DHHS Agenda 02-05-2026

Notice of Public Meeting AGENDA- AMENDED Committee: DHHS/Veterans Home Committee Date: Thursday February 5, 2026 Time: 6:30 PM Location: 3rd Floor County Board Room, 407 S 2nd Street, Alma, WI 54610 Remote Access: Join the meeting now Meeting ID: 251 529 417 271 8 Passcode: 2hw7Ym9E This meeting is open to the public, but portions of the meeting may be closed if this notice indicates that the committee may convene in closed session. The following matters may be reviewed, discussed and acted upon at this meeting, but deviations from the order shown may occur: 1. Review/Discussion/Action Call to Order 2. Review/Discussion/Action Roll Call of Members 3. Review/Discussion/Action Public Comments Regarding Posted Agenda Items 4. Review/Discussion/Action Previous Meeting Minutes – 12/4/2025 5. Review/Discussion/Action Veterans Services Monthly Report 6. Review/Discussion/Action Veterans Services Monthly Vouchers 7. Review/Discussion/Action Request to Fill Assistant Benefit Specialist Position 8. Review/Discussion/Action RIPple Drug Education & Awareness Presentation- Malia Fox 9. Review/Discussion/Action Public Health Tobacco Presentation 10. Review/Discussion/Action Public Health Report 11. Review/Discussion/Action Request to Fill Economic Support Specialist Vacancy 12. Review/Discussion/Action DHHS Financial Update 13. Review/Discussion/Action DHHS Monthly Vouchers 14. Review/Discussion/Action Monthly Unit Reports 15. Review/Discussion/Action Director Report 16. Review/Discussion/Action Western Dairyland Community Action 17. Review/Discussion/Action Committee Chair Report 18. Review/Discussion/Action County Administrator Report 19. Review/Discussion/Action Public Comments Unrelated to Agenda Items 20. Review/Discussion/Action Next Meeting Date and Time – April 2, 2026 at 6:30 pm 21. Review/Discussion/Action Adjournment Date: Jan. 29, 2026 Mary Anne McMillan-Urell, Chair By: Carri Renchin, Director Board Members: If unable to attend, please contact the Chair. If the Chair is unavailable, please contact the County Clerk’s Office at 608-685-6209. If the Chair and the County Clerk are not available, please call the Administrative Coordinator at 608-685-6234. Persons with Disabilities: Buffalo County shall attempt to provide reasonable accommodations to the public for access to its public meetings, provided reasonable notice of special need is given. If you require special accommodations to attend this meeting, please contact the County Clerk’s Office at 608-685-6209. Public Access to the Courthouse: The South Entrance will be the only access to the building after 4:30 p.m. Persons who are members of another governmental body, but who are not members of this committee, may attend this meeting. Their attendance could result in a quorum of another governmental body being present. Such a quorum is unintended, and they are not meeting to exercise the authority, duties, or responsibilities of any other governmental body. Notice of Public Meeting AGENDA Committee: DHHS/Veterans Home Committee Date: Thursday February 5, 2026 Time: 6:30 PM Location: 3rd Floor County Board Room, 407 S 2nd Street, Alma, WI 54610 Remote Access: Join the meeting now Meeting ID: 251 529 417 271 8 Passcode: 2hw7Ym9E This meeting is open to the public, but portions of the meeting may be closed if this notice indicates that the committee may convene in closed session. The following matters may be reviewed, discussed and acted upon at this meeting, but deviations from the order shown may occur: 1. Review/Discussion/Action Call to Order 2. Review/Discussion/Action Roll Call of Members 3. Review/Discussion/Action Public Comments Regarding Posted Agenda Items 4. Review/Discussion/Action Previous Meeting Minutes – 12/4/2025 5. Review/Discussion/Action Veterans Services Monthly Report 6. Review/Discussion/Action Veterans Services Monthly Vouchers 7. Review/Discussion/Action Request to Fill Assistant Benefit Specialist Position 8. Review/Discussion/Action Public Health Tobacco Presentation 9. Review/Discussion/Action Public Health Report 10. Review/Discussion/Action Request to Fill Economic Support Specialist Vacancy 11. Review/Discussion/Action DHHS Financial Update 12. Review/Discussion/Action DHHS Monthly Vouchers 13. Review/Discussion/Action Monthly Unit Reports 14. Review/Discussion/Action Director Report 15. Review/Discussion/Action Western Dairyland Community Action 16. Review/Discussion/Action Committee Chair Report 17. Review/Discussion/Action County Administrator Report 18. Review/Discussion/Action Public Comments Unrelated to Agenda Items 19. Review/Discussion/Action Next Meeting Date and Time – April 2, 2026 at 6:30 pm 20. Review/Discussion/Action Adjournment Date: Jan. 29, 2026 Mary Anne McMillan-Urell, Chair By: Carri Renchin, Director Board Members: If unable to attend, please contact the Chair. If the Chair is unavailable, please contact the County Clerk’s Office at 608-685-6209. If the Chair and the County Clerk are not available, please call the Administrative Coordinator at 608-685-6234. Persons with Disabilities: Buffalo County shall attempt to provide reasonable accommodations to the public for access to its public meetings, provided reasonable notice of special need is given. If you require special accommodations to attend this meeting, please contact the County Clerk’s Office at 608-685-6209. Public Access to the Courthouse: The South Entrance will be the only access to the building after 4:30 p.m. Persons who are members of another governmental body, but who are not members of this committee, may attend this meeting. Their attendance could result in a quorum of another governmental body being present. Such a quorum is unintended, and they are not meeting to exercise the authority, duties, or responsibilities of any other governmental body. DHHS/Veterans 12-04-2025 Buffalo County Minutes Committee/Board: Health and Human Services and Veterans Service Committee Date of Meeting: Thursday, December 4, 2025 @ 6:30 PM Location: 3rd Floor County Board Room Department of Health and Human Services Buffalo County Courthouse 407 2nd Street, Alma, Wisconsin 1.REVIEW/DISCUSSION/ACTION - CALL TO ORDER Mary Anne McMillan-Urell called the meeting to order at 6:33pm 2. REVIEW/DISCUSSION/ACTION – ROLL CALL OF MEMBERS Members present were Kim Beseler, Liz Hoffmaster, Wendy Kleinschmidt, Mary Anne McMillan-Urell, Steve Nelson, Dwight Ruff Excused Absence: John Hadley, Carol McDonough, Steve Schiffli *There were computer issues therefore zoom was unavailable, so Steve Schiffli was unable to attend the meeting. OTHERS PRESENT FOR ALL OR PART OF THE MEETING Jamie Weaver, Misty Rustad, Felicia Decker 3. REVIEW/DISCUSSION/ACTION - PUBLIC COMMENT REGARDING POSTED AGENDA ITEMS None 4. REVIEW/DISCUSSION/ACTION – PREVIOUS MEETING MINUTES A motion was made by Steve Nelson and seconded by Wendy Kleinschmidt to approve October 2, 2025, draft minutes as presented. Motion approved. 5. ACKNOWLEDGEMENT OF SERVICE AND RETIREMENT OF MARY HILDEBRAND Mary Anne McMillan-Urell on behalf of the Committee wants to recognize Ms. Hildebrand for her decade of service to the County and for all the excellent work she has done on the DHHS Home Committee. She will be greatly missed. Carri Renchin was absent from the meeting but wanted to thank Mary for her 10 years of dedicated service to Buffalo County. She has played a critical role in keeping the department running smoothly- from making sure the copiers are stocked with ink, to maintaining our fleet of vehicles, delivering exceptional customer service and so much more. Mary has been the driving force behind the scenes, preparing, organizing, and distributing Home Committee material with consistency and care. And we can’t forget the countless hours Mary has spent listening to meeting recordings to prepare accurate, detailed minutes. Mary’s contributions have been invaluable, and she will be dearly missed. 