Regular Council - 19 Mar 2025 - Agenda — North Frontenac News Media

Published March 19, 2025

Word Count 34323 words

Reading Time 162 min read

Body: Council Type: Agenda Meeting: Regular Date: March 19, 2025 Collection: Council Agendas Municipality: Frontenac County

[View Document (PDF)](/docs/frontenac-county/Published Agendas/Regular Council/2025/Regular Council - 19 Mar 2025 - Agenda.pdf)

Document Text

Frontenac County Council Meeting Wednesday, March 19, 2025 – 9:30 a.m. Council Chamber, County of Frontenac Administration Building, 2069 Battersea Road, Glenburnie, ON https://youtube.com/live/vHsF7wgTcJ4?feature=share

Agenda Page Call to Order We begin this gathering by acknowledging and celebrating these traditional lands as a gathering place of the first peoples and their ancestors who are entrusted to care for mother earth since time immemorial. We do so respecting both the land and the Indigenous People who continue to walk with us through this world. Today, the County is committed to working with Indigenous peoples and all residents to pursue a united path of reconciliation. Roll Call Closed Session Approval of Addendum Disclosure of Pecuniary Interest and General Nature Thereof

10 - 23

Adoption of Minutes a) Minutes of Meeting held February 19, 2025 Resolved That the minutes of the regular Council meeting held February 19, 2025 be adopted. Minutes of Meeting held February 19, 2025 Delegations and/or Presentations Proclamations Move into Committee of the Whole a) That Council adjourn and meet as Committee of the Whole Council, with the Deputy Warden in the Chair.

Page

24 - 32

Briefings a) Mr. Kevin Farrell, Chief Administrative Officer, will provide Council with his monthly CAO briefing. CAO Monthly Report Unfinished Business Consent Reports from the Chief Administrative Officer Committee of Management of Fairmount Home a) That Committee of the Whole Council adjourn and meet as Committee of Management of Fairmount Home, with the Deputy Warden in the Chair.

33 - 44

2025-029 Fairmount Home HQO Quality Improvement Plan Recommendation: Be it Resolved That the Council of the County of Frontenac receive the Fairmount Home – Health Quality Ontario (HQO) Quality Improvement Plan (QIP) report; And Further That the Council of the County of Frontenac approve the QIP submission to HQO. HQO Quality Improvement Plan Appendix A Fairmount Home QIP Narrative Appendix B Fairmount Home QIP Workplan Appendix C Progress Report 2024-25

45 - 48

2025-030 Fairmount Home Long-Term Care Home Service Accountability Agreement (LSAA) Schedule E - Form of Compliance Declaration Recommendation: Resolved That the Council of the County of Frontenac receive the Fairmount Home - Long-Term Care Home Service Accountability Agreement (LSAA) - Schedule E - Form of Compliance Declaration Report; And Further That the Council of the County of Frontenac direct the Clerk to sign the Long-Term Care Home Service Accountability

Page 2 of 134

Page Agreement Schedule E – Form of Compliance Declaration for return to Ontario Health. Long-Term Care Home Service Accountability Agreement (LSAA) Schedule E - Form of Compliance Declaration Appendix A Fairmount Home-LSAA Agreement Schedule E 49 - 54

2025-031 Fairmount Home Resident and Family Annual Satisfaction Survey 2024 This report is for information purposes only. Resident and Family Annual Satisfaction Survey 2024 Appendix A Fairmount Home Resident & Family Satisfaction Survey Results 2024

That the Committee of Management of Fairmount Home adjourn and revert back to Committee of the Whole Council.

Recommend Reports from the Chief Administrative Officer a) Consultant Briefing: Debbi Miller, Community Development Officer, will introduce Mr. Rob Wood, President and CEO of 8020 Into Inc. who will brief County Council on the Operational Review of the Frontenac County clinics that has been done over the past 6 months including recommendations for an implementation plan to come to a future Council meeting. [See Recommend Reports from the Chief Administrative Officer, clause b)] 55 - 71

2025-034 Planning and Economic Development Operational Review - Healthcare in our Community Recommendation: Be It Resolved That County Council receives the Healthcare in our Community Report and Presentation provided by 8020 Info Inc, And That the Council of the Corporation of the County of Frontenac approve the proposed recommendations outlined in the Healthcare in our Community report and presentation, attached to this report as Appendix A, And That staff develop an Implementation Plan outlining actions, schedule, and costs associated with the recommendations outlined in the report, And Further That the Implementation Plan be presented to County Council prior to 2026 budget deliberations.

Page 3 of 134

Page Operational Review - Healthcare in our Community Appendix A Frontenac Clinics Operational Review - Findings Report for Council March 19 72 - 77

2025-033 Emergency and Transportation Services 2024 Legislated Response Time Standard Performance Plan Reporting to the Ministry of Health (MOH) Recommendation: Be It Resolved That the Council of the County of Frontenac receive the Emergency and Transportation Services - 2024 Legislated Response Time Standard Performance Plan - Reporting to Ministry of Health (MOH) for information, And Further That the 2024 Response Time Standard Performance Plan outcomes for the County of Frontenac be reported to the Director, Emergency Health Regulatory and Accountability Branch, Ministry of Health as required by legislation. 2024 Legislated Response Time Standard Performance Plan Reporting to the Ministry of Health (MOH)

78 - 81

2025-035 K&P Trail Trans Canada Trail Grant for Gate Signs, Wayfinding Signs, and Kilometer Markers Recommendation: Be It Resolved That County Council receives Report 2025-035 K&P Trail – Trans Canada Trail Grant for Signs And Further That the Warden and the Clerk be authorized to enter into an agreement with Trans Canada Trail for the purpose of funding the gate, wayfinding and km marker signs as described in this report. Trans Canada Trail Grant for Gate Signs, Wayfinding Signs, and Kilometer Markers

82 - 85

Information Reports from the Chief Administrative Officer a) 2025-032 Corporate Services 2024 Remuneration and Reimbursement of Expenses to Council Members and Non-Council Appointees Report 2024 Remuneration and Reimbursement of Expenses to Council Members and Non-Council Appointees Report

Page 4 of 134

Page

86 - 111

Reports from Advisory Committees of County Council a) Report of the Governance Review Committee All items listed on the Planning and Economic Development Advisory Committee Report shall be the subject of one motion. Any member of County Council may ask for any item(s) included in the Planning and Economic Development Advisory Committee Report to be separated from that motion and considered separately, whereupon the Planning and Economic Development Advisory Committee Report without the separated item(s) shall be put to the vote and the separated item(s) shall be considered immediately thereafter. Report of the Governance Review Committee

That the Report received from the Governance Review Committee be received and adopted. Report of the Governance Review Committee The Governance Review Committee reports and recommends as follows: 1. 2025-025 Corporate Services Adoption of an updated Delegation of Authority Policy Resolved That the Council of the County of Frontenac adopt a Delegation of Authority Policy to authorize the delegation of certain powers and duties under the Municipal Act, 2001, the Planning Act and other Acts, attached to this report as Appendix A; And further That By-law 2016-0006 being a by-law to adopt a delegation of authority policy be hereby repealed. 2.

2025-027 Corporate Services Adoption of a Sale, Disposition and Land Use Policy for the County of Frontenac Resolved That the Council of the County of Frontenac adopt a Sale, Disposition and Land Use Policy for the County of Frontenac; And further That this Policy be adopted by By-law, attached to this report as Appendix A;

Page 5 of 134

Page

And Further That By-law 17-1995, being a By-law to establish procedures governing the sale of real property be repealed. Governance Review Committee Report to Council Delegation of Authority By-law Sale, Disposition and Land Use By-law Governance Review Committee Minutes of Meeting held March 4, 2025 Return to Council a) That Council revert from Committee of the Whole Council, to Council.

Adoption of the Report of the Committee of the Whole Council a) That the report of the Committee of the Whole Council be adopted and that the necessary actions or by-laws be enacted. Motions, Notice of Which has Been Given Giving Notice of Motion Communications That Council consent to the following communications of interest to Council listed below be received and filed: a) From the EOWC providing information and recommendations on its Election Priorities [Distributed to Members of County Council February 21, 2025] b)

From the EOWC providing its Ready to Work, Ready to Grow-EOWC Ontario Election Priorities News Release [Distributed to Members of County Council February 21, 2025]

From the EOWC regarding concerns of the Alto High Speed Rail Cutting through Eastern Ontario [Distributed to Members of County Council February 21, 2025]

From the Municipality of Northern Bruce Peninsula regarding a Resolution on Cell Towers and their associated maintenance [Distributed to Members of County Council February 21, 2025]

From the Town of Kearney regarding a Resolution to support Frontenac County resolution on tile drainage [Distributed to Members of County Council February 21, 2025]

From the Town of Parry Sound regarding a Resolution to Endorse

Page 6 of 134

Page federal-provincial call to buy Canadian to counter US tariffs [Distributed to Members of County Council February 21, 2025] g)

From Kevin Farrell, Chief Administrative Officer providing his 2025 disclosure memo related to any Conflicts of Interest [Distributed to Members of County Council February 28, 2025]

From the City of Woodstock regarding a Resolution concerning speeding, distracted, and impaired driving [Distributed to Members of County Council February 28, 2025]

From the County of Northumberland regarding a Rsolution on' Negotiations with the United States Government on Trade Tariffs' [Distributed to Members of County Council February 28, 2025]

From the Municipality of East Huron regarding a Resolution concering Proposed US Tariffs on Canadian Goods [Distributed to Members of County Council February 28, 2025]

From the Township of Limericke regarding a Resolution concerning Negotiations on Trade Tariffs [Distributed to Members of County Council February 28, 2025]

From the Township of Limericke regarding a Resolution on the Ontario Deposit Return Program [Distributed to Members of County Council February 28, 2025]

From the Township of Zorra regarding a Resolution on Rural Road Safety [Distributed to Members of County Council February 28, 2025]

From the City of Sarnia regarding a Resolution to stop the 20% increase on the Carbon Tax effective April 1, 2025 [Distributed to Members of County Council March 07, 2025]

From the City of Toronto regarding a Resolution on its Buy Local, Buy Canadian campaign [Distributed to Members of County Council March 07, 2025]

From the Kingston Frontenac Public Library providing its Board minutes of January 22 2025 [Distributed to Members of County Council March 07, 2025]

From the Municipality of Markstay-Warren regarding a resolution on the redistribution of Provincial Land Tax and GST [Distributed to Members of County Council March 07, 2025]

From the Town of Port Colborne regarding a Resolution on Provincial Election Health Care Advocacy [Distributed to Members of County Council March 07, 2025]

From the Township of Central Frontenac regarding a Resolution concerning U.S Tariffs on Canadian Goods [Distributed to Members of County Council March 07, 2025]

Page 7 of 134

Page t)

From the Township of North Dundas regarding a Resolution on a Rural Road Safety Program [Distributed to Members of County Council March 07, 2025]

From the Municipality of East Ferris regarding a Resolution on Standing for Canada [Distributed to Members of County Council March 14, 2025]

From the Township of Amaranth regarding a Resolution on a Buy Local and Canadian approach to municipal procurement [Distributed to Members of County Council March 14, 2025]

From the Township of Asphodel Norwood regarding a Resolution supporting the Increase Maximum annual Tile Drain Loan Limit [Distributed to Members of County Council March 14, 2025]

From the Township of Selwyn regarding a Resolution concerning U.S. Tariffs on Canada Purchasing Policies [Distributed to Members of County Council March 14, 2025]

Other Business By-Laws – General By-laws and Confirmatory By-law a) First and Second Reading Resolved That leave be given the mover to introduce by-laws a) through d) that have been circulated to all Members of County Council and that by-laws a) through d) be read a first and second time. b)

Third Reading Resolved That by-laws a) through d) be read a third time, signed, sealed and finally passed.

112 - 121

By-Laws a) To establish a Delegation of Authority Policy and to authorize the delegation of certain powers and duties under the Municipal Act, 2001, the Planning Act and other Acts. [Proposed By-law No. 2025-012] To establish a Delegation of Authority Policy and to authorize the delegation of certain powers and duties under the Municipal Act, 2001, the Planning Act and other Acts.

122 - 131

To Establish a Policy for the Sale, Disposition and Land Use by the Corporation of the County of Frontenac. [Proposed By-law No. 2025-013] To Establish a Policy for the Sale, Disposition and Land Use by the Corporation of the County of Frontenac.

132

To Authorize the Warden and Clerk to Execute an Agreement with Trans Canada Trail for the purpose of funding the gate,

Page 8 of 134

Page wayfinding and km marker signs on the K&P Trail. [Proposed By-law No. 2025-014] To Authorize the Warden and Clerk to Execute an Agreement with Trans Canada Trail for the purpose of funding the gate, wayfinding and km marker signs on the K&P Trail. 133 - 134

To confirm all actions and proceedings of County Council on March 19, 2025. [Proposed By-law No. 2025-015] To confirm all actions and proceedings of County Council on March 19, 2025.

Adjournment

Page 9 of 134

Minutes of the Regular Meeting of Council February 19, 2025 A regular meeting of the Council of the County of Frontenac was held in the Council Chamber of the County Administration Building, 2069 Battersea Road, Glenburnie on Wednesday, February 19, 2025 at 9:30 am. Roll Call Present:

Warden Gerry Lichty, Deputy Warden Bill Saunders, Councillors Fred Fowler, Nicki Gowdy, Judy GreenwoodSpeers, Ray Leonard, and Fran Smith,

Regrets:

Councillor Ron Vandewal

Also Present:

County: Richard Allen, Manager of Economic Development Jannette Amini, Manager of Legislative Services/Clerk Susan Brant, Administrator-Fairmount Home Rob Dillabough, Manager of Marine Services Kevin Farrell, Chief Administrative Officer Amy Freeburn, Executive Assistant to the CAO Joe Gallivan, Director of Planning and Economic Development Marc Goudie, Chief/Director of Emergency & Transportation Services Dmitry Kurylovich, Project Manager/Senior Planner Alex Lemieux, Director of Corporate Services/Treasurer Debbi Miller, Community Development Officer Matt Mills, Communications Officer

Call to Order We begin this gathering by acknowledging and celebrating these traditional lands as a gathering place of the first peoples and their ancestors who are entrusted to care for mother earth since time immemorial. We do so respecting both the land and the Indigenous People who continue to walk with us through this world. Today, the County is committed to working with Indigenous peoples and all residents to pursue a united path of reconciliation. Closed Session

Page 10 of 134 Minutes of Meeting held February 19, 2025

Approval of Addendum Disclosure of Pecuniary Interest and General Nature Thereof There were none. Adoption of Minutes a)

Minutes of Meeting held January 15, 2025

Motion #: 54-25

Moved By: Seconded By:

Councillor Smith Councillor Greenwood-Speers

Resolved That the minutes of the regular Council meeting held January 15, 2025 be adopted. Carried Delegations and/or Presentations Proclamations a)

Therapeutic Recreation Month February, 2025 Motion #: 55-25 Moved By: Councillor Fowler Seconded By: Councillor Leonard Whereas Therapeutic Recreation is a collaborative and purposeful process facilitated by trained professionals offering recreation and leisure assessment, planning, intervention and evaluation to achieve individual goals; And Whereas Therapeutic Recreation supports the development of strengths while addressing social, emotional, physical, spiritual and cognitive needs; And Whereas Therapeutic Recreation is provided by trained professionals who work with individuals including older adults in clinical and/or community settings, such as Long-Term Care Homes including Fairmount Home; And Whereas the benefits of Therapeutic Recreation include a decrease in responsive behaviours, loneliness, boredom and depression, and improvements in overall Quality of Life and Wellbeing and cognitive abilities; Now Therefore Be It Resolved That the Council of the County of Frontenac hereby proclaims the month of February as Therapeutic Recreation Month, with the theme of “Unlocking Potential " to showcase the many roles that Therapeutic Recreation play in a patient’s health-care journey. Carried Regular Meeting of Council Minutes February 19, 2025

Page 11 of 134 Minutes of Meeting held February 19, 2025

Page 2 of 14

Move into Committee of the Whole Motion #: 56-25

Moved By: Seconded By:

Deputy Warden Saunders Councillor Gowdy

That Council adjourn and meet as Committee of the Whole Council, with the Deputy Warden in the Chair. Carried Briefings a)

Mr. Kevin Farrell, Chief Administrative Officer, provided Council with his monthly CAO briefing.

Warden Lichty briefed the Committee of the Whole with an EOWC update regarding its discussion on the potential impact of tariffs and the Canada/US relations. Unfinished Business Consent Reports from the Chief Administrative Officer

All items listed on the Consent Reports from the Chief Administrative Officer shall be the subject of one motion. Any member may ask for any item(s) included in the Consent Reports from the Chief Administrative Officer to be separated from that motion, whereupon the Consent Reports from the Chief Administrative Officer without the separated item(s) shall be put and the separated item(s) shall be considered immediately thereafter. Motion #: 57-25

Moved By: Seconded By:

Councillor Greenwood-Speers Councillor Smith

That Council consent to the approval of Reports a) through c) the are considered routine items Carried Consent Reports a)

2025-014 Corporate Services 2024 Year End Report of the County of Frontenac Emergency Management Program Committee Be It Resolved That the Council of the County of Frontenac receive the Corporate Services – 2024 Year End Report on the County of Frontenac Emergency Management Program Committee report;

Regular Meeting of Council Minutes February 19, 2025

Page 12 of 134 Minutes of Meeting held February 19, 2025

Page 3 of 14

And Further That a copy of the 2024 Year End Report of the County of Frontenac Emergency Management Program Committee be posted to the County of Frontenac Website. Carried b)

2025-018 Corporate Services 2024 Frontenac Howe Islander Petition for Subsidy Resolved That the Council of the County of Frontenac accept the Corporate Services –2024 Frontenac Howe Islander Ferry Petition for Subsidy report; And Further That Council authorize the Clerk to petition the Ministry of Transportation for $1,241,238. Carried

2025-020 Emergency and Transportation Services Transfer from Frontenac Paramedics Equipment Reserve for Purchase of Replacement Ambulances Resolved That the Council of the County of Frontenac receive the Emergency and Transportation Services –Transfer from Frontenac Paramedic’s Equipment Reserve for Purchase of Replacement Ambulances report; And Further That Council approve the transfer of up to $425,000 to be used in the 2025 budget year for the purchase of 4 new ambulances and 2 remounted ambulances as part of our normal replacement cycle Carried Committee of Management of Fairmount Home

Motion #: 58-25

Moved By: Seconded By:

Councillor Gowdy Councillor Fowler

That Committee of the Whole Council adjourn and meet as Committee of Management of Fairmount Home, with the Deputy Warden in the Chair. Carried i)

2025-013 Fairmount Home – Q4 Quarterly Update Report This report was for information purposes only.

Regular Meeting of Council Minutes February 19, 2025

Page 13 of 134 Minutes of Meeting held February 19, 2025

Page 4 of 14

Motion #: 59-25

Moved By: Seconded By:

Councillor Leonard Councillor Gowdy

That the Committee of Management of Fairmount Home adjourn and revert back to Committee of the Whole Council. Carried Recommend Reports from the Chief Administrative Officer a)

Staff Briefing: Debbi Miller, Community Development Officer, briefed the Committee of the Whole with respect to Open Farm Days.

2025-016 Planning and Economic Development Open Farm Days Follow Up 2024 and Open Farms 2025

Motion #: 60-25

Moved By: Seconded By:

Councillor Greenwood-Speers Warden Lichty

Be it Resolved That the Council of the County of Frontenac receive the Planning and Economic Development – Open Farm Days Follow up 2024 and Open Farms 2025 report; And Further That the County proceed with the direction and actions related to Open Farms outlined in Report 2025-016 Carried c)

2025-017 K&P Trail Joint Application to the Active Transportation Fund with the Township of North Frontenac

Motion #: 61-25

Moved By: Seconded By:

Councillor Smith Councillor Gowdy

Be It Resolved That County Council receives Report 2025-017 K&P Trail – Joint Application to the Active Transportation Fund with the Township of North Frontenac And Further That County Council endorses the proposed joint application to the Federal Active Transportation Fund for the construction of the multi-use pathway in Snow Road Station; And Further That County staff be authorized to collaborate with relevant municipal and community partners to prepare and submit the application prior to the February 26 deadline; And Further That the Warden and the Clerk be authorized to enter into an agreement with the Government of Canada should the joint application to the Active Transportation Fund be successful. Carried Regular Meeting of Council Minutes February 19, 2025

Page 14 of 134 Minutes of Meeting held February 19, 2025

Page 5 of 14

2025-019 K&P Trail Land Acquisition Policy for Trail-Oriented Development Motion #: 62-25 Moved By: Councillor Fowler Seconded By: Councillor Leonard Be It Resolved That the Council of the Corporation of the County of Frontenac receives report 2025-019 K&P Trail – Land Acquisition Policy for Trail Oriented Development; And Further That the Land Acquisition Policy for Trail Oriented Development, attached as Appendix A to this report, be incorporated into The Frontenac K&P Trail Management Plan; And Further That any outstanding offers to donate land for trail-oriented development be presented to County Council for review; And Further That a corporate-wide policy for land acquisition be developed and presented to the Governance Committee for review by the end of 2025. Carried e)

2025-021 Corporate Services Correction to Property Title of Former County lands in the Former Pittsburgh Township, now City of Kingston

Motion #: 63-25

Moved By: Seconded By:

Councillor Gowdy Councillor Greenwood-Speers

Be It Resolved That that in accordance with By-law Number 17-1995, the Council of the County of Frontenac pass a by-law to declare lands identified in the deed dated October 28, 1944 between Norman Wesley Morrison and Isabelle Florence Morrison and the County of Frontenac, surplus for the purpose of correcting a property title error of a former County Road in the former Pittsburgh Township, now forming part of the City of Kingston specifically: All singular that certain parcel or tract of land and premises situate, lying and being in the Township of Pittsburgh, in the County of Frontenac and being part of Lot TWENTY ONE in the FOURTH Concession of the said Township, COMMENCING at the North West angle of Lot Twenty One, thence Southerly along the limits between Lots Twenty One and Twenty, nine feet, thence Easterly along the line of a newly constructed fence which is distant thirty tree feet from the centre line of the travelled road, a distance of forty rods, thence North nine feet, thence Westerly along the line of the old fence [indistinguishable] the Southerly limit of the said road forty rods [indistinguishable] to the point of commencement. And Further That Section 3 (a) of By-law 17-1995 requiring notice to the public be waived and that the by-law receive all three readings;

Regular Meeting of Council Minutes February 19, 2025

Page 15 of 134 Minutes of Meeting held February 19, 2025

Page 6 of 14

And Further That the Warden and clerk be authorized to execute a quit claim deed and/or any other documentation reasonably requested or recommended by the County solicitor in favor of the City of Kingston for the subject lands. Carried f)

2025-022 Corporate Services Transfer of Deeded Lands to the County of Frontenac in the former Portland Township to the Township of South Frontenac

Motion #: 64-25

Moved By: Seconded By:

Councillor Smith Warden Lichty

Be It Resolved That in accordance with By-law Number 17-1995, the Council of the County of Frontenac pass a by-law to declare lands legally descripted as Part Lot 10, Concession 8, geographic township of Portland, being Parts 3, 4 & 5 on the draft Reference Plan 121177647.1, surplus in favour of the Township of South Frontenac; And Further That Section 3(a) of By-law 17-1995 requiring notice to the public be waived and that the by-law receive all three readings; And Further That Warden and Clerk be authorized to execute any documentation confirming that the County of Frontenac has no interest in lands legally described as Parts 3, 4 & 5 on the draft Reference Plan 121177647.1 reasonably requested or recommended by the County solicitor. Carried g)

2025-024 Planning and Economic Development Authorization to permit the CAO to sign a Landowner Acknowledgement and Release Form for the purpose of exploring the feasibility of rehabilitating a former aggregate pit located on a County owned property through the Management of Abandoned Aggregate Properties Program.

