Health & Human Services Meeting - Administration Building — Agenda Packet

1 Health & Human Services Committee Human Services Board Regular Meeting Tuesday, October 6, 2026, 8:00 AM Administration Center — Room A-200 121 W. Main Street, Port Washington, WI The public can access the meeting by viewing the live stream on the County website, Agendas & Minutes page and select the meeting agenda date. The public can submit comments here: Public Comment Form Public Comment Policy & Instructions For Submitting Public Comments Online AGENDA 1. Call to Order 2. Proper Notice 3. Public Comments, Correspondence, Communications 4. Approval of Minutes September 1, 2026 5. Lasata Senior Living Campus a. Discussion Items 1. CBRF Update b. Management/Financial/Informational Reports 6. Veterans Service Office a. Management/Financial/Informational Reports 7. Public Health a. Management/Financial/Informational Reports 8. Human Services a. Discussion Items 1. Partial Hospitalization Update b. Management/Financial/Informational Reports 9. Next Meeting Date November 3, 2026 10. Adjournment A quorum of members of committees or the full County Board of Ozaukee County may be in attendance at this meeting for the purposes related to committee or board duties, however, no formal action will be taken by these committees or the board at this meeting. Persons with disabilities requiring accommodations for attendance at this meeting should contact the County Clerk’s Office at 262-284-8110, 24 hours in advance of the meeting. Page 1 of 21 Item: Agenda Item Information Sheet To: Health & Human Services Committee Human Services Board From: Brenda Reedy, Deputy County Clerk Meeting Date: October 6, 2026 Department/Office: County Clerk Item Name: September 1, 2026 Summary: Approve the September 1, 2026 minutes Recommended Action: Approve the September 1, 2026 minutes as submitted Attachments: 1. HHS Draft Minutes September 1 2026 Page 2 of 21 HEALTH & HUMAN SERVICES COMMITTEE HUMAN SERVICES BOARD MEETING MINUTES REGULAR MEETING SEPTEMBER 1, 2026 Draft Minutes Pending Committee Approval 1. Call to Order A regular meeting of the Health & Human Services Committee and Human Services Board was held in room A- 200 at the Administration Center. Present Supervisor Patrick Foy, Supervisor Jennifer Mackinnon, Supervisor Bruce Paape, Supervisor Melissa Custer, Supervisor Monis Khan, Board Member Steven Kulick Absent Board Member Chuck Sigurdson Excused Board Member Kristen Berns Staff present: County Administrator Dzwinel, Public Health Director Buechler, Human Services Director Falkner, Behavorial Health Manager Plahna, Medical Director Churchwell, Lasata Senior Living Campus Administrator Smith, Lasata Campus Business Manager Kuemmerlein and Deputy County Clerk Reedy. 2. Proper Notice Chairperson Foy called the meeting to order at 8:00 AM. The clerk noticed the meeting as required. 3. Public Comments, Correspondence, Communications There were none. 4. Approval of Minutes August 4, 2026 Motion: Motion to approve the August 4, 2026 minutes as submitted. Result: Passed Moved by: Bruce Paape Seconded by: Monis Khan Ayes: Patrick Foy, Jennifer Mackinnon, Bruce Paape, Melissa Custer, Monis Khan, Steven Kulick Nays: None Abstain: None 5. Discussion Item Page 3 of 21 a. 2027 Budget Recommendation for Health & Human Services Committee Mr. Dzwinel reviewed the budget highlights for the departments under the Health and Human Services Committee’s oversight, including: Lasata Care Center The Care Center facility anticipates an average daily census of 80. The campus makes a $100,000 contribution to the general fund and that $100,000 goes to offset the property taxes countywide. Lasata Crossings The budget assumes a rate increase of 4% and a total census of 64 with 97% occupancy. Minor capitol improvements are planned for 2027. Lasata Heights The budget assumes a rate increase of 4%, with a 97% occupancy rate for 2027. Any surplus funds will be used to support improvement projects. Veterans Revenues are flat. Slight increase in expenses due to salaries and benefits. There are no expansion requests. Public Health The tax levy remains flat; strong fund balance. There are no expansion requests. Human Services Tax levy increase of 11% due to increased placement costs (group homes, residential facilities, hospitalization, etc.), salaries and benefits. There are two expansion requests. ADRC Tax levy decrease of 26% compared to the 2026 budget. 