6. REVIEW/DISCUSSION/ACTION – VETERANS SERVICES MONTHLY REPORT Ms. Decker shared the following updates… • Outreach: Coffee and Donuts with Veterans and Veterans Day program at the CFC school. • The Veteran’s Department is planning on having a food drive. • Many gift cards were received from the community to give out to veterans. DHHS/Veterans 12-04-2025 • $5,500 was received from Grateful Veteran to be given to the 3 different food banks in Buffalo County. • Budget was done in October, not much has changed from 2025 budget. 7. REVIEW/DISCUSSION/ACTION - VETERANS SERVICES MONTHLY VOUCHERS The vouchers were reviewed. A motion was made by Steve Nelson and seconded by Liz Hoffmaster to approve the vouchers as presented. Motion approved. 8. REVIEW/DISCUSSION/ACTION – CLOSED SESSION TO CONDUCT EMPLOYEE PERFORMANCE EVALUATIONS Ms. McMillan-Urell announced the closed session will be held at the end of the meeting. A motion was made by Ms. Hoffmaster and seconded by Mr. Ruff at 7:49pm to go into closed session to conduct an employee performance evaluation for Ms. Decker. A roll call vote was taken, all in favor, motion approved. A motion was made by Dwight Ruff and seconded by Liz Hoffmaster at 8:33pm to come out of closed session. A roll call vote was taken, all in favor, motion approved. 11. REVIEW/DISCUSSION/ACTION – PUBLIC HEALTH REPORT Ms. Weaver shared the monthly numbers and the following updates: • Communicable Diseases – nothing out of the ordinary. • Finished inspections on all 4 schools. • Finished the DNR water samples. • Flu Clinics were completed in all 4 schools, along with the fall farm clinics. Ms. Weaver noted that the vaccination numbers are down compared to previous years, however, this is being seen statewide. • Program review for the Agent of the State program was completed with DATCP. Went well. • There is a new grant initiative named Lead in Water. It is a one-time grant funding to sample registered childcare facilities in Buffalo County for lead in their water systems. If lead is detected, abatement services are available to facilities at no cost. (grant timeline:10/1/25 – 09/30/26) • 140 Review completed for 5-year cycle, as required by statute • Community Outreach: PH Nurse went to Ruby’s pantry to discuss reproductive services. Attended a school board meeting at Anthony Acres school to promote youth-based services and resources from Public Health • Attended the Wisconsin Environmental Health Conference. • Upcoming in 2026 will be the Regional Preparedness Exercise: Sizzling Summer. Dwight Ruff inquired about Human Health Hazards and asked about protocols. Ms. Weaver explained how we have ordinances in place, and every situation is different. After an assessment of a reported hazard, Ms. Weaver tries to work with the municipality to come up with a solution. 12. REVIEW/DISCUSSION/ACTION – AGENT OF STATE ORDINANCE REVISIONS Ms. Weaver brought the Agent of the State Ordinance to the Committee for a few small changes. Added wording for enforcement that is requested by the State and added extra language for information on appeals. A motion was made by Dwight Ruff and seconded by Kim Beseler to approve the Agent of the State Ordinance pending Mr. Engfer input on whether or not the ordinance will need to be brought back to the County Board for approval, or if approval by the DHHS Committee is sufficient. Motion approved. DHHS/Veterans 12-04-2025 13. REVIEW/DISCUSSION/ACTION – AGENT OF THE STATE FEE CHANGE PROPOSAL Ms. Weaver presented the proposal of Agent of the State fees that would go into effect in 2026. Ms. Weaver explained that the State of WI is greatly increasing their rates for lodging inspections. Currently, the State requires 13% compensation on inspection revenue. The State will increase this to 14% in 2026, and to 15% in 2027. Starting next year, the compensation rates will be based off of the State of WI rates, not Buffalo County’s rates like that have been. Ms. Weaver is proposing to only increase Buffalo County’s rates by half of the amount the State is increasing their rates by. Per the State of WI, this is not meant to be a “money making” program. The State wants the rates just high enough to cover all expenses. Since the State allows Counties to choose their own rates, Ms. Weaver would prefer a smaller increase than a larger increase. Dwight Ruff agreed with Ms. Weaver stating that the small proposed increase in fees is reasonable instead of large increases. Steve Nelson made a motion to accept the new rates, seconded by Dwight Ruff. All in favor, motion carried. 14. REVIEW/DISCUSSION/ACTION – 85.21 SPECIALIZED TRANSPORTATION GRANT FOR 2026 Angie Schlosser from Pepin County was going to attend virtually to present this to the Committee, but due to computer issues, Zoom was not available. Misty Rustad instead presented. Ms. Rustad stated that this is a grant that we apply for and receive every year for $79.889 (with a 20% County match which is budgeted). It is a grant to provide financial assistance to counties to provide transportation services to seniors and individuals with disabilities. Ms. Schlosser needs approval by the Committee in order to apply for this grant. This is something that occurs every year at this time. A motion was made by Kim Beseler and seconded by Liz Hoffmaster to approve Ms. Schlosser to move forward in processing the application. All in favor, motion carried. 15. REVIEW/DISCUSSION/ACTION – CHILD SUPPORT SPECIALIST JOB DESCRIPTION Carri Renchin worked with Ana Rolbiecki (Human Resources Manager) and the Child Support Coordinator to streamline and make more the wording succinct. Not intending to change duties at this time. Looking for approval on the updated job description. A motion was made by Liz Hoffmaster and seconded by Wendy Kleinschmidt to approve the updated job description. All in favor, motion carried. 16. REVIEW/DISCUSSION/ACTION – DHHS SUPPORT SPECIALIST BACKFILL AS A CHILD SUPPORT SPECIALIST Carri Renchin is requesting to refill the position that Ms. Hildebrand is vacating due to her retirement as a Child Support Specialist. Currently the position is .80 FTE Child Support and .20 Support Staff. Duties of the position will align with the child support specialist job description, expanding upon what the current position completes, including supporting the child support workload to include establishment and enforcement efforts. The request was approved by Human Resources on Wednesday November 19, 2025. We presented to HR first due to timing of meetings in effort to proceed with refilling the vacancy as timely as possible. A motion was made by Kim Beseler and seconded by Dwight Ruff to approve to fill this position. All in favor, motion carried. 17. REVIEW/DISCUSSION/ACTION – DHHS FINANCIAL UPDATE Ms. Rustad presented the financial updates through October 2025 for review. She also presented the final numbers for 2024. For 2024, DHHS was over budget by $58,895.73. This amount will come out of the Undesignated Fund Balance. Ms. Rustad explained how this fund balance worked. In the beginning of 2025, this balance was $896,603.79, of which $600,000 of this was earmarked to balance the 2026 budget. As of 12/04/25, DHHS/Veterans 12-04-2025 $334,326.34 of this $600,000 has been used. Ms. Rustad is hoping that there will be about $200,000 left in this balance at the end of 2025. However, that mainly depends on client placements 18. REVIEW/DISCUSSION/ACTION – DHHS MONTHLY VOUCHERS A motion was made by Dwight Ruff and seconded by Carol McDonough to approve the September/October monthly vouchers as presented. A roll call vote was taken. Motion approved. 