Motion #: 65-25

Moved By: Seconded By:

Councillor Leonard Councillor Fowler

Be It Resolved That the Council of the County of Frontenac receive report number 2025-024 “To permit the CAO to sign a Landowner Acknowledgement and Release Form for the purpose of exploring the feasibility of rehabilitating a former aggregate pit located on a County owned property through the Management of Abandoned Aggregate Properties Program”; And Further That the Council of the County of Frontenac authorize the CAO to sign the Land Acknowledgement and Release Form to enter into a non-binding agreement with The Ontario Aggregates Resources Corporation to explore rehabilitation options for the former aggregate pit located at 15405 Road 509, Township of North Frontenac. Carried Regular Meeting of Council Minutes February 19, 2025

Page 16 of 134 Minutes of Meeting held February 19, 2025

Page 7 of 14

Information Reports from the Chief Administrative Officer a)

2025-015 Corporate Services 2024 Annual Report on Delegation of Authority

2025-023 Emergency and Transportation Services Information Report on Offload Delays Reports from Advisory Committees of County Council

Report of the Frontenac Accessibility Advisory Committee

Motion #: 66-25

Moved By: Seconded By:

Councillor Leonard Councillor Gowdy

That the Report received from the Frontenac Accessibility Advisory Committee be received and adopted. Report of the Frontenac Accessibility Advisory Committee The Frontenac Accessibility Advisory Committee reports and recommends as follows: 1.

2025-008 Frontenac Accessibility Advisory Committee Annual Accessibility Status Report Be It Resolved That the Council of the County of Frontenac receive the Corporate Services – Annual Accessibility Status Report, attached to this report as Appendix A; And Further That in accordance with Ontario Regulation 91/11: Integrated Accessibility Standards section 4(3), that a copy of this Annual Accessibility Status Report be posted to the County of Frontenac Website; And Further That in accordance with Ontario Regulation 91/11: Integrated Accessibility Standards section 4(3.1) and (3.2), that a copy of this Annual Accessibility Status Report be forwarded to the Frontenac Lower Tiers for posting on their respective websites. Carried Return to Council

Motion #: 67-25

Moved By: Seconded By:

Councillor Greenwood-Speers Warden Lichty

That Council revert from Committee of the Whole Council, to Council. Carried Regular Meeting of Council Minutes February 19, 2025

Page 17 of 134 Minutes of Meeting held February 19, 2025

Page 8 of 14

Adoption of the Report of the Committee of the Whole Council Motion #: 68-25

Moved By: Seconded By:

Councillor Smith Councillor Deputy Warden Saunders

That the report of the Committee of the Whole Council be adopted and that the necessary actions or by-laws be enacted. Carried Motions, Notice of Which has Been Given a)

Support for the Establishment of an Ontario Rural Road Safety Program

Motion #: 69-25

Moved By: Seconded By:

Councillor Greenwood-Speers Councillor Gowdy

Whereas official statistics from the Government of Ontario confirm that rural roads are inherently more dangerous than other roads; and, Whereas despite only having 17% of the population, 55% of the road fatalities occur on rural roads; and, Whereas rural, northern, and remote municipalities are fiscally strained by maintaining extensive road networks on a smaller tax base; and, Whereas preventing crashes reduces the burden on Ontario’s already strained rural strained health care system; and, Whereas roadway collisions and associated lawsuits are significant factors in runaway municipal insurance premiums. Preventing crashes can have a significant impact in improving municipal risk profiles; Now Therefore Be It Resolved That the Council of The Corporation of the County of Frontenac requests that the Government of Ontario take action to implement the rural road safety program that Good Roads has committed to lead. It will allow Ontario’s rural municipalities to make the critical investments needed to reduce the high number of people being killed and seriously injured on Ontario’s rural roads; And Further That a copy of this resolution be forwarded to the Hon. Doug Ford, Premier of Ontario, the Hon. Prabmeet Sarkaria, Minister of Transportation, the Hon. King Surma, Minister of Infrastructure, the Hon. Rob Flack, Minister of Agriculture, the Hon. Lisa Thompson, Minister of Rural Affairs, the Hon. Trevor Jones, Associate Minister of Emergency Preparedness and Response, and the Hon. Sylvia Jones, Minister of Health, and Good Roads; And Further That this resolution be circulated to all municipalities in Ontario requesting their support. Deferred (See motion to Defer below which was Carried) Regular Meeting of Council Minutes February 19, 2025

Page 18 of 134 Minutes of Meeting held February 19, 2025

Page 9 of 14

Motion to Defer Motion #: 70-25

Moved By: Seconded By:

Councillor Smith Councillor Leonard

Be It Resolved That the motion be deferred until such time that Support for the Establishment of an Ontario Rural Road Safety Program is dealt with at the Township level. Carried b)

Motion to Oppose Provincial Legislation on Cycling Lanes

Motion #: 71-25

Moved By: Seconded By:

Councillor Greenwood-Speers Councillor Gowdy

Whereas the Government of Ontario has announced legislation requiring provincial approval for new cycling lanes; and, Whereas this legislation would compel municipalities to demonstrate that proposed cycling lanes will not negatively impact vehicle traffic; and, Whereas cycling infrastructure is crucial for environmental transportation, road safety, and public health, and provincial oversight in this matter represents an unwarranted intrusion into municipal authority; and, Whereas the County of Frontenac is evolving an active transportation plan to enhance walking and cycling infrastructure; and, Whereas the Association of Municipalities of Ontario (AMO) has strongly criticized this proposed legislation as a “significant overreach” into municipal jurisdiction; and, Whereas Amo has stated that none of its 444 member municipalities were consulted or shown evidence justifying the province’s proposed veto power over new bike lanes; Now Therefore Be It Resolved That:

The County of Frontenac strongly opposes the proposed provincial legislation governing bicycle lanes and affirms its support for maintaining municipal jurisdiction over cycling infrastructure decisions.
The County of Frontenac endorses AMO’s position that municipalities are better positioned than the Ministry of Transportation to make decisions about local transportation matters based on local knowledge and community input.
The County of Frontenac calls on the Government of Ontario to withdraw the proposed legislation and respect the established authority of municipalities to make informed decisions about local transportation needs, including the implementation of cycling lanes.
The County of Frontenac reaffirms its commitment to its transportation plan and the continued development of safe, environmentally friendly, efficient cycling infrastructure for the benefit of all residents. Regular Meeting of Council Minutes February 19, 2025

Page 19 of 134 Minutes of Meeting held February 19, 2025

Page 10 of 14

5. The Clerk be directed to forward a copy of this resolution to the Hon. Doug Ford, Premier of Ontario, the Hon. Prabmeet Sarkaria, Minister of Transportation, John Jordan, MPP Lanark-Frontenac-Kingston, Ted Hsu, MPP Kingston and the Islands, the Association of Municipalities of Ontario (amo@amo.on.ca) and all Municipalities in Ontario. 6. The County of Frontenac calls upon municipalities across Ontario to adopt similar resolutions in defense of local decision- making authority and sustainable, efficient and environmentally friendly transportation planning. Deferred (See motion to Defer below which was Carried) Motion to Defer Motion #: 72-25

Moved By: Seconded By:

Councillor Smith Councillor Leonard

Be It Resolved That the motion be deferred until such time that a Motion to Oppose Provincial Legislation on Cycling Lanes is dealt with at the Township level. Carried Giving Notice of Motion Communications That Council consent to the following communications of interest to Council listed below be received and filed: a) b) c) d) e) f) g)

From the Municipality of South Huron regarding a Resolution subsidies to the aggregate sector [Distributed to Members of County Council January 17, 2025] From the City of Peterborough regarding a Resolution concerning Bill 242 Safer Municipalities Act [Distributed to Members of County Council January 24, 2025] From the Municipality of Grey Highlands regarding a Resolution on a Rural Road Safety Program [Distributed to Members of County Council January 24, 2025] From the Municipality of St. Charles regarding a Resolution on the Establishment of an Ontario Rural Road Safety Program [Distributed to Members of County Council January 24, 2025] From the Town of Kearney regarding a Resolution declaring Toronto a Paid Plasma-Free Zone [Distributed to Members of County Council January 24, 2025] From the Town of Kearney regarding a Resolution on a Rural Road Safety Program [Distributed to Members of County Council January 24, 2025] From the Town of Kearney regarding a Resolution on the Redistribution of the Provincial Land Transfer Tax and GST

Regular Meeting of Council Minutes February 19, 2025

Page 20 of 134 Minutes of Meeting held February 19, 2025

Page 11 of 14

h) i) j) k) l) m) n) o) p) q) r) s) t)

[Distributed to Members of County Council January 24, 2025] From the Town of Pelham regarding a Resolution on the Redistribution of the Provincial Land Transfer Tax and GST [Distributed to Members of County Council January 24, 2025] From the Township of South Stormont regarding a Resolution on a Rural Road Safety Program [Distributed to Members of County Council January 24, 2025] From the Township of Woolwich regarding a Resolution concerning Election Advocacy and Preparation [Distributed to Members of County Council January 24, 2025] From the Municipality of Dysart et al regarding a Resolution on the Redistribution of the Provincial Land Transfer Tax and GST [Distributed to Members of County Council January 31, 2025] From the Town of Fort Erie regarding a Resolution on the Redistribution of the Provincial Land Transfer Tax and GST [Distributed to Members of County Council January 31, 2025] From the Town of Perth regarding a Resolution on the Redistribution of the Provincial Land Transfer Tax and GST [Distributed to Members of County Council January 31, 2025] From the Township of Limerick regarding a Resolution on the Deposit Return Program [Distributed to Members of County Council January 31, 2025] From the Township of Limerick regarding a Resolution on the Redistribution of the Provincial Land Transfer Tax and GST [Distributed to Members of County Council January 31, 2025] From the County of Peterborough regarding a Resolution on proposed US tariffs on Canadian Goods [Distributed to Members of County Council February 7, 2025] Food Policy Council of KFL&A 2025 Newsletter Volume 1 [Distributed to Members of County Council February 14, 2025] From the Town of Fort Erie regarding a Resolution on Provincial Election Health Care Advocacy [Distributed to Members of County Council February 14, 2025] From the Town of Lincoln regarding a Resolution on the redistribution of Land Transfer Tax and GST [Distributed to Members of County Council February 14, 2025] From the Township of Uxbridge regarding a resolution on a Buy Canadian Policy [Distributed to Members of County Council February 14, 2025] Other Business

Regular Meeting of Council Minutes February 19, 2025

Page 21 of 134 Minutes of Meeting held February 19, 2025

Page 12 of 14

By-Laws – General By-laws and Confirmatory By-law a)

First and Second Reading

Motion #: 73-25

Moved By: Seconded By:

Councillor Fowler Councillor Leonard

Resolved That leave be given the mover to introduce by-laws a) through e) that have been circulated to all Members of County Council and that by-laws a) through e) be read a first and second time. Carried b)

Third Reading

Motion #: 74-25

Moved By: Seconded By:

Councillor Fowler Councillor Leonard

Resolved That by-laws a) through e) be read a third time, signed, sealed and finally passed. Carried By-Laws a)

b) c)

To authorize the execution of an Agreement with the Government of Canada should the joint application to the Active Transportation Fund be successful [Proposed By-law No. 2025-007] To adopt a Land Acquisition Policy for Trail-Oriented Development [Proposed By-law No. 2025-008] To declare lands identified in the deed dated October 28, 1944 between Norman Wesley Morrison and Isabelle Florence Morrison and the County of Frontenac surplus for the purpose of correcting a property title error of a former County Road in the former Pittsburgh Township, now forming part of the City of Kingston. [Proposed By-law No. 2025-009] To declare lands legally descripted as Part Lot 10, Concession 8, geographic township of Portland, being Parts 3, 4 & 5 on the draft Reference Plan 121177647.1, surplus in favour of the Township of South Frontenac [Proposed By-law No. 2025-010] To confirm all actions and proceedings of County Council on February 19, 2025 [Proposed By-law No. 2025-011]

Regular Meeting of Council Minutes February 19, 2025

Page 22 of 134 Minutes of Meeting held February 19, 2025

Page 13 of 14

Adjournment Motion #: 75-25

Moved By: Seconded By:

Deputy Warden Saunders Councillor Gowdy

That the meeting hereby adjourn at 10:47 a.m. Carried

Gerry Lichty, Warden

Regular Meeting of Council Minutes February 19, 2025

Page 23 of 134 Minutes of Meeting held February 19, 2025

Jannette Amini, Clerk

Page 14 of 14

March 19, 2024 Report 2025-03

Page 24 of 134 Officer, will provide Council w… Mr. Kevin Farrell , Chief Administrative

Administrative Report

Page 25 of 134 Officer, will provide Council w… Mr. Kevin Farrell , Chief Administrative

CAO Schedule – March 2025 • • • • • • • • • • • • • • •

Governance Review Committee – March 4th Senior Leadership Team Meeting – March 5th Northumberland - Golden Plough Lodge Tour – March 6th Paramedic EASA Negotiations – March 13th County of Frontenac New Hire Orientation – March 17th Frontenac County Council – March 19th “Old House” Staff Meeting – March 20th Ministry of Transportation Touchpoint – March 20th EOLC Infrastructure Committee Meeting – March 20th Joint Leadership Meeting with City of Kingston – March 21st CF Council – FMSC Update – March 25th FMSC Technical Support Committee Meeting – March 26th FLA OHT Health Home Support Structure – March 26th PEDAC Meeting – March 27th EOWC Meetings – March 27th and March 28th

Page 26 of 134 Officer, will provide Council w… Mr. Kevin Farrell , Chief Administrative

AMO Updates •

AMO has issued an RFP to develop a comprehensive strategy to support municipally elected officials and staff to foster civility and combat harassment in local communities. This will include access to tools, resources, and education assets.

•

In response to recent developments on tariffs and trade, AMO is conducting work, focusing on three primary areas: o Estimating tariff impacts on municipal capital projects o Better understanding the value and reliance on US/non-Canadian markets of non-construction municipal procurement o Making the case for municipal stimulus funding

•

Furthermore, AMO wrote to the Premier highlighting how investment in municipal infrastructure could protect construction jobs and drive future productivity, and the case for investment in community housing as a response to US tariffs.

Page 27 of 134 Officer, will provide Council w… Mr. Kevin Farrell , Chief Administrative

Human Resources Update – Key Activity •

Recruitment • • • • •

•

Labour Relations • • •

•

120 postings as of March 12th Non-union – Payroll and Benefits Clerk; Temp Finance Clerk Summer student and Intern recruitment ongoing Paramedic recruitment - interviews ongoing this month Recruitment ongoing for many frontline positions at Fairmount Home, preparing for spring/summer

CUPE 2290 – moving to interest arbitration OPSEU 462 – Parties successfully negotiated the Essential Ambulance Service Agreement March 13th; bargaining will commence in July CUPE 109 – first day of bargaining, April 2nd

Miscellaneous • •

Vairkko scheduling software – system updated; planning May go live Preparation ongoing for the first annual Service Recognition Event which will be held in the Fall

Page 28 of 134 Officer, will provide Council w… Mr. Kevin Farrell , Chief Administrative

Fairmount Home

Home improvements nearing completion include the installation of a replacement domestic water booster system, 27 ceiling lifts, as well as painting of common areas and handrails.

Page 29 of 134 Officer, will provide Council w… Mr. Kevin Farrell , Chief Administrative

Frontenac Paramedics •

Community Paramedics are beginning training with KHSC’s Heart Function Clinic to support patients in the community with Congestive Heart Failure.

•

Paramedics Samantha and Caitlyn and their Paramedic Student Rose, presented at the Queen’s Black Premedical Association Conference.

•

Frontenac Paramedics contribute to research data from calls for Sudden Cardiac Arrests to the Canadian Resuscitation Outcomes Consortium (CanROC). Recent available data shows Frontenac Paramedics achieve a Return of Spontaneous Circulation (ROSC), patient regains their pulse, in 25% of cases. Early CPR and defibrillation remain key components in the chain of survival.

•

April will see paramedics beginning a training cycle focusing on “Mastering Rare but Essential Skills” and Situational Awareness training.

Page 30 of 134 Officer, will provide Council w… Mr. Kevin Farrell , Chief Administrative

Communications update, February 2025 Website Pageviews FrontenacCounty.ca VisitFrontenac.ca FrontenacMaps.ca EngageFrontenac.ca CivicWebPortal

15,057 6,421 4,551 2,625 1,643

Social Media Engagement County Facebook & Instagram County X Twitter County Youtube County LinkedIn FPS X Twitter Visit Frontenac Facebook & Instagram Fairmount Facebook K&P Trail Facebook Group H.I. Ferry X Twitter

5,431 367 429 943 229 32 3,042 433 12

Total engagements in September Change from January 2025 Change from February 2024

41,215 20% 9%

Page 31 of 134 Officer, will provide Council w… Mr. Kevin Farrell , Chief Administrative

Planning Applications – Townships (February)

• Applications are at a normal level for the winter.

6 5 4 3

2 1 0

North Frontenac

Central Frontenac Number of Applications

Frontenac Islands

• Staff are still busy processing several delegated authority consent applications in Central Frontenac that were submitted late last year, with circulation delayed because of the postal strike.

Page 32 of 134 Officer, will provide Council w… Mr. Kevin Farrell , Chief Administrative

Economic Development

Registration Link: https://us06web.zoom.us/meeting/register/_XouVWwcQIuX2tWntdKnHg

Report 2025-029 Council Recommend Report To:

Warden and Members of County Council

From:

Kevin Farrell, Chief Administrative Officer

Prepared by:

Susan Brant, Administrator

Date of meeting:

March 19, 2025

Re:

Fairmount Home – HQO Quality Improvement Plan

Recommendation Be it Resolved That the Council of the County of Frontenac receive the Fairmount Home – Health Quality Ontario (HQO) Quality Improvement Plan (QIP) report; And Further That the Council of the County of Frontenac approve the QIP submission to HQO. Background In addition to Fairmount Home’s Quality Assessment & Assurance Committee (QAAC), the home is required to submit a QIP to Ontario Health electronically through their online submission platform QIP Navigator at Health Quality Ontario. Health Quality Ontario provides the quality measure(s) for each year and the home’s focus for 2025 is the percentage of staff who have completed relevant equity, diversity, inclusion, and antiracism (EDIA) education. The HQO QIP narrative and workplan are attached respectively as appendix A and appendix B. The narrative provides an overview of the home, access and flow, equity and indigenous health, resident experience, provider experience, safety, palliative care, and population health management, while the workplan details planned EDIA education, current performance and target for the HQO equity measure.

ofQuality 134 Improvement Plan 2025-029 FairmountPage Home 33 HQO

Comment The 2024 HQO Quality Improvement Plan was approved by County Council in report 2024-031 at their March 20, 2024 meeting. The quality measure for 2024 was a decrease in the number of residents who take antipsychotic medications without a diagnosis of psychosis. In the Progress Report 2024-25 attached as Appendix C, the home’s current performance is 24.25%, which is a greater improvement than the target of 30% and represents a 26.54% improvement in this indicator year over year. Fairmount Home is also actively involved with the Registered Nurses Association of Ontario (RNAO) on the implementation of Best Practice Guidelines for several of the home’s program areas. The Falls and Wound Care teams are actively assessing gap analyses to seek improvement opportunities and develop associated action plans. As a reminder, the home’s acceptance into the RNAO Best Practice Spotlight Organization (BPSO) program is a commitment to intensive quality improvement over the three-year implementation phase. Fairmount Home recognizes the importance of quality of life through managing chronic diseases, reducing complications, and promoting individualized goals of care, while also implementing best practices. Strategic Priority Implications Strengthen Quality of Life Through Enhanced Service Delivery •

Improve the quality of care and services provided to residents

•

Enhance staff training and development opportunities

Financial Implications There are no financial implications. Organizations, Departments and Individuals Consulted and/or affected. Fairmount Home Management Team

Council Recommend Report Fairmount Home – HQO Quality Improvement Plan March 19, 2025

ofQuality 134 Improvement Plan 2025-029 FairmountPage Home 34 HQO

Page 2 of 2

ofQuality 134 Improvement Plan 2025-029 FairmountPage Home 35 HQO

Quality Improvement Plan (QIP)

Narrative for Health Care Organizations in Ontario March 12, 2025

ofQuality 134 Improvement Plan 2025-029 FairmountPage Home 36 HQO

NARRATIVE QIP 2025/26

Org ID 51094 | Fairmount Home for the Aged

OVERVIEW Fairmount Home is an accredited, municipal long-term care home with 128 beds. Our vision is to be the home of choice for our residents, staff, and volunteers. Guided by the Gentlecare® philosophy, we provide exceptional resident-centred quality care in a safe, respectful, and compassionate home. We are committed to the Gentlecare philosophy in delivering resident-focused care which empowers residents to make individual choices. We are committed to be a leader in the provision of exceptional quality care through teamwork, innovation, and continuous learning. We are committed to strong partnerships with our residents, caregivers, staff, volunteers, community, and health care system partners. We are committed to the treatment of our residents, caregivers, staff, and volunteers with dignity, embracing diversity, and demonstrating inclusion and equity in our day-to-day operations. Fairmount Home’s current Strategic Plan was updated in 2023 to guide the home’s operations for 2023 – 2027. During this exercise, it was evident that continued focus on high–quality, resident-centred care was of importance for all stakeholders. As a testament to our commitment to the treatment of our

ofQuality 134 Improvement Plan 2025-029 FairmountPage Home 37 HQO

3 NARRATIVE QIP 2025/26

residents, caregivers, staff, and volunteers with dignity, embracing diversity, and demonstrating inclusion and equity in our day-to-day operations, our focus for our Quality Improvement Plan (QIP) will be on this important topic.