6. Public Hearing a. Department of Human Services Proposed 2027 Services and Budget per Wisconsin Statues 46.23 (3)(am)2 Chairperson Foy opened the public hearing at 8:04 AM. No one was present to address the committee regarding the Human Services 2027 Proposed Budget. Chairperson Foy closed the public hearing at 8:06 AM. 7. Lasata Senior Living Campus a. Discussion Items 1. CBRF Update Mr. Smith noted that there is significant interest in the facility. Marketing efforts will not begin until there is a better understanding of the timeline for completing the project and obtaining the necessary licensing from the State of Wisconsin. b. Management/Financial/Informational Reports Update on census and financials. 8. Veterans Service Office a. Management/Financial/Informational Reports There were no questions. Page 4 of 21 9. Public Health a. Management/Financial/Informational Reports Update on finacials. 10. Human Services a. Discussion Items 1. Partial Hospitalization Update There were no questions. b. Management/Financial/Informational Reports Update on financials. 11. Next Meeting Date October 6, 2026 12. Adjournment Motion made by Supervisor Khan, seconded by Supervisor Mackinnon to adjourn. Motion carried. Meeting adjourned at 8:57 AM. Brenda Reedy, Deputy County Clerk Page 5 of 21 Item: 5.b. Agenda Item Information Sheet To: Health & Human Services Committee Human Services Board From: Chris Kuemmerlein, Campus Business Manager, Barton Smith, Campus Administrator Meeting Date: October 6, 2026 Department/Office: Lasata Item Name: Management/Financial/Informational Reports Summary: Campus Monthly Reports Recommended Action: None Attachments: 1. Campus reports Sept 2026 Page 6 of 21 Lasata Care Center September 2026 Monthly Report Barton Smith September Census Trend Payor Mix Days Current Month Actual AVG YTD actual AVG Budget Medicare/MC 20 18 20 Private 23 23 40 Medicaid 41 35 25 Total 84 76 85 Organization and Operations Focus Uptick in long term care admissions. Rehab Unit- has been full for most of the month with census in the 80’s at the care center. Staffing/employee Open Positions- no leadership open. Agency usage- summer students (CNAs) returned to school . Regulatory Updates CBRF licensure- BAL accepted ‘Fit and Qualified’ (financial documents) DHS Campus Projects and initiatives: CBRF updates/changes- kitchen hood inspection delays (10/17), furniture install Nov, landscaping beginning. Resident activities- final concert in the courtyard, fall outings planned, new Tri-shaw bike dedication ($15K raised/donated). Campus Financials: See attached. Payor Mix Current Month Actual YTD actual Budget Medicare/MC 24% 25% 23% Private 27% 31% 47% Medicaid 49% 44% 29% Page 7 of 21 LASATA HEIGHTS MONTHLY REPORT SEPTEMBER 2026 Kristen Sonnenberg , Director of Senior Apartments Census: • Census – As of the end of SEPTEMBER, 60 units will be occupied o Move ins: ▪ 9/15 #208 o Move outs: ▪ 9/1 #208 ▪ 9/30 #215 Available apartments : Apartment 215 has been rented by current Tenant of 216, move in date TBD. Working through the C unit waiting list to rent #216 for an occupancy da te of 12/1 Tours: • There were 9 tours thus far in SEPTEMBER. Waiting List: Waiting List- 27 applicants on the waiting lists (some of which are on more than one floorplan waiting list): o A- 5 applicants o B- 6 applicants o C- 14 applicants o D- 14 applicants Miscellaneou s Page 8 of 21 Lasata Crossings Monthly Report - As of September 24, 