19. REVIEW/DISCUSSION/ACTION – MONTHLY UNIT REPORTS The monthly unit reports were available for review and discussion. 20. REVIEW/DISCUSSION/ACTION – DIRECTOR REPORT Ms. Rechin was unable to attend the meeting, so Ms. Weaver presented the following updates: 1. RWC Litigation Update: Nothing new to report. Rolling Hills Litigation has been resolved, agency reinstated as a provider. CC We Adapt- Litigation continues, trial scheduled for 2027 if case not dismissed or settlement reached. 2. Federal Shutdown Updates • Foodshare: October benefits issued timely. November benefits were delayed and initially planned for only partial benefits. Wisconsin began issuing full benefits as of Nov. 7th. Approx. 1,000 recipients a month receive benefits, which ends up being approximately $135,000 each month. • WHEAP/ Energy Assistance: The federal funds were delayed; therefore, qualifying households have not yet received heating benefits for the 2025-2026 heating season. Delay is anticipated to be approximately 1 month, with benefits tentatively scheduled for issuance in mid-December. In 2024, there were 643(Heat) 640 (electric) 282 (crisis) 24 (HVAC) 33 (water conservation), $744,599 benefits issued) • Carri would like to recognize the economic support staff, who did a remarkable job managing a surge in calls from concerned residents during a period of uncertainty. 3. “One Can Make A Difference” Food Drive • DHHS partnered with Waumandee State Bank, and supported by the Sheriff’s Office to host a food drive. • Through the generous donations of our community, we were able to provide 3 large boxes of food to each of the county’s 3 food pantries. Pictures can be found on DHHS’s Facebook page. It received positive media attention from this post with several news stations sharing it. 4. Governor Evers: On November 19 th, Governor Evers joined Matt Bertelson, Nutrition Program Coordinator, in delivering home delivered meals in the Mondovi community. 21. REVIEW/DISCUSSION/ACTION – WESTERN DAIRYLAND COMMUNITY ACTION Dwight Ruff shared that the Day Center open house fundraising is going well. They were expecting to have to take out a $3.5 million loan, but with the open house, many more donations have come in. 22. REVIEW/DISCUSSION/ACTION – COMMITTEE CHAIR REPORT Mary Anne McMillan-Urell stated that there was nothing to report. 23. REVIEW/DISCUSSION/ACTION – COUNTY ADMINISTRATOR REPORT None 24. REVIEW/DISCUSSION/ACTION – PUBLIC COMMENTS UNRELATED TO AGENDA ITEMS None DHHS/Veterans 12-04-2025 25. REVIEW/DISCUSSION/ACTION – NEXT MEETING DATE AND TIME The next meeting is scheduled for Thursday, February 5th, 2025, at 6:30 PM. 21. ADJOURNMENT The meeting adjourned at 8:33pm. Respectfully submitted, Misty Rustad VETERANS SERVICE OFFICE CVSO FELICIA DECKER-MONTHLY REPORT NEWS/ DECMBER 2025 BIRTHDAY CELEBRATION FOR 100YEAR OLD WWII VETERAN 12/2/2025 NW CVSO TRAINING/ HIGH GROUNDS WREATHS ACROSS AMERICA RADIO SPOT- EVERY 2ND TUESDAY VOUCHERS STATS NEWS/ JANUARY 2026 COFFEE AN DONUTS WITH VETERANS REQUEST FOR ASSISTANT ADMINISTRATIVE BENEFIT SPECIALIST AMERICAN LEGION MID WINTER CONFERENCE AND TRIBAL OUT REACH ONEIDA NATIONS RADIO SPOT- VETERANS DAY VOUCHERS STATS RADIO SPOT 102.3 WHTL OCTOBER/NOVEMBER • SECOND TUESDAY OF THE MONTH @9:15 • DECEMBER : WREATHS ACROSS AMERICA/ FOOD DRIVES FOR LOCAL PANTRIES • JANUARY: NEW HOURS OF COURTHOUSE, LEGION RIDERS AND VETERANS ORGANIZATIONS. REQUEST FOR : A 3RD POSITION ASSISTANT ADMINISTRATIVE BENEFIT SPECIALIST • 24-28 HOURS • MONDAY TUESDAY AND FRIDAY • $19-22 POSITION DESCRIPTION IN PACKETS THIS POSITION WILL MEET THE NEEDS OF THE OFFICE AND ENSURE THAT ONCE LORI LEAVES THERE WILL BE TIME ENOUGH TO TRAIN SOMEONE IN AND FILL HER POSITION. MONTHLY EXPENSE REPORT OCTOBER/ NOVEMBER 2025 • CELL PHONE $ MONTHLY EXPENSE REPORT DECEMBER 2025 JANUARY 2026 • VETERAN AIDE : $ • VFW GRANT $1500.00 • GIFT CARDS:$200.00 AMERICAN LEGION RIDERS • RECEIVED $ NON LAPSING ACCOUNT : • $ 8,818.69 STATS: DECEMBER 2025 Walk ins: 54 Point of Contacts : 52 Phone Calls: 320 Forms : 247 Claims: 25 Appeals:26 Home visits 1 / Outreach 2 / events 2 STATS: JANUARY 2026 Walk ins: 97 Point of Contacts : 137 Phone Calls: 679 Forms : 355 Claims: 38 Appeals:83 Home visits 0 / Outreach 2 / events 3 YEAR TO DATE DATA 2025 NEW YEAR TO DATE DATA 2026 Last Reviewed 5/25/22 1 BUFFALO COUNTY POSITION DESCRIPTION Department: Veterans Service Office Position Title: Veterans Services Assistant Administrative Benefit Specialist Pay Class: Part-Time Wage Scale Exemption Status: Hourly – Non-Exempt Direct Supervisor: Veterans Service Officer Date: December 2025 Purpose of Position: The purpose of this position is to perform and assist with services and advocacy of Veterans’ benefits to beneficiaries, dependents and interested community members. The Assistant Administrative Veterans’ Benefits Specialist also assists with administrative office duties and frequently assumes such roles as office secretary, office receptionist, claims worker, veterans advocate, liaison and office director in the absence of the Administrative Benefit Specialist and Department Head. Essential Duties: The following duties are expected of this position. These are not to be construed as exclusive or all- inclusive. Other duties may be required and assigned. - Assists with the preparation of Veterans’ Benefits applications and correspondence - Advises veterans and beneficiaries regarding state and federal benefits and advocates on behalf of veterans and beneficiaries to appropriate third parties of interest - Receives, processes, enters data and safeguards confidential information in accordance with HIPAA law and county policy - Assists in providing information to veterans, beneficiaries, and third parties, regarding official documents, recorded documents, vital records, and legal information regarding VA benefits and programs. - Assists in handling, processing, scanning, entering, and distributing vital records - Assists in implementing office policies. Assesses office needs and recommends policy changes - Assists CVSO in assuring office policies are carried out according to federal, state and county rules and regulations - Assists in claim development; provides rational and effective arguments and assists in gathering supporting documentation, evidence, and medical opinions - Prepares affidavits and notarizes official documents - Maintains office inventory of supplies, flags, and flag holders and is responsible for ordering within budget constraints - Performs the CVSO duties in his/her absence Minimum Training, Experience, and Qualifications Required to Perform Essential Job Functions: Last Reviewed 5/25/22 2 • Two-year business-related degree or 2 years of qualified office experience. Familiarity with computer and software applications. • Prefer exposure to medical/health related topics and ability to communicate effectively and work with people. • Complete training and testing for accreditation through one of the Milwaukee VARO veterans service organizations (i.e. WDVA, VFW, or American Legion) or U.S. Department of Veterans Affairs to present claims and maintain accreditation with ongoing training. • A valid driver’s license and access to an insured vehicle. Physical