions(FTE) 31 33 32 32 0 0 0 FINANCIAL INDICATORS 0 Salaries as%of Total Exp 72% 73% 73% 73% 0% O %Change in,Total Exp 12% 0% 0% 0% Change in Total Rev -2% 0% 0% 0% 0 % Change in NCC 35% -1% 0% 0% 0 0 0 O Treasurer Treasurer Summary 0 Description: Provides for the safekeeping of O County, school district and County special Service: Mandatory district funds. Administers a comprehensive Level of Service: Discretionary 0 investment program for the County and districts O to ensure maximum yield on investments. Expenditures: $1,196,720 Manages the County's cash flow and short-term Financing: 155,000 0 borrowings and is an active participant in all long Net County Cost: 1,041,719 O and short-term borrowings for County agencies, school districts and the Community College Funding Sources: 0 District. Currently, the Treasury manages over Schools/Spl.Dist 13.0% $155,000 0 $1.8 billion. General Fund 87.0% 1,041,720 0 FTE: 8.95 0 0 0 0 0 0 County of Contra Costa FY 2006-2007 Recommended Budget 101 0 i k • Treasurer —Tax Collector • General Government Tax Collection Business License • Description: Mandated by state law to collect Description: The Business License Ordinance • all property taxes for cities, school districts, requires the Tax Collector to levy and collect a special districts, and County government. business license tax from any entity engaged in any activity in the unincorporated area.Business License Summary • u Tax Collection Summary • • X Service: Mandatory " ,k Level of Service: Mandatory Service: Mandatory Level of Service: Discretionary • Expenditures: $3,473,174 ,`. Financing: 2,465,148 Expenditures: $ 120,852 • Net County Cost: 1,008,026 Financing: 120,852 • Net County Cost: 0 Funding Sources: • Schools/Sp.Dist. 50.2% $1,743,148 Funding Sources: • State 20.8% 722,000 Fees 100% $120,852 General Fund 29.0% 1,008,026 • FTE: 1.2 FTE: 20.25 • CAO's Recommendation • Administrative/Support Services The Baseline Budget decreased by a net of Description: Provide employee development, $17,000. Salary and benefits projected an • personnel, payroll and fiscal administration, increase of$68,000 but were reduced by department clerical supervision and automated $89,000 to unfund a vacant property tax systems services. subdivision specialist position. Operating costs • F were increased overall by$4,000 to account for anticipated printing costs. • ;� The Treasurer-Tax Collector's Office provides Service: Mandatory services that are mandated by State law. • Level of Service: Discretionary Resources can be reduced only to the extent that core services can still be maintained. The • „! .' Expenditures: $ 232,632 property tax 'subdivision specialist position is a • Financing: 0 vacant position and the duties have been Net County Cost: 232,632 absorbed by existing staff. • Funding Sources: • General Fund 100% $232,632 • FTE: 1.6 • • R 102 County of Contra Costa FY 2006-2007 Recommended Budget • s , o i o o - O O O y0 _ 0 , oc O'. O . 0 0 a O Functional Group Summary O Law and Justice O O a FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 oGeneral Fund Actual Budget Baseline Recommended Change Q EXPENDITURES O Salaries and Benefits 217,553,502 242,915,229 254,378,309 252,569,366 -1,808,943 Services and Supplies 34,777,817 38,161,193 36,821,470 34,202,212 -2,619,258 o Other Charges 27,022,046 25,847,192 23,943,390 23,991,706 48,316 a Fixed Assets 729,421 2,135,257 837,096 337,096 -500,000 Expenditure Transfers -3,775,839 -5,644,109 -5,076,239 -5,282,959 -206,720 O Total Expenditures 276,306,948 303,414,762 310,904,026 305,817,421 -5,086,605 REVENUE o Other Local Revenue 73,771,085 78,152,004 75,514,236 77,432,357 1,918,121 Federal Assistance 6,614,778 7,160,391 7,134,901 7,134,901 0 O State Assistance 79,627,225 83,216,994 84,430,241 86,998,524 2,568,283 a Gross Revenue 160,013,089 168,529,389 167,079,378 171,565,782 4,486,404 NET COUNTY COST(NCC) 116,293,859 134,885,373 143,824,648 134,251,639 -9,573,009 0 Allocated Positions(FTE) 1,844 1,816 1,825 1,805 -20 O O FINANCIAL INDICATORS o Salaries as%of Total Exp 78% 79% 81% 81% % Change in Total Exp 10% 2% -2% o % Change in Total Rev 5% -1% 3% O %Change in NCC 16% 7% -7% O Table Description O This table presents information in aggregated Conflict Defense, District Attorney, Justice O format summarizing expenditures, revenues, Systems Development/Planning, Probation, and net County costs for the Law and Justice Public Defender, Sheriff-Coroner, and Superior Functional Group. Included is data for the Court Related Functions. following departments: Animal Services, O O 0 0 a 0 0 0 0 O County of Contra Costa FY 2006-2007 Recommended Budget 103 0 O O O Animal Services 0 Glenn Howell, Director Law and.Justice O O O FY 2004-05 FY 2005-2006 FY 2006-07 FY 2006-07 FY 2006-07 General Fund Actual Budget Baseline Recommended Change O O EXPENDITURES Salaries and Benefits 6,205,561 7,058,308 7,730,148 7,730,148 0 O Services and Supplies 2,200,796 1,617,376 1,884,324 1,884,324 0 O Fixed Assets 0 8,000 8,000 8,000 0 O Total Expenditures 8,406,357 8,683,684 9,622,472 9,622,472 .0 O REVENUE Other Local Revenue 4,223,785 4,669,234 4,669,234 5,632,563 963,329 O Gross Revenue 4,223,785 4,669,234 4,669,234 5,632,563 963,329 O NET COUNTY COST(NCC) 4,182,572 4,014,450 4,953,238 3,989,909 -963,329 O O Allocated Positions(FTE) 85 83 83 83 0 O / v FINANCIAL INDICATORS O Salaries as%of Total Exp 74% 81% 80% 80% O % Change in Total Exp 3% 11% 0% % Change in Total Rev 11% 0% 21% O %Change in NCC 4% 23% -19% O O O Department Description Maior Department Responsibilities O This table presents information in aggregate The Animal Services Department is responsible Qformat summarizing expenditures, revenues, to protect the citizens of the County from animal Oand net County costs for three General Fund related disease by encouraging responsible pet budget units administered by the Animal ownership and humane treatment of animals. Q Services Department. Included are data for the The Department enforces State law and County O following budget units. ordinances related to rabies and licensing requirements to maximize the number of dogs O 3335—Animal Licensing licensed in the County. Through outreach with 3340—Animal Services Centers the community and coordination with adoption O 3345—Spay/Neuter Clinic partners, the Department strives to reduce the 0 number of animals euthanized by the County. The budget unit for Animal Services Centers has Department responsibilities are accomplished O been further functionally divided into Animal through operation of a state-of-the-art animal O Care and Housing and Field Enforcement. shelter, a Countywide animal licensing program, round-the-clock animal officer patrols, and a O modern low-cost spay and neuter clinic open to O all residents of Contra Costa County. O O O O County of Contra Costa FY 2006-2007 Recommended Budget 105 O 0 i a: Animal Services Law and Justice Animal Licensing e. Humanely euthanize sick, old, and ` unwanted animals by injection; and Description: Maintain a licensing program for euthanize aggressive animals to protect the . dogs throughout the County to assist in public safety. identification of lost animals, control of rabies, and partially offset the cost of operating animal f. Operate an education program that has control and spay/neuter services. The State resulted in a significant reduction in the Health and Safety Code requires the licensing of number of dog bites, particularly to children, lit from 1,721 do bites in 1980 to 945 in 2004. dogs in rabies endemic areas. The State 9 • �, , Agriculture Code also requires dog licensing. "Safety Around Animals" and humane The Department uses a computerized system to education programs have been given to over identify owners who have vaccinated their dogs 128,000 school children, Library Programs, • against rabies but who have not obtained a Girl Scout troops, non-profit groups and a ! =' license. variety of corporate business groups. t Animal careland Housing Summary 1 Animal Licensing Summary Service: Mandatory Service: Mandatory Level of Service: Discretionary Level of Service: Mandatory Expenditures: $297,334 Expenditures: $4,913,119 Financing: 1,298,363 Financing: 2,172,027 • ,, Net County Cost: (1,001,029) Net County Cost: 2,741,092 S Funding Sources: Funding Sources: i License Sales 436.7% $1,298,363 City Contract 31.7% $1,558,837 General Fund 336.7% (1,001,029) Humane Services 5.8% 284,602 License Sales 6.1% 297,963 FTE: 2.0 Animal Sales 0.6% 30,625 General Fund 55.8% 2,741,092 FTE: 44.0 Animal Care and Housing • '` Description: To provide humane care and S veterinary treatment to animals in the Martinez Field Enforcement and Pinole Centers that are being held pending location of owners or other disposition: Description: Enforce state laws and County • ordinances in the County and cities that have a. Maintain a shelter system; agreements with the County: F'` b. Quarantine biting animals as a part of the a. Animal bite investigation- biting incidents i rabies control program; are investigated by Animal Services S Lieutenants and Officers. c. Conduct low-cost rabies vaccination clinics; F ' b. Leash law enforcement—the Agriculture d. Operate volunteer lost and found program— Code and County Animal Control Ordinance • where over 130 public spirited citizens require that dogs be kept on a leash when I concerned with animal welfare issues not on the property of their owner. Owners ..I volunteer their services to assist with the lost in violation are either issued a court citation and found program, animal adoptions, and or the animal is impounded; { in scheduling appointments at the spay/neuter clinic; • 106 County of Contra Costa FY 2006-2007 Recommended Budget • I 0 0 Anima( Services 0 Law and Justice c. Animal cruelty investigation—cruelty to Field Enforcement 0 animals is a violation of the State Penal 0 Code. Reports of cruelty are investigated by Service: Mandatory Animal Services Officers. Officers testify in Level of Service: Discretionary 0 court if the investigation substantiates the 0 allegation and criminal charges are brought; Expenditures: $3,792,217 Financing: 1,618,053 0 d. Dangerous animal investigation— Net County Cost: 2,174,164 repeated biting incidents or citizen complaints relative to aggressive dogs are Funding Sources: 0 investigated by Animal Services Lieutenants City Contract 31.1% $1,177,886 and Officers. Owners charged with Fees/Services 5.7% 215,009 0 possession of a dangerous animal are License Sales 5.9% 225,158 0 allowed to challenge this assertion at a General Fund 57.3% 2,174,164 public hearing conducted by a Hearing 0 Officer; FTE: 34.0 0 e. Barking dog complaints—the Department 0 investigates complaints of barking dogs and works with the California Community Spay/Neuter Clinic 0 Dispute Service and the District Attorney to Q alleviate these problems; Description: Provides low cost pet spay/neuter services to the public and has, in part, been 0 f. Dead animal pick-up—dead animals pose responsible for the decrease in the number of O a health risk—the department receives dogs and cats euthanized by the County. The requests to pick-up dead animals and number of animals has decreased from over 0 Animal Services Officers perform this 45,000 euthanized in 1971 to 5279 in 2004. 0 function as a part of their regular duties; 0 g. Police search warrant assistance—drug 0 dealers often protect their property with Service: Discretionary aggressive and potentially dangerous dogs. Level of Service: Discretionary 0 The Department assists various police agencies by subduing these animals when a Expenditures: $619,802 warrant is served; Financing: 544,120 Net County Cost: 75,682 h. Citizen requests for service—animals 0 create many problems for citizens living in Funding Sources: 0 urban and suburban environments. Calls Spay Fees 45.8% $283,832 include animal rescue, loose exotic animals Humane Svcs 25.1% 155,702 0 (large snakes, alligators, lizards, lions, etc.), License Sales 16.9% 104,586 0 wild animal complaints, loose livestock, etc. General Fund 12.2% 75,682 0 FTE: 3.0 0 0 0 o. 0 0 0 0 0 County of Contra Costa FY 2006-2007 Recommended Budget 107 0 Animal Services Law and Justice • • CAO's Recommendation Baseline costs have increased by$938,788 over The Board of Supervisors has also expressed • the FY 2005-06 budget due to increased support for SB 861, enacted January 1, 2006 by compensation costs and the costs to initiate the State of California. This bill authorizes local • services at the new animal shelters. governments to enact dog breed-specific • ordinances pertaining only to mandatory spay or " These additional costs will be offset by an neuter programs and breeding requirements, • increase in revenue of$903,329 generated by a provided that no specific dog breed, or mixed substantial adjustment to the City contracts. dog breed, shall be declared potentially • Additional revenue will also be realized through dangerous or vicious under those ordinances. • an increase in spay/neuter fees. The Department is proposing an Ordinance to (� { impose breed specific legislation relative to • The Department recently revised County spaying, neutering and breeding control, as , Ordinance Code, Article 416-12.4, Dangerous authorized by SB 861. If the Ordinance is ; Animals. The change redefines guidelines passed, the Animal Services Department • under which an animal is designated potentially anticipates an additional$275,000 in operating • dangerous or dangerous. It further enhances costs to cover the personnel required due to the protection to the public by prohibiting convicted increased workload related to field enforcement, felons from owning dogs that have the ability, if record keeping, and demand in the spay/neuter misused, to pose a serious public safety threat. clinic. • • • • Pf • p • • g • 108 County of Contra Costa FY 2006-2007 Recommended Budget • F F 0 0 0 Child Support Services 0 Linda Dippel, Director LawandJustice 0 0 FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 0 Child Support Fund Actual Budget Baseline Recommended Change O EXPENDITURES 0 Salaries and Benefits 15,864,647 16,723,795 17,290,606 17,170,252 -120,354 0 Services and Supplies 1,375,292 1,318,275 1,148,936 1,142,001 -6,935 Other Charges 1,704,843 1,193,014 1,083,835 1,083,835 0 0 Fixed Assets 3,869 5,000 5,000 5,000 0 0 Expenditure Transfers 154,722 0 0 0 0 0 Total Expenditures 19,103,374 19,240,084 19,528,377 19,401,088 A27,289 0 REVENUE Other Local Revenue 569,169 0 0 167,928 167,928 0 Federal Assistance 18,544,524 19,229,765 19,233,160 19,233,160 0 0 Gross Revenue 19,113,693 19,229,765 19,233,160 19,401,088 167,928 0 NET COUNTY COST(NCC) -10,319 10,319 295,217 0 -295,217 0 ( v Allocated Positions (FTE) 229 183 195 193 -2 0 0 FINANCIAL INDICATORS 0 Salaries as%of Total Exp 84% 87% 89% 89% % Change in Total Exp 1% 1% -1% Change in Total Rev 1% 0% 1% 0 %Change in NCC -200% 2761% -100% 0 0 Child Support Services 0 Description: The Child Support Enforcement Operations are controlled by the regulations of Program was authorized under Title IV-D of the the State Department of Child Support Services. 0 Social Security Act to provide services assisting O parents to meet their mutual obligation to Support support their children. Service: Mandatory No-cost services to Contra Costa County Level of Service: Mandatory-restricted revenue 0 residents with physical custody of a minor include: 0 Expenditures: $19,401,088 - Locating non-custodial parents Financing: 19,401,088 Q - Establishing court orders for paternity, child, Net Fund Cost: 0 0and medical support - Enforcing court orders for child,family, and Q medical support Funding Sources:State Reimbursement 99.1/0° $19,233,160 - Collecting and distributing support payments 0 - Maintaining accounts of payments paid and General Fund Transfer .9% 167,928 0 payment due Modifying court orders when appropriate FTE: 193 0 0 0 County of Contra Costa FY 2006-2007 Recommended Budget 109 0 • Child Support Services • Law and Justice • CAO's Recommendation • • The Recommended Budget accommodates the submitted to the Board of Supervisors for State Department of Child Support Services approval in order to maintain the County's policy • Initial Planning Allocation currently pending of not providing a general fund contribution to approval in the State Budget. Any changes this department. • resulting from final State actions will be • • • • r; • • • r • • • • • • • • • • • • • • • • • 110 County of Contra Costa FY 2006-2007 Recommended.Budget • • t i - 2 tyy fi Oa O O Conflict Defense O O Law and Justice O O FY 2004-05 FY 2005-06 FY 2006.07 FY 2006-07 FY 2006-07 O General Fund Actual Budget Baseline Recommended Change O EXPENDITURES O Services and Supplies 1,800,505 2,002,045 2,077 045 2,077,045 0 O Total Expenditures 1,800,505 2,002,045 2,077,045 2,077,045 0 O REVENUE 0 0 0 0 0 O 0 O NET COUNTY COST(NCC) 1,800,505 2,002,045 2,077,045 2,077,045 0 OFINANCIAL INDICATORS O % Change in Total Exp 11% 4% 0% O %Change in NCC 11% 4% 0% O O O Conflict Defense CAO's Recommendation Q Description: Provides Court ordered legal The level of service for this program is mandated O representation of accused indigents where pursuant to constitutional requirements. To the Public Defender or Alternate Defender has a extent appropriations are insufficient to fund the O legal conflict of interest; cases where the Public requisite level of defense services, it will be Defender or Alternate Defender is relieved on necessary to shift resources to this budget motions of defendants for reasons other than center from other programs. The O "Conflict of Interest" (e.g. Marsden); a witness or Recommended Budget includes appropriations O a dependent minor in immigration proceedings; a for the continuation of services under a contract guardian ad litem in a dependency case; a with the Contra Costa Bar Association for legal O standby, advisory or co-counsel in a criminal representation by private attorneys. case, or a probate guardianship and (� conservatorship proceedings . O d Conflict Defense. . O Service: Mandatory OLevel of Service: Discretionary O Expenditures: $2,077,045 Financing: 0 O Net County Cost: 2,077,045 OFunding Sources: Q General Fund 100% $2,077,045 FTE: 0 O- O O O O O County of Contra Costa FY 2006-2007 Recommended Budget 111 0 d 0 District Attorney Robert J. Kochly, District Attorney Law and Justice 0 a Summary O District Attorney Budgets 0 FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 0 General Fund Actual Budget Baseline Recommended Change EXPENDITURES 0 Salaries and Benefits 21,391,502 25,121,590 25,563,631 25,563,631 0 Services and Supplies 2,928,399 2,442,418 3,173,011 2,550,011 -623,000 //�� Other Charges 25 0 0 0 0 0 Expenditure Transfers -1,337,741 -1,543,008 -1,525,361 -1,525,361 0 O Total Expenditures 22,982,185 26,021,000 27,211,281 26,588,281 -623,000 REVENUE O Other Local Revenue 1,398,540 1,085,047 1,134,530 1,134,530 0 Federal Assistance 141,818 309,843 189,205 189,205 0 0 State Assistance 13,363,021 13,220,168 14,551,332 14,551,332 0 O Gross Revenue 14,903,379 14,615,058 15,875,067 15,875,067 0 O NET COUNTY COST(NCC) 8,078,806 11,405,942 11,336,214 10,713,214 -623,000 0 Allocated Positions(FTE) 183 180 180 180 0 0 Authorized Positions (FTE)* 196 196 196 196 0 0 O FINANCIAL INDICATORS O Salaries as%of Total Exp 88% 91% 89% 91% %Change in Total Exp 13% 5% -2% C) %Change in Total Rev -2% 9% 0% % Change in NCC 41% _1% -5% * Authorized positions are permanent positions approved by the Board of Supervisors through Board O Resolution; whereas allocated positions are those funded within the budget. 0 Department Description Maior Department Responsibilities O This table represents information in aggregate The mission of the District Attorney is to format summarizing expenditures, revenues, prosecute criminal and some civil cases from O and net County costs for three budget units filing through disposition. administered by the District Attorney. Included Qare data for the following budget units: O 0242—District Attorney Q 0245—Welfare Fraud Q 0364—Public Administrator 0 0 0 Q County of Contra Costa FY 2006-2007 Recommended Budget 113 0 0 District Attorney • Law and Justice • District Attorney , FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 ' General Fund Actual Budget Baseline Recommended Change ' EXPENDITURES Salaries and Benefits 20,913,035 24,408,116 24,904,958 24,904,958 0 t Services and Supplies 2,878,519 2,344,756 3,052,423 2,429,423 -623,000 +' S Other Charges 25 0 0 0 0 Expenditure Transfers -1,011,066 -981,610 -1,007,425 -1,007,425 0 r` Total Expenditures 22,780,512 25,771,262 26,949,956 26,326,956 .-623,000 REVENUE ' Other Local Revenue 1,299,360 995,047 1,034,530 1,034,530 0 €> Federal Assistance 141,818 309,843 189,205 189,205 0 State Assistance 13,363,021 13,220,168 14,551,332 14,551,332 0 ' Gross Revenue 14,804,199 14,525,058 15,775,067 15,775,067 0 '- NET COUNTY COST(NCC) 7,976,313 11,246,204 11,174,889 10,551,889 623,000 3-. Allocated Positions(FTE) 177 174 175 175 0 _ Authorized Positions FTE 188 188 188 188 0 FINANCIAL INDICATORS Salaries as%of Total Exp 88% 91% 89% 91% %Change in Total Exp 13% 5% -2% i %Change in Total Rev -2% 9% 0% ® ' % Change in NCC 41% -1% -6% • c' 1. Mainline Prosecution District Attorney Summary Description: Attend the courts, and conduct on Service: Mandatory • ` behalf of the people, all prosecutions for public Level of Service: Discretionary offenses occurring in Contra Costa County. FTE: 118 Expenditures: $27,334,381 • Financing: 16,782,492 2. Special Prosecution Net County Cost: 10,551,889 Funding Sources: • Description: Grant funded programs including Transfers 3.7% $ 1,007,425 Welfare Fraud, Realignment,Vertical Consumer Fraud 1.1% 305,000 Prosecution, Regional Anti-Drug, Auto & Fed Aid Crime Ctrl 0.7% 189,205 Workers Compensation Insurance Fraud, Misc State Aid 2.5% 680,033 Narcotics Forfeiture, Auto Theft, Domestic Reimbursements 2.2% 590,530 Violence, Consumer Fraud, Real Estate Fraud, Sales Tax 46.5% 12,700,000 the North Bay High Tech Task Force, Crimes State Aid Crime Ctrl 3.6% 971,602 Against Peace Officers, and Victim/Witness State Aid Realign 0.7% 199,697 Assistance Program. Miscellaneous 0.5% 139,000 FTE: 56.5 General Fund 38.6% 10,551,889 FTE: 174.5 _Ji 114 County of Contra Costa FY 2006-2007 Recommended Budget f • IN mini-, 0 0 0 0 District Attorney Law and Justice O 0 Welfare Fraud O 0 FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 O General Fund Actual Budget Baseline Recommended Change O EXPENDITURES Salaries and Benefits 293,930 481,087 416,233 416,233 0 O Services and Supplies 33,192 80,311 101,703 101,703 0 0 Expenditure Transfers -326,675 -561,398 -517,936 -517,936 0 Total Expenditures 447 0 0 0 0 0 REVENUE 0 0 0 0 0 0 NET COUNTY COST(NCC) 447 0 0 0 0 0 Allocated Positions(FTE) 4 4 4 4 0 0 Authorized Positions(FTE) 7 7 7 7 0 0 O FINANCIAL INDICATORS O Salaries as%of Total Exp 90% 86% 80% 80% Change in Total Exp -100% 0% 0% 0 % Change in NCC -100% 0% 0% 0 O O Description: Investigate alleged instances of welfare fraud. Welfare Fraud Summary 0 0 Service: Mandatory 0 Level of Service: Discretionary O Expenditures: $517,936 Financing: 517,936 0 Net County Cost: 0 0 Funding Sources: 0 Transfers 100% $517,936 O FTE: 3.5 0 O 0 O 0 0 0 C) County of Contra Costa FY 2006-2007 Recommended Budget 115 0 0 fls 9T' District Attorney Law and Justice r Public Administrator FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 General Fund Actual Budget Baseline Recommended Change EXPENDITURES 4 Salaries and Benefits 184,537 232,387 242,440 242,440 0 Services and Supplies 16,689 17,351 18,885 18,885 0 Total Expenditures 201,226 249,738 261,325 261,325 0 REVENUE Other Local Revenue 99,180 90,000 100,000 100,000 0 Gross Revenue 99,180 90,000 100,000 100,000 0 40 NET COUNTY COST(NCC) 102,045 159,738 161,325 161,325 0 • Allocated Positions (FTE) 2 2 2 2 0 Authorized Positions(FTE) 2 2 2 2 0 FINANCIAL INDICATORS i Salaries as%of Total Exp 92% 93% 93% 93%' • %Change in Total Exp 24% 5% 0% % Change in Total Rev -9% 11% 0%. %Change in NCC 57% 1% 0% Description: As ordered by the court where the • decedent had no known will or heirs, or had not Public Administrator Summary 0 appointed an executor, investigates cases to • locate a will, heirs or relatives; if none, continues Service: Mandatory to locate and protect assets, arranges for burial, Level of Service: Discretionary and administers estate (filing all legal process, • selling property, paying debts, preparing and Expenditures: $261,325 filing tax returns, etc.). Financing: 100,000 Net County Cost: 161,325 Funding Sources: Estate Fees 38.3% $ 100,000 • t General Fund 61.7% 161,325 FTE: 2 • 116 County of Contra Costa FY 2006-2007 Recommended Budget w 0 O District Attorney O Q Law and Justice O , Q Consumer Protection Real Estate Fraud Prosecution Description: Receives Cy pres restitution funds Description: Pursuant to State law, pays for Q from court ordered settlements for District District Attorney costs of deterring, investigating Q Attorney consumer protection projects, when and prosecuting real estate fraud crimes, using individual restitution in a particular case cannot fees from recording real estate instruments. Q be determined or is not feasible. Real Estate Fraud Prosecution SummaryConsumer Protection SummaryO O O Service: Discretionary Service: Discretionary Level of Service: Discretionary Q Level of Service: Discretionary Expenditures: $375,380 Expenditures: $201,766 Financing: 375,380 Q Financing: 0 Net Fund Cost: 0 Net Fund Cost: 201,766 O Funding Sources: Q Funding Sources: Recording Fees 100% $375,380 Q Fund Balance 100% $201,766 FTE: 0 Q FTE: 0 Revenue Narcotics Environmental/OSHA Description: Federal and State law require that Q Description: Pays for expenses in the District Attorney Office's portion of environmental and occupational safety and distributed forfeited narcotics assets be used for health investigations and prosecutions and for enhancement of prosecution. Q District Attorney employee training in these Q areas, pursuant to Court Order. Revenue Narcotics Summary Service: Discretionary Q Level of Service: Discretionary Q Service: Discretionary Expenditures: $368,168 Q Level of Service: Discretionary Financing: 304,374 Expenditures: $44,218 Net Fund Cost: 63,794 Financing: 1 0 Funding Sources: Q Net Fund Cost: 44,218 Seizures 82.7% $304,374 Q Funding Sources: Fund Balance 17.3% $63,794 Q Fund Balance 100% $44,218 FTE: 1 0 FTE: 0 O O O O Q County of Contra Costa FY 2006-2007 Recommended Budget 117 O t District Attorney i Law and Justice i Supplemental Law Enforcement CAO's Recommendation • Services Funds — Criminal Prosecution The District Attorney's Office resources can be reduced only to the extent that mandated Description: As provided by AB 3229 (chapter service is maintained. The Office is required by 40 134, Statues of 1996), the State supplements law to attend the courts and conduct on behalf of otherwise available funding for local public the people all prosecutions for public offenses safety services ("COPS"). These funds are used occurring in Contra Costa County. locally to enhance prosecution of domestic violence cases. The County Administrator's recommendations include a vacancy factor and increased revenue. Revenue in the amount of$623,000 over and SLESF-Criminal Prosecution Summary above the amount needed to balance the Service: Mandatory Baseline budget has been used to decrease the Level of Service: Mandatory department's net County cost. The single largest revenue increase was to Proposition 172 Expenditures: $447,972 revenues in the amount of$1.1 million, which is Financing: 285,660 a three percent increase over expected receipts Net Fund Cost: 162,312 from FY 2005-06. Should Proposition 172 revenue not increase by the amount projected, Funding Sources: the District Attorney may have difficulty State COPS 63.8% $285,660 achieving the net County cost established in this Fund Balance 36.2% 162,312 recommended budget. FTE: 3 It is recommended that the FY 04-05 vacancy factor of$1.5 million or 16 FTE be maintained. The vacancy factor will continue to challenge the department to balance provision of mandated T, services with reduced resources. J. 118 County of Contra Costa FY 2006-2007 Recommended Budget { 0 0 0 Justice System Development/Planning 0 Law and Justice o Summary o Law and Justice Budgets 0 0 FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 0 General Fund Only Actual Budget Baseline Recommended Change 0 EXPENDITURES Salaries and Benefits 255,928 280,514 250,098 250,098 0 0 Services and Supplies 1,194,558 1,927,263 1,254,199 1,204,199 -50,000 0 Other Charges 154,862 1,290,214 463,225 64,534 -398,691 Expenditure Transfers 485,326 13,100 -3,900 -3,900 0 0 Total Expenditures 2,090,674 3,511,091 1,963,622 1,514,931 -448,691 0 REVENUE 0 Other Local Revenue 190,996 118,280 175,080 175,080 0 o State Assistance 2,192,112 1,056,134 1,056,134 1,056,134 0 0 Gross Revenue 2,383,108 1,174,414 1,231,214 1,231,214 0 0 NET COUNTY COST(NCC) -292,434 2,336,677 732,408 283,717 -448,691 0 (D Allocated Positions(FTE) 2 2 2 2 0 0 FINANCIAL INDICATORS Salaries as%of Total Exp 16% 8% 13% 16% o %Change in Total Exp 68% -44% -23% %Change in Total Rev -51% 5% 0% Change in NCC -899% -69% -61% 0 0 0 Department Description Maior Department Responsibilities 0 0 This table represents information in aggregate The mission of Justice System Programs is to format summarizing expenditures, revenues, provide system-wide administration of functions that 0 and net County costs for three budget units affect the entire County justice system. Besides O administered by the County Administrator's those General Fund departments already listed, the Office. Included are data for the following County Administrator's Office oversees Automated 0 budget units: ID and Warrant, Courthouse Construction, Criminal Justice Facilities, DNA Fingerprint Identification, 0 0235—Law and Justice System Development and Supplemental Law Enforcement Services 0 0265—Vehicle Theft funds. 0 0325—Justice System Programs 0 0 0 0 0 C) County of Contra Costa FY 2006-2007 Recommended Budget 119 0 0 i -:rk • • Justice Systems Development/Planning Law and Justice Law and Justice Systems Development FY 2004-05 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 General Fund Actual Budget Baseline Recommended Change EXPENDITURES Salaries and Benefits 255,928 265,938 250,098 250,098 0 "* Services and Supplies 169,278 139,905 202,599 202,599 0 Expenditure Transfers -56,980 -36,900 -53,900 -53,900 0 Total Expenditures 368,226 368,943 398,797 398,797 0 REVENUE Other Local Revenue 190,996 118,280 175,080 175,080 0 • Gross Revenue 190,996 118,280 175,080 175,080 0 NET COUNTY COST(NCC) 177,229 250,663 223,717 223,717 0 Allocated Positions(FTE) 2 2 2 2 0 FINANCIAL INDICATORS Salaries as%of Total Exp 60% 66% 55% 55% %Change in Total Exp 0% 8% 0% % Change in Total Rev -38% 48% 0% % Change in NCC 41% -11% 0% Description: Develops and installs automated Law&Justicle Systems Development information systems for justice departments Summary ' including training and technical assistance. . Service: Discretionary Level of Service: Discretionary Expenditures: $452,697 • Financing: 228,980 Net County Cost: 223,717 , Funding Sources: Transfers 11.9% $ 53,900 Fees from Participants 32.3% 146,300 Miscellaneous Rev 6.4% 28,780 General Fund 49.4% 223,717 • FTE: 2 t 120 County of Contra Costa FY 2006-2007 Recommended Budget • 0 0 0 Justice Systems Development/Planning 0 Law and Justice 0 Vehicle Theft Program 0 0 FY 2004-05 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 0 General Fund Actual Budget Baseline Recommended Change 0 EXPENDITURES 0 Services and Supplies 813,749 1,642,758 910,000 910,000 0 0 Total Expenditures 813,749 1,642,758 910,000 910,000 0 0 REVENUE State Assistance 1,094,738 910,000 910,000 910,000 0 0 Gross Revenue 1,094,738 910,000 910,000 910,000 0 C) 0 NET COUNTY COST(NCC) -280,989 732,758 0 0 0 0 O FINANCIAL INDICATORS Change in Total Exp 102% -45% 0% 0 % Change in Total Rev -17% 0% 0% h % Change in NCC -361% -100% 0% 0 0 Description: Special fund created pursuant to Vehicle Theft Program 0 California Vehicle Code section 9250.14, 0 provides local funding for programs relating to Service: Discretionary vehicle theft crimes. Level of Service: Mandatory 0 0 Expenditures: $910,000 Financing: 910,000 0 Net County Cost: 0 0 Funding Sources: 0 Vehicle License Fee 100% $910,000 0 FTE: 0 0 0 0 0 0 0 0 0 0 County of Contra Costa FY 2005-2006 Recommended Budget 121 0 0 Justice Systems Development/Planning Law and Justice Justice System Programs FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 General Fund Actual Budget Baseline Recommended Change EXPENDITURES • t. Salaries and Benefits 14,576 0 • Services and Supplies 211,564 144,600 141,600 91,600 -50,000 Other Charges 154,862 1,290,214 463,225 64,534 -398,691 Expenditure Transfers 542,306 50,000 50,000 50,000 0 r Total Expenditures 908,732 1,499,390 654,825 206,134 -448,691 s REVENUE State Assistance 1,097,374 146,134 146,134 146,134 0 Gross Revenue 1,097,374 146,134 146,134 146,134 0 NET COUNTY COST(NCC) -188,642 1,353,256 508,691 60,000 -448,691 • FINANCIAL INDICATORS Salaries as%of Total Exp 1% 0% 0% . %Change in Total Exp 65% -56% -69% • %Change in Total Rev -87% 0% 0% % Change in NCC -817% -62% -88% r Description: Provides justice system planning !♦ and coordination services through the County . • • Administrator's Office. Service: Discretionary • Level of Service: Discretionary • Expenditures: $206,134 • Financing: 146,134 Net County Cost: 60,000 Funding Sources: State Aid Realignment 70.9% $ 146,134 General Fund 29.1% 60,000 • FTE: 0 s • • 122 County of Contra Costa FY 2006-2007 Recommended Budget az �'�'� �S, 0 0 O Justice Systems Development/Planning 0 Law and Justice 0 Automated ID &Warrant Criminal Justice Facility Construction 0 Q Description: Special fund to finance a Description: Special fund created for penalty countywide warrant system and to replace and assessments levied on court fines for criminal Q enhance the automated fingerprint identification justice facility construction, systems O (CAL-ID)equipment. development and operations. 0 Automated ID&Warrant Summary Criminal Justice Facility Construction 0 Service: Discretionary Summary 0 Level of Service: Mandatory Service: Discretionary O Level of Service: Mandatory Expenditures: $2,718,538 Expenditures: $4,768,637 Q Financing: 675,000 Financing: 1,398,000 O Net Fund Cost: 2,043,538 Net Fund Cost: 3,370,637 0 Funding Sources: Funding Sources: O Participant Fees 8.3% $ 225,000 Penalty Assess 26.8% $1,278,000 Contrib Other Funds 2.2% 60,000 Use of Money/Property 2.5% 120,000 Q Fines & Forfeits 14.3% 390,000 Fund Balance 70.7% 3,370,637 Fund Balance 75.2% 2,043,538 FTE: 0 0 FTE: 0 0 DNA Identification Fund a Courthouse Construction Description: As provided by Government Code O Section 76104.6, adds one dollar penalty for Description: Special fund created for penalty every ten dollars upon every fine, penalty, or O assessments levied on court fines for the forfeiture imposed and collected by the courts for purpose of courthouse construction. criminal offenses, including Vehicle Code Qviolations, except paring offenses. These funds O are to be deposited into a separate DNA Courthouse Construction Summary Identification Fund in the County Treasury. After O required transfers to the State, remaining funds Service: Discretionary may be used to reimburse the Sheriff or other 0 Level of Service: Mandatory law enforcement agencies to collect DNA O Expenditures: $1,397,500 specimens, samples, and print impressions. Q Financing: 1,397,500 Net Fund Cost: 0 DNA Identification Fund Summary 0 Service: Discretionary Q Funding Sources: Level of Service: Mandatory Penalty Assess 100% $1,397,500 Q Expenditures: $84,500 O FTE: 0 Financing: 84,500 Net Fund Cost: 0 Funding Sources: Q Penalty Assess 100% $84,500 0 FTE: 0 O O Q County of Contra Costa FY 2005-2006 Recommended Budget 123 O 0 r Justice Systems Development/Planning l' Law and Justice Supplemental Law Enforcement CAO's Recommendation Services Funds -- Front Line City The Baseline Budget includes monies historically budgeted in Justice System Programs to fund • < Description: As provided by AB 3229 (Chapter any required increases of General Fund subsidy 134, Statutes of 1996), the State supplements to the Courts for non-Rule 810 related Court otherwise available funding for local public safety operation costs,which may occur during the services (Citizen Option for Public Safety fiscal year. Additionally, ail growth in State "COPS"). The County is the fiscal agent for this State program. This budget unit is used realignment has been allocated to the Probation • f 4 ;s pass-through for the cities'share of COPSS a Department. The Recommended Budget eliminates the availability of funds set aside to funding. address unanticipated court and justice systemSLESF-Front Line City Summary '` costs during the year. Service: Mandatory ` Level of Service: Mandatory (' Expenditures: $2,300,000 ' Financing: 2,300,000 i Net Fund Cost: 0 Funding Sources: State COPS 100% $2,300,000 . t' FTE: 0 S is f ® 9 e • g (S • ®� 5 • • 124 County of Contra Costa FY 2006-2007 Recommended Budget t,ry 0 0 0 Probation 0 Lionel Chatman, Chief Probation Officer Law and Justice 0 Summary Probation Budgets 0 0 FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 0 General Fund Actual Budget Baseline Recommended Change 0 EXPENDITURES 0 Salaries and Benefits 41,911,097 46,868,773 49,511,334 48,085,695 -1,425,639 o Services and Supplies 4,205,544 4,861,254 4,907,609 4,782,793 -124,816 Other Charges 5,115,239 5,613,955 5,613,955 6,195,650 581,695 O Expenditure Transfers -1,429,775 -1,241,931 -1,240,974 -1,060,974 180,000 0 Total Expenditures 49,802,105 56,102,051 58,791,924 58,003,164 -788,760 0 REVENUE O Other Local Revenue 5,262,774 5,161,837 4,889,278 4,903,673 14,395 Federal Assistance 6,373,206 6,566,369 6,661,517 6,661,517 0 0 State Assistance 8,136,821 9,882,969 10,157,952 10,157,952 0 0 Gross Revenue 19,772,801 21,611,175 21,708,747 21,723,142 14,395 0 NET COUNTY COST(NCC) 30,029,304 34,490,876 37,083,177 36,280,022 -803,155 O 0 Allocated Positions(FTE) 403 382 382 367 15 0 0 FINANCIAL INDICATORS 0 Salaries as%of Total Exp 82% 82% 82% 81% %Change in Total Exp 13% 5% _1% 0 %Change in Total Rev 9% 0% 0% 0 %Change in NCC 15% 8% -2% 0 0 0 Department Description Maior Department Responsibilities 0 This table represents information in aggregate The mission of the Probation Department is to format summarizing expenditures, revenues, reduce crime and enhance public safety by and net County costs for three budget units providing prevention, investigation, and o administered by the Probation Department. supervision services to both adult offenders and Included are data for the following budget units. juvenile offenders, as well as provide safe custodial care for juveniles. The Probation 0 0308—Probation Programs Department's mission is to ensure that convicted 0309— Probation Facilities offenders are held accountable for offenses by 0 0310—Care of Court Wards completing their court-ordered sentences. O Probation services may include counseling, substance abuse treatment, community 0 services, victim restitution, home supervision, 0 intensive supervision, and detention at a County juvenile institution or in a group home 0 placement. 0 O 0 County of Contra Costa FY 2006-2007 Recommended Budget 125 0 0 a Probation Law and Justice Probation Programs FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 • General Fund Actual Budget Baseline Recommended Change EXPENDITURES Salaries and Benefits 21,881,393 24,046,105 25,555,853 24,235,607 -1,320,246 . Services and Supplies 1,931,513 1,664,113 1,672,231 1,657,821 14,410 Other Charges 44,361 44,500 44,500 44,500 0 Expenditure Transfers -1,161,744 -864,931 -863,974 -863,974 0 40 Total Expenditures 22,695,523 24,889,787 26,408,610 25,073,954 -1,334,656 REVENUE Other Local Revenue 4,427,936 4,632,275 4,389,716 4,404,111 14,395 . Federal Assistance 472,141 448,486 515,013 515,013 0 State Assistance 5,355,237 6,346,065 6,476,048 6,276,048 -200,000 1 Gross Revenue 10,255,314 11,426,826 11,380,777 11,195,172 -185,605 NET COUNTY COST(NCC) 12,440,210 13,462,961 15,027,833 13,878,782 -1,149,051 • Allocated Positions(FTE) 211 191 191 181 10 FINANCIAL INDICATORS Salaries as%of Total Exp 92% 93% 94% 93% % Change in Total Exp 10% 6% -5% % Change in Total Rev 11% 0% -2%u %Change in NCC 8% 12% -8% • 1. Adult Field Services . Description: Investigates and supervises c. Superior Court Probation Officers- criminal offenders referred by the Courts. Provide information on probation cases to the judges and represent the Probation a. Adult Administration- General oversight Department in the Superior Court to assist in . and planning for adult probation services. arriving at the appropriate disposition. FTE: 4.2 FTE: 7.2 (4 of which are funded through Court revenues) b. Investigations—Over 5,000 felony investigative reports are prepared annually d. Active Felony Supervision-Supervision of for the Coordinated Trial Courts of Contra an average of 1,000 felons convicted of . Costa County. These include pre-plea violent crimes, serving to implement and fr reports for plea and bail considerations and monitor the specific and general conditions assessment and recommendation reports of probation, and hold them accountable to . for sentencing. the court. FTE: 24.0 FTE: 11.0 126 County of Contra Costa.FY 2006-2007 Recommended Budget i ` ry 3 v i 0 0 0 Probation 0 Law and Justice 40 0 e. Computer-Assisted Probation 2. Juvenile Field Services O Supervision (CAPS) -Computer-assisted supervision of approximately 1,500 felons on Description: Provides juvenile delinquency 0 probation annually and the placement and investigations and reports to the Juvenile Court supervision of probationers in residential on approximately 10,000 matters per year. 0 treatment programs for substance abuse Supervises 1,600 juveniles on probation, and mental disorders. Drug offenders providing individualized controls, counseling, placed on diversion number an additional supervision, placement, and referral services to 0 400 cases. minors and their parents. Regular deputy 0 FTE: 4.8 caseloads average approximately 40 juveniles per officer. Services are provided for detained 0 f. Drug Grant- Intensive monitoring of drug minors, minors in the community and minors in 0 usage and supervision of 200 offenders residential treatment programs. annually. Deputy Probation Officers work 0 closely with Narcotic Enforcement Teams. a. Juvenile Administration-General O FTE: 2.0 oversight and planning for juvenile probation services. o g. Vehicle Theft -Cooperative program FTE: 4.4 among the California Highway Patrol and 0 the Sheriff, District Attorney, and Probation b. Intake - Initial investigation into alleged 0 departments that enhances the capacity of offenses. local police and prosecutors to deter, FTE: 9.5 o investigate and prosecute vehicle theft a crimes. Provides close supervision to a c. Investigation- Initial investigation into caseload of auto thieves placed on felony alleged offenses, including detention 0 probation. This program is funded by the recommendations and dispositional State via vehicle license fees. recommendations to the court. The o FTE: 1.0 department performs over 9,000 intake and 0 court investigations annually. h. Domestic Violence- Intensive supervision FTE: 22.0 0 of high-risk offenders who have been court 0 ordered to complete a mandated 52 week d. Court Probation Officers-Provides batterer's program. Deputies also work with information on probation cases to the judges (� the victims of domestic violence to insure to assist in arriving at the appropriate O that future victimization does not occur and disposition. that restitution and restraining orders are FTE: 5.0 i 0 enforced. By obtaining grant funds the , department expanded this program during e. Supervision -Supervision of a minor placed 0 FY 1999-2000, and added three more on probation or made a ward of the Court. 