2026 Census • As of today, the census is 57 o 51 tenants are paying privately o 6 tenants are utilizing Family Care Admissions/Discharges • There are five (5) open apartments, one 2-bedroom and three 1-bedroom, and one Studio apartment. This does not include Apartments #115 and #116, which will remain empty as they are both scheduled to be remodeled when the pass-through is created for the CBRF being built. • The Studio will be filled this weekend by a Family Care Tenant moving from her 1 -bedroom. Calls are currently being made to those on the waiting list. With two (2) prospective moves, possibly at the end of October. • There were no admissions in September. • One of the 1-bedroom apartments was vacated by a tenant who passed away on September 17th. The studio was vacated by a tenant who moved to Lasata Care Center permanently on August 25th. Tours Conducted • There were nine (9) tours conducted since last month’s report. Open Staff Positions o There are 3 open positions. A full-time (1.) AM shift and 1 part-time (.5) PM shift for Personal Care Worker positions. We are also in need of a full -time Cook position as one of the cooks will be reducing her hours as of October 4 th and will be retiring soon after. Waiting List • 17 individuals are on the Family Care Studio Apartment waiting list. • 31 individuals are on the waiting list for one- and two-bedroom apartments. • 4 individuals are on the inactive list. Page 9 of 21 Current Month Actual 2026 YTD Actual 2026 Amended Budget Budget Balance % Budget YTD Revenues Public Charges for Services $1,335,651 $9,791,982 $15, 575,784 $5,783,802 62.87% Interest Revenue $44 $206 - ($206) 0.00% Other Revenue $14,133 $92,600 $158,850 $66,250 58.29% Total Revenues $1,349,828 $9,884,788 $15,734,634 $5,849 ,846 62.82% Expenditures Salaries $586,168 $4,933,513 $8,351,411 $3,417,898 59.07 % Fringe Benefits $184,578 $1,654,334 $2,691,774 $1,037,4 40 61.46% Travel/Training $75 $1,508 $2,500 $992 60.32% Supplies $51,996 $420,633 $560,715 $140,082 75.02% Purchased Services $269,365 $1,807,409 $1,690,702 ($116 ,707) 106.90% Interdepartment Charges $81,527 $654,213 $984,077 $329, 864 66.48% Depreciation $26,001 $208,007 $762,739 $554,732 27.27% Debt Service - $51,800 $98,300 $46,500 52.70% Other Expenses $52,298 $464,376 $592,411 $128,035 78.39% Total Operating Expenditures $1,252,008 $10,195,793 $1 5,734,629 $5,538,836 64.80% Capital Outlay Equipment & Furniture - $6,302 $95,000 $88,698 6.63% Buildings & Land - $10,673 - ($10,673) 0.00% Contra - - ($95,000) ($95,000) 0.00% Total Capital Outlay - $16,975 - ($16,975) 0.00% Total Expenditures $1,252,008 $10,212,768 $15,734,629 $ 5,521,861 64.91% Net Increase (Decrease) $97,820 ($327,980) $5 $327,985 - 6559600 .00% E q u i t y: Retained Earnings $619,041 ($74,577) - $74,577 0.00% Governmental Fund Balance ($619,041) - - - 0.00% Ozaukee County Committee Report Enterprise Fund Lasata Care Center For the Eight Months Ending Monday, August 31, 2026 Profit and Loss Statement ACTUAL TO AMENDED BUDGET CommRpt2026 2026 Oversight Comm Recommended PnL Amen ded Bdgt 9/25/2026 Page 10 of 21 Current Month Actual 2026 YTD Actual 2026 Amended Budget Budget Balance % Budget YTD Revenues Public Charges for Services $114,412 $896,499 $1,320,0 20 $423,521 67.92% Other Revenue $114 $614 $2,000 $1,386 30.70% Total Revenues $114,526 $897,113 $1,322,020 $424,907 67. 86% Expenditures Salaries $21,112 $169,131 $263,557 $94,426 64.17% Fringe Benefits $10,432 $91,166 $135,205 $44,039 67.43% Travel/Training - - $1,000 $1,000 0.00% Supplies $2,506 $56,163 $107,375 $51,212 52.31% Purchased Services $16,225 $118,688 $176,269 $57,581 67. 