Health & Human Services Board Agenda Packet (PDF)

In compliance with the Americans with Disabilities Act, any person needing assistance to participate in this meeting, should contact the Office of the County Clerk at (920)746 2200. Notification 72 hours prior to a meeting will enable the County to make reasonable arrangements to ensure accessibility to that meeting. Posted 2025 AGENDA HEALTH AND HUMAN SERVICES BOARD MEETING 1. Call Meeting to Order 2. Roll Call – Establishing Quorum 3. Adopt Agenda 4. Approve Minutes a) March 9, 2026 Health and Human Services Board Meeting 5. Correspondence 6. Public Comment 7. Supervisor Response 8. Public Health a) Strategic Planning Report – Shauna Blackledge b) Nursing Update – Holly Neri c) Leadership Planning 9. Health and Human Services a) Clinical Services – Kristin DePrey, Behavioral Health Clinical Supervisor b) Staff Updates c) 2025 Budget Recap d) Grant Update e) Wisconsin Act 113 passed f) Guardianship Policy 10. Sustainability Matters to be Considered 11. Legislative Matters to be Considered 12. Matters to be Placed on a Future Agenda or Referred to a Committee, Official or Employee 13. Set Next Meeting Date a) May 11, 2026 at 10:30 a.m. (Public Participation) 14. Meeting Per Diem Code 15. Adjourn Meeting Deviation from the order shown may occur. Monday, April 13, 2026 3:00 PM Health and Human Services Board Door County Government Center County Board Room 1st floor 421 Nebraska Street, Sturgeon Bay, WI Oversight Board for the Department of Health and Human Services Participants may join this meeting will in person, by teleconference or video conference. Members of the public may join the meeting remotely or in-person in the County Board Room, First Floor Government Center. When: Apr 13, 2026 03:00 PM Central Time (US and Canada) Topic: Health & Human Services Board Meeting Join from PC, Mac, iPad, or Android: https://us02web.zoom.us/j/8712 5930051?pwd=lMKdaW6jxWa D271nGaCbJVAEhFwb2t.1 Webinar ID: 871 2593 0051 Passcode: 083864 Phone: 1 312 626 6799 1 DOOR COUNTY HEALTH AND HUMAN SERIVCES BOARD MINUTES Monday, March 9, 2026 at 3:00 pm 1. Call Meeting to Order The meeting was called to order by Health and Human Services Chair, Nissa Norton, at 3:02 p.m. at the Door County Government Center. 2. Roll Call – Establishing Quorum Present: Collin Jeanquart; Mark Moeller; Philip Rockwell; Dr Mark Kehrberg; Deb Doyle; Ryan Shaw; Christa Krause Absent: Vinni Hancock Quorum established. Staff Present: Julie Behnke, Business Manager; Joseph Krebsbach, Director; Allie Reckelberg, Environmental Health Specialist; Katie VanLaanen, Interim PHO; Paula Sullivan, Finance; Rebecca DenHollander, Intern; Kathy Zak, Recording Secretary Adopt Agenda A motion was made by C Jeanquart and seconded by R Shaw to accept the agenda. Motion carried by unanimous voice vote. 3. Approve Minutes A motion was made by C Jeanquart and seconded by R Shaw to accept the minutes from the February 9, 2026 Health and Human Services Board Meeting. Motion carried by unanimous voice vote. 4. Correspondence None 5. Public Comment None 6. Supervisor Response None 7. Public Health a. Public Health Division Updates K VanLaanen, A Reckelberg and R DenHollander gave an overview of measles and statistics. 8. Health and Human Services a. AODA Services Tabled until next month. b. Staff Updates J Krebsbach reviewed current vacancies, new hires and recruitment efforts. c. Request to Hire Therapist or Substance Use Disorder Counselor Motion was made by K Krause and seconded by R Shaw to approve hiring of either a therapist or substance use disorder counselor. Motion carried by unanimous voice. These minutes have not been reviewed by the oversight board and are subject to approval or revision at the regular meeting. 