0 Deputy Probation Officers in FY 2000-2001 The probation officer has the responsibility through the County's Zero Tolerance for to protect the community and to help minors 0 Domestic Violence Program. and their families to recognize the problems 0 FTE: 10.0 that contributed to the delinquent behavior and to make the necessary adjustments to o i. Adult Drug Treatment Program (Prop. 36) prevent further delinquency. The average O Supervision of persons convicted of non- annual caseload is 2,000 juveniles. violent drug possession offenses and FTE: 11.2 (J diverted from incarceration into licensed or O certified community-based drug treatment f. Service Integration Team—A multi-agency programs. center providing case management, early 0 FTE: 7.5 intervention and prevention services,family 0 assessment and community linkages O o County of Contra Costa FY 2006-2007 Recommended Budget 127 0 0 Probation Lawn and Justice i services to client families from single 3. Special Services locations in the communities of Richmond . ' and Bay Point. Description: Includes VictimNVitness Program, j FTE: 2.0 STC Training Program, affirmative action, • j volunteer coordination and public information g. Placement—Placement services include services. formulation of alternative living plans for ( ' approximately 200 youth annually, who a. Training- State required and approved cannot remain at home or attend local training for Probation staff. schools because of serious . FTE: 2.0 • delinquency or behavior problems. FTE: 8.2 b. Personnel- Provides personnel services for the Probation Department. . y h. School Probation Officers- Case FTE: 0.9 j management services for juveniles referred • by school districts as well as those on active 4. Administration + , -probation. This program is funded through j _ the Juvenile Justice Crime Prevention Act, Description: Services include fiscal and • and increases the presence of probation • personnel management, central records, officers on school campuses throughout the g automated systems, contract management, }+ County. employee and facility safety, purchasing and FTE: 27.5 payroll, facility and office management, and . i. Vehicle Theft -Cooperative program resource development. FTE: 9.0 among the California Highway Patrol and E% the Sheriff, District Attorney and Probation • a Departments that enhances the capacity of ' ' ' ' ' ' �n local police and prosecutors to deter, investigate and prosecute vehicle theft Service: Mandatory crimes. Provides close supervision to a Level of Service: Discretionary caseload of auto thieves placed on Expenditures: $25,073,954 • Probation. This program is funded by the � State via vehicle license fees. Financing: 11,195,172 t Net County Cost: 13,878,782 f4 FTE: 1.0 Funding Sources: t j. Juvenile Drug Court—Juvenile drug Federal 2.0% 515,013 } offenders are ordered to therapeutic Title IVE 24.8% 6,228,048 programs by the court and report back to the State 13.1% 3,285,767 court regarding their progress in treatment Other Revenue 4.7% 1,166,344 and compliance with the orders of the court. General Fund 55.4% 13,878,782 !.t Probation staff provides intensive ` supervision and drug testing. One position FTE: 181 (Includes vacancy factor of 5.5 FTE) is funded through the Juvenile Accountability Block Grant. FTE: 2.0 • k. Community Probation,— Partners deputy probation officers with eight police • jurisdictions to provide intensive supervision to high-risk youth. Funding is provided by the Juvenile Justice Crime Prevention Act (JJCPA). FTE: 10.0 • r 128 County of Contra Costa FY 2006-2007 Recommended Budget • 0 0 Probation 0 Law and Justice Juvenile Facilities 0 O FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 0 General Fund Actual Budget Baseline Recommended Change 0 EXPENDITURES 0 Salaries and Benefits 20,029,704 22,822,668 23,955,481 23,850,088 -105,393 0 Services and Supplies 1,368,976 2,179,662 2,217,899 2,107,493 -110,406 Other Charges 2,392 12,100 12,100 12,100 0 0 Expenditure Transfers -418,032 -377,000 -377,000 -197,000 180,000 O Total Expenditures 20,983,041 24,637,430 25,808,480 25,772,681 -35,799 0 REVENUE 1 Other Local Revenue 834,838 529,562 499,562 499,562 0 I Federal Assistance 5,182,454 5,217,883 5,246,504 5,246,504 0 0 State Assistance 1,136,784 1,871,621 2,016,621 1,871,621 -145,000 0 Gross Revenue 7,154,076 7,619,066 7,762,687 7,617,687 -145,000 0 NET COUNTY COST(NCC) 13,828,966 17,018,364 18,045,793 18,154,994 109,201 0 0 Allocated Positions(FTE) 192 191 191 186 5 0 0 FINANCIAL INDICATORS 0 Salaries as%of Total Exp 94% 91% 91% 92% 0 %Change in Total Exp 17% 5% 0% Change in Total Rev 6% 2% -2% 0 % Change in NCC 23% 6% 1% 0 0 Description: A continuum of court-ordered c. Chris Adams Girls'Treatment Program: 0 custodial care and treatment services for Residential and mental health day juveniles. treatment, and aftercare services for at-risk 0 girls. This program is a collaborative effort 0 a. Juvenile Hall: The new detention facility among the Probation Department, Health opened in FY 05/06 for the mandated Services—Mental Health and county 0 detention of minors before and after Court schools. hearings. Approximately 3,000 juveniles are FTE: 4.4 0 booked annually. 0 FTE: 121.8 d. Home Supervision: Intensive surveillance, including daily contacts with a 0 b. Orin Allen Youth Rehabilitation Facility counselor, of approximately 2,000 minors 0 (Byron Boys'Ranch): Correctional facility annually who are ordered on Home providing 100 beds for seriously delinquent Supervision status in lieu of Juvenile Hall 0 boys committed by the courts. detention. This includes Electronic O Approximately 300 juveniles are committed Monitoring of approximately 1,000 minors. annually for an average stay of six months. This service alleviates 60,000 custody days 0 FTE:43.5 per year. 0 FTE: 12.0 0 0 County of Contra Costa FY 2006-2007 Recommended Budget 129 0 0 4 < Probation i Law and Justice e. Weekend Work: Countywide programs to . ell teach juveniles to accept personal responsibility and"repay'society through f> uncompensated community service work, • as an alternative to detention, providing supervision to approximately 1,100 youth annually. • FTE: 5.0 y Service: Mandatory S Level of Service: Mandatory Expenditures: $25,772,681 • Financing: 7,617,687 Net County Cost: 18,154,994 Funding Sources: i Federal TANF 20.3% $5,246,504 i State Other 3.0% 772,602 State Realignment 5.6% 1,430,921 - 0 4 . Misc Revenue .7% 167,660 >� General Fund 70.4% 18,154,994 • FTE: 186 • • 0 i 0 0 0 130 County of Contra Costa FY 2006-2007 Recommended Budget • � .0- O 0 Probation O Law and Justice O O Care of Court Wards O O FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 QGeneral Fund Actual Budget Baseline Recommended Change O EXPENDITURES O Services and Supplies 905,055 1,017,479 1,017,479 1,017,479 0 O Other Charges 5,068,486 5,557,355 5,557,355 6,139,050 581,695 Expenditure Transfers 150,000 0 0 0 0 O Total Expenditures 6,123,541 6,574,834 6,574,834 7,156,529 581,695 O REVENUE O Other Local Revenue 0 0 0 0 0 O Federal Assistance 718,611 900,000 900,000 900,000 0 State Assistance 1,644,800 1,665,283 1,665,283 2,010,283 345,000 O Gross Revenue 2,363,411 2,565,283 2,565,283 2,910,283 345,000 O NET COUNTY COST(NCC) 3,760,129 4,009,551 4,009,551 4,246,246 236,695 O O FINANCIAL INDICATORS O %Change in Total Exp 7% 0% 9% O %Change in Total Rev 9% 0% 13% O % Change in NCC 7% 0% 6% O O Description: Court-ordered custodial care O outside of County facilities and medical care for Care of Court Wards juvenile residents within County facilities. O Service: Mandatory O a. Out-of-Home Placement: Federal, State Level of Service: Mandatory and County funding for the board and care O costs of minors placed in private residential Expenditures: $7,156,529 O care by the Juvenile Court. Financing: 2,910,283 O Net County Cost: 4,246,246 b. California Youth Authority Fees: Fees O paid to the California Youth Authority for the Funding Sources: incarceration costs of juveniles from this Federal 12.6% $ 900,000 O County. State Other 23.3% 1,665,283 O State Realignment 4.8% 345,000 c. Medical Services in Juvenile Facilities: General Fund 59.3% 4,246,246 O Fees paid to the Health Services Department for rendering medical service O to the residents of Juvenile Hall, Orin Allen O Youth Rehabilitation Facility, and Chris Adams Girls Center. O O O O O County of Contra Costa FY 2006-2007 Recommended Budget 131 O 0 • Probation Law and Justice Juvenile Justice Crime Prevention acknowledges that these mandated functions • Act (JJCPA) - SLESF — Probation are currently staffed at the minimum level, and . any decrease would impact the efficiency of the • Description: This Special Revenue Fund criminal justice system. provides State resources for the Juvenile Justice The Recommended Budget includes: Crime Prevention Act of 2000 (JJCPA)to • supportjuvenile prevention initiatives. 1. Elimination of Overmatch in Grant Funded Programs—Prop 36—Adult Drug Treatment In Contra Costa County the State funds are and Juvenile Justice Crime Prevention Act • used to support 31.6 FTE in the School and (JJCPA) programs will be modified to stay Community Probation Programs. Deputy within the grant's funding level. • Probation Officers are out-stationed at middle and high schools throughout the County, as well 2, Vacancy Factor— Probation anticipates as various police departments. In addition to salary savings due to intermittent vacancies • juvenile prevention activities, Probation resulting from staff turnover. Most of the personnel provide investigation'and supervision vacancies will accrue in Adult and Juvenile services to juvenile offenders and other at-risk Field Services as Juvenile Facilities operate • youth. under mandated staffing levels. The vacancy factor will challenge the • • • Department to balance the provision of mandated services with reduced resources. Service: Discretionary As positions are held vacant based on job • Level of Service: Discretionary function, remaining positions will experience • (Limited to Juvenile Prevention Services) increased workload. ' Expenditures: $2,828,203 3. Savings Associated with Closure of the Financing: $2,828,203 Summit Boys Center -The Summit Center Net Fund Cost: 0 Program was initially funded through the System of Care, SafeFutures grant funds, • Funding Sources: Juvenile Justice Crime Prevention Act, State 98.6% $2,788,203 Medi-Cal and Average Daily Attendance • Interest 1.4% 40,000 funds; and required no additional County dollars. This is no longer the case. Fund 114300 Evaluation of the County's current fiscal " situation indicates that funds are not CAO's Recommendation available to continue to fund the Summit • Center in FY 06/07. The eleven youth • Probation's Baseline Budget includes currently in the Center will be transitioned to expenditure increases of$2,689,873. The home or other placements. • maintenance level increase is offset by a revenue increase of$97,572, resulting in a net The Recommended Budget for Probation county cost increase of$2,592,301. provides adequate resources in FY 06/07 based • on current caseloads and juvenile facility • Additionally, based on the projected shortfall in populations. In order to ensure that Probation's FY 05/06 budget, $1,154,385 will be expenditures stay within FY 06/07 • required to maintain mandated service levels in appropriations, Probation will need to carefully • FY 06/07. monitor and control expenditures. • The Department's FY 06/07 reduction plan was • developed with a priority for maintaining an adequate level of service for Probation's • mandated functions. The County Administrator • • 132 County of Contra Costa FY 2006-2007 Recommended Budget • • 0 0 0 Public Defender 0 David Coleman, Public Defender Law and Justice 0 - 0 0 FY 2004-05 2005-2006 FY 2006-07 FY 2006-07 FY 2006-07 General Fund Actual Budget Baseline Recommended Change 0 EXPENDITURES Salaries and Benefits 15,863,976 17,632,924 18,555,448 17,636,540 -918,908 0 Services and Supplies 2,465,226 2,230,856 2,446,091 2,380,401 -65,690 0 Other Charges 1,378 0 0 0 0 Fixed Assets 6,951 8,327 0 0 0 0 Expenditure Transfers -258,292 -261,845 -269,936 -269,936 0 0 Total Expenditures 18,079,240 19,610,262 20,731,603 19,747,005 984,598 0 REVENUE 0 Other Local Revenue 2,689,841 2,947,058 3,182,058 3,182,058 0 State Assistance 50,057 50,057 50,057 50,057 0 0 Gross Revenue 2,739,898 2,997,115 3,232,115 3,232,115 0 0 0 NET COUNTY COST(NCC) 15,339,342 16,613,147 17,499,488 16,514,890 -984,598 0 O Allocated Positions(FTE) 108 106 106 101 -5 0 O FINANCIAL INDICATORS Salaries as%of Total Exp 87% 89% 88% 88% 0 % Change in Total Exp 8% 6% -5% 0 %Change in Total Rev 9% 8% 0% Change in NCC 8% 5% -6% 0 0 0 Public Defender 0 1. Main Office 2. Alternate Defender Office 0 Description: Provides counsel, advice, and Description: Provides counsel, advice, and 0 investigative work as needed in mandated legal investigative work as needed in mandated legal 0 representation of indigent adult defendants in representation of indigent adult defendants in criminal proceedings; of juveniles in Superior criminal proceedings and of juveniles in Superior 0 Court upon appointment by the Court or request Court upon appointment by the Court or request 0 of the juvenile; and of persons involved in mental of the juvenile. This unit handles those cases illness proceedings and probate guardianships. which the Main Office would otherwise have to declare a conflict. 0 Level of Discretion: This mandated service FTE: 14 0 has some discretion in the organizational 0 structure of the service provider. 0 FTE: 87 0 0 0 0 0 County of Contra Costa FY 2006-2007 Recommended Budget 133 0 Public Defender Law and Justice • # . . - - , - CAD's Recommendation • Service: Mandatory The Baseline Budget includes total expenditure Level of Service: Discretionary increases of$1,118,017, including $919,200 of • . additional salary and benefit costs. The increase • Expenditures: $20,016,941 is partially offset by$235,000 of additional Financing: 3,502,051 revenue from the Superior Court for legal • Net County Cost: 16,514,890 representation of parents and minors in 300 W&I cases, resulting in an $883,017 increase of Net Funding Sources: County Cost in the Baseline Budget. • `, Transfers 1.3% $ 269,936 Misc. Revenue 0.3% 50,057 Because the Public Defender provides • "' Court Reimbursement 15.9% 3,182,058 mandated legal services, it is important to realize • General Fund 82.5% 16,514,890 that any decreased capacity within this Department is likely to result in increased referral - FTE: 101 of cases to the Bar Association's Conflict • Defense contract which is funded from the General Fund. The Recommended Budget includes a$65,690 'reduction in services and supplies based on current year expenditures to date, and a vacancy factor of$918,908 in anticipation of continued • r prudent personnel management(Estimated equivalency of 5 full-time staff). • ` - r: v% 134 County of Contra Costa FY 2006-2007 Recommended Budget • µ 0 0 Sheriff-Coroner 0 0 Warren Rupf, Sheriff Law and Justice 0 Summary 0 Sheriff-Coroner Budgets 0 0 FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 0 General Fund Only Actual Budget Baseline Recommended Change 0 EXPENDITURES O Salaries and Benefits 131,909,766 145,953,120 152,767,650 153,303,254 535,604 Services and Supplies 17,138,671 19,978,095 18,111,481 16,355,729 -1,755,752 0 Other Charges 153,405 144,620 144,620 9,932 -134,688 Fixed Assets 722,470 2,118,930 829,096 329,096 -500,000 0 Expenditure Transfers -1,235,356 -2,610,425 -2,036,068 -2,422,788 -386,720 0 Total Expenditures 148,688,956 165,584,340 169,816,779 167,575,223 -2,241,556 0 REVENUE 0 Other Local Revenue 46,419,206 53,205,362 52,360,870 53,301,267 940,397 Federal Assistance 99,754 284,179 284,179 284,179 0 0 State Assistance 55,780,831 58,875,666 58,514,766 61,083,049 2,568,283 0 Gross Revenue 102,299,791 112,365,207 111,159,815 114,668,495 3,508,680 0 NET COUNTY COST(NCC) 46,389,166 53,219,133 58,656,964 52,906,728 -5,750,236 0 0 Allocated Positions(FTE) 1,063 1,063 1,072 1,072 0 0 Authorized Positions(FTE)* 1,109 1,109 1,118 1,118 0 0 0 FINANCIAL INDICATORS Salaries as%of Total Exp 88% 87% 89% 90% 0 %Change in Total Exp 11% 3% _1% 0 % Change in Total Rev 10% -1% 3% 0 % Change in NCC 15% 10% -10% 0 ` Authorized positions are permanent positions approved by the Board of Supervisors through Board 0 Resolution; whereas allocated positions are those funded within the current budget. 0 Department Description Maior Department Responsibilities 0 0 This table represents information in aggregate The mission of the Sheriff is to provide the most 0 format summarizing expenditures, revenues, efficient and effective law enforcement services and net county costs for four budget units possible. The department shall provide 0 administered by the Sheriff-Coroner. Included administrative, investigative, technical, forensic, 0 are data for the following budget units: coroner, emergency, detention, and court security services. 0 0255—Field Enforcement 0300—Detention 0 0359—Coroner 0 0362—Office of Emergency Services 0 0 County of Contra Costa FY 2006-2007 Recommended Budget 135 0 O 0 Sheriff-Coroner Law and Justice T� Y Field Enforcement FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 General Fund Actual Budget Baseline Recommended Change Y. • EXPENDITURES • °. Salaries and Benefits 73,302,544 80,670,605 85,470,055 86,329,659 859,604 Services and Supplies 9,700,317 10,066,462 9,833,176 8,632,376 -1,200,800 • Other Charges 144,194 144,620 144,620 9,932 -134,688 iE Fixed Assets 298,463 756,530 754,096 324,096 -430,000 Expenditure Transfers -737,086 -681,979 -681,979 -1,023,699 -341,720 • Total Expenditures 82,708,433 90,956,238 95,519,968 94,272,364 -1,247,604 REVENUE • " F Other Local Revenue 33,870,593 37,317,953 36,773,078 37,459,475 686,397 Federal Assistance 47,754 234,179 234,179 234,179 0 • State Assistance 31,756,220 31,923,075 33,923,075 34,554,121 631,046 Gross Revenue 65,674,568 69,475,207 70,930,332 72,247,775 1,317,443 j. NET COUNTY COST(NCC) 17,033,865 21,481,031 24,589,636 22,024,589 -2,565,047 • Allocated Positions(FTE) 575 575 581 581 0 Authorized Positions (FTE) 609 609 615 615 0 � �t FINANCIAL INDICATORS Salaries as%of Total Exp 88% 88% 89% 91% • % Change in Total Exp 10% 5% -1% % Change in Total Rev 6% 2% 2% ' % Change in NCC 26% 14% -10% Description: Support the basic law The division staff has responsibility for Training, enforcement functions of the Sheriffs Office: Internal Affairs, Central Records, Personnel and y patrol, investigations, criminalistics, Fiscal. communications, support services and administrative control. 1. Administrative Services-Bureau Service: Discretionary Level of Service: Discretionary { Description: Provides leadership and 'r" management of the department, including Expenditures: $11,696,851 personnel matters, budgetary control, Financing: 810,424 enforcement of operational standards, crime Net County Cost: 10,886,427 prevention services, and the analysis of crime trends. This division provides the central administrative support for the entire department. FTE: 43 y }` 136 County of Contra Costa FY 2006-2007 Recommended Budget a a a Sheriff-Coroner 0 Law and Justice 0 2. Field Operation Bureau Patrol Services Division a o a. Patrol Services Division-The Patrol Service: Mandatory Division's primary function is to provide 24 Level of Service: Discretionary o hour per day law enforcement services to o the unincorporated area of the county and Expenditures: $64,568,024 contract cities. Officers on patrol respond to Financing: 76,623,916 o emergency calls for service through the 911- Net County Cost: -12,055,892 dispatch function, as well as provide law Q enforcement services through self-initiated FTE: 314 O activity. Q (1) In the unincorporated area, law b. Investigation Division—This division O enforcement services are coordinated conducts follow-up investigation of all through four station houses (Bay Station, reported serious crimes that occur in the Q Delta Station, Valley Station, and Muir unincorporated area of Contra Costa O Station)that provide a community based County, as well as in the cities and districts policing model. Each station house is that contract for investigative services. The O commanded by a Lieutenant,who reports to objectives of such investigations are the the Division Commander(Captain). In identification and prosecution of persons o addition to officers patrolling established responsible and the recovery of stolen O areas, or"beats", the division staffs a special property. enforcement"J"team,which is able to Q provide a mobile, flexible response to (1) General Criminal Investigations is the o increasing crime patterns or other special largest unit in the division and is responsible enforcement needs throughout the county. for the investigation and preparation of a FTE: 146 evidence for the prosecution of offenders O involved in both felony crimes and cases (2) Patrol Administration provides involving juveniles. The Juvenile o administration to the Field Operations Assault/Sexual Assault Unit is responsible O Bureau and abandoned vehicle abatement. for follow-up investigations of child abuse FTE: 9 cases and all sexual abuse cases. O FTE: 37 (3)The Marine Patrol division remains a responsible for patrol of the navigable (2) The DA Investigations Unit provides o waterways within the County and investigator positions to the District enforcement of all applicable laws. Attorney's Office under contract. a FTE: 7 FTE: 3 o (3) The Narcotics Investigations Unit is o (4) addition, contract police services are responsible for follow-up of patrol-initiated provided to the cities of Danville, San narcotics investigations. The unit O Ramon, Lafayette, Oakley, and Orinda; and coordinates a narcotics investigation to special police districts throughout the o County, AC Transit, and the Housing program,which aids smaller police agencies Authority. These services are paid for by in their investigations. o those agencies. FTE: 7 a FTE: 152 a a a a a O County of Contra Costa FY 2005-2006 Recommended Budget 137 a 0 • Sheriff-Coroner Law and Justice controlled substances. The third function is I Investigation Division the analysis of physical evidence using Service: Mandatory highly sophisticated scientific equipment. • Level of Service: Discretionary FTE: 29, • Expenditures: $7,273,238 (3)The Property Unit is responsible for the Financing: 385,280 storage, disposition, and record keeping of • Net County Cost: 6,887,958 all property and evidence related to pending • cases. ' FTE: 47 FTE: 7 (4)The CAL-ID Unit operates a computerized system for the identification of • fingerprints. The CAL-ID Automated Field • . ' Fingerprint Identification System provides a • � Service: Mandatory computer- based, rapid search of Sery • Servs of Service: Discretionary fingerprints in databases throughout California and eight western states for the • purpose of criminal identification. The Expenditures: $71,841,262 Automated Latent Print System provides the 't f: Financing' 77,009,196 same search capabilities for crime scene • „_ Net County Cost: 5,167,934 latent prints. CAL-ID is a joint,cities/County program in which the cities pay their share of • FTE: 361 expenses. • �E FTE: 10 • Forensic' Division 2. Support Services Bureau a. Forensic Services Division The primary Service: Mandatory • function of the Criminalistics Laboratory is Level of Service: Discretionary • the objective examination, evaluation, and • comparison and interpretation of physical Expenditures: $9,301,509 evidence related to the investigation of Financing: 5,005,944 . crimes. The Lab provides physical evidence Net County Cost: 4,295,565 " examination to all government agencies in • ' Contra Costa County. These functions are FTE: 65 " offset by fees paid either contractually or on a fee-for-service basis. • (1)The General Criminalistics Unit is responsible for the analysis of diverse types b. Technical Services Division—The primary res p y function of this unit is responding to citizens' of physical evidence and for the examination requests for police, ambulance, and other of crime scenes for the collection and • preservation of evidence in criminal cases. emergency services. Such calls for service t FTE: 19 are dispatched to patrol units, ambulance • companies, and other service providers. • Indexing, storage, retrieval of all department (2)The Controlled Substance Analysis/Drug, records, processing arrest warrants and • Alcohol and Toxicology Unit has three major ' permits required by County Ordinance or functions. The first is the analysis of state law, and keeping crime • ' controlled substances seized by law statistics are all included in this division. :'t enforcement officers. The second is the FTE: 20 analysis of blood, breath, and urine samples • for the presence of alcohol and other • 138 County of Contra Costa FY 2006-2007 Recommended Budget • • t • j O O Sheriff-Coroner Law and Justice In addition to providing the Sheriff's Office Technical Services Division O with technical support of all automated systems and fleet management, this division Service: Mandatory O has three other units: Level of Service: Discretionary O (1) Civil Unit: Carries out the legal Expenditures: $14,043,805 O mandates of the Government Code and Financing: 2,033,274 O Code of Civil procedure to serve all process Net County Cost: 12,010,531 of the courts which are delivered to the FTE: 112 Q Sheriff. The Sheriff is legally obligated to exercise reasonable diligence in attempting O to effect service of process and may face Support Services Bureau O severe liability with regard to this function. Service: Mandatory O FTE: 11 Level of Service: Discretionary (2)Communications Unit: Represents the Expenditures: $23,345,314 O basic means for the public to contact and Financing: 7,039,218 request public safety services. The Dispatch Net County Cost: 16,306,096 O unit provides the essential communications FTE: 177 link to the operational units of the O department, including dispatching on O numerous radio channels and handling Field Enforcement Summary computer information requests. The O personnel also dispatch for other agencies, such as Emergency Medical services and Service: Mandatory Animal Control, as well as several police Level of Service: Discretionary Q departments through contractual ' agreements. Expenditures: $95,416,063 FTE: 57 Financing: 73,391,474 O Net County Cost: 22,024,589 O (3) Records Unit: Responsible for receiving all police reports, filing, and maintaining Funding Sources: statistics regarding crimes for local, state, Transfers 1.2% $ 1,143,699 O and federal reports. Records is responsible Licenses/Permits 0.2% 474,214 O O for maintaining booking records, compiling Fines/Forfeitures 0. 209,000 criminal histories, and issuing permits and Sales Tax 35.15% 33,834,621 Intergovernmental 1.1 /0 1,105,579 licenses in accordance with County Contra Law Enforce 27.1% 25,888,296 Q Ordinance. The unit is also responsible for Charges for Service 8.5% 8,097,688 O processing warrants of arrest from the court, Miscellaneous 2.8% 2,638,377 maintaining files and responding to inquiries General Fund 23.1% 22,024,589 Q from law enforcement agencies, and updating various automated data bases at FTE: 581 O local, state, and federal levels. The warrant O function operates 7 days per week, 24 hours per day. O FTE: 24 O O O O O O O County of Contra Costa FY 2005-2006 Recommended Budget 139 O O • Sheriff-Coroner • Law and Justice • Custody Services Bureau • FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 • General Fund Actual Budget Baseline Recommended Change • EXPENDITURES • Salaries and Benefits 53,480,200 59,268,161 60,169,303 60,169,303 0 • Services and Supplies 4,861,765 5,965,416 6,054,393 5,499,441 -554,952 Other Charges 4,589 0 0 0 0 • Fixed Assets 705 75,000 75,000 5,000 -70,000 • Expenditure Transfers -615 -135,000 -135,000 -180,000 -45,000 Total Expenditures 58,346,643 65,173,577 66,163,696 65,493,744 -669,952 • REVENUE Other Local Revenue 12,341,668 15,713,723 15,414,106 15,684,106 270,000 • Federal Assistance 52,000 50,000 50,000 50,000 0 • State Assistance 23,800,655 24,591,691 24,591,691 26,528,928 1,937,237 • Gross Revenue 36,194,323 40,355,414 40,055,797 42,263,034 2,207,237 • NET COUNTY COST(NCC) 22,152,320 24,818,163 26,107,899 23,230,710 -2,877,189 • • Allocated Positions(FTE) 448 448 446 446 0 Authorized Positions (FTE) 460 460 458 458 0 • • FINANCIAL INDICATORS • Salaries as%of Total Exp 92% 91% 91% 92% • % Change in Total Exp 12% 2% -1% • - % Change in Total Rev 11% -1% 6% % Change in NCC 12% 5% -11% • • Description: Provides for the care and custody 1. Martinez Detention Facility (MDF) • of sentenced and un-sentenced inmates who are • incarcerated in the division's three facilities or Description: Maximum-security institution, who are found eligible for an alternative to located in Martinez that houses many of the • custody. This function includesthe intake County's un-sentenced inmates while they are process and transportation to designated courts awaiting trial. It also serves as the booking and • ' and other jurisdictions. Custody Services is the intake center for all law enforcement agencies • second largest bureau in the department within the County. and its budget represents over 40% of the net FTE: 145 • County cost of the Sheriffs department. The • three detention facilities, alternatives to 2. {Nest County Detention Facility WCDF detention, and court services divisions are ty ty( ) • described as follows: Description: WCDF is a program-oriented facility for medium security prisoners, located in • Richmond. Inmates who present behavioral problems are returned to the MDF in Martinez. ` FTE: 121 • • 140 County of Contra Costa FY 2006-2007 Recommended Budget • • o , 0 Sheriff-Coroner Q Law and Justice 3. Marsh Creek Detention Facility(MCDF) 6. Custody Services Administration O Description: Located in Clayton, this facility is Description: Provides inmate classification, o primarily responsible for the care, custody, and transportation, and other detention management Q control of sentenced minimum-security male services. inmates, but un-sentenced inmates may also be FTE: 44 Q held at this facility. O FTE: 24 Custody Services Bureau Summary 0 4. Custody Alternative Facility (CAF) Q Service: Mandatory O Description: Diverts persons who would be Level of Service: Mandatory incarcerated into programs such as Work Q Alternative Program. Work Alternative is Expenditures: $65,673,744 operated for those inmates sentenced to jail for Financing: 42,443,034 Q 30 days or less. Inmates accepted into the Net County Cost: 23,230,710 Q program provide public service labor at no cost to the County, while relieving housing costs Funding Sources: Q associated with incarceration. Home Detention Transfers 0.3% $ 180,000 and County Parole are also included in this Sales Tax 40.4% 26,526,928 o division. The cost of this division is partially Contract Law Enfor 19.9% 13,043,095 Q offset by user fees; however the real financial Charges for Services 4.0% 2,636,011 benefit to the County is that the program reduces Federal &State Aid 0.0% 52,000 Q detention costs that otherwise would be incurred Miscellaneous 0.0% 5,000 Q and potential facility overcrowding. General Fund 35.4% 23,230,710 O FTE: 21 FTE: 446 5. Court Security Services Q Description: Provides bailiff and court security O services for the Superior Court . This division is responsible for all security in and around court Q buildings, and must provide officers for additional Q security at all court appearances of high-risk cases. This division's budget is significantly (� offset by Court revenue for services provided to O the Court under Trial Court Funding. All costs eligible under Rule 810 of the California Rules of O Court are reimbursed by the Superior Court. O FTE: 91 O O O O O O O O O o County of Contra Costa FY 2005-2006 Recommended Budget 141 O O Sheriff-Coroner ' Law and Justice • Coroner FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 General Fund Actual Budget Baseline Recommended Change • s EXPENDITURES • Salaries and Benefits 1,348,835 1,429,510 1,538,307 1,538,307 0 • Services and Supplies 962,237 919,003 928,160 928,160 0 W Other Charges 431 0 0 0 0 • '' Fixed Assets 0 148,000 0 0 0 Total Expenditures 2,311,503 2,496,513 2,466,467 2,466,467 0 • i REVENUE • Other Local Revenue 77,002 82,000 82,000 66,000 -16,000 Gross Revenue, 77,002 82,000 82,000 66,000 -16,000 • ,. 'x NET COUNTY COST(NCC) 2,234,501 2,414,513 2,384,467 2,400,467 16,000 • Ft Allocated Positions (FTE) 10 10 10 10 0 • Authorized Positions(FTE) 10 10 10 10 0 FINANCIAL INDICATORS • Salaries as%of Total Exp 58% 57% 62% 62% • % Change in Total Exp 8% _1% 0% • % Change in Total Rev 6% 0% -20% ?' %Change in NCC 8% -1% 1% • jr Description: Determine the cause of death, Coroner specifically in the area of homicide, suicide, accidental and unexplained natural deaths. Service: Mandatory Coroner's deputies are on duty 24 hours a day, 7 Level of Service: Discretionary • days per week, and remove the deceased from r place of death. A fee is in effect for the removal • Expenditures: $2,466,467 of deceased persons. This division has very little • Financing: 66,000 flexibility in reducing personnel expenditures and Net County Cost: 2,400,467 • maintaining an around-the-clock presence. The Coroner is responsible for the operation of the • County Morgue, the functions of which are Funding Sources: o mandated by state law. Removal Fee/Reports 2.2/° $54,000 • Miscellaneous 0.5% 12,000 • FTE: 10 General Fund 97.3% 2,400,467 FTE: 10 • ti • • k, 142 County of Contra Costa FY 2006-2007 Recommended Budget Ill I 0 0 o Sheriff-Coroner Law and Justice o Office of Emergency Services 0 o FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 OGeneral Fund Actual Budget Baseline Recommended Change o EXPENDITURES O Salaries and Benefits 3,778,187 4,584,844 5,589,985 5,265,985 -324,000 Services and Supplies 1,614,353 3,027,214 1,295,752 1,295,752 0 o Other Charges 4,191 0 0 0 0 O Fixed Assets 423,302 1,139,400 0 0 0 Expenditure Transfers -497,655 -1,793,446 -1,219,089 -1,219,089 0 o Total Expenditures 5,322,378 6,958,012 5,666,648 5,342,648 -324,000 REVENUE o Other Local Revenue 129,943 91,686 91,686 91,686 0 O State Assistance 223,956 2,360,900 0 0 0 O Gross Revenue 353,899 2,452,586 91,686 91,686 0 NET COUNTY COST(NCC) 4,968,479 4,505,426 5,574,962 5,250,962 -324,000 O O Allocated Positions(FTE) 30 30 35 35 0 O Authorized Positions(FTE) 30 30 35 35 0 O FINANCIAL INDICATORS o Salaries as%of Total Exp 65% 52% 81% 80% Q %Change in Total Exp 31% -19% -6% O %Change in Total Rev 593% -96% 0% % Change in NCC -9% 24% -6% O O o Description: Provides planning, training, and Office of Emergency support services to help citizens and agencies prepare for and manage disaster, including Service: Discretionary simulation exercise drills. This Division also Level of Service: Discretionary O manages the Sheriff's Homeland Security Unit, which has responsibility for Crime Prevention, Expenditures: $6,561,737 Q Crime Analysis and Intelligence; as well as Financing: 1,310,775 management of the Countywide Community Net County Cost: 5,250,962 o Warning System. The apparent low percent of Funding Sources: O total expenditures for salaries in FY 20003-04 Transfers 18.5% $1,219,089 and FY 2004-05 is due to homeland security Intergovernmental 0.9% 56,686 Q grant funds appropriated as services and Miscellaneous Rev. 0.4% 25,000 O supplies. Charges for Services 0.2% 10,000 O FTE: 35 General Fund 80.0% 5,250,962 O IFTE: 35 O O O County of Contra Costa FY 2005-2006 Recommended Budget 143 O O Sheriff-Coroner Law and Justice Miscellaneous Programs 3. Countywide Gang & Drug Trust . (Non-General Fund) Description: To provide for expenditures and 1. Central Identification Bureau revenues for preventing, enforcing and prosecuting illegal gang and/or drug activity. Description: Provides for operation of the Expenditures must be approved by a panel state-wide Automated Fingerprint Identification consisting of the Sheriff, District.Attorney, Chief System (AFIS)for all law enforcement agencies Probation Officer, and a representative from the in the County. Monies budgeted in this fund will County Police Chiefs'Association. be spent pursuant to direction of the Random Access Network Board. • Ceniral Identification Bureau Summary Service: Discretionary Level of Service: Discretionary • Service: Discretionary Level of Service: Mandated Expenditures: $744,923 Financing: 105,000 Expenditures: $2,510,845 Net Fund Cost 639,923 Financing: 1,015,000 Net Fund Cost: 1,495,845 Funding Sources: • u General Fines 14.1% $105,000 Funding Sources: Fund Balance 85.9% 639,923 Use of Money 2.0% $ 50,000 Intergovernmental 38.4% 965,000 FTE: 0 Fund Balance 59.6% 1,495,845 FTE: 0 4. County Law Enforcement Computer Communication Capital-Projects • 2. Controlled Substance Analysis Description: To provide for the expenditures and revenues for the replacement and Description: To provide criminalistics enhancement of a Countywide law enforcement laboratory analysis of controlled substances, in a message switching computer and to accumulate timely fashion, in order to increase the funds to partially finance Sheriff's effectiveness of criminal investigation and communications equipment replacement. prosecution. � County Law Enforcement Computer/ • ControlledProjects Service: Discretionary Service: Discretionary Level of Service: Mandated Level of Service: Discretionary • Expenditures: $127,278 Expenditures: $4,655,996 • Financing: 50,000 Financing: 253,000 Net Fund Cost: 77,278 Net Fund Cost: 4,402,996 • Funding Sources: Funding Sources: . General Fines 39.3% $50,000 Charges for Services 1.1% $ 51,000 Fund Balance 60.7% 77,278 Miscellaneous 4.3% 202,000 FTE: 0 Fund Balance 94.6% 4,402,996 . FTE: 0 144 County of Contra Costa FY 2006-2007 Recommended Budget • 0 Q Sheriff-Coroner Q Law and Justice Q 5. Law Enforcement Training Center Narcotic Forfeiture Summary 0 Q Description: Established as a cost neutral Service: Discretionary enterprise fund, this Division of the Sheriff, with Level of Service: Mandated Q the Contra Costa College District at Los Q Medanos Community College, provides Expenditures: $516,130 specialized training to law enforcement Financing: 47,000 Q personnel. Net Program Cost: 469,130 Q Funding Sources: Q General Fines/Inter 9.1% $47,000 Fund Balance 90.9% 469,130 o Service: Discretionary Q Level of Service: Discretionary FTE: 0 o Expenditures: $1,145,822 Q Financing: 1,145,822 7, Prisoners Welfare Fund Q Net Fund Cost: 0 Description: Pursuant to Penal Code 4025, Q Funding Sources: provides for the revenues associated with the Charges for Services 66.8% $765,822 detention commissary and commission from Q Intergovernmental 33.2% 380,000 detention pay telephones. These revenues are used to fund educational opportunities for FTE; 5 Q inmates. O 6. Narcotic Forfeiture Prisoners Q Service: Discretionary Q Description: Within the Investigation Division, Level of Service: Discretionary Asset Forfeiture provides the necessary support Q for tracking the assets of persons involved in Expenditures: $1,887,299 Q narcotics crimes, in addition to ongoing narcotics Financing: 1,539,600 enforcement efforts, to maximize forfeited Net Fund Cost: 347,699 Q assets, and to augment traditional law enforcement programs. Under the law, in Funding Sources: o certain circumstances, these assets can be Use of Money 0.3% $6,000 Q forfeited to support local law enforcement efforts. Miscellaneous 80.0% 1,510,600 The budget for this division is divided into Charges for Svc 1.2% 23,000 Q federal, state and local, and Department of the Fund Balance 18.5% 347,699 Q Treasury forfeited narcotics assets. FTE: 5 O 0 O O O O O 0 Q County of Contra Costa FY 2005-2006 Recommended Budget 145 O O I. , Sheriff-Coroner ' Law and Justicez 8. Supplemental Law Enforcement CAO's Recommendation Services Funds— Front Line Enforcement and Jail Operations Baseline Cost Growth • Description: As provided by AB 3229 (Chapter The Sheriff-Coroner's budget request includes a • 134, Statutes of 1996), the State supplements net County cost increase of$5.4 million over the • otherwise available funding for local public safety current year budget. Unfortunately scarce " '`; services ("COPS"). These funds are used for jail resources not only do not allow for funding over1. • ' operations and enhancement of Patrol Division the current year, but require additional budget services including the Air Support Unit. balancing strategies as well. $_ SLESF-Front Line'Enforcement and jailThe Recommended Budget for FY 2006-07 Operations Summary includes a $5.8 million reduction to net County • cost from Baseline estimates. 