33% Interdepartment Charges $4,392 $35,758 $54,608 $18,850 6 5.48% Depreciation $28,900 $231,200 $346,800 $115,600 66.67% Other Expenses $20,206 $48,589 $61,287 $12,698 79.28% Total Operating Expenditures $103,773 $750,695 $1,146, 101 $395,406 65.50% Capital Outlay Buildings & Land $3,355 $3,355 $20,000 $16,645 16.78% Contra - - ($20,000) ($20,000) 0.00% Total Capital Outlay $3,355 $3,355 - ($3,355) 0.00% Total Expenditures $107,128 $754,050 $1,146,101 $392,05 1 65.79% Net Increase (Decrease) $7,398 $143,063 $175,919 $32,85 6 81.32% E q u i t y: Retained Earnings ($217,950) ($2,567,537) - $2,567,537 0.00% Governmental Fund Balance $217,950 - - - 0.00% Ozaukee County Committee Report Enterprise Fund Lasata Heights For the Eight Months Ending Monday, August 31, 2026 Profit and Loss Statement ACTUAL TO AMENDED BUDGET CommRpt2026 2026 Oversight Comm Recommended PnL Amen ded Bdgt 9/25/2026 Page 11 of 21 Current Month Actual 2026 YTD Actual 2026 Amended Budget Budget Balance % Budget YTD Revenues Public Charges for Services $323,998 $2,442,596 $3,927 ,535 $1,484,939 62.19% Other Revenue ($18,062) $1,960 $50,615 $48,655 3.87% Total Revenues $305,936 $2,444,556 $3,978,150 $1,533,59 4 61.45% Expenditures Salaries $108,364 $878,833 $1,310,305 $431,472 67.07% Fringe Benefits $33,336 $288,880 $421,240 $132,360 68.58 % Travel/Training - - $1,000 $1,000 0.00% Supplies $15,126 $116,146 $216,800 $100,654 53.57% Purchased Services $44,968 $272,074 $430,900 $158,826 63 .14% Interdepartment Charges $15,215 $122,335 $185,774 $63,4 39 65.85% Depreciation $32,354 $258,831 $388,246 $129,415 66.67% Debt Service - $41,038 $70,909 $29,871 57.87% Other Expenses $22,988 $73,250 $119,553 $46,303 61.27% Total Operating Expenditures $272,351 $2,051,387 $3,14 4,727 $1,093,340 65.23% Capital Outlay Equipment & Furniture - $39,212 $25,000 ($14,212) 156.85 % Buildings & Land - - $25,000 $25,000 0.00% Contra - - ($50,000) ($50,000) 0.00% Total Capital Outlay - $39,212 - ($39,212) 0.00% Total Expenditures $272,351 $2,090,599 $3,144,727 $1,05 4,128 66.48% Other Finance Uses - - $100,000 $100,000 0.00% Net Other Financing Sources/Uses - - $100,000 $100,000 0.00% Net Increase (Decrease) $33,585 $353,957 $733,423 $379, 466 48.26% E q u i t y: Retained Earnings ($622,852) ($300,738) - $300,738 0.00% Governmental Fund Balance $622,852 - - - 0.00% Ozaukee County Committee Report Enterprise Fund Lasata RCAC For the Eight Months Ending Monday, August 31, 2026 Profit and Loss Statement ACTUAL TO AMENDED BUDGET CommRpt2026 2026 Oversight Comm Recommended PnL Amen ded Bdgt 9/25/2026 Page 12 of 21 Item: 6.b. Agenda Item Information Sheet To: Health & Human Services Committee Human Services Board From: Kevin JOHNSON, Veterans Services Director Meeting Date: October 6, 2026 Department/Office: Veterans Services Item Name: Veterans Services Report Summary: Veterans Services Report Recommended Action: None Attachments: 1. 2026 Ozaukee County Committee Report. PnL Actual to Amended Budget.AUG Page 13 of 21 Current Month Actual 2026 YTD Actual 2026 Amended Budget Budget Balance % Budget YTD Revenues Intergovernmental Revenues - $27,512 $46,802 $19,290 58.78% Public Charges for Services $780 $2,630 $1,500 ($1,130) 175.33% Interest Revenue $75 $591 $300 ($291) 197.00% Total Revenues $855 $30,733 $48,602 $17,869 63.23% Expenditures Salaries $15,107 $124,912 $184,912 $60,000 67.55% Fringe Benefits $5,683 $49,832 $68,065 $18,233 73.21% Travel/Training - $16,878 $10,452 ($6,426) 161.48% Supplies - $992 $2,100 $1,108 47.24% Purchased Services $287 $1,765 $1,791 $26 98.55% Interdepartment Charges $762 $6,115 $10,224 $4,109 59.81% Grants - - $5,001 $5,001 0.00% Other Expenses - $2,697 $7,501 $4,804 35.96% Total Operating Expenditures $21,839 $203,191 $290,046 $86,855 70.05% Capital Outlay Total Expenditures $21,839 $203,191 $290,046 $86,855 70.05% Net Increase (Decrease) ($20,984) ($172,458) ($241,444) ($68,986) 71.43% E q u i t y: Governmental Fund Balance ($260,450) - - - 0.00% Ozaukee County Committee Report General Fund Veterans Services For the Eight Months Ending Monday, August 31, 2026 Profit and Loss Statement ACTUAL TO AMENDED BUDGET CommRpt2026 2026 Oversight Comm Recommended PnL Amended Bdgt 9/24/2026 Page 14 of 21 Item: 7.a. Agenda Item Information Sheet