2 d. 2026 DHS Grant Funding J Krebsbach reports grant funding has been approved for various programs until the end of March. e. 2025 Annual Report J Krebsbach included the 2025 Annual Report in the packet for board members to review and ask any questions they may have. f. Donations 1. Aging and Disability Resource Center (ADRC) Thomas Pollack and Christine Gritzmacher (TPCG) Fund $60,000 Motion by C Jeanquart seconded by R Shaw to approve acceptance of TPCG donation. Motion carried by unanimous vote. g. Introductory Period Completion i. Kevin Brennan, Deputy Director 10. Sustainability Matters to be Considered None 11. Legislative Matters to be Considered None 12. Matters to be Placed on a Future Agenda or Referred to a Committee, Official or Employee None 13. Set Next Meeting Date April 13, 2026 at 3:00 p.m. Government Center 14. Meeting Per Diem Code 309 15. Adjourn Meeting A motion was made by N Norton and seconded by R Shaw to adjourn. Motion carried by unanimous voice vote. The meeting was adjourned at 3:46 p.m. Respectfully submitted, Kathy Zak, Recording Secretary 3 Account Name 2025 Budget as Amended 2025 Posted to General Ledger 12/31/2025 % of revenue collection year to date Notable Variances Comments Account Name 2025 Budget as Amended 2025 Posted to General Ledger 12/31/2025 % of expense year to date Notable Variances Comments REVENUES EXPENDITURES General Property Tax Levy 933,324 933,324 100.00% 0 Senior Resource Center 695,222 606,862 87.29% 88360 $75,000 Admin allocation went to APS State ADRC Funding 580,291 583,996 100.64% 3705 St ARPA Funding 8,369 29,976 358.18% 21607 ADRC Operations 814,237 807,913 99.22% 6324 St Marketing Outreach 36,080 36,072 99.98% (8) State/Fed Aid - Nutrition Programs 144,156 143,288 99.40% (868) Local Contributions 38,505 23,163 60.16% (15342) MCO C1 Contributions 80,000 78,430 98.04% (1570) In house dine C-1 Congregate Meals 115,587 90,992 78.72% 24595 C2 Contributions 60,000 55,770 92.95% (4230) MOW, carry out C-2 Home-Delivered Meals 120,169 130,375 108.49% (10206) Total Nutrition 322,661 300,651 93.18% (22010) Total Nutritional 235,756 221,367 93.90% 14389 Mippa, SHIP, OIC Medicare -Elder Benefit 14,998 14,998 100.00% 0 Elder Benefit Specialist programs 11,723 11,723 100.00% 0 State Aging Programs 123,513 111,253 90.07% (12260) State Aging Programs 64,963 48,958 75.36% 16005 STAid APS Covid Support 7,000 7,000 100.00% 0 APS Salary 238,879 259,135 108.48% (20256) ST -Elder Abuse 13,158 13,159 100.01% 1 APS/Elder Abuse expense 49,065 122,554 249.78% (73489) Administrative allocation not budgeted ST- APS 28,907 28,906 100.00% (1) 0 0 Rent/office County Bldg 10,848 9,636 88.83% (1212) SRC Donation Expense 0 8,057 0.00% (8057) Misc. Revenue 0 20 #DIV/0! 20 Donations 0 19,200 0.00% 19200 Unassigned fund balance transfer Activity fees/Exercise Revenues 6,808 7,715 113.32% 907 Transfer of Fund balance(MOW Pilot ) 20000 0 0.00% (20000) Payroll contingency fund 5101 5,101 100.00% (0) Transfer from DHHS side 1,213 TOTAL EXPENDITURES 2,109,845 2,086,568 98.90% 23277 Total Tax Levy, Revenues and Transfers 2,111,058 2,102,220 99.58% (8839) SUMMARY Total Revenues $2,111,058 $2,102,220 99.58% Total Expenses $2,109,845 $2,086,568 98.90% Diff-Revenues over Expenses $1,213 $15,652 These dollars are transferred to Donation lines for 2026 Budgeted Actual 2025 No monies to the general fund Salary with allocations included ADRC 741,608 738,647 99.60% Senior Center 918,391 935,616 101.88% Total ADRC 1,659,999 1,674,263 100.86% DOOR COUNTY SRC - ADRC BUDGET TO ACTUAL SUMMARY January 1, 2025 to December 31,2025 4 REVENUES EXPENDITURES Description 2025 Budget as Amended 2025 Posted to General Ledger 12/31/2025 % of revenue collection year to date Revenues over /under Comments Description 2025 Budget as Amended 2025 Posted to General Ledger 12/31/2025 % of expenses year to date