7` Service: Discretionary Level of Service: Mandated The County Administrator's recommended • budget for the Sheriff-Coroner consists of Expenditures: $817,969 expenditure reductions, revenue enhancements, Financing: 628,652 funding for levee positions and anticipated cost • Net Fund Cost: 189,317 of living adjustments, and the continued Funding Sources: allocation of a large vacancy factor. The State COPS 76.9% $628,652 recommended adjustments can be prioritized • 189,317 Fund Balance 23.1% and summarized as follows: FTE: 0 1. Increases to Revenue with No Direct • Program Impact a. Proposition 172 Revenue— Increased 9. Traffic Safety revenue to $60.4 million, $2.5 million • over the Baseline. This is a 3% increase Description: Provide for the cost of official over the current year projection. The FY ; traffic control devices, the maintenance thereof, 2005-06 budget includes $55.9 million . equipment and supplies for traffic law from this source. enforcement and traffic accident prevention, the . maintenance, improvement or construction of b. Other Revenues— Increased and public streets, bridges and culverts, and in some decreased other revenue by a net of cases, school crossing guards within a Board- $1.0 million over Baseline. This • governed police services area. represents the total projected growth for all revenues including contract cities and i I Traffic Safety Summary court bailiff revenues. It should be noted that this net includes reductions for one- Service: Mandatory time revenues which are included in the Level of Service: Mandatory current year budget. Expenditures: $188,913 2. Expenditure Adiustments • Financing: 15,000 Net Fund Cost: 173,913 a. Vehicle Depreciation—Eliminated $1 million of vehicle depreciation. This Funding Sources: action has the affect of reducing the total Fines 7.9% $15,000 equipment reserve. . Fund Balance 92.1% 173,913 FTE: 0 146 County of Contra Costa FY 2006-2007 Recommended Budget • t>4c ' 0 0 Sheriff-Coroner O 6 Law and Justice Q CAO's Recommendation Continued enforcement presence and critical Osupervision in detention facilities and on b. Operating Expenses— Reviewed every patrol beats O operating account throughout the ❑ 17 Deputy Sheriff's, reducing law O Agency and reduced $0.5 million in fixed enforcement presence and community- assets, $0.1 million in other charges, oriented policing activities through O and $0.8 million in services and suspension of programs providing supplies. It's important to remember resident deputies, school resource Q that the Sheriff operates three 24-hour officers, specialty officer, and beat patrol O detention facilities, which house over in unincorporated areas 1,500 inmates daily. Inmates are hard ❑ 5 Dispatchers, reducing (� on facilities and furniture. Therefore, coverage/increased mandatory overtime O although these reductions can be for answering emergency 9-1-1 calls achieved they cannot be maintained ❑ 8 clerical staff in forensic services, O indefinitely. As with all departments detention, and administration, reducing operating with restricted resources, efficiency, increasing response/turn- monitoring these accounts throughout around time and potential for errors in O the year will be very important in processing evidence, booking and achieving this level of reduction. releasing inmates, monitoring contracts O and managing personnel and payroll Q C. Emergency Services—Allocated 113 Sheriffs Specialists in emergency compensation and SDI recoveries services and detention, reducing crime Q throughout the Department in order to prevention services and resources for five fund fiO free resources between divisions to the communities and the ability to ve additional positions in the Office of Emergency Services in accept inmates into custody alternative Q response to the September 2005 report programs Q to the Board on Delta Levee conditions ❑ 1 Emergency Services Planner, and possible mitigation measures. reducing planning capabilities and level O of preparedness (� d. Labor Negotiations—Allocated cost of ❑ 2 Fingerprint Technician/Examiners, Q living adjustment reflecting increasing response/turn-around time management's offer in negotiations and the potential for errors in Q currently underway with the Deputy processing and comparing fingerprints O Sheriff's Association. ❑ 1 Deputy Sheriff Criminalist, reducing staffing to process crime scenes and O Additional Impact of Reductions increasing time to provide crime-solving O The Sheriff-Coroner's Office is operating with a information to law enforcement vacancy factor of 46 positions. The positions ❑ 1 Sergeant and 1 Deputy Sheriff in Q were not eliminated by the Board of Supervisors Domestic Violence, reducing the and are still technically authorized; however, they dedicated staff and resources available Q are unfunded and cannot be filled. Maintaining for these cases O this level of vacant positions affectively ❑ 1 Deputy Sheriff and 1 Sheriffs eliminated the following positions and services: Specialist in the Warrant Reduction O unit, eliminating the staff dedicated to Q ❑ 1 Lieutenant in emergency services, reducing outstanding warrants reducing command-staff presence ❑ 1 Deputy Sheriff and 1 Sheriff's Q outside of normal business hours Specialist in the Warrant Reduction Q ❑ 4 Sergeants in administration, custody, unit, eliminating the staff dedicated to and unincorporated patrol, reducing law reducing outstanding warrants. O O O O O County of Contra Costa FY 2005-2006 Recommended Budget 147 O � O O Superior Court Related Functions O Law and Justice O Summary Q Superior Court Related Budgets O O FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 QGeneral Fund Actual Budget Baseline Recommended Change O EXPENDITURES Q Salaries and Benefits 15,671 0 0 0 0 Services and Supplies 2,844,085 3,101,886 2,967,710 2,967,710 0 O Other Charges 21,597,137 18,798,403 17,721,590 17,721,590 0 Q Total Expenditures 24,456,893 21,900,289 20,689,300 20,689,300 0 O REVENUE O Other Local Revenue 13,585,942 10,965,186 9,103,186 9,103,186 0 State Assistance 104,384 132,000 100,000 100,000 0 O Gross Revenue 13,690,326 11,097,186 9,203,186 9,203,186 0 O NET COUNTY COST(NCC) 10,766,567 10,803,103 11,486,114 11,486,114 0 O O FINANCIAL INDICATORS O Salaries as%of Total Exp 0% 0% 0% O %Change in Total Exp -10% -6% 0% %Change in Total Rev -19% -17% 0% O %Change in NCC 0% 6% 0% O O O Department Description Maior Department Responsibilities O Q This table represents information in aggregate The mission of Superior Court related functions format summarizing expenditures, revenues, is to provide for all court services not eligible Q and net County costs for three budget units under California Rule of Court 810 including Q administered by the County Administrator's County subsidy to the State in the case of Trial Office. Included are data for the following Court Programs; examine accounts and Q budget units: management of the County, cities and other local public agencies in the case of the Civil O 0202—Trial Court Programs Grand Jury;and examine evidence presented by Q 0238—Civil Grand Jury the District Attorney in the case of the Criminal Q 0239—Criminal Grand Jury Grand Jury. O O O O O O O Q County of Contra Costa FY 2006-2007 Recommended Budget 149 O O W1 WWW Superior Court Related Functions • Law and Justice • • Trial Court Programs • • FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 • General Fund Actual Budget Baseline Recommended Change • EXPENDITURES • Salaries and Benefits 15,671 0 0 0 0 • Services and Supplies 2,666,570 2,905,176 2,771,000 2,771,000 0 • Other Charges 21,597,027 18,798,403 17,721,590 17,721,590 0 Total Expenditures 24,279,268 21,703,579 20,492,590 20,492,590 0 • REVENUE • Other Local Revenue 13,585,942 10,965,186 9,103,186 9,103,186 0 • State Assistance 104,384 132,000 100,000 100,000 0 • Gross Revenue 13,690,326 11,097,186 9,203,186 9,203,186 0 NET COUNTY COST(NCC) 10,588,941 10,606,393 11,289,404 11,289,404 0 • FINANCIAL INDICATORS • Salaries as%of Total Exp 0% 0% 0% • Change in Total Exp -11% -6% 0% • • Change in Total Rev -19% -17% 0% • • Change in NCC 0% 6% 0% • • Description: Provide for all court services not Trial CourtlPrograms • eligible under California Rule of Court 810 (e.g. - capital case costs)and fund the General Fund Service: Mandatory • subsidy for Court operations to the State of Level of Service: Mandatory California. Expenditures: $20,492,590 • Financing: 9,203,186 Net County Cost: 11,289,404 • Funding Sources: • Lics/PermiFranchises 0.1% $ 25,000 • Fine/Forts/Penalties 13.5% 2,773,742 • Intergov Revenue 0.5% 100,000 Charges for Services 30.8% 6,304,444 • General Fund 55.1% 11,289,404 • FTE: 0 • • • • • • 150 County of Contra Costa FY 2006-2007 Recommended Budget • • • j o , O Superior Court Related Functions O Law and Justice O O Civil Grand Jury O O FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 O General Fund Actual Budget Baseline Recommended Change O EXPENDITURES Q Services and Supplies 138,764 146,710 146,710 146,710 0 O Other Charges 110 0 0 0 0 Total Expenditures 138,875 146,710 146,710 146,710 0 O O REVENUE 0 0 0 0 0 0 Q NET COUNTY COST(NCC) 138,875 146,710 146,710 146,710 0 O Q FINANCIAL INDICATORS O %Change in Total Exp 6% 0% 0% O %Change in NCC 6% 0% 0% O O Description: Examine accounts of County, Q cities and other local public agencies, review Civil Grand Jury Summary O management of County departments, and publish its findings and recommendations in an Service: Mandatory O annual report. The Grand Jury may order Level of Service: Discretionary O special audits or investigations. Expenditures: $146,710 O Financing: 0 O Net County Cost: 146,710 Q Funding Sources: O General Fund 100 % $146,710 O FTE: 0 O O O O O O O O O O O Q County of Contra Costa FY 2006-2007 Recommended Budget 151 O O • Superior Court .Related Functions Law and Justice • Criminal Grand Jury • FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 General Fund Actual Budget Baseline Recommended Chane € EXPENDITURES • Services and Supplies 38,751 50,000 50,000 50,000 0 Total Expenditures 38,751 50,000 50,000 50,000 0 • REVENUE 0 0 0 0 0 0 NET COUNTY COST(NCC) 38,751 50,000 50,000 50,000 0 a FINANCIAL INDICATORS %Change in Total Exp 29% 0% 0% % Change in NCC 29% 0% 0% Description: Examine evidence presented by 810 related court operations includes collection • ` the District Attorney and return criminal services, legal representation in capital cases, indictments directly to the Superior Court. and other court appointed counsel. • It should be noted that the courts also transfer revenues to the County for services provided by Criminal Grand Jury Summary LN County departments. Specifically revenues from • ` the courts are budgeted in the Public Defender Service: Mandatory for juvenile dependency representation and in Level of Service: Discretionary the Sheriff-Coroner for bailiff court security services. Expenditures: $50,000 During FY 2005-06, the Administrative Office of Financing: 0 the Courts (AOC)and the California State Net County Cost: 50,000 Association of Counties (CSAC)advised counties of the amount of fine and forfeiture • Funding Sources: revenue maintenance of effort (MOE) reduction General Fund 100% $50,000 they would receive under the undesignated fees FTE: 0 resolution contained in Assembly Bill 139. Contra Costa County's MOE payment reduction • was not sufficient to cover the loss of revenue CAD's Recommendation from previously undesignated fees. As a result, • the General Fund contribution to this budget unit This Recommended Budget includes is increased to meet the requirements for appropriations for transfer to the State to funding the remaining MOE and other mandated • subsidize the local court and for court functions services. • for which the County is financially responsible. General Fund subsidy to the courts for non-Rule • • 152 County of Contra Costa FY 2006-2007 Recommended Budget . . r . , a : eal ' an Services - o,(/ � , 0. 0 , \jam}/ V — 01 0 .-C"T A . .t 0 .0 WT - o11 T 4 o 0 Functional Group Summary O Health and Human Services O O Q FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 O General Fund Actual Budget Baseline Recommended Change l� EXPENDITURES O Salaries and Benefits 229,343,116 249,634,833 257,532,140 249,268,822 -8,263,318 Services and Supplies 240,542,218 237,692,620 246,515,053 239,326,549 -7,188,504 O Other Charges 205,052,450 213,975,322 196,281,487 200,746,487 4,465,000 Fixed Assets 292,499 347,821 337,821 337,821 0 O Expenditure Transfers -57,366,062 -54,571,117 -50,708,005 -50,708,005 0 O Total Expenditures 617,864,221 647,079,479 649,958,496 638,971,674 -10,986,822 O REVENUE O Other Local Revenue 59,772,139 66,906,466 44,628,376 45,203,056 574,680 Federal Assistance 203,585,959 203,044,945 216,592,631 216,592,631 0 (� State Assistance 232,905,885 258,917,248 258,212,400 258,567,400 355,000 r1 Gross Revenue 496,263,983 528,868,659 519,433,407 520,363,087 929,680 O NET COUNTY COST(NCC) 121,600,238 118,210,820 130,525,089 118,608,587 -11,916,502 O Allocated Positions(FTE) 2,485 2,493 2,491 2,359 -132 O O FINANCIAL INDICATORS Salaries as%of Total Exp 34% 36% 37% 36% O % Change in Total Exp 5% 0% -2% O %Change in Total Rev 7% -2% 0% O % Change in NCC -3% 10% -9% O O Table Description O This table presents information in aggregated Services Department, and Veterans Services. format summarizing expenditures, revenues, These data do not include expenditures, O and net County costs for the Health and Human revenues, and FTEs for EF1 (Contra Costa Services Functional Group. Included is data for Regional Medical Center and Clinics) and EF2 Q the following departments: Community Services, (Contra Costa Health Plan)or any funds other Employment and Human Services, Health than the General Fund. O O O O O O O O O County of Contra Costa.FY 2006-2007 Recommended Budget 153 O 0 0 O Community Services O Health and Human Services O Community Services O O FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 O General Fund Actual Budget Baseline Recommended Change 0 EXPENDITURES Q Salaries and Benefits 12,492,872 13,674,328 15,237,953 15,237,953 0 O Services and Supplies 8,230,282 6,922,661 8,170,059 7,990,038 -180,021 Other Charges 0 41,228 0 0 0 Q Fixed Assets 13,566 50,000 0 0 0 O Expenditure Transfers 4,783,519 7,232,606 8,434,784 8,434,784 0 Total Expenditures 25,520,239 27,920,823 31,842,796 31,662,775 -180,021 Q O REVENUE Other Local Revenue 6,321,258 6,585,722 9,849,544 9,849,544 0 0 Federal Assistance 18,206,140 20,230,236 20,704,245 20,704,245 0 State Assistance 754,948 961,568 966,565 966,565 0 Gross Revenue 25,282,346 27,777,526 31,520,354 31,520,354 0 O Q NET COUNTY COST(NCC) 237,893 143,297 322,442 142,421 -180,021 0 O Allocated Positions(FTE) 185 195 212 212 0 0 O FINANCIAL INDICATORS Salaries as%of Total Exp 60% 66% 65% 66% 0 %Change in Total Exp 9% 14% -1% 0 %Change in Total Rev 10% 13% 0% O %Change in NCC -40% 125% -56% 0 Department Description Maior Department Responsibilities Q Community Services Department programs The mission of the Department is to provide a Oserve and support the least advantaged wide array of comprehensive quality services to individuals and families by providing high quality program eligible County families and individuals Q children's services and family learning that, over time, produce the following results: O opportunities that increase self-sufficiency and contribute to the community. . Provide educational and comprehensive Q services to children 0-5 years old and their families • Limit and/or prevent economic Q dependence O • Support families moving out of poverty O into self-sufficiency O O O O County of Contra Costa FY 2006-2007 Recommended Budget 155 0 } 3' ,x • Community Services Health and Human Services 1. Community Action Programs Head Start Summaryi Community Action Programs are provided to Service: Discretionary assist low-income families and individuals to Level of Service: Mandatory remove obstacles and solve problems that block the achievement of self-sufficiency. Utilizing federal Community Services Block Grant and Expenditures: $17,608,875 other local funds, they support activities that can Financing: 17,608,875 a achieve measurable outcomes in improving Net County Cost: 0 educational capability, literacy skills, housing Funding Source: • attainment, income enhancement, disaster Federal 96.3% $16,965,020 preparedness, etc. They are also used to State 2.3% 400,000 support the developmental needs of at-risk youth ether 1.4°fo 243,855 in low-income communities. FTE: 47.0 • ProgramsCor�munity Action Service: Discretionary 3. Child Start Level of Service: Mandatory • Description: Child Start combines Head Start, Expenditures: $1,875,771 Early Head Start and Child Development funds Financing: 1,805,976 to provide year-round childcare 10.5 hours per Net County Cost: 69,795 day for 560 children of low-income working parents. This program also funds family • Funding Sources: development services including employment Federal 33.7% $631,464 assistance, health access, food referrals and Interfund Revenue 62.6% 1,174,512 housing support. Services are available at 16 General Fund 3.7% 69,795 centers with 45 classrooms in or close to neighborhoods where the children live. FTE: 18.0 Child Start Summary rt 2. Head Start Service: Discretionary . Level of Service: Mandatory Description: Head Start provides part-day childcare and comprehensive services to 1,816 Expenditures: $7,519,652 Y income-eligible children three to five years old Financing: 7,519,652 and their families. $4.8 million in Head Start Net County Cost: 0 x revenue is transferred to the Child Development Fund to support staff costs for services provided Funding Sources: to 650 children in full-day childcare. Head Start Interfund Revenue 100% $7,519,652 revenue also funds enhancement services to 8 partnering childcare agencies, 4 licensed family FTE: 121.0 childcare homes which serve Head Start eligible families and home visitation services to 80 families. . M '' 156 County of Contra Costa FY 2006-2007 Recommended Budget • O O O Community Services O Health and Human Services O 4. Early Head Start 6. Housing & Energy 0 Description: Early Head Start provides infant, Description: Housing & Energy program Q toddler and family comprehensive services to combines funding from the Department of 0204 eligible children and their families. $1.3 Energy and Department of Community Services million in Early Head Start revenue is transferred and Development to provide utility bill payment O to the Child Development Fund to support staff assistance, energy education and weatherization costs for services provided to 112 children in full- services to approximately 2,600 low-income O day childcare. Services are provided at sites residents of the County. O located in North Richmond, Richmond, Antioch, and Concord, as well as partnerships at Housing & Energy Summary O Richmond and JFK High Schools. A Home Base Service: Discretionary Program provides home visitation services to children and families and ensures pregnant Level of Service: Mandatory women receive medical services and are Gross Expenditures: $1,005,832 O enrolled in a health plan. Financing: 933,206 0 Early Start Summary Net County Cost: 72,626 • Funding Sources: O Service: Discretionary Federal 92.8% $933,206 O Level of Service: Mandatory General Fund 7.2% 72,626 Q Gross Expenditures: $2,205,860 FTE: 2.0 Financing: 2,205,860 Net County Cost: 0 7., First 5 Home Visiting and School O Funding Source: Readiness Programs Federal 98.6% $2,174,555 Description: Home Visiting Program provides O State 1.4% 31,305 home visiting services to eligible families in order to enhance parent-child relationships, promote Q FTE: 5.0 the education and development of children, O enrich the home environment to promote 5. Child Nutrition children's learning abilities, and identify and refer children with special healthcare needs and O Description: Child Nutrition prepares and developmental delays. School Readiness delivers breakfast, snacks and lunch to program provides educational outreach to O approximately 2,100 children who are enrolled in families with children 0 to 5 years old who are the Department's child care centers in the not enrolled in a preschool center. The program O County. works with 18 elementary schools in the West 0 Nutrition Summary Contra Costa Unified School District. Childhood First 5 Home Visiting and School Readiness O Service: Discretionary Summary O Level of Service: Mandatory Service: Discretionary O Gross Expenditures: $911,525 Level of Service: Mandatory Financing: 911,525 Gross Expenditures: $535,260 O Net County Cost: 0 Financing: 535,260 O Funding Sources: Net County Cost: 0 O Interfund Revenue 100% $911,525 Funding Sources: State 100% $535,260 O FTE: 15.0 O FTE: 4.0 O O O County of Contra Costa FY 2006-2007 Recommended Budget 157 0 2 • Community Services Health and Haman Services � Child Development • FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 Child Development Fund Actual Budget Baseline Recommended Change EXPENDITURES All Salaries and Benefits 5,825,981 6,784,662 5,926,416 5,926,416 0 Services and Supplies 931,458 1,334,995 1,484,437 1,484,437 0 Other Charges 301,998 237,643 42,635 42,635 0 Fixed Assets 0 0 120,000 120,000 0 48 Expenditure Transfers 5,204,410 4,404,816 6,612,799 6,612,799 0 Total Expenditures 12,263,847 12,762,116 14,186,287 14,186,287 0 REVENUE • Other Local Revenue 4,628,745 5,773,177 6,370,357 6,370,357 0 State Assistance 7,663,654 7,301,880 7,815,930 7,815,930 0 Gross Revenue 12,292,399 13,075,057 14,186,287 14,186,287 0 49 NET FUND COST(NFC) -28,552 -312,941 0 0 0 Allocated Positions(FTE) 169 119 99 99 0 FINANCIAL INDICATORS Salaries as%of Total Exp 83% 81% 78% 78% % Change in Total Exp 4% 11% 0% • % Change in Total Rev 6% 8% 0% % Change in NFC -996% -100% 0% Description: The Child Development Fund . provides funding to the General Child Care, • Child Start and State Preschool programs, Service: Discretionary + serving 1,138 children of low-and middle- Level of Service: Mandatory „ income families at 16 centers with 45 classrooms in the neighborhoods where the Expenditures: $14,186,287 children live. Financing: 14,186,287 Net Fund Cost: 0 • Funding Source: State 55.1% $7,815,930 . Interfund Revenue 44.9% 6,370,357 FTE: 99.0 158 County of Contra Costa FY 2006-2007 Recommended Budget • i ', 0 0 0 Community Services 0 Health and Human Services 0 Community College Child Development 0 0 Community College Child FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 O Development Fund Actual Budget Baseline Recommended Change 0 EXPENDITURES 0 Salaries and Benefits 90,936 98,349 162,992 162,992 0 0 Services and Supplies. 30,015 26,208 162,484 162,484 0 Other Charges 15,017 1,286 308 308 0 0 Expenditure Transfers 1,285,471 1,232,726 1,340,446 1,340,446 0 Total Expenditures 1,421,440 1,358,569 1,666,230 1,666,230 0 0 REVENUE O Other Local Revenue 149,760 198,362 423,773 423,773 0 State Assistance 1,272,704 1,122,948 1,242,457 1,242457 0 0 Gross Revenue 1,422,464 1,321,310 1,666,230 1,666,230 0 0 NET FUND COST(NFC) -1,024 37,259 0 0 0 0 0 Allocated Positions(FTE) 2 2 3 3 0 0 0 FINANCIAL INDICATORS 0 Salaries as%of Total Exp 67% 78% 50% 50% 0 % Change in Total Exp -4% 23% 0% %Change in Total Rev -7% 26% 0% 0 % Change in NFC 3739% -100% 0% 0 0 Description: College District ChildCommunity College Child Development 0 Development provides funding to full-day and Fund 114800 half-day pre-school programs that serve 285 0 children of low and middle income families. Service: Discretionary O Child care services are provided at 7 centers Level of Service: Mandatory with 14 classrooms located in East, West, and 0 Central County. Expenditures: $1,666,230 0 Financing: 1,666,230 0 Net Fund Cost: 0 0 Funding Source: State 74.6% $1,242,457 O Interfund Revenue 25.4% 423,773 0 FTE: 3.0 0 0 0 0 0 0 0 County of Contra Costa FY 2006-2007 Recommended Budget 159 0 MKM Community Services Health and Human Services • CAO's Recommendation • Baseline costs in FY 2006-2007 have increased budget total,$454,827. • by$5.7 million over FY 2005-2006 costs due to increases in compensation, services and To cover the gap between expenses and supplies, and expenditure transfers. The revenues, the Department reduced services and anticipated level of grant funding, however, also supplies to the Head Start program. increased over FY 2005-2006 revenues by$5.2 million. Net increased costs to the baseline Q* 0 0 00 0 0 0 0 0 o o 160 County of Contra Costa FY 2006-2007 Recommended Budget 0 Employment and Human Services 0 Health and Human Services 0 0 Aging and Adult Services 0 0 FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 0 General Fund Actual Budget Baseline Recommended Chane 0 EXPENDITURES 0 Salaries and Benefits 29,301,714 32,928,864 33,577,699 29,532,895 -4,044,804 0 Services and Supplies 45,895,444 35,564,643 32,446,693 32,446,693 0 0 Other Charges 13,793,832 18,764,295 22,532,773 22,532,773 0 Expenditure Transfers -1,567,196 -1,590,191 -1,590,191 -1,590,191 0 0 Total Expenditures 87,423,794 85,667,611 86,966,974 82,922,170 4,044,804 0 REVENUE 0 Other Local Revenue 933,362 1,055,239 1,055,239 1,055,239 0 0 Federal Assistance 11,283,569 10,442,898 15,426,450 15,426,450 0 State Assistance 63,037,792 63,129,585 68,832,562 68,832,562 0 10 Gross Revenue 75,254,723 74,627,722 85,314,251 85,314,251 0 0 NET COUNTY COST(NCC) 12,169,072 11,039,889 1,652,723 -2,392,081 -4,044,804 0 0 Allocated Positions (FTE) 398 397 368 354 -14 0 0 FINANCIAL INDICATORS 0 Salaries as% of Total Exp 33% 38% 38% 35% 0 •Change in Total Exp -2% 2% -5% • Change in Total Rev _1% 14% 0% 0 •Change in NCC -9% -85% -245% 0 Description: The Aging and Adult Services referring those clients to other agencies for 0 Bureau provides protective and supportive assessments and treatment for health services to single adults and seniors including related service plans. In-Home Supportive Services (IHSS); Adult 0 Protective Services; Area Agency on Aging Service: Mandatory services; Long-Term Care case management for Level of Service: Discretionary 0 seniors and disabled adults; and other 0 supportive services and eligibility determination b. Adult Protective Services-Provides social for Medi-Cal and non-assistance Food Stamps worker response and investigation of reports 0 for both adults and families. that an elder or dependent adult is exploited, 0 neglected or physically abused. 1. Adult Social Services 0 Service: Mandatory 0 Description: This group of programs serves Level of Service: Discretionary the social and health-related needs of older and 0 disabled adults. c. Conservatorship Intake— Provides the 0 necessary facts and recommendations to a. Access to Medi-Cal Services- Provides enable the Superior Court to make proper 0 assistance services to Medi-Cal eligible judgment regarding the conservatorship of adults to gain access to medical services, individuals suffering from mental illness and 0 0 0 162 County of Contra Costa FY 2006-2007 Recommended Budget 0 0 Employment and Human Services Danna Fabella, Acting Director Health and Human Services Summary - Employment and Human Services • FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 General Fund Only Actual Budget Baseline Recommended Change • EXPENDITURES Salaries and Benefits 124,530,568 138,181,534 144,324,190 136,060,872 -8,263,318 • Services and Supplies 122,726,648 114,115,021 116,326,708 116,326,708 0 Other Charges 132,661,299 140,627,997 149,379,033 149,379,033 0 Fixed Assets 235,174 127,819 127,819 127,819 0 Expenditure Transfers -52,981,576 -53,706,433 -50,600,346 -50,600,346 0 • Total Expenditures 327,172,114 339,345,938 359,557,404 351,294,086 -8,263,318 REVENUE Other Local Revenue 3,685,333 1,833,035 2,544,719 2,544,719 0 4 Federal Assistance 165,853,432 163,497,849 178,995,779 178,995,779 0 State Assistance 128,291,768 142,837,984 140,808,362 140,808,362 0 Gross Revenue 297,830,532 308,168,868 322,348,860 322,348,860 0 NET COUNTY COST(NCC) 29,341,582 31,177,070 37,208,544 28,945,226 -8,263,318 f' Allocated Positions (FTE) 1,453 1,447 1,425 1,340 -85 t' t. FINANCIAL INDICATORS Salaries as%of Total Exp 33% 35% 35% 34% ' % Change in Total Exp 4% 6% -2% • %Change in Total Rev 3% 5% 0% • % Change in NCC 6% 19% -22% Special Note to the Reader Table Description Federal and State revenues finance over ninety- The table above represents information in i one per cent of the Employment and Human aggregate format summarizing expenditures, Services Department (EHSD) budget. These revenues, and net County costs for the General t revenues come to the County as program- Fund budget units. • specific allocations from the State, which are determined by the State Legislature in adoption Major Department Responsibilities ± ® of the State Budget. Because EHSD does not currently have the allocations for FY 2006-2007, the Department has included in this budget a The Employment and Human Services "best guess" estimate of revenues and program Department, in partnership with the community, changes based on the Governor's Budget provides services that support and protect released in January 2006. Amounts will change families, individuals and children in need, and with eventual adoption of the State budget. promotes personal responsibility, independence and self-sufficiency. • County of Contra Costa FY 2006-2007 Recommended Budget 161 l� Q Q Employment and Human Services Q Health and Human Services Q Ann Adler Children and Family Trust Q Q FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 O General Fund Actual Budget Baseline Recommended Chane Q EXPENDITURES O Services and Supplies 16,823 92,461 92,461 92,461 0 Q Total Expenditures 16,823 92,461 92,461 92,461 0 Q REVENUE Q Other Local Revenue 17,223 92,461 92,461 92,461 0 Q Gross Revenue 17,223 92,461 92,461 92,461 0 Q NET COUNTY COST(NCC) -400 0 0 0 0 Q Q FINANCIAL INDICATORS O •Change in Total Exp 450% 0% 0% • Change in Total Rev 437% 0% 0% Q • Change in NCC -100% 0% 0% O Q Description: In 1991, the Board of Supervisors - Q 11 created the Ann Adler Children and Family Q program with oversight from the Family and Service: Discretionary O Children's Commission. Donations received Level of Service: Discretionary from individuals, public, private and other Q agencies are allocated through contracts to Expenditures: $92,461 O support programs for the care of abused, Financing: 92,461 neglected and at risk children. Net County Cost: 0 Q Funding Sources: Q Local 100% $92,461 Q FTE: N/A 0 Q Q Q Q Q Q Q 0 Q Q Q Q 172 County of Contra Costa FY 2006-2007 Recommended Budget Q 0 t std • Employment and Human Services Health and Human Services for current and former foster youth eligible for 11. County Children's Trust c ^ federal foster care funds when transitioning out of the foster care system. The program is Description: In 1982, AB 2994 allowed focused on assisting participants to function as Counties to establish funding through birth . self-sufficient adults (the program has identified certificate fees. The Family and Children's t . over 900 youth between the ages of 15'/ and 21 Commission (FACT) makes recommendations who are eligible for services throughout Contra for various contract funding to provide child • Costa County). abuse prevention services. Fees are deposited 4 • in a special fund separate from the General y Fund. Service: Mandatory I CountyChi'ldre'n's Trust Fund 132800 Level of Service: Discretionary • Service: Discretionary Expenditures: $1,060,910 Level of Service: Discretionary Financing: 884,925 Net County Cost: 175,985 Expenditures: $201,579 Financing: 201,579 Funding Sources: Net Fund.Cost: $0 Federal 83.4% 884,925 ` General Fund 16.6% 175,985 Funding Sources: Fees 100.0% $201,579 FTE: 1.5 FTE: N/A i • • k - • ti r 1 i County of Contra Costa FY 2006-2007 Recommended Budget 171 I 0 - Employment and Human Services,, . o 0 Health and Human Services a administers the licensing of foster homes under 9. Foster Care Payments 0 a Memorandum of Understanding with the O California Department of Social Services. In Description: Provides for the care of children in addition to the regular licensing unit, the County foster homes. o has established the "Options for Recovery o Heritage Project'which is 100% grant funded. a. Foster Care-A federal, state and County This program recruits and trains foster parents funded program that provides payment for o or relatives to care for drug and alcohol exposed the care of foster children in the custody of infants and arranges respite care for families to the County. A total of 1,434 cases are encourage placement of foster children in budgeted for FY 2006-07. o homes that reflect their racial and cultural O heritage. b. County Board and Care- Provides for children not eligible for federal or state 0 TANF foster care. A total of 72 cases are budgeted for FY 2006-07. 0 Service: Discretionary 0 Level of Service: Mandatory C. SED(Seriously Emotionally Disturbed) - A State and County funded program that 0 Expenditures: $1,103,364 provides payment for the care of foster Financing: 1,075,211 children in the custody of the County who Net County Cost: 28,153 have a high level of care related to serious emotional problems. The Department Funding Sources: makes payments to institutions. The Health 0 State 77.1% $850,211 Services Department, Mental Health 0 Federal 20.4% 225,000 Division has the responsibility to case General Fund 2.5% 28,153 manage these children. A total of 28 cases Q are budgeted for FY 2006-07. Q FTE: 4.0 d. KinGAP—This is a program for children 0 placed with relatives who will be paid a 8. Aid to Adoptions Program (AAP) foster home rate. A total of 235 cases are budgeted for FY 2006-07. 0 Description: Provides payments to families inQ the adoption process or who have adopted 0 children into their care. A total of 1,725 cases are budgeted for FY 2006-07. Service: Mandatory 0 Level of Service.- Mandatory Expenditures: $35,882,237 O Service: Mandatory Financing: 24,017,978 0 Level of Service: Mandatory Net County Cost: 11,864,259 0 Expenditures: $15,992,040 Funding Sources: 0 Financing: 13,476,769 State 30.8% $11,067,387 0 Net County Cost: 2,515,271 Federal 36.1% 12,950,591 General Fund 33.1% 11,864,259 0 Funding Sources: O State 40.5% $6,467,458 FTE: N/A 0 Federal 43.8% 7,009,311 General Fund 15.7% 2,515,271 0 10. Independent Living Skills FTE: N/A 0 Description: Provides individual and group o support services, including practical skill building 0 170 County of Contra Costa FY 2006-2007 Recommended Budget 0 0 0 "' 11 Employment and Human Services Health and Human Services differential response system that provides a Child Welfare Services Summary customized response to reports of abuse and ` neglect. These funds are helping build Service: Mandatory community capacity to provide prevention and Level of Service: Mandatory early intervention services to families outside of the Child Welfare System. Expenditures: $54,950,281 Financing: 44,128,895 • a. Emergency Response-Children's Net County Cost: 10,821,386 Services Emergency Response provides 24- hour, 365 days per year response to Funding Sources: • allegations of child abuse. Persons Expenditure Transfer 0.2% 100,000 reporting abuse and neglect call the Local 0.6% 350,345 centralized screening unit where social State 36.1% 19,837,404 workers make a determination on what Federal 43.4% 23,841,146 course of action to take in order to protect General Fund 19.7% 10,821,386 • children (21,344 calls in 2005). FTE: 338.7 b. Family Maintenance- Family maintenance • services are arranged for and provided by Children's Services staff in order to maintain r♦ children in their own homes. The social 6. Family Preservation Program , workers are actively involved in working with Description: Various contracts to provide families to address the issues that brought them into the Child Welfare system. An intensive social work services to children and • average of 600 children are provided with families when the child is at risk of out-of-home family maintenance services each month. placement. This program has an excellent success rate in preventing children's entry into c. Family Reunification-When the Juvenile the labor intensive and expensive out-of-home 0 Court orders a child removed from the placement system. This program reduces parent's care due to abuse or neglect, overall County costs for foster care. ='t services are provided to remedy the n conditions that led to the removal. A reunification plan is developed to resolve those issues that brought the family to the Service: Discretionary • attention of the Court. As appropriate, Level of Service: Mandatory ' visitation between the child and parent is 0 facilitated. In FY 04-05, 339 children were Expenditures: $1,762,100 • reunited with their families, and staff Financing: 1,631,111 provided reunification services for an Net County Cost: 130,989 average of 585 children each month. Funding Sources: d. Permanency Planning- Planning services State 48.8% $860,000 i assist children in establishing a permanent Federal 43.8% 771,111 family. The law requires that adoption be General Fund 20.0% 352,748 the first permanent plan pursued if General Fund 7.4% 130,989 ' w reunification between the parent and child is not successful. In FY 04-05, 242 children FTE: 0.6 were adopted. We currently are working with approximately 2,034 children on permanency plans. 7. Foster Home Licensing • Description: Processes applications for foster home licenses and provides support services to licensed foster care parents. The County • County of Contra Costa FY 2006-2007 Recommended Budget 169 Nv Employment and Human Services O Health and Human Services O O 2. Adoption Assistance Program Eligibility Child Abuse O Description: Eligibility determination for cash Service: Discretionary O assistance to adoptive parents. Level of Service: Mandatory O . . . Expenditures: $359,301 O Financing: 330,181 O Service: Mandatory Net County Cost: 29,170 O Level of Service: Discretionary Funding Sources: Expenditures: $139,731 State 91.9% $330,181 Financing: 139,731 General Fund 8.1% 29,120 Q Net County Cost: 0 O FTE: N/A O Funding Sources: State 50.0% $69,866 O Federal 50.0% 69,865 5. Child Welfare Services O FTE: 0.7 Description: Children's Services staff work with O families to ensure the safety of children and to assist families and children in reaching their full O 3. Foster Care Eligibility potential. When children cannot be cared for by O their families due to safety issues, they are Description: Eligibility determination for cash placed with families that can make a lifelong Q assistance for care of children placed in foster commitment to them. The Department works in O homes and institutions. collaboration with the community toward healthy independence for families and their children. Services encompass an array of activities that Service: Mandatory include receiving child abuse referrals from the Q Level of Service: Mandatory community, investigation of child abuse allegations, petitioning the Juvenile Court in O Expenditures: $4,703,232 dependency matters, provision of in-home and O Financing: 4,503,232 out-of-home services to ameliorate abuse and Net County Cost: 200,000 neglect issues, and adoption. Q Funding Sources: O State 57.0% $2,678,888 The overall Child Welfare Services component is Federal 38.8% 1,824,344 being changed with the addition of the Child Q General Fund 4,2% 200,000 Welfare Redesign program. Child Welfare O Redesign changes the way services are FTE: 30.2 delivered, switching the focus from the process O to the outcome for children. Goals include: Increasing community capacity to provide a safe 4. Child Abuse Prevention Contracts environment free from abuselneglect for O children; increasing the capacity of families to provide a safe and nurturing environment for O Description: Various contracts provide child children; increasing successful permanency abuse prevention services authorized under outcomes for children in the Child Welfare AB 1733 and support the Zero Tolerance for System; and increasing placement resources for Q Domestic Violence program. children in out-of-home care. O Various contracts with community providers O support the work toward these goals. Emphasis O for expenditures is on implementation of a O 168 County of Contra Costa FY 2006-2007 Recommended Budget O O 0 [, r ^s • Employment and Human Services b • Health and Human Services • Children and Family Services FY 2004 05 FY 2005-06 FY 2006-07 FY 2006 07 FY 2006-07 . General Fund Actual Budget Baseline Recommended Chane EXPENDITURES • Salaries and Benefits 37,030,874 39,651,312 42,938,085 39,664,821 -3,273,264 • Services and Supplies 30,412,481 27,128,440 28,788,307 28,788,307 0 Other Charges 46,509,780 44,556,675 50,727,153 50,727,153 0 • Expenditure Transfers -51,291 -100,000 -100,000 -100,000 0 • Total Expenditures 113,901,844 111,236,427 122,353,545 119,080,281 -3,273,264 J11 y'. REVENUE • Other Local Revenue 1,831,112 159,000 350,345 350,345 0 Federal Assistance 53,325,770 44,137,748 47,576,293 47,576,293 0 • State Assistance 42,831,091 51,589186 44,688,480 44,688,480 0 Gross Revenue 97,987,973 95,885,934 92,615,118 92,615,118 0 • NET COUNTY COST(NCC) 15,913,871 15,350,493 29,738,427 26,465,163 -3,273,264 • ie i ire Allocated Positions (FTE) 406 396 394 387 -7 • FINANCIAL INDICATORS Salaries as% of Total Exp 32% 36% 35% 33% % Change in Total Exp -2% 10% -3% • %Change in Total Rev -2% -3% 0% d°.