To: Health & Human Services Committee Human Services Board From: Kimberly Buechler, Public Health Director/Health Officer Meeting Date: October 6, 2026 Department/Office: Public Health Item Name: Management/Financial/Informational Reports Summary: Public Health Financials Through August 2026 Recommended Action: None Attachments: 1. Public Health Financials Through August 2026 Page 15 of 21 Current Month Actual 2026 YTD Actual 2026 Amended Budget Budget Balance % Budget YTD Revenues Taxes $43,392 $347,135 $520,702 $173,567 66.67% Intergovernmental Revenues $100,008 $434,203 $1,257,144 $822,941 34.54% Public Charges for Services $216 $12,304 $33,001 $20,697 37.28% Intergovernmental Charges - $651,381 $909,302 $257,921 71.64% Interdepartmental Charges $1,280 $11,768 $15,364 $3,596 76.59% Licenses & Permits $36,999 $694,796 $565,000 ($129,796) 122.97% Other Revenue $2,217 $4,315 $83,073 $78,758 5.19% Total Revenues $184,112 $2,155,902 $3,383,586 $1,227,684 63.72% Expenditures Salaries $156,728 $1,331,299 $2,172,297 $840,998 61.29% Fringe Benefits $67,475 $598,080 $860,403 $262,323 69.51% Travel/Training $2,301 $14,211 $48,171 $33,960 29.50% Supplies $4,366 $40,557 $83,007 $42,450 48.86% Purchased Services $12,985 $127,136 $142,851 $15,715 89.00% Interdepartment Charges $40 $3,279 $5,702 $2,423 57.51% Other Expenses $23,882 $55,500 $71,151 $15,651 78.00% Total Operating Expenditures $267,777 $2,170,062 $3,383,582 $1,213,520 64.14% Capital Outlay Total Expenditures $267,777 $2,170,062 $3,383,582 $1,213,520 64.14% Net Increase (Decrease) ($83,665) ($14,160) $4 $14,164 - 354000. 00% E q u i t y: Governmental Fund Balance - ($1,911,008) - $1,911,008 0.00% Ozaukee County Committee Report Special Revenue Fund Public Health For the Eight Months Ending Monday, August 31, 2026 Profit and Loss Statement ACTUAL TO AMENDED BUDGET CommRpt2026 2026 Oversight Comm Recommended PnL Amended Bdgt 9/22/2026 Page 16 of 21 Item: 8.a.1. Agenda Item Information Sheet To: Health & Human Services Committee Human Services Board From: Kimberly Falkner, DHS Director Meeting Date: October 6, 2026 Department/Office: Human Services Item Name: Partial Hospitalization Update Summary: Monthly Report Recommended Action: None Attachments: 1. PROJECT UPDATE TO THE HUMAN SERVICES COMMITTEE October 2026 Page 17 of 21 PROJECT UPDATE TO THE HUMAN SERVICES COMMITTEE Partial Hospitalization Program (PHP) Development October 2026 Overview The Partial Hospitalization Program (PHP) is being built as an added DHS 75.52 service line under our existing DHS 75 clinic, with the goal of a structured program that enhances the continuum of behavioral health services our department provides. 1. Licensing & Regulatory Progress The Partial Hospitalization Program is subject to a detailed State licensing and certification process. This is appropriately a rigorous process, and there are multiple requirements that must be satisfied before the program can begin operating. We are moving forward with the portions of the process that are within our control and will respond to State requirements as they arise. Our focus is on moving the project forward as efficiently as possible while ensuring that we open a program that is compliant with all rules and regulations, clinically sound, and sustainable. The DHS 75.52 license application has been submitted and is currently under state review. Since the last update: • Background checks have been submitted and approved for clinic staff One more check, required by a board member, remains outstanding • Overall application is marked “accepted, pending survey” In this instance, a survey will consist of completing the final checklist, a key item of which is confirmation that all required personnel have been hired. We are therefore starting the next round of hiring. 