Expense over/under revenue Comments County Tax Levy $4,682,212 $4,682,212 100.00% Administration Administration Total Salaries and Fringe $1,191,329 $1,260,418 105.80% -$69,089 over in payroll Basic County Allocation (BCA) $1,298,202 $1,298,202 100.00% Software Expense and TCM Expenses $109,152 $98,031 89.81% WIMCR $209,000 $243,074 116.30% $34,074 over projection Crisis Hotline $32,500 $30,000 92.31% Miscellaneous Revenues $0 $34,292 0.00% $30,982 Kewaunee/TCM Family Care contribution $250,618 $250,618 100.00% Collection Agencies $23,000 $18,182 79.05% Conferences, Miles, Miles Lodging $39,000 $35,203 90.26% Specified Donations $0 $7,226 0.00% Other Administrative Agency expenses $91,336 $65,994 72.25% $25,342 Transfer from Fund Balance $10,872 $0 0.00% Copier and Phones $38,000 $34,510 90.81% Indirect expenses and roll over donations -$24,553 -$52,127 $27,574 Total Administration Revenues $1,541,074 $1,600,976 103.89% $59,902 Transfer to ADRC fund 0 $1,213 Total Administrative Expenses $1,727,382 $1,723,858 99.80% $3,524 Economic Support Economic Support Child Care $39,551 $31,773 80.33% Income Maintenance Consortium $569,730 $576,180 101.13% Economic Support Salaries $708,622 $673,234 95.01% $35,388 under in payroll IM Surplus Funding $13,000 $12,499 0.00% Income Maintenance Purchased Services $3,313 $3,340 100.83% IM Enhanced Funding Cost Settlement $54,000 $83,835 155.25% $29,835 Came in Feb 26 Food Stamp Recoveries $2,008 $1,798 89.54% MA Recoveries $341 0.00% Total Economic Support Revenues $678,289 $706,426 104.15% $28,137 over projection Total Economic Support Expenses $711,935 $676,574 95.03% $35,361 Children's Long Term Programs Children's Long Term Programs Birth to Three Program $78,408 $78,408 100.00% B-3 and CLTS Salaries $622,999 $645,955 103.68% -$22,956 over in payroll CLTS Case Management $583,872 $612,406 104.89% $28,534 over projection Birth to Three Program $127,150 $127,118 99.98% CLTS Administration $48,280 $48,280 100.00% CLTS TPA $21,237 $23,081 108.69% CLTS TPA $21,237 $23,091 108.73% Children's COP $55,739 $42,627 76.48% $13,112 Children's COP $59,720 $46,513 77.89% -$13,207 offset by expense Developmental Disabilities Purch. Services $2,000 $0 0.00% $2,000 Collections Birth - 3 and Develop Disabilities $52,790 $39,609 75.03% -$13,181 Total Children's Long Term Programs Revenue $844,307 $848,306 100.47% $3,999 over projection Total Children's Long Term Prog Expenses $829,125 $838,782 101.16% -$9,657 Behavioral Health Behavioral Health Behavioral Health Salaries $1,441,189 $1,046,828 72.64% $394,361 savings in payroll AODA Block Grant $75,374 $60,474 80.23% -$14,900 will carryover Psychologist $60,000 $30,822 51.37% $29,179 AODA Supplemental Grant $10,000 $3,001 0.00% Purchased Services $127,986 $66,460 51.93% $61,526 Collections -Alcohol & Other Drug Abuse $49,978 $56,313 112.68% Inpatient/Residential/Sober Living $611,249 $630,426 103.14% -$19,177 Collections -Mental Health $251,000 $159,303 63.47% -$91,697 staffing shortage Drug screens/ meds $3,750 $3,094 82.51% Collections -Psychiatrist $74,000 $73,571 99.42% AODA Block Grant $75,374 $60,474 80.23% $14,900 Collections -Intoxicated Driver Program $83,000 $71,326 85.93% -$11,674 AODA Supplemental Block Grant $10,000 $3,001 30.01% Opioid Grant $8,751 $8,751 100.00% Opioid Grant $8,751 $8,751 100.00% Opioid Response - SOR grant $136,543 $56,102 41.09% -$80,441 offset with expense Opioid Response - SOR grant $136,543 $56,101 41.09% $80,442 Total Behavioral Health Revenue $688,646 $488,840 70.99% -$199,806 Total Behavioral Health Expenses $2,474,842 $1,905,956 77.01% $568,886 payroll and grants DOOR COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES BUDGET TO ACTUAL SUMMARY January 1, 2025 to December 31, 2025 5 REVENUES EXPENDITURES Description 2025 Budget as Amended 