+ 'n • % Change in NCC -4% 94% -11% s • P d` on Services s6mma 40 Description: The Children and Family Services , Bureau provides services to children and ® families to ensure family stability and self- Service: Discretionary sufficiency, and the safety and well-being of Level of Service: Mandatory children. Programs include Child Welfare • Services, Child Welfare Redesign, Differential Expenditures: $3,227,085 Response, Kinship Services, Family Financing: 2,527,085 Preservation, Adoptions, Foster Care, eligibility Net County Cost: 700,000 • for financial support and a variety of financial assistance programs. Funding Sources: State 78.3% $2,527,085 1. Adoption Services General Fund 21.7% 700,000 Description: This program provides adoption FTE: 11.3 services to children who are available for adoption under the Civil Code and Welfare& Institutions Code, and processes stepparent adoptions on a fee-for-service basis. County adoption agencies operate under license from • the State. • tr County of Contra Costa FY 2006-2007 Recommended Budget 167 't Employment and Human Services O O Health and Human Services O In-Home Supportive'Services (IHSS) Public Authority O O FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 0 IHSS Public Authority Actual Budget Baseline Recommended Chane O EXPENDITURES O Salaries and Benefits 897,887 1,055,263 1,228,385 1,228,385 0 O Services and Supplies 293,840 521,097 439,959 439,959 0 O Other Charges 197,689 134,831 136,370 136,370 0 Total Expenditures 1,389,416 1,711,191 1,804,714 1,804,714 0 O REVENUE O Other Local Revenue 0 409,809 409,809 409,809 0 O Federal Assistance 596,378 789,796 789,796 789,796 0 State Assistance 522,700 522,700 325,979 325,979 0 Gross Revenue 1,119,077 1,722,305 1,525,584 1,525,584 0 O NET FUND COST(NFC) 270,338 -11,114 279,130 279,130 0 O O FINANCIAL INDICATORS O Salaries as%of Total Exp 65% 62% 68% 68% O • Change in Total Exp 23% 5% 0% • Change in Total Rev 54% -11% 0% •Change in NFC -104% 2612% 0% O O Description: The Public Authority is associatedi Public Authority Fund 115500 O with the Aging and Adult Services Bureau and O provides registry and referral service, screens Service: Mandatory registry applicants, assists IHSS recipients with Levet of Service: Discretionary O hiring IHSS providers, trains providers and O recipients, serves as employer of record for Expenditures: $1,804,714 IHSS providers, provides staff support to the Financing: 1,525,584 O IHSS Advisory Committee and performs other Net Fund Cost: 279,130 O Board approved functions related to the delivery of In-Home Supportive Services. Funding Sources: O Transfers 22.7% $409,809 State 18.1% 325,979 O Federal 43.8% 789,796 O Fund Balance 15.4% 279,130 FTE: 15.0' O Q Employees of the Public Authority(not County O employees). O O O O O O 166 County of Contra Costa FY 2006-2007 Recommended Budget O 0 Employment and Human Services Health and Human Services 0 Medi-Cal Eligibility Summary 7. In-Home Supportive Services Program • Service: Mandatory Administration Level of Service: Mandatory . Description: Provides administration of the In- Expenditures: $32,495,744 Home Supportive Services (IHSS) program and Financing: 35,214,969 determines eligibility for services. Assesses the • Net County Cost; -2,719,225 need for in-home services and processes Funding Sources: payments to those who provide services to • State 104.5% $33,945,844 aged, blind and disabled recipients, allowing them to safely remain in their own homes and Federal 3.9% 1,269,125 avoid institutionalization. • General Fund -8.4% -2,719,225 FTE: 218.0Supportive Program Administration Summary t +♦ 6. In-Home Supportive Services (IHSS)/ Service: Mandatory Personal Care Services Payments Level of Service: Discretionary Description: Funds payments to individuals Expenditures: $6,838,353 Financing: 6,838,353 who provide in-home supportive services (IHSS) Net County Cost: 0 to eligible individuals who are unable to care for themselves at home. The State makes • payments for services and collects the County Funding Sources:State 30.8/°° $2,102,504 share of costs. The budget for FY 2006-07 is . Federal 69.2% 4,735,849 based on approximately 6.5 million case hours. �. The State charges the County for use of the FTE: 38.0 payroll system, payroll taxes, and worker's • compensation. The County provides health and retirement benefits for IHSS providers with an • approximate cost of$8.5 million. is Service: Mandatory Level of Service: Discretionary • Expenditures: $17,909,192 Financing: 17,767,916 Net County Cost: 141,276 s Funding Sources: ` Local 3.8% $670,996 r State 59.8% 10,707,824 Federal 35.7% 6,389,096 . General Fund 0.7% 141,276 !d FTE: N/A County of Contra Costa FY 2006-2007 Recommended Budget 165 O Employment and Human Services O Health and Human Services O O services caregiver support, and elder abuse through telephone assistance and O prevention services to over 15,000 seniors community outreach services to over 23,600 O annually. callers annually. O Service: Mandatory Service: Discretionary O Level of Service: Discretionary Level of Service: Discretionary O b. Multipurpose Senior Service Program- Area Agency . . . O Provides case management services for 200 Medi-Cal recipients age 65 and over, to Service: Varies by subprogram O prevent unnecessary nursing home Level of Service: Varies by subprogram placement. O Expenditures: $5,851,551 O Service: Discretionary Financing: 5,723,075 Level of Service: Mandatory Net County Cost: 128,476 0 c. Linkages—Provides case management Funding Sources: O services for 100 disabled adults who are at Expend. Trnsfrs 27.2% $1,590,191 O risk of placement into nursing homes. This Local 6.4% 374,243 program organizes community services and State 44.6% 2,609,017 O pays for a limited number of services to Federal 19.6% 1,149,624 maintain people in their homes. General Fund 2.2% 128,476 Service: Discretionary FTE: 7.0 O Level of Service: Mandatory O d. Health Insurance Counseling and 5. Medi-Cal Eligibility O Advocacy Program (HICAP)— Provides Descrition: Eliibilitdetermination for Medi- O pgy health insurance counseling and community Cal programs. This is a group of ten major 0 education services to over 8,000 individuals Medi-Cal care programs that provide through a corps of trained volunteers. comprehensive medical services to children and Service: Discretionary adults in low-income families. Programs O Level of Service: Mandatory include: O e. Long-Term Care Integration Pilot ' Medically Needy Adults O Project-Community-based planning effort Medically Needy Families Primary Low Income Families— 1931(b) in cooperation with the Health Services Medically Indigent Children O Department to develop a plan to integrate health and social services for elders and Medically Indigent Adults O disabled adults. Programs for Pregnant Women &Children • Minor Consent(no adult consent required) Q Service: Discretionary ' Medicare Savings Programs O Level of Service: Discretionary ' Special Treatment Programs (i.e., dialysis, TPN, TB) O f. Information and Assistance- Provides Public Assistance Programs O information about Countywide services for seniors. Assists seniors and their family O caregivers in choosing services appropriate O to their individual needs and circumstances O O O O O 164 County of Contra Costa FY 2006-2007 Recommended Budget O 0 _ a Employment and Human Services Health and Human Services w, alcoholism. Lanterman-Petris-Short Conservatorship is mandated by the Welfare • and Institutions Code. Conservatorship Service: Mandatory intake is handled by the Employment and Level of Service: Mandatory . Human Services Department, while ongoing conservatorship services are handled by the Expenditures: $16,196,970 h Health Services Department. Financing: 16,146,748 Net County Cost: 50,222 Service: Mandatory Level of Service: Discretionary Funding Sources: i: • State 92.2% $14,928,014 ., d. Information and Assistance - ProvidesFederal 7.5% 1,218,734 r' i telephone service during daytime working General Fund 0.3% 50,222 hours to direct the inquiring public to appropriate County programs or to service FTE: 60.0 agencies in the community. Service: Discretionary ' Level of Service: Discretionary 3. Food Stamp Employment Training Program , y ; e. Out-of-Home Care for Adults- Provides a Description: Provides administration of federal list of licensed out-of-home care facilities to employment program targeting able-to-work ' the public upon request. There is no staff individuals who are receiving food stamps. exclusively dedicated to this program. .. . MMMM= %. Service: Mandatory Level of Service: Mandatory Service: Discretionary Level of Service: Discretionary Expenditures: $749,861 ` Financing: 749,861 Service: Varies by subprogram Net County Cost: 0 Level of Service: Varies by subprogram g • Expenditures: $4,470,690 Funding Sources: Financing: 4,463,520 State 17.9°l0 $133,839 Net County Cost: 7,170 Federal 82.1% 616,022 � Funding Sources: FTE: 3.0 u: • Local 0.2% $10,000 State 98.5% 4,405,520 Federal 1.1% 48,000 4. Area Agency on Aging (AAA) General Fund 0.2% 7,170 Description: The Area Agency on Aging FTE: 28.0 supports senior and disabled adult independence and access to community-based services through service contracts and direct 2. Food Stamps Eligibility staff involvement. Planning and advocacy services are provided on behalf of 150,000 Description: Provides determination of County residents age 60 and over. eligibility for food stamps for non-cash assisted families. a. Title Ill Grants for State and Community Programs on Aging-Title III grants provide supportive social services, congregate • meals, home delivered meals, in-home . County of Contra Costa FY 2006-2007 Recommended Budget 163 3 � O Employment and Human Services O Health and Human Services O O O CAO's Recommendation O Baseline costs have increased by $20.7 million programs, increasing or decreasing the amount of O over the 2005-2006 fiscal year due to increased County General Funds necessary to run the O cost of compensation, services and supplies, and programs at the mandated levels. Options to O other charges. The anticipated level of revenues is address the impact of these federal and State projected to increase $14.4 million over the same budget changes are included in the EHSD Q period. Net increased costs in the baseline budget Considerations following this section. O total $6.3 million. Expenses in the FY 2006-07 Recommended O The Employment and Human Services Budget is Budget decrease $8.3 million from the FY 2006-07 comprised mostly of State and federal revenue. baseline expenditures, but the Recommended O Budget provides for an increase of$12.5 million in Q EHSD Funding Distribution expenditures from the current year budget. The O Summary chart reflects the total$8.3 million in reductions required to meet the targeted amount of Q General Fund support; however, the distribution of Other the reductions to the program areas will be largely O Net County Revenue Federal dependent on the Federal and State Q Cost 0.7% Assistance reimbursements. Therefore, the reductions shown 8.2% 51% in the program areas are"placeholders" at this Q time. Q Yy Reductions in the Recommended Budget are .O attributable to facilities consolidation (closing three buildings for nine months of savings), and a O I p reduction in the number of budgeted positions, O y*nCr£. �filfr�Y taking into account a vacancy factor that is the "* equivalent of 85 FTEs. The FTE count is a O reduction of 107 budgeted FTEs from the FY 2005- Q State 06 budget. Q Assistance 40.1% In the Recommended Budget, total revenues Q increase $14.4 million from the current year. The increase is attributable largely to State Realignment O The FY 2006-07 State Budget will not be approved revenue($9.8 million increase from FY 2005-06) Q until at least July 2006. The Recommended and Federal aid. The State is predicting a 9.59% Budget includes the cuts outlined in the Governor's overall increase in sales tax. The Department has Budget released January 2006. The reductions also budgeted for prior year reallocations from the proposed at this time, however, are subject to State. Based on past trends, the Department O change. anticipates receiving more than $3.5 million for Q various programs from the close out of FY 2004- Changes by the federal government, State 2005. Q Legislature and the Governor's vetoes will further impact the final funding levels provided to social Net County cost decreases $1.9 million from the 0 programs statewide. Changes made to the State current year. Q Budget, which impact programs administered by EHSD, may change match requirements in various Q O O O O O 180 County of Contra'Costa FY 2006-2007 Recommended Budget Q 0 I , i. • 3j �i • Employment and Human Services • Health and Human Services • Administrative Services • p • FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 • General Fund Actual Budget Baseline Recommended Change • EXPENDITURES • Salaries and Benefits 22,761,263 26,621,822 23,238,879 22,620,496 -618,383 • Services and Supplies 17,188,037 16,386,886 14,174,677 14,174,677 0 Other Charges 641,344 752,398 752,398 752,398 0 Fixed Assets 235,174 122,819 122,819 122,819 0 K . Expenditure Transfers -35,920,565 -35,898,498 -32,910,155 -32,910,155 0 T Total Expenditures 4,905,253 7,985,427 5,378,618 4,760,235 -618,383 • REVENUE Other Local Revenue 90,845 0 0 0 0 ' • Federal Assistance 6,163 512,201 512,201 512,201 0 , • State Assistance 4,796,016 8,209,018 4,248,034 4,248,034 0 IT Gross Revenue 4,893,024 8,721,219 4,760,235 4,760,235 0 • NET COUNTY COST (NCC) 12,230 -735,792 618,383 0 -618,383 • Allocated Positions(FTE) 189 187 154 149 -5 ' FINANCIAL INDICATORS `. • Salaries as%of Total Exp 56% 61% 61% 60% • %Change in Total Exp 63% -33% -11% ;`' • % Change in Total Rev 78% -45% 0% % Change in NCC -6116% -184% -100% rs, • • Description: The Employment and Human Administrative Services Summary Services Department Administrative Bureau rt • provides support services to all Departmental Service: Discretionary ; programs. Costs include contracts, budgets, Level of Service: Discretionary • claims, staff development, appeals, quality control, welfare fraud investigation, central Expenditures: $37,670,390 records management, fiscal compliance, Financing: 37,670,390 facilities, personnel, staff training, information Net County Cost: 0 technology, fixed assets, vehicles and building occupancy costs. Funding Sources: y' Expend Transfer 87.4% $32,910,155 State 12.6% 4,760,235 FTE: 149.0 County of Contra Costa FY 2006-2007 Recommended Budget 179 • 0 Employment and Human Services Health and Human Services 0 Service Integration Teams (SIT) 0 0 FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 0 General Fund Actual Budget Baseline Recommended Chane 0 EXPENDITURES 0 Salaries and Benefits 160,155 198,360 0 0 0 0 Services and Supplies 436,839 486,026 486,026 486,026 0 Fixed Assets 5,000 5,000 5,000 0 0 Expenditure Transfers -32,906 0 0 Total Expenditures 564,088 689,386 491,026 491,026 0 0 REVENUE 0 Other Local Revenue 417,373 499,371 458,026 458,026 0 Federal Assistance 0 33,000 33,000 33,000 0 0 Gross Revenue 417,373 532,371 491,026 491,026 0 0 NET COUNTY COST(NCC) 146,715 157,015 0 0 0 0 0 FINANCIAL INDICATORS 0 Salaries as%of Total Exp 27% 29% 0% 0% 0 •Change in Total Exp 22% -29% 0% O •Change in Total Rev 28% -8% 0% •Change in NCC 7% -100% 0% 0 0 Description: The Service Integration TeamsService Integration Summary 0 provide integrated delivery of mental health, O juvenile probation, substance abuse, public Service: Discretionary health, child welfare and employment services; Level of Service: Discretionary 0 assistance with TANF, Food Stamps and Medi- CAL eligibility; as well as a range of community- Expenditures: $491,026 0 wide services. Teams are located in Bay Point Financing: 491,026 0 and North Richmond. Team staff is budgeted Net County Cost: 0 within each department. 0 Funding Sources: O Local 93.3% $458,026 Federal 6.7% 33,000 0 General Fund 0.0% 0 0 FTE: N/A 0 0 0 0 0 0 0 0 178 County of Contra Costa FY 2006-2007 Recommended Budget 0 0 0 4 ' • Employment and Human Services Health and Human Services after receiving core and intensive services MIT,am I a . . • may receive training services. Employed individuals who have not attained economic Service: Discretionary self-sufficiency may also receive services, Level e:Service: Mandatory • including training. Training services include basic skills, occupational skills, on-the-job, Expenditures: $311,422 entrepreneurial and training programs that Financing: 311,422 combine workplace training with related Net County Cost: 0 instruction that may include skills upgrading and retraining. Funding Sources: • Local 3.5% $10,819 b. Dislocated Worker Program- Provides State 96.5% 300,603 • the same services as the Adult Program • except that Dislocated Worker funding may FTE: 1.6 only be used for participants identified as dislocated workers. Rapid Response funding augments this program. 3. Sectoral Funding Initiatives c. Youth Program- Provides employment Description: WDB continues to focus on services to youth including paid and unpaid work experience, occupational skill training, strategies to address business needs through tutoring, study skills training, alternative industry sector approaches. Funds presently secondary school services, mentoring and support the information technology and comprehensive guidance and counseling. healthcare/nursing sectors. Future initiatives will As part of the consolidation of youth address needs in the bioscience, construction, programs, federal legislation replaced the and manufacturing industries. Department of Labor grants supported through the Governor's � former Summer Youth Employment and �a Training Program with a year-round program Nursing initiative supports the upgrade training serving a smaller number of participants. for 100 nursing candidates, increasing the pool of licensed LVNs and Nurses. WIA funding through the Dislocated Worker Special Project WorkforceGrant will set up a training program to train 90 Employment entry-level process technicians to attain jobs in ® our local manufacturing/refining industry. This Service: Mandatory will seed our effort to build the pipeline of new Level of Service: Discretionary entrants into this industry sector Expenditures: $5,027,752 ' (� Financing: 5,027,752 Sectoral Net County Cost: 0 Service: Discretionary i Funding Sources: Level of Service: Mandatory Expend Transfer 2.3% $117,753 Federal 97.7% 4,909,999 Expenditures: $691,598 A Financing: 691,598 Net County Cost: 0 ® FTE: 10.0 Funding Sources: ® Federal 100% $691,598 2. Small Business Development FTE: 1.4 Description: Provides technical assistance to ® start-up and existing small businesses, providing ® economic development and stimulating entry- level job growth and self-employment activities. 8 ® County of Contra Costa FY 2006-2007 Recommended Budget 177 Employment and Human Services O Health and Human Services O Workforce Development Board O FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 O General Fund Actual Budget Baseline Recommended Chane O EXPENDITURES O Salaries and Benefits 747,754 1,542,253 1,807,641 1,807,641 0 O Services and Supplies 3,945,801 4,483,784 4,223,131 4,223,131 0 Other Charges 141,284 144,458 0 0 0 l' O Expenditure Transfers -63,587 -117,744 0 0 0 O Total Expenditures 4,771,252 6,052,751 6,030,772 6,030,772 0 O REVENUE O Other Local Revenue 126,856 10,000 10,819 10,819 0 O Federal Assistance 4,644,406 5,697,434 5,869,653 5,869,653 0 State Assistance 0 338,044 150,300 150,300 0 O Gross Revenue 4,771,262 6,045,478 6,030,772 6,030,772 0 O NET COUNTY COST(NCC) -10 7,273 0 0 0 Q O Allocated Positions (FTE) 11 12 13 13 0 Q O FINANCIAL INDICATORS O Salaries as%of Total Exp 15% 25% 30% 30% O •Change in Total Exp 27% 0% 0% • Change in Total Rev 27% 0% 0% O • Change in NCC 70780% -100% 0% O O Description: The Workforce Development of the Workforce Investment Act is the close O Board (WDB), in partnership with businesses, integration and coordination of various federal schools, community-based organizations and workforce development programs. The WDB governmental agencies, administers a programs serve over 11,000 individuals O comprehensive workforce development annually. Under the WIA mandate, the WDB O system that provides adults and youth with administers and coordinates the following: high quality labor market information, training, O and employment services. a. Adult Program- Using the One Stop Delivery System, this program provides core 1. Workforce Investment Act(WIA) employment services such as job search O Employment&Training and placement assistance, career counseling and initial assessment of skills. O Description: The Workforce Investment Act Core services are available universally with O of 1998 repealed the Job Training Partnership no eligibility requirement. Intensive services Act (JTPA) and rewrote federal statutes such as comprehensive assessments, group Q governing programs of job training, adult and individual counseling, and case 0 education and literacy, and vocational management are provided to unemployed rehabilitation, replacing them with streamlined workers who are unable to obtain O and more flexible components of workforce employment through the core services. development systems. The major emphasis Participants unable to obtain employment O O O 176 County of Contra Costa FY 2006-2007 Recommended Budget O 0 i Employment and Human Services Health and Human Services 4. General Assistance &Work Programs 5. SSI Advocacy Eligibility Description: Assists GA clients, CaIWORKs i Description: This program determines eligibility clients, and others with a verified disability which for General Assistance payments and provides has lasted, or is expected to last, at least 12 assistance to adults who are not eligible for months, to apply for Supplemental Security i State or federal assistance payments. General Income (SSI) benefits and, as needed, to appeal i assistance payments provide cash assistance denial of benefits. The cost of these services is primarily to single unemployed adults. Included budgeted in the Adult and Aging Services are other services required to maintain eligibility Bureau under CSBG and APS. . (or full cash assistance) such as work programs, f mental health and substance abuse treatment, Service: Discretionary and shelter beds. Ongoing case management is Level of Service: Discretionary also included. 6. Indigent Interment • Description: Pays for the cremation and burial, s Service: Mandatory in cemetery lots or niches, of indigent Level of Service: Mandatory decedents. Expenditures: $1,724,569 • Financing: 0 Net County Cost: 1,724,569 Service: Mandatory Level of Service: Discretionary Funding Sources: General Fund 100% 1,724,569 Expenditures: $59,990 Financing: 12,600 All FTE: 22.4 Net County Cost: 47,390 Funding Sources: Local 21.0% $12,600 General Fund 79.0% 47,390 r` Service: Mandatory ® Level of Service: Discretionary FTE: N/A Expenditures: $753,072 Financing: 0 Net County Cost: 753,072 ® Funding Sources.- General ources:General Fund 100% $753,072 ® FTE: N/A ® County of Contra Costa FY 2006-2007 Recommended Budget 175 i O Employment and Human Services Q Health and Human Services 0 O a. CalWORKs Child Care-This is the bulk of (D funding used for CalWORKs recipients and Q former recipients. CalWORKs child care Service: Mandatory includes two stages of child care support (D Level of Service: Varies by subprogram while the CalWORKs participant is 1) first on O aid; and, 2) during aid and until the family is Expenditures: $59,974,089 stabilized. Once stabilized at Stage 2, O Financing: 59,884,301 CalWORKs clients are transferred to two O Net County Cost: 89,788 community child care partners—Child Care Council and PACE. California Department O Funding Sources: of Education and California Department of Q Expend Transfer 26.7% $16,000,000 Social Services share in the funding. Local 0.9% 565,229 Q State 9.9% 5,915,912 b. State Department of Education Child Federal 62.4% 37,403,160 Care- Pays for child care for low-income O General Fund 0.1% 89,788 parents who are off welfare, and provides O priority childcare services for children who FTE: 381.9 have protective services requirements. Q 11 �QITRIP M_ O 2. CalWORKs Cash Assistance (TANF) Service: Mandatory Description: Cash assistance to eligible Level of Service: Discretionary families based on income levels. Eligibility is O limited to a maximum of five years. When Expenditures: $12,206,566 O CafWORKs was implemented in January 1998, Financing: 11,980,580 the caseload was 13,404. The average monthly Net County Cost: 225,986 O caseload budgeted for FY 2006-07 is 9,582. O Funding Sources: State 19.4% $2,367,718 O Federal 78.8% 9,612,862 Service: Mandatory General Fund 1.8% 225,986 0 Level of Service: Mandatory FTE: 32.7 O Expenditures: $67,891,380 0 Financing: 66,022,980 Q Net County Cost: 1,868,400 O Funding Sources: O State 15.4% 10,429,807 Service: Mandatory Federal 81.9% 55,593,173 Level of Service: Discretionary General Fund 2.7% 1,868,400 O Expenditures: $11,307,475 FTE: N/A J1 Financing: 11,144,536 O Net County Cost- 162,939 3. Child Care Program Funding Sources: 1 O State 37.0% $4,175,549 Q Description: This program determines eligibility Federal 61.6% 6,968,987 for subsidized child care, including State- General Fund 1.4% 162,939 0 required reporting and documentation, and O making payments to child care providers. FTE: N/A O O O 174 County of Contra Costa FY 2006-2007 Recommended Budget Q 0 r d • Employment and Human Services z • Health and Human Services • • Workforce Services • • FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 . General Fund Actual Budget Baseline Recommended Change • EXPENDITURES . Salaries and Benefits 34,528,809 37,238,923 42,761,886 42,435,019 -326,867 Services and Supplies 24,831,222 29,972,781 36,115,413 36,115,413 0 Other Charges 71,575,059 76,410,171 75,366,709 75,366,709 0 Expenditure Transfers -15,346,031 -16,000,000 -16,000,000 -16,000,000 0 • Total Expenditures 115,589,060 127,621,875 138,244,008 137,917,141 -326,867 REVENUE • Other Local Revenue 268,562 16,964 577,829 577,829 0 Federal Assistance 96,593,524 102,674,568 109,578,182 109,578,182 0 State Assistance 17,626,869 19,572,151 22,888,986 22,888,986 0 • Gross Revenue 114,488,955 122,263,683 133,044,997 133,044,997 0 . NET COUNTY COST(NCC) 1,100,105 5,358,192 5,199,011 4,872,144 -326,867 u; Allocated Positions (FTE) 449 455 496 437 -59 FINANCIAL INDICATORS Salaries as% of Total Exp 26% 26% 28% 28% % Change in Total Exp 10% 8% 0% • % Change in Total Rev 7% 9% 0% % Change in NCC 387% -3% -6% ' t Description: The Workforce Services Bureau b. CaIWORKs Employment Services- provides financial support and services to low- Provides case management of CalWORKs income clients, including necessary supportive recipients who have a Welfare-to-Work ® services, to help heads of families and single (WTW) requirement. WTW activities are adults to obtain and retain employment. intended to help participants obtain and • retain employment, and include supportive 1. CaIWORKs Programs (including CaIWINI) services such as housing, transportation, child care, and referrals for substance • a. Ca/WORKs Eligibility- Provides eligibility abuse, mental health and domestic abuse. ® determination for CaIWORKs cash aid, Special support service programs are also supportive services, and those who have a included. Welfare-to-Work requirement. Case ® management is also included. This program Service: Mandatory component also includes funding for staff Level of Service: Discretionary n ® development and welfare fraud. ® Service: Mandatory ® Level of Service: Mandatory ' K County of Contra Costa FY 2006-2007 Recommended Budget 173 } L k� I O O Employment and Human Services O Health and Human Services O O O Q EHSD Considerations O FY 200612007 Q The Employment and Human Services Department is presenting budget balancing strategies that have O been considered in arriving at a balanced FY 2006/2007 budget. O Given that approximately 91% of EHSD's revenue is dependent on Federal and State policy and budget decisions, it makes sense to withhold any local program changes necessitated until Federal and State Q budget and policy impacts are better defined. EHSD will offer specific recommendations during 2006-07 O for a balanced budget following federal and State Budget decisions. O The following lists summarize options currently being considered by the Department in assembling a balanced spending plan for FY 2006-07. The Board's policy and direction is requested and welcomed. O Information and options are grouped by: O 1. Impacts of State Budget and Policy Proposals O 2. Impacts of Federal Budget and Policy Proposals O 3. Discretionary Services and Levels O O O O 1. Impacts of State Budget and Policy Proposals ONumber of Dollar Services Positions Reduction Impact Count OCalWORKs current year CCC share of this $2.3 million Loss of this revenue at mid-year would require allocation reduced$114 proposal is the $0 service reductions and County fund or other. O million equivalent of 23 FTE's revenue supplantation. O CalWORKS budget year allocation reduced in areas See below: See below: See below: 0 listed below: 0 $800,000 Service eligibility staff would be unavailable Eligibility Admin 8 FTE's $0 resulting in eligibility determination delays and Ocompliance violations. O 800 000 Service eligibility staff would be unavailable O Employment Services 8 FTE's $0 resulting in employment service delays and compliance violations. O 2 million Fewer eligibility staff to process eligibility O Quarter Report/Pros 20 FTE's $0 determinations and case management that could Budget result in delayed service and compliance violations. O O O O O O O County of Contra Costa FY 2005-2006 Recommended Budget 181 O 0 Employment and Human Services Health and Human Services 1. Impacts of State Budget and Policy Proposals—continued Number of Dollar • Services Positions Reduction Impact Count • r CalWORKs grants 4.07% CalWORKs family grant revenue would remain at COLA suspended N/A $60,555 653 for family of two and not increasing. (Cost • voidance CalWORKs childcare N/A $100,000 Fewer CaIWORKS parents would receive Stage 1 • reduced $0 childcare. Cost of livingincreases 2.8%in'06 will be delayed • N. SSI/SSP COLA N/A Unknown three months and the January'07 amount delayed delayed to 7/1/08. h' Medi-Cal,CalWORKs, Routine cost of doing business increases will need :a and Family Services Unknown $4.2 million to be absorbed within existingallocations— increased cost of doing • a workloads will increase and service deliverywill business eliminated. deteriorate. • 2. Impacts of Federal Budget and Policy Proposals • Services Number of Dollar Impact • Positions Reduction TANF Reauthorization Unknown Unknown Many core CalWORKs policy areas,program . requirements,and service delivery designs will Increases Work Partici ation Rates change with the implementation of the new Act. 33s' P Recalibrates caseload • reduction credits from ^ baseline of FFY 1995 to . FFY 2005 t Narrows work activity • definitions and '< standardizes verification of - hours. Promotes Healthy Marriage and Responsible • Fatherhood Food Stamps Unknown Unknown Feds would eliminate caregiver Food Stamp • eliq ibility to TANF persons not receiving cash aid. . s Medicaid Unknown Unknown Feds propose to reduce Medicaid scope of benefits; narrow eligibility; limit reimbursement to government providers;narrow term;restrict rehab • services;limits on Admin costs. WIA Unknown Unknown Proposal is again to consolidate adult,dislocated workers,youth, and State grants into a single block rant and reduce 15%. x 6 F . i 182 County of Contra Costa FY 2006-2007 Recommended Budget • z ''*, '4. r •° "�e`'k tz csyat ° r ark RVvT� �. . n 1 4 + tr �. Yai Zs eR R, O Employment and Human Services Health and Human Services O O 3. Discretionary Services and Levels OServices Number of Total Impact OPositions Count $ O MID-Provides assistance to Medi-Cal eligible Adult Services Health $991,841 adults to gain access to medical services and O Related and Information& N/A $0 information/referrals to service agencies. For Assistance each of the 11 FTEs lost,approximately 350 O service requests per month would go unanswered. MID-Provides social worker response and Oinvestigation of reports that adults are exploited, Adult Protective Services 15.6 $3,336420 neglected or physically abused. For each of the O $481,194 15.6 FTEs lost,about 17 fewer allegations would O be investigated per month,placing people at further risk, ^ DID-Provides assessments of individuals J suffering from mental illness and alcoholism and OAdult Conservatorship785 040 offers recommendations to Superior Court on Intake $113,222 3.5 Conservatorship. Consider transfer of program O to HSD-Mental Health who will need to determine the impact of this program transfer w/o EHSD O funding. DIM-Program provides Medicare and O Agency on Aging-Health prescription drug health insurance counseling Insurance Counseling and $186,037 and community education services to Medicare O Assistance Program unknown $42,961 recipients. Reduction/elimination of this (HICAP) expenditure would reduce employee counseling Ocapability and oversight of volunteer counselors. DIM-Provides assistance to 100 disabled adults OAgency on Aging- 343 112 who without services would risk placement into Linkages unknown $121,476 nursing homes. Program also supports the local O LTC Planning/Implementation effort. O DID-Community-based planning effort to develop a program of health and social services O Agency on Aging-Long- unknown $15,000 integration for elder and disabled adults. Term Care Integration $15,000 Elimination would end EHSD progress on O building a LTC Program Integration as directed by the Board of Supervisors. ODIM-Program provides case management Agency on Aging-Multi- $1,086,812 services for 200 Medi-Cal recipients age 65+to OPurpose Senior Services unknown $362 953Prevent unnecessary nursing home placement. Program(MSSP) Program also supports our LTC Integration OProgram initiative. DID-Provides employment program targeting OFood Stamps Employment $754,779 able-to-work individuals receiving food stamps. O and Training 4.3 $71,111 Loss of the 4.3 FTEs and services would result in 516 persons not participating in work and 84 to O lose monthly Food Stamps benefits. MID-Funds salary and benefits payments to providers of in-home supportive services to OIn-Home Supportive $84.493.230 eligible people who are unable to care for Services Provider Costs N/A $16,282,221 themselves at home. Any reduction in County Ofunding is subject to a collective bargaining O agreement with Local 250. MID-Provides required registry and referral services,assists IHSS recipients with hiring IHSS O Public O Authority 13 $1.8054.714 providers,trains providers and recipients and$279,130 serves as employer of record. Reduction in any of the 13 FTEs would result in workload shifts Oand service delays. O O O County of Contra Costa FY 2005-2006 Recommended Budget 183 O O Employment and Human Services • Health and Human Services • p 3. Discretionary Services and Levels—continued • I'w. Number of Total Services Impact g Positions Count $ • F' DID—Provides same day,demand-response, employment-related transportation services. 67%of the 396 riders use this service daily to get CalWORKs Rides to 310 000 to work and 33%use the service to get to Job • ' Success Unknown $310,000 Club. Elimination of the program would terminate the most viable transportation option for clients • without vehicles. Would negatively impact our ability to move people off aid and meet Pay-for- • ' '' Performance standards. DID-Service is designed to help remove the • transportation barrier CalWORKs clients face while employed by directly transporting their • x children to school or childcare. Approximately • 86%of the 636 children using the service are CalWORKs Children's Unknown $330,000 going to school and 14%are going to daycare. ., Transportation $330,000 Elimination of the program would force working parents to transport children via car(if available), walking,a multiple-stop bus ride,or school bus • ' service(if available). Elimination would negatively impact our ability to move people off aid and meet Pay-for-Performance standards. • DID-Provides one-time assistance to approximately 40 families to move closer to work, • CalWORKs Housing— 80 000 childcare,or public transportation. Elimination Relocation Unknown $80,000 would result in clients incurring greater • transportation costs leading to additional barriers to employment and job retention. • DID-One-time assistance to approximately 16 families to prevent the loss of housing due to CalWORKs Housing— NIA 28 000 financial hardship. Elimination of the program Emergency Assistance $28,000 would result in clients in need of this service t, becoming homeless and possibly losing their 'obs. DID—One-time assistance to approximately 26 CalWORKs Housing- $8,000 families exiting publicly funded transitional Transitional NIA $8,000 housing. Elimination of the program would result in clients needing this service becoming homeless and possibly losing their jobs. DID-Under this Public Defender contract, services are provided to reduce • or expunge past criminal records,charges or $85,000 convictions for approximately 100 persons per • CalWORKs Clean Slate N/A $85,000 year. Elimination of the program would result in greater barriers to employment and career advancement for clients with criminal records, and would result in continued reliance upon • public assistance. DID—Services are provided every month to over • 350 CalWORKs clients that have gone off aid to help them transition to self-sufficiency and reduce • the likelihood of returning to aid.Provides an CalWORKs Ancillary average of$50 for reimbursement for books, • Services Associated with N/A $479,794 uniforms,clothing, licenses,and other ancillary Job Retention $479,794 expenses associated with job retention. • Elimination of the program would make the • transition from public assistance to self- sufficiency more challenging,and would hinder our ability to meet Pay-for-Performance • standards. • • • 184 County of Contra Costa FY 2006-2007 Recommended Budget • • 0 O 0 Employment and Human Services 0 O Health and Human Services O 3. Discretionary Services and Levels -continued O Services Number of Total O Positions Count Impact O D/D—Over 350 CaWORKs clients that have gone off aid are provided an average of$308 per month in reimbursement for mileage,bus CalWORKs Transportation tickets,BART,and other transportation costs $1,575,943 O Services Associated with Job N/A $1,575,943 associated with job retention. Elimination of the Retention program would make the transition from public O assistance to self-sufficiency more challenging, O and would hinder our ability to meet Pay-for- Performance standards. O D/D-Under this contract with Health—Services, inpatient substance abuse treatment and Alternative General274 656 recovery is provided to approximately 512 O Assistance Program(AGAP) WA $274,656 indigent people per year. The intent of this contract is to provide needed services which may result in fewer persons applying for GA. O D/D-Assists over 230 eligible GA clients annually with obtaining SSI/SSP benefits and O SSI Advocacy for General3 $709,939 recovers GA funds expended on those who Assistance '4 $164,640 successfully obtain SSI/SSP. Reduction in this O program would result in higher GA costs over time. O D/D-Assists over 120 eligible clients annually SSI Advocacy for 707 580 with obtaining SSI/SSP benefits,thus improving O CalWORKS 3'3 $240,755 the clients'financial status and decreasing long- term costs to CaWORKs. OD/M-Provides adoption services to children, including home studies of families. 143 Oadoptions. Elimination of this contract with O CDSS would shift responsibility for public Adoptions Unknown $3.227.085 adoption services in our County to the State of $0 California. Depending on State performance, O Contra Costa children would/could continue in O foster care,which would impact foster care payment budget and our Performance Outcomes. O D/M-Provides match funding for many O community based child abuse prevention services and supports Zero Tolerance for Child Abuse Prevention N/A $861,666 Domestic Violence implementation plan. O $32,500 Eliminating match funds will close programs for O abused and neglected children and child care programs for at-risk families and significantly O reduce leveraged funds. D/D-In child welfare areas,contract parent O aides provide required transportation to medical 856 800 and dental appointments,tutoring,visits with Child Welfare Parent Aides N/A O $856,800 non-custodial parent and supervising visits with parents. Absent this contract,responsibility O would fall to CW social work staff. D/D-Two contract DV liaisons work with child O100 000 welfare staff in making decisions on cases that Child Welfare DV Liaison NIA $100,000 involve domestic violence and child placement. O Service results in better casework decisions and decreases in out-of-home placement. O O O O O O County of Contra Costa FY 2005-2006 Recommended Budget 185 O 0 • s: Employment and Human Services • rry Health and Human Services • 3. Discretionary Services and Levels -continued • Services Number of Total Positions Count Impact • DID-Receiving Centers geographically located in • Richmond,Concord and Antioch serve as assessment sites for children when they are • $600,000 removed from their homes due to abuse or neglect. Receiving Centers Unknown $600,000 Services include health screenings,clothing and • bathing, abuse/neglect assessments,follow-up for suitable placement and care transition. Prior to and • without RCs, kids were assessed at the scene of abuse/neglect or in a police vehicle. • DID-Under a contract with Mental Health,2 staff work with child welfare families to link up treatment • Mental Health Liaison NIA $137.523 services. 1,011 children required over$1 million in $34,380 treatment services last year. Absent this activity, • � ` many child welfare families would not access services necessary to keep their families together. DID-Via a contract with CCCOE,2 liaisons help • Social Casework Specialists get foster children into Education Liaison NIA $75.000 schools and get their Individualized Education $75,000 Planning(IEP)evaluations. Absent this service, • foster child educational needs may not be • addressed. `' DID-PHNs facilitate scheduling medical and dental . k 190 000 appointments for foster children and do screening Public Health Nurses Unknown $50,,05 for children in Receiving Centers. Reduction in service would result in less access to services for • '" abuse/neglect victims. DID-Child Welfare Services is routinely ordered by r the Juvenile Court to obtain drug testing services for ; Substance Abuse NIA $300,000 clients as part of reunification plans. Absent these Testing $300,000 contract resources,the courts will not approve • fir; reunification or recognize our reasonable efforts as required by law. • DID- Local six-bed group home developed jointly with Mental Health for foster children who are Rose Manning Youth96 000 severely emotionally disturbed and have N/A experienced multiple changes of placement. These • < Center $96,000 funds are used with EPSDT and FC dollars to provide care and prevent more costly out-of-county placements. DID-Two local six-bed group homes were developed as part of our emergency shelter care Youth Homes N/A $120,000 system when the county-run shelter closed. Without $120,000 these 24 hour emergency placement beds and services,kids would be placed in homes ill equipped to provide the level of care required. • MID-This contract with County Counsel provides $2,651,543 legal services and representation in Juvenile Court. • County Counsel N/ACounty Counsel would need to provide an $825,979 assessment of workload impact with any reductions • in this contract. DID-This family support program for first-time • $1,826,232 parents in Contra Costa County provides services • Welcome Home Baby N/A $429,314 resulting in a healthy start for approximately 1,100 yearly. Funding leverages First Five and TCM to provide these early intervention/preventive services. • • • • 186 County of Contra Costa FY 2006-2007 Recommended Budget • • MEN 1 11 1101111, • { O O Employment and Human Services O Health and Human Services O O 3. Discretionary Services and Leveis_-continued O O Services Number of Total Positions Count Impact OD/M-The required match allows these O discretionary dollars to contract with several Family Preservation $1,826,232 community based service programs for children in O Program N/A $429,314 out-of-home placement,or at-risk placement. Failure to provide these services would result in O increased placement costs. D/M-Under contract with the State,we process applications for foster home licenses and provide O Foster Home Licensing 5.3 $1,106,670 support services to the 349 licensed Foster O $256,459 Parents in the County. Absent this contract,we would use higher cost Foster Family Agency Homes and group homes. O D/D-This program serves babies and older Ochildren with alcohol and drug exposure issues, $819,79 0 who are in foster or relative care;and provides O Heritage N/A $163,942 their caregivers with respite care. Reduction in this contract service would negatively impact our O number of homes available to care for these children. OAgency Temp Cost374 000 D/D-As workload requirements change via State N/A and local budget reductions,fewer agency temps O Reductions $74,800 will be utilized.