ACCESS AND FLOW Fairmount Home is committed to supporting resident access to care in the right place at the right time, which is evident through our model of care that incorporates two (2) full-time Nurse Practitioners. Nurse Practitioners assess, diagnose, treat, and monitor a wide range of health problems using an evidence-based approach to their practice. They consult and collaborate with the Medical Director and other health care professionals within the Fairmount Home team and community to meet the needs of our residents. Chronic disease management, a palliative approach to care, health promotion and illness prevention, as well as helping residents and their families navigate through the health care system are integral to their approach to resident care. The home recently received funding for equipment and training from Ontario Health East. This funding is intended to enable longterm care homes to build capacity by purchasing equipment and/or training that supports the assessment, testing, and treatment of conditions that most often lead to avoidable emergency department visits. This funding enabled the purchase of CADD pump kits, specialized wound care supplies, and a vein visualization device. This equipment will aid in the ability to support our residents’ needs and prevent avoidable emergency department visits.

Org ID 51094 | Fairmount Home for the Aged

Fairmount Home has also participated in Project AMPLIFI to improve the access and flow of residents’ medical records. Project AMPLIFI will improve the continuity of care for long-term care residents by streamlining transitions between care institutions, which will lead to safer care for residents and more efficient workflows for registered staff and care providers.

EQUITY AND INDIGENOUS HEALTH Fairmount Home is an inclusive home that is committed to treating residents, caregivers, staff, and volunteers with dignity, embracing diversity, and demonstrating inclusion and equity. The home’s Vision, Mission and Values commit the home to high quality care and meeting the diverse and unique needs of our residents. Fairmount Home maintains a written Cultural Competency and Diversity plan, which describes how the cultural needs of residents are met. It is the home’s policy to effectively provide services to residents of all cultures, age, races, gender, sexual orientation, socio economic status, languages, ethnic backgrounds, spiritual beliefs, and religions in a manner that recognizes, values, affirms, and respects the worth of the individuals and protects and preserves the dignity of each person. Fairmount Home ensures non-discriminatory and respectful services to residents and families by employing both internal and external cultural competency practices. Ongoing improvement and widespread dissemination of these efforts is evidence of Fairmount’s commitment to the provision of culturally appropriate services and care.

ofQuality 134 Improvement Plan 2025-029 FairmountPage Home 38 HQO

4 NARRATIVE QIP 2025/26

Org ID 51094 | Fairmount Home for the Aged

PATIENT/CLIENT/RESIDENT EXPERIENCE

PROVIDER EXPERIENCE

Annually, Fairmount Home conducts Resident and Family Satisfaction Surveys in conjunction with seven (7) other long-term care homes in the region. This approach allows Fairmount to benchmark the survey results against other local long-term care homes to identify areas for continuous improvement.

Fairmount Home promotes a strong organizational culture that engages staff to promote an excellent quality of care for our residents. Over the past couple of years, we have taken an active role to demonstrate appreciation and gratitude for our staff in many different ways, as all staff are highly valued. For example, there is an annual staff service event, employee appreciation week (giveaways, prize draws, fun activities), promotion of the Gotcha! employee recognition program with award draws, and recognition of national days/weeks (Nurses Week, NP, PSW day, Therapeutic Recreation Month, etc.).

In 2024, we had a total of 62 responses with 22 from caregivers and 40 from residents. Surveying the residents and caregivers annually allows for open communication, suggestions, and feedback. In 2024, our average resident and caregiver satisfaction response score was 95%, marginally above the target of 90%. Residents and caregivers are able to voice concerns and suggestions in a number of ways including discussions with staff, a suggestion box, complaint and compliment forms, website forms, care conferences, Residents’ Council meetings, Food Committee meetings, and Family Council meetings, just to name a few. All feedback is assessed by the appropriate forum and actioned as appropriate. A representative from Residents’ Council and Family Council participate in our Quality Assurance and Assessment Committee. Their participation has been helpful in guiding and informing quality improvement plans to ensure we are meeting resident care needs.

An Employee Referral Bonus Program encourages employees to refer qualified candidates and the employees are eligible for a bonus once the qualified candidate is hired and meets set milestones. Gift cards are provided to staff who are required to work mandatory overtime as another way to say thank you for an unfortunate situation. Staff also have access to supports from the Occupational Health Nurse and the TELUS Health employee assistance program, which offers a variety of confidential services. Over the last five years Fairmount’s management team, union executive members, Human Resources, and Financial Services have continued to collaborate, implement, and adjust staff schedules for the home’s PSWs, RPNs, and RNs. Staff schedule changes are based on resident care needs, staff feedback, and operational requirements. Overall, the staff schedule changes have been effective in decreasing staff burnout, increasing staff morale and has improved the ability to retain and hire additional staff.

ofQuality 134 Improvement Plan 2025-029 FairmountPage Home 39 HQO

5 NARRATIVE QIP 2025/26

Org ID 51094 | Fairmount Home for the Aged

SAFETY

PALLIATIVE CARE

Fairmount Home adopted the ‘Just Culture’ framework in early 2017. Senior leadership and Fairmount’s management team participated in additional education and as a result we look at resident safety incidents through a different lens and created a culture of safe reporting.

Fairmount Home is committed to delivering high quality palliative care by implementing recommendations of the Ontario Palliative Care Network’s (OPCN) - Palliative Care Health Services Delivery Framework. This framework describes a model of care with 13 recommendations, that will enable our residents and their caregivers to remain in long-term care until the end of their life.

We utilize our clinical software PointClickCare to document incidents of risk (falls, behaviours, choking, safety concerns, etc.), which enables data analysis, identification of trends, and development of action/safety plans as appropriate. Staff are encouraged to discuss resident safety incidents and concerns. As a result, we work together to look at the circumstances of each situation to identify contributing factors, make system and/or organizational changes, and share lessons learned. Our best practices, inspection results, and incident analysis are shared through a variety of different avenues such as staff meetings/correspondence, monthly newsletters, resident care conferences, open dialogue with residents/family members, Quality Assurance and Assessment Committee, Residents’ Council, and Family Council meetings. Fairmount Home has also shown support to sustaining a culture of safety by joining Project AMPLIFI. Project AMPLIFI will improve the continuity of care for residents by streamlining transitions between care institutions, leading to safer care for residents and more efficient workflows for registered staff and care providers.

Of the 13 recommendations, Fairmount Home is currently focusing on addressing recommendation one (1) ‘The patient (resident) who would benefit from palliative care will be identified early in their illness’ and recommendation eight (8) ‘Planning for end-of-life care will begin as early as possible and when it is acceptable to the patient (resident) and their family/caregivers.’ Fairmount Home is addressing recommendation one (1) by completing a Palliative Performance Scale (PPS) upon admission for each resident. The PPS provides a trajectory of the resident’s illness and associated symptoms which are reviewed with the resident and caregiver at the six-week post-admission care conference, or sooner if needed. Fairmount Home is addressing recommendation eight (8) by inviting resident’s and their caregivers in the development of their end-of-life care plan at various times, including the time of admission, during their six-week post-admission care conferences, annually, and as needed. During the development of their end-oflife care plan, the resident and their caregiver can communicate their wishes at the time of their end-of-life (i.e. music, tastes, scents, spiritual, etc.).

ofQuality 134 Improvement Plan 2025-029 FairmountPage Home 40 HQO

6 NARRATIVE QIP 2025/26

POPULATION HEALTH MANAGEMENT Fairmount Home has been working collaboratively with multiple external health system providers to improve the quality of life and address the health needs of the residents whom we serve. Our home has continued to partner with the Centres for Learning, Research & Innovation in Long-Term-Care to promote and improve upon our pain and palliative care program in alignment with the Fixing Long-Term Care Act, 2021. Furthermore, Fairmount is receiving support from a Palliative Care Clinical Coach through the Frontenac, Lennox-Addington Ontario Health Team to further support and sustain our pain and palliative care program. Our behavioural support team (BSO) has been collaborating with external partners at Providence Care through quarterly BSOintegration meetings, where knowledge sharing is crucial. Our BSO team also actively collaborates with the psycho-geriatric team at Providence Care to provide education, additional support services, and specialist consultation regarding responsive behaviours within the home. Fairmount Home is also actively involved with the Registered Nurses Association of Ontario (RNAO) as a Best Practice Spotlight Organization pre-designate. Through this partnership, Fairmount Home is actively working on implementing three (3) best practice guidelines (BPGs): Person-and-Family-Centred Care, Pressure Injury Management: Risk Assessment, Prevention and Treatment, and Transitions in Care and Services. With the assistance of a RNAO coach, Fairmount Home has completed gap analyses to assess areas of improvement and develop implementation plans to work toward evidence-based practice. In alignment with this partnership, Fairmount Home has also committed to implementing Clinical Pathways with a go-live date of March 27, 2025. Fairmount Home

Org ID 51094 | Fairmount Home for the Aged

staff have been working with a coach to understand the role of clinical pathways and how it will assist in implementing BPGs, improve workflow, improve risk assessments and lead to quality care for our residents. Fairmount Home has focused on these external partnerships and collaborations to improve the quality of life and meet the diverse medical and psycho-social needs of our residents.

CONTACT INFORMATION/DESIGNATED LEAD Contact information is available on our website at: www.frontenaccounty.ca/en/fairmounthome

ofQuality 134 Improvement Plan 2025-029 FairmountPage Home 41 HQO

7 NARRATIVE QIP 2025/26

SIGN-OFF It is recommended that the following individuals review and sign-off on your organization’s Quality Improvement Plan (where applicable): I have reviewed and approved our organization’s Quality Improvement Plan on

Board Chair / Licensee or delegate

Administrator /Executive Director

Quality Committee Chair or delegate

Other leadership as appropriate

Org ID 51094 | Fairmount Home for the Aged

ofQuality 134 Improvement Plan 2025-029 FairmountPage Home 42 HQO

WORKPLAN QIP 2025/26

Org ID 51094 | Fairmount Home for the Aged

Equity Measure - Dimension: Equitable Indicator #1

Type

Unit / Population

Source / Period

Percentage of staff (executive-level, management, or all) who have completed relevant equity, diversity, inclusion, and anti-racism education

% / Staff

Local data collection / Most recent consecutive 12-month period

Current Target Target Justification Performance 50.00

External Collaborators

100.00 Theoretical best: The theoretical best possible performance for this indicator is 100%.

Change Ideas Change Idea #1 All current management and staff will complete relevant equity, diversity, inclusion, and anti-racism education in 2025. Methods

Process measures

Target for process measure

Comments

Our Education Lead will use our online learning platform, Surge Learning, to track progress.

Number of management and staff that completed relevant equity, diversity, inclusion, and anti-racism education per quarter.

65% of management and staff will complete relevant equity, diversity, inclusion, and anti-racism education by June 30, 2025 and 100% by December 31, 2025.

Total LTCH Beds: 128

Change Idea #2 All newly hired employees will receive relevant equity, diversity, inclusion, and anti-racism education during their orientation period. Methods

Process measures

Target for process measure

Our Human Resource Generalists will schedule all newly hired employees in for County Orientation which covers education on equity, diversity, inclusion, and anti-racism.

Number of newly hired employees that completed relevant equity, diversity, inclusion, and anti-racism education during their orientation period each month.

100% of newly hired employees will receive relevant equity, diversity, inclusion, and anti-racism education during their orientation period.

Report Access Date: February 25, 2025

Comments

ofQuality 134 Improvement Plan 2025-029 FairmountPage Home 43 HQO

Quality Improvement Plans 25/26 (QIP): Progress Report on the 2024/25 QIP

Fairmount Home for the Aged

Last Year

Indicator #1 Percentage of LTC residents without psychosis who were given antipsychotic medication in the 7 days preceding their resident assessment (Fairmount Home for the Aged)

Report Accessed: February 25, 2025

This Year

33.01

Performance (2024/25)

Target (2024/25)

24.25 26.54% Performance (2025/26)

Percentage Improvement (2025/26)

NA Target (2025/26)

ofQuality 134 Improvement Plan 2025-029 FairmountPage Home 44 HQO

Quality Improvement Plans 25/26 (QIP): Progress Report on the 2024/25 QIP

Fairmount Home for the Aged

Change Idea #1 0 Implemented □ Not Implemented

Ensure resident diagnosis are recorded appropriately upon admission and quarterly. Process measure • Report quarterly on the number of residents on antipsychotics without a diagnosis of psychosis. Target for process measure • All new admissions will have their diagnoses recorded appropriately and existing residents will be reviewed/updated quarterly. Percentage will fluctuate with # of admissions in the year.

Lessons Learned We succeeded our goal of reducing the number of residents without psychosis who were given antipsychotic medication in the 7 days preceding their resident assessment by ensuring medical diagnosis were recorded on admission and on going. Change Idea #2 0 Implemented □ Not Implemented

Enhance the use of non-pharmacological interventions. Process measure • Number of residents displaying new responsive behaviours per month. Target for process measure • 100% of residents displaying new responsive behaviours will have non-pharmacological interventions identified and included in their care plan.

Lessons Learned We utilized non-pharmacological interventions and internal resources (BSSO team, MRT, SMH, etc.) to assist in reducing the number of residents without psychosis who were given antipsychotic medication in the 7 days preceding their resident assessment.

Report Accessed: February 25, 2025

Report 2025-030 Council Recommend Report To:

Warden and Members of County Council

From:

Kevin Farrell, Chief Administrative Officer

Prepared by:

Susan Brant, Administrator, Fairmount Home

Date of meeting:

March 19, 2025

Re:

Fairmount Home - Long-Term Care Home Service Accountability Agreement (LSAA) - Schedule E - Form of Compliance Declaration

Recommendation Resolved That the Council of the County of Frontenac receive the Fairmount Home Long-Term Care Home Service Accountability Agreement (LSAA) - Schedule E - Form of Compliance Declaration Report; And Further That the Council of the County of Frontenac direct the Clerk to sign the Long-Term Care Home Service Accountability Agreement Schedule E – Form of Compliance Declaration for return to Ontario Health. Background The LSAA is the service accountability agreement between a long-term care home licensee and Ontario Health and is a requirement under the Connecting Care Act, 2019. The agreement assists Ontario Health in fulfilling its obligations to the Ministry of LongTerm Care, the Province of Ontario, and its plan to integrate the local health system. Ontario Health provided notice on January 27, 2025, advising the current LSAA will be extended to March 31, 2026. Comment The LSAA reporting requirements include an annual completion of the Schedule E – Form of Compliance Declaration that is attached as Appendix A. After consultation with the appropriate officers and management, the Administrator believes that Fairmount Home has fulfilled its obligations during the reporting period from January 1, 2024, to December 31, 2024.

of 134 Care Home Service Accountability Agree… 2025-030 FairmountPage Home 45 Long-Term

Sustainability Implications Not applicable. Financial Implications If the LSAA – Schedule E – Form of Compliance Declaration is not signed, Ontario Health will discontinue the flow of funds to Fairmount Home. Organizations, Departments and Individuals Consulted and/or Affected Consulted • Fairmount Home, Management • Kevin Farrell, Chief Administrative Officer • Alex Lemieux, Director of Corporate Services/Treasurer • Ontario Health

Council Recommend Report Fairmount Home - Long-Term Care Home Service Accountability Agreement (LSAA) March 19, 2025

of 134 Care Home Service Accountability Agree… 2025-030 FairmountPage Home 46 Long-Term

Page 2 of 2

Schedule E – Form of Compliance Declaration DECLARATION OF COMPLIANCE Issued pursuant to the Long-Term Care Home Service Accountability Agreement To:

The Board of Directors of Ontario Health Attn: Board Chair.

From:

The Board of Directors (the “Board”) of the Corporation of the County of Frontenac (the “HSP”)

For:

Fairmount Home (the “Home”)

Date:

March 19, 2025

Re:

January 1, 2024 – December 31, 2024 (the “Applicable Period”)

The Board has authorized me, by resolution dated March 19, 2025, to declare to you as follows: After making inquiries of Susan Brant, Administrator, and other appropriate officers of the Health Service Provider (the “HSP”) and subject to any exceptions identified on Appendix 1 to this Declaration of Compliance, to the best of the Board’s knowledge and belief, the HSP has fulfilled its obligations under the long-term care home service accountability agreement (the “Agreement”) in effect during the Applicable Period. Without limiting the generality of the foregoing, the HSP confirms that: (i)

it has complied with the provisions of the Connecting Care Act, 2019 and with any compensation restraint legislation which applies to the HSP; and

(ii)

every Report submitted by the HSP is accurate in all respects and in full compliance with the terms of the Agreement.

Unless otherwise defined in this declaration, capitalized terms have the same meaning as set out in the Agreement between the Ontario Health and the HSP effective April 1, 2023.

Jannette Amini, Manager of Legislative Services/Clerk

of 134 Care Home Service Accountability Agree… 2025-030 FairmountPage Home 47 Long-Term

Schedule E – Form of Compliance Declaration Cont’d. Appendix 1 - Exceptions [Please identify each obligation under the LSAA that the HSP did not meet during the Applicable Period, together with an explanation as to why the obligation was not met and an estimated date by which the HSP expects to be in compliance.] Not applicable

of 134 Care Home Service Accountability Agree… 2025-030 FairmountPage Home 48 Long-Term

Report 2025-031 Council Information Report To:

Warden and Members of County Council

From:

Kevin Farrell, Chief Administrative Officer

Prepared by:

Susan Brant, Administrator

Date of meeting:

March 19, 2025

Re:

Fairmount Home – Resident and Family Annual Satisfaction Survey 2024

Recommendation This report is for information purposes only. Background The Fixing Long-Term Care Act (FLTCA), 2021, s. 43(1) states every license of a longterm care homes shall ensure that, unless otherwise directed by the Ministry, at least once in every year a survey is taken of the residents, their families and caregiver to measure their experience with the home and the care, services, programs, and goods provided at the home. Comment Resident Family Satisfaction Survey Fairmount was one of eight (8) LTC homes that developed common satisfaction surveys for residents and families that met the homes’ requirements under the FLTCA as well as CARF Accreditation standards. There was an individual survey for residents and a separate survey for family members, Powers of Attorney (POA) or caregivers of residents. Survey respondents were able to complete the survey by hardcopy or online. There were 449 survey responses (286 resident responses and 163 family responses) among the eight (8) LTC homes with an overall average score for residents of 93% and families/POA of 96%.

of 134 2025-031 FairmountPage Home 49 Resident and Family Annual Satisfaction Survey 2…

At Fairmount, there were 62 total survey responses which is a 6% increase in the number of Fairmount’s residents who responded when compared to 2023. In addition, the family members’ response rate decreased by 31% when compared to the previous year. Overall, Fairmount’s satisfaction survey results at 95% was marginally higher than the previous year (94%) and consistent with the other homes’ overall results (92%). Management has reviewed the survey responses including the comments and will ensure that action is taken, as appropriate. The satisfaction survey results will be shared with Residents’ Council and Family Council. The Resident and Family Annual Satisfaction Survey Response Summary for 2024 is attached as appendix A. Strategic Priorities Implications 3. Strengthen Quality of Life through Enhanced Service Delivery •

Focus on Fairmount Home o Improve the quality of care and services provided to residents.