2025 Posted to General Ledger 12/31/2025 % of revenue collection year to date over /under Comments Description 2025 Budget as Amended 2025 Posted to General Ledger 12/31/2025 % of expenses year to date over /under Comments Courts Services Courts Services Tad Grant $200,000 $130,245 65.12% -$69,755 offset with expense Court Services Salaries $0 $0 0.00% Diversion From Youth Justice $222,691 $97,331 43.71% -$125,360 offset with expense TAD Grant $260,528 $176,100 67.59% $84,428 Diversion From Youth Justice $222,691 $97,331 43.71% $125,360 Total Court Services Revenue $422,691 $227,576 53.84% -$195,115 Total Court Services Expenses $483,219 $273,430 56.59% $209,789 position vacancies CCS and CST CCS and CST CCS Revenues $1,578,807 $1,429,809 90.56% -$148,998 offset in payroll CCS Staff $577,107 $445,905 77.27% $131,202 savings in payroll CCS Coordinator Reimbursement $74,561 $77,873 104.44% CCS $973,866 $1,083,825 111.29% -$109,959 CCS Reconciliation Revenue $220,000 $177,620 80.74% -$42,380 Initiatives for Coordinated Services $72,000 $63,703 88.48% Initiatives for Coordinated Services $60,000 $58,086 96.81% Total CCS and CST Revenues $1,933,368 $1,743,388 90.17% -$189,980 revenues greater Total CCS Services Expenses $1,622,973 $1,593,433 98.18% $29,540 than expense Community Support Programs Total Community Support Programs Community Mental Health Program $103,623 $103,623 100.00% CSP Staff $519,600 $563,682 108.48% -$44,082 Collections Community Support Program $370,000 $331,457 89.58% -$38,543 no masters level Community Mental Health-AFH,CBRF $550,741 $480,560 87.26% $70,181 Mental Health Block Grant $7,665 $7,665 100.00% Mental Health Block Grant $7,665 $7,713 100.63% Targeted Case Management $13,000 $304 0.00% -$12,696 No TCM CM Tech Services/Mapp $24,000 $27,572 114.88% Rep Payee Reimbursement $11,000 $14,234 129.40% Rep Payee Services $0 $800 Revenue offset -$34,000 -$41,385 Total Community Support Programs Revenues $505,288 $457,283 90.50% -$48,005 Total Community Support Programs Expense $1,068,006 $1,038,942 97.28% $29,064 Children's Protective Services Total Children's Protective Services Foster Parent Training $2,854 $0 0.00% Children's and Family Salaries $1,156,624 $977,389 84.50% $179,235 savings in payroll Targeted Safety Supports $52,085 $28,816 55.32% -$23,269 offset with expense Children's and Families $98,557 $75,835 76.94% $22,723 Alternate care, Kinship Care, Assessments $89,100 $82,046 92.08% -$7,054 Targeted Safety Supports $47,236 $28,174 59.64% $19,062 Youth Aids $231,042 $169,987 73.57% -$61,055 offset with expense Alternate Care $452,638 $292,410 64.60% $160,228 Safe & Stable Families $38,069 $38,069 100.00% Youth Aids $231,042 $168,186 72.79% $62,856 Family First Funding $4,000 $4,000 100.00% Juvenile Community Services $4,994 $8,534 170.89% Juvenile Justice Comm. Intervention $4,994 $8,157 163.33% Title IV Pass through account $0 $7,221 0.00% Juv. Restitution & Victim Witness Fees (pass-through) $0 $433 0.00% Subsidized Guardianship $0 $2,520 Total Children's Protective Services Revenues $422,144 $341,249 80.84% -$80,895 Total Child Protection Services Expenses $1,991,091 $1,550,528 77.87% $440,563 DOOR COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES BUDGET TO ACTUAL SUMMARY January 1, 2025 to December 31, 2025 6 REVENUES EXPENDITURES Description 2025 Budget as Amended 2025 Posted to General Ledger 12/31/2025 % of revenue collection year to date over /under Comments Description 2025 Budget as Amended 2025 Posted to General Ledger 12/31/2025 % of expenses year to date over /under Comments Public Health Public Health Prevention Grant $4,557 $4,557 100.00% Public Health Salaries $789,913 $676,335 85.62% $113,578 went to staff allocations Maternal Child Health $8,936 $8,936 100.00% Public Health General Services $148,350 $84,572 57.01% $63,778 Immunization $8,054 $5,257 65.27% Wic Grant Program $146,494 $171,376 116.99% -$24,882 Childhood Lead $3,505 $3,487 99.49% Maternal Child Grant $16,678 $23,800 142.70% -$7,122 WiC Program $146,494 $144,283 98.49% Prevention Grant $4,557 $21,934 481.32% -$17,377 PHEP $40,749 $26,435 64.87% -$14,314 offset with expense PHEP Grant $40,749 $26,435 64.87% $14,314 Beach Assessment $71,000 $65,000 91.55% Communicable Disease $3,810 $6,144 161.27% -$2,334 Communicable Disease $3,810 $3,439 90.26% Public Health Collections $54,000 $18,080 33.48% -$35,920 offset with expense PH TB 0.00% Total Public Health Revenues $341,105 $279,474 81.93% -$61,631 Total Public Health Expensed $1,150,551 $1,010,596 87.84% $139,955 ARPA Covid Recovery $82,562 $59,276 71.80% -$23,286 offset with expense CARES - COVID -19 Stimulus $236,706 $92,534 39.09% $144,172 Workforce Grant $24,496 $6,212 25.36% -$18,284 offset with expense PH Infrastructure grant $129,648 $27,045 20.86% -$102,603 offset with expense TOTAL COVID GRANTS $236,706 $92,533 39.09% -$144,173 Total Revenues $12,295,830 $11,468,263 93.27% -$827,567 Total Expenses 12,295,830 $10,704,633 87.06% $1,591,196.55 SUMMARY Amended Budget Actual 2025 Total Revenues $12,295,830.00 $11,468,262.52 93.27% Total Expenses $12,295,830.00 $10,704,633.45 87.06% Diff-Revenues over Expenses $0.00 $763,629.07 Transfer to general fund Budgeted Actual 2025 Payroll Savings Salary with allocations included $7,723,247.00 $7,150,730.65 92.59% $572,516.35 DOOR COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES BUDGET TO ACTUAL SUMMARY January 1, 2025 to December 31, 2025 7 Door County Department of Health and Human Services Policy Title: Guardianship and Protective Placement Cost Participation Policy Policy Number: TBD Created By: Shannon Lauder, TQM Division: Effective Date: Approval Date: Last Review Date: Next Review Date: Annually Purpose The purpose of this policy is to establish a consistent, equitable, and sustainable approach for determining client financial participation in guardianship and protective placement services. Due to the increasing number of guardianships and protective placements within Door County, this policy ensures:  Responsible stewardship of public resources  Preservation of service capacity for those most in need  Equitable contribution based on client financial ability Scope This policy applies to:  All Health and Human Services (HHS) and Corporation Counsel staff involved in guardianship and protective placement processes  Adults receiving or being evaluated for guardianship and/or protective placement services  Protective Placements funded, coordinated, or authorized by HHS Definitions  Guardianship: A legal relationship established by the court in which a guardian is appointed to make decisions on behalf of an individual deemed incompetent.  Protective Placement: A court-ordered placement in a facility or setting designed to provide care and custody for individuals unable to live independently due to incapacity.  Contested Cases: Contested cases are defined as proceedings in which a formal objection is filed or the matter requires a contested court hearing. Determination of case status shall be made in consultation with Corporation Counsel. 8  Liquid Assets: Assets that can be readily converted to cash without significant penalty, including but not limited to: o Cash on hand o Checking and savings accounts o Money market accounts o Stocks, bonds, and other easily liquidated investments o Liquid assets do not include exempt resources as defined under Medicaid or other applicable public benefit programs.  