-10% D/D-County PSOs and private security services $1,495,000 currently provide service at most EHSD buildings. Security Services Unknown Reduction in the numbers will negatively impact O $299,000 response to emergencies or our ability to deter O . violence. M/D-EHSD volunteer services unit in Central-East and West County provides services that are OVolunteer Services N/A $435,400 unavailable to clients through state and federal $87,080 programs. This program adds to the department in Ocash, in-kind goods and volunteer hours valued at O over$2.46 million. M/D-Staff to the Workforce Development Board Oprovides services including administrative Workforce Development $357,484 assistance,strategic planning,board committee O Board Unknown $71 497 support,contract monitoring,consortium liaison, grant development and Board representation O within Contra Costa. A reduction of twenty percent would seriously erode support to the Board. OM/D-Administrative,support,supervisory and line Reorganization and Job staff reorganizations and job consolidations could Unknown ? result in compensation cost savings. This will be O Consolidation considered as part of any Federal,State or Local O -budget and ro ram reduction. M/D-Service delivery changes implemented in 05- O06 should result in longer term savings and cost Structural and Service avoidance,as well as improvements in service ODelivery Changes Unknown ? delivery. Current projects include: CaIWIN;Medi- Cal Service Center;CW System Improvement; O Scanning and Imaging;and Long Term Care OIntegration. O O O O O O County of Contra Costa FY 2005-2006 Recommended Budget 187 O 0 0 0 Health Services 0 0 William Walker, MD, Director Health and Human Services 0 Summary - Health Services Department O 0 FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 0 General Fund Actual Budget Baseline Recommended Change 0 EXPENDITURES 0 Salaries and Senefts 91,762,623 97,145,157 97,319,768 97,319,768 0 0 Services and Supplies 109,511,694 116,561,456 121,926,343 114,931,326 -6,995,017 Other Charges 72,391,150 73,306,097 46,902,454 51,367,454 4,465,000 0 Fixed Assets 38,704 170,002 210,002 210,002 0 0 Expenditure Transfers -9,168,005 -8,097,290 -8,542,443 -8,542,443 0 0 Total Expenditures 264,536,167 279,085,422 257,816,124 255,286,107 -2,530,017 0 REVENUE Other Local Revenue 49,715,548 58,437,709 32,184,113 32,758,793 574,680 0 Federal Assistance 19,526,387 19,316,860 16,892,607 16,892,607 0 0 State Assistance 103,758,698 115,027,696 116,347 473 116,697,473 350,000 0 Gross Revenue 173,000,634 192,782,265 165,424,193 166,348,873 924,680 0 NET COUNTY COST(NCC) 91,535,533 86,303,157 92,391,931 88,937,234 -3,454,697 0 0 Allocated Positions (FTE) 840 844 847 800 -47 0 0 FINANCIAL INDICATORS O Salaries as%of Total Exp 34% 34% 37% 37% Change in Total Exp 5% -8% -1% 0 %Change in Total Rev 11% -14% 1% 0 % Change in NCC -6% 7% -4% O 0 Table Description O The table above provides information in 0301 - Detention Facilities Programs 0 aggregate format summarizing expenditures, 0450-Public Health 0 revenues and net County cost for the General 0451 -Conservatorship/Guardianship Fund budget units within the Health Services 0452- Environmental Health 0 Department. This table does not include the 0460-California Children's Service 0 Hospital, Health Plans, or any of the special 0462- Mental Health Emergency Care funds administered by the Department. Included 0463-Homeless Program 0 is data for the following budget units: 0465-General Fund Subsidy to Enterprise 0 Funds 0 0466 -Alcohol and Other Drugs Program 0467 - Mental Health 0 0 0 0 0 0 County of Contra Costa FY 2006-2007 Recommended Budget 189 0 f • Health Services • William Walker, MD, Director Health and Human Services • Enterprise Funds and General Fund • FY 2006-07 • FY 2005-06 FY 2006-07 Recommended FY 2006-07 • All Funds Program Costs Budget All Change in x Budget All Funds Funds Service Level • - ` n Total Expenditures 689,858,379 688,891,304 692,061,895 3,170,591 • Gross Revenue 602,993,184 586,328,980 603,124,661 16,795,681 • t=� NET PROGRAMS 86,865,195 102,562,324 88,937,234 -13,625,090 • • Funded PositionsA 2,604 2,593 2,501 -92 • A Does not include temporary,overtime,registry and contract employees • • • Table Description F • The table above provides information in 0462 - Mental Health Emergency Care • aggregate format summarizing expenditures and 0463- Homeless Program revenues in the main budget units administered 0466-Alcohol and Other Drugs Program • by the Health Services Department-the 0467-Mental Health • General Fund Units and the Enterprise Fund0540-Hospital and Clinics Units. These units comprise the bulk of the 0853-Hospital Fixed Assets • services provided by the Department. Service 0860-Contra Costa Health Plan impacts to the Health Services Department in 0863 -Health Plan Fixed Assets the recommended budget total$13.6 million. 0861 - Major Risk Insurance Program Included are data for the following budget units. 0301 -Detention Facilities Programs The following are NOT included in the table above: • 0450-Public Health 0469-Tobacco Tax Fund • 0451 -Conservatorship/Guardianship 0470- Proposition 36 • ; 0452 -Environmental Health 0471 - Emergency Medical Services 0460-California Children's Service ,0585-Domestic Violence Assistance • 7405-Ambulance Service Area • �t; 190County of Contra.Costa FY 2006-2007 Recommended Budget • A f 0 0 Q Health Services Q Health and Human Services 0 Detailed Budget Table Description For all residents, CCHS is responsible for Q maintaining a healthy environment(through the Q The table on the following page provides Environmental Health and Hazardous Materials information by budget unit summarizing programs) and coordinating the County's o expenditures, revenues and net County costs for network of ambulance services. Q each of the budget units administered by the Health Services Department. The Public Health Division's services include Q HIV/AIDS, TB and communicable disease 0 Major Department Responsibilities testing and treatment, immunization clinics,healthcare for the homeless, public health 0 nursing, the public health laboratory, senior Contra Costa Health Services cares for and im- nutrition program, the WIC program, maternal 0 proves the health of all people in Contra Costa and child health promotion, and prevention/ Q County with special attention to those who are education activities aimed at negative health most vulnerable to health problems, conditions such as smoking and obesity. O Contra Costa County is one of the few counties The Mental Health Division operates separate 0 in the country to offer the full spectrum of health- systems of care for adults and children through Q related services under one organizational a network of clinic-based treatment, support and structure. The Contra Costa Health Services crisis services, and maintains a broader service Q Department's (CCHS) responsibilities cover network through contracts with community Q health at every level: the individual, the family, providers. The Alcohol and Other Drugs and the community. CCHS tries to prevent Division maintains a continuum of substance Q disease by removing risks and promoting abuse services, directly or through contracts, preventive and health-maintaining activities. that includes detoxification, residential 0 CCHS intervenes quickly and effectively when treatment, and outpatient treatment. Q illness occurs. Adjustment: The Recommended Budget 0 CCHS provides a system of care to meet the decreases net County cost from the baseline Q health needs of all county residents regardless level by$13.6 million. of their ability to pay. This system includes Q medical care, mental health services, substance Impact: The Health Services Department has Q abuse treatment, public health programs, developed a comprehensive list of budget environmental health protection, and emergency balancing strategies that can be implemented Q medical services, as well as a county-operated over a ninety-day period to balance to the Q health maintenance organization. Recommended Budget. Those items, with a description and impact statement, may be found Q For low-income and uninsured residents of beginning on page A-1. Q Contra Costa, CCHS is the Safety Net, providing medical services not available to them Q elsewhere and a financial structure, the Contra Costa Health Plan, that promotes appropriate Q use of services and funds them efficiently with Q third-party revenues. CCHS operates a 164-bed hospital and 10 ambulatory care centers that Q provide family practice and specialty care. O O O O O 0 O Q County of Contra Costa FY 2006-2007 Recommended Budget 191 O ilk Health Services ` Health and Human Services Detailed Budget Table,. Change In (, 2006-07 Baseline Service Level 2006-07 Recommended Service Level Funding • Need • Less Required Less Recommended Baseline Budget Unit Description Expenditure Revenue General Fund Expenditure Revenue General Fund to Rec'd Authority Collections Contribution Authority Collections Contribution (Col 6 minus 1 2 (3) (4 (5) 6 Col 3) Enterprise Funds: • Hospital&Clinics (Enterprise-1) $312,103,362 $261,188,996 $50,914,366 $318,597,970 $273,388,996 $45,208,974 -$5,705,392 i Capital(Enterprise-I) 14,980,000 14,980,000 0 14,980,000 14,980,000 0 0 • ; Health Plan(Enterprise-II) 64,700,305 64,700,305 0 64,700,305 64,700,305 0 0 • "` Capital(Enterprise-11) 75,000 75,000 0 75;000 75,000 0 0 • ;_, Contra Costa Community Health Plan(Enterprise-III) 87,469,228 82,397,842 5,071,386 87,469,228 82,397,842 5,071,386 0 " k Major Risk Ins.Program 1,233,645 1,233,645 0 1,233645 1,233,645 0 0 110 4, Sub-Total for Enterprise • Funds 1,If&111 $480,561,540 $424,575,788 $55,985,7521' $487,056,148 $436,775,788 $50,280,3601'1 $5,705,392 (' General Fund Units: Mental Health $111,383,023 $99,682,595 $11,700,428 $108,643,889 $100,257,275 $8,386,614 -$3,313,814 Public Health 39,579,439 24,689,600 14,889,839 36,579,439 24,689,600 11,889,839 -3,000,000 i Alcohol&Other Drugs 17,555,409 16,391,054 1,164,345 16,743,526 16,391,064 352,462 -811,883 Environmental Health 15,007,086 15,310,086 -303,000 15,007,086 15,310,086 -303,000 0 Detention 15,206,222 350,883 14,855,339 15,054,222 350,883 14,703,339 -152,000 Homeless Programs 3,757,769 2,582,476 1,175,293 3,607,769 2,932,476 675,293 -500,000 Conservatorship 1,775,695 196,133 1,579,562 1,775,695 196,133 1,579,562 0 ' Cal.Children's Services 7,736,121 6,221,356 1,514,765 7,594,121 6,221,356 1,372,765 -142,000 Sub-Total General Fund $212,000,764 $165,424,193 $46,576,571 $205,005,747 $166,348,873 $38,656,874 -$7,919,697 Total General& Enterprise Funds $692,562,304 $589,999,981 $102,562,323 $692,061,895 $603,124,661 $88,937,234 -$13,625,089 • Other Special Revenue Fund Units: Expenditures Revenue Expenditures Revenue Chancie Ambulance Service Area $5,214,005 $5,214,005 $5,214,005 $5,214,005 $0 • Tobacco Tax Fund 903,553 903,553 903,553 903,553 0 • Emergency Medical Svcs 1,431,228 1,431,228 1,431,228 1,431,228 0 • Domestic Violence Assist. 134,008 134,008 134,008 134,008 0 Prop.36 Revenue Fund 3,919,811 3,919,811 3,919,811 3,919,811 0 Total Special Revenue • Funds: $11,602,605 $11,602,605 $11,602,605 $11,602,605 $0 Grand Total All Units $704,164,909 $601,602,586 $102,562,323 $703,664,600 $614,727,266 $88,937,234 -$13,625,089 • Note: (a) Reflects a General Fund Contribution through Budget Unit 0465 to the Hospital and Health Plan Enterprise Funds. 192 County of Contra Costa FY 2006-2007 Recommended Budget • O O Health Services O Health and Human Services O O Hospital and Ambulatory Care Centers (Enterprise Fund 1) O O O FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 O Hospital Enterprise Actual Budget Baseline Recommended Change O EXPENDITURES O Salaries and Benefits 200,977,961 208,510,415 216,392,655 220,063,655 3,671,000 Services and Supplies 93,576,385 75,464,232 86,374,685 80,669,293 -5,705,392 O Other Charges(Inc Gov't Transfers)" 39,952,685 37,525,997 5,665,022 17,865,022 12,200,000 Fixed Assets 0 14,980,000 14,980,000 14,980,000 0 O Total Expenditures 334,507,030 336,480,644 323,412,362 333,577,970 10,165,608 O REVENUE General Fund Subsidy B 40,995,879 39,277,367 40,743,974 45,208,974 4,465,000 0 Gov't Transfers" 39,737,685 32,160,497 0 12,200,000 12,200,000 Q Other Local Revenue 256,835,504 265 042,780 276,168,996 276,168,996 0 O Gross Revenue 337,569,068 336,480,644 316,912,970 333,577,970 16,665,000 O NET FUND COST(NFC) -3,062,037 0 6,499,392 0 -6,499,392 O O Allocated Positions(FTE) 1,687 1,687 1,674 1,632 -42 O O FINANCIAL INDICATORS O Salaries as%of Total Exp 60% 62% 67% 68% Change in Total Exp 1% 4% _1% O %Change in Total Rev 0% -6% 1% O %Change in NFC -100% 0% -100% OA. At the time the FY 2006-07 Baseline Budget was completed$12.2 million in governmental transfers was not known. Subsequently,the Recommended Budget was adjusted to accurately reflect this transfer and offsetting revenue. O B. General Fund Budget Unit 0465 provides financing to the Enterprise Fund O Description: Includes the operations of Contra increase reflects the recent agreement between O Costa Regional Medical Center(CCRMC)and the California Nurses Association and the Emergency Care Services, Ambulatory Care County and a technical adjustment between the O Centers, Physician Services, Emergency Department's General Fund units and the Q Medical Services, Charges From Other County Hospital subsidy to accurately reflect budget Departments, Department-wide Administration, reduction strategies by program. Q and Fixed Assets. O Note: A change in the structural method used Workload Indicator: The recommended FY by the State to fund inpatient hospital Medi-Cal O 2006-2007 budget is based on an average daily payments will result in the reduction of$20 O in-patient census of 136 patients, and 420,000 million in"Inter-Governmental Transfer" expense annual outpatient visits. contained in the FY 2005-06 Budget as"Other O Charges." An equal reduction in Medi-Cal Adjustment: The Recommended Budget revenue ($20 million)will occur. "Certified O reduces expenditures by $6.5 million from Public Expenditures"will be used in lieu of these O Baseline. General Fund subsidy increases transfers to secure Medi-Cal funds. It was not O $4,465,000 from the baseline level. This known how this adjustment would impact the O O County of Contra Costa FY 2006-2007 Recommended Budget 193 0 1 " r Health Services • Health and Human Services • Department's budget until after the baseline was 2. Ambulatory Care Centers • i completed. Therefore, the entire$32.2 million • was eliminated from the baseline. Description: Ten ambulatory care centers in • Subsequently, the Recommended Budget has east, west and central Contra Costa County that been adjusted by$12.2 million in both expenses provide family practice oriented primary care, • j and revenue to reflect the most recent geriatrics, dental, rehabilitation, prenatal and information from the State. adult medical services, as well as specialty clinic • services. Specialty clinics include: podiatry, • Impact: The Health Services Department has infectious disease, pediatrics, eye, dermatology, developed a comprehensive list of budget orthopedics, urology, ENT, gynecology, • balancing strategies that can be implemented Hansen's disease, and others. over a ninety-day period to balance to the Recommended Budget. Those items,with a Ambulatory1care Centers Summary • description and impact statement, may be found beginning on page A-1. Service: Mandatory • • 1. Contra Costa Regional Medical Center Level of Service: Mandatory Expenditures: $62,016,656 • Description: A general acute care teaching Financing: 53,908,823 �F> facility, the 164 licensed bed Contra Costa Net County Cost: 8,107,833 Regional Medical Center provides a full range of • . s diagnostic and therapeutic services including Funding Sources: Medicare, Private Pay, • ; medical/surgical, intensive care, pediatric, Interdepartmental Charges, Realignment, r emergency, prenatal/obstetrical, and psychiatric Grants, Medi-Cal Federally Qualified Health • services. Ancillary services include pharmacy, Center revenues and miscellaneous revenues. rehabilitation, medical social work, laboratory, • " diagnostic imaging, cardiopulmonary therapy FTE: 384.7 • and ambulatory care surgery service. Licensed basic emergency room provides medical and • psychiatric evaluation/treatment of urgent cases. 3. Physician Services • 1 's6ital and Eme'-gency Care Services Description: The interdisciplinary medical staffSujnmary at Contra Costa Regional Medical Center and • " Health Centers includes more than 80 family • Service: Mandatory practice physicians, as well as family nurse ,4 Level of Service: Mandatory practitioners, dentists, psychiatrists, Expenditures: $184,329,648 psychologists and more than 193 specialty • Financing: 163,580,083- physicians. Net County Cost: 20,749,565 A Family Practice Residency Program affiliated • with UC Davis provides clinical experience for Funding Sources: Medicare, Medi-Cal, over 27 residents who rotate through all Private Pay, Interdepartmental Charges, inpatient acute services and provide staff for the Realignment, Grants, Medi-Cal emergency room and ambulatory care centers. Disproportionate Share Hospital Funds, Construction/Renovation Reimbursement, and • miscellaneous revenues • FTE: 1,032.3 • • • 194 County of Contra Costa FY 2006-2007 Recommended Budget • • res O O Health Services O Health and Human Services O OAccounting, Information Technology, Osician Services Purchasing, Contracts and Grants. O Service: Mandatory O Level of Service: Mandatory Administrative Services Summary Expenditures: $51,289,536 Service: Discretionary Q Financing: 44,130,116 Level of Service: Discretionary O Net County Cost: 7,159,420 O Funding Sources: Medicare, Medi-Cal, Private Expenditures: $10,308,588 Pay, Interdepartmental Charges, Realignment, Financing: 10,308,588 O Grants, Medi-Cal Disproportionate Share Net County Cost: 0 Hospital Funds, and miscellaneous revenues O FTE: 163 Funding Sources: Regional Medical Disaster O Planning Project, John Muir Trauma Fee, SB- O 12, and Measure H O 4. Emergency Medical Services FTE: 46 O Description: This program provides overall coordination of Contra Costa's Emergency b. Charges from Other County Departments O Medical System. It regulates emergency O ambulance services and the County's trauma Description: This section includes non- system, establishes pre-hospital treatment distributed costs charged to Health Services Q protocols and certifies pre-hospital personnel, Department by other County departments for O approves and monitors paramedic programs and various services. first-responder defibrillation programs, provides O planning and coordination of medical disaster response, and reviews inter-facility patient " O transfers. Service: Discretionary O Level of Service: Discretionary Expenditures: O Service: Mandatory Dept of InfoTech $342,947 O Level of Service: Mandatory Information Security 125,000 Purchasing 101,283 O Expenditures: $1,461,386 Fleet Management 97,000 Financing: 1,461,386 Telecommunication 1,401,440 O Net County Cost: 0 Auditor-Controller 610,714 Q County Counsel 275,000 Funding Sources: Regional Medical Disaster Personnel &Training 924,449 O Planning Project, John Muir Trauma Fee, SB- GSA Occupancy Expense 5,314,323 O 12, Measure H, and EMS for Children Project Total Costs: $9,192,156 O FTE: 6 Funding Sources: 100% General Fund O FTE: NA O 5. Support Services O a. Administrative Services 0 Description: This section includes non- O distributed costs of the Office of the Director, O Health Services Personnel, Payroll, General O O O County of Contra Costa FY 2006-2007 Recommended Budget 195 0 Health Services Health and Haman Services 6. Hospital Capital Expense Cost Description: To provide for the acquisition of • replacement capital equipment and projects, and for previously approved construction projects • that may carry over and not be completed until FY 2006707. Hospital Capital Project Cost Service: Discretionary • Level of Service: Discretionary • Expenditures: $14,980,000 • Financing: 14,980,000 Net County Cost: 0 Funding Sources: Medi-Cal, Bond proceeds, SB-1732 and miscellaneous revenues FTE: N/A S 196 County of Contra Costa FY 2006-2007 Recommended Budget • � f k O O 0 Health Services 0 Health and Human Services 0 Contra Costa Health Plan (Enterprise Fund 11) O O Health Plan FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 O Enterprise Fund II Actual Budget Baseline Recommended Change O EXPENDITURES O Salaries and Benefits 8,935,893 9,525,277 9,573,209 9,573,209 0 O Services and Supplies 134,294,610 51,155,632 51,371,078 51,371,078 0 O Other Charges 0 0 3,756,018 3,756,018 0 Fixed Assets 0 75,000 75,000 75,000 0 O Total Expenditures 143,230,503 60,755,909 64,775,305 64,775,305 0 O REVENUE O Other Local Revenue 143,558,479 60,755,909 64,775,305 64,775,305 0 O Gross Revenue 143,558,479 60,755,909 64,775,305 64,775,305 0 0 NET FUND COST(NFC) -327,976 0 0 0 0 O O Allocated Positions(FTE) 73 73 72 72 0 O O FINANCIAL INDICATORS Salaries as%of Total Exp 6% 16% 15% 15% Change in Total Exp -58% 7% 0% 0 % Change in Total Rev -58% 7% 0% 0 %Change in NFC -100% 0% 0% O A. General Fund Budget Unit 0465 provides financing to the Enterprise Fund. B. FY 2004/05 Actual includes Enterprise Fund 146000(EF-II)and Enterprise Fund 146100(EF-III). O C. Budgets for Enterprise Fund 146000(EF-II)include the Medi-Cal product line only. O D. Number of Allocated Positions(FTE) shown serves both funds of the Contra Costa Health Plan—EFII and EFIII. O Description: The Contra Costa Health Plan is a the State awards premium rate increases for County-operated prepaid health plan available to Medi-Cal enrollees. The creation of a separate O Medi-Cal and Medicare recipients, employees of entity for CCHP's non Medi-Cal product lines will 0 participating private and governmental result in those non Medi-Cal revenues being 0 employers and individual members of the exempt from the QIF assessment. general public. Workload Indicator: The recommended FY On July 1, 2005, CCHP spun off into two 2006-2007 budget is based on an average 0 entities, the Contra Costa Health Plan (Fund monthly enrollment of 42,909 members. 146000, which includes the Medi-Cal product line)and the CCHP Community Plan (Fund Adjustment: The Recommended Budget O 146100, which includes Commercial, Medicare maintains the baseline level. 0 and Basic Health Care product lines). CCHP's spin off was related to the implementation of the Impact: To maintain the existing level of O State Dept. of Health Services' Quality services in FY 2006-07, the Baseline Budget O Improvement Fee(QIF) Program. Under the requires no County subsidy. The Health program, a QIF assessment fee based on Services Department has developed a O operating revenues is imposed by the State on comprehensive list of budget balancing O Medi-Cal managed health care plans and in turn strategies that can be implemented over a O O County of Contra Costa FY 2006-2007 Recommended Budget 197 0 i • Health Services • Health and Human Services • ninety-day period to balance to the Recom- mended Budget. Those items, with a descrip- • tion and impact statement, may be found Service: Discretionary beginning on page A-1. Level of Service: Mandatory ` 1. Medi-Cal: Includes Aid to Families with • Expenditures: $64,700,305 Dependent Children Members and Other Financing: 64,700,305 • � ' Medi-Cal (non-crossover) Members Surplus: 0 • (AFDC includes Community Provider Network and Kaiser) Funding Sources: State Medi-Cal premiums • Description: The Aid to Families with FTE: 72 • Dependent Children (AFDC) product line serves Contra Costa residents who qualify for Medi-Cal through the Public Assistance and Medically • '` Needy Only categories of the Aid.to Families 2. Fixed Assets with Dependent Children Program. Beginning Description: To provide for acquisition of May 1, 1997, eligible clients who did not meet • �' specific exemption criteria were enrolled in capital equipment and for needed capital either CCHP (the Local Initiative)or the improvement projects. • )la commercial plan (initially Foundation and now • Blue Cross). Instead of Medi-Cal cards and Fixed lAssets Summary stickers, the member receives a CCHP card and CCHP provides or arranges for all his or her Service: Discretionary • ), health needs. Level of Service: Discretionary • The Other Medi-Cal (non-crossover) members Expenditures: $75,000 include all Contra Costa Medi-Cal eligible clients Financing: 75,000 other than AFDC, who voluntarily choose CCHP Net County Cost: 0 • ;) as their medical insurer instead of using the • ;, Medi-Call fee-for-service provider network. Funding Sources: Miscellaneous revenues Medi-Cal categories include OAS (persons aged • 65 and other), Aid to the Totally Disabled, and FTE: N/A • Aid to the Blind. The member receives a CCHP card and CCHP provides or arranges for all his or her health services needs. • • • • • } • • • • 198 County of Contra Costa FY 2006-2007 Recommended Budget • • I IM no • 0 0 Health Services 0 Health and Human Services a 0 0 Contra Costa Community Health Plan (Enterprise Fund III) 0 FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 0 Community Health Plan Actual Budget Baseline Recommended Change 0 EXPENDITURES 0 Services and Supplies 1,818,790 84,529,895 87,469,228 87,469,228 0 0 Total Expenditures 1,818,790 84,529,895 I 87,469,228 87,469,228 0 0 REVENUE 0 General Fund SubsidyA 0 6,789,272 5,071,386 5,071,386 0 Other Local Revenue 1,722 933 77,740,623 82,397,842 82,397,842 0 0 Gross Revenue 1,722,933 84,529,895 87,469,228 87,469,228 0 0 NET FUND COST(NFC) 95,857 0 0 0 0 0 0 FINANCIAL INDICATORS 0 %Change in Total Exp 4548% 3% 0% 0 % Change in Total Rev 4806% 3% 0% 0 %Change in NFC -100% 0% 0% 0 Note: A. General Fund Budget Unit 0465 provides financing to the Enterprise Fund. 0 Description: The Contra Costa Community Commercial Groups 0 Health Plan is a County-operated prepaid health plan available to Medicare recipients and Description: 0 employees of participating private and a. Commercial coverage provides 0 governmental employers and individual comprehensive health benefits from physical members of the general public. check-ups to major health problems. There 0 is an array of benefits, premiums and co- o, Workioad Indicator: The recommended FY payments depending on the plan chosen. 2006-2007 budget is based on an average Premiums are paid by the members or their 0 monthly enrollment of 19,705 members. employers. 0 Adjustment: To maintain the existing level of The County Employees plan enrolls 0 services in FY 2006-07, the Baseline Budget employees and retirees of Contra Costa requires no additional County subsidy above the County and their eligible dependents in the 0 FY 2006-07 Recommended Budget. Contra Costa Health Plan. The Other Groups plan consists of various medical 0 Impact: The Health Services Department has programs directed at small and large 0 developed a comprehensive list of budget businesses on a group basis. The Individual 0 balancing strategies that can be implemented plan directs medical coverage availability over a ninety-day period to balance to the toward individuals and families. In addition, 0 Recommended Budget. Those items, with a this coverage is available to in Home description and impact statement, may be found Supportive Services (IHSS)workers in 0 beginning on page A-1. Contra Costa County. IHSS workers who 0 join CCHP receive comprehensive health care services from physical check-ups to 0 treatment of major health problems. 0 Monthly premium costs are shared by the County and the IHSS worker. 0 0 0 County of Contra Costa FY 2006-2007 Recommended Budget 199 0 k • T Health Services • Health and Human Services • b. Healthy Family Program. This program is d. Basic Health Care (BHC). This program is • low cost insurance that provides health, designed to provide needed medical care to • dental and vision coverage to children who the formerly State-sponsored medically do not have insurance and do not qualify for indigent residents of Contra Costa County no-cost Medi-Cal. who are 300% of poverty or less. It offers • limited health benefits compared to other c. Medicare. This product line serves Contra groups. Services are primarily provided at • Costa senior residents who are covered Contra Costa Regional Medical Center • under Medicare and who choose CCHP as (CCRMC) and County-operated medical and • their medical insurer. In addition to the mental health clinics. basic Medicare coverage under this program, there are various benefits covered Commercial Members by member premiums that reduce the • member's medical expenses for those Service: Discretionary • services not covered by Medicare, Level of Service: Mandatory particularly prescription drugs. • Expenditures: $87,469,228 • Financing: 82,397,842 Net County Cost: 5,071,386 Funding Sources: Enrollee and employer • premiums; County subsidy for BHC. . 'Y FTE: N/A • 0 • • • W p a • IF 200 County of Contra Costa FY 2006-2007 Recommended Budget • ` O O Health Services O Health and Human Services O O Major Risk Medical Insurance Program O O O Major Risk Medical FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 Insurance Program Actual Budget Baseline Recommended Change O O EXPENDITURES Services and Supplies 1,718 795 1,233,645 1,233,645 1,233,645 0 O Total Expenditures 1,718,795 1,233,645 1,233,645 1,233,645 0 0 REVENUE 0 Other Local Revenue 1,718,795 1,233,645 1,233,645 1,233,645 0 O Gross Revenue 1,718,795 1,233,645 1,233,645 1,233,645 0 O NET FUND COST(NFC) 0 0 0 0 0 O O FINANCIAL INDICATORS a %Change in Total Exp 28% 0% 0% % Change in Total Rev 28% 0% 0% O %Change in NFC 0% 0% 0% O O O Description: This product serves Contra Costa description and impact statement, may be found residents who qualify for the Aid to Infants and beginning on page A-1. O Mothers(AIM) program, the Major Risk Medical Insurance conditions and/or income level. Major Risk Medical Insurance Program Contra Costa Health Plan is a contracted carrier 14 6200) Q for the programs, which are administered by the O State's Managed Risk Medical Insurance Board. Service: Discretionary Adjustment: The Recommended Budget Level of Service: Mandatory maintains the budget at the FY 2005-06 Expenditures: $1,233,645 approved level. Financing: 1,233,645 Q Net County Cost: 0 Impact: The Health Services Department has O developed a comprehensive list of budget Funding Sources: 10 balancing strategies that can be implemented Premiums 100% $1,233,645 over a ninety-day period to balance to the 0 Recommended Budget. Those items, with a FTE: N/A O O O O O O O O O O County of Contra Costa FY 2006-2007 Recommended Budget 201 0 Health Services Health and Human Services � Mental Health FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 • General Fund Actual Budget Baseline Recommended Chane • '' r EXPENDITURES Salaries and Benefits 28,228,917 30,517,064 31,725,018 31,725,018 0 • Services and Supplies 70,067,715 79,144,633 80,784,861 78,045,727 -2,739,134 • Other Charges 1,007,117 944,143 1,053,358 1,053,358 0 Fixed Assets 4,140 57,963 57,963 57,963 0 Expenditure Transfers -2,726,541 -1,646,318 -2,238,177 -2,238,177 0 Total Expenditures 96,581,349 109,017,485 111,383,023 108,643,889 -2,739,134 REVENUE Other Local Revenue 4,834,813 6,531,900 6,028,536 6,603,216 574,680 • ° Federal Assistance 9,205,136 8,906,977 7,204,992 7,204,992 0 !` State Assistance 74,300,856 85,427,939 86,449,067 86,449,067 0 Gross Revenue 88,340,804 100,866,816 99,682,595 100,257,275 574,680 • Is" NET COUNTY COST(NCC) 8,240,544 8,150,669 11,700,428 8,386,614 -3,313,814 ® t' Allocated Positions(FTE) 266 266 279 252 -27 • FINANCIAL INDICATORS - Salaries as% of Total Exp 28% 28% 28% 29% % Change in Total Exp 13% 2% -2% • ' %Change in Total Rev 14% -1% 1% ; %Change in NCC -1% 44% -28% s A Does not include Permanent and Temporary Overtime, Registry and Contract Employees. `Y E' Description: To serve serious and persistent description and impact statement, may be found mentally disabled adults and seriously beginning on page A-1. emotionally disabled children and youth. 1. Child and Adolescent Services Workload Indicator: The recommended FY ; 2006-07 budget is based on 336,000 outpatient Description: Child and adolescent services visits; and an inpatient psychiatric average daily cover 0-18 years old in a wide range of services. a census of 138 patients. a. Local Institutional/Hospital Care: Acute Adjustment: The Recommended Budget psychiatric inpatient treatment for children S reduces expenditures and General Fund and adolescents is provided in private revenue by$3,313,814 from the baseline level. hospitals in order to avoid placing minors in the same psychiatric units as adults at ' Impact: The Health Services Department has Contra Costa Regional Medical Center. developed a comprehensive list of budget balancing strategies that can be implemented b. Out-of-Home Residential CarelTreatment over a ninety-day period to balance to the Service Programs: Structured residential - Recommended Budget. Those items, with a therapeutic treatment service programs for . seriously emotionally disturbed (SED) • 202 County of Contra Costa FY 2006-2007 Recommended Budget • 0 Q 0 Health Services 0 Health and Human Services g children and adolescents providing g. Seneca Community Treatment Facility at 0 individual, group and family therapy and Oak Grove: Provides highly structured and wrap-around teams. locked residential therapeutic treatment program including school, day treatment, Q c. Intensive Day Treatment Services: mental health services, crisis services for 5- O Therapeutic treatment, educational and 9 severely emotionally disturbed activity programs(less than 8 hrs/day) for adolescents. Current clients will be 0 children/adolescents who have transferred from other programs or from out- behavioral/emotional disorders or are of state facilities and admitted to this facility. seriously emotionally disturbed (SED), O psychosocially delayed or"at high risk." h. Seneca Mobile Response Team: The Many of these services are school based. mobile crisis response team, comprised of a 0 Masters level therapist and a family support d. Outpatient Clinic Treatment and partner, provides short-term triage and Outreach Services: Outpatient clinic, emergency services to seriously emotionally Q school-site and in-home services, including disturbed children, adolescents and their a psychiatric diagnostic assessment, families in order to prevent acute psychiatric medication, therapy, wrap-around, collateral crises. Q support and crisis intervention services for O seriously emotionally disturbed (SED) I. Chris Adams Girls Center. Provides multi- children and adolescents and their families. disciplinary assessment; individual, group 0 and family therapy; and a parent support e. Child/Adolescent Case Management group to 30 seriously emotionally disturbed 0 Services: Case managers provide wards of the court. 0 screening, assessment, evaluation, advocacy, placement and linkage services j. Mental Health Services for Children 0-5 0 to assist children and adolescents in Years of Age: Three contract agencies Q obtaining continuity of care within the mental provide day treatment, outpatient and in- health, health care and social service home service to SED children or children at O systems. Community and school-based risk of significant developmental delays. O prevention and advocacy programs provide community education, resource Child & Adolescent O development, parent training, workshops and development of ongoing Service: Mandatory Q support/advocacy/action groups. Services Level of Service: Discretionary are provided to enhance children's ability to benefit from their education. Expenditures: $34,042,988 O Financing: 33,288,627 O f. EPSDT(Early and Periodic Screening Net County Cost: 754,361 Diagnosis and Treatment) Program: Provides comprehensive mental health Funding Sources: FFP portion of Medi-Cal, services to Medi-Cal eligible severely HMO, Private Insurance EPSDT, State System emotionally disturbed persons under age 21 of Care, Prop 10, Partnerships with School 0 and their families. Services include Districts, SB163, and General Fund assessment; individual, group and family Q therapy; crisis intervention; medication; day FTE: 92 O treatment and other services as needed. Specialized services are available in cases Q of emergency foster placement. O Therapeutic Behavior Services (TBS) are 2. Adult Services one-to-one shadowing of children and youth, Description: Contra Costa County provides Q on a short-term basis, to prevent high level services for consumers over 18 years old. O residential care or hospitalization. O O O County of Contra Costa FY 2006-2007 Recommended Budget 203 0 Health Services • t Health and Human Services • • i a. Crisis/Transitiona/!Supervised e. Mental Health Homeless Outreach/ Residential Care: Short-term, crisis Advocacy Services: The homeless shelter • residential treatment for clients who can be in Antioch and the three regional drop-in • managed in an unlocked, therapeutic, group multi-purpose service centers assist the living setting and who need 24-hour homeless mentally ill to secure counseling, • supervision and structural treatment for up transportation, clothing, financial vocational to 30 days to recover from an acute training, and financial/benefit counseling and • psychotic episode. This service can be housing. Case management can be . �( used as a short-term hospital diversion arranged through this program, if program to reduce the length of hospital determined necessary. • `' stays. This category also includes 24-hour • supervised residential care and semi- f. Vocational Services: The Mental Health supervised independent living services to Division contracts with the California increase each client's ability to learn Department of Rehabilitation under a independent living skills and to transition Cooperative Agreement with the State • ("graduate")from more restrictive levels of Department of Mental Health. This is a residential supervision to less restrictive collaborative contract between the State and (i.e., more independent) living the Mental Health and Alcohol and Other • ': arrangements, including board and care Drugs Services Divisions to provide • facilities. comprehensive vocational preparation and job placement assistance. Services include • lie b. Outpatient Clinic Treatment and job search preparation,job referral,job Outreach Services: Provides scheduled coaching, benefits management, and outpatient clinic services, including employer relations. This is one of the only psychiatric diagnostic assessment, Mental Health/Alcohol and Other Drugs j medication, short-term individual and group Services collaborations providing services to therapy, rehabilitation, and collateral support individuals with co-occurring disorders in the ,( services for seriously and persistently State. mentally ill (SPMI) clients and their families ' with acute and/or severe mental disorders. g. The Consumer-Run Community Centers: • Also includes community outreach services Centers in Pittsburg, Concord and not related to a registered clinic patient. Richmond provide empowering self-help • 4 services based on the Recovery Vision, • s c. Case Management Services: Case which is the concept that individuals can managers provide screening, assessment, recover from severe mental disorders with evaluation, advocacy, placement and peer support. The Centers, which are linkage services in a community support consumer operated, provide one-to-one model. Case management is also provided peer support, social and recreational • through supportive housing services, as well activities,stress management, money • as the county clinics in West, East and management, and training and education in Central County. County clinics in East and the Recovery Vision. Central County have intensive community support workers on case management . h. SAMHWORKs: Mental health specialty -- teams, services provided for CALWORKS • participants referred by Employment and e. Day Treatment Programs: Organized Human Services Department to reduce • therapeutic treatment and activity programs barriers to employment. It includes • (less than 8 hours per day)for adults who outpatient treatment for participants and are recovering from a psychotic episode and their immediate family members as well as ' who need training in socialization and aftercare in support of job retention. • independent living skills. • • • 204 County of Contra Costa FY 2006-2007 Recommended Budget • • O O O Health Services Health and Human Services (D F Adult Services Summary 4. Local Hospital Inpatient Psychiatric Q Services O Service: Mandatory Level of Service: Discretionary Description: Provides acute inpatient O psychiatric care at Contra Costa Regional O Expenditures: $31,777,289 Medical Center, involuntary evaluation and Financing: 29,285,719 short-term treatment for seriously and Q Net County Cost: 2,491,570 persistently mentally ill clients who may be a danger to themselves or others. O Funding Sources: FFP portion of Medi-Cal, O HMO, Private Insurance EPSDT, SSI/SSP, • • • . •. O ConRep, SAMSA Block Grant, McKinney Path Summary and General Fund 0' Service: Mandatory O FTE: 111 Level of Service: Discretionary O Expenditures: $15,392,122 3. Support Services Financing: 13,441,506 O Net County Cost: 1,950,616 O Description: Functions include personnel administration, staff development training, Funding Sources: FFP Portion of Medi-Cal, O procuring services and supplies, physical plant HMO, Private Insurance, Medicare, O operations, contract negotiations and Realignment and General Fund administration, program planning, development O of policies and procedures, preparation of grant FTE: N/A O applications and requests for proposals, monitoring service delivery and client O complaints, utilization review and utilization 5. Outpatient Mental Health O management, quality assurance and quality Crisis/Psychiatric Emergency Service management, quality improvement, computer Q system management, and interagency Description: Outpatient clinic provides crisis coordination. intervention and stabilization, psychiatric O diagnostic assessment, medication, emergency OSupportcesummarytreatment, screening for hospitalization and intake, disposition planning, and O Service: Discretionary placement/referral services. Services are O Level of Service: Discretionary provided at the CCRMC Psychiatric Emergency Room and the West County Mental Health Clinic O Expenditures: $5,825,683 during daytime hours. O Financing: 5,825,683 O Net County Cost: 0 Funding Sources: MAA Billing, Administration Fee from Cost Report O O FTE: 43 O O O O O O O County of Contra Costa FY 2006-2007 Recommended Budget 205 0 Health Services Health and Human Services Outpatient Mental�Health CrisisiPsychiatric 7. Mental Health Services Actl 1 Emergencyl Service Summary Proposition 63 Service: Mandatory Description: Approved by California voters in Level of Service: Discretionary November of 2004, Proposition 63 imposes a 1%tax of incomes in excess of$1 million and Expenditures: $10,370,013 directs those collections to the provision of Financing: 8,129,140 Mental Health Services. The Mental Health Net County Cost: 2,240,873 Services Act will expand mental health care programs for children, transition age youth, Funding Source: FFP Portion of Medi-Cal, adults, and older adults. The intent of the new . HMO, Private Insurance EPSDT, Realignment revenue is to provide adequate state and local and General Fund funds to meet the needs of all children and adults who can be identified and enrolled in FTE: N/A programs under this measure to provide services that are not already covered by federally-sponsored programs or by individuals' 6. Medi-Cal Psychiatric Inpatient/Outpatient or families' insurance programs. Programs are Specialty Services (Managed Care) to be effective in providing outreach and integrated services to various ages. Services Description: Community based acute must include approaches that are culturally and psychiatric inpatient hospital services and linguistically competent to address the needs of M outpatient specialty mental health services are underserved populations. They must include provided for Medi-Cal eligible adults and prevention and early intervention services as 4? children. Until December 31, 1994, the State well as medical and supportive care. The MHSA Department of Health Services paid for these added Section 5891 to the Welfare& Institutions inpatient psychiatric services. On January 1, Code, which reads in part, "The funding . 