Requirements: • Ability to operate a variety of office equipment and machinery with some requiring complex and rapid adjustments, including computer terminal, telephone, fax machine, calculator, photocopier, and TV. • Ability to coordinate eyes, hands, feet, and limbs in performing slightly skilled movements. • Ability to exert very moderate physical effort from sedentary to light work, typically involving some combination of stooping, kneeling, crouching and crawling, lifting, carrying, pushing and pulling up to 20 pounds. • Ability to recognize and identify degrees of similarities or differences between characteristics of shapes, sounds, and objects associated with job related objects, materials, and tasks. • Ability to sustain prolonged visual and mental concentration. • Ability to communicate orally and in writing with others. Environmental Adaptability: • Ability to work under generally safe and comfortable conditions where exposure to environmental factors such as hazardous conditions or exposure to disease may cause discomfort, but pose little risk of injury, and are present only in unusual situations. Buffalo County is an Equal Opportunity Employer. In compliance with the Americans with Disabilities Act, the County will provide reasonable accommodations to qualified individuals with disabilities and encourages both prospective and current employees to discuss potential accommodations with the employer. ______________________________ ___________________________ Employee’s Signature Supervisor’s Signature ______________________________ ___________________________ Date Date Approved by Home Committee: Approved by HR Committee: Wisconsin Wins (WI Wins) Tobacco Compliance Checks Synar Survey • The Synar survey is a federal requirement that every U.S. state must conduct a valid set of retailer compliance checks to measure how often retailers sell tobacco products to underage persons. • The result of that effort is the Retailer Violation Rate (RVR) — essentially the percentage of illegal sales — which must stay below a federal threshold (typically 20%) to maintain certain federal prevention funding. Wisconsin Wins (WI Wins) • WI Wins is the program that the state of Wisconsin uses to conduct the Synar survey compliance checks. • The Wisconsin Department of Health Services contracts with local partners(Buffalo County Public Health being one) to conduct compliance checks, retailer education, media outreach, and community education. WI Wins Compliance Checks • Unannounced attempts by youth to purchase tobacco/nicotine/vape products at retailers that sell those products. • The state determines the number of checks that are required per county each year. Buffalo County was required to perform 16 checks in 2024 and 17 checks in 2025. • Teams include: two youth inspectors (aged 16-17) and an adult supervisor (Public Health Educator). Results • 2024- 3 of 16 retailers sold to underage youth for a RVR of 19% • 2025- 1 of 17 retailers sold to underage youth for a RVR of 6% • The Wisconsin Synar report comes out around April for the previous year. • The Synar results for Wisconsin for 2023 showed a 13.6% RVR and in 2024 showed a 11.8% RVR. The 2001 Synar results for Wisconsin showed a 33.7% RVR before WI Wins was put into place as a program in 2003. After the Checks • All retailers are mailed a follow-up letter after a compliance check. The letter either congratulates and thanks them for not selling tobacco to underage youth or informs them that a sale occurred and reminds them of the law and potential consequences for violations. • Retailers that sold are also referred to free training and resources (provided by WI Wins), so employees understand tobacco sales laws and how to comply. Questions? PUBLIC HEALTH REPORT Reporting Period: November 1st – December 31st, 2025 Listerine is a great lesson in public health branding. A St. Louis chemist named Joseph Lawrence invented Listerine. The alcohol-based formula was sold as a surgical antiseptic as well as a treatment for cleaning cuts, scrapes, and other wounds. It was also marketed to dentists for oral care. Later,it was pitched as a floor cleaner and a cure for gonorrhea. But it wasn’t until the Listerine marketing team turned an old Latin word for bad breath — halitosis — into an embarrassing medical condition that Listerine became the blockbuster it is today. Reference: 100 Objects That Shaped Public Health | Global Health NOW MONTHLY NUMBERS • Human Health Hazard Investigations: 0 • Animal Bites: 0 • Lead Investigations: 0 • Communicable Diseases: • Anaplasmosis: 1 • Campylobacteriosis: 2 • Chlamydia: 1 • Covid-19 Associated Hospitalization: 1 • Influenza Associated Hospitalization: 1 • Lyme Disease, EM Rash: 2 • WIC: • T otal Participants/Month: ~123 • T otal Families/Month: ~ 69 This Photo by Unknown Author is licensed under CC BY-NC MONTHLY NUMBERS • Transient Non-Community Water System Samples: • Routine sampling (bacteria and nitrate): 2 facilities • Follow-up sampling: 1 facility • Level 2 assessment (completed when multiple samples are bacteria- positive. ) 0 • Sanitary surveys: 0 facilities • Public Facility Health & Sanitation Inspections: • Food & Retail: 12 • Lodging: 3 • Campground: 0 • School Inspections: 0 • Re-inspection: 1 • Pre-inspection: 5 • Complaint: 0 • Water Samples: • Bacteria: 25 • Nitrate: 6 • Arsenic: 6 + T otal Coliform Bacteria 0 High Nitrate 2 samples UPDATES • Opioid Settlement Funds • Uptick in new baby referrals and home visits • A.I. Summit attendance • Summer intern status COMMUNITY OUTREACH • Dyllan Smith, Health Educator, created a coaster to disseminate and promote Narcan availability at local bars and restaurants. QUESTIONS? Is there additional information you would like to see in the public health report? 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 A B C D E F G H I J K L PERCENT OF YEAR: 92% 12 Y-T-D ACCOUNT TITLE REVENUE EXPENSE REVENUE EXPENSE REVENUE EXPENSE County Property Tax 723,599.00 723,599.00 - - 100% State/Federal Revenue 2,921,863.51 2,487,574.07 434,289.44 - 85% Local Revenue/Local Refunds 406,792.00 557,219.54 (150,427.54) - 137% Transfers from HHSD Fund 600,000.00 600,000.00 - - - 100% Transfers from General Fund - - - - - - - DHHS Board Per Diem 4,110.00 3,759.52 - 350.48 91% DHHS Board Social Security 314.00 158.77 155.23 51% DHHS Board Travel 600.00 1,091.78 (491.78) 182% Salaries 1,703,148.00 1,622,216.73 80,931.27 95% Social Security 118,406.00 116,408.58 - 1,997.42 98% Retirement (Employer's Share) 113,485.00 112,990.59 - 494.41 100% Health Ins & Health Ins Incentive 619,230.00 464,372.72 - 154,857.28 75% Life Insurance 418.51 291.51 - 127.00 70% Workers Comp 46,985.00 46,985.00 - - 100% Employee Education & Traning 14,100.00 7,168.85 - 6,931.15 51% Staff Travel 3,325.00 1,966.72 - 1,358.28 59% Purchased/Contract Services 1,933,841.00 1,662,552.06 - 271,288.94 86% Office Expense 94,292.00 102,517.79 - (8,225.79) 109% TOTALS 4,652,254.51 4,652,254.51 4,368,392.61 4,142,480.62 283,861.90 509,773.89 94% Difference (374,088.01) *Change in Undesignated Fund Balance ACCRUED EXPENSES BUDGET TOTAL INCLUDED IN YTD EXP WORKERS COMP 46,985.00 46,985.00 ACCRUED REVENUES BUDGET TOTAL INCLUDED IN YTD REV COUNTY PROPERTY TAX 723,599.00 723,599.00 TRANSFER FROM HHSD FUND BAL 600,000.00 600,000.00 1,323,599.00 Y-T-D REMAINING BUDGET2025 ADOPTED BUDGET PERCENTAGE OF BUDGET USED BUFFALO COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES STATUS OF 2025 ADOPTED BUDGET REPORT THROUGH DECEMBER 2025 https://buffalocountywi.sharepoint.com/sites/BCDeptHeadsShare/Documents/DHHS