Cost Participation: The portion of service costs the client is required to pay based on financial assessment. Policy Door County Health & Human Services (HHS) shall determine financial responsibility for guardianship and protective placement services, including both contested and uncontested cases, based on an individual’s liquid assets and financial capacity. This policy applies to all guardianship and protective placement proceedings supported or initiated by HHS, regardless of court status. To ensure equitable use of public resources while maintaining access to necessary services, the following fee structure and financial criteria shall apply: All determinations made under this policy are subject to applicable Wisconsin Statutes, court authority, and public benefit program requirements. Nothing in this policy shall supersede judicial determinations or statutory obligations. Financial Responsibility Criteria (Based on Liquid Assets) Liquid Asset Level Client Responsibility $5,000 or more Client may be held financially responsible for all fees and costs associated with guardianship and/or protective placement (including attorney, court, and related service costs) $3,000 – $4,999 Standard fees apply ($300 uncontested / $600 contested) Under $3,000 No fee charged Fee Structure (Guardianship and/or Protective Placement) These fees apply to both guardianship cases and protective placement proceedings on already open guardianship cases.  Uncontested Cases: $300 flat fee  Contested Cases: $600 flat fee 9 Exceptions / Hardship Consideration DCHHS may consider exceptions in cases where strict application of this policy would create undue hardship or interfere with access to necessary services. Any exception must be:  Documented  Approved by the Director or designee in consultation with Corporation Counsel when appropriate. Procedure Roles and Responsibilities Step Role Financial Assessment Case Manager Case Type Determination Corp Counsel / Supervisor Approval Supervisor Exception Approval Director Initiation of Case  Guardianship or protective placement need is identified  Case is assigned to appropriate staff Financial Assessment  Financial assessment shall be completed prior to filing or as soon as practicable following case initiation.  Staff collect documentation of liquid assets  Assets are reviewed against established thresholds Determination of Case Type  Case is identified as contested or uncontested Fee Determination  Apply fee structure based on: o Case type o Liquid asset level Supervisor Review  Determination reviewed for consistency and accuracy Notification 10  Notification shall be provided in writing and, when possible, explained verbally to ensure understanding  Client, petitioner and/or guardian receives written notice of: o Financial responsibility o Fee amount o Basis for determination Documentation  Determination is recorded in client record  Supporting financial documentation retained Related Policies This policy shall be implemented in accordance with applicable Wisconsin State Statutes and administrative codes governing guardianship, protective placement, and related services, including but not limited to:  Wisconsin Statute Chapter 48 – Children’s Code  Wisconsin Statute Chapter 53 – Uniform Adult Guardianship and Protective Proceedings Jurisdiction Act (UAGPPJA)  Wisconsin Statute Chapter 55 – Guardianships, Protective Services, and Protective Placements Violation Failure to comply with this policy may result in disciplinary action, up to and including termination of employment or contract, as well as potential civil or criminal penalties as applicable. Violations involving PHI may result in additional reporting and corrective actions in accordance with HIPAA requirements. Approvals: Joseph Kr ebsbach, Health & Human Services Director Date 11 DOOR COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES – STAFFING Organization Chart 04/01/2026 Door County Board of Supervisors Health and Human Services Board Joe