1995, the funds were transferred to local mental established pursuant to this Act shall be utilized • health programs to manage all the psychiatric to expand mental health services. These funds inpatient needs of.Medi-Cal beneficiaries. On shall not be used to supplant existing state or April 1, 1998, the responsibility for outpatient county funds utilized to provide mental health specialty services was passed on to local mental services.,, ' health programs to manage those services. • A comprehensive plan has been approved by the Board of Supervisors and was submitted to the State Department of Mental Health on Service: Mandatory December 22, 2005. ` Level of Service: Discretionary In 2006-07 the funds will be allocated as follows: Expenditures: $4,042,985 10%for Education and Training, 10%for Capital Financing: 3,093,791 Facilities and technology needs 20%for Net County Cost: 949,194 prevention and early intervention programs and 6010 for the Children's System of Care and Adult 41 Funding Sources- State Managed Care, and Older Adult System of Care programs. Medi-Cal allocations The$7.2 million State allocation for FY 2006-07 FTE: 6 Children's &Adult Programs is expected to be expended as follows: 206 County of Contra Costa FY 2006-2007 Recommended Budget • 0 0 Health Services 0 Health and Human Services 0 Program Type $ in Millions 0 Children's Programs $1.5 Transition Age Youth 0.8 Adult Programs 1.5 n Older Adult Programs 0.9 0 Housing (Mental Health Homeless) 1.1 System of Care Development 0.6 Q Admin$ Support Services 0.8 0 Total MRSA Allocation I-7.2 Mental Health Services Act0 0 Service: Mandatory 0 Level of Service: Discretionary 0 Expenditures: . $7,192,809 Financing: 7,192,809 0 Net County Cost: 0 0 Funding Sources: Proposition 63 Income Tax 0 0 FTE: Unknown at this time 0 0 0, 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 County of Contra Costa FY 2006-2007 Recommended Budget 207 0 Health Services Health and Human Services 4 Public Health FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 General Fund Actual Budget Baseline Recommended Change EXPENDITURES Salaries and Benefits 34,314,843 34,145,610 31,903,781 31,903,781 0 Services and Supplies 10,692,210 9,767,215 11,245,329 8,245,329 -3,000,000 Fixed Assets 11,747 65,000 105,000 105,000 0 Expenditure Transfers -3,615,142 -3,583,246 -3,674,671 -3,674,671 0 . Total Expenditures 41,403,658 40,394,579 39,579,439 36,579,439 -3,000,000 REVENUE Other Local Revenue 5,948,601 7,298,603 6,916,510 6,916,510 0 Federal Assistance 7,609,713 8,005,775 7,799,580 7,799,580 0 State Assistance 11,626,693 10,277,965 9,973 510 9,973,510 0 Gross Revenue 25,187,007 25,582,343 24,689,600 24,689,600 0 f NET COUNTY COST(NCC) 16,216,652 14,812,236 14,889,839 11,889,839 -3,000,000 Allocated Positions(FTE)°' 321 321 302 286 -16 FINANCIAL INDICATORS Salaries as%of Total Exp 76% 78% 74% 79% % Change in Total Exp -2% -2% -8% %Change in Total Rev 2% -3% 0% , %Change in NCC -9% 1% -20% A Does not include Permanent and Temporary Overtime, Registry and Contract Employees. Description: To promote, improve and protect management and control of 80 active cases of • . the health of the residents of Contra Costa tuberculosis in the community; 350 contacts, County with special attention to those who are case management and home visiting for over most vulnerable to health problems and their 850 high-risk pregnant women and babies; • , consequences. support services for 800 low-income HIV positive individuals; training from 325 nurses 0 Workload Indicator: The FY 2006-2007 and providers on domestic violence; and many r+ Recommended Budget is based on maintaining other similar indicators. a rate of 2% or less of illegal tobacco sales to .: minors; 27,300 clinic visits; over 5,000 public Adjustment: The Recommended Budget health nursing visits to newborn babies and reduces expenditures and General Fund I(' mothers; outreach and education to 13,400 revenue by$3,000,000 from the baseline level. , residents and 600 community groups and businesses; 439,000 meals served or delivered Note: The Recommended Budget assumes that ,to seniors;seniors; 36,000 childhood immunizations; the George Miller Centers are fully transitioned i 23,000 dental screenings and sealant services from the County to the Contra Costa County for children; 17,000 food vouchers monthly to Association of Retarded Citizens effective July 0 low-income women and children; high school 1, 2006. health presentations to 30,000 students; ' 0 � • i, 208 County of Contra Costa FY 2006-2007 Recommended Budget • t 40 r 0 a Health Services Health and Human Services Q Impact: To maintain the existing level of environmental factors. Project staff work directly Q services in FY 2006-07, the Baseline Budget with residents to strengthen ties between at-risk Q would require $3 million in additional County communities and key health services programs. General Fund above the FY 2006-07 Recommended Budget. The Health Services Workload Indicator: In 2003-04, staff Department has developed a comprehensive list conducted outreach and education to nearly of budget balancing strategies that can be 14,000 community members, including 13,400 O implemented over a ninety-day period to residents and 600 service providers, institutions, balance to the Recommended Budget. Those faith leaders, and businesses. 0 items, with a description and impact statement, O may be found beginning on page A-1. c. Vital Registrations (� 1. Public Health Administration and Description: The Office of the Local Registrar Financial Management (OLR) of Vital Registrations is a state-mandated Q function of local health departments. The office Description: Public Health Administration is responsible for certifying and registering ap- includes the Director, Administrator, and support proximately 12,389 births and 7,008 deaths oc- Q staff, Specific functions are divided into curring in the county annually, issuing 7,008 a budgeting, billing, and accounting; purchasing; permits for the disposition of human remains, and contract management. providing 55,215 certified copies of birth and O death certificates annually. The OLR manages a. Developmental Disabilities Council an automated electronic birth registration net- C) Description: The Developmental Disabilities work system with terminals located in every Q Council is the official planning, coordinating and birthing hospital in the county. Data obtained advisory/advocacy body to the Contra Costa and compiled electronically from recent birth and 0 Board of Supervisors for individuals with death registrations is provided to department Q developmental disabilities and their families. It biostatisticians for epidemiological research, has served the citizens of Contra Costa County which is used by various county and community 10 for almost 40 years. It works to improve and agencies for services planning. expand services to people with developmental d. Community Health Assessment Planning disabilities and their families. Information about and Evaluations (CHAPE) O community resources, consultation planning, O advocacy services, monthly newsletters, Description: Provides health assessment and advocates for improved services, and training to evaluation support to Family, Maternal and Child parents and consumers are all provided through Health (FMCH), Homeless Program, Community this Council. There is a current membership of Wellness and Prevention Program (CW&PP), over 580 individuals, agencies, and and other projects of Contra Costa Health 10 organizations representing a population of over Services. It identifies, statistically analyzes, and O 5,000 individuals with a developmental disability maintains useable versions of standardized in their families. The Council is staffed half time. databases, including birth, death, injury, and demographic data; summarizes this data in b. Public Health Outreach, Education and presentations, reports, tables, graphs and maps; 0 Collaboration Program works with the managers of over 20 projects and 0 Description: Staff works directly in the County's programs to collect and analyze information for eight most underserved communities of North their use in the development of federal, state, 0 Richmond, Iron Triangle, San Pablo, Parchester and foundation grant applications, program O Village, West Boulevard and EI Pueblo plans and required evaluations; and responds to (Pittsburg), Bay Point, and Monument Corridor hundreds of requests each year for health 0 information about the County. (Concord). Total population of these eight Q communities is approximately 72,000. Conduct e. Social Services Nursing IHSS Q community assessments to identify health priorities, carry out outreach and health Description: Public Health Nurses(PHN)work O education, and build community skills to utilize with Employment and Human Services Depart- O health services and mobilize to address ment's Aging and Adult Services Bureau to pro- O O County of Contra Costa FY 2006-2007 Recommended Budget 209 0 li Health Services i Health and Human Services X10011 vide skilled nursing assessments and support toSenior' Nutrition Program 0 of seniors. This includes case management for i 200 low-income frail or disabled elders, ap- Service: Discretionary proximately 1,200 assessments for suspected Level of Service: Discretionary elder abuse. Expenditures: $635,766 PublicFinancing: 552,006 Management Net County Cost: 83,760 Service: Mandatory Level of Service: Discretionary Funding Sources: The Senior Nutrition Program isibilled $1,574,000 Expenditures: $3,219,731 interdepartmentally to the Employment and Financing: 944,746 Human Services Department, which receives '' Net County Cost: 2,274,985 Federal Title 111-C, III-13 and USDA funding. • �,_ Funding Sources: Federal and State grants, The program also receives some revenue from burial permit fees, birth and death certificate seniors' donations. S ? fees, miscellaneous state subventions for FTE: 5.9 314(d), Public Health, and General Fund FTE: 29.3 3. George Miller Centers S 2. Senior Nutrition Program Description: The Miller Centers are multi- Description: The Senior Nutrition Program pro- purpose facilities designed and dedicated to vides hot nutritious daily meals to the elderly, providing services to developmentally disabled which is the fastest growing segment of the citizens of Contra Costa with sites in both West population in our County. Meals are provided in and Central County. Educational and both the congregate(Senior Center)and home therapeutic services are provided on a daily delivered (Meals on Wheels) models utilizing basis to infants, school-aged, adults, and over 350 volunteers each month to deliver ser- seniors. The Miller Centers serve approximately • vices. The program currently serves ap- 350-400 individuals and families. Each site proximately 178,750 meals in a congregate set- offers five unique programs with the services ting and 263,100 meals delivered to homebound and curriculums based on the specific needs of elders annually. The primary funding source for the targeted age groups. The Miller Centers are the program comes from Federal Title IIIC-1 and one of the largest disability service providers in Title IIIC-2 of the Older Americans Act. Program Contra Costa County and have been in participant contributions and private sector fund- existence since 1968. The programs employ raising also provide significant funding sources. professional and para-professional staff to In addition to elderly participants, approximately provide direct services to the clients/families. In 1,400 meals are delivered to homebound the 2005-06 year, the Miller Centers are AIDS/HIV clients annually through separate projecting to provide approximately 150,000 funding. hours of service to the community. The transfer of operations of these programs to the ARC is nearly complete. The budget below includes contracts of$750,000 for ARC r services, $500,000 of revenue for billing on • behalf of the ARC and $250,000 in County cost for facility infrastructure support through FY 2006-07 (the second year of a four-year • agreement). i 210 County of Contra Costa FY 2006-2007 Recommended Budget • O O O Health Services Health and Human Services 0 George Miller Centers Summar y with all areas of the Communicable Disease O Control Program. 10 Service: Discretionary Level of Service: Discretionary b. Sexually Transmitted Disease (STD) Program works to prevent STDs by O Expenditures: $750,000 identifying cases and their sexual contacts Financing: 500,000 and by investigating all reported cases. The O Net County Cost: 250,000 program interviews persons with disease to obtain contact information and assist Funding Sources: State DD Revenues, contacts in obtaining treatment. In 2004, Q General Fund there were over 2,700 of Chlamydia and over 700 cases of Gonorrhea among Contra O FTE: 0 Costans. These diseases are responsible O for serious health problems in young men and women as well as in the newborn of an O 4. Communicable Disease infected and untreated mother. In addition Q Control/Bioterrorism Preparedness Unit to Chlamydia and Gonorrhea, the program follows persons with syphilis and 16 other Description: These programs work to prevent STDs. The STD Program emphasizes in O and control the spread of communicable prevention education schools and clinics with persons who have STD and their diseases through health education, contacts to reduce disease and prevent epidemiological surveillance and investigation, further transmission. O and laboratory examinations. Isolation of persons with communicable disease, when c. AIDS Program reduces the transmission of necessary to protect the public, and assurance HIV and improves health outcomes for HIV O that persons in contact with a communicable positive individuals in Contra Costa through disease receive prophylactic treatment are the provision of HIV reporting and 0 integral components of these programs. Acute surveillance activities, individual and Communicable Disease (ACD) section, community education, home and clinic- Epidemiology and Surveillance Unit, Health based case management and navigation 0 Emergency Response Unit (Bio-Terrorism), and services, mobile HIV testing services, and Public Health Laboratory carry out these agency capacity building. O functions in coordination with the Community O Education and Information (Public Information) HIV Prevention services reach about 12,000 Unit. Consultation is provided to physicians and high-risk and HIV positive individuals each O hospital infection control practitioners on the year, reducing the transmission of HIV by Q prevention and control of communicable encouraging healthier behaviors and diseases. Emphasis is placed on early providing HIV testing in soup kitchens, Q identification of a communicable disease shelters, substance use agencies, street ice, outbreak or trend, the prevention of parks and other non-traditional sites. iJ transmission, identification of the source, and O elimination of that source of disease to reduce Support services for people with HIV reach O the incidence of all communicable disease. about 800 low-income HIV-positive individuals annually, providing nurse and O a. Bioterrorism Preparedness includes community-based case management response planning for all health hazards and services, clinical social work services, O health emergencies. Public Information, risk benefits counseling, medication access and O communication, and internal and external education, food assistance, substance communication with employees, the abuse and mental health support, home O community and the media is integrated into care services, housing assistance and other O all aspects of response. Response planning emergency assistance. These services for many diseases such as Avian Flu and allow people to remain in the home longer, Q West Nile, food-borne illness, and plague reduce emergency medical care, decrease O are done in this unit. This unit works closely O O County of Contra Costa FY 2006-2007 Recommended Budget 211 0 Health Services 0 Health and Human Services hospitalization, reduce cost, and improve concert with the PHN to assure this health status. compliance and deliver the TB medication to i Agency capacity-building is designed to the patient on a daily or twice weekly bases. enhance community capacity to serve In addition contacts to an active case are S people with HIV or at risk for HIV. Recent interviewed, examined and placed on ; training recipients include: the Foster Care preventive therapy as necessary. Contra system, County Probation, Public Health Costa continues to have TB rates, which + ` Clinic providers, Healthy Start, regional HIV necessitate careful monitoring and response • case management providers, and attendees to reported cases and prevention of further of the Licensed Vocational Nurses State- disease through contact monitoring and wide conference. treatment. • d. Health on Wheels Mobile Clinic increases g. LEAP (Limited English Access Program) access to care for West County residents by —LEAP serves people coming into the providing direct service, including county from other countries who are immunizations and treatment for refugees, immigrants and asylees, who do communicable diseases and minor medical not speak English and need assistance with conditions, and referrals for ongoing care. obtaining health care. The program has STD testing and treatment as well as HIV nine staff that speak 13 languages. This testing are offered at all clinics. In addition to staff assists in all of the clinics throughout regularly scheduled clinics, the mobile clinic health services where language assistance van and staff provide service at sites is needed and assist private providers when identified as having special health care requested. The program works closely with needs. These sites include Needle Jewish Family Services, International ), Exchange sites where many clients present Rescue Committee and Catholic Charities in with minor to moderate wounds needing coordinating health, housing and social immediate attention. Special clinics are also services for newly arriving residents. There ! ), held for specific tuberculosis control are 100 to150 refugees who settle in Contra problems and when expanded immunization Costa each year and approximately three services are needed due to low times that many immigrants and asylees. immunization rates. Participants are encouraged to seek a medical care home for ongoing care. Service: Mandatory e. Immunization Assistance Program Level of Service: Discretionary provides immunization clinics for children and adults, consultation to health care Expenditures: $12,214,738 providers, and technical assistance to Financing: . 9,154,331 schools, day care centers, and preschool Net County Cost: 3,060,407 programs to ensure compliance with California Immunization laws. This program Funding Sources: Federal and State Grants, also conducts disease investigation into the Bioterrorism'Funding, client fees, Medicare, ` occurrence of vaccine-preventable diseases, Medi-Cal and other third-party payers, billings and conducts the Perinatal Hepatitis B for laboratory services and General Fund program to prevent the development of chronic hepatitis B in infants. FTE: 91 f. Tuberculosis Control Program provides PHN case management for people with 5. Family, Maternal& Child Health active tuberculosis and their contacts. The programs(FMCH) PHNs do home visiting to monitor the health status of the patient and to assure proper • and complete compliance with the medical Description: The Family, Maternal &Child regimen. Disease Investigators work in Health Programs promote the health and well- being of families and children through innovative S 212 County of Contra Costa FY 2006-2007 Recommended Budget • O O O Health Services 0 Health and Human Services 0 partnerships with families, community members, prevention of disease and disabilities. 0 county programs, and community-based CHDP conducts 1) provider recruitment, organizations. Program staff focus their efforts development, and quality assurance, 2) on a range of activities including outreach and outreach and education regarding health (� education; home visiting and case management; coverage and how to access health O implementing community-based and community- services, 3) health education to schools, driven projects; the provision of training and community residents, foster care facilities, O technical assistance to individuals, health care other county programs serving children, and providers, and community groups; interfacing community- based organizations, and 4) with other counties, local and national MCH provides staffing and health assessments for O programs, and policy makers; and data children who are removed from their homes collection and analysis. The following programs in the three county Receiving Centers. O are part of the extensive network of services c. Children's Oral Health Program provides O offered by the FMCH programs. oral health screening, dental health O education, and dental sealant services to over 30,000 children (ages 3-19 years) per 0 year throughout Contra Costa County. The Service: Mandatory services of the Children's Oral Health Q Level of Service: Discretionary Program reach underserved and uninsured O children, and their parents, and provide Expenditures: $10,115,177 necessary oral health screenings, Q Financing: 9,007,676 assessments, and referrals. One new Net County Cost: 1,107,501 program includes providing care to an additional 1,900 uninsured and under- 0 Funding Sources: Federal, State and insured children throughout the county O Foundation Grants, General Fund through the Ronald McDonald Mobile Care Mobile. 0 FTE: 101.2 d. Comprehensive Perinatal Services Program (CPSP) identifies and provides Q a. Black Infant Health Program (BIH) education to perinatal medical providers to assures that at-risk pregnant and parenting assist them in providing quality prenatal care 0 African American women gain timely access services to low income, at-risk pregnant 6 to quality prenatal care services through women in the County. CPSP works closely outreach and home visiting services with the Managed Care Plans to assure a 0 designed to promote early entry into consistent standard of care among services prenatal care, ensure healthy birth delivered to low-income women. Most of outcomes, support families to ensure that these activities are covered by state and 0 their babies receive wellness care and federal funding. a immunizations, and promote male involvement in the lives of the children. This e. Fetal Infant Mortality Review(FIMR) D program provides outreach and education to Program is an interdisciplinary case review approximately 2,100 families per year, and process focusing on implementing system- O the six staff provide case management to a wide interventions to decrease the incidence O minimum of 300 families per year, that is of fetal and infant mortality. FIMR, the only about 31 families per worker at any given in-home perinatal bereavement support 0 time. program available to grieving families in O Contra Costa County, serves an annual b. Child Health and Disability Prevention caseload of 75 women and families and Q (CHDP) Program provides the oversight provides bereavement and grief counseling O and coordination for Medi-Cal eligible services, and linkages to other social and children 0-21 years of age, including foster health services. d children, to receive complete health 0 assessments for the early detection and C) O County of Contra Costa FY 2006-2007 Recommended Budget 213 0 Health Services • Health and Haman Services f. Medically Vulnerable Infant Program health monitoring to over 18,000 low (MVIP) provides comprehensive home visits income; pregnant, breastfeeding and n. by specially trained Public Health Nurses, postpartum clients and their infants and • including in-home family support, parent children under 5 years of age on a monthly teaching and training, health monitoring and basis. WIC also provides individual referrals, to at least 250 families/year with counseling and classes on preparing healthy • fragile infants and toddlers (e.g., very low meals and basic nutrition information. One birth weight). The goals of the program are key purpose of WIC is to prevent poor birth • to promote optimal health and outcomes, including low birth weight births developmental outcomes. This is and infant mortality, and improve the accomplished through family support, parent nutrition and health status of participants. education, promotion of attachment and bonding, health monitoring, case 6. Public Health Clinic Services (PHCS) M management, and referrals to other needed services. Description: This section provides staffing, administration and management for all clinical g. Prenatal Care Guidance Program (PCG) services provided under the Public Health Divi- provides home visiting services to over 300 sion. These clinics include Women's Health Medi-Cal eligible women throughout Contra Clinics, Pediatric and Teenage Clinics, Costa County each year to promote early Immunizations Clinics, Tuberculosis(TB) entry into prenatal care, ensure healthy birth screening and clinics, Sexually Transmitted outcomes, reduce infant mortality and Diseases (STD) Clinics, Employee morbidity, and support parents to ensure Occupational Health Program, and School- that their babies receive wellness care. Based Clinics. Additionally, Health Care for the ' Homeless (HCH) provides mobile clinics at 14 • h. The TeenAge Program (TAP) is an sites where homeless people congregate. A ` adolescent health program designed to number of these clinic services are con- reduce teen pregnancy, improve the health solidated into Women's Health and Pediatrics, t of teens throughout the county, and provide and will be jointly operated with the Ambulatory opportunities for social and economic Care Division. Services provided by these a development of our youth. The components programs: ' include: 1) health education sessions in local ^ high schools and juvenile hall, 2) mentoring Women's Health clinics—9,568 partnership programs in which high school appointments available/year • youth shadow a health professional mentor Pediatrics and Teenage clinics—9,660 for 3-6 months, 3)youth development appointments available/year projects that focus on public health issues . Immunizations and TB clinics— 17,480 and provide community service opportunities appointments available/year for youth, and 4)TAP Navigator Services, School-Based clinics—720 appointments assisting teens to gain access to needed available/year health services. TAP works with community Employee Occupational Health Program— partners to provide high school 4,140 appointments available/year 1. presentations to 30,000 high school youth through 1600 presentations, as well as peer Sexually Transmitted Diseases,(STD) t! Clinics—3,220 appointments available/year education, mentoring and youth development projects that reach 150 Health Care for the Homeless-Over 9,000 , ), students per year. visits annually. • , i. Women, Infants, and Children (WIC) This section also provides staffing and man- Special Supplemental Food Program is a agement for the Public Health Nursing (PHN) field services,,the Patient Navigator Program, federal nutrition program that provides ` w specific nutrition education and nutrition and the Asthma Program. PHNs provide nurs- • assessment services, checks and coupons ing, health education, and support services through home visiting to new mom and babies, for nutritious food, community referrals, and children with health issues and their families to r 214 County of Contra Costa FY 2006-2007 Recommended Budget O .4 a Health Services 0 Health and Human Services promote health, prevent disease, disability, and Community Wellness& Prevention Program O premature death. CASE LOAD-5,000+families Summary O annually. The Patient Navigator Program advocates for Spanish-speaking low-income Service: Discretionary d underserved women to obtain medical care, Level of Service: Discretionary helping them navigate the complex health care delivery system, and provide educational Expenditures: $2,224,933 O workshops in the health system and the com- Financing: 1,963,114 munity. CASE LOAD-3,000 women annually. Net County Cost: 261,819 0 The Asthma Program under Public Health Clinic Q Services provides health education, case Funding Sources: Federal, State and management, and support services through Foundation Grants, General Fund O home visits, school site classroom curriculum, O and clinical practice improvement in the clinics, FTE: 14.2 for children with asthma and their families, to Q assist with management of this chronic disease 0 and to minimize its adverse effects. CASE a. Tobacco Prevention Program (TPP)works LOAD-600 children annually. on issues of youth access to tobacco and O reducing exposure to second hand smoke. Q TPP is partnering with the Sheriffs Office to enforce tobacco sales law and clean indoor 0 Service: Discretionary air laws. This effort has reduced the illegal O Level of Service: Discretionary tobacco sales rate from 37%to 7%, and has increased compliance with smoke-free O Expenditures: $7,314,094 workplace laws to 98%. Additionally, TPP Financing: 2,482,727 has worked with 18 Contra Costa cities to Net County Cost: 4,831,367 adopt and implement laws regarding placement of tobacco products and licensing Funding Sources: State fees, MAA/TCM of retailers as well as implementing such Revenue, Medi-Cal, charges to employers, laws in the unincorporated areas. O private pay, patient co-pay and General Fund O b. Asthma Prevention Program has recruited FTE: 44.8 and trained 20 West County residents to be 0 asthma community advocates and educate other residents about asthma and how to Q 7. The Community Wellness and Prevention reduce asthma triggers such as tobacco 0 Program (CW&PP) smoke, mold and dust mites. Advocates also offer information on medical resources, Q Description: The primary goals of CW&PP are: and conduct policy advocacy to reduce 1) examine the root causes of poor health; 2) environmental triggers for asthma such as support factors that promote community health; poor air quality. 0 and 3) reduce risk factors that contribute to the leading causes of death and disability. c. Food and Nutrition Program (FNP)works to increase knowledge among the Contra 0 CW&PP works in partnership with diverse Costa residents about good nutrition and communities and uses a spectrum of strategies exercise. The program provides nutritional 0 to accomplish its goals. Programs focus on workshops and food demonstrations to low O prevention of chronic disease and injuries-the income parents through child care centers, two leading causes of death and disability in the schools, community events, farm Q United States. Eight-eight percent(88%)of stand/farmers markets and other settings O CW&PP's$2.2 million budget comes from such as drug treatment programs. The grants from outside sources. program also encourages medical providers Q to counsel their patients about the a importance of nutritious food and exercise. a O County of Contra Costa FY 2006-2007 Recommended Budget 215 0 Health Services Health and Human Services FNP, in partnership with the Supplemental g, physical activity promotion sessions within Food Program for Women, Infant and after school programs. The Project is Children (WIC), uses peer counselors to engaged in a major initiative in West Contra . promote breastfeeding and additionally uses Costa County to reduce pedestrian injuries, Promotoras to give nutrition workshops. which includes mapping the location of pedestrian collisions, collecting relevant data d. Childhood Obesity Prevention Program on victims and circumstances, working with i coordinates the operation of the NEW Kids law enforcement and engineering . Program, a comprehensive program to departments to ticket violators and correct prevent and treat childhood obesity in hazardous intersections, and educatingii` Pittsburg. The Program includes the NEW community members about their own safety Kids Clinic, the first pediatric weight practices. In addition, the Project is involved management clinic in the county, and a in a number of activities that promote the school-based program to increase exercise planning and construction of safer streets and healthy eating for children in Pittsburg. and sidewalks to make communities safer ` The Program provided technical assistance for walking and biking. These activities to the Pittsburg Unified School District to include General Plan updates, Community increase exercise and serve healthier Based Transportation Planning, and the snacks after school and works with the development of a Workshop Series for ; YMCA to provide after-school programs at Planners and Engineers to foster best s; seven elementary schools. practices for"walkability and bikeability." ' e. Lead Poisoning Prevention Program 8. Fixed Assets ' provides outreach and education to communities, medical providers, and Description: To provide for acquisition of . agencies about the dangers of lead in capital equipment and for needed capital ' substandard housing, home remedies and improvement projects. t cookware, and medical intervention for children who have unsafe blood lead levels. ` Most of the children with elevated levels are under three years, low-income, and live in Service: r Discretionary Richmond, Pittsburg, or Bay Point. Level of Service: Discretionary f. Injury Prevention and Physical Activity Expenditures: $105,000 Promotional Projects work to reduce Financing: 85,000 injuries and promote opportunities for Net County,Cost: 20,000 everyday physical activity. These include pedestrian and bicycle safety education Funding Sources: Federal/State/PH sessions and events, the Street Smart Assistance, General Fund Traffic Safety Education Campaign, and the distribution of materials and safety FTE: NIA equipment to children in low income • communities. It also includes hands on i • i • • 216 County of Contra Costa FY 2006-2007 Recommended Budget • 0 O Health Services Health and Human Services O Alcohol and Other Drugs O FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 O General Fund Actual Bud et" Baseline Recommended Change O EXPENDITURES O Salaries and Benefits 4,853,096 5,036,647 5,037,581 5,037,581 0 Services and Supplies 13,214,940 13,945,718 13,693,308 12,881,425 -811,883 Other Charges 7,486 134,818 33,736 33,736 0 Q Expenditure Transfers -1,530,274 -1,454,214 -1,209,216 -1,209,216 0 /\ Total Expenditures 16,545,247 17,662,969 17,555,409 16,743,526 -811,883 Q REVENUE O Other Local Revenue 7,038,501 7,089,793 6,556,951 6,556,951 0 State Assistance 8,515,734 9,487,405 9,834,113 9,834,113 0 Gross Revenue 15,554,235 16,577,198 16,391,064 16,391,064 0 O NET COUNTY COST(NCC) 991,013 1,085,771" 1,164,345 352,462 -811,883 O O Allocated Positions(FTE) 46 44 43 42 -1 O O FINANCIAL INDICATORS O Salaries as%of Total Exp 27% 26% 27% 28% %Change in Total Exp 7% -1% -4% %Change in Total Rev 7% _1% 0% O %Change in NCC 10% 7% -63% A. Includes$632,632 one-time funding carried over from FY-2004-05 into FY 2005-06. Description: To reduce the incidence and Impact: To maintain the existing level of prevalence of alcohol and drug abuse through services in FY 2006-07, the Baseline Budget O prevention, intervention and treatment/recovery requires $0.8 million in additional County services. General Fund above the FY 2006-07 ORecommended Budget. The Health Services Workload Indicator: The recommended FY Department has developed a comprehensive list O 2006-2007 budget is based on an average of budget balancing strategies that can be caseload of 5,436 clients. implemented over a ninety-day period to n Adjustment: The Recommended Budget balance to the Recommended Budget. Those reduces expenditures and General Fund items, with a description and impact statement, may be found beginning on page A-1. revenue by$811,883 from the baseline level. O O O O O O O O County of Contra Costa FY 2006-2007 Recommended Budget 217 O T Health Services Health and Human Services ! 1. Prevention Services 3. Residential Services Program , Description: Prevention programs provide Description: Recovery services for men, alcohol and other drugs education, drug free women, and their children, and adolescents, and activities, community-based initiatives, problem detoxification for adults. Services include +♦ ', identification and referrals for youth and adults. individual, group, family counseling and 12-step support services. Treatment is designed to promote recovery, healthy relationships and ' it positive participation in society. Service: Discretionary ` Level of Service: Discretionary •• . Expenditures: $1,524,821 Service: Discretionary Financing: 1,524,821 Level of Service: Discretionary Net County Cost: 0 Expenditures: $1,882,096fi Funding Sources: Federal Prevention Set- Financing: 1,599,863 Aside, Federal Friday Night Live, Federal Club Expenditure Transfer: 274,671 ' Live, SB 920 and 921 Funds Net County Cost: 7,562 (, FTE: 4 Funding Sources: Federal Substance Abuse Prevention and Treatment(SAPT) Block Grant, Federal Adolescent Treatment, Client Fees, 2. Non-Residential Program Expenditure Transfer and General Fund Description: Outpatient substance abuse FTE: 9 r recovery services for adults, youth/adolescents t' and family members who have alcohol and other , drug problems, persons at risk or addicted to 4. Narcotic Treatment Program alcohol and other drugs. Services include individual, family and group counseling, Description: Outpatient methadone r• educational and recovery support groups. maintenance provided under a contract with Bay Area Addiction Research and Treatment (B.A.A.R.T.) for opiate dependent adults, 0 especially those persons at risk of HIV infection Service: Discretionary through I.V. drug use. Also includes services for , Level of Service: Discretionary pregnant addicts and dually diagnosed clients. Expenditures: $1,771,183 Financing: 1,735,012 Narcotic I ProgramTreatimeht Net County Cost: 36,171 Service: Mandatory Funding Sources: Federal Medi-Cal, State Level of Service: Mandatory General Fund Match to Drug Medi-Cal, Federal Expenditures: $2,749,444 Substance Abuse Prevention and Treatment Financing: 2,749,444 (SAPT) Block Grant, Federal Adolescent Net County Cost: 0 Treatment, HIV Set-Aside, and General Fund Funding Sources: Federal Medi-Cal and State FTE: 7.0 General Fund Match to Drug Medi-Cal s . FTE: N/A 218 County of Contra Costa FY 2006-2007 Recommended Budget • O 0 Q Health Services Q Health and Human Services 0 5. Special Programs Support 0 Q Description: The Department administers Service: Discretionary several time-limited federal and state special Level of Service: Discretionary Q initiatives and demonstration projects including Perinatal Substance Abuse Treatment, First 5, Expenditures: $1,885,760 Bay Area Services Network(BASH) Project, and Financing: 1,640,554 O Comprehensive Drug Court Implementation Net County Cost: 245,206 (CDCI), Project Coming Home, Safe& Drug o Free Schools and Communities. Funding Sources: Federal SAPT Block Grant, Q Admin Fees on Grants and on Drug Medi-Cal, and General Fund Special Programs Summary Q Service: Discretionary FTE: 8 Q Level of Service: Discretionary Q Expenditures: $4,149,972 7. Proposition 36 Program Financing: 4,049,182 Description: As the lead agency for Expenditure Transfer: 37,267 Proposition 36, the Alcohol and Other Drugs Q Net County Cost: 63,523 Services Division provides program coordination between the County's Probation Department o Funding Sources: State Parolee Funds, State and the Superior Court, and the mandated Q and Federal Drug Court Funds, First 5, Project services that include drug treatment services, Coming Home, Federal Safe and Drug Free vocational training, family counseling and Q Schools and Communities and Expenditure literacy training for adult offenders convicted of Q Transfer non-violent drug possession offenses. Q FTE: 7 Proposition11 . . Service: Mandatory Q 6. Support Services and Countywide Level of Service: Mandatory Prevention O Description: Management of all substance Expenditures: $3,092,188 o abuse services, funds and programs, including Financing: 3,092,188 contracted services. Oversees countywide Net County Cost: 0 o service delivery system, including budgeting, Funding Sources: Ongoing Prop 36 Allocation Q program planning and evaluation, contract of$2 million; one-time Prop 36 Trust Fund o development and processing, and other monies of$0.4 million; and$0.7 million of mandated services. This category also includes discretionary State Allocation funds. Q the provision of countywide prevention services, Q special projects and grant management. FTE: 7 O O O 0 0 0 O O O Q County of Contra Costa FY 2006-2007 Recommended Budget 219 O Health Services Health and Human Services 8. Substance Abuse and Mental Health - (SAMHWORKs) Program Service: Mandatory • Description: Provides assessment, referrals Level of Service: Discretionary and treatment for CalWORKs clients referred . through Employment and Human Services Gross Expenditures: $897,278 • ` Department. Services include: outpatient and Expenditures Transfer: 897,278 residential substance abuse treatment, childcare. Net County Cost: 0 specialists, parenting classes and domestic violence counseling and groups. The goal of all Funding Sources: treatment is to reduce barriers to employment. Expenditure Transfer 100% $897,278 Services are developed jointly with Employment and Human Services through a Memorandum of Understanding. FTE: N/A , E t[ S P • r n • fyy 2 y � f 5 . Y 220 County of Contra Costa FY 2006-2007 Recommended Budget • : ¢, 0 0 O Health Services 0 Health and Human Services Environmental Health 0 O FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 0 General Fund Actual Budget Baseline Recommended Change 0 EXPENDITURES 0 Salaries and Benefits 8,737,833 10,122,914 10,894,875 10,894,875 0 0 Services and Supplies 3,255,469 3,746,183 4,065,172 4,065,172 0 Other Charges 3,570 0 0 0 0 0 Fixed Assets 22,816 47,039 47,039 47,039 0 0 Total Expenditures 12,019,688 13,916,136 15,007,086 15,007,086 0 0 REVENUE O Other Local Revenue 12,166,218 14,167,832 15,247,537 15,247,537 0 State Assistance 81,347 62,549 62,549 62,549 0 0 Gross Revenue 12,247,565 14,230,381 15,310,086 15,310,086 0 0 NET COUNTY COST(NCC) -227,876 -314,245 -303,000 -303,000 0 0 0 Allocated Positions(FTE)" 76 76 84 84 0 0 0 FINANCIAL INDICATORS 0 Salaries as%of Total Exp 73% 73% 73% 73% 0 % Change in Total Exp 16% 8% 0% %Change in Total Rev 16% 8% 0% 0 %Change in NCC 38% -4% 0% 0 A. Does not include permanent and temporary overtime, registry and contract employees. 0 0 Description: Includes programs to minimize or Impact: To maintain the existing level of 0 eliminate disease transmission, to preserve the services in FY 2006-07, the Baseline Budget O environmental quality of Contra Costa County requires no additional County General Fund and the clean up of toxic waste spills and above the FY 2006-07 Recommended Budget. O identification of the responsible parties. The Health Services Department has developed a comprehensive list of budget balancing 0 Workload Indicators: The recommended FY strategies that can be implemented over a 0 2006-2007 budget is based on a monthly ninety-day period to balance to the Recom- average of 261 hazardous material inspections mended Budget. Those items, with a descrip- 0 and 3,035 consumer protection inspections. tion and impact statement, may be found 0beginning on page A-1. Adjustment: The Recommended Budget 0 continues to provide services at the baseline 0 level. 