Organizations, Departments, and Individuals Consulted and/or Affected Residents, Families & Caregivers Fairmount Management Team Fairmount Staff

Council Information Report Fairmount Home – Resident and Family Annual Satisfaction Survey 2024 March 19, 2025

of 134 2025-031 FairmountPage Home 50 Resident and Family Annual Satisfaction Survey 2…

Page 2 of 2

of 134 2025-031 FairmountPage Home 51 Resident and Family Annual Satisfaction Survey 2…

Resident and Family Satisfaction Survey Results

22 40 62

All LTC Homes (8) 2024 Variance 163 -32% 286 24% 449 -27%

96% 93% 95%

2024 92% 92% 92%

Variance 4% 1% 4%

2024

Variance

97% 97% 94% 96%

100% 95% 100% 100%

94% 97% 96% 99%

6% -2% 4% 1%

100%

90%

10%

94%

77%

80%

-2%

90%

100%

94%

88%

91%

90%

97%

100%

94%

97%

100%

90%

10%

97%

95%

92%

91%

100%

91%

97% 97%

100% 95%

97% 92%

3% 4%

97%

95%

92%

Response rate Family Residents Total

2023

Average score Family/Substitute Decision Makers Residents Total

2023

Family/Substitute Decision Maker Responses

2023

Q3 I feel that good personal care is provided to my loved one. Q4 I am satisfied with the respect and emotional support given to my loved one. Q5 I am involved as much as I want to be in decisions about care. Q6 The Home respects my loved one’s spiritual and cultural values. Q7 I am satisfied with the medical attention provided by my loved ones physician (and/or Nurse Practitioner). Q8 I feel there is enough recreation programs that meet the individual needs and interests of each resident. Q9 I am happy with the overall cleanliness of the Home Q10 I am satisfied with the laundry services provided over the past year to my loved one. (quality, care and delivery services) Q11 Nursing team members (PSW, RPN, RN) actively listen to me. (listen and acknowledge what I am saying) Q12 The Home responds to my questions and concerns in a timely manner. Q13 I feel informed about policies, routines and services at the Home so that I understand the context of my loved one’s care. Q14 Staff identify themselves when I am speaking with them (either verbally or via the wearing of their name tag). Q15 I am comfortable approaching staff with my concerns. Q16 The Home resolves my concern(s) to my satisfaction. Q17 As POA/SDM, I am provided with enough information regarding changes in medication, physical condition and plan of care in order to provide my informed consent.

2024

32 38 70 2024

95% 93% 94%

of 134 2025-031 FairmountPage Home 52 Resident and Family Annual Satisfaction Survey 2…

Resident and Family Satisfaction Survey Results

Response rate Q18 During this past year, I am satisfied with how the Home responded to outbreaks occuring in the Home. The appropriate precautions were taken to protect my loved one. Q21 I am satisfied with the Hairdressing services provided to my loved one. Q22 I am satisfied with the Physiotherapy Services provided to my loved one. (heat therapy, range of motion, one to one exercises, walking) Q23 I am aware of how I could access external healthcare services. (ie. dental, advanced foot care, vision and hearing services) Q24 I would recommend this Home to others.

Resident Responses My Personal Care Q3. I am treated with kindness, courtesy, compassion, fairness, respect and dignity.

Q4. I feel that team members (nursing staff - PSW, RPN, RN) appreciate/respect my privacy. Q5. Nursing staff take into consideration my religious, ethnic and cultural values. Q6. I am encouraged and/or involved in decisions about my care. Q7. Team members answer when I call (when they do so, they are respectful - knock on the door, introduce themselves, etc.) Q8. Good personal care is provided (tooth brushing, bathing and dressing). Q9. Nursing staff actively listen to me (listen and acknowledge what I am saying). Q10. My preferences are respected regarding bathing (day/time/bath or shower). Q11. My preferences are respected regarding time I prefer to go to bed. Q12. My preferences are respected regarding time I prefer to get up. Q13. I am given enough information about changes in my medication, physical condition and plan of care to feel capable of giving my consent. Q14. I am given timely information on how I could access external healthcare services when I require them (i.e. dental, advanced foot care, hearing services). Q15.The incontinence products (briefs, pads, liners) provided in the Home meet my needs.

2023

2024

All LTC Homes (8) 2024 Variance

97%

95%

96%

-1%

97%

86%

92%

-6%

88%

95%

82%

13%

100%

95%

89%

100%

96%

2023

2024

Variance

97%

98%

94%

97%

100%

92%

96%

100%

95%

97%

93%

87%

92%

88%

89%

-1%

100%

97%

95%

98%

91%

89%

90%

87%

92% 100%

98% 98%

94% 90%

4% 8%

89%

83%

86%

-3%

97%

88%

85%

96%

100%

93%

7% 2

of 134 2025-031 FairmountPage Home 53 Resident and Family Annual Satisfaction Survey 2…

Resident and Family Satisfaction Survey Results

Response rate Q16. I am satisfied with the medical attention provided by my Physician (and Nurse Practitioner, if applicable). My Home Environment Q18. The overall cleanliness of the Home. Q19. Feeling safe and secure with all team members (all staff). Q20. Feeling safe and secure with other residents. Q21. Feeling safe and secure in my home environment. Q22. Feeling the gardens and grounds outside are inviting and well maintained. Q23. Feeling the décor in public and shared areas is homelike. Q24. The cleanliness and layout of my room. Q25. Feeling an overall homelike environment. Laundry Services Q27. The Laundry Services provided over the past year (i.e. were they delivered timely and to the appropriate owner; quality of care of my clothing; missing items being found). Q28. Overall, I am treated with kindness, courtesy, compassion, fairness, respect and dignity by the environmental team (staff members - including housekeeping, laundry, maintenance). Mealtime Experiences Q30. Menu choices - I am offered meal options for breakfast/lunch/dinner. Q31. The availability and choice of nourishments and between meal snacks. Q32. Temperature of meals were ok. Q33. The food tastes good and are good portions. Q34. Overall dining experience (service and atmosphere). Q35. Overall, I am treated with kindness, courtesy, compassion, fairness, respect and dignity by the Dietary (staff) team members. Recreation and Therapy Services Q37. I enjoy the recreational activities (manicures, bingo, art therapy and games)

Q38. I enjoy community outings (shopping trips, lunches and day trips) Q39. I enjoy intellectual programs (trivia, reminiscing, current news events) Q40. I enjoy social programs (special events, socials and parties) Q41. I enjoy spiritual services (church, bible study and hymn sing). Q42. I am satisfied with the assistance/encouragement I receive from team members (Activation/Recreation staff) to enjoy a program.

2023

2024

All LTC Homes (8) 2024 Variance

92%

90%

79%

11%

100% 95% 87% 89% 100% 95% 97% 95%

100% 98% 90% 93% 100% 95% 98% 95%

98% 96% 85% 95% 96% 90% 94% 86%

2% 2% 5% -2% 4% 5% 4% 9%

92%

87%

86%

92%

95%

97%

-2%

89% 97% 76% 89% 83%

95% 100% 90% 87% 93%

95% 91% 79% 84% 89%

0% 9% 11% 3% 4%

95%

98%

97%

96%

99%

-3%

93% 90% 94% 95%

96% 84% 93% 96%

97% 96% 98% 97%

-1% -12% -5% -1%

94%

96%

-2% 3

of 134 2025-031 FairmountPage Home 54 Resident and Family Annual Satisfaction Survey 2…

Resident and Family Satisfaction Survey Results

Response rate Q43. I am always asked if I want to participate in activities happening in the Home

Q44. I enjoy the physiotherapy services (heat therapy, range of motion, exercises). Q45. I enjoy the restorative care program (i.e. meal support, bladder training, range of motion, and/or walking program). Q46. I enjoy the exercise programs. Q47. I am satisfied with my involvement and/or the work of the Residents’ Council in the Home. Q48. I enjoy the hairdressing services (assistance, availability, friendliness). Q49. Overall, I am treated with kindness, courtesy, compassion, fairness, respect and dignity by the Recreation team members. Communication Q51. I can share my opinion without fear of consequences. Q52. Team members (staff) care about any issues I may convey, I feel listened to. Q53. Team members (staff) take the time to understand my concerns. Q54. The Home responds to my questions/concerns in a timely manner. Q55. The Home resolves my concern(s) to my satisfaction. Overall Q57. During the past year, I felt that the Home was taking appropriate precautions when Outbreaks occurred which helped me feel safe. Q59. I would recommend this Home to others Q60. Overall, I am happy with the home and the team members (staff).

2023

2024

All LTC Homes (8) 2024 Variance

89%

90%

93%

-3%

90%

97%

94%

81%

100%

96%

92%

73%

46%

87%

-41%

100%

94%

100%

98%

99%

-1%

89%

92%

93%

-1%

89%

90%

84% 92% 88%

92% 92% 82%

88% 90% 89%

4% 2% -7%

94%

95%

95% 95%

98% 98%

96% 96%

2% 2%

Report 2025-034 Council Recommend Report To:

Warden and Members of County Council

From:

Kevin Farrell, Chief Administrative Officer

Prepared by:

Debbi Miller, Community Development Officer

Date of meeting:

March 19, 2025

Re:

Planning and Economic Development – Operational Review – Healthcare in our Community

Recommendation Be It Resolved That County Council receives the Healthcare in our Community Report and Presentation provided by 8020 Info Inc, And That the Council of the Corporation of the County of Frontenac approve the proposed recommendations outlined in the Healthcare in our Community report and presentation, attached to this report as Appendix A, And That staff develop an Implementation Plan outlining actions, schedule, and costs associated with the recommendations outlined in the report, And Further That the Implementation Plan be presented to County Council prior to 2026 budget deliberations. Background Frontenac County Council adopted and implemented support for healthcare recruitment and retention as part of the approval of the County 2024-2028 Budget and Business Plan process. County Council noted that there should be a plan for the use of funds and that use should not be limited to bonuses for physician recruitment. County Council approved contributions of $22,000 per year beginning in 2023 to support the recruitment of primary care professionals to clinics located within Frontenac County.

Page 55 of 134 2025-034 Planning and Economic Development Operational Review - Healthca…

In April 2024, the Planning and Economic Development Committee approved Report 2024-034, Following this direction, staff contracted Rob Wood of 8020 Info Inc to complete an Operational Review of the four Frontenac County clinics, Sydenham Medical Clinic, Verona Medical Clinic, both part of the Rural Kingston Family Health Organization, Sharbot Lake Family Health Team and Wolfe Island Community Medical Clinic to support the retention and recruitment of healthcare professionals to the region. Discussions with clinics located in Frontenac County identified that the administrative burden has increased. The administrative burden considered within the scope of the Operational Review included, but was not limited to recruiting staff, job postings, payroll, vacation approvals and day-to-day coverage, training, information technology (IT) support, policies and procedures, and oversight for cleaning, property maintenance including snow removal, and lawn care. If the administrative burden was alleviated or reduced, it would allow primary care providers at the clinics to focus on healthcare, rather than the day-to-day requirements of operating a business. To assist with funding the Operational Review, Economic Development staff applied for the Frontenac Business Services – 20th Anniversary – Futures Grant funding support. The application was successful with a grant of $5,000 being awarded to be used towards the Operational Review. Comment In July 2024, the County contracted Rob Wood, President and CEO of 8020 Info Inc. to complete the Operational Review of the clinics in Frontenac County for the purpose of discovering opportunities for operational improvements and community collaboration as outlined in Report 2024-034. Key findings that emerged from discussions with primary care providers providing healthcare in our community include: •

Healthcare in Frontenac County is at a pivotal moment and requires municipal community and provincial support, on numerous levels to be sustained as a critical part of the Frontenac communities.

•

The clinics need support to continue in our region. Without the support of Frontenac County and the Townships, the future is uncertain.

•

There is a lack of primary care physicians across Frontenac County, with an immediate need to recruit.

•

There are retirements expected within the next couple of years.

•

The administrative burden on clinics continues to increase taking time primary care physicians should be spending with patients to be spent on administrative items.

Process and Engagement Council Recommend Report Operational Review - Healthcare in our Community March 19, 2025

Page 56 of 134 2025-034 Planning and Economic Development Operational Review - Healthca…

Page 2 of 5

The Operational Review project started in August 2024, with an initial meeting of the four Frontenac Clinics to outline the plan of approach and the expectations of their time during the process. From August to December 2024 a series of meetings were held with the following groups or individuals: Sharbot Lake Family Health Team, Verona Medical Clinic, Sydenham Medical Clinic, both physicians and staff with the clinics, Wolfe Island Community Medical Clinic - Board Members, Frontenac Paramedics Chief, Frontenac County CAO, Director of Planning and Economic Development, Manager of Economic Development, Frontenac County and Township CAO’s and Treasurers, Lakelands Family Health Team in Northbrook, Team members of the Frontenac Lennox and Addington Ontario Health Team (FLA OHT), their digital lead, contacts with the Greater Napanee Health Home, Kingston Health Sciences Centre, Lennox and Addington County General Hospital. Each of the meetings was facilitated to gather information, learn about challenges, and explore potential opportunities for the clinics in Frontenac County to collaborate and ultimately ease the administrative burden. Throughout the meetings from August to December, it became evident that no single approach could unify and improve all clinics, as each operates under a different model with distinct priorities, issues, and impacts. Local solutions were discussed to support the clinics to ease the administrative burden and ultimately support the retention and recruitment to the Frontenac Clinics. The four Frontenac Clinics were brought together on January 22 in-person at the Verona Medical Clinic. This meeting was to outline and confirm the initial findings from the Operational Review and outline the proposed next steps with the group that would be presented to County Council as part of the presentation and report from consultant Rob Wood. Implementation Plan To ensure transparency, following the approval of the recommendations outlined in the report, County staff will develop an implementation plan for the Healthcare in our community initiative. The implementation plan will include a timeframe for reporting back to County Council. A look ahead to implementation has been considered and below are some key considerations that have been identified. •

Resources and Budget – Resources from Frontenac County and potentially the four Townships will need to be considered for various projects. Resources could include budget, services or human resources/expertise. Before specific projects are taken on a review of capacity will need to be done to ensure delivery on the commitment.

Council Recommend Report Operational Review - Healthcare in our Community March 19, 2025

Page 57 of 134 2025-034 Planning and Economic Development Operational Review - Healthca…

Page 3 of 5

•

Timing and Sequencing – Projects may need to be done in a certain order or may need to be reordered to accommodate timing of projects outside of the control of Frontenac County.

•

Dr. Jane Philpott’s Primary Care Action Plan project – As this project is in the early stages, there are limited details available yet about the 1.8-billion-dollar funding announcement. More information is expected later in March and may require resources to pursue opportunities.

Additional Healthcare Initiatives Throughout the timeframe of the Operational Review, the Community Development Officer advanced efforts to support recruitment and retention of Primary Care providers in Frontenac County. Below are a few updates: •

Made connections, met and explored opportunities: This included participating in the Frontenac Lennox and Addington Ontario Health Team (FLA OHT), Health Home working table and attending the FLA OHT Primary Care Provider Summit. Met with the regional advisor from Health Workforce from Ontario Health.

•

Participation in the Eastern Ontario Physician Recruitment Alliance (EOPRA): Staff will be participating in some recruitment events and continue to make connections with recruiters and other healthcare professionals. A report for this membership will be done at the end of 2025.

•

Video: The healthcare recruitment video was completed, posted on the Frontenac County website and shared on social media channels.

•

Website: The County of Frontenac website was updated to include the Healthcare in our community webpage, making it easier to find on the website. The content was updated and now includes links to Frontenac clinic job postings.

Strategic Priority Implications County Council approved Frontenac County Strategic Plan (2023-2026). This project is aligned with the intent of the priority listed below, with specific items. Priority 2. Contribute to the Progress of Sustainable Economic Growth and Prosperity Throughout the County. •

Provide business support and resources to existing and prospective businesses.

Financial Implications While there are no direct financial implications in this report, there will be one-time and ongoing costs associated with the proposed implementation plan. County Council Council Recommend Report Operational Review - Healthcare in our Community March 19, 2025

Page 58 of 134 2025-034 Planning and Economic Development Operational Review - Healthca…

Page 4 of 5

makes an annual contribution to a strategic reserve for the purpose of recruiting and retaining healthcare professionals in Frontenac County. The Futures Grant Award and Partnership Agreement with Frontenac Business Services program provided $5,000 towards the Operational Review. The remaining amount for the Operational Review was allocated from this Strategic Project Reserve. Organizations, Departments and Individuals Consulted and/or Affected •

Frontenac County clinics physicians, clinic managers, board of directors, o Sydenham Medical Clinic, part of the Rural Kingston Family Health Organization o Verona Medical Clinic, part of the Rural Kingston Family Health Organization, o Sharbot Lake Family Health Team o Wolfe Island Community Medical Clinic Board Members

•

Frontenac Township CAO’s - Corey Klatt, Cathy MacMunn, Louise Fragnito, Vanessa Latimer

•

Alex Lemieux, Director of Corporate Services/Treasurer

•

Joe Gallivan, Director of Planning and Economic Development

•

Richard Allen, Manager of Economic Development

•

Marc Goudie, Frontenac Paramedics Chief

•

Lakelands Family Health Team

•

Eastern Ontario Physician Recruitment Alliance (EOPRA)

•

Frontenac Lennox and Addington Ontario Health Team (FLA OHT), their digital lead, contacts with the Greater Napanee Health Home.

•

Kingston Health Sciences Centre (KHSC)

•

Lennox and Addington County General Hospital.

•

Ontario Health Regional Advisor

Council Recommend Report Operational Review - Healthcare in our Community March 19, 2025

Page 59 of 134 2025-034 Planning and Economic Development Operational Review - Healthca…

Page 5 of 5

Healthcare In Our Community Supporting Primary Care in Frontenac County Findings Report to Frontenac County Council – March 19, 2024

Easy wins to ease burdens on primary care clinics are few, but options exist for collaboration and alternative business models. It didn’t take long for the operations review to learn that most healthcare clinics in Frontenac County are operating under significant burdens. They include constraints on clinical time, financial pressures, health human resource shortages, and heavy administrative workloads. Impending physician retirements and recruitment challenges also present urgent concerns for our communities. Unique Needs: What was apparent from the outset was that challenges differ significantly from clinic to clinic, both in type and scale. Solutions needed to support clinics in, say, Sydenham and Verona differ from those needed in Sharbot Lake or Wolfe Island. Structural Differences: Their structures, operating models and access to resources also vary. The Rural Kingston physician group also serves Lennox & Addington clinics. Sharbot Lake physicians are affiliated with the Tay River Health Centre in Perth. Wolfe Island has no resident physician or nurse practitioner. Sharbot Lake has the support of a Family Health Team (as does Northbrook) to provide health programs and services. Other clinics rely on a mix of funding sources, their own pockets and volunteer support. Supporting Our Clinics: For some clinics, municipal support has been significant and effective — with services, financial incentives and in-kind support. While the primary financial responsibility rests with the province, these pressures have consequences locally. Our municipal governments and their communities have a stake in supporting these clinics, helping them to stabilize and renew over the next few years. Opportunities to Move Forward: In addition to smaller practical steps focused on lightening administrative burden, our clinics need support to consider ways to evolve into more sustainable business models — both to keep going and also to attract the next generation of physicians and other healthcare professionals to practice in our rural communities. It will involve exploring new business models, collaborations, financial arrangements and technologies. To that end, these recommendations provide a starting point for further discussion and coordinated action.

Consulting support provided by

Page 60 of 134 2025-034 Planning and Economic Development Operational Review - Healthca…

Page 1 of 12

Findings Report Index:

Situation Analysis: Pivotal Issues …………………………………………………. Pages 3-6 • Administrative Burden Levels Take Time Away From Practice • Impending Retirements Are a Local Concern • The Challenges for Recruitment and Retention • Coping with Technological Change • Considering Employment-Oriented Models of Primary Care • Municipal Supports for Health Care

Recommendations: ………………………………………………………………………. Pages 7-9 ◧

Help primary care clinics (especially in South Frontenac) transition to a more sustainable and attractive business model.

◧

Support initiatives to bring healthcare services to Frontenac Islands.

◧

Develop a coordinated, collaborative recruitment and retention program.

◧

Engage community members as supporters, advisors and advocates.

◧

Explore practical steps to help reduce the admin burden on clinics.

◧

Help reduce technology-related burdens and enhance productivity.

◧

Enhance connections, communications and partnerships.

Appendix: Background Briefing ……………………………………………………… Pages 10-12 • The FLA OHT Model of Care: “Health Home” • The Primary Care Action Team (Jane Philpott) • A Snapshot of the Greater Napanee Health Home Model • A Snapshot of the Midtown Kingston Health Home Model • Context for Primary Care Clinics and Physician Recruitment

Consulting support provided by

Page 61 of 134 2025-034 Planning and Economic Development Operational Review - Healthca…

Page 2 of 12

Background Briefing:

Situation Analysis: Some Pivotal Issues  Administrative Burden Levels Take Time Away From Practice According to the Ontario Medical Association, family doctors spend 19 hours per week on administrative tasks, including four hours writing notes or completing medical forms for patients. The requirement for that level of administrative time was generally confirmed in our consultations with local clinics. Physicians in Frontenac County are signing payroll cheques, updating software and learning new technologies like AI, attending to procurement, helping with maintenance as may be required, interviewing candidates for vacant positions and spending time on related HR tasks. In addition to forms, physicians and clinic staff also spend time helping patients navigate the system and provide other non-clinical support.

 Impending Retirements Are a Local Concern Dr. Dominik Nowak, president of the Ontario Medical Association, was recently quoted in local media that 40% of doctors in the province are thinking of retiring early or scaling back over the next five years. He attributes that trend to outdated funding models, the massive administrative burden, the lack of access to teams, and the feeling of “needing to be everything to everyone at all times.” In Frontenac County, one physician is already carrying double the normal roster of patients. In another clinic, one physician is expected to retire in 28 months, with another to follow within five years and the remaining doctor would probably not be able to take on additional patients. Sharbot Lake has one doctor well beyond typical retirement age, one locum (temporary) physician and one recently added physician practising by way of the International Medical Graduate program until they can obtain a license for independent practice. The islands have no resident physicians. In the provincial context, some estimates put the current shortage of physicians at 3,500. It is clear that, without successful efforts to recruit and retain physicians, nurse practitioners and other clinic staff, Frontenac County will face a critical gap in primary care within the next 3–5 years.