Krebsbach - Director Kevin Brennan – Deputy Director BEHAVIORAL HEALTH Behavioral Health Manager – Jamie Lowis Medical Director/Psychiatrist – Dr. Ann Miller Service Facilitators -Elizabeth Bertrand -Anna Calhoun -Kathy Schultz -Sara Moegenburg -Holly Ahlin Community Support Program Workers -Ashley Bongle -Brianna Armstrong -Megan Sinclair Registered Nurse -Scott Davis Case Manager – Crisis & Outreach -VACANT After Hours Crisis Case Manager -James Baker -Carrie Doell Behavioral Health Therapists -Dani Nyman -Alina (Karuzas) Rivera -VACANT Substance Use Disorder Therapist, DTE - Scott Dadam Behavioral Health Case Manager - VACANT ADMINISTRATION Client Account Specialist – Accounts Receivable -Chris Wroblewski Financial Admin Assistant II - Accounts Payable -Casey Frangipane Financial Admin Assistant II - Accounts Receivable -Cassandra Olson System Analyst Specialist -Susan Fernandez Admin Assistant II - Receptionist -Kathleen Doering Admin Assistant II- Support - Carla Ritter Admin Assistant II – Records Management -Kathy Zak Business Manager Julie Behnke Total Quality Management Specialist Shannon Lauder Diversion Case Manager -Elizabeth Junion Court Services AODA Therapist-DTE -VACANT Case Manager -DTE -VACANT Behavioral Health Therapist – DTE -VACANT Contracted workers Dr. Lydia Haker – Ph.D Peg Kubiak-OWI Rene Domask - Therapist Community Services Coordinator Sarah Purzycki Behavioral Health Clinical Supervisor Kristin Deprey CCS Regional Coordinator Dallas Glodoski 12 DOOR COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES – STAFFING (continued) Organization Chart 04/01/2026 ECONOMIC SUPPORT Economic Support Manager Carol Wautlet Economic Support Specialists -Jessica Ingersoll -Eric Olson -Mikala Herlache -Emily Luedtke -Breanna Smith -Ashley Dessart Children & Family Support Services Children’s Services Manager Debra Kehrberg Door County Board of Supervisors Health and Human Services Board Joe Krebsbach - Director Administrative Assistant III -Robin Mark Disability Benefit Specialist -Mary Ann Salmon (1/9/23) Elderly Benefit Specialist -Jessica Flores Information & Assistance Workers -Melissa Walz -Cheri VanDenBogart -Heather Geiger Dementia Care Specialist -Sierra Witczak Adult Protective Services Lead (new 9/2025) - Taylor Jandrin Adult Protective Services -Amber Wheat -Emma Walsh Office Assistant -Barb Snow AGING & DISABILITY RESOURCE CENTER ADRC/Aging Program Director Jennifer Fitzgerald ADRC Advisory Board & SSAC & NAC Board Volunteer/Activities Coordinator -Dawn Thiry-Herlache Office Assistant -Wendy Schubert Nutrition Site Manager -Candy Haslam .40 Nutrition Site Manager / Cook – Washington Island -Nelvie Cauldwell .50 Cook -Autumn Cihlar 1.0 -Kathy Ash 1.0 -Michael Mallien 1.0 -Bong Yun Hong LTE Assistant ADRC/Aging Program Director Nicole Scharrig PUBLIC HEALTH Public Health Nurses -Katie Van Laanen -Stormy Gale -Holly Neri Community Health Educator -Teri Van Lieshout Environmental Health Specialist -Allison Reckelberg Public Health Strategist -Shauna Blackledge WIC Director/Nutritionist -Teresa Mertens Administrative Assistant-WIC -Pam Robillard Administrative Assistant -April Grosbeier CHILDREN AND FAMLY SERVICES Child Protection & Juvenile Justice Children & Families Manager Samuel Kramer Child Welfare Lead Social Worker -Amy Lehman Social Workers -Brett Hayner -Alyssa Reske -Kelly Lewens -Emily Schwark -Alexus Burich -Zoe WIlda -Sarah O’Donnell Foster Care Coordinator -Haley Rohr Children & Family Aide -Angela Tenor 3 After Hours On-Call – LTE 2 Drivers - LTE Birth to Three Coordinator / Educator -Naomi Spritka Case Managers -Ceara Brockman -Karlee Bertrand -Michelle Bouche -Jamie Hernandez Kevin Brennan – Deputy Director Health Officer/Manager Katie Van Laanen, Interim Public Health Officer Susan B. Eisenhauer, Manager, LTE 13