Department Head/DHHS Approved Materials/2026 DHHS Packet Materials/02-05-2026 DHHS Agenda Packet/11. DHHS 2025 Financial Update 1/30/2026 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 A B C D E F G H I J K PERCENT OF YEAR: 92% ACCOUNT TITLE REVENUE EXPENSE REVENUE EXPENSE REVENUE EXPENSE Local Revenue/Refunds 69,000.00 0.00 56,666.00 12,334.00 0.00 82% Transfers to HHSD Fund - - - - - 0% Salaries - 29,813.00 29,870.46 (57.46) 100% Social Security - 2,057.00 2,369.71 (312.71) 115% Retirement (Employer's Share) - 2,027.00 2,075.96 (48.96) 102% Health Ins & Health Ins Incentive - 11,980.00 1,406.98 10,573.02 12% Life Insurance - 3.00 0.28 2.72 9% Workers Comp - 1,193.00 1,684.85 (491.85) 141% AMSO/Indirect 13,287.00 13,041.79 245.21 98% Employee Education & Traning - 500.00 66.25 433.75 13% Staff Travel - 200.00 698.04 (498.04) 349% Purchased/Contract Services - 7,150.00 6,110.60 1,039.40 85% Office Expense 578.00 693.44 (115.44) 120% TOTALS 69,000.00 68,788.00 56,666.00 58,018.36 12,334.00 10,769.64 82% Difference (1,352.36) 2025 ADOPTED BUDGET Y-T-D REMAINING BUDGET BUFFALO COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES AGENT OF THE STATE STATUS OF 2025 ADOPTED BUDGET REPORT THROUGH DECEMBER 2025 PERCENTAGE OF BUDGET USED Y-T-D https://buffalocountywi.sharepoint.com/sites/BCDeptHeadsShare/Documents/DHHS Department Head/DHHS Approved Materials/2026 DHHS Packet Materials/02-05-2026 DHHS Agenda Packet/11. DHHS 2025 Financial Update 1/30/2026 DATE ACCOUNT NO. VENDOR DESCRIPTION 10/22/2025 230.25.54440.212.0000 RUTHERFORD COUNTY SHERIFF'S OFFICE CHILD SUPPORT - PROCESS SERVICE FEES $52.00 10/20/2025 230.25.54440.212.0000 RUSK COUNTY SHERIFF'S OFFICE CHILD SUPPORT - PROCESS SERVICE FEES $75.00 10/29/2025 230.25.54440.212.0000 CHIPPEWA CO SHERIFF'S DEPT CHILD SUPPORT - PROCESS SERVICE FEES $100.00 TOTAL SERVICE FEES $227.00 11/30/2025 230.22.54307.217.0000 K BUCK CLINICAL SERVICES LLC CCS - PROF CONSULT $4,641.17 11/30/2025 230.22.54309.217.0000 K BUCK CLINICAL SERVICES LLC CRISIS INTERVENT - PROF CONSULT $708.33 11/30/2025 230.22.54308.217.0000 K BUCK CLINICAL SERVICES LLC CSP - PROF CONSULT $416.67 10/31/2025 230.25.54440.217.0000 KELLY J. SWAN CHILD SUPPORT - PROF CONSULT $675.62 10/31/2025 230.25.54441.217.0000 LISA A PLUNKETT CS COORD - PROF CONSULTING $1,596.68 11/06/2025 230.22.54502.217.0000 PEPIN CO DHS B-3 - PROF CONSULT $95.74 10/15/2025 230.25.54440.217.0000 PEPIN CO DHS CHILD SUPPORT - PROF CONSULT $748.21 09/30/2025 230.26.54609.217.0000 PEPIN CO DHS CONG MEALS - PROF CONSULT $3,620.18 09/30/2025 230.26.54610.217.0000 PEPIN CO DHS HDM - PROF CONSULT $2,549.86 10/16/2025 230.26.54614.217.0000 PEPIN CO DHS SECTION 85.21 - PROF CONSULT $23,257.05 08/31/2025 230.26.54608.217.0000 PEPIN CO DHS TITLE III-B - PROF CONSULT $7,052.08 11/03/2025 230.25.54441.217.0000 ST CROIX CO CHILD SUPPT AGENCY CS COORD - PROF CONSULTING $1,747.08 10/31/2025 230.23.54410.217.0000 THE PARENTING PLACE CHILD DAY CARE - PROF CONSULT $429.91 TOTAL PROFESSIONAL CONSULTING FEES $47,538.58 11/30/26 ALL UNITS AT&T MOBILITY NOVEMBER 2025 CELL PHONES $823.41 TOTAL CELL PHONE EXPENSE $823.41 10/31/2025 230.22.54309.253.0000 LIONBRIDGE TECHNOLOGIES LLC CRISIS INTERVENT - INTERPRETER FEES $2.18 TOTAL INTERPRETER FEES $825.59 10/28/2025 230.27.54116.235.0000 QUEST DIAGNOSTICS TB, LLC TB DISPENSARY - TB TESTING $480.00 09/30/2025 230.22.54514.263.0000 REDWOOD TOXICOLOGY LAB INC PSSF PRESERV - DRUG TESTING 09/30/2025 230.22.54519.263.0000 REDWOOD TOXICOLOGY LAB INC TSSF SAFETY RES - DRUG TESTING TOTAL TESTING EXPENSES $482.18 11/05/2025 230.23.54413.295.0000 LACROSSE CO HUMAN SERVICE DEPT WREA - QTRLY INCENTIVES $2,079.37 10/31/2025 230.27.54124.324.0000 GREAT RIVERS UNITED WAY, INC. PH INFRA - MEMBERSHIP DUES & LICENSES $2,000.00 TOTAL MISC COSTS $4,079.37 10/31/2025 230.26.54605.302.0000 AMERICAN LUTHERAN HOME MONDOVI MS - CONTRACT MEAL COST $2,433.75 10/31/2025 230.26.54604.302.0000 DONNA MAE'S PANTHER CAFE GILMANTON - CONTRACT MEAL COST $9,349.35 10/31/2025 230.26.54606.302.0000 DONNA MAE'S PANTHER CAFE NELSON - CONTRACTED MEAL COST $2,088.10 10/31/2025 230.26.54603.302.0000 LOST PIRATE, LLC BUFFALO CITY - CONTRACT MEAL COST $2,723.42 TOTAL MEAL COSTS $16,594.62 10/26/2025 230.22.54506.314.0000 US BANK TPA CLTS WAIVER - OFFICE EQUIPMENT $648.00 Page 1 of 7 DATE ACCOUNT NO. VENDOR DESCRIPTION 10/26/2025 230.22.54506.314.0000 US BANK TPA CLTS WAIVER - OFFICE EQUIPMENT $98.95 TOTAL OFFICE SUPPLIES/EQUIPMENT $746.95 11/11/2025 230.21.54000.322.0000 CANON FINANCIAL SERVICES INC AMSO - PHOTO COPIES $226.12 11/03/2025 230.21.54000.322.0000 LOFFLER COMPANIES INC AMSO - PHOTO COPIES $176.04 TOTAL COPIER EXPENSES $402.16 11/03/2025 230.27.54119.348.0000 EAU CLAIRE CITY COUNTY HEALTH WATER LAB - PROGRAM SUPPLIES $110.00 11/03/2025 230.27.54118.348.0000 UWO CASHIER'S OFFICE TNC PROGRAM - PROGRAM SUPPLIES $626.00 11/03/2025 230.27.54119.348.0000 UWO CASHIER'S OFFICE WATER LAB - PROGRAM SUPPLIES $1,250.00 10/26/2025 230.22.54300.348.0000 US BANK MHBG - PROGRAM SUPPLIES $35.00 10/26/2025 230.27.54103.348.0000 US BANK IMMUN GRANT - PROGRAM SUPPLIES $12.99 10/26/2025 230.27.54112.348.0000 US BANK FP DUAL PROTECT - PROGRAM SUPP $44.96 10/26/2025 230.27.54119.348.0000 US BANK WATER LAB - PROGRAM SUPPLIES $6.54 10/26/2025 230.26.54121.348.0000 US BANK COVID ARP APS - PROGRAM SUPPLIES $840.16 10/28/2025 230.27.54117.348.0000 KALI SCHALINSKE TOBACCO CONTROL - PROGRAM SUPPLIES $85.00 10/28/2025 230.27.54117.348.0000 NICOLE WALKER TOBACCO CONTROL - PROGRAM SUPPLIES $85.00 TOTAL PROGRAM SUPPLIES $3,095.65 11/03/2025 230.21.54000.241.0000 MIDWEST REPAIR LLC AMSO - VEHICLE REPAIR & MAINTENANCE $703.87 08/31/2025 230.26.54610.241.0000 PEPIN CO DHS HDM - VEHICLE REP & MAINT $506.28 10/31/2025 230.21.54000.351.0000 KWIK TRIP INC AMSO - VEHICLE GAS $296.61 10/31/2025 230.22.54503.351.0000 KWIK TRIP INC CH & FAM - VEHICLE GAS $194.30 11/30/25 230.21.54000.535.0000 ENTERPRISE FM TRUST NOVEMBER 2025 LEASE PAYMENT $934.04 TOTAL VEHICLE EXPENSE $2,635.10 09/30/2025 230.26.54613.800.0000 [NAME REDACTED] AFCSP - RESPITE GENERAL $225.00 09/30/2025 230.26.54613.801.0000 [NAME REDACTED] AFCSP - RESPITE HOMEMAKER $225.00 09/30/2025 230.26.54613.802.0000 [NAME REDACTED] AFCSP - RESPITE PERSONAL CARE $75.00 09/20/2025 230.26.54612.803.0000 [NAME REDACTED] NFCSP - RESPITE CHORE $195.00 09/30/2025 230.26.54609.804.0000 PEPIN CO DHS CONG MEALS - TRANSPORTATION $18.90 09/30/2025 230.26.54610.804.0000 PEPIN CO DHS HDM - TRANSPORTATION $3,959.89 10/09/2025 230.22.54501.804.0000 CHIPPEWA CO DHS BCA - SPEC TRANSPORTATION $181.70 10/26/2025 230.22.54506.805.0000 US BANK TPA CLTS WAIVER - ADAPTIVE AIDS $953.64 10/09/2025 230.22.54305.805.0000 CHIPPEWA CO DHS COMM MENTAL HLTH - ADAPTIVE AIDS $320.32 10/09/2025 230.22.54523.805.0000 CHIPPEWA CO DHS AODA - WOMENS TREAT - ADAPTIVE AIDS $1,500.00 10/31/2025 230.22.54503.808.0000 [NAME REDACTED] CH & FAM - FOSTER CARE $1,278.00 10/31/2025 230.22.54503.808.0000 [NAME REDACTED] CH & FAM - FOSTER CARE $679.00 10/31/2025 230.22.54503.808.0000 [NAME REDACTED] CH & FAM - FOSTER CARE $596.00 10/31/2025 230.22.54503.808.0000 [NAME REDACTED] CH & FAM - FOSTER CARE $790.99 10/31/2025 230.22.54510.808.0000 [NAME REDACTED] KINSHIP CARE BENEFITS $1,125.00 10/31/2025 230.22.54510.808.0000 [NAME REDACTED] KINSHIP CARE BENEFITS $375.00 Page 2 of 7 DATE ACCOUNT NO. VENDOR DESCRIPTION 10/31/2025 230.22.54503.808.0000 CHILDREN'S SERVICE SOCIETY OF WI CH & FAM - FOSTER CARE $2,972.28 11/10/2025 230.22.54503.808.0000 [NAME REDACTED] CH & FAM - FOSTER CARE $239.97 10/09/2025 230.22.54305.812.0000 CHIPPEWA