0 0 0 0 0 O County of Contra Costa FY 2006-2007 Recommended Budget 221 0 Health Services Health and Herman Services • 1. Hazardous Materials Program Description: Service: Mandatory Mandatory • a. Emergency Response Program: This pro- Level of Service: . gram provides an emergency response unit Expenditures: $7,678,004 under the control of a Hazardous Materialsf Financing: 7,832,534 Specialist 24 hours per day, 7 days per Net County Cost: (154,530) . week, for the identification and characteriza- tion of unknown substances and for risk as- Funding Sources: sessment and oversight of hazardous mate- Local Fees 100% $7,832,534 rials spills and releases (if requested) for all responders (police, or fire departments) in FTE: 33 `` Contra Costa County. b. Hazardous Waste Generator Program: Provides enforcement, education and con- 2. Environmental Health sultation to over 1,851 hazardous waste ) generators for compliance with federal and Description: state laws and regulations. Surveillance ac- • f tivities assure a safe environment for Contra a. Retail Food Programs: Performs • Costa workers and residents. permitting and inspection of retail food facilities including restaurants, bars, retail " £, c. Hazardous Materials AB 2185 Program: food markets, mobile food preparation i' Performs review and dissemination of haz- vehicles and temporary food facilities; ardous materials management plans and inspection of institutional and school food i hazardous materials inventories from 2,103 service facilities; and investigation of food- businesses; and inspection of business to borne illness outbreaks. ensure their compliance with their hazard- • ` ous materials management plans and State b. Consumer Protection Programs: Performs and federal laws and regulations. permitting, inspection and monitoring of small public water systems; permitting and inspection d. Underground Tanks Program: Performs of public pools and spas; inspection of local inspection and permitting of over 1,156 un- detention facilities; investigation of waterborne derground Tanks in Contra Costa County to disease outbreaks; review and approval of plans protect soil and groundwater from contami- for retail food, public pool and spa facilities. nation by hazardous materials. c. Solid Waste Program: Performs permitting e. Accidental Release Prevention (ARP): and inspection of landfills and transfer Provides for the prevention of chemical ac- stations; inspections of closed or abandoned cidents by identifying and correcting poten- landfills; permitting and inspection of non- tial causes; and preparation for emergency traditional facilities such as those for response to chemical accidents including compost and construction waste; code public notification and protection in the event enforcement for abatement of exterior of an accident. garbage, refuse and cast-off materials; and disposal of waste tires. ' d. Medical Waste Program: Performs registration, inspection and permitting of specified medical waste generators, treatment facilities, storage and transfer facilities and haulers; and registration and • inspection of tattoo and body piercing • facilities. s 222 County of Contra Costa FY 2006-2007 Recommended Budget o O o Health. Services Health and Human Services O 3. Fixed Assets e. Land Use Programs: Performs permitting and inspection of individual sewage Description: To provide for acquisition of collection and treatment systems; permitting capital equipment and for needed capital (� and inspection of water wells, soil borings improvement projects. O and monitoring wells; and evaluation of properties for health compliance with Fixed Assets Summary O environmental health criteria. Service: Discretionary OEnvironmental Health Summary Level of Service: Discretionary O Service: Mandatory Expenditures: $47,040 O Level of Service: Mandatory Financing: 47,040 O Net County Cost: 0 Expenditures: $7,282,042 o Financing: 7,430,512 Funding Sources: Net County Cost: (148,470) Local Fees 100% $47,040 O Funding Sources: FTE: N/A Local Fees 100% $7,430,042 FTE: 51 O O O O a 0 O a o 0 0 0 0 0 0 0 0 0 0 0 0 0 County of Contra Costa FY 2006-2007 Recommended Budget 223 -O Health Services ' Health and Human Services Detention Facility Programs FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 General Fund Actual Budget Baseline Recommended Chane . EXPENDITURES Salaries and Benefits 7,859,962 8,953,126 9,103,395 9,103,395 0 Services and Supplies 6,128,450 5,158,254 7,192,506 6,960,506 -152,000 Other Charges 141 0 0 0 0 Expenditure Transfers -893,000 -1,009,679 -1,009,679 -1,009,679 0 • Total Expenditures 13,095,554 13,101,701 15,206,222 15,054,222 -152,000 • i' REVENUE Other Local Revenue 161,352 135,138 136,698 136,698 0 State Assistance 246,446 273,678 214,185 214,185 0 Gross Revenue 407,799 408,816 350,883 350,883 0 NET COUNTY COST(NCC) 12,687,755 12,692,885 14,855,339 14,703,339 -152,000 Allocated Positions(FTE)a 49 57 61 61 0 40 ` FINANCIAL INDICATORS Salaries as%of Total Exp 56% 63% 56% 57% !� %Change in Total Exp 0% 16% _1% • % Change in Total Rev 0% -14% 0% %Change in NCC 0% 17% _1% A. Does not include permanent and temporary overtime, registry and contract employees. t' Description: To provide medical and mental of budget balancing strategies that can be health services to inmates of the County adult implemented over a ninety-day period to and juvenile detention facilities. balance to the Recommended Budget. Those , items,with a description and impact statement, Workload Indicators: The recommended FY may be found beginning on page A-1. 2006-2007 budget is based on an average detention facilities census of 1,660 inmates. 1. Detention Facility Mental Health Services y Adjustment: The Recommended Budget Description: Provides assistance to the • Ir expenditures and General Fund Sheriffs Department in the identification and revenue by$152,000 from the baseline level. management of the mentally ill in the County's • ., main detention facility. Services include Impact: To maintain the existing level of medication management, behavior, services in FY 2006-07, the Baseline Budget management, crisis counseling, and brief • would require an additional$152,000 of County therapy for the more severely disordered General Funds above the FY 2006-07 inmates. Program staff are available to Sheriffs Recommended Budget. The Health Services staff for consultation and training. ' Department has developed a comprehensive list 4 i 224 County of Contra Costa FY 2006-2007 Recommended Budget 0 0 0 Health Services 0 Health and Human Services O OMedical O Service: Mandatory Service: Mandatory Level of Service: Discretionary O Level of Service: Discretionary O Gross Expenditure- $1,009,679 Expenditure: $1,656,912 Expenditure Transfers: (1,009,679) Q Financing: 75,802 Net County Cost: 0 o Net County Cost: 1,581,110 Funding Sources: Probation Department 0 Funding Sources: Sheriff's Office 4.6% $75,802 FTE: 8.1 General Fund 95.4% 1,581,110 0 O FTE: 11.3 4. Juvenile Justice Facilities(Youth Institutional Mental Health Services) 0 0 2. Detention Facility Medical Services Description: Provides crisis intervention, medication evaluation and critical consultation O Description: Provides all primary care medical by Mental Health Division staff to inmates held services for inmates in the County's detention at the Orin Allen Youth Rehabilitation Facility 0 facilities, including diagnostic testing, treatment, (formerly Byron Boys Ranch)and Juvenile Hall. (J nursing care, obstetrical, dental and other services. When more complicated medical Juvenile Justice Facilities Summary 0 services are required, they are provided at Contra Costa Regional Medical Center and Service: Discretionary Health Centers. Level of Service: Discretionary 0 o Expenditure: $261,599 Financing: 0 0 Service: Mandatory Net County Cost: 261,599 Q Level of Service: Discretionary Funding Sources: O Expenditure: $12,860,676 General Fund 100% $261,599 Financing: 141,073 0 Net County Cost: 12,719,603 FTE: N/A 0 Funding Sources: O State AIDS Assistance 1% $141.073 General Fund 99% 12,719,603 5. STAND! Against Domestic 0 Violence/Community Violence Solutions O FTE: 41.6 Description: Provides emergency shelter to O women and their children who are victims of 0 3. Juvenile Hall Medical Services domestic violence, sexual assault and other crisis situations; provides sexual assault O Description, Provides primary care medical counseling, victim advocacy, therapy and C) services to inmates at the Juvenile Hall, educational services. including diagnostic testing, treatment, nursing care and physician care. 0 0 0 0 O County of Contra Costa FY 2006-2007 Recommended Budget 225 0 , x" Health Services Health and Herman Services " ViolenceSTAND! Against Domestic ti- Service: Discretionary • Level of Service: Discretionary r,- ,;x Expenditure: $275,035 • r Financing: 134,008 Net County Cost: 141,027 Funding Sources: r Marriage License Fees 49% $134,008 General Fund 51% 141,027 FTE: N/A rv" Fr �Y A .9 Y n • S xXD ,v AE rv� tt ' 3ik 3a' S'Fr'•' � � f S' ii 226 County of Contra Costa FY 2006-2007 Recommended Budget M Z' � s W EI b }( S }p{ _. Eawi 0 0 0 Health Services 0 Health and Human Services Homeless Programs 0 0 FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 0 General Fund Actual Budget Baseline Recommended Change O EXPENDITURES 0 Salaries and Benefits 479,839 562,316 461,794 461,794 0 O Services and Supplies 4,863,891 3,675,474 3,693,995 3,543,995 -150,000 Expenditure Transfers -390,367 -391,833 -398,020 -398,020 0 O Total Expenditures 4,953,363 3,845,957 3,757,769 3,607,769 -150,000 0 REVENUE o Other Local Revenue 382,776 199,065 278,412 278,412 0 Federal Assistance 2,711,539 2,404,108 1,888,035 1,888,035 0 State Assistance 276,200 242,784 416,029 766,029 350,000 o Gross Revenue 3,370,515 2,845,957 2,582,476 2,932,476 350,000 0 NET COUNTY COST(NCC) 1,582,848 1,000,000 1,175,293 675,293 -500,000 0 0 Allocated Positions(FTE)A 5 5 3 3 0 O o FINANCIAL INDICATORS 0 Salaries as%of Total Exp 9% 13% 11% 12% o %Change in Total Exp -22% -2% -4% % Change in Total Rev -16% -9% 14% 0 %Change in NCC -37% 18% -43% 0 A. Does not include Permanent and Temporary Overtime, Registry and Contract Employees. 0 0 Description: The Homeless Program has Adjustment: The Recommended Budget o helped to create a system of care that includes reduces expenditures by $150,000 and 0 information and referral services, multi-service increased revenue by$350,000 for a net centers that provide case management and reduction to the General Fund of$500,000 from 0 support services, outreach services to the baseline level. encampments, emergency shelter, transitional 0 housing, and permanent supportive housing for Impact: To maintain the existing level of o adults, youth, and families. While the County services in FY 2006-07, the Baseline Budget program does not assume funding and would require an additional $150,000 of County 0 management for all aspects of the continuum, it is General Fund above the FY 2006-07 O the primary provider of emergency shelter for Recommended Budget. The Health Services single adults and families, administers the Shelter Department has developed a comprehensive 0 Plus Care Program, and provides guidance and list of budget balancing strategies that can be staff to the Continuum of Care Advisory Board, implemented over a ninety-day period to Q balance to the Recommended Budget. Those 0 Workload Indicator: The requested FY 2006- items, with a description and impact statement, O 2007 budget is based on the provision of 84,315 may be found beginning on page A-1. annual shelter bed-days. 0 0 tJ 0 County of Contra Costa FY 2006-2007 Recommended Budget 227 0 Health Services Health and Human Services • 1. Administration c. Family Employment Resource Services • Together(FERST) Multi-Service Centers Description: Administration includes staffing provides comprehensive support services, • (except for Shelter Plus Care), occupancy costs, including case management and outpatient costs incurred for the Continuum of Care Board, drug abuse treatment, at Phoenix and costs associated with grant writing and con- Programs multi-service centers located in sultation. West, Central, and East County, serving over 900 adults and children each year. . OutreachAdministration Summary Service: Discretionary Level of Service: Discretionary Service: Discretionary Level of Service: Discretionary Expenditures: $596,237 . Financing: 241,877 Expenditures: $349,044 Net County Cost: 354,360 Financing: 337,578 Net County Cost: 11,466 Funding Sources: Dept. of Housing and Urban Development(HUD), Substance Abuse and Funding Sources: The Department of Mental Health Services Agency (SAMHSA), Housing and Urban Development McKinney- • Health Resources Services Agency (HRSA), Vento Homeless Assistance Funds, SAMHSA, General Fund HRSA, General Fund FTE: 3.0 FTE: N/A 2. Outreach and Engagement Services 3. Interim Housing and Support Services . i Description: These services are aimed at Description: Interim Housing and Support identifying homeless individuals and families in Services offer short-term shelter and support need of services and assisting them in accessing services that allow for stabilization, referral and . . the services necessary to end their preparationfor permanent housing and/or homelessness. Outreach and engagement mental health and treatment services. { services include an interim housing intake line, : outreach teams, and multi-service centers. a. Adult Interim Housing Program are 24- hour shelter facilities in Richmond and a. Adult Interim Housing Intake Line is a toll- Concord that focus on housing search free number(800-799-6599)for any assistance with case management and homeless single adult to access a bed within other wrap around services including our adult shelter system. meals, laundry facilities, mail, and telephone services. The program has the • b. Homeless Outreach Project to combined capacity to serve 175 men and Encampments (HOPE) is an integrated women, including a specialized transition community-based mental health access and age youth program for those 18-21. care program that targets mentally ill men, • k women and children living within homeless b. Treatment for Homeless Program is encampments. Multi-disciplinary teams designed to provide substance abuse and provide mental health assessments, dual-diagnosis treatment options to interventions, medication management, homeless adults. Outpatient and recovery transportation, linkages to health care resources are available in the FERST multi- fi services, housing services, and basic needs service centers; detox and residential • such as food and clothing. treatment beds for persons with co- occurring substance abuse and mental 228 County of Contra Costa FY 2006-2007 Recommended Budget • • O 0 Health Services 0 O Health and Human Services ` O health disorders are available in Central and d. PCH—Addressing Addictions to Alcohol O West County. (AAA) program is an expansion of Project O Coming Home that provides permanent interim Housing and Support Services housing and supportive services to 0 Summary chronically homeless individuals who have O a long-term addiction to alcohol. Service: Discretionary Q Level of Service: Discretionary e. Garden Parks Permanent Supportive Housing is a partnership between Contra O Expenditures: $968,384 Costa Interfaith Housing, Mercy Housing O Financing: 795,423 California and the Homeless Program that Net County Cost: 172,961 provides 28 units of permanent supportive O housing with on-site supportive services in O Funding Sources: Emergency Shelter Grant Pleasant Hill for homeless families with (ESG), Emergency Housing Assistance program disabilities. O (EHAP), Community Development Block Grant O (CDBG), Federal Emergency Management ;f. Lakeside Permanent Supportive Agency (FEMA), Employment and Human Housing, is a partnership with Resources O Services Department, Various Cities, and for Community Development to provide 12 General Fund units of permanent supportive housing for O disabled families. HHISN services are Q FTE: N/A provided to both adults and their children both on and off-site that aim to assist Q families to maintain their housing. O 4. Supportive Housing Programs Description: The Supportive Housing Program O provides a variety of permanent housing options Service: Discretionary O for homeless adults, families, and transition age Level of Service: Discretionary youth with disabilities. All housing options come 0 with supportive services aimed at assisting the Expenditures: $1,161,499 resident in maintaining their housing. Financing: 1,103,416 O Net County Cost: 58,083 a. Shelter Plus Care provides housing subsidies to homeless persons with Funding Sources: Dept. of Housing and O disabilities and links them to support Urban Development(HUD), SAMHSA, HRSA services. This program has the capacity to serve over 290 households. FTE: N/A O 0b. Health, Housing and Integrated Services Network(HHISN)is a collaboration between 5. Youth Continuum of Services(CCYCS) O government and private non-profit agencies for Runaway and Homeless Youth O that work together to provide supportive services to chronically homeless individuals Description: Contra Costa's Youth Continuum O and families with disabilities that have been of Services provides outreach, shelter, placed in permanent housing. transitional, and permanent housing and O services to youth ages 14-21. O c. Project Coming Home(PCH)combines HOPE, HHISN, and S+C programs together a: Homeless Youth—Homeless Outreach O to provide a permanent supportive housing Project to Encampments (HY-HOPE) is O program using a "housing first"approach for an outreach program whose goals are to chronically homeless, disabled individuals, reduce harm done to youth while they are O including veterans. on the streets, build trusting relationships, O provide healthier alternatives to being on O O County of Contra Costa FY 2006-2007 Recommended Budget 229 0 • Health Services Health and Human Services • the streets, and assist youth in making 6. Homeless Management Information • positive choices in their lives. Youth living on System the streets, in encampments or in unhealthy • situations at home receive critical information Description: The Homeless Management and referrals to services; health and safety Information'System (HMIS) is a shared education, crisis intervention and counseling, homeless service and housing database • and direct access to the youth shelter. system administered by the County Homeless Program, Continuum of Care Board, and b. Calli House Shelter and Day Center is a 6- community-based homeless service providers. • bed emergency shelter and service program HMIS enables homeless service providers to • F located in Richmond, California that serves collect and share uniform client information. . youth ages 14-17. Additionally, 18-21 year olds residing at the Calli Annex, located Homeless Management within the West County Interim HousingInformation System . Program, may access youth-specific case management, vocational, educational Service: Discretionary • services, healthcare, and substance abuse Level of Service: Discretionary i } support services at the center during the day. c. Appian House—Transitional Housing for Expenditures: $98,240Financing: 98,182 Youth builds upon the homeless continuum Net County Cost: 58 of services for youth by providing longer-term • housing and services for 18-21 year old Funding Sources: Phoenix Programs, Inc., homeless, pregnant, and/or emancipating Rubicon Programs, Inc., Shelter, Inc., and foster care youth. This program provides Greater Richmond Interfaith Program ' young adults with the support, guidance, and skill development over an 18-month period FTE: N/A that will lead youth to viable employment and permanent housing options.�ontra Costa Youth Continuum • ' of Services Summary • l d"- Service: Discretionary • Level of Service: Discretionary Expenditures: $434,365 • Financing: 356,000 • '' Net County Cost: 78,365 Funding Sources: Department of Health and Human Services, FEMA, Community Services Block Grant, General fund FTE: N/A • f - • 230 County of Contra Costa FY 2006-2007 Recommended Budget • a 0 0 0 Health Services 0 Health and Human Services 0 Conservatorship/Guardianship 0 0 FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 o General Fund Actual Budget Baseline Recommended Change O EXPENDITURES O Salaries and Benefits 1,529,044 1,382,143 1,550,525 1,550,525 0 O Services and Supplies 188,116 217,876 237,850 237,850 0 Expenditure Transfers -12,680 -12,000 -12,680 -12,680 0 O Total Expenditures 1,704,480 1,588,019 1,775,695 1,775,695 0 0 REVENUE 0 Other Local Revenue 143,675 144,245 146,133 146,133 0 O State Assistance 65,011 0 50,000 50,000 0 Gross Revenue 208,686 144,245 196,133 196,133 0 0 o NET COUNTY COST(NCC) 1,495,794 1,443,774 1,579,562 1,579,562 0 0 0 Allocated Positions(FTE) 16 16 14 14 0 O O FINANCIAL INDICATORS Salaries as%of Total Exp 89% 86% 87% 87% 0 % Change in Total Exp -7% 12% 0% O %Change in Total Rev -31% 36% 0% Change in NCC -3% 9% 0% 0 0 Description: This program has responsibility for The Health Services Department has developed o controlling the financial affairs and daily support a comprehensive list of budget balancing O coordination of clients who are mentally ill, frail strategies that can be implemented over a elderly or otherwise deemed to be incapable of ninety-day period to balance to the Recom- o caring for themselves in these areas. The Public mended Budget. Those items, with a descrip- Conservator is mandated by State Law and the tion and impact statement, may be found 0 Public Guardian is responsible to the Board of beginning on page A-1. O Supervisors in the performance of these duties. Additionally, the program collects court-ordered Q Conservatorship related fees on behalf of other 0 County departments. Service: Mandatory Workload Indicators: The recommended FY Level of Service: Mandatory 2006-2007 budget is based on an average Expenditures: $1,775,695 caseload of 728 clients per month. Financing: 196,133 o Net County Cost: $1,579,563 O Adjustment: The Recommended Budget maintains the baseline level. Funding Sources: 0 Estate Fees 11% $1,579,563 O Impact: To maintain the existing level of General Fund 89% 196,133 services in FY 2006-07, the Baseline Budget o requires no additional County General Fund FTE: 14 0 above the FY 2006-07 Recommended Budget. 0 0 County of Contra Costa FY 2006-2007 Recommended Budget 231 0 Health Services Health and Human Services i California Children's Services • FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 • General Fund Actual Budget Baseline Recommended Chane • EXPENDITURES • Salaries and Benefits 5,759,089 6,425,337 6,642,799 6,642,799 0 • +' Services and Supplies 1,100,903 906,103 1,093,322 951,322 -142,000 Total Expenditures 6,859,992 7,331,440 7,736,121 7,594,121 -142,000 REVENUE • Other Local Revenue 115,356 131,420 282,330 282,330 0 State Assistance 5,330,984 5,834,592 5,939,026 5,939,026 0 • Gross Revenue 5,446,340 5,966,012 6,221,356 6,221,356 0 NET COUNTY COST(NCC) 1,413,652 1,365,428 1,514,765 1,372,765 142,000 Allocated Positions (FTE) 61 59 61 58 -3 FINANCIAL INDICATORS Salaries as%of Total Exp 84% 88% 86% 87% • % Change in Total Exp 7% 6% -2% % Change in Total Rev 10% 4% 0% • %Change in NCC -3% 11% -9% f A. Does not include Permanent and Temporary Overtime, Registry and Contract Employees. Description: This program provides for the Adjustment: The Recommended Budget habilitation or rehabilitation of children with reduces expenditures and General Fund specific handicapping conditions, in need of revenue by $142,000 from the baseline level. specialist care and whose families are unable, wholly or partially, to pay for the required care. Impact: To maintain the existing level of The program currently serves over 1,600 services in FY 2006-07, the Baseline Budget • qualified handicapped children. Approximately would require$142,000 of additional County 60%of these children are covered by the Medi- General Fund above the FY 2006-07 Cal program and receive case management Recommended Budget. The Health Services • t services from CCS staff. The case management Department has developed a comprehensive list functions that CCS staff provide help insure that of budget balancing strategies that can be • appropriate medical care and equipment are implemented over a ninety-day period to a provided to the clients. Children with balance to the Recommended Budget. Those neuromuscular handicaps are assigned to clinic items, with a description and impact statement, • teams in one of the Medical Therapy Units may be found beginning on page A-1. (MTU). These teams consist of physicians, • 4 physical and occupational therapists. Workload Indicators: The Recommended Budget for FY 2006-07 is based on a monthly • average of 2,400 CCS cases and 900 MTU. ir 232 County of Contra Costa FY 2006-2007 Recommended Budget • O 0 0 Health Services 0 Health and Human Services O O O Service: Mandatory O Level of Service: Mandatory O Expenditures: $7,594,121 Financing: 6,221,356 O Net County Cost: 1,372,765 Funding Sources: State Realignment O Revenue, State CCS Revenue, State Medi-Cal O Administration, miscellaneous grants and General Fund O FTE: 58 O O O O O O O O O O O O O O O O O O O O O O O O O O O O County of Contra Costa FY 2006-2007 Recommended Budget 233 0 • Health Services Health and Human Services • • Ambulance Service Area • County Service Area EM-1 Funds • (Administered by CCHS; contained in Special District Budget) ' • Ambulance Services FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 • Funds -Zones A& B Actual Budget Baseline Recommended Change • EXPENDITURES -Salaries and Benefits 267,637 281,938. 414,344 414,344 0 Services and Supplies 1,390,488 6,704,679 3,172,204 3,172,204 0 Other Charges 1,792,328 1,181,277 1,627,457 1,627,457 0 • Fixed Assets 38,384 0 0 0 0 Total Expenditures 3,488,837 8,167,894 5,214,005 5,214,005 0 REVENUE • r Other Local Revenue 4,597,306 4,641,459 5,214,005 5,214,005 0 • Gross Revenue 4,597,306 4,641,459 5,214,005 5,214,005 0 • NET FUND COST(NFC) -1,108,469 3,526,435 0 0 0 • • Allocated Positions(FTE) 3 4 4 0 • • FINANCIAL INDICATORS • ' Salaries as%of Total Exp 8% 5% 47% 0% % Change in Total Exp 134% -36% 0% %Change in Total Rev 1% . 12% 0% • %Change in NFC -418% -100% N/A • A. 2005-06 Includes$3,526,435 in fund balance carried forward from the 2004-05 FY. • L= Description: Reduces deaths and Impact: None. • complications resulting from medical • 1- emergencies in Contra Costa by making and 1. Zone A continuing improvements in the Emergency Medical Service System. Includes support for Description: Includes support for expanded expanded first responder and paramedic first responder service; EMS communications; • service; EMS communications; Public Access Public Access Defibrillation; specified positions Defibrillation; specified positions in the Health in the Health Services EMS Division to provide e Services EMS Division to provide program program coordination, training, and medical • coordination, training, and medical oversight; oversight; and administrative and levy collection Hazardous Materials Program charges; and costs. The geographic area encompasses the . administrative and levy collection costs. Funded territory of the San Ramon Valley Fire Protection by Measure H parcel levies collected with the District(San Ramon, Danville, and surrounding • property taxes. unincorporated areas). • Adjustment: The Recommended Budget • maintains the baseline level. Both revenue and • expenditures are$572,546 over the FY 2005-06 level. • • 234 County of Contra Costa FY 2006-2007 Recommended Budget • d 0 0 0 Health Services 0 Health and Human Services 0Zone A Summary training, and medical oversight; Hazardous 0 Materials Program charges; and administrative O Service: Discretionary and levy collection costs. Funded by Measure H Level of Service: Mandatory parcel levies collected with the property taxes. 0 The geographic area encompasses all the Expenditures: $251,704 remaining incorporated and unincorporated 0 Financing: 251,704 territory of the County not included in Zone A. 0 Net Fund Cost: 0 0 Funding Sources: Fees on real property Zone B Summary 0 Service: Discretionary O FTE: 0.2 Level of Service: Mandatory 0 Expenditures: $4,962,301 2. Zone B Financing: 4,962,301 0 Net Fund Cost: 0 0 Description: Includes support for expanded first responder and paramedic service; EMS Funding Sources: Fees on real property 0 communications; Public Access Defibrillation; 0 specified positions in the Health Services EMS FTE: 3.8 0 Division to provide program coordination, 0 0 0 0 0 0 0 0 0 O 0 0 0 0 0 0 0 0 0 0 0 O 0 County of Contra Costa FY 2006-2007 Recommended Budget 235 0 j: Health Services Health and Human Services Tobacco Tax Fund (Proposition 99) FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 • Tobacco Tax AB 75 Actual Budget Baseline Recommended Chane i EXPENDITURES • Services and Supplies 1,001,876 882,615 903,553 903,553 0 4 Total Expenditures 1,001,876 882,615 903,553 903,553 0 • '..s REVENUE Other Local Revenue 1,393 0 0. 0 0 • ` State Assistance 896,480 881,659 903,553 903,553 0 Gross Revenue 897,873 881,659 903,553 903,553 0 NET FUND COST(NFC) 104,003 956 0 0 0 i FINANCIAL INDICATORS • % Change in Total Exp -12% 2% 0% %Change in Total Rev -2% 2% 0% %Change in NFC -99% -100% 0% r � � Description: To account for receipt and discounty�Hospital summary - bursement of Cigarette and Tobacco Products • ' , Surtax fund allocations and Emergency Medical Service: Mandatory Services Appropriations (EMSA) fund allocations Level of Service: Mandatory received in odd numbered years. Expenditures: $719,441 �= Adjustment: The Recommended Budget Financing: 719,441 maintains the baseline level. Both revenue andy Net Fund Cost: 0 • expenditures are$21,894 over the FY 2005-06 level. Funding Sources: f State Proposition 99 100% $719,441 Impact: None. i * 1. County Hospital FTE: N/A i Description: Funds for payment or support of uncompensated care services for eligible persons 2. Non-County Hospital provided in county hospitals. • f.' Description: Funds for payment or support of uncompensated care services provided by non- i County hospitals within the County, including i those under contract with the County, to maintain access to emergency care and to +, purchase other necessary hospital services for • non-sponsored or medically indigent persons. • i 236 County of Contra Costa FY 2006-2007 Recommended Budget • it O O health Services Health and Human Services O Non-County Hospital Summary which provides reimbursement for physician Q services. As required by State law, when O Service: Mandatory physician invoices are approved for payment, Level of Service: Mandatory monies are transferred from this account to the Q EMS/SB-12 Trust Fund. Actual payments to Expenditures: $72,077 physicians are made from the EMS/S13-12 O Financing: 72,077 Trust Fund. O Net Fund Cost: 0. O , . Funding Sources: ncy Medical Services Summary Q State 100% $72,077 Service: Mandatory O Level of Service: Mandatory FTE: N/A. O Expenditures: $112,035 Financing: 112,035 0 3. Emergency Medical Services Net Fund Cost: 0 O Description: Payment for reimbursing Funding Sources: O physicians for losses incurred due to patients State 100% $112,035 Q who are unable to pay for emergency, obstetric or pediatric services rendered, and who are not FTE: N/A O eligible for Medi-Cal, Medicare, private insurance, O or any other federal, state, or County program O O O O O O O O O O O O O O O O O O O O O Q County of Contra Costa FY 2006-2007 Recommended Budget 237 0 h nk=Y 40 5 • Health Services Health and Human Services Emergency Medical Services F � Emergency Medical FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 Services Actual Budget Baseline Recommended Chane • R EXPENDITURES Services and Supplies 1,621,792 1,562,904 1,431,228 1,431,228 0 Total Expenditures 1,621,792 1,562,904 1,431,228 1,431,228 0 • REVENUE Other Local Revenue 1,579,972 1,562,451 1,431,228 1,431,228 0 • " s Gross Revenue 1,579,972 1,562,451 1,431,228 1,431,228 0 " NET FUND COST(NFC) 41,820 453 0 0 0 • • 1 z FINANCIAL INDICATORS %Change in Total Exp -4% -8% 0% • % Change in Total Rev -1% -8% 0% %Change in NFC -99% -100% 0% • • �e Description: The Emergency Medical Services 1. Administration a, fund is used to reimburse physicians and N- hospitals for a percentage of the fosses they Description: Reimbursement for County incurred cost related to Emergency Medical incur in providing uncompensated emergency services. The Fund is financed from court Services program collections and t imposed motor vehicle fines assessed for disbursements. moving violations and Emergency Medical Services Appropriation (EMSA)funds received Administration Summary from the State. Service: Discretionary • Adjustment: The Recommended Budget Level of Service: Discretionary ) :F maintains the baseline level of services. Both, S revenue and expenditures are$131,223 below Expenditures: $98,441 • the FY 2005-06 level. This reduction will not Financing: 98,441 services P impact provided Net Fund Cost: 0 kf P � 3�t • Impact: None anticipated. Funding Sources: Court Fines 100% $98,441 FTE: N/A ` id • k =i 238 County of Contra Costa FY 2006-2007 Recommended Budget y� �t� � _' � F' is i a� t{d � .��"�� $ ti � t ` ` '^£' � r,•... a �li t'2 _ CFF e O O Health Services O Health and Human Services O 0 2. Emergency Medical Services 4. Hospitals O 0 Description: Reimbursement for the County Description: Payments to hospitals for operated Emergency Medical Services Program. emergency room care provided to indigents. O 0 . • . Hospitals 0 Service: Mandatory Service: Mandatory O Level of Service: Mandatory Level of Service: Mandatory 0 Expenditures: $152,002 Expenditures: $223,532 Financing: 152,002 Financing: 223,532 O Net Fund Cost: 0 Net Fund Cost: 0 0 Funding Sources: Funding Sources: O Court Fines 100% $152,002 State 100% $223,532 O FTE: N/A FTE: N/A O O 3. Physicians 5. AB-75 Physicians O Description: Payments to physicians for Description: Disbursements to physicians for O emergency services to indigents. uncompensated emergency, obstetrics and 0' pediatrics services financed by AB-75 and OEMSA monies. O Service: Physicians Summary Mandatory Level of Service: Mandatory AB-75 Physicians Summary O Expenditures: $519,713 Service: Mandatory 0 Financing: 519,713 Level of Service: Mandatory O Net Fund Cost: 0 Expenditures: $437,540 O Funding Sources: Financing: 437,540 O Court Fines 100% $519,713 Net Fund Cost: 0 O FTE: N/A Funding Sources: 0 State 100% $437,540 O FTE: N/A O O O 0 O O O O O O O County of Contra Costa FY 2006-2007 Recommended Budget 239 O r ' Health Services Health and Human Services • Domestic Violence Victim Assistance Fund Domestic Violence FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 Victim Assistance Actual Budget Baseline" Recommended Chane • EXPENDITURES • Services and Supplies 14,674 0 0 0 • r Expenditure Transfers 0 122,057 0 134,008 134,008 • Total Expenditures 0 136,731 0 134,008 134,008 REVENUE Other Local Revenue 10,538 122,057 0 134,008 134,008 Gross Revenue 10,538 122,057 0 134,008 134,008 NET FUND COST(NFC) -10,538 14,674 0 0 0 • FINANCIAL INDICATORS % Change in Total Exp 0% -100% 0% %Change in Total Rev 1058% -100% 0% %Change in NFC -239% -100% 0% o: A. Due to an input error in the Baseline Budget,the table above does not reflect the Department's baseline request of$134,008. The actual change from the requested baseline is zero. • ' Description: Provides funding for emergencye (0 585) shelter for women and their children who are Summary victims of domestic violence, sexual assault and , other crisis situations and counseling, health and Service: Discretionary social welfare services. $26 of each marriage Level of Service: Discretionary ? license fee has been dedicated to fund these • services. Funds are also provided through court Expenditures: $134,008 fines under Penal Code Section 1203.097. Financing: 134,008 Monies are transferred from this budget unit to Net Fund Cost: 0 the Detention budget unit and used to pay for a • portion of the STAND Against Domestic Funding Sources: ` Violence contract and the Community Violence Local Fines&Fees 100% $134,008 Solutions contract. FTE: N/A Adjustment: The Recommended Budget maintains the baseline level. Impact: None • 240 County of Contra Costa FY 2006-2007 Recommended Budget • o O Health Services O Health and Human Services Proposition 36 (Substance Abuse and Crime Prevention Act of 2000 O O Proposition 36 FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 Q Fund 113600 Actual Budee Baseline Recommended Change O EXPENDITURES Q Services and Supplies 1,999,908 632,356 632,356 0 O Other Charges 211,302 188,050 184,493 184,493 0 Expenditure Transfers 3,984,374 3,366,719 3,102,962 3,102,962 0 Q Total Expenditures 4,195,676 5,554,677 3,919,811 3,919,811 0 O REVENUE Q Other Local Revenue 128,337 65,000 40,000 40,000 0 Q State Assistance 2,893,080 2,893,080 2,838,358 2,838,358 0 Q Gross Revenue 3,021,417 2,958,080 2,878,358 2,878,358 0 Q NET FUND COST(NFC) 1,174,259 2,596,597 1,041,453 1,041,453 0 O Q FINANCIAL INDICATORS % Change in Total Exp 32% -29% 0% O % Change in Total Rev -2% -3% 0% O %Change in NFC 121% -60% 0% O A. The 2005-06 Fiscal Year Budget includes fund balance carried forward from the prior fiscal year. O Description: The Act requires each county to a decrease of$1,634,866 and revenues reflect Q designate a lead agency to administer the Act a decrease of$79,722. Fund Balance will Q locally and to receive and disburse funds. The decrease by $1,555,144. Alcohol and Other Drugs Division of the Health Impact: None. Q Services Department is designated as the Lead Q Agency in Contra Costa County, Under the Act, Proposition most non-violent adult offenders who use or pos- and Crime Prevention Act of 2000) Q sess illegal drugs will receive drug treatment in the community rather than incarceration. The Service: Mandatory Q Probation Department and the Superior Court are Level of Service: Mandatory Q also involved in providing services to the Prop 36 Q population. Funding of the program is allocated Expenditures: $3,919,811 on a Board-approved ratio as follows: Financing: 2,878,358 Q Alcohol& Other Drugs Services 67.25% Net Fund Cost: 1,041,453 Q Probation Department 26.25% Financing Source: State Allocation; SACPA Q Superior Court 6.50% Trust Fund; and prior year fund balance Q Workload Indicators: The program is serving FTE: N/A Q an average caseload of 864. Q Adjustment: The Baseline and Recommended Q Budgets reflect a reduction. Expenditures reflect O O O Q County of Contra Costa FY 2006-2007 Recommended Budget 241 S • Health Services • Health and Human Services • • CAD's Recommendation • • The Health Services Department would require operation since November 1996. At the time of • n $12.7 million in additional funding to continue to its inception, it was funded through the System provide the same level of service as is currently of Care, SafeFutures grant funds, Juvenile • being,provided. This is comprised of$3.4 million Justice Crime Prevention, Medi-Cal and • in General Fund, $3.6 million in the General Fund Average Daily Attendance funds and required subsidy provided to the Hospital and Health no additional County dollars. During 2005- Plans and $5.7 million in the Hospital and Clinics 2006 fiscal year the Health Services and Enterprise I fund. Probation Department staff worked together to • ' attempt to reduce the costs of the Summit The recent agreement between the County and Center Program to save the save the program. • the California Nurses Association increased the Evaluation of the County's current fiscal • salary and benefit costs in 2006-07 FY by situation indicates that funds are not available $3,671,000. This amount has been including in to continue to fund the Summit Center Program • the budget balancing strategies. in the 2006-2007 fiscal year. Therefore, the • County Administrator is recommending to the The Recommended Budget includes a $12.2 board of Supervisors the closure of the Center. million adjustment to expenses and revenue to reflect what we now believe will be required The Department has developed a budget under the State's new Medi-Cal Certified Public balancing strategy that places the highest Expenditure program. priority on service delivery. However, given the • scope of these strategies, many of the national, The 2006-2007 Recommended Budget does not State and locally recognized service • ^ include any funding or caseload changes that improvements made in past years will be • t may be necessary due to the passage of the eliminated and/or curtailed. State's FY 2006-2007 Budget. Any changes will I • be addressed once the budget is passed and the The table below summarizes the budget . impact on Contra Costa County is known. reduction strategy by program, including the dollar amount and staffing reductions. • �; Of special note is the possible closure of the Summit Center. The Summit Center has been in • • Summa of Bud et Balancing Strategies 4 Total Reductions in Budget Unit Total Revenue Service Staff(FTE) * • Strategies Adjustments Reductions Represented M mt Alcohol&Other Drug Services $811,883 $0 $811,883 0 1.0 • California Children's Services 142,000 0 142,000 2.6 0 Detention 152,000 0 152,000 0 0 • Enterprise Fund 5,705,393 0 5,705,393 33.0 8.5 • Homeless 500,000 350,000 150,000 0 0 1 " Mental Health 3,313,814 574,680 2,739,134 25.0 2.0 • Public Health 3,000,000 0 3,000,000 15.1 0.5 • GRAND TOTAL $13,625,090 $924,680 $12,700,410 75.7 12.0 • • L 242 County of Contra Costa FY 2006-2007 Recommended Budget • 0 0 Veteran's Services 0 Gary Villalba, Director Health and Human Services 0 0 0 O FY 2004-05 2005-2006 FY 2006-07 FY 2006-07 FY 2006-07 General Fund Actual Budget Baseline Recommended Change 0 O EXPENDITURES Salaries and Benefits 557,052 633,814 650,229 650,229 0 0 Services and Supplies 73,594 93,482 91,943 78,477 -13,466 0 Fixed Assets 5,055 0 0 0 0 Total Expenditures 635,701 727,296 742,172 728,706 -13,466 0 0 REVENUE Other Local Revenue 50,000 50,000 50,000 50,000 0 0 State Assistance 100,471 90,000 90,000 95,000 5,000 0 Gross Revenue 150,471 140,000 140,000 145,000 5,000 0 NET COUNTY COST(NCC) 485,230 587,296 602,172 583,706 -18,466 0 0 Allocated Positions(FTE) 7 7 7 7 0 0 0 FINANCIAL INDICATORS 0 Salaries as%of Total Exp 88% 87% 88% 89% %Change in Total Exp 14% 2% -2% 0 %Change in Total Rev -7% 0% 4% 0 % Change in NCC 21% 3% -3% 0 0 Department Description 0 The Veteran's Services Department provides vocational rehabilitation and burial benefits. 0 assistance to who served in the Armed Services include comprehensive benefit 0 Forces of America, their dependents and counseling, claim preparation and survivors in obtaining veteran's submission, claim follow-up, initiation and 0 benefits/entitlements from the U.S. development of appeals and networking with O Department of Veterans Affairs (VA), federal, State and local agencies. Department of Defense(DOD), State and 0 local programs for veterans and their families. 2. Welfare Referral: Review of veteran welfare applicants referred by the 0 Maior Department Responsibilities Employment and Human Services 0 Department for determination of veteran's O There are three components to Veteran's benefits eligibility or receipt. Services. 