Consulting support provided by

Page 62 of 134 2025-034 Planning and Economic Development Operational Review - Healthca…

Page 3 of 12

 The Challenges for Recruitment and Retention Family medicine graduates are increasingly seeking practice settings and employment models that offer a balance of work-life integration, flexibility, and community focus. They also value opportunities for professional development and mentorship, and are drawn to practices that prioritize patient-centred care and team-based approaches. Some family physicians are choosing to focus on specific areas of interest (rather than general, comprehensive family practice). Overall, the family physician workforce is becoming younger and more female, and it remains concentrated in urban areas. Many are drawn to community-based practices, however, including those in rural, small-town, and urban settings, where they can build relationships with patients and serve their communities. A newly recruited physician in a nearby county said they were attracted by the opportunity to practise “the way family medicine should be practised”. The lifestyle appealed to the family and the community worked together to promote it and to help them settle in. It is fair to say that, in our area, recruitment efforts are often pursued independently (not in a coordinated regional way) and sometimes piecemeal through a range of different communications channels and services. A key factor in attracting a physician to a practice in our community is the business model. Increasingly they want to work shorter or flexible hours (often to accommodate family responsibilities). They don’t want to have to hire their own staff, sign long-term leases or be financially responsible for physical premises and overhead. They want worry-free vacation time, benefits and “all the things that are like a normal job.” The president of the Ontario Medical Association has noted that helping doctors to find deeper fulfillment in their jobs would be an important strategy to help address the shortage of family doctors.

Consulting support provided by

Page 63 of 134 2025-034 Planning and Economic Development Operational Review - Healthca…

Page 4 of 12

 Coping with Technological Change A significant challenge for physicians and/or staff involves time spent on “keeping up” with changing technologies, cybersecurity concerns and AI. Tech is not their core business, unlike larger organizations with tech departments supporting many users. It takes time to “know what you need to know”, let alone doing upgrades, fixing bugs or transitioning to a new system. The clinics in Frontenac County have varied levels of tech capabilities. Some have staff in clinic roles that have also developed tech-savvy skills. Others pay for limited outside support. Research has shown that using medical (AI) scribes can reduce the time doctors spend on after-hours documentation by up to 50%. Local experience has shown there is also a learning curve involved, and AI tools don’t always produce the type of results required. In KFLA, about 130 physicians have been taking advantage of AI Scribe (while others have the digital tool embedded in their electronic medical records/EMR systems). The FLA OHT has also engaged a digital change management resource to support clinics as they explore AI Scribe and online appointment booking software.

 Considering Employment-Oriented Models of Primary Care In primary care, there is an increasing trend of interest in employment-based vs. traditional fee-for-service models. It appeals to both older and new physicians because it relieves them of administrative burdens related to the business side of their practices. Team-Based Care: Health care is moving towards a model of person-centred, teambased, geographically based primary care, seen as the way forward to ensure patients have access to services. Practices associated with family health teams have additional resources and supports for their clinics. The blended salary/employment model has either been recently deployed or is being explored by the Greater Napanee Health Home & Midtown Kingston Health Home (both supported by the Kingston Community Health Centres), in Sharbot Lake, and by the Lakelands Clinic in Northbrook. (More details are included in the appendix.) What is a Blended Salary Model (BSM)? In Ontario primary care, a blended salary model involves a hybrid compensation approach where physicians receive a majority of their income from a fixed or guaranteed base salary based on number of enrolled patients, plus benefits and bonuses, and supplemented by fee-for-service or incentivebased payments. Physicians in this model become salaried employees of a community health centre or family health teams.

Consulting support provided by

Page 64 of 134 2025-034 Planning and Economic Development Operational Review - Healthca…

Page 5 of 12

 Municipal Supports for Health Care The level and type of support that municipalities provide to sustain healthcare clinics vary significantly, in Frontenac County and across the region generally. Locally, townships provide support in the way of facilities, property management services, cash financial incentives for physician attraction and other supports. Other communities include primary care physicians and staff in their benefits plans. On Wolfe Island, volunteers play a significant role in providing resources and pursuing opportunities to improve healthcare services on the islands. Financial incentives for recruitment offered in Frontenac County and nearby municipalities often cluster around the level of $100,000 over five years (e.g. Loyalist, Napanee, Kingston and others). Some, like North Frontenac, generously invest as much as 2% of their tax base to support physician attraction and retention. Other categories of potential support explored with local clinics to reduce administrative burdens included: • • • • • • • • • • • •

Financial support/cost mitigation/in-kind support/incentives Support for writing grant applications Communications infrastructure and support Coordination of HR recruitment/retention/succession Organizational development & training IT support, training and infrastructure Applications for rural status Transportation supports Support for administrative processes (payroll, forms, insurance, maintenance etc) Enhancing volunteer supports Sharing resources, expertise and technology among clinics The need to make the case for the crisis in primary care business models

It was noted that because different clinics have different needs and are more closely aligned with their own townships, a practical approach will be needed for follow-up. A second consideration, if clinics moved to another employment model, would be what back-office services the employer (community health centre or family health team) could offer.

Consulting support provided by

Page 65 of 134 2025-034 Planning and Economic Development Operational Review - Healthca…

Page 6 of 12

Recommendations:

Help primary care clinics (especially in South Frontenac) transition to a more sustainable and attractive business model.  Investigate employment-based/blended salary models and adapt them to needs of the clinics.  Explore potential collaborations that would deepen partnerships with other clinics in the region (e.g. Sharbot Lake, which is also looking at the blended salary model).  If desired, help clinics negotiate building blocks for transition to an employmentbased model (e.g. connecting with an employer of record such as a Family Health Team or Community Health Centre, access to allied health and administrative resources, funding, and other considerations).  Explore options and develop a vision for an integrated health home/hub in South Frontenac.  Develop opportunities for clinics in Frontenac County to share resources, skills and knowledge.  Support development of a business plan to pursue the best option for sustainability (e.g. for an employment-based model, tapping into the $1.8-billion primary care initiative, or other options).  Investigate opportunities to connect with clinics in Lennox & Addington (RKFHO physicians).

Support initiatives to bring healthcare services to Frontenac Islands.  Investigate opportunities to deploy mobile clinics (like PORCH – a mobile RV that offers health care and community services as a Portable Out Reach Care Hub).  Support efforts of the Wolfe Island Community Medical Clinic to achieve rural/remote designation. (For example, clarifying the data used in calculation of the Rurality Index for Ontario score.)  Connect with primary care providers (like Frontenac Doctors and the Queen’s Family Health Team / Department of Family Medicine) and the FLA OHT to seek enhanced services on the islands.

Consulting support provided by

Page 66 of 134 2025-034 Planning and Economic Development Operational Review - Healthca…

Page 7 of 12

Develop a coordinated, collaborative recruitment/retention program.  Develop a more coordinated system to promote openings in Frontenac health care (for physicians, NPs, allied professionals and admin staff) and reach out to prospect pools via the Eastern Ontario Physician Recruitment Alliance (EOPRA), the FLA Ontario Health Team, and websites.  Explore ways to promote practice in rural clinics and highlight community lifestyles as part of the effort to recruit physicians, nurse practitioners, locums, allied health and other clinic resources.  Look for opportunities to collaborate and harmonize recruitment efforts across the County / KFLA.

Engage community members as supporters, advisors and advocates.  Convene an advisory group of community volunteers representing the various regions of the county (more or less by township) to form a Community Healthcare Advisory Council (with municipal staff participating in and supporting the group administratively). The group would focus primarily on serving as a supportive bridge between community and clinics, assisting with recruitment efforts (familiarization tours of the community), and advising municipalities and health sector bodies (like FLA OHT and its Community Council) on local clinic and health needs.

Explore practical steps to help reduce the admin burden on clinics.  Continue discussions with clinics and municipalities to identify ways in which municipal infrastructure and services may be accessed to reduce administrative (nonclinical) demands and enhance supports (e.g. exploring options to enrol in benefits plan, collaborative digital communications, and working together to increase efficiencies through scale).

Consulting support provided by

Page 67 of 134 2025-034 Planning and Economic Development Operational Review - Healthca…

Page 8 of 12

Help reduce technology-related burdens and enhance productivity  Develop ways for clinics to access tech-related expertise to reduce time spent on “keeping up” and to assist with implementation of new systems, software updates, EMR support and so on.  Support awareness and adoption of productivity software like charting apps, online appointment bookings and Artificial Intelligence (AI).

Enhance connections, communications and partnerships  Support communication using existing channels in Frontenac County and the Townships (including but not limited to digital and social media) to advance awareness of healthcare, clinics and opportunities for healthcare human resources in Frontenac County.  Help connect clinics to municipalities, other community partners and service providers.

Consulting support provided by

Page 68 of 134 2025-034 Planning and Economic Development Operational Review - Healthca…

Page 9 of 12

Appendix:

 The FLA OHT Model of Care: “Health Home” The term Health Home is used to describe “a home base for easy access to all the health care and wellness services needed to achieve our best health”. It is the front door to the health-care system, including a team of health-care professionals who support those seeking their best health and wellness through every stage of their lives. These teams include primary care doctors, nurse practitioners and/or traditional healers, nurses and allied health professionals such as occupational and physical therapists, technologists and others who support preventive care and help manage chronic diseases, mental health workers, home and community care coordinators and community social support workers. They also connect to the broader community of service providers and social supports.

 The Primary Care Action Team (Jane Philpott) Dr. Jane Philpott, former dean of Health Sciences at Queen’s is now the newly appointed Chair of Ontario’s Primary Care Action Team, with a mandate to ensure that every Ontarian is connected to primary care within the next five years. She is a leading advocate for the locally developed health home models, which were derived from the structure of community health centres. Two new “health homes” based on this model have been launched in the past year in KFLA. One is the Midtown Kingston Health Home, and the other is the Greater Napanee Health Home. Interdisciplinary collaboration is at their core, where a team of health and social care providers work together to provide holistic support for each person’s unique health and wellness needs. Philpott is also promoting a new vision for a primary-care system that works like the public school system, with residents’ access decided according to geographic catchment areas. Primary care support is provided by a team of health-care professionals close to a person’s home.

Consulting support provided by

Page 69 of 134 2025-034 Planning and Economic Development Operational Review - Healthca…

Page 10 of 12

 A Snapshot of the Greater Napanee Health Home Model A model of interest locally is the recent launch of the Greater Napanee Health Home. The Town of Greater Napanee entered an agreement with Kingston Community Health Centres (KCHC) to provide $313,476 in annual funding for two years to support KCHC as they assume operational and governance responsibilities for the Greater Napanee Health Home. With physicians and clinic staff now employed by KCHC, administrative functions are performed by individuals with specialized training, allowing health-care providers at the Health Home to enhance overall efficiency and focus on delivering excellent clinical care. The model also provides an incentive for new family physicians and nurse practitioners to open a practice in Greater Napanee without having to take on administrative functions that take time away from providing patient care. This innovative approach replaces the town’s Physician Recruitment program. At the time, Greater Napanee had a population of 16,000 with an estimated 5,000 residents not rostered to a family physician or nurse practitioner.

 A Snapshot of the Midtown Kingston Health Home Model The Midtown Kingston Health Home opened in August 2024 . When running at full capacity it is expected to employ five physicians, three nurse practitioners and a team of supporting health-care practitioners to make the clinic a one-stop location for all family health needs. The clinic is aiming to roster 8,000 unattached patients based on their geographical location, in the surrounding neighbourhood around the clinic. It will also offer lowbarrier services, such as a sexual health clinic, cancer screening, prenatal support and well-baby care. As reported in a recent Kingston Whig-Standard story, the model is very intentional in the way it creates wraparound health care for its patients, with access not only to doctors and nurse practitioners, but a team of 30 staff including registered practical nurses and other regulated health professionals like social workers, mental health counsellors and a certified diabetes educator. Medical residents from Queen’s University will also be getting involved in patient care in the future.

Consulting support provided by

Page 70 of 134 2025-034 Planning and Economic Development Operational Review - Healthca…

Page 11 of 12

Physicians there have noted they don’t have to hire their own staff and are not financially responsible for physical premises and overhead. The community health centre looks after benefits and “all the things that are like a normal job.” As a teambased care setting, Midtown also appeals to new graduates who want to work in that type of environment. The Midtown Kingston Health Home opened its doors following two years of planning and a $4.1-million investment from the Ontario government. Nine key partners were involved in the planning, including Kingston Health Sciences Centre, Providence Care, Lennox and Addington County General Hospital, Queen’s University, Kingston Community Health Centres, the City of Kingston, KFL&A Public Health, and the Southeastern Ontario Academic Medical Organization (SEAMO). For more details see:

Kingston health home a ‘beacon of hope’ for Ontario’s health-care system March 7, 2025 – Whig – Meghan Balogh https://www.thewhig.com/feature/kingston-health-home-a-beacon-of-hope-for-ontariohealth-care-system

 Context for Primary Care Clinics and Physician Recruitment The Canadian Institute for Health Information (CIHI) reports a continuing trend of family physicians in Canada seeing fewer patients. On average, there has been an 18% decline over the past 10 years. Some of the key factors driving this decline are: • The administrative burden on family physicians. • Their need for better work–life balance. • An aging and increasingly complex patient population, requiring more time from family physicians to provide care for individual patients. • New models of care, such as team-based care, involving more health professionals like nurses and physiotherapists. • Provincial policy changes that expanded nurse practitioner and pharmacist prescribing authority to treat minor ailments without the need for a physician.

Consulting support provided by

Page 71 of 134 2025-034 Planning and Economic Development Operational Review - Healthca…

Page 12 of 12

Report 2025-033 Recommend Report to Council To:

Warden and Members of County Council

From:

Kevin Farrell, Chief Administrative Officer

Prepared By:

Marc Goudie, Paramedic Chief/Director of Emergency & Transportation Services

Date of Meeting:

March 19, 2025

Re:

Emergency and Transportation Services - 2024 Legislated Response Time Standard Performance Plan - Reporting to the Ministry of Health (MOH)

Recommendation Be It Resolved That the Council of the County of Frontenac receive the Emergency and Transportation Services - 2024 Legislated Response Time Standard Performance Plan - Reporting to Ministry of Health (MOH) for information, And Further That the 2024 Response Time Standard Performance Plan outcomes for the County of Frontenac be reported to the Director, Emergency Health Regulatory and Accountability Branch, Ministry of Health as required by legislation. Background The Legislated Response Time Standard (RTS) Performance Plan is set by Council annually for the upcoming year and reported to the Ministry of Health by October 31 each year. The results for the previous year must be reported to MOH by March 31 annually. At its meeting held September 20, 2023, County Council passed a resolution setting the Response Time Standard for 2024 as follows: CTAS SCA 1 2 3

Response Time 6 minutes 8 minutes 10 minutes 10 minutes

% Target 48% 70% 75% 75%

Page 72 of 134 Services 2024 Legislated Response … 2025-033 Emergency and Transportation

4 5

10 minutes 10 minutes

75% 75%

2024 Response Time Standard Performance The 2024 response time performance is presented below. CTAS SCA2 1 2 3 4 5

% Target 48%3 70%4 75% 75% 75% 75%

Target Response Time1 6 minutes5 8 minutes5 10 minutes 10 minutes 10 minutes 10 Minutes

% Actual Performance 50% 64% 72% 69% 69% 66%

Trend

Designated Delivery Agent will endeavour to have an ambulance crew arrive on scene in under the stated target response time.
Sudden Cardiac Arrest (SCA).
The percentage of times that a person equipped to provide any type of defibrillation has arrived on-scene to provide defibrillation to sudden cardiac arrest patients within six minutes of the time notice is received.
The percentage of times that an ambulance crew has arrived on-scene to provide ambulance services to sudden cardiac arrest patients or other patients categorized as CTAS 1 within eight minutes of the time notice is received respecting such services.
Times are set by the Ministry of Health.

Recommend Report to Council Emergency and Transportation Services – 2024 Legislated Response Time Standard Performance Plan - Reporting to the Ministry of Health (MOH) March 19, 2025 Page 2 of 6

Page 73 of 134 Services 2024 Legislated Response … 2025-033 Emergency and Transportation

Historical Response Time Standard Performance The following graphs provide a historical view of response time standard performance.

Recommend Report to Council Emergency and Transportation Services – 2024 Legislated Response Time Standard Performance Plan - Reporting to the Ministry of Health (MOH) March 19, 2025 Page 3 of 6

Page 74 of 134 Services 2024 Legislated Response … 2025-033 Emergency and Transportation

Recommend Report to Council Emergency and Transportation Services – 2024 Legislated Response Time Standard Performance Plan - Reporting to the Ministry of Health (MOH) March 19, 2025 Page 4 of 6

Page 75 of 134 Services 2024 Legislated Response … 2025-033 Emergency and Transportation

Comments Historical Trends. Our response time standard performance has been incrementally improving; however, we remain below our established targets. The addition of Paramedic resources has contributed to the improvements seen. As we continue to follow the recommendations from ORH in the coming years this will also help to improve response times. With the implementation of Medical Priority Dispatch System (MPDS), Recommend Report to Council Emergency and Transportation Services – 2024 Legislated Response Time Standard Performance Plan - Reporting to the Ministry of Health (MOH) March 19, 2025 Page 5 of 6

Page 76 of 134 Services 2024 Legislated Response … 2025-033 Emergency and Transportation

we anticipate that getting Paramedics to the sickest patients first will also improve our system performance. ORH Report. Frontenac Paramedics engaged the services of ORH in 2024 to conduct a service review and demands analysis to update a previously prepared report from 2019 using updated data. From that report they made staffing and resource recommendations for the next 10 years. Predictions on call growth for 2024 have been accurate with an actual increase in call volume of 3.85% in 2024 over 2023 (ORH predication of 3.6 to 3.9% growth year over year). The ORH report recommends an increase to Paramedic resources in 2026, 2027, and 2028 of an additional 12 hour/7 day a week ambulance for each of those years. MPDS. In February of this year, the Kingston Central Ambulance Communications Centre implemented a new dispatch software called Medical Priority Dispatch System (MPDS). This new system is designed to better prioritize Paramedic responses based on patient acuity. The sickest patients calling 911, those experiencing a ‘Threat to Life’, will be prioritized as high acuity and responded to immediately with lights and sirens. Lower acuity calls, those calls with non-life-threatening conditions or minor injuries, could experience a delay if paramedic resources are under pressure and responding to other higher acuity calls. Lower acuity calls will not unnecessarily be delayed if resources are available to respond. Frontenac Paramedics need to create further resiliency within our response system to make sure that we are meeting the needs of the community and the patients we serve while at the same time creating a system that is resilient against patient harm on account of any delays. Response Time Importance to CTAS. Response times are more clinically relevant in cases of acute, severe, and life-threatening emergencies. Specifically, those are Sudden Cardiac Arrests (SCA) calls and CTAS 1 and 2 calls. These represent the most ill or injured patients where response times will influence morbidity and mortality. Less acutely ill patients, CTAS 3, 4, and 5 patients, are at less risk of further deterioration of their condition affecting morbidity and mortality should a delay occur. Ambulance Service Review. The Ministry of Health’s Ambulance Service Review Team conducts scheduled inspections of each Paramedic Service in the province every three years. Not meeting our response time standard will likely be a finding in their Service Review Report. Financial Implications At the present time, there is no penalty assigned for failure to meet established response time standards. It is unknown if there will be any financial implications in the future. Organizations, Departments, and Individuals Consulted and/or Affected. Jennifer Perry, Performance Standards Assistant, Frontenac Paramedics Dean Popov, Deputy Chief of Operations, Frontenac Paramedics Jeremie Hurtubise, Deputy Chief of Performance Standards, Frontenac Paramedics Recommend Report to Council Emergency and Transportation Services – 2024 Legislated Response Time Standard Performance Plan - Reporting to the Ministry of Health (MOH) March 19, 2025 Page 6 of 6

Page 77 of 134 Services 2024 Legislated Response … 2025-033 Emergency and Transportation

Report 2025-035 Recommend Report to Council To:

Warden and Members of County Council

From:

Kevin Farrell, Chief Administrative Officer

Prepared by:

Richard Allen, Manager of Economic Development

Date of meeting:

March 19, 2025

Re:

K&P Trail – Trans Canada Trail Grant for Gate Signs, Wayfinding Signs, and Kilometer Markers

Recommendation Be It Resolved That County Council receives Report 2025-035 K&P Trail – Trans Canada Trail Grant for Signs And Further That the Warden and the Clerk be authorized to enter into an agreement with Trans Canada Trail for the purpose of funding the gate, wayfinding and km marker signs as described in this report. Background The Frontenac K&P Trail is a 78-kilometer section of multi-use recreational trail in Frontenac County, with 47 of those kilometers forming part of the Trans Canada Trail network. The Trans Canada Trail is a 27,000-kilometer network of trails that connects communities across Canada, and it is the longest recreational trail network in the world and is supported by national and local partners to enhance accessibility, safety, and connectivity. As a key component of this network, the K&P Trail plays an important role in linking Frontenac County to broader trail systems across Ontario and Canada. This report provides an overview of the K&P Trail gate improvement project, including the planned installation of new signage and updates to kilometer markers. It also outlines the funding support provided by Trans Canada Trail (TCT) for these improvements. Comment In response to recommendations from the Frontenac Accessibility Advisory Committee, modifications have been made to access gates along the K&P Trail to improve both accessibility and safety for all trail users. These improvements were reviewed and

PageCanada 78 of 134 2025-035 K&P Trail Trans Trail Grant for Gate Signs, Wayfinding S…

endorsed by the committee in Report 2024-57 - Proposed Accessibility Improvements to Gates on the K&P Trail, and the project is part of a multi-year, multi-initiative program funded through the Investing in Canada Infrastructure Program. The modifications were completed at 13 locations along the trail in November of 2024, and achieved the following: •

Widening gate openings to a minimum of 1,500 mm to better accommodate users with mobility devices, recumbent bicycles, double-wide trailers, and tricycles.

•

Relocating gates to ensure users remain on the firm, level trail surface and avoid hazardous edge conditions.