CO DHS COMM MENTAL HLTH - ADULT FAMILY HOME $24,113.20 10/09/2025 230.22.54305.813.0000 CHIPPEWA CO DHS COMM MENTAL HLTH - CBTF $48,802.96 11/26/2025 230.22.54504.814.0000 TRINITY EQUESTRIAN CENTER KIDS KAMP CCOP - COUNSEL/THERAPY RESOURCES $178.50 10/31/2025 230.22.54502.815.0000 CESA 10 B-3 - DAY CEN SER-NONMED $6,642.00 09/01/2025 230.22.54504.820.0000 DIAMOND SCHOOL OF DANCE CCOP - RECREATION SERVICES $336.00 10/09/2025 230.22.54501.827.0000 CHIPPEWA CO DHS BCA - IMD INPATIENT $47,989.75 10/26/2025 230.22.54506.828.0000 US BANK TPA CLTS WAIVER - SAFETY EQUIPMENT $9.49 10/31/2025 230.22.54504.830.0000 [NAME REDACTED] CCOP - HOUSING/ENERGY ASSIST $140.00 10/31/2025 230.22.54503.832.0000 EAU CLAIRE CO DHS CH & FAM - DETENTION CENTER $17,825.00 TOTAL CLIENT SERVICES $161,747.59 10/26/2025 230.21.54000.327.0000 US BANK AMSO - EMP EDU & TRAIN $45.00 10/26/2025 230.22.54309.327.0000 US BANK CRISIS INTERVENT - EMPLOYEE EDU & TRAI $205.00 10/26/2025 230.26.54121.327.0000 US BANK COVID ARP APS - EMPLOYEE EDUC & TRAINING $156.94 10/26/2025 230.26.54601.327.0000 US BANK APS - EMPLOYEE EDUC & TRAINING - BUFFALO $100.03 10/26/2025 230.26.54601.327.1501 US BANK APS - EMPLOYEE EDUC & TRAINING - PEPIN $100.03 10/26/2025 230.27.54124.327.0000 US BANK PH INFRA - EMPLOYEE EDU & TRAIN $142.30 10/26/2025 230.22.54503.327.0000 US BANK CH & FAM - EMP EDU & TRAIN $70.32 10/26/2025 230.22.54506.327.0000 US BANK TPA CLTS WAIVER - EMP EDU & TRAIN $73.08 10/26/2025 230.26.54121.327.0000 US BANK COVID ARP APS - EMPLOYEE EDUC & TRAINING $600.00 TOTAL EMPLOYEE EDUCATION/TRAINING $1,492.70 11/30/25 ALL UNITS PAYROLL NOVEMBER 2025 PAYROLL $185,922.12 TOTAL PAYROLL $185,922.12 TOTAL $426,613.02 Page 3 of 7 DATE ACCOUNT NO. VENDOR DESCRIPTION 10/02/2025 230.21.54000.141.0000 KIMBERLY BESELER AMSO - DHHS BOARD - PER DIEM 10/02/2025 230.21.54000.141.0000 STEPHEN S SCHIFFLI AMSO - DHHS BOARD - PER DIEM 10/02/2025 230.21.54000.141.0000 WENDY KLEINSCHMIDT AMSO - DHHS BOARD - PER DIEM 10/02/2025 230.21.54000.334.0000 STEPHEN S SCHIFFLI AMSO - DHHS BOARD - TRAVEL 10/02/2025 230.21.54000.334.0000 WENDY KLEINSCHMIDT AMSO - DHHS BOARD - TRAVEL TOTAL DHHS BOARD EXPENSES $0.00 11/17/2025 230.25.54440.212.0000 DOUGLAS CO SHERIFF'S OFFICE CHILD SUPPORT - PROCESS SERVICE FEES $55.00 12/15/2025 230.25.54440.212.0000 DAKOTA COUNTY SHERIFF'S OFFICE CHILD SUPPORT - PROCESS SERVICE FEES $80.00 TOTAL PROCESS SERVICE FEES $135.00 11/30/2025 230.25.54441.217.0000 ST CROIX CO CHILD SUPPT AGENCY CS COORD - PROF CONSULTING $1,590.91 11/30/2025 230.23.54410.217.0000 THE PARENTING PLACE CHILD DAY CARE - PROF CONSULT $264.78 11/06/2025 230.22.54502.217.0000 PEPIN CO DHS B-3 - PROF CONSULT $3,106.94 11/30/2025 230.25.54440.217.0000 CHAD AARON WOLSKE CHILD SUPPORT - PROF CONSULT $195.36 12/31/2025 230.22.54307.217.0000 K BUCK CLINICAL SERVICES LLC CCS - PROF CONSULT $4,641.13 12/31/2025 230.22.54308.217.0000 K BUCK CLINICAL SERVICES LLC CSP - PROF CONSULT $416.63 12/31/2025 230.22.54309.217.0000 K BUCK CLINICAL SERVICES LLC CRISIS INTERVENT - PROF CONSULT $708.37 11/30/2025 230.25.54440.217.0000 KELLY J. SWAN CHILD SUPPORT - PROF CONSULT $993.08 11/30/2025 230.25.54440.217.0000 LISA A PLUNKETT CHILD SUPPORT - PROF CONSULT $1,222.04 10/31/2025 230.26.54608.217.0000 PEPIN CO DHS TITLE III-B - PROF CONSULT $2,809.89 10/31/2025 230.26.54609.217.0000 PEPIN CO DHS CONG MEALS - PROF CONSULT $2,298.45 10/31/2025 230.26.54610.217.0000 PEPIN CO DHS HDM - PROF CONSULT $3,083.37 TOTAL PROFESSIONAL CONSULTING FEES $21,330.95 12/31/25 ALL UNITS AT&T MOBILITY DECEMBER 2025 CELL PHONES $814.52 TOTAL CELL PHONE EXPENSE $814.52 11/30/2025 230.25.54440.253.0000 LIONBRIDGE TECHNOLOGIES LLC CHILD SUPPORT - INTERPRETER FEES $14.57 TOTAL INTERPRETER FEES $829.09 11/24/2025 230.27.54116.235.0000 QUEST DIAGNOSTICS TB, LLC TB DISPENSARY - TB TESTING $160.00 11/30/2025 230.22.54503.263.0000 REDWOOD TOXICOLOGY LAB INC CH & FAM - DRUG TESTING $8.25 11/30/2025 230.22.54514.263.0000 REDWOOD TOXICOLOGY LAB INC PSSF PRESERV - DRUG TESTING $128.70 11/05/2025 230.23.54413.263.0000 REDWOOD TOXICOLOGY LAB INC WREA - DRUG TESTING $70.00 TOTAL TESTING EXPENSES $381.52 12/15/2025 230.22.54504.295.0000 DEPT OF HEALTH SERVICES CCOP - MISC COSTS $4,749.55 09/25/2025 230.22.54503.295.0000 US BANK CH & FAM - MISC COST Page 4 of 7 DATE ACCOUNT NO. VENDOR DESCRIPTION 10/16/2025 230.22.54506.295.0000 CHILDREN'S SERVICE SOCIETY OF WI TPA CLTS WAIVER - MISC COST 06/30/2025 230.26.54121.295.0000 PLUM CITY CARE CENTER COVID ARP APS - MISC COSTS 10/07/2025 230.26.54601.295.0000 SABRINA CYRUS APS - MISC COST TOTAL MISC COSTS $4,948.25 10/27/2025 230.26.54614.295.0000 WI DEPT OF TRANSPORTATION (5310) SECTION 85.21 - 5310 MATCH TOTAL SECTION 85.21 EXPENSE $0.00 11/30/2025 230.26.54605.302.0000 AMERICAN LUTHERAN HOME MONDOVI MS - CONTRACT MEAL COST $2,079.00 11/30/2025 230.26.54604.302.0000 DONNA MAE'S PANTHER CAFE GILMANTON - CONTRACT MEAL COST $8,281.75 11/30/2025 230.26.54606.302.0000 DONNA MAE'S PANTHER CAFE NELSON - CONTRACTED MEAL COST $1,742.70 11/30/2025 230.26.54603.302.0000 LOST PIRATE, LLC BUFFALO CITY - CONTRACT MEAL COST $2,659.90 12/02/2025 230.26.54610.301.0000 OLIVER PACKAGING & EQUIPMENT HDM - MEAL SITE SUPPLIES $1,796.59 11/25/2025 230.26.54610.301.0000 US BANK HDM - MEAL SITE SUPPLIES $73.98 TOTAL MEAL COSTS $16,633.92 12/17/2025 230.25.54440.310.0000 US BANK CHILD SUPPORT - OFFICE SUPPLIES $23.99 12/19/2025 230.21.54000.310.0000 MAIN STREET GRAPHICS AMSO - OFFICE SUPPLIES $259.00 11/25/2025 230.21.54000.310.0000 US BANK AMSO - OFFICE SUPPLIES $107.40 11/25/2025 230.25.54440.310.0000 US BANK CHILD SUPPORT - OFFICE SUPPLIES $40.78 11/25/2025 230.29.54900.310.0000 US BANK AGENT - OFFICE SUPPLIES $79.96 TOTAL OFFICE SUPPLIES/EQUIPMENT $511.13 12/12/2025 230.21.54000.322.0000 CANON FINANCIAL SERVICES INC AMSO - PHOTO COPIES $226.12 12/01/2025 230.21.54000.322.0000 LOFFLER COMPANIES INC AMSO - PHOTO COPIES $229.61 TOTAL COPIER EXPENSES $535.69 12/12/2025 230.27.54108.348.0000 STERICYCLE INC PREPAREDNESS - PROGRAM SUPPLIES $79.30 11/25/2025 230.22.54300.348.0000 US BANK MHBG - PROGRAM SUPPLIES $35.00 11/25/2025 230.27.54103.348.0000 US BANK IMMUN GRANT - PROGRAM SUPPLIES $12.99 11/25/2025 230.27.54119.348.0000 US BANK WATER LAB - PROGRAM SUPPLIES $441.40 12/22/2025 230.22.54506.348.0000 MN BUREAU OF CRMNL APPREHENSN TPA CLTS WAIVER - PROGRAM SUPPLIES $15.00 09/25/2025 230.27.54103.348.0000 US BANK IMMUN GRANT - PROGRAM SUPPLIES 07/30/2025 230.27.54103.348.2155 SANOFI PASTEUR INC IMMUN GRANT - VACCINE SUPPLIES 07/10/2025 230.27.54106.348.0000 SCENIC RIVERS AREA HEALTH PH ARPA GRANT - PROGRAM SUPPLIES 09/25/2025 230.27.54112.348.0000 US BANK FP DUAL PROTECT - PROGRAM SUPP 10/07/2025 230.27.54117.348.0000 TIMOTHY D SMITH TOBACCO CONTROL - PROGRAM SUPPLIES 10/02/2025 230.27.54119.348.0000 EAU CLAIRE CITY COUNTY HEALTH WATER LAB - PROGRAM SUPPLIES TOTAL PROGRAM SUPPLIES $583.69 Page 5 of 7 DATE ACCOUNT NO. VENDOR DESCRIPTION 12/08/2025 230.22.54503.241.0000 DARRELS REPAIR LLC CH & FAM - VEHICLE REPAIR & MAINT $75.00 10/31/2025 230.26.54610.241.0000 PEPIN CO DHS HDM - VEHICLE REP & MAINT $160.18 12/05/2025 230.22.54503.241.0000 RIVER STREET AUTO BODY CH & FAM - VEHICLE REPAIR & MAINT $1,164.60 11/30/2025 230.22.54503.351.0000 KWIK TRIP INC CH & FAM - VEHICLE GAS $72.52 12/31/25 230.21.54000.535.0000 ENTERPRISE FM TRUST DECEMBER 2025 LEASE PAYMENT $648.04 TOTAL VEHICLE EXPENSE $2,120.34 11/30/2025 230.26.54613.800.0000 [NAME REDACTED] AFCSP - RESPITE GENERAL $300.00 10/21/2025 230.26.54608.801.0000 PEPIN CO DHS TITLE III-B - HOMEMAKER SERVICES $1,542.09 11/30/2025 230.26.54613.801.0000 [NAME REDACTED] AFCSP - RESPITE HOMEMAKER $300.00 11/30/2025 230.26.54613.802.0000 [NAME REDACTED] AFCSP - RESPITE PERSONAL CARE $285.00 11/20/2025 230.26.54608.804.0000 PEPIN CO DHS TITLE III-B - SPEC TRANSPORTATION $231.25 10/31/2025 230.26.54609.804.0000 PEPIN CO DHS CONG MEALS - TRANSPORTATION $27.30 10/31/2025 230.26.54610.804.0000 PEPIN CO DHS HDM - TRANSPORTATION $1,852.54 11/25/2025 230.22.54506.805.0000 US BANK TPA CLTS WAIVER - ADAPTIVE AIDS $962.96 09/30/2025 230.26.54612.805.0000 [NAME REDACTED] NFCSP - ASSIST DEVICES/TECH $50.64 11/25/2025 230.22.54506.807.0000 US BANK TPA CLTS WAIVER - PART/FAMILY GOODS/SERVIC $319.99 11/30/2025 230.22.54503.808.0000 [NAME REDACTED] CH & FAM - FOSTER CARE $679.00 11/30/2025 230.22.54503.808.0000 [NAME REDACTED] CH & FAM - FOSTER CARE $1,278.00 11/30/2025 230.22.54503.808.0000 [NAME REDACTED] CH & FAM - FOSTER CARE $596.00 11/30/2025 230.22.54503.808.0000 [NAME REDACTED] CH & FAM - FOSTER CARE $765.32 11/30/2025 230.22.54510.808.0000 [NAME REDACTED] KINSHIP CARE BENEFITS $375.00 11/30/2025 230.22.54510.808.0000 [NAME REDACTED] KINSHIP CARE BENEFITS $375.00 11/30/2025 230.22.54510.808.0000 [NAME REDACTED] KINSHIP CARE BENEFITS $750.00 11/30/2025 230.22.54503.808.0000 CHILDREN'S SERVICE SOCIETY OF WI CH & FAM - FOSTER CARE $2,876.40 11/30/2025 230.22.54502.815.0000 CESA 10 B-3 - DAY CEN SER-NONMED $4,648.25 12/02/2025 230.22.54504.821.0000 [NAME REDACTED] CCOP - PARENT TRAINING $360.22 11/29/2025 230.22.54504.828.0000 [NAME REDACTED] CCOP - SAFETY EQUIPMENT $20.00 11/25/2025 230.22.54506.828.0000 US BANK TPA CLTS WAIVER - SAFETY EQUIPMENT $15.72 11/30/2025 230.22.54504.830.0000 [NAME REDACTED] CCOP - HOUSING/ENERGY ASSIST $140.00 11/30/2025 230.22.54511.832.0000 EAU CLAIRE CO DHS JJ YOUTH AIDS - DETENTION CENTER $17,250.00 09/30/2025 230.26.54612.836.0000 [NAME REDACTED] NFCSP - SUP SVCS/CONSUM SUPPLIES $164.50 TOTAL CLIENT SERVICES $36,165.18 09/30/2025 230.27.54101.840.0000 ALMA VETERINARY CLINIC COMM DISEASE - RABIES CASES TOTAL OTHER EXPENSES $0.00 11/26/2025 230.21.54000.327.0000 UW MADISON ACCOUNTING SERVICES AMSO - EMP EDU & TRAIN $20.00 Page 6 of 7 DATE ACCOUNT NO. VENDOR DESCRIPTION 11/26/2025 230.22.54503.327.0000 UW MADISON ACCOUNTING SERVICES CH & FAM - EMP EDU & TRAIN $20.00 11/26/2025 230.22.54506.327.0000 UW MADISON ACCOUNTING SERVICES TPA CLTS WAIVER - EMP EDU & TRAIN $20.00 12/17/2025 230.22.54307.327.0000 UW MADISON ACCOUNTING SERVICES CCS - EMP EDU & TRAIN $20.00 12/17/2025 230.22.54503.327.0000 UW MADISON ACCOUNTING SERVICES CH & FAM - EMP EDU & TRAIN $20.00 12/17/2025 230.22.54506.327.0000 UW MADISON ACCOUNTING SERVICES TPA CLTS WAIVER - EMP EDU & TRAIN $20.00 TOTAL EMPLOYEE EDUCATION/TRAINING $120.00 12/31/25 ALL UNITS PAYROLL DECEMBER 2025 PAYROLL $148,682.64 TOTAL PAYROLL $148,682.64 TOTAL $233,656.92 Page 7 of 7 This report provides current and historical information on four federal measurements used to determine the effectiveness of the child support program both in Wisconsin and nationally over Federal Fiscal Year (FFY), which run from October 1, 2024 through September 30, 2025. The of the word “year” corresponds to federal fiscal year. These measurements are defined as follo Court Order Establishment Rate (CO %) is the percentage of child support cases with court orders in place. Federal performance goal is 80%. Current Child Support Collection Rate (CS %) is the percentage of support collected in the period it was due. Federal performance goal is 80%. Paternity Establishment Rate (PE %) is the percentage of children that had paternity established during the year compared to the number of children who needed paternity established at the end of the previous year. As a result, this percentage often exceeds 100% Federal performance goal is 90%. Arrears Collection Rate (AC %) is the percentage of cases with past due payments that received a collection during the year. Federal performance goal is 80%. Current Month Last Month Last Year End of Fiscal Year DECEMBER-2025 NOVEMBER-2025 DECEMBER-2024 SEPTEMBER-2025 CASE LOAD 494 495 501 501 COURT ORDER 93.72% 94.34% 93.01% 93.21% PATERNITY 96.83% 96.04% 98.93% 114.97% CURRENT SUPPORT 80.55% 80.50% 77.14% 78.73% ARREARS 54.51% 38.70% 52.74% 73.68% Federal Fiscal Year - Quarterly Collections TOTAL NIVD IVD IN-STATE Q1 - 2025 $386,218.52 $28,382.60 $357,835.92 $332,520.32 Q2 - 2025 $417,930.51 $28,631.06 $389,299.45 $362,900.55 Q3 - 2025 $412,426.33 $27,812.50 $384,613.83 $363,433.70 Q4 - 2025 $422,599.61 $25,881.61 $396,718.00 $367,964.43 Buffalo County Child Support Based on KIDS Data As of - 12/31/25 r a use ows: %. Federal Fiscal Year GOAL 80.00% 90.00% 80.00% 80.00% SENT TO OTHER STATES $25,315.60 $26,398.90 $21,180.13 $28,753.57 5 This report provides current and historical information on four federal measurements used to determine the effectiveness of the child support program both in Wisconsin and nationally over Federal Fiscal Year (FFY), which run from October 1, 2024 through September 30, 2025. The of the word “year” corresponds to federal fiscal year. These measurements are defined as follo Court Order Establishment Rate (CO %) is the percentage of child support cases with court orders in place. Federal performance goal is 80%. Current Child Support Collection Rate (CS %) is the percentage of support collected in the period it was due. Federal performance goal is 80%. Paternity Establishment Rate (PE %) is the percentage of children that had paternity established during the year compared to the number of children who needed paternity established at the end of the previous year. As a result, this percentage often exceeds 100% Federal performance goal is 90%. Arrears Collection Rate (AC %) is the percentage of cases with past due payments that received a collection during the year. Federal performance goal is 80%. Current Month Last Month Last Year End of Fiscal Year NOVEMBER-2025 OCTOBER-2025 NOVEMBER-2024 SEPTEMBER-2025 CASE LOAD 495 500 498 501 COURT ORDER 94.34% 93.20% 92.57% 93.21% PATERNITY 96.04% 95.51% 98.40% 114.97% CURRENT SUPPORT 80.50% 80.05% 76.72% 78.73% ARREARS 38.70% 31.80% 43.51% 73.68% Federal Fiscal Year - Quarterly Collections TOTAL NIVD IVD IN-STATE Q1 - 2025 $386,218.52 $28,382.60 $357,835.92 $332,520.32 Q2 - 2025 $417,930.51 $28,631.06 $389,299.45 $362,900.55 Q3 - 2025 $412,426.33 $27,812.50 $384,613.83 $363,433.70 Q4 - 2024 $362,622.21 $25,199.10 $337,423.11 $314,156.42 Buffalo County Child Support Based on KIDS Data As of - 11/30/25 r a use ows: %. Federal Fiscal Year GOAL 80.00% 90.00% 80.00% 80.00% SENT TO OTHER STATES $25,315.60 $26,398.90 $21,180.13 $23,266.69 5 DECEMBER 2025 CAMMI’S CRUMBS (ADRC MANAGER REPORT) Irvine Park: The outing was rescheduled to December 17 th due to winter weather, but we still had two full vehicles, with 14 individuals in attendance. Volunteers: We held our Annual Driver & Volunteer Training & Banquet at Club TEN in Durand for the Transportation & Nutrition Programs. What a great group of volunteers we have! We appreciate all that they do! Senior Nutrition Program Donations: 2025 ADRC Data: At the time of this report, December data was not available for the Senior Nutrition Program. Buffalo County Department of Health and Human Services Buffalo/Pepin APS Update December 2025 Accroynms: APS- Adult Protective Services EA- Elder Abuse Unit Update: Hosted monthly MCO meetings with MyChoice and Inclusa. APS Manager was elected to serve on GWAAR board of directors. HIPAA and civil rights training completed. Attended quarterly Western Region APS meeting. APS Manager attended DHS APS Supervisor meeting. 