0 3. Medi-Cal Cost Avoidance: Review of 0 1. Application Assistance: Provides veteran Medi-Cal applicants to determine information, referral and assistance to those who may be eligible for veteran's 0 veterans and their families in obtaining benefits, including health care. 0 compensation, pension, insurance, education, medical benefits, home loans, 0 0 0 0 County of Contra Costa FY 2006-2007 Recommended Budget 243 0 • Veteran's Services Health and Human Services • • CAO's Recommendation Service: Discretionary Baseline costs have increased by$16,415 over • Level of Service: Discretionary the 2005-2006 fiscal year due to increased costs of compensation. The revenues increased • Expenditures: $728,706 $5,000 over the same period, primarily from Financing: 145,000 increased fees for license plates. • Net County Cost: 583,706 The department has covered cost increases not • Funding Sources: covered by the revenue increase through the • State Aid 13% $ 95,000 reduction of contract hours. Misc Current Svc 7% 50,000 • General Fund 80% 583,706 • FTE: 7 • • • • • • • • • • • • • • • • • • • • • • • • Y44 County of Contra Costa FY 2006-2007 Recommended Budget • • 43d `Y 4 0 :a o� O O O Contra Costa County FPD O Keith Richter, Fire Chief Special District O O FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 O CCC Fire Protection Fund Actual Budget Baseline Recommended Change EXPENDITURES O Salaries and Benefits 64,388,126 67,572,966 72,180,880 72,180,880 0 O Services and Supplies 5,950,116 7,822,558 8,083,248 8,083,248 0 Other Charges 2,565,168 3,011,346 3,267,841 3,267,841 0 Fixed Assets 2,523,679 245,941 1,365,600 1,365,600 0 O Expenditure Transfers 13,844,228 10,997,919 10,997,919 0 O Total Expenditures 75,427,088 92,497,039 95,895,488 95,895,488 0 O REVENUE O Other Local Revenue 76,021,445 92,497,039 94,795,488 94,795,488 0 Federal Assistance 4,410 0 0 0 0 O State Assistance 1,410,561 0 1,100,000 1,100,000 0 O Gross Revenue 77,436,416 92,497,039 95,895,488 95,895,488 0 O NET FUND COST(NFC) -2,009,328 0 0 0 0 O O Allocated Positions(FTE) 399 410 410 0 O Q FINANCIAL INDICATORS O Salaries as%of Total Exp 85% 86% 85% 85% Change in Total Exp 23% 4% 0% O % Change in Total Rev 19% 4% 0% O %Change in NFC -100% 0% 0% O Department Description required by Fire Code; ensuring water supply needed for fire flow; performing complaint-based O This table represents information in aggregate inspections; and conducting training. O summarizing expenditures and revenue for the fire suppression/emergency medical response CCCFPD Summary Q crews, fire prevention bureau, communications center, apparatus shop, training section, EMS Service: Discretionary O office and administration functions. Level of Service: Discretionary Major Department Responsibilities Expenditures: $95,895,488 O Financing: 95,895,488 O The Contra Costa County Fire Protection District Funding Sources: O is responsible for providing: fire suppression Property Taxes 85.1% $81,619,000 responses to both structure and wildland fires; Other 6.0% 5,798,870 O emergency medical including paramedic Reserves 7.0% 6,677,618 O responses; rescue responses; hazardous Fire Prevntn Fees 1.9% 1,800,000 condition responses; plan review; code O enforcement; fire/arson investigation; weed FTE: 410 O abatement; public education; issuing permits O O County of Contra Costa FY 2006-2007 Recommended Budget 245 O 0 �.x 5� Contra Costa County FPD A AS • Special District • CAO's Recommendation • ,. The FY 2006-07 Recommended Budget for over FY 2005-06 primarily due to the absorption • z Contra Costa County Fire Protection District of 11 FTEs from the Fire Prevention Bureau g reflects the absorption of the Fire Prevention Budget, increases in health and workers • Bureau Budget and savings from a Pension compensation costs, and much needed higher • Obligation Bond issuance to pay off unfunded capital spending. The projected revenue is 4 . liability at an interest rate lower than the rate $89.2 million, which is$6.7 million short of charged by the Contra Costa County balancing the$95.9 million budget. This$6.7 _- Employees' Retirement Association. In general, million shortfall will be covered by an allocation • baseline costs have increased by$3.4 million from the District's fund balance (reserves). • • • X' i, • • P _fx J# • r� yf Y� r AT 4' S <F1y( t� • l� e: 01 • f • i 9a f�' 4 • • t$ sr q 246 County of Contra Costa FY 2006-2007 Recommended Budget • a; Fk, "5 # 44 4_�ryrydyiY+ '-S'1'. i £ I -t �� SY, n 4 w. u i d " A to 0 a 0 Crockett-Carquinez FPD 0 Jerry Littleton, Jr. , Fire Chief Special District O O FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 O Crockett-Carquinez FPD Actual Budget Baseline Recommended Change 0 EXPENDITURES 0�-y Salaries and Benefits 135,434 171,100 171,200 171,200 0 0 Services and Supplies 199,035 381,614 133,340 133,340 0 O Other Charges 46,288 84,334 77,660 77,660 0 Fixed Assets 77,571 13,811 82,990 82,990 0 Q Total Expenditures 458,327 650,859 465,190 465,190 0 O REVENUE O Other Local Revenue 513,077 387,200 455,290 455,290 0 O State Assistance 4,431 5,245 9,900 9,900 0 Gross Revenue 517,509 392,445 465,190 465,190 0 O O NET FUND COST(NFC) -59,181 258,414 0 0 0 O FINANCIAL INDICATORS Salaries as %of Total Exp 30% 26% 37% 37% O %Change in Total Exp 42% -29% 0% O % Change in Total Rev -24% 19% 0% Change in NFC -537% -100% 0% O Department Description O O This table represents information in aggregate 2006-07 Budget reflects no reliance on fund summarizing expenditures and revenue for the balance. O fire suppression, emergency medical response, a training division, and administration functions. FPD Summary 0 Maior Department Responsibilities Service: Discretionary O Level of Service: Discretionary The Crockett-Carquinez Fire Protection District Q is a Paid-on-Call district that is responsible for Expenditures: $465,190 providing fire suppression, emergency and non- I Financing: 465,190 emergency services to the community including: Net Fund Cost: 0 O incidents requiring medical assistance, rescue, hazardous conditions, weed abatement, and Funding Sources: 0 training. Property Taxes 88.0% $409,190 Other 12.0% 56,000 O CAO's Recommendation FTE: 0 Q Baseline costs have decreased by$185,669 while revenue has increased $72,745. This reduction is a result of the completion of Station O #79's replacement. The Recommended FY 0 0 0 County of Contra Costa FY 2006-2007 Recommended Budget 247 0 0 o . 0 East Contra Costa FPD Doug Dawson, Fire Chief Special District 0 O FY 2004-05 FY 2005-06 FY 2006-07 FY 2006-07 FY 2006-07 o ECCFPD Fund Actual Budget Baseline Recommended Change O Q EXPENDITURES Salaries and Benefits 5,630,927 6,911,979 7,616,669 7,616,669 0 Q Services and Supplies 1,162,267 3,605,094 1,914,805 1,914,805 0 Q Other Charges 518,078 595,216 529,331 529,331 0 Total Expenditures 7,311,272 11,112,289 10,060,805 10,060,805 0 O Q REVENUE Other Local Revenue 7,779,020 8,730,411 9,963,866 9,963,866 0 Q State Assistance 96,939 0 96,939 96,939 0 Q Gross Revenue 7,875,960 8,730,411 10,060,805 10,060,805 0 Q NET FUND COST(NFC) -564,687 2,381,878 0 0 0 O Q Allocated Positions(FTE) 56 56 56 0 Q FINANCIAL INDICATORS Q Salaries as%of Total Exp 77% 62% 76% 76% % Change in Total Exp 52% -9% 0% Q %Change in Total Rev 11% 15% 0% Q %Change in NFC -522% -100% 0% O Q Department Description ECCFPD O This table represents information in aggregate Service: Discretionary }l J� summarizing expenditures and revenue for the Level of Service: Discretionary fire suppression, emergency medical response, Q training division, and administration functions. Expenditures: $10,060,805 Q Financing: 10,060,805 Maior Department Responsibilities Net Fund Cost: 0 O The East Contra Costa Fire Protection District is Funding Sources: responsible for providing fire suppression and Property Taxes 90.8% $9,134,960 Q emergency and non-emergency services to the Other 9.2% 925,845 community including: incidents requiring Q medical assistance, rescue, hazardous FTE: 56 Q conditions, weed abatement, and training. 0 O O O O O o County of Contra Costa FY 2006-2007 Recommended Budget 249 O O S WWII,* � t' • • East Contra Costa FPD • Special District • CAO's Recommendation • • The FY 2006-07 Recommended Budget reflects & benefits is offset by a $1.7 million reduction in • no reliance on fund balance. There is an services and supplies that is driven by a$1.3 increase in baseline revenue of approximately million reduction in other special departmental • $1.3 million. This increase is primarily due to expenses. These funds will be designated for • increased assessed values and housing growth future growth in service demands. in the District. The$704,690 increase in salaries • • • • • • • • i • • • • • • • • • • • • • • • • • • 250 County of Contra Costa FY 2006-2007 Recommended Budget • • • ^S � y �r r , Budget Balancing Strategies FY 2006/2007 Full-Time Appropriation Revenue Item Department Program/Services Equivalent Change Change Net Cost Impact i Positions Agriculture/Pest Net increase in revenue from gas tax 1 Agriculture management and 20,000 -20,000 distribution,pesticide mill tax disbursement, pesticide use and sales of rodent bait. Weights&Measures/ Add 2 inspectors for the implementation of Inspection of weighing new point-of-sale inspection program. 2 Agriculture and measuring devices 2.0 129,150 -129,150 Revenue to cover positions generated from used in commercial increase in device registration and transactions inspection fees. Animal Care and 3 Animal Services Housing/Contracts with 903,329 -903,329 Increased revenues from city contracts. cities Spay/Neuter Clinic/Low Increased revenues from spay and neuter 4 Animal Services cost spay and neuter 60,000 -60,000 fees. services to the public 5 Assessor All program areas -617,295 0 -617,295 Reduction of 7 FTE in salary savings may result in workload increase. 6 Auditor-Controller All program areas -34,410 0 -34,410 Reduced minor equipment. 7 Board of Supervisors All program areas -253,693 -279,616 25,923 Reduction in professional specialized services and loss of local revenue. Less funding available for general operating 8 Central Support Clerk of the Board -26,447 5,500 -31,947 expenses and revenue maximized to the extent possible. 9 Central Support Collections/Collection -19,263 -19,263 Canceled contract with one vendor for non- support performance.. 10 Central Support Collections/Computer -2,090 -2,090 Reduced the number of monitors to be hardware purchased next fiscal year. ( 11 Central Support Collections/Computer -1,387 -1,387 Reduction in services provided by DoIT. support services C12 Central Support Collections/Process -9,773 -9,773 New contract negotiated for lower per item server and legal servicescost. 13 Central Su Collections/System Reduction in outside vendor support of C Support support -3,850 -3,850 collection system. Collections/Temporary 14 Central Support employees 66,000 66,000 Reduced temporary employee assistance. 15 Central Support Local Area Formation 95,401 95,401 Increase is necessary to fund the required Commission(LAFCO) 1/3 contribution to LAFCO by the County. Plant Acquisition- 14Decreased responsiveness for general 16 Central Support General capital projects ,653 14,653 maintenance projects Risk Management- Reflects a reduction in the allocated 17 Central Support Insurance -34,005 -34,005 charges to the General Fund based upon lower losses. 18 Clerk-Recorder Recorders -240,000 -240,000 Transfer of building occupancy cost to the Micro-Modernization unit. 19 Clerk-Recorder Recorders 160,000 -160,000 Increase in anticipated recording fee revenue. Page A-1 of A-14 4.' Budget Balancing Strategies i FY 2006/2007 4 Full-Time Item Department Program/Services Equivalent Appropriation Revenue Net Cost Impact ? Positions Change Change 4 servers for department operations will be Current Planning/Land phased in rather than setup all at onceCommunity . a 20 Development use planning and 126,104 -126,104 Upgrades that will increase information f information accessibility for the public and other customers will be delayed. Reduction of contracted services,office and 21 Community Services Head Start -180,021 -180,021 computer supplies,and requested facility :; maintenance. Contingency Appropriations will no longer be inflated and 22 Appropriation Appropriated Reserve -10,000,000 -10,000,000 annually generated scarce resources will not be required to balance them. Represents net adjustment for reduced technical and administrative support to Board Support and County departments and the Board; 23 County Administrator General Administration -0.5 -10,625 -10,625 reduced access to outside professional d services;and the addition of Chief Public Communicaitons Officer with attendant support costs. i Capital Projects/Debt Decreased cost transfers to capital projects 24 County Administrato Management -22,690 -103,304 80,614 due to staff reduction;no impact on services. Reduced access to outisde professional #; Communications and services and legal counsel;diminshed 25 County Administrator Media -50,537 20,000 -70,537 ability to produce CCTV programs;reduced + technology advancement. Reduced services provided by participating Zero Tolerance for departments,which represents 8%of the 26 County Administrator Domestic Violence 152,388 152,388 Zero Tolerance for Domesitc Violence Initiative appropriations. 27 County Counsel General Law -1.0 -129,982 -129,982 Reduction of 1 FTE in salary savings may result in workload increase. 28 County Counsel General Law -75,018 -75,018 Reduction of office and computer supplies. 29 District Attorney Mainline Prosecution 623,000 -623,000 Increased Proposition 172 revenues over current year estimated actual. Employee/Retiree Reduced appropriations available for Employee Benefits 150,000 150,000 maintaining County payroll and benefits 30 Benefits system. Administrative Services, Employment and Aging&Adult Services, Reduction of facility costs due to the 31 Human Services Children&Family -229,570 -229,570 consolidation of office space which is Department Services,Workforce occurring. Services Administrative Services, Reduction of 85 FTE- Requirement to Employment and Aging&Adult Services, obtain this level of savings may result in 32 Human Services Children&Family -85.0 -8,033,7488,033,748 increased workload and service delays to Department Services,Workforce the public. Reduction may be driven by Services federal/State cuts reflected on pages 181/182. Custodial Services/ Elimination of seven temporary custodians 33 General Services Custodial service in -465,419 -465,419 which will reduce the level of services in various general funded affected buildings. buildings ? Page A-2 of A-14 Budget Balancing Strategies FY 2006/2007 Full-Time Item Department Program/Services Equivalent Appropriation Revenue Net Cost Impact Change Change Positions Facilities Maintenance 34 General Services and Purchasing/ -20,060 -20,060 Minor impact to facilities maintenance. Services and supplies Facilities Maintenance/ 35 General Services Alarm maintenance at -103,394 -103,394 Reduced maintenance of equipment. various general funded buildings Elimination of 1 lead carpenter,0.5 painter, Facilities Maintenance/ 0.5 electrician,0.5 steamfitter,and 1 Facilities maintenance 3carpenter will increase workload related to 36 General Services services at various .5 617,132 617,132 building systems maintenance and repair to general funded buildings other staff. Position reductions include associated overhead and support costs, Facilities Maintenance/ Elimination of 0.5 painter,0.5 electrician, Facilities maintenance and 0.5 steamfitter will increase workload 37 General Services services in detention and -1.5 -258,275 -258,275 related to building systems maintenance court facilities and repair, Position reductions include associated overhead and support costs. Fleet Services/Vehicle Vehicle replacements for General Fund 38 General Services replacement for general 225,000 225,000 departments will be paid with accumulated depredation,salvage proceeds,and funded vehicles departmental funds. y2 General Funded Reduction due to closure of three buildings. 39 General Services Property/Building -9,901 -9,901 Insurance will no longer be required. ' insurance General Funded General Fund departments will not 40 General Services Propenyl Depreciation -551,266 -551,266 accumulate depreciation to replace expense for general vehicles. funded vehicles General Funded Reduction due to closure of several 41 General Services property/Phone service -2,465 -2,465 buildings where telephone services will no longer be required. General Funded 42 General Services Property/Utility -98,359 -98,359 Reduction based on anticipated savings expenses at various from Strategic Energy Plan improvements. general funded facilities Grounds Maintenance/ Elimination of 1 gardener and 1 grounds Grounds maintenance at maintainenance specialist will reduce 43 General Services various general funded -2.0 -186,328 -186,328 grounds maintenance and/or increase locations workload. Position reductions include associated overhead and support oasts. Resource Recovery/ Increased revenues from sale of surplus 44 General Services Sale of surplus 26,000 -26,000 equipment. equipment Alcohol and Other Drugs Eliminate Substance Abuse Program 45 Health Services Services -1.0 -140,700 -140,700 Manager. Duties will be absorbed by other management staff. Alcohol and Other Drugs Reduce contract with Dept.of 46 Health Services Services -37,982 -37,982 Rehabilitation,Vocational Services. Minor impact as service has low utilization. Alcohol and Other Drugs Eliminate 1 temporary Case Manager 47 Health Services Services, Prop Other 66,185 66,185 position. Workload will be absorbed by permanent staff. Page A-3 of A-14 s : Budget Balancing Strategies FY 2006/2007 Full-Time Item Department Program/Services Equivalent Appropriation RevenueNet Cost Impact Change Change Positions i Eliminate 4 client assessment contract Alcohol and Other Drugs employees and independent contractors. 48 Health Services'� -73,220 -73,220, Services,Prop 36 Workload will be absorbed by permanent staff. �p a Reduction in contracted residential services with Bi-Bett Corp. Bed Days decrease by Alcohol and Other Drugs 1,851;Discovery House will backfill by r` 49 Health Services Services, Prop 36 132,057 132,057 cutting bed days from the general public , and using these bed days for Proposition 36 clients. Reduction in Chance for Freedom contract t with Bi-Bett Corp. Budget reduction of 480 50 Health Services Alcohol and Other Drugs 24,196 24,196 units;Sojourn and Tri-Cities,and outpatient Services,Proposition 36 contract providers will backfill by cutting bed E days from the general public and using these bed days for Proposition 36 clients-. Reduction in contracted services with Centerpoint. Budget reduction of 284 units; 51 Health Services Alcohol and Other Drugs 41,241 41,241 Sojourn and Tri-Cities and outpatient Services,Proposition 36 contract providers will backfill by cutting bed days from the general public and using these bed days for Proposition 36 clients. Reduction in contracted services with Bay Alcohol and Other Drugs Area Addiction Research and Treatment. 52 Health Services -7,211 -7,211 Services,Proposition 36 Contract for new fiscal year will be adjusted µ' to reduced level of service to the public. Reduction in contracted services with Alcohol and Other Drugs Phoenix. Contract for new fiscal year will be 53 Health Services Services,Proposition 36 7,139 7,139 adjusted to reduced level of service to the public. Reduction in contracted services with New Connections. Budget reduction of 1,364 Alcohol and Other Drugs units;Sojourn and Tri-Cities and outpatient 54 Health Services Services,Proposition 36 60,908 60,908 contract providers will backfill by cutting bed days from the general public and using these bed days for Proposition 36 clients. a Reduction in contracted services with the 55 .Health Services Alcohol and Other Drugs -12,018 12018 Dept of Rehabilitation,Vocational Services Services,Proposition 36 , (through MH Division).'Program is operating below maximum capacity. Reduction in contracted services with Neighborhood House North Richmond. 56 Health Services Alcohol and Other Drugs 35,333 35,333 Currently operating 30%below targeted Services,Proposition 36 number of beds. Provider should be able to generate the same units in FY 06-07 at the reduced budget. 7711 / fi Page A-4 of A-14 j Budget Balancing Strategies FY 2006/2007 Full-Time Appropriation Revenue Item Department Program/Services Equivalent Change Change Net Cost Impact Positions Reduction in contracted services with Rubicon—Dual Recovery Services. Budget Alcohol and Other Drugs reduction of 1,412 units;Sojourn and Tri- 57 Health Services Services,Proposition 36 -41,409 -41,409 Cities and outpatient contract providers will backfill by cutting bed days from the general public and using these bed days for Proposition 36 clients. Reduction in county-operated services in Alcohol and Other Drugs Discovery House. Discovery House will cut 58 Health Services Services,Proposition 36 -132,254 -132,254 1,202 bed days from the general public and use these bed days for Proposition 36 clients. Eliminate 4 half-time Therapists. Reduction 59 Health Services California Children -2 0 -100,000 -100,000 in CCS Medical Therapy Unit program shifts Services(CCS) treatment to remaining staff resulting in higher workload and treatment delays. California Children Eliminate part-time Experienced Level Clerk 60 Health Services Services(CCS) -0.6 -7,000 -7,000 position. Reduces general clerical support to CCS Administrative Unit. Eliminate 1 temporary Therapist Aide and 61 Health Services California Children -35,000 -35,000 contract therapy services. Potentially Services(CCS) impacts ability to provide direct treatment, resulting in treatment delays for children. Funding for recently negotiated California 62 Health Services CNA COLAs 3,671,000 3,671,000 Nursing Association cost of living adjustments. Reduce STAND contract 56%. Would limit 63 Health Services Detention -103,000 -103,000 ability to provide domestic violence education and training. Reduce Community Violence contract 56%. 64 Health Services Detention -49,000 -49,000 May limit ability to provide domestic violence education and training. Increase to the Hospital Enterprise Fund 65 Health Services Enterprise Fund/Subsidy 794,000 794,000 subsidy reduced from internal department adjustments;refer to item#158 below. Eliminate one of two homeless outreach teams. Eliminate approximately 2,000 66 Health Services HSD Homeless -125,000 -125,000 homeless field contacts and ongoing engagement activities per year. Will not impact the number of shelter beds. Restructure of Greater Richmond Interfaith 67 Health Services HSD Homeless -25,000 -25,000 Program contract to lower payment limit. No reduction of services. 68 Health Services HSD Homeless 350,000 -350,000 Increased revenue for housing. Page A-5 of A-14 �L. Y Budget Balancing Strategies F FY 2006/2007 Full-Time Item Department Program/Services Equivalent Appropriation Revenue Net Cost Impact w Positions Change Change Eliminate 1 Mental Health Specialist II „ r position assigned to Mental Health Administration's Office of Consumer 69 Health Services Mental Health -1.0 -87,824 -87,824 Empowerment. Reduced staffing for the Division's program that trains consumers to t y, work as mental health providers. r+. c.. Eliminate 1 Ambulatory Care Clinic x .., Coordinator position. Reduced clerical A . `. 70 Health Services Mental Health -1.0 -98,487 -98,487 supervision and training for the Conditional Release and Conservatorship/Guardianship ' Programs. Eliminate 8 agency temporary clerical staff. Reduced administrative support to answer ¢ 71 Health Services Mental Health -320,000 -320,000 phones,serve clients at registration,enter z� billing,file medical records,support professional staff. Eliminate 2 Mental Health Clinical Specialist positions at the West County Children's 72 Health Services Mental Health -2.0 -146,375 -146,375 Mental Health Outpatient Clinic. Increase in ryes waiting lists in the regional clinics. Potential r increase in hospital and crisis services. Eliminate 3 Mental Health Clinical Specialist positions at the East County Children's 73 Health Services Mental Health -3.0 -229,626 -229,626 Mental Health Outpatient Clinic. Increase in ef' waiting lists in the regional clinics. Potential increase in hospital and crisis services. Closure of Summit Center and elimination of 6 Psych Techs,5 Mental Health Clinical 3+ 74 Health Services Mental Health -13.0 -204,386 -204,386 Specialists,1 Clerk,and 1 Supervisor. Will e„ require up to 20 boys to be placed in non- 4�� County operated group homes. Reduction of psychiatric assessments and crisis intervention at Orin Alien Boys Ranch 75 Health Services Mental Health -1.0 -111,623 235,518 -347,141 and Juvenile Hall. Potential increased w utilization of Psychiatric Emergency Services and hospitalization. Cost of court-ordered juvenile assessments and County-mandated psychiatric s'•.r. 76 Health Services Mental Health 0 339,162 -339,162 assessment services for court-ordered juveniles will be funded through interagencyt agreement with EHSD. s¢ 4 Eliminate 1 Exempt Medical Staff Physician position and psychiatrist services at Chris 77 Health Services Mental Health -1.0 -102,346 -102,346 Adams Girls Center and Juvenile Hall. t Increased use of Psychiatric Emergency €y Services and hospitalization. d�� { �i Page A-6 of A-14 1 , , r: Budget Balancing Strategies FY 2006/2007 Full-Time Appropriation Revenue Item Department Program/Services Equivalent Change Change Net Cost impact Positions Eliminate 1 Senior Clerk position. 78 Health Services Mental Health -1.0 -64,650 -64,650 Eliminates support for children's mental health specialty services. Increased time to bill services. Eliminate 1 Mental Health Clinical Specialist position in Emergency Foster Care and 1 79 Health Services Mental Health -2.0 -114,301 -114,301 Mental Health Clinical Specialist-2 position in Wrap-Around Program—Central County. Duties will be absorbed by remaining staff. Eliminate 2 permanent part-time 20/40 Mental Health Activities Specialist positions 80 Health Services Mental Health 1.0 101,305 101,305 assigned to West County Intensive Day Treatment Program. Elimination of art therapy services to day treatment program clients. Eliminate 1 Senior Clerk position. Loss of 81 Health Services Mental Health -1.0 -76,985 -76,985 clerical support to provide monthly analysis and correction of Medi-Cal error reports. Eliminate personal services contract for the Division's disaster plan coordination as well 82 Health Services Mental Health -79,000 -79,000 as staff tramings and development of Memoranda of Understanding regarding California Welfare and Institutions Code 5150(involuntary psychiatric detainment). Eliminate personal services contract for 83 Health Services Mental Health -66,000 -66,000 housing coordination services for seriously and persistently mentally ill adults in East County. Eliminate personal services contract. 84 Health Services Mental Health -22,058 -22,058 Reduction in capacity for performance outcome and evaluation in Children's Mental Health. Eliminate personal services contract. Reduction in capacity to complete 85 Health Services Mental Health -41,560 -41,560 administrative tasks related to AB3632 (special education pupils)mandated program in a timely fashion. Reduce personal services contract. Reduction in the support required to 86 Health Services Mental Health -67,080 -67,080 prepare analysis specified in SB163. Reduction in the support required to prepare analysis specified in SB163. Eliminate personal services contract. 87 Health Services Mental Health 10,000 10,000 Reduction in Therapeutic Behavior Services (TBS)consultation thereby increasing our risk for disallowances during TBS audits. Page A-7 of A-14 1 Budget Balancing Strategies FY 2006/2007 Full-Time Appropriation Revenue Item Department Program/Services Equivalent Change Change Net Cost Impact Positions Eliminate personal services contract. ' 88 Health Services Mental Health 15,687 15,687 Reduced support services to families of seriously emotionally disturbed children and adolescents. Eliminate contract with the California Network of Mental Health Clients providing 89 Health Services Mental Health -11,000 -11,000 assistance to the Division regarding its contracts with Mental Health Consumer Concerns. Eliminate contract with The Harrington Group for technical assistance to the 90 Health Services Mental Health -41,310 -41,310 Division regarding its contracts with Mental { Health Consumer Concerns. Review of programs will be complete. Eliminate personal services contract. 91 Health Services Mental Health 21,000 21,000 Reduced staffing for facilitating x implementation of the Mental Health Services Act. Eliminate 1 Mental Health Clinical Specialist 92 Health Services Mental Health -64,548 -64,548 from Emergency Foster Care. Will increase service time for mandated evaluation. Eliminate 1 Mental Health Specialist II from 93 Health Services Mental Health -73,560 -73,560 Central County Wraparound Services. Increase in waiting list for Regional Wraparound Services. Eliminate 1 Mental Health Clinical Specialist 94 Health Services Mental Health -75,146 -75,146 from Hospital&Residential Case Management. Increase in waiting time for Hospital&Residential Case Management. Eliminate 1 temporary Mental Health 95 Health Services Mental Health ` -66,685 -66,685 Clinical Specialist from 24th Street Clinic. Increase in waiting time for mental health clinical services. Eliminate 2 temporary Mental Health 96 Health Services Mental Health -132,242 -132,242 Clinical Specialists from Care Management. Increases workload on other staff. Reduce contract with Donald May,M.D. x` 97 Health Services Mental Health -113,000 -113,000 Reduce psychiatrist services in Juvenile F, Halt(12 hours a week)and East County Children's Mental Health. ; ? r ' Reduce contract with Seneca Oakgrove. aF 98 Health Services Mental Health -45,000 -45,000 Reduce the County local match for Community Treatment Facility. 99 Health Services Mental Health -136,380 136,380 Reduce various non-service related items- supplies,training,travel,etc. Page A-8 of A-14 Budget Balancing Strategies FY 2006/2007 Full-Time Appropriation Revenue Item Department Program/Services Equivalent Change Change Net Cost Impact Positions 1100 Health Services Public Health -1.0 -68,000 -68,000 Eliminate 1 Senior Clerk Position. Reduces administration support to the PH Programs. Eliminate 1 contract position from PH 101 Health Services Public Health -94,000 -94,000 Foundation Enterprises. Loss of grant writing expertise and grant procurement. Eliminate 1 FTE Public Health Nurse(PHN) effective 10106 and reduce 0.25 Public 102 Health Services Public Health -1.3 -180,000 -180,000 Health Nurse. Home visiting nursing services will be eliminated for 141 of our most medically vulnerable infants. Reduce 0.5 FTE of nursing supervision provided by Public Health Nursing Program 103 Health Services Public Health -0.5 -81,000 -81,000 Manager. Reduces the level of supervision provided to funding level from EHSD and Mental Health. Eliminate 1 position from Public Health Foundation Enterprises contract. Reduces epidemiological and statistical support to 104 Health Services Public Health -70,000 -70,000 PH. This reduction will impact our ability to capture basic County demographic / information,conduct epidemiologic analysis I of health outcomes,and implement public (`y health program evaluations, r Eliminate 1 Senior Disease Intervention 1 Technician and 0.6 RN position;transfer other staff to revenue producing functions. Eliminate complete operation of Health On 105 Health Services Public Health 1.6 337,000 337,000 Wheels van clinic program. Residents will receive less immunizations,health checks& minor treatment illness/injury. In 2005 the HOW Van provided 2,208 immunizations to 622 patients and provided services to 2,772 individuals. Eliminate 2.8 FTE Community Health Worker(CHW). Reduce outreach and 106 Health Services Public Health -2.8 -100,000 -100,000 enrollment for health coverage. Severely curtail plans to deliver these services through the school districts and churches. Eliminate 1 temporary Health Education Specialist(HES). Impacts Health Access 107 Health Services Public Health -48,000 -48,000 Coalition work including training Application Assistors and implementing outreach for health coverage. Reduction of RN's time in EHSD receiving 108 Health Services Public Health -0.5 -60,000 -60,000 centers to funding level. Reduces RN time to EHSD funding level from a 4-hour day at 3 receiving centers to 2 hours per day. Page A-9 of A-14 s Budget Balancing Strategies FY 2006/2007 Full-Time Appropriation Revenue Item Department Program/Services Equivalent Chane Chane Net Cost Impact . Positions g g Eliminate 0.8 FTE PHN. Reduces PHN 109 Health Services Public Health -0.8 -33,000 -33,000 time in foster care referrals and follow up ,:, care. 700 children in foster care impacted Eliminate 1 Senior Level Clerk and 2 contract agency temporary clerks. Reduction will reduce#of Women Infants 110 Health Services Public Health -1.0 -181,000 -181,000 and Children clients served,and increased waiting times at clinics and when making appointments. This reduction will potentially impact services to 2,700 eligible clients. Eliminate 0.8 FTE Public Health Nurse. Reduction will result in 24 fewer clients 111 Health Services Public Health -0.8 -120,000 -120,000 being served for AIDS case management, and reduce HIV testing by about 8-10 hours per month. Eliminate 1 Experienced Level Clerk position. Reduced administrative support to 112 Health Services Public Health -1.0 -40,000 -40,000 Maternal Child and Adolescent Health programs,other staff will need to take on duties,impacting activities including dental screening records and treatment. k Eliminate 0.6 FTE Public Health Nurse and > reduce 1 Public Health Nurse to 50%. Reduction in visits to mothers,babies,and 113 Health Services Public Health -1.1 -166,000 -166,000 families in the immediate newborn period ry (72 hours after birth)and elimination of 250 pediatric visits by the John Muir Medical Center Van at the Monument Corridor elementary schools. 114 Health Services Public Health -1.5 -226,000 -226,000 Eliminate 1.5 FTE Public Health Nurses: Less monitoring and follow up on TB cases Reduce Registered Nurse by 50%;one Community Health Worker position by 50% 115 Health Services Public Health -1.2 -118,000 -118,000 and one position by 20%. Reduction of these Position Hours will result in a reduction of Immunization Clinic time and hours of service. Reduce 1 Senior Clerk position by 50%. r Reduces administrative support to Clinical Y 116 Health Services Public Health -0.5 -36,000 -36,000 Services. Reduction may delay eligibility, authorizations and overall referral system to t' many mothers,babies and sick pediatric patients. 117 Health Services Public Health -1,042,000 -1,042,000 Reduce various non-service related items- '. supplies,training,travel,etc. Justice Systems Justice Systems Eliminates the availability of funds set aside 118 Development Development -448,691 -448,691 to address unanticipated court and justice system costs during the year. Page A-10 of A-14 Budget Balancing Strategies FY 2006/2007 Full-Time Appropriation Revenue Item Department Program/Services Equivalent Change Change Net Cost Impact Positions Adult&Juvenile Reduction of 4.5 FTE in salary savings may 119 Probation Investigation& -4.5 -605,480 -605,480 result in workload increase. Su ervision Services California Youth Increase appropriations for juveniles 120 Probation Authority 75,000 75,000 ordered by the Court to the California Youth Authority based on projected expenses. Increases appropriations for salaries and 121 Probation Juvenile Hall 572,690 572,690 benefits at Juvenile Hall based on projected expenses. Juvenile Justice Crime Reduction of 1 FTE in salary savings will 122 Probation Prevention Act(JJCPA) -1.0 -154,146 -154,146 result in service reductions in juvenile crime prevention programs. Out-of-Home Increase appropriations for Court ordered 123 Probation Placements 506,695 506,695 out-of-home placements for juveniles based on projected expenses. Proposition 36-Adult Eliminates overmatch to the program. 124 Probation Drug Treatment -4.5 -575,030 14,395 -589,425 Reduction of staffing which will result in increased workload. Reduction of 1 probation supervisor and 4 probation counselors due to closure of 125 Probation Summit Boys Center -5.0 -788,489 -180,000 -608,489 Summit Boys Center. Closure will require increased placements in non-county group homes. 126 Public Defender Mandated Legal -5.0 -918,908 -918,908 Reduction of 5 FTEs in salary savings may Representation result in workload increase. 127 Public Defender Mandated Legal -65,690 -65,690 Reduce Services&Supplies based on Representation projected expenditures. Minimum impact. 128 Sheriff-Coroner 1,000,000 1,000,000 Various-Vehicle Eliminates general fund contribution for Depreciation equipment replacement. Fewer resources available for operating expenses throughout the entire agency including$0.5 million in fixed assets,$0.1 Various programs and million in other charges,and$0.8 million in 129 Sheriff-Coroner -2,391,556 -2,391,556 services and supplies. As with all services departments operating with restricted resources,monitoring these accounts throughout the year will be very important in achieving this level of reduction 130 Sheriff-Coroner Various programs and 2,502,783 -2,502,783 Increased Proposition 172 revenue by 3% services over current year projection. 131 Sheriff-Coroner Various programs and 1,005,897 -1,005,897 Net increase to revenue throughout the services department for projected growth. 132 Sheriff-Coroner Various programs and 1,150,000 1,150,000 Funding for anticipated Deputy Sheriff services Association cost of living adjustments. 133 Veteran's Services Reduce contract for -13,466 -13,466 Reduced service to veterans and their Veteran's services families. 134 Veteran's Services Various programs and 5,000 -5,000 Increased revenue from license fee and services veterans affairs. 157.7 29,986,731 5,962,918 -35,949,649 TOTAL GENERAL FUND STRATEGIES Page A-11 of A-14 Budget Balancing Strategies �. FY 2006/2007 Full-Time Appropriation Revenue Item Department Program/Services Equivalent Change Change Net Cost Impact r; Positions Eliminate 1 Information Systems Assistant `X s 135 Health Services Enterprise Fund -1.0 -70,000 -70,000 in Patient Accounting. Work will be p redistributed among existing staff. May ' result in bill production delay. d' f> Eliminate HSD contribution to County-wide 136 Health Services Enterprise Fund -30,000 -30,000 database with Contra Costa Crisis Center. May jeopardize ability for the public to have up-to-date resource/referral information. Eliminate 1 psychiatrist position in 137 Health Services Enterprise Fund -1.0 -244,798 -244,798 Administration.Reduction in medical administration;work will be spread to remaining staff. General Accounting-Eliminate one Health 138 Health Services Enterprise Fund -1.0 -149,000 -149,000 Services Accountant.Will result in a delayed response to financial analysis and review. General Accounting-Eliminate one 139 Health Services Enterprise Fund -1.0 -75,000 -75,000 secretary journal level.Staff work will be redistributed among existing staff;potential delays in publishing financial reports. Information Technology-Eliminate one 140 Health Services Enterprise Fund -1.0 -117,000 -117,000 ASA III.Support services in processing computer system upgrades and requests w' will be delayed. Support Services-Eliminate one half time Physician Patient Ombudsman. Job duties 141 Health Services. Enterprise Fund -0.5 -53,000 -53,000 will be collapsed into one position. The reduction may cause operational inefficiencies due to the increased management workload. Eliminate Hospital Symptom Control Coordinator. Job duties will be collapsed 142 Health Services Enterprise Fund -1.0 -125,000 -125,000 into one position. The reduction may cause operational inefficiencies due to the increased management workload. Hospital Cardio Support Services— Eliminate Chief position.Job duties will be 143 Health Services Enterprise Fund -1.0 -127,000 -127,000 collapsed into one position. The reduction may cause operational inefficiencies due to the increased management workload. d' e Hospital Lab-Eliminate Assistant Manager. Job duties will be collapsed into one z ` 144 Health Services Enterprise Fund -1.0 -146,000 -146,000 position. The reduction may cause operational inefficiencies due to the increased management workload. Clinics Dental—Eliminate Unit head. Job duties will be collapsed into one position. 145 Health Services Enterprise Fund -1.0 -237,000 -237,000 The reduction may cause operational inefficiencies due to the increased management workload. Page A-12 of A-14 s , Budget Balancing Strategies FY 2006/2007 , Full-Time Item Department Program/Services Equivalent Appropriation Revenue Net Cost Impact Positions Change Change Hospital Nursing—Eliminate Director of Nursing.Job duties will be collapsed into 146 Health Services Enterprise Fund -1.0 -182,000 -182,000 one position. The reduction may cause operational inefficiencies due to the increased management workload. Ambulatory Care Clinics-Eliminate the Fixed Route Transportation Services. Eliminates East County transportation 147 Health Services Enterprise Fund -90,000 -90,000 services between the Pittsburg Health Center and Martinez. The services are currently provided under contract with East Contra Costa Transit. Hospital Anesthesiology-Eliminate 2 part 148 Health Services Enterprise Fund -100,000 -100,000 time contract physicians. Eliminates part time coverage for anesthesia and thereby will make coverage more difficult. Hospital Surgury-Eliminate 3 part time contract physicians. Elimination of gyn- oncology services at CCRMC. These services are currently used by a relatively small number of patients. Patients in need of these services will be referred to outside 149 Health Services Enterprise Fund -185,000 -185,000 caregivers. This could cause delays in care and longer waits for service. We are also recommending reductions in the number of vascular surgeons on contract to CCRMC. We will continue to offer these services, however,these reductions will mean decreased access to these services for patients in need. Hospital General Services Department Support—Eliminate services of 1 electrician including associated overhead and support 150 Health Services Enterprise Fund -166,000 -166,000 costs. Currently 2 electricians from GSD provide services to CCRMC and Health Centers. This will result in inability to do some projects and longer waits for completion of other projects. Hospital Radiology—Reduce physician contract services. By reducing the 151 Health Services Enterprise Fund -400,000 -400,000 utilization of physician registries,there may be a reduction in availability of radiology services. This will make scheduling and availability more difficult. Reduce 6 Public Security officers at the 152 Health Services Enterprise Fund -6.0 -600,000 -600,000 clinics. This reduction will mean that only the CCRMC campus is covered by PSO services. Eliminate the management contract with the 153 Health Services Enterprise Fund -250,000 -250,000 Sheriffs office. The remaining PSOs will be managed by Hospital Staff. Page A-13 of A-14 Budget Balancing Strategies FY 2006/2007 Full-Time Appropriation Revenue Item Department Program/Services Equivalent Change Change Net Cost Impact Positions Eliminate Assistant Chief Public Security 154 Health Services Enterprise Fund -1.0 -75,000 -75,000 Officer. Individual retired and will not be replaced. Ambulatory Care Clinics—Close the outpatient pharmacies in Richmond, Pittsburg and Martinez. The Medicare Part D Program required the redirection of existing County Medicare and 155 Health Services Enterprise Fund -16.0 -1,200,000 -1,200,000 Medicare/Medi-Cal patients to commercial pharmacies. The Contra Costa Health Plan (CCHP)currently utilizes a wide network of , commercial pharmacies for its members. Consolidation of the pharmacies will allow " for one consistent and uniform delivery system. Hospital Nursing—Eliminate new Graduate Sx training program including 8 registered 156 Health Services Enterprise Fund -8.0 -927,000 -927,000 nurse project positions that were used for the New Grad program. May impact Nurse recruitment. 157 Health Services Enterprise Fund -156,594 -156,594 Reduce various non-service related items- supplies,training,travel,etc. 158 Health Services Enterprise Fund 794,000 794,000 Increase in General Fund subsidy:refer to General Fund item#65 above. -41.5 -5,705,392 794,000 6,499,392 TOTAL ENTERPRISE FUND STRATEGIES 199.2 35,692,123 6,756,918 -42,449,041 GRAND TOTAL OF BUDGET BALANCING SOLUTIONS y k JI FF_ _ t Page A-14 of A-14 y r� ipµ �1 y f O 1 � Fiscal Year 2006-07 Recommended Budget i CIO r x e I' a j J n t(\l\qC�I ft °J o 90HCTNIRS C © C% CTa UaUly (10 o ��.