•

Implementing a two-gate system to facilitate safer and more accessible entry points.

For a location-by-location tour of these improvements, please review Report 2024-116 to the Accessibility Advisory Committee or visit the interactive project map provided by the Frontenac GIS team. New Gate Signs To complement the gate modifications updated wayfinding signage will be installed on each gate. These signs will: •

Improve visibility of gate structures, reducing potential collision hazards.

•

Provide trail rules, wayfinding, and accessibility information in accordance with the AODA Design for Public Spaces Regulation.

•

Feature high-reflective surfaces to enhance visibility in low-light conditions.

•

Remove outdated “The Great Trail” branding and replace it with the current “Trans Canada Trail” branding format.

The planned signage will also replace older wayfinding signs installed in 2017, ensuring consistency with updated branding and regulations. Below are mock-ups showing what the signs will look like once installed.

Recommend Report to Council K&P Trail – Trans Canada Trail Grant for Gate Signs, Wayfinding Signs, and Kilometer Markers March 19, 2025

PageCanada 79 of 134 2025-035 K&P Trail Trans Trail Grant for Gate Signs, Wayfinding S…

Page 2 of 4

Kilometer Marker and Wayfinding Sign Updates In addition to gate signage, the project includes updates to kilometer markers and directional arrows along the trail. This includes: •

Installing updated kilometer markers at 47 locations (94 signs total), using existing posts where feasible.

•

Replacing or adding approximately 20 wayfinding arrows to improve navigation for trail users.

•

Updating kilometer markers and directional signs to remove “The Great Trail” branding and replace it with “Trans Canada Trail” branding, aligning with current national standards at Trans Canada Trail.

Trans Canada Trail requires wayfinding “blazes” with their logo to be installed at regular intervals along trails in their network. The improvements to K&P Trail gates and signage will enhance accessibility, safety, and wayfinding for all trail users. The funding support from Trans Canada Trail is instrumental in ensuring these upgrades are completed efficiently and in alignment with best practices for public trails. All signs have been designed and are awaiting final review. The sign fabricator is prepared to produce the signs and have them installed for the upcoming trails season.

Recommend Report to Council K&P Trail – Trans Canada Trail Grant for Gate Signs, Wayfinding Signs, and Kilometer Markers March 19, 2025

PageCanada 80 of 134 2025-035 K&P Trail Trans Trail Grant for Gate Signs, Wayfinding S…

Page 3 of 4

Financial Implications The County of Frontenac has now secured funding of $8,750, covering 35% of eligible project costs from Trans Canada Trail under its Trail Funding Program (TFP) for signage improvements. Remaining project costs will be covered using the remaining funds available in the ICIP program and the K&P Trail’s existing operational budget for 2025. Organizations, Departments and Individuals Consulted and/or Affected Alex Lemieux, Treasurer/Director of Corporate Services Frontenac Accessibility Advisory Committee Trans Canada Trail

Recommend Report to Council K&P Trail – Trans Canada Trail Grant for Gate Signs, Wayfinding Signs, and Kilometer Markers March 19, 2025

PageCanada 81 of 134 2025-035 K&P Trail Trans Trail Grant for Gate Signs, Wayfinding S…

Page 4 of 4

Report 2025-032 Council Information Report To:

Warden and Members of County Council

From:

Kevin Farrell, Chief Administrative Officer

Prepared by:

Alex Lemieux, Director of Corporate Services/Treasurer

Date of meeting:

March 19, 2025

Re:

Corporate Services – 2024 Remuneration and Reimbursement of Expenses to Council Members and Non-Council Appointees Report

Recommendation This report is for information purposes only. Background Section 284 (1) of the Municipal Act, 2001 S.O. 2001, Chapter 25, states: The treasurer of a municipality shall in each year on or before March 31 provide to the Council of the municipality an itemized statement on remuneration and expenses paid in the previous year to: (a) each member of Council in respect of his or her services as a member of the Council or any other body, including a local board, to which the member has been appointed by Council or on which the member holds office by virtue of being a member of Council; (b) each member of Council in respect of his or her services as an officer or employee of the municipality or other body described in clause (a); and (c) each person, other than a member of Council, appointed by the municipality to serve as a member of any body, including a local board, in respect of his or her services as a member of the body. 2001, c. 25, s. 284 (1).

822024 of 134 2025-032 Corporate Page Services Remuneration and Reimbursement of Expen…

Comment By-law No. 2022-0052, and its predecessor By-law No. 2015-0042 outlines the remuneration to be paid to Councillors and Non-Council Appointees of the County as well as attendance at conferences and training opportunities. The following charts provide an itemized statement on remuneration and expenses paid in 2024 to members of Council and persons appointed by Council to serve on Boards and Committees. Compensation as Council Member or Appointee

Mileage and Per Diems

Conference/Training Travel and Other Related Expenses

34,972.74

4,060.70

4,134.92

43,168.36

19,698.36

467.02

0.00

20,165.38

16,646.52

2,096.50

3,344.48

22,087.50

Nicki Gowdy Judith Anne GreenwoodSpeers Ray Leonard

16,646.52

680.40

3,381.85

20,708.77

16,646.52

6,543.44

3,024.19

26,214.15

16,646.52

1,040.76

0.00

17,687.28

Gerry Lichty

18,312.54

2,250.78

0.00

20,563.32

Bill Saunders

16,923.96

2,518.48

2,020.34

21,462.78

Council Members Frances Smith, Warden Ron Vandewal, Deputy Warden Fred Fowler

Total *

*Expense reporting is based on when the expense reimbursement was paid to, or on the behalf of, the member of Council. Note that 2024 totals may include expenses that were incurred in 2023 but were submitted and/or reimbursed in 2024. Likewise, expenses which would occur in 2025 and be reported on the County’s financial statements in 2025, but were paid for in 2024, would be included in the 2024 totals above. Council remuneration includes representation on the following Boards and Committees: Ron Vandewal Frances Smith Fred Fowler Nicki Gowdy Judith Anne Greenwood-Speers

Planning and Economic Development Committee Administration Committee CAO Selection Committee Planning and Economic Development Committee Administration Committee CAO Selection Committee Planning and Economic Development Committee Frontenac Joint Accessibility Advisory Committee City of Kingston Housing and Homelessness Advisory Committee Planning and Economic Development Committee KFL&A Public Health Board

Council Information Report Corporate Services – 2024 Remuneration and Reimbursement of Expenses to Council Members and Non-Council Appointees Report March 19, 2025 Page 2 of 4

832024 of 134 2025-032 Corporate Page Services Remuneration and Reimbursement of Expen…

Ray Leonard Gerry Lichty Bill Saunders

Administration Committee CAO Selection Committee Kingston Frontenac Public Library Board Administration Committee CAO Selection Committee Food Policy Council of Kingston, Frontenac, Lennox, and Addington Frontenac Joint Accessibility Advisory Committee

The summary of remuneration for persons, other than a member of Council, appointed by the County to serve as a member of any body, including a local board:

Kingston Frontenac Public Library Board Alan Revill *Louise Moody

Mileage HST Per Diem Included $ $ 1,110.70 1,125.00 No Payment by Request

Planning and Economic Development Advisory Committee Leona Fleischman Mike Hage Phil Leonard Jim McIntosh Frontenac Joint Accessibility Advisory Committee

Mileage HST Included $ 339.64 977.09 67.94 421.45 Mileage HST Included $

Misc $ 18.40

Per Diem $ 525.00 675.00 525.00 450.00

Total $ 2,254.10

Total $ 864.64 1,652.09 592.94 871.45

Per Diem

Total

Neil Allen *Kurt Halliday

50.78

225.00

275.78

Janet McDonald

117.42

225.00

342.42

Pat Joslin

150.00

Erin Ferguson

75.00

This member was appointed to committees but did not receive any compensation in

Council Information Report Corporate Services – 2024 Remuneration and Reimbursement of Expenses to Council Members and Non-Council Appointees Report March 19, 2025 Page 3 of 4

842024 of 134 2025-032 Corporate Page Services Remuneration and Reimbursement of Expen…

Strategic Priorities As indicated in the 2023-26 Strategic Plan, good governance and legislative compliance falls under the priority of Maximize Administrative Leadership within the County Administration, specifically: ➢ Ensure efficient and responsible financial management of County resources. ➢ Ensure transparency and accountability of the governance of the County of Frontenac (Council and its Committees). Financial Implications Amounts paid to County Council and other Board and Committee members were within budget. Organizations, Departments and Individuals Consulted and/or Affected Kathie Shaw, Senior Financial Analyst Brieanna McEathron, Executive Assistant Jannette Amini, Manager of Legislative Services/Clerk

Council Information Report Corporate Services – 2024 Remuneration and Reimbursement of Expenses to Council Members and Non-Council Appointees Report March 19, 2025 Page 4 of 4

852024 of 134 2025-032 Corporate Page Services Remuneration and Reimbursement of Expen…

Committee Report To:

Warden and Council Members of the County of Frontenac

From:

Jannette Amini, Manager of Legislative Services/Clerk

Date of meeting:

March 19, 2025

Re:

Governance Review Committee – Report to Council

All items listed on the Governance Review Committee Report shall be the subject of one motion. Any member of County Council may ask for any item(s) included in the Governance Review Committee Report to be separated from that motion and considered separately, whereupon the Governance Review Committee Report without the separated item(s) shall be put to the vote and the separated item(s) shall be considered immediately thereafter. The Governance Review Committee reports and recommends as follows: 1.

2025-025 Corporate Services Adoption of an updated Delegation of Authority Policy Resolved That the Council of the County of Frontenac adopt a Delegation of Authority Policy to authorize the delegation of certain powers and duties under the Municipal Act, 2001, the Planning Act and other Acts, attached to this report as Appendix A; And further That By-law 2016-0006 being a by-law to adopt a delegation of authority policy be hereby repealed.

PageReview 86 of 134 Report of the Governance Committee All items listed on the Planni…

And further That this Policy be adopted by By-law, attached to this report as Appendix A; And Further That By-law 17-1995, being a By-law to establish procedures governing the sale of real property be repealed.

Planning and Economic Development Advisory Committee Report to Council September 18, 2024

PageReview 87 of 134 Report of the Governance Committee All items listed on the Planni…

Page 2 of 2

By-Law No. 2025-xxx of The Corporation of the County of Frontenac A by-law to establish a Delegation of Authority Policy and to authorize the delegation of certain powers and duties under the Municipal Act, 2001, the Planning Act and other Acts Whereas the Council of the Corporation of the County of Frontenac has previously delegated authority to officers and employees of the Corporation in a number of areas through by-law and/or Council Resolution, in accordance with prevailing legislation; And Whereas section 23.1 of the Municipal Act, 2001, S.O.2001,c. 25 confirms that a municipality has authority to delegate its powers and duties, subject to certain restrictions; And Whereas section 51.2(1) of the Planning Act R.S.O. 1990 c. P.13 as amended authorizes the delegation of authority of all or any part of the authority to approve plans of subdivision to a committee of council or to an appointed officer identified in the by-law by name or position occupied and this authority is extended to approval of plans of condominium pursuant to subsection 9(2) of the Condominium Act, 1998 S.O. 1998 c. 19, as amended; And Whereas Section 270(1) of the Municipal Act provides that the County shall adopt and maintain a policy with respect to the delegation of its powers and duties; And Whereas the Council of the Corporation of the County of Frontenac considers it appropriate to consolidate all existing delegation of authority into one by-law; Now Therefore Be It Resolved That the Council of the Corporation of the County of Frontenac enacts as follows:

That the County of Frontenac Delegation of Authority Policy shall be as detailed in Schedule “A” attached hereto and forming part of this by-law;
That the delegation of certain powers and duties under the Municipal Act, 2001, the Planning Act and other Acts to certain officers and employees of the County of Frontenac shall be in accordance with Schedule “B” attached hereto and forming part of this by-law;
That By-law No. 2016-0008 be hereby repealed;
That this by-law shall come into force and take effect as of the date of final passing thereof.

PageReview 88 of 134 Report of the Governance Committee All items listed on the Planni…

Read a first and second time this 19th day of March, 2025. Read a third time and finally passed this 19th day of March, 2025.

The Corporation of the County of Frontenac

Gerry Lichty, Warden

Jannette Amini, Clerk

By-law No. 2025-xxx – To authorize the delegation of certain powers and duties under the Municipal Act, 2001, the Planning Act and other Acts March 19, 2025 Page 2 of 10

PageReview 89 of 134 Report of the Governance Committee All items listed on the Planni…

Consolidated Copy Amendments By-law No.

Title

Date of Passage

By-law No. 2025-xxx – To authorize the delegation of certain powers and duties under the Municipal Act, 2001, the Planning Act and other Acts March 19, 2025 Page 3 of 10

PageReview 90 of 134 Report of the Governance Committee All items listed on the Planni…

Schedule “A” to By-law No. 2025-xxx Delegation of Authority Policy

Purpose/ Application The Municipal Act, 2001, as amended, (the Act) requires that all municipalities adopt and maintain a policy with respect to the delegation of Council’s legislative and administrative authority. The purpose of this policy is to set out the scope of the powers and duties which Council may delegate its legislative and administrative authority and to establish principles governing such delegation. This policy has been developed in accordance with the Act in order to comply with its other applicable sections, including Section 270. This policy applies to all committees of Council, departments and staff.
Definition(s): a. Legislative Powers – Includes all matters where Council acts in a legislative or quasi judicial function including enacting by-laws, setting policies, and exercising decision making authority. b. Administrative Powers – Includes all matters required for the management of the corporation which do not involve discretionary decision making.
Policy Statement The Council of the County of Frontenac as a duly elected municipal government is directly accountable to its constituents for its legislative decision making, policies, and administrative functions. Council’s decisions are generally expressed by by-law or resolution of Council carried by a majority vote. The efficient management of the municipal corporation and the need to respond to issues in a timely fashion require Council to entrust certain powers and duties to committees and staff while concurrently maintaining accountability, which can be effectively accomplished through the delegation of legislative and administrative functions. Council authority will be delegated within the context set out in the Act and will respect the applicable restrictions outlined in the Act. This policy provides guidance regarding the scope of powers and duties that Council may delegate under its legislative and administrative authority and establishes principles governing such delegation.
County Strategic Priorities The Guiding Vision for Frontenac County is to be a thriving and sustainable County that balances economic growth, environmental preservation, and individual lifestyles, ensuring a vibrant and inclusive community for current and future generations in Frontenac.

By-law No. 2025-xxx – To authorize the delegation of certain powers and duties under the Municipal Act, 2001, the Planning Act and other Acts March 19, 2025 Page 4 of 10

PageReview 91 of 134 Report of the Governance Committee All items listed on the Planni…

Our mission is committed to proactively promote and support managed growth in Frontenac County, leveraging its economic potential, while preserving the County’s distinct natural environment and respecting the diverse lifestyle choices of our residents. Strategic Goal #1

Develop a Regional Approach to Overcome Infrastructure Issues and Maximize Infrastructure Development Opportunities

Strategic Goal #2

Contribute to the Progress of Sustainable Economic Growth and Prosperity Throughout the County

Strategic Goal #3

Strengthen Quality of Life through Enhanced Service Delivery

Strategic Goal #4

Maximize Administrative Leadership within the County Administration

Policy Requirements County Council supports the delegation of powers and duties to provide efficient management of municipal operations and respond to matters in a timely fashion according to the following principles: (i)

All delegations of Council powers, duties or functions shall be by by-law and in accordance with the rules outlined in Section 23.1 of the Act and set out in Schedule B and reviewed every term of Council.

(ii)

All delegation of powers and duties may be revoked at any time without notice.

(iii)

No delegation of powers and duties shall exceed the term of Council.

(iv)

A delegation of a power, duty or function under any by-law to any member of staff includes a delegation to a person who is appointed by the CAO or selected from time to time by the delegate to act in the capacity of the delegate in the delegate’s absence.

(v)

Legislative matters may be delegated by Council where they are minor in nature or where Council has explicitly provided for the terms and conditions under which the powers shall be exercised and must consider the limitations set out in the Act.

(vi)

Council has not deemed it necessary to authorize the delegation through this policy of any specific legislative matters not already delegated by by-law.

(vii)

Administrative Matters may generally be delegated to staff subject to the conditions set out in the delegation and in this policy and must consider the limitations set out in the Act.

(viii)

Council has not deemed it necessary to authorize the delegation through this policy of any specific administrative matters not already delegated by by-law.

By-law No. 2025-xxx – To authorize the delegation of certain powers and duties under the Municipal Act, 2001, the Planning Act and other Acts March 19, 2025 Page 5 of 10

PageReview 92 of 134 Report of the Governance Committee All items listed on the Planni…

County staff are responsible for adhering to the parameters of this policy and for ensuring appropriate application of delegated authority. In exercising any delegated power, the delegate shall ensure the following:

•

Any expenditure related to the matter shall have been provided for in the current year’s budget (or authorized by the procurement policy by-law);

•

The scope of the delegated authority shall not be exceeded by the delegate;

•

Where required by the specific delegated authority, reports shall be submitted to Council advising of the exercise of a delegated power and confirming compliance with the delegated authority and this policy;

•

All policies regarding insurance and risk management shall be complied with; and

•

Delegates shall ensure the consistent and equitable application of Council policies and guidelines.

Description of Delegation Council delegates the powers and duties and restrictions thereto as set out in Schedule “B” to this By-law to those officers and employees listed in Schedule “B”. (a)

Where this By-law has delegated authority to the Chief Administrative Officer and an Acting Chief Administrative Officer has been appointed by Council in the absence of the Chief Administrative Officer, the Acting Chief may exercise the delegated authority;

(b)

Should any position identified in this by-law with a delegated authority, other than that of a Chief Administrative Officer, no longer exist in the corporation, then the Chief Administrative Officer described as responsible for the delegated authority may in writing designate another position to assume the delegated authority.

Where the exercise of a delegated authority requires the expenditure of money, funding for the expenditure shall be included in an approved budget and all relevant requirements of Procurement Policy By-law 2013-0011, as amended or any successor Procurement Policy shall be followed. All relevant by-laws and policies of The Corporation of the County of Frontenac shall apply to the exercise of delegated authority authorized by this By-law. Delegated Authority where dollar limits are specified do not form part of this By-law and may be found in the County’s Procurement Policy. Unless otherwise specified, all delegated authority listed in Schedules “B” and exercised shall be reported on an annual basis to County Council, for information, by the Chief Administrative Officer described as responsible for the delegated authority.

By-law No. 2025-xxx – To authorize the delegation of certain powers and duties under the Municipal Act, 2001, the Planning Act and other Acts March 19, 2025 Page 6 of 10

PageReview 93 of 134 Report of the Governance Committee All items listed on the Planni…

Delegation Under the Planning Act Applications for Extension of Draft Plan Approval and Final Plan Approval & Subdivision/Condominium Agreement Execution i) Council’s power and authority with respect to all matters provided for by Section 51(33) of the Planning Act, R.S.O. 1990, Chapter P.13, as amended, related to the extension of approval of a plan of subdivision or a plan of condominium are delegated to the Director of Planning and Economic Development or, in the absence of the Director, to the Manager of Community Planning. ii) Council’s power and authority with respect to all matters provided for by Section 51 (58) of the Planning Act, R.S.O. 1990, Chapter P.13, as amended, related to the final plan approval of a plan of subdivision or a plan of condominium are delegated to the Director of Planning and Economic Development or, in the absence of the Director, to the Manager of Community Planning. iii) Notwithstanding the provisions of Clause 7(i) of this policy, Council shall retain all powers and authority under Section 51(58) of the Planning Act, as amended, where: a)

The Director, or their designate acting in the position, at his/her discretion refers the request for Extension of Draft Approval or Final Approval of the plan of subdivision/condominium to Council;

The Owner/applicant requests in writing that the request for Extension of Draft Approval or Final Approval of the plan of subdivision/condominium be referred to Council. Such a request will be accompanied by a report from the Director providing advice and direction to Council with respect to the status of the draft conditions.

Any member of Council, through a notice of motion, may request that Extension of Draft Approval or Final Approval for a specific plan of subdivision/condominium be referred to Council. Such consideration will be made at a subsequent meeting with the Director providing advice and direction to Council with respect to the status of the draft conditions.

Applications for Part-Lot Control – Approval i) Council’s power and authority with respect to all matters provided for by Section 50 (7.1) of the Planning Act, R.S.O. 1990, Chapter P.13, as amended, related to the requirement for approval for part-lot control by the appropriate approval authority for the purpose of sections 51 and 51.1 of the Planning Act, R.S.O. 1990, Chapter P.13 are delegated to the Director of Planning and Economic Development or, in the absence of the Director, to their designate acting in the position. ii) Notwithstanding the provisions of Clause 7(i) of this policy, Council shall retain all powers and authority under Section 51(58) of the Planning Act, as amended, where: By-law No. 2025-xxx – To authorize the delegation of certain powers and duties under the Municipal Act, 2001, the Planning Act and other Acts March 19, 2025 Page 7 of 10

PageReview 94 of 134 Report of the Governance Committee All items listed on the Planni…

The Director or, in the absence of the Director, the designate, at his/her discretion refers the request part-lot control to Council;

The Owner/applicant requests in writing that the request for part-lot control be referred to Council. Such a request will be accompanied by a report from the Director providing advice and direction to Council.

Any member of Council, through a notice of motion, may request that approval for part-lot control be referred to Council. Such consideration will be made at a subsequent meeting with the Director providing advice and direction to Council with respect to the approval.

Monitoring/contraventions The Chief Administrative Officer shall be responsible for receiving complaints and/or concerns related to this policy. Upon receipt of a complaint and/or concern, the Chief Administrative Officer shall notify County Council, where Council may revoke such delegation.