0 2 4 6 8 10 12 14 Pepin County APS Reports/ Actions 2020 2021 2022 2023 2024 2025 0 2 4 6 8 10 12 14 16 Buffalo County APS Reports/ Actions 2020 2021 2022 2023 2024 2025 86 59 76 77 80 75 111 35 32 26 50 39 41 82 0 50 100 150 200 250 2019 2020 2021 2022 2023 2024 2025 Combined APS Reports/ Actions Buffalo Pepin Emergency Protective Placements Protective Placements/WATTS Reviews Buffalo County Pepin County 10 8 7 18 13 3 5 4 6 8 0 5 10 15 20 25 30 2021 2022 2023 2024 2025 Guardianships Completed by APS/EA Buffalo Pepin 4 3 3 6 4 1 3 2 6 4 0 2 4 6 8 10 12 14 2021 2022 2023 2024 2025 Emergency Protective Placements January 2020 – 56 January 2021 - 58 January 2022 – 52 January 2023 – 50 January 2024- 51 January 2025-54 (Data as of January 2nd, 2025) 0 5 10 15 20 25 30 35 40 45 Buffalo Pepin Court Hearings Attended 2025 $754,308.77 $956,235.68 $0.00 $200,000.00 $400,000.00 $600,000.00 $800,000.00 $1,000,000.00 $1,200,000.00 Buffalo Pepin Reported Financial Exploitation Cost to Residents 2025 This report provides current and historical information on four federal measurements used to determine the effectiveness of the child support program both in Wisconsin and nationally ov Federal Fiscal Year (FFY), which run from October 1, 2024 through September 30, 2025. Th of the word “year” corresponds to federal fiscal year. These measurements are defined as fol Court Order Establishment Rate (CO %) is the percentage of child support cases with court orders in place. Federal performance goal is 80%. Current Child Support Collection Rate (CS %) is the percentage of support collected in the period it was due. Federal performance goal is 80%. Paternity Establishment Rate (PE %) is the percentage of children that had paternity established during the year compared to the number of children who needed paternity established at the end of the previous year. As a result, this percentage often exceeds 100% Federal performance goal is 90%. Arrears Collection Rate (AC %) is the percentage of cases with past due payments that received a collection during the year. Federal performance goal is 80%. Current Month Last Month Last Year End of Fiscal Year DECEMBER-2025 NOVEMBER-2025 DECEMBER-2024 SEPTEMBER-2025 CASE LOAD 259 259 243 262 COURT ORDER 91.51% 91.89% 95.06% 90.46% PATERNITY 97.00% 95.50% 97.35% 110.05% CURRENT SUPPORT 77.07% 76.97% 75.61% 74.86% ARREARS 57.02% 49.55% 51.72% 70.45% Federal Fiscal Year - Quarterly Collections TOTAL NIVD IVD IN-STATE Q1 - 2025 $191,844.77 $43,279.05 $148,565.72 $140,214.46 Q2 - 2025 $190,712.30 $41,876.63 $148,835.67 $136,513.22 Q3 - 2025 $195,557.69 $38,371.73 $157,185.96 $147,426.92 Q4 - 2024 $190,517.57 $37,219.99 $153,297.58 $139,251.40 Pepin County Child Support Based on Data As of - 12/31/25 ver a he use llows: %. Federal Fiscal Year GOAL 80.00% 90.00% 80.00% 80.00% SENT TO OTHER STATES $8,351.26 $12,322.45 $9,759.04 $14,046.18 This report provides current and historical information on four federal measurements used to determine the effectiveness of the child support program both in Wisconsin and nationally ov Federal Fiscal Year (FFY), which run from October 1, 2024 through September 30, 2025. Th of the word “year” corresponds to federal fiscal year. These measurements are defined as fol Court Order Establishment Rate (CO %) is the percentage of child support cases with court orders in place. Federal performance goal is 80%. Current Child Support Collection Rate (CS %) is the percentage of support collected in the period it was due. Federal performance goal is 80%. Paternity Establishment Rate (PE %) is the percentage of children that had paternity established during the year compared to the number of children who needed paternity established at the end of the previous year. As a result, this percentage often exceeds 100% Federal performance goal is 90%. Arrears Collection Rate (AC %) is the percentage of cases with past due payments that received a collection during the year. Federal performance goal is 80%. Current Month Last Month Last Year End of Fiscal Year NOVEMBER-2025 OCTOBER-2025 NOVEMBER-2024 SEPTEMBER-2025 CASE LOAD 259 263 242 262 COURT ORDER 91.89% 90.11% 94.63% 90.46% PATERNITY 95.50% 92.50% 96.83% 110.05% CURRENT SUPPORT 76.97% 78.55% 76.81% 74.86% ARREARS 49.55% 43.93% 49.56% 70.45% Federal Fiscal Year - Quarterly Collections TOTAL NIVD IVD IN-STATE Q1 - 2025 $191,844.77 $43,279.05 $148,565.72 $140,214.46 Q2 - 2025 $190,712.30 $41,876.63 $148,835.67 $136,513.22 Q3 - 2025 $195,557.69 $38,371.73 $157,185.96 $147,426.92 Q4 - 2024 $195,255.60 $39,014.88 $156,240.72 $14,349.81 Pepin County Child Support Based on Data As of - 11/30/25 ver a he use llows: %. Federal Fiscal Year GOAL 80.00% 90.00% 80.00% 80.00% SENT TO OTHER STATES $8,351.26 $12,322.45 $9,759.04 $11,890.90 Accroynms: CPS- Child Protective Services YJ- Youth Justice CCS- Comprehensive Community Services AODA- Alcohol and other Drug Abuse MH- Mental Health IMD- Institutation for Mental Disease CBRF- Community-Based Residential Facility AFH- Adult Family Home ED- Emergency Detention CLTS-W- Children’s Long-Term Support Waiver Unit Update: The vaccant Case Manager/ Social Worker position will be held open in 2026. The CPS unit welcomed Winona State University student, Morgan Sanchez, as an intern for the spring semester. Caseloads: *Please note that caseloads and children in out-of-home care is a moment in time representation as of Jan. 29, 2026. Number includes children informally residing in out-of-home care under Protective Plans or parent placements as detailed below in CPS/JJ Placement graph. WORKER CASE TYPES/ ROLE CASELOAD TOTAL CHILDREN CHILDREN OHC 1 CLTS-W/ CCS 15 2 CLTS-W/ CCS (training) 7 3 CLTS-W 23 4 CLTS-W/ CCS/ APS 11+ 5 CCS/ EMH/ SABG/ Prime for Life 17 6 CCS/ EMH/ SABG 8 7 CPS/ CW 6 14 0 8 CPS/ CW/ Youth Justice 7 9 3 9 CPS/ CW 6 10 4 10 CPS/ YJ/ Kinship/ Manager 4 4 0 11 CCS/ EMH/ CLTS/ SABG Manager 0 0 0 12 Kinship/ Foster Care (vacant) 0 0 0 Buffalo County Department of Health and Human Services Social Services Update February 2026 Placements/ Services: As of January 29, 2026 we have 7 children in various types of out-of-home placements. Of the 7 children, one is in high cost placements. The category of ”parent placement” was added in 2021. This includes children that are removed from a maltreating parent and placed with a protective parent under a TPC or CHIPS action. These were previosuly reported under unpaid relative. This change was made to more accurately reflect data. 0 1 2 3 4 5 6 7 8 Jan Feb March April May June July Aug Sept Oct Nov Dec 2026 CPS/YJ Placement Secure Group/Res Tx Foster Foster Relative- paid Relative- unpaid Trial Reun. Unlicensed Subsizided Guardianship Parent Placement Hospital 0 0.5 1 1.5 2 2.5 3 3.5 Jan Feb March April May June July Aug Sept Oct Nov Dec 2026 MH/ AODA Placements IMD Residential (AODA) CBRF/AFH Crisis Facility 0 0.5 1 1.5 2 2.5 3 3.5 4 4.5 Jan Feb March April May June July Aug. Sept. Oct. Nov. Dec. 2026 Emergency Detention/ Diversions 51.45 ED Diversion 0 5 10 15 20 Jan Feb March April May June July Aug Sept Oct Nov Dec 2026 CCS Enrollment Enrolled In Process Discharged Det. Ineligible Declined Potential impacts to billable hours: staff PTO, holidays, consumer needs increase or decrease, discharges, enrollments, consumer enters nonbillable status, staff time spent in alternative billable programs and scheduled required reviews. (Data as of January 29, 2026) 0 20 40 60 80 100 120 140 160 180 200 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2025 CCS Billable Activity Billable Hours Projected Billable Hours