2. Timeline & Launch Targets We are in Phase 2: Investment and planning Credentialing is currently underway and will continue as we fill the remaining positions. We are also working on the billing and documentation processes needed to support the program, and these will be in place well before we begin enrolling patients. We will be using our existing clinic space. We are posting positions for an Occupational Therapist and a Lead Behavioral Health Therapist. In the meantime, our current staff can continue working on the overall program structure and will initiate the development of the curriculum. We continue to increase community awareness and have developed marketing materials, including a one-page flyer and a tri-fold pamphlet. Although the program is not yet operational, we are already seeing meaningful benefits from the addition of our Medical Director beyond supporting PHP licensure. He is actively seeing clients, allowing us to offer next-day medication management appointments. This is an important step Page 18 of 21 PROJECT UPDATE TO THE HUMAN SERVICES COMMITTEE Partial Hospitalization Program (PHP) Development toward our goal of expanding timely access to psychiatric care and medication management in the community. Phase 3: “Soft launch;” Start, enrollment, billing. Begin revenue generation Once the remaining key staff are in place, we will finalize the curriculum and program structure and move toward implementation. Behavioral Health staff have already begun identifying current clients who may benefit from the program, and this effort will continue as we prepare for launch. We will begin services and use the early groups to further refine the curriculum and processes based on participant and community needs. We will then expand outreach and marketing in phases and build a broader referral network. Phase 4: Grand opening We will open the program to the larger community. Partial hospitalization is, at its core, a group process and does not operate without sufficient enrollment. We will continue to refine program curriculum and design based on clinical observation and patient feedback. We will determine a cadence for curriculum review and refinement. Page 19 of 21 Item: 8.b. Agenda Item Information Sheet To: Health & Human Services Committee Human Services Board From: Brad Mueller, DHS Budget Manager Meeting Date: October 6, 2026 Department/Office: Human Services Item Name: Management/Financial/Informational Reports Summary: Human Services Financial Report - Sept 2026 Recommended Action: None Attachments: 1. HSAgingADRCCommRptSept26 Page 20 of 21 Current Month Actual 2026 YTD Actual 2026 Amended Budget Budget Balance % Budget YTD Revenues Taxes $491,000 $4,418,996 $5,891,995 $1,472,999 75.00% Intergovernmental Revenues $1,232,649 $6,272,776 $8,94 9,442 $2,676,666 70.09% Public Charges for Services $5,126 $1,719,905 $3,515,9 35 $1,796,030 48.92% Interdepartmental Charges - - $9,546 $9,546 0.00% Other Revenue $570 $27,465 $27,129 ($336) 101.24% Total Revenues $1,729,345 $12,439,142 $18,394,047 $5,95 4,905 67.63% Expenditures Salaries $554,716 $5,215,777 $7,130,006 $1,914,229 73.15 % Fringe Benefits $210,256 $2,081,165 $2,746,122 $664,957 75.79% Travel/Training $169 $78,006 $134,550 $56,544 57.98% Supplies $7,167 $259,592 $289,889 $30,297 89.55% Purchased Services $364,567 $3,635,172 $6,558,389 $2,92 3,217 55.43% Interdepartment Charges $1,280 $372,335 $540,344 $168,0 09 68.91% Grants $10,368 $96,768 $213,750 $116,982 45.27% Other Expenses $4,362 $686,927 $766,869 $79,942 89.58% Total Operating Expenditures $1,152,885 $12,425,742 $1 8,379,919 $5,954,177 67.60% Capital Outlay Total Expenditures $1,152,885 $12,425,742 $18,379,919 $ 5,954,177 67.60% Net Increase (Decrease) $576,460 $13,400 $14,128 $728 94 .85% E q u i t y: Governmental Fund Balance - ($926,196) - $926,196 0.00% Ozaukee County Committee Report Human Services with ADRC and Aging Service For the Nine Months Ending Wednesday, September 30, 2026 Profit and Loss Statement ACTUAL TO AMENDED BUDGET HS_CommRpt2026 2026 Oversight Comm Recommended PnL A mended Bdgt 9/23/2026 Page 21 of 21