By-law No. 2025-xxx – To authorize the delegation of certain powers and duties under the Municipal Act, 2001, the Planning Act and other Acts March 19, 2025 Page 8 of 10

PageReview 95 of 134 Report of the Governance Committee All items listed on the Planni…

Schedule B to By-law 2025-xxx Delegated Authority Officer or Position

Description of Delegated Authority

Warden

Head of the Municipality for the Purposes of the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA) and the Ombudsman Act

Clerk

Delegated the power or duty granted or vested in the head pursuant to Section 49(1) of the Municipal Freedom of Information and Protection of Privacy Act;

Director of Planning and Economic Development

Delegated the authority to authorize Final Approval of Plans of Subdivision and Plans of Condominium

Director of Planning and Economic Development

Delegated the authority to authorize Applications for Part-Lot Control – Approval

Director of Planning and Economic Development

Delegated the authority to authorize the Extension of Draft Approval of Plans of Subdivision and Plans of Condominium subject to the following:

That the request for the extension is for no more than two years;
That County staff agree with the request; and,
That the applicable Township Council agrees with the request.

Director of Planning and Economic Development

The authority to execute an agreement to permit access to, or an encroachment on, County lands including rights-of-way and easements and to release those agreements as required subject to the Land Use Policy guidelines and procedures as follows: ➢ Certificate of Permission ➢ Encroachments less than 15m2 ➢ Right of Way less than =<20M width

Clerk

Designated as the Contact Person of the Municipality for the Purposes of the Personal Health Information Protection Act (PHIPA) and the Ombudsman Act.

By-law No. 2025-xxx – To authorize the delegation of certain powers and duties under the Municipal Act, 2001, the Planning Act and other Acts March 19, 2025 Page 9 of 10

PageReview 96 of 134 Report of the Governance Committee All items listed on the Planni…

Integrity Commissioner

Delegation of authority of Council’s powers to impose penalties for a contravention of the Code of Conduct.

Chief Administrative Officer

The authority to execute Quit Claim Deeds for lands that formed former County roads in the former Townships which are now part of either the City of Kingston, Township of South Frontenac, or Township of Frontenac Islands.

By-law No. 2025-xxx – To authorize the delegation of certain powers and duties under the Municipal Act, 2001, the Planning Act and other Acts March 19, 2025 Page 10 of 10

PageReview 97 of 134 Report of the Governance Committee All items listed on the Planni…

By-Law No. 2025-0xx OF The Corporation of the County of Frontenac being a by-law to Establish a Policy for the Sale, Disposition and Land Use by the Corporation of the County of Frontenac Short Title: “Sale, Disposition and Land Use By-Law” Whereas Section 270(1) of the Municipal Act, 2001 as amended requires municipalities to adopt and maintain a policy governing the sale and disposition of land. And Whereas the Council of the Corporation of the County of Frontenac deems it expedient to enact a by-law to amend the Policy for Sale and Disposition of Land; Now Therefore Be It Resolved That the Council of The Corporation of the County of Frontenac does hereby adopt the “Sale and Disposition of Land” Policy attached hereto as Schedule “A”; And That the Council of The Corporation of the County of Frontenac does hereby adopt the " Land Use” Policy attached hereto as Schedule “B” And That By-law No. 1995-0017 is hereby repealed in its entirety; And That all resolutions, by-laws or parts of by-laws, which are contrary to or inconsistent with this by-law are hereby repealed.: Read a First and Second Time this 19th day of March, 2025. Read a Third Time, Signed, Sealed and Finally Passed this 19th day of March, 2025. The Corporation of the County of Frontenac

Gerry Lichty, Warden

Jannette Amini, Clerk

PageReview 98 of 134 Report of the Governance Committee All items listed on the Planni…

Schedule ‘A’ To By-law No. 2025-0xx Sale and Disposition of Land Policy 1

Purpose

This Policy sets out the procedures to be followed for the sale or other disposition of any land by the Corporation, except for any land being disposed of pursuant to Part XI of the Municipal Act, 2001. The Corporation shall carry out the sale and disposition of land in a timely, costeffective, and transparent manner. 2

Definitions

In this Policy: “Agencies” means boards, commissions, public utility companies or agencies owned, controlled or operated by a lower-tier municipality in the County of Frontenac, Her Majesty in the Right of Ontario, Her Majesty in the Right of Canada or by the Government of Ontario or the Government of Canada or under the authority of the Legislature of Ontario or Parliament or the Lieutenant Governor in Council or the Governor General in Council. “Appraisal” means a written opinion as the amount the land might be expected to realize if sold in the open market by a willing seller to a willing buyer. “Chief Administrative Officer” means the person holding the title of the Corporation’s Chief Administrative Officer. “Corporation” means the Corporation of the County of Frontenac. “Council” means the Council of the Corporation. “County” means the Corporation of the County of Frontenac or its geographic area, as the context requires. “County Solicitor” means the firm under contract with the Corporation. “Clerk” means the Clerk of the Corporation. “Director” means the person holding the title of the Corporation’s Director of Corporate Services/Treasurer. “Fair market value” means the purchase price that a property might be expected to realize if offered for sale on the open market by a willing seller to a willing buyer. “Limited interest” means a permanent or temporary easement, right of way or other comparable limited right in favour of the Corporation in or over any land that is not owned by the Corporation in fee simple. By-law No. 2025-0xx County of Frontenac Sale and Disposition of Land By-law February 5, 2025

PageReview 99 of 134 Report of the Governance Committee All items listed on the Planni…

Page 2 of 10

“Limited use” means a permission to enter, temporary license or other temporary use of land owned by the Corporation and does not include the grant of an easement or any permission or license to use any space within a buildings owned by the Corporation, to affix any structure to any land, building or structure owned by the Corporation, or to conduct any activity on lands owned by the Corporation which is otherwise prohibited, or for which a permit is required, under any other by-law or policy of the Corporation. “Sale or other disposition” means a disposition of land through a sale and includes a transfer or release of a limited interest, a disposition of land in conjunction with the acquisition of other lands as part of a land exchange transaction, and a lease of 21 years or longer, but does not include the grant of a limited use. “Third Party” means an additional party to an agreement already in place between the County and another entity. 3

Sale or Other Disposition of Land – General

3.1

Declaration of Land as Surplus

Prior to the sale or other disposition of land by the Corporation other than land described in Section 5.1 of this Policy, land must be declared surplus to the needs of the Corporation by Council. Such declaration of surplus shall be made by Council by by-law or by resolution passed at a meeting open to the public. 3.2

Notice to the Public

Except where lands are listed with a licensed real estate broker, a notice of the County’s intention to sell lands will follow the procedures as noted in the County’s Public Notice Policy. If the lands are marketed using a licensed real estate broker any of the following by the broker will constitute sufficient notice for the purposes of this policy: 3.3

The listing of the lands on MLS The advertisement of the lands for sale in either local newspaper at least once or the County’s website; or The placement of a for-sale sign on the lands. Appraisals

Unless Council directs otherwise, the Director must obtain at least one appraisal of the fair market value of the land prior to its sale or other disposition unless the land is one of the following classes of land which may be sold or disposed of without an appraisal: (a)

a limited interest;

(b)

land 0.3 metres or less in width acquired in connection with an approval or decision under the Planning Act;

(c)

land that does not have direct access to a highway if sold to the owner of land abutting the land;

(d)

land repurchased by an owner in accordance with section 42 of the

By-law No. 2025-0xx County of Frontenac Sale and Disposition of Land By-law February 5, 2025

PageReview 100 ofCommittee 134 Report of the Governance All items listed on the Planni…

Page 3 of 10

Expropriations Act;

3.4

(e)

land sold under section 107 of the Municipal Act, 2001; and

(f)

land to be sold to another municipality, to a local board as defined in the Municipal Act, 2001, to a district school board as defined in the Education Act, to a conservation authority established by or under the Conservation Authorities Act or to the Crown in the Right of Ontario or Canada or their agencies.

Manner of Sale or Other Disposition

Subject to the requirements of this Policy, the Director may determine the manner or process by which the sale or other disposition of the land will be carried out, including determining whether (i) other agencies are required to be notified of the sale and/or given the opportunity to acquire the land prior to offering the land for sale to the general public; and (ii) to sell the land to the public through public tender, public auction, a proposal call, listing through a multiple listing service, direct advertising and direct negotiations with a land owner, provided that:

3.5

(a)

if a public tender process will be used, a reserve bid equal to or higher than the appraised value of the land must be provided; and

(b)

if the land will be listed through a multiple listing service, the list price must be equal to or higher than the appraised value of the land.

Disposition for Nominal Consideration to Non-Profit Non-Commercial Entity

The Director may identify certain lands for disposition to a non-profit, non-commercial entity where such disposition is in the best interest of the community and the County for nominal consideration. The disposition of such lands shall include a term that restricts the further assignment or transfer to a third party unless the County provides its consent. Where consent to a third party is sought, the Director shall determine that the assignee is also a non-profit, non-commercial entity and agrees to similar restrictions on further transfers. The disposition under this provision shall not assist directly or indirectly any manufacturing business or other industrial or commercial enterprise by leasing or selling any property of the municipality at below fair market value. Therefore, as prospective entity shall not be a manufacturing business or other industrial or commercial enterprise. Any proposed transfer under this provision shall be brought to Council for approval prior to disposition. 3.6

Final Council Approval

No other sale or other disposition of land by the Corporation other than a sale or disposition of land described in Section 4.1 of this Policy will be concluded without the final approval of Council authorizing the actual transfer or other disposition of land. By-law No. 2025-0xx County of Frontenac Sale and Disposition of Land By-law February 5, 2025

PageReview 101 ofCommittee 134 Report of the Governance All items listed on the Planni…

Page 4 of 10

3.7

Non-Application

For greater certainty, the provisions of this Section 3 shall not apply to those lands referredto in Section 4 of this Policy. 4

Limited Powers for Sale or Other Disposition of Land

4.1

Limited Powers of the Chief Administrative Officer

Upon receipt of a written request from the Director, the Chief Administrative Officer of the Corporation may authorize the disposition of the following lands: (a)

any limited interest;

(b)

land that is 0.3 metres or less in width and is being conveyed to the adjoining owner; or

Limited Use of Land

5.1

Authorization by the Director

The Director may authorize a limited use by third parties for the purpose of facilitating work on the said lands or on adjacent or surrounding lands, provided that:

5.2

(a)

the Director does so only upon prior consultation with staff of other departments of the Corporation, who is/are responsible for the operations or maintenance of the subject land; and

(b)

the person given the authorization to enter or use the land owned by theCorporation agrees to: (i)

restore the land and adequately secures that obligation;

(ii)

indemnify the Corporation with respect to such entry or use; and

(iii)

provide adequate insurance protection to the benefit of theCorporation.

Execution of Agreement for Entry or Use

The Director may authorize the entering into and execution of any agreements to secure the provisos to the authorization of the temporary entry or use of land owned by the Corporation set out in Section 5.1 above. Roles and Responsibilities: Council •

Council must determine whether land is surplus and approve the final sale or other disposition of land or of a limited interest.

•

Each member of Council must take care not to disclose or release by any means to any person any confidential information disclosed to Council in closed session in relation to any sale or other disposition of land.

By-law No. 2025-0xx County of Frontenac Sale and Disposition of Land By-law February 5, 2025

PageReview 102 ofCommittee 134 Report of the Governance All items listed on the Planni…

Page 5 of 10

County Solicitor •

The County Solicitor must oversee the Director in the carrying out of all its responsibilities under this Policy.

Director •

The Director must report to Council with respect to any proposed declaration of surplus and the sale or other dispositions of land owned by the Corporation, whether initiated by the Director, staff of another department of the Corporation or an external party.

•

Prior to reporting to Council, the Director must determine, in consultation with appropriate staff of the Corporation, that any municipal purpose that may have previously existed no longer exists.

Staff •

Staff with operation, maintenance, or other responsibilities in connection with land owned by the Corporation must, upon request, provide input to the Director with respect to the proposed declaration of surplus and sale or disposition of any land owned by the Corporation.

5.3

Review Cycle

This policy shall be reviewed once per term of Council.

By-law No. 2025-0xx County of Frontenac Sale and Disposition of Land By-law February 5, 2025

PageReview 103 ofCommittee 134 Report of the Governance All items listed on the Planni…

Page 6 of 10

Schedule ‘B’ To By-law No. 2025-0xx Land Use Policy 1

Policy:

The County of Frontenac recognizes as a property owner that requests for use of County property will arise from time to time. The timely handling of such issues is necessary for the protection of the public interest and in the interests of the citizen making a request. 2

Objective:

To provide a decision-making framework for Council, citizens and staff to ensure that the most efficient and least intrusive measure is applied to citizen requests for use of lands owned by the County. 3

Procedure:

Staff will review with the applicant their needs and work with them to process their application in a timely and efficient manner.
In reviewing applications, the table below will be used to direct the applicant to the least onerous method possible. The Table is generally structured from “least” onerous (Certificate of Permission), to “most” onerous (Right of Way and Sale).
In all instances the proponent is responsible for all costs + applicable fees a. Fees and charges as per the County’s annual User Fee By-law
Permission may be refused in the following instances: a. Where granting permission would result in an unsafe condition b. Where permission would interfere with or limit future development c. Where the portion of County property at issue abuts waterfront d. Where the permission would allow land uses that may have negative impacts on the use or users of County lands e. Longitudinal access for an extended length of County lands f. The location of all easements shall be approved by the Director of Planning and Economic Development or designate to ensure the maximum safety and free flow of movement as outlined in this Guideline to minimize the possibility of interference on County lands and avoid the creation or aggravation of any maintenance problem.

By-law No. 2025-0xx County of Frontenac Sale and Disposition of Land By-law February 5, 2025

PageReview 104 ofCommittee 134 Report of the Governance All items listed on the Planni…

Page 7 of 10

g. Where an alternate means of access is available, either by connection to the lower tier road system, private road, fire route or a joint mutual entrance, direct access onto County Lands will be denied. h. Applicants shall use the prescribed Application for Easement form as provided by the County of Frontenac. 5. Conditions may be imposed on any of the above, which may include: a. Requirements for engineered drawings to show improvements to County land surface, drainage, access points etc. b. Conditions governing usage and safety c. Requirements for fencing and signage d. Insurance and indemnities

By-law No. 2025-0xx County of Frontenac Sale and Disposition of Land By-law February 5, 2025

PageReview 105 ofCommittee 134 Report of the Governance All items listed on the Planni…

Page 8 of 10

PageReview 106 ofCommittee 134 Report of the Governance All items listed on the Planni…

Method

Time Period

Examples

Conditions

Certificate of Permission

Less than one year

Access across the property for a limited time (e.g., construction or tree harvesting)

Pre and post inspection Deposit equal to potential restoration Proof of insurance Site sketch Signed agreement Taxes in good standing

License of Occupation

Generally for a period up to three years In any case, not more than 21 years

Water line under property for a temporary period Fence encroachment Well installation Property access while a permanent access is being constructed

Encroachment Agreement

Indefinite, but may expire if the encroachment is replaced

Previously constructed structures

Approval Authority

Transferable

Delegated to staff

Pre and post inspection + periodic compliance inspections Proof of insurance Legal Survey Signed agreement Taxes in good standing

Council approval

Not as of right, but with County permission Not past original length

Pre- inspection Proof of insurance Legal survey Signed agreement Taxes in good standing

Delegate to staff for encroachment structure less than 15m2 Council approval for encroachment structures greater than 15m2

With County permission

PageReview 107 ofCommittee 134 Report of the Governance All items listed on the Planni…

Right of Way (RoW)

Sale

In perpetuity

Disposal

Driveway access for a home or accessory building Permanent installations above, on or below Standard Trail Crossings

Sale for a lot addition Sale as surplus to County needs

By-law No. 2025-0xx County of Frontenac Sale and Disposition of Land By-law February 5, 2025

Pre and post inspection + periodic compliance inspections (because it is permanent, a post-inspection is not necessary) Proof of insurance Legal Survey Signed agreement Taxes in good standing

Pre inspection Legal Survey Signed agreement Taxes in good standing

Page 10 of 10

Delegate to staff for right of way less than or equal to 20 metre width Council approval for right of way greater than 20 metre width Approved by Council Considered a disposition of property under the County Bylaw

No need to transfer – transferred with title as of right

n/a, see sale and disposition of land policy

Minutes of the Governance Review Committee Meeting March 4, 2025 [Note: Minutes are not Verbatim, please refer to full video https://youtube.com/live/ro8JWTr4WCU?feature=share] A meeting of the Governance Review Committee was held the Council Chamber of the County Administration Building, 2069 Battersea Road, Glenburnie on Tuesday, March 4, 2025, at 10:00 AM Present: Councillor Fran Smith, Chair - virtually Councillor Fred Fowler, Vice Chair Councillor Judy Greenwood-Speers Warden Gerry Lichty Staff Present: Jannette Amini, Manager of Legislative Services/Clerk Kevin Farrell, Chief Administrative Officer Alex Lemieux, Director of Corporate Services/Treasurer 1.

Call to order

We begin this gathering by acknowledging and celebrating these traditional lands as a gathering place of the first peoples and their ancestors who are entrusted to care for mother earth since time immemorial. We do so respecting both the land and the Indigenous People who continue to walk with us through this world. Today, the County is committed to working with Indigenous peoples and all residents to pursue a united path of reconciliation. 2.

Adoption of the agenda

Moved By: Seconded By:

Councillor Fowler Warden Lichty

That the agenda for the March 4, 2025 meeting of the Governance Review Committee be adopted. Carried 3.

Disclosure of pecuniary interest and general nature thereof

There were none.

PageReview 108 ofCommittee 134 Report of the Governance All items listed on the Planni…

Adoption of Minutes Minutes of Meeting held February 5, 2025

Moved By: Seconded By:

Councillor Greenwood-Speers Councillor Fowler

That the minutes of the Governance Review Committee meeting held February 5, 2025 be adopted as amended Carried 5.

Items of Business a)

2025-025 Corporate Services Adoption of an updated Delegation of Authority Policy Moved By: Warden Lichty Seconded By: Councillor Greenwood-Speers Resolved That the Council of the County of Frontenac adopt a Delegation of Authority Policy to authorize the delegation of certain powers and duties under the Municipal Act, 2001, the Planning Act and other Acts, attached to this report as Appendix A; And further That By-law 2016-0006 being a by-law to adopt a delegation of authority policy be hereby repealed. Carried b)

2025-026 Corporate Services Approval of Amendments to the County of Frontenac Land Use Policy Moved By: Councillor Fowler Seconded By: Warden Lichty Resolved That the Governance Review Committee approved approve the amendments to the County of Frontenac Land Use Policy, attached to this report as Appendix A; And further That the Land Use Policy be incorporated into the Sale, Disposition and Land Use By-law as Appendix B. Carried c)

2025-027 Corporate Services Adoption of a Sale, Disposition and Land Use Policy for the County of Frontenac Moved By: Councillor Greenwood-Speers Seconded By: Councillor Fowler Resolved That the Council of the County of Frontenac adopt a Sale, Disposition and Land Use Policy for the County of Frontenac;

Governance Review Committee Meeting Minutes March 4, 2025

PageReview 109 ofCommittee 134 Report of the Governance All items listed on the Planni…

Page 2 of 4

2025-028 Corporate Services Initial Discussions on the Public Notice Policy Moved By: Councillor lich Seconded By: Councillor green That the Public Notice Policy, and the draft policy be placed on the Governance Review Committee Consultation 2025 project on Engage Frontenac for 21 days for public comment Carried It was noted that the policy uses both two weeks and 14 days in terms of public notice and that this should be consistent. Any additional changes will be passed along to the Clerk. e)

2025-029 Corporate Services Initial Discussions on the Procurement Policy Moved By: Councillor Fowler Seconded By: Councillor Greenwood-Speers Resolved That the Procurement Policy, and the draft policy be placed on the Governance Review Committee Consultation 2025 project on Engage Frontenac for 21 days for public comment Carried It was asked what the difference is between a an RFQ and an RFP to which Mr. Lemieux advised that an RFQ has specification as we know exactly what we want whereas an RFP is asking for the proposant to present or suggest something. The threshold is the same. Concerns were expressed regarding the proposed $250,000 upper limit for a tender and it was asked where this number came from to which Mr. Lemieux noted that this is aligned with our comparator municipalities across Ontario. The Committee were supportive of changing this to $150,000. Concerns were also expressed about jumping from $10,000 to $50,000 for RFP’s and it was questioned if this could be lowered to $25,000, to which Mr. Lemieux noted that fundamentally this allows staff to make a decision quickly as when doing an RFP, there Governance Review Committee Meeting Minutes March 4, 2025

PageReview 110 ofCommittee 134 Report of the Governance All items listed on the Planni…

Page 3 of 4

is a process that needs to be followed and this is a slow process. An example of a purchase such as this would be a vehicle. The Committee agreed to keep this at $50,000. In terms of Emergency purchases over $50,000, this is reported to Council. Questions arose around our ability to show preference to Canadian or even local companies when procuring goods and services. Mr. Lemieux noted that this language is based on the Canadian free trade agreement and the NAFTA that policies to this effect contravene these 2 agreements. The Committee felt that in terms of the 2013 policy there are a lot of things that are not flowing into the new policy concerns were expressed that this proposed new policy is leaving too much out, such as bonds, securities. Mr. Lemieux noted that the intent is to put the policy in front of the committee for these initial discussions but when it comes forward with the by-law it will all be there. Staff will bring back a revised version to the committee before it goes up on the website for public consultation. Moved By: Seconded By:

Warden Lichty Councillor Greenwood-Speers

That the motion be deferred pending staff bringing back a second draft. Carried 6.

Next meeting date The next meeting of the Governance Review Committee is schedule for Tuesday, April 1, 2025 at 10:00 a.m. at the County Administration Building.

Adjournment

Moved By: Seconded By:

Waren Lichty Councillor Fowler

That the meeting hereby adjourn at 10:37 a.m. Carried

Governance Review Committee Meeting Minutes March 4, 2025

PageReview 111 of Committee 134 Report of the Governance All items listed on the Planni…

Page 4 of 4

By-Law No. 2025-012 of The Corporation of the County of Frontenac A by-law to establish a Delegation of Authority Policy and to authorize the delegation of certain powers and duties under the Municipal Act, 2001, the Planning Act and other Acts Whereas the Council of the Corporation of the County of Frontenac has previously delegated authority to officers and employees of the Corporation in a number of areas through by-law and/or Council Resolution, in accordance with prevailing legislation; And Whereas section 23.1 of the Municipal Act, 2001, S.O.2001,c. 25 confirms that a municipality has authority to delegate its powers and duties, subject to certain restrictions; And Whereas section 51.2(1) of the Planning Act R.S.O. 1990 c. P.13 as amended authorizes the delegation of authority of all or any part of the authority to approve plans of subdivision to a committee of council or to an appointed officer identified in the by-law by name or position occupied and this authority is extended to approval of plans of condominium pursuant to subsection 9(2) of the Condominium Act, 1998 S.O. 1998 c. 19, as amended; And Whereas Section 270(1) of the Municipal Act provides that the County shall adopt and maintain a policy with respect to the delegation of its powers and duties; And Whereas the Council of the Corporation of the County of Frontenac considers it appropriate to consolidate all existing delegation of authority into one by-law; Now Therefore Be It Resolved That the Council of the Corporation of the County of Frontenac enacts as follows:

That the County of Frontenac Delegation of Authority Policy shall be as detailed in Schedule “A” attached hereto and forming part of this by-law;
That the delegation of certain powers and duties under the Municipal Act, 2001, the Planning Act and other Acts to certain officers and employees of the County of Frontenac shall be in accordance with Schedule “B” attached hereto and forming part of this by-law;
That By-law No. 2016-0008 be hereby repealed;
That this by-law shall come into force and take effect as of the date of final passing thereof.

Pageof112 of 134 To establish a Delegation Authority Policy and to authorize the deleg…

Read a first and second time this 19th day of March, 2025. Read a third time and finally passed this 19th day of March, 2025.

The Corporation of the County of Frontenac

Gerry Lichty, Warden

Jannette Amini, Clerk

By-law No. 2025-012 – To authorize the delegation of certain powers and duties under the Municipal Act, 2001, the Planning Act and other Acts March 19, 2025 Page 2 of 10

Pageof113 of 134 To establish a Delegation Authority Policy and to authorize the deleg…

Consolidated Copy Amendments By-law No.

Title

Date of Passage

By-law No. 2025-012 – To authorize the delegation of certain powers and duties under the Municipal Act, 2001, the Planning Act and other Acts March 19, 2025 Page 3 of 10

Pageof114 of 134 To establish a Delegation Authority Policy and to authorize the deleg…

Schedule “A” to By-law No. 2025-012 Delegation of Authority Policy

Purpose/ Application The Municipal Act, 2001, as amended, (the Act) requires that all municipalities adopt and maintain a policy with respect to the delegation of Council’s legislative and administrative authority. The purpose of this policy is to set out the scope of the powers and duties which Council may delegate its legislative and administrative authority and to establish principles governing such delegation. This policy has been developed in accordance with the Act in order to comply with its other applicable sections, including Section 270. This policy applies to all committees of Council, departments and staff.
Definition(s): a. Legislative Powers – Includes all matters where Council acts in a legislative or quasi judicial function including enacting by-laws, setting policies, and exercising decision making authority. b. Administrative Powers – Includes all matters required for the management of the corporation which do not involve discretionary decision making.
Policy Statement The Council of the County of Frontenac as a duly elected municipal government is directly accountable to its constituents for its legislative decision making, policies, and administrative functions. Council’s decisions are generally expressed by by-law or resolution of Council carried by a majority vote. The efficient management of the municipal corporation and the need to respond to issues in a timely fashion require Council to entrust certain powers and duties to committees and staff while concurrently maintaining accountability, which can be effectively accomplished through the delegation of legislative and administrative functions. Council authority will be delegated within the context set out in the Act and will respect the applicable restrictions outlined in the Act. This policy provides guidance regarding the scope of powers and duties that Council may delegate under its legislative and administrative authority and establishes principles governing such delegation.
County Strategic Priorities The Guiding Vision for Frontenac County is to be a thriving and sustainable County that balances economic growth, environmental preservation, and individual lifestyles, ensuring a vibrant and inclusive community for current and future generations in Frontenac.

By-law No. 2025-012 – To authorize the delegation of certain powers and duties under the Municipal Act, 2001, the Planning Act and other Acts March 19, 2025 Page 4 of 10

Pageof115 of 134 To establish a Delegation Authority Policy and to authorize the deleg…

Develop a Regional Approach to Overcome Infrastructure Issues and Maximize Infrastructure Development Opportunities

Strategic Goal #2

Contribute to the Progress of Sustainable Economic Growth and Prosperity Throughout the County

Strategic Goal #3

Strengthen Quality of Life through Enhanced Service Delivery

Strategic Goal #4

Maximize Administrative Leadership within the County Administration

Policy Requirements County Council supports the delegation of powers and duties to provide efficient management of municipal operations and respond to matters in a timely fashion according to the following principles: (i)

(ii)

All delegation of powers and duties may be revoked at any time without notice.

(iii)

No delegation of powers and duties shall exceed the term of Council.

(iv)

(v)

(vi)

Council has not deemed it necessary to authorize the delegation through this policy of any specific legislative matters not already delegated by by-law.

(vii)

Administrative Matters may generally be delegated to staff subject to the conditions set out in the delegation and in this policy and must consider the limitations set out in the Act.

(viii)

Council has not deemed it necessary to authorize the delegation through this policy of any specific administrative matters not already delegated by by-law.

By-law No. 2025-012 – To authorize the delegation of certain powers and duties under the Municipal Act, 2001, the Planning Act and other Acts March 19, 2025 Page 5 of 10

Pageof116 of 134 To establish a Delegation Authority Policy and to authorize the deleg…

•

Any expenditure related to the matter shall have been provided for in the current year’s budget (or authorized by the procurement policy by-law);

•

The scope of the delegated authority shall not be exceeded by the delegate;

•

All policies regarding insurance and risk management shall be complied with; and

•

Delegates shall ensure the consistent and equitable application of Council policies and guidelines.

(b)

By-law No. 2025-012 – To authorize the delegation of certain powers and duties under the Municipal Act, 2001, the Planning Act and other Acts March 19, 2025 Page 6 of 10

Pageof117 of 134 To establish a Delegation Authority Policy and to authorize the deleg…

The Director, or their designate acting in the position, at his/her discretion refers the request for Extension of Draft Approval or Final Approval of the plan of subdivision/condominium to Council;

Applications for Part-Lot Control – Approval i) Council’s power and authority with respect to all matters provided for by Section 50 (7.1) of the Planning Act, R.S.O. 1990, Chapter P.13, as amended, related to the requirement for approval for part-lot control by the appropriate approval authority for the purpose of sections 51 and 51.1 of the Planning Act, R.S.O. 1990, Chapter P.13 are delegated to the Director of Planning and Economic Development or, in the absence of the Director, to their designate acting in the position. ii) Notwithstanding the provisions of Clause 7(i) of this policy, Council shall retain all powers and authority under Section 51(58) of the Planning Act, as amended, where: By-law No. 2025-012 – To authorize the delegation of certain powers and duties under the Municipal Act, 2001, the Planning Act and other Acts March 19, 2025 Page 7 of 10

Pageof118 of 134 To establish a Delegation Authority Policy and to authorize the deleg…

The Director or, in the absence of the Director, the designate, at his/her discretion refers the request part-lot control to Council;

By-law No. 2025-012 – To authorize the delegation of certain powers and duties under the Municipal Act, 2001, the Planning Act and other Acts March 19, 2025 Page 8 of 10

Pageof119 of 134 To establish a Delegation Authority Policy and to authorize the deleg…

Schedule B to By-law 2025-012 Delegated Authority Officer or Position

Description of Delegated Authority

Warden

Head of the Municipality for the Purposes of the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA) and the Ombudsman Act

Clerk

Delegated the power or duty granted or vested in the head pursuant to Section 49(1) of the Municipal Freedom of Information and Protection of Privacy Act;

Director of Planning and Economic Development

Delegated the authority to authorize Final Approval of Plans of Subdivision and Plans of Condominium

Director of Planning and Economic Development

Delegated the authority to authorize Applications for Part-Lot Control – Approval

Director of Planning and Economic Development

Delegated the authority to authorize the Extension of Draft Approval of Plans of Subdivision and Plans of Condominium subject to the following:

That the request for the extension is for no more than two years;
That County staff agree with the request; and,
That the applicable Township Council agrees with the request.

Director of Planning and Economic Development

Clerk

Designated as the Contact Person of the Municipality for the Purposes of the Personal Health Information Protection Act (PHIPA) and the Ombudsman Act.

By-law No. 2025-012 – To authorize the delegation of certain powers and duties under the Municipal Act, 2001, the Planning Act and other Acts March 19, 2025 Page 9 of 10

Pageof120 of 134 To establish a Delegation Authority Policy and to authorize the deleg…

Integrity Commissioner

Delegation of authority of Council’s powers to impose penalties for a contravention of the Code of Conduct.

Chief Administrative Officer

By-law No. 2025-012 – To authorize the delegation of certain powers and duties under the Municipal Act, 2001, the Planning Act and other Acts March 19, 2025 Page 10 of 10

Pageof121 of 134 To establish a Delegation Authority Policy and to authorize the deleg…

By-Law No. 2025-013 OF The Corporation of the County of Frontenac being a by-law to Establish a Policy for the Sale, Disposition and Land Use by the Corporation of the County of Frontenac Short Title: “Sale, Disposition and Land Use By-Law” Whereas Section 270(1) of the Municipal Act, 2001 as amended requires municipalities to adopt and maintain a policy governing the sale and disposition of land. And Whereas the Council of the Corporation of the County of Frontenac deems it expedient to enact a by-law to amend the Policy for Sale and Disposition of Land; Now Therefore Be It Resolved That the Council of The Corporation of the County of Frontenac does hereby adopt the “Sale and Disposition of Land” Policy attached hereto as Schedule “A”; And That the Council of The Corporation of the County of Frontenac does hereby adopt the " Land Use" Policy attached hereto as Schedule “B” And That By-law No. 1995-0017 is hereby repealed in its entirety; And That all resolutions, by-laws or parts of by-laws, which are contrary to or inconsistent with this by-law are hereby repealed.: Read a First and Second Time this 19th day of March, 2025. Read a Third Time, Signed, Sealed and Finally Passed this 19th day of March, 2025. The Corporation of the County of Frontenac

Gerry Lichty, Warden

Jannette Amini, Clerk

Page 122 ofDisposition 134 T o Establish a Policy for the Sale, and Land Use by the Cor…

Schedule ‘A’ To By-law No. 2025-013 Sale and Disposition of Land Policy 1

Purpose

Definitions

By-law No. 2025-013 County of Frontenac Sale and Disposition of Land By-law March 19, 2025

Page 123 ofDisposition 134 T o Establish a Policy for the Sale, and Land Use by the Cor…

Page 2 of 10

Sale or Other Disposition of Land – General

3.1

Declaration of Land as Surplus

Notice to the Public

The listing of the lands on MLS The advertisement of the lands for sale in either local newspaper at least once or the County’s website; or The placement of a for-sale sign on the lands. Appraisals

a limited interest;

(b)

land 0.3 metres or less in width acquired in connection with an approval or decision under the Planning Act;

(c)

land that does not have direct access to a highway if sold to the owner of land abutting the land;

(d)

land repurchased by an owner in accordance with section 42 of the Expropriations Act;

By-law No. 2025-013 County of Frontenac Sale and Disposition of Land By-law March 19, 2025

Page 124 ofDisposition 134 T o Establish a Policy for the Sale, and Land Use by the Cor…

Page 3 of 10

3.4

(e)

land sold under section 107 of the Municipal Act, 2001; and

(f)

Manner of Sale or Other Disposition

3.5

(a)

if a public tender process will be used, a reserve bid equal to or higher than the appraised value of the land must be provided; and

(b)

if the land will be listed through a multiple listing service, the list price must be equal to or higher than the appraised value of the land.

Disposition for Nominal Consideration to Non-Profit Non-Commercial Entity

Final Council Approval

By-law No. 2025-013 County of Frontenac Sale and Disposition of Land By-law March 19, 2025

Page 125 ofDisposition 134 T o Establish a Policy for the Sale, and Land Use by the Cor…

Page 4 of 10

3.7

Non-Application

For greater certainty, the provisions of this Section 3 shall not apply to those lands referredto in Section 4 of this Policy. 4

Limited Powers for Sale or Other Disposition of Land

4.1

Limited Powers of the Chief Administrative Officer

Upon receipt of a written request from the Director, the Chief Administrative Officer of the Corporation may authorize the disposition of the following lands: (a)

any limited interest;

(b)

land that is 0.3 metres or less in width and is being conveyed to the adjoining owner; or

Limited Use of Land

5.1

Authorization by the Director

The Director may authorize a limited use by third parties for the purpose of facilitating work on the said lands or on adjacent or surrounding lands, provided that:

5.2

(a)

the Director does so only upon prior consultation with staff of other departments of the Corporation, who is/are responsible for the operations or maintenance of the subject land; and

(b)

the person given the authorization to enter or use the land owned by theCorporation agrees to: (i)

restore the land and adequately secures that obligation;

(ii)

indemnify the Corporation with respect to such entry or use; and

(iii)

provide adequate insurance protection to the benefit of theCorporation.

Execution of Agreement for Entry or Use

Council must determine whether land is surplus and approve the final sale or other disposition of land or of a limited interest.

•

By-law No. 2025-013 County of Frontenac Sale and Disposition of Land By-law March 19, 2025

Page 126 ofDisposition 134 T o Establish a Policy for the Sale, and Land Use by the Cor…

Page 5 of 10

County Solicitor •

The County Solicitor must oversee the Director in the carrying out of all its responsibilities under this Policy.

Director •

•

Prior to reporting to Council, the Director must determine, in consultation with appropriate staff of the Corporation, that any municipal purpose that may have previously existed no longer exists.

Staff •

5.3

Review Cycle

This policy shall be reviewed once per term of Council.

By-law No. 2025-013 County of Frontenac Sale and Disposition of Land By-law March 19, 2025

Page 127 ofDisposition 134 T o Establish a Policy for the Sale, and Land Use by the Cor…

Page 6 of 10

Schedule ‘B’ To By-law No. 2025-013 Land Use Policy 1

Policy:

Objective:

Procedure:

Staff will review with the applicant their needs and work with them to process their application in a timely and efficient manner.
In reviewing applications, the table below will be used to direct the applicant to the least onerous method possible. The Table is generally structured from “least” onerous (Certificate of Permission), to “most” onerous (Right of Way and Sale).
In all instances the proponent is responsible for all costs + applicable fees a. Fees and charges as per the County’s annual User Fee By-law
Permission may be refused in the following instances: a. Where granting permission would result in an unsafe condition b. Where permission would interfere with or limit future development c. Where the portion of County property at issue abuts waterfront d. Where the permission would allow land uses that may have negative impacts on the use or users of County lands e. Longitudinal access for an extended length of County lands f. The location of all easements shall be approved by the Director of Planning and Economic Development or designate to ensure the maximum safety and free flow of movement as outlined in this Guideline to minimize the possibility of interference on County lands and avoid the creation or aggravation of any maintenance problem. g. Where an alternate means of access is available, either by connection to the lower tier road system, private road, fire route or a joint mutual entrance, direct access onto County Lands will be denied.

By-law No. 2025-013 County of Frontenac Sale and Disposition of Land By-law March 19, 2025

Page 128 ofDisposition 134 T o Establish a Policy for the Sale, and Land Use by the Cor…

Page 7 of 10

h. Applicants shall use the prescribed Application for Easement form as provided by the County of Frontenac. 5. Conditions may be imposed on any of the above, which may include: a. Requirements for engineered drawings to show improvements to County land surface, drainage, access points etc. b. Conditions governing usage and safety c. Requirements for fencing and signage d. Insurance and indemnities

By-law No. 2025-013 County of Frontenac Sale and Disposition of Land By-law March 19, 2025

Page 129 ofDisposition 134 T o Establish a Policy for the Sale, and Land Use by the Cor…

Page 8 of 10

Page 130 ofDisposition 134 T o Establish a Policy for the Sale, and Land Use by the Cor…

Method

Time Period

Examples

Conditions

Certificate of Permission

Less than one year

Access across the property for a limited time (e.g., construction or tree harvesting)

Pre and post inspection Deposit equal to potential restoration Proof of insurance Site sketch Signed agreement Taxes in good standing

License of Occupation

Generally for a period up to three years In any case, not more than 21 years

Water line under property for a temporary period Fence encroachment Well installation Property access while a permanent access is being constructed

Encroachment Agreement

Indefinite, but may expire if the encroachment is replaced

Previously constructed structures

Approval Authority

Transferable

Delegated to staff

Pre and post inspection + periodic compliance inspections Proof of insurance Legal Survey Signed agreement Taxes in good standing

Council approval

Not as of right, but with County permission Not past original length

Pre- inspection Proof of insurance Legal survey Signed agreement Taxes in good standing

Delegate to staff for encroachment structure less than 15m2 Council approval for encroachment structures greater than 15m2

With County permission

Page 131 ofDisposition 134 T o Establish a Policy for the Sale, and Land Use by the Cor…

Right of Way (RoW)

Sale

In perpetuity

Disposal

Driveway access for a home or accessory building Permanent installations above, on or below Standard Trail Crossings

Sale for a lot addition Sale as surplus to County needs

By-law No. 2025-013 County of Frontenac Sale and Disposition of Land By-law March 19, 2025

Pre and post inspection + periodic compliance inspections (because it is permanent, a post-inspection is not necessary) Proof of insurance Legal Survey Signed agreement Taxes in good standing

Pre inspection Legal Survey Signed agreement Taxes in good standing

Page 10 of 10

No need to transfer – transferred with title as of right

n/a, see sale and disposition of land policy

By-Law Number 2025-014 of The Corporation of the County of Frontenac being a by-law to Authorize the Warden and Clerk to Execute an Agreement with Trans Canada Trail for the purpose of funding the gate, wayfinding and km marker signs on the K&P Trail. Whereas Sections 5 of the Municipal Act, 2001, as amended (hereinafter the Act) provides that a municipal power, including a municipality’s capacity, rights, powers and privileges, shall be exercised by its council by by-law, unless the municipality is specifically authorized to do otherwise; and, Whereas the County of Frontenac wishes to enter into an agreement with Trans Canada Trail; Now Therefore Be It Resolved That the Council of the Corporation of the County of Frontenac hereby enacts as follows:

That the Warden and the Clerk be authorized to enter into an agreement with Trans Canada Trail for the purpose of funding the gate, wayfinding and km marker signs on the K&P Trail.
That this By-law shall come into force and take effect upon the date of final passing. Read a First and Second Time this 19th day of March, 2025. Read a Third Time, Signed, Sealed and Finally Passed this 19th day of March, 2025. The Corporation of the County of Frontenac

Gerry Lichty, Warden

Jannette Amini, Clerk

Pageand 132 of 134 T o Authorize the Warden Clerk to Execute an Agreement with Trans Ca…

By-Law No. 2025-015 of The Corporation of the County OF Frontenac being a by-law to confirm all actions and proceedings of County Council on March 19, 2025

Whereas Section 8 of the Municipal Act, S.O. 2001, c.25 and amendments thereto provides that a municipality has the capacity, rights, powers and privileges of a natural person for the purpose of exercising its authority under the Municipal Act or any other Act; and; Whereas Subsection 2 of Section 11 of the Municipal Act, S.O. 2001, c.25 and amendments thereto provides that a lower-tier municipality and an upper-tier municipality may pass by-laws respecting matters within the spheres of jurisdiction described in the Table to Subsection 2 subject to certain provisions, and; Whereas Section 5 of the Municipal Act, S.O. 2001, c. 25 and amendments thereto provides that a municipal power, including a municipality’s capacity, rights, powers and privileges under Section 8 shall be exercised by its council and by by-law unless the municipality is specifically authorized to do otherwise; and; Whereas the Council of the County of Frontenac deems it expedient to confirm its actions and proceedings; Now Therefore Be It Resolved That the Council of the Corporation of the County of Frontenac hereby enacts as follows:

That all actions and proceedings of the Council of the County of Frontenac taken at its regular meeting held on March 19, 2025, be confirmed as actions for which the municipality has the capacity, rights, powers and privileges of a natural person.
That all actions and proceedings of the Council of the County of Frontenac taken at its regular meeting held on March 19, 2025, be confirmed as being matters within the spheres of jurisdiction described in Subsection 2 of Section 11 of the Municipal Act, S.O. 2001, c.25 and amendments thereto.
That all actions and proceedings of the Council of the Corporation of the County of Frontenac taken at its regular meeting held on March 19, 2025, except those taken by by-law and those required by by-law to be done by resolution are hereby sanctioned, ratified and confirmed as though set out within and forming part of this by-law.

133 of 134of County Council on March 19, 20… To confirm all actionsPage and proceedings

4. That this by-law shall come into force and take effect as of the final passing thereof. Read a First and Second Time this 19th day of March 2025 Read a Third Time and Finally Passed, Signed and Sealed this 19th day of March 2025.

The Corporation of the County of Frontenac

Gerry Lichty, Warden

Jannette Amini, Clerk

By-Law No. 2025-015 – To Confirm all Actions and Proceedings of County Council March 19, 2025

134 of 134of County Council on March 19, 20… To confirm all actionsPage and proceedings

Page 2 of 2

Help support independent journalism

If NFNM’s reporting matters to you, Buy Me a Coffee is a simple way to help keep local watchdog coverage going.